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Article History

Received: 30 January 2026

Accepted: 21 May 2026

First Online: 28 May 2026

Declarations

: This study did not include any individual-level identifiable data, images, or personal information requiring additional consent for publication.

: The study protocol was reviewed and approved by the Ethics Committee of Mazandaran University of Medical Sciences (Approval Code: 1403.254). The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. All participants were informed about the observational nature of the study, and written informed consent was obtained prior to data collection. Confidentiality of participant information was strictly maintained throughout the study.

: Not applicable.

: The authors declare no competing interests.