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25 August 2022

Recent Advances in Analytical Methods for the Detection of Olive Oil Oxidation Status during Storage along with Chemometrics, Authenticity and Fraud Studies

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1
Department of Chemistry, Faculty of Pure and Applied Science, University of Cyprus, P.O. Box 20537, Nicosia CY-1678, Cyprus
2
Department of Food Science and Technology, University of the Peloponnese, Antikalamos, 24100 Kalamata, Greece
3
Institute for Global Food Security, School of Biological Science, Queen’s University Belfast, Belfast BT9 5DL, Northern Ireland, UK
4
Food Chemistry Laboratory, Department of Chemistry, National and Kapodistrian University of Athens, Panepistimiopolis Zografou, 15771 Athens, Greece

Abstract

Olive oil is considered to be a food of utmost importance, especially in the Mediterranean countries. The quality of olive oil must remain stable regarding authenticity and storage. This review paper emphasizes the detection of olive oil oxidation status or rancidity, the analytical techniques that are usually used, as well as the application and significance of chemometrics in the research of olive oil. The first part presents the effect of the oxidation of olive oil during storage. Then, lipid stability measurements are described in parallel with instrumentation and different analytical techniques that are used for this particular purpose. The next part presents some research publications that combine chemometrics and the study of lipid changes due to storage published in 2005–2021. Parameters such as exposure to light, air and various temperatures as well as different packaging materials were investigated to test olive oil stability during storage. The benefits of each chemometric method are provided as well as the overall significance of combining analytical techniques and chemometrics. Furthermore, the last part reflects on fraud in olive oil, and the most popular analytical techniques in the authenticity field are stated to highlight the importance of the authenticity of olive oil.

