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Article History

Received: 8 February 2025

Accepted: 19 November 2025

First Online: 25 November 2025

Declarations

:

: Ethical approval was obtained and the protocol was approved by Shahid Ashrafi Esfahani University ethics committee in accordance with the internal regulations.

: All participants in this study provided informed consent prior to their involvement. They were briefed on the purpose, procedures, potential risks, and benefits of the research. Participation was voluntary, and participants had the right to withdraw at any time without penalty.

: Informed consent to publish has been obtained from all participants involved in the study and no identifiable images, personal data, or sensitive information are included.

: The authors declare no competing interests.