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The study protocol was formally reviewed and approved by the Institutional Review Board of the Affiliated Hospital of Guizhou Medical University (Ethical Review Approval Number: 2025\u2013274). Written informed consent for publication and clinical data utilization was obtained from all adult participants prior to enrollment. For all participating minors, written informed consent was secured from their parents or legal guardians, accompanied by assent from the minors themselves.","order":1,"name":"Ethics","label":"Ethical Approval and Consent to Participation","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.","order":4,"name":"Ethics","label":"Conflict of Interest","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"115"}}