Comparison of three different observers for the estimation of biomass, substrate and specific growth rate.
\\n\\n
More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\\n\\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\\n\\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\\n\\nAdditionally, each book published by IntechOpen contains original content and research findings.
\\n\\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\\n\\n\\n\\n
\\n"}]',published:!0,mainMedia:{caption:"IntechOpen Maintains",originalUrl:"/media/original/113"}},components:[{type:"htmlEditorComponent",content:'
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
\n\nSimba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
\n\nIntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
\n\nSince the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
\n\n\n\nMore than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\nAdditionally, each book published by IntechOpen contains original content and research findings.
\n\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\n\n\n\n
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From chapter submission and review, to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. 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As unicellulars microorganism have the advantages of bacteria as ease of manipulation and growth rate. But comparing with bacterial system, they are capable of many of the post-translational modifications performed by higher eukaryotic cells, such as proteolytic processing, folding, disulfide bond formation and glycosylation [2].
Historically
Some of these alternative yeast cell factories are fission yeast as
Several reviews compare advantages and limitations of expression systems for foreign genes [15-20]. Between them
Why
But, probably the most important characteristic of
Daly and Hearn [30] reviewed various aspects of the
The objective of this chapter is to review the classic and alternative operational strategies to maximize yield and/or productivity from an industrial point of view and also how to obtain a repetitive product from batch to batch applying process analytical technology (BioPAT)
Host strains and vectors are available as commercial kits from Invitrogen Corporation (Carlsbad, CA) [32].
There are three types of
Although AOX1 is the promoter most commonly used, it presents a serie of limitations. Oxygen supply becomes a major concern in
It is necessary to develop bioprocess optimization and control tools in order to implement a Process Analytical Technology (PAT), BIOPAT when it is applied to bioprocesses [40]. This initiative has been promoted by regulatory agencies such as FDA and EMEA [41]. PAT is a multidisciplinary platform for designing, analyzing and controlling manufacturing through timely measurements of critical quality and performance attributes of raw and in-process materials and processes with the goal of ensuring final product quality [42].The final goal is guarantee consistent product quality at the end of the process, ease the regulatory review bioprocess and increase flexibility with respect to post-approval manufacturing changes [43] [Figure 1].
Scheme of a process analytical technology (PAT).
Applied to
Different approaches have been applied for the on-line determination of biomass in
Scheme of the calibration and prediction processes for PARAFAC combined with PLS regression for state variables determination.
Summary of the application of on-line PARAFAC approach (NOC = Normal Operating Conditions).
Multi-wavelength fluorescence is not standard equipment used in bioprocesses. Thus, when direct biomass quantification methods are not available, biomass can be determined from indirect on-line measurements using software sensors. The estimation of biomass, substrate and specific growth rate by two non-linear observers, nonlinear observed-based estimator (NLOBE) and second-order dynamic tuning (AO-SODE) and a linear estimator, recursive least squares with variable forgetting factor (RLS-VFF) have been applied to
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t
NLOBE | \n\t\t\tEasy tuning, 1 tuning parameter. \n\t\t\t | \n\t\t\tStrong dependence of initial values and kinetic yields. | \n\t\t
AO-SODE | \n\t\t\tRapid and stable response. Easy tuning, 2 tuning parameters. | \n\t\t\tAccurate knowledge of reaction scheme and stoichiometric coefficients are necessary. | \n\t\t
RLS-VFF | \n\t\t\tMinimal knowledge of the system. | \n\t\t\tSensible to rapid changes of μ. | \n\t\t
Comparison of three different observers for the estimation of biomass, substrate and specific growth rate.
Methanol concentration, the inducer substrate, is the most important variable for on-line monitoring because the productivity of the bioprocess is quite related to this parameter. Concentrations between 2-3.5 g/L are referenced as optimal concentrations to maximize protein production [48,49], higher concentrations present inhibition problems and in some cases lower concentration stops recombinant protein production [50].
Although chromatographic methods such as GC and HPLC are common methods for the off-line analysis, their on-line implementation is not usual due to the low sampling frequency [49].
On-line methods are generally based on liquid-gas equilibrium by analyzing the fermenter exhaust gas [51]. Nowadays, commercial equipments based in this principle are available from Raven Biotec, Figaro Biotech, PTI Instruments [52]. These equipments are quite robust and with minimum maintenance although some precautions should be taking into account to obtain a precise measurement [53].
Other alternatives are sequential injection analysis [54] Fourier transform mid-infrared spectroscopy [49] and flame ionization [55].
Process optimization only can conclude with effective measurement of heterologous protein production. Classical methods as ELISA, SDS-PAGE and Western blots or bioactivity assay are time-consuming, labour-intensive, and not applicable for the determination of the product in real time [51]. Methods including perfusion chromatography, specific biosensors and immunonephelometric assays are limited to proteins secreted in the extracellular culture broth, but not intracellular protein production [56,57]. To circumvent this problem fusing a GFP signal marker to the recombinant protein could be detected by fluorescence [58]. However the co-expression of this protein fusion could provoke a lost in the production of the recombinant product. When the recombinant protein has an associated colorimetric reaction, for instance enzymes, analytical approaches using flow injection analysis (FIA) or sequential injection analysis (SIA) are widely used [59].One of the most fully automated
Bioprocess scheme for on-line monitoring and control of
A.- Example of the on-line monitoring of
Some of the operational strategies using the phenotype Mut+ are focused in order to circumvent operational problems previously commented. Invitrogen Co., only provides an operational manual for the fed-batch growth on
Once the GBP is finished, indicated by a spike in measured DO or a decreased in CO2 consumption rate (CER), TP is started. The objective of TP is increase biomass level to generate high cell density cultures jointly with the derepression of AOX1 promoter due to the absence of an excess of glycerol prior to MIP. Different strategies are collected in a set of reviews [32, 34, 51, 52].
The selected operational strategy used in the MIP is one of the most important factors to maximizing heterologous protein production [67]. These strategies using a Mut+ phenotype have to circumvent the associated problems to the maximum methanol consumption capacity previously pointed out.
At his point, the monitoring and control of the inducer substrate, methanol, are the most important key parameter. High levels of this inducer substrate can generate inhibitory effect on cell growth [67], and low levels of methanol may not be enough to initiate the AOX transcription [8]. The inhibition profile on methanol follows an uncompetitive inhibition growth model, with a reported critic methanol concentration between 3 and 5.5 g/L depending on the target protein [34]. Thus, a set-point methanol concentration around 2 g/L seems an optimal value to maximize protein production. Although keeping a constant methanol concentration during the induction phase has positive effects on the production of foreign protein [65], some authors pointed out that the design of an optimal methanol or specific growth rat profile along the MIP maximize the productivity of the process [68].
It is quite difficult to compare the performance of different fed-batch strategies with different heterologous protein. On the other hand, the selection of the fed-batch strategy depends on the facilities to monitor methanol or other key variables as biomass or recombinant product.
Simple strategies, like the addition of a pulse of methanol at different time intervals, must be limited in basic studies to obtain a quantity of recombinant protein for preliminary characterization or structural studies, but is not realistic from an industrial point of view.
