{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T02:28:42Z","timestamp":1793672922431,"version":"4.5.1"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Equity Health"],"DOI":"10.1186\/s12939-026-02768-4","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T07:45:09Z","timestamp":1770191109000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Environmental and structural risk factors for mycetoma in the White Nile State, Sudan: an ethnographic study"],"prefix":"10.1186","volume":"25","author":[{"given":"Badraldeen","family":"Alnoor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Papreen","family":"Nahar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Abu Zied","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Fairhead","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"issue":"3","key":"2768_CR1","doi-asserted-by":"publisher","first-page":"e2667","DOI":"10.1371\/journal.pntd.0002667","volume":"8","author":"WW van de Sande","year":"2014","unstructured":"van de Sande WW, Maghoub ES, Fahal AH, Goodfellow M, Welsh O, Zijlstra E. The Mycetoma knowledge gap: identification of research priorities. PLoS Negl Trop Dis. 2014;8(3):e2667.","journal-title":"PLoS Negl Trop Dis"},{"issue":"4","key":"2768_CR2","doi-asserted-by":"publisher","first-page":"e0003706","DOI":"10.1371\/journal.pntd.0003706","volume":"9","author":"SA Abramowitz","year":"2015","unstructured":"Abramowitz SA, McLean KE, McKune SL, Bardosh KL, Fallah M, Monger J, et al. Community-centered responses to Ebola in urban liberia: the view from below. PLoS Negl Trop Dis. 2015;9(4):e0003706.","journal-title":"PLoS Negl Trop Dis"},{"issue":"4","key":"2768_CR3","doi-asserted-by":"publisher","first-page":"e0008240","DOI":"10.1371\/journal.pntd.0008240","volume":"14","author":"R Kwizera","year":"2020","unstructured":"Kwizera R, Bongomin F, Meya DB, Denning DW, Fahal AH, Lukande R. Mycetoma in uganda: a neglected tropical disease. PLoS Negl Trop Dis. 2020;14(4):e0008240.","journal-title":"PLoS Negl Trop Dis"},{"issue":"11","key":"2768_CR4","doi-asserted-by":"publisher","first-page":"e0011736","DOI":"10.1371\/journal.pntd.0011736","volume":"17","author":"AH Fahal","year":"2023","unstructured":"Fahal AH, Bakhiet SM. Mycetoma and the environment. PLoS Negl Trop Dis. 2023;17(11):e0011736.","journal-title":"PLoS Negl Trop Dis"},{"key":"2768_CR5","doi-asserted-by":"publisher","first-page":"315","DOI":"10.2165\/00128071-200607050-00005","volume":"7","author":"V Lichon","year":"2006","unstructured":"Lichon V, Khachemoune A. Mycetoma: a review. Am J Clin Dermatol. 2006;7:315\u201321.","journal-title":"Am J Clin Dermatol"},{"key":"2768_CR6","doi-asserted-by":"crossref","unstructured":"Ganawa ETS, Bushara MA, Musa AEA, Bakhiet SM, Fahal AH. Mycetoma Spatial geographical distribution in the Eastern Sennar locality, Sennar State, Sudan. Transactions of the Royal Society of Tropical Medicine and Hygiene; 2021.","DOI":"10.1093\/trstmh\/trab029"},{"issue":"10","key":"2768_CR7","doi-asserted-by":"publisher","first-page":"1144","DOI":"10.1093\/trstmh\/trab076","volume":"115","author":"R Hassan","year":"2021","unstructured":"Hassan R, Simpson H, Cano J, Bakhiet S, Ganawa E, Argaw D, et al. Modelling the Spatial distribution of Mycetoma in Sudan. Trans R Soc Trop Med Hyg. 2021;115(10):1144\u201352.","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"9","key":"2768_CR8","doi-asserted-by":"publisher","first-page":"e0004061","DOI":"10.1371\/journal.pntd.0004061","volume":"9","author":"PE Verwer","year":"2015","unstructured":"Verwer PE, Notenboom CC, Eadie K, Fahal AH, Verbrugh HA, van de Sande WW. A polymorphism in the Chitotriosidase gene associated with risk of Mycetoma due to Madurella Mycetomatis