Effect of interaction between months and population abundance on dry season.
\r\n\tIn the last decades, particular attention to this field has been paid to the coastal erosion problem all over the world. Indeed, the deployment of artificial reservoirs, modification of the runoff characteristics of internal areas, sand extraction from rivers, and harbor siltation, caused a decrease of sediment input on the coastal environments, and, therefore, a generalized deficit in the sediment budget. Often, dredging activities are required to collect sediment finalized to “soft” techniques to restore beaches or to move the sand trapped in the harbor (clean or contaminated).
\r\n\tMoreover, the coastal protections induced hydrodynamics and morphodynamics modifications inducing sometimes strong variations to the sediment transport regime.
\r\n\tHistorically, all these aspects are related to specific research areas ranging from engineering, geology, geomorphology, biology, etc, but it is difficult to find a comprehensive overview of these topics.
\r\n\r\n\tThis book is intended to collect original works and review concerning numerical and experimental investigation, theoretical works, methodological approaches, and any other technique that allow giving the actual state-of-the-art in the field of sediment transport.
",isbn:"978-1-80355-868-4",printIsbn:"978-1-80355-867-7",pdfIsbn:"978-1-80355-869-1",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"e7b1c1592e32fe87af399022616ad0f8",bookSignature:"Dr. Davide Pasquali",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11136.jpg",keywords:"Longshore Sediment Transport, Sediment Budget, Morphodynamics, Hydrodynamics, Sediment Transport, Sedimentation, Mathematical Modelling, Erosion and Deposition, Dredging, Harbor Siltation, Contaminated Sediment, Water Quality",numberOfDownloads:50,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfDimensionsCitations:0,numberOfTotalCitations:0,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"November 4th 2021",dateEndSecondStepPublish:"February 23rd 2022",dateEndThirdStepPublish:"April 24th 2022",dateEndFourthStepPublish:"July 13th 2022",dateEndFifthStepPublish:"September 11th 2022",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"3 months",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:4,editedByType:null,kuFlag:!1,biosketch:"Davide Pasquali is currently a Research Fellow in the Department of Civil, Construction-Architectural, and Environmental Engineering (DICEAA) at the University of L’Aquila. 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According to IRRI [1], the top rice producing countries include India (43.2%), China (30.35%), Indonesia (12.16%), Bangladesh (12.00%), Thailand (9.65%), Vietnam (7.66%), Burma (6.8%), Philippines (4.5%), Cambodia (2.9%) and Pakistan (2.85%). These countries are also among the top rice consumers of the world and combine to account for around 90% of the world’s rice consumption.
Rice is also one of the most important cereals grown and used as staple food in many African countries [2]. It is the second most important crop in Africa after maize [3]. Rice is produced under typical monoculture systems [4] that can be subdivided into three agro-ecosystems: rainfed lowland (74%), rainfed upland (20%) and irrigated lowland (6%), and the average production is 2.2 t/ha in Africa and 3.4 t/ha worldwide [4]. Farmers in Africa grow mainly local and traditional varieties, many of which have low yield potential. Most of the rice grown depends on rainfall and many irrigation schemes. However, the yield and performance of wet land rice planted in different countries still exhibit wide variations due to the varying climate, land and soil, water supply, farming practices, socio-economic conditions and other biological agents such as rodents [5].
Rat damage to ripening rice crops in Asia, Africa and Latin America can be an extremely serious agricultural problem, although economic losses are often difficult to estimate because of complex patterns of growth and recovery of plants related to the developmental stage when damage occurs [5, 6]. Rats can completely consume fields of growing rice and sometimes prevent planting where crops could otherwise be grown [7]. Rodent outbreaks in rice cropping areas have been reported to cause severe crop damage and food shortages [8] due to effects from sowing to physiological maturity of the crop.
In many countries, farmers consider rodents as an inevitable pest in their fields [9]. Thus, they consider chronic rodent damage as something beyond their control [10]. Rodent pest species cause numerous loses in different seasons and locations [11]. However, in some locations, for example, in Philippines, farmers tend to ignore rodent problems on standing rice when cut tillers are less than 5%. Significant reduction in yield is observed at 25% cut tillers when compared with rice field where rodent control is practiced [12]. The authors reported that farmers tend to seek help or apply control measures when rat damage is higher than 5% or when damage occurs at a critical stage of the crop, that is, at milky to soft dough stage.
Rodents, particularly rats, substantially cause damage to rice fields [12]. They eat rice seeds and seedlings (Figure 1), gnaw tillers (Figure 2), damage plants and feed on grains [13, 14]. In Tanzania, it has been addressed as the major threat in rice crop production system. Farmers keep on controlling the pest to meet household food demands. Elsewhere, on average across Asia, 5–10% of crop damage has been attributed to rodents [9, 12].
Rice seedling in nursery damaged by rodent pest (Courtesy by Loth S. Mulungu).
Rice tillers damaged by rodent pest (Courtesy by Loth S. Mulungu).
Rodent damage to rice can be measured at several stages of crop growth. The level or severity of damage is not uniform throughout growth stages of the crop; instead, it tends to be more concentrated at some growth stages [15, 16]. At planting, for example, rodents may dig up and eat the planted rice seeds in nurseries or in fields which are directly planted and consequently necessitate repeated late replanting [17] and ultimately result in lower yield [11].
At vegetative stage while paddy is growing, rats cut rice tillers and use for building their nests [18] and eat [19]. Damage can be severe during the dry season and cuts are normally seen at the base [15, 16, 20]. At 45° which make different with other pest [21]. At maturity, rodents attack both milky and mature grains [15, 16, 21]. In Asia, an estimated rodent damage of 5–10% was recorded prior to rice harvest in 1999 [22]. In Tanzania, for example, rodents cause an estimated 10–12% pre-harvest loss of rice annually [23, 24].
In Indonesia, rodent pests, primarily the rice field rat (
In West Java, monocultures of lowland irrigated rice, cumulative damage to rice during the dry season was 54% at the primordial stage, 32% at the booting stage and 16% at the ripening stage. The rodents cause major impacts in agriculture in most parts of the world by attacking crops at any growth stage. However, according to Mulungu et al. [11], the impact of the rodent damage on final yield depends on the country, season and crop type. For example, in Vietnam, rodent pests have been serious since 1995 and considered top three agricultural problems in pre-harvest of lowland irrigated rice [28]. In Indonesia, a loss of 10–20% for pre-harvest was observed each year [28].
The history of rodent pest management in Tanzania goes back as early as 1912 when rodent (
In the past, most of the control measures used in then were localized [31]. With technological advancement and population growth, several changes took place, and at present, rodent control options can be grouped into two basic approaches: the lethal and non-lethal [31]. Many different methods for controlling rodent pests have been passed down through folklore or have been tested and proven effective in particular situations [32, 33].
The non-lethal method involves habitat manipulation or cultural practices, exclusion/fencing and use of repellants. Environmental sanitation involving the removal of fallow patches in crop fields is another non-lethal practice used in many places [10]. Thick grass and bushes provide harborage and supplementary food resources to rodents. In Tanzania, the environmental sanitation has been done by farmers through slash and burning fields before sowing and harvesting as a way of displacing rodent population [10]. Deep plowing and regular weeding have been reported to suppress rodent population due to destruction of nests, removal of alternative source of food and harborages [34]. However, sanitation is not significantly effective as most farmers practice it on small plots that are interspersed with patches of fallow and permanent grassland [34].
According to Masol et al. [35], the behavioral defense of pest against contact especially for dietary poisoning influences their feeding and area repellent. For area repellent, Voznessenskaya et al. [36] reported the exposure to predator odor to cause disruption of the estrous cycle. Voznessenskaya et al. [37] reported reduced 26 reproductive outputs as the result of exposure to area repellent, specifically urine products derived from meat diets and urine from rats housed in a crowded condition. Mulungu et al. [33, 38] observed significant reduction in rodent activities following the application of cat urine. Female cat urine extract repelled significantly more rodents as compared to male cat urine extract (Figure 3). The author further reported that the repellent effect was observed from day 1 to 4, but not beyond (Figure 4).
Effectiveness of cat urine extract of (a) female cat urine extract and (b) male cat urine extract. Source: Mulungu et al. [
Percentage rodent activities (±SD) on tracking tiles in rooms treated with either female or male cat urine extract. Source: Mulungu et al. [
In Tanzania, Ngowo et al. [32] evaluated two compounds, that is, thiram and cinnamamide treated in maize seeds as contact repellent, and reported that these two compounds excel over no treated maize seeds in both laboratory against
Mean proportion of damaged treated maize against number of damaged maize seeds in the control group (black) and the treated group (red) at 150 g concentrations of castor oil. Source: Mdangi [
Another non-lethal method is exclusion or fencing, which is the technology that involves setting of barrier to prevent rodents from reaching the area of concern. It is mostly practiced in smaller areas or in valuable crops like seedbeds and research plots [40]. Rodent proofing in houses whenever possible is a critical step in controlling rodents. This could be through making it impossible for them to gain entry to the house. It has been reported that fences which relied on the use of barriers that exceeded the physical capability of the rodent pests were reliable [41].
The lethal rodent control methods are based on traditional, historical and conventional approaches (e.g. trapping, chemical, toxicants and biological control) [31, 42, 43]. The major methods of achieving satisfactory mortalities are physical killing by trapping and rodenticides [44, 45]. However, killing with rodenticides during rainfall and in irrigation schemes is compromised by water hence loss of effectiveness and increased chances of poisoning non-targeted organisms [45, 46].
Rodenticides and traps are known to provide immediate effects to the problem and are often considered to be the most practical, economical and effective methods of combating rodents. The biological method always requires a period of time before it becomes stable and provides substantial results [47].
The introduction of predators to control pests is an ecologically and conceptually appealing approach for reducing rodent pest populations. Introducing biological agents to control rodents is a promising area for research, but many challenges remain to find a candidate which is sufficiently pathogenic, has a high transmission rate and is target specific [48]. The role of natural predators in controlling rodent pests is an interesting, but frequently misunderstood, concept that is rarely effective in reducing pest populations to tolerable levels [49, 50]. The introduction of barn owls, for example, to Hawaii for rodent control in the 1960s was ineffective. Some studies on barn owl in lowland Southern England revealed that barn owls can adapt and establish to various living conditions in which rodent population exist [51].
In Malaysia, the barn owl was reported to suppress rodents in rice fields resulting in significant lower crop damage [52]. Successful introduction of exotic vertebrate predators into new areas for pest control purposes has never been demonstrated and, in some cases, has resulted in unanticipated, calamitous ecological effects [53]. During the late 1800s, the small Indian mongoose (
A variety of traps either commercially available or constructed in homes or villages are used to control rodents; the centuries-long search for “a better mousetrap” has not ended [57, 58]. Trapping is widely used by specialists for surveillance and monitoring of rodent infestations and is, perhaps, the most selective technique to remove individual rodents from problem situations [10].
Although trapping is very labor intensive and requires skill to be used effectively, its relatively low cost compared to other approaches often makes it a primary method of choice for rodent control [59]. Trapping is also utilized where non-target animals are an important concern or where use of toxicants or other more effective methods is prohibited [59]. Trapping generally is not practical for managing large infestations or removing entire populations over extensive areas [60]. However, traps can be used effectively in limited areas or where substantial resources are available and more efficient techniques cannot be used or developed [60]. Farmers, however, try to minimize the crop damage and yield loss caused by rodents by adopting different rodent control methods including poisons (rodenticides), burrow digging to kill rodents, burying buckets full of water, use of live traps and kill traps [23].
