Objective: To investigate the elemental composition of the leaves and flowers of Catharanthus roseus (C. roseus) due to the plant's wide application in the indigenous medicinal system and its chemical constituents' importance. Methods: The atomic absorption spectrophotometer was used for quantitative analysis of various elements. Results: Total 13 important elements were analyzed in leaves and flowers of C. roseus. Results indicated the presence of Na, K, Ca, Mg, Cr, Fe, Zn, Al, Cu, Ni, Pb, Cd and Mn in both leaves and flowers. The most important finding of the work was that, leaves of C. roseus showed high concentration of all elements except K and Zn while flowers of C. roseus showed higher concentration of K and Zn. Conclusions: The elemental composition in both leaves and flowers of C. roseus were found to be different. Therefore, different parts of this medicinal plant are enriched in some micro and macro nutrients like Fe, Ca, Na, K, Zn, which are very important for biological metabolic system as well as human health.

Thrombotic microangiopathy (TMA) is characterized by systemic microvascular thrombosis, target organ injury, anemia and thrombocytopenia. Thrombotic thrombocytopenic purpura, atypical hemolytic uremic syndrome and Shiga toxin E-coli-related hemolytic uremic syndrome are the three common forms of TMAs. Traditionally, TMA is encountered during pregnancy/postpartum period, malignant hypertension, systemic infections, malignancies, autoimmune disorders, etc. Recently, the patients presenting with trauma have been reported to suffer from TMA. TMA carries a high morbidity and mortality, and demands a prompt recognition and early intervention to limit the target organ injury. Because trauma surgeons are the first line of defense for patients presenting with trauma, the prompt recognition of TMA for these experts is critically important. Early treatment of post-traumatic TMA can help improve the patient outcomes, if the diagnosis is made early. The treatment of TMA is also different from acute blood loss anemia namely in that plasmapheresis is recommended rather than platelet transfusion. This article familiarizes trauma surgeons with TMA encountered in the context of trauma. Besides, it provides a simplified approach to establishing the diagnosis of TMA. Because trauma patients can require multiple transfusions, the development of disseminated intravascular coagulation must be considered. Therefore, the article also provides different features of disseminated intravascular coagulation and TMA. Finally, the article suggests practical points that can be readily applied to the management of these patients.