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Authors
Koirala, Subash
Khanal, Gayatri
Koirala, Arun
Shrestha, Niki
Poudel, Eak Narayan
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Funding
Funding for this research was provided by:
Chitwan Medical college , research unit
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Article History
Received: 29 June 2025
Accepted: 30 December 2025
First Online: 6 January 2026
Declarations
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: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki (2013 revision). Ethical approvals for the study were obtained from the Chitwan Medical College institutional review committee CMC-IRC (reference number: CMC-IRC 078079086).
: Not applicable.
: The authors declare no competing interests.