Most subsistence farmers rely mostly on the use of rodenticides [61]. Both acute and chronic rodenticides have been used extensively during rodent outbreaks [62]. These chemicals carry significant economic costs and, if used inappropriately, can kill non-target animals (Figure 6) and have a negative effect on environment and human health. It can occur when the dead bodies of poisoned rats are eaten by other animals such as birds where the toxin enters the food chain causing death to a variety of other animals including human [10]. Sometimes baiting using acute rodenticides especially zinc phosphate is only used during rodent outbreak [10].
Effect of acute poison to non-targeted animals. Source: Mdangi [
However, rodents are able to multiply fast and re-colonize the farms after rodent control operation [63]. Rodenticides are generally an integral part of successful rodent pest management and, in some tropical habitats, are the only practical method available [64]. Unfortunately, farmers and extension personnel are often confused or uninformed as to how a particular product may be effectively used. In fact, it depends on (i) availability of the required rodenticides, farmers do not access of rodenticides in time when needed, and even if available, they are distributed while damage has already occurred. In some areas, farmers attempt to buy rodenticides from local vendors for control of rodent in their fields themselves. However, most of them report on inefficient control of rodent by the rodenticides they buy, and this is because some vendors sale fake rodenticides prepared from radio dry cell battery and its flour looks like zinc phosphate. Also, improper use of rodenticides and other chemicals for rodent control is a problem whereby farmers lower doses of rodenticides to cover their cultivated areas using few amounts. However, the dose supplied can result to resistance in some rodent species against the commonly and most frequently used chemicals. In some areas, farmers have improper use of chemicals recommended for human being; for example, indocid capsules have been alternatively used by farmers for the control of rodents in fields. (ii) Acceptability of bait formulations to rodents (often influenced by palatability under field conditions). In rodent pest management programs, poison baiting is the most widely used technique throughout the world [65, 66]. Although rodenticides can be incorporated either in bait, dust or water formulations [67], they are generally included in food baits to achieve good control. Much effort has been made to improve the palatability of rodent baits to ensure maximum ingestion by the target rodent pests and thereby improved efficacy. (iii) The timing of bait application: in some areas, farmers report on the rodent outbreak cases and request for control assistance after they observe some cases of crop damage in their fields. This results into delayed process in control as it takes time for the information to reach the responsible public rodent control centers. This is critical for alleviating damage [51, 68]. Another factor that limits the use of rodenticides is poverty; many small-scale farmers are poor, and therefore, in many cases, they cannot afford to buy sufficient rodenticides for their farms [23].
In addition, the use of rodenticides and other control methods provides only a short-term solution, and they are not effective in cases of high population as have been reported in irrigated rice systems where rodent breed throughout the year [68, 69]. In order, therefore, to minimize those problems, alternative measures must be sought and one of them being the use of trap barrier system (TBS). It has been reported that the application of TBS could increase yields by 10–25% [8] and is cost-effective in most seasons.
Trap barrier system is a new environmentally friendly, physical rodent control method. It has been proved very successful in controlling rats in irrigated rice fields in Southeastern Asia.
An area of 10 m by 10 m or 20 m by 20 m, which is equal to size of one trap barrier, is constructed and measured by using tape measure, staked and marked with a piece of trees dug 50 cm into the ground and stands for 1.5 m above the ground. String and wire is used to maintain an erect barrier. Thereafter, polythene sheet with size of 45 m length and 1 m width is rolled around the staked pegs/piece of trees followed by covering the sheet with mud below the ground (about 5–10 cm), so that no rodent can penetrate the sheet. Therefore, a significant aspect of the trap barrier system (TBS) is that the crop protection occurs in ecologically acceptable manner, as the entire crop is wrapped in polyethylene sheets and held together with wooden bamboos, at sufficient height of about (90–95 cm) from above ground.
Live-multiple-capture cage traps (240 × 150 × 150 mm) are placed every 2.5 m (n = 8 per TBS) from each angle. The two multiple capture traps are installed along each side inside the sheet held tightly against the fence, facing the hole made on the polythene sheet, making a total of eight holes and eight traps per trap barrier. Trap barrier is repaired for any destruction if occurred (Figure 7).
A pictorial presentation of TBS structure. Source: Courtesy by Loth S. Mulungu.
The trap (lure crop) is transplanted inside the barrier immediately after trap barrier has been constructed in each season. The seedlings in the surrounding TBS are transplanted 3 weeks later (Figure 8). Moreover, every important agronomic practice is done. Trapping in the TBS starts after construction the barrier whereby two multi-capture traps. The multi-capture traps are cleared of rats and re-trap every morning for entire crop growth period.
Constructed TBS with rice inside planted 3 weeks before planting in surrounding. Courtesy by Grant Singleton.
Two small mammal species were captured, which included
According to Makundi et al. [74], the species is a pioneer in colonizing disturbed habitats (e.g. by agriculture). Likewise, Odhiambo et al. [75] and Mulungu et al. [76] reported that the species feeds in almost all types of food in the environment but predominantly prefers seeds/grains. Leirs et al. [63] incriminated
Studies have been conducted in Tanzania to assess the effectiveness of TBS on reduction of rodent pest species population [78]. Results showed no significant effect (F1, 18 = 1.30; p = 0.32) of the TBS on population abundance between dry and wet seasons if TBS has been used regardless the high population abundance of rodent observed on dry season than wet season. During dry season, higher catch (F9, 20 = 9.604, p ≤ 0.0001) was observed when the population is higher in October (16.0 animals) (Table 1). It has been reported that the fluctuations can be accelerated by factors like food availability and/or other environmental factors such as water flooding or vegetation cover [79, 80]. High population was observed at transplanting and booting stages in dry and wet seasons, respectively, although it is not significant with other crop growth stages. This is contrary with previous observations by Mulungu et al. [68] who reported that high population was recorded during the dry season at transplanting and vegetative crop growth stages.
Month*Management | Mean population | % Damage |
---|---|---|
Oct*Tbs | 16.0 ± 4.1a | 27.2331 ± 1.42a |
Oct*Control | 10.31 ± 1.7a | 29.7671 ± 1.96a |
Nov*Tbs | 2.7 ± 1.2b | 20.2000 ± 0.78ab |
Nov*Control | 2.31 ± 1.2b | 21.2672 ± 2.11ab |
Dec*Tbs | 2.01 ± 1.4b | 10.3330 ± 0.79bc |
Sept*Control | 1.71 ± 1.0b | 9.53 ± 7.78bc |
Sept*Tbs | 1.00 ± 0b | 1.0000 ± 0c |
Dec*Control | 0.00 ± 0b | 10.4334 ± 4.88bc |
Jan*Control | 0.00 ± 0b | 3.7003 ± 3.02c |
Jan*Tbs | 0.00 ± 0b | 3.0672 ± 2.5c |
DF | 9 | 9 |
F | 5.32 | 11.680 |
p | 0.0001 | <0.0001 |
Effect of interaction between months and population abundance on dry season.
Source: Mchukya [78].
The discrepancy of these two observations in the same area may be due to a change of planting calendar. Mulungu et al. [68] reported that farmers start land preparation and transplanting in July and January for dry and wet seasons, respectively, whereas in the current study, planting and land preparation starts in July and January for dry and wet seasons, respectively. Generally, in this study, the rodent population decreases with an increase in crop growing stages.
For the wet season, there was a significant interaction effect on monthly and
Month*Management | Mean population | % Damage |
---|---|---|
May*Tbs | 1.00 ± 0.0a | 1.000 ± 0.0a |
April*Control | 0.67 ± 0.54ab | 2.033 ± 1.66ab |
June*Tbs | 0.67 ± 0.54ab | 0.700 ± 0.57ab |
May*Control | 0.67 ± 0.54ab | 4.233 ± 1.94ab |
April*Tbs | 0.50 ± 0.35ab | 3.400 ± 0.28ab |
June*Control | 0.33 ± 0.27b | 0.733 ± 0.6b |
March*Tbs | 0.33 ± 0.27b | 0.000 ± 0.0b |
July*Control | 0.00 ± 0.0b | 0.000 ± 0.0b |
July*Tbs | 0.00 ± 0.0b | 0.000 ± 0.0b |
March*Control | 0 ± 0b | 0.967 ± 0.7b |
DF | 9 | 9 |
F | 49.977 | 1.677 |
p | <0.0001 | 0.161 |
Effect of interaction between months and population abundance on wet season.
Source: Mchukya [78].
The dry season (October) had high population abundance and high crop damage compared to wet season. This observation concurs with Meheretu et al. [81] in wheat crop who reported that when wheat was at maturity stage, rodent abundance was low. One could expect an increase of population as the crop grows due to availability of shelter and cover. Both the wet and dry seasons are favorable for rat reproduction and crop damage. The presence of food, water and shelter in the area are factors that permit the survival of rat populations. In rice fields, the quantity and quality of the available harborage usually vary considerably from place to place and season to season. Sumangil [82] reported short-range seasonal movements among
Quick [83] reported that an increase in rice damage towards maturity was associated with an increase in crop cover (i.e. rice tillers) and food (i.e. rice grain). The same was observed by Mulungu et al. [68] who reported that rodent population abundance increases with an increase of rice growth stages. Frequent rains and irrigation, which flooded rat burrows, may have effectively kept rodent activities low or forced some rodents to migrate to domestic environment as
The occurrence of rodent outbreaks in Tanzania is influenced by the rainfall pattern [85]. Rodents breed during the long rains and usually starts one month after the usual peak rainfall, lasting until dry season [85]. Neonates grow slowly and normally do not mature before the next rainy period. Unless abundant rains appear before March and April the following year, they will be at least 6 months old before they begin to breed [85].
Fulk [86] reported similar influxes of rodents into rice fields in Pakistan. As the rice ripened and water was drained from the plots, rodent numbers increased rapidly. Despite high numbers of rodent individuals recorded at vegetative and booting, rodent damage was lowest at maturity growth stages in both seasons. Average grain yield on the wet season and dry season was not different (p > 0.05). Wet season had relatively higher grain yield than the dry season. The lower yield observed during the dry season is probably attributed to rodent damage, irregular irrigation, and/or prolonged periods of water stress caused by insufficient water supply [87].
According to Raes et al. [88], rice cultivated in the dry season experiences much of the moisture stress [89]. Other similar findings include that of Craufurd et al. [90], who reported that water stress has negative impacts on yield and effects vary with phenological stages, which are generally more severe from the flowering stage onwards. Yue et al. [91] reported that yield loss under drought stress could be associated with an increase of spikelet sterility and a reduction in panicle filling rate as well as grain weight. Damage at dry season resulted into lower yield losses compared to wet season.
At early growth stage such as transplanting, yield loss was observed to be higher compared to later growth stages in dry season and vegetative and booting stage at wet season. As damage ascended from zero to 50% stem tiller cut, yield losses followed the same trend. The results of this study also indicate that rice crop damage through the cutting of tillers may have negligible impact on yield, particularly if the damage occurs early in the growing season at the transplanting stage of the crop.
It has been reported that percentage yield loss at these growth stages is roughly approximate to the percentage of damage [92, 93], which is attributed by the fact that at late stages the crop cannot produce more tillers to compensate for damage since very little time is available for such compensatory growth. Compensation in rice crop yield can be further observed through the significant interaction between growth stage and damage level.
The significant interactive effects between growth stage and damage level suggest that rice plant compensation has occurred. Similar findings were reported by Fulk and Akhtar [94] who showed that rice grain yield may not be affected by loss of tillers at their early growth stages as the numbers of productive tillers are determined at the late tillering stage. Buckle et al. [95] reported that compensation capacity of rice damaged by rodents is higher at each growth stage than at maturity of the crop. Aplin et al. [77] explained the term compensation of rice in terms of tiller regrowth and panicle filling.
