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Authors
Ferasat, Mahdis https://orcid.org/0009-0001-9853-3758
Ghoochani, Bahareh Zeynalzadeh https://orcid.org/0000-0003-2361-3363
Kaveh, Mohammad Hossein https://orcid.org/0000-0002-9141-3243
Caycho-Rodríguez, Tomás https://orcid.org/0000-0002-5349-7570
Asadollahi, Abdolrahim https://orcid.org/0000-0003-2265-5641
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Article History
Received: 19 March 2025
Accepted: 10 May 2025
First Online: 23 May 2025
Declarations
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: This study received formal approval from the Research Ethics Committee at Shiraz University of Medical Sciences (Ethics Code: IR.SUMS.SCHEANUT.REC.1403.084) on December 1, 2024, ensuring the protection of participants'rights and welfare. All procedures involving human participants adhered to institutional and national ethical standards, the 2013 Helsinki Declaration (including its 2020 amendments), and relevant guidelines such as STROBE (2009), COSMIN (2020), ICMJE (2019), and the principles outlined in the Belmont Report. Written informed consent was obtained after participants were fully informed about the study’s objectives, methodology, and implications. Confidentiality and anonymity were maintained throughout the research, except in the case of the top scorer in a national exam, whose identity had already been publicly disclosed. She provided explicit consent for the use of her identity and related information in the study and its publication, confirming her agreement and satisfaction with this arrangement.
: Not applicable.
: The authors declare no competing interests.
