Document is current

Article History

Received: 27 October 2025

Accepted: 30 January 2026

First Online: 5 February 2026

Declarations

:

: The study was conducted in accordance with the ethical principles of the Declaration of Helsinki and was approved by the Ethics Committee of the Faculty of General Medicine at Koya University (Reference number: 12/37). All participants provided written informed consent after receiving both oral and written explanations of the study’s objectives, voluntary nature, confidentiality safeguards, and right to withdraw.

: Not applicable.

: The authors declare that they used ChatGPT (OpenAI) to support the writing process of this article, specifically for language refinement, and improving clarity. The tool was employed to enhance the quality of expression, but did not contribute to the scientific content, data interpretation, or final conclusions of the manuscript. All AI-generated outputs were carefully reviewed, revised, and approved by the authors, who take full responsibility for the integrity and originality of the work. The use of AI adhered to ethical standards for scholarly publishing.

: The authors declare no competing interests.