Cuong et al. [96, 97] observed that the yield loss might be high and probably result in total yield loss when damage occurs at the reproductive phase as there would not be sufficient time for compensation to occur. The difference in grain yield in crop plants could be attributed to the effect of weather, pest pressure (damage), and field management. Average number of panicles per plant in the wet season was observed to be higher than that of the dry season. This perhaps may be due to availability of moisture/flood condition in wet season, which limit rodent movement within the field while others migrate to domestic environment. These results agree well with those of Kim et al. [98] who reported that drought exposure during the earlier stages of reproductive growth affects panicle formation negatively. Also, rodent damage recorded in the dry season was higher than that of the wet season especially plots with no TBS.
Again, Mchukya [78] observed that distance measured (i.e., 0, 10, 20, 30, 50 m) from the TBS differs significantly (F3, 38 = 4.61; p = 0.0076) and indicating that up to 20 m, one structure of TBS manages rodent during dry season. However, at wet season, no effects (F3, 38 = 0.94; p = 0.4293) on rodent abundance between distance were tested. Across the season, there was significant difference between distance (F3, 78 = 4.28; p = 0.0075) where TBS reduces population up to 20 m.
During the dry season, low population and damage were maintained at late stages within a distance of ≤20 m and increased as the distance increased (≥ 20 m) away from the lure crop. On other side of wet season, population and damage were very low at early and late stages but high at vegetative and booting stages. Low population abundance and damage were maintained within a distance of ≤30 m but increased as the distance increased (≥30 m) away from the lure crop. Across the season, low population and damage were maintained within a distance of 20 m (Table 3).
Distance (m) | Mean damage (%) | ||
---|---|---|---|
Dry season | Wet season | Across season | |
0 | 18.0b | 5.0a | 0.0667b |
10 | 25.7b | 9.9a | 0.333ab |
20 | 28.2ab | 15.1a | 0.5333ab |
30 | 51.3a | 25.3a | 0.7333a |
During the dry season, the effect of the TBS was much pronounced within 20 m distance of protection from the trap crop by considering the damage which was very high compared to wet season, although that low damage continue to reduce much more up to 30 m with the aid lure crop within the trap barrier. In this study, the distance covered by TBS was 0.5 acre, which is very small compared to singleton [22], whose TBS was effective within 200 m covering a total area of 15 ha.
The bunds surrounding small plots owned by farmers were acting as home range of rodents, which allow them for easiness of short movement in attacking rice that resulted to a minimum of 20 and 30 m distance of protection from the center of the trap crop in dry and wet seasons, respectively. Trap barrier system has proved very successful in irrigated rice fields in Southeastern Asia to control rats, a cost-beneficial and sustainable solution, and the yield of rice has increased with 10–25%. It is basically a system where rodents are trapped in a rice field that is planted a short period earlier than the surrounding fields and therefore attracting rodents from a much wider area [22].
There was no significant difference between treatments within and across the seasons, although the yield over time varied considerably between TBS and field without TBS and seasons. Highest value was observed in plots with TBS than fields without TBS plots in both seasons and across the season. However, there was relatively lower yield in dry season than the wet season due to higher rodent damage and water stress (Table 4).
Treatment | Yield (t/ha) | ||
---|---|---|---|
Dry season | Wet season | Across season | |
Fields with TBS | 3.83 | 5.69 | 4.76 |
Fields without TBS | 3.323 | 4.33 | 3.83 |
The yield of rice (t/ha) obtained from plots with TBS and those without TBS within the seasons.
Source: Mchukya [78].
Population abundance corresponds with the increase of crop damage. High population abundance and crop damage were much observed on dry season than wet season, although TBS saved 510 kg of harvested paddy. Assuming that 0.25 kg of rice when cooked can be consumed by one person, this means that a total of 2040 people per meal in a given area or village could benefit from system. The cost-benefit ratios for the dry and wet seasons, respectively, indicate the strong potential of a TBS with trap crop for managing the rice field rat.
The benefits from all fields with TBS during wet and dry season were relatively high compared with that of the fields without TBS. Fields with TBS had higher undamaged tillers, which resulted in the increase of revenues that exceeded the cost of the plant protection regime, although it was noticed that the cost of plant protection using TBS was higher than fields without TBS. The yield from TBS and fields without TBS plots were 3.83 and 3.323 t/ha in the dry season (Table 5) and 5.69 and 4.33 t/ha in wet season (Table 6), respectively. Across the season (Table 7), the fields with TBS had higher mean yield (4.76 t/ha) compared to fields without TBS (3.83 t/ha). The benefit was obtained by taking the yield (t/ha) multiply by 900 Tsh/kg of harvested paddy. Therefore, the cost-benefit ratios for using a TBS were 1:1.1 for the dry season, 1:6.7 for the wet season and 1:3.5 across the season. This is in contrast to the use of a TBS alone which, in Malaysia and the Philippines, requires crop losses of >30% before there is a positive benefit-cost ratio [99]. There has been only one report in Southeast Asia of high benefit-cost ratios for a TBS alone: ratios of 19:l and 28:l in Malaysia in a region where 56% of rice farms had suffered yield losses [100]. Murakami [101] also reported a TBS to be effective against
Fields types | Yield (kg/ha) | Increased yield over control | Value of yield (Tsh) | Materials, labor, bait, rodenticides | Net benefit (NB) | Cost-benefit ratio (CBR) |
---|---|---|---|---|---|---|
With TBS | 3830 | 507 | 456,300 | 215,000 | 241,300 | |
Without TBS | 3323 |
Evaluation of the cost and benefit of control rodent pests with trap barrier system in dry season.
Source: Mchukya [78].
Fields types | Yield (kg/ha) | Increased yield over control | Value of yield (Tsh) | Materials, labor, bait, rodenticides | NB | CBR |
---|---|---|---|---|---|---|
With TBS | 5690 | 1360 | 1,224,000 | 160,000 | 1,064,000 | |
Without TBS | 4330 |
Evaluation of the cost and benefit of control rodent pests with trap barrier system in wet season.
Source: Mchukya [78].
Fields types | Yield (kg/ha) | Increased yield over control | Value of yield (Tsh) | Materials, labor, bait, rodenticides | NB | CBR |
---|---|---|---|---|---|---|
With TBS | 4760 | 934 | 840,600 | 187,500 | 653,100 | |
Without TBS | 3826 |
Evaluation of the cost and benefit of control rodent pests with trap barrier system across the seasons.
Source: Mchukya [78].
The main factor providing the high benefit-cost ratio is the halo of protection provided to crops outside the TBS. Therefore, the selection of the project with the benefit-cost ratio or Profitability index (PI) method can also be done on the basis of ranking. The highest rank will be given to the project with the highest PI, followed by the others in the same order. According to Misuraca [102], the cost-benefit ratio exceeding one might be termed as the project worth undertaking as it become comparable to increasing returns to scale contributed by the project if a firm adopt it. The higher the cost-benefit ratio results in the higher net return [20]. The effect of a TBS plus trap crop on mean yield increased up to 20 m from the TBS and the associated cost-benefit ratios in this study.
Trap barrier system indicated its strong potential in lowering population abundance at a distance within 20 m away from the trap, which corresponding with low damage resulted to high yield. It is therefore recommended the small-scale farmers to use trap barrier system against pre-harvest rat losses to rice probably during dry season due to high rat densities. This will help them to save more, maximize their profit, and improve their living standard. Also, further study is needed to test this new technology in other irrigation schemes and other African countries and to determine the home range of rodent in order to provide valuable comparative data basis.
Congenital malformations involving the gastrointestinal tract (GIT) can be broadly divided into upper and lower gut abnormalities (Table 1). Upper pathology involves the foregut tubes, which are proximal to the ligament of Treitz: the esophagus, stomach, duodenum, pancreas and hepatobiliary tract. Lower GIT anomalies include the mid and hindgut structures: the jejunum and ileum, which constitute the small bowel, the colon and anorectal malformations. Congenital anomalies can further be classified based on whether the defect is structural or functional. Structural anomalies result from either defective embryogenesis or intrauterine complications, such as ischemia. Functional defects have normal anatomy but disrupted flow of GIT contents. In most cases, structural defects adversely impact functional capability. This chapter reviews the clinical presentation, diagnostic work up and surgical management of upper and lower GIT congenital anomalies.
Anatomic relation | Embryonic source | Blood supply | Viscera | |
---|---|---|---|---|
Upper gastrointestinal tract | Proximal to ligament of Treitz | Foregut | Celiac axis | Esophagus Stomach Duodenum Biliary ducts Liver Pancreas |
Lower gastrointestinal tract | Distal to ligament of Treitz | Midgut | SMA | Jejunum Ileum Cecum Ascending colon Proximal 2/3 transverse colon |
Hindgut | IMA | Distal 1/3 transverse colon Descending colon Sigmoid colon Rectum Anal canal |
Embryologic derivates of the gastrointestinal tract.
SMA: superior mesenteric artery; IMA: inferior mesenteric artery.
During the fourth week of gestation, the embryonic ventral foregut differentiates into the esophagus and trachea. Muscular and neurovascular development of the esophagus is complete by the end of ninth week of gestation. It is likely that esophageal malformations result from errors during this developmental time period.
EA/TEF is categorized into five types and clinical presentation varies depending on the type of pathology (Figure 1). Type A is the most common (90% cases) and consists of proximal EA with a distal TEF. Type B consists solely of proximal EA (no fistula) whereas type C only has a TEF (no atresia). Type D has both a proximal and distal TEF in the setting of atresia. Type E consists of proximal EA with TEF and a distal esophageal pouch. Types D and E are exceedingly rare.
Types of tracheoesophageal fistulae depicted as figures A-E.
The infant will exhibit drooling and attempts at feeding will result in coughing, choking and regurgitation. Since types B and E have a proximal obstruction without distal fistulization, the infant will have a scaphoid abdomen and gas will not be seen in the bowel distally on radiograph. Type C may present with recurrent aspiration pneumonia and may not be diagnosed until later in life.
Prenatal ultrasound will demonstrate polyhydramnios and the blind end of the esophageal pouch may be visualized. After birth, unsuccessful attempt at passage of an oro- or nasogastric tube is diagnostic. The tip of the tube will be seen in the esophageal pouch on radiography.
Because of the VACTERL phenomenon (vertebral, anal, cardiac, tracheoesophageal, renal and limb deformities), renal and cardiac ultrasounds as well as plains films of the spine and limbs must be obtained to determine the presence of any other anomalies. An echocardiogram is particularly essential to ensure that the aortic arch is in its normal left-sided anatomic location because this impacts operative planning. Ventricular septal defect is the most common anomaly associated with EA/TEF.
Ideally, EA/TEF is corrected in a single procedure. Staged procedure, beginning with decompressive gastrostomy and fistula takedown, followed by esophageal reconstruction at a later date, is reserved for those too unstable to tolerate general anesthesia due to respiratory or cardiac defects. Infants with long gap atresia also undergo delayed repair to allow elongation of the proximal and distal esophageal ends.
