scholarly journals COMPARISON OF ANTIBACTERIAL ACTIVITY OF LEAVES EXTRACTS OF TECTONA GRANDIS, MANGIFERA INDICA, AND ANACARDIUM OCCIDENTALE

2016 ◽  
Vol 9 (1) ◽  
pp. 36
Author(s):  
Krishnananda Kamath K. ◽  
A. Ramakrishna Shabaraya
Keyword(s):  
Antibacterial Activity ◽  
Bacterial Infections ◽  
Antimicrobial Agents ◽  
Mangifera Indica ◽  
Tectona Grandis ◽  
Anacardium Occidentale ◽  
World Health ◽  
Diffusion Method ◽  
Phytochemical Screening ◽  
Morphological Studies

Objective: World Health Organization estimated that 80% of people worldwide rely upon herbal medicines for some aspect of their primary healthcare. For most of the herbs, the specific ingredient that causes therapeutic effect is not known. Bacterial infections are one of the prominent causes of health problems, physical disabilities and mortalities around the world. Plants have been used in medicine as antimicrobial agents since ancient times could provide a promising solution for drug-resistant species. The present study involves comparison of the antibacterial activity of ethanolic extract leaves of Tectona grandis (teak), Mangifera indica (mango), and, Anacardium Occidentale (cashew).Methods: Authentication, morphological studies and phytochemical screening studies on alcoholic extracts of leaves were carried out. Antibacterial activity was carried out by using different concentrations of extracts on bacterial strains of Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa by using agar well diffusion method and results were compared.Results: Preliminary phytochemical screening of extracts revealed the presence of alkaloids, glycosides, saponins, resins, tannins and flavonoids. Antibacterial activity was observed in the concentration range of 25-100 mg/ml for all the extracts except T. grandis leaves. They are effective at 50-100 mg/ml concentration.Conclusion: Comparison of results reveals that leaves of T. Grandis have less antibacterial activity compared to M. Indica and A. Occidantale extracts.Keywords: Teak, Mango, Cashew Leaves Extracts, Phytochemical Screening, Antibacterial activity

scholarly journals ANTIBACTERIAL ACTIVITY AND PHYTOCHEMICAL SCREENING OF MANGIFERA INDICA ETHANOL AND AQUEOUS LEAVES EXTRACT AGAINST PSEUDOMONAS AERUGINOSA AND STAPHYLOCOCCUS AUREUS

2021 ◽  
Vol 8 (12) ◽  
pp. 262-269
Author(s):  
M. A. Garga ◽  
U. M. Garasin ◽  
M. Abdullahi ◽  
B. A. Muhammed ◽  
A. Yakubu ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Pseudomonas Aeruginosa ◽  
Antibacterial Activity ◽  
Mangifera Indica ◽  
Diffusion Method ◽  
Phytochemical Screening ◽  
Gram Staining ◽  
Significant Difference ◽  
Zones Of Inhibition ◽  
And Staphylococcus Aureus

The aim of this research is to investigate the antibacterial activity and identify the phytochemical constituents of Mangifera indica leafs on Pseudomonas aeruginosa and Staphylococcus aureus using disc diffusion method. The sample was collected fresh from the premises of Bioresources Development Center (BIODEC), Katsina, Katsina State and was dried and pounded into powder. The powdered leaves were extracted using ethanol and aqueous solvents. Various concentrations ranging from 500mg to 62.5mg were prepared. Test isolates were obtained from the Microbiology laboratory, Umaru Musa Yar’adua University Katsina (UMYUK) and were further authenticated using Gram staining and biochemical test. The bacterial inoculums were standardized to McFarland scale 0.5. Zones of inhibition were read after 24 hours at 370C. The results of the antibacterial study revealed that the ethanolic leaves extracts at 500mg/ml had effect on P. aeruginosa and S. aureus with zones of inhibition of 12mm and 6mm respectively. The results of the phytochemical screening revealed the presence of flavonoids, tannins, saponins, alkaloids and phenols where only alkaloids was found to be absent in the aqueous extract. There is no significant difference between the solvents and various concentrations used base on t-test data analysis.

