Jha, Prashant Kumar https://orcid.org/0009-0006-0040-4357
Barma, Sachita https://orcid.org/0009-0009-2014-4339
Jha, Prabhat Kumar https://orcid.org/0000-0002-4782-5013
Sapkota, Biswash https://orcid.org/0000-0002-5272-9122
Chaudhary, Sailendra https://orcid.org/0000-0001-9969-5014
Ghimire, Binita https://orcid.org/0009-0009-3271-6760
Singh, Archana https://orcid.org/0009-0007-0887-3235
Khakurel, Bishnu https://orcid.org/0009-0009-8493-1884
Bidari, Prashant https://orcid.org/0009-0008-8703-6482
Pathak, Prabin https://orcid.org/0009-0006-8877-2903
Pandey, Bipindra https://orcid.org/0000-0002-1123-2806
Funding for this research was provided by:
Madan Bhandari Academy of Health Sciences, Research Center (Reference number: RC-85, Grant Number S.No. 7)
Article History
Received: 5 January 2026
Accepted: 4 June 2026
First Online: 8 June 2026
Declarations
:
: Ethical approval was obtained prior to the commencement of the study from the Institutional Review Committee of MBAHS (IRC-MBAHS Approval number IRC-024-079). Data collection approval letter was obtained from the study cite. Written and verbal informed consent was taken before the commencement of the data collection. Privacy and confidentiality of information obtained from patient records were maintained by coding data instead of using personal identifiers. All study procedure was implementated in accordance with national regulations and the principles of the Declaration of Helsinki.
: Not applicable.
: The authors declare no competing interests.