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Article History

Received: 13 June 2025

Accepted: 8 August 2025

First Online: 26 September 2025

Declarations

:

: This study conformed to the principles outlined in the Declaration of Helsinki. The study was approved by the Vilnius Regional Biomedical Research Ethics Committee of Lithuania (Approval No. 2024/1-1564-1025). The need for written informed consent was waived by the ethics committee, as the study involved no intervention and used anonymized group-level data.

: Not applicable.

: The authors declare no competing interests.