2025-06-042025-06-04https://hdl.handle.net/20.500.14572/39Journal of Institute of Medicine Nepal (JIOM): This journal, published by the Institute of Medicine in Nepal, covers a wide range of medical topics, including clinical and basic sciences. It is also open access and publishes articles under a CC BY-NC license, meaning it allows for use, distribution, and reproduction, provided the original work is credited and not for commercial purposes.Journal of Institute of Medicine Nepal