scholarly journals The Ethnobotanical Survey, Antibacterial Activity and Phytochemical Screening of Extracts of Prosopis africana (Guill. & Perr.) Taub

2020 ◽  
pp. 39-47
Author(s):  
Bance Alimata ◽  
Magnini René Dofini ◽  
Compaore Souleymane ◽  
Compaore Eli ◽  
Ouedraogo Noufou ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Antibacterial Activity ◽  
Bacterial Infections ◽  
Traditional Healers ◽  
Diffusion Method ◽  
Phytochemical Screening ◽  
Ethnobotanical Survey ◽  
Prosopis Africana ◽  
Phytochemical Constituents ◽  
Ethnomedicinal Uses

Aims: To investigate the ethnomedicinal uses of Prosopis africana (Guill. & Perr.) Taub and to screen the antimicrobial property as well as determine the phytochemical constituents of leaves, stems and root bark. Study Design: Ethnobotanical surveys, antibacterial activity and phytochemical screening of extracts of P. africana. Place and Duration of Study: The ethnobotanical survey was conducted during June 2015 in Zounweogo Province. The experiments were conducted at the Department of Medicine and Traditional Pharmacopeia-Pharmacy (MEPHATRA-PH) of the Institute of Research in Health and Laboratory of Applied Biochemistry and Chemistry (LA.BIO.C.A), University Joseph KI-ZERBO. Methodology: The semi-structured questionnaires were administrated to 36 traditional healers and elucidated out on the ethnomedicinal uses of P. africana in treating bacterial infections, the plant parts used and the mode of administration. The antimicrobial activity of different polar extracts of the leaves, the stem and root were evaluated by using the agar diffusion method and the determination of the minimal inhibitory concentration (MIC) of extracts via microdilution method. The phytochemical constituents of all extracts were also screened air Ciulei method. Results: The traditional healers consisted of 64% women and 36% men were surveyed.                 P. africana is used to treat tooth decay, childhood diarrhoea and chronic wounds. Leaves and the stem bark are the most commonly used plant part in treating bacterial infections while the roots are primarily used for other therapeutic purposes. The main method of administration was decoction. Methanol extracts of the leaves showed better antibacterial activity on all bacterial strains than aqueous extracts: Escherichia coli ATCC 25922 (MIC = 390 µg/ml; diameter of inhibition = 13.00 ±1.00 mm), Staphylococcus aureus ATCC 25923 (MIC = 390 µg/ml; diameter of inhibition = 12.33 ± 1.53 mm), Escherichia coli ATCC 35218 (MIC = 3120 µg/ml; diameter of inhibition = 13±1,00 mm), Pseudomonas aeruginosa PAO1 (MIC = 12500 µg/ml; diameter of inhibition = 12.33±0.58 mm). Alkaloid salts, tannins, sterols and triterpenes, saponosides, flavonic glycosides and leucoanthocyans were found in extracts of the leaves, as well as in the barks of the stem and root. Conclusion: These results demonstrated that P. africana is a potent source of antimicrobial compounds and could justify its traditional use of in the folklore medicine of Zounweogo Province.

Antibacterial Activity and Phytochemical Screening of Erythrina fusca Lour. Leaf Extract (Fabaceae)

2022 ◽  
Vol 16 (1) ◽  
pp. 60
Author(s):  
Adiez Sapura Azmi ◽  
Mohammad Humayoon Amini ◽  
Muhammad Farhan Syakir Nor Azman ◽  
Fatimah Salim ◽  
Ali Jawad
Keyword(s):  
Antibacterial Activity ◽  
Bacterial Infections ◽  
Leaf Extract ◽  
Antibacterial Properties ◽  
Positive Control ◽  
Diffusion Method ◽  
Klebsiella Pneumonia ◽  
Phytochemical Screening ◽  
Antibacterial Screening

