Sherpa, Passang Lhamo https://orcid.org/0000-0002-4059-4793
Matsumoto, Takashi
Tshering, Kinley
Pradhan, Birendra
Akada, Junko
Yamaoka, Yoshio
Article History
Received: 9 March 2025
Accepted: 22 May 2025
First Online: 4 June 2025
Declarations
:
: The study was conducted in accordance with the Declaration of Helsinki and was first approved by the Oita University Faculty of Medicine (approval nu mber1660l) Japan. The study was subsequently approved by the Research and Ethics Board of Health, Ministry of Health, Bhutan (approval number: REBH/Approval/2023/00) and the Medical Education and Research Unit of Jigme Dorji Wangchuk National Referral Hospital (approval number JDWNRH/MERU/01/2022–2023/1423). Informed consent was obtained from all of the surrogates (parents/guardians) of the participants who were involved in the study. Informed consent was provided in two languages: Dzongkha (the national language of Bhutan) and English.
: The information sheet of the consent form mentions permission to publish in scientific journals.
: The authors declare no competing interests.