Abstract
Examining the sustainable capacity utilization (SCU) of various systems is crucial for effective planning and decision-making. However, many studies face challenges when it comes to assessing capacity utilization due to the presence of random variables and undesirable outputs. In this research, we propose using chance-constrained data envelopment analysis (CCDEA) methods that take into account both managerial and natural disposability to evaluate the SCU of entities with random fixed and variable inputs. Specifically, we introduce non-radial directional distance function (DDF) models that incorporate random measures to provide estimates of input- and output-oriented random SCU metrics in the short term. These innovative techniques are then applied to analyze the SCU of OECD countries, considering both managerial and natural disposability factors. Our findings reveal that uncertainty and risk levels significantly influence the performance outcomes and ratios of the SCU that we calculate. This highlights the importance of accounting for these factors in capacity utilization assessments, ultimately contributing to more informed planning and strategic insights.
Introduction
Assessing capacity utilization (CU) effectively is crucial for the successful functioning of any business. Production capacity refers to the maximum level of output achievable when all inputs are available. However, this potential output may not be realized due to various constraints on resources. The concept of capacity was first introduced by Johansen 1 in 1968, who defined it as the maximum output that can be achieved within a specific timeframe using available facilities and equipment, without any limitations on resource utilization. Over the years, various definitions of capacity have emerged, leading to extensive research on capacity utilization in different contexts. Furthermore, the productive technology of an enterprise may be altered in compliance with theoretical concepts as well as objectives of practical studies. 2
Singh et al. 3 conducted a thorough literature review on CU and its evaluation methods across various sectors and countries. Shaikh and Moudud 4 applied a cointegration approach to measure the CU in OECD areas. Among the techniques explored, data envelopment analysis (DEA) stands out as one of practical methods. 5 Färe et al. 6 elaborated on DEA in a physical sense to assess CU based on Farrell's efficiency measures, building on Johansen's initial definition. Färe and Grosskopf 7 utilized directional distance function (DDF) and DEA models to estimate CU, while Sahoo and Tone 8 investigated CU components using both radial and non-radial techniques. An input-oriented measure of plant capacity was introduced by Cesaroni et al. 9 Additionally, Yang et al. 10 applied DEA and DDFs to analyze CU in Chinese manufacturing, focusing on current and changing CU levels over time. Fukuyama et al. 11 developed a tool to evaluate competitive efficiency among Chinese iron and steel companies using DEA, which considers an unconstrained capacity directional output distance function. Shen et al. 2 combined weak disposability technology with input- and output-oriented CU measures for both short- and long-term analyses. Karanki and Bilotkach 12 adapted a revised DEA method from Färe et al. 6 to estimate the CU of U.S. airports, allowing for unrestricted variable inputs to determine maximum capacity limits for each output. Yu et al. 13 explored capacity utilization and cost differences using an input-oriented slacks-based measures model, while Zhang et al. 14 assessed CU in the construction industry, accounting for environmental factors and the weak disposability of undesirable outputs. Fukuyama et al. 15 also developed an alternative DEA approach to address CU while minimizing constant inputs with respect to the average period. Song et al. 16 investigated CU over a given period. Huang et al. 17 introduced a multi-period CU estimation approach that incorporates the Technique for Order Preference by Similarity to Ideal Solution and DEA techniques.
Despite the wealth of research on DEA, there remains a gap in studies examining CU in the context of random data and undesirable outputs. As highlighted in Table 1, there are few assessments of CU that consider both natural and managerial disposability. Estimating sustainable capacity utilization (SCU) is particularly vital for OECD countries, as it provides policymakers with essential insights for resource allocation, economic growth, and overall societal well-being. By considering economic, social, and environmental dimensions in SCU estimation, policymakers can promote development that is not only economically viable but also socially inclusive and environmentally sustainable.
Comparative analysis of DEA studies for the assessment of CU.
*Radial DDF has been applied.
