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All articles published in the Pakistan Journal of Advances in Medicine and Medical Research (PJAMMR) are licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).This license permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are properly cited. Commercial use of the content is not permitted without prior permission from the author(s) or the journal.This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.