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Article History

Received: 10 March 2025

Accepted: 27 November 2025

First Online: 9 December 2025

Declarations

:

: The study protocol (Ethics ID: IR.KUMS.REC.1400.480) was reviewed and approved by the Research Ethics Committee of Kermanshah University of Medical Sciences. All procedures were conducted in accordance with the ethical standards of the institution and the national research committee, as well as the 1964 Helsinki Declaration and its later amendments. Prior to participation, all individuals received comprehensive information about the study, including its procedures, confidentiality of data, and objectives. Participants were provided with the participant information statement online and signed the consent form electronically. Informed consent to participate was obtained from all individual participants included in the study.

: Not applicable.

: The authors declare no competing interests.