Reasons for referral.
\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"9102",leadTitle:null,fullTitle:"Asbestos-related Diseases",title:"Asbestos-related Diseases",subtitle:null,reviewType:"peer-reviewed",abstract:"The issue of asbestos exposure and the resulting health problems is now a global problem. The World Health Organization (WHO) has made recommendations on the eradication of asbestos-related diseases. However, malignant mesothelioma, mainly due to asbestos exposure, is a refractory malignant tumor, and technological innovation in diagnosis and treatment is required. In this context, this book describes the immunological effects of asbestos exposure, blood biomarkers, the pathology of malignant mesothelioma, and the status of immune checkpoint drugs in the treatment of malignant mesothelioma, along with the status of MMP mesothelioma. Concerns about health hazards associated with asbestos exposure may persist for many years to come. We hope this book will help researchers in this area.",isbn:"978-1-83880-833-4",printIsbn:"978-1-83880-832-7",pdfIsbn:"978-1-83880-834-1",doi:"10.5772/intechopen.83098",price:100,priceEur:109,priceUsd:129,slug:"asbestos-related-diseases",numberOfPages:80,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"05268073ee2a653571449e4519749085",bookSignature:"Takemi Otsuki",publishedDate:"April 1st 2020",coverURL:"https://cdn.intechopen.com/books/images_new/9102.jpg",numberOfDownloads:3812,numberOfWosCitations:2,numberOfCrossrefCitations:2,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:2,numberOfDimensionsCitationsByBook:0,hasAltmetrics:0,numberOfTotalCitations:6,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 22nd 2019",dateEndSecondStepPublish:"September 24th 2019",dateEndThirdStepPublish:"November 23rd 2019",dateEndFourthStepPublish:"February 11th 2020",dateEndFifthStepPublish:"April 11th 2020",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"34101",title:"Prof.",name:"Takemi",middleName:null,surname:"Otsuki",slug:"takemi-otsuki",fullName:"Takemi Otsuki",profilePictureURL:"https://mts.intechopen.com/storage/users/34101/images/system/34101.jpg",biography:"Honor. Prof. Takemi Otsuki graduated from Kawasaki Medical School (KMS), Kurashiki, Japan, in 1981. In 1986, at the Institutes of Medical Science, University of Tokyo, he was involved in clinical and experimental research in bone marrow transplantation. The theme of the post-doctoral school (1985–1989) was myeloma cell biology. After joining the Department of Hematology, University of Minnesota, USA, in 1992, Dr. Otsuki studied genes involved in chromosomal translocations of lymphomas in the Department of Hematopathology, US National Cancer Institute, National Institutes of Health. He returned to the Department of Hygiene, KMS, in 1996 and become a professor there in 2003. After retiring from KMS and obtaining an honorary professorship, Dr. Otsuki began working at the Shinjo Village National Health Insurance Clinic. Shinjo village has a small population of fewer than 900 people, and Dr. Otsuki is the sole medical doctor there.",institutionString:"Kawasaki Medical School",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"9",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Kawasaki Medical School",institutionURL:null,country:{name:"Japan"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1093",title:"Thoracic Oncology",slug:"thoracic-oncology"}],chapters:[{id:"70769",title:"Suppressed Immune System Caused by Exposure to Asbestos and Malignant Mesothelioma",doi:"10.5772/intechopen.90763",slug:"suppressed-immune-system-caused-by-exposure-to-asbestos-and-malignant-mesothelioma",totalDownloads:710,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Mesothelioma is the most serious of the asbestos-related diseases. It is caused by exposure to relatively low doses of asbestos and takes a long period to develop, which suggests the enactment of gradual adverse effects other than cellular toxicity. The immune system, which can play a role in tumor prevention, is a presumable target of asbestos by accumulation in lymph nodes and then slowly affecting functions of immune cells. Here, we describe key findings obtained from our studies concerning the immune-suppressive effects of asbestos and functional alteration in immune cells of patients with mesothelioma as well as plaque-positive subjects. Asbestos exposure of cell cultures resulted in decreased natural and acquired cytotoxicity exerted by NK cells and CTLs and the ability of Th1 cells to activate and support antitumor immunity. In contrast, asbestos exposure augmented Treg cell function and generation of fibrogenic/suppressive macrophages. Mesothelioma patients also showed similar characteristics in certain alterations caused by asbestos exposure. Additionally, our recent study established immunological screening devices for mesothelioma and asbestos exposure on the basis of comprehensive analysis of peripheral blood. Those findings underscore the importance of the immunological effects of asbestos and should assist further understanding of the mechanism and early detection of mesothelioma.",signatures:"Yasumitsu Nishimura, Naoko Kumagai-Takei, Suni Lee, Kei Yoshitome and Takemi