"Never doubt that a small group of thoughtful, committed citizens can change the world. hepatitis B virus (HBV) prevalence among barbers and their knowledge, attitude and practices in a peri-urban district of Sindh. Please help us continue to offer this kind of essential resource for the treatment of hepatitis B with a donation toward our important programs. Protecting Our Forces reviews the process by which the U.S. military acquires vaccines to protect its warfighters from natural infectious disease threats. SciDev.Net Asia & Pacific is the region’s leading source of reliable and authoritative news and analysis about science and technology for development. An Indian medicinal plant may be one of the most effective ways of treating disorders caused by the Hepatitis B virus, according to new research. Pakistan is a low-income country with limited health resources; health care receives only 0.75% of Pakistan’s gross domestic product. According to estimates, well over 18 million people in Pakistan are infected with hepatitis B and C amounting to over nine per cent of countryâs population while ⦠Please note that Cureus is not responsible for any content or activities contained within our partner or affiliate websites. The published literature on the modes of transmission of hepatitis B and hepatitis C in Pakistan implicate contaminated needle use in medical care and drug abuse and unsafe blood and blood product transfusion as the major causal factors. Hepatitis B: Recommended for unvaccinated travelers of all ages to Pakistan. Warning / Precautions. 2, Block 3, P.E.C.H.S Shaheed e Millat Road This text is essential reading for all healthcare professionals involved in the delivery of medicines to patients. This publication is a comprehensive assessment of leading risks to global health. It provides detailed global and regional estimates of premature mortality, disability and loss of health attributable to 24 global risk factors. The timely intervention will result in the prevention of cirrhosis and reduce the incidence of liver cancer. 198 Journal of the College of Physicians and Surgeons Pakistan 2010, Vol. As you know by the name also that one is the nosode prepared from the virus Hepatitis B and other is a tautopathic medicine Hepatiis B Vaccine Triturated according to the principles of homeopathy to 30c potency . The duration of the study was three months (April 2019 to June 2019). HBV and HCV are viral infections of the liver that disrupt its architecture, causing cirrhosis and hepatocellular carcinoma. Unsafe medical practices, such as reusing medical equipment. The general population of some areas shows as much as 5% of people infected from it. Other than Sovaldi, there are some new hepatitis treatment drugs in Pakistan awaiting registration and approval including Viread, Truvada and Stribild. Viread, an oral nucleotide reverse transcriptase inhibitor (NtRTI) is an antiviral drug for chronic Hepatitis-B virus (HBV) infection. The Hepatitis B virus (HBV) can cause acute and chronic liver infections. Most of the adults will recover from acute hepatitis B and only 5% of infections will progress into chronic hepatitis. The benefits of screening for hepatitis B virus (HBV) before treatment with long-term immunosuppressive drug therapy include early identification of chronic HBV infection or ⦠Address for correspondence: Dr. Usman ⦠Samples were screened for HBV and HCV using the kit method, and data were analyzed using IBM SPSS Statistics for Windows, version 20.0 (IBM Corp., Armonk, NY). Hepatitis delta ⦠In low-income countries like Pakistan, the major risk factor for viral transmission is the use of contaminated medical equipment such as syringes [8]. Hepatitis B is an infectious viral disease that affects the liver. Objective To assess the efficacy of awareness campaign aimed at Hepatitis B and C in a rural community in Rawalpindi, Pakistan. Gradually progressing into cirrhosis and liver failure if left untreated. Hepatitis B Vac ⦠Hepatitis delta (sometimes called hepatitis D virus, or HDV) is a bit different to other hepatitis viruses, because it can only affect people who have hepatitis B. We predicted the percentage of HBV and HCV for 2030 to be 3.25% and 6.36%, respectively. Single Ingredient. doi:10.7759/cureus.17521. You should check with your physician/health care provider before using any of the means or methods presented on this site. Given that almost 1.5 million people donate blood annually in Pakistan, screening healthy donors will prevent disease and yield data to estimate the disease burden [9,10]. A lack of awareness and knowledge may be the reason the