Estimating SCU is essential for fostering long-term economic growth and sustainability. Accurate assessments of capacity in key industries enable policymakers to avoid resource excesses or shortages, which can lead to inefficiencies or economic downturns. Furthermore, SCU estimates help identify investment opportunities and growth areas while highlighting potential risks and vulnerabilities within the economy. The social aspect of SCU is crucial for fostering inclusive growth and development. By evaluating the capacity utilization of industries that significantly impact employment and income generation, policymakers can promote long-term economic growth that benefits all segments of society, including vulnerable populations. This approach allows for the reduction of social inequalities and the enhancement of social cohesion through measures related to labor rights, working conditions, and access to essential services. Finally, considering the environmental context in SCU estimations is vital to ensure that economic activities do not compromise the environment, thus safeguarding the potential for sustainable development for future generations. Evaluating the environmental impacts of major industries and sectors is crucial for policymakers aiming to manage resources sustainably, enhance energy efficiency, and reduce pollution. By estimating SCU, policymakers can establish targets for cutting greenhouse gas emissions, conserving natural resources, and fostering environmentally friendly practices. In summary, understanding SCU across economic, social, and environmental dimensions is vital for countries within the OECD framework. This understanding enables policymakers to make informed decisions that safeguard and advance the three pillars of sustainability. As can be found from Table 1, there is a scarcity of studies to address the sustainable capacity utilization of systems. The renewable energy performance of systems with uncertain data and concerning sustainability dimensions has been studied in some investigations such as.18,19 However, the sustainable capacity utilization of processes involving random fixed and variable inputs has not been explored in the existing considerations.
Analyzing SCUs can often be quite complex, particularly because many applications involve random variables and undesirable outputs. To address this challenge, this paper introduces chance-constrained data envelopment analysis (CCDEA) methods that take into account both managerial and natural disposability. These methods are specifically designed to assess the SCU of entities that have both fixed and variable inputs that can fluctuate randomly. In our approach, we employ non-radial DDF models that incorporate these random elements, allowing us to calculate both input- and output-oriented random SCU measures over the short term. We then apply these techniques to appraise the SCU of OECD nations, considering the aspects of managerial and natural disposability.
Overall, this study offers several important contributions to the field:
♦ Estimating the SCU of entities when faced with random and undesirable measures, ♦ Proposing CCDEA methods that consider managerial and natural disposability to measure the SCU of decision-making units (DMUs) with random fixed and variable inputs, ♦ Providing input- and output-oriented random SCU measures utilizing the presented non-radial chance-constrained DDF frameworks, and ♦ Assessing the SCU of OECD countries while stochastic and undesirable outputs are presented.
The framework of this research is organized as detailed below. In Section 2, the proposed method is outlined for estimating the SCU for various entities, particularly in contexts where there are random and undesirable outputs. Moving on to Section 3, the SCUs specifically for OECD countries are examined. Section 4 delves into the managerial implications of our findings, addressing the challenges faced and offering recommendations for practitioners. Finally, Section 5 summarizes the conclusions and indicates directions for future research.
Methodology
The main goal of this analysis is to evaluate efficiency and SCU in the presence of random and unwanted variables. To achieve this, the next section introduces output-oriented chance-constrained DEA methods for estimating SCU in processes affected by random factors. Additionally, we expand input-oriented chance-constrained DEA frameworks to approximate random SCUs, incorporating the assumptions of natural and managerial disposability. To clarify, we utilize non-radial DDF models with random measures under these disposability frameworks to assess SCU in various processes.
Chance-constrained DEA models differ from traditional DEA models by factoring in uncertainty within the data. In these models, the DMU faces random variability in its inputs and outputs, which can influence the efficiency ratings derived from the DEA approach. The primary aim of chance-constrained DEA models is to evaluate the efficacy of DMUs while acknowledging data uncertainty. This consideration is crucial in real-world scenarios, where data can be affected by various types of variability, including measurement errors and stochastic processes.
The central concept behind chance-constrained DEA models is to include probabilistic constraints in the DEA formulation. These constraints allow for a specific level of uncertainty in the data while ensuring that the model still identifies the most efficient DMUs.
Overall, chance-constrained DEA models offer a stronger method for assessing efficiency amid uncertainty, helping decision-makers make better-informed choices in situations where data may not be entirely reliable.
Moreover, the natural disposability framework emphasizes that to reduce undesirable outputs, it is essential for an entity to minimize input usage. The DMU aims to enhance positive outputs by implementing strategies focused on reducing both inputs and unwanted outputs. This approach can be seen as a passive way of enforcing environmental regulations since both inputs and emissions are expected to decrease. Additionally, according to managerial disposability theory, a DMU should also work on improving its inputs. It's crucial to adopt measures that will not only cut down on negative outputs but also boost positive ones. Essentially, DMUs seek to leverage changes in environmental legislation by adopting advanced environmental technologies to enhance efficiency.
