Funding for this research was provided by:
A. James and Alice B. Clark Foundation
Klingenstein Foundation
Article History
Received: 18 March 2026
Accepted: 6 July 2026
First Online: 9 July 2026
Declarations
:
: The authors declare no competing interests.
: The study was approved by the Georgetown-MedStar Institutional Review Board (approval STUDY00007278) and was conducted in accordance with the Belmont Report and Declaration of Helsinki. Informed consent was obtained from all participants.