Disclaimer
KHW, KTKE, and BMK are employees of the U.S. Government. This work was prepared as part of their official duties. Title 17, U.S.C. §105 provides that copyright protection under this title is not available for any work of the U.S. Government. Title 17, U.S.C. §101 defines a U.S. Government work as work prepared by a military service member or employee of the U.S. Government as part of that person’s official duties. Report No. 22–10 was supported by the U.S. Navy Bureau of Medicine and Surgery under work unit no. N1600. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government. The study protocol was approved by the Naval Medical Center San Diego Institutional Review Board protocol, number NMCSD.2017.0007.