If the letter of approval for ethical review fails, can I publish my paper?

The letter of approval for ethical review is invalid and the paper cannot be published.

1. According to relevant public information, the failure of the letter of approval for ethical review does not prove that its research has been recognized as conforming to relevant laws, regulations, policies and effective ethical basis. Therefore, medical researchers must ensure that their research has been approved by the ethics review Committee before publishing articles.

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What do the following letters in the references mean?

1. Briefly describe the changes of China's clothing in the late Qing Dynasty and the early Republic of China. 2. Briefly describe the disadvantages of China's diet fashion.

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Is the second author of the paper useful for evaluating professional titles?