In current practice, the minimally invasive approach using video assisted thoracoscopy is preferred to open thoracotomy. If the open approach is employed, a right posterolateral thoracotomy incision is made at the fourth intercostal space, sparing the serratus anterior and latissimus dorsi muscles. Extrapleural dissection is carried until the azygous vein is encountered, which is then divided. In the case of type A, the lower esophageal pouch and its associated fistula are identified. The fistula is resected. The proximal esophageal pouch is then mobilized to establish tension free continuity between the two ends. If a proximal fistula is present, this is ligated prior to mobilization. The esophagus is reconstructed via a single layer end-to-end anastomosis. A chest tube is placed and remains until post-operative esophogram confirms patency of the anastomosis. Anastomotic leaks tend to heal without intervention and are managed by continuation of chest tube and antibiotics.
Thoracoscopic approach has led to improved outcomes and most infants grow to lead fairly normal lives, given the lack of concurrent anomalies such as cardiac defects. Most commonly, gastroesophageal reflux (GER) and esophageal strictures are lifelong issues endured by the patient. GER may be asymptomatic or lead to persistent cough, respiratory problems or esophageal stricturing. Primary management is medical with anti-reflux medications and prokinetics. Surgical correction of GER with fundoplication is last resort. Esophageal strictures may form many years after repair and are best managed by endoscopic dilation. Recurrent or refractory esophageal strictures require surgical resection and re-anastomosis.
It results due to the failure of duodenal recanalization and most commonly occurs in the second portion of the duodenum distal to ampulla of Vater but any segment can be affected.
Emesis and feeding intolerance occurs in the first 24–48 h of life. The type of emesis—bilious versus non—depends on the location of atresia relative to the major duodenal papilla. If obstruction is distal to it, infant will exhibit bilious emesis. Obstruction proximal to the ampulla causes non-bilious emesis. Abdomen will not be distended due to proximal nature of obstruction. A palpable mass in the epigastrium may be appreciated on physical exam.
The “double bubble” on abdominal x-ray indicates air in stomach and duodenum but not in distal small bowel and colon. An UGI series must be obtained to rule out malrotation, which can also present with bilious emesis early in life and is a surgical emergency. UGI may reveal a duodenal web, which is an intraluminal diverticulum that appears as an elongated, conical silhouette resembling a “windsock”. Echocardiogram and renal ultrasound are performed to rule out any other defects as there is an association with trisomy 21 and its related complications.
“The diamond D”, Diamond Duodenoduodenostomy—A transverse incision is made in the proximal widened duodenum and a longitudinal incision in the distal tapered portion of the duodenum (Figure 2). The anastomosis is created in a diamond shape to facilitate mucosal abutment between the two incongruent duodenal diameters. During repair, evaluation for duodenal web must be performed because they are not always identified on pre-operative UGI and can cause persistent obstruction if not corrected. If present, a longitudinal duodenotomy is performed over the area of the web and it is excised. Careful attention must be paid to its location relative to the major duodenal papilla so as to not disrupt the integrity of the ampulla of Vater. The duodenotomy is closed in a transverse fashion to avoid narrowing of the lumen.
Diamond duodenoduodenostomy for duodenal atresia repair.
There tend to be few, if any, long term complications following correction of duodenal atresia. Persistent obstruction may indicate missed duodenal web and requires re-operation. Delayed gastric emptying may occur in the early postoperative period and does not warrant any intervention; most cases resolve with time and enteral feedings can be advanced in small volumes as tolerated.
The exact etiology is unknown. Exposure to erythromycin has been implicated as a risk factor [1].
It is characterized with feeding intolerance and non-bilious emesis that becomes projectile over time; usually presenting around 2–4 weeks of life, however, may not present up until 6–12 weeks. Emesis is non-bilious because the site of obstruction, the pylorus, is proximal to the ampulla of Vater. It tends to occur in first born Caucasian males.
On physical exam, may be able to palpate an “olive like” firm, mobile mass in the right upper quadrant or epigastrium, however this is often difficult to appreciate on a restless infant. Abdomen is otherwise soft and non-distended. Ultrasound is diagnostic and demonstrates a pyloric channel length ≥ 16 mm, wall ≥4 mm in thickness.
Repeated vomiting of gastric acid (HCl) leads to hypochloremia, alkalosis and dehydration. Hypovolemia stimulates aldosterone secretion with resultant sodium resorption and potassium secretion. Thus, the infant’s laboratory panel will reveal hypochloremic, hypokalemic metabolic alkalosis. Hydrogen is shifted extracellularly in exchange for potassium to correct the acid–base imbalance, exacerbating hypokalemia. Eventually, worsening hypokalemia stimulates the renal hydrogen-potassium pump to resorb potassium and secrete hydrogen, resulting in acidic urine. This is termed “paradoxical aciduria” because bicarbonate secretion should take precedence in an alkalotic state, but the nephrons prioritize correction of potassium at the expense of hydrogen loss instead.
Pyloric stenosis is not a surgical emergency and operative intervention is deferred until electrolytes have normalized, ideally, chloride >95, bicarbonate <30. As the primary metabolic derangements are caused by volume and gastric juice loss, resuscitation should be initiated with 10-20 cc/kg normal saline boluses. Once volume status has been adequately restored and urine output robust, potassium containing fluids (D5 1/2NS + 10 K/L) are administered at maintenance rate.
The Ramstedt pyloromytomy was historically carried out through a right subcostal transverse incision however the laparoscopic approach is becoming preferred in current practice. A longitudinal incision along the anterior surface of the pylorus is carried down through the serosa and hypertrophied muscle until the submucosa protrudes, much like slicing the tough outer skin of a grape until the smooth inner flesh is encountered. The length of the myotomy extends from the antrum of the stomach proximally to the pyloric vein of Mayo distally, which designates the junction of the pylorus and proximal duodenum. Oral feeding may be initiated 6–8 h post-operatively and advanced as tolerated.
Long term results from pyloromyotomy are excellent and few infants, if any, have residual complications. Incomplete myotomy can present with persistent feeding intolerance in the peri-operative period and requires re-operation.
The pathophysiology is unknown. Between 4 and 10 weeks of gestation, the extrahepatic biliary tract develops from the hepatic diverticulum. This occurs normally. In the post-natal period, there appears to be an inflammatory process that causes fibrosis of the extrahepatic biliary ducts [2].
Worsening jaundice unamenable to phototherapy during the first 2 weeks of life, subsequently demonstrating unrelenting direct hyperbilirubinemia are characteristic. Laboratory values are consistent with biliary obstruction and demonstrate direct hyperbilirubinemia and elevated alkaline phosphatase. Signs of cholestasis, dark urine and light or gray colored stools are present.
Hepatobiliary technetium-99 iminodiacetic acid scan (99-Tc IDA) has highest sensitivity and specificity [2]. Normally, the radiotracer is taken up by hepatocytes and readily excreted into the intestines via the biliary ducts. In biliary atresia, technetium will be taken up by the liver normally, but obstruction of the extrahepatic ducts prevents outflow of radiotracer into the duodenum. Abdominal ultrasound may reveal a small or obliterated gallbladder. Magnetic resonance cholangiopancreatography (MRCP) is also be helpful in ruling out intrahepatic atresia or choledocal cysts.
Expeditious operative intervention is imperative as liver damage can be attenuated, even reversed, and chance of survival improved with early biliary decompression. Beyond 3–4 months, irreversible liver damage may preclude successful outcome. The Kasai portoenterostomy is the procedure of choice. First, an intraoperative cholangiogram is performed to delineate the anatomy of the biliary tree and confirm the diagnosis. A liver biopsy is obtained to document degree of liver damage. Next, the fibrotic common bile duct is dissected from the hepatoduodenal ligament up to the level of the porta hepatis and excised. An approximately 20 cm limb of jejunum is brought up in a retrocolic fashion and a Roux-en-Y hepaticojejunostomy is created.
Successful, long term establishment of bile flow correlates with earlier surgical intervention. Infants aged <60 days at time of surgery have best results. Approximately one-third of children undergoing portoenterostomy have a 10-year or greater survival, while the rest will ultimately succumb to liver failure and require transplant. Other indications for liver transplant include presence of intrahepatic atresia, fat soluble vitamin deficiencies causing failure to thrive and variceal bleeding secondary to portal hypertension. 5-year survival following liver transplant ranges from 75 to 95% [2].
Apart from progressive liver failure, cholangitis is another major post-operative complication occurring in as much as 50% of patients who undergo portoenterostomy [2]. Decreased bile flow indicated by elevated total bilirubin in the setting of fever and leukocytosis is essentially diagnostic of cholangitis until proven otherwise. It is managed with IV antibiotics and fluid resuscitation.
Etiology is unknown. Aberrant pancreaticobiliary junction near the duodenal wall has been suggested [3].
Infants present with symptoms of biliary obstruction: progressive jaundice, dark urine, light colored stools. A tender abdominal mass may be palpated in the right upper quadrant. Laboratory values will be consistent with biliary obstruction and demonstrate elevated direct bilirubin and alkaline phosphatase. Patients may also present with cholangitis or pancreatitis.
While abdominal ultrasound and hepatobiliary 99-Tc IDA scan are useful, MRCP best delineates the anatomy of the biliary tree and is the diagnostic test of choice. There are five types (Figure 3). Type 1 is the most common and presents as saccular or fusiform dilation of the common bile duct (CBD; Figure 3A). Intrahepatic ducts are normal. Type 2 is an isolated CBD diverticulum (Figure 3B). Type 3 is a choledochocele, in which there is cystic dilation of the supra-duodenal CBD, prior to its junction with the pancreatic duct (Figure 3C). In type 4 disease, intra- and extra-hepatic bile ducts are dilated whereas in type 5 disease only intra-hepatic ducts are dilated (Figures 3D,E).
Normal anatomy of the hepatobiliary tree and its relationship to the pancreas and duodenum. (A) Choledocal cyst type 1: fusiform dilation of the extrahepatic duct common bile duct. (B) Choledocal cyst type 2: isolated diverticulum off the common bile duct. (C) Choledocal cyst type 3: supraduodenal choledococele. (D) Choledocal cyst type 4: cystic dilation of intra- and extra-hepatic bile ducts. (E) Choledocal cyst type 5, dilation of intra-hepatic ducts only.
Given the risk of cholangiocarcinoma, highest in types I and IV, surgical intervention is indicated at the time of diagnosis of any type of choledochal cyst. The approach depends on type of lesion. For type 1 cysts, primary cyst excision with cholecystectomy and roux-en-Y hepaticojejunostomy reconstruction is procedure of choice. Type 2 disease is managed by simple diverticulectomy. Type 3 is managed by transduodenal cyst excision or marsupialization and sphincteroplasty. Types 4 and 5 may be treated by anatomic hepatic resection based on the extent and location of disease, however, liver transplantation is ultimately required in most cases.
Excision of choledocal cysts result in excellent long-term outcomes with few major complications. Biliary tract malignancy, the most feared complication, may occur with incomplete excision. Cholangitis, stricture formation and choledocolithiasis are lesser significant complications that are managed medically and endoscopically, respectively.
Midgut development begins around the fifth week of gestation. The midgut starts as a vertical tube and has two connections: a ventral connection to the yolk sac via the omphalomesenteric (vitelline) duct and a dorsal attachment to the posterior abdominal wall, the mesentery [4, 5, 6]. The dorsal mesentery is the conduit for the superior mesenteric artery (SMA), which buds from the aorta, and delivers blood to the midgut. The lengthening gut tube outgrows the confines of the abdominal cavity and consequently herniates into the umbilical cord. As it elongates, it rotates 90° in a clockwise direction relative to the embryo (counterclockwise if visualized from the front). The midgut tube continues to grow extra-abdominally during gestational weeks 6–10. Around week 10, it retracts back into the abdominal cavity, rotating another 180° while doing so. Final intra-abdominal growth and fixation ensue, placing the cecum in the right lower quadrant and the duodeno-jejunal junction to the left of the upper midline, inferior to the SMA. The mesentery broadens, fanning out from its root in the posterior abdominal wall, to support the blood vessels and lymphatics that serve the jejunum, ileum, cecum/appendix, ascending colon and proximal 2/3 of the transverse colon. It is believed that ischemic events during this period cause jejunoileal atresia.
