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Article History

Received: 13 April 2024

Accepted: 30 October 2024

First Online: 13 November 2024

Competing interests

: The authors declare no competing interests.

: All study participants provided informed consent, and the study design was approved by Ethics Committee of Soochow University (Approval No. SUDA20211206H01). The approval date was December 6, 2021. We used pseudonyms to replace institutional names and participants’ names to protect their privacy. All research was conducted in accordance with relevant guidelines and regulations applicable to studies involving human participants (Declaration of Helsinki).

: We confirm that written informed consent was obtained from all participants on the date they agreed to participate in this study, during meetings at their university. The scope of the consent includes participation, data use, and permission to publish results. No vulnerable individuals were involved in the study.