\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\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:"883",leadTitle:null,fullTitle:"Production Scheduling",title:"Production Scheduling",subtitle:null,reviewType:"peer-reviewed",abstract:"Generally speaking, scheduling is the procedure of mapping a set of tasks or jobs (studied objects) to a set of target resources efficiently. 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\r\n\tPhysical fitness is defined as 'having the energy to perform activities performed in daily life without getting tired, to participate in and enjoy recreational activities, and to cope with unexpected situations. Cardiorespiratory fitness, on the other hand, is one of the 'health-related' components of physical fitness and can also be expressed as 'the ability of the heart, lung, and vascular system to deliver oxygen and nutrients to working muscles. Cardiopulmonary exercise testing is the gold standard for assessing cardiorespiratory fitness as it provides an objective and concrete measure of cardiorespiratory fitness by measuring maximum oxygen consumption with gas exchange analysis. At the same time, cardiopulmonary exercise testing provides data on the source of a potential problem by revealing the suitability of the cardiovascular, musculoskeletal, and respiratory systems in conditions where metabolism is under control, and whether they create any restrictions during exercise. Cardiorespiratory fitness is a subcomponent of physical fitness, and it is the ability of the cardiovascular and pulmonary systems of individuals to supply the tissues with the necessary nutrients and oxygen. The most valid measurement in assessing cardiorespiratory system fitness is maximal oxygen consumption. Cardiorespiratory fitness is of great importance for individuals to continue their activities of daily living, and it also has a very important role in increasing the physical activity levels of individuals. In line with this scope, this book aims to include current studies, data, and different literature information in the field of cardiorespiratory fitness.
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He received his PhD in Health Science from the Department of Physical Education and Sport, Ondokuz Mayıs University, Turkey, and completed his post-doctoral fellowship at the Department of Biomedical Sciences for Health, University of Milan, Italy with his work titled "Electromechanical delay components assessment to disclose age, training status and gender effects on skeletal muscle electromechanical behavior during contraction: new insights from an electromyographic, mechanomyographic and force combined approach." The fellowship was supported by the Scientific and Technological Research Council of Turkey. 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Some authors have proposed three pathogenic genera of
More recently, taxonomy of Rickettsiales has changed based on molecular systematics, phylogenomics, and bioinformatics studies. Today, four taxonomic families are recognized:
These genomes contain split genes, gene remnants, and pseudogenes because of different steps of the genome degradation process. In
The
This wealth of information reveals a large field of study in comparative genomics to understand the evolution from a free-living to an intracellular or endosymbiotic lifestyle.
Adaptation to intracellular or endosymbiont lifestyle of the family
The generation of
The study of the dynamics of genomes evolution of the family
Apparently, the clade
The genus
Phylogenetic approximation obtained from amino acid sequences with the online program PATRIC, with the default pipeline (
With the use of genome sequence techniques and the characterization of genomic sequences of microorganisms without the need of cultivation, the
The availability of complete genome sequences of different
The
Comparison of pairwise syntenic dot plots of the nucleotide sequences: (A)
In general, the genus
The gene acquisition and gene loss are the major mechanism of adaptation interactions between bacteria and their host, in either the pathogenic or endosymbiotic lifestyle of Rickettsiales and other bacteria. To accomplish this process the preferential vehicle are the plasmids, that encompass very large genetic regions, even more than 100 kilobases (kb) including several set of genes. Their frequent integration at or near tRNA loci suggests that many of them were introduced into bacterial genomes via phage-mediated transfer events. In pathogenicity, they are called “pathogenic islands” and in endosymbionts “symbiotic islands.” Recently, the dogma that plasmids are not present in
In the most relevant study of plasmids in
Out of 747 protein-coding genes, 65% were full-length genes and 35% were partially degraded. Degradation levels varied among plasmids, ranging from 16 to 40% in larger plasmids (size >47 kbp) and 44 to 59% in smaller plasmids [3].
It has been observed that plasmids are lost during long-term serial passage in cultured cells, which complicate studies of ancestry to elucidate a single or multiple ancestors. Nevertheless plasmids clustered into four putative groups (I–IV) (Figure 3): group I included four large and three small plasmids of five species: pRra2 in
Evolutionary events that shaped rickettsial plasmids. Plasmid supertree obtained from 10 genes of
The mechanism of gene loss it has been a fairly widespread strategy in the evolution of the Rickettsiales genomes, and was discovered in the
REIS encodes nine conserved RAGEs that include F-like type IV secretion systems similar to other in
The RAGEs are the fusion of
The evolutionary history of gen TraD was inferred by using MEGA7 using ML method and GTR model, with the highest log likelihood (−237.1216). The analysis involved 60 nucleotide sequences from genomes of the IMG (
In conclusion, the loss of regulatory genes causes an increase of virulence in rickettsial species in ticks and mammals, and the
The taxonomy of
Other evolutionary gen reconstructions are inconsistent when using different portions of the genome [20]. An analysis based on the whole genome sequence analysis (WGSA) allows emerging of transitional group (TRG) consisting of
In different studies of
Unfortunately, we cannot have always the powerful tool of WGSA, so the search of new molecular markers is necessary to provide a well-supported phylogenetic approach, at least at species level. As we can see in Figure 5, a reliable phylogeny can be obtained using several sequences of all
In the existing 82 sequenced genomes of
The genomes shows 865 genes as minimum and a maximum of 2634 genes, the average is 1360 genes; the GC content is very constant among genomes with 33%. Only four genomes have pseudogenes and the average of horizontal gene transfer is 2.87% (Table 1). The presence of conjugative elements in some of these genomes correlates with an increased number of transposons, breakpoints, and a general breakdown in genome synteny, which is very conserved in nearby groups, with some inversions. However, as they move away phylogenetically, more inversions are observed and still synteny is conserved (Figure 2).
The genomic and metabolic impairment of
When comparing synteny between
Genomic rearrangements with different cutoff: (A) 100 bp; (B) 1000 pb.
The comparative genomic studies reveal the relation between small size and more virulent species strains, this fact supports
This genus comprises
These bacteria are an obligate intracellular Gram-negative rod-shaped and its vector is
In the recent years, a dramatic variation in phenotypes and genotypes of
Strain classification of
With this method, three antigenic prototypes were primarily described: Karp, Kato, and Gilliam; and then many more variations of different serotypes were described in several countries [30, 31]. As primary attempts, genotyping was made by sing RFLP (Restriction Fragment Length Polymorphism) to identify unique isolates or directly by sequence analysis of the TSA gene by PCR. A comparison between nested polymerase chain reaction (nPCR) of 56-kDa antigen gene, the most used molecular technique for confirmation of scrub typhus and genotyping of
The antigenic variation of the strains Karp, Kato, and Gilliam, subsequent strains, and recently isolates discovered depends on the diversity of the TSA located on the surface of
Genome of
The mapping of different regions in the circular genome of
Nakayama et al. [36] compared two genomes of
The analysis revealed an extensive reductive genome evolution and a significant amplification of repetitive sequences. In fact, the repetitive sequences identified in Ikeda strain were classified in three types: (1) Integrative and conjugative element (ICE) named OT amplified genetic element (OtAGE); (2) Transposable elements (TE); and (3) Short repetitive sequences of unknown origin (short repeat). Both genomes of
Reductive evolution can be studied in members of
An evolution study based on gene loss and HGT events in
Probable gene gain events occurred in
Gene gain is a known event that has occurred throughout rickettsial evolution. In
The whole genome analysis of
In a shotgun proteomics analysis using SDS-PAGE and LC-MSMS, many expressed proteins and the protein profiles were identified. 584 out of 1152 proteins of
Rickettsiaceae family comprises widely distributed and genomically diverse microorganisms. Genome analysis of the members of the family has revealed an extraordinary evolution process throughout the time driven by the constant interactions with host cells and other bacteria. Recently, genomics analyses have revealed the presence of core genes in this family, as well as genes encoding proteins with significant function in
To achieve its objectives, the DRC has developed malaria control strategies based on preventive measures centred on targeted chemoprophylaxis offered to high-risk or vulnerable populations such as infants, pregnant women and migrants; early case management, which implies diagnosis and rapid recourse to appropriate care; and finally, vector control which must remain accessible to malaria-endemic populations [9]. Regarding preventive measures, the WHO gives an important place to vector control. To respond favourably to both international and national strategies, approaches and recommendations aimed at eliminating malaria, the DRC has been committed for at least 7 years through the NMCP and its partners to scale up high-impact malaria control interventions [10]. These interventions include universal distribution of ITNs, chemoprevention of malaria in pregnant women, administration of artemisinin-based combination therapies (ACTs) and strengthening of epidemiological surveillance [11, 12].