Atresia causes a structural obstruction that prevents passage of meconium in the first 24–48 h of life and results in bilious emesis. On physical exam, the abdomen will be distended.
Jejunoileal atresia is classified into four types (Figures 4A–E). Type 1 is an intraluminal web with intact mesentery (Figure 4A). The seromuscular layers of bowel remain in continuity. Type 2 also has an intact mesentery, but the two ends of bowel are disconnected by a fibrous cord (Figure 4B). Type 3a has a small v-shaped mesenteric defect that separates two blind ends of bowel (Figure 4C). In type 3b disease, known as an “apple-peel” or “Christmas-tree” deformity, a large mesenteric defect separates the proximal and distal ends of bowel. The proximal pouch is very dilated, and the distal collapsed bowel is supplied by a small vessel around which it repeatedly winds (Figure 4D). Type 4 consists of numerous blind ended segments of bowel with discontinuous mesentery, appearing as a “string of sausages” (Figure 4E).
(A) Type 1 jejunoileal atresia. (B) Type 2 jejunoileal atresia. (C) Type 3a jejunoileal atresia. (D) Type 3b jejunoileal atresia. (E) Type 4 jejunoileal atresia.
Abdominal x-ray will reveal dilated portions of bowel proximal to the site of obstruction with collapsed loops and paucity of air in the distal bowel. Contrast enema will demonstrate an abrupt transition from the filling to non-filling segments of small bowel and the colon will be appear small, <1 cm diameter, due to lack of use. In all cases of bilious emesis, an UGI series is warranted to rule out malrotation, a surgical emergency. UGI will reveal contrast filling in the stomach and proximal bowel, with abrupt cessation of contrast filling at the point of atresia.
Initial management begins with insertion of an oro- or nasogastric tube for bowel decompression and fluid resuscitation. Resection of atretic segments with end-to-end anastomoses is the procedure of choice; however, this can prove quite difficult in cases where ends of bowel are greatly mismatched in diameter. In such circumstances, the anastomosis is created in a fashion similar to duodenoduodenostomy in which the smaller end of bowel is incised longitudinally along its anti-mesenteric border to fit the end of the larger caliber bowel. Prior to completing the anastomosis, the entire length of the bowel must be inspected to ensure there are no intraluminal webs or fenestrations that may cause persistent obstruction. The goal is to resect all defunct bowel segments while maintaining enough length to ensure adequate resorptive capacity. If the ileocecal valve is spared, enteral nutrition can be tolerated with as little as 15–20 cm of small bowel. Otherwise, a length of approximately 40 cm is required [4]. Mesenteric defects are closed, taking care not to disrupt the feeding blood vessels.
Intestinal dysmotility, even in infants that have adequate remaining bowel length, may occur for many weeks following repair. Infants with short bowel syndrome, those with less than 40 cm, often require long term parenteral nutrition, which itself carries risks of sepsis and liver damage. Nonetheless, overall mortality is low and related to co-morbidities, such as low birth weight and/or cardiac defects.
As described above, normal 270° rotation and fixation of the midgut fails to occur [4, 5, 6, 7]. This lack of rotation positions the duodenum and small bowel to the right of the midline and the large bowel to the left. The cecum remains anterior to the duodenum and is tethered to the abdominal wall by lateral peritoneal attachments. These lateral peritoneal attachments, known as Ladd’s bands, compress the duodenum, thereby causing obstruction and resultant bilious emesis. The root of the mesentery is narrowed and may potentially act as fulcrum around which the bowel can twist (“volvulize”), thereby kinking the SMA and causing ischemia (Figure 5).
Intestinal malrotation showing abnormal position of cecum and Ladd’s bands
Acute malrotation with midgut volvulus presents with feeding intolerance and bilious emesis, usually around the first week of life. Abdominal rigidity, overlying erythema are signs of peritonitis and indicate ischemic bowel. Abdominal distention will not be present given the very proximal nature of pathology. As feeding intolerance and bilious emesis are symptoms of multiple pathologies, a high index of suspicion is required to make this diagnosis.
An abdominal X-ray is typically first obtained, though rarely helpful in establishing the diagnosis. Any concern for malrotation mandates a prompt UGI. A normal study will reveal contrast exiting the pylorus, descending through the second portion of the duodenum and crossing the midline through the third portion of the duodenum into the small bowel. Thus, a normal “C-loop” will be visualized. An abnormal study will demonstrate contrast exiting the pylorus and descending straight down to the right of the midline into the small bowel.
Once the diagnosis of acute malrotation is made, the patient is taken emergently to the operating room for detorsion and evaluation of bowel viability. Fluid resuscitation, insertion of oro- or nasogastric tube for decompression and administration of intravenous antibiotics have ideally been implemented prior to surgical intervention. The bowel is eviscerated and detorsed in a counterclockwise direction, fanning out its mesentery. Ladd’s bands are incised to release the obstruction. Any frankly necrotic appearing bowel is resected, while dusky bowel can be re-evaluated and usually salvaged in a second look operation 24–48 h later. Ends of healthy, viable bowel can be anastomosed, otherwise stomas are placed. A prophylactic appendectomy is performed to eliminate the possibility of appendicitis in the future. If a second look operation is required, the abdomen is left open and covered with a temporary sterile dressing; if not, it is closed.
Without significant intestinal necrosis requiring resection, outcomes following correction of malrotation are quite favorable. Infants grow normally and do not have any major adverse sequelae. Rarely, adhesive small bowel obstruction may occur years later, however any operation carries this risk.
This condition occurs as a result of the failure of the omphalomesenteric (vitelline) duct to completely involute between weeks 5–7 of gestation (Figure 6).
Omphalocele (left) and gastroschisis (right). The herniated intestine is covered with a sac with umbilical cord attached to it in omphalocele, while the intestinal loops in gastroschisis herniate through a defect on the right side of umbilicus and are not covered.
Meckel’s diverticulum is the most common congenital GIT malformation and the most common cause of painless lower intestinal bleeding in children. It usually presents by the age of 2 years, but presentation can be delayed into the teenage years. There is a male predominance. The bleeding is typically brisk and bright red. Laboratory values will demonstrate anemia. A fibrous cord connecting the diverticulum to the abdominal wall may be present and can act as a point around which bowel can obstruct, twist or intussuscept. In such cases, the child will present with abdominal pain and distention, inability to pass flatus or move their bowels.
Technetium-99 pertechnate scintigraphy (“Meckel’s scan”) localizes the bleeding ulcer. The diverticulum is typically found within 2 feet proximal to the ileocecal valve, on the anti-mesenteric side of the ileum and contains heterotopic mucosa, usually that of gastric or pancreatic in origin. Ulceration and bleeding occur secondary to acid secretion from the heterotopic mucosa. It is a true diverticulum involving all four layers of the bowel.
If bleeding is the presenting symptom, ileal resection with primary anastomosis is the procedure of choice. Segmental resection is also indicated in cases complicated by diverticulitis, perforation, obstruction, volvulus or if the base of the diverticulum is very wide. Simple diverticulectomy may be performed if the neck of the diverticulum is narrow, or if diverticulitis does not involve the base.
Resection of Meckel’s diverticulum has an excellent prognosis without major long term post-operative complications.
These are congenital defects of the abdominal wall, not of the gastrointestinal tract itself, but are discussed because they are associated with malrotation (Figure 6).
Numerous physical characteristics differentiate omphalocele from gastroschisis. The abdominal wall defect in omphalocele is midline, versus to the right of the umbilicus in gastroschisis. Defects tend to be smaller in gastroschisis, typically ≤3 cm. In comparison, omphaloceles can vary widely in diameter, ranging in size from 2 to 15 cm. Larger defects allow for herniation of more organs, namely the liver and spleen. This rarely, if at all, occurs in gastroschisis. Herniated contents are covered by an amniotic sac in omphalocele but not in gastroschisis. Exposure of the bowel to amniotic fluid during gestation causes the bowel to become thickened and the mesentery fibrotic whereas bowel is normal in omphalocele since it is protected by the overlying sac. Lastly, omphalocele has a higher association with chromosomal abnormalities and other congenital anomalies compared gastroschisis. Intestinal atresia may be seen in gastroschisis.
These defects may be appreciated on pre-natal ultrasound and are therefore expected upon delivery. Chest radiography, echocardiogram and renal ultrasound are performed to rule out associated anomalies in the case of omphalocele, as is karyotyping though this may have been performed prenatally.
Exposure of intestinal contents to the environment can result in significant insensible losses. Initial management aims to maintain adequate volume status and body temperature. The infant is placed under a warmer, fluid resuscitation commenced, and urinary catheter inserted to strictly monitor volume status. Oro- or naso-gastric tube is placed for bowel decompression. Intestinal contents are wrapped in a moist, sterile plastic dressing to prevent evaporative losses. In the case of omphalocele, care must be taken to prevent rupture of the protective sac. The goals of operation are to return the herniated contents into the abdominal cavity and close the defect. If this is unable to be accomplished either because the infant is too unstable to be taken to the operating room or because there is high risk of abdominal compartment syndrome, a silo can be sutured in place over the herniated viscera and contents gradually reduced. Daily manual reduction can be performed bedside, gently as tolerated, with complete reduction usually achieved over 3–7 days. The resultant ventral hernia is repaired once all viscera have been reduced and the infant deemed fit to tolerate general anesthesia.
Given the protective nature of the overlying sac in omphalocele, infants typically have normal bowel function following reduction and abdominal wall repair. Long term complications are related to concomitant congenital defects. In contrast, patients with gastroschisis, especially if they also have intestinal atresia, are subject to dysmotility, malabsorption and are at increased risk of developing necrotizing enterocolitis. These infants often require long term parenteral nutrition following surgical correction.
Aganglionosis of the myenteric plexus due to failure of neural crest cell migration during weeks 6–12 of embryonic development. Most often occurs in the rectum though any portion and, rarely, the entire bowel can be affected. The myenteric plexus lies in between the outer longitudinal and inner circular muscle layers of the colon and is responsible for peristalsis.
Aganglionosis results in a functional obstruction manifesting as failure to pass meconium within first 24 h of life. Abdominal distention may be present. Rectal stimulation causes explosive passage of air and stool. Because disease is distal, infant will likely be able to tolerate oral intake though may have intermittent episodes of bilious emesis. Less severe disease may not manifest until later in childhood, up to 2–3 years of age, with chronic constipation. There is an association with trisomy 21. Therefore, work up includes echocardiogram to rule out concomitant cardiac defects.
Gold standard is suction rectal biopsy, which demonstrates aganglionosis of the myenteric plexus. Biopsy should be obtained 1–1.5 cm proximal from the dentate line to ensure rectal specimen is obtained. Pathology will reveal unmyelinated nerve fibers with hypertrophied endings that stain darkly with acetylcholinesterase. Abdominal X-ray shows dilated proximal bowel with collapsed distal colon. Contrast enema is helpful in distinguishing transition zone between affected and normal colon however, gross anatomic distinction does not always correlate with histopathology [8].
