Document is current

Article History

Received: 3 October 2025

Accepted: 28 January 2026

First Online: 4 February 2026

Declarations

:

: All methods were performed in accordance with the Declaration of Helsinki guidelines and regulations. The study protocol received approval from the Ethics Committee of Zanjan University of Medical Sciences (IR.ZUMS.REC.1403.041). Prior to participation, all individuals provided written informed consent, affirming their voluntary participation after being fully informed about the study’s purpose, methodology, potential risks, and benefits.

: Not applicable.

: The authors declare no competing interests.