Classification of isolated licorice phenolics.
\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"10814",leadTitle:null,fullTitle:"Anxiety, Uncertainty, and Resilience During the Pandemic Period - Anthropological and Psychological Perspectives",title:"Anxiety, Uncertainty, and Resilience During the Pandemic Period",subtitle:"Anthropological and Psychological Perspectives",reviewType:"peer-reviewed",abstract:"The COVID-19 pandemic has had adverse effects on many people’s mental and physical health. As such, this book explores research, theories, biopsychosocial perspectives, and intercultural studies about the pandemic with the ultimate goal to promote better quality of life, resilience, and psychological wellbeing of the general population during this period.",isbn:"978-1-83968-126-4",printIsbn:"978-1-83968-119-6",pdfIsbn:"978-1-83968-215-5",doi:"10.5772/intechopen.95017",price:159,priceEur:175,priceUsd:205,slug:"anxiety-uncertainty-and-resilience-during-the-pandemic-period-anthropological-and-psychological-perspectives",numberOfPages:772,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"2db4d2a6638d2c66f7a5741d0f8fe4ae",bookSignature:"Fabio Gabrielli and Floriana Irtelli",publishedDate:"November 3rd 2021",coverURL:"https://cdn.intechopen.com/books/images_new/10814.jpg",numberOfDownloads:16510,numberOfWosCitations:3,numberOfCrossrefCitations:14,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:22,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:39,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"January 28th 2021",dateEndSecondStepPublish:"February 18th 2021",dateEndThirdStepPublish:"April 19th 2021",dateEndFourthStepPublish:"July 8th 2021",dateEndFifthStepPublish:"September 6th 2021",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"259407",title:"Prof.",name:"Fabio",middleName:null,surname:"Gabrielli",slug:"fabio-gabrielli",fullName:"Fabio Gabrielli",profilePictureURL:"https://mts.intechopen.com/storage/users/259407/images/system/259407.jpg",biography:"Dr. Fabio Gabrielli (2015 Nobel Prize nominee) has been Full\nProfessor of Philosophical Anthropology at Ludes University of\nLugano, Switzerland. Currently, he is also working as Professor\nof Philosophy of the Relationship at the School of Management,\nUniversity Jean Monnet, Bari, Italy. He is also a visiting professor, PWSTE, at the University of Jaroslaw, Poland. Dr. Gabrielli\nis a member of the International Scientific Committee of the\nQuantum Paradigms of Psychopathology (QPP) - European section, and a member\nof the Scientific Board of the Aracne Publishing House in Rome for the Neo-existential Anthropology Series. He is the honorary-national president of CCSVI in\nMultiple Sclerosis – ONLUS. Dr. Gabrielli has participated in numerous conferences, seminars, and congresses and has authored many books and journal papers.",institutionString:"Università Lum Jean Monnet",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Università Lum Jean Monnet",institutionURL:null,country:{name:"Italy"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"174641",title:"Dr.",name:"Floriana",middleName:null,surname:"Irtelli",slug:"floriana-irtelli",fullName:"Floriana Irtelli",profilePictureURL:"https://mts.intechopen.com/storage/users/174641/images/system/174641.jpeg",biography:"Floriana Irtelli is a psychoanalyst/psychotherapist and member of the International Association for Relational Psychoanalysis and Psychotherapy (IARPP) who has been lecturing for several years at the Catholic University of the Sacred Heart, Milan, Italy. She has worked at Fatebenefratelli Hospital in Milan performing research and clinical activities. She is among the authors of several books, including A Fresh Look at Anxiety Disorders and Psychopathy - New Updates on an Old Phenomenon, and has published articles for the Journal of Affective Disorders, Research in Psychotherapy, and the Journal for Psychiatric and Mental Health Nursing. She has participated in numerous conferences, seminars, and congresses. Dr. Irtelli is the sole author of the books Illuminarsi di Ben-essere, Familiar-mente, and Contemporary Perspectives on Relational Wellness.",institutionString:"Catholic University of the Sacred Heart",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"5",totalChapterViews:"0",totalEditedBooks:"4",institution:{name:"Catholic University of the Sacred Heart",institutionURL:null,country:{name:"Italy"}}},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"278",title:"Social Psychology",slug:"social-psychology"}],chapters:[{id:"76565",title:"Introductory Chapter: The Transition from Distress to Acceptance of Human Frailty - Anthropology and Psychology of the Pandemic Era",doi:"10.5772/intechopen.97688",slug:"introductory-chapter-the-transition-from-distress-to-acceptance-of-human-frailty-anthropology-and-ps",totalDownloads:376,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Fabio Gabrielli and Floriana Irtelli",downloadPdfUrl:"/chapter/pdf-download/76565",previewPdfUrl:"/chapter/pdf-preview/76565",authors:[{id:"259407",title:"Prof.",name:"Fabio",surname:"Gabrielli",slug:"fabio-gabrielli",fullName:"Fabio Gabrielli"},{id:"174641",title:"Dr.",name:"Floriana",surname:"Irtelli",slug:"floriana-irtelli",fullName:"Floriana Irtelli"}],corrections:null},{id:"76604",title:"Various Facets of Anxiety during the Pandemic in India - Critical Issues",doi:"10.5772/intechopen.97797",slug:"various-facets-of-anxiety-during-the-pandemic-in-india-critical-issues",totalDownloads:324,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The COVID-19 pandemic has brought on a lot of challenges. Among these challenges, the most pressing causes for concern are mental health issues. Anxiety is one such mental health concern that statistics has shown as increasing since the beginning of the pandemic. Numerous causes have contributed to these rising levels of anxiety. Health related concerns, loss of income, are just some of the many reasons that individuals have attributed their anxiety to. The Indian population has especially seen a massive number of jobs that have been lost, and the first lockdown in April 2020 saw a major domestic migrant crisis. In addition, a number of groups, such as the elderly, women, and the youth have faced anxiety provoking situations of their own. While India is currently facing a second wave exactly a year later, the facets of anxiety to take into consideration are numerous. The chapter looks at various facets of anxiety that have been encountered during the pandemic from an Indian context.",signatures:"Riddhi Laijawala, Sushma Sonavane and Avinash De Sousa",downloadPdfUrl:"/chapter/pdf-download/76604",previewPdfUrl:"/chapter/pdf-preview/76604",authors:[{id:"346560",title:"Prof.",name:"Avinash",surname:"De Sousa",slug:"avinash-de-sousa",fullName:"Avinash De Sousa"},{id:"415357",title:"Prof.",name:"Sushma",surname:"Sonavane",slug:"sushma-sonavane",fullName:"Sushma Sonavane"},{id:"415358",title:"Ms.",name:"Riddhi",surname:"Laijawala",slug:"riddhi-laijawala",fullName:"Riddhi Laijawala"}],corrections:null},{id:"76489",title:"The Impact of COVID-19 Pandemic on Suicidal Behavior",doi:"10.5772/intechopen.97663",slug:"the-impact-of-covid-19-pandemic-on-suicidal-behavior",totalDownloads:454,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The new type of coronavirus disease (COVID-19), which has affected the whole world and resulted in many people’s death, has also had negative effects on mental health. The measures, restrictions, and quarantine practices taken to control the pandemic have caused psychological, social, and economic problems. In studies conducted to date, it has been stated that anxiety symptoms, depression, severe adaptation, and sleep disorders are observed in people who have lost their relatives due to COVID-19, who were treated with the diagnosis of COVID-19, or who were exposed to intense information pollution related to the pandemic. It is also known that a large number of people lost their jobs due to the pandemic, and unemployment rates increased in countries. Economies and health systems of many countries are under this significant burden. In addition to the increase in the incidence of mental symptoms and disorders associated with COVID-19, growing socioeconomic problems pose a risk for suicide. In studies on the subject, attention is drawn to the rate of suicide that will increase during and after the pandemic, and warnings are given about taking precautions. In this section, the effects of COVID-19 on suicidal behavior will be discussed in light of findings in the literature.",signatures:"Cicek Hocaoglu",downloadPdfUrl:"/chapter/pdf-download/76489",previewPdfUrl:"/chapter/pdf-preview/76489",authors:[{id:"28322",title:"Prof.",name:"Cicek",surname:"Hocaoglu",slug:"cicek-hocaoglu",fullName:"Cicek Hocaoglu"}],corrections:null},{id:"76786",title:"Mental Health Issues during Covid-19 Pandemic in Portuguese Prisons",doi:"10.5772/intechopen.97798",slug:"mental-health-issues-during-covid-19-pandemic-in-portuguese-prisons",totalDownloads:341,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"During imprisonment, inmates face many difficulties to adapt to prison life well depicted in either classical works or recent research. They usually face many struggles related to the lack of contact with their families. For instance, the less the number of prison visits, the higher levels of aggressiveness and, consequently, the lower levels of adaptation. Additionally, this population is already problematic in “normal conditions” of their imprisonment. When facing crisis – such as the Covid-19 pandemic – their mental and emotional conditions become even worst. Inmates may experience higher levels of anxiety and stress due to the uncertain and high-risk circumstances they are all living. In addition, the deprivations of the support from their families, combined with the higher risk they are exposed due to the danger of Covid-19 virus’ contamination, substantially increase their concerns and could contribute to their lack of adjustment. The present chapter refers to the policies implemented by the Portuguese Prison Administration to deal with the Covid-19 pandemic and a provisional balance of its effects after one year of implementation. Besides information regarding inmate’s mental health conditions during pandemic, data on recidivism rates and criminal activity will also be discussed concerning their implication for future penitentiary policies.",signatures:"Rui Abrunhosa Gonçalves and Joana Andrade",downloadPdfUrl:"/chapter/pdf-download/76786",previewPdfUrl:"/chapter/pdf-preview/76786",authors:[{id:"198691",title:"Prof.",name:"Rui",surname:"Abrunhosa Gonçalves",slug:"rui-abrunhosa-goncalves",fullName:"Rui Abrunhosa Gonçalves"},{id:"346577",title:"Dr.",name:"Joana",surname:"Andrade",slug:"joana-andrade",fullName:"Joana Andrade"}],corrections:null},{id:"76734",title:"Athlete Psychological Resilience and Integration with Digital Mental Health Implementation Amid Covid-19",doi:"10.5772/intechopen.97799",slug:"athlete-psychological-resilience-and-integration-with-digital-mental-health-implementation-amid-covi",totalDownloads:354,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"The current pandemic’s effect on mental health is uncertain with reports of it being largely negative related to loneliness and unemployment. There are different responses to pandemic stress with regards to cultural differences and social environment. Athletes are special in their experience of psychological resilience – there is a trend of positive adjustment to adversity and stress. However, further systematic review is required to confirm these findings along with an athlete-specific psychological resilience instrument. Key themes in relationships include a dichotomous mental health state marked by maladjustment and subsequent resilience, biopsychosocial factors as well as an array of cultural, social and environmental support and demands marked by stressors within and outside of sport. Digital mental health implementation is a logical next step for advancing the construct of athlete psychological resilience towards complementing an effective prevention and early intervention. However, mental health practitioners are grappling with digital mental health in a hybrid model of care. There is a need for converging on methodologies due to the rapid development of digital technologies which have outpaced evaluation of rigorous digital mental health interventions. The functions and implications of human and machine interactions require explainable and responsible implementation for more certain and positive outcomes to arise.",signatures:"Luke Balcombe and Diego De Leo",downloadPdfUrl:"/chapter/pdf-download/76734",previewPdfUrl:"/chapter/pdf-preview/76734",authors:[{id:"38059",title:"Dr.",name:"Diego",surname:"De Leo",slug:"diego-de-leo",fullName:"Diego De Leo"},{id:"346588",title:"Dr.",name:"Luke",surname:"Balcombe",slug:"luke-balcombe",fullName:"Luke Balcombe"}],corrections:null},{id:"77214",title:"The Impact of the COVID-19 Pandemic on the Mental Health of Dentists",doi:"10.5772/intechopen.98591",slug:"the-impact-of-the-covid-19-pandemic-on-the-mental-health-of-dentists",totalDownloads:377,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Since March 2020, the COVID-19 disease has declared a pandemic producing a worldwide containment. For months, many people were subjected to strict social isolation away from family and loved ones to prevent disease transmission, leading to anxiety, fear, and depression. On the other hand, many had to close down their businesses and stop working, resulting in financial issues. Previous studies have reported that pandemics, epidemics, and some diseases can lead to mental disorders such as fear, anxiety, stress, and depression. Among those most affected, healthcare workers (HCWs), especially those on the front line, often develop mental health problems. Although there is data available on the management and care of HCWs, little attention has been paid to the mental health and well-being of dentists during the COVID-19 pandemic. Therefore, this chapter aims to review the impact of the COVID-19 pandemic on dentists’ mental health and mental health-related symptoms. Finally, to recommend specific measures to avoid consequent potential implications for dentists, dental students, and dental patients.",signatures:"Andrea Vergara-Buenaventura and Carmen Castro-Ruiz",downloadPdfUrl:"/chapter/pdf-download/77214",previewPdfUrl:"/chapter/pdf-preview/77214",authors:[{id:"346660",title:"M.Sc.",name:"Andrea",surname:"Vergara-Buenaventura",slug:"andrea-vergara-buenaventura",fullName:"Andrea Vergara-Buenaventura"},{id:"419814",title:"MSc.",name:"Carmen",surname:"Castro-Ruiz",slug:"carmen-castro-ruiz",fullName:"Carmen Castro-Ruiz"}],corrections:null},{id:"76699",title:"Evaluation of Anxiety Disorders and Protective-Risk Factors in Children during Pandemic Process",doi:"10.5772/intechopen.97863",slug:"evaluation-of-anxiety-disorders-and-protective-risk-factors-in-children-during-pandemic-process",totalDownloads:290,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"In this study, the possible negative effects of the pandemic process on children with anxiety disorders or anxiety sensitivity, risk factors and protective factors are discussed from a psychological point of view. In this context, were tried to review risk factors and protective factors by compiling the studies published in the literature on behavioral and emotional disorders observed in children, especially during the pandemic period. As risk factors are discussed mainly personal psychological characteristics such as traumatic experiences etc. As protective factors, personal qualities such as psychological resilience are discussed from a broad perspective. The aim of the chapter is to draw attention to the possible risk factors of children with anxiety disorders during pandemic process and their disadvantageous position resulting from this. At the same time, it is to contribute to the awareness of protective factors and measures that can be taken to strengthen children against this disadvantageous position.",signatures:"İsmail Seçer and Sümeyye Ulaş",downloadPdfUrl:"/chapter/pdf-download/76699",previewPdfUrl:"/chapter/pdf-preview/76699",authors:[{id:"346671",title:"Prof.",name:"İsmail",surname:"Seçer",slug:"ismail-secer",fullName:"İsmail Seçer"},{id:"347163",title:"Mrs.",name:"Sümeyye",surname:"Ulaş",slug:"sumeyye-ulas",fullName:"Sümeyye Ulaş"}],corrections:null},{id:"76902",title:"Anxiety, Uncertainty, and Resilience during the Pandemic: “Re-Directing the Gaze of the Therapeutic Couple”",doi:"10.5772/intechopen.98234",slug:"anxiety-uncertainty-and-resilience-during-the-pandemic-re-directing-the-gaze-of-the-therapeutic-coup",totalDownloads:264,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The present global pandemic of covid 19 requires many psychotherapists to work at a distance via telephone or the internet. At the same time a considerable number of psychotherapists work with masks while maintaining social distance. This pandemic impact draws our attention to two questions: One is the difference of working within the office vs. working online. Two is how external events impact the individuals socially as well as personally. This chapter explores clinical cases where, even though Covid and its implications imposed a horrible loss and increasing day to day unpredictability on the therapeutic space, the focus of therapy was readjusted thus igniting a process of deeper self-understanding.",signatures:"Eda Arduman",downloadPdfUrl:"/chapter/pdf-download/76902",previewPdfUrl:"/chapter/pdf-preview/76902",authors:[{id:"280312",title:"M.A.",name:"Eda",surname:"Arduman",slug:"eda-arduman",fullName:"Eda Arduman"}],corrections:null},{id:"76845",title:"Psychological Factors Influencing Protective Behaviours during the COVID-19 Pandemic: Capability, Opportunity and Motivation",doi:"10.5772/intechopen.98237",slug:"psychological-factors-influencing-protective-behaviours-during-the-covid-19-pandemic-capability-oppo",totalDownloads:330,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:1,abstract:"This chapter will explore psychological and demographic influences on citizens’ ability to enact protective health behaviours during the COVID-19 pandemic. Such behaviours include social distancing and hygienic practices that have been recommended across the globe to reduce the spread of infection from the coronavirus. Such behaviours represent a seismic change in usual social behaviour and have been particularly difficult to adopt under urgent circumstances. However, human behaviour is the essential driver of the rate and spread of infection. Using evidence from a large-scale longitudinal survey conducted throughout the pandemic in the UK, this chapter explores protective behaviours in relation to the Capability, Opportunity, Motivation-Behaviour (COM-B) model of behaviour change, which presents a framework for understanding the influences on behaviour. We will illustrate how the components of the COM-B model can inform behaviour change interventions and the importance of the role of anxiety in shaping behavioural responses to the pandemic.",signatures:"Jilly Gibson-Miller, Orestis Zavlis, Todd Hartman, Orla McBride, Kate Bennett, Sarah Butter, Liat Levita, Liam Mason, Anton P. Martinez, Ryan McKay, Jamie Murphy, Mark Shevlin, Thomas V.A. Stocks and Richard P. Bentall",downloadPdfUrl:"/chapter/pdf-download/76845",previewPdfUrl:"/chapter/pdf-preview/76845",authors:[{id:"346855",title:"Dr.",name:"Jilly",surname:"Gibson-Miller",slug:"jilly-gibson-miller",fullName:"Jilly Gibson-Miller"},{id:"417299",title:"Mr.",name:"Orestis",surname:"Zavlis",slug:"orestis-zavlis",fullName:"Orestis Zavlis"},{id:"417300",title:"Dr.",name:"Todd",surname:"Hartman",slug:"todd-hartman",fullName:"Todd Hartman"},{id:"417301",title:"Prof.",name:"Kate",surname:"Bennett",slug:"kate-bennett",fullName:"Kate Bennett"},{id:"417302",title:"Dr.",name:"Sarah",surname:"Butter",slug:"sarah-butter",fullName:"Sarah Butter"},{id:"417303",title:"Dr.",name:"Liat",surname:"Levita",slug:"liat-levita",fullName:"Liat Levita"},{id:"417304",title:"Dr.",name:"Liam",surname:"Mason",slug:"liam-mason",fullName:"Liam Mason"},{id:"417305",title:"Mr.",name:"Anton",surname:"Martinez",slug:"anton-martinez",fullName:"Anton Martinez"},{id:"417306",title:"Dr.",name:"Orla",surname:"McBride",slug:"orla-mcbride",fullName:"Orla McBride"},{id:"417307",title:"Dr.",name:"Ryan",surname:"McKay",slug:"ryan-mckay",fullName:"Ryan McKay"},{id:"417308",title:"Prof.",name:"Jamie",surname:"Murphy",slug:"jamie-murphy",fullName:"Jamie Murphy"},{id:"417309",title:"Prof.",name:"Mark",surname:"Shevlin",slug:"mark-shevlin",fullName:"Mark Shevlin"},{id:"417310",title:"Dr.",name:"Thomas V.A.",surname:"Stocks",slug:"thomas-v.a.-stocks",fullName:"Thomas V.A. Stocks"},{id:"417311",title:"Prof.",name:"Richard",surname:"Bentall",slug:"richard-bentall",fullName:"Richard Bentall"}],corrections:null},{id:"77759",title:"A Ray of Hope: Resilience Amidst Uncertainty and Other Psycho-Social Issues during COVID-19 Pandemic",doi:"10.5772/intechopen.99154",slug:"a-ray-of-hope-resilience-amidst-uncertainty-and-other-psycho-social-issues-during-covid-19-pandemic",totalDownloads:237,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The chapter explored the various psycho-social issues that the general masses are still suffering from due to the sudden arrival of COVID-19 pandemic and how the impending uncertainties, regarding almost every aspect of routine life and their own existence, played a major role in moderating the effects of these psycho-social issues. Additionally, amidst all of these uncertainties, how resilience of people whether social, mental or religious helped people in overcoming their different fears and psycho-social issues. The chapter incorporated findings achieved from different samples such as that of students, employees, health workers etc. And the role of resilience throughout the history in helping humankind overcoming such disastrous situations. Moreover, the chapter also tried to incorporate the protective strategies which can be useful in overcoming the prevalent uncertainties that still remain.",signatures:"Kanwar Hamza Shuja, Arfa Mubeen and Shazia Tariq",downloadPdfUrl:"/chapter/pdf-download/77759",previewPdfUrl:"/chapter/pdf-preview/77759",authors:[{id:"286219",title:"Ph.D. Student",name:"Kanwar",surname:"Hamza Shuja",slug:"kanwar-hamza-shuja",fullName:"Kanwar Hamza Shuja"},{id:"424971",title:"Ms.",name:"Arfa",surname:"Mubeen",slug:"arfa-mubeen",fullName:"Arfa Mubeen"},{id:"424972",title:null,name:"Shazia",surname:"Tariq",slug:"shazia-tariq",fullName:"Shazia Tariq"}],corrections:null},{id:"76605",title:"Promoting Resilience in the Face of Fundamental Uncertainty",doi:"10.5772/intechopen.97816",slug:"promoting-resilience-in-the-face-of-fundamental-uncertainty",totalDownloads:309,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Complex systems at different levels (states, organisations, individuals) undergo phase transitions when faced with a sudden shock. The phase transitions are unpredictable and can lead to unstable states and also introduce a source of fundamental uncertainty about the future. In the face of this type of fundamental uncertainty, we know from pioneering work on population health that social determinants (e.g. education, employment, housing, etc.) will have a substantial influence on the ability of individuals and society to be resilient and recover from these shocks. This chapter will start with an overview of complex systems, phase transitions and the nature of fundamental uncertainty. These concepts will then be discussed in light of the COVID-19 pandemic. The importance of social determinants in promoting both mental and physical health, and thus resilience at individual and population levels, will be described and the chapter will finish with an exploration of historical and contemporary examples of means that can be used to support individual and collective resilience in the face of fundamental uncertainty.",signatures:"Anant Jani",downloadPdfUrl:"/chapter/pdf-download/76605",previewPdfUrl:"/chapter/pdf-preview/76605",authors:[{id:"347169",title:"Dr.",name:"Anant",surname:"Jani",slug:"anant-jani",fullName:"Anant Jani"}],corrections:null},{id:"76705",title:"Impact of COVID-19 on Psychological Status of General Population",doi:"10.5772/intechopen.97866",slug:"impact-of-covid-19-on-psychological-status-of-general-population",totalDownloads:424,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"WHO has declared COVID-19 as a pandemic on March 11, 2020. Like the virus affects the entire body, the pandemic affected the entire global trade and economy, leading to the loss of jobs and businesses. Thus, it would be appropriate to quote COVID-19 as a social disease rather than treating only as a medical condition. The COVID-19 pandemic, being a social disease, affects all the individuals of the society in terms of their physical, mental, social health and challenges the economic status of the entire population, irrespective of whether they were physically sick. However, the mental health impact of the COVID-19 pandemic has been overlooked, given its benign nature. We can anticipate a higher prevalence of psychological distress during any pandemic than typical situations. The COVID-19 instils fear and anxiety among people. Isolation and quarantine to reduce disease transmission have a negative impact on one’s mental health. The lockdowns lead to the closure of educational institutions and workplaces, loss of jobs, economic loss, lack of physical activity, restrictions on travel and gatherings. All these factors cumulatively affected the mental stamina of millions worldwide. Given its importance, we have reviewed the impact of COVID-19 on the psychological status of general population.",signatures:"Yuvaraj Krishnamoorthy, Ramya Nagarajan, Gayathri Surendran and Manikandanesan Sakthivel",downloadPdfUrl:"/chapter/pdf-download/76705",previewPdfUrl:"/chapter/pdf-preview/76705",authors:[{id:"287937",title:"Dr.",name:"Yuvaraj",surname:"Krishnamoorthy",slug:"yuvaraj-krishnamoorthy",fullName:"Yuvaraj Krishnamoorthy"},{id:"349144",title:"Dr.",name:"Ramya",surname:"Nagarajan",slug:"ramya-nagarajan",fullName:"Ramya Nagarajan"},{id:"415390",title:"Dr.",name:"Gayathri",surname:"Surendran",slug:"gayathri-surendran",fullName:"Gayathri Surendran"},{id:"415391",title:"Dr.",name:"Manikandanesan",surname:"Sakthivel",slug:"manikandanesan-sakthivel",fullName:"Manikandanesan Sakthivel"}],corrections:null},{id:"76606",title:"Psychoanalysis and Non-Adherence to Medical Advice: An Ethical Dilemma in Covid-19 Pandemic",doi:"10.5772/intechopen.97744",slug:"psychoanalysis-and-non-adherence-to-medical-advice-an-ethical-dilemma-in-covid-19-pandemic",totalDownloads:285,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Mitigation measures required by Covid-19 pandemic have posed severe restrictions on individual freedom and have been met with persistent opposition in minority circles. As non-adherence to preventive measures is believed to increase health risks for the society at large, dissent from official policies has been a source of concern. Within this framework several eminent psychoanalysts have suggested psychoanalysis should be enrolled as a component of health related public opinion campaigns. The chapter will discuss the historical relation between mental health institutions and social control strategies and will formulate a psychoanalytic model of the social dialectic associated with the Coronavirus pandemic. The model will allow the author to offer grounded ethical perspectives on the issue.",signatures:"Paolo Azzone",downloadPdfUrl:"/chapter/pdf-download/76606",previewPdfUrl:"/chapter/pdf-preview/76606",authors:[{id:"324882",title:"Dr.",name:"Paolo",surname:"Azzone",slug:"paolo-azzone",fullName:"Paolo Azzone"}],corrections:null},{id:"76864",title:"Anxiety and Depression in COVID-19 Times",doi:"10.5772/intechopen.98215",slug:"anxiety-and-depression-in-covid-19-times",totalDownloads:333,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"The millennial generation has been known as the most anxious and depressed one, due to lack of more physical attachment. During these COVID-19 times, these problem had been widened for everyone - many had been panic about the illness, the media had played an awful hole on it, creating a scenario of huge risk for lives and jobs. We are facing a perfect storm, where we are not allowed to do most of the recreation and healthie programs - like visit the ones beloved, go to gym, go to a party. The use of internet have a lot of misinformation about the pandemic and even physicians, scientists and health politicians overload us with useless information. It was really hard to identify what was important. In this situation, dealing with uncertainty, anxiety and depression had created a huge problem for physicians and psychologists. How to help and support that. There are many strategies that we have used. First to diminish the search of information over COVID-19, selecting one trustable source. Second, contact your beloved ones, if possible with video call on an everyday basis. Third, develop a routine of physical activities in order to keep your body health. Fourth try to develop a health pattern of food. Together they can diminish the chance of having anxiety and depression. But if you need support for a professional, it’s important to have teams of professional available to give attention to that issues. The very first is a phone support or internet support, by teams that could discuss the problems and develop a personal strategy to deal with this situation. But when that is not enough, we must have a consultation with a physician or a psychologist. The approach must discuss fillings, worries and how to plan this isolation times. Most of us have a hidden agenda and fear that must be addressed and at this time it is important to allow the patients to talk about freely, and to develop empathy with their worries. After that we can promote some activities to diminish the fillings of anxiety and depression.",signatures:"Hamilton Lima Wagner",downloadPdfUrl:"/chapter/pdf-download/76864",previewPdfUrl:"/chapter/pdf-preview/76864",authors:[{id:"281898",title:"M.Sc.",name:"Hamilton Lima",surname:"Wagner",slug:"hamilton-lima-wagner",fullName:"Hamilton Lima Wagner"}],corrections:null},{id:"77064",title:"Adversity, Uncertainty and Elevated Symptoms of Obsessive Compulsive Disorder: A New Understanding through Resiliency and Positive Psychotherapy",doi:"10.5772/intechopen.98304",slug:"adversity-uncertainty-and-elevated-symptoms-of-obsessive-compulsive-disorder-a-new-understanding-thr",totalDownloads:284,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The content of thought, which emerges from the processing of information from the social context lived, is a critical factor that guides whether the behavior is psychopathological or not. In cases where worry, anxiety and fear are dominant in the content of thought, the individual may find himself in some psychopathological processes. Adversity and uncertainty are the main factors that lead to the experience of worry, anxiety and fear which is the last point of these. Uncertainty of information from the social context lived, when matched with adversity, may lead to chaotic situations at the cognitive level, e.g., thought contents such as distortions in thought, severe anxiety and fear. Obsessive compulsive disorder derives from severe worry and anxiety. Although the disorder is classified under anxiety disorders, it is actually a thought distortion disorder. The individual finds himself repeating the strange behavior patterns accompanied by strange thought contents in order to get rid of the severe anxiety and accelerated thought cycle he is exposed to. Ambiguity and uncertainty also may lead to the accelerated thought cycle, ruminations, severe thought distortions, over-generalizations. Ruminations, especially, impair the individual’s ability to think and process emotions gradually. Obsessive Compulsive Disorder will be discussed in terms of ambiguity and uncertainty with the combination of adversity. Positive Psychotherapy, which is one of the latest effective technique in recovery processes of the diseases, will be mentioned.",signatures:"Sevgi Güney",downloadPdfUrl:"/chapter/pdf-download/77064",previewPdfUrl:"/chapter/pdf-preview/77064",authors:[{id:"110081",title:"Ph.D.",name:"Sevgi",surname:"Güney",slug:"sevgi-guney",fullName:"Sevgi Güney"}],corrections:null},{id:"77908",title:"Anxiety, Uncertainty and Resilience during the Pandemic Period-Anthropological and Psychological Perspectives",doi:"10.5772/intechopen.98841",slug:"anxiety-uncertainty-and-resilience-during-the-pandemic-period-anthropological-and-psychological-pers",totalDownloads:328,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"Following any natural disaster, tragedy, calamities, there are upsurge of mental health issues found worldwide. COVID 19 is no exception to them. Public health and infection control domains were the first hit at the peak of pandemic. The news and information were bombarded in traditional print and electronic Medias as well as in social Medias. The tsunami of infodemic was a recent topic of discussion. The responsible reporting, media role, role of Government and Non Government organizations are immense. To combat these challenges and ensuring peace and tranquillity are the biggest task of the policymakers ahead.",signatures:"Ranjan Bhattacharyya",downloadPdfUrl:"/chapter/pdf-download/77908",previewPdfUrl:"/chapter/pdf-preview/77908",authors:[{id:"347365",title:"Associate Prof.",name:"Ranjan",surname:"Bhattacharyya",slug:"ranjan-bhattacharyya",fullName:"Ranjan Bhattacharyya"}],corrections:null},{id:"77524",title:"The Grief Elaboration Process in the Pandemic Scenario: A Group Intervention",doi:"10.5772/intechopen.98837",slug:"the-grief-elaboration-process-in-the-pandemic-scenario-a-group-intervention",totalDownloads:301,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The COVID-19 pandemic has claimed thousands of victims worldwide. To deal with loss is a formidable challenge for all, especially those who experienced losing their loved ones. The grief elaboration process is complex, and the pandemic adds some specific challenges, such as the restrictions to funerals and farewell rituals or the impossibility of saying goodbye due to the sanitary measures. This chapter presents a group psychological intervention aimed at people who lost their relatives to COVID-19. The therapeutic groups were carried out virtually through six sessions and brought together people from all over Brazil. Narrative therapy was the theoretical model adopted. The participants mentioned the moment of diagnosis as decisive for experiencing the disease’s terminality and anguish, promoting guilt and anxiety in the family. In the group, the participants found space to share the painful experience, and throughout the sessions, they were able to develop coping resources. They mentioned strategies, such as activating the family and social support network, recalling legacies and moments they shared with the deceased, and elaborating farewell rituals adapted to the pandemic circumstances. The participants evaluated the group intervention as very important for reframing the pain of loss and restoring future projects since they counted on the help and inspiration of the other participants who went through this painful experience in similar circumstances.",signatures:"Silvia Renata Lordello and Isabela Machado da Silva",downloadPdfUrl:"/chapter/pdf-download/77524",previewPdfUrl:"/chapter/pdf-preview/77524",authors:[{id:"283776",title:"Dr.",name:"Silvia Renata",surname:"Lordello",slug:"silvia-renata-lordello",fullName:"Silvia Renata Lordello"},{id:"349178",title:"Dr.",name:"Isabela",surname:"Machado Da Silva",slug:"isabela-machado-da-silva",fullName:"Isabela Machado Da Silva"}],corrections:null},{id:"77909",title:"Uncertainty in Pandemic Times",doi:"10.5772/intechopen.99454",slug:"uncertainty-in-pandemic-times",totalDownloads:294,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The Covid-19 pandemic has burst upon us as a general test for humanity, for which we were woefully unprepared. We all faced the pandemic with little knowledge and no experience. It is the first pandemic of our lives. Over this period, we have seen a range of conflicting statements, positions and behaviours. On occasion, the scientific community and health professionals have failed to speak with a single voice to convey the urgency of the situation, as their views got lost and scattered in rivulets of opposing theories ranging from denying to ringing the alarm. So many elements were in place for the ‘perfect storm’ to get unleashed … and it did. And as the pandemic wreaked its havoc, many health workers have paid a high price for their selfless dedication and professionalism. We have worked in the absence of clear-cut guidelines, in situations where even the cornerstones of medical ethics have faltered. On the other hand, the fruitful aspects of uncertainty also emerged.",signatures:"Liliana Lorettu, Davide Piu and Saverio Bellizzi",downloadPdfUrl:"/chapter/pdf-download/77909",previewPdfUrl:"/chapter/pdf-preview/77909",authors:[{id:"203859",title:"Prof.",name:"Liliana",surname:"Lorettu",slug:"liliana-lorettu",fullName:"Liliana Lorettu"},{id:"427667",title:"Dr.",name:"Davide",surname:"Piu",slug:"davide-piu",fullName:"Davide Piu"},{id:"427668",title:"Dr.",name:"Saverio",surname:"Bellizzi",slug:"saverio-bellizzi",fullName:"Saverio Bellizzi"}],corrections:null},{id:"77493",title:"Stress and Resilience among Medical Students during Pandemic",doi:"10.5772/intechopen.99001",slug:"stress-and-resilience-among-medical-students-during-pandemic",totalDownloads:257,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Medical students who are future physicians are faced with a lot of uncertainties during this pandemic. It includes both academic as well as clinical difficulties. Previous literature has revealed that the stress among medical students is higher when compared to their peers. The stress has even been more during the pandemic as their role during the pandemic is not clear. The purpose of medical training is to produce good doctors but not at the cost of the integrity of the individuals.’Moral inquiry’ is a term used to represent the ethical dilemma faced by doctors during life-death situations. Helplessness faced by students during emergencies leads to moral inqury which in turn leads to more distress. Most of the Medical universities have responded to the pandemic rapidly, by switching to online mode in teaching. This unpatrolled response also has to lead to more stress among medical students. Resilience, by definition, is the capacity to bounce back productively during a stressful situation. Resilience can be viewed as a personality trait or as a fluid process that nurtures according to the situation and the individuals’ reservoir. In this article, we have tried to emphasise the importance of Resilience.",signatures:"J. Shivananda Manohar, Rajesh Raman and Bindu Annigeri",downloadPdfUrl:"/chapter/pdf-download/77493",previewPdfUrl:"/chapter/pdf-preview/77493",authors:[{id:"317387",title:"Dr.",name:"J. Shivananda",surname:"Manohar",slug:"j.-shivananda-manohar",fullName:"J. Shivananda Manohar"},{id:"347999",title:"Dr.",name:"Rajesh",surname:"Raman",slug:"rajesh-raman",fullName:"Rajesh Raman"},{id:"348000",title:"Dr.",name:"Bindu",surname:"Annigeri",slug:"bindu-annigeri",fullName:"Bindu Annigeri"}],corrections:null},{id:"76383",title:"Loneliness and Psychological Distress: A Mediating Role of Meaning in Life during COVID-19 Pandemic",doi:"10.5772/intechopen.97477",slug:"loneliness-and-psychological-distress-a-mediating-role-of-meaning-in-life-during-covid-19-pandemic",totalDownloads:369,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The COVID-19 pandemic represents a health crisis with a high amount of loneliness, which in turn may be associated with negative mental health outcome like psychological distress. This chapter aimed to investigate if meaning in life mediated the effect of loneliness on symptoms of psychological distress. A young adult sample (N = 605, 75.7% women) completed the measures of loneliness, psychological distress, and meaning in life. The results indicated that meaning in life mediated the relations between loneliness and psychological distress symptoms. This relation was significant at low, medium, and high levels of meaning in life. The study shows that experience of loneliness is associated with symptoms of psychological distress. Level of meaning in life differentiates the direct and indirect effect of loneliness on psychological distress. Knowledge about the effect of loneliness in response to a health crisis is important for developing treatment and prevention strategies for loneliness, psychological distress, and meaning in life.",signatures:"Murat Yıldırım",downloadPdfUrl:"/chapter/pdf-download/76383",previewPdfUrl:"/chapter/pdf-preview/76383",authors:[{id:"348009",title:"Assistant Prof.",name:"Murat",surname:"Yıldırım",slug:"murat-yildirim",fullName:"Murat Yıldırım"}],corrections:null},{id:"77032",title:"Sleep and Resilience during the COVID-19 Pandemic",doi:"10.5772/intechopen.98298",slug:"sleep-and-resilience-during-the-covid-19-pandemic",totalDownloads:385,totalCrossrefCites:4,totalDimensionsCites:4,hasAltmetrics:0,abstract:"Since early 2020, the COVID-19 pandemic has had a profound effect on the mental health and wellbeing of much of the population. Rates of depression, anxiety, loneliness, suicidal ideation, and other mental health concerns increased during the first year of the pandemic, with heightened fears of the virus, social isolation, and economic instability. Psychological resilience remains a key factor in sustaining healthy emotional functioning during the crisis and facilitating rapid recovery as we move forward to build a better post-pandemic world. Our research, and that of others, suggests that healthy sleep is one of the most powerful aspects of psychological resilience. This chapter will summarize the current literature on psychological resilience, particularly as it relates to the pandemic, and describe the important role of sleep as a key component of resilience capacity. We will discuss novel empirical data linking sleep and resilience during the pandemic. We will conclude with concrete, empirically based suggestions for modulating sleep to sustain psychological resilience during the present crisis and those that may emerge in the future.",signatures:"Sara A. Cloonan, Emily C. Taylor, Michelle R. Persich, Natalie S. Dailey and William D.S. Killgore",downloadPdfUrl:"/chapter/pdf-download/77032",previewPdfUrl:"/chapter/pdf-preview/77032",authors:[{id:"348467",title:"Prof.",name:"William D.S.",surname:"Killgore",slug:"william-d.s.-killgore",fullName:"William D.S. Killgore"},{id:"415470",title:"B.A.",name:"Sara A.",surname:"Cloonan",slug:"sara-a.-cloonan",fullName:"Sara A. Cloonan"},{id:"415472",title:"Ms.",name:"Emily C.",surname:"Taylor",slug:"emily-c.-taylor",fullName:"Emily C. Taylor"},{id:"415473",title:"Dr.",name:"Michelle R.",surname:"Persich",slug:"michelle-r.-persich",fullName:"Michelle R. Persich"},{id:"415474",title:"Dr.",name:"Natalie S.",surname:"Dailey",slug:"natalie-s.-dailey",fullName:"Natalie S. Dailey"}],corrections:null},{id:"77114",title:"Potential Effects of the COVID-19 Pandemic on Children and Adolescents with Separation Anxiety Disorder",doi:"10.5772/intechopen.98334",slug:"potential-effects-of-the-covid-19-pandemic-on-children-and-adolescents-with-separation-anxiety-disor",totalDownloads:405,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Children with separation anxiety disorder (SAD) experience unrealistic fear of being separated from their significant caregivers (mostly parents). The occurrence of pathological separation anxiety is determined by many factors: parental attitudes, their mental and physical health, but also the way of perceiving the environment, traumatic events in the child’s family and life, as well as genetic and individual effects. Pandemic situation and related isolation caused change in the current lifestyle. Both psychological (i.e. the novelty of the social situation, negative information in the mass media, fear of their own live and their loved ones) and daily-life routine disturbances (i.e. the closure of schools and restrictions of contacts with peers, limited contacts with distant family members, remote work of parents) generate difficulties for children and can contribute anxiety among children with SAD. Paradoxically, despite the fact that children and adolescents are at home, the COVID-19 pandemic may intensify SAD, exacerbating factors underlying separation anxiety. It turns out that family social isolation can escalate conflicts. This, in turn, adversely affects relationships between family members and can reduce children’s sense of security. Due to pandemic problematic access to specialized health care, especially personal contact with a psychotherapist, children with SAD suffer from insufficient professional help.",signatures:"Malgorzata Dabkowska and Agnieszka Dabkowska-Mika",downloadPdfUrl:"/chapter/pdf-download/77114",previewPdfUrl:"/chapter/pdf-preview/77114",authors:[{id:"48667",title:"Dr.",name:"Malgorzata",surname:"Dabkowska",slug:"malgorzata-dabkowska",fullName:"Malgorzata Dabkowska"},{id:"58055",title:"Dr.",name:"Agnieszka",surname:"Dabkowska-Mika",slug:"agnieszka-dabkowska-mika",fullName:"Agnieszka Dabkowska-Mika"}],corrections:null},{id:"77215",title:"Child and Adolescent Anxiety as a Result of the COVID-19 Pandemic",doi:"10.5772/intechopen.98503",slug:"child-and-adolescent-anxiety-as-a-result-of-the-covid-19-pandemic",totalDownloads:302,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"As the coronavirus disease 2019 (COVID-19) pandemic has spread, so has the psychological impact of the disease been felt worldwide. Among the various types of psychological problems that are caused by COVID-19, anxiety poses a great threat to the physical and mental health of children and adolescents. With an aim of advancing the current work of diagnosing and treating child and adolescent anxiety as a result of the COVID-19 pandemic, this chapter discusses this noticeable global health issue focusing on the following key parts: possible etiology, clinical characteristics, diagnosis and available therapeutic options.",signatures:"Jie Luo and Alfred Shaw",downloadPdfUrl:"/chapter/pdf-download/77215",previewPdfUrl:"/chapter/pdf-preview/77215",authors:[{id:"348850",title:"Dr.",name:"Jie",surname:"Luo",slug:"jie-luo",fullName:"Jie Luo"},{id:"349138",title:"Dr.",name:"Alfred",surname:"Shaw",slug:"alfred-shaw",fullName:"Alfred Shaw"}],corrections:null},{id:"76735",title:"Anxiety, Coping Strategies and Resilience among Children and Adolescents during COVID-19 Pandemic: A Systematic Review",doi:"10.5772/intechopen.97828",slug:"anxiety-coping-strategies-and-resilience-among-children-and-adolescents-during-covid-19-pandemic-a-s",totalDownloads:466,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"COVID-19 pandemic is a global challenge that affects people’s mental health worldwide. Experiencing anxiety by children and adolescents, who are vulnerable to the impact of sustained stressors during developmentally sensitive periods, can lead to long-lasting effects on their health. The article brings insight into the short and long-term consequences of the COVID-19 pandemic on the children and adolescents’ mental health. The particular aim of this study is to investigate the relationship between anxiety, stress, and resilience in young individuals in the context of COVID-19. A review of the psychological effects of pandemic on children and adolescents was done using electronic databases. Most reviewed studies reported risk factors of psychosocial problems among children and adolescents during pandemics, resilience and positive coping as protective factors for the occurrence of anxiety and stress symptoms, and mediating role of parents’ stress impact on children’s behavioral and emotional problems. Clinical implications are discussed and additional research is suggested.",signatures:"Malgorzata Dąbkowska, Anna Kobierecka-Dziamska and Monika Prusaczyk",downloadPdfUrl:"/chapter/pdf-download/76735",previewPdfUrl:"/chapter/pdf-preview/76735",authors:[{id:"48667",title:"Dr.",name:"Malgorzata",surname:"Dabkowska",slug:"malgorzata-dabkowska",fullName:"Malgorzata Dabkowska"},{id:"349165",title:"Dr.",name:"Anna",surname:"Kobierecka-Dziamska",slug:"anna-kobierecka-dziamska",fullName:"Anna Kobierecka-Dziamska"},{id:"349166",title:"Ms.",name:"Monika",surname:"Prusaczyk",slug:"monika-prusaczyk",fullName:"Monika Prusaczyk"}],corrections:null},{id:"78271",title:"Is the Pandemic a Risk Factor for Eating Disorders?",doi:"10.5772/intechopen.99792",slug:"is-the-pandemic-a-risk-factor-for-eating-disorders-",totalDownloads:213,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"COVID-19 has already established direct or indirect effect on the lives of everyone. One of its many consequences is exacerbation of eating disorders’ (ED) triggers. Numerous risk factors for ED are enhanced during pandemic – anxiety, fear, depressed mood. Distance learning or working may result in loss of daily-life routine and feeling of being overwhelmed with duties. Due to forced isolation people are more exposed to social media pressure. Additionally, awareness of limitations of physical activity can develop fear of gaining the weight. These are typical symptoms of Anorexia Nervosa, a disease with the highest mortality rate among psychiatric disorders. Frustration, tedium and lack of external distractors can lead to inappropriate food-related coping style. Especially during the first wave of the pandemic, society was cautious about fresh food supplies and therefore many decided to stock up with processed, unhealthy food. Aggregation of stressors (e.g., worries about health, financial problems, loneliness) may promote binge eating.",signatures:"Agnieszka Dąbkowska-Mika",downloadPdfUrl:"/chapter/pdf-download/78271",previewPdfUrl:"/chapter/pdf-preview/78271",authors:[{id:"58055",title:"Dr.",name:"Agnieszka",surname:"Dabkowska-Mika",slug:"agnieszka-dabkowska-mika",fullName:"Agnieszka Dabkowska-Mika"}],corrections:null},{id:"78150",title:"A Year after - Could We Move beyond Psychosomatics and Dissociation",doi:"10.5772/intechopen.99227",slug:"a-year-after-could-we-move-beyond-psychosomatics-and-dissociation",totalDownloads:208,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Living in a global world that is continuously changing while creating the experience of fluidity, we are losing ground and, therefore, stability. It affects mental health across the life span. During the last 12 months from the first WHO notification of the novel coronavirus 2019-nCoV, humanity started to experience a dramatic change in the level of plans, norms, expectations. Besides fear for personal safety and health, the directed distancing increased the gap in everyday quality of possibilities for personal contacts and support. Losing the ground and experience trembling, we were inevitably facing blurred boundaries, insecurity and a direct attack on our will and who we are. Furthermore, a year after, we realize that we are in the fertile ground for the manifestation and experience of anxiety, panic, and numerous psychosomatic disorders. The whole of humanity is suffering. Hence, those coming from helping professions (psychologist, psychotherapists, social workers) dealing with mental health are experiencing the kick even harder. The research we are conducting is checking their wellbeing a year after.",signatures:"Emilija Stoimenova Canevska, Ena Canevska and Jana Petreska",downloadPdfUrl:"/chapter/pdf-download/78150",previewPdfUrl:"/chapter/pdf-preview/78150",authors:[{id:"325539",title:"Prof.",name:"Emilija",surname:"Stoimenova Canevska",slug:"emilija-stoimenova-canevska",fullName:"Emilija Stoimenova Canevska"},{id:"426657",title:"Dr.",name:"Ena",surname:"Canevska",slug:"ena-canevska",fullName:"Ena Canevska"},{id:"426658",title:"Dr.",name:"Jana",surname:"Petreska",slug:"jana-petreska",fullName:"Jana Petreska"}],corrections:null},{id:"76816",title:"Uncertainty, Sex and Sexuality during the Pandemic: Impact on Psychosocial Resilience",doi:"10.5772/intechopen.98231",slug:"uncertainty-sex-and-sexuality-during-the-pandemic-impact-on-psychosocial-resilience",totalDownloads:363,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"The Coronavirus disease 2019 (COVID-19) pandemic has been a global unprecedented health threat. Besides the myriad of effects on public health, the psychosocial implications of the outbreak have been far-fetched. Though the increased prevalence of psychiatric disorders, reduced access to care and social vulnerabilities have been highlighted in literature, the immense impact on sexuality and psychosexual health tends to be silent. The World Health Organization (WHO) defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity.” Sexual practices and intimacy have been influenced by more ways than one, namely fear of infection, ambiguity about viral spread, misinformation, physical distancing, travel restrictions, intimate partner violence and deprivation of ‘social touch’. The frontline workers, socio-economically impoverished groups, age and sexual minorities are especially affected. Sexual and reproductive rights are compromised due to reduced help-seeking, panic and stigma related to the outbreak. Psychological resilience helps one navigate through stressful situations and assumes a special importance during the ongoing crisis. This chapter reviews the multi-faceted intersections between sexual health and resilience, highlights the possible roles of pandemic-related uncertainty and advocates for certain guidelines to promote and preserve healthy expressions of sexuality for coping during COVID-19.",signatures:"Debanjan Banerjee, Sanchari Mukhopadhyay, Abhinav Tandon and T.S. Sathyanarayana Rao",downloadPdfUrl:"/chapter/pdf-download/76816",previewPdfUrl:"/chapter/pdf-preview/76816",authors:[{id:"317231",title:"Prof.",name:"T S Sathyanarayana",surname:"Rao",slug:"t-s-sathyanarayana-rao",fullName:"T S Sathyanarayana Rao"},{id:"317388",title:"Dr.",name:"Abhinav",surname:"Tandon",slug:"abhinav-tandon",fullName:"Abhinav Tandon"},{id:"350093",title:"Dr.",name:"Debanjan",surname:"Banerjee",slug:"debanjan-banerjee",fullName:"Debanjan Banerjee"},{id:"416659",title:"Dr.",name:"Sanchari",surname:"Mukhopadhyay",slug:"sanchari-mukhopadhyay",fullName:"Sanchari Mukhopadhyay"}],corrections:null},{id:"77039",title:"COVID-19 Pandemic; Anxiety and Depression among Frontline Healthcare Workers: Rising from the Ashes",doi:"10.5772/intechopen.98274",slug:"covid-19-pandemic-anxiety-and-depression-among-frontline-healthcare-workers-rising-from-the-ashes",totalDownloads:351,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"This chapter gives an insight into the psychological journey of the essential healthcare workers (HCWs) during the COVID-19 pandemic. The catastrophe which started off with uncertainty, provoked fear-related behaviors among the frontline doctors, nurses and paramedical staff. With meager resources and lack of a disaster plan, fire-fighting was a reflex response of healthcare institutions. Though the whole world seemed to be unprepared for the calamity, developing countries with fragile healthcare systems were more vulnerable to collapse. The negative aura was complicated by mistrust among the general population, regarding healthcare workers, institutions and government. Furthermore, with economic downfall; balancing work and protecting the family was a challenge for HCWs, especially during the pandemic peak. The psychological distress translated to rising incidence of depression and anxiety among them. As institutions gained insight into psychosocial issues of HCWs; support and therapies were offered to them. Positive messages labelling HCWs as “Heroes of the Pandemic” were circulated and structured programs developed to address their needs. With the advent of COVID-19 vaccine, a ray of hope emerged, although there are still apprehensions about its efficacy and side-effects. The whole world now eagerly awaits the calamity to perish while normality can rise from ashes.",signatures:"Salman Sharif and Faridah Amin",downloadPdfUrl:"/chapter/pdf-download/77039",previewPdfUrl:"/chapter/pdf-preview/77039",authors:[{id:"350303",title:"Prof.",name:"Faridah",surname:"Amin",slug:"faridah-amin",fullName:"Faridah Amin"},{id:"350305",title:"Prof.",name:"Salman",surname:"Sharif",slug:"salman-sharif",fullName:"Salman Sharif"}],corrections:null},{id:"77579",title:"Anxiety of Dental Professionals during Covid-19 Pandemic",doi:"10.5772/intechopen.98994",slug:"anxiety-of-dental-professionals-during-covid-19-pandemic",totalDownloads:260,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Coronavirus (COVID-19) is an enveloped RNA virus with a size of ~350 kilobase-pair and COVID-19 is commonly transmitted via aerosols, saliva, nasal droplets, and surface contact which causes severe acute respiratory tract infection among infected humans, and recently many cases declared with severe blood clotting. The average incubation period ranges from 4 to 14 days. The infected person usually presents fever accompanying an upper respiratory tract infection (RTI) and complaints of dry cough, and dyspnea. It is highly recommended to keep any suspected individuals in quarantine (isolation). After its first emergence in Wuhan, China in 2019 and then intercontinental spread it was declared as a pandemic by the World Health Organization in March 2020. The pandemic of COVID-19 deeply affected the whole world and healthcare workers as front liners are most at risk among professional groups. Dentistry is among the riskiest occupational groups that include all direct and indirect ways of COVID-19 spread. In this process, the dentists who experienced the effects of COVID-19 in the working conditions, economy, and social fields were psychologically negatively affected, and their anxiety, fear, and stress levels increased. In this review, we discuss the increased risk of the spread of coronavirus during dental operative procedures and the effects of the COVID-19 pandemic on the anxiety level, depression, and mental health of dental professionals.",signatures:"Pinar Kiymet Karataban",downloadPdfUrl:"/chapter/pdf-download/77579",previewPdfUrl:"/chapter/pdf-preview/77579",authors:[{id:"272237",title:"Dr.",name:"Pinar",surname:"Karataban",slug:"pinar-karataban",fullName:"Pinar Karataban"}],corrections:null},{id:"76779",title:"Children Living a Global Pandemic: Anxiety Repercussions",doi:"10.5772/intechopen.98212",slug:"children-living-a-global-pandemic-anxiety-repercussions",totalDownloads:278,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"A global pandemic caused by SARS-CoV-2 is still beaten our world. The disease, termed COVID-19 by the WHO, has a wide range of clinical manifestations, ranging from a mild, self-limiting form of the disease to multiple organ failure and death, forcing governments to take measures to mitigate the transmission and reduce the economic impact. However, the paediatric manifestation appears to take a milder form of the disease but they are not oblivious to the consequences of the disease. They suffered personal and parental lost, broke their social relationships, forced to home confinement, school closures, all of them with secondary implications. As a result, children’s anxiety levels and manifestations have increased during pandemic. To prevent and counteract this situation, measures were implemented like increase physical activity, a balanced diet, and regular sleep pattern; and in relationship sphere use social media to stay in touch with school mates and relatives.",signatures:"Salvador I. Garcia-Adasme and Alejandro López-Escobar",downloadPdfUrl:"/chapter/pdf-download/76779",previewPdfUrl:"/chapter/pdf-preview/76779",authors:[{id:"350502",title:"Dr.",name:"Alejandro",surname:"López-Escobar",slug:"alejandro-lopez-escobar",fullName:"Alejandro López-Escobar"},{id:"350521",title:"Ph.D. Student",name:"Salvador",surname:"García-Adasme",slug:"salvador-garcia-adasme",fullName:"Salvador García-Adasme"}],corrections:null},{id:"76713",title:"The Psychological Aspects of Home-Makers and Women during Pandemic",doi:"10.5772/intechopen.97687",slug:"the-psychological-aspects-of-home-makers-and-women-during-pandemic",totalDownloads:397,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"Depression and anxiety are two faces of a coin and we unfortunately fail to understand the plight of a person suffering from any one of these mental conditions. However, nowadays people have started considering mental health as a serious and complex issue, but still, those suffering from it tend to shy away and hide in arrears their own dark curtains. Sometimes, a very normal looking person may also be a victim of mental breakdown and anxiety. He may be working out fine, laughing, smiling, talking and all, but somewhere deep inside and within, he may be crying his heart out. It just does not visibly appear so on the outside. Moreover, in the phase of COVID, this situation has aggravated a lot because of various reasons like loss of jobs, work from home, salary reductions and cost cuttings etc. The effect of these problems fell on the families overall, but the most suffered category was – THE HOMEMAKERS, or in other words, THE HOUSEWIVES. Housewives have usually higher resilience when it comes to handling problems and family issues as they have an inbuilt capacity and trait to handle and adjust themselves in any atmosphere and ambience after marriage, but this COVID period was equally tough to handle for them as well. Specifically, if we talk about housewives, the entire COVID period was difficult for them to handle because of multiple reasons which will be mentioned point by point.",signatures:"Samina Firoz Wagla Wala",downloadPdfUrl:"/chapter/pdf-download/76713",previewPdfUrl:"/chapter/pdf-preview/76713",authors:[{id:"351133",title:"Ms.",name:"Samina",surname:"Wagla Wala",slug:"samina-wagla-wala",fullName:"Samina Wagla Wala"}],corrections:null},{id:"77680",title:"Anxiety, Uncertainty, and Resilience of Medical Students Worldwide during the COVID-19 Pandemic",doi:"10.5772/intechopen.99226",slug:"anxiety-uncertainty-and-resilience-of-medical-students-worldwide-during-the-covid-19-pandemic",totalDownloads:286,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"The COVID-19 pandemic significantly impacted medical education worldwide. While healthcare professionals labored to ensure proper care for COVID-19 patients, medical students suffered from high rates of anxiety, uncertainty, burnout, and depressive symptoms. Whilst students in the pre-clinical phase of education faced disruption of didactic lectures and laboratory training, senior medical students faced uncertainty regarding their clinical rotations and internships, which are vital for practical exposure to healthcare. Several studies across the world demonstrated that clinical learning was significantly affected, with students in many countries completely cut off from in-person rotations. The disruption of the clinical curriculum coupled with a sense of failure to contribute at a time of significant need often led to despair. Reforms proposed and/or implemented by governments, medical advisory boards, medical schools, and other administrative bodies were felt to be insufficient by the medical student fraternity at large. Consequently, these students continue to face high rates of anxiety, depression, and a general sense of cynicism. In this student-authored perspective, we highlight the challenges faced by and the psychological impact on medical students directly or indirectly from the pandemic.",signatures:"Mohammad Abdullah Sarkar and Ahmad Ozair",downloadPdfUrl:"/chapter/pdf-download/77680",previewPdfUrl:"/chapter/pdf-preview/77680",authors:[{id:"349724",title:"Dr.",name:"Ahmad",surname:"Ozair",slug:"ahmad-ozair",fullName:"Ahmad Ozair"},{id:"353300",title:"Mr.",name:"Mohammad Abdullah",surname:"Sarkar",slug:"mohammad-abdullah-sarkar",fullName:"Mohammad Abdullah Sarkar"}],corrections:null},{id:"77734",title:"Cyberchondria and Its Effects on Anxiety during Covid-19 Pandemic",doi:"10.5772/intechopen.98507",slug:"cyberchondria-and-its-effects-on-anxiety-during-covid-19-pandemic",totalDownloads:252,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Cyberchondria is a blend of the words cyber and hypochondriac. Social isolation with easily available information on the Internet for little or no cost created a havoc. It is an abnormal behavioral pattern in the emotional state. There were hundreds of social media groups created during the pandemic. Many people including the healthcare workers started sharing their experiences, positive and negative. It created a lot of anxiety and depression among the general population. As we already know people with anxiety and depression react and respond more to information available online without verifying the facts. Though the social media groups helped the readers with innumerable information but it had its flaws. Patients with cyberchondria increased and also the burden on healthcare systems.",signatures:"Suman Shekar and Avinash Aravantagi",downloadPdfUrl:"/chapter/pdf-download/77734",previewPdfUrl:"/chapter/pdf-preview/77734",authors:[{id:"414671",title:"M.D.",name:"Suman",surname:"Shekar",slug:"suman-shekar",fullName:"Suman Shekar"},{id:"417617",title:"Dr.",name:"Avinash",surname:"Aravantagi",slug:"avinash-aravantagi",fullName:"Avinash Aravantagi"}],corrections:null},{id:"77428",title:"Indigenous Peoples, Uncertainty and Exclusion in the Global South in Periods of the Pandemic",doi:"10.5772/intechopen.98785",slug:"indigenous-peoples-uncertainty-and-exclusion-in-the-global-south-in-periods-of-the-pandemic",totalDownloads:261,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The indigenous peoples are distributed in all regions of the world, representing more than 6% of the world’s population. According to UN data, the pandemic has disproportionately affected indigenous groups, aggravating the structural inequalities and processes of widespread historical discrimination and exclusion present in the Global South, for example, high rates of extreme poverty, social exclusion, high prevalence of the disease, and limited and in some cases non-existent access to health care. Also, indigenous peoples have a great wealth of knowledge, traditional practices, cultural forms, and access to natural resources, as well as forms of collective social organization and community life that result in resilience factors in response to adversity and uncertainty. In this way, the chapter focuses from a descriptive-analytical approach on the situation of indigenous peoples and the pandemic, analyzing the forms of responses, their resilient action in the face of uncertainties and structural exclusions in the Global South.",signatures:"Javier Lastra-Bravo",downloadPdfUrl:"/chapter/pdf-download/77428",previewPdfUrl:"/chapter/pdf-preview/77428",authors:[{id:"305413",title:"Ph.D. Student",name:"Javier",surname:"Lastra-Bravo",slug:"javier-lastra-bravo",fullName:"Javier Lastra-Bravo"}],corrections:null},{id:"75957",title:"Loss of Employment and Reduction of Income during the COVID-19 Pandemic in the Maranhão State, Brazil",doi:"10.5772/intechopen.97095",slug:"loss-of-employment-and-reduction-of-income-during-the-covid-19-pandemic-in-the-maranh-o-state-brazil",totalDownloads:284,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"To estimate the prevalence and factors associated to the loss of employment and reduction of income during the covid-19 pandemic in the state of Maranhão, Brazil. A population-based household survey was performed, from October 19 to 30, 2020. The estimates considered clustering, stratification and non-response. The sample selection was carried out in three stages (stratum, census tracts and households). After systematic analysis, thirty sectors were selected in each stratum, totaling 150 sectors, with the number of households in each sector set at 34 households, totaling 5,100 households and one inhabitant per household (resident for at least six months and with 1-year-old or more) selected by simple random sample. To this research were analyzed 3,297 inhabitants among 18 and 64 years old. The Loss of employment and income from the pandemic was questioned. Descriptive analysis (weighted frequency) and Pearson’s chi-square test were performed to verify univariate association between independent variables and the outcome (p < 0.05). The prevalence of loss of employment and income was 12.1% (95%CI 10.5–13.7%), but another 39.7% (95% CI 37.3–42.1%) were already out of the market before the pandemic. This loss was statistically greater among residents of the largest and wealthiest cities in the state (stratum with the state capital: 22.7%; 95% CI 18.8–27.2; and in cities with more than 100 thousand inhabitants: 12.4%; 95% CI 9.9–15.6), male (14.3%; 95% CI 11.9–17.3; p = 0.037), middle-aged adults between 30 and 49 years (15.3%; 95% CI 12.8–18.2; p = 0.001), medium level (15.3%; 95% CI 12.9–18.1; p = 0.003) and higher education (14.4%; 95% CI 9.4–21.5; p = 0.003) and users of public transportation (14.6%; 95% CI 12.4–17.2; p = 0.005), and among those who received this aid was much higher (50.4%; 95% CI 33.2–67.4; p = 0.001). The results showed a relevant prevalence of loss of work and income in Maranhão and its association with individual and contextual factors. They revealed the groups and contexts most affected socioeconomically by the pandemic and that should deserve special attention from public income transfer strategies.",signatures:"Bruno Luciano Carneiro Alves de Oliveira",downloadPdfUrl:"/chapter/pdf-download/75957",previewPdfUrl:"/chapter/pdf-preview/75957",authors:[{id:"311063",title:"Dr.",name:"Bruno",surname:"Luciano Carneiro Alves de Oliveira",slug:"bruno-luciano-carneiro-alves-de-oliveira",fullName:"Bruno Luciano Carneiro Alves de Oliveira"}],corrections:null},{id:"76315",title:"The Impact of Covid-19 Pandemic on Community Psychiatric Services in Northern Italy",doi:"10.5772/intechopen.97156",slug:"the-impact-of-covid-19-pandemic-on-community-psychiatric-services-in-northern-italy",totalDownloads:325,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The Covid-19 pandemic, started brutally in February 2020 in Northern Italy (first European area hit by virus), has induced the most drastic and prolonged containment measures by a European government. The most affected areas of the Italian territory were Lombardy and Veneto. A severe and global lock-down was ordered for more than two months, with the closure of essential medical services among others. All health resources have been diverted to address the health crisis caused by the pandemic. During the lock-down, however, the only community medicine services that remained open were mental health services: psychiatry, the area of addictions, child neuropsychiatry. The community facilities have always provided services favoring, on the one hand, the maintenance of care and rehabilitation paths for patients in care, and on the other, allowing anyone who needs to have access to treatment. The operators were also involved at the forefront in the management of covid + patients and in the support paths for the management of the operators’ stress. In this chapter, we want to describe the working conditions and the organizational responses of our services, referring to a large catchment area of the region most affected by covid-19.",signatures:"Federico Durbano, Barbara Marchesi, Silvia Carnevali, Luisa Elisabetta Sonzogno and Claudio Arici",downloadPdfUrl:"/chapter/pdf-download/76315",previewPdfUrl:"/chapter/pdf-preview/76315",authors:[{id:"157077",title:"Dr.",name:"Federico",surname:"Durbano",slug:"federico-durbano",fullName:"Federico Durbano"},{id:"346618",title:"Dr.",name:"Barbara",surname:"Marchesi",slug:"barbara-marchesi",fullName:"Barbara Marchesi"},{id:"346619",title:"Dr.",name:"Silvia",surname:"Carnevali",slug:"silvia-carnevali",fullName:"Silvia Carnevali"},{id:"346620",title:"Dr.",name:"Luisa Elisabetta",surname:"Sonzogno",slug:"luisa-elisabetta-sonzogno",fullName:"Luisa Elisabetta Sonzogno"},{id:"352449",title:"Dr.",name:"Claudio",surname:"Arici",slug:"claudio-arici",fullName:"Claudio Arici"}],corrections:null},{id:"77378",title:"Vulnerable Groups and COVID-19 Pandemic; How Appropriate Are Psychosocial Responses?",doi:"10.5772/intechopen.98762",slug:"vulnerable-groups-and-covid-19-pandemic-how-appropriate-are-psychosocial-responses-",totalDownloads:236,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Covid-19 pandemic has had adverse health, economic and social consequences on different communities, groups and individuals. Vulnerable groups are more likely to contract the infection and suffer from mental disorders particularly anxiety due to lack of access to health and social resources, lower income and less awareness etc. In this chapter, in addition to a description of the psychological and social conditions of vulnerable groups including women, children, the elderly, and minority groups during the pandemic, the factors influencing the success of psychosocial interventions provided for these groups and the weak points and upcoming challenges will be addressed. Finally, the conclusion will offer some recommendation for coping with the future circumstances.",signatures:"Amir Moghanibashi-Mansourieh",downloadPdfUrl:"/chapter/pdf-download/77378",previewPdfUrl:"/chapter/pdf-preview/77378",authors:[{id:"346672",title:null,name:"Amir",surname:"Moghanibashi-Mansourieh",slug:"amir-moghanibashi-mansourieh",fullName:"Amir Moghanibashi-Mansourieh"}],corrections:null},{id:"75513",title:"COVID-19 Pandemic and Initial Psychological Responses by Bangladeshi People",doi:"10.5772/intechopen.96624",slug:"covid-19-pandemic-and-initial-psychological-responses-by-bangladeshi-people",totalDownloads:396,totalCrossrefCites:0,totalDimensionsCites:2,hasAltmetrics:0,abstract:"The present study was aimed to investigate the causes of COVID-19 worry and its effect on initial behaviors that observed in early stage of the COVID-19 outbreak in Bangladesh. In the online survey, participants’ were asked about normative concerns, COVID-19 worry, initial behaviors, and the neuroticism personality trait. Results of the study demonstrated that (i) higher normative concerns and neurotic trait were predictors of higher COVID-19 worry; and (ii) higher normative concerns and COVID-19 worry significant predictors of buying preparatory materials, higher worry for postponing travel plan, and higher worry and neuroticism for purchasing daily commodities more than usual and difficulties in concentration.",signatures:"Oli Ahmed, Md Zahir Ahmed, Zhou Aibao, Sohan Mia and Md Arif Uddin Khan",downloadPdfUrl:"/chapter/pdf-download/75513",previewPdfUrl:"/chapter/pdf-preview/75513",authors:[{id:"346925",title:"Mr.",name:"Md Zahir",surname:"Ahmed",slug:"md-zahir-ahmed",fullName:"Md Zahir Ahmed"},{id:"347584",title:"Mr.",name:"Oli",surname:"Ahmed",slug:"oli-ahmed",fullName:"Oli Ahmed"},{id:"347585",title:"Mr.",name:"Sohan",surname:"Mia",slug:"sohan-mia",fullName:"Sohan Mia"},{id:"347586",title:"Mr.",name:"Md Arif Uddin",surname:"Khan",slug:"md-arif-uddin-khan",fullName:"Md Arif Uddin Khan"},{id:"347588",title:"Dr.",name:"Zhou",surname:"Aibao",slug:"zhou-aibao",fullName:"Zhou Aibao"}],corrections:null},{id:"78171",title:"Living with Uncertainty in Times of Pandemic: The View of Working Students in Higher Education",doi:"10.5772/intechopen.99793",slug:"living-with-uncertainty-in-times-of-pandemic-the-view-of-working-students-in-higher-education",totalDownloads:408,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Today we live in times of real uncertainty. All of us, young, old, adults or children, experience new ways of facing daily challenges. The education and health sectors are naturally the most affected and deserve to be assessed for the impacts of this pandemic. This chapter aims to focus its analysis on a specific group of students in higher education: working students. In fact, this population group has a distinct profile from “regular” students in higher education. Typically, the student role is not the predominant one in their lives, competing with their roles as active workers and as heads of their families. Choosing a quantitative scientific methodology, about a hundred working student were the target of a survey exploring not only their greatest anxieties and fears, but also the ways they choose to deal with it, namely their exposure to media coverage of the COVID-19. It is expected that the results will contribute to a critical reflection on the challenges that this pandemic poses to us, identifying clues to better manage and overcome them.",signatures:"Diana Dias",downloadPdfUrl:"/chapter/pdf-download/78171",previewPdfUrl:"/chapter/pdf-preview/78171",authors:[{id:"347123",title:"Prof.",name:"Diana",surname:"Dias",slug:"diana-dias",fullName:"Diana Dias"}],corrections:null},{id:"77464",title:"COVID 19 and Quality of Life in Indian Context",doi:"10.5772/intechopen.98477",slug:"covid-19-and-quality-of-life-in-indian-context",totalDownloads:250,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Battling the novel COVID-19 pandemic has caused emotional distress and many nations lost their humans at the fight against the virus. Quality of Life (QOL) has a wide range of contexts, including the fields of