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Authors
Bhattarai, Chacchu
Poudel, Phanindra Prasad
Gautam, Sujan
Basnet, Laju Maya
Basnet, Subas Bahadur
Sharma, Prakash
Koirala, Krishna Prasad
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Article History
Received: 12 May 2025
Accepted: 16 October 2025
First Online: 29 October 2025
Declarations
:
: The authors declare no competing interests.
: Ethical approval was obtained from Institutional Review Committee (IRC), Manipal College of Medical Sciences (MCOMS), Pokhara, Nepal with the reference number MEMG/468/IRC on 21 July 2021, approved by Nepal Health Research Council (NHRC), Government of Nepal. This is in accordance with National Ethical Guidelines for Health Research in Nepal 2022 issued by Nepal Health Research Council (NHRC), Government of Nepal.
: Informed consent was obtained. Participants were aware of the study's purpose, risks, and benefits. Informed consent was obtained from the parents/legally authorized representatives of subjects who are under 16.
: Participants have given informed consent for submission and publication of this study.
: Not applicable.
: This study is approved by Institutional Review Committee.
: We declare that the result/data/figures are not published elsewhere.
