Showing posts with label Lupine Publishers Group. Show all posts
Showing posts with label Lupine Publishers Group. Show all posts

Tuesday, September 6, 2022

Calligraphic Handwriting (CCH) Effects on Moods and Anxiety of Type II Diabetes Patients

 

Background

Hypertension is one of the most common worldwide diseases afflicting humans. It is a serious condition that can lead to coronary heart disease, heart failure, stroke, kidney failure, and other health problems (National Institutes of Health, 2008). People who have hypertension can take steps to control it and reduce their risks for related health problems. Key steps include following a healthy lifestyle, having ongoing medical care, and following the treatment plan that the doctor prescribes. Most people who have hypertension will need lifelong treatment. Despite progress in prevention, treatment, and control of high blood pressure, hypertension remains a major public health challenge Whelton, et.al [1].

The etiology of hypertension is multifactorial, involving genetic factors, biophysiological processes, daily experiences throughout life. Some psychosocial factors, such as the Type A behavior pattern, anxiety, and depression, also play a significant role in the etiology of hypertension, which is supported by many epidemiological investigations Krantz, et.al.[2]; Markovitz, et.al.[3]; Spicer et.al. [4]. Yan et.al. [5] followed 3,308 adults with normal blood pressures, ages 18 to 30 years, for fifteen years for the development of high blood pressure. This study gives strong support to the role of psychological characteristics in the development of high blood pressure.

Chinese Calligraphic Handwriting (CCH) is a WHO Fancourt et.al. [6] recognized effective treatment. Its training can enhance the practitioner’s cognitive abilities, relax his bodily conditions, and stabilize his emotions. Its practice in general can also lead to serene, stable, comfortable, and quiet emotional states. These changes are indicated by the participant’s physiological changes. For example, their heart rate slows down, blood pressure decreases, and digital pulse volume also increases with corresponding reduction in EMG. In addition, greater control of breathing takes place during brush writing than do their normal resting breathing, etc. Kao et.al.[7].

Furthermore, long-term calligraphic practice can exert a subtle effect on one’s personality Kao et.al.[8]; Henry et.al.[9]. To examine the effects of calligraphic activities on the traits of human personality, we studied the relationship between CCH writing experience and traits of personality by the factors from the 16- Personality Factors (16 PF) was administrated to in practising adults and children. Results showed that CCH training can shape and change children and adults’ personality to a more mature state, including being more emotionally stable, conscientious, self-sufficient, controlled and with heightened learning ability. On basis of the above observations, we carried out an experiment to see if CCH training would be able to clinically treat hypertensive patients who were comorbid with both the trait of introversion and the traits of Type A personality. We expected that the CCH training would lead to significant reduction in the subjects’ blood pressure to be indexed by the Systolic and Diastolic blood pressures.

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Thursday, September 1, 2022

 

Abstract

Background

Chinese Calligraphic Handwriting (CCH), a WHO (2019) recognized effective treatment, enhances our cognitive abilities, relaxed bodily conditions and stabilized emotions. It has successfully treated the emotion-related anxieties and the moods that are associated with several diseases and disorders. The present study tested this intervention on Diabetes patients.

Method

16 type II diabetes patients and 16 healthy subjects participated. Each group performed both the CCH tasks of brush handwriting of Chinese characters and the brush drawing of geometric patterns. The Chinese versions of STAI and POMS measured the effects of brush writing and brush drawing tasks. on the participants. Both scales were administered to all participants before and after a 40-minute training session.

Findings

The patients group significantly improved on Pre-Post measures of the STAI in both the brush writing (F= 11.97; p=0.004) and brush drawing (F=14.08, p=0.002) tasks. However, the healthy subjects group also showed similarly a pre-post significant effects on the STAI scores from the brush writing (F = 32.02; p = 0.000) and the drawing tasks (F= 14.05, p=0.002).

Moreover, both groups showed a significant reduction in the postforms states of Tension-Anxiety, Depressed-Dejection and Confusion-Bewilderment in the brush writing task (P<0.001), but only Tension-Anxiety and Depressed-Dejection in the brush drawing tasks (P<0,001), The reduction in each case from the patient groups is greater than that from the healthy subject’s group (0.001).

Interpretation

The Brush Writing and Brush Drawing as treatments have shown significant improvements in STAI and some POMS states of the practicing Type II diabetes patients.

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Tuesday, August 16, 2022

Life Course In HEARTS: Enhancing Telehealth Resilience and Mindfulness Intervention in Older Adults Experiencing Abuse and Trauma-A Conceptualization

 

Introduction

Advances in research and evidence-based practice improve the prevention and treatment of diseases, but the marginalized seems to be left behind [1]. The purpose of this paper is to conceptualize a telehealth intervention aimed to improve the health and health span of older adults. More particularly, we articulate the conceptual framework underlying our intervention, Telehealth Resilience Mindfulness (TRM) Intervention, which will be delivered via text messaging (for those who have phones or smartphones), video conferencing such as Zoom (for those with internet connectivity), or in-person (when it is practical) to older adults to enhance HEARTS (health, experiences of abuse and trauma, resilience, technology use, and social support). Healthcare is a human right a resource to mitigate disparities in healthspan, defined as the portion of life spent in good health [2]-enriching opportunities if there is collaboration in interdisciplinary education, research, and practice [1,3]. We propose a telehealth intervention as a resource for older adults in mitigating disparities in healthspan. A telehealth intervention is defined as the use of information and communication technologies for health that encompasses positive emotions, optimism, and cognitive appraisal [4-7]. Telehealth interventions have the potential to reduce the psychobiological exposure to abuse and trauma and their health-related consequences as technology provides a safe, timely, and flexible space for the target population compared with traditional face-to-face approaches [7]. Additionally, interventions for the prevention and reduction of abuse among women [8-11] had positive health and social outcomes. Some telehealth interventions were included in these reviews and showed mixed results [7,12]. For these reasons, we are exploring and conceptualizing opportunities for enhancing the feasibility and efficacy of the telehealth resilience-mindfulness intervention in older adults.

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Friday, October 16, 2020

Lupine Publishers | Use of Complementaries By Pregnant Women

  Lupine Publishers | Open access Journal of Complimentary and Alternative Medicine


Abstract

Background: Complementary itoms (CI), Traditional therapies (TTs), and Alternative therapies (ATs) use is common. ATs and TTs are used singly or with modern medicare for prevention, treatment as complementary therapy (CT), even during pregnancy globally. Their use seems to have increased, even in developed countries, with little recorded evidence of reasons for use, efficacy, and side effects.

Objectives: To know types of complementaries or CT used by pregnant women and reasons for use.

Material Methods: Present study was carried out. by interviews of 1200 women with predesigned tool in postnatal wards a day after delivery. More rural women delivered, but were equalized, 600 rural, 600 urban.

Results: Use of CI/CT was reported by 11.4% rural,11.2% urban women. Most frequently used item was Kesar (3%) during pregnancy, Coram seeds (2%) during labour, Aniseed (0.75%) and Coram seeds (0.75%) in postpartum. period with no difference weather rural or urban, less or more educated or of any, economic class. Those with physical symptoms were more likely to use CT/CI. Primigravida used for having natural birth. Six percent used CI postpartum for better lactation, elevated mood, prevent postpartum depression. CI were given to baby too, Honey was most commonly used for religious belief, source of energy, and to increase immunity of newborn too. Massage was universal.

