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Family Arecaceae
Palmira
Borassus flabellifer L.
PALMIRA PALM

Shan ye zi

Scientific names Common names
Borassus flabellifer L.  Palmira (Tag.)
Borassus flabelliformis L. Palmyra palm (Engl.)
Borassus flabelliformis Roxb. Fan palm (Engl.)
Borassus sundaicus Becc. Toddy palm (Engl.)
Borassus tunicatus Lour. Wine palm (Engl.)
Lontarus domestica Gaertn.              [Illegitimate] Tala palm (Engl.)
Pholidocarpus tunicatus (Lour.) H. Wendl. Doub palm (Engl.)
Thrinax tunicata (Lour.) Rollisson  
Borassus flabellifer L. is an accepted name The Plant List

Other vernacular names
ARABIC: Dom, Tal, Shag el muql.
BENGALI: Taala.
CHINESE: Shan ye shu tou lu, Shan ye shou tou zong, Shan ye tang zong, Shan ye zi.
DANISH: Palmyrapalme.
DUTCH: Lontar, Lontarpalm, Palmyrapalm.
FINNISH: Palmyrapalmu.
FRENCH: Borasse, Palmier de Palmyre, Rondier, Ronier. ye shu tou lu
GERMAN: Borassuspalme, Lontaro, Palmyrapalme, Weinpalme.
GUJARATI: Taada.
HIINDI: Taad, Tad mar, Tala.
ITALIAN: Palma de ferro, Palma de Sagu, Palma di Palmira.
JAPANESE: Parumira yashi, Ougi yashi.
KHMER: Dom Thuout.
MALAY: Lontar, Arrak.
MARATHI: Taad, Tadh.
NEPALESE: Taadii, Taal.
PORTUGUESE: Broção, Palmira, Palmeira de leque, Palmeira de palmira.
RUSSIAN: Lontarovaia pal'ma, Pal'mira, Pal'mirova pal'ma
SINHALESE: Tuak?
SPANISH: Boraso, Palma palmira.
SWEDISH: Palmyrapalm.
TAMIL: Karimbana, Pannei.
TELUGU: Karatalamu, Tatichettu.
THAI: Maktan, Tan, Taan tanot, Taan yai.
TURKISH: Tal.
URDU: Taad.

Botany
Palmira is a robust palm that can live up to 100 years, growing to a height of 20 to 30 meters, growing slowly at the beginning and accelerating as it ages. Trunk is large and straight, ringed with leaf scars. Canopy of green-bluish leaves has several dozen fronds spreading 3 meters across. Fruit measures 4 to 7 inches in diameter, has a black husk, and borne in clusters. When cut, the top part of the fruit reveal three sweet, translucent, pale-white jelly seed sockets containing water fluid inside.

Distribution
- Native to South and Southeast Asia.

Constituents
- Plant considered a rich source of phytoconstituents: gums, saponins, glycosides, carbohydrates, albuminoids, fats, vitamins A, B, and C.
- Male inflorescence yields spirostane-type steroid saponins (Borassosides and dioscin).
- Yielded flabelliferrins, a bitter compound of steroidal saponins. Spirosterol is a dominant aglycone in odiyal flour and palmyra inflorescence.
- Ungerminated seed embryos was found to be a good source of carbohydrates, fiber, fat, amino acids, protein.
- Various extracts of seed coat of B. flabellifer yielded tannins, flavonoids, saponins, glycosides, and terpenoids. (see study below) (14)
- Proximate composition and mineral profile of seed embryo (g/100 g) yielded 1,398 kJ energy, 65.6 moisture, 12.5 protein, 1.9 fat, 71.5 carbohydrate, 4.3 fiber, sodium 52 mg/100 g, potassium 68, calcium 48, magnesium 23, iron 0.5. (12)
- Amino acid profile of seed embryo (g/100 g) yielded histidine 5.8, lysine 1.2, leucine 8.7, isoleucine 5.8, methionine+cysteine 1.2, phenylalanine+tyrosine 8.6, threonine 6.2, tryptophan 1.8, valine 8.2. (see study below) (12)
- Inflorescence extracts yielded the presence of tannins, carbohydrate, terpenes, saponins, flavonoids, and alkaloids. (see study below) (20)
- Nutritional analysis of roots yielded 8.54% protein content, 23.53% carbohydrates, 7.29% crude fiber and negligible fat content. Edible roots also contain small amounts of iron (1.38 ppm) and traces of aluminum, arsenic, strontium, lead, manganese, copper, and zinc. Total phenolic content of hexane, chloroform, and methanol extracts were 222.7, 275.25 and 98.48 µg catechin equivalents per 100 g of extract, respectively. (26)
- Phytochemical analysis of fruits yielded saponins, tannins, carbohydrates, amino acids, and phenolic compounds. (see study below) (27)

Properties
- Roots are high in carbohydrates.
- Restorative, anthelminthic, and diuretic.