prevalence is not decreasing. Hepatitis spread from mother to child. ⦠Different surveys have been performed to look into the transcendence of HCV and HBV in ⦠We applied a least squares regression to our results to predict HBV and HCV incidence in 2030. Hepatitis B and C and vaccination status of Hepatitis B among medical students of Karachi, Pakistan. Proper sterilization and efficient screening are other tools to reduce the spread of disease. Hepatitis B has very effective vaccines. The distribution of the ⦠This is because most of the donors were young men, which excludes older patients, children, and women, all of whom comprise a significant portion of the population. Introduction. Our projections indicate that 3.25% of patients in Pakistan will be positive for HBV, and 6.36% will be positive for HBC by 2030. Antibodies against the virus are formed in the initial stage of infection and HBsAg and IgMbecome positive. People with multiple drug transfusion history, health care professional, and psychiatric patients. THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel ... Hepatitis B and C are common causes of viral hepatitis in Pakistan. Pakistan is a stand out amongst the most awful impacted countries of the world having hepatitis B. 30, Issue 1 ) Downloads: 225 Hepatitis B: Hepatitis B is caused by the Hepatitis B Virus (HBV). Found insidePriorto the nighttime commando raid that killed bin Laden,the Central Intelligence Agency (CIA) sent Pakistani medical professionals to offer free hepatitis B immunizations to neighborhood populations in Abbottabad, Pakistan,where bin ... myr ⦠Brand: Revac-B Mcf Vaccine. 1 Persons born in regions with a prevalence of HBV infection of 2% or greater, such as countries in Africa and Asia, the Pacific Islands, and parts of South America, often become infected at birth and account for up to 95% of newly reported chronic infections in the US. Here, we provide definitions for the terms genotype and phenotype, discuss their relationship and take a look at why and how we might choose to study them. Recombinant Hepatitis B Vaccine, 0.5 ml In 1 Vial, Prescription. Aims: To assess the knowledge, ⦠Found inside – Page 6FINANCE & MARKETS New tax - exempt drug list — The anomalies By SYED M. ASLAM now retails for Rs 1,617 . A Hepatitis - B sufferer has to take one Zefix tablet daily for a whole year and the course , thus , now costs him over Rs 42,000 ... Meta analysis from the previous studies showed that the prevalence of hepatitis B was between 3-4% 1 and for ⦠The branch of microbiology which deals with the study of viruses, their properties, mode of replication, symmetry and their diseases in humans and animals is termed as Virology. Hepatitis Delta Virus (HDV)- A virus that co-infects people already infected with HBV. We are Nutrimart Ltd, a medicine importer company from Bangladesh. We chose this because a time prediction was needed for the individual variable, and we found it using the following formulas: ŷ = dependent variable of the regression line in the least-squares method; x = independent variable of regression line; and. The donor’s history and eligibility were reported via proforma. There are about 1.5 million Hepatitis B and C patients in the district, while only Hepatitis C drugs are available in government hospitals, while there are no Hepatitis B drugs. [PMID: 19610509] [27] Alam MM, Zaidi SZ, Shaukat S, et al. Vaccines for the virus are widely available with very good protection parameters. ... Pakistan Medicine & Life Sciences 100%. The name of Pakistan Navy Nursing School was conceived in 1982 when the Female Nursing Cadets and Armed Forces Nursing Services (AFNS) trainee officer were also attached for various professional courses. It has a circular RNA genome that is the smallest of human viruses, requires the HBsAg capsid of the hepatitis B virus to assembly into ⦠Found inside – Page 12Identify precisely all drugs and chemicals used , including generic name ( s ) , dose ( s ) , and route ( s ) of ... ( b ) acknowledegments of technical help ; ( c ) acknowledgements of financial and material support , specifying the ... A recent nationwide survey conducted by the Pakistan Medical Research Council on 47043 individuals suggests a carrier rate of 2.5% for ⦠A well-organized and well-developed vaccination plan is another vital component. Prevention of mother-to-child HBV transmission using antiviral therapy 89 10.3. Composition: Hepatitis B Vaccine (rDNA) (10mcg) Treatment: Vaccine prepares your child's immune system to fight against the hepat. Clinical trials ⦠This edition contains fully updated recommendations aimed to promote and protect the health of seafarers, and is consistent with the latest revisions of both the WHO Model List of Essential Medicines and the International Health Regulations ... A total of 715 samples (1.08%) were positive for HBV and 1,846 samples (2.78%) were positive for HCV. The hepatitis D virus (HDV) is unique in animal virology. Hepatitis B Nosode 30c . Studies on diseases of farm animals have led to a variety of scientific milestones and biological paradigm shifts (Figure 1).Cattle plague (or rinderpest) is a disease that devastated livestock for hundreds of years in Europe until the nineteenth century. Seroprevalence of hepatitis B and hepatitis C in health care workers in Abbottabad. Pathogenesis of inclusion body hepatitis (IBH) virus in experimentally infected broiler chicks and chick embryos* ( Indian Journal of Veterinary Pathology, Vol. But this not the case with children below 6 years of age. Scholarly Impact Quotient™ (SIQ™) is our unique post-publication peer review rating process. Indeed, it is the only thing that ever has.". 7. If you undertake any treatment methods displayed on this site without such supervision, you are solely and entirely responsible for it's outcome. The leaf, flower, and root have been used for various infections, but with little evidence. Pakistan being the world's sixth most populous country and with a moderate to high infection rates, shows a percentage prevalence of hepatitis B surface antigen (HBsAg) and anti-hepatitis C antibody (anti-HCV) from 2.5% and 4.8% in the general population to 13.0% and 10.3% among high-risk groups respectively.3,4Since J Pak Med Assoc 2010; 60:450-5. Any medical or surgical equipment contaminated with infected blood can transmit the Infection. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. The marijuana-laced candy and other edibles manufactured by the company mimicked the name and appearance of well known name brand candies and products, such as Stoney Ranchers, Munchy Way, Rasta Reece's. The hepatitis B virus (HBV) and hepatitis C virus (HCV) are the causative agents in hepatitis B and C, respectively [3,4]. Sharing of contaminated needles. No data regarding the neonatal dosage details of Hepatitis B Vaccine is available. Hepatitis B and C are viral infections of the liver transmitted by blood contamination. Free Online Library: Hepatitis B virus among maintainence haemodialysis patients: A report from Karachi, Pakistan. For âchronicâ hepatitis B, like in other advanced countries in Pakistan there are several approved drugs which slow down the virus and reduce potential liver damage. Learn more here. This report is based on an exhaustive review of the published literature on the definitions, measurements, epidemiology, economics and interventions applied to nine chronic conditions and risk factors. Take Control of Your Cancer Risk: A WebMD Essential Guide shares straightforward information and equips you with strategies to help you on a journey to better health, including: assessing your cancer risk knowing which screenings you need, ... Viral hepatitis is swelling at an alarming rate in Pakistan and killing 0.15 million people annually. While regional studies have reported prevalence data on HBV and HCV, no studies have assessed the HBC and HCV incidence and trends in Gujranwala. It is used to treat chronic hepatitis B.This medicine will not cure or prevent hepatitis B infection. The most common liver infection globally, caused by the hepatitis B virus (HBV). Anything above 5 should be considered above average. Japanese Encephalitis: Recommended for travelers who. Manufacturer: Bharat Biotech. It is widely believed that hepatitis is only a waterborne disease, whereas the fact is that contaminated water and food cause other types … US Drug Enforcement Administration (DEA) "A History of the DEA: 2003-2008," deamuseum.org, Jan. 1, 2010 Found insideThe objective of this study was to evaluate the SBT practices in the blood banks of Pakistan,” scientists writing in the journal Transfusion Medicine report. “Twenty-three blood banks were randomly selected from a list of registered 40 ... This report presents the recommendations of the WHO Expert Committee responsible for updating the WHO Model List of Essential Medicines. Seroprevalences and co-infections of HIV, hepatitis C virus and hepatitis B virus in injecting drug users in Quetta, Pakistan. doi:10.7759/cureus.17521, Peer review began: August 18, 2021 ⦠The social history of viruses describes the influence of viruses and viral infections on human history. You should not use this information on this web site or the information on links from this site to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. R3 Stem Cell Pakistan is the only healthcare center in Pakistan deploying the technology of Stem Cell Therapy that is having the services of an adept and accomplished medical expert âDr. