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Authors
Pandey, Sushant
Gyawali, Rajesh
Pokharel, Prabhat Ranjan
Chaudhary, Avinash
Sangroula, Samikshya
Bhattarai, Sailesh
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Article History
Received: 4 October 2025
Accepted: 22 December 2025
First Online: 28 December 2025
Declarations
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: All methods were carried out in accordance with the Declaration of Helsinki guidelines. Ethical clearance was obtained from the Institutional Review Committee of B.P. Koirala Institute of Health Sciences, Dharan, Nepal (IRC/2511/023). Written informed consent was obtained from all participants and from guardians for those under 18 years.
: Not applicable.
: The authors declare no competing interests.