Following the evaluation of malaria control interventions, with reference to the implementation framework of the Global Technical Strategy for Malaria Control 2016–2030 in the African Region, WHO has launched the High Burden High Impact (HBHI) approach [13, 14] aiming to reduce malaria morbidity and mortality in countries with a high burden of malaria, including the DRC. It is based on four main pillars: i) political will in favour of the fight against malaria, ii) strategic information that can increase the impact of malaria tenfold, iii) improved support for policies and strategies and iv) coordination of the national response [13, 14].
The significant progress made in malaria control over the past decade in endemic countries is largely attributable to the mass coverage of insecticide-based vector control interventions, such as long-lasting insecticidal nets (ITNs) and indoor residual spraying (IRS) [7, 13, 14].
Long-lasting insecticidal nets are one of the main malaria control tools recommended by WHO and adopted by DRC NMCP through mass and routine distributions channels [15, 16]. Several field studies have demonstrated the effectiveness of its large-scale use [15, 16] showing they can reduce morbidity by 50% and overall mortality by 20–30% in children under 5 years of age [10, 16, 17].
Based on these observations, the promotion of ITNs among the population is an essential component of the NMCP in DRC. Several studies have shown that the combined action of insecticides and the physical barrier is an effective means of controlling malaria vectors [15, 16, 17]. Nevertheless, the disease remains endemic in the country, with a worrying prevalence of 32%, despite this large-scale promotion [3, 10]. Counteracting the effectiveness of ITNs are two major handicaps: the increasingly widespread mosquito resistance to pyrethroids used for impregnation of ITNs; and the low recorded durability of ITNs compared to the expected duration of 3 years [10, 13]. The number of
The DRC, like all the countries of sub-Saharan Africa, pays a heavy price for malaria. However, its geographical location and the diversity of its climates make it unique among its neighbours [2, 10, 19]. Spread over an area of approximately 2,345,000 km2, this country has almost all the epidemiological facies found in Africa, from the Sahelian savannahs to the equatorial forests [10, 19, 20]. Moreover, 97% of the population lives in the stable malaria zones characterised by the equatorial and tropical facies [13, 14]. Three plasmodial species are present (
However, this heterogeneity does not allow us to understand malaria in the DRC in its entirety. Knowledge of the different Congolese geographical areas (territories, districts, etc.) and the description of the local epidemiology of malaria in these different environments are initial conditions for a good understanding of the malaria endemicity in this country [13, 14, 18].
Work carried out in a few sites in the DRC, such as Kingasani, Bolenge, Kimpese and Katana by Watsenga and collaborators, has shown that pyrethroid resistance was associated with the presence of the kdr mutation [25]. However, the problem of
Our study focused on Kwilu province (ex-Bandundu) where the prevalence of malaria was 18%, sporozoite index 5.6%.
The aim of this study was to examine the status of
The town of Bandundu was once considered a city in the territory of Bagata, before it was made the capital of the province. It is located between 17°22′43″E longitude, 3°21′05”S latitude and at an altitude of 324 m to the West. This area is bounded to the north by the NIOKI health zone, to the south by the Nkutu health zone in the province of Maï-Ndombe, to the east by the Bagata health zone and to the west by the Kwamouth health zone (province of Maï-Ndombe). It is located 432 km from Kikwit, 200 km from Kenge and 400 km from Kinshasa, the capital of the DRC [19, 20]. Kwilu province is located in a low altitude climate, characterised by a humid tropical climate, constant heat throughout the year and two well-marked seasons. The rainy season is characterised by heavy rainfall, and the dry season lasts 4 months and rainfall drops to zero [23, 24]. The average annual temperature is 26.9°C, annual rainfall ranges from 800 to 1500 mm and the average annual humidity is 77% [24].
Bandundu city experiences a humid tropical climate with two well-marked seasons: a long rainy season and a short (4-month) dry season, as shown [23, 24]. A short dry period is often noted in January-February, followed by a short rainy period in March-April. Climatological data obtained from the meteorological department of Bandundu-City (METELSAT/BDD). The mass distribution campaign of ITNs (Yorkol) was carried out between 17 and 29 December 2018.
The Town has developed in order to promote Pisco-agricultural activities (ponds, flowerbeds, etc.). The plots constitute the traditional dwelling unit for a family with one or more houses with dry earth walls and roofs usually made of corrugated iron and/or straw. Such dwellings are permeable to mosquito ingress and egress. Cattle, sheep, goats, pigs and poultry are well represented. All of these animals roam and spend the night in the plots. These eco-climatic conditions are favourable to the development of Anopheles vectors of malaria and the multiplication of breeding sites [24, 25, 26, 27, 28, 29, 30, 31, 32, 33]. Its surface area is 291 km2 with approximately 285,411 inhabitants, i.e. a population density of 980.79 inhabitants/Km2 sites [19, 20, 33].
ITNs distributed in Bandundu-city in December 2018 were collected to evaluate their effectiveness with
Bio-efficacy of ITNs
All ITNs were carefully inspected for physical integrity, date of manufacture and batch number. The ITNs were coded according to the order of analysis: Y1, Y2, Y3…Y30. Five 30 x 30 cm samples were taken from each ITN: a sample from the short side at the bottom (C1), a sample from the long side at 30 cm from the bottom edge (L1), a sample from the short side at 60 cm from the bottom edge (C2), a sample from the long side at its top edge (L2) and a sample from the roof (T). Individual samples were wrapped in aluminium foil and placed inside plastic bags to avoid possible cross-contamination between sub-samples [15].
Five female
The test results were deliberated according to WHO criteria [36]. An ITN is considered effective if it results in a Kd rate of 95% or greater and/or a mortality rate of 80% or greater [36].
Susceptibility testing
Larvae and pupae of
The larvae were fed daily with fish food at a rate of 4 g per day per tank. The temperature and humidity of the laboratory were taken daily by thermo-hygrometer. Pupae were harvested daily and placed in CDC/Atlanta cages and adults were fed with 10% glucose solution [36].
Females aged 2–5 days were selected and tested for susceptibility according to the WHO protocol [36]. The tests were carried out with insecticide-impregnated papers, WHO Kit composed of 4 types of insecticides and the synergist PBO in the following concentrations: Deltamethrin 0.05%, Permethrin 0.75%, Bendiocarb 0.1%, DDT 4% and PBO 5% [36].
The first susceptibility test was performed only for the 4 insecticides. The behaviour of
The behaviour of
Mosquito collection
A total of 108 houses were visited during the study from 15 July 2018 to 15 June 2019. All sampled houses had mud walls and had tin or thatched roofs. Each month, nine houses were selected at random for mosquito sampling, with different houses selected for each monthly sampling event. Adult mosquitoes were collected between 06:00 and 10:00 am using pyrethrum spray catches [39, 40]. All openings of the house were closed and white sheets were laid on the floor. A commercially available pyrethroid spray (Baygon, Bayer) was sprayed in the house and doors were closed for 15 minutes. The sheets were carefully removed from the house and inspected for mosquitoes, which were collected and placed individually into labelled tubes [39, 40].
Human landing catches (HLCs) were done primarily to determine malaria vector species composition, the location of biting (indoors or outdoors) and times of biting. Mosquitoes were collected monthly from nine houses by two volunteers in six-hour shifts, from 18:00 h to 0:00 h and from 0:00 h to 6:00 h. Two collectors were posted inside the house in the living room and two outside the house, less than five meters from the front door. Different houses were used for each night. Each collector sat on a stool with his lower legs and feet exposed for mosquitoes to land on. The collector monitored mosquitoes as they landed and captured them with small glass tubes that were sealed with cotton wool. The latter were then placed in a sealed bag and labelled according to the hour of collection. These data were used to calculate the nightly human biting rate (HBR) based on eight person-nights of collection indoors and outdoors for each sampling period. The mosquito collectors for HLCs were recruited from the community and provided with requisite training. Collectors showing any signs of illness up to 3 weeks following collections were screened for malaria at a local health centre. There were no positive cases.
A. gambiae s.l. mosquito larvae were collected from breeding sites and transferred to pans containing water from the site and were reared until adult stage in a field insectary. Larvae were not fed and survived from the nutrients in the site water. Adults were identified to species according to morphological identification keys [41, 42].