- Studies have suggested anti-inflammatory, antibacterial, antioxidant, cytotoxic, anticancer properties.

Parts used
Roots, leaves, and flowering stalks.

Uses
Edibility
• Ripened fibrous outer layer of the palm fruit can be eaten raw, boiled, or roasted.
• The fruit's yellow viscous fluid is made into various sweet dishes.
• Roots are edible.
Folkloric
• Decoction used for gonorrhea and respiratory ailments.
• Leaf juice used for hiccups, gastric ailments.
• Bloom on base of leaves used as styptic for external wounds.
Juice from flowering stalks used for diabetes.
• Used with rice as a poultice, fermented, and used for gangrenous and indolent ulcers and abscesses.
• In Indonesia, the sap is taken as laxative.
Others
Arrack: Toddy, the sugary sap is obtained from young inflorescences which can be fermented to make an arrack beverage or a concentrated crude sugar called jaggery.
Thatching / Basketry: Leaves are used for thatching, for making mats, baskets, fans, hats and umbrellas.
Paper: In Indonesia, leaves used in the ancient culture of paper making, known as "lontar."
Rope / Fences: In Indonesia, stems of leaves nailed together to make fences, and the skin of stems peeled off and used as rope. Stalks
also used for making fences and cordage.
Wood: Black timber is hard and highly valued for construction.

