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Article History

Received: 29 May 2026

Accepted: 11 August 2026

First Online: 21 August 2026

Declarations

Human and Animal Rights and Informed Consent: This article does not contain any studies with human or animal subjects performed by any of the authors.

Competing interests: The contents of this publication are the sole responsibility of the authors and do not necessarily reflect the views, opinions, or policies of the Uniformed Services University of the Health Sciences, the U.S. Department of War, the authors’ funders, or the U.S. Government. This work was prepared by a civilian employee of the U.S. Government as part of the individual’s official duties and therefore is in the public domain and does not possess copyright protection (public domain information may be freely distributed and copied; however, as a courtesy it is requested that the authors be given an appropriate acknowledgement). Authors declare no financial interest in any commercial product, service, or organization providing financial support for this research. References to non-federal entities or products do not constitute or imply a Department of War or Uniformed Services University of the Health Sciences endorsement. Claude (Anthropic, Opus 4.7, 2026) was used to assist with minor language editing and clarity of select manuscript text. All content was critically reviewed, verified, and approved by the authors, who take full responsibility for the final manuscript.