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Article History

Received: 17 March 2025

Accepted: 10 April 2026

First Online: 21 April 2026

Declarations

:

: The study received ethics approval from the Institutional Review Board of Shiraz University of Medical Sciences (Approval Number: IR.SUMS.MED.REC.1401.530), and all procedures were conducted in accordance with relevant guidelines and regulations, as outlined in the Declaration of Helsinki. Prior to enrollment, all participants were provided with a detailed explanation of the study objectives, procedures, potential risks, and anticipated benefits. Participant confidentiality was strictly maintained, with all data securely stored and accessible only to authorized members of the research team. Identifiable information was coded to protect privacy, and all findings are reported in aggregate form to prevent disclosure of individual identities.

: Written and verbal informed consent was obtained from each participant, ensuring voluntary participation and the right to withdraw at any stage without any impact on their standard medical care.

: The authors declare no competing interests.