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Article History

Received: 9 May 2026

Accepted: 29 June 2026

First Online: 3 July 2026

Declarations

:

: This study was approved by the Ethics Committee of Shiraz University of Medical Sciences (Approval No. IR.SUMS.REC.1402.463) and retrospectively registered in the Iranian Registry of Clinical Trials (IRCT) under the registration number IRCT20220927056047N2 on 2026–05-02 ( ). All procedures were conducted in accordance with the Declaration of Helsinki and relevant institutional ethical guidelines. Written informed consent was obtained from all participants prior to enrollment after providing detailed information regarding the study objectives and procedures. Participant confidentiality and anonymity were maintained throughout the study, and all data were handled securely.

: Not applicable.

: The authors declare no competing interests.