In summary, the idea of disposability within a business framework can be interpreted through two distinct environmental strategies. The first, referred to as the natural disposability, prioritizes the reduction of inputs to lessen unfavorable outputs while maximizing favorable ones. On the other hand, managerial disposability requires an increase in input levels to leverage regulatory advancements and emerging business opportunities.
In this section, natural and managerial disposability assumptions are applied to assess the SCU of entities with random factors.
Assume there are N DMU,
Output-oriented sustainable capacity utilization measure
The following non-radial chance-constrained DDF model under the variable returns to scale assumption can be calculated to adjust desirable and undesirable outputs while all inputs (fixed and variable) are included.
In which
At this moment, it is assumed that each random performance measure is uniquely identified by individual factors, specifically
That
Therefore, model (4) is replaced by model (5).
Model (5) can alternatively be modified to model (6) for the specified value of
The objective function of model (6) shows the output-oriented inefficiency level of the unit under consideration,
Also, we can define
Now, the non-radial chance-constrained DDF model under the variable returns to scale assumption can be calculated to adjust desirable and undesirable outputs while natural disposable variable inputs and managerial disposable inputs are ignored. Thus, we have
Similar to model (1), we can transform model (9) into a linear problem:
We can define the stochastic efficiency for each level
The entity is considered output-oriented stochastic efficient for risk level
By considering sustainability indicators, the output-oriented short-run stochastic SCU for the level
Where the numerator is the output-oriented stochastic efficiency achieved from statement (7) and the denominator is the short-run output-oriented stochastic efficiency obtained from expression (11) (in which natural disposable variable inputs and managerial disposable inputs are ignored). It is clear that the denominator is greater than or equal to the numerator that leads to
Assume the optimal value derived from model (10) is referred to as
Also, by considering the optimal value
Input-oriented sustainable capacity utilization measure
By adjusting random natural and managerial disposable variable inputs for given technology and directions, we can estimate the stochastic inefficiency related to random natural and managerial disposable variable inputs in the following way:
Analogous to model (1), model (18) can be transformed into the subsequent linear problem:
Model (19) shows the stochastic inefficiency value for the risk level
Statement (20) can be applied to assess the input-oriented stochastic efficiency score for the risk level
The unit under assessment is called the input-oriented stochastic efficient for the risk level
Next, the following input-oriented chance-constrained DDF model is introduced, which excludes undesirable outputs. In this model, the levels of desirable outputs observed on the right side of the desirable output constraints are adjusted to zero.
Corresponding to the other aforementioned models, model (21) can be reformulated as the following linear issue:
Model (22) indicates the stochastic inefficiency level for the risk level
Expression (23) displays the stochastic efficiency of the unit under measurement for the risk level
The input-oriented short-run stochastic SCU for the level
It is evident that the numerator is greater than or equal to the denominator, resulting in
Imagine
By regarding
The values resulted from statements (15), (17), (26) and (28) show the changes of natural disposable variable inputs and managerial disposable inputs. In fact, factors exhibit surpluses for values below one and deficiencies for values above one. The algorithm proposed in the text outlines the essential steps for identifying the SCU of entities, beginning with the classification of inputs and outputs, as shown in Figure 1. To ensure sustainable development, it is crucial to consider the economic, social, and environmental aspects of the issue. Previous research has provided comprehensive factors for this analysis. Data collected is then considered as random measures before conducting an examination of the SCU using models (13) and (24) for output orientation and input orientation. Non-radial efficiencies are evaluated using expressions (8), (12), (20), and (23). Statements (15) and (26) are used to assess the SCU ratio of natural disposable variable inputs and expressions (17) and (28) are applied to estimate the SCU of managerial disposable inputs. Finally, the results are analyzed to specify the SCU of entities.

Proposed algorithm to assess the SCU.