Conclusion: CI/CT were used during pregnancy, labor, postpartum in wards, labour room without service providers knowing. Health professionals of modern medicine need to ask. Many of CI used were harmless, may be helping. Community based research is needed Institutes of Health (NIH) now has a division dedicated to the investigation of alternative and complementary therapies. (https://www.nccih.nih.gov/).

Keywords: Pregnant women; Complementary therapies; Reasons

Background

Traditional modes of prevention and treatment have always played a role in health care. They are used globally, and their use seems to have increased, even in the developed countries [1-5]. It was believed that almost four billion people worldwide used such therapies [6], either because nothing else was available, or accessible or not affordable or due to dissatisfaction with the modern medicine or may be the faith on such modes. In the Indian culture, use of traditional therapies (TT) have always been there. Am Fam Physician reported that in the present times women use TT with conventional modern medicine specially during pregnancy as complementary therapies (CTs). Some use kitchen itoms as complementary itoms (CI) While reviews have concentrated on the use of CI/CTs by pregnant women with recommendations for use by health professionals too during pregnancy, findings of relevant CTs-based studies have placed less emphasis on critically appraising the core elements of study designs and reporting. Limited reviews of CTs recommendations made by healthcare professionals revealed that CTs, particularly Aayurvedic, Herbal therapy, Chiropractic, Acupuncture/Acupressure, Massage, Homeopathy, and Aromatherapy were commonly recommended and used in the maternity settings [7-9].

Objectives

To know the types of CIs, CTs used by women, during pregnancy, labor, post birth, and reasons for use.

Materials and Methods

Present study was carried out after institute’s ethics’ committee’s approval over a year in the Obstetrics Gynecology department of a rural medical institute in Central India. Since sample size would have been hypothetical, so study duration was considered a key component and it was decided to collect information over 10 months to get sufficient study subjects , with one month for plans and one month for analysis, total one year study duration. The research assistant who was briefed about the objectives of the study, interviewed women with the help of a predesigned questionnaire in the local language, after taking consent a day after delivery. Subjects were interviewed, until maximum 6 days postpartum. If there were more than 6 births on a day, randomly 6 were interviewed and if less women delivered then all were interviewed, making around 120 cases in a month. Twelve hundred postpartum women were interviewed, they were asked about. CIs/ CTs they used during pregnancy, labour and postpartum. These women were of 20-39 years. Though more women who delivered were rural, as were overall health seekers at the rural institute, they were equalized, 600 rural and 600 urbans to get information as per the objectives. and see the differences in rural and urban women. Though more women were from lower economic class, but some were from middle and middle upper economic class. (Modified from Tiwari) [10] 58.1% were from middle economic status, more women were educated till primary school or secondary school. But some study subjects were undergraduate, and postgraduate studied too, 48.3% women were educated till secondary and 37.5% were graduates Education did not make any difference. In use of CT/CI Most of the women were of 20-29yrs, around 92%, Overall, 80.2% were housewives, 66% were nulliparous and 30.1 % were primi para (Table 1).

Table 1: Age, Rural Urban, Literacy, Occupation, Socio –economic status, Parity.
P –primary 1-Housewife U- Upper
S- Secondary 2- Labourer UM – Upper Middle
G- Graduate 3- Work in Own Farm M - Middle
PG- Post Graduate 4- Office work LM- Lower middle
5- Skilled worker L- Lower

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Results

When the details of the use of CIs/CTs, in the past pregnancy were asked it was revealed that it was mainly use of CIs. Massage was universal. Kesar was used by 0.92% urban and 0.83% rural women. Other items specially used were honey and dry fruits (Table 2).

Table 2: Complimentary Therapy in Past Pregnancy.
U- Upper UM – Upper Middle M- Middle LM – Lower Middle L- Lower P0- P1 P2- Parity

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In the present pregnancy 135 (11.3%) urban and 68 (5.7%) rural women had used CIs during pregnancy. CI were Kesar, Honey, Coconut water, Coconut, Chavanprash Ayurvedic mixture of various Herbs and Dry fruits. Kesar was the most commonly used CI during pregnancy, by rural as well as urban women 3.3% and 3% respectively, Dry fruits by 0.8% and Coconut water by 7%. Chavanprash was used by 0.3% rural women and 0.3% urban women. Honey was also used Chavanprash and Honey were considered source of energy for the mother and baby (Table 3 & 4).

Table 3: Complimentary Therapy During Pregnancy.
U- Upper UM – Upper Middle M- Middle LM – Lower Middle L- Lower P1 P2- Parity

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Table 4: Complimentary Therapy During Labour.
U- Upper UM – Upper Middle M- Middle LM – Lower Middle L- Lower P0- P1 P2- Parity

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During labour the CIs used were Cloves, Saunf, Beetle Nut, Coram Seeds and Cardamom by 2.5% rural women and 3.3% urban. Most of those who consumed CIs were of middle class and of 20-29yrs. Overall nearly 6% laboring women used CIs. They did not inform about CIs to any health provider. The reasons given were that medication given in the hospital did not completely resolve the labour related ailments and CIs provided a more natural and faster relief. They said the usage of CIs increased the chances of natural birth and decreased the pain during delivery. Coram seeds were used by 1.6% women. CIs were used by 2.5% women in postpartum period. Common items used in post-partum were Cloves, Beetle nut, Ani seeds, Coram seeds, and Cardamom. Aniseeds and Coram seeds were used by 0.75%, Beetle nut by 0.4%. Women used CIs for preventing postpartum depression, mood elevation and improving lactation (Table 5).

Table 5: Complimentary Therapy in Postpartum period.
U- Upper UM – Upper Middle M- Middle LM – Lower Middle L- Lower P0- P1 P2- Parity

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CIs like. Honey, Jaggery water, Jira water, Glucose water and Sugar water were also given to the babies. Over all 4.3% women gave CIs to their babies. Mostly Honey and jira water. with no difference in rural or urban women. Over all 4% women gave CIs to babies, Honey or Sugar in water, by 1.8% followed by Jaggery. It was revealed that more urban women, 34 (5.6%) used CIs for baby compared to rural women 18 (3%). CTs for baby were considered a source of energy to the newborn as well as were believed to boost the immunity of the newborn in conjunction with breastfeeding (Table 6). Tradition of massage was almost universal, legs and back during pregnancy and all over the body in postpartum, and to the baby too. This was irrespective of economic status or education.

Table 6: Complimentary Therapy Given to Baby.
U- Upper UM – Upper Middle M- Middle LM – Lower Middle L- Lower P0- P1 P2- Parity S – Strong H - Healthy

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Discussion

AT, TT, CTs and CIs encompass a broad spectrum of beliefs and practices used for treating or preventing various disorders and also for health promotion. Such CTs or CIs are believed to be used by pregnant women, for better growth of the baby or treating minor aliments or smooth birth process and may be women or their families had other notions Tiran [11] also opined that CTs may not be entirely free of risk. Still the use of TTs or ATs, CTs has become increasingly common in developed countries too, with women being the most frequent users. After review of various studies about CTs for perinatal depression. Sparling [12] reported that adequately powered systematic studies were necessary for knowing the role of ATs/CTs in the treatment of perinatal depression. Researchers reported that the estimates varied widely from 1% to 87%, but the general trend indicated that a significant number of pregnant women used CTs. Common modalities used included Massage, Herbal medicine, Relaxation therapies and Aromatherapy. Reasons for use varied and included the belief that these therapies offered safe alternative to pharmaceuticals and had better efficacy. They allowed greater choice and control over the childbearing experiences, In the present study when the usage of CIs/CTs was studied it was found that women of 20-29 years of age used these therapies the most. Body massage was universal. Women used CTs/CI for relief from anxiety during pregnancy and delivery and used them for a smoother delivery process and better outcome No difference was found with education or economic status. Most of the women using CTs had studied upto secondary school. Most of the women were housewives.

