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Article History

Received: 2 November 2025

Accepted: 21 April 2026

First Online: 27 April 2026

Declarations

:

: The authors declare no competing interests.

: The study was reviewed and approved by the Institutional Ethics Committee of Yanjin County People’s Hospital (Approval date: October 8, 2024). All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments. Written informed consent was obtained from all participants or their legal guardians prior to enrollment.

: All participants (or their legal guardians, where applicable) provided written informed consent for publication of anonymized data.