Application
Estimating SCU is crucial for OECD countries because it allows them to run their economies at peak efficiency without depleting natural resources or harming the environment. This importance becomes even clearer when we consider the three key aspects of sustainability: environmental, social, and economic. From an environmental standpoint, sustainable capacity utilization means that industries and businesses can operate in ways that minimize their impact on the planet. By effectively estimating and managing resource use, countries can reduce pollution, conserve natural resources, and mitigate the effects of climate change. Striking a balance between economic growth and environmental protection is essential for the long-term well-being of both people and the Earth. On the social side, it's vital that SCU promotes social equity and enhances the overall well-being of the population. By optimizing resource use and productivity, economies can create more jobs, improve living standards, and elevate the quality of life for their citizens. Estimating SCU also helps ensure that resources are accessible to all, helping to close income gaps and resource access.
Economically, estimating SCU is key for maintaining stability. By avoiding overexploitation of resources and preventing production bottlenecks, countries can achieve steady economic performance and resilience against external shocks. SCU fosters increased competitiveness, innovation, and overall economic prosperity among OECD nations.
In summary, to foster a comprehensive approach to development in OECD countries, estimating SCU must address environmental, social, and economic aspects. Balancing these three dimensions will enable nations to integrate economic advancement, social welfare, and environmental stewardship for a sustainable future.
The SCU of the 30 OECD countries presented in Table 2 is addressed. This information comes from refs.,29,30 and random measurements follow a normal distribution. We have analyzed the performance metrics and detailed them in Table 3 after reviewing existing research and studies. With access to data on input and output indicators for these countries from 2019 to 2021, we have evaluated their performance and SCU. Other countries were excluded from this analysis due to a lack of complete and reliable data. The choice of input and output parameters was based on their availability, reliability, and comparability across different nations and regions. Average values and standard deviations of the performance parameters are included in the Appendix (Table A1 and Table A2).
Countries under consideration.
Explanation of variables.
Natural disposable inputs in production include the labor force, fossil fuel consumption, and investment stock. The labor force and fossil fuel consumption are flexible inputs that can be adjusted based on production needs. In contrast, investment stock is a fixed input that isn’t easily changed in the short term. From a managerial standpoint, renewable energy consumption is viewed as a resource that can be managed. When we look at indicators, gross domestic product (GDP) and life expectancy stand out as two key outputs we want to achieve, while CO2 emissions are seen as negative outputs. Also, renewable energy consumption is something that managers can control and allocate within their organizations. GDP reflects a country's economic health, while life expectancy gives us an idea of how long people are expected to live on average. Together, these factors offer insights into the overall well-being and prosperity of a nation.
By boosting renewable energy use, managers can potentially enhance GDP and improve life expectancy. For example, cost savings, better energy efficiency, and reduced environmental impacts that come with renewable energy can contribute to economic growth and healthier populations. However, these benefits can be overshadowed by ongoing CO2 emissions, which are harmful to our environment and contribute to global warming. Reducing these emissions is crucial for mitigating the negative effects of greenhouse gases on both the planet and human health.
This framework emphasizes the significance of managing renewable energy consumption to foster economic growth and well-being while also minimizing harmful environmental effects like CO2 emissions.
In Table 3, we outline the performance parameters, with the fourth column detailing sustainability dimensions and the last column listing relevant studies. Economic indicators include the labor force, investment stock, and GDP, while environmental measures consist of fossil fuel consumption, renewable energy consumption, and CO2 emissions. Life expectancy is the sole social factor included.
Accordingly, the stochastic performance and SCU of the 30 OECD countries are analyzed. By considering the risk levels 0.01, 0.1, 0.3, and 0.5, the results achieved from expressions (6)-(8) and also statements (10)-(12) for including natural disposable variable inputs and managerial disposable inputs and ignoring them are presented in Table 4. As can be seen in Figures 2 and 3, the output-oriented efficiency scores achieved from statements (8) and (12) are non-increasing when the risk level increases. This means that the efficiency scores decrease or are without change when the risk levels increase. In all cases under examination, Poland gained the least efficiency score for all risk levels considered. Furthermore, the number of efficient countries is non-increasing as the risk level increases. The comparison of

Stochastic efficiency for different risk levels.

Biased stochastic efficiency for different risk levels.
Output-oriented efficiency scores.
Next, the output-oriented short-run stochastic SCU for levels 0.01, 0.1, 0.3, and 0.5 is assessed by using expression (13). The findings are presented in Table 5. As can be seen, the short-run capacity is fully utilized in some countries, including Denmark, Lithuania, Luxembourg, Sweden, and Switzerland for risk levels under examination with
Output-oriented SCU measures for different risk levels.