Studies
Anti-Inflammatory / Flowers:
Evaluation of anti-inflammatory activity of ethanolic extract of Borassus flabellifer L. male flowers (inflorescences) in experimental animals: Extract showed dose-dependent anti-inflammatory activity and supports it folkloric use as an anti-inflammatory agent. (1)
Saponins / Antidiabetogenic:
Study of methanolic extract yielded 6 new steroid saponins: borassosides A-F. Results showed inhibition of increase of serum glucose in sucrose-loaded rats. (2)
Neurotoxic Effect:
Study on the neurotoxic effect of palmyrah shoot flour on Wistar rats showed a neurotoxic effect that appears to be a tissue non-specific damage reflected at a subclinical level. Neurotoxic effect was eliminated by heating detoxification. The nutritional status of the diet influenced the manifestation of the toxic effect. (4)
Aerobiologic / Aeroallergen:
Study investigated the aerobiologic and allergenic significance of the pollen of palmyra palm (Borassus flabellifer). Pollen grains were found present in the air from February to May and June, comprising 7% of total airborne pollen of the study area. The pollen is a dominant aeroallergen that can cause respiratory problems. The pollen extract isolated a 90-kD component, one of the major allergens. (8)
Antioxidant: Study showed the leaves and roots to possess antioxidant activity. The antioxidant potential of leaves to be greater than the roots. The activity was attributed to flavonoids, saponins, tannins and phenolic compounds in the leaf.
Cytotoxic / Flabelliferin:
Palmyrah flour (Odiyal) is known to yield a number of toxins with mutagenic, clastogenic, immunosuppressive, and mosquito larvicidal effects. A pressure liquid chromatography separation for dengue mosquito larvicide yielded a white amorphous solid. Study on a melanoma cell line showed cytotoxic activity on differentiating cancer lines. (9)
Antibacterial:
Study of antibacterial activity of a methanol extract of seed coat against Gram-positive bacteria (Staph aureus, Bacillus subtilis) and Gram-negative bacteria (Klebsiella pneumonia and Serratia marcescens) showed consistent inhibitory activity on different bacterial species tested. (10)
Anticancer / Apoptosis of Human Colon Cancer Ht-29 Cells / Inflorescence:
An apolar extract from male inflorescence was studied on colon cancer HT29 cells. Phytochemical analysis yielded sterols triterpenes, and saponosids. The extract significantly inhibited cell proliferation by blocking cell population in G0/G1 phase. Results indicated anti-proliferative and pro-apoptotic activities. (11)
Antioxidant / Nutrients / Potential Food Source:
Study showed the plant seed embryo to possess micro/macro nutrients and antioxidant properties with neutraceutical potential for the treatment of malnutrition. (see constituents above) (12)
Antimicrobial / Seed Coat:
Study evaluated various extracts of seed coat of B. flabellifer for antimicrobial activity. Results showed high rate of growth inhibition against some human pathogens. Among all tested organisms, Aspergillus brasiliensis and Bacillus subtilis showed a higher rate of inhibition with ethanolic and methanolic extracts. (14)
Anti-Tumor / HeLa Cell Line / Seed Coat:
Study evaluated the anticancer activity of seed coat of Borassus flabellifer on the HeLa cell line. Results showed significant cytotoxicity in concentration range between 32 µg/ml to 750 µg/ml by MTT assay. Preliminary studies showed even low concentration of the plant extract showed significant antiproliferative activity. (15)
Antibacterial / Antioxidant:
Study of a methanolic seed coat extract showed significant antibacterial activity against human pathogenic organisms and free radical scavenging activity by ABTS and DPPH radical scavenging assay. (16)
Dried Fruit Pulp as Antidiabetic Food Component:
The fruit pulp of palmyrah has been shown to inhibit intestinal glucose uptake in mice, via inhibition of intestinal ATPase by flabelliferin-II, a steroidal saponin. This study investigated whether dried fruit pulp (pinattu), which has been consumed in NE Sri Lanka for centuries, could reduce serum glucose levels of mild type 2 diabetics. Results suggest pinattu could be used as an anti-hyperglycemic agent. (17)
Mucilage / Gelling Agent:
Study evaluated the gelling potential of natural mucilage obtained from the endosperm of Borassus Flabellifer fruit. Results showed BF mucilage can be used as pharmaceutical excipient in gel formulations, with the potential to replace some synthetic gelling polymers. (18)
Palm Jaggery:
Jaggery is a sugar rich product obtained by evaporation of sugar cane (Saccharum officinarum) juice, or sap obtained from Palmyrah palm (B. flabellifer), date palm (P. dactylifera) or coconut palm (C. nucifera). It contains 65-85% sucrose, 5-5% reducing sugars, consumed directly of used in the making of sweet confectionaries and ayurvedic/traditional medicines. Study reports provides information on the production of jaggery, the need of developing standard process and greater mechanisation of climbing devices, tapping systems, and improved efficiency in the collection process, decreased contamination and improving of shelf life. (19)
Hypoglycemic / Inflorescence:
Study evaluated the hypoglycemic acitivity of inflorescence of B. flabellifer extract in STZ-induced diabetic male wistar rats. Treatment caused a significant (p<0.01) reduction in blood glucose levels when compared with control. Results suggest the inflorescence extracts possess an antidiabetic effect. (see constituents above) (20)
Antioxidant / Leaves and Roots:
Study of antioxidant activity of BF leaves and roots by FRAP and Reducing Power Assay methods suggest the plant materials are a viable source of natural antioxidants. Activity may be due to the presence of phytoconstituents like flavonoids, saponins, tannins, and phenolic compounds. (21)
Biosorption of Methylene Blue: Study evaluated the biosorbent capacity of palm tree flower (male) for removal of MB. Results showed PTMF, a plant waste material, can be a potential biosorbent for removal of MB from aqueous solution. PTMF is an inexpensive and abundantly available material, an alternative to costly adsorbents used for dye removal in waste water treatment. (22)
Anticancer / Anti-Inflammatory / 5-LOX Inhibitory Activity / Apoptosis in MIA PaCa-2 Pancreatic Cancer Cells :
Study of seed coat extract of Borassus flabellifer found substantial 5-LOX inhibitory activity. Dammarane triterpenoid 1 (Dammara-20,23-diene-3,25-diol) was isolated. It inhibited carrageenan-induced rat paw edema and TNF-a secretion levels in lipopolysaccharide (LPS)-induced THP-1 human monocytes. Anticancer activity study demonstrated the antiproliferative effect of dammarane triterpenoid 1 on various cancer cell lines and showed good antiproliferative activity on MIA PaCa-2 pancreatic cancer cell line with IC50 of 12.36±0.33 µM. (23)
Antidiabetic / Antihyperlipidemic / inflorescence:
Study evaluated Borassus flabellifer inflorescence extracts against STZ-induced diabetic male wistar rats. An ethanolic extract exhibited reduction of blood sugar. There was significant reduction in total cholesterol, LDL and VLDL cholesterol and improvement in HDL cholesterol of the diabetic rats. (24)
Antidiabetic / Antioxidant / Flowers: Study evaluated an ethanolic extract of flowers for antidiabetic and antioxidant effects. Results showed 20% blood glucose lowering on acute study and 35% in sub-acute study. The extract exerted significant DPPH radical scavenging effect. The activity may be attributed to active constituents like flavonoids and triterpenoids. (25)
Phytochemicals / Antioxidant Activity / Dried Fruits:
Phytochemical screening of various extracts of dried roots showed 1.61% alkaloids and 0.63% saponins and GC/MS screening of extracts yielded fatty acids, alkanes, alkenes, ketones, aldehydes, diterpenes, phytols, and sterols. A methanol extract of dried roots showed an antioxidant potential of ABTS (IC50=2 mg/ml) by FRAP assay. The highest antioxidant activity was observed in the chloroform extract (129.6 µg BHT/100 mg extract). (see constituents above) (26)
Antiulcer Activity / Fruits:
Study evaluated various extracts of fruits of Borassus flabellifer for antiulcer activi5ty using aspirin Pylorus ligation and ethanol induced models using albino rats. Aqueous extracts of fruits showed significant antiulcer activity compared to other extracts. Results were comparable to standard drug Ranitidine. (see constituents above) (27)
Alternative Excipient:
Study showed B. flabellifer starch was comparable with maize starch and can be used as a pharmaceutical excipient in tablet preparations. (28)
Anthelmintic / Leaves:
Study evaluated the anthelmintic activity of Borassus flabellifer leaves against Indian earthworm Pheretima posthuma. Results showed the methanolic extract with significant concentration dependent anthelmintic activity. A 50 mg/ml extract concentration showed better activity with paralysis time and death time when compared to standard albendazole. (29)