1. Introduction

Olive oil is an edible vegetable oil solely deriving from the fruits of the olive tree (Olea europaea L.). It is produced by only mechanical or other physical means. It is mainly cultivated around the Mediterranean Basin, although in the past 50 years other regions have been added (California, New Zealand and Argentina). Its annual production reaches 3 million tonnes with a projection to increase approximately 3% year on year in the coming decade [1].
Global olive oil imports, exports as well as consumption have been growing consistently in recent years, thanks to olive oil’s remarkable organoleptic and nutritional properties, and the growing demand for premium healthy oils. Extra-virgin olive oil (EVOO) is one of the fundamental elements in the Mediterranean diet. At the same time, a very large agricultural industry is behind olive oil production, employing millions of people in producing countries [2].
Olive oil is one of the most regulated food commodities in the world, despite being a target of adulteration at different stages of its production and mainly of its supply chain. The oil is often substituted by fraudsters with lesser value oils and its identity is compromised [3]. This not only affects its aroma and taste but also erodes consumer confidence in the product and the perceived health benefits that come with it. Nowadays, both standard and modern analytical methods are applied to identify fraud [4]. Cultivar; environmental conditions such as geographical origin and geoclimatic characteristics; agronomic practice such as orchard management, irrigation and fertilization; harvesting time; olive maturation; storage of harvested olives and technological processes are parameters that have the most significant influence on olive oil quality, with the cultivar being of utmost importance since the olive cultivar and its characteristics are directly related to olive oil quality [5,6,7,8].
Standard analytical methods are incorporated in the legislation framework for olive oil trade. On a global level, the olive oil trading standards were developed by Codex Alimentarius CODEX STAN 33–1981 [9]. The Codex standards have been adopted by major organizations and countries worldwide, the International Olive Council, International Standard Organization (ISO) and in part by the European Union (EU). All those are frequently updated with new regulations that are trying to protect the integrity by describing methods that assess the authenticity, quality and purity of olive oil [10]. Although there are differences in the standards, a harmonization process is ongoing.
The virgin olive oil (VOO) category defines pure olive oil of high quality. Here, the oil is obtained from the fruit of the olive tree solely by mechanical or other physical means under conditions that do not alter the product’s integrity, while washing, decantation, centrifugation and filtration are the only treatments it undergoes. Within this category, there is EVOO and VOO, which are defined by different percentages of free acidity (0.8% or more up to 3.3%), and within the EU, specific organoleptic characteristics that correspond to those predetermined for each category (Regulation (EEC) 2568/91). Other categories are “refined olive oil”, “olive oil” that is a mixture of EVOO and refined olive oil, and olive pomace oil resulting from the extraction of olive pomace using solvents [11].
The acidity of the VOO is affected both by the quality of the produced olive fruit and by the cultivation practice, while it is undoubtedly the most important quality criterion. There are also a number of other chemical indices related to quality established for the VOO category. However, the organoleptic characteristics are broader because they include broader quality and authenticity parameters. The differentiation between categories is in the number of defects that can be detected by the sensory features obtained by a panel during the organoleptic trial with the higher categories accepting less defects than the lower ones [12]. One of these quality-related defects that can be detected, both chemically and sensorially, is the oxidation status of olive oil, commonly referred as rancidity. Oxidation affects the quality of the oil during its production and its subsequent storage, and it is a strictly post-harvest level quality assessment. It describes the handling of olive oil and how it was produced (cold/hot extraction) and stored. It is known that, when an oil is exposed to oxygen, heat, and light, it becomes oxidized. Oxygen and heat, and to a lesser extent, light, can significantly influence oxidation at the early stage of production, in the malaxation stage, up until its bottling and storage. In storage, the effect of light can be seen more influentially as almost all bottles in which olive oil is sold at present are opaque [13].
Oxidation is an undesirable series of chemical reactions in oil that completely degrade its quality. To understand oxidation, one should by familiar with the chemical compounds of olive oil. Oleic acid is the major fatty acid in olive oil [14], whereas other fatty acids found in the total fatty acids composition of olive oils are palmitic acid, palmitoleic acid, stearic acid, linoleic acid, α-linolenic acid and other minor acids. Diacylglycerols, monoacylglycerols and four classes of sterols, namely, common sterols (4-Desmethylsterols), 4α-Methylsterols, triterpene alcohols (4, 4-Dimethylsterols) and triterpene dialcohols, complete the group of olive oil lipids. All the major lipids EVOO components are listed in Table 1 [15].
Table 1. Major lipids EVOO components (adapted from [15]).
The fatty acid profile also plays an important role in the quality and characterization of olive oil as its composition reflects the nutritional properties of olive oil [5]. EVOO is mainly composed of triglycerides, with a high content of monounsaturated fatty acid (MUFA) and relatively low polyunsaturated fatty acid (PUFA) amounts [16]. The fatty acid composition of olive oils is variable, depending on the geographical region and botanical origin [17].