Entomological inoculation rates
Entomological inoculation rates (EIR) are used to estimate the risk of transmission by looking at the number of infectious bites people can be exposed to if prevention methods are not used. EIR pre- and post-ITN distribution were calculated by multiplying the proportion of mosquitoes found to be infective (sporozoite rate) by the average number of females collected by HLCs.
The rate corresponds to the number of infected bites at a location per unit time. It is the only way to truly assess malaria transmission. EIR = entomological inoculation rate per night. This rate is referred to as the number of infectious bites, per person, per night;
BR: daily number of bites (human biting rate) referred to as the number of bites per person per night. The rate corresponds to the number of bites per man per night (p/h/n). It was calculated in two ways depending on the method of capture. By PSC the number of bitten females captured in a neigh hour hood or commune, divided by the total number of people who spent the night in these houses on the day of capture (indirect aggression). And by HLC the number of anopheles captured per man per night, i.e. the number of mosquitoes captured divided by the number of captors and divided by the number of hours of capture (direct aggression).
SI = Sporozoite index, refers to the percentage of anephelines carrying Plasmodium sp. Sporozoïtes. After morphological identification, mosquitoes captured by PSC were dissected into head-thorax-abdomen complexes and legs and wings under an AmScope entomological microscope. These head-thorax complexes of
Determination of human infectivity by microscopy.
Simultaneously with the capture of the mosquitoes, blood samples were taken from the inhabitants of the houses where the vectors were captured. A peripheral drop of blood from the fingertip was taken on a slide to make thick drops and blood smears for microscopic diagnosis of
Parasite data collection was carried out by laboratory technicians who were part of the study team. They obtained informed consent, completed a questionnaire, prepared blood slides and performed RDTs, under the supervision of the researchers. The purpose of this supervision was to ensure that the study procedures were followed and to verify the interpretation of the RDTs. A one-day training workshop was held on the study’s standard operating procedures (SOPs). The expert microscopists were senior laboratory technicians from the university clinics in Kinshasa.
Blood for thick/thin smears and RDTs was collected from the same finger prick and prepared on the same slide with the patient identification code. Approximately 5 μl of blood was collected by the study team using a loop provided with the RDT device. Test preparation and interpretation were performed according to the manufacturer’s instructions. Tests were considered positive when the antigen and control lines were visible in their respective windows, negative when only the control band was visible and invalid when the control band was not visible. In case of an invalid result, the RDT was repeated.
Blood smears were stained with 10% Giemsa for 10 minutes. Thin smears were fixed with methanol before staining. The slides prepared by the study team were first examined by field laboratory technicians, blinded to the RDT results and using the WHO semi-quantitative method [28]. Their results were recorded on cards. All slides were stored in secure slide boxes and read by two expert microscopists from the university clinics in Kinshasa. The expert microscopists were blinded to the results of the field microscopy and RDT. In case of discrepancies >15%, the judgement of a senior laboratory technician was required. And the final result was the mean parasite density. The thin smear was used for species identification.
The results of these slides were used to calculate the parasitological indices, the incidences and the relative risk of malaria. The RDT (SD Bioline) was evaluated on the basis of a contingency table to calculate the sensitivity (Se), specificity (Sp), negative (NPV) and positive (PPV) predictive value, as well as the overall value (AG) of the test.
The sample was taken from the digital pulp to make the Blood for thick and the Blood smears on the same slide. Staining was done with 10% Giemsa working solution for 10 minutes, according to WHO instructions [44, 45, 46]. The Blood smears were fixed with methanol prior to staining. The reading was carried out at the Bandundu General Referral Hospital and at the parasitology department of the University clinics in Kinshasa.
At the Bandundu General Referral Hospital, only the microscopy was read and the technicians used the semi-quantitative cross method [44, 45, 46]. The reading was performed using an ordinary Olympus CX21 microscope at 1000X magnification (objective 100 and eyepiece 10).
The results of these analyses were used to estimate the prevalence of malaria by calculating the parasite or plasmodium index. This index corresponds to the proportion of subjects carrying plasmodium in a location. This cross-sectional indicator remains the most widely used to quantify and classify malaria endemicity.
The times required in minutes to obtain 50% and 95% of knockdown mosquitoes (KdT50 and KdT95) were calculated according to WHO criteria, using log probit with the Polo Plus software version 1.0 [35, 36]. The Chi-square test was used to compare the mortality of A. gambiae sl between the insecticide-only trials and after pre-exposure to the synergist (PBO) at the 0.05 significance level. The effect of synergists was calculated with effective values above 10% [34, 35, 36, 38]. Thick drop, thin smear and RDT were performed on 190 individuals for the determination of the plasmodium index. The prevalence of malaria, the sensitivity and specificity of each test, and their positive and negative predictive values were calculated [44, 45].
The odds ratio (OR) was used to determine the risk of exposure to malaria parasite infectivity. The 95% confidence interval or Chi-square test at a significance level of 0.05 was used to measure the association between presumptive diagnosis based on fever history and microscopic diagnosis. The sensitivity, specificity (s), positive predictive value (PPV) and negative predictive value (NPV) of SD Bioline were calculated on the basis of contingency tables.
Sensitivity tests carried out on populations of
And this insecticide efficacy was measured by their knock down effect and the mortality they caused after 24 hours of observation. This analysis determined the KDT50 and KDT95, the value of these 2 parameters KDT (knock-down time) corresponds to the time after which respectively 50% and 95% of
wild Souches Bandundu-city | Deltaméthrine 0.05% | 100 | 43.8 (39.9–47.9) | n/a | 52 | R |
Deltaméthrine 0.05% + PBO 5% | 100 | 16.5 (15–17.8) | 38.5 (35–43) | 98 | S | |
Permethrine 0.75% | 100 | n/a | n/a | 17 | R | |
Permethrine 0.75% + PBO 5% | 100 | n/a | n/a | 88 | R | |
Bendiocarb 0.1% | 100 | — | — | 100 | S | |
DDT 4% | 100 | n/a | n/a | 2 | R | |
Kisumu | Deltaméthrine 0.05% | 100 | 8.45 (7.09–9.79) | 30.34 (25.41–38) | 100 | S |
Permethrine 0.75% | 100 | 17.6 (13.58–21.49) | 60.5 (45.57–96.37) | 100 | S | |
DDT 4% | 100 | 32.5 (25.68–41.19) | n/a | 99 | S | |
Insecticide susceptibility, expressed as KDT50, KDT95, and 24 hour mortality, of
KdT50: Knockdown time (min) 50%; KdT95: Knockdown time (min) 95%; 95% CI: confidence interval; S: susceptible, R: resistant; n/a = no available “Knockdown” (< 15% of mosquitoes killed after 1 h exposure).
The shock time of
Kdt50 and Kdt95 were too early for
These
ITN | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Kdt50 | Kdt95 | Mortality(%) | Statut | n | Kdt50 | Kdt95 | Mortality(%) | *Status | ||
ITN | 100 | n/a | n/a | 20 | R | 100 | 5.4(4,1–6.8) | 44.4(35,6–59.2) | 100 | S |
ITN | 100 | n/a | n/a | 27 | R | 100 | 5.9(4,7–7.0) | 35.9(29,8–45.2) | 100 | S |
ITN | 100 | n/a | n/a | 30 | R | 100 | 5.6(4,6–6,6) | 35.5(30,0–43.6) | 100 | S |
ITN | 100 | n/a | n/a | 27 | R | 100 | 6.1(5,3–7.0) | 39.8(34,6–47.0) | 100 | S |
MILD5 | 100 | n/a | n/a | 32 | R | 100 | 6.1(5,1–7.1) | 39.3(33,5-47.7) | 100 | S |
Efficacy of LLINs against
Status: S (Sensitivity) = 24 hr mortality ≥ 80%; R (Resistance) = 24 hr mortality < 80%.
From Table 2, it can be seen that low mortality of
From Table 3, Kdt50 and Kdt95 were highly variable depending on the type of insecticide and the test period.
