div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails4jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=5Page 5button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=5 data-page=5 class=ts-thumb lazyload alt=Page 5: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails5jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=6Page 6button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=6 data-page=6 class=ts-thumb lazyload alt=Page 6: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails6jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=7Page 7button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=7 data-page=7 class=ts-thumb lazyload alt=Page 7: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails7jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=8Page 8button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=8 data-page=8 class=ts-thumb lazyload alt=Page 8: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails8jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=9Page 9button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=9 data-page=9 class=ts-thumb lazyload alt=Page 9: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails9jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=10Page 10button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=10 data-page=10 class=ts-thumb lazyload alt=Page 10: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails10jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=11Page 11button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=11 data-page=11 class=ts-thumb lazyload alt=Page 11: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails11jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=12Page 12button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=12 data-page=12 class=ts-thumb lazyload alt=Page 12: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails12jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=13Page 13button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=13 data-page=13 class=ts-thumb lazyload alt=Page 13: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails13jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=14Page 14button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=14 data-page=14 class=ts-thumb lazyload alt=Page 14: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails14jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=15Page 15button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=15 data-page=15 class=ts-thumb lazyload alt=Page 15: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails15jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=16Page 16button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=16 data-page=16 class=ts-thumb lazyload alt=Page 16: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails16jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=17Page 17button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=17 data-page=17 class=ts-thumb lazyload alt=Page 17: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails17jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=18Page 18button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=18 data-page=18 class=ts-thumb lazyload alt=Page 18: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails18jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=19Page 19button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=19 data-page=19 class=ts-thumb lazyload alt=Page 19: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails19jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=20Page 20button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=20 data-page=20 class=ts-thumb lazyload alt=Page 20: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails20jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=21Page 21button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=21 data-page=21 class=ts-thumb lazyload alt=Page 21: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails21jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=22Page 22button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=22 data-page=22 class=ts-thumb lazyload alt=Page 22: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails22jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=23Page 23button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=23 data-page=23 class=ts-thumb lazyload alt=Page 23: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails23jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=24Page 24button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=24 data-page=24 class=ts-thumb lazyload alt=Page 24: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails24jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=25Page 25button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=25 data-page=25 class=ts-thumb lazyload alt=Page 25: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails25jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=26Page 26button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=26 data-page=26 class=ts-thumb lazyload alt=Page 26: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails26jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=27Page 27button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=27 data-page=27 class=ts-thumb lazyload alt=Page 27: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails27jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=28Page 28button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=28 data-page=28 class=ts-thumb lazyload alt=Page 28: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails28jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=29Page 29button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=29 data-page=29 class=ts-thumb lazyload alt=Page 29: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails29jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=30Page 30button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=30 data-page=30 class=ts-thumb lazyload alt=Page 30: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails30jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=31Page 31button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=31 data-page=31 class=ts-thumb lazyload alt=Page 31: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails31jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=32Page 32button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=32 data-page=32 class=ts-thumb lazyload alt=Page 32: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails32jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=33Page 33button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=33 data-page=33 class=ts-thumb lazyload alt=Page 33: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails33jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=34Page 34button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=34 data-page=34 class=ts-thumb lazyload alt=Page 34: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails34jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=35Page 35button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=35 data-page=35 class=ts-thumb lazyload alt=Page 35: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails35jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=36Page 36button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=36 data-page=36 class=ts-thumb lazyload alt=Page 36: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails36jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=37Page 37button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=37 data-page=37 class=ts-thumb lazyload alt=Page 37: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails37jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=38Page 38button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=38 data-page=38 class=ts-thumb lazyload alt=Page 38: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails38jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=39Page 39button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=39 data-page=39 class=ts-thumb lazyload alt=Page 39: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails39jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=40Page 40button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=40 data-page=40 class=ts-thumb lazyload alt=Page 40: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails40jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=41Page 41button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=41 data-page=41 class=ts-thumb lazyload alt=Page 41: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails41jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=42Page 42button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=42 data-page=42 class=ts-thumb lazyload alt=Page 42: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails42jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=43Page 43button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=43 data-page=43 class=ts-thumb lazyload alt=Page 43: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails43jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=44Page 44button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=44 data-page=44 class=ts-thumb lazyload alt=Page 44: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails44jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=45Page 45button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=45 data-page=45 class=ts-thumb lazyload alt=Page 45: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails45jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=46Page 46button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=46 data-page=46 class=ts-thumb lazyload alt=Page 46: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails46jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=47Page 47button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=47 data-page=47 class=ts-thumb lazyload alt=Page 47: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails47jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=48Page 48button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=48 data-page=48 class=ts-thumb lazyload alt=Page 48: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails48jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=49Page 49button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=49 data-page=49 class=ts-thumb lazyload alt=Page 49: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails49jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=50Page 50button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=50 data-page=50 class=ts-thumb lazyload alt=Page 50: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails50jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=51Page 51button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=51 data-page=51 class=ts-thumb lazyload alt=Page 51: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails51jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=52Page 52button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=52 data-page=52 class=ts-thumb lazyload alt=Page 52: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails52jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=53Page 53button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=53 data-page=53 class=ts-thumb lazyload alt=Page 53: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails53jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=54Page 54button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=54 data-page=54 class=ts-thumb lazyload alt=Page 54: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails54jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=55Page 55button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=55 data-page=55 class=ts-thumb lazyload alt=Page 55: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails55jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=56Page 56button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=56 data-page=56 class=ts-thumb lazyload alt=Page 56: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails56jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=57Page 57button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=57 data-page=57 class=ts-thumb lazyload alt=Page 57: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails57jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=58Page 58button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=58 data-page=58 class=ts-thumb lazyload alt=Page 58: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails58jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=59Page 59button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=59 data-page=59 class=ts-thumb lazyload alt=Page 59: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails59jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=60Page 60button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=60 data-page=60 class=ts-thumb lazyload alt=Page 60: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails60jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=61Page 61button div class=ts-imageimg data-url=volume-08-issue-04-october-eecember-2012-pmdc-no-ip-0042-esculapio-journalhtmlpage=61 data-page=61 class=ts-thumb lazyload alt=Page 61: esculapiopkesculapiopkwp-contentuploads201807Vol-8-No-4-2012pdfVolume 08 Issue 04 October eÐecember 2012 PMDC NO IP-0042 Esculapio Journal of Services Institute of Medical loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220421215e9bf3ca2272b930c771808dhtml5thumbnails61jpg width=140 height=200 divdiv