Obuekwe, Obinna https://orcid.org/0009-0000-7202-0076
Clark, Haley https://orcid.org/0009-0004-7804-6778
Saffati, Gal https://orcid.org/0009-0005-3053-5828
Yatsenko, Tatyana
Oscar-Thompson, Laura
Riveros, Carlos
Muthigi, Akhil https://orcid.org/0000-0001-5885-3653
Article History
Received: 7 March 2025
Revised: 13 June 2025
Accepted: 26 June 2025
First Online: 8 July 2025
Competing interests
: We confirm that there are no conflicts of interest to declare. All authors declare that they have no financial or personal relationships that could inappropriately influence this work. This article represents independent research, and we affirm that no external funding or commercial support has been involved in the preparation of this manuscript.
: Institutional Review Board (IRB) approval was not required for this study as it involved the analysis of previously collected de-identified data. The dataset contained no personal identifiers, and no link could be made back to individual subjects. According to the United States Department of Health and Human Services, research using de-identified secondary data that cannot be traced back to individuals is not considered human subjects research and is exempt from IRB review (Common Rule 45 CFR 46.104(d)(4)). Informed consent was waived due to the anonymous nature of the dataset and absence of any interaction with human subjects.