{"id":14092,"date":"2025-09-18T19:52:50","date_gmt":"2025-09-18T14:07:50","guid":{"rendered":"https:\/\/hthakuri.com.np\/blog\/2025\/09\/18\/%e0%a4%aa%e0%a5%87%e0%a4%a1-%e0%a4%9f%e0%a4%bf%e0%a4%ad%e0%a5%80-%e0%a4%aa%e0%a4%b0%e0%a5%8d%e0%a4%96%e0%a4%be%e0%a4%87-%e0%a4%95%e0%a5%8d%e0%a4%b7%e0%a5%87%e0%a4%a4%e0%a5%8d%e0%a4%b0%e0%a4%ae\/"},"modified":"2025-09-18T19:52:50","modified_gmt":"2025-09-18T14:07:50","slug":"%e0%a4%aa%e0%a5%87%e0%a4%a1-%e0%a4%9f%e0%a4%bf%e0%a4%ad%e0%a5%80-%e0%a4%aa%e0%a4%b0%e0%a5%8d%e0%a4%96%e0%a4%be%e0%a4%87-%e0%a4%95%e0%a5%8d%e0%a4%b7%e0%a5%87%e0%a4%a4%e0%a5%8d%e0%a4%b0%e0%a4%ae","status":"publish","type":"post","link":"https:\/\/hthakuri.com.np\/blog\/2025\/09\/18\/%e0%a4%aa%e0%a5%87%e0%a4%a1-%e0%a4%9f%e0%a4%bf%e0%a4%ad%e0%a5%80-%e0%a4%aa%e0%a4%b0%e0%a5%8d%e0%a4%96%e0%a4%be%e0%a4%87-%e0%a4%95%e0%a5%8d%e0%a4%b7%e0%a5%87%e0%a4%a4%e0%a5%8d%e0%a4%b0%e0%a4%ae\/","title":{"rendered":"\u092a\u0947\u0921-\u091f\u093f\u092d\u0940: \u092a\u0930\u094d\u0916\u093e\u0907 \u0915\u094d\u0937\u0947\u0924\u094d\u0930\u092e\u093e \u0936\u0948\u0915\u094d\u0937\u093f\u0915 \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 &#8211; \u090f\u0915 \u0917\u0941\u0923\u0935\u0924\u094d\u0924\u093e \u0938\u0941\u0927\u093e\u0930 \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e"},"content":{"rendered":"<p><\/p>\n<div><span class=\"highwire-journal-article-marker-start\"\/><\/p>\n<div class=\"section\" id=\"sec-1\">\n<h2 class=\"\">\u0938\u093e\u0930\u093e\u0902\u0936<\/h2>\n<p id=\"p-1\">\u090f\u0915 \u092a\u093e\u0907\u0932\u091f \u092a\u094d\u0930\u094b\u091c\u0947\u0915\u094d\u091f\u0932\u0947 \u092a\u0942\u0930\u094d\u0935 \u0905\u0935\u0938\u094d\u0925\u093f\u0924, \u0928\u093f: \u0936\u0941\u0932\u094d\u0915, \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0930 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0935\u093f\u0926\u094d\u092f\u092e\u093e\u0928 \u0938\u094d\u0930\u094b\u0924 (\u092a\u0947\u0921) \u0932\u093e\u0908 \u0938\u094d\u0935\u0938\u094d\u0925 \u0935\u094d\u092f\u0935\u0939\u093e\u0930\u0932\u093e\u0908 \u092c\u0922\u093e\u0935\u093e \u0926\u093f\u0928 \u0930 \u0939\u093e\u092e\u094d\u0930\u094b \u0938\u094d\u0925\u093e\u0928\u0940\u092f \u0938\u092e\u0941\u0926\u093e\u092f\u092e\u093e \u0930\u094b\u0915\u0925\u093e\u092e \u091a\u094b\u091f\u092a\u091f\u0915 \u0930 \u0930\u094b\u0917\u0939\u0930\u0942 \u0915\u092e \u0917\u0930\u094d\u0928\u0964<\/p>\n<\/div>\n<div class=\"section\" id=\"sec-2\">\n<h2 class=\"\">\u0938\u092e\u0938\u094d\u092f\u093e (\u0905\u0935\u0938\u0930)<\/h2>\n<p id=\"p-2\">\u0936\u093e\u0939\u0940 \u092e\u094d\u092f\u093e\u0928\u091a\u0947\u0938\u094d\u091f\u0930 \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0915\u094b \u0905\u0938\u094d\u092a\u0924\u093e\u0932\u0932\u0947 \u0915\u092e\u094d\u0924\u093f\u092e\u093e 5000000 \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942 \u0926\u0947\u0916\u094d\u091b\u0928\u094d, \u0915\u092e\u094d\u0924\u093f\u092e\u093e 500000 \u090f\u0915\u094d\u0938\u093f\u090f\u0915\u094d\u0937\u093f\u0924 \u0939\u0947\u0930\u091a\u093e\u0939 \u0917\u0930\u094d\u0928\u0947\u0939\u0930\u0942\u0932\u093e\u0908\u0964 \u092f\u094b \u0938\u0902\u0916\u094d\u092f\u093e \u0935\u093e\u0930\u094d\u0937\u093f\u0915 \u0930\u0942\u092a\u092e\u093e \u092c\u0922\u094d\u0926\u094b \u091b, \u091c\u0938\u094d\u0924\u094b \u0915\u093f \u092e\u0941\u0926\u094d\u0926\u093e\u0915\u094b \u0930\u0942\u092a\u092e\u093e \u0939\u094b\u0964<a id=\"xref-ref-1-1\" class=\"xref-bibr\" href=\"#ref-1\">1<\/a>\n<\/p>\n<p id=\"p-3\">\u0939\u093e\u092e\u094d\u0930\u094b \u092a\u094d\u0930\u093e\u0925\u092e\u093f\u0915 \u092d\u0942\u092e\u093f\u0915\u093e \u092d\u0928\u0947\u0915\u094b \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0942\u0932\u093e\u0908 \u091a\u094b\u091f\u092a\u091f\u0915 \u0935\u093e \u0930\u094b\u0917\u0939\u0930\u0942\u0915\u093e \u0938\u093e\u0925 \u0935\u094d\u092f\u0935\u0939\u093e\u0930 \u0917\u0930\u094d\u0928\u0941 \u0939\u094b, \u092f\u0926\u093f, \u092f\u0926\u093f \u0918\u0930\u092a\u093e\u0932\u0928 \u0917\u0930\u094d\u0928, \u0918\u0930 \u0921\u093f\u0938\u094d\u091a\u093e\u0930\u094d\u091c \u0917\u0930\u094d\u0928, \u0918\u0930 \u0921\u093f\u0938\u094d\u091a\u093e\u0930\u094d\u091c \u0917\u0930\u094d\u0928\u0947 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0938\u0932\u094d\u0932\u093e\u0939 \u092a\u094d\u0930\u0926\u093e\u0928 \u0917\u0930\u094d\u0928\u0964 \u090f\u0915 \u092a\u0947\u0921 \u0909\u092a\u0938\u094d\u0925\u093f\u0924\u093f \u0915\u094b \u0914\u0938\u0924 \u0932\u093e\u0917\u0924 \u00a3 244 \u0939\u094b\u0964<a id=\"xref-ref-2-1\" class=\"xref-bibr\" href=\"#ref-2\">2<\/a> \u092a\u093e\u092f\u0921\u094d\u0930\u093f\u0915\u094d\u0938 \u0930 \u092c\u093e\u0932 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f (\u0906\u0930\u0938\u0940\u092a\u0940\u091a) \u0915\u094b \u0936\u093e\u0939\u0940 \u0915\u0932\u0947\u091c\u0938\u0901\u0917 \u0932\u093e\u0907\u0928\u092e\u093e \u0932\u093e\u0907\u0928\u092e\u093e<a id=\"xref-ref-3-1\" class=\"xref-bibr\" href=\"#ref-3\">We<\/a> \u0939\u093e\u092e\u0940\u0932\u0947 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0936\u093f\u0915\u094d\u0937\u093e\u092e\u093e \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0928\u093f\u0930\u094d\u0926\u0947\u0936\u0928\u092e\u093e \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0936\u093f\u0915\u094d\u0937\u093e\u092e\u093e \u092a\u093e\u0930\u093f\u0935\u093e\u0930\u093f\u0915 \u092d\u0942\u092e\u093f\u0915\u093e\u092e\u093e \u092a\u093e\u0930\u093f\u0935\u093e\u0930\u093f\u0915 \u092d\u0942\u092e\u093f\u0915\u093e\u092e\u093e \u092a\u093e\u0930\u093f\u0935\u093e\u0930\u093f\u0915 \u0930\u0942\u092a\u092e\u093e \u092a\u093e\u0930\u093f\u0935\u093e\u0930\u093f\u0915 \u0930\u0942\u092a\u092e\u093e \u092a\u093e\u0930\u093f\u0935\u093e\u0930\u093f\u0915 \u0935\u093f\u0936\u094d\u0935\u093e\u0938 \u092c\u0922\u093e\u0909\u0928\u0947 \u0905\u0935\u0938\u0930 \u092a\u093e\u092f\u094c\u0902\u0964<\/p>\n<p id=\"p-4\">\u0905\u092a\u094d\u0930\u093f\u0932 2023 \u092c\u0940\u091a\u092e\u093e \u0930 \u092e\u0947 20224 \u0915\u094b \u092c\u0940\u091a\u092e\u093e, \u0915\u094d\u0932\u093f\u092f\u0928\u093f\u0938\u094d\u091f \u0917\u0930\u094d\u0928 \u091f\u094d\u0930\u093e\u092f\u091c\u092c\u093e\u091f \u092a\u094d\u0930\u0924\u0940\u0915\u094d\u0937\u093e \u0938\u092e\u092f 722 \u092e\u093f\u0928\u0947\u091f (\u0926\u093e\u092f\u0930\u093e -1221 \u092e\u093f\u0928\u0947\u091f) \u091c\u0939\u093e\u0901 \u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0937\u093e \u0915\u094b\u0920\u093e\u092e\u093e \u0925\u093f\u092f\u094b; \u092e\u0924\u0932\u092c \u0921\u093f\u0938\u094d\u091a\u093e\u0930\u094d\u091c\u092c\u093e\u091f \u0906\u0917\u092e\u0928\u0915\u094b \u0906\u0917\u092e\u0928\u0915\u094b \u092a\u094d\u0930\u0924\u0940\u0915\u094d\u0937\u093e\u092c\u093e\u091f \u0906\u0909\u0901\u0928\u0941\u0939\u094b\u0938\u094d (1 15-2-25 -29 min \u092e\u093f\u0928\u0947\u091f)\u0964 \u092f\u0938 \u092a\u091f\u0915 \u090f\u0915 \u092c\u0928\u094d\u0927\u0928\u092e\u093e \u092a\u0930\u0947\u0915\u093e \u0936\u094d\u0930\u094b\u0924\u093e \u0930 \u0926\u0941\u092c\u0948 \u0905\u092d\u093f\u092d\u093e\u0935\u0915 \u0930 \u092c\u093f\u0930\u093e\u092e\u0940 \u0936\u093f\u0915\u094d\u0937\u093e\u0915\u093e \u0932\u093e\u0917\u093f \u0906\u0926\u0930\u094d\u0936 \u0905\u0935\u0938\u0930 \u092a\u094d\u0930\u0926\u093e\u0928 \u0917\u0930\u093f\u092f\u094b\u0964<a id=\"xref-ref-4-1\" class=\"xref-bibr\" href=\"#ref-4\">?