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Article History

Received: 4 September 2025

Accepted: 26 February 2026

First Online: 7 March 2026

Declarations

:

: The authors have no relevant financial or non-financial interests to disclose. The authors have no conflicts of interest to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

: Ethics commission approval: Application number 2024-17427- approved by the Ethics Commission of the State Chamber of Medicine in Rhineland-Palatinate.

: Not applicable.

: Not applicable.