Truijens et al. [13] reported that many women were habitual users of such items in daily life. So, they continued using them even in pregnancy and delivery with the belief that CTs/CIs prepared the body better for pregnancy and labor. It was found that CIs were used more often in labor by primigravidae. This could be due to anxiety about the birthing experience with a lower threshold for tolerance of minor ailments, pain and desire of better birthing experience. And also, women listened to whatever was told by the family. Most expectant women used CIs on advice of family and friends, and they did not disclose use of CIs to their care providers. Skouteris [14] in his study, reported that half the Australian women surveyed consulted ATs practitioner for pregnancy related health conditions. It was quite common for women to consult multiple AT practitioners alongside their conventional maternity care providers. If a woman consulted a AT practitioner and conventional care provider simultaneously for the management of the same condition, without disclosing use of ATs to either practitioner, this could creat risk for mother or baby or both through possible pharmacological interactions between treatments or broader conflicts between the treatment goals of the two (or more). Bridee [15] reported that CTs use among pregnancy similar to non-pregnant, while during postpartum CTs use decreased., only 7.6% of women did not take any medicinal product throughout pregnancy. In various studies done for CTs results varied because they were affected by a number of factors. Health professionals of modern medicine needed to ask women about use of ATs or TTs CTs. Women may choose AT or CTs in pregnancy to have control over growth of baby and hence perceived as safer treatment option in pregnancy and childbirth or to select a treatment choice not covered by conventional medicine to prepare the womb and cervix for childbirth.

In the study by Jung et. al [16,17] the proposition of CT user among pregnant women was relatively high. Health providers, while respecting the beliefs of communities, needed to find means of best advocacy for safe practices. Knowledge of ATs/TTs, CTs CIs needed to be part of everyday clinical practice for the practitioners of modern medicine. They needed to promote beneficial practices and discourage the harmful modalities, for which research is essential. Awareness needs to be created in a sensitive way and also make health providers aware of existing ATs, TTs and CIs. Study by Hollyer [18] revealed a generalized lack of knowledge and poor understanding of the possible risks to women. and researcher reported that women’s holistic needs may not be met within a medical model of maternity care So CTs have a place. Many pregnant women who used CTs did not know whether they did good or bad to the mother and/ or the baby. The lack of awareness could lead to serious hazards in the mother and /or the baby. Massage and Aromatherapy were used for treating anxiety, Acupressure for back and pelvic pain and Acupressure, and ginger for morning sickness is known.

In the present study in past pregnancy less women had taken traditional medicine and Low Dog [19] reported that they had lack of knowledge of these products and hesitated because the safety of these products was not known. The women felt that they could have better control of pregnancy and improved growth of the baby. In general, CTs are increasingly being integrated into maternity care [20]. Use of Herbal and other natural treatments have been reported to be increasing in the United States and Canada, also as valid treatments [21]. Because Herbal and other natural remedies were not regulated to the same degree as traditional pharmaceutical products, use in pregnancy a potentially vulnerable time for both mother and fetus, so monitoring such things was thought to be essential [22]. Kesar and Carom seed use in pregnancy as per their traditional belief, cleaned the stomach and helped in reducing vomiting and indigestion. During post-partum period it increased the energy in the body and prevented infection Health and Balanve Guife [23] reported that for Nausea; Acupuncture, Acupressure, Ginger root worked well and were considered safe for pregnant women, Exercise, hypnosis and on Herbs close to the skin have been stated to be beneficial in turning a breech baby. Relaxation techniques, patterned breathing, emotional support, and selfhypnosis are already widely used CT in labor. Robust research is needed to understand their utility, benefits and concern if any. Pregnant women struggle with various health issues that can affect fetal development and normal delivery in the present study overall use was somewhat lower than expected. Conovar [24] from a single, urban hospital found that, 4.1% of women reported using an Her

During labour Coram seeds were consumed by women with the beliefs that the conventional medications did not cover all the ailments and CI provided better and faster relief of symptoms. Moreover, they prepared the uterus and cervix for a better birthing experience and increased the chances of natural birth. Women reported CIs improved lactation and specially in prim para lowered the chances of postpartum depression, elevated mood and symptomatically treated minor ailments. For the baby honey was the commonest CI given. According to Pallivalappila et al. [25] the application of a consistent and useable CTs definition proved to be a major issue. However, what is used, why is used are not well known. There are very few high-quality studies about the effectiveness CTs or ATs and more studies are needed. Studies should focus on the safety of specific with respect to wide range of pregnancy conditions and outcomes. Indeed, whether or not a particular therapy is deemed to be CTs may differ between countries, healthcare settings, and specialities. The lack of definitions and checklists may explain why the reported prevalence of CTS use appears to be highly variable, even within similar populations. However, what is used, why is used are not well known. Research is needed.

Conclusion

Community based research is needed to gain a greater understanding of the true use of AT, TT, CTs, CIs by pregnant women. Health professionals should ask women about use. It is essential to know what they use during pregnancy, labour and after delivery. Further evaluation of CTs among pregnant and postpartum women is necessary to determine the costs and benefits of integrative TTs in conventional care. Larger studies are needed for better understanding of the role of CTs in pregnancy (Graph 1-5).

Graph 1: Complimentary Therapy in Past Pregnancy.

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Graph 2: Complimentary Therapy During Pregnancy.

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Graph 3: Complimentary Therapy During Labour.

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Graph 4: Complimentary Therapy in Postpartum period.

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Graph 5: Complimentary Therapy Given to Baby.

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Lupine Publishers | Back to the Future: The National Acupuncture Detoxification Association (NADA) Protocol Persists as an Agent of Social Justice and Community Healing by the People and for the People

Lupine Publishers | Open access Journal of Complimentary and Alternative Medicine

 

Opinion

NADA arose from a community response to inequities. NADA calls on the acupuncture community to support such community-based responses now. In the early 1970s, young activists in New York City agitated for change. Collectives comprised of many civic-minded activist organizations led by the Puerto Rican Young Lords Party called out systematic racism and oppression including the effects of social injustice upon the health of the people of color in the South Bronx. The actions of the Young Lords Party, the Black Panther Party, White Lightning, and others addressed many health-related concerns: trash collection, lead and tuberculosis screening, food insecurity, incarceration conditions and addiction. The movement was political and focused on social justice.
The South Bronx city hospital, Lincoln, called “the butcher shop” by locals, was not responsive to the call for help with the rampant heroin epidemic. So, in late 1970, the “Think Lincoln Committee” launched a surprise takeover and protest occupation of the Nurses’ Residence. Subsequent negotiations led to the creation of the Lincoln Detox Program, staffed with those same community members as well as progressive medical professionals. The program initially offered a short-term methadone detoxification intervention and had 200 people lined up on the first day. Until then, the only available treatment was forced methadone maintenance. The focus of Lincoln Detox was on social justice and the need for political education, engagement, and political healing in addition to individual health concerns (Figure 1 & 2).