Several strategies have been proposed to optimize the methanol feeding rate with the final objective of maximizing protein production and to get a reproducible bioprocess:
Although different DO-start control has been developed [77-80]. This strategy cannot distinguish the possible accumulation of methanol. In this situation DO signal increases due to the inhibitory effect of methanol on growth, and the response of the DO-controller should be to increase the feeding rate of methanol aggravating the problem. This is particularly problematic in the beginning of the induction phase where
In this simple strategy, the methanol feeding rate profile (exponential) is obtained from mass balance equations with the objective to maintain a constant specific growth rate (µ) under methanol limiting conditions (no accumulation of methanol should be observed). To implement preprogrammed exponential feeding rate strategy, biomass concentration and volume at the beginning of the MIP have to be known and to assume that a constant biomass/substrate yield is maintained along the induction phase. This strategy has problems in terms of robustness and process stability, because, although open-loop system could be easy to implement they do not respond to perturbations of the bioprocess. To avoid this problem the set point of μ is fixed far from the μmax diminishing the productivity of the process. Nevertheless this simple strategy has been applied successfully in different bioprocesses [81-84]. On the other hand, when the recombinant protein affects the growth of the host reaching μmax lower than the wild strain, like in the production of
In previous strategies methanol concentration is neither measured on-line not directly controlled [51]. Thus, an accurate monitoring and control of methanol concentration is required. As previously has been commented, different analytical approaches has been implemented in order to on-line monitoring of methanol concentration in
Scheme of methanol feeding strategies: open loop and closed loop control.
Different methanol control concentration algorithms and strategies have been proposed. Although the on-off control is the simplest feed-back control strategy and it has been used by different authors [81, 85-88]
A proportional-integral (PI) or proportional-integral derivative (PID) control algorithms are more effective approach. Nevertheless, the optimal settings of the PID controller (gain KC, the integral time constant τI and the derivative time constant τD) are hardly ascertained by trial and error tuning or other empirical methods. Some authors have developed a PID control Bode stabilization criterion to achieve the parameters associated to this king of control, obtaining good results on methanol regulation in short time fermentations [77,88]. Because of the dynamics of the system, the optimal control parameters may vary significantly during the fermentation. Moreover, the existence of an important response time for both, the on-line methanol determination and the biological system has promoted the development of other control alternatives [34].
A predictive control algorithm coupled with a PI feedback controller has been implemented successfully in heterologous
Comparison of the performance of the different methanol control algorithms in
Model based on-line parameters estimation and on-line optimization algorithms have been developed to determine optimal inducer feeding rates. Continuous fermentation using methanol was performed via on-line methanol measurement and control using a minimal-variance-controller and a semi-continuous Kalman-Filter [90].
The standard fed-batch fermentation without oxygen limitation is namely methanol non-limited fed-batch (MNLFB). Independently of the strategy selected, high cell density cultures with Mut+\n\t\t\t\t
Temperature-limited fed-batch (TLFB). In this strategy the common methanol limitation is replaced by temperature limitation in order to avoid oxygen limitation at high cell density limitation [92]. Temperature controller was programmed to maintain a DO set-point around 25%,. When DO is lower than the set-point the culture temperature was decreased [32]. Using this approach cell death values decrease drastically and also protein proteolysis where reduced, although specific growth rate diminishes and, sometimes, it affect negatively to the productivity of the bioprocess [92]. This strategy has been applied successfully in different heterologous protein production [92-96].
Methanol limited fed-batch strategy (MLFB). The strategy is applied once the DO value under non limited conditions achieves values lower than the set-point (around 25%). At this point methanol feeding rate is controlled in order to assure the DO set-point. At this point methanol concentration starts to diminish from the methanol set-point to limiting conditions, although specific productivity can diminish the production of the heterologous product is not stopped [84, 91, 97-98].
Probably Mut+ phenotype under
All the strategies previously described for Mut+ phenotype can be applied to Muts phenotype, but to increase cell density and process productivity, as well as to reduce the induction time, a typical approach is the use of a multicarbon substrate in addition to methanol. It is a simple strategy to increase the energy supply to recombinant cells and the concentration of the carbon sources in the culture broth [81, 86, 88].
One of the most selected substrates is glycerol. Several authors have reported that the use of mixed feeds of glycerol and methanol during the induction phase increase productivity and feeding rates [99]. The advantages to use glycerol as co-substrate is that enthalpy of combustion of glycerol -549,5 kJC-mol-1 [100] is lower than the enthalpy of combustion of methanol, -727 kJC-mol-1 [37]. Thus, less heat will be released using mixing substrates compared with methanol alone. On the other hand, oxygen consumption is also reduced since less oxygen is necessary for the oxidation of glycerol [38]. Therefore, any method which reduces the heat and oxygen consumption rate without affecting productivity would clearly advantageous.
However, glycerol is reported to repress the expression of alcohol oxidase and subsequently the expression of the target protein [101]. Thus, the rational design of operational strategies for the addition of both substrates in fed-batch fermentation, while avoiding glycerol repression, is the key point of the bioprocess. Different strategies have been developed in Mut+ phenotype [24, 32, 52, 102-105]. One of the most applied is a pre-programmed exponential feeding rate with an optimum methanol-glycerol ratio [38, 106], or similar strategy maintaining a residual methanol concentration between 1- 2 gl-1 [78]. The effect of different methanol-glycerol ratios at constant feeding rate has also been studied in the production of mouse α-amylase [107].
One important feature showed in these works is that, although the maximum specific growth rate of
For this reason the use of different carbon sources other than glycerol may improve operational strategies on fed-batch cultures [99]. In contrast with glycerol, sorbitol accumulation during the induction phase does not affect the expression level of recombinant protein [108].
In shake flasks, inhibitory effect of sorbitol on cell growth appears at concentrations around 50 gl-1 [99]. Hence, control of residual sorbitol concentration during the induction phase is less critical than mixed feeds of glycerol and methanol. On the other hand less oxygen will be consumed during mixed substrate growth on sorbitol and methanol than using the combination glycerol and methanol or on methanol as sole carbon source [99]. However sorbitol has the disadvantage that the maximum specific growth rate is too low around 0.02 h-1 similar value that obtained in Muts phenotype growing on methanol as sole carbon source. Thus, time fermentation is long and sometimes the increase in the production not is reflected in the producitivity of the bioprocess.
Some different operational strategies have been implemented using sorbitol as co-substrate [99, 102, 106,109-114].
Arnau et al., [102,113] designed an operational strategy using a Muts phenotype comparing both co-substrates sorbitol and glycerol in the production of
Irrespective of any economical reasons to use sorbitol or glycerol as co-substrate, one of the key advantages of using glycerol instead of sorbitol is its higher µ (0.2 h-1 versus 0.02 h-1) and the subsequent potential increase in the productivity of the bioprocess. However, for Muts phenotype this potential advantage is ineffective, because when glycerol exceeds the µmax of
An important set of inducer promoters derived from genes which code for enzymes involved in the methanol metabolism are used as alternative promoters to the classical.