international development, healthcare, politics and employment. Standard indicators of the quality of life include wealth, employment, the environment, physical and mental health, education, recreation and leisure time, social belonging, religious beliefs, safety, security and freedom. Being a poor economic country like India, lockdown during COVID 19 devastated occupation, education, recreation and money from the people and the fear of the disease impacts not only on the health of the individuals but also the quality of life of individual is affected.",signatures:"Ganapathy Sankar Umaiorubagam, Monisha Ravikumar and Santhana Rajam Sankara Eswaran",downloadPdfUrl:"/chapter/pdf-download/77464",previewPdfUrl:"/chapter/pdf-preview/77464",authors:[{id:"347731",title:"Ms.",name:"Monisha",surname:"Ravikumar",slug:"monisha-ravikumar",fullName:"Monisha Ravikumar"},{id:"348550",title:"Prof.",name:"Ganapathy Sankar",surname:"Umaiorubagam",slug:"ganapathy-sankar-umaiorubagam",fullName:"Ganapathy Sankar Umaiorubagam"},{id:"419910",title:"Mrs.",name:"Santhana",surname:"Rajam Sankara Eswaran",slug:"santhana-rajam-sankara-eswaran",fullName:"Santhana Rajam Sankara Eswaran"}],corrections:null},{id:"77445",title:"COVID 19 and Myriad of Psychological Problems in Indian Context",doi:"10.5772/intechopen.98768",slug:"covid-19-and-myriad-of-psychological-problems-in-indian-context",totalDownloads:262,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Corona Virus 2019 (COVID 19) is impacting every family financially as well as emotionally. There is a panic situation existed throughout the world. Due to the presence of Novel Corona Virus, there are innumerous defects and changes existed in everybody’s routine activities of daily living and other recreational tasks. As the pandemic outbreak in India was on-going, the Government of India took stringent measures to limit the cases by far in that stage only, by initiating a major lockdown pan-India and also by shifting the immigrants to the special quarantine facilities prepared by the Indian Military directly from the airports and seaports for a minimum of 14 days. The lives of people were drastically affected with lock-down and fear related to the disease’s potential effects and transmission. The fear due to the contraction of COVID -19 is on the rise because of the death tolls and global spread. For low income country like India, financial crisis had troubled the lives of everybody. For older adults, there is a fear of death as well as fear of saving the lives of their loved one. Adapting to this new normal life is a real challenge for older adults in middle and low economic zone like India. Indian people are going through a myriad of psychological problems in adjusting to the current lifestyles and fear of the disease.",signatures:"Ganapathy Sankar Umaiorubagam, Monisha Ravikumar and Santhana Rajam Sankara Eswaran",downloadPdfUrl:"/chapter/pdf-download/77445",previewPdfUrl:"/chapter/pdf-preview/77445",authors:[{id:"347731",title:"Ms.",name:"Monisha",surname:"Ravikumar",slug:"monisha-ravikumar",fullName:"Monisha Ravikumar"},{id:"348550",title:"Prof.",name:"Ganapathy Sankar",surname:"Umaiorubagam",slug:"ganapathy-sankar-umaiorubagam",fullName:"Ganapathy Sankar Umaiorubagam"}],corrections:null},{id:"77772",title:"Pleasant Activities among Young Adults and Their Lack during the COVID-19 Pandemic",doi:"10.5772/intechopen.98997",slug:"pleasant-activities-among-young-adults-and-their-lack-during-the-covid-19-pandemic",totalDownloads:239,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The pandemic COVID-19 burst in the Slovak Republic in March of the 2020 year. Subsequently, the schools were closed on the 10th of March and the everyday life in the country was for a long uncertain time questionable. The curfew slowed down the outdoor activities and has brought sudden changes also in the lives of young active people. This can be a time of uncertainty, and the stress. To do some pleasant activities can act as a stress reliever, but in the pandemic time not all pleasant activities can be realized. We were interested in lack of doing pleasant activities during the pandemic COVID-19 time. We analyzed 195 different activities in life of young mostly sporting people, whether a given activity is popular and pleasant for individuals, the occurrence and frequency of activity implementation before pandemic, during pandemic and feelings the lack of this activity during pandemic. We found out the most pleasant activity for men – non-organized, spontaneous sporting activity and for women – laughing. We recorded statistically significant decline t(14.856) = 48, p < .001 in frequency of doing pleasant activities in comparison before and during COVID-19. The most missing activity was inviting friends’ visits.",signatures:"Janka Peráčková and Pavol Peráček",downloadPdfUrl:"/chapter/pdf-download/77772",previewPdfUrl:"/chapter/pdf-preview/77772",authors:[{id:"348732",title:"Associate Prof.",name:"Janka",surname:"Peráčková",slug:"janka-perackova",fullName:"Janka Peráčková"},{id:"348733",title:"Prof.",name:"Pavol",surname:"Peráček",slug:"pavol-peracek",fullName:"Pavol Peráček"}],corrections:null},{id:"76851",title:"Forecasting the Long-Term Effects of the Pandemic on Children: Towards a COVID-Generation",doi:"10.5772/intechopen.97931",slug:"forecasting-the-long-term-effects-of-the-pandemic-on-children-towards-a-covid-generation",totalDownloads:386,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"This study focuses on mapping the existing effects of the pandemic and the measures taken to address it on the mental health of children in order to investigate the long-term consequences that it is expected to have. For infants, preschool, school and adolescent children it seems that intense stress develops for different reasons. As adults these children may experience an increased incidence of anxiety, depressive, obsessive–compulsive and personality disorders, while they are also expected to develop a strong External Locus of Control, low Faith in the Just World and low happiness. At the same time, an absence of distinction within the limits of the physical and digital world is expected. As for children with special educational needs, they are particularly affected due to the pandemic, as early diagnosis and the development of interventions to improve their educational and psychosocial progress are hampered and this might have negative long-term effects on their development. In overall, these negative effects and related experiences seem to be homogeneous across humanity for those who are currently minors and are expected to lead to the view of an autonomous generation, the COVID-generation.",signatures:"Panagiotis Pelekasis",downloadPdfUrl:"/chapter/pdf-download/76851",previewPdfUrl:"/chapter/pdf-preview/76851",authors:[{id:"349115",title:"M.Sc.",name:"Panagiotis",surname:"Pelekasis",slug:"panagiotis-pelekasis",fullName:"Panagiotis Pelekasis"}],corrections:null},{id:"76987",title:"COVID-19 and Psychological Distress among Older Adults in Ghana",doi:"10.5772/intechopen.98277",slug:"covid-19-and-psychological-distress-among-older-adults-in-ghana",totalDownloads:253,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"COVID-19, the novel of all respiratory pandemics, has since its global invasion remained a significant threat in all spheres of human endeavour. This phenomenon has led to short-term and long-term psychosocial and mental health implications for many populations, particularly vulnerable groups, of which older people form part. This paper fills the lacuna in research on how the pandemic is breeding psychological distress among older people. Cross-sectional data were obtained from an Ageing, Health, Lifestyle and Health Services (AHLHS) study conducted between June 2020 and August 2020 (N = 400) in the Ashanti and Greater Accra regions of Ghana. Sequential logistic regression models were performed to estimate the variables that predict psychological distress, whereas descriptive statistics were used to determine the extent of psychological distress among the study population. This study revealed that psychological distress was somehow prevalent, necessitating early intervention to minimise the risks of the said health risk. Additionally, gender, employment status, chronic NCDs, perceived health status and receipt of COVID-19 information were significantly associated with psychological distress among the respondents. It is necessary to employ strategies to minimise the psychological distress in Ghana during this pandemic.",signatures:"Anthony Kwame Morgan, Justin Cobbold, Beatrice Aberinpoka Awafo, Daniel Katey, Theophilus Quartey and Rahinatu Ibrahim",downloadPdfUrl:"/chapter/pdf-download/76987",previewPdfUrl:"/chapter/pdf-preview/76987",authors:[{id:"349385",title:"Mr.",name:"Anthony",surname:"Morgan",slug:"anthony-morgan",fullName:"Anthony Morgan"},{id:"416887",title:"Mr.",name:"Justin",surname:"Cobbold",slug:"justin-cobbold",fullName:"Justin Cobbold"},{id:"416888",title:"Ms.",name:"Beatrice Aberinpoka",surname:"Awafo",slug:"beatrice-aberinpoka-awafo",fullName:"Beatrice Aberinpoka Awafo"},{id:"416889",title:"Mr.",name:"Daniel",surname:"Katey",slug:"daniel-katey",fullName:"Daniel Katey"},{id:"416890",title:"Mr.",name:"Theophilus",surname:"Quartey",slug:"theophilus-quartey",fullName:"Theophilus Quartey"},{id:"416891",title:"Ms.",name:"Rahinatu",surname:"Ibrahim",slug:"rahinatu-ibrahim",fullName:"Rahinatu Ibrahim"}],corrections:null},{id:"76897",title:"Main Concerns in Times of COVID-19 in Three Groups of People: Italians, Romanian Immigrants in Italy, and Romanians in Romania",doi:"10.5772/intechopen.97858",slug:"main-concerns-in-times-of-covid-19-in-three-groups-of-people-italians-romanian-immigrants-in-italy-a",totalDownloads:266,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"This chapter is a description of results of a study conducted in Italy involving Italians (N = 491), Romanian immigrants (N = 275), and Romanians in Romania (N = 312) with aim to explore the principal sources of anxiety and uncertainty during COVID-19 pandemic, and the differences between the groups. In addition, the study analysed the role of resilience as a potential moderator between perception of sources of anxiety during COVID-19 and distress. A questionnaire was administered containing several scales. Results showed that Italians and immigrants have similar concerns and that the perception of resilience play significant role in determining emotional distress.",signatures:"Ankica Kosic and Tamara Dzamonja Ignjatovic",downloadPdfUrl:"/chapter/pdf-download/76897",previewPdfUrl:"/chapter/pdf-preview/76897",authors:[{id:"298118",title:"Dr.",name:"Tamara",surname:"Dzamonja Ignjatovic",slug:"tamara-dzamonja-ignjatovic",fullName:"Tamara Dzamonja Ignjatovic"},{id:"349395",title:"Associate Prof.",name:"Ankica",surname:"Kosic",slug:"ankica-kosic",fullName:"Ankica Kosic"}],corrections:null},{id:"77866",title:"Psychosocial Impact of Lockdown Induced Setback on Education during Pandemic in India",doi:"10.5772/intechopen.98445",slug:"psychosocial-impact-of-lockdown-induced-setback-on-education-during-pandemic-in-india",totalDownloads:223,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Educational reforms occur from time to time to keep up the pace of changing trends. The new generations of kids are exposed to modern technology at a very younger age. They are well equipped with the novel usage of digital technology to aid in a better teaching-learning process. Pandemic has invoked a lot of drastic changes in many sectors owing to changing norms and lockdown policies across the globe. In India also these lockdown policies were imposed as a measure to curtail the growing rate of infection. India is a country with a dense population with varied socio-cultural and economic differences. Closure of educational institutes adopted as a strategic measure to face the Pandemic lead to uncertainty among the stakeholders which had a huge impact on the psychosocial domain. The education sector took to the mode of digital learning by offering online classes to cater to the need of the students. Shutting down schools and educational institutes not only paralyzed the social contact a child develops on attending school but also increased the severity of screen time with absolute lack of physical activity among children. This chapter aims to explore the impact of the online mode of education and its psychosocial perspectives during the lockdown.",signatures:"Chitra Mourali",downloadPdfUrl:"/chapter/pdf-download/77866",previewPdfUrl:"/chapter/pdf-preview/77866",authors:[{id:"351967",title:"Prof.",name:"Chitra",surname:"Mourali",slug:"chitra-mourali",fullName:"Chitra Mourali"}],corrections:null},{id:"76837",title:"Psychiatric Services and Teaching during the Covid-19 Pandemic in Romania",doi:"10.5772/intechopen.97800",slug:"psychiatric-services-and-teaching-during-the-covid-19-pandemic-in-romania",totalDownloads:416,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The Covid-19 pandemic has been declared in Romania on the 16th March 2020.The medical system reacted promptly: chronic patients had to be discharged within 48 h and further scheduled admittances were postponed, adequate epidemiological measures and circuits were organized. Anxiety, insomnia, frustration, binge eating, domestic violence were reported. The majority respected the general advises but soon, persons selected their information sources rather from social media, being victims of the infodemia and peculiar conspirationist theories. A new disorder has been described: coronaphobia. The psychiatric hospitals and outpatient settings had to reduce or innactivate their activity, switch as much as possible to TelePsychiatry. Psychiatry admittances were: onsets of psychosis, relapses of schizophrenia and alcohol, other psychoactive substances abuses, intoxications, and withdrawal states. Later, there were depressions, bipolar disorders, suicide attempts, self-harm in borderline disorder, dementia and delirium. Due to the closure of outpatient units for several months, patients visited the Emergency rooms. Personnel experienced burnout and new psychiatric pathology developed in the aftermath of Covid-19 infection. A big relief occurred with the initial vaccination of the medical staff and seniors, chronically ill persons, psychiatric patients being again left behind. Medical teaching shifted entirely to online and in 2021 the hybrid teaching system has been employed.",signatures:"Ioana Valentina Micluţia",downloadPdfUrl:"/chapter/pdf-download/76837",previewPdfUrl:"/chapter/pdf-preview/76837",authors:[{id:"215988",title:"Prof.",name:"Ioana",surname:"Valentina Micluţia",slug:"ioana-valentina-miclutia",fullName:"Ioana Valentina Micluţia"}],corrections:null},{id:"76488",title:"Psychological Aspects of Neuroinflammatory Disorders in COVID-19 Era",doi:"10.5772/intechopen.97629",slug:"psychological-aspects-of-neuroinflammatory-disorders-in-covid-19-era",totalDownloads:288,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Although the COVID-19 pandemic was initially manifested as a contagious respiratory infection, its other aspects quickly became apparent. Accordingly, the disease could affect various organs such as skin, digestive system, and the central nervous system. Apart from these diverse manifestations, it was rapidly cleared that the virus could potentially play a role in causing a wide range of autoimmune diseases. Moreover, various anthropological aspects of COVID-19 and its effects on human life were considered. In this regard, one of the important issues is its psychological effects, not only on the population of healthy people, but also on people suffering from underlying diseases. Inflammatory diseases of the central nervous system are included as one group of these diseases. Since these diseases can cause many psychological problems in patients, it is very important to pay attention to them during the COVID-19 pandemic. In the following section, the psychological aspects of COVID-19 in patients with neuroinflammatory diseases are described.",signatures:"Abdorreza Naser Moghadasi",downloadPdfUrl:"/chapter/pdf-download/76488",previewPdfUrl:"/chapter/pdf-preview/76488",authors:[{id:"346561",title:"Assistant Prof.",name:"Abdorreza",surname:"Naser Moghadasi",slug:"abdorreza-naser-moghadasi",fullName:"Abdorreza Naser Moghadasi"}],corrections:null},{id:"77510",title:"Local Knowledge, Community Experiences, Nature, Collaboration, and Resilience in Times of Pandemic, Uncertainty, and Climate Change in the Anthropocene Era",doi:"10.5772/intechopen.98481",slug:"local-knowledge-community-experiences-nature-collaboration-and-resilience-in-times-of-pandemic-uncer",totalDownloads:264,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"The pandemic afflicting the world is accompanied by a social, economic, political, cultural, and climatic multi-crisis. It is the crisis of the Anthropocene Era and modern paradigms. Modern society is in a complex situation. The responses to the multicrisis, including the pandemic, will probably come from the revalorization and resignification of experiences and socioecological knowledge of communities. Their historical experiences, currently fragmented by modernization processes, will be able to intercommunicate and, with resilient energy, open new possibilities for human and planetary life. It will be a great transformation, in which old and new models of development will be in tension. These tensions will also be expressed in the form of social and political radicalization and result in conflicts over natural resources, especially water, natural forests, ecosystems, and productive land. Human and planetary life is seriously threatened. Intellectual and scientific activity must connect with the ecological knowledge of local communities to defend human and natural life.",signatures:"Jorge Rojas Hernández, Patricio Silva Ávila and Ricardo Barra Ríos",downloadPdfUrl:"/chapter/pdf-download/77510",previewPdfUrl:"/chapter/pdf-preview/77510",authors:[{id:"291624",title:"Dr.",name:"Jorge",surname:"Rojas Hernández",slug:"jorge-rojas-hernandez",fullName:"Jorge Rojas Hernández"},{id:"414334",title:"Prof.",name:"Ricardo",surname:"Barra",slug:"ricardo-barra",fullName:"Ricardo Barra"},{id:"423510",title:"Dr.",name:"Patricio",surname:"Silva Ávila",slug:"patricio-silva-avila",fullName:"Patricio Silva Ávila"}],corrections:null},{id:"75425",title:"Buddhist Monastery, Amulet, Spiritual Support and COVID-19 Outbreak",doi:"10.5772/intechopen.96496",slug:"buddhist-monastery-amulet-spiritual-support-and-covid-19-outbreak",totalDownloads:357,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"COVID-19 is an important global problem. The disease causes illness and results in anxious state and panic. It also has a lot of socioeconomic impact worldwide. The supports for the affected persons are by several partners including religious unit. The religious unit can play important social welfare role to support the local people. In Indochina, many local Buddhist monasteries act this role. This is an interesting anthropological phenomenon. Many monasteries issue amulet as gimmicks for sale to the donor. The donor buys amulets for spiritual support during frustrate period and the monastery receive money for its welfare function. This is an interesting social sustainability phenomenon.",signatures:"Rujitika Mungmunpuntipantip and Viroj Wiwanitkit",downloadPdfUrl:"/chapter/pdf-download/75425",previewPdfUrl:"/chapter/pdf-preview/75425",authors:[{id:"347021",title:"Dr.",name:"Rujittika",surname:"Mungmunpuntopantip",slug:"rujittika-mungmunpuntopantip",fullName:"Rujittika Mungmunpuntopantip"},{id:"347026",title:"Prof.",name:"Viroj",surname:"Wiwanitkit",slug:"viroj-wiwanitkit",fullName:"Viroj Wiwanitkit"}],corrections:null},{id:"76968",title:"In the Darkness of This Time: Wittgenstein and Freud on Uncertainty",doi:"10.5772/intechopen.98381",slug:"in-the-darkness-of-this-time-wittgenstein-and-freud-on-uncertainty",totalDownloads:446,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Both Wittgenstein and Freud experienced the crisis of humanism resulting from the first and second world wars. Although they were both considered to be influential figures, they hardly investigated the ways in which people could cope with the consequences of these crises. However, Wittgenstein and Freud did suggest ways of understanding uncertainties caused by real life events, as well as by the nature of human thought processes. This article will explore the therapeutic ways of dealing with uncertainties common to both thinkers and the different concepts facilitating their methodologies. The central contention of this article is that both Wittgenstein and Freud developed a complex methodology, acknowledging the constant and unexpected changes humans have deal with, whilst also offering the possibility of defining “hinge propositions” and “language-games” which can stabilize our consciousness.",signatures:"Dorit Lemberger",downloadPdfUrl:"/chapter/pdf-download/76968",previewPdfUrl:"/chapter/pdf-preview/76968",authors:[{id:"325725",title:"Dr.",name:"Dorit",surname:"Lemberger",slug:"dorit-lemberger",fullName:"Dorit Lemberger"}],corrections:null},{id:"77080",title:"Human Reconfigurations: Conversations on Being Therap(ist)eutic in Time of Covid",doi:"10.5772/intechopen.98317",slug:"human-reconfigurations-conversations-on-being-therap-ist-eutic-in-time-of-covid",totalDownloads:253,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"In this paper the authors’ aim is to reflect on the impact the Sars-CoV-2 Pandemic has had and is still having on our external and internal reality, in terms of individual and collective implications. In an open dialog with colleagues and patients, through a psychoanalytic viewpoint capable of respecting the suffering and the solutions identified by the Ego-subject within the “therapeutic dance”, it was possible during this period to observe movements and processes underlying these changes. Throughout the paper, the authors highlight both difficulties and resources that the patients put in play within the relational space and the need to “reconfigure” them; our focus is on the creativity and the repercussions this event, significant for the majority of the Society, has had on the practices and beliefs of each of us. The peculiar experience of loneliness and isolation, faced during this pandemic emergency, has profoundly transformed and shaped our living space, demanding a collective reorganization of the social space and thus forcing us to rethink our humanity. In the relational exchange, the possibility of finding one’s own space to exist and to inhabit one’s present, can be unfolded. A shared resilience is necessary to face current challenges.",signatures:"Jolanda Spoto, Valentina Stirone and Romina Coin",downloadPdfUrl:"/chapter/pdf-download/77080",previewPdfUrl:"/chapter/pdf-preview/77080",authors:[{id:"347881",title:"Ph.D.",name:"Romina",surname:"Coin",slug:"romina-coin",fullName:"Romina Coin"},{id:"348271",title:"Dr.",name:"Spoto",surname:"Jolanda",slug:"spoto-jolanda",fullName:"Spoto Jolanda"},{id:"416592",title:null,name:"Valentina",surname:"Stirone",slug:"valentina-stirone",fullName:"Valentina Stirone"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:[{id:"51",label:"edited by 2015 nobel prize nominee"}]},relatedBooks:[{type:"book",id:"8262",title:"The New Forms of Social Exclusion",subtitle:null,isOpenForSubmission:!1,hash:"29bf235aa7659d3651183fe9ea49dc0d",slug:"the-new-forms-of-social-exclusion",bookSignature:"Rosalba Morese and Sara 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Karlenius,\nGiovanna Di Trapani and Kathryn F. Tonissen",dateSubmitted:"December 1st 2011",dateReviewed:"November 22nd 2012",datePrePublished:null,datePublished:"January 23rd 2013",book:{id:"2610",title:"Carcinogenesis",subtitle:null,fullTitle:"Carcinogenesis",slug:"carcinogenesis",publishedDate:"January 23rd 2013",bookSignature:"Kathryn Tonissen",coverURL:"https://cdn.intechopen.com/books/images_new/2610.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"145170",title:"Dr.",name:"Kathryn",middleName:null,surname:"Tonissen",slug:"kathryn-tonissen",fullName:"Kathryn Tonissen"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"145170",title:"Dr.",name:"Kathryn",middleName:null,surname:"Tonissen",fullName:"Kathryn Tonissen",slug:"kathryn-tonissen",email:"k.tonissen@griffith.edu.au",position:null,institution:null},{id:"147950",title:"Ph.D. Student",name:"Maneet",middleName:null,surname:"Bhatia",fullName:"Maneet Bhatia",slug:"maneet-bhatia",email:"Maneet.Bhatia@griffithuni.edu.au",position:null,institution:null},{id:"147952",title:"Dr.",name:"Therese",middleName:null,surname:"Karlenius",fullName:"Therese Karlenius",slug:"therese-karlenius",email:"therese.karlenius@griffithuni.edu.au",position:null,institution:null},{id:"150307",title:"Dr.",name:"Giovanna",middleName:null,surname:"Di Trapani",fullName:"Giovanna Di Trapani",slug:"giovanna-di-trapani",email:"g.ditrapani@griffith.edu.au",position:null,institution:null}]}},chapter:{id:"42132",slug:"the-interaction-between-redox-and-hypoxic-signalling-pathways-in-the-dynamic-oxygen-environment-of-c",signatures:"Maneet Bhatia, Therese C. 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Our research on licorice constituents began with an investigation of tannin-like substances in licorice, because tannins and related constituents in medicinal plants have remarkable antioxidant effects, in addition to their fundamental property of binding with proteins, which is related to its various pharmacological effects [6–8]. In fact, licorice extracts of various origins contain tannin-like substances and show protein-binding properties [9]; our additional studies revealed that some phenolic constituents related to flavonoids contribute to this property. Therefore, we investigated these flavonoids and related compounds as discussed below.
