Indoor hibernation technological flow for the five case studies (Cs1–Cs5).
\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"7382",leadTitle:null,fullTitle:"Antarctica - A Key To Global Change",title:"Antarctica",subtitle:"A Key To Global Change",reviewType:"peer-reviewed",abstract:"The most exciting initiative in the polar region was the International Polar Year (IPY) in 2007-2008, conducted as the 50th anniversary of the International Geophysical Year (1957-1958). The initiative greatly enhanced the exchange of ideas across nations and scientific disciplines to unveil the status and changes of planet Earth. This sort of interdisciplinary exchange helps us to understand and address grand challenges, such as rapid environmental change and its impact on society. In this regard, this book aims to compile the achievements of projects related to the IPY and post-IPY era, focusing especially on surface environmental variations associated with climate change, such as global warming.",isbn:"978-1-78985-816-7",printIsbn:"978-1-78985-815-0",pdfIsbn:"978-1-83962-109-3",doi:"10.5772/intechopen.75265",price:119,priceEur:129,priceUsd:155,slug:"antarctica-a-key-to-global-change",numberOfPages:136,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"deead09dc6b7b3f28dea1432ef711265",bookSignature:"Masaki Kanao, Genti Toyokuni and Masa-yuki Yamamoto",publishedDate:"April 3rd 2019",coverURL:"https://cdn.intechopen.com/books/images_new/7382.jpg",numberOfDownloads:7878,numberOfWosCitations:7,numberOfCrossrefCitations:6,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:28,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:41,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 24th 2018",dateEndSecondStepPublish:"May 15th 2018",dateEndThirdStepPublish:"July 14th 2018",dateEndFourthStepPublish:"October 2nd 2018",dateEndFifthStepPublish:"December 1st 2018",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6,7",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"51959",title:"Dr.",name:"Masaki",middleName:null,surname:"Kanao",slug:"masaki-kanao",fullName:"Masaki Kanao",profilePictureURL:"https://mts.intechopen.com/storage/users/51959/images/system/51959.jpg",biography:"Dr. Masaki Kanao obtained his Ph.D. from Kyoto University. He is currently working at the National Institute of Polar Research in Tokyo. He is chiefly interested in the Earth\\'s structure and evolution from geoscience studies. Polar regions, both in Arctic and Antarctic, have been investigated by geophysical investigations particularly by passive and active seismic sources. He is also interested in the present Earth’s dynamics and tectonics of the continental lithosphere. The Antarctic continent, as a member of the past Gondwana super-continent, has been the main target to reveal lithospheric evolution history. Recently, inter-disciplinary studies in terms of glacial earthquakes, cryoseismic events in Greenland and Antarctica have been focusing on involving environmental changes associated with global warming. These investigations in polar regions have been contributing to the development of all kinds of global Earth sciences.",institutionString:"National Institute of Polar Research",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"17",totalChapterViews:"0",totalEditedBooks:"6",institution:{name:"National Institute of Polar Research",institutionURL:null,country:{name:"Japan"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"255880",title:"Dr.",name:"Genti",middleName:null,surname:"Toyokuni",slug:"genti-toyokuni",fullName:"Genti Toyokuni",profilePictureURL:"https://mts.intechopen.com/storage/users/255880/images/system/255880.jpeg",biography:"Dr. Genti Toyokuni is an assistant professor at the Department of Geophysics, Tohoku University, Sendai, Japan. He received his BSc (2004), MSc (2006), and DSc (2009) degrees from Kyushu University, Japan. He was a part-time teacher of earth science at the National Institute of Technology, Kurume College, Japan, during 2007–2009, and a postdoctoral fellow at the National Institute of Polar Research, Japan, during 2009–2011. His research interests include polar seismology (cryoseismology), seismic waveform analysis, numerical modeling of seismic wave propagation, and seismic tomography. He is a member of the Greenland Ice Sheet Monitoring Network (GLISN) and has been participating in field observations of the Greenland ice sheet every year since 2011 with other US and Japanese GLISN members.",institutionString:"Tohoku University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:null},coeditorTwo:{id:"260218",title:"Dr.",name:"Masa-Yuki",middleName:null,surname:"Yamamoto",slug:"masa-yuki-yamamoto",fullName:"Masa-Yuki Yamamoto",profilePictureURL:"https://mts.intechopen.com/storage/users/260218/images/8425_n.jpg",biography:"Masa-yuki Yamamoto, PhD, is currently affiliated with Kochi University of Technology (KUT), Japan. He specializes in upper atmospheric physics, developing in-situ and remote-sensing equipment and collaborating with JAXA and NASA, as well as with amateur astronomers and high school students. He majored in geophysics and graduated from the Graduate School of Science, Tohoku University, in 2001. After taking a position as a researcher at the Communications Research Laboratory, Tokyo, he moved to KUT as a lecturer in 2003. He became a professor at the School of Systems Engineering in 2013. His specialty is geophysics, especially atmospheric sensing using infrasound observations and sounding rockets. A minor planet was recently named Masayukiyamamoto (58184) by T. Seki, who discovered it in 1991.",institutionString:"Kochi University of Technology",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:null},coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"287",title:"Environmental Engineering",slug:"technology-environmental-engineering"}],chapters:[{id:"64520",title:"Introductory Chapter: Antarctica - A Key to Global Change",doi:"10.5772/intechopen.82197",slug:"introductory-chapter-antarctica-a-key-to-global-change",totalDownloads:842,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:null,signatures:"Masaki Kanao",downloadPdfUrl:"/chapter/pdf-download/64520",previewPdfUrl:"/chapter/pdf-preview/64520",authors:[{id:"51959",title:"Dr.",name:"Masaki",surname:"Kanao",slug:"masaki-kanao",fullName:"Masaki Kanao"}],corrections:null},{id:"63662",title:"ULF Geomagnetic Activity Signatures in the Atmospheric Parameters in Antarctica",doi:"10.5772/intechopen.81106",slug:"ulf-geomagnetic-activity-signatures-in-the-atmospheric-parameters-in-antarctica",totalDownloads:1264,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The study of the solar wind-Earth’s magnetosphere and atmosphere interaction is a topic of great interest. The solar wind energy is transferred to the Earth’s environment also through ultralow frequency (ULF, 1 mHz–5 Hz) waves of the geomagnetic field, with higher efficiency at high latitudes where magnetic reconnection processes occur, making the polar cap an important laboratory for these investigations. Several studies suggest that the atmosphere responds to the geomagnetic activity driven by the solar wind, although the interaction processes are not yet completely understood. In this context, the results of recent investigations, showing the coupling on timescales of 1–2 days between geomagnetic ULF activity and the middle-low (h < 50 km) atmosphere in the polar cap, are summarized, based on geomagnetic measurements at Terra Nova Bay, in Antarctica (λ ∼ 80°S) and atmospheric parameters from the reanalysis dataset.",signatures:"Mauro Regi, Marcello De Lauretis, Gianluca Redaelli and Patrizia Francia",downloadPdfUrl:"/chapter/pdf-download/63662",previewPdfUrl:"/chapter/pdf-preview/63662",authors:[null],corrections:null},{id:"63904",title:"Advanced