Authors details:1. Somee Rauniyar (Corresponding Author)Affiliation: Madan Bhandari Institute of Health Sciences (Hetauda Hospital), Makawanpur, NepalContribution: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Project Administration, Resources, Supervision, Validation, Writing-original draft, Writing-review & editingSupervision, Writing- Original draft, Writing-review, and editingOrcid No: 0009-0007-5466-3183Email: [email protected]. Deepak SubediAffiliation: Nepalese Army Institute of Health Sciences College of Medicine,Kathmandu, NepalContribution: Data curation, Formal Analysis, Investigation, Methodology, Supervision, Writing-original draft, Writing-review, and editingOrcid No: 0000-0001-8512-1482Email: [email protected]. Bishwodip BaralAffiliation: Sukraraj Tropical and Infectious and Disease Hospital, KathmanduContribution: Formal Analysis, Investigation, Methodology, Resources, Supervision, Validation, Writing-review, and editingOrcid No: 0000-0002-2066-7940Email: [email protected]. Pramod kumar KafleAffiliation: Chitwan Medical College and Teaching Hospital, Chitwan, NepalContribution: Data curation, Formal Analysis, Investigation, Methodology, Resources, Writing-review, and editingOrcid No: 0000-0003-3945-7190Email: [email protected]. Neha BistaAffiliation: Madan Bhandari Institute of Health Sciences (Hetauda Hospital), Makawanpur, NepalContribution: Investigation, Methodology, Supervision, Validation, Writing-review, and editingWriting- Writing-review and editingOrcid No: 0009-0009-1934-6347Email: [email protected]. Prajwal SapkotaAffiliation: Madan Bhandari Institute of Health Sciences (Hetauda Hospital), Makawanpur, NepalContribution: Formal analysis, Methodology, Resources, Writing-review, and editingOrcid No: - 0009-0009-5933-5837Email: [email protected]