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Content uploaded by Abdus Salam
Author content
All content in this area was uploaded by Abdus Salam on Sep 13, 2015
Content may be subject to copyright.
I
O
r
i
gin
al
Ar
t
i
c
l
e
R
E
C
IP
IE
NT
I
S
THE
S
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T
D
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O
R
F
O
R
O
WN
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E
L
F
-
T
HE
A
UT
O
L
O
GO
U
S
TRAN
S
F
U
S
I
O
N
Dr
Ra
bey
a
Y
ousuf1
Dr
A
bd
us
Sa
l
am
2
A
b
st
r
a
c
t
W
i
th
the:
rec
ogn
i
tio
n
tha
t
HIV
,
as
we
ll
as
o
ther
inf
ec
u
o
us
ag
en
ts
s
uc
h
as
h
e
pa
ti
ti
s
,
sy
ph
i
l
i
s,
ma
l
a
ri
a
et
c
.
c
an
be
tran
sm
i
tt
ed
by
bl
ood
trans
f
u
s
i
on
,
Uk!
p
rac
ti
c.c
o
r
a
ut
o
l
og
o
us
lransfus
io
n
(r
e-.
trans
f
u.s
io
n
o
f
O
Y.
TI
b
l
ood
)
in
i
ts
vario
us
f
o
r
m
s
has
g
ro
,..,
n
c
ons.i
dcn
bl
c
in
rc:c
c:n
t
y
ears
,
e
spec
i
al
ly
i
n
th
e
U
SA
.
The
ad
v
an
ta
g
es
o
f
a
u
t
o
lo
go
us
trans
f
us
i
on
seem
v
ery
su
bstan
ti
a
l
.
A
ll
ri
sks
o
f
in
c
o
m
pa
ti
b
i
l
i
ty
,
allo
imm
un
i2.i
t
i
o
n
,
i
mm
u
-
n
o
su
p
press
,o
n
ard
the
tran
sm
i
ss
i
o
n
o
f
inf
ec
ti
on
s
are
e
v
o
i
ded
and
dono
r
'
s
b
l
ood
is
sa
n
!(
l
f
o
r
o
lhcT
pe
n
cn
ts
The
aun
o
f
lhi.
s
paper
i
s
to
c
re
a
t
e
a
w
ar
eness
re
g
ard
ing
the
es
ta
bl
i
s
hm
e
nr
o
f
a
u
tolo
go
us
trans
f
us
i
on
w
h
er
e
po
ss
i
b
l
e
.
I
n
t
r
o
d
u
c
ti
o
n
A
u
to
l
ogo
u.,
tran
s
f
u
s
i
o
n
m
ea
n
s
a
d
m
i
ru
s
tm
uo
n
o
f
th
e
patie
n
t
'
s
O
Y.
1
1
b
l
ood
co
ll
ec
lcd
pre
n
o
usl
y o
r
d
un
n
g
a
n
opera
ti
on
'
.
T
raru
f
o
g
on
c
o
m
mon
l
y
p
rac
ti
ced
in
h
um
w
1
be
m
g
a
r
e
ma
in
l
y o
f
t\',
b
t
y
pes
·
(
I
)
A
l
l
o
g
c
m
c
n
l
o
m
o
lo
go
us
1111
d
(2
)
A
u
i
o
l
o
g
ou
s
A
l
l
og
en
i
c
o
r
ho
mo
l
og
ou
s
tra
n
s
f
u
sio
n
i
s
th
e
trans
f
us
io
n
o
f
c
o
m
pa
ti
b
le
b
lood
o
r
o
lhl.
"I'
b
l
ood
c
o
m
p
o
n
om
ts
bet
w
een
d
i
ff
er
en
t
111
d
1
\
1
dua
l
o
f
the
same
spec
i
es
VlZ
h
uman
s
pec
ies.
A
u
t
o
l
o
go
us
transf
us
i
o
n
i
s
t
h
e
r
ctrans
f
us
io
n o
f
co
l
l
ec
ted
bl
ood
s
uuultanec
us
l
y o
r
a
t
a
late
r
da
te
i
n
t
o
t
h
e
don
or
h
i
msc
l
f
o
r
he
rsc
l
f
.