Availability
Wildcrafted.

Godofredo U. Stuart Jr., M.D.

Last Updated April 2016

IMAGE SOURCE: Borassus flabellifer silhouette / L. Shyamal / 2006 / GNU Free Documentation License / Wikipedia
OTHER IMAGE SOURCE: Fruits of Borassus flabellifera /File:Fruits of Borassus flabellifer.jpg / DXLINH at the Vietnamese Wikipedia project. / 22 Feb 2008 / Public Domain / Wikipedia
OTHER IMAGE SOURCE: Fruits of Borassus flabellifera /File:Borassus flabellifer fruit on the tree.JPG / Gak / / 3 August 2008 / Creative Commons Attribution-Share Alike / Wikipedia

Additional Sources and Suggested Readings
(1)
Evaluation of anti-inflammatory activity of ethanolic extract of Borassus flabellifer L. male flowers (inflorescences) in experimental animals / Mahesh S Paschapur et al /Journal of Medicinal Plants Research Vol. 3(2), pp. 049-054, February, 2009
(2)
Medicinal flowers. XII.(1)) New Spirostane-Type Steroid Saponins with Antidiabetogenic Activity
from Borassus flabellifer
/ Masayuki Yoshikawa et al / Chem Pharm Bull / VOL.55;NO.2;PAGE.308-316 (2007)
(3)
SUPPRESSION OF CELL-MEDIATED IMMUNITY FOLLOWING ORAL FEEDING OF MICE
WITH PALMYRAH (BORASSUS FLABELLIFER L) FLOUR

(4)
The neurotoxic effect of palmyrah (Borassus flabellifer) flour re-visited / KA Vindika Sumudunie et al / International Journal of Food Sciences and Nutrition, Volume 55, Issue 8 December 2004 , pages 607 - 614 / DOI:10.1080/09637480412331350164