During the photo-oxidation of oil olive, the highly unstable and reactive singlet oxygen reacts with the unsaturated fatty acids, leading to the formation of the undesirable hydroperoxides [18]. Olive oil consists of a mixture of several esterifying triacylglycerols (TAG), representing 98% of its composition. The triacylglycerols consist of primarily monounsaturated fatty acids (FAs) (oleic acid or C18:1, present at 55–70% of total FAs) and a much higher content of polyunsaturated FAs (linoleic acid or C18:2, 5–15%). The unsaponified matter (1–2%) contains squalene, pigments, tocopherols, sterols, waxes and, perhaps more importantly, the polar fraction [19]. There are at least thirty-six structurally distinct olive oil phenolics that have been identified [20], including phenolic acids, phenolic alcohols, hydroxy-isocromans flavonoids, lignans and secoiridoids. Phenolic acids can be divided into three subgroups: benzoic acid derivatives, cinnamic acid derivatives and other phenolic acids and derivatives. Phenolic alcohols include hydroxytyrosol, tyrosol, p-Hydroxyphenyl ethanol (3,4-Dihydroxyphenyl), ethanol-glucoside, 2-(3-4 Dihydroxy phenyl) ethyl acetate and 2-(4-hydroxyphenyl) ethyl acetate. Hydroxy-isocromans are 3,4-dihydro-1Hbenzo[c]pyran derivatives, mainly occurring in nature as part of a complex-fused ring system. Flavonoids can be further divided into two subgroups: flavones and flavanols, including hydroxy-isocromans (+)-Pinoresinol 1-phenyl-6,7-dihydroxy-isochroman and 1-(3-methoxy-4-hydroxy)phenyl6,7-dihydroxy-isochroman. Lignans, based on the condensation of aromatic aldehydes, include (+)-1-Acetoxypinoresinol, (+)-1-Hydroxypinoresinol and (+)-Pinoresinol [20]. Secoiridoids are olive oil-specific phenolic compounds originating from oleuropein and ligstroside, i.e., the oleuropein aglicone mono-aldehyde (3,4-DHPEA-EA), the ligstroside aglicone mono-aldehyde (p-HPEA-EA), the dialdehydic form of elenolic acid linked to Hy (3,4-DHPEA-EDA or oleacin) and the dialdehydic form of elenolic acid linked to Ty (p-HPEA-EDA, or oleocanthal) [21,22,23]. Phenolic compounds from VOO have been shown to have potent antioxidant activity that can directly scavenge some radical species and minimize the amount reactive oxygen species (ROS) generated by fatty acid peroxidation [24].
The sum of phenolic acids (such as caffeic acid or syringic acid) and simple phenols (such as tyrosol and hydroxytyrosol) constitute the polar fraction. These simple forms, however, are in smaller quantities. Secoiridoid derivatives of the glycosides oleuropein and ligstrodide, lignans and other complex flavonoids are the main polar constituents [25]. To note, oxidation is an inevitable natural process. Some oils, such as olive oil and especially, EVOO are better in delaying it than others with longer induction periods due to their composition [26]. In principle, oxidation can be influenced by the fatty acid (FA) composition since there is a difference between monounsaturated and polyunsaturated FAs in their oxidation rate. However, among different olive oils, no significant differences are expected due to their fatty acid profiles, since they are almost identical. However, oxidation can be influenced by the unsaponified matter or the minor constituents, such as tocopherols, phytosterols, vitamin E and especially the polar fraction, which vary substantially from oil to oil. It has been shown that the oxidative stability of olive oil is significantly dependent on polar phenols. Between olive oil production and consumption, the possible loss of polar phenols can lead to the degradation of its quality [27]. Storage, in particular, reduces both polar phenols and tocopherols, rendering the olive oil susceptible to oxidation.
Oxidation status or rancidity can be detected by both the organoleptic test and a chemical test, although, as discussed later, the chemical test (peroxide value, PV) can also measure the presence of allylic hydroperoxides, which appear first during the oxidation process, whereas the sensory panel and other methods can potentially detect secondary products (aldehydes and ketones) of musty and rancid flavor, which are formed during the oxidation process [28,29].
The ever-increasing demand for extra virgin olive oil (EVOO), characterized for its unique organoleptic properties and health benefits, has led to various fraudulent practices to maximize profits, including dilution with lower-value edible oils. The deliberate mislabeling of lower commercial-grade olive oils or even mislabeling by a false declaration are some of the activities of adulteration. The poor nutritional quality, rapid oxidation as well as possible unhealthy substances formed during processing are issues concerning adulterated oils [6,16]. Food fraud mitigation strategies are mainly targeted to detect adulteration rapidly, accurately and easily in relation to lower grades of olive oil (refined, soft deodorized or pomace olive oil) or other lower-cost vegetable oils (e.g., hazelnut, sunflower, soybean, cotton, corn, walnut, canola oil and many others) [30].
Recently, an increase in the use of chemometric methods and multivariate statistical models has been observed in the science of food technology. In the field of olive oil, this was, until recently, not fully explored, although, in recent years, some important scientific work has been undertaken. There is a need, therefore, for a review of the current state of the art. Hence, the aim of this review paper is to report and evaluate the recent scientific literature for novel methods that determine lipid oxidation, its changes and its monitoring using computational methods, such as chemometrics and machine learning algorithms, and to provide some insight into required future work, keeping in mind the requirements of the olive oil industry for rapid low-cost methods to measure and predict lipid oxidation.

