1. 1Department of Anatomy, Kirksville College of Osteopathic Medicine, A.T. Still University, 800 W. Jefferson Street, Kirksville, MO, 63501, USA
2. 2Department of Surgery, Kirksville College of Osteopathic Medicine, A.T. Still University, 800 W. Jefferson Street, Kirksville, MO, 63501, USA
3. 3Department of Anesthesiology, Northeast Regional Medical Center, 315 S. Osteopathy, Kirksville, MO, 63501, USA
4. 4Department of Community Health, Kirksville College of Osteopathic Medicine, A.T. Still University, 800 W. Jefferson Street, Kirksville, MO, 63501, USA