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The authors explicitly declare that these tools were not involved in the creation of the study design, data processing, or the formulation of the discussion and conclusions. All intellectual content remains the sole responsibility of the authors, who have verified the accuracy of the text prior to submission.","order":2,"name":"Ethics","label":"Declaration of generative AI in scientific writing","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study is original and not under consideration elsewhere.","order":3,"name":"Ethics","label":"Submission statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All experimental protocols and study procedures were thoroughly reviewed and officially approved by the Human Research Ethics Committee of the University of Phayao, Thailand (Approval Code: HREC-UP-HSST 1.2\/059\/68). The investigation was conducted in strict adherence to the ethical guidelines and principles established by the Declaration of Helsinki regarding human experimentation.","order":4,"name":"Ethics","label":"Institutional review board statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was prospectively obtained from all 60 participants prior to their enrollment and the commencement of any data collection procedures. All participants were fully informed about the study\u2019s objectives, protocols, and their right to withdraw at any time without consequence.","order":5,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"30986"}}