Although various operative methods have been described, the fundamental principle of each procedure is the same: to establish continuity between the normal, ganglionic segments of bowel. In the past, multi-stage operations beginning with decompressive colostomy followed by definitive repair was common. Nowadays, single-stage laparoscopic approach is preferred. Regardless of procedure, however, intra-operative frozen section must be performed to confirm the presence of normal ganglionic colon prior to anastomosis, otherwise dysfunction will continue post-operatively.
The rectum/aganglionic segment is dissected circumferentially, everted through the anus and resected. Normal colon is pulled down and a low end-to-end colorectal anastomosis is created.
The aganglionic portion of bowel is bypassed and a posterior end to side anastomosis is created between the innervated segments of colon and distal rectum. The rectum is stapled at the proximal margin of disease. An incision is made in the distal posterior wall of the rectal stump approximately 1 cm superior to the dentate line. The innervated colon is pulled down through the presacral space and then anastomosed in an end-to-side fashion to the distal posterior rectal wall. The defunct rectal stump is left in place.
Circumferential endorectal dissection of rectal mucosa and submucosa, followed by evagination of these layers through the anus for resection. A rectal muscular channel remains, and innervated colon is intussuscepted through the remaining rectal muscular channel. A colorectal anastomosis is performed at the distal end of the muscular channel [9].
No single procedure has been shown to be superior to other in terms of long-term outcomes, and up to 90% patients will have relatively normal bowel function following repair. Although results tend to be quite favorable, one significant cause of significant morbidity and mortality is Hirschsprung’s enterocolitis. While the exact etiology of this entity is unknown, bacterial overgrowth and translocation appear to be implicated. Patients present with fever, abdominal distention and diarrhea. Management consists of fluid resuscitation, IV antibiotics and rectal irrigation. Refractory cases require surgical decompression with a proximal ostomy. Other complications such as anastomotic leak, stricture, abscess, wound infection and obstruction occur in up to 10% cases [1].
During the 5th week of gestation, the midline urorectal septum descends in a caudal direction toward the cloaca and divides into ventral and dorsal portions. The ventral bud becomes the urogenital sinus, which develops into the urethra and bladder. The dorsal bud becomes the rectum and anal membrane. The anal membrane involutes around week 8, thereby forming the anus. Dysgenesis can occur at any time point, allowing for variability in clinical presentation.
An anatomical distinction based on the pathology’s relation to the levator ani muscle complex was first described by Pena. The levator ani complex supports the pelvic floor and is composed of three striated muscles: the puborectalis, the pubococcygeus and the iliococcygeus. The puborectalis encircles the base of the rectum, helps to form the external anal sphincter and thereby plays an integral role in regulating defecation. Anorectal dysgenesis above the levator ani muscles is considered a “high” lesion. Conversely, lesions inferior to the levator ani complex are termed “low” malformations. Generally speaking, higher malformations tend to cause more severe issues with controlling defecation as the neuromuscular development between the levator ani complex and growing recto-anus is compromised to a greater degree.
Failure to pass meconium in the first 24–48 h of life. Physical exam will reveal abdominal distention and absence of anus. A subtle opening in the perineum through which small amounts of meconium pass may be present and indicates an anoperineal fistula in the setting of a low imperforate anus. This is the most common pathology seen. In females, low lesions may also be associated with a rectovestibular fistula, and meconium may be expressed through the vagina. Elimination of meconium during urination indicates rectourethral or rectovesicular fistula and a high rectal pouch.
Diagnosis is made upon physical examination of the perineum. Historically, an invertogram was performed to evaluate the length of atresia. In this study, a radiopaque marker is placed on the infant’s bottom, where the anus would normally be located, and the infant is placed in a head down position to allow air to ascend at the most inferior point in the rectum. Lateral films of the pelvis are then obtained. The distance between the marker and distal rectum indicate the level of pathology—high vs. low. Now, ultrasound is preferred.
Anorectal malformations are part of the VACTERL syndrome and most commonly associated with concomitant genitourinary defects. In addition to a renal ultrasound, a voiding cystourethrogram should be obtained, especially if a rectourethral/rectovesicular fistula is suspected as this can help delineate the tract. Plains films of the chest, limbs and spine as well as an echocardiogram help identify the presence of other anomalies. Any other life-threatening co-morbidities take precedence, and a temporary diverting ostomy can be placed until definitive repair can be safely performed, usually between 8 and 12 months of age.
Posterior sagittal anorectoplasty (PSARP) is the surgical procedure performed. The infant is placed in a prone jack-knife position. If a perineal fistula is present, an incision is made around the fistula and carried posteriorly toward the coccyx. If no perineal fistula is present, the incision starts inferior to the coccyx and is carried down to the perineum. It is imperative to remain midline. This is ensured by visualizing striated muscle fibers, which run perpendicular to the incision. If fat is encountered during the dissection, this indicates that the operator has deviated from midline and entered the lateral ischioanal/ischiorectal space. The rectum is identified by its overlying glistening fascia and then freed circumferentially, beginning posteriorly and advancing anteriorly until the fistula is encountered. The fistula is resected. After the fistula is taken down, the anterior rectal wall is freed from its surrounding structures. In females, the anterior rectum lies in close proximity to the posterior vaginal wall and in males, the prostate and bladder. The anterior rectal wall is gently dissected off these structures up to the peritoneal reflection. Complete, circumferential dissection of the rectum will allow for tension-free pull down and anastomosis. The rectum is situated in its anatomic position in the muscle complex. The muscle complex is repaired around the properly positioned rectum and the neoanus is created by suturing mucosa to the perineum.
Long terms outcomes are dependent on the level of pathology—high versus low anorectal dysgenesis—and the extent of neuromuscular development of the levator ani complex and rectum. Almost all children will require some degree of lifestyle modifications to manage fecal incontinence or, conversely, chronic constipation. This is achieved by strict bowel regimens with enemas or cathartics. In more severe cases, a cecostomy or appendicostomy may be required to allow for daily antegrade enemas. Worst case scenarios may necessitate a diverting ostomy.
The contribution of Natalia Louise Smith is greatly appreciated for drawing the figures numbered as 1-to-6.
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I am also a member of the team in charge for the supervision of Ph.D. students in the fields of development of silicon based planar waveguide sensor devices, study of inelastic electron tunnelling in planar tunnelling nanostructures for sensing applications and development of organotellurium(IV) compounds for semiconductor applications. I am a specialist in data analysis techniques and nanosurface structure. I have served as the editor for many books, been a member of the editorial board in science journals, have published many papers and hold many patents.",institutionString:null,institution:{name:"Sheffield Hallam University",country:{name:"United Kingdom"}}},{id:"12392",title:"Mr.",name:"Alex",middleName:null,surname:"Lazinica",slug:"alex-lazinica",fullName:"Alex Lazinica",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/12392/images/7282_n.png",biography:"Alex Lazinica is the founder and CEO of IntechOpen. 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Today his focus is on defining the growth and development strategy for the company.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"19816",title:"Prof.",name:"Alexander",middleName:null,surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/19816/images/1607_n.jpg",biography:"Alexander I. Kokorin: born: 1947, Moscow; DSc., PhD; Principal Research Fellow (Research Professor) of Department of Kinetics and Catalysis, N. Semenov Institute of Chemical Physics, Russian Academy of Sciences, Moscow.\r\nArea of research interests: physical chemistry of complex-organized molecular and nanosized systems, including polymer-metal complexes; the surface of doped oxide semiconductors. He is an expert in structural, absorptive, catalytic and photocatalytic properties, in structural organization and dynamic features of ionic liquids, in magnetic interactions between paramagnetic centers. The author or co-author of 3 books, over 200 articles and reviews in scientific journals and books. He is an actual member of the International EPR/ESR Society, European Society on Quantum Solar Energy Conversion, Moscow House of Scientists, of the Board of Moscow Physical Society.",institutionString:null,institution:{name:"Semenov Institute of Chemical Physics",country:{name:"Russia"}}},{id:"62389",title:"PhD.",name:"Ali Demir",middleName:null,surname:"Sezer",slug:"ali-demir-sezer",fullName:"Ali Demir Sezer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62389/images/3413_n.jpg",biography:"Dr. Ali Demir Sezer has a Ph.D. from Pharmaceutical Biotechnology at the Faculty of Pharmacy, University of Marmara (Turkey). He is the member of many Pharmaceutical Associations and acts as a reviewer of scientific journals and European projects under different research areas such as: drug delivery systems, nanotechnology and pharmaceutical biotechnology. Dr. Sezer is the author of many scientific publications in peer-reviewed journals and poster communications. Focus of his research activity is drug delivery, physico-chemical characterization and biological evaluation of biopolymers micro and nanoparticles as modified drug delivery system, and colloidal drug carriers (liposomes, nanoparticles etc.).",institutionString:null,institution:{name:"Marmara University",country:{name:"Turkey"}}},{id:"64434",title:"Dr.",name:"Angkoon",middleName:null,surname:"Phinyomark",slug:"angkoon-phinyomark",fullName:"Angkoon Phinyomark",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/64434/images/2619_n.jpg",biography:"My name is Angkoon Phinyomark. I received a B.Eng. degree in Computer Engineering with First Class Honors in 2008 from Prince of Songkla University, Songkhla, Thailand, where I received a Ph.D. degree in Electrical Engineering. My research interests are primarily in the area of biomedical signal processing and classification notably EMG (electromyography signal), EOG (electrooculography signal), and EEG (electroencephalography signal), image analysis notably breast cancer analysis and optical coherence tomography, and rehabilitation engineering. I became a student member of IEEE in 2008. During October 2011-March 2012, I had worked at School of Computer Science and Electronic Engineering, University of Essex, Colchester, Essex, United Kingdom. In addition, during a B.Eng. I had been a visiting research student at Faculty of Computer Science, University of Murcia, Murcia, Spain for three months.\n\nI have published over 40 papers during 5 years in refereed journals, books, and conference proceedings in the areas of electro-physiological signals processing and classification, notably EMG and EOG signals, fractal analysis, wavelet analysis, texture analysis, feature extraction and machine learning algorithms, and assistive and rehabilitative devices. I have several computer programming language certificates, i.e. Sun Certified Programmer for the Java 2 Platform 1.4 (SCJP), Microsoft Certified Professional Developer, Web Developer (MCPD), Microsoft Certified Technology Specialist, .NET Framework 2.0 Web (MCTS). 