Babaei, Keivan https://orcid.org/0000-0001-9837-7401
Naderipour, Arsalan https://orcid.org/0000-0001-8083-2437
Elyasi, Mehrab https://orcid.org/0009-0002-1263-0600
Koulani, Ali https://orcid.org/0009-0000-5551-4752
Goodarzi, Afshin https://orcid.org/0000-0001-5641-9028
Article History
Received: 21 June 2026
Accepted: 28 September 2026
First Online: 3 October 2026
Declarations
Ethics approval and consent to participate: The study was approved by the Ethics Committee of Kermanshah University of Medical Sciences (Project Code: 4040912, Ethics ID: IR.KUMS.REC.1404.624). Written informed consent was obtained from all participants, who were informed of their right to withdraw at any time. Confidentiality and anonymity were strictly maintained. All methods were performed in accordance with the Declaration of Helsinki.
Consent for publication: Not applicable.
Generative AI in scientific writing: AI‑assisted tools were used solely for translation, grammar improvement, and language refinement.
Competing interests: The authors declare no competing interests.