Assessment of Vitamin Composition of Ethanol Leaf and Seed Extracts of Datura Stramonium

Background: Herbs have gained recognition as highly efficient tools in the treatment and management of diseases both in modern and traditional medicine. Datura stramonium is a good example of such a medicinal herb. D. stramonium is popularly called thorn apple or Jimson weed in the family of Solanaceae. It has both toxic as well as medicinal potentials. D. stramonium leaves, seeds, and stems have been extensively studied for various pharmacological properties. D. stramonium seed is among the top plants commonly abused as a drug by Nigerian youths. Chemical constituents are responsible for the medicinal potential of plants. Objectives: This study was planned to investigate and compare the vitamin contents of ethanol extract of D. stramonium leaf and seed. Methods: The determination of vitamin levels was carried out using the Association of Official Analytical Chemists (AOAC) and other standard methods. Results: The order of vitamin composition in both leaves and seeds was E>C>A>B6>B9>B12>B2>B1>B3 . Moreover, the concentration of vitamins E, C, and A, being the most abundant, was 6.65:1.64 mg/100 g, 3.65:1.05 mg/100 g, 2.38:1.82 mg/100 g, for leaf and seed extracts, respectively. Further, there were significant differences (P<0.05) in the contents of vitamins A, C, E, and B2 of the leaves and seeds, with the leaves having higher vitamin levels than the seed. Conclusion: The number of vitamins present in the samples may be responsible for the highly nutritious and medicinal properties of D. stramonium. From the results of this study, it is obvious that D. stramonium leaves and seeds can serve as good nutritional supplements, which may also provide the users with adequate nutrients that help with the management of various health challenges. However, further studies are required to ascertain appropriate doses that could lead to toxicity

Knowledge, Awareness and Practice with Antimicrobial Stewardship Programmes among Healthcare Providers in a Ghanaian Tertiary Hospital

Antimicrobial resistance (AMR) is a significant problem in global health today, particularly in low- and middle-income countries (LMICs) where antimicrobial stewardship programmes are yet to be successfully implemented. We established a partnership between AMR pharmacists from a UK NHS hospital and in Ho Teaching Hospital with the aim of enhancing antimicrobial stewardship knowledge and practice among healthcare providers through an educational intervention. We employed a mixed-method approach that included an initial survey on knowledge and awareness before and after training, followed by qualitative interviews with healthcare providers conducted six months after delivery of training. This study was carried out in two phases in Ho Teaching Hospital with healthcare professionals, including pharmacists, medical doctors, nurses and medical laboratory scientists. Ethical approval was obtained prior to data collection. In the first phase, we surveyed 50 healthcare providers, including nurses (33%), pharmacists (29%) and biomedical scientists (23%). Of these, 58% of participants had engaged in continuous professional development on AMR/AMS, and above 95% demonstrated good knowledge on the general use of antibiotics. A total of 18 participants, which included four medical doctors, five pharmacists, four nurses, two midwives and three biomedical scientists, were interviewed in the second phase and demonstrated greater awareness of AMS practices, particularly the role of education for patients, as well as healthcare professionals. We found that knowledge and practice with AMS was markedly improved six months after the training session. There is limited practice of AMS in LMICs; however, through AMR-focused training, we demonstrated improved AMS skills and practice among healthcare providers in Ho Teaching Hospital. There is a need for continuous AMR training sessions for healthcare professionals in resource-limited settings

The dark side of the alpha rhythm: fMRI evidence for alpha-related attention allocation during complete darkness

The unique role of the EEG alpha rhythm in different states of cortical activity is still debated. The main theories regarding alpha function posit either sensory processing or attention allocation as the main processes governing its modulation. Closing and opening eyes, a well-known manipulation of the alpha rhythm, could be regarded as attention allocation from inward to outward focus though during light is also accompanied by visual change. To disentangle the effects of attention allocation and sensory visual input on alpha modulation, 14 healthy subjects were asked to open and close their eyes during conditions of light and of complete darkness while simultaneous recordings of EEG and fMRI were acquired. Thus, during complete darkness the eyes-open condition is not related to visual input but only to attention allocation, allowing direct examination of its role in alpha modulation. A data-driven ridge regression classifier was applied to the EEG data in order to ascertain the contribution of the alpha rhythm to eyes-open/eyes-closed inference in both lighting conditions. Classifier results revealed significant alpha contribution during both light and dark conditions, suggesting that alpha rhythm modulation is closely linked to the change in the direction of attention regardless of the presence of visual sensory input. Furthermore, fMRI activation maps derived from an alpha modulation time-course during the complete darkness condition exhibited a right frontal cortical network associated with attention allocation. These findings support the importance of top-down processes such as attention allocation to alpha rhythm modulation, possibly as a prerequisite to its known bottom-up processing of sensory input

Spatio-temporal indications of sub-cortical involvement in leftward bias of spatial attention

A leftward bias is well known in humans and animals, and commonly related to the right hemisphere dominance for spatial attention. Our previous fMRI study suggested that this bias is mediated by faster conduction from the right to left parietal cortices, than the reverse (Siman-Tov et al., 2007). However, the limited temporal resolution of fMRI and evidence on the critical involvement of sub-cortical regions in orienting of spatial attention suggested further investigation of the leftward bias using multi-scale measurement. In this simultaneous EEG–fMRI study, healthy participants were presented with face pictures in either the right or left visual fields while performing a central fixation task. Temporo-occipital event related potentials, time-locked to the stimulus onset, showed an association between faster conduction from the right to the left hemisphere and higher fMRI activation in the left pulvinar nucleus following left visual field stimulation. This combined-modal finding provides original evidence of the involvement of sub-cortical central attention-related regions in the leftward bias. This assertion was further strengthened by a DCM analysis designated at cortical (i.e., inferior parietal sulcus; IPS) and sub-cortical (pulvinar nucleus) attention related nodes that revealed: 1. Stronger inter-hemispheric connections from the right to left than vice versa, already at the pulvinar level. 2. Stronger connections within the right than the left hemisphere, from the pulvinar to the IPS. This multi-level neural superiority can guide future efforts in alleviating attention deficits by focusing on improving network connectivity