Although classic column chromatography using silica gel has been applied to the separation of phenolic plant constituents, the irreversible adsorption of phenolic constituents (particularly, tannins or tannin-like substances) has limited ability to effectively separate these compounds. Because countercurrent distribution (CCD) does not use solid supports for separation, it can be applied to solve the problem of irreversible adsorption. Thus, centrifugal partition chromatography (CPC) and droplet countercurrent chromatography (DCCC), which were devised as effective methods for CCD, in addition to simple CCD using separatory funnels, were applied to purify the licorice phenolics in our studies. The solvent system chloroform-methanol-water (7:13:8, by volume) was primarily used for the separation of licorice phenolics derived from
Although the structures of aforementioned licorice phenolics were characterized based on the 1H and 13C nuclear magnetic resonance (NMR) spectra, including various 1D and 2D methods, the following spectroscopy methods were also key in establishing the structures. Electron impact mass spectrometry (EI-MS) is a useful method for obtaining structural information using fragment ions [16]. On the other hand, fast-atom bombardment (FAB) and electrospray ionization mass spectrometry (ESI-MS) are applicable to the ionization of phenolics, including phenolic glycosides. Notably, the high-resolution FAB and ESI-MS have been used to determine their molecular formulae [17]. Ultraviolet-visible (UV-Vis) spectroscopy was useful for discriminating between phenolic skeletons even if the 1H NMR spectra were quite similar to each other, as was the case for 3-arylcoumarins and the corresponding isoflavones [16]. Electronic circular dichroism (ECD) spectroscopy was effective not only for identifying the configuration of asymmetric carbons (e.g., those in flavanones, isoflavans, and isoflavanones [9, 15, 17]) in the flavonoid skeletons but also for explaining the spatial relationship between the chromophores in acylated flavonoid glycoside molecules [17]. Based on the data obtained by the aforementioned spectroscopy methods, we uncovered new compound structures and identified known ones isolated from licorice, which can be classified into subgroups based on their structural skeletons as shown in Table 1.
Subgroup | Compounds | Origin a |
---|---|---|
Flavones | 4′,7-Dihydroxyflavone [9] | |
3′,4′,7-Trihydroxyflavone [17] | ||
Flavonols | Isolicoflavonol [9], kaempferol-3- | |
Flavanones | 6″-Acetylliquiritin; naringenin [15]; 3′-prenylnaringenin [16]; licorice-glycosides C1 *, C2 *, D1 *, D2 *, and E *; liquiritin apioside [17]; liquiritigenin; liquiritin [21] | |
Chalcones | Licochalcones A and B [9] | |
Echinatin [15]; isoliquiritin apioside; licorice glycosides A * and B *; neoisoliquiritin [17]; licochalcone B; tetrahydroxy methoxychalcone * [20]; isoliquiritigenin; isoliquiritin [21] | ||
Isoflavones | Glycyrrhisoflavone * [9]; glisoflavone * [12]; genistein; glicoricone * [14]; 8-(γ,γ-dimethylallyl)-wighteone; gancaonin G; isoangustone A; isowighteone; semilicoisoflavone B [15]; allolicoisoflavone B; 7- | |
Isoflavanones | Glycyrrhisoflavanone * [9], 3′-(γ,γ-dimethylallyl)-kievitone, glicoisoflavanone *, glyasperin F, licoisoflavanone [15], glisoflavanone * [16], glyasperin J, glyasperin J trimethyl ether [19] | |
Isoflavans | Glyasperin C, glyasperin D, licoricidin, (3 | |
3-Arylcoumarins | Glycycoumarin [9], licopyranocoumarin * [11], licoarylcoumarin * [12], glycerin [15], isoglycycoumarin, licofuranocoumarin * [16], 3-( | |
Coumestans | Glycyrol, isoglycyrol [15], isotrifoliol * [16], dimethylglycyrol * [18] | |
Pterocarpans | Demethylhomopterocarpan [19] | |
2-Benzyldihydro-benzofuran-3-ones | Carpusin [17] | |
Benzyl phenyl ketones | Glicophenone *, licoriphenone [15] | |
2-Arylbenzofurans | Licofuranone * [14], licocoumarone [15], gancaonin I [18], glycybenzofuran, 4′- | |
Benzoic acids |
Classification of isolated licorice phenolics.
The origins were assigned accordingly:
New compounds.
As shown in Table 1, various types of phenolics have been found in licorice, in addition to the major phenolics (liquiritin, isoliquiritin, and related ones) [21], and their pharmacological properties differ depending on their structures. The strength of the order of the effects also differs depending on the properties examined. Especially, their phenolic hydroxyl and prenyl substituents and also their skeletons related to the molecular flexibility should be considered for their respective properties.
Polyphenols have been linked to antioxidant effects, and some polyphenols such as tannins have protein-binding effects. Interaction of tannins with protein molecules is regarded to be based on hydrophobic interaction and hydrogen bonding and also covalent bonding in some cases [22]. Although some researches focused on the participation of proline residues of proteins in the complexation [23], the modes of complexation are largely dependent on the structures of tannins and proteins/peptides [24–27]. Therefore, further studies using various types of polyphenols should be conducted in order to clarify the complexation. Thus, we examined the binding and antioxidant effects of licorice phenolics.
Among the isolated compounds found in large quantities in licorice materials, licochalcone B from Sinkiang (Xinjiang) licorice (mainly collected in the Xinjiang Uyghur Autonomous Region of China) showed the most potent binding activity with proteins, followed by glycyrrhisoflavone from Si-pei (Xi-bei) licorice [9]. Tannins displayed different binding effects depending upon their structures, and licochalcone B and glycyrrhisoflavone (Figure 1) showed binding effects more potent than, or comparable to, those of some hydrolyzable tannins such as pedunculagin or corilagin [9, 28].
Licorice phenolics with protein-binding activity.
Then, we examined phenolic radical-scavenging effects on 1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals. Again, licochalcone B displayed the most potent scavenging effects on the DPPH radicals among the examined compounds; licochalcone A showed weaker effects, and isoliquiritigenin and liquiritigenin had negligible effects. The order of potency was as follows: licochalcone B > licochalcone A >> isoliquiritigenin > liquiritigenin. This order of the scavenging effects was the same as that of the reported suppressive effects on lipoxygenase products in arachidonate metabolism [29]. Because stable radical formation was correlated with potent radical-scavenging effects, we examined the formation of radical species from two chalcones, licochalcone B and tetrahydroxy methoxylchalcone (Figure 2). As expected, they showed stable electron spin resonance (ESR) signals attributable to their radicals formed by air oxidation in alkaline DMSO solutions [20].
Licorice phenolics forming stable radicals in alkaline DMSO.
On the other hand, we reported that several licorice phenolics showed inhibitory effects on xanthine oxidase and monoamine oxidase. Licocoumarone, a 2-arylbenzofuran, showed the most potent inhibitory effects on xanthine oxidase, followed by the effects of licochalcone B, licochalcone A, and glycyrrhisoflavone [12]. Two 2-arylbenzofurans, licocoumarone and licofuranone, also showed potent inhibitory effects on monoamine oxidase (Figure 3), followed by glycyrrhisoflavone and genistein [14].
Licorice phenolics with inhibitory effects on oxidative enzymes.
The role of xanthine oxidase in the catalysis of the reaction of xanthine into uric acid has been linked to gout and also correlates with the generation of superoxide anion radicals, a reactive oxygen species (ROS). Thus, we examined the effects of licorice phenolics on superoxide generation because ROS have been linked to various kinds of oxidative damage including human organ damage. Licorice phenolics showed suppressive effects on superoxide anion radical generation, both in the enzymatic and nonenzymatic systems examined. In addition to a combination of xanthine oxidase and xanthine (from the enzymatic system), a combination of phenazine methosulfate (PMS) and a reduced form of nicotinamide adenine dinucleotide hydride (NADH) (from the nonenzymatic system) were used for the generating system. On the other hand, detection of the superoxide anion radical was performed using nitroblue tetrazolium and cytochrome c [30]. Three experimental systems composed of the generating and the detection systems indicated that licochalcone B and glycyrrhisoflavone showed potent suppressing effects on superoxide anion radical generation, which are comparable to those of a specific representative flavonoid (quercetin) and a tannin (pedunculagin).
Further investigation of licorice phenolics revealed that licochalcone A, isolicoflavonol, glycycoumarin, and glycyrrhisoflavone had antiviral effects on human immunodeficiency virus (HIV) (Figure 4). HIV causes a “giant cell” in the infected cells OKM-3T (= OKM-1) due to the cytopathic effects of the virus. The aforementioned compounds had inhibitory effects on giant cell formation of a cell line infected with HIV [11, 30]. The mechanisms underlying these antiviral effects may be different from those observed for tannins [31].
Licorice phenolics with anti-HIV effects.
Suppressive effects of licorice phenolics on HIV promoters have also been revealed. 12-
Based on these studies, we pursued structural studies of licorice phenolics and also investigated the effectiveness of the licorice phenolics on drug-resistant bacteria. Surveillance under the Ministry of Health, Labour and Welfare within the Japanese government indicated that ca. 18,000 cases caused by methicillin-resistant
We examined the antibacterial effects of the phenolics isolated from licorice on four clinical isolates of MRSA (OM 481, OM505, OM 584, and OM 623) in addition to those of
Subgroups | Compound names (MIC) | Substituents |
---|---|---|
Chalcones | Licochalcone A (16 μg/mL) | α,α-Dimethylallyl × 1, OH × 2 |
Isoflavones | 8-(γ,γ-Dimethylallyl)-wighteone (8 μg/mL) Gancaonin G (16 μg/mL) Isowighteone (32 μg/mL) Isoangustone A (16 μg/mL) | Prenyl × 2, OH × 3 Prenyl × 1, OH × 2 Prenyl × 1, OH × 2 Prenyl × 2, OH × 4 |
Isoflavanones | 3′-(γ,γ-Dimethylallyl)-kievitone (8 μg/mL) Licoisoflavanone (32 μg/mL) | Prenyl × 2, OH × 4 Dimethylpyran × 1, OH × 3 |
Isoflavans | Glabridin (16 μg/mL) Glyasperin C (16 μg/mL) Glyasperin D (16 μg/mL) Licoricidin (16 μg/mL) | Dimethylpyran × 1, OH × 2 Prenyl × 1, OH × 3 Prenyl × 1, OH × 2 Prenyl × 2, OH × 3 |
3-Arylcoumarins | Glycycoumarin (16 μg/mL) Licoarylcoumarin (32 μg/mL) | Prenyl × 1, OH × 3 α,α-Dimethylallyl × 1, OH × 3 |
2-Arylbenzofurans | Licocoumarone (16 μg/mL) | Prenyl × 1, OH × 3 |
Benzyl phenyl ketones | Glicophenone (32 μg/mL) Licoriphenone (16–32 μg/mL) | Prenyl × 1, OH × 4 Prenyl × 1, OH × 3 |
Licorice phenolics effective on MRSA strains.
Licorice phenolics with the most potent antibacterial effect on MRSA.
We further examined the suppressive effects of licorice phenolics with relatively potent anti-MRSA effects on the oxacillin resistance of the MRSA strains [15]. We compared MICs of oxacillin on MRSA strains with and without phenolics at half the MIC concentration or lower. For example, the addition of 16 μg/mL isowighteone (MIC 32 μg/mL) decreased oxacillin MIC to 1/8–1/4 of those without the addition (e.g., from 512 to 64 μg/mL and from 64 to 16 μg/mL) for the four MRSA strains (Figure 6). Similarly, the addition of 8 μg/mL of isoangustone A (MIC 16 μg/mL) decreased oxacillin MICs to 1/4–1/2, and the addition of 16 μg/mL of glicophenone (MIC 32 μg/mL) decreased oxacillin MIC to 1/8–1/2. Most notably, the addition of 8 μg/mL of licoricidin caused a decrease of oxacillin MIC to lower than 0.5 μg/mL (lower than 1/1024–1/8). Even the addition of 4 μg/mL licoricidin decreased oxacillin MIC to 1/32–1/8 of those without the addition. Five of the other 6 phenolics, licochalcone A, licochalcone B, glicoricone, glisoflavone, and 3′-(γ,γ-dimethylallyl)-kievitone, also showed an analogous decreasing effect on at least two of the four MRSA strains. We also examined the effects of the combination of oxacillin (10 μg/mL) and licoricidin (8 μg/mL) on the bacterial growth of MRSA OM481, and the combination showed a bacteriostatic effect but not a bactericidal one. We also conducted a mechanistic study on the suppressive effects of the oxacillin resistance. The oxacillin resistance of MRSA OM481 has been attributed to the formation of a kind of protein-binding protein (PBP), PBP-2a (PBP-2′), instead of PBP-2. However, this formation in MRSA OM481 was not suppressed by the presence of licoricidin. Therefore, the suppression of the enzymatic function of PBP-2a or the binding to another PBP was attributed to the mechanism. On the other hand, the affinity of the lipophilic prenyl group to cell membranes was also supposed to be included in the mechanism, because all of the effective compounds have at least one prenyl (or equivalent) group.
Licorice phenolics with suppressing effects on oxacillin resistance of MRSA.
Since the licorice phenolics with prenyl or equivalent substituents showed potent antibacterial effects on MRSA, we further investigated on the natural products with analogous structures contained in the fruits of
Subgroups | Compound names (MIC) | Substituents |
---|---|---|
Flavones | Corylifol C (16 μg/mL) | Prenyl × 1, OH × 3 |
Flavanones | Bavachin (32 μg/mL) | Prenyl × 1, OH × 2 |
Isoflavones | Neobavaisoflavone (16 μg/mL) | Prenyl × 1, OH × 2 |
Chalcones | Corylifol B (8–16 μg/mL) Isobavachalcone (8 μg/mL) | Prenyl × 1, OH × 4 Prenyl × 1, OH × 3 |
Meroterpenes | Bakuchiol (8 μg/mL) | Ethenyldimethyloctadienyl × 1, OH × 1 |
Phenolics from
As shown above, the major constituent of the source material bakuchiol (meroterpene) together with isobavachalcone and corylifol B (chalcones) showed the most potent antibacterial effects among the constituents examined (Figure 7). We confirmed the importance of the presence of a prenyl or related lipophilic group in the molecules, suggesting that the participation of those groups is key within the bacterial membrane. Further mechanistic studies as shown by Refs. [35, 36] are expected.
Phenolics with potent antibacterial effects on MRSA isolated from
We further examined the effects of phenolic constituents of licorice on vancomycin-resistant
The following strains of two species of VRE,
Subgroups | Compounds (MIC) | Substituents |
---|---|---|
Isoflavones | 8-(γ,γ-Dimethylallyl)-wighteone (8–16 μg/mL) Glycyrrhisoflavone (32 μg/mL) Isoangustone A (16 μg/mL) 7- Semilicoisoflavone B (32–64 μg/mL) | Prenyl × 2, OH × 3 Prenyl × 1, OH × 4 Prenyl × 2, OH × 4 Prenyl × 1, OH × 3 Dimethylpyran × 1, OH × 3 |
Isoflavans | Glyasperin C (16 μg/mL) Glyasperin D (32–64 μg/mL) Licoricidin (8 μg/mL) | Prenyl × 1, OH × 3 Prenyl × 1, OH × 2 Prenyl × 2, OH × 3 |
Isoflavanones | 3′-(γ,γ-Dimethylallyl)-kievitone (16 μg/mL) Glyasperin J (32 μg/mL) | Prenyl × 2, OH × 4 Dimethylpyran × 1, prenyl × 1, OH × 3 |
3-Arylcoumarins | Glycycoumarin (16 μg/mL) Glycyrin (16–32 μg/mL) Licoarylcoumarin (16 μg/mL) | Prenyl × 1, OH × 3 Prenyl × 1, OH × 2 α,α-Dimethylallyl × 1, OH × 3 |
Coumestans | Isoglycerol (32–64 μg/mL) | Dimethyldihydropyran × 1, OH × 1 |
Pterocarpans | Demethylhomopterocarpan (32 μg/mL) | OH × 1 |
2-Arylbenzofurans | Gancaonin I (8–16 μg/mL) Glycybenzofuran (32 μg/mL) Licocoumarone (32 μg/mL) 4′- Neoglycybenzofuran (16 μg/mL) | Prenyl × 1, OH × 2 Prenyl × 1, OH × 3 Prenyl × 1, OH × 3 Prenyl × 1, OH × 2 Prenyl × 1, OH × 3 |
Licorice phenolics effective against VRE.
Licorice phenolics with potent antibacterial effects on VRE.
The contribution of hydroxyl groups seems to be less important in the cases of VRE than in the case of MRSA. For example, isoglycyrol and demethylhomopterocarpan both contained one hydroxyl group and showed moderate effects with MIC 32–64 μg/mL. Even for glyasperin J trimethyl ether, which has no hydroxyl groups, an MIC of 64 μg/mL was observed for both of the VRE species. On the other hand, 6,8-diprenylorobol with two prenyl groups and four hydroxyl groups showed weak effects (MIC 128 μg/mL). Therefore, respective structural factors or some balance of lipophilicity and hydrophilicity may contribute to the antibacterial effects, and this should be further investigated.
