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Article History

Received: 10 November 2023

Accepted: 15 May 2025

First Online: 4 June 2025

Competing interests

: The authors declare no competing interests.

: This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Suqian University (Date: September 23rd, 2022 /No.2022LL100).

: All participants provided informed consent (Date: December 24th, 2022; January 15th, 2023; July 3rd, 2023; July 15th, 2023). Specifically, before participating in this study, participants will receive an informed consent form, which informs them of the purpose of the study, the confidentiality and anonymity of information, the voluntary nature of participation, and the right to withdraw from the study at any time. All participants agree to participate in this study and consent to use the data they provided.