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Institutional identifiers were omitted in accordance with double-blind peer review requirements. This study adhered to institutional ethical standards and the Helsinki Declaration. All participants provided written informed consent. Personal identifiers were removed, with data securely stored and analyzed in aggregated form to ensure confidentiality.","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":"1387"}}