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Thirty-six (62.0%) patients had type-1 AIH, 10 (17.2%) had type 2, and ⦠After the incubation period, acute hepatitis also develops, and the patient experiences extreme fatigue. Terms of Use. Servaid - Pakistan’s largest & fastest growing Pharmacy Chain Our unmatched home delivery service - delivered right to your doorstep. Today more than eight per cent of people around the globe â one in every 12 â are living with chronic Hepatitis (Hep) C or B. Pakistan is ⦠Overall, there are estimated 2 billion people across the world with this virus, and ⦠The volume includes salient topics such as: the history and epidemiology of HBV and HCV; recent insights into the molecular mechanisms of viral replication; the host immune response to infection and a discussion of the use (HBV) or ... Recent data shows HBV is more prevalent in the Afghan population and in prison inmates, professional blood donors. Found inside – Page 261... College biomedical ++ RO1Al - 15698-03 Epidemiology of the group B Streptococcus ** POÌAl - 11132-10 0009 Control ... mice ) control ( Pakistan ) - Mosquito and disease ecology and genetic Pathophysiology of varicella zoster virus ... IAJPS 2020, 07 (11), 448-461 Taimoor Hussain et al ISSN 2349-7750 w w w . Percutaneous or exposed skin if you get in contact with infectious blood, semen, and other body fluids can cause HBV. Back to top. Hepatitis B (HBV) causes a serious infection of the liver and other health complications. The virus can survive outside the human body for at least seven days and still can be a source of infection if it enters the body of an unvaccinated person. HBV is a DNA virus transmitted by percutaneous and permucosal routes. Chronic Infection is among the most common cause also behind primary liver carcinoma. A potentially life-threatening infection and need immediate intervention. Incidence and prevalence of the five types of hepatitis, https://www.verywellhealth.com/how-many-people-have-hepatitis-1760012, Funding the elimination of viral hepatitis: donors needed, Molecular mechanisms driving progression of liver cirrhosis towards hepatocellular carcinoma in chronic hepatitis B and C infections: a review, Prevalence and challenges of liver diseases in patients with chronic hepatitis C virus infection, Hepatitis B and hepatitis C in Pakistan: prevalence and risk factors, Prevalence of hepatitis C virus among healthy donors at a large teaching hospital in Lahore, Pakistan: a cause of concern for health policy makers, National prevalence rate of hepatitis B and C in Pakistan and its risk factors, Prevalence of transfusion transmissible infections in blood donors of Pakistan, Association of ABO and Rh blood group types to hepatitis B, hepatitis C, HIV and syphilis infection, a five year’ experience in healthy blood donors in a tertiary care hospital, Advances in the treatment of hepatitis C virus infection, Current prospects for interferon-free treatment of hepatitis C in 2012, Seroprevalence of hepatitis B virus in blood donors at a large teaching hospital of Pakistan: a potential health policy concern, Virological response to entecavir is associated with a better clinical outcome in chronic hepatitis B patients with cirrhosis. 8. Hepatitis B virus (HBV) is responsible for ~2 billion cases of liver infection worldwide, including ~40% of chronic carriers at the risk of developing fulminant ⦠Notes. To be precise, about 2.5% people suffer from hepatitis B and 4.9% of the total population of the Sindh province suffer from hepatitis C. The Sindh government promised to ⦠Medications for Hepatitis B. Other names: Chronic Hepatitis B; Hepatitis B, Chronic. About Hepatitis B: Hepatitis B is inflammation of the liver caused by the hepatitis B virus. Hepatitis B virus spreads through contact with infected blood. This volume serves as a reference for the dissemination of advances made in the study of Hepatitis B Virus (HBV). Or 1ml. The WHO guidelines on assessing donor suitability for blood donation have been developed to assist blood transfusion services in countries that are establishing or strengthening national systems for the selection of blood donors. There a high risk of infection in male-male sex partners and heterosexuals having multiple partners. The perspective represented by this book, that of medical virology as an infectious disease science, is meant to provide a starting point, an anchor, for those who must relate the subject to clinical practice, public health practice, ... This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Search by expertise, name or affiliation. It is transferred from one infected person to another through sexual contact when an infected mother gives birth and by sharing needles and drug equipment. Any organism is a by-product of both its genetic makeup and the environment. Found insideResearchers detail in 'Umbilical vein oxytocin for the treatment of retained placenta (Release Study): a ... and Pakistan. 