{"id":14062,"date":"2025-09-18T10:57:47","date_gmt":"2025-09-18T05:12:47","guid":{"rendered":"https:\/\/hthakuri.com.np\/blog\/2025\/09\/18\/%e0%a4%aa%e0%a4%bf%e0%a4%af%e0%a5%8b%e0%a4%a1%e0%a4%bf%e0%a4%9f%e0%a5%87%e0%a4%a8%e0%a5%8d%e0%a4%b8%e0%a5%80%e0%a4%b9%e0%a4%b0%e0%a5%82%e0%a4%95%e0%a5%8b-%e0%a4%b2%e0%a4%be%e0%a4%97%e0%a4%bf-%e0%a4%9c\/"},"modified":"2025-09-18T10:57:47","modified_gmt":"2025-09-18T05:12:47","slug":"%e0%a4%aa%e0%a4%bf%e0%a4%af%e0%a5%8b%e0%a4%a1%e0%a4%bf%e0%a4%9f%e0%a5%87%e0%a4%a8%e0%a5%8d%e0%a4%b8%e0%a5%80%e0%a4%b9%e0%a4%b0%e0%a5%82%e0%a4%95%e0%a5%8b-%e0%a4%b2%e0%a4%be%e0%a4%97%e0%a4%bf-%e0%a4%9c","status":"publish","type":"post","link":"https:\/\/hthakuri.com.np\/blog\/2025\/09\/18\/%e0%a4%aa%e0%a4%bf%e0%a4%af%e0%a5%8b%e0%a4%a1%e0%a4%bf%e0%a4%9f%e0%a5%87%e0%a4%a8%e0%a5%8d%e0%a4%b8%e0%a5%80%e0%a4%b9%e0%a4%b0%e0%a5%82%e0%a4%95%e0%a5%8b-%e0%a4%b2%e0%a4%be%e0%a4%97%e0%a4%bf-%e0%a4%9c\/","title":{"rendered":"\u092a\u093f\u092f\u094b\u0921\u093f\u091f\u0947\u0928\u094d\u0938\u0940\u0939\u0930\u0942\u0915\u094b 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\u092a\u094d\u0930\u0924\u094d\u092f\u0947\u0915 \u092c\u091a\u094d\u091a\u093e\u0932\u093e\u0908 10 \u091f\u094d\u0930\u093f\u092a\u092c\u094d\u0930\u0936 \u0930 \u091f\u0941\u091f\u092a\u093e\u0938\u0939\u0930\u0942\u0915\u094b \u0938\u093e\u0925 \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0932\u093e\u0908 \u0928\u093f: \u0936\u0941\u0932\u094d\u0915 \u091f\u0942\u0925\u092c\u094d\u0930\u0936 \u0930 \u091f\u0942\u092a\u0947\u0938 \u092a\u094d\u0930\u0926\u093e\u0928 \u0917\u0930\u094d\u0926\u091b\u0964 \u0935\u093f\u0936\u0947\u0937\u091c\u094d\u091e \u091f\u094b\u0932\u0940\u0939\u0930\u0942 \u092a\u0928\u093f \u0921\u094d\u0930\u091c\u0930 \u0935\u093e\u092a\u0928\u0915\u094b \u0930\u0942\u092a\u092e\u093e \u0905\u0938\u094d\u0925\u093f\u0930 \u0909\u092a\u093e\u092f\u0915\u094b \u0930\u0942\u092a\u092e\u093e \u092b\u094d\u0932\u094b\u0930\u093e\u0907\u0921 \u0935\u093e\u0930\u094d\u0928\u093f\u0936\u0939\u0930\u0942 \u0932\u093e\u0917\u0942 \u0917\u0930\u094d\u0928 \u0928\u0930\u094d\u0938\u093f\u090f\u0915\u093e\u0939\u0930\u0942 \u092d\u094d\u0930\u092e\u0923 \u0917\u0930\u094d\u091b\u0928\u094d\u0964<a id=\"xref-ref-29-1\" class=\"xref-bibr\" href=\"#ref-29\">2.<\/a> \u092f\u0938 \u0915\u093e\u0930\u094d\u092f\u0915\u094d\u0930\u092e\u0915\u094b \u0915\u094d\u0930\u092e\u092e\u093e, \u0926\u0928\u094d\u0924 \u092e\u0930\u0940\u0939\u0930\u0941\u092e\u093e \u090f\u0915 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0915\u091f\u094c\u0924\u0940 \u0905\u0935\u0932\u094b\u0915\u0928 \u0917\u0930\u093f\u090f\u0915\u094b \u091b, \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0930 \u0906\u0930\u094d\u0925\u093f\u0915 \u0932\u093e\u092d \u0915\u094b \u0909\u092a\u091c\u0964<a id=\"xref-ref-17-1\" class=\"xref-bibr\" href=\"#ref-17\">1<\/a>\n<\/p>\n<p id=\"p-81\">\u0909\u0924\u094d\u0924\u0930\u0940 \u0906\u092f\u0930\u0932\u094d\u092f\u093e\u0923\u094d\u0921\u092e\u093e, \u0915\u094b <em>\u0916\u0941\u0936\u0940 \u092e\u0941\u0938\u094d\u0915\u093e\u0928<\/em> 201 in \u092e\u093e \u0915\u093e\u0930\u094d\u092f\u0915\u094d\u0930\u092e 201 2013 \u092e\u093e \u0936\u0941\u0930\u0942 \u0917\u0930\u093f\u090f\u0915\u094b \u0925\u093f\u092f\u094b, \u0915\u094b\u0937 \u091c\u0928\u0938\u0902\u0916\u094d\u092f\u093e\u0915\u094b 20% \u0924\u093f\u0930 \u0928\u093f\u0930\u094d\u0926\u0947\u0936\u093f\u0924 \u0917\u0930\u093f\u090f\u0915\u094b 20% \u0924\u093f\u0930 \u0928\u093f\u0930\u094d\u0926\u0947\u0936\u093f\u0924\u0964 \u0938\u094d\u0925\u093e\u0928\u0940\u092f \u092e\u094c\u0916\u093f\u0915 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u091f\u094b\u0932\u0940\u0932\u0947 \u092a\u094d\u0930\u093f\u0938\u094d\u0915\u0942\u0932 \u0938\u0947\u091f\u093f\u0902\u0917\u094d\u0938\u092e\u093e \u092a\u094d\u0930\u0936\u093f\u0915\u094d\u0937\u0923 \u092a\u094d\u0930\u0926\u093e\u0928 \u0917\u0930\u094d\u0926\u091b, \u0938\u094d\u0935\u0938\u094d\u0925 \u0938\u094d\u0928\u0921\u0941\u0930\u094d\u0921\u093f, \u0926\u0928\u094d\u0924 \u0936\u093f\u0915\u094d\u0937\u093e \u0930 \u092a\u0930\u094d\u092f\u0935\u0947\u0915\u094d\u0937\u0923 \u091f\u094d\u0930\u093f\u092c\u092c\u094d\u0930\u0936\u0932\u093e\u0908 \u091c\u094b\u0921 \u0926\u093f\u0928\u094d\u091b\u0964<a id=\"xref-ref-30-1\" class=\"xref-bibr\" href=\"#ref-30\">0\u0935\u091f\u093e<\/a>\n<\/p>\n<\/div>\n<p><a href=\"http:\/\/ep.bmj.com\/cgi\/content\/short\/110\/4\/151?rss=1\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0915\u094b \u092e\u094c\u0916\u093f\u0915 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0938\u0941\u0927\u093e\u0930 \u0917\u0930\u094d\u0928\u0947 \u0938\u092c\u0948\u092d\u0928\u094d\u0926\u093e \u092a\u094d\u0930\u092d\u093e\u0935\u0915\u093e\u0930\u0940 \u0924\u0930\u0940\u0915\u093e \u092d\u0928\u0947\u0915\u094b \u092f\u094b \u0938\u092c\u0948 \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0915\u094b \u0938\u0947\u0935\u093e\u0939\u0930\u0942\u092e\u093e \u0907\u092e\u094d\u092c\u0947\u0921 \u0917\u0930\u094d\u0928\u0941 \u0939\u094b\u0964 201 2017 \u092e\u093e, \u092c\u093e\u0932 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":14046,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[8],"tags":[],"class_list":["post-14062","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.2 (Yoast SEO v26.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\u092a\u093f\u092f\u094b\u0921\u093f\u091f\u0947\u0928\u094d\u0938\u0940\u0939\u0930\u0942\u0915\u094b \u0932\u093e\u0917\u093f \u091c\u0928\u0924\u093e\u0915\u094b \u0932\u093e\u0917\u093f \u0938\u093e\u0930\u094d\u0935\u091c\u0928\u093f\u0915 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f: \u092a\u0926\u094d\u0926\u0940\u0939\u0930\u0942\u0932\u093e\u0908 \u092e\u094c\u0916\u093f\u0915 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f 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\u092a\u0926\u094d\u0926\u0940\u0939\u0930\u0942\u0932\u093e\u0908 \u092e\u094c\u0916\u093f\u0915 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u092a\u0926\u094b\u0928\u094d\u0928\u0924\u093f\u0915\u094b \u092c\u093e\u0930\u0947\u092e\u093e \u091c\u093e\u0928\u094d\u0928\u0941 \u0906\u0935\u0936\u094d\u092f\u0915 \u091b?\" \/>\n<meta property=\"og:description\" content=\"\u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0915\u094b \u092e\u094c\u0916\u093f\u0915 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0938\u0941\u0927\u093e\u0930 \u0917\u0930\u094d\u0928\u0947 \u0938\u092c\u0948\u092d\u0928\u094d\u0926\u093e \u092a\u094d\u0930\u092d\u093e\u0935\u0915\u093e\u0930\u0940 \u0924\u0930\u0940\u0915\u093e \u092d\u0928\u0947\u0915\u094b \u092f\u094b \u0938\u092c\u0948 \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0915\u094b \u0938\u0947\u0935\u093e\u0939\u0930\u0942\u092e\u093e \u0907\u092e\u094d\u092c\u0947\u0921 \u0917\u0930\u094d\u0928\u0941 \u0939\u094b\u0964 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