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Article History

Received: 15 July 2024

Accepted: 17 January 2025

First Online: 7 February 2025

Declarations

:

: Ethics approval for this study was obtained from the Ethics Committee of Tabriz University of Medical Sciences. The full approval details, including the reference number (IR.TBZMED.REC.1403.836), were reviewed and confirmed by the principles outlined in the Declaration of Helsinki. Written informed consent was obtained from all participants before their inclusion in the study. All subjects provided written informed consent before participation in the study. For illiterate participants, their legal guardians provided written informed consent, and the participants themselves either provided verbal consent, documented in the presence of a witness or confirmed their consent via a thumbprint. All methods were carried out by the ethical principles outlined in the Declaration of Helsinki’s guidelines and regulations.

: Not applicable.

: The authors declare no competing interests.