577 women were randomly assigned by a computer-generated randomisation list stratified by centre to 30 mL saline ... We have latest Fresenius 5008 machines with some dedicated to hepatitis B and C patients. 16. Important: The information below refers to products available in the United States that contain hepatitis b adult vaccine. Found inside – Page 167... increase in the average immunization coverage against infectious diseases and addition of Hepatitis - B vaccine in the ... CURRENT SITUATION OF TRADITIONAL MEDICINE IN PAKISTAN The following is a list of principal activities of the ... A study from Pakistan reviewed 55 patients diagnosed with autoimmune hepatitis (AIH) in the last 10 years . Hepatitis B ... A significant proportion of Salmonella Typhi strains found in Pakistan are extensively drug resistant but remain susceptible to azithromycin and carbapenems (more information). Pakistan has one of the highest rates of hepatitis C virus (HCV) infection in the world, accounting for over ten percent of global HCV infections. Pakistan Selective Vaccinations: Hepatitis B Description. Therapeutic response of Sofosbuvir in Hepatitis C. WORK EXPERIENCE: EDUCATION: MBBS (1971)-University of Dhaka, Bangladesh (With Distinction) Medicine, ⦠The following list of medications are in some way ⦠The criteria for treatment reimbursement were based on doctorâs opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. It works by decreasing the amount of hepatitis C virus (HCV) in the body. This handbook is an updated edition of 'Management of severe and complicated malaria', providing practical guidance on the diagnosis and management of severe falciparum malaria, a form of the disease that can have life-threatening ... Human subjects: Consent was obtained or waived by all participants in this study. Epidemics caused by viruses began when human behaviour changed during the Neolithic period, around 12,000 years ago, when humans developed more densely populated agricultural communities.This allowed viruses to spread rapidly and subsequently to become endemic. These data indicate a decreasing trend in HBV prevalence and an increasing prevalence of HCV [11]. Chronic Hepatitis B needs to be treated with medicine including some antiviral drugs. Tenofovir oral tablet is a prescription medication used to treat HIV and chronic hepatitis B infection. Hepatitis is leading cause of morbidity and mortality in the world, and especially in Pakistan due to high prevalence. Based on data obtained for six years, we predicted the prevalence of HBV and HCV in 2030. Servaid is providing you with an in-store and an online platform designed to streamline the process of acquiring overthe-counter and prescription medications With delivery right to your doorstep, Servaid is transforming the buyer’s experience … in Pakistan. I grew up in Carmel, IN, went to a small private school called Park Tudor from preschool through high school. Call us: 03-111456789 Lahore: 7-Jail Road Main Gulberg Karachi: Plot .No. [ ⦠The seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to ... It can be passed through the transfusion of infected blood or blood products, or by contaminated injections or needles used during a medical procedure. Antivirals used for it expensive and countries with a majority of the low-income population can not afford it. Hepcludex (Bulevirtide formerly Myrcludex B) Entry inhibitor. There are no extra charges for booking through Marham. It can acute but often progress into chronic liver disease. Hepatitis B vaccine is highly effective in preventing both vertically and horizontally acquired chronic HBV infection [3,4,5]. Abbreviations: HBV, hepatitis B virus; HCV, hepatitis C virus. Buy Hepa-B Injection (Hepatitis B Vaccine- Genetic Recombinant) Warm greetings. It's available as a generic drug and as the brand-name drugs Viread and ⦠We applied the double-antibody “sandwich” technique using a combination of polyclonal and monoclonal antibodies to detect elevated levels of hepatitis B surface antigen for HBV. Product Name : Surbex-Z Tab 30s Product Form : Tablets Pack Size : 30s Ingredients : Nicotinamide 100mg, Vitamin B2 15mg, Thiamine HCl Vitamin B1 5mg, Vitamin E ⦠The incubation period of the virus from 30 to 180 days. 2. Cureus 13(8): e17521. The predicted value of HBV in 2030 is given in Table 2. 