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Manoel Marques Evangelista de Oliveira, Dayvison Francis Saraiva Freitas and Maria Clara Gutierrez Galhardo",authors:[{id:"52688",title:"Dr",name:"Rosely",middleName:"Maria",surname:"Zancope-Oliveira",slug:"rosely-zancope-oliveira",fullName:"Rosely Zancope-Oliveira"},{id:"60613",title:"MSc.",name:"Rodrigo de",middleName:null,surname:"Almeida-Paes",slug:"rodrigo-de-almeida-paes",fullName:"Rodrigo de Almeida-Paes"},{id:"60614",title:"Prof.",name:"Manoel Marques Evangelista de",middleName:null,surname:"Oliveira",slug:"manoel-marques-evangelista-de-oliveira",fullName:"Manoel Marques Evangelista de Oliveira"},{id:"60615",title:"MSc.",name:"Dayvison Francis Saraiva",middleName:null,surname:"Freitas",slug:"dayvison-francis-saraiva-freitas",fullName:"Dayvison Francis Saraiva Freitas"},{id:"60616",title:"Dr.",name:"Maria Clara",middleName:null,surname:"Gutierrez-Galhardo",slug:"maria-clara-gutierrez-galhardo",fullName:"Maria Clara 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Hair is a derivative of the epidermis and consists of two distinct parts: the follicle and the hair shaft. The follicle is the essential unit for the generation of hair. The hair shaft consists of a cortex and cuticle cells, and a medulla for some types of hairs. Hair follicle has a continuous growth and rest sequence named hair cycle. The duration of growth and rest cycles is coordinated by many endocrine, vascular and neural stimuli and depends not only on localization of the hair but also on various factors, like age and nutritional habits. Distinctive anatomy and physiology of hair follicle are presented in this chapter. Extensive knowledge on anatomical and physiological aspects of hair can contribute to understand and heal different hair disorders.",book:{id:"5461",slug:"hair-and-scalp-disorders",title:"Hair and Scalp Disorders",fullTitle:"Hair and Scalp Disorders"},signatures:"Bilgen Erdoğan",authors:[{id:"193661",title:"Dr.",name:"Bilgen",middleName:null,surname:"Erdoğan",slug:"bilgen-erdogan",fullName:"Bilgen Erdoğan"}]},{id:"53947",title:"Infections, Infestations and Neoplasms of the Scalp",slug:"infections-infestations-and-neoplasms-of-the-scalp",totalDownloads:3437,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"This chapter reviews common cutaneous infections, infestations, and neoplasms of the scalp. Infections of the scalp are subdivided into three major groups. The most seen are: (1) Bacterial: Folliculitis, folliculitis decalvans, tufted hair folliculitis and acne keloidalis nuchae. (2) Fungal: Tinea capitis, favus and kerion celsi. (3) Protozoal: Syphilitic alopecia. Pediculosis capitis is the most common worldwide infestation of the scalp. The neoplasms of the scalp are large group of different diseases due to arising different origin. In the following section, trichilemmal cyst, proliferating trichilemmal cyst, nevus sebaceous and cylindroma are discussed in detail.",book:{id:"5461",slug:"hair-and-scalp-disorders",title:"Hair and Scalp Disorders",fullTitle:"Hair and Scalp Disorders"},signatures:"Filiz Canpolat",authors:[{id:"191617",title:"Associate Prof.",name:"Filiz",middleName:null,surname:"Canpolat",slug:"filiz-canpolat",fullName:"Filiz Canpolat"}]},{id:"54988",title:"Pathogenic Role of Cytokines and Effect of Their Inhibition in Psoriasis",slug:"pathogenic-role-of-cytokines-and-effect-of-their-inhibition-in-psoriasis",totalDownloads:2302,totalCrossrefCites:1,totalDimensionsCites:5,abstract:"The pathogenesis of psoriasis is complex, and cytokines play an important role in mediating cell-cell interactions that result in abnormal structures and functions of many cell types in psoriasis, such as abnormal proliferation and differentiation of keratinocytes, abnormal proliferation of blood vessels, stimulation of immune cells, and driving abnormal immune reactions. In this chapter, we summarize the roles and functions of inflammatory cytokines that play a crucial role in psoriasis such as tumor necrosis factor (TNF)-α, interleukin (IL)-12/IL-23, and IL-17, as well as their inhibitors that are used to treat psoriasis.",book:{id:"5760",slug:"an-interdisciplinary-approach-to-psoriasis",title:"Psoriasis",fullTitle:"An Interdisciplinary Approach to Psoriasis"},signatures:"Jitlada Meephansan, Urairack Subpayasarn, Mayumi Komine and\nMamitaro Ohtsuki",authors:[{id:"201220",title:"Dr.",name:"Mayumi",middleName:null,surname:"Komine",slug:"mayumi-komine",fullName:"Mayumi Komine"},{id:"205398",title:"Dr.",name:"Jitlada",middleName:null,surname:"Meephansan",slug:"jitlada-meephansan",fullName:"Jitlada Meephansan"},{id:"205400",title:"Prof.",name:"Mamitaro",middleName:null,surname:"Ohtsuki",slug:"mamitaro-ohtsuki",fullName:"Mamitaro Ohtsuki"},{id:"205403",title:"Dr.",name:"Urairack",middleName:null,surname:"Subpayasarn",slug:"urairack-subpayasarn",fullName:"Urairack Subpayasarn"}]},{id:"52034",title:"Occupational Acne",slug:"occupational-acne",totalDownloads:1870,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Occupational and environmental acne is a dermatological disorder associated with industrial exposure. Polyhalogenated hydrocarbons, coal tar and products, petrol, and other physical, chemical, and environmental agents are suggested to play a role in the etiology of occupational acne. The people working in the field of machine, chemistry, and electrical industry are at high risk. The various occupational acne includes chloracne, coal tar, and oil acne. The most common type in clinic is the comedones, and it is also seen as papule, pustule, and cystic lesions. Histopathological examination shows epidermal hyperplasia, while follicular and sebaceous glands are replaced by keratinized epidermal cells. Topical or oral retinoic acids and oral antibiotics could be used in treatment. The improvement in working conditions, taking preventive measures, and education of the workers could eliminate occupational acne as a problem.",book:{id:"5433",slug:"acne-and-acneiform-eruptions",title:"Acne and Acneiform Eruptions",fullTitle:"Acne and Acneiform Eruptions"},signatures:"Betul Demir and Demet Cicek",authors:[{id:"188909",title:"Dr.",name:"Betul",middleName:null,surname:"Demir",slug:"betul-demir",fullName:"Betul Demir"},{id:"194149",title:"Prof.",name:"Demet",middleName:null,surname:"Cicek",slug:"demet-cicek",fullName:"Demet Cicek"}]},{id:"53525",title:"Trichoscopy and Trichogram",slug:"trichoscopy-and-trichogram",totalDownloads:2583,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Hair and scalp examination techniques can be classified into three categories: noninvasive methods (clinical history, general examination, photography, hair count, weighing shed hair, pull test, global hair counts, dermoscopy, electron microscopy, laser scanning microscopy, etc.); semi‐invasive methods (the trichogram, unit areatrichogram); and invasive methods (biopsies in cicatritial alopecia). Scalp dermoscopy or trichoscopy is one of thenoninvasive techniques for the evaluation of patients with hair loss that allows for magnified visualization of the hair and scalp skin. It may be performed with a manual dermoscope (10× magnification) or a videodermoscope (up to 1000× magnification). This method is simple, quick, and easy to perform, is well‐accepted by patients, and is useful for monitoring treatment, determining severity of the disease and follow‐up. It is a simple, minimally invasive and rapid technique for measuring hair follicle activity. Trichogram represents a semi‐invasive technique for the evaluation of patients with hair loss that allows the microscopic examination of hairs plucked from the scalp and provides information about the state of the proximal end of the hair shaft and the distal end. 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While a daunting task, learning is facilitated by identifying common and effective signaling pathways mediated by a variety of factors employed by nature to preserve and sustain homeostatic life. \r\nAs a leading example, the cellular interaction between intracellular concentration of Ca+2 increases, and changes in plasma membrane potential is integral for coordinating blood flow, governing the exocytosis of neurotransmitters, and modulating gene expression and cell effector secretory functions. 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From\r\n1964 to 1974, he worked as Assistant in Biochemistry at the School of MedicineUniversidad Nacional de La Plata, Argentina. From 1974 to 1976, he was a Fellowof the National Institutes of Health (NIH) at the University of Connecticut, Health Center, USA. From 1985 to 2004, he served as a Full Professor oBiochemistry at the Universidad Nacional de La Plata, Argentina. He is Member ofthe National Research Council (CONICET), Argentina, and Argentine Society foBiochemistry and Molecular Biology (SAIB). His laboratory has been interested for manyears in the lipid peroxidation of biological membranes from various tissues and different species. Professor Catalá has directed twelve doctoral theses, publishedover 100 papers in peer reviewed journals, several chapters in books andtwelve edited books. Angel Catalá received awards at the 40th InternationaConference Biochemistry of Lipids 1999: Dijon (France). W inner of the Bimbo PanAmerican Nutrition, Food Science and Technology Award 2006 and 2012, South AmericaHuman Nutrition, Professional Category. 2006 award in pharmacology, Bernardo\r\nHoussay, in recognition of his meritorious works of research. 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From 1964 to 1974, he worked as an Assistant in Biochemistry at the School of Medicine at the same university. From 1974 to 1976, he was a fellow of the National Institutes of Health (NIH) at the University of Connecticut, Health Center, USA. From 1985 to 2004, he served as a Full Professor of Biochemistry at the Universidad Nacional de La Plata. He is a member of the National Research Council (CONICET), Argentina, and the Argentine Society for Biochemistry and Molecular Biology (SAIB). His laboratory has been interested for many years in the lipid peroxidation of biological membranes from various tissues and different species. Dr. Catalá has directed twelve doctoral theses, published more than 100 papers in peer-reviewed journals, several chapters in books, and edited twelve books. He received awards at the 40th International Conference Biochemistry of Lipids 1999 in Dijon, France. He is the winner of the Bimbo Pan-American Nutrition, Food Science and Technology Award 2006 and 2012, South America, Human Nutrition, Professional Category. In 2006, he won the Bernardo Houssay award in pharmacology, in recognition of his meritorious works of research. Dr. Catalá belongs to the editorial board of several journals including Journal of Lipids; International Review of Biophysical Chemistry; Frontiers in Membrane Physiology and Biophysics; World Journal of Experimental Medicine and Biochemistry Research International; World Journal of Biological Chemistry, Diabetes, and the Pancreas; International Journal of Chronic Diseases & Therapy; and International Journal of Nutrition. He is the co-editor of The Open Biology Journal and associate editor for Oxidative Medicine and Cellular Longevity.",institutionString:"Universidad Nacional de La Plata",institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}}]},{type:"book",id:"6924",title:"Adenosine Triphosphate in Health and Disease",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6924.jpg",slug:"adenosine-triphosphate-in-health-and-disease",publishedDate:"April 24th 2019",editedByType:"Edited by",bookSignature:"Gyula Mozsik",hash:"04106c232a3c68fec07ba7cf00d2522d",volumeInSeries:3,fullTitle:"Adenosine Triphosphate in Health and Disease",editors:[{id:"58390",title:"Dr.",name:"Gyula",middleName:null,surname:"Mozsik",slug:"gyula-mozsik",fullName:"Gyula Mozsik",profilePictureURL:"https://mts.intechopen.com/storage/users/58390/images/system/58390.png",biography:"Gyula Mózsik MD, Ph.D., ScD (med), is an emeritus professor of Medicine at the First Department of Medicine, Univesity of Pécs, Hungary. He was head of this department from 1993 to 2003. His specializations are medicine, gastroenterology, clinical pharmacology, clinical nutrition, and dietetics. His research fields are biochemical pharmacological examinations in the human gastrointestinal (GI) mucosa, mechanisms of retinoids, drugs, capsaicin-sensitive afferent nerves, and innovative pharmacological, pharmaceutical, and nutritional (dietary) research in humans. He has published about 360 peer-reviewed papers, 197 book chapters, 692 abstracts, 19 monographs, and has edited 37 books. He has given about 1120 regular and review lectures. He has organized thirty-eight national and international congresses and symposia. He is the founder of the International Conference on Ulcer Research (ICUR); International Union of Pharmacology, Gastrointestinal Section (IUPHAR-GI); Brain-Gut Society symposiums, and gastrointestinal cytoprotective symposiums. He received the Andre Robert Award from IUPHAR-GI in 2014. 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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:"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://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRNVJQA4/Profile_Picture_2022-03-07T13:23:04.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.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Associate Prof.",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:"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/15648_n.jpg",biography:"Dr. Mohd Aftab Siddiqui is currently working as Assistant Professor in the Faculty of Pharmacy, Integral University, Lucknow for the last 6 years. He has completed his Doctor in Philosophy (Pharmacology) in 2020 from Integral University, Lucknow. He completed his Bachelor in Pharmacy in 2013 and Master in Pharmacy (Pharmacology) in 2015 from Integral University, Lucknow. He is the gold medalist in Bachelor and Master degree. He qualified GPAT -2013, GPAT -2014, and GPAT 2015. His area of research is Pharmacological screening of herbal drugs/ natural products in liver and cardiac diseases. He has guided many M. Pharm. research projects. He has many national and international publications.",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. degree from Integral University. Currently, he’s working as an Assistant Professor of Pharmaceutics in the Faculty of Pharmacy, Integral University. 