S
u
bj
ec
ts
f
or
w
h
om
a
u
to
l
og
o
us
trans
f
us
io
n
ar
c
ind
ical
ed
arc
(
(
i
)
pa
ll
cn
ts
underg
o
m
g
e
lecti
v
e
surg
ic
a
l
p
roc
ed
ures
w
u
h
a
h
igh
pro
ba
b
il
i
ty
o
f
n
eed
m
g
b
l
ood,
pro
v
md
the
y
ar
c
fi
t
e
nou gh
t
o
do
nate
sev
era
l
u
n
i
ts
pre
-o
pe
ra
ti
vely
(
ii
)
so
m
e
bo
n
e
m
arro
w
do
nors.
especial
ly
c
h
i
ldr
en
h
k
e
l
)
to
bec
ome
anacnu.
c
a
ll
o!r
d
o
na
u
ng
marro
w
f
o
r
their
s
i
b
l
i
ng
(
ii
i
)
s
ub
J
CC
IS
wi
lh
rar
e
b
lood
gr
ou
ps
o
r
w
nh
m
ul
ti
p
le
r
ed
c
e
ll
an
t
i
bodi
es
f
o
r
\\
h
o
r
n
i
t
i
s
d
i
f
l
i
c
u
l
t
to
fi
n
d
co
m
pa
t
i
b
l
e
b
l
ood
(
i
v
)
tho
se
rare
pati
e
n
ts
w
ho
h
a
v
e
had
m
o
re
than
o
ne
u
n
e
xp
la
m
cd
hae
m
o
ly
ti
c
transf
usi
o
n
n:.
1
ct
1
o
n
l
A
d
v
an
ta
g
es
o
f
au
to
l
o
g
o
u
s
1ran
s
f
u
s
i
o
n
(
i
)
e
li
mina
tes
ri
sk
o
f
in
f
ec
-
ti
o
us
d
i
seases
s
uc
h
as
A
IDS
,
H
epa
ti
ti
s
,
S
y
p
h
ili
s,
Malaria,
C
M
V
,
EB
v
1
rus
(
i
1
)
c
li
m
inat
es
risk
o
f
al
l
o
i
mm
u
ni
sa
tio
n
t
o
ery
throcy
tes,
l
cuc:
oc
ytcs
,
p
latele
t
s
o
r
pro
te
i
n
an
tig
en
(
i
i
i
)
e
li
m
i
n
a
lC
s
ri
sk
o
f
f
ebri
le
,
allc
rg
1
c
,
a
nd
hae
m
o
l
y
ti
c
t
ra
n
sf
us
i
on
reac
ti
o
n
(
i
v
)
e
l
u
n
ina
t
es
risk.
o
f
graft
v
cnus
ho
s
t
(
G
V
H
)
r
eac
t
i
on
(
v
)
stim
ul
a
te
crythro
po
i
cs
is
by
repea
ted
)X'
copcra
t
f
r
e
p
hl
e
bo
to
m
r-
(
vi
)
bring
s
psy
c
h
o
lo
g
i
c
al
sa
t
is
f
actio
n
to
pa
tien
ts'
,
,
.
(
v
i
i
)
u
a
po
rtan
t
f
or
pe
ti
en
u
wi
lh
rare
b
l
ood
g
ro
u
ps
an
ti
g
en
s
espec
i
a
ll
y
tho
se
wi
t
h
pr
e
f
o
rm
e
d
a
ty
pi
c
al
b
l
ood
g
ro
u
p
an
ti
bcxlic!
(
v
i
ii
)
in
preg
nan
t
pa
t
ien
ts
a
ut
o
logo
us
dona
ti
on
w
as
f
o
und
saf
e
and
u.,cf
uJ6
.
A
u
to
lo
g
o
us
b
lood
c
an
e
i
the
r
be
k
ep
t
in
the
l
iqui
d
Sla
l
c
f
o
r
fi
ve
w
eeks
o
r
as
f
r
o
ze
n
red
c
e
l
ls
f
o
r
lo
ng
e
r
peri
ods.
W
i
lh
e
i
dl
er
m
ethods
o
f
sto
rag
e
,
i
t
is
pre
f
era
b
le
to
c
o
l
lec
t
the
b
l
ood
into
doub
le
pec
ks
in
o
rder
to
I
.
Au
1
s
t&lll
Pr
of
-
ol
T
nns
f
us
,
o
n
M
e
d
i
c
in
e.,
C
O
ll
\l
lb
M
ec
h
cal
eol
k
&e
2
.
Ass
i
s
t
an
t
Pro
f
H
s
or
o
f
C
�
oo
it
y
M
e
d
ic
i
n
e.,
Com
ill
a
M
ed
i
c
al
C
ol
k:
g,c
'
3
5
f
r
cczc
th
e
f
re
sh
p
l
asma
u
n
ti
l
r
eq
u
ir
ed
'
.