Période | Insecticides | n | Kdt50 (min) | Kdt95 (min) | Mortality 24 h(%) | Statut* |
---|---|---|---|---|---|---|
Before ITN distribution (September-November 2018) | Deltamethrin 0.05% | 100 | 42.6 (40.7–44.8) | n/a | 52 | R |
Deltamethrin 0.05% + PBO 5% | 100 | 22.7 (21.5–23.7) | 39.7 (37–43.3) | 99 | S | |
Permethrin 0.75% | 100 | n/a | n/a | 31 | R | |
Permethrin 0.75% + PBO 5% | 100 | 66.6 (61.7–74.2) | n/a | 84 | R | |
Bendiocarb 0.1% | 100 | 27.7 (25.5–29.8) | 43.2 (39.1–50.3) | 100 | S | |
DDT 4% | 100 | n/a | n/a | 4 | R | |
After ITN distribution (May-August 2019) | Deltamethrin 0.05% | 100 | 31.5 (30.4–32.5) | 51.7 (49.2–54.9) | 34 | R |
Deltamethrin 0.05% + PBO 5% | 100 | 30.9 (29.5–32.3) | 52.1 (48.6–56.8) | 100 | S | |
Permethrin 0.75% | 100 | n/a | n/a | 36 | R | |
Permethrin 0.75% + PBO 5% | 100 | 67.9 (61.9–77.2) | n/a | 97 | RP | |
Bendiocarb 0.1% | 100 | 18.6 (17.3–19.8) | 31.5 (28.9–35.4) | 100 | S | |
DDT 4% | 100 | n/a | n/a | 16 | R |
Mortality of
Status: R = resistant S = susceptible PR = probable resistance n/a = no available.
Bendiocarb and Deltamethrin+ PBO were effective in both periods.
From Table 4, it can be seen that no significant association was observed between the dry and rainy seasons prior to the ITN mass distribution campaign. Microscopy (thick drop) positive cases were in a tie (35 positive cases). The ITN mass distribution campaign had a beneficial effect on reducing the prevalence of malaria cases (malaria index), although no significant association was observed before and after the ITN distribution. After the ITN mass distribution campaign, a significant association was observed between thick drop and the rainy season with p-value = 0.04. Many cases were recorded during the dry season.
Before ITN distribution | ||||||
---|---|---|---|---|---|---|
Seasons | ||||||
n (positif) | % | |||||
Dry | 62 | 53.4 | 35 | 56.4 | 1.4(0.6–3,2) | 0.36 |
Rainy | 54 | 46.6 | 35 | 64.8 | ||
After ITN distribution | ||||||
Dry | 44 | 59.5 | 28 | 63.4 | 0.4(0.1–0.9) | |
Rainy | 30 | 40.5 | 12 | 40 | ||
Total (throughout the period) | ||||||
Before | 116 | 61.0 | 70 | 60.3 | 0.8(0.4–1,5) | 0.39 |
After | 74 | 39.0 | 40 | 54.0 |
Variation in plasmodial indices before and after ITN distribution.
Parameters (Index) | Phase 1 (July-December 2018) before distribution of ITNs | ||||||||
---|---|---|---|---|---|---|---|---|---|
Dry seasons | Rainy seasons | p-value | |||||||
Index | Median | P25 | P75 | Index | Median | P25 | P75 | ||
7.67 | 0.04 | 0.02 | 0.22 | 15.8 | 0.15 | 0.027 | 0.35 | ||
6.03 | 0 | 0 | 9 | 11.7 | 0.1 | 0 | 22 | ||
2.8 | 0.52 | 0.52 | 1.55 | 9.1 | 1.81 | 1.55 | 2.72 | ||
0.16 | 0 | 0 | 0 | 1.22 | 0.18 | 0 | 0.58 | ||
Phase 2 (January-June 2019) after distribution of ITNs | |||||||||
3.3 | 0.07 | 0.03 | 0.1 | 2.2 | 0.16 | 0.04 | 0.11 | ||
8.8 | 0 | 0 | 0.22 | 11.3 | 0.07 | 0 | 0.25 | ||
2.4 | 1.55 | 0.52 | 2.6 | 7.6 | 9.5 | 6.2 | 10.4 | ||
0.2 | 0 | 0 | 0.4 | 0.9 | 0.1 | 0 | 2.2 |
Distribution of entomological transmission indices according to periods.
d = Relative density (mean numbers of An. gambiae s.l. collected) (Anopheles per house) SI=Sporozoite index (percentage of mosquitoes positive for CSP) BR = Biting rate (A. gambiae s.l. per person per night) EIR = Entomological Inoculation Rate (Number of infectious bites per person per night).
During, the second phase (July to December 2018), a very highly significant difference was observed between aggressivity and entomological inoculation rate during the dry season and the rainy season with p˂0.001. A significant difference was observed between density and sporozoite indices in both seasons (p = 0.01).
Comparing the two capture phases, no significant difference was observed between aggressivity, sporozoite index and entomological inoculation rate, respectively with p (0.098 and 0.896) before and after ITN distribution. During the second phase, the season influenced the entomological transmission indices. A highly significant difference was then observed between aggressivity and entomological inoculation rate during the dry and rainy seasons with p<0.001.
Vector control is one of the important components of the global malaria control strategy. It is the main pillar of malaria control aiming to interrupt the transmission of malaria parasites through indoor residual spraying (IRS) or the use of pyrethroid-impregnated fabrics (nets and/or curtains) [7, 30].
Worldwide, pyrethroids are the insecticides of choice for impregnation, as they are highly effective and fast acting, with an irritating effect on mosquitoes and less toxicity to humans [1, 30]. Besides the less effectiveness of insecticides treated ITNs observed in Bandundu, its use as a physical and chemical barriers against mosquito vectors, constituted a repellent with a killing effect on mosquitoes [7, 30]. Resistance of
While both interventions are used in the DRC, IRS is carried out on a limited scale by mining companies and a few non-governmental organisation [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 36]. The National Malaria Control Programme (NMCP) adopted mass distribution of ITNs as a malaria control strategy in 2004, as a tool to interrupt malaria transmission [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20]. Since then, the NMCP has distributed millions of pyrethroid-treated ITNs. However, little data is available on insecticide resistance in Anopheles mosquitoes in the DRC, while the emergence of insecticide resistance may have an impact on the effectiveness of vector control interventions [19, 38]. The aim of this study was therefore to assess the insecticide resistance of mosquitoes and the main entomological indicators associated with malaria transmission before and after ITN distribution in the city of Bandundu.
In our study,
From this quality control, it appears that none of these nets demonstrated efficacy on local
Our results are also similar to those found by Ahogni, in Benin [51], Loonen and colleagues in Baraka, DRC [13], Abilio and colleagues in Mozambique [15], and Darriet and colleagues in Côte d’Ivoire [12], who proved the ineffectiveness of new ITNs on wild strains. The presence in the DRC of mosquito populations capable of resisting diagnostic doses of insecticides may account for the reduced efficacy of ITNs.
The results of this study contrast with those found by Kweka and colleagues in Tanzania on the evaluation of PermaNet®3.0 ITNs on An. gambiae s.l. wild strain populations, which showed 98–100% effectiveness [48].
This difference is believed to be due to the mosquito colony used in this study being tolerant to pyrethroids and Permanet 3.0 being impregnated with pyrethroids combined with PBO.
Similarly Bobanga and colleagues in Kinshasa on the bioefficacy of PermaNet 3.0 ITNs on the wild population of vectors, which revealed a 100% mortality [52].
The results obtained by Bobanga et al. with the wild strain of
Entomological inoculation rates during ITN distribution in Bandundu town in December 2018 resulted in a decrease in the number of anopheles mosquitoes collected from households by both the pyrethroid spray capture and human landing capture techniques, although the difference was not statically significant. Similarly, no significant difference was found between sporozoite indices, bite rates or entomological inoculation rates (EIR) between the two periods. The risk of infectious bites before net distribution was approximately 0.13 infectious bites per person per night, or 47.2 infectious bites per person per year, compared to 0.08 infectious bites per person per night, or 27.6 infectious bites per person per year after ITN distribution. However, this decrease was not significant.
ITN distribution resulted in a decrease in the number of Anopheles mosquitoes. However, it is difficult to attribute this decrease to ITNs. There was a clear seasonal influence on entomological transmission indices, which were high during the rainy season and low during the dry season. In addition, there is the distribution of two seasons, the rainy season (September-December and April-May) and the dry season (June-August and January-March) which makes it difficult to assess the decrease in entomological indices. A high rate of mosquito bites was recorded outside houses in Bandundu town during the collection campaign, suggesting changes in the behaviour of
The improvement in the epidemiological situation of malaria remains unstable and could even worsen due to the emergence of parasite resistance to the usual and affordable antimalarial drugs.
The deterioration of primary health services, the emergence of insecticide-resistant strains in mosquitoes and the misuse of antimalarial drugs are believed to have contributed to the selection of resistant strains [13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 38]. Diagnostic confirmation is crucial because clinical diagnosis is at the root of thousands of erroneous treatments and this leads to economic consequences as well as increased morbidity and mortality due to the delay of specific treatment [6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 38]. Reliable diagnosis could thus serve to avoid unnecessary exposure of patients to antimalarial drugs (risk of parasite resistance and economic loss) and allow for timely exploration of other possible pathologies. Thus, the success of the challenge of containing the spread of resistance absolutely implies an efficient diagnosis.
