1. Department of Family and Community Medicine, University of Maryland School of Medicine , Baltimore, MD 21201, USA
2. Nova Institute for Health , Baltimore, MD 21231, USA
3. Navy Medicine Readiness and Training Command, Naval Medical Center Portsmouth , Portsmouth, VA 23708, USA
4. Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA