Published on in Vol 7 (2026)
Preprints (earlier versions) of this paper are
available at
https://www.medrxiv.org/content/10.1101/2025.04.20.25326131v1, first published
.

1 Conway Regional Medical Center, Conway, AR, United States
2 Independent Researcher, Kathmandu, Nepal
3 KIST Medical College, Kathmandu, Nepal
4 Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