Erythrina fusca Lour. (family Fabaceae) is a flowering tree that is locally known as ‘chengkering’. The plant is traditionally used in treatment of some symptoms related to bacterial infections such as wound infections, inflammations, and skin itching. This work reports for the first time in vitro antibacterial screening of the E. fusca Lour. methanolic leaf extract against some common Gram-negative and Gram-positive bacteria such as Klebsiella pneumonia, Proteus vulgaris, Pseudomonas aeruginosa, Bacillus cereus, Bacillus subtilis, and Staphylococcus aureus. The in vitro antibacterial assay was carried out using agar   diffusion method with the extract concentration of 3 mg/well and vancomycin 30 µg/well as the positive control. It was found that the extract exhibits antibacterial effects in range of 10.5 – 14 mm of zone of inhibition (ZOI) against all tested bacteria except for K. pneumoniae. P. aeruginosa showing ZOI of 14 mm was the most sensitive bacterium while P. vulgaris (ZOI of 10.5 mm) was the least sensitive strain to the extract. Based on the preliminary phytochemical screening of using standard qualitative phytochemical tests, this species contains significant amount of alkaloids, flavonoids, terpenoids, and tannins, which might contribute to the antibacterial activity of the extract. Both antibacterial potential and presence of various phytochemicals in the extract could support the traditional uses of E. fusca  , and the obtained results would serve as a basis for further exploration of antibacterial properties of the plant’s leaves.

scholarly journals SKRINING FITOKIMIA DAN UJI AKTIVITAS ANTIBAKTERI EKSTRAK ETANOL KERNEL BIJI BUAH BACANG (Mangifera foetida L.) TERHADAP Escherichia coli PHYTOCHEMICAL SCREENING AND ANTIBACTERIA ACTIVITIES OF ETHANOLIC EXTRACT OF BACANG (Mangifera foetida L.) SEEDS AGAINST Escherichia coli

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Vera Nurviana ◽  
Neni Sri Gunarti
Keyword(s):  
Escherichia Coli ◽  
Antibacterial Activity ◽  
Secondary Metabolites ◽  
Mangifera Indica ◽  
Ethanolic Extract ◽  
Test Tube ◽  
Diffusion Method ◽  
Phytochemical Screening ◽  
Key Word ◽  
Escherichia Coli Bacteria

Mangifera foetida L. merupakan kerabat Mangifera indica dari genus Mangifera yang diduga memiliki kandungan matabolit sekunder dan efek farmakologis yang hampir sama. Kernel biji buah Mangifera indica dilaporkan memiliki aktivitas antibakteri terhadap Escherichia coli. Berdasarkan pendekatan taksomi maka penelitian ini bertujuan untuk mengetahui kandungan metabolit sekunder dan aktivitas antibakteri ekstrak etanol 96% kernel biji buah Mangifera foetida L. terhadap Escherichia coli. Skrining fitokimia dilakukan dengan menggunakan uji tabung. Uji aktivitas antibakteri menggunakan metode difusi agar sumuran. Kandungan metabolit sekunder yang terdapat pada ekstrak etanol 96% kernel biji buah Mangifera foetida L. yaitu flavonoid, tanin, polifenol, monoterpen, seskuiterpen, dan kuinon. Hasil pengujian aktivitas antibakteri ekstrak kernel biji buah Mangifera foetida Lour terhadap bakteri Escherichia coli pada beberapa konsentrasi secara berturut-turut 10%, 20%, 30%, 40%, 50%, 60% 70%, 90% dan 100% menghasilkan diameter secara berturut-turut (10,2, 12,03, 14,55, 16,15, 17,18, 18,60, 19,10, 20,20, 21,12) mm yang ditandai dengan terbentuknya zona bening (bersifat bakterisid). Berdasarkan data tersebut maka Kernel Biji Buah Mangifera foetida dinyatakan memiliki aktivitas antibakteri. Kata Kunci; Skrining Fitokimia, Kernel Biji Buah, Mangifera foetida, Antibakteri, Escherichia coli. ABSTRACT Mangifera foetida and Mangifera indica L. are relatives of the genus Mangifera which allegedly contains matabolit secondary with pharmacological effects are almost the same. Mangifera indica seeds are reported to have antibacterial activity against Escherichia coli. Based on scientific classification approach, the study aims to determine the content of secondary metabolites and the antibacterial activity of extract ethanolic 96% Mangifera foetida L. seeds against Escherichia coli. Phytochemical screening is done by using a test tube method. Antibacterial activity test using agar well diffusion method. The content of secondary metabolites found in Ethanolic extract 96 % of the seed Mangifera foetida L. are flavonoids, tannins, polyphenols, monoterpenes, sesquiterpenes, and Quinones. The Results of testing the extracts for antibacterial activity of Mangifera foetida Lour seeds against Escherichia coli bacteria at some concentrations of respectively 10 % , 20 % , 30 % , 40 % , 50 % , 60 % 70 %, 90 % and 100 % have produced diameter in respectively (10.2, 12.03, 14.55, 16:15, 17:18, 18.60, 19:10, 20:20, 21:12) mm, are Characterized by the formation of a clear zone (bakterisid). Based on of these data, the seed of Mangifera foetida fruits stated to have antibacterial activity. Key Word: Phytochemical Screening, Seed of Mangifera foetida Fruit, Antibacteria, Escherichia coli