HF Communications for Remote Sensors in Antarctica",doi:"10.5772/intechopen.81108",slug:"advanced-hf-communications-for-remote-sensors-in-antarctica",totalDownloads:966,totalCrossrefCites:2,totalDimensionsCites:12,hasAltmetrics:1,abstract:"The Antarctica is a continent mainly devoted to science with a big amount of sensors located in remote places for biological and geophysical purposes. The data from these sensors need to be sent either to the Antarctic stations or directly to the home country. For the last 15 years, La Salle has been working in the application of HF communications (3–30 MHz) with ionospheric reflection for data collection of remote sensors in Antarctica. We have developed and tested the several types of modulations, the frame structure, the radio-modem, and the antennas for two different scenarios. First, a long-range transequatorial (approximately 12,800 km) and low-power communication system is used as an alternative to satellites, which are often not visible from the poles. This distance is covered with a minimum of four hops with oblique incidence in the ionosphere. Second, a low-power system using near vertical incidence skywave (NVIS) communications provides coverage in a surface of approximately 200–250 km radius, a coverage much longer than any other systems operating in either the VHF or UHF band without the need of line of sight.",signatures:"Joaquim Porté, Joan Lluis Pijoan, Josep Masó, David Badia, Agustín Zaballos\nand Rosa Maria Alsina-Pagès",downloadPdfUrl:"/chapter/pdf-download/63904",previewPdfUrl:"/chapter/pdf-preview/63904",authors:[null],corrections:null},{id:"63749",title:"New Perspectives on Blowing Snow in Antarctica and Implications for Ice Sheet Mass Balance",doi:"10.5772/intechopen.81319",slug:"new-perspectives-on-blowing-snow-in-antarctica-and-implications-for-ice-sheet-mass-balance",totalDownloads:860,totalCrossrefCites:0,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Blowing snow processes commonly occur over the earth’s ice sheets and snow covered regions when near surface wind speed exceeds a threshold value. These processes play a key role in the sublimation and redistribution of snow, thereby influencing the surface mass balance. Prior field studies and modeling results have shown the importance of blowing snow sublimation and transport on the surface mass budget and hydrological cycle of high latitude regions. Until recently, most of our knowledge of blowing snow was obtained from field measurements or modeling. Recent advances in satellite remote sensing have enabled a more complete understanding of the nature of blowing snow. Using 12 years of satellite lidar data, climatology of blowing snow frequency has been compiled, showing the spatial and temporal distribution of blowing snow frequency over Antarctica. Other characteristics of blowing snow such as backscatter structure and profiles of temperature, relative humidity, and winds through the layer are explored. A new technique that uses direct measurements of blowing snow backscatter combined with model meteorological reanalysis fields to compute the magnitude of blowing snow sublimation and transport is also discussed.",signatures:"Stephen P. Palm, Yuekui Yang and Vinay Kayetha",downloadPdfUrl:"/chapter/pdf-download/63749",previewPdfUrl:"/chapter/pdf-preview/63749",authors:[null],corrections:null},{id:"63622",title:"Water Balance and Thermal Regime of Lakes in Antarctic Oases",doi:"10.5772/intechopen.80901",slug:"water-balance-and-thermal-regime-of-lakes-in-antarctic-oases",totalDownloads:754,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The chapter aims to revise the capabilities of a water balance modelling approach to be applied on climate-related or practical studies of lakes located in specific conditions of Antarctica. The seasonal water balance equation (WBaL) of a lake was suggested for the lakes located in the vicinity of the Antarctic scientific stations: Bellinshausen, Progress and Maitri. First, the methods and models used to evaluate the income and outcome terms of the WBaL from minimal observational datasets are considered. Then the historical observations available on the lakes Kitezh, Priyadarshini, Stepped, Nella, Progress and Reid are described based on the technical reports of the Finnish, Indian and Russian Antarctic research programmes and from open source publications. Finally, practical recommendations on improving temporal hydrological network are formulated to give a simple solution for the seasonal water balance studies of the Lake Priyadarshini.",signatures:"Elena Shevnina, Ekaterina Kourzeneva and Mohammad Nuruzzama",downloadPdfUrl:"/chapter/pdf-download/63622",previewPdfUrl:"/chapter/pdf-preview/63622",authors:[null],corrections:null},{id:"64091",title:"The Climate of the Antarctic Peninsula during the Twentieth Century: Evidence from Ice Cores",doi:"10.5772/intechopen.81507",slug:"the-climate-of-the-antarctic-peninsula-during-the-twentieth-century-evidence-from-ice-cores",totalDownloads:1110,totalCrossrefCites:1,totalDimensionsCites:9,hasAltmetrics:1,abstract:"The Antarctic Peninsula (AP) is a region of special climatological interest. The late twentieth century has been a period of warming surface temperatures, enhanced mass loss from melting glaciers and increased snowfall, which have a direct and measurable impact on global sea levels. However, the observational period for Antarctica is short. Observational records only began in the 1940s and much of our understanding of the wider spatial climate variability and glacial dynamics is limited to the satellite era (post 1979). Proxy records, such as those from ice cores, provide an invaluable tool to place these recent changes in context of the past few hundred years, allowing us to investigate climate variability over the entire twentieth century and beyond. In this chapter we review the climate of the AP during the twentieth century, as captured by the instrumental records, and extend our understanding of climate variability over the twentieth century based on climate proxies contained in ice cores. For this study we focus on stable water isotopes and snow accumulation and how they are influenced by changes in atmospheric circulation and sea ice conditions.",signatures:"Elizabeth R. Thomas and Dieter R. Tetzner",downloadPdfUrl:"/chapter/pdf-download/64091",previewPdfUrl:"/chapter/pdf-preview/64091",authors:[null],corrections:null},{id:"65056",title:"Characteristic Infrasound Events Associated with Sea-Ice Discharges in the Lützow-Holm Bay of Antarctica: April 2016",doi:"10.5772/intechopen.83023",slug:"characteristic-infrasound-events-associated-with-sea-ice-discharges-in-the-l-tzow-holm-bay-of-antarc",totalDownloads:1045,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Infrasound waves detected in Antarctica contain information on the physical interaction among the surface environment at the margin of the continent and surrounding ocean. Time-space variation of source location for infrasound excitation during mid-April 2016 was investigated by using a combination of two arrays deployed along the coast of the Lützow-Holm Bay (LHB), East Antarctica. The infrasound array observations detected temporal variations in distance from the sources and propagation direction. A few tens of infrasound events were identified during 10 days of the period, and many of them located in the northward direction from the array stations were inside the LHB and offshore in the Southern Indian Ocean. Many of the events had predominant frequency content of few Hz, which were higher than microbaroms generated from the ocean. By comparing with MODIS satellite image at the same period, these sources were considered to be the ice-related phenomenon associated with the discharge of fast sea ice from