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Article History

Received: 25 July 2024

Accepted: 17 October 2025

First Online: 14 November 2025

Declarations

:

: This prospective observational study was approved as exempt by the University of Idaho institutional review board, protocol 22–105. All participants gave informed consent to participate in each aspect of the research project. Participation was voluntary, and students’ decision to participate in the research or withdraw participation at any time was accepted without reward or repercussion, respectively.

: Not applicable.

: The authors declare no competing interests.