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Written informed consent was obtained from all participants. For participants younger than 16 years, written informed consent was obtained from a parent or legal guardian together with participant assent. For participants aged 16 years and older, a waiver of parental or guardian consent was approved by the relevant ethics committees, allowing independent written informed consent. All procedures were conducted in accordance with the Declaration of Helsinki.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1578"}}