Currently, two modalities are used in the field for the biological diagnosis of malaria: microscopy and rapid tests (RDT). The NMCP has chosen the SD-Bioline test with HRP2, which is distributed free of charge in the country’s health facilities via the central office [9, 44, 45].
In this study, the sensitivity (Se) of the SD-Bioline test evaluated in the field was 77%, specificity (Sp) 78%, positive predictive value (PPV) 82%, negative predictive value (NPV) 72% and overall test value (VG) 77%. This can be justified by the fact that Bandundu-ville is an endemic area and the presence of other non-falciparium plasmodial species could be detected in the area. These observations are similar to those made by Muhindo and colleagues in Kinshasa [53].
Similar results were found by Laurent and colleagues in Tanzania in an area of intense malaria transmission. These results varied by age group and disease prevalence [54] and are in contrast to those found by Abeku and colleagues in East Africa, where the difference was related to prevalence [55]. The prevalence of malaria by parasite index was 57.9% by microscopy and 53.6% by RDT. This is justified by the possibility of diagnosing non-falciparum species by microscopy. In Tanzania, the prevalence by microscopy was low (34.3%) and slightly higher by RDT (57.2%) [53].
Pf was the dominant species in 94% of mono-infections and 4.7% of co-infections. This dominant presence of Pf may justify this high prevalence. This plasmodial species is at the root of the severity and complications of malaria infection [56]. These results are consistent with those found in Kano State, Nigeria, with high malaria prevalence (60%) and this prevalence was strongly related to age [57].
Malaria infection was seasonally influenced; thus there was a significant association between malaria infection and the long rainy season (September-October) with a risk of 2.8. Similarly, during the short dry season (January-March), a significant association was observed with a risk of 2.6 [55, 56, 58].
We find that age and fever during collection were strongly correlated with the presence of parasites. Children <5 years of age were at higher risk of infection, with a 6.0-fold risk than adults, followed by children aged 6–12 years with a 3.2-fold risk.
The presence of fever at the time of sampling was 6.4 times more associated with the presence of malaria infection, reflecting the fact that in endemic areas fever is the main sign of malaria. These results corroborate those found by Mokoso and colleagues in Bandundu-city, of the aetiologies associated with fever in this area, 80% are due to malaria [59]. Our results corroborate those found by several authors in endemic areas [54, 55, 56, 57, 58].
The inhabitants of the commune of Mayoyo in Bandundu-city were more exposed to infections with a risk of 2.3. This commune is urban-rural and has biotopes favourable to anopheles, as well as high entomological parameters.
In Dielmo, Senegal, an area where pyrethroids were the main insecticides used for malaria control, a rebound in malaria cases was recorded, followed by the development of resistance after multiple distributions of ITNs (Table 5) [60]. In another study in Benin, a reduction in the efficacy of ITNs was observed, leading to an increase in malaria cases in an area where An.gambiae is resistant to pyrethroids and where nets are treated with deltamethrin [15, 51].
As shown in Table 1, a considerable number of unfed mosquitoes were collected from the houses, which may have played a role in malaria transmission by later feeding. These results therefore probably underestimate the number of bites per person and may have been biased when new ITNs were deployed, resulting in more mosquitoes exiting before they could be collected. In addition, blood-fed mosquitoes were not tested for human blood, although it was assumed that most blood-fed An. gambiae s.l. resting indoors would have fed on humans. Thirdly, as mosquito collections for pre- and post-net distribution were carried out in different months of the dry and rainy seasons, seasonal variations cannot be excluded from the interpretation of the collection and bioassay data.
Metelo et al. reported seasonal differences in An. gambiae s.l. populations in Bandundu between the dry and rainy seasons [49]. It should be noted that in many settings, nets are not used immediately upon receipt, but rather after the old nets have been torn and are no longer usable. The use of newly distributed nets in homes was not quantified, although the presence of Dawa Plus nets was observed in most households during the implementation of CHPs and HLCs. Large-scale use of DHS data has shown that ITN use is always associated with reduced malaria transmission, especially when community use is high, however, insecticide resistance may reduce this effect, Ferrari et al. found that sleeping under an ITN the previous night was associated with a reduced risk of Plasmodium infection [61]. In the present study, however, no significant impact on entomological measures of transmission was observed immediately after ITN distribution. In an area where insecticide resistance levels are already high, the distribution of new ITNs no longer has an immediate or strong effect on key entomological measures of malaria transmission. This may be due to increased resistance in the study area, compromising both new nets with a full dose of insecticide, and old nets, which will have lost some of their insecticide. This may also mean that the old nets remained effective for the full 3 years of the net’s life expectancy, and therefore the distribution of new nets did not improve control. However, the presence of sporozoite-positive mosquitoes in both periods indicates that a better control measure is needed to reduce transmission in this area.
Resistance to pyrethroids and DDT: With the exception of bendiocarb which caused 100% mortality of Anopheles mosquitoes, the other insecticides tested were ineffective against An. gambiae s.l. collected before and after ITN distribution. An. gambiae s.l. was resistant to pyrethroids (deltamethrin and permethrin) and DDT in both periods. Mortality of Anopheles to insecticides varied according to the period (before and after mass ITN distribution). Mortality was limited to deltamethrin, 52% before the mass distribution and was reduced to 34% afterwards, which reduced the effectiveness of this product. After pre-exposure to PBO, the efficacy of deltamethrin was fully restored during both study periods. For permethrin (31–36%) and DDT (4–16%), Anopheles mosquitoes were also resistant to varying degrees depending on the period (pre-post). It can be observed that after the mass ITN distribution, permethrin and DDT increased their efficacy somewhat. These two molecules have not been used for a decade. This could be explained by the fact that the distributed ITNs were impregnated with deltamethrin, which increased the selective pressure and served as a basis for the emergence of resistance in
The ITNs deployed in Bandundu-city in 2018 are still effective on A. gambiae sl strain Kisumu but are ineffective on the wild
The research team would like to thank the CREC teams for their support and assistance in setting up our insectarium, in particular Prof Martin AGKOBETO and Dr. Osée RAZZAK. Our sincere thanks to Marianne Sinka of Oxford University for her contribution to the correction of this paper, especially its translation into English.
The thanks also go postum to the late Professor Paul MANSIANGI, the coordinator of this project where death brutally snatched away our affection, eternal felicity to your soul. The field supervisor Ladius MBAYA for his dedication and perfect collaboration.
The authors declare no conflict of interest.
E.MM, JZ: drafting of the study protocol.
EMM, JZ, BM, VN: coordination of field activities (larval survey and sensitivity testing). EMM, JZ, VN, SN, AM: Coordination of laboratory activities. EMM, JZ, VN, SN database and statistical analysis. E.MM, JZ, JMNK, FA, EHMN, BM: writing of the article and correction. BM editing of the paper.