2. Lipid Stability Measurements

2.1. Evaluation of Primary Oxidation Products (“Lipid Hydroperoxides”)

2.1.1. Measurement of Peroxide Value (PV)

Peroxide value (PV) is the predominant method for measuring oxidative deterioration (rancidity) in olive oil, expressed as meq O2 kg−1 of fat or oil [31]. This method is one of the two official methods used for the standard evaluation of olive oil quality worldwide (the second is UV absorption coefficients at 232 and 270 nm). The determination is based on the reduction of the hydroperoxide group (ROOH) with iodide ions (I) in a solution of acetic acid/chloroform. It was mentioned that the peroxides are responsible for colour and aroma changes during oxidation. As seen from the following equations/reactions, the amount of released iodine (I2) determines the concentration of peroxide. The released iodine is titrated with a standardised sodium thiosulphate (Na2S2O3) solution, using a starch indicator [32].
2ROOH +2H+ + 2KI → I2 + 2ROH + H2O + K2O
I2 + 2Na2S2O3 (blue) + starch → Na2S4O6 (colourless) + 2NaI
A PV value of <1 meqO/kg oil is valid for freshly refined fats and oils, with a value < 5 being the absolute maximum acceptable [1]. Some minor peroxide formation is naturally expected in non-refined (virgin) olive oils (PV > 1). PV can be as high as 10 before any off-flavours can be detected by a trained sensory panel [33]. According to global trading standards and regulations, PV should be <20 for virgin and extra virgin olive oil quality designation and <15 for the olive oil (Regulation EEC 2568/91).
Factors related to the structure and reactivity of the peroxides, the reaction temperature and time determine the results of this methodology [34].

2.1.2. Determination of Lipid Hydroperoxides with the Ferric Thiocyanate Method

Peroxide values can also be determined alternatively by a colorimetric method [35]. This method is based on the reduction of hydroperoxides accompanied by the oxidation of Fe2+ to Fe3+ and the determination of Fe3+ as ferric thiocyanate (Reactions, 3–5). Ferric chloride in the presence of hydroperoxides reacts with ammonium thiocyanate, causing the production of the red chromophore ferric thiocyanate, which absorbs at 500 nm [36]. The amount of hydroperoxides in the sample depends on the intensity of the chromophore. This method is characterized by the best sensitivity for the evaluation of fat deterioration when compared to eight other photometric methods [37]. The Ferric Thiocyanate Method has been widely employed in lipid oxidation in emulsion systems [38].
ROOH + Fe2+ → RO˙ + Fe3+
RO˙ + Fe2+ + H+ → ROH + Fe3+
Fe3+ + 5SCN → Fe(SCN)52−

2.1.3. Measurement of Conjugated Dienes (CD) and Conjugated Trienes (CT)

The UV spectrophotometric absorbance at 232 nm (K232) and 270 nm (K270) provides a strong indication for the oxidation status of olive oil. During oxidation, conjugated dienes and trienes are formed and absorb 230–270 nm UV radiation. According to the legislation regarding the official categorization of olive oils, EVOO has maximum permitted values of K232 and K270 at 2.50 and 0.22, respectively, and the ΔK value should be within the +/− 0.01 range. It is expected for fresh and well-processed oils not to exceed values of 2.00 and 0.18 for K232 and K270, respectively [26].
The K232, K270 and ΔΚ UV coefficients provide a good oxidative marker characterising the spectra of oxidised oils due to their consideration of both primary and secondary oxidation products [39]. This is because the intense absorption near 232 nm is mainly attributed to the absorption of conjugated peroxides (primary oxidation products) and the lesser secondary absorption maximum in the region 270 nm is attributed to aldehydes and ketone dienes and epoxides (secondary oxidation products) [40,41]. The occurrence of conjugated dienes in oxidized oils is evidenced by the displacement of the double bond after a free radical attack on the methylene group hydrogens [42]. In linoleate (18:2)-rich substrates containing conjugated double bonds, the determination of conjugated dienes is widely used as a sensitive oxidative marker. In these lipid systems, the quantification of the amount of conjugated dienes is conducted at an absorbance of 232 nm and the molar absorptivity of linoleic acid is estimated according to the following equation [43].
C o n j u g a t e d   D i e n e s g 100 g o f o i l = 1.0769 × A B S 232 o i l   c o n c e n t r a t i o n   i n   t h e   s a m p l e g L
The conjugated diene and triene method has advantages over iodometric PV determination as it is characterized by simplicity, greater speed, smaller sample quantities and independence from chemical reactions and colour development [44]. Minimizing or even eliminating the interference that is a problem in complex systems can be achieved by using derivative spectroscopy with the photodiode detection of spectra and computer analysis of the data [45].