the LHB.",signatures:"Takahiko Murayama, Masaki Kanao and Masa-Yuki Yamamoto",downloadPdfUrl:"/chapter/pdf-download/65056",previewPdfUrl:"/chapter/pdf-preview/65056",authors:[null],corrections:null},{id:"64358",title:"Human Beings in Antarctica",doi:"10.5772/intechopen.81974",slug:"human-beings-in-antarctica",totalDownloads:1039,totalCrossrefCites:2,totalDimensionsCites:2,hasAltmetrics:1,abstract:"Research on Antarctica has been continuing for over a century. While living in Antarctica remains difficult owing to the extreme conditions there, expeditions have progressed greatly in improving accommodations. Expeditioners are exposed to a harsh natural environment such as coldness, dryness, dramatic change in sunshine time, ultraviolet rays, and high altitude. They also live in an extreme condition: closed small groups, absolute isolation, limited equipment and supplies, and no evacuation. As such, expedition members are placed in an extreme physical and mental state. Antarctic doctors are responsible for protecting the health of members who are wintering-over. Statistical analysis of diseases showed that the most common cases were of injuries followed by internal medicine and dental problems. Some diseases were related to environmental factors. Medical operations such as medical screening expedition, remote medical care, and telehealth care contribute to the safety, and better health management systems are themselves subjects of research. Medical researches and operations are advancing and supporting one another. As a simulation of space, the Antarctic experience and the related breakthrough are utilised in space research. Outcomes of research on Antarctica contribute to the better understanding of human society as well.",signatures:"Giichiro Ohno, Shinji Otani and Atsushi Ikeda",downloadPdfUrl:"/chapter/pdf-download/64358",previewPdfUrl:"/chapter/pdf-preview/64358",authors:[null],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"892",title:"Seismic Waves",subtitle:"Research and Analysis",isOpenForSubmission:!1,hash:"77aca8357f09b77cf39eb669b711c862",slug:"seismic-waves-research-and-analysis",bookSignature:"Masaki Kanao",coverURL:"https://cdn.intechopen.com/books/images_new/892.jpg",editedByType:"Edited by",editors:[{id:"51959",title:"Dr.",name:"Masaki",surname:"Kanao",slug:"masaki-kanao",fullName:"Masaki Kanao"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited 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The “French” snailfarming technology implies that the snails are bred in captivity, and juveniles are introduced early in the spring in outside fattening pens, wherein they are fed primarily a combination of concentrated fodders [2]. As a result, most snails reach adulthood from 6 to 8 months, and in autumn they are sold as final product. Only a small proportion of adult gastropods is kept as reproductive herd for the next year productive cycle and hibernate in strictly controlled indoor environment [3]. The immature juveniles are not gathered; therefore, they are let to survive outside during wintertime, without any additional protection [4]. In contrast, the “Italian” snailfarming technology snails employs the biological cycle of raising and growing snails in open pastures of fresh vegetables [5]. A typical farm is organized in pens with precise destinations: 60% for breeding and 40% for fattening [6]. The fattening pens are used starting from the second year of activity onward, when after hibernation, snails are transferred from the breeding pens into the fattening pens [7]. When winter arrives, snail of many sizes, starting from hatchlings to adult ones, are found inside the pens [1]. The solution used for snail hibernation relies on trimming the vegetation inside the pens to 20 cm in height, whereas the pens are covered with unweaved coverlet (weight = 18–25 grams per square meters, i.e., g/m2)—material also known as agryl sheet [8, 9].
High death rates have occurred in snailfarms all around Romania during the winter of the year 2006, proving that the standard outdoor hibernation technology is not well suited for colder climates (temperate continental climate). As a result, our research focused on finding some alternative paths for a proper hibernation of
Then, we analyzed weight variation of
The experiments of this pilot exploratory study were conducted in three snailfarms chosen based on their location, technological flow, and microenvironment parameters: Floreşti (Mehedinţi county; latitude, 44°75\'; longitude, 22°92\'), Sântuhalm (Hunedoara county; latitude, 45°85\'; longitude, 22°96\'), and Muntenii de Sus (Vaslui county; latitude, 46°70\'; longitude, 27°76\'). The farms were carefully monitored since their implementation: 2005 (Muntenii de Sus) and 2006 (Floreşti, Sântuhalm). The reproductive herd was imported from Italy. The data were carefully monitored and recorded into technological evidence files. Next, they were used for five case studies (Table 1) depending on location and snail size: Cs1 (Floreşti, juvenile
First, two distinct locations were selected for these studies: Floreşti and Sântuhalm. Two lots were sampled from each location, one containing only juvenile
The first stage data were used to optimize this technology in a study performed from October 2007 to March 2008 (Table 1) in a snailfarm located in Muntenii de Sus (Cs5). All the procedures were identical with those used in the study cases Cs1 and Cs3 (Table 1). The only exception was that the post-hibernal samples weighed about 75 g and not 50 g, like in the previous cases.
The hibernation efficiency (Table 2) was assessed based on the snail survival rate. To estimate the potential influence of origin and technological flow on juveniles’ weight loss during wintertime (Wl), we analyzed all the quantitative indicators (individual weight, weight loss, snail number/known weight) by descriptive (Figure 1) and nonparametric statistical tests. First, we assessed the distribution normality (Anderson-Darling test) for Wb, Wl, Wa, Na, and Nb for all the samples (df = 1,
Sampling data Number/(weight) | Intermediary control dead snails | Awakening (live snails) | T (°C) | U% | Ventilation | |
---|---|---|---|---|---|---|
Cs1 | November 17, 2006 5025 g (≈10,255 pcs.) | January 12, 2006 | March 13, 2007 3670 juveniles | Constant 2–5°C | Variable 60–75% | Partially controlled |
| ||||||
| ||||||
Cs2 | November 17, 2006 6500 pcs. | January 12, 2007 640 pcs. | March 13, 2007 5906 pcs. | Idem Cs1 | ||
Cs3 | November 11, 2006 5050 g (≈12,949 pcs.) | January 1, 2007 | March 7, 2007 724 pcs | Variable −1 → + 8°C | Variable 55–90% | Variable |
| ||||||
Cs4 | November 11, 2006 8500 pcs. | January 1, 2007 2000 pcs. | March 7, 2007 5800 pcs. | Idem Cs3 | ||
Cs5 | November 11, 2007 5, 050 g (≈10,100 pcs.) | — | March 18, 2008 6837 juveniles | Constant 2–5°C | Constant 70–75% | Controlled |
|
Indoor hibernation technological flow for the five case studies (Cs1–Cs5).
Cs1 | Cs2 | Cs3 | Cs4 | Cs5 | |
---|---|---|---|---|---|
Before hibernation | |||||
Wb | 0.49 ± 0.06 | — | 0.39 ± 0.06 | — | 0.50 ± 0.04 |
Nb | 205.00 ± 25.77 | — | 262.20 ± 40.61 | — | 200.00 ± 14.98 |
After hibernation | |||||
Wa | 0.41 ± 0.04 | — | 0.31 ± 0.05 | — | 0.41 ± 0.03 |
Na | 123.40 ± 14.77 | — | 160.80 ± 21.47 | — | 175.6 ± 24.82 |
Wl | 0.087 ± 0.027 | 0.075 ± 0.023 | 0.089 ± 0.009 | ||
Wl% | 16.33% | 20.51% | 18.00% | ||
Intermediary control | |||||
Sli | — | 91.62% | — | 76.46% | — |
Dri | — | 8.38% | — | 23.53% | — |
Final control | |||||
Slf | 35.78% | 78.55% | 18.06% | 68.34% | 67.69% |
Drf | 64.22% | 21.45% | 81.94% | 31.66% | 32.31 |
Descriptive statistics (mean individual weight, number/known amount, and weight loss during winter time; X ± SE, n = 5), weight loss (%), and survival parameters for the five case studies (Cs1–Cs5).
