Nepal, Hari Prasad
Bramblett, Debra E.
Benson, Marc
Article History
Received: 25 February 2026
Accepted: 20 May 2026
First Online: 26 May 2026
Declarations
Ethics approval and consent to participate: Ethical approval for this study was obtained from the Institutional Review Board (IRB) of Burrell College of Osteopathic Medicine (IRB 0162_2025). All participants were informed about the study objectives and procedures and provided their informed consent before participating. Participation in this study was voluntary, and all data were anonymized prior to analysis. This study was conducted in compliance with the ethical guidelines of the 1964 Declaration of Helsinki and later amendments.
Consent for publication: Not applicable. No participant’s data in any form (including individual details, images, or videos) are included in this manuscript.
Competing interests: The authors declare no competing interests.