<\/a>\n<\/p>\n<p id=\"p-5\">\u092e\u0932\u094d\u091f\u093f\u092e\u093f\u0921\u093f\u092f\u093e \u0922\u093e\u0901\u091a\u093e\u0939\u0930\u0942 \u092a\u094d\u0930\u092f\u094b\u0917 \u0917\u0930\u0947\u0930 \u0927\u0948\u0930\u094d\u092f \u0938\u0932\u094d\u0932\u093e\u0939 \u0932\u0947\u0916\u0947\u0915\u094b \u0938\u0932\u094d\u0932\u093e\u0939\u0915\u094b \u0932\u093e\u0917\u093f \u0936\u094d\u0930\u0947\u0937\u094d\u0920 \u0926\u0947\u0916\u093e\u0907\u090f\u0915\u094b \u091b,<a id=\"xref-ref-5-1\" class=\"xref-bibr\" href=\"#ref-5\">W<\/a> \u0924\u094d\u092f\u0938\u0915\u093e\u0930\u0923 \u092a\u0930\u094d\u0916\u093e\u0907 \u0915\u094d\u0937\u0947\u0924\u094d\u0930\u092e\u093e \u0936\u0948\u0915\u094d\u0937\u093f\u0915 \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 \u092a\u094d\u0930\u092f\u094b\u0917 \u0917\u0930\u094d\u0926\u093e \u092c\u093f\u0930\u093e\u092e\u0940\u0939\u0930\u0942 \u0930 \u0909\u0928\u0940\u0939\u0930\u0942\u0915\u094b \u092a\u0930\u093f\u0935\u093e\u0930\u0915\u094b \u0932\u093e\u0917\u093f \u0906\u0926\u0930\u094d\u0936 \u0922\u093e\u0901\u091a\u093e \u0939\u0941\u0928\u0947\u091b\u0964<\/p>\n<\/div>\n<div class=\"section\" id=\"sec-3\">\n<h2 class=\"\">\u092f\u094b\u0917\u094d\u092f\u0924\u093e<\/h2>\n<p id=\"p-6\">\u092f\u094b \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e\u0915\u094b \u0909\u0926\u094d\u0926\u0947\u0936\u094d\u092f\u0932\u0947 \u092a\u0930\u093f\u0935\u093e\u0930 \u0930 \u092c\u093e\u0932\u092c\u093e\u0932\u093f\u0915\u093e\u0932\u0947 \u091a\u093e\u0939\u0947\u0915\u094b \u092a\u0930\u093f\u0935\u093e\u0930 \u0938\u0932\u094d\u0932\u093e\u0939\u0939\u0930\u0942 \u092a\u0939\u093f\u091a\u093e\u0928 \u0917\u0930\u094d\u0928, \u092a\u0942\u0930\u094d\u0935 \u0935\u093f\u0926\u094d\u092f\u092e\u093e\u0928 \u092a\u0930\u094d\u092a\u093f \u0930\u0939\u0947\u0915\u094b \u092d\u093f\u0924\u094d\u0924\u093e\u092e\u093e \u0938\u094d\u0915\u094d\u0930\u0940\u0928\u0939\u0930\u0942\u0915\u094b \u092a\u094d\u0930\u0924\u0940\u0915\u094d\u0937\u093e\u0932\u092f\u092e\u093e \u0938\u093e\u0928\u094d\u0926\u0930\u094d\u092d\u093f\u0915 \u0921\u093f\u092a\u094d\u0932\u094b\u092f\u0924 \u0938\u094d\u0930\u094b\u0924\u0939\u0930\u0942 \u092a\u0930\u094d\u0916\u093e\u0907\u092e\u093e \u092a\u0930\u094d\u0928, \u0930 \u0915\u094d\u092f\u093e\u0930\u093f\u092f\u0930 \u0930 \u092c\u093f\u0930\u093e\u092e\u0940 \u0906\u0924\u094d\u092e\u0935\u093f\u0936\u094d\u0935\u093e\u0938 \u092e\u093e\u092a\u0928 \u0917\u0930\u094d\u0928\u0964<\/p>\n<\/div>\n<div class=\"section\" id=\"sec-4\">\n<h2 class=\"\">\u092a\u0930\u093f\u0935\u0930\u094d\u0924\u0928\u0915\u094b \u0932\u093e\u0917\u093f \u0915\u0947\u0938 \u092c\u0928\u093e\u0909\u0928\u0947<\/h2>\n<p id=\"p-7\">\u0939\u093e\u092e\u0940\u0932\u0947 \u092a\u094d\u092f\u093e\u0921\u092e\u093e \u092d\u093e\u0917 \u0932\u093f\u0926\u0948 \u092a\u0930\u093f\u0935\u093e\u0930\u0915\u093e \u0932\u093e\u0917\u093f \u090f\u0915 \u092a\u0942\u0930\u094d\u0935 \u092a\u093e\u092f\u0932\u091f \u092a\u094d\u0930\u0936\u094d\u0928\u093e\u0935\u0932\u0940 \u091a\u0932\u093e\u092f\u094c\u0902\u0964 \u0926\u0928\u094d\u0924 \u0938\u0930\u0938\u092b\u093e\u0908 (100%), \u0916\u094b\u092a \u0938\u0932\u094d\u0932\u093e\u0939 (100%) \u0930 \u091c\u0932\u093e\u090f\u0915\u094b \u0935\u094d\u092f\u0935\u0938\u094d\u0925\u093e\u092a\u0928 (.4 2.2.4%) \u0938\u0939\u093f\u0924 \u0936\u0948\u0915\u094d\u0937\u093f\u0915 \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 \u092a\u094d\u0930\u0926\u0930\u094d\u0936\u0928 \u0917\u0930\u094d\u0928 \u0939\u093e\u092e\u0940\u0938\u0901\u0917 100% \u0938\u0915\u093e\u0930\u093e\u0924\u094d\u092e\u0915 \u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0930\u093f\u092f\u093e \u0925\u093f\u092f\u094b\u0964<\/p>\n<p id=\"p-8\">\u0939\u093e\u092e\u0940\u0932\u0947 \u0938\u0921\u0915 \u0938\u0941\u0930\u0915\u094d\u0937\u093e, \u0935\u093f\u0937\u093e\u0915\u094d\u0924, \u0938\u0936\u0915\u094d\u0924, \u0938\u0941\u0930\u0915\u094d\u0937\u093f\u0924 \u0936\u093f\u0936\u0941\u0939\u0930\u0942, \u0935\u093f\u0937\u093e\u0915\u094d\u0924, \u092b\u094d\u0930\u093e\u0928\u094d\u0921\u0939\u0930\u0942, \u091c\u0932\u093e\u0909\u0928\u0947, \u0906\u0917\u094b \u0930 \u092c\u093e\u0930\u094d\u0932\u094d\u0921\u0932\u093e\u0908 \u0938\u0941\u0930\u0915\u094d\u0937\u093f\u0924 \u0938\u0939\u093f\u0924 \u092a\u0939\u093f\u091a\u093e\u0928 \u0917\u0930\u094d\u092f\u094c\u0902\u0964 \u0939\u093e\u092e\u0940\u0932\u0947 \u0924\u094d\u092f\u0938\u092a\u091b\u093f \u092e\u093e\u0928\u094d\u092f\u0924\u093e \u092a\u094d\u0930\u093e\u092a\u094d\u0924 \u0930 \u0935\u093f\u0936\u094d\u0935\u0938\u0928\u0940\u092f \u0938\u0902\u0917\u0920\u0928\u0939\u0930\u0942 \u0938\u092e\u094d\u092a\u0930\u094d\u0915 \u0917\u0930\u094d\u092f\u094c\u0902 \u0930 \u0939\u093e\u092e\u094d\u0930\u094b \u092a\u094d\u0930\u0924\u0940\u0915\u094d\u0937\u093e\u0932\u092f\u0915\u094b \u0915\u094b\u0920\u093e\u092e\u093e \u0909\u0928\u0940\u0939\u0930\u0942\u0915\u094b \u0938\u094d\u0930\u094b\u0924 \u092a\u094d\u0930\u0926\u0930\u094d\u0936\u0928 \u0917\u0930\u094d\u0928 \u0938\u0939\u092e\u0924\u093f \u092a\u094d\u0930\u093e\u092a\u094d\u0924 \u0917\u0930\u094d\u092f\u094b (<a id=\"xref-fig-1-1\" class=\"xref-fig\" href=\"#F1\">\u091a\u093f\u0924\u094d\u0930 1<\/a>)<\/p>\n<div id=\"F1\" class=\"fig pos-float  odd\">\n<div class=\"highwire-figure\">\n<div class=\"fig-inline-img-wrapper\">\n<div class=\"fig-inline-img\"><span class=\"hw-responsive-img\"><img fetchpriority=\"high\" decoding=\"async\" class=\"highwire-fragment fragment-image lazyload\" alt=\"\u091a\u093f\u0924\u094d\u0930 1\" src=\"https:\/\/ep.bmj.com\/content\/edpract\/110\/5\/237\/F1.medium.gif\" width=\"440\" height=\"203\"\/><img decoding=\"async\" class=\"highwire-fragment fragment-image\" alt=\"\u091a\u093f\u0924\u094d\u0930 1\" src=\"https:\/\/ep.bmj.com\/content\/edpract\/110\/5\/237\/F1.medium.gif\" width=\"440\" height=\"203\"\/><\/span><\/div>\n<\/div>\n<\/div>\n<div xmlns:xhtml=\"http:\/\/www.w3.org\/1999\/xhtml\" class=\"fig-caption\"><span class=\"fig-label\">\u091a\u093f\u0924\u094d\u0930 1<\/span> <\/p>\n<p id=\"p-9\" class=\"first-child\">\u0939\u093e\u092e\u094d\u0930\u094b \u092a\u094d\u0930\u0924\u0940\u0915\u094d\u0937\u093e\u0932\u092f\u092e\u093e \u092a\u0947\u0921-\u091f\u093f\u092d\u0940\u0964<\/p>\n<\/div>\n<\/div>\n<p id=\"p-10\">\u0938\u0902\u0938\u093e\u0927\u0928\u0939\u0930\u0942 \u092a\u0947\u0921\u0947\u0928 \u0935\u0930\u093f\u0937\u094d\u0920 \u0928\u0947\u0924\u0943\u0924\u094d\u0935\u0915\u094b \u091f\u094b\u0932\u0940\u0915\u093e \u0938\u0926\u0938\u094d\u092f\u0939\u0930\u0942\u0926\u094d\u0935\u093e\u0930\u093e \u0909\u092a\u092f\u0941\u0915\u094d\u0924 \u091b \u0930 \u091f\u094d\u0930\u0938\u094d\u091f \u092e\u093f\u0921\u093f\u092f\u093e \u0930 \u0938\u091e\u094d\u091a\u093e\u0930 \u091f\u0940\u092e\u0915\u094b \u0938\u093e\u0925 \u0938\u0939\u0915\u093e\u0930\u094d\u092f\u092e\u093e \u092e\u0942\u0932\u094d\u092f\u093e ationsed \u094d\u0915\u0928 \u0917\u0930\u093f\u090f\u0915\u094b \u0925\u093f\u092f\u094b, \u090f\u0915 minute 45 \u092e\u093f\u0928\u0947\u091f \u092a\u093e\u092f\u0932\u091f \u092a\u094d\u0932\u0947\u0932\u093f\u0938\u094d\u091f \u0938\u093f\u0930\u094d\u091c\u0928\u093e \u0917\u0930\u093f\u092f\u094b (<a id=\"xref-table-wrap-1-1\" class=\"xref-table\" href=\"#T1\">\u0924\u093e\u0932\u093f\u0915\u093e 1<\/a>) \u092a\u0947\u0921-\u091f\u093f\u092d\u0940, \u091c\u0941\u0928 \u0926\u093f\u0928\u092e\u093e \u092a\u0947\u0928\u094d\u0921 \u092a\u0947\u0928\u094d\u0917 \u0915\u094d\u0937\u0947\u0924\u094d\u0930 \u092e\u093e 2 24 \u0918\u0923\u094d\u091f\u093e \u0932\u0941\u092a\u092e\u093e \u0932\u0941\u092a\u092e\u093e \u0924\u093e\u0928\u093f\u092f\u094b\u0964<\/p>\n<div id=\"T1\" class=\"table pos-float\">\n<div class=\"table-caption\"><span class=\"table-label\">\u0924\u093e\u0932\u093f\u0915\u093e 1<\/span> <\/p>\n<p id=\"p-11\" class=\"first-child\">\u0939\u093e\u092e\u094d\u0930\u094b \u092a\u0947\u0921-\u091f\u093f\u092d\u0940 \u092a\u094d\u0932\u0947\u0932\u093f\u0938\u094d\u091f<\/p>\n<\/div>\n<\/div>\n<p