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This study was approved by the Research Ethics Committee of Beijing Huilongguan Hospital [2025-75-Science]. Informed consent was obtained from all participants prior to their inclusion in the study. Participants were provided with full information about the study\u2019s purpose, procedures, and their rights, ensuring voluntary participation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The findings described in this document have not been previously published, and none of the authors are currently submitting them to another publisher for consideration.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1019"}}