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Authors
Amini-Salehi, Ehsan
Joukar, Farahnaz
Letafatkar, Negin
Hassanipour, Soheil
Maroufizadeh, Saman
Asgharnezhad, Mehrnaz
Mansour-Ghanaei, Fariborz
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Funding
Funding for this research was provided by:
Guilan University of Medical Sciences (IR.GUMS.REC.1403.254)
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Article History
Received: 5 June 2025
Accepted: 29 January 2026
First Online: 10 February 2026
Declaration
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: Artificial intelligence tool (ChatGPT by OpenAI) was used exclusively for language editing purposes, including grammar, punctuation, andclarity. AI was not involved in the study design, data analysis or interpretation, or the development of scientific content. All authorsreviewed the manuscript in full and take complete responsibility for the accuracy, integrity, and originality of the work.
: The authors declare no competing interests.
: The study was approved by the Ethics Committee of Guilan University of Medical Sciences (IR.GUMS.REC.1403.254). All participants provided written informed consent prior to enrollment. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsink.