HPLC analysis revealed the presence of characteristic constituents depending on the original plant species. The
Type A: Using HPLC analysis, the standard materials established as
Characteristic phenolics observed in the extracts from
Type B: Analogously, the standard materials from
Characteristic phenolics observed in the extracts from
Type C: The standard materials from
Characteristic phenolics observed in the extracts from
These results suggest that glycycoumarin, licopyranocoumarin, and licocoumarone could be used as markers for
We performed HPLC analysis for the evaluation of crude drug materials to ascertain their pharmacological effects. The simultaneous HPLC analysis of eight major constituents of an extract from a material of a Japanese market was performed for evaluation as an anti-VRE material [19]. Using HPLC instruments combined with a photodiode-array detector (DAD) (LC-UV) or mass spectrometer (LC-MS) [19] would also effectively characterize such crude drug materials. Quantitative data and comparisons of the chromatographic patterns of representative licorice extracts, including unidentified HPLC peaks, are contributable to the evaluation of the materials. In addition, thin-layer chromatography (TLC) is a very useful method for visualizing phenolic constituents in plant extracts without special instruments [41], and development of high-performance (HP)TLC technique resulting in a better resolution of the constituent spots contributes largely in the analysis of plant constituents [42]. High-performance size-exclusion chromatography can be applied for estimating molecular sizes or molecular weight distribution of tannins [43] and also for estimating sizes of supermolecular complexes formed from polyphenols and proteins [26]. Gel electrophoresis is applicable for the analyses of polyphenol-protein complexes [44], too.
Licorice extracts contain various types of flavonoids and related compounds. In addition to the protein-binding properties and antioxidant effects, we examined their antiviral and antibacterial properties. The findings, especially those found in the studies of antibacterial phenolics in licorice using MRSA and VRE, emphasize the importance of lipophilic prenyl groups together with phenolic hydroxyl groups, in addition to the flexibility of their structural skeletons. Additional studies on these plant constituents are currently in progress [45]. Because naturally occurring polyphenols have structural limitations based on the biogenetic capability of plants, further studies with the aid of synthetic chemistry are expected for clarifying quantitative structure-activity relationship concerning their pharmacological effects and for optimizing candidates of new drugs.
The author (TH) regrets that the following errors were found: (1) The concentration 1 μg/mL of oxacillin in the figure legend on the effects of the combination of oxacillin and licoricidin from Figure 2 in Ref. [15] should read 10 μg/mL as shown in the text of Ref. [15]; (2) the methoxyl and the hydroxyl groups in the structure of glycyrol in Refs. [18, 19] should be at C1 and C3, respectively, as shown in Ref. [34], and the structure of glycycoumarin in the Refs. [18] and [19] should be fixed as shown in Refs. [9, 15]; (3) the subgroup name 2-aryl-3-methylbenzofuran for gancaonin I in Ref. [19] is incorrect. Because gancaonin I does not have a methyl group on C3, it is classified in a subgroup of 2-arylbenzofuran as shown in Table 4 in this chapter; (4) the name “reduced form of nicotinamide adenine dinucleotide phosphate (NADPH)” in Ref. [30] is an error and should read “NADH.”
The term “psychosis” denotes a variety of mental disorders: the presence of delusions, various types of hallucinations, usually auditory or visual, but sometimes tactile or olfactory, and grossly disorganized thinking in a clear sensorium. Schizophrenia is an enduring, disabling psychiatric illness affecting about 1% of the population globally. It is characterized by various symptoms classified into positive, negative and cognitive) [1, 2].
Plants provide the essential nutrients and remedy needed by humans, they are healthier compared to animal diets. Over time much benefits have been derived from medicinal plants due to their rich natural phytochemicals that interact favorably with the human body and neurotransmitters to produce effects that are beneficial to man. In this chapter we will look at some medicinal plant used in the pharmacotherapy of psychosis.
Psychosis is an immense social and economic problem, but the management of psychosis remains insufficient. Basically typical and atypical antipsychotics are used for the treatment of schizophrenia, the typical antipsychotics such as chlorpromazine and haloperidol are only effective in the treatment of positive symptoms, and are accompanied by disturbing adverse effects such as extrapyramidal side-effects [3], the atypical antipsychotic drugs such as risperidone and olanzapine provide some beneficial effects on negative symptoms and cognitive deficits [4], but they are inadequate and mild. Prolonged use also results in increased oxidative load [5] which could lead to cardiovascular disorders, diabetes, and agranulocytosis seen with clozapine, they also cause moderate to severe weight gain [2, 6, 7, 8]. The use of medicinal plants as complementary remedies for the treatment of psychosis have become necessary because of their characteristically high chemical diversity, biochemical specificity, and several other properties that make them favorable lead structures for the treatment of various disorders, including psychosis [9], for example,
Medicinal plants are either used as an alternative or in addition to orthodox medicine [16], users search for a more holistic approach to treatment, others expect that alternative medicines have less or no side-effects, and many with chronic mental health problems justifiably feel disappointed by the apparent ineffectiveness of conventional treatment [17].
Neuropsychiatric Disorders may occur as a result of a number of factors such as genetic predisposition, lifestyle factors such as substance abuse and recently diet is also believed to be a factor [18] due to certain observations that associated incidence of psychotic episodes in neuropsychiatric diseases with poor dietary patterns, such as a lower intake of omega-3 fatty acids, vegetables, fibers, fruits, vitamins and minerals [19], all these are substances that can be obtained naturally supporting the use of natural products in psychosis especially because of the high antioxidant content of these natural products, since oxidative stress is implicated in psychosis.
The discovery of effective plant-based medicinal plants for the treatment of psychosis is constrained by a need to conclusively identify relevant active constituents and understand synergies within them and an inability to sufficiently standardize replicable extracts.
A large number of natural phytochemicals are claimed to have beneficial effects on the adequate functioning of the human brain [20]. Essentially, metabolites produce effects on human brain function probably due to the connection between plant, mammalian biochemistry and molecular functioning. Principally, as a result of the numerous molecular signaling pathways that are conserved between taxa and their role in the synthesis of secondary metabolite [21]. Secondly the effects might be based on the similarities between the prevalent natural herbivores of plants and the nervous systems of humans. Therefore, the phytochemicals whose synthesis has been retained by a process of natural selection and on the basis of their ability to interact with the CNS of herbivorous or symbiotic insects will also interact with the human CNS system via the same mechanisms [22]. Some of the significance of secondary metabolites involve general protective roles (such as antioxidant, ultra violet (UV) light-absorbing, free radical-scavenging and antiproliferative agents) and preservation the plant against microorganisms such as bacteria, fungi, and viruses. More intricate actions involve dictating or modifying the plant’s relationship with more complex organisms [23, 24, 25]. This is achieved primarily by their role of feeding deterrence, consequently, many phytochemicals are bitter and/or toxic to potential herbivores, with this toxicity often extending to direct interactions with the herbivore’s central and peripheral nervous systems [26] identified extracts and constituents from 85 individual medicinal plants that have potential efficacy for treating psychiatric disorder. Accordingly, secondary metabolites often act as agonists or antagonists of neurotransmitter systems [25, 27] or form structural analogs of endogenous hormones [28].
Secondary metabolites can be subdivided into many distinct groups base on their chemical structure and synthetic pathways, furthermore, these groups can be broadly categorized in terms of the nature of their ecological roles and also their eventual effects and comparative toxicity in the consuming animal. The phytochemicals are herewith, discussed base on the chemical nature of their alleged active components. The largest and most widespread of phytochemical groups are the alkaloids, phenolic compounds and terpenes.
Alkaloids are a structurally diverse group of over 12,000 cyclic nitrogen-containing compounds that are found in over 20% of plant species [29]. The use of alkaloids for medicinal purposes dates as far back as the Stone Age [20].
The alkaloids are known to be the common poisons, neurotoxins, and traditional psychedelics for example atropine, scopolamine, and hyoscyamine, from
Gentianine is a major alkaloid extracted from
Phenolic compounds are universally found across the plant kingdom, with approximately 10,000 structures identified to date. Phenolics are synthesized from precursors produced by the phenylpropanoid pathway with the exception of a few notable compounds. Structurally, they share at least one aromatic hydrocarbon ring with one or more hydroxyl groups attached [22].
Phenolic compounds comprise of simple low-molecular weight compounds, such as the coumarins, simple phenylpropanoids, and benzoic acid derivatives, to more complex structures such as flavanoids, tannins and stilbenes [22]. These compounds play an important role in CNS functioning by interacting directly with neurotransmitter systems. In in vivo models, phenolics enhance cognition through antagonistic gamma-aminobutyric acid (GABA) receptor binding, with resultant cholinergic upregulation and exert antidepressant effects via monoamine oxidase inhibition in the brain, sedative, anxiolytic and antipsychotic effects by binding to GABA receptors, [36, 37, 38]. Flavonoids are widely distributed throughout the plant kingdom. They are constituents of medicinal plants used as herbal medicines in traditional medical practice, and are now considered valuable therapeutic agents in modern medicines [39, 40]. Many studies have reported that flavones modulate neurotransmission through enhancement of GABA activity in the central nervous system; which led to the hypothesis that they could exert tranquilizing effects in behavioral hyperactivity such as schizophrenia [41, 42]. Undeniably, a number of evidences have implicated the role of altered GABAergic transmission in the pathophysiology of schizophrenia [43, 44]. Morin a flavonoid isolated from plants was found to exhibit antipsychotic effects [45].
Tannins are a group of plant secondary metabolites that have the ability to tan or convert animal skin into leather. These compounds are classified as being water soluble phenolics with the ability to precipitate alkaloids, gelatins, and other proteins. High tannin concentrations are found in nearly every part of many plants, such as in the bark, wood, leaves, fruit, roots, plant galls, and seed. Tannins may exert their biological effects in two different ways: as unabsorbables, these are usually complex structures with binding properties which may produce local effects in the gastrointestinal tract (antioxidant, radical scavenging, antimicrobial, antiviral, antimutagenic, and antinutrient effects), or as absorbable, these are usually low molecular weight structures which are easily absorbed, and produce systemic effects in various organs [46]. Gallic acid, a gallotanin found in many plants was reported to demonstrate anti-schizophrenic activity primarily due to its antioxidant and anti-inflammatory effects [47]. A novel tannin composition effective in treating mental diseases such as acute or chronic schizophrenia, was isolated from Rhubarb (Rhe; Rhi zoma) a kind of crude drug known from the past and has been frequently used as a Japanese-Chinese medicine [48].
Saponins are naturally occurring, but functionally and structurally diverse phytochemicals that are broadly distributed in plants. They are a complex and chemically varied group of compounds consisting of triterpenoid or steroidal glycones linked to oligosaccharide moieties. Although there is a scarce documentation on the antipsychotic potential of saponin, polygalasaponins, a saponin isolated from
Terpenes are a diverse group of more than 30,000 lipid-soluble compounds. Their structure includes 1 or more 5-carbon isoprene units, Terpenoids are classified base on the number of isoprene units they contain; isoprene, which itself is synthesized and released by plants, comprises 1 unit and is classified as a hemiterpene; monoterpenes incorporate 2 isoprene units, sesquiterpenes incorporate 3 units, diterpenes comprise 4 units, sesterpenes include 5 units, triterpenes incorporate 6 units, and tetraterpenes 8 units [22]. Some of the recognized antipsychotic terpenoids are myrcene, beta-caryophyllene and limonene. However, these terpenoids do not only have antipsychotic properties but possess anti-depressant effects due to the suppression and activation of the cannabinoid receptor 2 [20].
Many medicinal plants are in use both in developed and developing countries for the treatment of psychosis, some of these plants have been studied for their antipsychotic properties whereas most of these plants have no scientific backings for their efficacy. Literature search of the PUBMED and Sciencedirect journals have documented a number of plants studied for their antipsychotic properties in laboratory animals, however, most of the studies carried out are preliminary, and the need for further studies to isolate the active constituents, determine the mechanism of action and conduct clinical trials to verify their efficacy and safety is necessary. Table 1 gave a list of some of the reviewed antipsychotic plants, their constituents and probable mechanism of action.
Plant name | Parts used | Constituents and effects | Probable mechanism of action | Author |
---|---|---|---|---|
Roots | The root extract of | The possible mechanism of action of | Kumbol, et al. [50] | |
Leaves | The essential oil was extracted from the leaves of | The possible mechanism of action might be due to antioxidant effects as well as enhancing NMDA neurotransmission. | de Araújoa et al. [10] | |
Leaves | Mechanism of action may be attributed to dopamine antagonism in the frontal cortical regions of the brain. | Jash & Chowdary. [15] | ||
Whole plant | Triterpenoid, saponins, and bacosides are considered to be the major constituents in the plant. | The antipsychotic properties may be related to its normalization of dopamine and serotonergic neurotransmission and reduction of acetylcholinesterase activity. | Chatterjee et al. [9] | |
Leaf Juice | Yadav et al. [51] | |||
Leaves | Cannabidiol one of the major constituent of | The possible mechanism of | Zuardi et al. [52] | |
Leaves | The antipsychotic properties are possibly mediated via the GABAergic neurotransmission as well as blockade of dopamine D-2 receptors | Taıwe et al. [53] | ||
Bulb | alkaloids, saponins and tannins were found to be some of the major constituents of | The possible mechanism of action of Crinum giganteum may be limited to dopamine D1 antagonism. | Amos et al. [54] | |
Whole plant | The major constituent in | The possible mechanism of action may be due to dopamine receptor antagonism | Amoateng et al. [13] | |
Ber-ries | Embelin was isolated from Embelia ribes and found to be responsible for the antipsychotic effect of the plant. Embelin reversed apomorphine induced stereotypic behavior, confirming its antipsychotic potential. | Embelin action may be due dopamine antagonism and decreased level of neurotransmitters such as dopamine, serotonin and noradrenaline as well as antioxidant effects. | Durg et al. [55] | |
The effect of the extract amphetamine-induced stereotyped behavior in mice suggest anti-dopaminergic actions on the limbic system | Amos et al. [56] | |||
Leaves | Studies have shown that | The probable mechanism of action of | Arowona et al. [57] | |
Roots | Triterpenes has been identified in Findings revealed the antipsychotic effects of | The probable mechanism of action of | de Sousa & de Almeida. [58] | |
Fruits | scopoletin, rutin and quercetin are the major constituents of | The probable mechanism of antipsychotic effect of | Pandy et al. [59] | |
Root bark | Saponins are present in abundance in the extract and might contribute in part for the observed CNS effects. The extract demonstrated antipsychotic effects by attenuating apomorphine induced stereotypic behavior | The effect of the extract against apomorphine is suggestive of possible interference with central dopaminergic neurotransmission. | Amos et al. [60] | |
Stem bark | The probable mechanism of action might be due to dopamine D1 and D2 antagonism. | Amos, et al. [61] | ||
Leaves | The Probable mechanism of action include antioxidant action and enhancement of NMDA neurotransmission as well as neuroprotection. | Sharma et al. [62] | ||
Leaves | The plant’s major compound is ginseng which is known to possess numerous pharmacological effects. | The antipsychotic properties may be related to its normalization of dopamine and serotonergic neurotransmission and reduction of acetylcholinesterase activity. | Chatterjee et al [14] | |
Fruits | alstonine an indole alkaloid isolated from | Alstonine indirectly modulates DA receptors, specifically by modulating DA uptake, it also decreases glutamate uptake in acute hippocampal slices. Alstonine also increases serotonergic transmission and increases intraneuronal dopamine catabolism. | Linck et al. [34, 35] | |
Fruits | The antipsychotic activity may be mediated through augmentation of GABA at the GABAA–benzodiazepine receptor complex pathway, or inhibition of dopamine neurotransmission at dopamine D1/D2 receptors | Oyemitan et al. [63] | ||
Roots | polygalasaponin molecular mechanism of action is dopamine (D2) and serotonin (5HT2) receptor antagonism | Chung et al. [49] | ||
Leaves | 11-demethoxyreserpiline, 10- demethoxyreserpiline, α-yohimbine and reserpiline are alkaloids isolated from the leaves of | The mechanism of action of the plant is due to the blockade of dopamine (D2) and serotonin (5HT2) receptor. | Gupta et al. [33] | |
The extracts of | The probable antipsychotic mechanism of | Coors et al. [64] | ||
The antipsychotic effect of | Rao et al. [65] | |||
Root Bark | Securinega virosa has been described as “cure all” in Africa traditional medicine because of its use widely in the treatment of many illnesses. The plant contains saponins, flavonoids, alkaloids and tannins, and was found to possess antipsycotic activity | The probable mechanism of action may be due to dopamine D1 and D2 antagonism. | Magaji et al. [66] | |
Seeds | Yadav [67] | |||
Leaves | The antipsychotic mechanism of | Ayoka et al. [68] | ||
Leaves | Gentianine is a major alkaloid isolated from | It probable mechanism of action might be due to dopamine antagonism. | Bhattacharya et al. [32] | |
The extract of the whole plant has demonstrated anticonvulsant, sedative, in vitro antioxidant and free radical scavenging properties as well as antinociceptive properties in acute and neuropathic pain. | The probably mechanism of the antipsychotic properties of | Amoateng et al. [69] | ||
Leaves and roots | The plant contains Flavonoids, saponins and tannins in abundance which may be responsible in part for the observed activities. | Ior et al. [12] | ||
The mechanism of action of | Guptaa et al. [70] |
Some medicinal plants, their constituents, effects and probable mechanisms of action.
Many medicinal plants studied for psychosis were found to have efficacy against the positive, negative and cognitive deficit of schizophrenia in laboratory animals, without the disturbing adverse effects seen with conventional antipsychotic drugs. Even those that are thought to act on the dopamine receptors had minimal or no cataleptic tendencies. The tendency for these plants to ameliorate the negative symptoms in schizophrenia, and in some cases also improve psychotic symptoms, may be owing to the ability of most plants to generally exert anti-inflammatory effects [71] and given that inflammation is a risk factor in most neuropsychiatric disorders including schizophrenia [72]. Oxidative stress is also a major factor in psychosis, plants contain diverse constituents which exhibit antioxidant, and neuroprotective effects useful in ameliorating psychotic symptoms [67].
Large number of schizophrenic patients fail to respond adequately to the initial antipsychotic drug treatment necessitating the addition of natural antipsychotic plants to their treatment regimen. As recently reviewed by Hoenders et al. [73] the inclusion of traditional medicine or Ayurvedic herbs to antipsychotics, generally improve the psychopathology of the disease, however, more studies are needed to conclusively support this finding.
Many medicinal plants have been studied for their antipsychotic properties and several mechanisms of action have been proposed for their actions. A number of these plants were believed to act in a similar manner as orthodox medicines but in most cases without the disturbing adverse effects. Table 1 gave a summary of the probable antipsychotic mechanism of action of the medicinal plants. Various animal models are used to investigate the antipsychotic properties of medicinal plants, some of these models help to determine whether these plants have typical or atypical antipsychotic like effects.
Dopaminergic deregulation, hypofunction of NMDA receptors and GABAergic activity, diminished cholinergic firing, neuroinflammation and increased oxidative stress has been demonstrated to play a pathophysiological role in schizophrenia [67].
The dopamine and amphetamine animal models are basically used to study the typical antipsychotic effects of drugs, their action are similar to the conventional antipsychotics such as haloperidol, chlorpromazine, fluphenazine and thioridazine. The stereotypic behavior observed in animals following the administration of apomorphine a dopaminergic agonist, are attributed to stimulation of D1 and D2 receptors [74, 75]. Mesolimbic and nigrostriatal dopaminergic pathways play key roles in the mediation of locomotor activity and stereotyped behavior. Animal models used for assessing antipsychotic drugs are established on the neurochemical hypothesis of schizophrenia, which involve largely the neurotransmitters dopamine and glutamate [76]. The antagonism of dopamine D2 receptors in the mesolimbic-mesocortical system is thought to be the basis of the therapeutic actions of the antipsychotic drugs, especially those active against hallucinations and delusions [77]. The dopamine-based models usually employ apomorphine, a direct agonist, or amphetamine, a drug that increases the release of this neurotransmitter and blocks its re-uptake.
The term atypical refers to the reduced propensity of the of an agent to cause undesirable motor side effects, but it is also used to describe agents with a different pharmacological profile from the typical antipsychotics; several of these newer antipsychotics improve the negative as well as the positive symptoms [78]. The atypical antipsychotics are categorized base on their pharmacological properties. These include serotonin–dopamine antagonists, multi-acting receptor- Targeted antipsychotics, and dopamine partial agonists. [79]. Examples include clozapine, quetiapine, risperidone, amisulpride, sertindole, zotepine and aripiprazole. The dopamine dysregulation with hyperfunction of the mesolimbic dopamine system was the original tenet theory underlying the basis of schizophrenia [80] and the earliest animal models were established on the basis of pharmacological manipulation in an endeavor to simulate this feature [81], which respond to agents that affect primarily the dopaminergic system, but does not demonstrate the negative or cognitive symptoms seen in schizophrenia [82]. In contrast, a widely used animal model of schizophrenia involves the acute or repeated administration of sub-anesthetic doses of ketamine [83]. In rodents, N-methyl-Daspartic acid receptor (NMDAR) blockade induces hyperactivity, stereotypy, deficits in prepulse inhibition [84], social interaction and memory (Becker and Grecksch [85]), which models the positive, negative and cognitive symptoms of schizophrenia, respectively [9]. Furthermore, studies have revealed that reactive oxygen species have a significant role in the pathogenesis of many illnesses, particularly neurological and psychiatric illnesses. [86] Oxidative stress may be a common pathogenic mechanism underlying many major psychiatric disorders as the brain is relatively susceptible to oxidative damage [87]. Previous study confirmed that oxidative stress damage occurs in patients with schizophrenia and one possible therapeutic solution is to use antioxidants [88]. Reports from some of the medicinal plants studied that delineate some of the animal models used and their molecular mechanism of action are highlighted.
Plants have been the mainstay for the treatment of diseases all over the world before the development of conventional medicines. The interest in the therapeutic uses of plants have been revived due to obvious reasons such as their safety, availability, and affordability as well as their efficacy. Research on medicinal plant have provided evidences for their use, and further studies in order to isolate the active constituents and also to test them in clinical studies is important for the development of new pharmacotherapies for psychosis.
The authors acknowledge all sources, and are grateful to the authors/editors of all the articles, journals, and books from where the literature for this article has been reviewed.
The authors declare no conflict of interest.
