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Article History

Received: 28 October 2025

Revised: 28 January 2026

Accepted: 23 February 2026

First Online: 13 March 2026

Declarations

:

: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee ( Ethikkommission des Fachbereichs Humanmedizin der Philipps-Universität Marburg ) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

: Informed consent was obtained from all individual participants included in the study.

: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.