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t|
\n\t\t\t\t | \n\t\t\t22 | \n\t\t\t\n\t\t\t\t | \n\t\t\t121 | \n\t\t
\n\t\t\t\t | \n\t\t\t116 | \n\t\t\t\n\t\t\t\t | \n\t\t\t122 | \n\t\t
\n\t\t\t\t | \n\t\t\t101 | \n\t\t\t\n\t\t\t\t | \n\t\t\t123 | \n\t\t
\n\t\t\t\t | \n\t\t\t118 | \n\t\t\t\n\t\t\t\t | \n\t\t\t124 | \n\t\t
\n\t\t\t\t | \n\t\t\t119 | \n\t\t\t\n\t\t\t\t | \n\t\t\t120 | \n\t\t
Summary of the main inducible and constitutive alternative promoters to
However, these alternative promoters have similar operational problems than
Stadlmayr
Between them only the inducer
The
The great advantage of the constitutive GAP promoter is that the cloned heteroloogus protein will be expressed along with cell growth if the protein is not toxic for the cells [130]. The use of this promoter is more suitable for large-scale production because the hazard and cost associated with the storage and delivery of large volumes of methanol are eliminated [131], and also for the implementation of continuous cultures, continuous cultures practically not described using
In general, the substrates used with this promoter are glucose or glycerol. The standard operational strategy is a batch phase using glycerol and a fed-batch phase in an open-loop control using glucose. The selection of the optimal sequence of both substrates is under studies. For instance, the production of rPEPT2 growing on glucose was approximately 2 and 8 times higher than in cells grown on glycerol and methanol [135].
When using this expression system, specific production rate increases asymptotically to a maximum value with increasing µ [68]. Maurer
In conclusion PGAP is the most promise alternative to the classical PAOX1 promoter.
Trade is an integral part of economic activity and development. In global economic system, countries exchange various products as well as intermediate goods/inputs. International trade creates network of economic activity which are generally called trade networks or supply chains. Supply chains are the major enablers of world trade and the world is connected through supply chains. The world economy is strongly connected and influenced by supply chains and its developments. According various industry reports/studies, the best companies are the ones which are having best Supply Chains [1]. Global competition is forcing organizations to build suitable competencies to reduce cost and improve customer service on continuous basis. Corporations have realized that substantial cost savings and market benefits can be achieved by more effective management of their supply chains globally. Advances in information/communication systems and quantitative modeling are also being widely implemented, which provide the potential for access and analysis of comprehensive data/information from each element of the supply chain. One of the main objectives of supply chain is to link the markets, distribution system, manufacturing and allied processes and the procurement to serve its customers across different parts of the world at lower cost and higher service levels. Various developments in technologies, trade policies lead to strong economic growth of the world. Supply chains facilitated globalization of trade for a long time. Various disruptions challenged the globalization. COVID-19 crisis has led to the greatest disruption of supply chains worldwide. COVID-19 crisis not only disrupted the global supply chains and it has thrown lot of challenges to politicians, business and overall economy. COVID-19 pandemic has precipitated economic crisis due to disruption of supply chain, manufacturing activities, and suppressed demand. International Monetary Fund (IMF) has projected global economic growth to be negative 4.9%. This economic crisis has resulted in substantial erosion of market capitalization across the globe.
This chapter focus on how supply chains helped in building the economic development before COVID-19 crisis and how these will help to restart the economic development post COVID-19. We present a brief overview of supply chain management with some examples, impact of COVID-19 on supply chains and economy followed by economy recover framework, sectors and strategies.
A supply chain is a system consists of people, material, transformation activities, organizations, information and resources used in fulfilling the demand for a product or service by a customer. Supply chain management deals with transformation of raw materials and components into a finished product/service that is delivered to the end customer [2]. Figure 1 shows a typical supply chain which consists of suppliers, manufacturers, distributors and final customer. These entities are connected through suitable transportation, warehousing and information sharing across the supply network.
A typical supply chain network [
A supply chain is a network between a company and its suppliers to produce and distribute a specific product to the final buyer. Generally, supply chains deal with different activities, people, material, information, financial resource, knowledge & skills. Figure 2 shows various flows that need to be managed in a supply chain. Three important aspects of supply chains include adaptability, alignment and agility. The best supply chains identify structural shifts, sometimes before they occur, by capturing the latest data, filtering out noise, and tracking key patterns [3]. The supply chain also represents the steps it takes to get the product or service from its original state to the customer [2, 3]. Supply chain management is a crucial process because an optimized supply chain results in lower costs and a faster production cycle which helps companies to remain competitive in the business landscape. Some of the important areas that requires attention in supply chains include flow optimization, coordination, risk management, sustainability, safety and security. The best supply chains aren’t just fast and cost effective. They are also agile and adaptable, and they ensure that all their companies’ interests are aligned [3, 4].
Various flows in supply chain [
Supply chain management uses different approaches for efficient integration of its stakeholders like suppliers, manufacturers, warehouses, retailers such that the merchandise is manufactured and supplied to the right customer on time at correct location at correct time at minimal cost and optimal service level [2, 3]. According to Institute for supply management, the supply chain management is defined as “the design and management of seamless, value-added process across organizational boundaries to meet the real needs of the end customer. The development and integration of people and technological resources are critical to successful supply chain integration”. Similarly, Supply Chain Council defines it as “Managing supply and demand, sourcing raw materials and parts, manufacturing and assembly, warehousing and inventory tracking, order entry and order management, distribution across all channels, and delivery to the customer”. Council of Supply Chain Management Professionals defined it as “the planning and management of sourcing and procurement, conversion, and all logistics management activities”. Also includes coordination with channel partners, which can be suppliers, intermediaries, third party service providers, and customers.
SCM is the management of a network of interconnected businesses involved in the provision of product and service packages required by the end customers. The network of interconnected businesses and comprises of three major building blocks Viz., structural, logical and informational [2, 3, 5, 6].
Structural building blocks of a supply chain [
Logical building blocks of a supply chain [
Organizations involved in supply chains need to take several decisions are different levels and different processes. A typical decision spectrum is shown in Figure 5 along with various decisions at different levels. Forecasting is one of the critical inputs that affects the efficiency and responsiveness of the entire supply chain both in short term and long term.
Supply chain decision spectrum [
Order fulfillment also takes into consideration of networking strategies such as allocating inventories in the physical buildings, transportation strategies such as trying new processes and carriers and making changes in the distribution centers. Therefore, the order fulfillment considers cross-functionality of the organization which builds coordination among main suppliers and customers.
There are two major aspects to be considered in post-sales. They are Customer relationship management (CRM), customer service management (CSM). CRM helps in understanding how to provide tailor-made products and services to meet the needs and demands of a customer. CRM through supply chain network and through the delivery of products builds competitive edge of a company against their competitors. The main responsibility of a customer service management lies in refining the relationship with the customers. Customer service management in the SCM building blocks effectively focus on managing customer service on the basis of customer’s preferences, tastes, and perceptions to deliver best of products and services.
Making rational decisions in the context of supply chain management is a complex one. To help managers decide how to proceed, [7] have suggested the following seven principles which were based on the stories of successful organizations in business. These principles include the following [7]:
Customer segmentation based on their needs
Logistics network customization
Observe market demand and plan accordingly
Postponement or delayed differentiation of product closer to the customer demand
Strategic sourcing
Use of SC wide technology strategy
Use of channel wide performance measures
Many organizations around the work have benefited by using these principles and able to meet the customer demand effectively and profitably by strengthening their supply chains. Further, organizations have pursued various initiatives like integration of supply chain activities and these have resulted in improved asset utilization, reduced cost, and created competitive advantage on one hand and improved revenues on the other hand.
Measuring supply chain performance is one of the most difficult tasks in business due to involvement of many stakeholders and different types of activities that they perform in different geographic locations and contexts. However, both industry practioners and researchers have evolved different performance measures which are based on cost, quality, delivery, efficiency, sustainability etc. Some of the mainly used performance measures include delivery performance to request, upside production flexibility/material availability, total supply chain costs, Cash-to-Cash Cycle Time, return on investment, inventory turns, fill rate, customer service level, revenue growth etc.
