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Article History

Received: 8 December 2025

Accepted: 10 February 2026

First Online: 13 February 2026

Declarations

:

: This study was conducted in accordance with the principles of the Declaration of Helsinki, with informed consent obtained from all participants. Data confidentiality was strictly maintained for scientific research purposes only, and the study received approval from the Jinan Center for Disease Control and Prevention Ethics Committee (approval No.2025-008).

: Informed consent for participation was obtained from all subjects involved in the study.

: All participants signed written informed consent, agreeing to the use of their de-identified clinical data for research publication; all identifiable information was anonymized before data analysis.

: The authors declare no competing interests.