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Article History

Received: 18 November 2024

Accepted: 25 August 2025

First Online: 6 October 2025

Declarations

:

: The authors state that their research was conducted ethically in accordance with the Declaration of Helsinki. This study was approved and reviewed by the Medical Ethics Committee of the University of Oldenburg, approval number 2021 − 120. Written informed conent to participate in the study was obtained from the participants themselves or, in cases where this was not possible, from their legal guardians or family members. In instances of severe cognitive decline or dementia, consent was provided by a proxy, adhering to ethical guidelines for research involving adults who lack the capacity to provide informed consent.

: Not applicable in this section.

: The authors declare no competing interests.