Individual average weight (WA) variability.
Death rates were analyzed by using a
The Anderson-Darling test proved an abnormal distribution (
where
Constant values (A, B, C).
The data recorded in the technological files revealed that, for Cs3 and Cs4, the problems started from January 1, 2007, when suddenly the outdoor temperature increased over 5°C and abundant rainfall (slushes) were recorded. Because the storage had no thermic insulation, the air humidity exceeded 85%, water condensated on the storage walls, the straw soaked, and the snails, especially the juvenile ones, started to awaken from hibernation. As a result, the straw were removed, and the dead snails were also drawn away. This action limited the death rate, but at the same time, it induced the restart of their metabolic cycle, especially for juvenile snails. This behavior of
At that time, no data were available in literature or in practice concerning the maximum period that allows juveniles to successfully survive during wintertime. Thus, Cs1 snails were awakened form hibernation on January 12, 2007. Next, they were fed with concentrated fodder and minced carrots, and after that, they were reintroduced to hibernation. After hibernation, the comparative statistical analyses revealed significant differences between Slf and Slo for the juvenile snails, in both locations: Cs1 (
The same abnormal distribution (
Concerning Slf, Cs5 proved significant differences in comparison to both Cs1 (
This study demonstrated without doubt that indoor hibernation of
The key factors triggering land snail dormancy are temperature decrease [16], photoperiod diminishing [17], and low humidity [18]. For
Oblomovism is well known in the world of mollusks [21]. This term came from the homonym novel written by Ivan Goncharov and is used to describe someone who exhibits the personality traits of sloth. Thus, during their life, snails pass through short periods of great activity, essential for building up their reserves, which alternates with frequent periods of inactivity, when they are sleeping or pending the favorable weather. Taylor [22] considered juvenile snails less sensitive to cold and thus less inclined to hibernation; therefore it was considered that they exhibit a partial oblomovism. However, recent studies proved that for
Our findings proved that juveniles displayed, regardless of the technology flow and origin, a relatively constant variation of weight after 100–110 days of indoor hibernation. Although in the wild, snails displayed variable losses of weight in relation to climatic factors [1], we considered that snail adaptation to hibernation throughout their long evolution and the controlled microenvironment allowed them to pass overwinter with a relatively constant weight loss during wintertime. Thus, we consider that this technology might be used in outdoor snailfarms located in colder areas with temperate continental climates as efficient alternative to the simple outdoor hibernation.
Coronary arteries (CAs) are the blood vessels that supply the heart muscle with blood.
Intact coronary circulation is therefore important for myocardial hemostasis and function, thus enabling rest of body to function. The disruption of coronary development during embryogenesis results in coronary congenital defects such as coronary mispatterning, structural vascular defects, and anomalous communication of coronary vessels, they can alter coronary artery blood flow.
Such anomalies may persist after birth, occasionally they are in association with other cardiac conditions, so can severely affect cardiovascular system through haemodynamic impairment caused from shunting, ischaemia, or even sudden cardiac death, especially in young children or adolescents and young adults.
The estimated prevalence of CA anomalies is not quite clear with variable, ranging from 0.21 to 5.79% based on angiography, computed tomography (CT), and autopsy databanks [1]. Congenital anomalies of coronary arteries have in incidence about 1% in patients undergoing coronary angiography while the incidence of anomalous origination of the left coronary artery from right sinus is 0.15% and the right coronary artery from the left sinus is 0.92% [2, 3].
In normal anatomy, the LAD and Cx originate from an aortic area located above the upper or middle third of the left coronary sinus of Valsalva (also called the left posterior sinus). The right coronary artery originates from the upper or middle third of the right sinus of the Valsalva. Normally, the coronary ostia lead an orthogonally oriented coronary proximal stem, off the aortic wall.
Of the many coronary arteries, the “primary” (or elementary) ones are defined as the three main proximal arteries: one provide circulation to the anterior septum and anterior lateral wall (the left anterior descending or LAD), another provides blood flow to the obtuse marginal region of the left ventricle (the circumflex, or Cx), and the third provides circulation to the free wall of the right ventricle (the right coronary artery or RCA). The left main trunk may serve as a common stem that joins the LAD and Cx (a common left main stem is present in about 90% of the cases and is not essential, but the LAD and CX are essential). Normally, the LAD and Cx originate from an aortic area located above the upper or middle third of the left coronary sinus of Valsalva (also called the left posterior sinus) [4]. In Figure 1 we presented normal origin of coronary arteries.
Normal origin of coronary artery.
Coronary artery formation is a process involving vasculogenesis, angiogenesis, and arteriogenesis. The vasculogenesis is a process through which is formed the early arterial coronary vascular system via the coalescence of the endothelial precursor cells (angioblasts), and subsequent fusion of the endothelial cell clusters [5].
Angiogenesis implies the generation of the new microvessels by endothelial proliferation and migration, mostly by means of controlled endothelial sprouting [6]. Coronary artery (CA) were originally thought to form bay angiogenesis from the aortic root endothelium based on anatomical facts that ones join the systemic circulation at the aortic root, whereas cardiac veins connect to the general circulation via the coronary sinus [7].
Arteriogenesis describes the remodeling that form mature arteries by migration of supporting smooth muscle cells (SMCs) and pericytes from the epicardium during development [8, 9].
Coronary anomalies are defined as those angiographic findings in which the number, origin, course and termination of the arteries are rarely encountered in general population. Coronary anomalies may occur in 1–5% of the patients undergoing coronary arteriography, depending on the threshold for defining an anatomic variant [10, 11, 12].
A recent classification of the coronary anomalies (Table 1) [1] is based on anatomical considerations, recognizing three categories:
anomalies of the origin and course;
anomalies of the intrinsic CA anatomy; and
I. Anomalies of origin coronary artery connection |
1. Anomalous origin to the aorta |
a. Absent of left main trunk |
b. Anomalous coronary artery ostium location |
c. Anomalous coronary artery location at improper aortic sinus-wrong sinus: |
RCA to left sinus |
LCA to right sinus |
LCX to RCA/or sinus |
RCA or LCA to posterior sinus |
with anomalous course: interarterial, prepulmonic, intraseptal, retroaortic, posterior atrioventricular groove or retrocardiac, postero-anterior interventricular groove |
d. Single coronary artery |
e. Anomalous coronary artery ostium location outside sinu-tubular aorta: |
LV |
Ascending aorta |
Aortic arch |
Others (innominate artery; right carotid artery; internal mammary artery; bronchial artery; subclavian artery; descending thoracic aorta) |
2. Anomalous origin to the pulmonary artery |
a. LCA to posterior facing sinus (ALCAPA) |
b. LCX to posterior facing sinus |
c. LAD to posterior facing sinus |
d. RCA to anterior right facing sinus |
e. Ectopic connection (outside facing sinuses) of any CA to PA left sinus, trunk, or branch |
f. RV |
II. Anomalous intrinsic coronary artery anatomy |
1. Congenital ostial stenosis or atresia (LCA, LAD, RCA, Cx) |
2. Coronary ostial dimple |
3. Coronary ectasia or aneurysm |
4. Absent coronary artery |
5. Coronary hypoplasia |
6. Intramural coronary artery (myocardial bridge) |
7. Subendocardial coronary course |
8. Coronary crossing |
9. Anomalous origination of posterior descending branch or septal penetrating branch |
10. Absent PD or split RCA |
11. Absent or split LAD |
12. Ectopic origination of first septal branch |
III. Coronary artery interaction |
1. Inadequate arteriolar/capillary ramifications |
2. Fistulae from RCA, LCA, or infundibular artery to: RV, RA, coronary sinus, superior vena cava, PA, PV, LA, LV, multiple |
Classification of coronary artery anomalies.