Mycetoma\u2013a retrospective study. PLoS Negl Trop Dis. 2015;9(9):e0004061.","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"2768_CR9","doi-asserted-by":"publisher","first-page":"e2229","DOI":"10.1371\/journal.pntd.0002229","volume":"7","author":"GS de Hoog","year":"2013","unstructured":"de Hoog GS, Ahmed SA, Najafzadeh MJ, Sutton DA, Keisari MS, Fahal AH, et al. Phylogenetic findings suggest possible new habitat and routes of infection of human Eumyctoma. PLoS Negl Trop Dis. 2013;7(5):e2229.","journal-title":"PLoS Negl Trop Dis"},{"issue":"3","key":"2768_CR10","doi-asserted-by":"publisher","first-page":"e0003679","DOI":"10.1371\/journal.pntd.0003679","volume":"9","author":"A Fahal","year":"2015","unstructured":"Fahal A, Mahgoub el S, El Hassan AM, Abdel-Rahman ME. Mycetoma in the sudan: an update from the Mycetoma research Centre, university of Khartoum, Sudan. PLoS Negl Trop Dis. 2015;9(3):e0003679.","journal-title":"PLoS Negl Trop Dis"},{"issue":"7","key":"2768_CR11","doi-asserted-by":"publisher","first-page":"743","DOI":"10.3390\/jof8070743","volume":"8","author":"X Hao","year":"2022","unstructured":"Hao X, Cognetti M, Burch-Smith R, Mejia EOS, Mirkin G. Mycetoma: development of diagnosis and treatment. J Fungi. 2022;8(7):743.","journal-title":"J Fungi"},{"issue":"suppl1","key":"2768_CR12","doi-asserted-by":"publisher","first-page":"S153","DOI":"10.1093\/mmy\/myx061","volume":"56","author":"W van de Sande","year":"2018","unstructured":"van de Sande W, Fahal A, Ahmed SA, Serrano JA, Bonifaz A, Zijlstra E, et al. Closing the Mycetoma knowledge gap. Med Mycol. 2018;56(suppl1):S153\u201364.","journal-title":"Med Mycol"},{"issue":"10","key":"2768_CR13","doi-asserted-by":"publisher","first-page":"e3250","DOI":"10.1371\/journal.pntd.0003250","volume":"8","author":"AM Samy","year":"2014","unstructured":"Samy AM, van de Sande WW, Fahal AH, Peterson AT. Mapping the potential risk of Mycetoma infection in Sudan and South Sudan using ecological niche modeling. PLoS Negl Trop Dis. 2014;8(10):e3250.","journal-title":"PLoS Negl Trop Dis"},{"issue":"10","key":"2768_CR14","doi-asserted-by":"publisher","first-page":"e0010795","DOI":"10.1371\/journal.pntd.0010795","volume":"16","author":"R Hassan","year":"2022","unstructured":"Hassan R, Cano J, Fronterre C, Bakhiet S, Fahal A, Deribe K, et al. Estimating the burden of Mycetoma in Sudan for the period 1991\u20132018 using a model-based Geostatistical approach. PLoS Negl Trop Dis. 2022;16(10):e0010795.","journal-title":"PLoS Negl Trop Dis"},{"key":"2768_CR15","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.3390\/jof8121258","volume":"8","author":"M Develoux","year":"2022","unstructured":"Develoux M. Epidemiologic aspects of Mycetoma in Africa. J Fungi. 2022;8:1258\u20132022.","journal-title":"J Fungi"},{"issue":"1","key":"2768_CR16","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/S0035-9203(03)00009-9","volume":"98","author":"A Fahal","year":"2004","unstructured":"Fahal A. Mycetoma: a Thorn in the flesh. Trans R Soc Trop Med Hyg. 2004;98(1):3\u201311.","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"8","key":"2768_CR17","doi-asserted-by":"publisher","first-page":"e3102","DOI":"10.1371\/journal.pntd.0003102","volume":"8","author":"A Bonifaz","year":"2014","unstructured":"Bonifaz A, Tirado-S\u00e1nchez A, Calder\u00f3n L, Sa\u00fal A, Araiza J, Hern\u00e1ndez M, et al. Mycetoma: experience of 482 cases in a single center in Mexico. PLoS Negl Trop Dis. 2014;8(8):e3102.","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"2768_CR18","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/0035-9203(56)90004-9","volume":"50","author":"P Abbott","year":"1956","unstructured":"Abbott P. Mycetoma