2.2. Determination of Secondary Oxidation Products (“off-Flavour” Volatiles)

2.2.1. p-Anisidine Value Test (PAV)

The measurement of the formation of carbonyl compounds determines the extent of oxidation in fats and oils. The amount of aldehydes (2-alkenals and 2,4-alkadienals) in vegetable and animal fats is determined by the para-anisidine test. Aldehydes in oil react with the p-anisidine reagent under acidic conditions and the optical density of the solution is measured at 350 nm [46].
The para-anisidine value (PAV) results from the reaction of 1 g of fat or oil in 100 mL of a mixture of solvent and p-anisidine measured at 350 nm in a 10 mm cell and is defined as 100 times the absorbance of that solution [47]. However, non-volatile aldehydes, for example, 2,5 oxo-glycerides, can contribute to the absorption. High-quality oil must have a maximum allowable PAV of ten [48]. The p-anisidine value of salad oils and their organoleptic scores have shown a good correlation according to the literature [49].
The so-called total oxidation value (TOTOX) combines peroxide (PV) and p-anisidine values (PAV) and has been used as an oxidative indicator [50], according to the following equation:
TOTOX value = 2 (PV) + PAV
The correlation of TOTOX, POV and PAV values with the sensory observations is useful for the estimation of the oxidation of olive oils [51].

2.2.2. Determination of Thiobarbituric Acid-Related Substances (TBARs)

One of the most commonly used methods to assess in foods lipid peroxidation is the thiobarbituric acid (TBA) test based on the determination of malonaldehyde, an important lipid oxidation product [52]. The reaction of malonaldehyde with the TBA reagent produces a pink solution with an absorption maximum at 532 nm [53]. It is an oxidative indicator with high reliability to a wide variety of foods, although not frequently applied in olive oil. The correlation between taste threshold values and the TBA results of vegetable oils is high as well as with soybean, corn and safflower [54,55]. However, there are some limitations in using the TBA test to assess the oxidative status of complex foods [31].

2.2.3. Determination of Volatile “off-Flavour” Oxidation Products with Gas Chromatography

(I)
Headspace Techniques (HS-SPME extraction)
Volatile “off-flavour” products, such as volatiles ketones and aldehydes, resulting from the oxidative deterioration of olive oil and other vegetable oils, can be analysed by gas chromatographic (GC) techniques. These include the direct injection, dynamic headspace and static headspace techniques [56]. The method of choice is static headspace because it is fast and does not require cleaning between samples [57].
The analysis of volatile lipid oxidation products can be facilitated by solid-phase microextraction (SPME), a relatively new and versatile sample preparation technique with a high-precision accuracy and sensitivity [58,59].
Analytes are released from their matrix and adsorbed from the fibre coating through the processes involved in headspace SPME [60]. The volatile organic analytes (here, ketones and aldehydes) are extracted, concentrated in the coating and transferred to the analytical instrument for desorption and analysis [61]. SPME is not expensive, does not require solvents and convenient, widely applied in olive oil [62]. Additionally, through SPME, the flavour profile is quantitatively assessed [63].
Not all aldehydes are good oxidation markers, however. Vichi et al. [11] argued that hexanal, hexanol and hexyl acetate are the result of the degradation of linoleic acid or the enzymatic degradation of linolenic acid and, therefore, not suitable to serve as independent oxidation markers. Instead, the presence of nonanal was proposed, with GC-HS-SPME providing a great platform for its detection due to its aforementioned characteristics [28]. The development of HS-SPME-GC, coupled with either an FID or MS detector, is continuing as either a support or an alternative to the sensory panel test, which proves to be a good but expensive method to determine olive oil quality and oxidation assessment, in contrary with instrumental assessment, which is subjective and cost effective [64,65,66].
Using the dynamic headspace (DH) technique, Morales et al. [67] was able to examine the modification of the volatile fraction of virgin olive oil during oxidation, focused on volatile secondary oxidation products related with the generation of off-flavours. They proposed the use of the ratio hexanal/nonanal as a good oxidation marker.
In addition, the oxidation of food related o/w emulsions involves the application of appropriate SPME techniques in order to characterise their volatile profile during oxidative deterioration [68]. The production of off-flavour aldehydes [69] has been inhibited by the use of natural antioxidant mixtures, hence leading to the protection of the final products from alterations related to organoleptic and nutritional characteristics.
(II)
Non-headspace techniques
In these techniques, the analysed samples are injected onto the head of a chromatographic column [70]. A pre-column should be used and should be replaced regularly. However, the reactions of the primary oxidation products in the column are possible to give new additional values.
Moreover, the determination of “off-flavour” compounds is achieved through GC-sniffing techniques [71]. The gas stream leaving the column is separated into a part that is directed to the flame ionization detector, while another part is used for the sensory analysis.

