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Authors
Khanal, Bishes
Kadam, Sandhya J.
Khanal, Sagya
Chou, Fu-Sheng
Coll, Ana C.
Malkar, Manish B.
Moon-Grady, Anita J.
Ghimire, Laxmi V.
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Article History
Received: 21 July 2025
Revised: 29 November 2025
Accepted: 22 December 2025
First Online: 14 January 2026
Competing interests
: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
: This study was conducted in compliance with 45 CFR §46, which exempts research utilizing publicly available or de-identified data from institutional review board (IRB) oversight and participant informed consent requirements. Consequently, participant informed consent was not obtained.
