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Article History

Received: 24 February 2026

Accepted: 9 July 2026

First Online: 17 July 2026

Declarations

Ethics approval and consent to participate: This project was reviewed by the Institutional Review Board at the University of Alabama at Birmingham, UAB IRB; IRB-300014614. On May 27, 2025, the UAB IRB determined that the project did not constitute human subjects research. The study was classified as a quality improvement initiative and was therefore exempt from formal IRB oversight under the 2018 Common Rule requirements. The requirement for informed consent was waived by the UAB IRB. The project was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki.

Consent for publication: Not applicable.

Competing interests: The authors declare no competing interests.