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Article History

Received: 19 December 2024

Revised: 23 February 2025

Accepted: 3 March 2025

First Online: 14 March 2025

Declarations

:

: All procedures performed in this study involving human participants were in accordance with the ethical standards of the U.S. Department of Veterans Affairs and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Research and Development of the VA Western New York.

: The views expressed in this article are solely those of the authors and do not reflect an endorsement by or the official policy of the U.S. Army, the Department of Defense (DoD), the Department of Veterans Affairs (VA), or the U.S. Government. This material is the result of work supported with resources and the use of facilities at the VA Western New York Health Care System.

: No potential conflict of interests by the authors. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.