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Article History

Received: 7 April 2025

Accepted: 3 March 2026

First Online: 13 March 2026

Declarations

:

: The authors submitted protocol to Würzburg University before the research commenced on April 6, 2022, followed the Würzburg University ethical policy and the Declaration of Helsinki, Würzburg University confirmed this was a low-risk study and no formal approval was needed. All participants provided informed consent prior to their inclusion in the study, in accordance with institutional guidelines and the Declaration of Helsinki.

: All participants provided informed consent for their data and any associated information to be published in this study.

: The authors declare no competing interests.  Declaration of generative AI and AI-assisted technologies in the writing process During the preparation of this work the author(s) used Perplexity in order to improve language and readability. After using this tool/service, the author(s) reviewed and edited the content as needed and take(s) full responsibility for the content of the publication.