In this study, we have adopted a generic method for literature search and industry practices in the area of supply chain management in different sectors, reports on economic development, global value chains, world trade and reports on COVID-19. Literature search has been carried out using key words like COVID-19, Supply Chain Management, economy recovery, world trade, global value chain, world GDP, healthcare from the databases like PubMed, Google Scholar, EBSCO, ENKI, ABI Info, etc. The search does not include other databases. Apart from these we have also used information regarding various stimulus packages and sectoral specific schemes for economic recovery in different countries. We have used the information from firms like McKinsey, The Economist, Gartner Inc., World economic forum, World trade organization etc. The author’s own research and consulting experience in the area of supply chain management and healthcare management. Apart from these we have also gathered the information from experts from different fields like policy makers, industry practitioners, consultants, medical physicians from healthcare sector at global level. We have excluded country specific details in the study.
Supply chains are in practice for a very long time in different forms facilitating the trade [5]. After world war II (WW-II), the importance of supply chains has increased significantly and from 1960s its influence has increased duo to developments in computers and information technology. Further, post 1990s due to advent of internet technologies and globalization of trade, the importance of supply chains has increased many fold and the GDP of the world has increased significantly [5, 6, 8] and the same is given in Section 3. Supply chain ecosystem and framework is brief described in the following sub sections.
Figure 6 shows various stakeholders and their relationship in the context of supply chain ecosystem [9]. Supply chain ecosystem is a complex network connecting various stakeholders through suitable technology platforms and incentive systems. This include logistics service providers like third party, forth party logistics providers, reverse and returns, inbound and outbound. Transportation modes would include roadways, railways, airways and seaways. Other services like warehousing, courier and freight services and material handling. SC ecosystem would include platforms, software across different industry verticals like automobile, fast consumer goods, industrial goods, energy, health and other services.
Supply chain ecosystem [
SC platforms are very critical and include connectivity management, application management and data management. Connectivity management include WAN, Wi-Fi, Hotspot, Bluetooth, RFID etc. Due to increase in complexity of SC network, the importance of software has increased significantly and most of the activities are managed through software tools. Software management in the context of SC include network management, streaming, data management, security, internet of things, asset management, asset maintenance, warehouse management, building management, fleet management etc. Advances in information and communication technologies like GPS has further improved the performance and control of supply chain activities. Due to rich data and advances like Artificial Intelligence (AI), Machine learning (ML) are facilitating in more rational and timely decisions across the supply chain.
Supply Chain Operations Reference (SCOR) model is very widely used industry standard model developed by supply chain council in 1996 [10]. SCOR model follows a hierarchical structure and has three levels. Level 1 include five process types viz., plan, source, make, delivery and return. The elements of SCOR model is shown in Figure 7 along with major functions and role of digitization at each stage of the supply chain. Level II include process categories which defines the configuration and level III include process activities in terms of inputs and outputs and performance measures. SCOR model employs five performance measures: reliability, responsiveness, flexibility, costs and asset management. In summary, the traditional SCOR Model has five processes, five performance measures and three levels describing SC comprehensively. Due to technological advancements in data capturing and analysis tools, the digitization across SC has attracted many stakeholders in improving the supply chain performance significantly. Digitization of supply chain functions at each stage is also shown in Figure 7. The most interesting and important element is handling of returns across various industry verticals. Returns in the supply chain have assumed significance due to electronic commerce industry. Of late, AI and Blockchain technologies are playing a critical role in managing the returns across various industry verticals by tracking the product usage history and other relevant information.
SCOR model with traditional and digital focus [
SCOR model covers the following activities:
Covers all interactions of
All transactions related to
All interactions of the
SCOR model allows environmental measures like carbon emissions, air pollution, liquid and solid waste, percent recycled waste etc. SCOR model connects emissions to the processes at source and provide a structure for measuring environmental performance and improvement areas. The hierarchical nature SCOR model allows strategic environmental footprints to be translated to specific activities and targets.
Though the supply chains are widely used in manufacturing industry to start with, subsequently the supply chain concepts and practices have been applied in other sectors including healthcare industry, pharmaceutical, food and agriculture, ecommerce, humanitarian, disaster relief etc. Healthcare is changing at an unprecedented pace, due to the impacts of technology, cost pressures from both payers and patients who are seeking quality care. Healthcare organizations including providers, retailers, distributors and wholesalers, manufacturers. Some of the organization who have adopted supply chain practices include Johnson and Johnson, Cleveland Clinic, Mercy, CVS Health, McKesson, Novo Nordisk, Medtronic, Stryker, Roche, Pfizer, Owens and Minor etc. For example, Mayo Clinic has improved the care delivery and reduction in cost by collaborating with its suppliers and adopting digital technologies in its operations. Figure 8 shows the framework suggested by Gartner in respect of healthcare organizations with a main objective of improving the human life at sustainable costs as well as quality. This model has five major processes viz., patient focus, collaboration, network visibility, cost to serve and change management supported by fundamental capabilities covering all the processes [11].
Healthcare value chain capabilities model [
Due to inherent advantages and capabilities of supply chains, many organizations across different industry/business verticals have adopted supply chains and benefited immensely. Some of the major sectors include automobile, food and agriculture, e-commerce, healthcare including hospitals, pharmaceuticals, diagnostic services, medical devices etc., defense and government, energy and power, oil and gas etc. Supply chains of e-commerce, food and healthcare is briefly explained in this section.
Electronic commerce (e-commerce) supply chains have gained significant importance due to ability of supply chains in meeting the customer service and low cost. Many companies like Amazon, flipkart, Alibaba etc. have demonstrated the power of supply chain in their business operations. Figure 9 shows typical supply chain network of e-commerce supply chains. Figure 10 shows a macro view of supply chain management at Amazon [Amazon.com]. e-commerce supply chains are more robust compared to others mainly due to its ability to manage the disruptions during crisis like COVID-19. Particularly during COVID-19 crisis, Amazon, flipkart and other e-commerce companies were able to maintain the continuity of supply in spite restrictions like lockdowns, social/physical distance and limited time operations, shortage of manpower etc. These companies are able to recover fast due to its resilience and responsiveness capability. This can be seen from the latest trend in the share price of e-commerce and food supply chain companies.
E-commerce supply chain [
Amazon supply chain [
A typical food supply chain with food safety information system and quality assurance system is shown in Figure 11 [14]. The food supply chain includes farm/farmer, distributor, factory, distributor/retailer and final customer. In case of food supply chains the most critical issue is food safety across the supply chain. These supply chains focus very heavily into food safety and traceability at each stage of the supply chain mainly at interfaces. Food supply chains uses information and communication technology widely. Quality and Compliance of standards across food supply chain is very critical and makes use of advanced technologies like RFID, temperature controls, GPS enabled systems for tracking and traceability. It follows standards like good manufacturing practices, ISO standards and TQM etc. [14].
