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Authors
Harville, EW
Reese, J.
West, C.
Hardie, L.
Umans, J.
Zhang, Y.
Best, L.
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Funding
Funding for this research was provided by:
National Heart, Lung, and Blood Institute (R01HL109315, R01HL109301, R01HL109284, R01HL109282, and R01HL109319 and by cooperative agreements: U01HL41642, U01HL41652, U01HL41654, U01HL65520, and U01HL65521)
National Institute of General Medical Sciences (U54 GM104940)
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Article History
Received: 5 June 2025
Revised: 3 February 2026
Accepted: 11 February 2026
First Online: 27 February 2026
Declarations
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: All SHS protocols were approved by institutional review boards, participating tribes, and the respective area Indian Health Service institutional review board. All participants provided informed consent.
: The authors have no relevant financial or non-financial interests to disclose.