(5)
Borassus flabellifer L. / Chinese names and synonyms / Catalogue of Life, China
(6)
Sorting Borassus names / Maintained by: Michel H. Porcher, / MULTILINGUAL MULTISCRIPT PLANT NAME DATABASE / Copyright © 1997 - 2000 The University of Melbourne.
(7)
Sorting Passiflora names
/ Maintained by: Michel H. Porcher, / MULTILINGUAL MULTISCRIPT PLANT NAME DATABASE / A Work in Progress. School of Agriculture and Food Systems. Faculty of Land & Food Resources. The University of Melbourne. Australia / Copyright © 1997 - 2000 The University of Melbourne.
(8)
Aerobiologic and immunochemical studies on Borassus flabellifer pollen: evidence for a 90-kD allergen /
Chakraborty P, Chowdhury I, Gupta-Bhattacharya S, Roy I, Chatterjee S, Chanda S. / Ann Allergy Asthma Immunol. 1998 Apr;80(4):311-7.
(9)
A new cytotoxic flabelliferin from palmyrah (Borassus flabellifer l.) flour / A.A.P. Keerthi, S. Ekanayake and G.A.S. Premakumara / J.Natn.Sci.Foundation Sri Lanka 2009 37 (4):269-271
(10)
ANTIBACTERIAL ACTIVITY OF METHANOLIC SEED COAT EXTRACT OF BORASSUS FLABELLIFER L./ Govinda Rao Duddukuri, Y. Nagendra Sastry, D.S.V.G.K. Kaladhar, K. Kamalakara Rao, K. Krishna Chaitanya / International journal pharmaceutical sciences and research 01/2011; volume 2:748-751.
(11)
Dichloromethane-methanol Extract from Borassus aethiopum Mart. (Arecaceae) Induces Apoptosis of Human Colon Cancer Ht-29 Cells / J. Sakande, P. Rouet-benzineb, H. Devaud, J.B. Nikiema, M. Lompo, O.G. Nacoulma, I.P. Guissou and A. Bado /
Pakistan Journal of Biological Sciences, 14: 578-583. / DOI: 10.3923/pjbs.2011.578.583
(12)
Nutritional analysis and antioxidant activity of palmyrah (Borassus flabellifer L.) seed embryo for potential use as food source / Karuppusamy Arunachalam, Shanmugam Saravanan, Thangaraj Parimelazhagan / Food Science and Biotechnology, February 2011, Volume 20, Issue 1, pp 143-149
(13)
Borassus flabellifer / Synonyms / The Plant List
(14)
In vitro studies on phytochemical evaluation and antimicrobial activity of Borassus flabellifer Linn against some human pathogens. / Alamelumangai M, Dhanalakshmi J, Mathumitha M, Renganayaki RS, Muthukumaran P, Saraswathy N / Asian Pac J Trop Med. 2014 Sep;7S1:S182-5. doi: 10.1016/S1995-7645(14)60228-5.
(15)
PRELIMINARY STUDIES ON IN VITRO ANTI-TUMOR ACTIVITY OF TENDER SEED COAT EXTRACT OF Borassus flabellifer L. ON HELA CELL LINE / Govinda Rao Duddukuri*, Y. Nagendra Sastry, D.S.V.G.K. Kaladhar, P. Ajay Babu, K. Kamalakara Rao and K. Krishna Chaitanya / International Journal of Current Research 01/2011; 3(7):75-77.
(16)
IN VITRO DOSE DEPENDENT STUDY ON ANTI HUMAN PATHOGENIC BACTERIAL AND FREE RADICAL SCAVENGING ACTIVITIES OF METHANOLIC SEED COAT EXTRACT OF BORASSUS FLABELLIFER L. / NAGENDRA SASTRY.Y*, JYOTHI PADMAJA., RAJESWARA RAO.P, K. R. L .SURYA KIRANI, KALADHAR DSVGK, SAI DEVI.T, PARVATHI.T, GANGADHAR.H, SIVA KUMAR. K & GOVINDA RAO.D / Asian Journal of Pharmaceutical and Clinical Research Vol 5, Suppl 2, 2012
(17)
A pilot study on palmyrah pinattu (dried fruit pulp) as an anti-diabetic food component
/ Inoka ULUWADUGE, Antoinette PERERA, Errol JANSZ and Ira THABREW / Int. J. Biol. Chem. Sci. 1(3): 250-254, 2007
(18)
Exploitation of Borassus flabellifer fruit mucilage as novel natural gelling agent / Ravi Kumar* , Rajarajeshwari N , Narayana Swamy VB / Der Pharmacia Lettre, 2012, 4 (4):1202-1213
