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Ethical approval was obtained from the Research Ethics Committee of the Federal University of Rio Grande do Sul (Approval Number: 74126223.3.0000.5347). As no identifiable or confidential participant information was accessed, informed consent was waived by the Research Ethics Committee of the Federal University of Rio Grande do Sul. All included patients were 18\u00a0years of age or older; no minors were enrolled in this study. Both male and female participants were included, and no exclusion criteria were applied based on sex, ethnicity, or socioeconomic background.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"265"}}