id=\"p-13\">\u092a\u0930\u094d\u0916\u093e\u0907 \u0915\u094d\u0937\u0947\u0924\u094d\u0930\u0915\u094b \u0939\u0932\u094d\u0932\u093e \u092a\u094d\u0930\u0915\u0943\u0924\u093f\u0915\u094b \u0915\u093e\u0930\u0923\u0932\u0947 \u0917\u0930\u094d\u0926\u093e \u0939\u093e\u092e\u0940\u0932\u0947 \u0905 English \u094d\u0917\u094d\u0930\u0947\u091c\u0940 \u0909\u092a\u0936\u0940\u0930\u094d\u0937\u0915\u0939\u0930\u0942\u0915\u093e \u0938\u093e\u0925 \u092e\u094c\u0928 \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 \u0926\u0947\u0916\u093e\u0909\u0928 \u0906\u0917\u094d\u0930\u0939 \u0917\u0930\u094d\u092f\u094c\u0902\u0964 \u091c\u0939\u093e\u0901 \u0938\u092e\u094d\u092d\u0935 \u091b, \u0939\u093e\u092e\u0940\u0932\u0947 \u0905 English \u094d\u0917\u094d\u0930\u0947\u091c\u0940 \u092d\u093e\u0937\u093e\u0915\u094b \u091c\u094d\u091e\u093e\u0928\u0915\u094b \u0906\u0935\u0936\u094d\u092f\u0915\u0924\u093e \u092c\u093f\u0928\u093e \u0928\u0948 \u092a\u091b\u094d\u092f\u093e\u0909\u0928 \u0938\u0915\u094d\u0928\u0947 \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 \u091b\u0928\u094c\u091f \u0917\u0930\u094d\u092f\u094c\u0902\u0964<\/p>\n<\/div>\n<div class=\"section\" id=\"sec-5\">\n<h2 class=\"\">\u0924\u092a\u093e\u0908\u0902\u0915\u094b \u0938\u0941\u0927\u093e\u0930\u0939\u0930\u0942<\/h2>\n<p id=\"p-14\">\u0939\u093e\u092e\u0940\u0932\u0947 \u092c\u091a\u094d\u091a\u093e \u0938\u0941\u0930\u0915\u094d\u0937\u093e \u0939\u092a\u094d\u0924\u093e 2024 \u0915\u094b \u0926\u094c\u0930\u093e\u0928 \u092f\u094b \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e \u0938\u0941\u0930\u0941 \u0917\u0930\u094d\u092f\u094c\u0902\u0964 \u092a\u0939\u093f\u0932\u094b months \u092e\u0939\u093f\u0928\u093e\u092e\u093e \u0924\u092a\u093e\u0908\u0915\u094b \u092a\u094d\u0930\u0915\u094d\u0937\u0947\u092a\u0923, 1 155 152 \u092c\u093f\u0930\u093e\u092e\u0940\u0939\u0930\u0942 \u0939\u093e\u092e\u094d\u0930\u094b \u0938\u092e\u0941\u0926\u093e\u092f\u0915\u094b \u0932\u093e\u0917\u093f \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e\u0915\u094b \u0938\u092e\u094d\u092d\u093e\u0935\u093f\u0924 \u092a\u0939\u0941\u0901\u091a \u0926\u0947\u0916\u093e\u0909\u0901\u0926\u0948\u0964<\/p>\n<p id=\"p-15\">\u092a\u094d\u0930\u092d\u093e\u0935 \u092e\u093e\u092a\u0928 \u0917\u0930\u094d\u0928, \u0939\u093e\u092e\u0940 8 \u092c\u0930\u094d\u0937 \u092d\u0928\u094d\u0926\u093e \u092a\u0941\u0930\u093e\u0928\u094b \u0930 \u092a\u0930\u093f\u0935\u093e\u0930\u0939\u0930\u0941\u0915\u093e \u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0941\u0915\u093e \u0932\u093e\u0917\u093f \u092a\u094b\u0937\u094d\u091f \u092a\u093e\u092f\u0932\u091f \u0938\u0930\u094d\u0935\u0947\u0915\u094d\u0937\u0923 \u0917\u0930\u094d\u0925\u094d\u092f\u094c\u0902\u0964 \u092a\u094d\u0930\u093e\u0930\u092e\u094d\u092d\u093f\u0915 \u092a\u094b\u0938\u094d\u091f-\u092a\u093e\u092f\u0932\u091f \u0938\u0930\u094d\u0935\u0947\u0915\u094d\u0937\u0923 \u092a\u0930\u093f\u0923\u093e\u092e \u0906\u092f\u094b\u091c\u0928\u093e\u0915\u094b \u0938\u093e\u0925 \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e \u0930 \u092c\u093f\u0930\u093e\u092e\u0940 \u0930 \u0939\u0947\u0930\u091a\u093e\u0939 \u0917\u0930\u094d\u0928\u0947 \u0906\u0924\u094d\u092e\u0935\u093f\u0936\u094d\u0935\u093e\u0938\u0915\u094b \u0938\u093e\u0925 \u0924\u0924\u094d\u0915\u093e\u0932 \u092a\u094d\u0930\u092d\u093e\u0935\u0932\u093e\u0908 \u0938\u0902\u0915\u0947\u0924 \u0917\u0930\u094d\u092f\u094b (<a id=\"xref-fig-2-1\" class=\"xref-fig\" href=\"#F2\">\u091a\u093f\u0924\u094d\u0930 2<\/a>)<\/p>\n<div id=\"F2\" class=\"fig pos-float  odd\">\n<div class=\"highwire-figure\">\n<div class=\"fig-inline-img-wrapper\">\n<div class=\"fig-inline-img\"><span class=\"hw-responsive-img\"><img decoding=\"async\" class=\"highwire-fragment fragment-image lazyload\" alt=\"\u091a\u093f\u0924\u094d\u0930 