Figure 1.

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Figure 2.

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Soon concerns about methadone as a chemical means of control and the challenges of methadone detoxification prompted the group to look for more Wholistic alternatives. Several activist staff members, including Mutulu Shakur and Walter Bosque Del Rio, went to Chinatown and hired an acupuncturist, who taught them to needle one ear point. Bosque Del Rio explained that the seminal Lincoln team, partially self-taught, pioneered the start of what is now known as the NADA protocol. The late Michael O. Smith completed the five-point combination in a collaborative effort of the treatment community and the persons getting care. Thousands of people were detoxed, and methadone was eventually dropped. The ear acupuncture success gained international attention. Over time, the NADA protocol has continued to undergo substantial refinement based on client feedback, staff observations and largevolume, wholistic clinical outcomes.
Several of the Lincoln members, including Smith, pursued further Traditional East Asian Medicine studies in Canada, China, and Shri Lanka, becoming full-body acupuncturists. Shakur along with Bosque Del Rio, Oscar Wexu and Mario Wexu, established an acupuncturist training program at Lincoln, one of, if not the first in the United States. Louis Surita (Zubair), Shakur and Bosque Del Rio “ran the Acupuncture Collective, the clinic and the Lincoln Acupuncture School from 1972-1978,” recalled Bosque Del Rio. After leaving Lincoln, Shakur created the Black Acupuncture Advisory Association of North America (BAAANA) and the Harlem Institute of Acupuncture. Bosque Del Rio became the Assistant Director of the Tri-State Acupuncture Institute and later served on the board of Tri-State College of Acupuncture.
Bosque Del Rio relayed that the city eventually took over, transferring the activists to other methadone programs that were not using acupuncture or political education. Lincoln Detox continued, without the militant political orientation, to provide ear acupuncture-based treatment, under Smith’s leadership. As cofounder of the NADA organization and ongoing Medical Director of what became Lincoln Recovery Center Smith kept the movement alive and facilitated broad adoption.
Carlos Alvarez became the primary NADA trainer sharing the NADA ear acupuncture and style of treatment. Nancy Smalls designed a ground-breaking maternal program with comprehensive services including peer counselors. Alvarez pointed out that over time more and more social workers and counselors, as well as acupuncturists, came and learned the Lincoln style of treatment, taking it back and applying it to their own communities. Alvarez noted, “We went through a series of epidemics: heroin, crack/ cocaine, AIDS, Hepatitis C, 1970s – 80s – 90s and on, with acudetox and supportive services.”
Honoring these roots, NADA has always focused on the underserved and marginalized. The “Spirit of NADA” is service. The NADA protocol-a style of engagement and care that includes a simple ear combination, often delivered in groups-works well not only for addiction and mental health conditions, but also in disaster response and emotional trauma healing, fostering dignity, hope and resiliency. NADA practitioners, including non-acupuncturists from various disciplines, continue to bring support to people in behavioral health, criminal justice, community initiatives and settings around the world. Many organizations adopt the NADA protocol as a tool for humanitarian aid and social justice. NADA has diverse leadership and membership, reflecting the people we serve.
Unfortunately, NADA has often met with fierce opposition from acupuncture organizations. In contrast, however, licensed acupuncturists as individuals have been quite supportive and actually comprise 40% of the general NADA membership. The majority of NADA members are representative of the multidisciplinary healthcare mainstream, including biomedical, social service, psychotherapy, peer counseling, public health, substance misuse, criminal justice, and integrative treatment providers. Collectively and for decades the general NADA membership has led the way in demonstrating what informed integrated care looks like and in proving the many benefits that can accrue from adopting the principles of NADA-style care.
In this moment, we face both the collective, acute trauma of a pandemic that is affecting lives and livelihoods and the chronic trauma of systematic, structural racism and oppression. Our nation needs what NADA can contribute-group response to group trauma. NADA offers a wholistic approach to a mental health system unequipped to address the overwhelming despair that has brought us to epidemic levels of addiction, anxiety and depression. NADA stands behind utilizing our protocol for the empowerment of historically oppressed peoples, preferabl delivered by those same peoples.
People of color and other marginalized communities face unnaturally high levels of stress-exposure and multi-generational trauma that can predispose, precipitate, and perpetuate a host of short-term and long-term adverse, severe and too often deadly physical and mental health concerns. The denial of basic rights to equality as a United States citizen and inalienable rights as a human being is unconscionable. The right to healthcare is a critical part of this calculus. NADA protocol specifically is a safe and effective method that can help programs, providers, and patients to cope better with these ill effects. The NADA protocol is especially notable for its extremely low risk of adverse outcomes, which creates a potential benefit-to-risk ratio that is absolutely unmatched by any pharmaceutical or other somatic intervention currently available.
In closing, the authors emphasize that an analysis of the Lincoln experience can inform how best to respond to the social unrest that is now manifesting across the country and across color and socio-economic lines in support of Black and Brown lives. Coming full circle, explosive social unrest has returned to challenge us here in the US. The “Spirit of NADA” stands as a time-tested model for effectively addressing that challenge with the integrity and inclusiveness that it deserves.
The iconic concept of the “Barefoot Doctor” is one often held up as a model of unselfish service. NADA invites the local, state, and national acupuncture organizations to actively support the NADA mission and goals as a manifestation of that kind of service. The widespread use of the NADA protocol by non-LAc NADA-trained frontline, community-based Acupuncture Detoxification Specialists (ADSes) offers one of the very best hopes of sufficient, appropriate, culturally relevant, and on-going access to care. Even California’s roughly 18,000 licensed acupuncturists could not begin to touch the need in that state. Furthermore, the widespread use of the NADA protocol by non-LAc providers in states with NADA-inclusive legislation supports the Traditional East Asian Medicine (TEAM) profession by spreading acupuncture awareness and goodwill. Broad-based support of NADA ADS inclusions in all 50 states can indeed be a win for all.

 

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Friday, September 18, 2020

Lupine Publishers | Diversity of Food-Borne Pathogens Isolated from Raw Meat Sample

 Lupine Publishers | Open access Journal of Complimentary and Alternative Medicine



Foodborne diseases are considered to be the wide-spread health problem in most parts of the world especially in developing countries. The aim of the study evaluates the frequency of microbial contamination of raw meat that is often contaminated with foodborne pathogens. The perishable nature of nutritious meat is one of the potential sources of pathogens as well as an excellent vehicle for transmitting foodborne disease in human beings. In this study, Six (n=6) samples of meat such as beef, mutton, lamb, chicken, fish, camel meat were collected from common retail shop of Karachi and analyzed for the prevalence of pathogenic microorganism by using standard plate methods to purify it on specific agar and to perform biochemical testing for identification and isolation of bacterial species. In our study, it was found that 33% isolates of S. typhi and S. aureus were found whereas 17% isolates of E. coli and Klebsiella pneumoniae were detected from various meat samples. It is therefore expedient that great care should be taken during handling and good hygiene practices should be followed to reduce the microbial load to a harmless level.

Keywords: Food; Disease; Organisms; Meat sample

Introduction

Meat has long been known for its enrichment composition containing a rich source of protein, carbohydrate, vitamins, and fats. Most people rely on meat due to the presence of this entire rich nutrient that is required for the human body. Meat including beef, mutton, poultry, fish, lamb, and camel meat [1].

