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Article History

Received: 29 September 2025

Revised: 10 April 2026

Accepted: 7 May 2026

First Online: 18 May 2026

Competing interests

: The authors declare that there are no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

: During the preparation of this work the author(s) used OpenAI's GPT-4 solely for linguistic refinement. After using this tool/service, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.

: The present study was approved by the Ethics Committee of Henan Provincial People’s Hospital and conducted in accordance with the Declaration of Helsinki. Written informed consent to participate was obtained from all participants.

: Written informed consent for publication of the anonymized participant image shown in Fig.  was obtained from the participant.