2\" src=\"https:\/\/ep.bmj.com\/content\/edpract\/110\/5\/237\/F2.medium.gif\" width=\"440\" height=\"206\"\/><img loading=\"lazy\" decoding=\"async\" class=\"highwire-fragment fragment-image\" alt=\"\u091a\u093f\u0924\u094d\u0930 2\" src=\"https:\/\/ep.bmj.com\/content\/edpract\/110\/5\/237\/F2.medium.gif\" width=\"440\" height=\"206\"\/><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"fig-caption\"><span class=\"fig-label\">\u091a\u093f\u0924\u094d\u0930 2<\/span> <\/p>\n<p id=\"p-16\" class=\"first-child\">\u0935\u093f\u0937\u092f \u092e\u093e \u0935\u093f\u0937\u092f \u092e\u093e \u0935\u093f\u0937\u092f \u092e\u093e \u0906\u0927\u093e\u0930\u093f\u0924 36 36 \u0909\u0924\u094d\u0924\u0930\u0926\u093e\u0924\u093e\u0939\u0930\u0941 \u092c\u093e\u091f\u0964<\/p>\n<\/div>\n<\/div>\n<p id=\"p-17\">\u092a\u094b\u0938\u094d\u091f-\u092a\u093e\u092f\u0932\u091f \u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0930\u093f\u092f\u093e\u0932\u0947 \u092a\u0930\u094d\u0916\u093f\u0930\u0939\u0947\u0915\u094b \u0915\u094d\u0937\u0947\u0924\u094d\u0930\u092e\u093e \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 \u0938\u094d\u0915\u094d\u0930\u093f\u0928 \u0917\u0930\u094d\u0928 %%% \u0938\u0915\u093e\u0930\u093e\u0924\u094d\u092e\u0915 \u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0930\u093f\u092f\u093e \u0926\u0947\u0916\u093e\u092f\u094b \u0930 \u0938\u094d\u0915\u094d\u0930\u093f\u0928\u092e\u093e \u0926\u0947\u0916\u093e\u0908\u090f\u0915\u094b \u0935\u093f\u0937\u092f\u0939\u0930\u0942\u092e\u093e \u0935\u093f\u0936\u094d\u0935\u093e\u0938\u0924\u094d\u092e\u0915 \u0935\u093f\u0936\u094d\u0935\u093e\u0938\u0964<\/p>\n<p id=\"p-18\">\u0926\u0940\u0930\u094d\u0918\u0915\u093e\u0932\u0940\u0928 \u0930 \u0918\u0930 \u092e\u093e \u091c\u094b\u0916\u093f\u092e \u0918\u091f\u093e\u0908\u0930\u0939\u0947\u0915\u094b \u0938\u0941\u0930\u0915\u094d\u0937\u093f\u0924 \u0905\u092d\u093f\u092d\u093e\u0935\u0915 \u0935\u094d\u092f\u0935\u0938\u094d\u0925\u093e\u092a\u0928 \u0938\u0941\u0935\u093f\u0927\u093e \u0915\u094b \u0932\u093e\u0917\u0940 \u092f\u094b \u0936\u093f\u0915\u094d\u0937\u093e \u0915\u094b \u0932\u093e\u0917\u0940 \u092f\u094b \u0936\u093f\u0915\u094d\u0937\u093e \u0915\u094b \u0932\u093e\u0917\u0940 \u0939\u094b, \u091c\u0938\u0932\u0947 \u092d\u0935\u093f\u0937\u094d\u092f\u092e\u093e \u0930\u094b\u0915\u094d\u0928\u0915\u094b \u0932\u093e\u0917\u093f \u0930\u094b\u0915\u0925\u093e\u092e \u092a\u0947\u0921 \u0909\u092a\u0938\u094d\u0925\u093f\u0924\u093f \u0930 \u0905\u0938\u094d\u092a\u0924\u093e\u0932\u092e\u093e \u092d\u0930\u094d\u0928\u093e \u0917\u0930\u094d\u0928 \u0938\u0915\u094d\u091b\u0964 \u091c\u092c\u0915\u093f \u092f\u094b \u091b\u094b\u091f\u094b \u0905\u0935\u0927\u093f\u0915\u094b \u0905\u0935\u0927\u093f\u092e\u093e \u092e\u093e\u092a\u0928 \u092f\u094b\u0917\u094d\u092f \u091b\u0948\u0928, \u0909\u092a\u0938\u094d\u0925\u093f\u0924\u093f \u0930 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\u0917\u0930\u094d\u0928\u0964 \u0939\u093e\u092e\u094d\u0930\u094b \u092a\u093e\u092f\u0932\u091f \u092a\u094d\u0930\u094b\u091c\u0947\u0915\u094d\u091f\u092e\u093e \u0939\u093e\u092e\u0940\u0932\u0947 \u092a\u094d\u0930\u092e\u093e\u0923 \u0926\u093f\u090f\u0915\u093e \u091b\u094c\u0902 \u0915\u093f \u092f\u0940 \u0938\u094d\u0930\u094b\u0924\u0939\u0930\u0942 \u092a\u094d\u0930\u092f\u094b\u0917 \u0917\u0930\u0947\u0930 \u092a\u0930\u093f\u0935\u093e\u0930\u092d\u093f\u0924\u094d\u0930 \u092a\u0930\u093f\u0935\u093e\u0930\u092d\u093f\u0924\u094d\u0930\u0915\u093e \u092a\u0930\u093f\u0935\u093e\u0930\u092d\u093f\u0924\u094d\u0930\u0915\u093e \u0932\u093e\u0917\u093f \u092a\u0930\u093f\u0935\u093e\u0930\u0939\u0930\u0942\u092e\u093e \u0935\u093f\u0936\u094d\u0935\u093e\u0938 \u092c\u0922\u094d\u091b\u0964 \u092f\u0938 \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e\u0915\u094b \u0932\u093e\u0917\u093f \u0924\u0941\u0932\u0928\u093e\u0924\u094d\u092e\u0915 \u0939\u093f\u0938\u093e\u092c\u0932\u0947 \u0915\u092e \u0935\u093f\u0924\u094d\u0924\u0940\u092f \u0930\u0942\u092a\u0932\u0947 \u092a\u0930\u093f\u0935\u093e\u0930\u0932\u093e\u0908 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0936\u093f\u0915\u094d\u0937\u093e\u0915\u094b \u0938\u093e\u0925 \u092e\u093e\u0924\u094d\u0930 \u0936\u0915\u094d\u0924\u093f \u092a\u094d\u0930\u0926\u093e\u0928 \u0917\u0930\u094d\u0926\u0948\u0928 \u0924\u0930 \u0935\u093f\u0924\u094d\u0924\u0940\u092f \u092c\u091a\u0924\u0939\u0930\u0942\u0915\u094b \u0932\u093e\u0917\u093f \u0927\u0947\u0930\u0948 \u0938\u092e\u094d\u092d\u093e\u0935\u093f\u0924 \u0938\u092e\u094d\u092d\u093e\u0935\u0928\u093e \u092a\u0928\u093f \u091b\u0964 \u092f\u0926\u093f \u0939\u093e\u092e\u094d\u0930\u094b \u0935\u093f\u092d\u093e\u0917\u092e\u093e \u092c\u0947\u0935\u093e\u0938\u094d\u0924\u093e\u092f\u094b\u0917\u094d\u092f \u0909\u092a\u0938\u094d\u0925\u093f\u0924\u093f 1% \u0932\u0947 \u0918\u091f\u094d\u092f\u094b \u092d\u0928\u0947 \u092f\u0938\u0932\u0947 \u0935\u093f\u0936\u094d\u0935\u093e\u0938\u0932\u093e\u0908 \u0932\u0917\u092d\u0917 just 125000 \u0932\u093e\u0908 \u092c\u091a\u0924 \u0917\u0930\u094d\u0926\u091b\u0964<\/p>\n<p id=\"p-23\">\u092c\u091a\u094d\u091a\u093e\u0939\u0930\u0941, \u092a\u0930\u093f\u0935\u093e\u0930 \u0930 \u0938\u093e\u092e\u0917\u094d\u0930\u0940 \u0938\u0943\u0937\u094d\u091f\u093f\u0915\u0930\u094d\u0924\u093e\u092c\u093e\u091f \u092a\u094d\u0930\u093e\u092a\u094d\u0924 \u0917\u0930\u0947\u0915\u094b \u092d\u093e\u0930\u0940 \u0938\u0915\u093e\u0930\u093e\u0924\u094d\u092e\u0915 \u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0930\u093f\u092f\u093e \u0926\u093f\u092f\u094b, \u0924\u094d\u092f\u0938\u0948\u0932\u0947 \u0939\u093e\u092e\u0940 \u0935\u093f\u0936\u094d\u0935\u0938\u094d\u0924 \u091b\u094c\u0902 \u0915\u093f \u092f\u094b \u0926\u0947\u0936 \u092d\u0930\u0915\u093e \u0915\u094b\u0920\u093e\u0915\u093e \u092a\u094d\u0930\u0924\u0940\u0915\u094d\u0937\u093e \u0915\u094b\u0920\u093e\u0939\u0930\u0942\u092e\u093e \u0935\u093f\u0938\u094d\u0924\u093e\u0930 \u0917\u0930\u094d\u0928 \u0938\u0915\u093f\u0928\u094d\u091b\u0964 \u0939\u093e\u092e\u0940 \u0906\u092a\u0924\u0915\u093e\u0932\u093f\u0928 \u0935\u093f\u092d\u093e\u0917\u0939\u0930\u0942\u092e\u093e \u0938\u092e\u093e\u0928 \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e\u0939\u0930\u0942 \u0915\u093e\u0930\u094d\u092f\u093e\u0928\u094d\u0935\u092f\u0928 \u0917\u0930\u094d\u0928 \u0909\u0924\u094d\u0938\u0935\u0939\u0930\u0942 \u0938\u092e\u0930\u094d\u0925\u0928 \u0917\u0930\u094d\u0928 \u091a\u093e\u0939\u0928\u0947 \u0905\u0928\u094d\u092f \u0938\u0939\u092f\u094b\u0917\u0940\u0939\u0930\u0942\u0932\u093e\u0908 \u0938\u0939\u092f\u094b\u0917 \u0917\u0930\u094d\u0928 \u092a\u093e\u0909\u0901\u0926\u093e \u0939\u093e\u092e\u0940 \u0938\u092e\u094d\u092a\u0930\u094d\u0915 \u0917\u0930\u094d\u0928 \u092a\u093e\u0909\u0901\u0926\u093e \u0916\u0941\u0938\u0940 \u091b\u094c\u0902\u0964<\/p>\n<\/div>\n<div class=\"section data-availability\" id=\"sec-7\">\n<h2 class=\"\">\u0921\u093e\u091f\u093e \u0909\u092a\u0932\u092c\u094d\u0927\u0924\u093e \u0915\u0925\u0928<\/h2>\n<p id=\"p-29\">\u0905\u0927\u094d\u092f\u092f\u0928\u0915\u093e \u0932\u093e\u0917\u093f \u092a\u094d\u0930\u093e\u0938\u0902\u0917\u093f\u0915 \u0921\u093e\u091f\u093e \u0938\u092e\u093e\u0935\u0947\u0936 \u0935\u093e \u0905\u0928\u0932\u093e\u0907\u0928 \u092a\u0942\u0930\u0915 \u091c\u093e\u0928\u0915\u093e\u0930\u0940\u0915\u094b \u0930\u0942\u092a\u092e\u093e \u0938\u092e\u093e\u0935\u0947\u0936 \u0917\u0930\u093f\u090f\u0915\u094b \u091b\u0964<\/p>\n<\/div>\n<div class=\"section ethics-statement\" id=\"sec-8\">\n<h2 class=\"\">\u0928\u0948\u0924\u093f\u0915\u0924\u093e \u0915\u0925\u0928\u0939\u0930\u0942<\/h2>\n<div