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Article History

Received: 8 May 2025

Accepted: 25 September 2025

First Online: 22 October 2025

Declarations

:

: This study received ethical approval from John Carroll University Institutional Review Board approval number #2024-013.

: All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Before participation, all individuals were informed about the study's nature and purpose, their rights as participants, and any potential risks or benefits. Informed consent was obtained from all individual participants included in the study. Participants were made aware that their involvement was voluntary and that they could withdraw from the study at any point without penalty. No identifying information was collected, and all data were kept confidential and used solely for research purposes.

: The authors declare no competing interests.