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Authors
Qin, Huijuan
Zhou, Zijian
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Article History
Received: 18 November 2025
Accepted: 10 April 2026
First Online: 19 April 2026
Declarations
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: The authors declare no competing interests.
: Before participating, all subjects provided informed consent. The study was conducted in accordance with the Declaration of Helsinki, and the Institutional Review Board of Hebei Open University and Cangzhou Open University approved the protocol.