Random natural disposable variable input utilization rate using expression (15).
Random managerial disposable variable input utilization rate.
In this stage, by considering the risk levels 0.01, 0.1, 0.3, and 0.5, the input-oriented stochastic performance using expressions (19)-(20) and also statements (22)-(23) is assessed in two cases, containing all measures and also without undesirable outputs such that the levels of output observed on the right side of the output constraints are adjusted to be zero. The consequences are provided in Table 8. As shown, the input-oriented efficiency scores resulted from statements (20) and (23) are non-increasing when the risk level increases. This implies that performance metrics decline or remain constant with increased risk levels. In all instances under consideration, Poland obtained the lowest input-oriented efficiency score for all risk levels taken into account. Furthermore, the number of efficient countries does not increase as the risk level rises. The analysis of
Input-oriented efficiency scores.
Subsequently, the input-oriented short-run stochastic SCU for levels 0.01, 0.1, 0.3, and 0.5 is evaluated using expression (24). The results are depicted in Table 9. It is evident that certain countries, such as Canada, Latvia, Luxembourg, Norway, and the United States, have fully optimized their short-run capacity for the examined risk levels with
Input-oriented SCU measures for different risk levels.
Random natural disposable variable input utilization rate using expression (26).
The rates of using the managerial disposable input, renewable energy consumption, are evaluated for diverse degrees of risk (0.01, 0.1, 0.3, and 0.5) using equation (28). The consequences are shown in Table 11, which indicates the shortages and surpluses in renewable energy consumption. In most countries under examination, shortages of renewable energy consumption have been observed. Some countries, including Canada and the United States, show optimal utilization rates across all risk levels.
Random managerial disposable input utilization rate.
Notice that when the predetermined level
It should be noted that using data from 2019 to 2021 allows us to capture the responses of entities during a period marked by significant economic fluctuations, particularly due to the COVID-19 pandemic. This choice was primarily driven by the availability of complete and reliable data for parameters required for our CCDEA models. A critical lens to understand immediate adjustments in capacity utilization is provided. Also, the analysis of different risk levels gives insights into how SCU is affected by uncertainty. This is crucial for long-term planning, as it allows policymakers and managers to understand the potential vulnerabilities of their economies and organizations to future shocks.
Discussion and managerial implications
The concept of SCU is crucial for organizations aiming to maximize productivity and efficiency while also considering environmental sustainability and resource limitations. By exploring SCU, organizations can improve their resource allocation, enhance planning, and develop effective operational strategies. Non-radial DDF models, supported by CCDEA methods, provide a solid framework for assessing SCU in systems influenced by random factors and undesirable outputs. This approach allows for a comprehensive evaluation of SCU, taking into account the uncertainties and variations in input-output measures.
Analyzing SCUs for 30 OECD countries offers valuable insights for policymakers and managers, helping them grasp efficiency and sustainability. The countries can find ways to improve their performance by comparing their SCU with other countries under managerial as well as natural disposability. These findings suggest that varying risk levels can affect performance and SCU. For instance, Canada has shown the lowest output-oriented short-run stochastic SCU compared to its peers, indicating a need for adjustments in labor availability, fossil fuel use, and renewable energy consumption at different risk levels. On the other hand, Australia stands out with the highest input-oriented short-run stochastic SCU across various risk scenarios, suggesting significant changes in variable inputs, specifically labor, fossil fuel consumption, and the utilization of renewable energy sources. It is important to note that when the predetermined threshold is set at 0.5, the stochastic efficiencies calculated using a deterministic approach align closely with those derived from DEA models that use average inputs and outputs, regardless of fluctuations in these variables. This highlights how different risk levels can influence both performance scores and SCU ratios. Our analysis reveals that the relationship between risk level and SCU differs significantly across countries. As demonstrated in Tables 4 and 8, the output and input-oriented efficiency scores generally decline as risk levels increase, implying that higher uncertainty can negatively impact performance. This underscores the need for robust risk management strategies.
