Article History
Received: 22 May 2023
Revised: 29 January 2024
Accepted: 27 February 2024
First Online: 15 March 2024
Declarations
: This work was prepared as part of our official duties. Title 17, U.S.C §105 provides that copyright protection under this title is not available for any work of the U.S. Government. Title 17, U.S.C §101 defines a U.S. Government work as work prepared by an employee of the U.S. Government as part of that person’s official duties. Neither the authors nor their family members have a financial interest in any commercial product, service, or organization providing financial support for this research. The authors are solely responsible for the preparation, conduct, writing, and submission of the manuscript. The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of Defense, Department of the Navy, Leidos Inc., Rice University, Pepperdine University, Uniformed Services University, nor the U.S. Government.
: This study was performed in accordance with the principles of the Declaration of Helsinki. The ASCAS was approved by the Naval Medical Center Portsmouth Institutional Review Board (project NMCP.2020.0051).
: Informed consent was obtained from all individual participants included in the study.
: The authors have no relevant financial or non-financial interests to disclose.