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Article History

Received: 13 October 2024

Accepted: 22 December 2025

First Online: 29 December 2025

Declarations

:

: The study protocol was reviewed and approved by the Ethics Committee of Kashan University of Medical Sciences (approval number: IR.KAUMS.MEDNT.REC.1401.159). All procedures involving human participants were carried out in accordance with the ethical standards of the institutional and national research committees, as well as the principles of the 1964 Declaration of Helsinki and its later amendments. Written informed consent was obtained from all participants before enrollment. Before providing consent, each participant received a clear explanation of the study’s objectives, procedures, potential risks, and anticipated benefits. Participants were encouraged to ask questions and were assured that participation was voluntary and that they could withdraw from the trial at any time without penalty. Confidentiality and privacy were rigorously safeguarded throughout the study. Personal identifying data were anonymized, securely stored, and accessible only to the research team. Analyses were conducted using aggregated data to maintain participant anonymity, and findings were reported without reference to any identifiable information.

: Not applicable.

: The authors declare no competing interests.