Author Contributions: Dr Prokhorov had access to all data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis. Study concept and design: Prokhorov, Hudmon, Foxhall, Wetter, Cantor, Vitale, and Gritz. Acquisition of data: Prokhorov, Ford, and Stancic Luca. Analysis and interpretation of data: Prokhorov, Hudmon, Marani, Wetter, Cantor, and Gritz. Drafting of the manuscript: Prokhorov, Hudmon, Marani, Foxhall, and Ford. Critical revision of the manuscript for important intellectual content: Prokhorov, Hudmon, Marani, Stancic Luca, Wetter, Cantor, Vitale, and Gritz. Statistical analysis: Prokhorov, Hudmon, Marani, and Cantor. Obtained funding: Prokhorov, Hudmon, Wettter, and Cantor. Administrative, technical, and material support: Prokhorov, Foxhall, Stancic Luca, and Cantor. Study supervision: Prokhorov and Gritz. Training of participants: Vitale and Ford.