Pushel, Irina
Roy, Badal C.
Nolte, Whitney M.
Harvey, Lisa
Bagherian, Amber
Rekowski, Michaella J.
Clark, Zachary D.
Washburn, Michael P.
Umar, Shahid
Attard, Thomas M.
Article History
Received: 10 October 2025
Revised: 13 March 2026
Accepted: 17 March 2026
First Online: 4 May 2026
Competing interests
: The authors declare no competing interests.
: Written informed consent was obtained from all participants or their legal guardians. The study was approved by the Institutional Review Board of Children’s Mercy Hospital (IRB# 17050286) and conducted in accordance with the Declaration of Helsinki.