I
n
c
a
se
m
o
r
e
th
a
n on
e
u
m
t
r
s
req
u
ir
ed
th
e
"
l
ea
p
f
ro
g
"
tec
hn
i
qu
e
i
s
t
o
be
f
o
ll
o
w
ed
.
Two
types
o
f
sc
hedu
l
e
arc
f
o
ll
o
w
ed
w
hi
c
h d
e
p
e
n
d
o
n
c
ho
i
ce
o
f
tran
s
fus
io
n
ist
2
S
c
h
ed
u
l
e
I
In
thi
s
sc
h
ed
u
l
e
su
cc
essi
v
e
w
i
th
dra
wa
l
o
f
b
l
ood
is
hcl
d
a
t
an
in
t.co
·
al
o
f
7
da
y
s
.
On
fi
n
t
oc
cas
io
n
o
ne
uni
t
o
f
b
l
ood
(
X
i
)
is
ih
\\
TI
an
d
sto
red
.
On
7
lh
da
y
,
st
o
r
ed
unit
(X
1
)
is
re
t
n
m
s
f
us
ed
a
nd
t
w
o
un
i
ts
are
dra
w
n
an
d
s
to
r
ed
(X
2
a
nd
X
3
)
.
On
l
4
1h
da
y ou
t
o
f
lh
i
s
t
wo
sto
r
ed
u
ru
ts
o
ne
uni
t
CX
2
)
is
r
e
transf
uscd
an
d
t
w
o
w
i
ts
ar
c
d
ra
w
n,
h
erc
e
to
tal
throt:
uni
ts
arc
stc
rc
d
(X
1
,
X
-1
,
an
d
X
i
).
On
2
h
t
da
y
a
m
o
ng
this
thr
ee
s
to
red
u
ni
ts
,
ear
li
er
c
o
ll
ec
t
ed
o
n
e
un
it
(X
))
i
s
r
e
t
ra
n
s
f
us
e
d
a
nd
t
w
o
wu
ts
ar
c
dra
w
n
an
d
he
n
c
e
f
o
u
r
WU
ts
arc
sto
r
ed
("4.
X
,
,
"6
a
n
d
X
1
).
On
2
g
lh
da
y
,
amo
ng
lh
e
f
o
ur
sto
red
u
ni
ts
ear
lic
r
co
ll
cc
ted
o
ne
u
m
t
(
X..
)
i
s
r
e
trans
f
used
and
l\\
"
O
u
n
i
ts
are
d
ra
w
n
an
d
hen
c
e
to
tal
fi
v
e
un
it
s
ar
e
co
ll
ec
ted
(X
s
,
"6
,
X
1
.
�
and
X
9
)
.
So
o
u
t
o
f
thi
s
fi
v
e
un
i
ts
t
w
o
units
(
X
«
a
nd
X
9
)
are
f
re
s
h,
l\\
'O
u
mts
(
"6
a
n
d
X
1
)
o
ne
w
oe
k
o
l
d
a
nd
o
n
e
u
ni
t
{X
1
)
t
w
o
\\
«ks
.
�
.
S
c
h
e
d
u
l
e
2
(
s
e
r
i
a
l
p
h
l
e
b
o
t
o
m
y
)
I
n
lh
i
s
sc
h
ed
u
l
e
b
l
ood
is
c
o
ll
ec
t
ed da
i
l
y
On
\
s
t
da
y
o
ne
uni
t
o
f
b
lood
i
s
d
ra
w
n
a
n
d
s
t
o
red
(X
1
}
On
2
n
d
da
y
st
o
r
ed
u
n
i
t
(X
1
)
o
f
b
l
ood
r
s
re
t
ra
n
s
f
usc
d
nnd
t
w
o
umts
a
r
c
d
ra
wn
e
nd
s
t
o
r
c
d
(
X
2
a
nd
X
1
)
On
J
rd
da
y
two
sto
re
d
w
11
ts
(
X
�
a
nd
X
3
)
are
rc
tra
ns
f
used
a
nd
thr
ee
u
n
i
ts
er
e
d
ra
w
n
and
s
to
red
(
"4
,
X
1
an
d
X
6
}
On
4
1h
da
y
lh
r
ec
st
o
red
u
m
ts
CX4
,
X
i
,
a
nd
"6
)
ar
e
rc
tra
n
s
f
u
sed
a
n
d
f
o
u
r
u
ni
t
s
a
re
d
ra
w
ncd
(X
7,
X
�
.