Nutritional composition of beef and mutton and their role in the human immune system

Meat is one of the most edible and delicious food in the world that play a role in human metabolic functions. Beef and mutton meat contain a large amount of protein and Vitamin (B12, B3 (Niacin), B6), Iron, Zinc, Selenium, and minerals. This could be beneficial to the body for the building of body tissues and help in the repair mechanism. It also helps in the production of antibodies to build up immune system [2].

Composition of fish with the supplement of Omega 3 and their role in the human body

Proteins are the second major part of a fish constituent. Two essential amino acids called lysine and methionine are generally found in high concentrations in fish. Fish meat is also a valuable source of minerals such as sodium, potassium, magnesium, phosphorous, iron, and omega 3 fatty acids that can help in reproduction and brain development. Fish also has non-protein nitrogen (NPN) fraction which is water-soluble. The constituents of the NPN fraction play a major role in the quality of fish [3]. Raw fish is often contaminated with foodborne pathogens. It provides a perfect medium for the growth of the microbial pathogens such as Salmonella, Escherichia coli, Shigella sonnie and Listeria monocytogenes. They have been found in raw fish through washing water or may be from contact surfaces [4].

Composition of lamb meat and their function in the human body

Lamb meat is an excellent source of Vitamins B6, B12, protein, zinc phosphorous, selenium, folate, and choline that act as an antioxidant that prevents reactive oxygen species in the body. They also reduced the level of unwanted accumulation of homocysteine in the body. High blood levels of homocysteine responsible for causing cardiovascular disease. Another property of grass feed lamb meat contains Conjugated linoleic acid (CLA) that helps in reducing inflammation and body extra fat. The combination of both can reduce the risk of heart diseases [5]. Lamb meat can be contaminated with a variety of microorganisms such as Staphylococci, Corynebacterium, Streptococci, Micrococcus, Salmonella, Escherichia coli, coliform and Yeast [6].

Composition of fatless camel meat used for medicinal purpose

The demand for camel meat is mainly due to the health benefit purposes. It is a source of high-quality meat due to the presence of unsaturated fatty acids like linoleic acid which prevents from tumor or cancerous diseases. It also contains less fat content which is recommended for weight loss and prevent from heart diseases and atherosclerosis. It also reduces cholesterol level in the blood [7,8].

Composition of chicken and spread of microorganism in poultry meat

Chicken meat is one of the most consumed food in Pakistan. It is nutritious with rich protein content. All vitamin B are present in chicken meat, including B1, B2, B3, B5, B6, B12, folate, biotin, choline, selenium, zinc, copper, and omega 3. Recent research has proved that intake of chicken meat can reduce the risk of colorectal cancer. It contains fiber that can lower blood cholesterol and blood LDL-cholesterol [9]. Poultry meat is contaminated with a variety of microorganisms, including those capable of spoiling at freezing temperatures. Raw chicken meat is contaminated with certain foodborne pathogens such as Campylobacter jejuni, Salmonella enteritis, Staph. aureus, Listeria monocytogenes. Others may also be present which includes the most recently reported Arcobacter and Helicobacter spp and occasionally, verotoxigenic Escherichia coli [10].

Spoilage of Meat

The perishable nature of meat is highly sensitive to spoilage by contact with different microorganisms through exogenous and endogenous sources. Out of which, the intestinal tract of animal is the main source of microorganism. Organism that may infect a living animal causing endogenous diseases may also spoil the meat. Consumption of this meat from an infected animal can cause diseases in human. Three sources of exogenous contamination are by slaughtering, handling, and processing. Due to these biochemical changes that allow microorganisms to grow in meat and carry the greater chances of contamination [11]. Microbial spoilage of food is an area of global concern, causing serious foodborne intoxications and resulting in high economic losses for the food-producing sector.

The predominant bacteria associated with spoilage of meat are Carnobacterium spp., Enterobacteriaceae, Lactobacillus spp., Leuconostoc spp., Pseudomonas spp. and Shewanella putrefacients [12]. The poikilothermic nature of fresh fish meat that allows a wide variety of bacteria to grow and spoiled the fish which includes Gram- negative, rod-shaped bacteria which belong to the genera Pseudomonas, Moraxella, Acinetobacter, Shewanella, Flavobacterium, Aeroemonadaceae, and Vibrionaceae, and Grampositive bacteria such as Bacillus, Micrococcus, Clostridium, Lactobacillus, and Corynebacterium [13,14].

Mechanism of rigor mortis occurring in meat

Rigor mortis is a physiological change that occurs after the death of an animal in which the hardening of skeletal muscles becomes maintained for a certain period approximately within 12 to 24hrs. then gradually flexible after 24 hours. Normally glycogen present in the muscles of the animal. When the animal is slaughtered in the excited state, its glycogen converts into lactic acid in bulk amount. Suddenly the change in pH is occurred which turns into acidic so it allows acidophilic bacteria to grow which can spoil the meat easily. The process is known as rigor mortis occurring in meat [15]. Greater chances of bacterial contamination during slaughtering and then cutting by using tools such as knives, wooden board, weighing scale and meat mincer. Or it may the meat handler who is shedding microbes and can act as a carrier.

Presence of foodborne pathogens in meat through contact surfaces and processing

The perishable nature of meat provides a substrate to support the growth of microorganisms in meat. Meat contains a wide range of pathogenic microorganism that is obtained either from contaminated surfaces or during processing. Most of these bacteria can produce biofilms that protect them from external harm and enable them to adhere strongly to contact surfaces. The greater chances of bacterial pathogens during meat-processing and their equipment so the surfaces and processing both may contribute to the contamination of meat [16].

Bacterial Foodborne Diseases

Foodborne diseases are a major cause of death in developing countries by representing an important public health problem worldwide. It is assumed that foodborne and waterborne diarrheal diseases kill more than 2.2 million people each year. Foodborne diseases resulting from the ingestion of bacteria, toxins, and cells produced by microorganisms present in food. Toxins may not alter the appearance, odor, or flavor of food but may cause food poisoning. Common kinds of bacteria that produce toxins include Staphylococcus aureus and Clostridium botulinum. The intensity of the signs and symptoms may vary with the amount of contaminated food ingested and susceptibility of the individuals to the toxin. Foodborne microorganisms can cause severe illnesses to humans which may also lead to the drug resistance [17,18].

Approximately 69% of gram-negative bacteria are known to cause bacterial foodborne diseases. Several researchers have reported that the meat samples contaminated with a higher load of Klebsiella pneumoniae, Enterobacter spp, Pseudomonas aeruginosa, E. coli, Salmonella sp, Serratia marcescens, Proteus Vulgaris, Staphylococcus aureus and Bacillus sp. On the other hand, foodborne pathogens can disseminate from contaminated meat to the surfaces and can spread infections in the community [19-23].

Antibiotic Resistivity

Some bacteria have developed resistance against antibiotics that are not killed or controlled by antibiotics even they can multiply in the presence of these drugs. It could be more difficult to treat people if they became ill with the antibiotic-resistant strains such as the most recently reported resistance is carbapenem-resistant Enterobacteriaceae (CRE). These strains have developed resistance against carbapenem drug e.g. Klebsiella. Staph. aureus is found to be resistant against multi drugs and falls in the group of Methicillinresistant Staphylococcus aureus (MRSA), Salmonella typhi is found resistant against chloramphenicol, ampicillin, tetracycline, and trimethoprim. They are responsible for a well-known public health problem [24].

