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Article History

Received: 19 September 2024

Accepted: 1 May 2025

First Online: 29 May 2025

Declarations

: The contents of this publication are the sole responsibility of the authors and do not necessarily reflect the views, assertions, opinions, or policies of the Uniformed Services University of the Health Sciences (USUHS), the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. (HJF), the DOD, or the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the U.S. Government.

: Ethical approval for this study was granted through the WIRB-Copernicus Group (23-17597) and the Ethics Committee, First Territorial Medical Unit of Lviv. All participants provided consent prior to participation. The study objectives and voluntary nature of the study were explained to participants. All methods were carried out in accordance with relevant guidelines and regulations. Oral rather than written consent was approved by the IRBs because of the need for this information to remain confidential. Confidentiality was assured by using a numerical code for each interview to deidentify transcripts.

: Not applicable.

: The authors declare no competing interests.