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Article History

Received: 5 September 2025

Accepted: 16 December 2025

First Online: 23 December 2025

Declarations

:

: All procedures performed in studies involving human participants adhered to the ethical standards of the institutional and national research committees, as well as the 1964 Declaration of Helsinki and its subsequent amendments or comparable ethical standards. The study was approved by the Ethics Committee of the Institute of Biomedicine, Anhui Medical University (No. CH1059), and the Second Affiliated Hospital of Nanchang University (No. 2018019).

: Informed consent was obtained from all literate participants and from the legal guardians of illiterate participants in the study.

: Not applicable.

: The authors declare no competing interests.