Food supply chain [
Healthcare supply chains are more complex than other supply chains due to presence of many stakeholders and responsiveness requirements. A typical healthcare supply chain is shown in Figure 12. Healthcare supply chains poses several challenges due to stringent regulatory requirements, safety and security and quality requirements. In spite all these challenges, many healthcare organizations benefited by adopting supply chain management approaches. According to Gartner study [11] on top 25 healthcare supply chains, top 5 organizations include Johnson and Johnson, Cleveland Clinic, Mercy, CVS health and Duke University Health system. Many of these organizations are using best practices like collaboration, digitalization, robust processes that are aligned with the overall objective as well as the elements listed in healthcare value chain capabilities model. The major strengths of healthcare supply chains include agility, alignment, adaptability, resilience and responsiveness. These organizations follow people, process and technology solutions in the care delivery. Of late, many healthcare organizations particularly using AI and Blockchain technologies for personalized care in large scale. Telemedicine and home care is growing very fast due to COVID-19 crisis where supply chain is very critical. Some of the organizations are using drones for delivery of medicines, pathology samples, food and equipment. Many start-ups also emerging in healthcare by bridging the gap predominantly through digital technologies and supply chains.
Elements of healthcare supply chain [
Supply chain network structures and its configuration is very important in achieving the performance of supply chains. Predominantly used supply chain structures in the practice include centralized and decentralized [2] or Hub and spoke model. Figure 13 shows typical structure of centralized and decentralized supply chains. Centralized systems are more efficient and are generally used for high volume low value commodities like steel, cement, automobiles, computers etc. where cost is important. Whereas decentralized systems are predominantly used in e-commerce, healthcare and other services where responsiveness is most important. Hub and spoke models are predominantly used is both product and service organizations. A typical hub and spoke model of a Start-up delivering health services in Rural areas in India is shown in Figure 14. Generally, the Hubs are equipped with more resources that can help serving the customers located spoke level. Typically, these share many resources and innovate through collaborative mechanism and employ multi skilled people and technology to improve the efficiency and reach.
Centralized and decentralized supply chain system [
Hub and spoke model of a healthcare start-up [
Supply chains have contributed significantly for the world trade for many years. Further, supply chains have facilitated the globalization of trade. Figure 15, shows the world trade over last four decades [8]. There is a sensitive relationship between economic development and supply chain because efficient management of the supply chain can reduce costs, maximize customer value, and maximize competitive advantage. It entails effective coordination and control of linked sectors, departments, systems, and organizations. According to a study by world economic forum, reducing supply chain barriers could increase world GDP better over import tariffs. Further, the study shows that 50% reduction in supply chain barriers can increase world trade by 14.5% and world GDP by 4.7% and these gains are more evenly distributed across various countries and also it can generate more employment [17].
World trade-exports [
Global trade has increased owing to adoption of liberalization and globalization as national economic policies by several countries in post-Soviet era (post 1992). Global GDP has also expanded in tandem with global trade. An analysis of global merchandise trade and global GDP at market exchange rates with 2008 as base years shows coupled growth in global GDP and global trade as depicted in Figure 16 [18]. Due to emergence of global value chains, the global trade is shifting fast. This can be seen from Figure 16. Expansion of global GDP and its correlation with global trade increases the importance of worldwide network of production of goods. A study done by [8] suggests that contribution of intermediary goods in global trade of manufactured goods was more than that of finished goods during 2001–2008 and 2009–2014. This conclusion supports the existence of complex Global Value Chains (GVC) [19]. Furthermore, as per the available data, 57% of the global trade in 2015 was constituted by trade of intermediate goods [18]. OECD TiVA database shows that the Asian economies have the highest growth rates of contributions in GVCs [20].
Relation between global trade and GDP [
Due to increasing network of global supplies, patterns in global trade have shifted from ‘trade in goods’ to ‘trade in value added’ and ‘trade in tasks’ [19]. The Global Value Chain (GVC) Framework has emerged due to shifting pattern of global trade. It focusses on expanding and strengthening supply chain and value generation therein. Both developing and developed economies get benefited by participation into GVC [8]. Participation into GVC provides an exposure to the global best practices, technological know-how, and competence development. These result in higher economic growth and development [21].
GVC framework provides a strategic overview of global supply chain and integration of different characteristics of complex supply networks into GVC would provide a holistic perspective of various methodologies- operational and strategic [17]. Development of robust supply chain management practices have strengthened GVCs thereby easing cross-border movement of goods. It promotes domestic manufacturing and consumption. These in-turn result in growth of national GDPs. Therefore, to boost global economic growth promotion of global trade is essential. Sustenance of rapid growth in global trade is a function of participation of various countries into GVC which requires a robust supply chain management. From this analysis, it can be concluded that, development in supply-chain practices have contributed substantially to global economic growth.
World class organizations like Walmart, Apple, P & G, Amazon, IBM, Toyota, General Motors, Best Buy, Marks & Spencer’s, Zara, Sports goods companies, mobile companies, food chains have gained significantly by adopting supply chain practices in their business. Similarly, healthcare organizations like CVS Pharma, Cleveland clinic, Narayana Health of India, pharmaceutical companies, medical device and equipment companies and many others have gained significantly.
In 2019 the United States imported a staggering four $52 Billions of goods from China. COVID-19 crisis has created historical disruption to global supply chains. COVID-19 crisis has affected health of people, business and overall economy at global level. COVID-19 crisis is a wake-up call for supply chains and one way it created de-globalization of business and supply chains. Over dependence on one country like China had proved to be very disrupted at times of pandemic. Bloomberg reported in March 2020 that electronic makers are past the point of no return in the gradual migration from China. Further, the Chinese trade (both domestic and international) transactions dropped by around 56% in the mid- February 2020. Similarly, US, UK and Europe also gone through a drop of 26% in April 2020 and touched 17% in late April 2020. Sourcing from India it is recommended an incremental approach in bringing all Indian suppliers i.e., carefully select some low-risk and high reward programs to try out in India while maintaining Chinese base.
Due to COVID-19 crisis companies have fallen into one of two categories those that do not do anything hoping such a deception will not ever happen again those firms that heed the lessons of this crisis and make investments in mapping their supply networks so that they do not operate blind when the next crisis strikes, these are the ultimate winners. Some of the major challenges faced by supply chains due to COVID-19 include the following [22, 23]:
Lack of visibility due to higher levels of SC network complexity
High uncertainty on both supply and demand end
Limited production flexibility
Limited financial flexibility
In several countries consumer surveys show a likelihood of greater spending on groceries and less spending on discretionary categories. According to McKinsey study on marketing and sales survey conducted in Italy, Spain, UK and US during March, 2020 reveals that except groceries (grown around 18%) other sectors like quick service restaurants, restaurants, footwear, apparel, jewelry, accessories, furnishing and appliances have recorded negative growth ranging from 50–85%. Among all sectors, restaurants are the worst affected.
Another important incident of 2011 Tsunami in Japan can also help the business organizations around the world to learn important lessons. After the 2011 earthquake and tsunami had devastated north-east in Japan it led to the application of a new methodology that was developed that enables a sophisticated way to understand the exposure to risk associated with unlikely events such as COVID-19 pandemic. The ability of the supply chain to recover from the disaster should be considered by the supplier as a performance factor of the supply chains.
McKinsey [22] has suggested the following three step framework for rapid recovery:
According to some of the major studies by McKinsey, Economist and others [22, 23, 24], the early starters of economy include health care including pharmaceuticals, medtech, diagnostics, hospital and home care services, telehealth/telemedicine, essential items, food and agriculture, FMCG, 3D printing, internet of things (IoT), AI/ML, robotics, smart systems, e-commerce industry. COVID-19 has put the medtech industry at center stage with unparalleled demand for diagnostic test PPE, ventilators, and critical medical supplies. McKinsey [22, 23] has built a detailed model of COVID-19 impact on medical procedures mainly for the United States on the Europe which is used to create a model for predicting the potential impact on medical device sales in consumables and implants. The models consider two broad scenarios for COVID-19 case growth V shape recovery and W shape recovery. In V shape recovery, it is estimated that the material procedures decline by around 70% in the second quarter and up to 45% in third quarter when compared to 2019. It is expected to see a rapid ramp up for the next three forth to catch up on delayed elective procedures. Whereas in W shaped recovery, procedures would decline by 69% and 45% in the second and third quarters respectively.
