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Article History

Received: 17 February 2025

Accepted: 24 September 2025

First Online: 30 December 2025

Declarations

:

: The study was conducted in accordance with the ethical guidelines established by the Declaration of Helsinki and was reviewed and approved by the institutional ethics committee of the Shiraz University of Medical Sciences with ethics code: IR.Sums.Med.Rec.1402.096. Prior to participation, all participants were provided with a comprehensive explanation of the study’s objectives and assured that the results of the study would be kept strictly confidential and that they had the right to discontinue their involvement at any time. Following this, the participants were given the opportunity to sign the written informed consent form if they wished. Written informed consent was obtained from all patients or appropriate legally authorized representatives.

: Not applicable.

: The authors declare no competing interests.