This syndrome is characterized by the origin of the coronary artery arising from the pulmonary artery. The most variant is an anomalous origin of the LCA from the pulmonary artery. (ALCAPA) [15, 16] although single-vessel origins of the RCA, LCx coronary, or LAD artery from the pulmonary artery have also been reported. If untreated, and in the absence of an adequate collateral network, most (95%) infants with APOCA will die within the first year. In the presence of an extensive collateral network, patients may survive into adulthood.
Aortography reveals a large RCA with absence of a left coronary ostium in the left aortic sinus of Valsalva, and with LAD and Cx branches filling through collateral circulation from the RCA branches. Still very delayed in filming sequence retrograde flow from LAD and LCx opacifies the LMCA and its origin from the main pulmonary artery. Still later in the filming sequence retrograde flow from the LAD and LCx arteries opacifies the LMCA and its origin from the main pulmonary artery. Once it is diagnosed, CABG surgery is recommended because of the high incidence of sudden death, cardiomyopathy and arrhythmias associated with APOCA.
Anomalous origin of either the RCA to the left coronary sinus or the LCA to the right coronary sinus, the proximal anomalous coronary artery (CA) may run anterior to the pulmonary trunk (prepulmonic), posterior to the aorta (retroaortic), septal (subpulmonic), or between the pulmonary artery and the aorta (interarterial). Only those with an interarterial (aorta-pulmonary) course can increase risks of myocardial ischemia, arrhythmia, syncope, and sudden cardiac death considering life threatening and clinical guidelines recommend surgical correction [17].
Numerous mechanisms of ischaemia particularly during exercise have been suggested: (1) the compression of the anomalous vessel coursing between the aorta and the pulmonary artery during increased cardiac output and expansion of the great vessels; (2) the acute angle takeoff of the anomalous vessel with further stretch during exercise, possibility accounting for a flap-like closure of the coronary ostium; (3) spasm or kinking of the anomalous vessels; and (4) the course within the aortic wall (“intramural”) of the proximal segment of the anomalous vessel [13, 17]. The intramural aortic course can explain the imaging feature (angiography and echo) of CA intussusceptions into the aoric wall: the proximal segment of the anomalous vessel (segmental hypoplasia) is narrowed, and the asymmetrical lateral compression of the anomalous vessel with a silt-like or ovoid rather than circular lumen, particularly during systole and stress.
In Figure 2 (A and B) we present anomalous Coronary Artery from the Opposite Sinus (ACAOS).
Anomalous origin of coronary arteries to the aorta.
Coronary artery fistulas are defined as abnormal communications between a coronary artery and a cardiac chamber or major vessel, such as to the vena cava, right or left ventricle, pulmonary vein or pulmonary artery [18, 19]. Coronary artery fistulas are rare findings, identified in 10 (0.05%) of 18,272 diagnostic cardiac catheterizations [20].
The three major coronary arteries generally course along the epicardial surface of the heart. On occasion, however, short coronary artery segments descend into the myocardium for a variable distance. This abnormality, termed myocardial bridging occurs in 5–12% patients and usually is confined to LAD [21].
Coronary steal syndrome results where an alteration of circulation patterns leads to a reduction in the blood directed to the coronary circulation. The low pressure in the pulmonary artery causes blood from the abnormal LCA to flow towards the pulmonary artery instead of towards the heart resulting in ischaemia and collateral growth.
The extent of the acquired circulation between the two CAs is the major determinant of the degree of ischaemia, severity of clinical presentation, and outcome. Depending collateral vessels clinically are presented: a) the adult-type with well-established collateral vessels, and b) the infant-type without or with few collaterals, with early onset of symptoms when pulmonary arterial pressure decreases [22].
Origin of LCA from the proximal RCA or the right aortic sinus with subsequent passage between the aorta and the right ventricular outflow tract has been associated with sudden death during or shortly after exercise in young persons.
The increased risk of sudden death may be due to a silt-like ostium, a bend with acute takeoff angles of the aberrant coronary arteries, or arterial compression between the pulmonary trunk and aorta when there is increased blood flow through these vessels with exercise and stress.
The RCA originated from the LCA or left aortic sinus with passage between the aorta and the right ventricular outflow tract is also associated with myocardial ischemia and sudden death [23]. In rare cases of the LCA originated from the right sinus myocardial ischemia may occur even if the LCA passes anterior to the right ventricular outflow tract or posterior to aorta, not through a tunnel between the two great vessels [24].
The revascularization approach in patients with ACAOS has been CABG surgery, although coronary stenting has been reported with acceptable medium term success.
The clinical presentation associated with coronary artery fistulas is dependent on the type of fistula, shunt volume, in situ of the shunt and presence of other cardiac conditions, although patients (50%) often remain asymptomatic [25]. Dyspnea on exertion, fatigue, congestive heart failure, pulmonary hypertension, bacterial endocarditis and arrhythmias are common presentations in symptomatic patients. Myocardial ischaemia may also occur, but the mechanism remains speculative [25]. Symptomatic patients or those with severe shunts may be treated with surgical closure, although percutaneous closure with coil embolization may also be tried.
A myocardial bridge occurs when one of the coronary arteries takes a tunneled intramuscular course under a bridge of overlying myocardium. The myocardial fibers passes over the involved segment of the LAD, and each contraction of these fibers can cause narrowing of the artery. On angiography, the bridged segment is of normal caliber during diastole and abruptly narrows with each systole.
Although bridging is not thought to have any hemodynamic significance in most cases, myocardial bridging has been associated with angina, arrhythmia, depressed left ventricular function, myocardial stunning, early death after cardiac transplantation, and sudden death [21, 26]. Intracoronary Doppler studies have shown that diastolic flow abnormalities may be present in patients with myocardial bridging. Medical treatment generally includes beta blockers, although nitrates should be avoided because they may worsen symptoms. Intracoronary stent and surgery have been attempted in selected patients, but the results have been mixed.
Several problems may be encountered during the angiography and angioplasty of anomalous origin of culprit coronary artery (AOCCA), including precise diagnosis, selection of an appropriate guiding catheter, insufficient backup force, and difficulties in balloon or stent delivery. The final success of the procedure is depended from the careful assessment of the AOCCA configuration, proximal angulation, vessel course and subsequent selection of an appropriate guide catheter and guide wire.
In case of AOCCA femoral access may offer better options allowing for easy, and multiple catheter exchanges [27]. Although, in the setting of ACS, the operator is usually unaware of AOCCA presence, having to make the best use of the chosen access site. Also, it seems best to use the approach one is most comfortable with as there is usually a way to perform successful PCI of AOCCA regardless of access site.
In a meta-analysis of 12 prospective randomized trials comparing above-mentioned approaches there was a small but statistically significant difference in terms of contrast use and fluoroscopy time in favor of coronary procedures performed via left radial approach compared to the right radial approach, but without any difference in access site or other procedural complications [28].
