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No personal or financial relationships influenced any stage of the study.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study received ethical approval from the Social Sciences and Humanities Research Ethics Board of the University of Ottawa and the Research Ethics Committee at the University of Benghazi.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"We obtained oral informed consent from all participants prior to their participation in accordance with approved protocols.","order":3,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Participants consented to the use of anonymized quotes and findings for publication as part of the informed consent process.","order":4,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors used ChatGPT to enhance the clarity and readability of the manuscript. 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