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Article History

Received: 12 July 2025

Accepted: 10 November 2025

First Online: 15 December 2025

Declarations

:

: The present study was conducted following approval by the Ethics Committee of Shiraz University of Medical Sciences (Approval ID: IR.SUMS.SCHEANUT.REC.1401.017) and was registered in the Iranian Registry of Clinical Trials (IRCT) under registration number IRCT20211129053216N1 on March 19, 2024 ( ). All procedures adhered to the ethical principles outlined in the Declaration of Helsinki and relevant institutional guidelines. Written informed consent was obtained from all participants after providing comprehensive information about the study aims and procedures. Participant confidentiality was strictly maintained, and all personal data were handled with the highest degree of privacy and security.

: Not applicable.

: The authors declare no competing interests.