Anchoring balloons or anchor wire techniques may be helpful tools [29]. The latter maneuver was used to treat one of the present patients. Still, this culprit was not proven for AOCCA. Extension catheters, such as Guideliner or Guidezilla often allow for safe and stable intubation and facilitate stent placement.
First case is a 62-year-old female patient hospitalized in our clinic due to chest pain with a history of arterial hypertension and diabetes mellitus. Cardiac biomarkers showed: serum creatinine kinase (CK) level of 82 IU/L, creatinine kinase-myocardial band (CK-MB) level of 33.6 IU/L, and troponin-T level of 684 ug/L. Electrocardiography (ECG) is characterized with ST segment depression in V1–V3. Transthoracic echocardiography (TTE) presented regional wall motion abnormality in the entire severely hypokinetic inferior wall.
The coronary angiography revealed the left coronary artery arising from the right coronary sinus sharing a same ostium with right coronary artery (Figure 3). The proximally and distally stenosed left anterior descending artery (LAD) (Figure 4) associates with calcified atherosclerotic medial and distal right coronary artery (RCA) stenosis (Figure 5).
Coronary angiography revealed a left coronary artery arising from the right Valsalva sinus sharing a same ostium with right coronary artery.
Stenosis of the proximal and distal segments of LAD.
Selective cannulation of RCA. Calcified atherosclerotic medial and distal RCA stenosis.
The second case is a 47-year-old male who presented to emergency department with chest pain. He also had a history of arterial hypertension and a positive history for ischemic heart disease. Cardiac biomarkers: serum creatinine kinase (CK), creatinine kinase-myocardial band (CK-MB), and troponin-T were not increased. Electrocardiography (ECG) showed atypical ST segment changes in leads V4–V6. Transthoracic echocardiography (TTE) did not present regional wall motion abnormalities.
A coronary angiogram showed an anomalous right coronary artery arising from the left Valsalva sinus from a separate ostia with the left coronary artery (Figures 6 and 7). Medial and distal segments of LAD were tortuous (Figure 8).
Right coronary artery.
Right coronary artery rising from left Valsalva sinus from a separate ostia with the left coronary artery.
Tortuous medial and distal segments of LAD.
The third case is 64-year-old man hospitalized to our clinic due to of chest pain. Also, patient was a smoker and had a history of arterial hypertension, obesity, and dyslipidemia. Biochemical parameters were: serum creatinine kinase (CK) level of 82 IU/L, creatinine kinase-myocardial band (CK-MB) level of 6.5 ng/mL, and troponin-I level of 0.1 ng/mL. Electrocardiography (ECG) is characterized with deep Q wave in inferior and V4–V6 leads with biphasic T in inferior and V3–V6 leads. In transthoracic echocardiography (TTE) is presented with regional motion abnormalities in the entire severely hypokinetic inferoposterio wall.
The patients underwent coronary angiography that revealed the LCx arising from the right coronary sinus (Figure 9). The mildly stenosed LCx coexists with a stenosed RCA.
Revealed LCx arising from right coronary sinus.
The second case is 67-year-old man presented to the emergency department with chest pain that had developed 6 h previously. That patient had a history of arterial hypertension for 10 years, diabetes mellitus type 2, and chronically hemodialyzed for 7 years. The laboratory findings showed a serum creatinine kinase (CK) level of 473 IU/L, creatinine kinase-myocardial band (CK-MB) level of 6.4 ng/mL, and troponin-I level of 0.15 ng/mL. Electrocardiography demonstrated ST segment depression of 1–2 mm in leads V4–V6, and inverted T wave in D2, D3, aVF. The transthoracic echocardiography (TTE) revealed severely hypokinetic medioapical segments of anterolateral wall, and hypokinetic basal segments of interventricular septum and inferior wall.
The coronary angiography revealed a left circumflex artery (LCx) as a proximal branch of the right coronary artery (Figure 10). The LAD contained an proximal lesion up to 80%. The LCx and RCA are occluded in medial segment.
Revealed a LCx as a proximal branch of RCA.
The coronary angiography of patients with coronary ischemia determined atherosclerotic disease with possibility of the presence of coronary artery anomalies, but also coronary angiography may reveal coronary artery anomaly without the presence of atherosclerotic changes. The ectopic origin from opposite sinus of coronary artery anomalies that presents with atherosclerotic changes continues to exist as a challenge during treatment in interventional cardiology.
The atherosclerotic coronary artery disease leads to the need of coronarography which can find out the presence of coronary artery anomalies. We should think about these anomalies during coronarography knowing that based on type of these anomalies and considering the vulnerability to atherosclerosis will be determined the method of the treatment.
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Among these heavy metals, a few have direct or indirect impact on the human body. Some of these heavy metals such as copper, cobalt, iron, nickel, magnesium, molybdenum, chromium, selenium, manganese and zinc have functional roles which are essential for various diverse physiological and biochemical activities in the body. However, some of these heavy metals in high doses can be harmful to the body while others such as cadmium, mercury, lead, chromium, silver, and arsenic in minute quantities have delirious effects in the body causing acute and chronic toxicities in humans. The focus of this chapter is to describe the various mechanism of intoxication of some selected heavy metals in humans along with their health effects. Therefore it aims to highlight on biochemical mechanisms of heavy metal intoxication which involves binding to proteins and enzymes, altering their activity and causing damage. More so, the mechanism by which heavy metals cause neurotoxicity, generate free radical which promotes oxidative stress damaging lipids, proteins and DNA molecules and how these free radicals propagate carcinogenesis are discussed. Alongside these mechanisms, the noxious health effects of these heavy metals are discussed.",book:{id:"7111",slug:"poisoning-in-the-modern-world-new-tricks-for-an-old-dog-",title:"Poisoning in the Modern World",fullTitle:"Poisoning in the Modern World - New Tricks for an Old Dog?"},signatures:"Godwill Azeh Engwa, Paschaline Udoka Ferdinand, Friday Nweke Nwalo and Marian N. 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The traditional healer provides health care services based on culture, religious background, knowledge, attitudes, and beliefs that are prevalent in his community. Illness is regarded as having both natural and supernatural causes and thus must be treated by both physical and spiritual means, using divination, incantations, animal sacrifice, exorcism, and herbs. Herbal medicine is the cornerstone of traditional medicine but may include minerals and animal parts. The adjustment is ok, but may be replaced with –‘ Herbal medicine was once termed primitive by western medicine but through scientific investigations there is a better understanding of its therapeutic activities such that many pharmaceuticals have been modeled on phytochemicals derived from it. Major obstacles to the use of African medicinal plants are their poor quality control and safety. Traditional medical practices are still shrouded with much secrecy, with few reports or documentations of adverse reactions. However, the future of African traditional medicine is bright if viewed in the context of service provision, increase of health care coverage, economic potential, and poverty reduction. Formal recognition and integration of traditional medicine into conventional medicine will hold much promise for the future.",book:{id:"6302",slug:"herbal-medicine",title:"Herbal Medicine",fullTitle:"Herbal Medicine"},signatures:"Ezekwesili-Ofili