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Authors
Thapa, Madhu https://orcid.org/0000-0001-6697-6258
Adhikari, Gautam Pragati https://orcid.org/0000-0003-4812-2456
Saroj, G. C. https://orcid.org/0000-0003-1929-8380
Kumar, Gautam
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Article History
Received: 15 January 2026
Accepted: 8 April 2026
First Online: 17 April 2026
Declarations
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: Was obtained from the ethics committee of Institutional Review Committee of Institute of Medicine, Tribhuvan University, Kathmandu, Nepal with the Reference number of 363(6-11) E2 in accordance with the Declaration of Helsinki.
: The authors certify that INFORMED CONSENT were obtained from all the patients who participated in the study.
: This is not applicable here.
: The authors declare no competing interests.