Otsuki",downloadPdfUrl:"/chapter/pdf-download/70769",previewPdfUrl:"/chapter/pdf-preview/70769",authors:[{id:"34101",title:"Prof.",name:"Takemi",surname:"Otsuki",slug:"takemi-otsuki",fullName:"Takemi Otsuki"},{id:"48627",title:"Dr.",name:"Naoko",surname:"Kumagai-Takei",slug:"naoko-kumagai-takei",fullName:"Naoko Kumagai-Takei"},{id:"48631",title:"Dr.",name:"Yasumitsu",surname:"Nishimura",slug:"yasumitsu-nishimura",fullName:"Yasumitsu Nishimura"},{id:"104893",title:"Dr.",name:"Suni",surname:"Lee",slug:"suni-lee",fullName:"Suni Lee"},{id:"219725",title:"Dr.",name:"Kei",surname:"Yoshitome",slug:"kei-yoshitome",fullName:"Kei Yoshitome"}],corrections:null},{id:"69365",title:"Asbestos-Related Diseases and Blood Biomarkers",doi:"10.5772/intechopen.89438",slug:"asbestos-related-diseases-and-blood-biomarkers",totalDownloads:829,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Asbestos-related diseases, including asbestosis, benign pleural diseases, lung cancer, other types of cancer, and especially malignant mesothelioma (MM), still represent an enormous problem all over the world and are among the most investigated occupational diseases. Considering that MM is a highly aggressive and severe malignant cancer of pleura, peritoneum and other serosal surfaces, new blood biomarkers for earlier diagnosis, following response to treatment and disease progression, have been intensively investigated. Several studies suggested that soluble mesothelin-related peptides, fibulin-3, survivin, osteopontin, vimentin, calretinin, and many others could be helpful in diagnosis, detecting the progression of MM and evaluating tumour response to treatment; however, these biomarkers have not been validated in clinical practice. Therefore, search for novel better stand-alone or composite biomarkers is under way. The aim of this chapter is to present the importance of blood biomarkers in evaluating the risk of developing asbestos-related diseases, early diagnosis, following the response to treatment and progression of these diseases, with special emphasis on MM.",signatures:"Alenka Franko, Vita Dolzan, Katja Goricar and Metoda Dodic Fikfak",downloadPdfUrl:"/chapter/pdf-download/69365",previewPdfUrl:"/chapter/pdf-preview/69365",authors:[{id:"60449",title:"Prof.",name:"Vita",surname:"Dolžan",slug:"vita-dolzan",fullName:"Vita Dolžan"},{id:"172777",title:"Dr.",name:"Katja",surname:"Goričar",slug:"katja-goricar",fullName:"Katja Goričar"},{id:"195632",title:"Prof.",name:"Alenka",surname:"Franko",slug:"alenka-franko",fullName:"Alenka Franko"},{id:"309329",title:"Prof.",name:"Metoda",surname:"Dodic Fikfak",slug:"metoda-dodic-fikfak",fullName:"Metoda Dodic Fikfak"}],corrections:null},{id:"69060",title:"Asbestos Exposure Results in Asbestosis and Usual Interstitial Pneumonia Similar to Other Causes of Pneumoconiosis",doi:"10.5772/intechopen.89247",slug:"asbestos-exposure-results-in-asbestosis-and-usual-interstitial-pneumonia-similar-to-other-causes-of-",totalDownloads:941,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The progression of asbestosis is supposed to begin with the first order of respiratory bronchiole and extend outward. Recently, grade 4 asbestosis was reported to begin with the subpleural peripheral lobular area or the subpleural lobule. Grade 4 asbestosis is defined as diffuse pulmonary fibrosis caused by the inhalation of excessive numbers of asbestos fibers. Pathologically, the presence of more than two asbestos bodies/cm2 on a glass slide is required. There are many cases of diffuse interstitial pneumonia, mainly usual interstitial pneumonia, that does not fulfill the above criteria among asbestos workers or high-grade environmentally exposed persons. I call these cases “usual interstitial pneumonia seen in asbestos workers” and not idiopathic pulmonary fibrosis. In this chapter, I discuss the above subjects, including the dose-response relationship for asbestos exposure, the heterogeneous response to asbestos exposure, and the relationship between asbestosis and idiopathic pulmonary fibrosis.",signatures:"Yoshinori Kawabata",downloadPdfUrl:"/chapter/pdf-download/69060",previewPdfUrl:"/chapter/pdf-preview/69060",authors:[{id:"307325",title:"Dr.",name:"Yoshinori",surname:"Kawabata",slug:"yoshinori-kawabata",fullName:"Yoshinori Kawabata"}],corrections:null},{id:"68917",title:"Immunocheckpoint Blockade in Malignant Pleural Mesothelioma",doi:"10.5772/intechopen.89116",slug:"immunocheckpoint-blockade-in-malignant-pleural-mesothelioma",totalDownloads:712,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Targeting immunocheckpoint with immunomodulatory monoclonal antibodies has proven to be an effective antitumor strategy across a variety of cancers. The immunosuppressive tumor microenvironment in malignant pleural mesothelioma (MPM) has suggested that MPM might benefit from this kind of immunotherapy. In recent years, immunocheckpoint inhibitors (ICIs) have shown encouraging results for patients with MPM. Antibodies against programmed death 1 (PD-1) and PD-ligand 1 (PD-L1) have demonstrated favorable response, progression-free survival, and overall survival. The toxicity profiles were similar to those observed with ICIs in other malignancies, like melanoma and non-small cell lung