The implications of this research are significant for organizations. By gaining insights into their SCU, organizations can discover ways to optimize resource use, enhance operational efficiency, and reduce waste and environmental impact. These findings can also guide strategic decision-making, resource planning, and performance evaluations. By focusing on improving efficiency and reducing negative outputs, organizations can work towards better sustainability outcomes. Comparing the performance of countries at various risk levels can illuminate how uncertainties affect sustainability, aiding organizations in decision-making and risk management. Identifying less efficient countries and understanding the reasons behind their inefficiencies can lead to targeted strategies for improvement, such as addressing low labor force participation or high CO2 emissions, ultimately enhancing overall sustainability performance. For example, consider Australia. Australia consistently demonstrates the highest input-oriented short-run stochastic SCU across all risk levels (Table 9), suggesting effective change of labor, fossil fuel consumption, and renewable energy consumption. Managers of this country should benchmark against other sustainable practices such as Canada, Latvia, Luxembourg, Norway and United States. Specifically, a deeper dive into sustainable countries’ policies regarding energy mix, labor market flexibility, and resource allocation could yield valuable lessons. As another example, consider Poland. Poland consistently shows the lowest efficiency scores across all risk levels (Tables 4 and 8). This suggests significant room for improvement. Poland should focus on strategies to improve GDP and life expectancy and decrease CO2 emissions by making changes in the number of labor force, fossil fuel consumption, and renewable energy consumption. This highlights the need for targeted interventions to address specific inefficiencies. Analyzing the reasons behind Poland's lower performance, such as its reliance on fossil fuels or labor force participation, can inform the development of country-specific strategies.
Several countries show suboptimal utilization of labor force, fossil fuel consumption, and renewable energy consumption (Tables 5–7 and 9–11). For instance, Estonia's performance fluctuates significantly with risk levels, highlighting the importance of implementing adaptable strategies. Managers in these countries should investigate policies to optimize the use of labor, fossil fuel consumption, and renewable energy consumption. Luxembourg consistently demonstrates optimal performance across multiple metrics (Tables 5–7 and 9–11). By analyzing the policies and practices of this country, other nations can identify best practices to improve their SCU.
We have measured how effectively countries utilized their existing sustainable capacity during a period of significant demand shocks, rather than conflating utilization with long-term structural change. It should be noted that CCDEA is suitable for long-term efficiency analysis, provided that the model accounts for temporal changes, data consistency, and the evolving nature of uncertainties. When properly implemented, it can offer valuable insights into performance under uncertainty over extended periods.
In summary, exploring SCU with innovative analytical techniques can support organizations in achieving sustainable growth and competitiveness in today's resource-limited business landscape. Prioritizing environmental sustainability, efficiency, and effective capacity utilization is essential for long-term success, which can be accomplished through a comprehensive approach to capacity utilization.
Conclusion and policy implications
Analyzing sustainable capacity utilization is crucial for effective planning and resource management. In this study, we introduced two approaches to assess sustainable capacity utilization, focusing on both output and input. These approaches are based on chance-constrained DEA and consider three dimensions of sustainability in the short term. By applying these chance-constrained DEA methods, along with non-radial DDF models that take into account managerial and natural disposability, a solid framework was offered for estimating the sustainable capacity utilization of systems that deal with random factors and undesirable outputs.
Our research specifically evaluated the sustainable capacity utilization of OECD countries, enhancing our insights into this concept in the short run. The performance and sustainable capacity utilization of these countries were estimated while accounting for random and undesirable outputs. Overall, the methodologies we proposed provide valuable information that can improve decision-making and support sustainable development across various sectors. The findings indicate that uncertainty and the level of risk can significantly affect performance and sustainable capacity utilization ratios.
An important consideration in our empirical analysis was the temporal scope of the data. This choice was primarily driven by the availability of data for the parameters required for introduced CCDEA models. While this represents a short-term horizon, the period is not arbitrary; it encompasses the significant global macroeconomic shock of the COVID-19 pandemic. This makes it a unique and valuable case study for testing the robustness of our stochastic evaluation method under extreme conditions. The specific SCU scores presented are a snapshot of this volatile period. By explicitly modeling inputs and outputs as random variables, our approach can be developed for longer time horizons where economic fluctuations, policy changes, and technological uncertainties are more pronounced.
Future research can expand this framework to a broader dataset to empirically validate its long-term robustness. Exploring the sustainable capacity utilization of complex networks and processes with random measures is another promising avenue for subsequent studies. There is also potential for examining more areas and incorporating additional performance measures.
Footnotes
Ethical consideration
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Funding
The authors received no financial support for the research, authorship, and/or publication of this article.
Declaration of conflicting interests
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