X
9
1
m
d
X
1
0
)
A
d
v
am
a
g
es
m
th
i
s
m
c..
'lhods
ar
e
th
a
t
al
l
un
i
ts
o
f
b
l
oo
d
arc
f
res
h.
A
u
to
}o
g
o
us
tra
n
sf
us
i
o
n
c
anno
t
be
u
sed
w
i
th
o
u
t
s
u
w
k
m
en
t
a
r
y
a
l
l
og
eru
c
b
l
ood
i
f
m
o
r
e
than
fi
ve
w
u
ts
o
f
b
l
ood
ar
e
r
equir
ed
I
t
C
M
broa
dl
y
s
u
h<l
i
v
i
d
cd
i
n
to
f
o
ll
o
wi
n
g
ca
te
g
o
ri
e
s
:
(
a
)
Pr
ed
epo
s
i
t
sc
he
m
e
:
U
nder
lh
i
s
sc
he
m
e
p
laruu
n
g
is
do
ne
f
o
r
c
o
U
cc
lto
n o
f
b
l
ood
f
ro
m
t
h
e
pa
tie
n
t
a
w
a
i
ti
ng
f
o
r
surg
e
ry
on
th
e
bas
i
s
o
f
v
olu
m
e
r
eq
u
i
r
ed
an
d
111
n
e
a
v
a
il
a
b
i
lit
y
.
A
fte
r
c
o
ll
ec
t
i
o
n
t
h
e
am
oun
t
o
f
b
lood
i
s
la
be
l
ed
a
nd
s
t
o
r
ed
a
t
r
eco
mm
e
nde
d
te
m
pe
ra
t
u
r
e
(
4
"
C
)
and
retrans
f
uscd
w
h
e
n
need
e
d
d
u
ring
o
r
a
fter
su
rg
e
ry
.
The
l
as
t
u
ru
t
must
be
prcd
cpo
si
t
ed
11
1
l
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r
o
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e
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ti
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ts
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m
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o
r
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n
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o
re
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ll
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n
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e
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ti
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r
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a
n
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re
p
l
ac
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l
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o
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ry
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ti
on
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m
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l
ta
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o
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d
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s
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w
and
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l
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c
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e
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ood
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s
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g
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a
ti
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l
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ces
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o
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th
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se
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ro
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ra
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e c
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o
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e
o
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d
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n
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th
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i
n
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u
to
l
o
g
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us
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o
o
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o
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u
n
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n
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l
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c
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n
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ri
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o
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ati
o
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i
s
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tn
c
ted
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w
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f
ag
e
9
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t
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ve
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e
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ik
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ihood
o
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ad
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ti
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o
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t
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o
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ldren
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tn
ess
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d
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s
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ho
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l
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li
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t
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ona
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e
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l
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ancms
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egnan
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en
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th
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n
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g
d
ur
m
g
d
e
li
ve
ry
a
nd
pa
t.
u
:
n
ts
\\
i
th
a
hist
o
ry
o
f
c
ar
d
ia
c
d
i
sease
o
r
re
c
ent
surg
e
!}
a
re
acc
epta
b
l
e
i
n
s
pec
11
h
z
ed
c
en
ters
fo
r
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co
l
l
ec
ti
o
n
o
f
a
u
to
lo
go
us
b
l
ood
I
l
a
cm
og
l
ob
m
le
v
e
l
sho
u
l
d
no
t
be
less
than
1
1
g
m/
d
i
A
w
o
l
o
go
us
d
o
na
ti
o
n
sho
u
ki
no
t
be
done
l
ess
lhan
l
da
y
s
an
d
wi
th
a
m
in
i
m
u
m
3
da
y
s
pri
o
r
to
sc
h
ed
u
l
ed
s
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ic
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l
proc
ed
ur
es
o
r
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da
t
e
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ired
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or
in
f
u
s
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n
l
l
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Vhen
se
veral
uni
ts
o
f
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n
eed
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be
coll
ec
t
ed
wn
h
m
a
sho
rt
pcn
od
o
f
l
un
e,
o
ral
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therapy
sho
uld
be
g
i
ve
n
.
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ra
l
i
ro
n
r
s
llS
c
ff
ec
to
e
11:1
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r
e
n
ta
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i
ro
n
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o
r
su
ppo
rt
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g
f
re
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ue
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t
p
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y
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