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It is a leading cause of disability in children. Congenitally infected neonates often appear asymptomatic at birth or have nonspecific symptoms. An early diagnosis and subsequent early antiviral therapy associated to nonpharmacological therapy (e.g., hearing rehabilitation, speech-language therapy, and cochlear implants) can reduce long-term disability. Much research has been done in this field, but further studies are still necessary. Looking back at the most recent papers, we will draw a review on this topic trying to answer to the question: could universal CMV screening be a useful and cost-effective diagnostic tool?",book:{id:"8728",slug:"update-on-critical-issues-on-infant-and-neonatal-care",title:"Update on Critical Issues on Infant and Neonatal Care",fullTitle:"Update on Critical Issues on Infant and Neonatal Care"},signatures:"Sara Lunardi, Francesca Lorenzoni and Paolo Ghirri",authors:null},{id:"44446",doi:"10.5772/54310",title:"Neonatal Pneumonia",slug:"neonatal-pneumonia",totalDownloads:14749,totalCrossrefCites:1,totalDimensionsCites:5,abstract:null,book:{id:"2990",slug:"neonatal-bacterial-infection",title:"Neonatal Bacterial Infection",fullTitle:"Neonatal Bacterial Infection"},signatures:"Friedrich Reiterer",authors:[{id:"152025",title:"Prof.",name:"Friedrich",middleName:null,surname:"Reiterer",slug:"friedrich-reiterer",fullName:"Friedrich Reiterer"}]},{id:"38034",doi:"10.5772/34698",title:"Maternal Socio-economic Status and Childhood Birth weight: A Health Survey in Ghana.",slug:"maternal-socio-economic-status-and-childhood-birth-weight-a-health-survey-in-ghana-",totalDownloads:3608,totalCrossrefCites:2,totalDimensionsCites:3,abstract:null,book:{id:"741",slug:"neonatal-care",title:"Neonatal Care",fullTitle:"Neonatal Care"},signatures:"Edward Nketiah-Amponsah, Aaron Abuosi and Eric Arthur",authors:[{id:"101268",title:"Dr.",name:"Edward",middleName:null,surname:"Nketiah-Amponsah",slug:"edward-nketiah-amponsah",fullName:"Edward Nketiah-Amponsah"}]}],mostDownloadedChaptersLast30Days:[{id:"44446",title:"Neonatal Pneumonia",slug:"neonatal-pneumonia",totalDownloads:14749,totalCrossrefCites:1,totalDimensionsCites:5,abstract:null,book:{id:"2990",slug:"neonatal-bacterial-infection",title:"Neonatal Bacterial Infection",fullTitle:"Neonatal Bacterial Infection"},signatures:"Friedrich Reiterer",authors:[{id:"152025",title:"Prof.",name:"Friedrich",middleName:null,surname:"Reiterer",slug:"friedrich-reiterer",fullName:"Friedrich Reiterer"}]},{id:"53683",title:"Pre and Postoperative Management of Pediatric Patients with Congenital Heart Diseases",slug:"pre-and-postoperative-management-of-pediatric-patients-with-congenital-heart-diseases",totalDownloads:4889,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Stabilization during preoperative cardiac surgery especially in neonates has an important role to predict outcome for pediatric congenital heart surgery. We tried to elaborate general guidelines on how to diagnose and some anticipations for emergency treatments tailored by the type of congenital heart disease in neonates. Stabilization consists of medical treatment including emergent prostaglandin institution in some types of duct dependent lesion. The role of interventional catheterization such as patent ductus arteriosus (PDA) stent, balloon pulmonary valvotomy, etc. as modalities for stabilization before surgery was also elaborated. Some general and specific guidelines based on the type of surgeries for postoperative management were also discussed.",book:{id:"5473",slug:"pediatric-and-neonatal-surgery",title:"Pediatric and Neonatal Surgery",fullTitle:"Pediatric and Neonatal Surgery"},signatures:"Eva Miranda Marwali, Beatrice Heineking and Nikolaus A. 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It is more common during the neonatal period than at any other age with the estimated incidence of 0.25 per 1000 live births. The absence of specific clinical presentation makes diagnosis of meningitis more difficult in neonates than in older children. Culture of cerebrospinal fluid is the traditional gold standard for diagnosis of bacterial meningitis, so all newborn infants with proven or suspected sepsis should undergo lumbar puncture. However, deciding when to perform lumbar puncture and interpretation of the results are challenging. Although the pathophysiology of neonatal meningitis is complex and not fully understood, researches on diagnostic and prognostic tools are ongoing. Prevention of neonatal sepsis, early recognition of infants at risk, development of novel, rapid diagnostics and adjunctive therapies, and appropriate and aggressive antimicrobial treatment to sterilize cerebrospinal fluid as soon as possible may prevent the lifelong squeal of bacterial meningitis in newborn infants.",book:{id:"7527",slug:"neonatal-medicine",title:"Neonatal Medicine",fullTitle:"Neonatal Medicine"},signatures:"Mehmet Şah İpek",authors:[{id:"267903",title:"Associate Prof.",name:"Mehmet Şah",middleName:null,surname:"İpek",slug:"mehmet-sah-ipek",fullName:"Mehmet Şah İpek"}]},{id:"71427",title:"Factors Influencing Maternal Decision-Making on Infant Feeding Practices",slug:"factors-influencing-maternal-decision-making-on-infant-feeding-practices",totalDownloads:984,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The decision to formula feed or breastfeed a child typically begins with an established prenatal intention. 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She is also Invisalign certified. She’s working as a Senior Lecturer in the Department of Orthodontics, SRM Dental College since November 2019. She is actively involved in teaching orthodontics to the undergraduates and the postgraduates. Her clinical research topics include new orthodontic brackets, fixed appliances and TADs. She’s published 4 articles in well renowned indexed journals and has a published patency of her own. Her private practice is currently limited to orthodontics and works as a consultant in various clinics.",institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"323731",title:"Prof.",name:"Deepak M.",middleName:"Macchindra",surname:"Vikhe",slug:"deepak-m.-vikhe",fullName:"Deepak M. Vikhe",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/323731/images/13613_n.jpg",biography:"Dr Deepak M.Vikhe .\n\n\t\n\tDr Deepak M.Vikhe , completed his Masters & PhD in Prosthodontics from Rural Dental College, Loni securing third rank in the Pravara Institute of Medical Sciences Deemed University. He was awarded Dr.G.C.DAS Memorial Award for Research on Implants at 39th IPS conference Dubai (U A E).He has two patents under his name. He has received Dr.Saraswati medal award for best research for implant study in 2017.He has received Fully funded scholarship to Spain ,university of Santiago de Compostela. He has completed fellowship in Implantlogy from Noble Biocare. \nHe has attended various conferences and CDE programmes and has national publications to his credit. His field of interest is in Implant supported prosthesis. Presently he is working as a associate professor in the Dept of Prosthodontics, Rural Dental College, Loni and maintains a successful private practice specialising in Implantology at Rahata.\n\nEmail: drdeepak_mvikhe@yahoo.com..................",institutionString:null,institution:{name:"Pravara Institute of Medical Sciences",country:{name:"India"}}},{id:"204110",title:"Dr.",name:"Ahmed A.",middleName:null,surname:"Madfa",slug:"ahmed-a.-madfa",fullName:"Ahmed A. Madfa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204110/images/system/204110.jpg",biography:"Dr. Madfa is currently Associate Professor of Endodontics at Thamar University and a visiting lecturer at Sana'a University and University of Sciences and Technology. He has more than 6 years of experience in teaching. His research interests include root canal morphology, functionally graded concept, dental biomaterials, epidemiology and dental education, biomimetic restoration, finite element analysis and endodontic regeneration. Dr. Madfa has numerous international publications, full articles, two patents, a book and a book chapter. Furthermore, he won 14 international scientific awards. Furthermore, he is involved in many academic activities ranging from editorial board member, reviewer for many international journals and postgraduate students' supervisor. Besides, I deliver many courses and training workshops at various scientific events. Dr. Madfa also regularly attends international conferences and holds administrative positions (Deputy Dean of the Faculty for Students’ & Academic Affairs and Deputy Head of Research Unit).",institutionString:"Thamar University",institution:null},{id:"210472",title:"Dr.",name:"Nermin",middleName:"Mohammed Ahmed",surname:"Yussif",slug:"nermin-yussif",fullName:"Nermin Yussif",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/210472/images/system/210472.jpg",biography:"Dr. Nermin Mohammed Ahmed Yussif is working at the Faculty of dentistry, University for October university for modern sciences and arts (MSA). Her areas of expertise include: periodontology, dental laserology, oral implantology, periodontal plastic surgeries, oral mesotherapy, nutrition, dental pharmacology. She is an editor and reviewer in numerous international journals.",institutionString:"MSA University",institution:null},{id:"204606",title:"Dr.",name:"Serdar",middleName:null,surname:"Gözler",slug:"serdar-gozler",fullName:"Serdar Gözler",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204606/images/system/204606.jpeg",biography:"Dr. Serdar Gözler has completed his undergraduate studies at the Marmara University Faculty of Dentistry in 1978, followed by an assistantship in the Prosthesis Department of Dicle University Faculty of Dentistry. Starting his PhD work on non-resilient overdentures with Assoc. Prof. Hüsnü Yavuzyılmaz, he continued his studies with Prof. Dr. Gürbüz Öztürk of Istanbul University Faculty of Dentistry Department of Prosthodontics, this time on Gnatology. He attended training programs on occlusion, neurology, neurophysiology, EMG, radiology and biostatistics. In 1982, he presented his PhD thesis \\Gerber and Lauritzen Occlusion Analysis Techniques: Diagnosis Values,\\ at Istanbul University School of Dentistry, Department of Prosthodontics. As he was also working with Prof. Senih Çalıkkocaoğlu on The Physiology of Chewing at the same time, Gözler has written a chapter in Çalıkkocaoğlu\\'s book \\Complete Prostheses\\ entitled \\The Place of Neuromuscular Mechanism in Prosthetic Dentistry.