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Article History

Received: 11 October 2024

Accepted: 5 August 2025

First Online: 26 August 2025

Declarations

:

: The authors declare no competing interests.

: A detailed project description was sent to the local Ethic Committee of Hamburg which belongs to the General Medical Council of Hamburg (Ethik‐Kommission der Ärztekammer Hamburg, Hamburg, Germany). The project was exempted from the need of approval, as the paragraph 9 of the "Law of Healing Professions, Hamburg” (§ 9 des Hamburgischen Kammergesetzes für Heilberufe) and § 15, Sect.  of the medical professional conduct (Berufsordnung für Hamburger Ärzte und Ärztinnen). The General Medical Council stated that that according to article 6 of the “Declaration of Helsinki”, the project was with humans but not on humans. All methods were carried out in accordance with relevant guidelines and regulations in the declaration of Helsinki. No necessity of deliberation of the project was seen.

: Not applicable.