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Article History

Accepted: 29 April 2025

First Online: 25 May 2025

Declarations

:

: This study was partly funded by a Research and Development Committee Interdisciplinary Grant and a Graduate Studies Student Research Grant from East Tennessee State

: The authors declare no conflicts of interest.

: All study procedures were conducted in accordance with the 1964 Helsinki Declaration (and its amendments). The study was approved by the East Tennessee State University/Veterans Affairs Medical Campus Institutional Review Board (IRB no. 1214.4sw).

: Informed consent was obtained from study participants in the presence of at least one investigator and witness.

: Not applicable.

: The data that support the findings of this study are available from the corresponding author upon reasonable request.

: Not applicable.

: D.E.M. designed and implemented the study, performed the experiments, analyzed the data, and wrote the manuscript; B.C.K. analyzed the data and wrote the manuscript; M.E.B. analyzed the data and wrote the manuscript; D.B.C. designed and implemented the study and wrote the manuscript; J.P.M. designed and implemented the study and wrote the manuscript; S.D.B. performed the experiments, analyzed the data, and wrote the manuscript; K.W. designed the study, analyzed the data, and wrote the manuscript; M.M.D. designed the study and wrote the manuscript; S.H. designed and implemented the study, performed the experiments, analyzed the data, and wrote the manuscript. All authors reviewed and approved the manuscript.