Article History
First Online: 11 October 2019
Compliance with Ethical Standards
:
: The authors declare that they have no conflicts of interest.
: The study was approved by the Institutional Review Board at Briar Cliff University in Sioux City IA. All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.