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Article History

Received: 25 February 2025

Revised: 16 January 2026

Accepted: 13 February 2026

First Online: 25 March 2026

Declarations

Consent to publish: Participants provided informed consent regarding publishing their data.

Human ethics and consent to participate: Informed consent was obtained from all subjects involved in the study.

Institutional review board statement: The study was conducted in accordance with the Declaration of Helsinki, and approved by the Institutional Review Board of The University of Tennessee (protocol code UTK IRB-22-06865-XM, March 23, 2022).

Conflicts of interest/competing Interests: The authors have no relevant financial or non-financial interests to disclose. The authors have no conflicts of interest to declare that are relevant to the content of this article. All authors certify they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article. The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation.