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Article History

Received: 1 April 2025

Accepted: 12 June 2025

First Online: 1 July 2025

Declarations

:

: The study was reviewed and approved by the Ethics Committee of the Sixth People’s Hospital of Nantong (Approval No: NTLYLL2025002). All procedures complied with the ethical standards of the Declaration of Helsinki. Written informed consent was obtained from all participants, including explicit agreement for the publication of anonymized data. Participation was voluntary with guaranteed confidentiality and the right to withdraw without penalty.

: All participants consented to publication of anonymized data through signed informed consent forms.

: The authors declare no competing interests.