Materials and Methods

Sample collection

A total of Six (n=6) samples of raw meat were collected in a sterile container which includes minced chicken, beef, mutton, lamb, camel, and fish. 1 gram of each minced meat samples was weighed and transferred into a tube containing 9ml of selenite broth for enrichment. Then it was incubated at 37 °C for 24 hours. After incubation, streaking was done on nutrient agar plate. And the plates were incubated at 37 °C for 24 hours to the study was carried out to determine the microbial load among different raw meat available in common retail shops of Karachi, Pakistan. This study is designed to characterize the foodborne pathogens, which include S. aureus, E. coli, Salmonella, and Klebsiella isolated from raw meat samples and to determine the susceptibility pattern of isolated bacterial strains against the frequently prescribed antibiotics. These isolated bacterial strains are known as foodborne pathogens resulting in food intoxication. This research is necessary to the public which will create awareness among the consumers to prevent foodborne illnesses. Observe the colonial characteristics on nutrient agar and to perform gram staining and further identification tests to identify the isolates.

Antibiotic Susceptibility Testing

Antibiotic susceptibility testing is performed by using Kirby- Bauer disc diffusion method in which loop full culture of the identified isolate was streaked on MHA plate and antibiotics are dispensed on it. Zone of inhibition was observed after incubation of 24hours at 37 °C as per CLSI guidelines (Table 1).

Figure 1: Percentage of obtained organisms in meat samples

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Table 1: Cultural Characteristic of isolates detected in meat samples.

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Result

In this study, different samples such as beef, fish, mutton, chicken, lamb and camel meat were analyzed which shows that meat sample is contaminated with foodborne pathogens such as E. coli, Staph. aureus, S. typhi, Klebsiella pneumoniae. It was found that 33% isolates of S. typhi and S. aureus were found whereas 17% isolates of E. coli and Klebsiella pneumoniae were detected from various meat samples. Most of the isolates were members of the Enterobacteriaceae so they differentiate based on lactose fermenter and nonlactose fermenter. E. coli and Klebsiella gave pink colored colonies on MacConkey agar while S. typhi gave colorless colonies. Biochemical testing was performed to differentiate among Enterobacteriaceae and identification of bacterial species. E. coli gave indole and methyl positive while Voges Proskauer and citrate negative. Klebsiella pneumoniae gave a positive VP test and citrate utilizing test.

In TSI test, acidic slope and acidic butt was found with gas production. S. typhi gave only MR test positive and in TSI it gave alkaline slop, acid butt with H2S production. All presumptively identified cultures were plated onto the selective medium, such as E. coli was inoculated on EMB agar. After incubation, it gives green metallic sheen. S. typhi was streaked on BSA and it gives black centered colonies with a black zone with metallic sheen surrounding the colonies. The positive result of catalase and coagulase test confirms the presence of Staph. aureus. All the identified isolates were susceptible to streptomycin, ceftriaxone, and sulfamethoxazole with average zones of inhibition at the respective concentrations as shown in Table 3 while staph. aureus was found resistant to oxacillin and s. typhi was found resistant to tetracycline.

Table 2: Antibiotic susceptibility testing.

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Discussion

This study was conducted to investigate the microbial load of foodborne pathogens in different raw meat sample which is available in open retail shops of Karachi. The presence of bacteria in raw meat has been widely reported from different parts of the world [24]. Some reports have recognized the presence of viable bacteria, especially gram-negative organisms from 106 to 109, as an indication of open-air meat spoilage [51]. In this study we detected the presence of pathogenic bacteria in raw meat including salmonella spp. (33%), Escherichia coli (17%), staphylococcus aureus (33%), and Klebsiella pneumonie (17%) which reflects the role of animal meat as a major reservoir for spreading pathogenic agents. Therefore, meat handlers and sellers should be made aware of the adverse effects of a lack of proper personal and environmental hygiene, along with sanitation.

Also, consumers should properly wash and cook the to avoid cross-contamination [25]. In this study raw chicken sample was found to be contaminated with E. coli (n=17). The presence of this indicator organism in raw meat might have originated from animal tissues or contaminated tools used during slaughtering and related treatment or cutting process. The identification of E. coli in this study showed the presence of fecal contamination and previous studies have shown that the presence of these organisms in food makes food unhealthy for consumption [26]. The high rate of prevalence of S. aureus (n=33) in raw lamb and camel meat indicates the presence of cross-contamination, which is usually related to human skin and clothing. This level of food contamination by this pathogen might lead to the food intoxications. Moreover, it is a major target in the screening of slaughterhouse carcasses to monitor hygienic conditions [27]. Raw beef and mutton sample were found to be contaminated with Salmonella typhi (n=33). The presence of S. typhi in raw meat indicates that the contamination is from human origin and may be the result of poor personal hygiene during the handling and processing of food. Salmonella continues to be a serious threat to consumer health not only due to its pathogenicity but also to its ability in adapting many different environments. The results of this study indicate that the rate of salmonella contamination in retail meat samples were high, ranging from 17% from beef and mutton samples [28]. In our study Klebsiella pneumonie (n=17) isolates were detected from the raw fish meat sample. A high incidence of Klebsiella spp from raw meat was also reported previously. Our data confirmed that the sold raw meat is of poor bacteriological quality and poses a high risk for consumer health. All the identified isolates were susceptible to streptomycin, ceftriaxone, and sulphamethoxazole antibiotic while S. typhi was found resistant against tetracycline. Staph. aureus showed resistance to oxacillin so it can be said that staph. aureus may have the ability to produce beta-lactamases enzyme.

In the developing world, foodborne infection leads to the death of many children, as well as resulting in diarrheal disease which can have long-term effects on children’s growth as well as on their physique To reduce the foodborne pathogens, like E. coli, staph. aureus Klebsiella and salmonella contamination rates in retail raw meats, it is critical that risk reduction strategies are used throughout the food chain. These strategies include on-farm practices that reduce pathogen carriage, increased hygiene at both slaughter and meat processing, continued implementation of HACCP systems, and increased consumer education efforts. Additionally, consumption of undercooked meat products and cross-contamination during food handling and preparation must be avoided to ensure food safety at home and in the foodservice industry.

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Lupine Publishers | Phytochemical and Antioxidant Activities of Different Fractional Extracts of Alstonia scholaris Linn

 Lupine Publishers | Open access Journal of Complimentary and Alternative Medicine



Alstonia scholaris Linn is popularly known as the “Chatim” or the Devil tree, which are used as a well-known remedy for the treatment of various types of disorders in the Ayurvedic, Homoeopathic and Folklore system of medicine in Bangladesh, India and many others countries. Alstonia scholaris is mainly used for the treatment of diarrhoea and malaria as a tonic, febrifuge, emmenagogue, anticholeric and vulnerary. Considering the medical importance and source of origin, the plant Alstonia scholaris has been subjected for fractionation with different solvents. The different fractions of ethanolic extract of Alstonia scholaris were evaluated for antioxidant activity as well as biological activity. Phytochemical properties of leaves of Alstonia scholaris were also investigated. The different solvent fractions showed the presence of tannins, glycosides, steroids, and alkaloids. The different fractions of ethanolic extract of Alstonia scholaris were evaluated for the total phenolic content, total flavonoid content, reducing power capacity, total antioxidant activity and DPPH radical scavenging activity. From the result on the various antioxidant activity tests, it was found that Dia-ion resin adsorbed fraction showed the highest value, followed by petroleum ether fraction, ethyl acetate fraction and chloroform fraction. Overall results of the antioxidant evaluation and various biological screening tests were found satisfactory and may encourage researcher to use this plant as a source of potent antioxidant food material as well as bioactive toxic compounds to be used in therapeutic drugs preparation.