in the Sudan. Trans R Soc Trop Med Hyg. 1956;50(1):11\u201330.","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"10","key":"2768_CR19","doi-asserted-by":"publisher","first-page":"e0010817","DOI":"10.1371\/journal.pntd.0010817","volume":"16","author":"N Hounsome","year":"2022","unstructured":"Hounsome N, Hassan R, Bakhiet SM, Deribe K, Bremner S, Fahal AH, et al. Role of socioeconomic factors in developing mycetoma: results from a household survey in Sennar State, Sudan. PLoS Negl Trop Dis. 2022;16(10):e0010817.","journal-title":"PLoS Negl Trop Dis"},{"issue":"12","key":"2768_CR20","doi-asserted-by":"publisher","first-page":"e0007019","DOI":"10.1371\/journal.pntd.0007019","volume":"12","author":"M Abbas","year":"2018","unstructured":"Abbas M, Scolding PS, Yosif AA, El Rahman RF, El-Amin MO, Elbashir MK, et al. The disabling consequences of Mycetoma. PLoS Negl Trop Dis. 2018;12(12):e0007019.","journal-title":"PLoS Negl Trop Dis"},{"issue":"2","key":"2768_CR21","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1111\/ced.13642","volume":"44","author":"P Verma","year":"2019","unstructured":"Verma P, Jha A. Mycetoma: reviewing a neglected disease. Clin Exp Dermatol. 2019;44(2):123\u20139.","journal-title":"Clin Exp Dermatol"},{"issue":"3","key":"2768_CR22","doi-asserted-by":"publisher","first-page":"97","DOI":"10.3390\/tropicalmed3030097","volume":"3","author":"AH Fahal","year":"2018","unstructured":"Fahal AH, Suliman SH, Hay R. Mycetoma: the spectrum of clinical presentation. Trop Med Infect Disease. 2018;3(3):97.","journal-title":"Trop Med Infect Disease"},{"key":"2768_CR23","unstructured":"Fahal A. Report on the epidemiological study on mycetoma at El Andalous village, The white Nile state. 2010."},{"issue":"8","key":"2768_CR24","doi-asserted-by":"publisher","first-page":"e1365","DOI":"10.3109\/0142159X.2013.804977","volume":"35","author":"S Reeves","year":"2013","unstructured":"Reeves S, Peller J, Goldman J, Kitto S. Ethnography in qualitative educational research: AMEE guide 80. Med Teach. 2013;35(8):e1365\u201379.","journal-title":"Med Teach"},{"key":"2768_CR25","unstructured":"Ritchie J, Lewis J, Elam G. Designing and selecting samples. Qualitative Res Methods. 2003:77\u2013108."},{"issue":"2","key":"2768_CR26","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77\u2013101.","journal-title":"Qualitative Res Psychol"},{"issue":"8","key":"2768_CR27","doi-asserted-by":"publisher","first-page":"846","DOI":"10.1080\/0142159X.2020.1755030","volume":"42","author":"ME Kiger","year":"2020","unstructured":"Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE guide 131. Med Teach. 2020;42(8):846\u201354.","journal-title":"Med Teach"},{"issue":"1","key":"2768_CR28","first-page":"1","volume":"2","author":"J Aronson","year":"1994","unstructured":"Aronson J. A pragmatic view of thematic analysis. Qualitative Rep. 1994;2(1):1\u20133.","journal-title":"Qualitative Rep"},{"issue":"4","key":"2768_CR29","first-page":"547","volume":"2","author":"F El Gunaid","year":"2013","unstructured":"El Gunaid F, Elhag A, Dafalla M. Effect of human activities on forest biodiversity in white nile state, Sudan. Int J Innov Appl Stud. 2013;2(4):547\u201355.","journal-title":"Int J Innov Appl Stud"},{"key":"2768_CR30","doi-asserted-by":"crossref","unstructured":"Horowitz MM, Salem-Murdock M. The political economy of desertification in white nile Province, Sudan 1. Lands at risk in the third world. Routledge; 2019. pp. 95\u2013114.","DOI":"10.4324\/9780429042065-6"},{"issue":"8","key":"2768_CR31","doi-asserted-by":"publisher","first-page":"174","DOI":"10.3390\/tropicalmed7080174","volume":"7","author":"R Hassan","year":"2022","unstructured":"Hassan R, Deribe K, Simpson H, Bremner S, Elhadi O, Alnour M, et al. Individual risk factors of Mycetoma occurrence in Eastern Sennar Locality, Sennar State, sudan: A Case-Control study. Trop Med Infect Disease. 