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Article History

Received: 5 November 2024

Accepted: 10 April 2025

First Online: 18 April 2025

Declarations

:

: This study was deemed exempt by the Uniformed Services University Institutional Review Board (DBS.2022.429, approved October 6th, 2022).

: The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government. I am a military service member (or employee of the U.S. Government). This work was prepared as part of my official duties. Title 17, USC, § 105 provides that ‘Copyright protection under this title is not available for any work of the U.S. Government.’ Title 17, USC, § 101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person’s official duties. This work was prepared by a civilian employee of the US Government as part of the individual’s official duties and therefore is in the public domain. The opinions and assertions expressed herein are those of the author(s) and do not necessarily reflect the official policy or position of the Uniformed Services University or the Department of Defense or the Henry M. Jackson Foundation for the Advancement of Military Medicine. This work was prepared and approved by the USU Public Affairs office prior to recent executive order dissemination.

: None.

: The authors declare no competing interests.