Keywords: Phytochemistry; Antioxidant Activities; Alstonia scholaris; Chloroform

Introduction

Plant kingdom is a mysterious world of chemical compounds and mainly organic compounds. The nature abounds in organic compounds of every conceivable structural class. The cells of living organisms, plants, fungi, other animals are the sites of complex biosynthetics that result in the formation of many varieties of organic compounds; many of them are of great importance to mankind [1]. This is why the modern world is interestingly tending to go back to the pre- industrialized days, when the mankind used to depend on the plant kingdom for their food, shelter, medicine, and other essential commodities. This is perhaps, the only way to protect the ecological balance. The raw materials of the plant kingdom as mentioned above are directly or indirectly produced by the plants but are very seldom used by themselves and serve human beings in many ways. These are called the secondary metabolites or the natural products [2]. By the metabolic activity of plants produces not only the food materials so essential for sustenance of the life of animals but also certain other substances, such as alkaloids, vitamins, glycosides, toxalbumins, essential oils, resins, bitter principles etc. which are necessary for growth, maintenance and protection of life [3].

Many of these are essential for metabolic activities [4], many are medicines to human and animal life. Many of these are harmful to animal life, at least under certain conditions. Plants containing medicinal properties are commonly known as medicinal plants. The plants containing these principles are capable of acting deleteriously, are popularly known as poisonous plants. A poisonous plant is one which, as a whole or as a part thereof, under all or certain conditions, and in a manner and in amount likely to be taken or by brought into contact with an organism, ‘will exert harmful effects or cause death either immediately or by reason of cumulative action of the toxic property, due to the presence of known or unknown chemical substances in it [5].

Although some of these plants are once poisons, medicines and food or fodder. The genus Alstonia belongs to the family Apocynaceae. It includes totally 43 species of which two species namely, A. scholaris (L.) R. Br. and A. venenata R. Br. are represented in South India [6]. These two species can be identified with their habits, shape and texture of the leaves, fruit size and papilla of the seeds The bark of Alstonia scholaris L is bitter, astringent, acrid, thermogenic, digestive, laxative, anthelmintic, febrifuge, antipyretic, depurative, galactogogue, stomachic, cardiotonic and tonic [7]. When these plants are used in herbal formulations, their botanical identity needs to be established beyond any ambiguity [8]. It has been found an important medicinal plant and addressed by scientist from various countries [9]. But in our country, this plant has not been studied in detail till now. Plant constituents are found different in quantity as well as in structure when collected from different sources.

Methods and Materials

All the reagents and chemicals were used for the presence work were purchased from THOMAS BAKER (MUMBAI, INDIA), BDH (ENGLAND), FLUKA (SWITZERLAND) and E. MERCK (GERMANY). Commercial alcohol (rectified spirit) and absolute alcohol were available from Carew and company, Darsana, Chuadanga. The Solvents used mainly in this work are benzene, acetone, tetrahydrofuran (THF), ethyl acetate, chloroform, n-hexane, petroleum ether, methanol, absolute alcohol, toluene etc. The solvents were dried and distilled when necessary.

During the present work solvents were purified priors to use by distillation at the boiling point at the respective solvents. Evaporation of solvents from the extracts and other solutions were carried out on a rotary evaporator under reduced pressure of bath temperature not exceeding 40 °C. The purity of the compounds were tasted by analytical thin layer chromatography (TLC) on silica-gel plate and the Spots were made visible either by exposing it under UV lamp or iodine vapour or by spraying with the some suitable spray reagents, if it is not visible in the day light.

All evaporations were carried out under reduced pressure using a Rotary Vacuum Evaporator (rotavapour) on water bath temperature was not exceeding 40 °C. Smaller volume of non-aqueous solvents were removed by keeping in open air. Crystallization was employed as a final purification process. The solvent was chosen in which the compound was least soluble. The compound was dissolved in a minimum volume at a solvent in hot condition and was left for crystallization. Sometimes mixture of solvents was also used. The Alstonia scholaris plant leaves were collected from the cultivated adjacent areas of BCSIR, Rajshahi. The collected leaves were washed with water.

100g of fresh leaves were taken for the determination of water content. Then the fresh leaves (100g) were dried at room temperature and the dried leaves were weighted again and that was 37g. Therefore, the water content of the leaves of Alstonia scholaris was calculated below:

Dried ground of Alstonia scholaris leaves (W1=1.5802g) were heated at 105 °C until a constant weight was reached (W2 = 1.4562g) and the moisture content was determined.

Moisture content =

= 7.84%

Dried ground Alstonia scholaris leaves contain 63% water content and 7.84% moisture content. Thus, the dry matter of Alstonia scholaris given below:

Dry matter = 100 – (63+ 7.84)= 29.16%

Process of Extraction

The collected materials were washed thoroughly in water, chopped, air dried for a week at 35-40 °C and pulverized in electric grinder. Dried ground leaves of Alstonia scholaris were exhaustively extracted with ethanol (EtOH, Analytical Grade, BDH Laboratory Supplies) in Soxhlet apparatus. The resulting juicy extract was filtered through Whatman paper No.1 and concentrated under reduced pressure at 45 °C using the Buchi Rotavapor R-200 to obtain a crude residue (23.5%).The process have done for several time to increase the crude extract. Then water triturate part was collected from crude extract. The water triturate fraction was passed through a previously well packed Dia-ion resin column which has selectivity to collect only the phenolic group containing compounds. Then the materials, which were bound in resin column, collected by passing methanol solvent. Then Petroleum ether, Ethyl acetate and Chloroform solvents were passing through the residue respectively. Finally, Petroleum ether, Ethyl acetate and Chloroform triturate were collected.

Total phenolic content of different extractives of Alstonia scholaris were determined employing the method as described by involving Folin-Ciocalteu reagent as oxidizing agent and Gallic acid as standard [10].

Determination of Total Antioxidant Activity

1. 0.5mL of plant extract or standard of different concentration solution was taken in a test tube.

2. 3mL of reaction mixture containing 0.6M sulphuric acid, 28mM sodium phosphate and 1% ammonium molybdate was added into the test tube.

3. The test tube was incubated at 95 °C for 10 minutes to complete the reaction.

4. Then the absorbance of the solution was measured at 695nm using a spectrophotometer against blank after cooling at room temperature.

5. A typical blank solution contained 3mL reaction mixture and the appropriate volume (300μL) of the same solvent used for the sample, and it was incubated under the same conditions as the rest of the sample’s solution.

Determination of Dpph Radical Scavenging Activity

1. 2mL of methanol solution of plant extract or standard at different concentration was taken in a test tube.

2. 3mL of methanol solution of DPPH was added into the test tube.