2022;7(8):174.","journal-title":"Trop Med Infect Disease"},{"key":"2768_CR32","unstructured":"Eisa AM. The transformation in traditional pastoral sector in the white nile state [Unpublished ]. University of Khartoum University of Khartoum; 2010."},{"key":"2768_CR33","unstructured":"Abdelkareem O, Khalifa K, Adam H, Elhaja M, Eltahir M. Land use land cover changes detection in white Nile state, Sudan using remote sensing and GIS techniques. 2017:14\u2009\u2013\u20099."},{"key":"2768_CR34","unstructured":"Hassan E, Elhag AMH, Mohamed MS. Effect of human activities on forest biodiversity in white Nile state, Sudan. Int J Innov Appl Stud. 2013;2."},{"key":"2768_CR35","unstructured":"El-Hussein DAY. Privitization of the white nile schemes and its impacts on the rural agricultural communities a case study Wakara and Eraik schemes. Unpublished Khartoum 2012."},{"issue":"11","key":"2768_CR36","doi-asserted-by":"publisher","first-page":"e2550","DOI":"10.1371\/journal.pntd.0002550","volume":"7","author":"WW van de Sande","year":"2013","unstructured":"van de Sande WW. Global burden of human mycetoma: a systematic review and meta-analysis. PLoS Negl Trop Dis. 2013;7(11):e2550.","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"2768_CR37","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1016\/S1473-3099(15)00359-X","volume":"16","author":"EE Zijlstra","year":"2016","unstructured":"Zijlstra EE, Van De Sande WW, Welsh O, Goodfellow M, Fahal AH. Mycetoma: a unique neglected tropical disease. Lancet Infect Dis. 2016;16(1):100\u201312.","journal-title":"Lancet Infect Dis"},{"issue":"5","key":"2768_CR38","doi-asserted-by":"publisher","first-page":"e0232556","DOI":"10.1371\/journal.pone.0232556","volume":"15","author":"JA Cardenas-de la Garza","year":"2020","unstructured":"Cardenas-de la Garza JA, Welsh O, Cuellar-Barboza A, Suarez-Sanchez KP, Cruz-Gomez LG, De la Cruz-Valadez E, et al. Climate, soil type, and geographic distribution of actinomycetoma cases in Northeast mexico: A cross-sectional study. PLoS ONE. 2020;15(5):e0232556.","journal-title":"PLoS ONE"},{"key":"2768_CR39","doi-asserted-by":"publisher","first-page":"114545","DOI":"10.1016\/j.socscimed.2021.114545","volume":"292","author":"L Foley","year":"2022","unstructured":"Foley L, Brugulat-Panes A, Woodcock J, Govia I, Hambleton I, Turner-Moss E, et al. Socioeconomic and gendered inequities in travel behaviour in africa: Mixed-method systematic review and meta-ethnography. Soc Sci Med. 2022;292:114545.","journal-title":"Soc Sci Med"},{"issue":"10","key":"2768_CR40","doi-asserted-by":"publisher","first-page":"e3271","DOI":"10.1371\/journal.pntd.0003271","volume":"8","author":"A Fahal","year":"2014","unstructured":"Fahal A, Mahgoub ES, El Hassan AM, Abdel-Rahman ME, Alshambaty Y, Hashim A, et al. A new model for management of Mycetoma in the Sudan. PLoS Negl Trop Dis. 2014;8(10):e3271.","journal-title":"PLoS Negl Trop Dis"},{"key":"2768_CR41","doi-asserted-by":"crossref","unstructured":"Fahal AH. Mycetoma. Current progress in medical mycology. 2017:355\u2009\u2013\u200980.","DOI":"10.1007\/978-3-319-64113-3_12"},{"key":"2768_CR42","unstructured":"Chapman J. Uncovering the molecular mechanisms behind Mycetoma. Newcastle University; 2021."},{"issue":"4","key":"2768_CR43","doi-asserted-by":"publisher","first-page":"332","DOI":"10.4103\/ijd.IJD_476_16","volume":"62","author":"V Relhan","year":"2017","unstructured":"Relhan V, Mahajan K, Agarwal P, Garg VK. Mycetoma: an update. Indian J Dermatology. 