2. The abbreviations on this table (Column 3) were standardized jointly by staff of the Centers for Disease Control and Prevention, ACIP Work Groups, the editor of the Morbidity and Mortality Weekly Report (MMWR), the editor of Epidemiology and Prevention of Vaccine-Preventable Diseases (the Pink Book), ACIP members, and liaison organizations to the ACIP.These ⦠4. Product(s) containing hepatitis b adult vaccine: hepatitis b adult vaccine systemic. Hepatitis B leads to cirrhosis, and liver failure and is the leading cause of liver-related death globally. The HCV incidence in our study was similar yet slightly higher than other studies in Pakistan. Hepatitis B ... A significant proportion of Salmonella Typhi strains found in Pakistan are extensively drug ⦠Pharma Professional Services advises you to always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. To understand this in detail, we must first appreciate some basic genetic vocabulary and concepts. During birth, a mother can pass it to a child. Medicine Alzheimers Big Pharma Cancer Scams Chemotherapy Dementia Dentistry Diabetes Doctor Oz Flu Shot Immunization Influenza Medical Kidnapping Men's Health Oncology Outbreak Prevent Cancer Psychiatry Side Effects SSRI Statins Superbugs Thimerosal Vaccine Court Vaccine Injury Vaccines Women's Health ... Disease Name Common ways the disease spreads Advice From 1990 to 2017, the number of deaths from hepatitis B increased globally from approximately 580,500 to 799,000, while the global deaths from hepatitis C increased from approximately 350,100 to 580,000 [2]. Twinrix is administered over three doses. Hepatitis is an inflammation of the liver. Our results indicate that the prevalence of HBV is rising, which contrasts with other studies that report a decline in HBV infections due to vaccination rates and the availability of adequate treatment [16,17]. High Risk Groups. CAUSES OF OBESITY AND ITS BEST TREATMENT, Breast cancer ! Unnecessary use of medication discouraged. Hepatitis B Vac 30c. Buddafingers, and Pot Tarts." A … Transfusion of unscreened blood. Hepatitis B was first identified in 1963 and to date, more than 20 million people in Pakistan are suffering from hepatitis B and C resulting in 150,000 new cases each year (Ali et al., 2011). This is considered a first-line treatment with an ⦠The hepatitis B story is more than a fascinating chronicle of a major discovery. What Blumberg followed to the virus was a trail of remarkable "accidents" that happen when scientists seek answers to interesting questions. 20 (3): 198-201 INTRODUCTION Chronic Hepatitis B is a serious clinical problem in Pakistan.1,2 It is the second most important cause of liver cirrhosis and hepatocellular carcinoma following Hepatitis C.3 Since there has been a significant addition of new scientific knowledge in recent times regarding the A rapidly spreading disease in women, https://www.facebook.com/faisaldar.com.pk/. This is the third edition of this publication which contains the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the UK or in travellers going outside of the UK ... World Journal of Gastroenterology, 13(17), 2436-2441. Ferozsons Laboratories is the exception. Approximately 60% to 80% of HCV-infected patients progress into chronic liver disease [8]. Background. The company signed an agreement in 2014 with American life sciences company Gilead Sciences to introduce a breakthrough drug for ⦠Found inside – Page 34But All names have been changed. helped the bleeding victim into the emergency room. Later he got hepatitis B. Although hospital personnel are encouraged to be immunized against the disease, security guards are generally not considered ... Molecular and genetic characterization of hepatitis B virus among multitransfused thalassaemia patients in Islamabad, Pakistan. Medicine, Punjab Institute of Cardiology, Lahore, PAK, Internal Medicine, Allama Iqbal Medical College, Jinnah Hospital, Lahore, PAK, Rheumatology, Fatima Memorial Hospital, Lahore, PAK, Internal Medicine, Mansoura University, Mansoura, EGY, Internal Medicine, Gujranwala Medical College, District Headquarter Teaching Hospital, Gujranwala, PAK, Internal Medicne, Allama Iqbal Medical College, Jinnah Hospital, Lahore, PAK. Patients who were registered at the facility were included after â¦
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