2.3. Other Methods for the Evaluation of Oxidative Rancidity

2.3.1. Measurement of the Induction Time of Oxidation (Rancimat, Swift Test)

Induction time is an important quality parameter for the lipid substate and depends on the type of oil, fatty acid composition and presence of catalysts (e.g., metals and light) [51]. The exponential increase in the rate of oxidation begins after the slow oxidation of lipids in the initial stages after a certain time (induction time), because more unstable hydroperoxides are produced that break down more easily [13,72].
The induction period is measured by various methods. Through the active oxygen test [32], the PV of oil samples are measured after the formation of air bubbles inside them and heated to 98 °C. In the Rancimat [51,71], an automated type of Swift Test, effluent gases after bubbling through the oil are led into a tube containing distilled water. The formation of several acids (e.g., formic, acetic and propionic) during oxidation reactions increases the conductivity of the solution, which is recorded between two platinum electrodes.
These methods have a disadvantage as they are only applicable to bulk oils. The possible loss of volatile components during the oxidation process provides incorrect results for induction times [48].

2.3.2. Other Recent Oxidation Techniques

Oxidative rancidity is assessed by several spectrophotometric techniques that have been developed in the last few years [73]. Volatiles are usually measured via UV absorption at 268 nm due to the presence of unsaturated aldehydes that absorb in this region [74], in addition to the determination of conjugated diene hydroperoxides that absorb at 232 nm. Infrared spectroscopy has been used to follow the formation of trans double bonds. Moreover, chemi- and bioluminescence has also been used based on the fact that the breakdown of peroxides during oxidation is accompanied by the emission of light [54].
Proton 1H-NMR has successfully evaluated rancidity and oxidation. Measurements made on edible oils demonstrated a good correlation between relative changes and TOTOX values [71]. Polarographic methods have been used, in which the oxidizing compounds are reduced at a dripping mercury electrode [75]. In a newer study with a metabolomics approach, the 1H NMR fingerprinting of VOO coupled with pattern recognition techniques showed that oxidative degradation could be determined through the quantification of various resonances, namely, the strong increase in hydroperoxides resonances, the drop in secoiridoid derivatives (phenols) and directly through the qualitative determination of other minor compounds, such as the E-2-hexenal linked with oxidation. The researchers detect the increase in low intensity 1H signals corresponding to secondary oxidation products (saturated aldehydes) at a low rate and yield [76].
The various lipid oxidation products can be determined using developed high performance liquid chromatography (HPLC) systems. The identification of oxidizing products (such as alcohols and 2,5 glycerides) has been achieved by using different types of columns and varying detection wavelengths [77]. For example, the overall quality of the oil can be achieved rapidly using thin layer chromatography (TLC) [78].

5. Conclusions

Olive oil is one of the most representative vegetable oils produced and widely consumed, especially in the countries of the Mediterranean Βasin. Due to its high price compared to other oils, there is a strong economic interest in blending pure VOO with other lower quality vegetable oils. Acidity is the major quality criterion of the produced olive oil, and lipid changes, which are inevitably negatively altered both during the storage period and by the storage conditions of the olive oil, affect its overall quality. In the present work, chemometrics, adulteration and authenticity studies related to storage lipid changes connect and monitor the most significant contributors with the oxidative stability of olive oils, allowing the determination of lipid oxidation as well as the changes that occur during storage. Currently, the analytical methods used are time-consuming and complex, while current research is directed towards providing rapid analyses involving the need for minimal sample preparation and online controls.

Author Contributions

Conceptualization, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; methodology, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; software, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; validation, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; investigation, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; resources, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; data curation, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; writing—original draft preparation, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; writing—review and editing, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; visualization, T.V.; supervision, T.V.; project administration, M.T., S.A., A.K., C.P., H.A.E.E. and T.V.; funding acquisition, T.V. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

Not applicable.

Data Availability Statement

Not applicable.

Conflicts of Interest

The authors declare no conflict of interest.

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