scholarly journals Antibacterial Poly-Herbal Semisolid Formulations Containing Leaves Extracts of Tectona grandis, Mangifera indica and Anacardium occidentale

2016 ◽  
Vol 8 (05) ◽  
Author(s):  
K. Krishnananda Kamath ◽  
A. Shabaraya
Keyword(s):  
Antibacterial Activity ◽  
Mangifera Indica ◽  
Tectona Grandis ◽  
Dosage Forms ◽  
Water Soluble ◽  
Diffusion Method ◽  
E Coli ◽  
Zones Of Inhibition ◽  
Herbal Formulations ◽  
Agar Well Diffusion Method

Herbal medicine have become an item of global importance both has medicinal and economical value. Plants used for medicinal purposes long before recorded history. Many plant species have been proved to have antibacterial activity. Thus, the main objective of the study was to formulate and evaluate a poly-herbal semisolid dosage forms using ethanolic extracts of frontal leaves of T. grandis, M. indica and A. occidentale. Formulations were evaluated for its physicochemical properties like color, consistency, pH, spreadability, extrudability and the results were found satisfactory. Antibacterial activity of formulations was studied against S. aureus, E. coli and P. aeruginosa by agar well diffusion method. (E. coli, P. aeruginosa) bacteria. The order of activity was as follows: Water Soluble bases > Gel Bases > Hydrocarbon Bases. The zones of inhibition of poly herbal formulations were in between 23-28 mm which can be comparable with standard formulation 24-29 mm. Activity of the formulations may be due to the presence of alkaloids, flavanoids, phenols and tannins in the extracts. The formulations were found to be very efficacious in all the parameters.

Synthesis, In Vitro and In Silico Studies of Indolequinone Derivatives against Clinically Relevant Bacterial Pathogens

2020 ◽  
Vol 20 (3) ◽  
pp. 192-208 ◽  
Author(s):  
Talita Odriane Custodio Leite ◽  
Juliana Silva Novais ◽  
Beatriz Lima Cosenza de Carvalho ◽  
Vitor Francisco Ferreira ◽  
Leonardo Alves Miceli ◽  
...  
Keyword(s):  
In Silico ◽  
Bacterial Infections ◽  
Antimicrobial Agents ◽  
Mass Spectrometry Analysis ◽  
World Health ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
Dione Derivative ◽  
In Silico Studies

