Study of the Role of Ethnicity in the Pathophysiology of Preeclampsia: A Prospective Observational Study in a Rural Hospital in India

Hypertensive disorders (HD) of pregnancy are a leading cause of maternal and perinatal mortality and morbidity worldwide. Although several risk factors for hypertensive disorders of pregnancy have been firmly established, the risk attributable to specific race-ethnicities is less clear. The risk of preeclampsia-eclampsia may differ by maternal ethnicity 30 as also the course, severity and prognosis. This study aimed to compare severe preeclampsia and eclampsia in tribal and nontribal women of Jangalmahal area of West Bengal in terms of incidence, clinical, demographic picture, severity, course of disease, response to treatment, complications and delivery outcome including foetal outcome and maternal outcome.

Screening of Antioxidant Potential of Selected Barks of Indian Medicinal Plants by Multiple in vitro Assays

Objective To evaluate the antioxidant potential in herbal extract barks of five therapeutically important medicinal plants native to India, i.e. Crataeva nurvala Buch.-Ham., Buchanania lanzan Spreng., Aegle marmelos Corr., Dalbergia sissoo Roxb. ex DC., and Cedrela toona Roxb. Methods Standardized aqueous alcoholic extracts from the selected barks having different target radicals, such as superoxide radical, nitric oxide, ABTS radical, and peroxidative decomposition of phospholipids, were prepared and screened by multiple in vitro assays. These extracts were also tested for total phenolic and tannin content and correlated with antioxidant capacity. Results Total phenolic and tannin contents were found to be the highest in C. nurvala （195 GAE mg/g and 218.3 mg/g CE）. SOD mimetic activity was found to be the highest in Crataeva nurvula, although all barks showed activity more than IO3 units/mg extract. Lipid peroxidation inhibitory potential was found to be the highest in Crataeva nurvala （83.4% inhibition of MDA formation/10 μg extract）, and also showed a comparatively high NO quenching capacity （45.5% per 10 μg extract）. The highest NO quenching potential was found in Aegle marmelos （47.3% per 10 μg extract）. Cedrela toona showed the lowest LPO inhibitory potential and NO quenching capacity （50.5% and 30.5%, respectively）. Buchanania lanzan, a medicinal plant extensively used for inflammatory disorders and Dalbergia sissoo also showed 72.5% and 69.1% LPO inhibitory potential/10 μg extract. Trolox equivalent antioxidant capacity ranged from 0.24 to 0.39 mmol/L TEAC/mg extract, indicating that all the barks tested had ABTS^＋ radical quenching capacity. Conclusion Bark of Crataeva nurvula has the highest antioxidant capacity and a positive correlation between antioxidant activity and their plendic content was found.