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Article History

Received: 8 January 2026

Accepted: 20 April 2026

First Online: 7 May 2026

Declarations

:

: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

: The University Health Network Research Ethics Board reviewed and approved this study (UHN, 19-6164, October 2022), with renewals obtained annually. Prior to participation, all participants provided written informed consent. This study is not a clinical trial, so a number is not applicable.

: The manuscript does not include any individual data. All authors have read and approved the final version of the manuscript and consent to its publication.