Background: According to the World Health Organization, antimicrobial resistance is one of the most important public health threats of the 21st century. Therefore, there is an urgent need for the development of antimicrobial agents with new mechanism of action, especially those capable of evading known resistance mechanisms. Objective: We described the synthesis, in vitro antimicrobial evaluation, and in silico analysis of a series of 1H-indole-4,7-dione derivatives. Methods: The new series of 1H-indole-4,7-diones was prepared with good yield by using a copper(II)- mediated reaction between bromoquinone and β-enamino ketones bearing alkyl or phenyl groups attached to the nitrogen atom. The antimicrobial potential of indole derivatives was assessed. Molecular docking studies were also performed using AutoDock 4.2 for Windows. Characterization of all compounds was confirmed by one- and two-dimensional NMR techniques 1H and 13C NMR spectra [1H, 13C – APT, 1H x 1H – COSY, HSQC and HMBC], IR and mass spectrometry analysis. Results: Several indolequinone compounds showed effective antimicrobial profile against Grampositive (MIC = 16 µg.mL-1) and Gram-negative bacteria (MIC = 8 µg.mL-1) similar to antimicrobials current on the market. The 3-acetyl-1-(2,5-dimethylphenyl)-1H-indole-4,7-dione derivative exhibited an important effect against different biofilm stages formed by a serious hospital life-threatening resistant strain of Methicillin-Resistant Staphylococcus aureus (MRSA). A hemocompatibility profile analysis based on in vitro hemolysis assays revealed the low toxicity effects of this new series. Indeed, in silico studies showed a good pharmacokinetics and toxicological profiles for all indolequinone derivatives, reinforcing their feasibility to display a promising oral bioavailability. An elucidation of the promising indolequinone derivatives binding mode was achieved, showing interactions with important sites to biological activity of S. aureus DNA gyrase. These results highlighted 3-acetyl-1-(2-hydroxyethyl)-1Hindole- 4,7-dione derivative as broad-spectrum antimicrobial prototype to be further explored for treating bacterial infections. Conclusion: The highly substituted indolequinones were obtained in moderate to good yields. The pharmacological study indicated that these compounds should be exploited in the search for a leading substance in a project aimed at obtaining new antimicrobials effective against Gram-negative bacteria.

scholarly journals An In Vitro Study on the Antimicrobial Properties of Essential Oil Modified Resin Composite against Oral Pathogens

Materials ◽  
2020 ◽  
Vol 13 (19) ◽  
pp. 4383
Author(s):  
Barbara Lapinska ◽  
Aleksandra Szram ◽  
Beata Zarzycka ◽  
Janina Grzegorczyk ◽  
Louis Hardan ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Antibacterial Activity ◽  
Antifungal Activity ◽  
Antimicrobial Agents ◽  
Resin Composite ◽  
Antimicrobial Properties ◽  
In Vitro Study ◽  
Diffusion Method ◽  
Oral Pathogens

Modifying the composition of dental restorative materials with antimicrobial agents might induce their antibacterial potential against cariogenic bacteria, e.g., S.mutans and L.acidophilus, as well as antifungal effect on C.albicans that are major oral pathogens. Essential oils (EOs) are widely known for antimicrobial activity and are successfully used in dental industry. The study aimed at evaluating antibacterial and antifungal activity of EOs and composite resin material (CR) modified with EO against oral pathogens. Ten EOs (i.e., anise, cinnamon, citronella, clove, geranium, lavender, limette, mint, rosemary thyme) were tested using agar diffusion method. Cinnamon and thyme EOs showed significantly highest antibacterial activity against S.mutans and L.acidophilus among all tested EOs. Anise and limette EOs showed no antibacterial activity against S.mutans. All tested EOs exhibited antifungal activity against C.albicans, whereas cinnamon EO showed significantly highest and limette EO significantly lowest activity. Next, 1, 2 or 5 µL of cinnamon EO was introduced into 2 g of CR and microbiologically tested. The modified CR showed higher antimicrobial activity in comparison to unmodified one. CR containing 2 µL of EO showed the best antimicrobial properties against S.mutans and C.albicans, while CR modified with 1 µL of EO showed the best antimicrobial properties against L.acidophilus.

scholarly journals Antibacterial Activity of Leaf Extracts ofBaeckea frutescensagainst Methicillin-ResistantStaphylococcus aureus

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Somayeh Razmavar ◽  
Mahmood Ameen Abdulla ◽  
Salmah Binti Ismail ◽  
Pouya Hassandarvish
Keyword(s):  
Antibacterial Activity ◽  
Ethanol Extract ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Phytochemical Screening ◽  
Bioactive Constituents ◽  
Disc Diffusion Method ◽  
Leaf Extracts ◽  
Baeckea Frutescens ◽  
High Degree

This study was based on screening antibacterial activity of the ethanol extract ofBaeckea frutescensL. against MRSA clinical isolates, analyzes the potential antibacterial compound, and assesses the cytotoxicity effect of the extract in tissue culture. Leaves ofBaeckea frutescensL. were shade dried, powdered, and extracted using solvent ethanol. Preliminary phytochemical screening of the crude extracts revealed the presence of alkaloids, flavonoids, steroids, terpenoids, phenols, and carbohydrates. The presence of these bioactive constituents is related to the antibacterial activity of the plant. Disc diffusion method revealed a high degree of activity against microorganisms. The results confirm thatBaeckea frutescensL. can be used as a source of drugs to fight infections caused by susceptible bacteria.