Josephine Ozioma and Okaka Antoinette Nwamaka\nChinwe",authors:[{id:"191264",title:"Prof.",name:"Josephine",middleName:"Ozioma",surname:"Ezekwesili-Ofili",slug:"josephine-ezekwesili-ofili",fullName:"Josephine Ezekwesili-Ofili"},{id:"211585",title:"Prof.",name:"Antoinette",middleName:null,surname:"Okaka",slug:"antoinette-okaka",fullName:"Antoinette Okaka"}]},{id:"76640",title:"Control of Clinical Laboratory Errors by FMEA Model",slug:"control-of-clinical-laboratory-errors-by-fmea-model",totalDownloads:1118,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Patient safety is an aim for clinical applications and is a fundamental principle of healthcare and quality management. The main global health organizations have incorporated patient safety in their review of work practices. The data provided by the medical laboratories have a direct impact on patient safety and a fault in any of processes such as strategic, operational and support, could affect it. To provide appreciate and reliable data to the physicians, it is important to emphasize the need to design risk management plan in the laboratory. Failure Mode and Effect Analysis (FMEA) is an efficient technique for error detection and reduction. Technical Committee of the International Organization for Standardization (ISO) licensed a technical specification for medical laboratories suggesting FMEA as a method for prospective risk analysis of high-risk processes. FMEA model helps to identify quality failures, their effects and risks with their reduction/elimination, which depends on severity, probability and detection. Applying FMEA in clinical approaches can lead to a significant reduction of the risk priority number (RPN).",book:{id:"9808",slug:"contemporary-topics-in-patient-safety-volume-1",title:"Contemporary Topics in Patient Safety",fullTitle:"Contemporary Topics in Patient Safety - Volume 1"},signatures:"Hoda Sabati, Amin Mohsenzadeh and Nooshin Khelghati",authors:[{id:"340486",title:"M.Sc.",name:"Hoda",middleName:null,surname:"Sabati",slug:"hoda-sabati",fullName:"Hoda Sabati"},{id:"348872",title:"M.Sc.",name:"Amin",middleName:null,surname:"Mohsenzadeh",slug:"amin-mohsenzadeh",fullName:"Amin Mohsenzadeh"},{id:"348874",title:"MSc.",name:"Nooshin",middleName:null,surname:"Khelghati",slug:"nooshin-khelghati",fullName:"Nooshin Khelghati"}]},{id:"64762",title:"Mechanism and Health Effects of Heavy Metal Toxicity in Humans",slug:"mechanism-and-health-effects-of-heavy-metal-toxicity-in-humans",totalDownloads:10122,totalCrossrefCites:91,totalDimensionsCites:219,abstract:"Several heavy metals are found naturally in the earth crust and are exploited for various industrial and economic purposes. Among these heavy metals, a few have direct or indirect impact on the human body. Some of these heavy metals such as copper, cobalt, iron, nickel, magnesium, molybdenum, chromium, selenium, manganese and zinc have functional roles which are essential for various diverse physiological and biochemical activities in the body. However, some of these heavy metals in high doses can be harmful to the body while others such as cadmium, mercury, lead, chromium, silver, and arsenic in minute quantities have delirious effects in the body causing acute and chronic toxicities in humans. The focus of this chapter is to describe the various mechanism of intoxication of some selected heavy metals in humans along with their health effects. Therefore it aims to highlight on biochemical mechanisms of heavy metal intoxication which involves binding to proteins and enzymes, altering their activity and causing damage. More so, the mechanism by which heavy metals cause neurotoxicity, generate free radical which promotes oxidative stress damaging lipids, proteins and DNA molecules and how these free radicals propagate carcinogenesis are discussed. Alongside these mechanisms, the noxious health effects of these heavy metals are discussed.",book:{id:"7111",slug:"poisoning-in-the-modern-world-new-tricks-for-an-old-dog-",title:"Poisoning in the Modern World",fullTitle:"Poisoning in the Modern World - New Tricks for an Old Dog?"},signatures:"Godwill Azeh Engwa, Paschaline Udoka Ferdinand, Friday Nweke Nwalo and Marian N. Unachukwu",authors:[{id:"241837",title:"Mr.",name:"Godwill Azeh",middleName:null,surname:"Engwa",slug:"godwill-azeh-engwa",fullName:"Godwill Azeh Engwa"},{id:"274194",title:"BSc.",name:"Paschaline Ferdinand",middleName:null,surname:"Okeke",slug:"paschaline-ferdinand-okeke",fullName:"Paschaline Ferdinand Okeke"},{id:"286975",title:"Dr.",name:"Friday",middleName:null,surname:"Nweke Nwalo",slug:"friday-nweke-nwalo",fullName:"Friday Nweke Nwalo"},{id:"286976",title:"Dr.",name:"Marian",middleName:null,surname:"Unachukwu",slug:"marian-unachukwu",fullName:"Marian Unachukwu"}]},{id:"65467",title:"Anesthesia Management for Large-Volume Liposuction",slug:"anesthesia-management-for-large-volume-liposuction",totalDownloads:5761,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The apparent easiness with which liposuction is performed favors that patients, young surgeons, and anesthesiologists without experience in this field ignore the many events that occur during this procedure. Liposuction is a procedure to improve the body contour and not a surgery to reduce weight, although recently people who have failed in their plans to lose weight look at liposuction as a means to contour their body figure. Tumescent liposuction of large volumes requires a meticulous selection of each patient; their preoperative evaluation and perioperative management are essential to obtain the expected results. The various techniques of general anesthesia are the most recommended and should be monitored in the usual way, as well as monitoring the total doses of infiltrated local anesthetics to avoid systemic toxicity. The management of intravenous fluids is controversial, but the current trend is the restricted use of hydrosaline solutions. The most feared complications are deep vein thrombosis, pulmonary thromboembolism, fat embolism, lung edema, hypothermia, infections and even death. The adherence to the management guidelines and prophylaxis of venous thrombosis/thromboembolism is mandatory.",book:{id:"6221",slug:"anesthesia-topics-for-plastic-and-reconstructive-surgery",title:"Anesthesia Topics for Plastic and Reconstructive Surgery",fullTitle:"Anesthesia Topics for Plastic and Reconstructive Surgery"},signatures:"Sergio Granados-Tinajero, Carlos Buenrostro-Vásquez, Cecilia\nCárdenas-Maytorena and Marcela Contreras-López",authors:[{id:"273532",title:"Dr.",name:"Sergio Octavio",middleName:null,surname:"Granados Tinajero",slug:"sergio-octavio-granados-tinajero",fullName:"Sergio Octavio Granados Tinajero"}]},{id:"30178",title:"Chest Mobilization Techniques for Improving Ventilation and Gas Exchange in Chronic Lung Disease",slug:"chest-mobilization-techniques-for-improving-ventilation-and-gas-exchange-in-chronic-lung-disease",totalDownloads:31045,totalCrossrefCites:0,totalDimensionsCites:5,abstract:null,book:{id:"648",slug:"chronic-obstructive-pulmonary-disease-current-concepts-and-practice",title:"Chronic Obstructive Pulmonary Disease",fullTitle:"Chronic Obstructive Pulmonary Disease - Current Concepts and Practice"},signatures:"Donrawee Leelarungrayub",authors:[{id:"73709",title:"Associate Prof.",name:"Jirakrit",middleName:null,surname:"Leelarungrayub",slug:"jirakrit-leelarungrayub",fullName:"Jirakrit Leelarungrayub"}]}],onlineFirstChaptersFilter:{topicId:"3",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"81967",title:"Cardiac Catheterization after Bypass Surgery",slug:"cardiac-catheterization-after-bypass-surgery",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.104569",abstract:"After coronary artery bypass graft (CABG) surgery, the typical patient will have progression of the original native coronary disease as well as atherosclerosis of the bypass grafts. When this leads to angina or myocardial infarction, repeat cardiac catheterization may be necessary. However, the risks of catheterization in post-CABG patients