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Article History

Received: 1 April 2025

Accepted: 24 October 2025

First Online: 28 November 2025

Competing interests

: The author declares no competing interests.

: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This research was discussed and approved by the Academic Committee of the Normal University in June 2023. The approval number is xynu23417x.

: Written people assent and informed consent were obtained from participants and their parents. This study is a non-interventional one and will not cause any harm to the participants. The research content, purpose, and the way the research data will be used have all been detailedly informed to the participants and their guardians. The anonymity of the participants will also be guaranteed. Both the participants and their guardians have fully agreed to the use of the collected data. Informed Consent time: March 2024.