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 32 original articles published in reputed journals, 3 edited books, 5 book chapters, and a number of scientific articles published in ‘Ingredients South Asia Magazine’ and ‘QualPharma Magazine’. He is a member of the American Association for Cancer Research, 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 that aim to provide practical solutions to current healthcare problems.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{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. He has published more than 148 articles, 28 book chapters, 6 books, and 2 US patents in the field of clinical proteomics and biomarkers.",institutionString:"Shandong First Medical University",institution:{name:"Affiliated Hospital of Shandong Academy of Medical Sciences",country:{name:"China"}}},{id:"297507",title:"Dr.",name:"Charles",middleName:"Elias",surname:"Assmann",slug:"charles-assmann",fullName:"Charles Assmann",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/297507/images/system/297507.jpg",biography:"Charles Elias Assmann is a biologist from Federal University of Santa Maria (UFSM, Brazil), who spent some time abroad at the Ludwig-Maximilians-Universität München (LMU, Germany). He has Masters Degree in Biochemistry (UFSM), and is currently a PhD student at Biochemistry at the Department of Biochemistry and Molecular Biology of the UFSM. His areas of expertise include: Biochemistry, Molecular Biology, Enzymology, Genetics and Toxicology. He is currently working on the following subjects: Aluminium toxicity, Neuroinflammation, Oxidative stress and Purinergic system. Since 2011 he has presented more than 80 abstracts in scientific proceedings of national and international meetings. Since 2014, he has published more than 20 peer reviewed papers (including 4 reviews, 3 in Portuguese) and 2 book chapters. He has also been a reviewer of international journals and ad hoc reviewer of scientific committees from Brazilian Universities.",institutionString:"Universidade Federal de Santa Maria",institution:{name:"Universidade Federal de Santa Maria",country:{name:"Brazil"}}},{id:"217850",title:"Dr.",name:"Margarete Dulce",middleName:null,surname:"Bagatini",slug:"margarete-dulce-bagatini",fullName:"Margarete Dulce Bagatini",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/217850/images/system/217850.jpeg",biography:"Dr. Margarete Dulce Bagatini is an associate professor at the Federal University of Fronteira Sul/Brazil. She has a degree in Pharmacy and a PhD in Biological Sciences: Toxicological Biochemistry. She is a member of the UFFS Research Advisory Committee\nand a member of the Biovitta Research Institute. She is currently:\nthe leader of the research group: Biological and Clinical Studies\nin Human Pathologies, professor of postgraduate program in\nBiochemistry at UFSC and postgraduate program in Science and Food Technology at\nUFFS. She has experience in the area of pharmacy and clinical analysis, acting mainly\non the following topics: oxidative stress, the purinergic system and human pathologies, being a reviewer of several international journals and books.",institutionString:"Universidade Federal da Fronteira Sul",institution:{name:"Universidade Federal da Fronteira Sul",country:{name:"Brazil"}}},{id:"226275",title:"Ph.D.",name:"Metin",middleName:null,surname:"Budak",slug:"metin-budak",fullName:"Metin Budak",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/226275/images/system/226275.jfif",biography:"Metin Budak, MSc, PhD is an Assistant Professor at Trakya University, Faculty of Medicine. He has been Head of the Molecular Research Lab at Prof. Mirko Tos Ear and Hearing Research Center since 2018. His specializations are biophysics, epigenetics, genetics, and methylation mechanisms. He has published around 25 peer-reviewed papers, 2 book chapters, and 28 abstracts. He is a member of the Clinical Research Ethics Committee and Quantification and Consideration Committee of Medicine Faculty. His research area is the role of methylation during gene transcription, chromatin packages DNA within the cell and DNA repair, replication, recombination, and gene transcription. His research focuses on how the cell overcomes chromatin structure and methylation to allow access to the underlying DNA and enable normal cellular function.",institutionString:"Trakya University",institution:{name:"Trakya University",country:{name:"Turkey"}}},{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",slug:"anca-pantea-stoian",fullName:"Anca Pantea Stoian",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",biography:"Anca Pantea Stoian is a specialist in diabetes, nutrition, and metabolic diseases as well as health food hygiene. She also has competency in general ultrasonography.\n\nShe is an associate professor in the Diabetes, Nutrition and Metabolic Diseases Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. She has been chief of the Hygiene Department, Faculty of Dentistry, at the same university since 2019. Her interests include micro and macrovascular complications in diabetes and new therapies. Her research activities focus on nutritional intervention in chronic pathology, as well as cardio-renal-metabolic risk assessment, and diabetes in cancer. She is currently engaged in developing new therapies and technological tools for screening, prevention, and patient education in diabetes. \n\nShe is a member of the European Association for the Study of Diabetes, Cardiometabolic Academy, CEDA, Romanian Society of Diabetes, Nutrition and Metabolic Diseases, Romanian Diabetes Federation, and Association for Renal Metabolic and Nutrition studies. She has authored or co-authored 160 papers in national and international peer-reviewed journals.",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",country:{name:"Romania"}}},{id:"279792",title:"Dr.",name:"João",middleName:null,surname:"Cotas",slug:"joao-cotas",fullName:"João Cotas",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/279792/images/system/279792.jpg",biography:"Graduate and master in Biology from the University of Coimbra.\n\nI am a research fellow at the Macroalgae Laboratory Unit, in the MARE-UC – Marine and Environmental Sciences Centre of the University of Coimbra. My principal function is the collection, extraction and purification of macroalgae compounds, chemical and bioactive characterization of the compounds and algae extracts and development of new methodologies in marine biotechnology area. \nI am associated in two projects: one consists on discovery of natural compounds for oncobiology. The other project is the about the natural compounds/products for agricultural area.\n\nPublications:\nCotas, J.; Figueirinha, A.; Pereira, L.; Batista, T. 2018. An analysis of the effects of salinity on Fucus ceranoides (Ochrophyta, Phaeophyceae), in the Mondego River (Portugal). Journal of Oceanology and Limnology. in press. DOI: 10.1007/s00343-019-8111-3",institutionString:"Faculty of Sciences and Technology of University of Coimbra",institution:null},{id:"279788",title:"Dr.",name:"Leonel",middleName:null,surname:"Pereira",slug:"leonel-pereira",fullName:"Leonel Pereira",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/279788/images/system/279788.jpg",biography:"Leonel Pereira has an undergraduate degree in Biology, a Ph.D. in Biology (specialty in Cell Biology), and a Habilitation degree in Biosciences (specialization in Biotechnology) from the Faculty of Science and Technology, University of Coimbra, Portugal, where he is currently a professor. In addition to teaching at this university, he is an integrated researcher at the Marine and Environmental Sciences Center (MARE), Portugal. His interests include marine biodiversity (algae), marine biotechnology (algae bioactive compounds), and marine ecology (environmental assessment). Since 2008, he has been the author and editor of the electronic publication MACOI – Portuguese Seaweeds Website (www.seaweeds.uc.pt). He is also a member of the editorial boards of several scientific journals. Dr. Pereira has edited or authored more than 20 books, 100 journal articles, and 45 book chapters. He has given more than 100 lectures and oral communications at various national and international scientific events. He is the coordinator of several national and international research projects. In 1998, he received the Francisco de Holanda Award (Honorable Mention) and, more recently, the Mar Rei D. Carlos award (18th edition). He is also a winner of the 2016 CHOICE Award for an outstanding academic title for his book Edible Seaweeds of the World. In 2020, Dr. Pereira received an Honorable Mention for the Impact of International Publications from the Web of Science",institutionString:"University of Coimbra",institution:{name:"University of Coimbra",country:{name:"Portugal"}}},{id:"61946",title:"Dr.",name:"Carol",middleName:null,surname:"Bernstein",slug:"carol-bernstein",fullName:"Carol Bernstein",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/61946/images/system/61946.jpg",biography:"Carol Bernstein received her PhD in Genetics from the University of California (Davis). She was a faculty member at the University of Arizona College of Medicine for 43 years, retiring in 2011. Her research interests focus on DNA damage and its underlying role in sex, aging and in the early steps of initiation and progression to cancer. In her research, she had used organisms including bacteriophage T4, Neurospora crassa, Schizosaccharomyces pombe and mice, as well as human cells and tissues. She authored or co-authored more than 140 scientific publications, including articles in major peer reviewed journals, book chapters, invited reviews and one book.",institutionString:"University of Arizona",institution:{name:"University of Arizona",country:{name:"United States of America"}}},{id:"182258",title:"Dr.",name:"Ademar",middleName:"Pereira",surname:"Serra",slug:"ademar-serra",fullName:"Ademar Serra",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/182258/images/system/182258.jpeg",biography:"Dr. Serra studied Agronomy on Universidade Federal de Mato Grosso do Sul (UFMS) (2005). He received master degree in Agronomy, Crop Science (Soil fertility and plant nutrition) (2007) by Universidade Federal da Grande Dourados (UFGD), and PhD in agronomy (Soil fertility and plant nutrition) (2011) from Universidade Federal da Grande Dourados / Escola Superior de Agricultura Luiz de Queiroz (UFGD/ESALQ-USP). Dr. Serra is currently working at Brazilian Agricultural Research Corporation (EMBRAPA). His research focus is on mineral nutrition of plants, crop science and soil science. Dr. Serra\\'s current projects are soil organic matter, soil phosphorus fractions, compositional nutrient diagnosis (CND) and isometric log ratio (ilr) transformation in compositional data analysis.",institutionString:"Brazilian Agricultural Research Corporation",institution:{name:"Brazilian Agricultural Research Corporation",country:{name:"Brazil"}}}]}},subseries:{item:{id:"15",type:"subseries",title:"Chemical Biology",keywords:"Phenolic Compounds, Essential Oils, Modification of Biomolecules, Glycobiology, Combinatorial Chemistry, Therapeutic peptides, Enzyme Inhibitors",scope:"Chemical biology spans the fields of chemistry and biology involving the application of biological and chemical molecules and techniques. In recent years, the application of chemistry to biological molecules has gained significant interest in medicinal and pharmacological studies. This topic will be devoted to understanding the interplay between biomolecules and chemical compounds, their structure and function, and their potential applications in related fields. Being a part of the biochemistry discipline, the ideas and concepts that have emerged from Chemical Biology have affected other related areas. This topic will closely deal with all emerging trends in this discipline.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11411,editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. Dr. Beydemir is also Rector of Bilecik Şeyh Edebali University, Turkey.",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",slug:"deniz-ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",biography:"Dr. Deniz Ekinci obtained a BSc in Chemistry in 2004, MSc in Biochemistry in 2006, and PhD in Biochemistry in 2009 from Atatürk University, Turkey. He studied at Stetson University, USA, in 2007-2008 and at the Max Planck Institute of Molecular Cell Biology and Genetics, Germany, in 2009-2010. Dr. Ekinci currently works as a Full Professor of Biochemistry in the Faculty of Agriculture and is the Head of the Enzyme and Microbial Biotechnology Division, Ondokuz Mayıs University, Turkey. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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