scholarly journals ANTIMICROBIAL ACTIVITY OF AQUEOUS AND ETHANOLIC LEAF EXTRACTS OF ANACARDIUM OCCIDENTALE

2018 ◽  
Vol 11 (12) ◽  
pp. 474
Author(s):  
Shobha Kl ◽  
Amita Shobha Rao ◽  
Pai Ksr ◽  
Sujatha Bhat
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Activity ◽  
Klebsiella Pneumoniae ◽  
Bacterial Infections ◽  
Ethanolic Extract ◽  
Culture Collection ◽  
Anacardium Occidentale ◽  
Diffusion Method ◽  
Leaf Extracts

Objective: The objective of this study was to evaluate the antimicrobial activity of leaves of Anacardium occidentale (A. occidentale) against microorganisms including multidrug-resistant (MDR) bacteria. Methods: Agar well diffusion method was employed to demonstrate the antimicrobial activity of leaves A. occidentale. Ethanol and aqueous extracts of the leaves were used against microorganisms, which included American type culture collection strains of Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Enterococcus faecalis, and Pseudomonas aeruginosa and the clinical isolates of Streptococcus pneumoniae, Candida albicans, MDR Escherichia coli, and MDR Klebsiella pneumoniae. Results: The ethanolic extract of leaves of A. occidentale showed significant antimicrobial activity. Aqueous extract had mild antifungal activity. Conclusion: Ethanolic extract of leaves of A. occidentale could be a good source for the antibacterials to combat MDR bacterial infections. Further studies are necessary for these potent plant extracts to evaluate the in vivo efficacy and toxicity.

scholarly journals Urinary tract infections and antibiotic susceptibility among the patients attending B & D hospital of Lalitpur, Nepal

2016 ◽  
Vol 7 (5) ◽  
pp. 47-51 ◽  
Author(s):  
Yadav Prasad Joshi ◽  
Shreejeet Shrestha ◽  
Russell Kabir ◽  
Anita Thapa ◽  
Parbati Upreti ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Tract Infection ◽  
Antibiotic Susceptibility ◽  
Bacterial Infections ◽  
Antimicrobial Agents ◽  
Cross Sectional Study ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Cross Sectional ◽  
Tract Infections

Background:Urinary tract infection is the most common bacterial infections in humans and serious health problem in many parts of the world. It has become more complicated in treatment due to different pathogens and increasing resistant to antimicrobial agents. This study aims to investigate the prevalence of urinary tract infection and antibiotic susceptibility patterns of pathogens among the patients attending in B & B hospital Nepal.Materials and Methods:A hospital based cross sectional study was conducted in between April 2010 to March 2011. Urine samples were collected from clinically suspected patients and tested bacteriologically using standard procedures. Antimicrobial susceptibility test was performed for isolated pathogen using the Kirby-Bauer disk diffusion method according to Clinical and Laboratory Standards Institute guidelines.Results:Out of 1260 examined specimens 25.24 % were positive and majority 61.64% were females.  The most common pathogens isolated were Escherichia coli (66.67%), Enterococcus (7.55%) and Staphylococcus (6.60 %). The drug resistant among the positive cases were reported. The highest resistant of positive cases was found with Cefexime (87.88%) and Enterococcus with Ampicillin (66.67%) and Staphyllococcus with Cloxacillin (66.67%). The highest susceptibility was for Vancomycin and Ampicillin i.e. 33.33% in each.Conclusion:The findings showed that E. coli isolates were the predominant pathogen and the presence of bacterial isolates with very high resistance to the commonly prescribed drugs. As drug resistance among bacterial pathogens is an evolving process and serious issue. Therefore, routine surveillance and monitoring studies should be conducted to provide physicians knowledge on the updated and most effective empirical treatment of UTIs. Asian Journal of Medical Sciences Vol.7(5) 2016 47-51

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