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Article History

Received: 25 June 2025

Accepted: 25 January 2026

First Online: 7 February 2026

Declarations

:

: The present study received ethical approval from the Ethical Committee of Qazvin University of Medical Sciences, Iran (Approval Code: IR.QUMS.REC.1400.472). All procedures were conducted in accordance with the ethical standards of the Declaration of Helsinki and relevant institutional guidelines.

: We provided the participants or their legal guardian(s) with an information sheet, reassured them about anonymity, freedom to withdraw, confidentiality and explained the study's purpose, and obtained their informed consent form."

: Not applicable.

: No applicable.

: The authors declare no competing interests.