It will not be that easy for many organizations to have a detailed analytical understanding of demand variability at local and national level. However,
Develop a high-risk supply chain disruption-monitoring and response program for countries impacted by the virus and the potential supply chain exposure from Tier 1 and below.
Assign high-risk weighting to suppliers and sub-tiers from emerging and developing countries with less developed healthcare systems that are less prepared.
Conduct a contract review to understand any financial implications of not being able to deliver supplies to manufacturing locations and customers.
Special attention for balancing of supply and demand, building suitable safety stocks are essential for business continuity, particularly with the unpredictable volatility of supply chain functions.
Identify various opportunities at supply side and diversify suppliers to ensure manufacturing capacity and raw material availability.
Establish a robust risk management models to monitor and prepare for shortages in material, manufacturing capacity and work closely with supply chain stakeholders particularly with critical suppliers.
Implement and utilize enhanced risk management, including scenario planning to create preemptive action plans.
Review the New Product Introduction process and utilize design measures to discover or develop alternative sources and routes in order to diversify your value chains. At the same time, analyze cascading implications of changes in volumes, quality and markets.
The most common approach is to use the bill of materials and focus on key components.
Some of the major actions suggested by McKinsey for economy recovery [23] is given below.
Some of the actions suggested for recovery of medtech industry [22] include the following.
The company is required to fundamentally rethink the supply chain network and key suppliers as they were already facing pressure to localize in certain markets, after the crisis it will continue to be important for the companies to consider how to balance these pressures that can impact local supplies with potential desires for greater flexibility in capacity. These adaptations could include building more agile organizations, speeding time to market and aspiring to “absolute benchmarks” for product design and development and manufacturing efficiency.
Some of the lessons learned from fast food service organizations like KFC, McDonald etc. include the following which are based on digitalization:
These are the five specific capabilities that can have a dramatic impact on performance of the healthcare supply chain [26]:
Better segmentation of products, markets and customers.
Greater agility to reduce cost and increase flexibility.
Measurement and benchmarking.
Alignment with global standards.
Collaboration across the healthcare value chain.
Supply chain issues create opportunities for counterfeiters and gray market vendors threatening patient safety and cutting into revenues of legitimate companies. Supply chain security breaches are increasing by an average of 33% every year not only in the emerging markets such as China, India & Brazil but also in the developed world. Better supply chain processes are central to increasing patient safety. Therefore, it is recommended that adopting a common global data standard and upgraded grading supply chain processes could/counterfeiting in half returning up to $15 Billion to $30 Billion in revenue to legitimate companies to reinvest in further improvements to patient care.
Organizations can learn from the experience of laptop manufacturer in Indian who can accept an order and deliver a customized computers to a European customer in almost a week. Other organizations like pharmaceutical and medical equipment companies can adopt two broad approaches based on internal factors and external factors. Internal factors include – segmentation, agility, measurement while the external factors include- alignment & collaboration [27].
According to [25], the supply chains needs a stress test in terms of time to recover (TTR) and time to survive (TTS). TTR is the time it takes for a particular player/stakeholder (supplier, manufacturer, distributor, retailer etc.) in the supply chain to restore full functionality after disruption. TTS is the maximum duration that supply chain can match supply with demand after facility disruption. TTS also estimate each measure under different scenarios of business and Identify its ability to recover from the disaster. Organizations need to have a backup plan when TTR of a stakeholder or facility is greater than its TTS. This helps the organization in quantifying the cost of disruptions and prepare mitigation plans for the most critical parts of the supply chain [25].
At macro level, the economic recovery requires actions such as government stimulus, digitalization, advance technologies like 3D printing, up-skilling/multiskilling of workforce, restructuring of supply chains with better resilience and response, collaboration/alliances, facilitating innovation by start-ups, strengthening research collaboration between government, industry and academia is also very critical for faster recovery.
There is a strong relationship between world trade, GDP and supply chain investments around the world during last more than two centuries starting from 1800. As globalization has increased, the world’s supply chains have become substantially more interconnected. Moreover, as emerging market economies have steadily come to account for a greater proportion of global GDP, goods often have more stages to pass through before reaching the end consumer.
During last seven decades (starting from 1960s) the economic growth of the world is very significant and also seen many disruptions like Tsunamis, 911 Terrorist attacks, pandemics like COVID-19. Among all the COVID-19 crisis is more significant in terms of health and economy. COVID-19 has led to nearly 5% negative growth of world economy. From national lockdowns to closed airspace and borders, Covid-19 has resulted in unprecedented disruption to the mechanics of most economies, regardless of their size or stage of development. In particular, the erection of these barriers has placed a major strain on the world’s supply chains, including essential linkages relating to food and medicines. COVID-19 also created tension between major economies of the world and disrupted global supply chains significantly. Supply chain leaders face pressure to rethink traditional distribution and supplier models. For example, Amazon looks to strengthen its healthcare influence through the expansion of services in the medical supply chain, industry stakeholders are reconsidering traditional hospital-supplier relationships. Data, analytics and technology are playing an increasingly important role in supply chain strategy. A 2018 Global Healthcare Exchange survey [28] showed roughly 60 percent of respondents indicated data and analytics were the highest priority areas for improvement. These changes and trends have pushed the role of supply chain management into new territory. Now, supply chain leaders are positioned to help lead their organizations to higher levels of customer service with more efficient models [29, 30]. To ensure success amid this changing environment, business leaders including healthcare organizations should place an emphasis on technology, business practices and customer service.
