Ghimire, Animesh https://orcid.org/0000-0003-2167-5771
Neupane, Mamata Sharma https://orcid.org/0009-0000-4408-198X
Article History
Received: 23 July 2025
Accepted: 30 October 2025
First Online: 27 November 2025
Declarations
:
: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. Ethical clearance was obtained from the Institutional Review Board (IRB) of Chitwan Medical College (Approval Number: CMC-IRC/080/081–111) and the Nepal Health Research Council (NHRC) (Approval Number: 348/2024). Written voluntary informed consent was obtained from each participant, who was assured of their right to withdraw from the study at any time.
: Not applicable.
: The authors declare no competing interests.
: Not Applicable.