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Article History

Received: 28 September 2024

Accepted: 14 February 2025

First Online: 21 February 2025

Declarations

:

: This study was conducted in compliance with the Declaration of Helsinki. The research proposal was approved by the Biomedical Research Ethics Committee of Zanjan University of Medical Sciences (ethical code IR.ZUMS.REC.1399.368). Written informed consent was obtained from all participants, ensuring their confidentiality and the preservation of their identities throughout the study. We adhered to strict principles of confidentiality, anonymity, and information security. Additionally, ethical standards regarding the use of references were meticulously maintained.

: Not applicable.

: The authors declare no competing interests.