2017;62(4):332\u201340.","journal-title":"Indian J Dermatology"},{"issue":"sup1","key":"2768_CR44","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1080\/02681219280000751","volume":"30","author":"R Hay","year":"1992","unstructured":"Hay R, Mahgoub E, Leon G, Al-Sogair S, Welsh O. Mycetoma J Med Veterinary Mycol. 1992;30(sup1):41\u20139.","journal-title":"Mycetoma J Med Veterinary Mycol"},{"issue":"8","key":"2768_CR45","doi-asserted-by":"publisher","first-page":"e0004886","DOI":"10.1371\/journal.pntd.0004886","volume":"10","author":"RF Omer","year":"2016","unstructured":"Omer RF, Seif EL, Din N, Abdel Rahim FA, Fahal AH. Hand mycetoma: the Mycetoma research centre experience and literature review. PLoS Negl Trop Dis. 2016;10(8):e0004886.","journal-title":"PLoS Negl Trop Dis"},{"issue":"7","key":"2768_CR46","doi-asserted-by":"publisher","first-page":"e0010607","DOI":"10.1371\/journal.pntd.0010607","volume":"16","author":"M Zeeshan","year":"2022","unstructured":"Zeeshan M, Fatima S, Farooqi J, Jabeen K, Ahmed A, Haq A, et al. Reporting of Mycetoma cases from skin and soft tissue biopsies over a period of ten years: A single center report and literature review from Pakistan. PLoS Negl Trop Dis. 2022;16(7):e0010607.","journal-title":"PLoS Negl Trop Dis"},{"issue":"8","key":"2768_CR47","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1111\/myc.13474","volume":"65","author":"S Werkneh","year":"2022","unstructured":"Werkneh S, Orefuwa E, Denning DW. Current situation of fungal diseases in Eritrea. Mycoses. 2022;65(8):806\u201314.","journal-title":"Mycoses"},{"issue":"5","key":"2768_CR48","doi-asserted-by":"publisher","first-page":"315","DOI":"10.2165\/00128071-200607050-00005","volume":"7","author":"V Lichon","year":"2006","unstructured":"Lichon V, Khachemoune A. Mycetoma: a review. Am J Clin Dermatol. 2006;7(5):315\u201321.","journal-title":"Am J Clin Dermatol"},{"issue":"11","key":"2768_CR49","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1002\/bjs.1800791107","volume":"79","author":"AH Fahal","year":"1992","unstructured":"Fahal AH, Hassan M, Mycetoma. Br J Surg. 1992;79(11):1138\u201341.","journal-title":"Br J Surg"}],"container-title":["International Journal for Equity in Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12939-026-02768-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12939-026-02768-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12939-026-02768-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T14:21:46Z","timestamp":1770906106000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12939-026-02768-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":49,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["2768"],"URL":"https:\/\/doi.org\/10.1186\/s12939-026-02768-4","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-5448717\/v1","asserted-by":"object"}]},"ISSN":["1475-9276"],"issn-type":[{"value":"1475-9276","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]},"assertion":[{"value":"13 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted with authorization and approval from both Sudan\u2019s Soba Centre for Audit and Research at the University of Khartoum (SCAR) and the Research Governance and Ethics Committee (RGEC) of Brighton and Sussex Medical School (BSMS), under reference number ER\/BSMS9KNA\/2. It was carried out under their authority and oversight. Informed consent forms were provided to and signed by participants; literate participants gave written consent, whereas illiterate participants gave verbal consent after the first author had explained the participant information sheet and interview guide to them orally at least 24\u00a0h before consent was obtained.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"42"}}