are higher than in non-CABG patients, and the benefits are smaller, so optimal medical therapy should be employed and clear indications should be present before post-CABG catheterization is undertaken. In the past decade, two advancements have been made in strategies for post-CABG catheterization. First, for patients with a left internal mammary artery graft, left radial access should be routinely used and is safer than femoral access. Second, diseased saphenous vein bypass grafts may offer a retrograde approach to chronic total occlusions of the native artery. When successful, retrograde stenting of the bypassed native coronary artery is more durable than interventions on the saphenous vein graft supplying it. This chapter summarizes indications, techniques, and tricks of catheterization and strategies for coronary intervention in patients with prior CABG.",book:{id:"11235",title:"Coronary Artery Bypass Surgery",coverURL:"https://cdn.intechopen.com/books/images_new/11235.jpg"},signatures:"Reed M. Otten and James Blankenship"},{id:"81532",title:"Ethnobotany",slug:"ethnobotany",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.104754",abstract:"Ethnobotany is a life science which studies the interaction between human beings and flora in particular and broadly deals with the investigations, observations, and identifications of botanical diversity used for the prevention and treatment of human and livestock ailments. The current chapter reviews the history and development of ethnobotany and the involvement of this branch of science in the innovation and derivation of drug products which is originated from plants and claimed by the traditional healers and indigenous people used for the prevention and treatment of disease. This chapter also combines interdisciplinary and multidisciplinary methods that can lead to further productive, comprehensive, and systemic guesstimates in the investigation of the relationship between the plants and humans. Regardless of its various bottlenecks, ethnobotany becomes an attractive and hopeful area of research. It also covers ethnobotanical knowledge and modern science, ethnobotany research and their applications, plant conservation and sustainable management practices, taxonomy, and economic botany. The chapter also deals with the ways in which different societies and cultures have come to perceive, know, use, classify, and symbolically represent plants and animals.",book:{id:"11299",title:"Medicinal Plants",coverURL:"https://cdn.intechopen.com/books/images_new/11299.jpg"},signatures:"Jafer Siraj"},{id:"81972",title:"The Submicroscopic Plasmodium falciparum Malaria in Sub-Saharan Africa; Current Understanding of the Host Immune System and New Perspectives",slug:"the-submicroscopic-plasmodium-falciparum-malaria-in-sub-saharan-africa-current-understanding-of-the-",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.105086",abstract:"The bottlenecks in malaria infections affect malaria control and eradication programs. The gaps in the relationships between stages specific parasites molecules and their effects in the various stages of malaria development are unknown. The challenge hampers the wholesome understanding of policies and programs implemented to control and eliminate malaria infections in the endemic areas. Submicroscopic malaria and its transmission dynamisms are of interest in malaria control programs. The role of various stages of natural protective immunity in submicroscopic malaria infections and the insight into the collaborative role of antibodies from antigens for maintaining lower and submicroscopic malaria could provide a relevant guideline for vaccine developments. The chapter discusses the roles of mosquito and malaria antibodies in maintaining submicroscopic P. falciparum infection and its transmission potentials in malaria-endemic areas and the new perspectives on the inter-relatedness of stage-specific antibodies to improve malaria control programs in Sub-Saharan Africa.",book:{id:"11576",title:"Malaria - Recent Advances, and New Perspectives",coverURL:"https://cdn.intechopen.com/books/images_new/11576.jpg"},signatures:"Kwame Kumi Asare"},{id:"81847",title:"Banks of Cryopreserved Skin from Live Donors and Total Skin Allografts in the Surgery of Major Burnt Patients",slug:"banks-of-cryopreserved-skin-from-live-donors-and-total-skin-allografts-in-the-surgery-of-major-burnt",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.104451",abstract:"Scarectomy and prompt coverage are some of the main cornerstones of the actual treatment of major burnt patients. This coverage can be definitive using autologous tissues or temporary with allografts, xenografts, and/or biosynthetic products. Skin allografts (SAs) are the gold standard therapeutic alternative among temporary coverages, since they mimic skin functions. However, cadaveric skin donation and procurement, a common SA source, are infrequent. On the other hand, there is a significant number of patients that, given their health condition, large amounts of skin must be resected for their clinical recovery, including patients submitted to corporal contouring surgeries with esthetic and/or reconstructive motives, usually eliminating the redundant skin as biological waste. This study describes a skin bank model from live donors and cryopreserved total skin cutaneous allografts (CTSCAs), a new type of SA resulting from a particular skin processing.",book:{id:"11723",title:"Wound Healing - Recent Advances and Future Opportunities",coverURL:"https://cdn.intechopen.com/books/images_new/11723.jpg"},signatures:"Marcelo Fonseca Canteros, Aldo Cañete Soto, Dino Ibaceta Orlandini, Jennifer Gómez Aguilera, Paulina Acuña Salazar, Luana Mandriaza Muñoz, Catalina Buchroithner Haase, Manuel Moya Delgado, Giovanni Vivas Rosales, Nicolle Delgado Cárcamo, Florencia Disi Parga, María Belén Larrea Aguilar and María José Pulgar Leyton"},{id:"81943",title:"Surgical Education: Focus on Gender Equality in Academic Surgery and Related Areas",slug:"surgical-education-focus-on-gender-equality-in-academic-surgery-and-related-areas",totalDownloads:2,totalDimensionsCites:0,doi:"10.5772/intechopen.103853",abstract:"Despite progress and advancements made to achieve gender equality, a glass ceiling still exists for women in surgery. Women remain largely underrepresented in academic surgery, with appointments to only 18% of surgery program director roles and 6.3% of surgical chair positions in the United States as of 2018. Inequities across various surgical subspecialties are also significant, especially in the areas of neurosurgery, orthopedic surgery, otolaryngology, and plastic and reconstructive surgery. Additional barriers exist for women in academics, including lack of high-quality female mentorship, implicit bias within letters of recommendation, and a greater incidence of reported moral injury and burn-out. Further efforts to address these inequities are necessary to retain the talents and contributions of women in surgery. Interventions that may counterbalance the continued gender gap within surgical fields include the implementation of implicit bias training, increasing institutional support, establishing formal mentorship initiatives, the introduction of early exposure programs during medical training, transparent institutional promotion policies, childcare support, and accommodation of maternity leave. The purpose of this chapter is to educate the reader regarding gender inequality in surgery and related fields and to highlight key issues central to the propagation of gender biases specifically as they relate to female surgeons across various roles and responsibilities (e.g., clinical practice, education/training, and leadership) within the contemporary academic landscape.",book:{id:"6947",title:"Contemporary Topics in Graduate Medical Education - Volume 2",coverURL:"https://cdn.intechopen.com/books/images_new/6947.jpg"},signatures:"Minuette Laessig, Lauryn Ullrich, Thomas J. Papadimos, Erin A. 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