This research project has been approved by the Ethics Committee ofZhejiang University and was conducted in strict accordance with the Declaration of Helsinki. In this study, we respected and protected the rights and privacy of the participants and ensured the confidentiality of their personal information.
Participants' informed consent:We explained the purpose, process, risks, and benefits of the study to all individuals participating in the study either orally or in writing, and obtained their informed consent. Participants had the right to know that their participation was voluntary and that they could withdraw from the study at any time.