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Article History

Received: 9 April 2025

Accepted: 3 February 2026

First Online: 6 February 2026

Declarations

:

: The University of Cincinnati Institutional Review Board waived the need for approval, in accordance with the DHHS, DOJ and FDA regulations (study protocol #2020 − 0538). The research followed the guidelines of the ethics committee.

: Informed consent was obtained prior to data collection.

: The authors declare no competing interests.