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Article History

Received: 9 June 2025

Accepted: 16 March 2026

First Online: 20 March 2026

<!--Emphasis Type='Bold' removed-->Declarations

:

: Ethics approval was obtained from the Medical Ethics Committee of the Fourth People’s Hospital of Zigong (No. EC-2025-99). Written informed consent was obtained from all participants prior to data collection. All methods were performed in accordance with the Declaration of Helsinki. The study data were anonymized to ensure confidentiality. Participants were fully informed about the purpose of the research, the procedures involved, potential risks and benefits, and their right to withdraw at any time without penalty. All consent forms were signed and dated, and have been archived in accordance with institutional requirements.

: All authors have read and approved the final manuscript.all participants explicitly included a clause regarding the publication of anonymized data. Participants were informed that the collected data would be used for analysis and might be published in scientific journals, provided that their identities remain anonymous. No participant objected to this term or withdrew consent.

: Written informed consent was obtained from all participants prior to data collection.

: The authors declare no competing interests.