1 Center for Animal and Human Health in Appalachia, College of Veterinary Medicine, DeBusk College of Osteopathic Medicine, and School of Mathematics and Sciences, Lincoln Memorial University, Harrogate, TN, USA.
2 Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, TN, USA.
3 Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
4 Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN, USA.