\\ The book was published five times since by the Istanbul University Publications. Having presented in various conferences about occlusion analysis until 1998, Dr. Gözler has also decided to use the T-Scan II occlusion analysis method. Having been personally trained by Dr. Robert Kerstein on this method, Dr. Gözler has been lecturing on the T-Scan Occlusion Analysis Method in conferences both in Turkey and abroad. Dr. Gözler has various articles and presentations on Digital Occlusion Analysis methods. He is now Head of the TMD Clinic at Prosthodontic Department of Faculty of Dentistry , Istanbul Aydın University , Turkey.",institutionString:"Istanbul Aydin University",institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"240870",title:"Ph.D.",name:"Alaa Eddin Omar",middleName:null,surname:"Al Ostwani",slug:"alaa-eddin-omar-al-ostwani",fullName:"Alaa Eddin Omar Al Ostwani",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/240870/images/system/240870.jpeg",biography:"Dr. Al Ostwani Alaa Eddin Omar received his Master in dentistry from Damascus University in 2010, and his Ph.D. in Pediatric Dentistry from Damascus University in 2014. Dr. Al Ostwani is an assistant professor and faculty member at IUST University since 2014. \nDuring his academic experience, he has received several awards including the scientific research award from the Union of Arab Universities, the Syrian gold medal and the international gold medal for invention and creativity. Dr. Al Ostwani is a Member of the International Association of Dental Traumatology and the Syrian Society for Research and Preventive Dentistry since 2017. He is also a Member of the Reviewer Board of International Journal of Dental Medicine (IJDM), and the Indian Journal of Conservative and Endodontics since 2016.",institutionString:"International University for Science and Technology.",institution:{name:"Islamic University of Science and Technology",country:{name:"India"}}},{id:"42847",title:"Dr.",name:"Belma",middleName:null,surname:"Işik Aslan",slug:"belma-isik-aslan",fullName:"Belma Işik Aslan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/42847/images/system/42847.jpg",biography:"Dr. Belma IşIk Aslan was born in 1976 in Ankara-TURKEY. After graduating from TED Ankara College in 1994, she attended to Gazi University, Faculty of Dentistry in Ankara. She completed her PhD in orthodontic education at Gazi University between 1999-2005. Dr. Işık Aslan stayed at the Providence Hospital Craniofacial Institude and Reconstructive Surgery in Michigan, USA for three months as an observer. She worked as a specialist doctor at Gazi University, Dentistry Faculty, Department of Orthodontics between 2005-2014. She was appointed as associate professor in January, 2014 and as professor in 2021. Dr. Işık Aslan still works as an instructor at the same faculty. She has published a total of 35 articles, 10 book chapters, 39 conference proceedings both internationally and nationally. Also she was the academic editor of the international book 'Current Advances in Orthodontics'. She is a member of the Turkish Orthodontic Society and Turkish Cleft Lip and Palate Society. She is married and has 2 children. Her knowledge of English is at an advanced level.",institutionString:"Gazi University Dentistry Faculty Department of Orthodontics",institution:null},{id:"178412",title:"Associate Prof.",name:"Guhan",middleName:null,surname:"Dergin",slug:"guhan-dergin",fullName:"Guhan Dergin",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178412/images/6954_n.jpg",biography:"Assoc. Prof. Dr. Gühan Dergin was born in 1973 in Izmit. He graduated from Marmara University Faculty of Dentistry in 1999. He completed his specialty of OMFS surgery in Marmara University Faculty of Dentistry and obtained his PhD degree in 2006. In 2005, he was invited as a visiting doctor in the Oral and Maxillofacial Surgery Department of the University of North Carolina, USA, where he went on a scholarship. Dr. Dergin still continues his academic career as an associate professor in Marmara University Faculty of Dentistry. He has many articles in international and national scientific journals and chapters in books.",institutionString:null,institution:{name:"Marmara University",country:{name:"Turkey"}}},{id:"178414",title:"Prof.",name:"Yusuf",middleName:null,surname:"Emes",slug:"yusuf-emes",fullName:"Yusuf Emes",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178414/images/6953_n.jpg",biography:"Born in Istanbul in 1974, Dr. Emes graduated from Istanbul University Faculty of Dentistry in 1997 and completed his PhD degree in Istanbul University faculty of Dentistry Department of Oral and Maxillofacial Surgery in 2005. He has papers published in international and national scientific journals, including research articles on implantology, oroantral fistulas, odontogenic cysts, and temporomandibular disorders. Dr. Emes is currently working as a full-time academic staff in Istanbul University faculty of Dentistry Department of Oral and Maxillofacial Surgery.",institutionString:null,institution:{name:"Istanbul University",country:{name:"Turkey"}}},{id:"192229",title:"Ph.D.",name:"Ana Luiza",middleName:null,surname:"De Carvalho Felippini",slug:"ana-luiza-de-carvalho-felippini",fullName:"Ana Luiza De Carvalho Felippini",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192229/images/system/192229.jpg",biography:null,institutionString:"University of São Paulo",institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"256851",title:"Prof.",name:"Ayşe",middleName:null,surname:"Gülşen",slug:"ayse-gulsen",fullName:"Ayşe Gülşen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/256851/images/9696_n.jpg",biography:"Dr. Ayşe Gülşen graduated in 1990 from Faculty of Dentistry, University of Ankara and did a postgraduate program at University of Gazi. \nShe worked as an observer and research assistant in Craniofacial Surgery Departments in New York, Providence Hospital in Michigan and Chang Gung Memorial Hospital in Taiwan. \nShe works as Craniofacial Orthodontist in Department of Aesthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, University of Gazi, Ankara Turkey since 2004.",institutionString:"Univeristy of Gazi",institution:null},{id:"255366",title:"Prof.",name:"Tosun",middleName:null,surname:"Tosun",slug:"tosun-tosun",fullName:"Tosun Tosun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255366/images/7347_n.jpg",biography:"Graduated at the Faculty of Dentistry, University of Istanbul, Turkey in 1989;\nVisitor Assistant at the University of Padua, Italy and Branemark Osseointegration Center of Treviso, Italy between 1993-94;\nPhD thesis on oral implantology in University of Istanbul and was awarded the academic title “Dr.med.dent.”, 1997;\nHe was awarded the academic title “Doç.Dr.” (Associated Professor) in 2003;\nProficiency in Botulinum Toxin Applications, Reading-UK in 2009;\nMastership, RWTH Certificate in Laser Therapy in Dentistry, AALZ-Aachen University, Germany 2009-11;\nMaster of Science (MSc) in Laser Dentistry, University of Genoa, Italy 2013-14.\n\nDr.Tosun worked as Research Assistant in the Department of Oral Implantology, Faculty of Dentistry, University of Istanbul between 1990-2002. \nHe worked part-time as Consultant surgeon in Harvard Medical International Hospitals and John Hopkins Medicine, Istanbul between years 2007-09.\u2028He was contract Professor in the Department of Surgical and Diagnostic Sciences (DI.S.C.), Medical School, University of Genova, Italy between years 2011-16. \nSince 2015 he is visiting Professor at Medical School, University of Plovdiv, Bulgaria. \nCurrently he is Associated Prof.Dr. at the Dental School, Oral Surgery Dept., Istanbul Aydin University and since 2003 he works in his own private clinic in Istanbul, Turkey.