3. The test tube was incubated at room temperature for 30 minutes in dark place to complete the reaction.

4. Then the absorbance of the solution was measured at 517nm using a spectrophotometer against blank.

5. A typical blank solution contained all reagents except plant extract or standard solution.

6. The percentage (%) of scavenging was calculated from the following equation.

% of scavenging = {(Ao – A1)/Ao} X 100

Where,

Ao is the absorbance of the control and

A1 is the absorbance of the extract/ standard.

Then % of scavenging were plotted against concentration and from the graph IC50 was calculated.

Results & Discussion

Phytochemical screening of crude ethanol and four subfractions of the leaves of Alstonia scholaris Table 1.

Table 1: Phytochemical screening of crude ethanol and four sub-fractions of the leaves of Alstonia scholaris.

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Here, + = Present in the mild amount, + + = Present in the moderate amount, + + + = Present in the large amount, − = Not present.

Total phenolic content

Absorbance of Gallic acid at different concentrations for the determination of total phenolic content (Table 2).

Table 2: Absorbance of Gallic acid at different concentrations for the determination of total phenolic content.

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Determination of total phenolic content of different fractions of ethanolic extract of Alstonia scholaris (Table 3).

Table 3: Determination of total phenolic content of different fractions of ethanolic extract of Alstonia scholaris.

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Total phenolic content of different fractions of Alstonia scholaris were shown in Table 5 and Figure 2. Among the fraction, the highest phenolic content was found in Dia-ion resin adsorbed fraction (21.92± 0.13mg Gallic acid/g of extract), followed by ethyl acetate fraction (5.67± 0.20mg Gallic acid/g of extract), Chloroform fraction (3.44± 0.07mg Gallic acid/g of extract), and Petroleum ether fraction (3.39± 0.26mg Gallic acid/g of extract) (Figure 1).

Table 4: Absorbance of catechin at different concentration for the determination of total flavonoids.

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Table 5: Determination of total flavonoid content of different fractions of ethanolic extract of Alstonia scholaris.

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Figure 1: Total phenolic content (mg/g plant extract in gallic acid equivalent) of Alstonia scholaris.

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Figure 2: Total flavonoid content (mg/g plant extract in catechin equivalent) of Alstonia scholaris.

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Total Flavonoid Content

Absorbance of catechin at different concentration for the determination of total flavonoids (Table 4).

Determination of total flavonoid content of different fractions of ethanolic extract of Alstonia scholaris (Table 5).

Total flavonoid content of different fractions of Alstonia scholaris were show in Table 7 and Figure 2. Among the fraction, the highest total flavonoid content was found in Dia-ion resin adsorbed fraction (16.61± 0.06mg Catechin/g of extract), followed by Petroleum ether fraction (10.91± 0.17mg Catechin/g of extract), Chloroform fraction (9.96±0.16mg Catechin/g of extract), and Ethyl acetate fraction (9.31±0.37mg Catechin/g of extract) (Figure 2).

Table 6: Reducing power capacity of different fractions of ethanolic extract of Alstonia scholaris and Ascorbic acid (standard) at different concentrations.

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Table 7: Total antioxidant activity of different fractions of Alstonia scholaris and Ascorbic acid (standard) at different concentrations.

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Reducing Power Capacity Content

Reducing power capacity of different fractions of ethanolic extract of Alstonia scholaris and Ascorbic acid (standard) at different concentrations (Table 6).

The iron reducing capacity of the four different fractions of Alstonia scholaris extract such as petroleum ether fraction, chloroform fraction ethyl acetate and Dia-ion resin adsorbed fraction have been investigated. Among the four different extractives Dia-ion resin adsorbed fraction showed the highest iron reducing capacity with absorbance of 2.468±0.006 at 80μg/mL concentration, followed by Chloroform fraction with absorbance 1.487±0.019 at 80μg/mL, while Ethyl acetate fraction showed iron reducing capacity with absorbance of 0.998±0.023 at 80μg/mL and Petroleum ether fraction showed the iron reducing capacity with absorbance 0.836±0.005 at 80μg/mL (Figure 3).

Figure 3: Reducing power capacity of different fractions of ethanolic extract of Alstonia scholaris and Ascorbic acid (Standard).

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The reducing power of the different extractives and standard exhibited the following order:

Ascorbic acid> DRAF > CLF > EAF > PEF

Total Flavonoid Content

Total antioxidant activity of different fractions of Alstonia scholaris and Ascorbic acid (standard) at different concentrations (Table 7).

Total antioxidant activity of different fractions of ethanolic extract of Alstonia scholaris such as Dia-ion resin adsorbed fraction, chloroform fraction, Ethyl acetate fraction and petroleum ether fraction were investigated. Among the fractions, Dia-ion resin adsorbed fraction showed the highest total antioxidant activity with absorbance 1.049±0.014 at 100μg/mL. Whereas the Petroleum ether and Ethyl acetate fraction showed the absorbance 0.974±0.033 at 100μg/mL and 0.947±0.027 at 100μg/ mL respectively. Chloroform fraction showed the lowest total antioxidant activity with absorbance 0.609±0.014 at 100μg/mL concentration (Figure 4).

Figure 4: Total antioxidant activity of different fractions of ethanolic extract of Alstonia scholaris and Ascorbic acid (Standard).

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The total antioxidant activity of different extractives and standard exhibited the following order:

Ascorbic acid> DRAF > PEF > EAF > CLF

DPPH Radical Scavenging Activity

DPPH radial scavenging activity of different fractions of ethanolic extract of Alstonia scholaris and BHT (standard) at different concentrations (Table 8).

Table 8: DPPH radial scavenging activity of different fractions of ethanolic extract of Alstonia scholaris and BHT (standard) at different concentrations.

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Among the fractions of the extract, highest DPPH radical scavenging activity was found in Dia-ion resin adsorbed fraction having IC50 value 24.90μg/mL. On the other hand, chloroform fraction showed DPPH radical scavenging activity with IC50 value 73.30μg/mL, followed by ethyl acetate fraction with IC50 value 40.90μg/mL and petroleum ether fraction showed DPPH radical scavenging activity with IC50 value 113.63μg/mL.

From the above results, we can conclude that, Dia-ion resin adsorbed fraction shows the highest activity in Total phenolic content, Total flavonoid content, Total antioxidant and DPPH radical scavenging (Figure 5 & 6).

Figure 5: DPPH radical scavenging activity of different fractions of ethanolic extract of Alstonia scholaris and BHT (standard).

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Figure 6: IC50 (g/ml) of different extractives of Alstonia scholaris for free redical scavenging activity by DPPH radical.

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Conclusion

The present study investigated the plant Alstonia Scholaris for antioxidant evaluation and biological activity of different extractives. For this purpose, total phenolic content, total flavonoid content, total antioxidant, DPPH radical scavenging activity tests were performed with four different fractions of the plant. From the results of the antioxidant activity test, it is clearly seen that Diaion resin adsorbed fraction had the highest antioxidant activity. Considering the antioxidant activities assay of A. scholaris, it can be deduced that this plant contains useful potent bioactive toxic compounds, which can be harnessed and purified into useful therapeutic drugs. However, further studies are warranted for more extensive antioxidant and biological evaluations to elucidate before bringing them into commercial use.

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Smoking May Not Increase Systolic and Diastolic Blood Pressures

  Abstract Background: We tried to understand whether there are some effects of smoking on systolic and diastolic blood pressure...