(19)
Jaggery from Palmyrah palm (Borassus flabellifer L)- Present Status and Scope / Vengaiah PC et al / Indian Journal of Traditional Knowledge, Vol 12 (4), October 2013, pp 714-717
(20)
Hypoglycemic Activity of Inflorescence of Borassus flabellifer Extracts on Blood Glucose Levels of Streptozocin-Induced Diabetic Rats / PRADEEP GOYAL, M. PHARM, NILESH JAIN, G. K. SINGH, B. P. NAGORI / IRANIAN JOURNAL OF PHARMACOLOGY & THERAPEUTICS, IJPT 13: 30-34, 2014
(21)
Anti oxidant activity of methanolic extracts of female Borassus Flabellifer leaves and roots
/ Sudhakar Kommu* , Vijaya laxmi Chiluka , Gowri Shankar N. L, Matsyagiri L, Shankar. M and Sandhya . S / Der Pharmacia Sinica, 2011, 2 (3): 193-199
(22)
Studies on Biosorption of Methylene Blue from Aqueous Solutions by Powdered Palm Tree Flower (Borassus flabellifer) / M. Srinivas Kini, M. B. Saidutta, and V. Ramachandra Murty / International Journal of Chemical Engineering, Volume 2014 (2014) / http://dx.doi.org/10.1155/2014/306519
(23)
5-Lipoxygenase and Cyclooxygenase Inhibitory Dammarane Triterpenoid 1 from Borassus flabellifer Seed Coat Inhibits Tumor Necrosis Factor-α Secretion in LPSInduced THP-1 Human Monocytes and Induces Apoptosis in MIA PaCa-2 Pancreatic Cancer Cells / Nagendra Sastry Yarla, Rajaram Azad, Mahaboob Basha, Abdul Rajack, D. S. V. G. K. Kaladhar, Bharat Kumar Allam, Rajeswara Rao. Pragada, Krishna Nand Singh, Sunanda Kumari K, Reddanna Pallu, Umadevi Parimi, Anupam Bishayee and Govinda Rao Duddukuri. / Anti-Cancer Agents in Medicinal Chemistry, 15(8): 1066-1077.
(24)
ANTIDIABETIC AND ANTIHYPERLIPIDEMIC ACTIVITY OF INFLORESCENCE OF BORASSUS FLABELLIFER EXTRACTS ON STREPTOZOTOCIN INDUCED DIABETIC RATS / GOYAL, PRADEEP; MEEL, RAKESH KUMAR; SINGH, G. K.; NAGORI, B. P. / Pharmanest; Jul/Aug2013, Vol. 4 Issue 4, p691
(25)
Screening of Ethanolic Extract of Borassus flabellifer Flowers for its Antidiabetic and Antioxidant Potential
/ Satish A. Kavatagimath, Sunil S. Jalalpure*, Ravindra D. Hiremath / Journal of Natural Remedies, Volume 16, Issue 1, January 2016 / DOI: http://dx.doi.org/10.18311/jnr/2016/654
(26)
Screening of Nutritional, Phytochemical, Antioxidant and Antibacterial activity of the roots of Borassus flabellifer (Asian Palmyra Palm). / Chayanika Sahni, Najam A. Shakil, Vidyanath Jha, Rajinder Kumar Gupta / Journal of Pharmacognosy and Phytochemistry 2014; 3(4): 58-68
(27)
Evaluation of antiulcer activity of aqueous extract of Borassus flabellifer (Linn.) Fruits. / Mohite M.*, Pramod H. J, Yadav A.V., Raje V. N, Wadkar G. H. / Journal of Pharmacy Research 2012,5(7),3782-3786
(28)
EVALUATION OF BORASSUS FLABELLIFER STARCH AS AN ALTERNATIVE TABLET EXCIPIENT TO MAIZE STARCH: ASSESSMENT BY PREFORMULATION AND FORMULATION STUDIES / V Neeharika*, K Latha, B Kusuma Pravallika / 31-Dec-2012 Research Article January - March 2013 / Inventi:pne/54/12
(29)
In vitro anthelmintic efficacy of Borassus flabellifer Linn. (Palmae) against Pheretima posthuma / Prasad Govindrao Jamkhande*, Vikas Annarao Suryawanshi, Amruta Sureshrao Wattamwar, Sonal Ramrao Barde / Asian Pac J Trop Dis 2014; 4(Suppl 1): S199-S203 / doi: 10.1016/S2222-1808(14)60439-4

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