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Article History

Received: 20 April 2025

Accepted: 25 November 2025

First Online: 8 December 2025

Declarations

:

: This study was conducted in full accordance with the ethical principles outlined in the Declaration of Helsinki, which sets international standards for research involving human participants. The study protocol and procedures were reviewed and approved by the Ethics Committee of Islamic Azad University (Approval ID: IRB-2025/431–768), ensuring that all research activities met established ethical and regulatory standards. All participants were provided with comprehensive information about the nature, objectives, and procedures of the study, as well as their rights to confidentiality and voluntary withdrawal without penalty. Written informed consent was obtained from all participants prior to their inclusion in the study.

: Not applicable.

: The authors declare no competing interests.