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Authors
Gyawali, Rajesh https://orcid.org/0000-0003-0561-6018
Pokharel, Prabhat Ranjan https://orcid.org/0000-0003-3123-6545
Giri, Jamal https://orcid.org/0000-0002-6824-607X
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Article History
Received: 13 January 2026
Accepted: 27 March 2026
First Online: 9 April 2026
Declarations
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: Ethical clearance was obtained from the Institutional Review Board of B.P. Koirala Institute of Health Sciences, Dharan, Nepal (IRC-407/076/077). Informed consent was obtained from all participants for enrolment in this study. All procedures were conducted in compliance with the ethical standards of the institutional and in accordance with the Declaration of Helsinki.
: No personal identifying data are presented in the manuscript.
: The authors declare no competing interests.
