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Referral of patients to specialists and hospitals is an essential and inevitable aspect of primary health care. Maintain good communication is essential during the process in order to provide quality care without delays and unnecessary expenses. In Sri Lanka referral letter from a general practitioner (GP) is not essential to get admitted to a hospital or to consult a specialist and there is no registered population for a particular practitioner. This study was conducted to look at the views of general practitioners on referral communications. http://www.scirj.org/jun-2014-paper.php?rp=P0614149
This work was aimed at providing preliminary findings that unraveled the promising potential of X. americana for the management of Mycobacterium bovis. The study tried to assess the anti-mycobacterial activity of Ximenia americana using the leave extract after extracting with methanol for 48 hours and the extract subjected to serial solvent partitioning with hexane, chloroform and n-butanol. The various solvent fractions obtained from the partitioning were screened against Mycobacterium bovis and the result showed hexane, chloroform and n-butanol extracts to inhibit the growth of the bacteria with a minimum concentration (MIC) of 3200 µg/ml, 1800 µg/ml and 3500 µg/ml respectively. The activity of the chloroform extract was found to be higher than the hexane and n-butanol as such Bio-assay guided fractionation of the chloroform extract was further carried out using column chromatography and nine fractions were obtained. http://www.scirj.org/jun-2014-paper.php?rp=P0614144
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