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blood sampling education tertiary health care sibling refugee hemoglobin blood level hospital discharge vitamin blood level bone mineralization human leg pain abnormal laboratory result gait disorder hemosiderosis injection site cellulitis antibiotic agent thalassemia major scurvy hyperesthesia Iraq electromyography iron chelation limb weakness iron chelating agent splenectomy thrombocyte count ascorbic acid catheterization school child anemia male Canada case report nuclear magnetic resonance imaging neurologic examination leukocyte count cultural factor neuroimaging gingivitis Article absenteeism mother child hospitalization hemoglobin Physical Examination blood transfusion hepatitis C Child