Author Contributions: Ms Alphonse had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Alphonse, Kemper, Strom III, Beeman, Duma.
Acquisition of data: Alphonse, Kemper, Strom III, Beeman.
Analysis and interpretation of data: Alphonse, Kemper, Duma.
Drafting of the manuscript: Alphonse, Kemper, Strom III, Beeman.
Critical revision of the manuscript for important intellectual content: Alphonse, Kemper, Duma.
Obtained funding: Duma.
Administrative, technical, or material support: Alphonse, Kemper, Strom III, Beeman, Duma.
Study supervision: Kemper, Duma.
Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Funding/Support: The US Army Medical Research and Materiel Command provided funding for this study.
Role of the Sponsor: The funding agency played no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript.