Karna, Sumeet https://orcid.org/0000-0001-7031-7861
Article History
Received: 21 August 2025
Accepted: 27 October 2025
First Online: 19 November 2025
Declarations
:
: This study complied with the standards of the Declaration of Helsinki and adhered to ethical guidelines. Written permission to conduct the study was taken from both institutes. Individual consent of participation was not needed and was waived by the independent review board (IRB) of Nepal Health Research Council. Ethical clearance for the study was obtained from Ethical Review Board of Nepal Health Research Council (NHRC), Kathmandu, Nepal with registration no. 214_2025. The scanned copy of the certificate is submitted to the journal.
: Not applicable.
: The authors declare no competing interests.