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Article History

Received: 16 October 2025

Accepted: 7 January 2026

First Online: 16 January 2026

Declarations

:

: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the ethics committee of the Jining Center for Disease Control and Prevention. Written informed consent for publication was obtained from all participants.

: All authors have consented to publication of this research.

: The authors declare no competing interests.