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Authors
Poudel, Arika https://orcid.org/0009-0000-5369-2520
Gautam Adhikari, Pragati https://orcid.org/0000-0003-4812-2456
Ghimire, Biplav https://orcid.org/0009-0009-2414-6470
Thapa, Madhu https://orcid.org/0000-0001-6697-6258
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Article History
Received: 1 April 2026
Accepted: 15 June 2026
First Online: 24 June 2026
Declarations
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: This study was conducted in accordance with the tenets of the Declaration of Helsinki, and was approved by the Institutional Review Committee of the Institute of Medicine, Tribhuvan University on June 8, 2020, reference number − 987/(6–11)E 2 /076/077. Written informed consent was obtained from all the participants.
: Not applicable.
: ChatGPT was used for minor language, rephrasing and polishing, but not for content generation, data analysis or interpretation.
: The authors declare no competing interests.
