Document is current

Article History

Received: 20 August 2024

Accepted: 10 November 2025

First Online: 25 November 2025

Declarations

:

: The study involving human participants was reviewed and approved by the Committee on Ethics of Medicine, Naval Medical University. As the ethics committee does not assign a specific reference number in its approval documents, no numeric approval code is available. The official ethics approval document and its English translation have been uploaded as supplementary materials for verification. All participants were informed about the purpose of the study, the voluntary nature of participation, and the confidentiality of their information, and they all provided written informed consent prior to participation.

: Not applicable.

: The authors declare no competing interests.