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Article History

Received: 2 October 2024

Accepted: 5 February 2025

First Online: 25 February 2025

Declarations

:

: All procedures were performed in alignment with the ethical principles outlined in the Declaration of Helsinki and in accordance with relevant national regulations. Ethical approval (Approval Number [Ref. No.]: PNA2308011785) from the Institutional Review Committee of Patan Academy of Health Sciences, Tertiary Hospital ‘A’, Nepal was obtained. Before inclusion in the study, informed written consent was obtained from all the respondents (signature or thumbprint) using an informed written consent form. For those respondents who could not sign or provide a thumbprint but were able to comprehend and communicate effectively, verbal informed consent was obtained from the respondents and written informed consent was obtained from their guardians. Other ethical procedures such as confidentiality and privacy were maintained.

: Not Applicable.

: The authors declare no competing interests.