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His studies in robotics lead him not only to a PhD degree but also inspired him to co-found and build the International Journal of Advanced Robotic Systems - world's first Open Access journal in the field of robotics.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"441",title:"Ph.D.",name:"Jaekyu",middleName:null,surname:"Park",slug:"jaekyu-park",fullName:"Jaekyu Park",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/441/images/1881_n.jpg",biography:null,institutionString:null,institution:{name:"LG Corporation (South Korea)",country:{name:"Korea, South"}}},{id:"465",title:"Dr.",name:"Christian",middleName:null,surname:"Martens",slug:"christian-martens",fullName:"Christian Martens",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Rheinmetall (Germany)",country:{name:"Germany"}}},{id:"479",title:"Dr.",name:"Valentina",middleName:null,surname:"Colla",slug:"valentina-colla",fullName:"Valentina Colla",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/479/images/358_n.jpg",biography:null,institutionString:null,institution:{name:"Sant'Anna School of Advanced Studies",country:{name:"Italy"}}},{id:"494",title:"PhD",name:"Loris",middleName:null,surname:"Nanni",slug:"loris-nanni",fullName:"Loris Nanni",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/494/images/system/494.jpg",biography:"Loris Nanni received his Master Degree cum laude on June-2002 from the University of Bologna, and the April 26th 2006 he received his Ph.D. in Computer Engineering at DEIS, University of Bologna. On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. His research interests include pattern recognition, bioinformatics, and biometric systems (fingerprint classification and recognition, signature verification, face recognition).",institutionString:null,institution:null},{id:"496",title:"Dr.",name:"Carlos",middleName:null,surname:"Leon",slug:"carlos-leon",fullName:"Carlos Leon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Seville",country:{name:"Spain"}}},{id:"512",title:"Dr.",name:"Dayang",middleName:null,surname:"Jawawi",slug:"dayang-jawawi",fullName:"Dayang Jawawi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Technology Malaysia",country:{name:"Malaysia"}}},{id:"528",title:"Dr.",name:"Kresimir",middleName:null,surname:"Delac",slug:"kresimir-delac",fullName:"Kresimir Delac",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/528/images/system/528.jpg",biography:"K. Delac received his B.Sc.E.E. degree in 2003 and is currentlypursuing a Ph.D. degree at the University of Zagreb, Faculty of Electrical Engineering andComputing. His current research interests are digital image analysis, pattern recognition andbiometrics.",institutionString:null,institution:{name:"University of Zagreb",country:{name:"Croatia"}}},{id:"557",title:"Dr.",name:"Andon",middleName:"Venelinov",surname:"Topalov",slug:"andon-topalov",fullName:"Andon Topalov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/557/images/1927_n.jpg",biography:"Dr. Andon V. Topalov received the MSc degree in Control Engineering from the Faculty of Information Systems, Technologies, and Automation at Moscow State University of Civil Engineering (MGGU) in 1979. He then received his PhD degree in Control Engineering from the Department of Automation and Remote Control at Moscow State Mining University (MGSU), Moscow, in 1984. From 1985 to 1986, he was a Research Fellow in the Research Institute for Electronic Equipment, ZZU AD, Plovdiv, Bulgaria. In 1986, he joined the Department of Control Systems, Technical University of Sofia at the Plovdiv campus, where he is presently a Full Professor. He has held long-term visiting Professor/Scholar positions at various institutions in South Korea, Turkey, Mexico, Greece, Belgium, UK, and Germany. And he has coauthored one book and authored or coauthored more than 80 research papers in conference proceedings and journals. His current research interests are in the fields of intelligent control and robotics.",institutionString:null,institution:{name:"Technical University of Sofia",country:{name:"Bulgaria"}}},{id:"585",title:"Prof.",name:"Munir",middleName:null,surname:"Merdan",slug:"munir-merdan",fullName:"Munir Merdan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/585/images/system/585.jpg",biography:"Munir Merdan received the M.Sc. degree in mechanical engineering from the Technical University of Sarajevo, Bosnia and Herzegovina, in 2001, and the Ph.D. degree in electrical engineering from the Vienna University of Technology, Vienna, Austria, in 2009.Since 2005, he has been at the Automation and Control Institute, Vienna University of Technology, where he is currently a Senior Researcher. 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This chapter will discuss an innovation in seaweed cultivation of the genus Eucheuma, which is the prime marine commodity in the tropical regions of the world. Research conducted during 2015-2017 and 2019 in Southeast Sulawesi Province, Indonesia, provided an overview of the use of floating cage that showed very significant growth results. The research result showed that the growth rates of Eucheuma denticulatum and Kappaphycus alvarezii in floating cage seemed faster and resulted in better thallus morphology. Daily production of E. denticulatum and K. alvarezii that were cultivated in floating cage was higher than daily production of E. denticulatum and K. alvarezii cultivated on longline. Specific growth rate (SGR) of E. denticulatum and K. alvarezii cultivated by using floating cage method was also higher than E. denticulatum and K. alvarezii cultivated by using longline method. 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One of the methods to produce high amount of food is integrated farming including rice-aquaculture farming, which produces protein and carbohydrate as major components besides others. Rice-aquaculture farming produces grain (carbohydrate) and animal protein without affecting the quality and quantity of rice yield on the same piece of land and renders additional financial gain besides main crop (rice) like conventional monoculture. The aquatic species grown in the integrated culture are mainly distinct types of fishes, selected crustaceans and other selected species. Profitable rice-aquaculture integrated farming is popular in Asian countries than in Western countries. However, the integrated rice-aquaculture farming has its own limitations. The type of methods, culture species, influencing factors, and pros and cons of rice-aquaculture integrated farming are discussed in the present chapter.",book:{id:"7229",slug:"aquaculture-plants-and-invertebrates",title:"Aquaculture",fullTitle:"Aquaculture - Plants and Invertebrates"},signatures:"Pamuru Ramachandra Reddy and Battina Kishori",authors:[{id:"242524",title:"Dr.",name:"Ramachandra Reddy",middleName:null,surname:"Pamuru",slug:"ramachandra-reddy-pamuru",fullName:"Ramachandra Reddy Pamuru"},{id:"255022",title:"Dr.",name:"Kishori",middleName:null,surname:"Battina",slug:"kishori-battina",fullName:"Kishori Battina"}]},{id:"24074",title:"Embryonic and Larval Development of Freshwater Fish",slug:"embryonic-and-larval-development-of-freshwater-fish",totalDownloads:7469,totalCrossrefCites:1,totalDimensionsCites:2,abstract:null,book:{id:"612",slug:"recent-advances-in-fish-farms",title:"Recent Advances in Fish Farms",fullTitle:"Recent Advances in Fish Farms"},signatures:"Faruk Aral, Erdinç Şahınöz and Zafer Doğu",authors:[{id:"25600",title:"Prof.",name:"Faruk",middleName:null,surname:"Aral",slug:"faruk-aral",fullName:"Faruk Aral"},{id:"29132",title:"Dr.",name:"Zafer",middleName:null,surname:"Dogu",slug:"zafer-dogu",fullName:"Zafer Dogu"},{id:"39952",title:"Dr.",name:"Erdinc",middleName:null,surname:"Sahinoz",slug:"erdinc-sahinoz",fullName:"Erdinc Sahinoz"}]},{id:"68966",title:"Novel Biofloc Technology (BFT) for Ammonia Assimilation and Reuse in Aquaculture In Situ",slug:"novel-biofloc-technology-bft-for-ammonia-assimilation-and-reuse-in-aquaculture-in-situ",totalDownloads:1954,totalCrossrefCites:2,totalDimensionsCites:8,abstract:"Ammonia is one of the most harmful risks for success of fish and shrimp culture. There is no effective solution for harmlessness of ammonia in traditional aquaculture operations except exchanging water, which would bring negative effects on environment, or fixing expensive equipment. Biofloc technology (BFT) that appeared in recent years supplies a novel solution for this issue without exchanging huge water and fixing equipment. This technology could assimilate ammonia almost in real time with many other supplemental benefits. Because of the very high nutritional value for fish and shrimp, bioflocs, the by-product of BFT, could also be reused as a complemented food in situ or a gradient for feedstuff to replace expensive fishmeal or be processed to pellet diet to feed fish and shrimp directly. However, some aspects with regard to the effective use of biofloc as a food source for fish and shrimp, such as high lipid content, productivity, and palatability, need to be further researched in detail.",book:{id:"8928",slug:"emerging-technologies-environment-and-research-for-sustainable-aquaculture",title:"Emerging Technologies, Environment and Research for Sustainable Aquaculture",fullTitle:"Emerging Technologies, Environment and Research for Sustainable Aquaculture"},signatures:"Hai-Hong Huang",authors:[{id:"305215",title:"Dr.",name:"Hai-Hong",middleName:null,surname:"Huang",slug:"hai-hong-huang",fullName:"Hai-Hong Huang"}]}],onlineFirstChaptersFilter:{topicId:"32",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:11,numberOfPublishedChapters:91,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:109,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:333,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:11,numberOfPublishedChapters:144,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:126,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:23,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:13,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"7",title:"Biomedical Engineering",doi:"10.5772/intechopen.71985",issn:"2631-5343",scope:"Biomedical Engineering is one of the fastest-growing interdisciplinary branches of science and industry. 