\u2028\nDr.Tosun is reviewer in journal ‘Laser in Medical Sciences’, reviewer in journal ‘Folia Medica\\', a Fellow of the International Team for Implantology, Clinical Lecturer of DGZI German Association of Oral Implantology, Expert Lecturer of Laser&Health Academy, Country Representative of World Federation for Laser Dentistry, member of European Federation of Periodontology, member of Academy of Laser Dentistry. Dr.Tosun presents papers in international and national congresses and has scientific publications in international and national journals. He speaks english, spanish, italian and french.",institutionString:null,institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"171887",title:"Prof.",name:"Zühre",middleName:null,surname:"Akarslan",slug:"zuhre-akarslan",fullName:"Zühre Akarslan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/171887/images/system/171887.jpg",biography:"Zühre Akarslan was born in 1977 in Cyprus. She graduated from Gazi University Faculty of Dentistry, Ankara, Turkey in 2000. \r\nLater she received her Ph.D. degree from the Oral Diagnosis and Radiology Department; which was recently renamed as Oral and Dentomaxillofacial Radiology, from the same university. \r\nShe is working as a full-time Associate Professor and is a lecturer and an academic researcher. \r\nHer expertise areas are dental caries, cancer, dental fear and anxiety, gag reflex in dentistry, oral medicine, and dentomaxillofacial radiology.",institutionString:"Gazi University",institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"256417",title:"Associate Prof.",name:"Sanaz",middleName:null,surname:"Sadry",slug:"sanaz-sadry",fullName:"Sanaz Sadry",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/256417/images/8106_n.jpg",biography:null,institutionString:null,institution:null},{id:"272237",title:"Dr.",name:"Pinar",middleName:"Kiymet",surname:"Karataban",slug:"pinar-karataban",fullName:"Pinar Karataban",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/272237/images/8911_n.png",biography:"Assist.Prof.Dr.Pınar Kıymet Karataban, DDS PhD \n\nDr.Pınar Kıymet Karataban was born in Istanbul in 1975. After her graduation from Marmara University Faculty of Dentistry in 1998 she started her PhD in Paediatric Dentistry focused on children with special needs; mainly children with Cerebral Palsy. She finished her pHD thesis entitled \\'Investigation of occlusion via cast analysis and evaluation of dental caries prevalance, periodontal status and muscle dysfunctions in children with cerebral palsy” in 2008. She got her Assist. Proffessor degree in Istanbul Aydın University Paediatric Dentistry Department in 2015-2018. ın 2019 she started her new career in Bahcesehir University, Istanbul as Head of Department of Pediatric Dentistry. In 2020 she was accepted to BAU International University, Batumi as Professor of Pediatric Dentistry. She’s a lecturer in the same university meanwhile working part-time in private practice in Ege Dental Studio (https://www.egedisklinigi.com/) a multidisciplinary dental clinic in Istanbul. Her main interests are paleodontology, ancient and contemporary dentistry, oral microbiology, cerebral palsy and special care dentistry. She has national and international publications, scientific reports and is a member of IAPO (International Association for Paleodontology), IADH (International Association of Disability and Oral Health) and EAPD (European Association of Pediatric Dentistry).",institutionString:null,institution:null},{id:"202198",title:"Dr.",name:"Buket",middleName:null,surname:"Aybar",slug:"buket-aybar",fullName:"Buket Aybar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/202198/images/6955_n.jpg",biography:"Buket Aybar, DDS, PhD, was born in 1971. She graduated from Istanbul University, Faculty of Dentistry, in 1992 and completed her PhD degree on Oral and Maxillofacial Surgery in Istanbul University in 1997.\nDr. Aybar is currently a full-time professor in Istanbul University, Faculty of Dentistry Department of Oral and Maxillofacial Surgery. She has teaching responsibilities in graduate and postgraduate programs. Her clinical practice includes mainly dentoalveolar surgery.\nHer topics of interest are biomaterials science and cell culture studies. She has many articles in international and national scientific journals and chapters in books; she also has participated in several scientific projects supported by Istanbul University Research fund.",institutionString:null,institution:null},{id:"260116",title:"Dr.",name:"Mehmet",middleName:null,surname:"Yaltirik",slug:"mehmet-yaltirik",fullName:"Mehmet Yaltirik",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/260116/images/7413_n.jpg",biography:"Birth Date 25.09.1965\r\nBirth Place Adana- Turkey\r\nSex Male\r\nMarrial Status Bachelor\r\nDriving License Acquired\r\nMother Tongue Turkish\r\n\r\nAddress:\r\nWork:University of Istanbul,Faculty of Dentistry, Department of Oral Surgery and Oral Medicine 34093 Capa,Istanbul- TURKIYE",institutionString:null,institution:null},{id:"172009",title:"Dr.",name:"Fatma Deniz",middleName:null,surname:"Uzuner",slug:"fatma-deniz-uzuner",fullName:"Fatma Deniz Uzuner",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/172009/images/7122_n.jpg",biography:"Dr. Deniz Uzuner was born in 1969 in Kocaeli-TURKEY. After graduating from TED Ankara College in 1986, she attended the Hacettepe University, Faculty of Dentistry in Ankara. \nIn 1993 she attended the Gazi University, Faculty of Dentistry, Department of Orthodontics for her PhD education. After finishing the PhD education, she worked as orthodontist in Ankara Dental Hospital under the Turkish Government, Ministry of Health and in a special Orthodontic Clinic till 2011. Between 2011 and 2016, Dr. Deniz Uzuner worked as a specialist in the Department of Orthodontics, Faculty of Dentistry, Gazi University in Ankara/Turkey. In 2016, she was appointed associate professor. Dr. Deniz Uzuner has authored 23 Journal Papers, 3 Book Chapters and has had 39 oral/poster presentations. She is a member of the Turkish Orthodontic Society. Her knowledge of English is at an advanced level.",institutionString:null,institution:null},{id:"332914",title:"Dr.",name:"Muhammad Saad",middleName:null,surname:"Shaikh",slug:"muhammad-saad-shaikh",fullName:"Muhammad Saad Shaikh",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Jinnah Sindh Medical University",country:{name:"Pakistan"}}},{id:"315775",title:"Dr.",name:"Feng",middleName:null,surname:"Luo",slug:"feng-luo",fullName:"Feng Luo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Sichuan University",country:{name:"China"}}},{id:"423519",title:"Dr.",name:"Sizakele",middleName:null,surname:"Ngwenya",slug:"sizakele-ngwenya",fullName:"Sizakele Ngwenya",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of the Witwatersrand",country:{name:"South Africa"}}},{id:"419270",title:"Dr.",name:"Ann",middleName:null,surname:"Chianchitlert",slug:"ann-chianchitlert",fullName:"Ann Chianchitlert",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Walailak University",country:{name:"Thailand"}}},{id:"419271",title:"Dr.",name:"Diane",middleName:null,surname:"Selvido",slug:"diane-selvido",fullName:"Diane Selvido",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Walailak University",country:{name:"Thailand"}}},{id:"419272",title:"Dr.",name:"Irin",middleName:null,surname:"Sirisoontorn",slug:"irin-sirisoontorn",fullName:"Irin Sirisoontorn",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Walailak University",country:{name:"Thailand"}}},{id:"355660",title:"Dr.",name:"Anitha",middleName:null,surname:"Mani",slug:"anitha-mani",fullName:"Anitha Mani",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"355612",title:"Dr.",name:"Janani",middleName:null,surname:"Karthikeyan",slug:"janani-karthikeyan",fullName:"Janani Karthikeyan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"334400",title:"Dr.",name:"Suvetha",middleName:null,surname:"Siva",slug:"suvetha-siva",fullName:"Suvetha Siva",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}}]}},subseries:{item:{id:"1",type:"subseries",title:"Oral Health",keywords:"Oral health, Dental care, Diagnosis, Diagnostic imaging, Early diagnosis, Oral cancer, Conservative treatment, Epidemiology, Comprehensive dental care, Complementary therapies, Holistic health",scope:"
\r\n This topic aims to provide a comprehensive overview of the latest trends in Oral Health based on recent scientific evidence. Subjects will include an overview of oral diseases and infections, systemic diseases affecting the oral cavity, prevention, diagnosis, treatment, epidemiology, as well as current clinical recommendations for the management of oral, dental, and periodontal diseases.
",coverUrl:"https://cdn.intechopen.com/series_topics/covers/1.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11397,editor:{id:"173955",title:"Prof.",name:"Sandra",middleName:null,surname:"Marinho",slug:"sandra-marinho",fullName:"Sandra Marinho",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRGYMQA4/Profile_Picture_2022-06-01T13:22:41.png",biography:"Dr. Sandra A. Marinho is an Associate Professor and Brazilian researcher at the State University of Paraíba (Universidade Estadual da Paraíba- UEPB), Campus VIII, located in Araruna, state of Paraíba since 2011. She holds a degree in Dentistry from the Federal University of Alfenas (UNIFAL), while her specialization and professional improvement in Stomatology took place at Hospital Heliopolis (São Paulo, SP). Her qualifications are: a specialist in Dental Imaging and Radiology, Master in Dentistry (Periodontics) from the University of São Paulo (FORP-USP, Ribeirão Preto, SP), and Doctor (Ph.D.) in Dentistry (Stomatology Clinic) from Hospital São Lucas of the Pontifical Catholic University of Rio Grande do Sul (HSL-PUCRS, Porto Alegre, RS). She held a postdoctoral internship at the Federal University from Jequitinhonha and Mucuri Valleys (UFVJM, Diamantina, MG). She is currently a member of the Brazilian Society for Dental Research (SBPqO) and the Brazilian Society of Stomatology and Pathology (SOBEP). 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