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Article History

Received: 28 January 2026

Accepted: 21 May 2026

First Online: 22 June 2026

Declarations

:

: This study was conducted in accordance with the ethical standards of the Declaration of Helsinki and was approved by the Ethics Committee of Mashhad University of Medical Sciences (Ethics Code: IR.MUMS.FHMPM.REC.1404.074). Written informed consent was obtained from all participants and their legal guardians prior to participation. All collected data were kept confidential, and participant anonymity was strictly maintained throughout the research process.

: Not applicable.

: The authors declare no competing interests.