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Dr. Koprowski has authored more than a hundred research papers with dozens in impact factor (IF) journals and has authored or co-authored six books. Additionally, he is the author of several national and international patents in the field of biomedical devices and imaging. Since 2011, he has been a reviewer of grants and projects (including EU projects) in biomedical engineering.",institutionString:null,institution:{name:"University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:3,paginationItems:[{id:"7",title:"Bioinformatics and Medical Informatics",coverUrl:"https://cdn.intechopen.com/series_topics/covers/7.jpg",isOpenForSubmission:!0,editor:{id:"351533",title:"Dr.",name:"Slawomir",middleName:null,surname:"Wilczynski",slug:"slawomir-wilczynski",fullName:"Slawomir Wilczynski",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035U1loQAC/Profile_Picture_1630074514792",biography:"Professor Sławomir Wilczyński, Head of the Chair of Department of Basic Biomedical Sciences, Faculty of Pharmaceutical Sciences, Medical University of Silesia in Katowice, Poland. His research interests are focused on modern imaging methods used in medicine and pharmacy, including in particular hyperspectral imaging, dynamic thermovision analysis, high-resolution ultrasound, as well as other techniques such as EPR, NMR and hemispheric directional reflectance. Author of over 100 scientific works, patents and industrial designs. Expert of the Polish National Center for Research and Development, Member of the Investment Committee in the Bridge Alfa NCBiR program, expert of the Polish Ministry of Funds and Regional Policy, Polish Medical Research Agency. Editor-in-chief of the journal in the field of aesthetic medicine and dermatology - Aesthetica.",institutionString:null,institution:{name:"Medical University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},{id:"8",title:"Bioinspired Technology and Biomechanics",coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",isOpenForSubmission:!0,editor:{id:"144937",title:"Prof.",name:"Adriano",middleName:"De Oliveira",surname:"Andrade",slug:"adriano-andrade",fullName:"Adriano Andrade",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRC8QQAW/Profile_Picture_1625219101815",biography:"Dr. Adriano de Oliveira Andrade graduated in Electrical Engineering at the Federal University of Goiás (Brazil) in 1997. He received his MSc and PhD in Biomedical Engineering respectively from the Federal University of Uberlândia (UFU, Brazil) in 2000 and from the University of Reading (UK) in 2005. He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). He was the head of the undergraduate program in Biomedical Engineering of the Federal University of Uberlândia (2015 - June/2019) and the head of the Centre for Innovation and Technology Assessment in Health (NIATS/UFU) since 2010. He is the head of the Postgraduate Program in Biomedical Engineering (UFU, July/2019 - to date). He was the secretary of the Parkinson's Disease Association of Uberlândia (2018-2019). Dr. Andrade's primary area of research is focused towards getting information from the neuromuscular system to understand its strategies of organization, adaptation and controlling in the context of motor neuron diseases. His research interests include Biomedical Signal Processing and Modelling, Assistive Technology, Rehabilitation Engineering, Neuroengineering and Parkinson's Disease.",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",isOpenForSubmission:!0,editor:{id:"126286",title:"Dr.",name:"Luis",middleName:"Jesús",surname:"Villarreal-Gómez",slug:"luis-villarreal-gomez",fullName:"Luis Villarreal-Gómez",profilePictureURL:"https://mts.intechopen.com/storage/users/126286/images/system/126286.jpg",biography:"Dr. Luis Villarreal is a research professor from the Facultad de Ciencias de la Ingeniería y Tecnología, Universidad Autónoma de Baja California, Tijuana, Baja California, México. Dr. Villarreal is the editor in chief and founder of the Revista de Ciencias Tecnológicas (RECIT) (https://recit.uabc.mx/) and is a member of several editorial and reviewer boards for numerous international journals. He has published more than thirty international papers and reviewed more than ninety-two manuscripts. 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His fields of interest are anterior segment disease, keratoconus, glaucoma, corneal dystrophies, and cataracts. His research topics include\nintraocular lens power calculation, eye modification induced by refractive surgery, glaucoma progression, and validation of new diagnostic devices in ophthalmology. \nHe has published more than 100 papers in international and Italian scientific journals, more than 60 in journals with impact factors, and chapters in international and Italian books. He has also edited two international books and authored more than 150 communications or posters for the most important international and Italian ophthalmology conferences.",institutionString:'University of Campania "Luigi Vanvitelli"',institution:{name:'University of Campania "Luigi Vanvitelli"',institutionURL:null,country:{name:"Italy"}}}]},{type:"book",id:"7560",title:"Non-Invasive Diagnostic Methods",subtitle:"Image Processing",coverURL:"https://cdn.intechopen.com/books/images_new/7560.jpg",slug:"non-invasive-diagnostic-methods-image-processing",publishedDate:"December 19th 2018",editedByType:"Edited by",bookSignature:"Mariusz Marzec and Robert Koprowski",hash:"d92fd8cf5a90a47f2b8a310837a5600e",volumeInSeries:3,fullTitle:"Non-Invasive Diagnostic Methods - Image Processing",editors:[{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:{name:"University of Silesia",institutionURL:null,country:{name:"Poland"}}}]},{type:"book",id:"6843",title:"Biomechanics",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6843.jpg",slug:"biomechanics",publishedDate:"January 30th 2019",editedByType:"Edited by",bookSignature:"Hadi Mohammadi",hash:"85132976010be1d7f3dbd88662b785e5",volumeInSeries:4,fullTitle:"Biomechanics",editors:[{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. 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He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. Professor Derbel has published many articles in journals and collaborates intensively with IntechOpen Access Publisher as an editor.",institutionString:"Clinique les Oliviers",institution:null},{id:"300144",title:"Dr.",name:"Meriem",middleName:null,surname:"Braiki",slug:"meriem-braiki",fullName:"Meriem Braiki",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/300144/images/system/300144.jpg",biography:"Dr. Meriem Braiki is a specialist in pediatric surgeon from Tunisia. She was born in 1985. She received her medical degree from the University of Medicine at Sousse, Tunisia. She achieved her surgical residency training periods in Pediatric Surgery departments at University Hospitals in Monastir, Tunis and France.\r\nShe is currently working at the Pediatric surgery department, Sidi Bouzid Hospital, Tunisia. Her hospital activities are mostly concerned with laparoscopic, parietal, urological and digestive surgery. She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. He has authored and reviewed a number of journal articles and book chapters.",institutionString:"National Veterinary Research Institute",institution:{name:"National Veterinary Research Institute",country:{name:"Nigeria"}}},{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",country:{name:"India"}}},{id:"94928",title:"Dr.",name:"Takuo",middleName:null,surname:"Mizukami",slug:"takuo-mizukami",fullName:"Takuo Mizukami",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94928/images/6402_n.jpg",biography:null,institutionString:null,institution:{name:"National Institute of Infectious Diseases",country:{name:"Japan"}}},{id:"233433",title:"Dr.",name:"Yulia",middleName:null,surname:"Desheva",slug:"yulia-desheva",fullName:"Yulia Desheva",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/233433/images/system/233433.png",biography:"Dr. Yulia Desheva is a leading researcher at the Institute of Experimental Medicine, St. Petersburg, Russia. 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