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Aalborg University has Two Satellite Campuses, one in Copenhagen (Aalborg University Copenhagen) and the other in Esbjerg (Aalborg University Esbjerg).\n· He is a member of prestigious IEEE (Institute of Electrical and Electronics Engineers), and IAENG (International Association of Engineers) organizations. \n· He is the chief Editor of the Journal of Software Engineering.\n· He is the member of the Editorial Board of International Journal of Computer Science and Software Technology (IJCSST) and International Journal of Computer Engineering and Information Technology. \n· He is also the Editor of Communication in Computer and Information Science CCIS-20 by Springer.\n· Reviewer For Many Conferences\nHe is the lead person in making collaboration agreements between Aalborg University and many universities of Pakistan, for which the MOU’s (Memorandum of Understanding) have been signed.\nProfessor Akbar is working in Academia since 1990, he started his career as a Lab demonstrator/TA at the University of Sussex. After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. He has contributed in stochastic estimation of control area especially, in the Multiple Target Tracking and Interactive Multiple Model (IMM) research, Ball & Beam Control Problem, Robotics, Levitation Control. He has contributed in developing Algorithms for Fingerprint Matching, Computer Vision and Face Recognition. He has been supervising Pattern Recognition, Formal Languages and Distributed Processing projects for several years. He has reviewed many books on Management, Computer Science. Currently, he is an active and permanent reviewer for many international conferences and symposia and the program committee member for many international conferences.\nIn teaching he has taught the core computer science subjects like, Digital Design, Real Time Embedded System Programming, Operating Systems, Software Engineering, Data Structures, Databases, Compiler Construction. 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Its first known use in rehabilitation published by Max North named as “Virtual Environments and Psychological Disorders” (1994). Virtual reality uses special programmed computers, visual devices and artificial environments for the clients’ rehabilitation. Throughout technological improvements, virtual reality devices changed from therapeutic gloves to augmented reality environments. Virtual reality was being used in different rehabilitation professions such as occupational therapy, physical therapy, psychology and so on. In spite of common virtual reality approach of different professions, each profession aims different outcomes in rehabilitation. Virtual reality in occupational therapy generally focuses on hand and upper extremity functioning, cognitive rehabilitation, mental disorders, etc. Positive effects of virtual reality were mentioned in different studies, which are higher motivation than non‐simulated environments, active participation of the participants, supporting motor learning, fun environment and risk‐free environment. Additionally, virtual reality was told to be used as assessment. This chapter will focus on usage of virtual reality in occupational therapy, history and recent developments, types of virtual reality technologic equipment, pros and cons, usage for pediatric, adult and geriatric people and recent research and articles.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Orkun Tahir Aran, Sedef Şahin, Berkan Torpil, Tarık Demirok and\nHülya Kayıhan",authors:[{id:"172938",title:"Prof.",name:"Hulya",middleName:null,surname:"Kayihan",slug:"hulya-kayihan",fullName:"Hulya Kayihan"},{id:"183079",title:"Ph.D.",name:"Sedef",middleName:null,surname:"Şahin",slug:"sedef-sahin",fullName:"Sedef Şahin"},{id:"196848",title:"M.Sc.",name:"Orkun Tahir",middleName:null,surname:"Aran",slug:"orkun-tahir-aran",fullName:"Orkun Tahir Aran"},{id:"197159",title:"Mr.",name:"Tarık",middleName:null,surname:"Demirok",slug:"tarik-demirok",fullName:"Tarık Demirok"},{id:"197312",title:"M.Sc.",name:"Berkan",middleName:null,surname:"Torpil",slug:"berkan-torpil",fullName:"Berkan Torpil"}]},{id:"61806",doi:"10.5772/intechopen.78312",title:"Executive Functions and Neurology in Children and Adolescents",slug:"executive-functions-and-neurology-in-children-and-adolescents",totalDownloads:1737,totalCrossrefCites:3,totalDimensionsCites:5,abstract:"This chapter discusses the theoretical and methodological issues of creating a developmental perspective on executive function (EF) in childhood and adolescence. Focusing on school periods, this section outlines the development of the basic components of EF—inhibition, working memory, and attention. Cognitive and neurophysiological evaluations show that despite the emergence of EF in the first few years of life, it continues to grow significantly in childhood and adolescence. The components vary slightly according to their developmental sequence. The chapter links findings to long-standing developmental issues (i.e. developmental sequences and processes) and suggests the necessary research to establish a developmental framework covering early childhood throughout adolescence.",book:{id:"6772",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Therapeutic and Creative Use of Activity"},signatures:"Gokcen Akyurek",authors:[{id:"197265",title:"Dr.",name:"Gokcen",middleName:null,surname:"Akyurek",slug:"gokcen-akyurek",fullName:"Gokcen Akyurek"}]},{id:"56049",doi:"10.5772/intechopen.69101",title:"Measurement of Participation: The Role Checklist Version 3: Satisfaction and Performance",slug:"measurement-of-participation-the-role-checklist-version-3-satisfaction-and-performance",totalDownloads:2804,totalCrossrefCites:3,totalDimensionsCites:4,abstract:"Participation in society is an area of interest to both clinicians and population researchers. Measurement of participation is therefore important, yet differences in definition, in terms of both content and scope, have made general agreement on one instrument tool elusive. What is recognized is the need for a theoretically based tool that captures both the insider and the outsider perspective. The outsider perspective, inclusive of the generally held views of a society, supports the utility for aggregating population data, whereas the insider perspective provides the internally held views of an individual needed for client-centered treatment planning. The Role Checklist Version 3 modifies one of the most commonly used assessment tools in occupational therapy practice, has good preliminary psychometric properties, and is theoretically consistent with both the ICF and the Model of Human Occupation. The Model of Human Occupation is the most widely used theoretical model in occupational therapy. This chapter provides an overview of the theoretical development, empirical testing, and implications for use of this participation measure by occupational therapists along with implications for population researchers.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Patricia J. Scott, Kelsey McKinney, Jeff Perron, Emily Ruff and Jessica\nSmiley",authors:[{id:"195495",title:"Dr.",name:"Patricia J",middleName:null,surname:"Scott",slug:"patricia-j-scott",fullName:"Patricia J Scott"},{id:"208801",title:"Dr.",name:"Kelsey G.",middleName:null,surname:"McKinney",slug:"kelsey-g.-mckinney",fullName:"Kelsey G. McKinney"},{id:"208802",title:"Mr.",name:"Jeffrey M.",middleName:null,surname:"Perron",slug:"jeffrey-m.-perron",fullName:"Jeffrey M. Perron"},{id:"208803",title:"Dr.",name:"Emily G.",middleName:null,surname:"Ruff",slug:"emily-g.-ruff",fullName:"Emily G. Ruff"},{id:"208804",title:"Dr.",name:"Jessica L.",middleName:null,surname:"Smiley",slug:"jessica-l.-smiley",fullName:"Jessica L. Smiley"}]},{id:"55024",doi:"10.5772/intechopen.68463",title:"Occupational Therapy in Oncology and Palliative Care",slug:"occupational-therapy-in-oncology-and-palliative-care",totalDownloads:2668,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Cancer is a chronic disease that may occur in both children and adults. Occupational therapy focuses on the activity limitations and participation problems in their life. Oncology rehabilitation involves in helping an individual with cancer to regain maximum physical, psychological, cognitive, social, and vocational functioning with the limits up to disease and its treatments in an interdisciplinary team concept. These treatment options are associated with the risk of some side effects, including fatigue, pain, cognitive problems, decrease in bone density and muscle endurance, weight loss, and stress- or anxiety-related psychosocial problems. Occupational therapy approaches are a holistic view in a client center and use training in activities of daily living, assistive technology, education of energy conservation techniques, and management of treatment-related problems, such as pain, fatigue, and nausea. In palliative and hospice care, occupational therapists support clients with cancer by minimizing the secondary symptoms related to cancer and its treatments. At the end of life, occupational therapy offers to identify the roles and activities that are meaningful and purposeful to the client with cancer and try to determine the barriers that limit their performance. Clients with cancer who have childhood cancer or adult cancer can face problems about body structure and functions, activity, and participation, which may limit their participation to their daily life.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Sedef Şahin, Semin Akel and Meral Zarif",authors:[{id:"183079",title:"Ph.D.",name:"Sedef",middleName:null,surname:"Şahin",slug:"sedef-sahin",fullName:"Sedef Şahin"},{id:"183078",title:"Dr.",name:"Burcu Semin",middleName:null,surname:"Akel",slug:"burcu-semin-akel",fullName:"Burcu Semin Akel"},{id:"198859",title:"Dr.",name:"Meral",middleName:null,surname:"Zarif",slug:"meral-zarif",fullName:"Meral Zarif"}]},{id:"69611",doi:"10.5772/intechopen.89596",title:"What to Expect: Medical Quality Outcomes and Achievements of a Multidisciplinary Inpatient Musculoskeletal System Rehabilitation",slug:"what-to-expect-medical-quality-outcomes-and-achievements-of-a-multidisciplinary-inpatient-musculoske",totalDownloads:755,totalCrossrefCites:0,totalDimensionsCites:3,abstract:"The incidence of chronic diseases is rising. Rehabilitation plays a vital role in preventing and minimizing the functional limitations associated with chronic conditions and aging. Routine outcome measures include disease-specific and unspecific general health parameters. This study evaluates indicators for medical quality outcomes from 10,373 patients (61.00 ± 13.65 years, 51.7% women) who have undergone orthopedic rehabilitation for three weeks. Inpatient rehabilitation reduces lifestyle-related risk factors, optimizes organ functioning and improves the well-being in the majority of patients (81.3%; SMD = 0.52 ± 0.38). Improvements of unspecific and indication specific outcome parameters can be observed in a comparable magnitude. However, disease specific and unspecific health factors are not directly related to each other (r = 0.19). Age, gender, ICD-classification and time of rehabilitation have an influence on initial values and on indication-specific medical outcomes but are insignificant with regards to improvements in unspecific medical outcome parameters. Inpatient rehabilitation includes two main pathways of medical practice, which can be clearly distinguished in terms of their therapeutic outcome. There are general health interventions, such as lifestyle modifications, diet and physical exercise, and symptom-specific treatments. So multidisciplinary medical rehabilitation improves general well-being and physical functioning as well as reduces risk factors in the majority of patients.",book:{id:"7543",slug:"physical-therapy-effectiveness",title:"Physical Therapy Effectiveness",fullTitle:"Physical Therapy Effectiveness"},signatures:"Vincent Grote, Alexandra Unger, Henry Puff and Elke Böttcher",authors:[{id:"308501",title:"M.D.",name:"Henry",middleName:null,surname:"Puff",slug:"henry-puff",fullName:"Henry Puff"},{id:"308502",title:"Dr.",name:"Vincent",middleName:null,surname:"Grote",slug:"vincent-grote",fullName:"Vincent Grote"},{id:"309934",title:"Dr.",name:"Elke",middleName:null,surname:"Böttcher",slug:"elke-bottcher",fullName:"Elke Böttcher"},{id:"310535",title:"Dr.",name:"Alexandra",middleName:null,surname:"Unger",slug:"alexandra-unger",fullName:"Alexandra Unger"}]}],mostDownloadedChaptersLast30Days:[{id:"55080",title:"Life Skills in Occupational Therapy",slug:"life-skills-in-occupational-therapy",totalDownloads:6021,totalCrossrefCites:3,totalDimensionsCites:0,abstract:"Occupational therapy is a health profession that uses the purposeful activities to achieve multiple and complex rehabilitation aims. The main goals of the occupational therapy are to support the reintegration of individuals in daily living skills as well as to increase their independence and autonomy. Interventions of occupational therapists have primarily focused on self-care, productivity, and leisure time activities. Since the life skills includes a wide range of abilities that enable a person to perform personal care and more complicated tasks such as traveling, shopping, community participation etc., occupational therapists provide life skills training programs to meet the needs of the clients. This chapter aims to contribute to the current understanding and practices of life skills from an occupational therapy perspective. The chapter starts with a brief discussion of the importance of life skills in occupational therapy. After this introduction, the first part takes a look at the definition of life skills and identifies core components of life skills. The second part describes assessment and interventions of life skills. The third one gives an overview about school life skills programs for children and adolescents. 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Offenders turn back to the community after the penalty was executed by isolating from society and some occupations. An occupational imbalance is seen in the individuals, during this penalty period and afterward, because of limited occupational participation. As an occupational being, this affects their physical, mental and psychological well-being. Imprisonment is an important practice in criminal law to punish criminals. This may be necessary for the protection of society from criminals, but successful integration into a community after exiting the prison is the most important factor in preventing recidivism. Occupational therapy focuses on health and well-being by using meaningful and purposeful occupations. Occupation involves any activity that people perform or participate in, such as giving care to themselves or others, working, learning, playing games, and interacting with others. From this perspective, the role of occupational therapists in forensic settings is to determine the abilities of these individuals to congregate their deprived freedoms and use them to train them for an independent and autonomous life; to provide a professional orientation, career counseling, and self-esteem; to gain some habits for physical, spiritual and moral life and to reinforce.",book:{id:"6772",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Therapeutic and Creative Use of Activity"},signatures:"Esma Ozkan, Sümeyye Belhan, Mahmut Yaran and Meral Zarif",authors:null},{id:"70122",title:"Parkinson’s Disease Rehabilitation: Effectiveness Approaches and New Perspectives",slug:"parkinson-s-disease-rehabilitation-effectiveness-approaches-and-new-perspectives",totalDownloads:2029,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Parkinson’s disease has been considered one of the most important and common neurodegenerative diseases in the world. Its motor and nonmotor signs determine a huge functional loss, leading the individuals to lose their independence. Although the treatment requires a pharmacological approach, physical therapy has confirmed its importance in this process. Today, neurorehabilitation is indispensable to increase many of the cardinal signs of the disease. Using traditional or technological approaches, physical therapy has reached good results in improving motor and nonmotor functions, as well as the quality of life of Parkinsonians. However, it is important to develop and to fortify the physical therapy approach so that we can provide stronger evidence about our practice.",book:{id:"7543",slug:"physical-therapy-effectiveness",title:"Physical Therapy Effectiveness",fullTitle:"Physical Therapy Effectiveness"},signatures:"Luciana Auxiliadora de Paula Vasconcelos",authors:[{id:"98546",title:"Dr.",name:"Luciana Auxiliadora",middleName:null,surname:"De Paula Vasconcelos",slug:"luciana-auxiliadora-de-paula-vasconcelos",fullName:"Luciana Auxiliadora De Paula Vasconcelos"}]},{id:"62210",title:"Occupational Therapy’s Role in the Treatment of Children with Autism Spectrum Disorders",slug:"occupational-therapy-s-role-in-the-treatment-of-children-with-autism-spectrum-disorders",totalDownloads:2725,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Occupational therapists (OT) offer a wide range of therapies for individuals with ASD on the basis of specific deficits and difficulties. This chapter explores the role that OT plays, and the expertise, in relation to the interdisciplinary team. In addition, it discusses and presents empirical support for several therapeutic approaches commonly used by OTs working with individuals with ASD.",book:{id:"6772",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Therapeutic and Creative Use of Activity"},signatures:"Bryan M. Gee, Amy Nwora and Theodore W. Peterson",authors:null},{id:"55049",title:"Community Participation in People with Disabilities",slug:"community-participation-in-people-with-disabilities",totalDownloads:2405,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Despite the fact that participation is an important building and a valuable target, the conceptualization, identification and measurement methods vary widely. This chapter tried to gain an insider’s perspective from the obstacles that summarize what meaning participation means, how to characterize it, and what prevents and supports participation. Participation is seen as a right and a responsibility attributed to and attributed to both the person and the community. Participation does not take place in a vacuum; the environment dynamically influences participation. The effects of this conceptual framework are discussed for change at the level of evaluation, research and systems to support the participation of the people with disability.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Gokcen Akyurek and Gonca Bumin",authors:[{id:"32431",title:"Prof.",name:"Gonca",middleName:null,surname:"Bumin",slug:"gonca-bumin",fullName:"Gonca Bumin"},{id:"197265",title:"Dr.",name:"Gokcen",middleName:null,surname:"Akyurek",slug:"gokcen-akyurek",fullName:"Gokcen Akyurek"}]}],onlineFirstChaptersFilter:{topicId:"198",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:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:106,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:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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The combination of electronics and computer science with biology and medicine has improved patient diagnosis, reduced rehabilitation time, and helped to facilitate a better quality of life. Nowadays, all medical imaging devices, medical instruments, or new laboratory techniques result from the cooperation of specialists in various fields. The series of Biomedical Engineering books covers such areas of knowledge as chemistry, physics, electronics, medicine, and biology. 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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. 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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. 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For 20 years, he has studied the analysis and processing of biomedical images, emphasizing the full automation of measurement for a large inter-individual variability of patients. 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. 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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. 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He is also a faculty member in the Molecular Oncology Program. He obtained his MSc and Ph.D. at Oregon State University and Texas Tech University, respectively. He pursued his postdoctoral studies at Rutgers University Medical School and the National Institutes of Health (NIH/NIDDK), USA. His research focuses on biochemistry, biophysics, genetics, molecular biology, and molecular medicine with specialization in the fields of drug design, protein structure-function, protein folding, prions, microRNA, pseudogenes, molecular cancer, epigenetics, metabolites, proteomics, genomics, protein expression, and characterization by spectroscopic and calorimetric methods.",institutionString:"University of Health Sciences",institution:null},{id:"180528",title:"Dr.",name:"Hiroyuki",middleName:null,surname:"Kagechika",slug:"hiroyuki-kagechika",fullName:"Hiroyuki Kagechika",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/180528/images/system/180528.jpg",biography:"Hiroyuki Kagechika received his bachelor’s degree and Ph.D. in Pharmaceutical Sciences from the University of Tokyo, Japan, where he served as an associate professor until 2004. 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Prof. Emeje’s several international fellowships include the prestigious Raman fellowship. He has published more than 150 articles and patents. He is also the head of R&D at NIPRD and holds a visiting professor position at Nnamdi Azikiwe University, Nigeria. He has a postgraduate certificate in Project Management from Walden University, Minnesota, as well as a professional teaching certificate and a World Bank certification in Public Procurement. 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In 2001, he went to the University of Tennessee Health Science Center (UTHSC) in USA, where he was a post-doctoral researcher and focused on mass spectrometry and cancer proteomics. Then, he was appointed as an Assistant Professor of Neurology, UTHSC in 2005. He moved to the Cleveland Clinic in USA as a Project Scientist/Staff in 2006 where he focused on the studies of eye disease proteomics and biomarkers. He returned to UTHSC as an Assistant Professor of Neurology in the end of 2007, engaging in proteomics and biomarker studies of lung diseases and brain tumors, and initiating the studies of predictive, preventive, and personalized medicine (PPPM) in cancer. In 2010, he was promoted to Associate Professor of Neurology, UTHSC. Currently, he is a Professor at Xiangya Hospital of Central South University in China, Fellow of Royal Society of Medicine (FRSM), the European EPMA National Representative in China, Regular Member of American Association for the Advancement of Science (AAAS), European Cooperation of Science and Technology (e-COST) grant evaluator, Associate Editors of BMC Genomics, BMC Medical Genomics, EPMA Journal, and Frontiers in Endocrinology, Executive Editor-in-Chief of Med One. He has\npublished 116 peer-reviewed research articles, 16 book chapters, 2 books, and 2 US patents. His current main research interest focuses on the studies of cancer proteomics and biomarkers, and the use of modern omics techniques and systems biology for PPPM in cancer, and on the development and use of 2DE-LC/MS for the large-scale study of human proteoforms.",institutionString:null,institution:{name:"Xiangya Hospital Central South University",country:{name:"China"}}},{id:"40482",title:null,name:"Rizwan",middleName:null,surname:"Ahmad",slug:"rizwan-ahmad",fullName:"Rizwan Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/40482/images/system/40482.jpeg",biography:"Dr. Rizwan Ahmad is a University Professor and Coordinator, Quality and Development, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia. Previously, he was Associate Professor of Human Function, Oman Medical College, Oman, and SBS University, Dehradun. Dr. Ahmad completed his education at Aligarh Muslim University, Aligarh. He has published several articles in peer-reviewed journals, chapters, and edited books. His area of specialization is free radical biochemistry and autoimmune diseases.",institutionString:"Imam Abdulrahman Bin Faisal University",institution:{name:"Imam Abdulrahman Bin Faisal University",country:{name:"Saudi Arabia"}}},{id:"41865",title:"Prof.",name:"Farid A.",middleName:null,surname:"Badria",slug:"farid-a.-badria",fullName:"Farid A. Badria",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41865/images/system/41865.jpg",biography:"Farid A. Badria, Ph.D., is the recipient of several awards, including The World Academy of Sciences (TWAS) Prize for Public Understanding of Science; the World Intellectual Property Organization (WIPO) Gold Medal for best invention; Outstanding Arab Scholar, Kuwait; and the Khwarizmi International Award, Iran. He has 250 publications, 12 books, 20 patents, and several marketed pharmaceutical products to his credit. He continues to lead research projects on developing new therapies for liver, skin disorders, and cancer. Dr. Badria was listed among the world’s top 2% of scientists in medicinal and biomolecular chemistry in 2019 and 2020. He is a member of the Arab Development Fund, Kuwait; International Cell Research Organization–United Nations Educational, Scientific and Cultural Organization (ICRO–UNESCO), Chile; and UNESCO Biotechnology France",institutionString:"Mansoura University",institution:{name:"Mansoura University",country:{name:"Egypt"}}},{id:"329385",title:"Dr.",name:"Rajesh K.",middleName:"Kumar",surname:"Singh",slug:"rajesh-k.-singh",fullName:"Rajesh K. Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329385/images/system/329385.png",biography:"Dr. Singh received a BPharm (2003) and MPharm (2005) from Panjab University, Chandigarh, India, and a Ph.D. (2013) from Punjab Technical University (PTU), Jalandhar, India. He has more than sixteen years of teaching experience and has supervised numerous postgraduate and Ph.D. students. He has to his credit more than seventy papers in SCI- and SCOPUS-indexed journals, fifty-five conference proceedings, four books, six Best Paper Awards, and five projects from different government agencies. He is currently an editorial board member of eight international journals and a reviewer for more than fifty scientific journals. He received Top Reviewer and Excellent Peer Reviewer Awards from Publons in 2016 and 2017, respectively. He is also on the panel of The International Reviewer for reviewing research proposals for grants from the Royal Society. He also serves as a Publons Academy mentor and Bentham brand ambassador.",institutionString:"Punjab Technical University",institution:{name:"Punjab Technical University",country:{name:"India"}}},{id:"142388",title:"Dr.",name:"Thiago",middleName:"Gomes",surname:"Gomes Heck",slug:"thiago-gomes-heck",fullName:"Thiago Gomes Heck",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/142388/images/7259_n.jpg",biography:null,institutionString:null,institution:{name:"Universidade Regional do Noroeste do Estado do Rio Grande do Sul",country:{name:"Brazil"}}},{id:"336273",title:"Assistant Prof.",name:"Janja",middleName:null,surname:"Zupan",slug:"janja-zupan",fullName:"Janja Zupan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/336273/images/14853_n.jpeg",biography:"Janja Zupan graduated in 2005 at the Department of Clinical Biochemistry (superviser prof. dr. Janja Marc) in the field of genetics of osteoporosis. Since November 2009 she is working as a Teaching Assistant at the Faculty of Pharmacy, Department of Clinical Biochemistry. In 2011 she completed part of her research and PhD work at Institute of Genetics and Molecular Medicine, University of Edinburgh. She finished her PhD entitled The influence of the proinflammatory cytokines on the RANK/RANKL/OPG in bone tissue of osteoporotic and osteoarthritic patients in 2012. From 2014-2016 she worked at the Institute of Biomedical Sciences, University of Aberdeen as a postdoctoral research fellow on UK Arthritis research project where she gained knowledge in mesenchymal stem cells and regenerative medicine. She returned back to University of Ljubljana, Faculty of Pharmacy in 2016. She is currently leading project entitled Mesenchymal stem cells-the keepers of tissue endogenous regenerative capacity facing up to aging of the musculoskeletal system funded by Slovenian Research Agency.",institutionString:null,institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"357453",title:"Dr.",name:"Radheshyam",middleName:null,surname:"Maurya",slug:"radheshyam-maurya",fullName:"Radheshyam Maurya",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/357453/images/16535_n.jpg",biography:null,institutionString:null,institution:{name:"University of Hyderabad",country:{name:"India"}}},{id:"418340",title:"Dr.",name:"Jyotirmoi",middleName:null,surname:"Aich",slug:"jyotirmoi-aich",fullName:"Jyotirmoi Aich",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038Ugi5QAC/Profile_Picture_2022-04-15T07:48:28.png",biography:"Biotechnologist with 15 years of research including 6 years of teaching experience. Demonstrated record of scientific achievements through consistent publication record (H index = 13, with 874 citations) in high impact journals such as Nature Communications, Oncotarget, Annals of Oncology, PNAS, and AJRCCM, etc. Strong research professional with a post-doctorate from ACTREC where I gained experimental oncology experience in clinical settings and a doctorate from IGIB where I gained expertise in asthma pathophysiology. A well-trained biotechnologist with diverse experience on the bench across different research themes ranging from asthma to cancer and other infectious diseases. An individual with a strong commitment and innovative mindset. Have the ability to work on diverse projects such as regenerative and molecular medicine with an overall mindset of improving healthcare.",institutionString:"DY Patil Deemed to Be University",institution:null},{id:"349288",title:"Prof.",name:"Soumya",middleName:null,surname:"Basu",slug:"soumya-basu",fullName:"Soumya Basu",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035QxIDQA0/Profile_Picture_2022-04-15T07:47:01.jpg",biography:"Soumya Basu, Ph.D., is currently working as an Associate Professor at Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India. With 16+ years of trans-disciplinary research experience in Drug Design, development, and pre-clinical validation; 20+ research article publications in journals of repute, 9+ years of teaching experience, trained with cross-disciplinary education, Dr. Basu is a life-long learner and always thrives for new challenges.\r\nHer research area is the design and synthesis of small molecule partial agonists of PPAR-γ in lung cancer. She is also using artificial intelligence and deep learning methods to understand the exosomal miRNA’s role in cancer metastasis. Dr. Basu is the recipient of many awards including the Early Career Research Award from the Department of Science and Technology, Govt. of India. She is a reviewer of many journals like Molecular Biology Reports, Frontiers in Oncology, RSC Advances, PLOS ONE, Journal of Biomolecular Structure & Dynamics, Journal of Molecular Graphics and Modelling, etc. She has edited and authored/co-authored 21 journal papers, 3 book chapters, and 15 abstracts. She is a Board of Studies member at her university. She is a life member of 'The Cytometry Society”-in India and 'All India Cell Biology Society”- in India.",institutionString:"Dr. D.Y. Patil Vidyapeeth, Pune",institution:{name:"Dr. D.Y. Patil Vidyapeeth, Pune",country:{name:"India"}}},{id:"354817",title:"Dr.",name:"Anubhab",middleName:null,surname:"Mukherjee",slug:"anubhab-mukherjee",fullName:"Anubhab Mukherjee",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y0000365PbRQAU/ProfilePicture%202022-04-15%2005%3A11%3A18.480",biography:"A former member of Laboratory of Nanomedicine, Brigham and Women’s Hospital, Harvard University, Boston, USA, Dr. Anubhab Mukherjee is an ardent votary of science who strives to make an impact in the lives of those afflicted with cancer and other chronic/acute ailments. He completed his Ph.D. from CSIR-Indian Institute of Chemical Technology, Hyderabad, India, having been skilled with RNAi, liposomal drug delivery, preclinical cell and animal studies. He pursued post-doctoral research at College of Pharmacy, Health Science Center, Texas A & M University and was involved in another postdoctoral research at Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute, Santa Monica, California. In 2015, he worked in Harvard-MIT Health Sciences & Technology as a visiting scientist. He has substantial experience in nanotechnology-based formulation development and successfully served various Indian organizations to develop pharmaceuticals and nutraceutical products. He is an inventor in many US patents and an author in many peer-reviewed articles, book chapters and books published in various media of international repute. Dr. Mukherjee is currently serving as Principal Scientist, R&D at Esperer Onco Nutrition (EON) Pvt. Ltd. and heads the Hyderabad R&D center of the organization.",institutionString:"Esperer Onco Nutrition Pvt Ltd.",institution:null},{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/319365/images/system/319365.png",biography:"Manash K. Paul is a Principal Investigator and Scientist at the University of California Los Angeles. He has contributed significantly to the fields of stem cell biology, regenerative medicine, and lung cancer. His research focuses on various signaling processes involved in maintaining stem cell homeostasis during the injury-repair process, deciphering lung stem cell niche, pulmonary disease modeling, immuno-oncology, and drug discovery. He is currently investigating the role of extracellular vesicles in premalignant lung cell migration and detecting the metastatic phenotype of lung cancer via machine-learning-based analyses of exosomal signatures. Dr. Paul has published in more than fifty peer-reviewed international journals and is highly cited. He is the recipient of many awards, including the UCLA Vice Chancellor’s award, a senior member of the Institute of Electrical and Electronics Engineers (IEEE), and an editorial board member for several international journals.",institutionString:"University of California Los Angeles",institution:{name:"University of California Los Angeles",country:{name:"United States of America"}}},{id:"311457",title:"Dr.",name:"Júlia",middleName:null,surname:"Scherer Santos",slug:"julia-scherer-santos",fullName:"Júlia Scherer Santos",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311457/images/system/311457.jpg",biography:"Dr. Júlia Scherer Santos works in the areas of cosmetology, nanotechnology, pharmaceutical technology, beauty, and aesthetics. Dr. Santos also has experience as a professor of graduate courses. Graduated in Pharmacy, specialization in Cosmetology and Cosmeceuticals applied to aesthetics, specialization in Aesthetic and Cosmetic Health, and a doctorate in Pharmaceutical Nanotechnology. Teaching experience in Pharmacy and Aesthetics and Cosmetics courses. She works mainly on the following subjects: nanotechnology, cosmetology, pharmaceutical technology, aesthetics.",institutionString:"Universidade Federal de Juiz de Fora",institution:{name:"Universidade Federal de Juiz de Fora",country:{name:"Brazil"}}},{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",slug:"abdulsamed-kukurt",fullName:"Abdulsamed Kükürt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",biography:"Dr. Kükürt graduated from Uludağ University in Turkey. He started his academic career as a Research Assistant in the Department of Biochemistry at Kafkas University. In 2019, he completed his Ph.D. program in the Department of Biochemistry at the Institute of Health Sciences. He is currently working at the Department of Biochemistry, Kafkas University. He has 27 published research articles in academic journals, 11 book chapters, and 37 papers. He took part in 10 academic projects. He served as a reviewer for many articles. He still serves as a member of the review board in many academic journals. He is currently working on the protective activity of phenolic compounds in disorders associated with oxidative stress and inflammation.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Dr.",name:"Volkan",middleName:null,surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178366/images/system/178366.jpg",biography:"Volkan Gelen is a Physiology specialist who received his veterinary degree from Kafkas University in 2011. Between 2011-2015, he worked as an assistant at Atatürk University, Faculty of Veterinary Medicine, Department of Physiology. In 2016, he joined Kafkas University, Faculty of Veterinary Medicine, Department of Physiology as an assistant professor. Dr. Gelen has been engaged in various academic activities at Kafkas University since 2016. There he completed 5 projects and has 3 ongoing projects. He has 60 articles published in scientific journals and 20 poster presentations in scientific congresses. His research interests include physiology, endocrine system, cancer, diabetes, cardiovascular system diseases, and isolated organ bath system studies.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"418963",title:"Dr.",name:"Augustine Ododo",middleName:"Augustine",surname:"Osagie",slug:"augustine-ododo-osagie",fullName:"Augustine Ododo Osagie",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/418963/images/16900_n.jpg",biography:"Born into the family of Osagie, a prince of the Benin Kingdom. I am currently an academic in the Department of Medical Biochemistry, University of Benin. Part of the duties are to teach undergraduate students and conduct academic research.",institutionString:null,institution:{name:"University of Benin",country:{name:"Nigeria"}}},{id:"192992",title:"Prof.",name:"Shagufta",middleName:null,surname:"Perveen",slug:"shagufta-perveen",fullName:"Shagufta Perveen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192992/images/system/192992.png",biography:"Prof. Shagufta Perveen is a Distinguish Professor in the Department of Pharmacognosy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Dr. Perveen has acted as the principal investigator of major research projects funded by the research unit of King Saud University. She has more than ninety original research papers in peer-reviewed journals of international repute to her credit. She is a fellow member of the Royal Society of Chemistry UK and the American Chemical Society of the United States.",institutionString:"King Saud University",institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"49848",title:"Dr.",name:"Wen-Long",middleName:null,surname:"Hu",slug:"wen-long-hu",fullName:"Wen-Long Hu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49848/images/system/49848.jpg",biography:"Wen-Long Hu is Chief of the Division of Acupuncture, Department of Chinese Medicine at Kaohsiung Chang Gung Memorial Hospital, as well as an adjunct associate professor at Fooyin University and Kaohsiung Medical University. Wen-Long is President of Taiwan Traditional Chinese Medicine Medical Association. He has 28 years of experience in clinical practice in laser acupuncture therapy and 34 years in acupuncture. He is an invited speaker for lectures and workshops in laser acupuncture at many symposiums held by medical associations. He owns the patent for herbal preparation and producing, and for the supercritical fluid-treated needle. Dr. Hu has published three books, 12 book chapters, and more than 30 papers in reputed journals, besides serving as an editorial board member of repute.",institutionString:"Kaohsiung Chang Gung Memorial Hospital",institution:{name:"Kaohsiung Chang Gung Memorial Hospital",country:{name:"Taiwan"}}},{id:"298472",title:"Prof.",name:"Andrey V.",middleName:null,surname:"Grechko",slug:"andrey-v.-grechko",fullName:"Andrey V. Grechko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/298472/images/system/298472.png",biography:"Andrey Vyacheslavovich Grechko, Ph.D., Professor, is a Corresponding Member of the Russian Academy of Sciences. He graduated from the Semashko Moscow Medical Institute (Semashko National Research Institute of Public Health) with a degree in Medicine (1998), the Clinical Department of Dermatovenerology (2000), and received a second higher education in Psychology (2009). Professor A.V. Grechko held the position of Сhief Physician of the Central Clinical Hospital in Moscow. He worked as a professor at the faculty and was engaged in scientific research at the Medical University. Starting in 2013, he has been the initiator of the creation of the Federal Scientific and Clinical Center for Intensive Care and Rehabilitology, Moscow, Russian Federation, where he also serves as Director since 2015. He has many years of experience in research and teaching in various fields of medicine, is an author/co-author of more than 200 scientific publications, 13 patents, 15 medical books/chapters, including Chapter in Book «Metabolomics», IntechOpen, 2020 «Metabolomic Discovery of Microbiota Dysfunction as the Cause of Pathology».",institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"199461",title:"Prof.",name:"Natalia V.",middleName:null,surname:"Beloborodova",slug:"natalia-v.-beloborodova",fullName:"Natalia V. Beloborodova",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/199461/images/system/199461.jpg",biography:'Natalia Vladimirovna Beloborodova was educated at the Pirogov Russian National Research Medical University, with a degree in pediatrics in 1980, a Ph.D. in 1987, and a specialization in Clinical Microbiology from First Moscow State Medical University in 2004. She has been a Professor since 1996. Currently, she is the Head of the Laboratory of Metabolism, a division of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation. N.V. Beloborodova has many years of clinical experience in the field of intensive care and surgery. She studies infectious complications and sepsis. She initiated a series of interdisciplinary clinical and experimental studies based on the concept of integrating human metabolism and its microbiota. Her scientific achievements are widely known: she is the recipient of the Marie E. Coates Award \\"Best lecturer-scientist\\" Gustafsson Fund, Karolinska Institutes, Stockholm, Sweden, and the International Sepsis Forum Award, Pasteur Institute, Paris, France (2014), etc. Professor N.V. Beloborodova wrote 210 papers, five books, 10 chapters and has edited four books.',institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"354260",title:"Ph.D.",name:"Tércio Elyan",middleName:"Azevedo",surname:"Azevedo Martins",slug:"tercio-elyan-azevedo-martins",fullName:"Tércio Elyan Azevedo Martins",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/354260/images/16241_n.jpg",biography:"Graduated in Pharmacy from the Federal University of Ceará with the modality in Industrial Pharmacy, Specialist in Production and Control of Medicines from the University of São Paulo (USP), Master in Pharmaceuticals and Medicines from the University of São Paulo (USP) and Doctor of Science in the program of Pharmaceuticals and Medicines by the University of São Paulo. Professor at Universidade Paulista (UNIP) in the areas of chemistry, cosmetology and trichology. Assistant Coordinator of the Higher Course in Aesthetic and Cosmetic Technology at Universidade Paulista Campus Chácara Santo Antônio. Experience in the Pharmacy area, with emphasis on Pharmacotechnics, Pharmaceutical Technology, Research and Development of Cosmetics, acting mainly on topics such as cosmetology, antioxidant activity, aesthetics, photoprotection, cyclodextrin and thermal analysis.",institutionString:null,institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"334285",title:"Ph.D. Student",name:"Sameer",middleName:"Kumar",surname:"Jagirdar",slug:"sameer-jagirdar",fullName:"Sameer Jagirdar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334285/images/14691_n.jpg",biography:"I\\'m a graduate student at the center for biosystems science and engineering at the Indian Institute of Science, Bangalore, India. I am interested in studying host-pathogen interactions at the biomaterial interface.",institutionString:null,institution:{name:"Indian Institute of Science Bangalore",country:{name:"India"}}},{id:"329248",title:"Dr.",name:"Md. Faheem",middleName:null,surname:"Haider",slug:"md.-faheem-haider",fullName:"Md. Faheem Haider",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329248/images/system/329248.jpg",biography:"Dr. Md. Faheem Haider completed his BPharm in 2012 at Integral University, Lucknow, India. In 2014, he completed his MPharm with specialization in Pharmaceutics at Babasaheb Bhimrao Ambedkar University, Lucknow, India. He received his Ph.D. degree from Jamia Hamdard University, New Delhi, India, in 2018. He was selected for the GPAT six times and his best All India Rank was 34. Currently, he is an assistant professor at Integral University. Previously he was an assistant professor at IIMT University, Meerut, India. He has experience teaching DPharm, Pharm.D, BPharm, and MPharm students. He has more than five publications in reputed journals to his credit. Dr. Faheem’s research area is the development and characterization of nanoformulation for the delivery of drugs to various organs.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"329795",title:"Dr.",name:"Mohd Aftab",middleName:"Aftab",surname:"Siddiqui",slug:"mohd-aftab-siddiqui",fullName:"Mohd Aftab Siddiqui",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329795/images/system/329795.png",biography:"Dr. Mohd Aftab Siddiqui is an assistant professor in the Faculty of Pharmacy, Integral University, Lucknow, India, where he obtained a Ph.D. in Pharmacology in 2020. He also obtained a BPharm and MPharm from the same university in 2013 and 2015, respectively. His area of research is the pharmacological screening of herbal drugs/natural products in liver cancer and cardiac diseases. He is a member of many professional bodies and has guided many MPharm and PharmD research projects. Dr. Siddiqui has many national and international publications and one German patent to his credit.",institutionString:"Integral University",institution:null},{id:"255360",title:"Dr.",name:"Usama",middleName:null,surname:"Ahmad",slug:"usama-ahmad",fullName:"Usama Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255360/images/system/255360.png",biography:"Dr. Usama Ahmad holds a specialization in Pharmaceutics from Amity University, Lucknow, India. He received his Ph.D. from Integral University, Lucknow, India, with his work titled ‘Development and evaluation of silymarin nanoformulation for hepatic carcinoma’. Currently, he is an Assistant Professor of Pharmaceutics, at the Faculty of Pharmacy, Integral University. He has been teaching PharmD, BPharm, and MPharm students and conducting research in the novel drug delivery domain. From 2013 to 2014 he worked on a research project funded by SERB-DST, Government of India. He has a rich publication record with more than twenty-four original journal articles, two edited books, four book chapters, and several scientific articles to his credit. He is a member of the American Association for Cancer Research, the International Association for the Study of Lung Cancer, and the British Society for Nanomedicine. Dr. Ahmad’s research focus is on the development of nanoformulations to facilitate the delivery of drugs.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"333824",title:"Dr.",name:"Ahmad Farouk",middleName:null,surname:"Musa",slug:"ahmad-farouk-musa",fullName:"Ahmad Farouk Musa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333824/images/22684_n.jpg",biography:"Dato’ Dr Ahmad Farouk Musa\nMD, MMED (Surgery) (Mal), Fellowship in Cardiothoracic Surgery (Monash Health, Aust), Graduate Certificate in Higher Education (Aust), Academy of Medicine (Mal)\n\n\n\nDato’ Dr Ahmad Farouk Musa obtained his Doctor of Medicine from USM in 1992. He then obtained his Master of Medicine in Surgery from the same university in the year 2000 before subspecialising in Cardiothoracic Surgery at Institut Jantung Negara (IJN), Kuala Lumpur from 2002 until 2005. He then completed his Fellowship in Cardiothoracic Surgery at Monash Health, Melbourne, Australia in 2008. He has served in the Malaysian army as a Medical Officer with the rank of Captain upon completing his Internship before joining USM as a trainee lecturer. He is now serving as an academic and researcher at Monash University Malaysia. He is a life-member of the Malaysian Association of Thoracic & Cardiovascular Surgery (MATCVS) and a committee member of the MATCVS Database. He is also a life-member of the College of Surgeons, Academy of Medicine of Malaysia; a life-member of Malaysian Medical Association (MMA), and a life-member of Islamic Medical Association of Malaysia (IMAM). Recently he was appointed as an Interim Chairperson of Examination & Assessment Subcommittee of the UiTM-IJN Cardiothoracic Surgery Postgraduate Program. As an academic, he has published numerous research papers and book chapters. He has also been appointed to review many scientific manuscripts by established journals such as the British Medical Journal (BMJ). He has presented his research works at numerous local and international conferences such as the European Association for Cardiothoracic Surgery (EACTS) and the European Society of Cardiovascular Surgery (ESCVS), to name a few. He has also won many awards for his research presentations at meetings and conferences like the prestigious International Invention, Innovation & Technology Exhibition (ITEX); Design, Research and Innovation Exhibition, the National Conference on Medical Sciences and the Annual Scientific Meetings of the Malaysian Association for Thoracic and Cardiovascular Surgery. He was awarded the Darjah Setia Pangkuan Negeri (DSPN) by the Governor of Penang in July, 2015.",institutionString:null,institution:{name:"Monash University Malaysia",country:{name:"Malaysia"}}},{id:"30568",title:"Prof.",name:"Madhu",middleName:null,surname:"Khullar",slug:"madhu-khullar",fullName:"Madhu Khullar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/30568/images/system/30568.jpg",biography:"Dr. Madhu Khullar is a Professor of Experimental Medicine and Biotechnology at the Post Graduate Institute of Medical Education and Research, Chandigarh, India. She completed her Post Doctorate in hypertension research at the Henry Ford Hospital, Detroit, USA in 1985. She is an editor and reviewer of several international journals, and a fellow and member of several cardiovascular research societies. Dr. Khullar has a keen research interest in genetics of hypertension, and is currently studying pharmacogenetics of hypertension.",institutionString:"Post Graduate Institute of Medical Education and Research",institution:{name:"Post Graduate Institute of Medical Education and Research",country:{name:"India"}}},{id:"223233",title:"Prof.",name:"Xianquan",middleName:null,surname:"Zhan",slug:"xianquan-zhan",fullName:"Xianquan Zhan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/223233/images/system/223233.png",biography:"Xianquan Zhan received his MD and Ph.D. in Preventive Medicine at West China University of Medical Sciences. He received his post-doctoral training in oncology and cancer proteomics at the Central South University, China, and the University of Tennessee Health Science Center (UTHSC), USA. He worked at UTHSC and the Cleveland Clinic in 2001–2012 and achieved the rank of associate professor at UTHSC. Currently, he is a full professor at Central South University and Shandong First Medical University, and an advisor to MS/PhD students and postdoctoral fellows. He is also a fellow of the Royal Society of Medicine and European Association for Predictive Preventive Personalized Medicine (EPMA), a national representative of EPMA, and a member of the American Society of Clinical Oncology (ASCO) and the American Association for the Advancement of Sciences (AAAS). He is also the editor in chief of International Journal of Chronic Diseases & Therapy, an associate editor of EPMA Journal, Frontiers in Endocrinology, and BMC Medical Genomics, and a guest editor of Mass Spectrometry Reviews, Frontiers in Endocrinology, EPMA Journal, and Oxidative Medicine and Cellular Longevity. 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