Syangtan, Gopiram https://orcid.org/0000-0001-5536-7828
Khanal, Laxmi Kant
Bista, Shrijana https://orcid.org/0000-0002-6885-3881
Chand, Arun Bahadur
Dawadi, Prabin
Rayamajhee, Binod
Tuladhar, Reshma
Rai, Shiba Kumar
Joshi, Dev Raj
Article History
Received: 26 March 2026
Accepted: 2 July 2026
First Online: 8 July 2026
Declarations
:
: Ethical approval for the study was obtained from the Institutional Review Committee (IRC) of KIST Medical College and Teaching Hospital (Ref. No.: 077/078/54). Written consent was obtained from each patient for voluntary participation before collecting demographic data and samples. The Declaration of Helsinki and the guidelines of the Nepal Health Research Council were adhered to throughout the study.
: Not applicable.
: The authors declare no competing interests.