class=\"section\" id=\"sec-9\">\n<h3>\u092a\u094d\u0930\u0915\u093e\u0936\u0928\u0915\u094b \u0932\u093e\u0917\u093f \u092c\u093f\u0930\u093e\u092e\u0940 \u0938\u094d\u0935\u0940\u0915\u0943\u0924\u093f<\/h3>\n<p id=\"p-30\" class=\"ethics-consent-to-publish\">\u0932\u093e\u0917\u0942 \u091b\u0948\u0928\u0964<\/p>\n<\/div>\n<div class=\"section\" id=\"sec-10\">\n<h3>\u0928\u0948\u0924\u093f\u0915 \u0938\u094d\u0935\u0940\u0915\u0943\u0924\u093f<\/h3>\n<p id=\"p-31\" class=\"ethics-approval\">\u0932\u093e\u0917\u0942 \u091b\u0948\u0928\u0964<\/p>\n<\/div>\n<\/div>\n<div class=\"section ack\" id=\"ack-1\">\n<h2>\u092e\u093e\u0928\u094d\u092f\u0924\u093e<\/h2>\n<p id=\"p-24\">\u0939\u093e\u092e\u0940 \u0906\u0926\u092e \u0939\u0915\u0940\u0928\u094d\u091c\u093f\u0928\u0938\u0932\u093e\u0908 \u0927\u0928\u094d\u092f\u0935\u093e\u0926 \u0926\u093f\u0928\u094d\u091b\u094c\u0902, \u092e\u094d\u092f\u093e\u0928\u091a\u0947\u0938\u094d\u091f\u0930 \u092b\u093e\u0909\u0928\u094d\u0921\u094d\u0930\u0915\u094d\u091a\u0930 \u0935\u093f\u0936\u094d\u0935\u093e\u0938 \u092e\u093f\u0921\u093f\u092f\u093e \u0930 \u0938\u0902\u091a\u093e\u0930\u0939\u0930\u0942\u092e\u093e, \u092f\u0938 \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e\u0915\u094b \u0938\u093e\u0925 \u0909\u0928\u0915\u094b \u0938\u092e\u0930\u094d\u0925\u0928\u0915\u093e \u0932\u093e\u0917\u093f\u0964<\/p>\n<\/div>\n<p><span class=\"highwire-journal-article-marker-end\"\/><\/div>\n<p><a href=\"http:\/\/ep.bmj.com\/cgi\/content\/short\/110\/5\/237?rss=1\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0938\u093e\u0930\u093e\u0902\u0936 \u090f\u0915 \u092a\u093e\u0907\u0932\u091f \u092a\u094d\u0930\u094b\u091c\u0947\u0915\u094d\u091f\u0932\u0947 \u092a\u0942\u0930\u094d\u0935 \u0905\u0935\u0938\u094d\u0925\u093f\u0924, \u0928\u093f: \u0936\u0941\u0932\u094d\u0915, \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0930 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0935\u093f\u0926\u094d\u092f\u092e\u093e\u0928 \u0938\u094d\u0930\u094b\u0924 (\u092a\u0947\u0921) \u0932\u093e\u0908 \u0938\u094d\u0935\u0938\u094d\u0925 \u0935\u094d\u092f\u0935\u0939\u093e\u0930\u0932\u093e\u0908 \u092c\u0922\u093e\u0935\u093e \u0926\u093f\u0928 \u0930 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":14093,"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-14092","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\u0947\u0921-\u091f\u093f\u092d\u0940: \u092a\u0930\u094d\u0916\u093e\u0907 \u0915\u094d\u0937\u0947\u0924\u094d\u0930\u092e\u093e \u0936\u0948\u0915\u094d\u0937\u093f\u0915 \u092d\u093f\u0921\u093f\u092f\u094b\u0939\u0930\u0942 - \u090f\u0915 \u0917\u0941\u0923\u0935\u0924\u094d\u0924\u093e \u0938\u0941\u0927\u093e\u0930 \u092a\u0930\u093f\u092f\u094b\u091c\u0928\u093e - Harit Thakuri<\/title>\n<meta name=\"robots\" content=\"index, follow, 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\u092a\u094d\u0930\u094b\u091c\u0947\u0915\u094d\u091f\u0932\u0947 \u092a\u0942\u0930\u094d\u0935 \u0905\u0935\u0938\u094d\u0925\u093f\u0924, \u0928\u093f: \u0936\u0941\u0932\u094d\u0915, \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0930 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0935\u093f\u0926\u094d\u092f\u092e\u093e\u0928 \u0938\u094d\u0930\u094b\u0924 (\u092a\u0947\u0921) \u0932\u093e\u0908 \u0938\u094d\u0935\u0938\u094d\u0925 \u0935\u094d\u092f\u0935\u0939\u093e\u0930\u0932\u093e\u0908 \u092c\u0922\u093e\u0935\u093e \u0926\u093f\u0928 \u0930 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hthakuri.com.np\/blog\/2025\/09\/18\/\u092a\u0947\u0921-\u091f\u093f\u092d\u0940-\u092a\u0930\u094d\u0916\u093e\u0907-\u0915\u094d\u0937\u0947\u0924\u094d\u0930\u092e\/\" \/>\n<meta property=\"og:site_name\" content=\"Harit Thakuri\" \/>\n<meta property=\"article:published_time\" content=\"2025-09-18T14:07:50+00:00\" \/>\n<meta property=\"og:image\" 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