cancer, and they appeared to be manageable. Nivolumab, an anti-PD-1 antibody, was approved in Japan for advanced or metastatic MPM patients resistant or intolerant to other chemotherapies. Important future issues include developing a combination therapy, where ICIs are combined with other agents (including other ICIs), and developing biomarkers for determining which patients might respond well and which might experience unacceptable toxicities.",signatures:"Nobukazu Fujimoto",downloadPdfUrl:"/chapter/pdf-download/68917",previewPdfUrl:"/chapter/pdf-preview/68917",authors:[{id:"307730",title:"Dr.",name:"Nobukazu",surname:"Fujimoto",slug:"nobukazu-fujimoto",fullName:"Nobukazu Fujimoto"}],corrections:null},{id:"68636",title:"Potential Roles of Matrix Metalloproteinases in Malignant Mesothelioma",doi:"10.5772/intechopen.88783",slug:"potential-roles-of-matrix-metalloproteinases-in-malignant-mesothelioma",totalDownloads:620,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Malignant mesothelioma (MM) is a rare, aggressive, and highly lethal cancer that is primary induced by exposure to asbestos fibers. Matrix metalloproteinases (MMPs) are a family of zinc-dependent endopeptidases that are involved in metastasis, and their overexpression correlates with tumor cell invasion and metastasis because they degrade the extracellular matrix (ECM) and process adhesion and cytoskeletal proteins, growth factors, chemokines, and cytokines. Recent evidence has shown that MMPs participate in MM progression, indicating that they are potential novel biomarkers and attractive targets for cancer therapy. In this chapter, we will describe MMPs in carcinogenic mechanisms based on in vivo and in vitro experimental evidence, outline the clinical findings, and speculate the possible roles of MMPs in MM.",signatures:"Shibo Ying, Yanbin Wang and Lyuyang Lyu",downloadPdfUrl:"/chapter/pdf-download/68636",previewPdfUrl:"/chapter/pdf-preview/68636",authors:[{id:"306153",title:"Ph.D.",name:"Shibo",surname:"Ying",slug:"shibo-ying",fullName:"Shibo Ying"},{id:"306352",title:"Ms.",name:"Yanbin",surname:"Wang",slug:"yanbin-wang",fullName:"Yanbin Wang"},{id:"309729",title:"Mr.",name:"Lyuyang",surname:"Lyu",slug:"lyuyang-lyu",fullName:"Lyuyang Lyu"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"10349",title:"Environmental Health",subtitle:null,isOpenForSubmission:!1,hash:"daa4fa476e1d64c56fabfdbf670e7a9b",slug:"environmental-health",bookSignature:"Takemi 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This chapter presents the findings from a feasibility study of an equine assisted intervention (EAI) which is currently referred over 160 people with mental health and behavioural problems each year. Performing a feasibility study may be indicated when, “there are few previously published studies or existing data using a specific intervention technique” [1].
The framework used for this feasibility study has been designed to underpin public health feasibility studies and outlines eight areas of focus which will be addressed here [1]: Acceptability, demand, implementation, practicality, adaptation, integration, expansion and limited efficacy testing.
In the broader equine intervention related literature there have been studies showing positive impacts on wellbeing through equine assisted therapy with individuals suffering with disabilities, [2, 3, 4, 5, 6, 7, 8, 9, 10] chronic illness physical or mental [11, 12, 13, 14], or individuals with eating disorders [15, 16, 17]. The potential benefits of equine assisted psychotherapy or experiential therapy have also been studied although outcomes have been mixed in terms of the efficacy of interventions with some studies showing positive results and some no effect [18, 19, 20, 21, 22, 23, 24, 25].
Research by Dell’s [26] (equine assisted education) captured the improved communication skills and pride the young participants gained while interacting with horses. Hemingway et al., [27] also described the positive impact of an EAI with young prisoners in a young offender’s institution who said they felt calmer, and importantly more positive about learning with the prison guards reporting some improvements in behaviour whilst incarcerated. A qualitative study on an intervention in Guatemala which teaches natural horsemanship to reduce violence produced positive changes particularly in relation to increased calmness [28].
Pendry and Roeter [29] published a randomised controlled trial evaluating the effectiveness of an EAI which uses natural horsemanship to improve child social competence. The findings showed improvements with a moderate effect size for 5th to 8th grade children. In 2014 Hauge et al. [30], reported on a waiting list cross over design research study undertaken with young people aged 12–15. Those in the intervention group reported an increase in perceived social support compared with the control group which was statistically significant. In 2015 Boshoff et al., [31] shared the results from an experimental study, which measured subjective well-being, problem focused coping, and emotion focused coping. The findings from the study showed some positive changes for young men living in a custodial school.
Nimer & Lundahl [32] published a meta-analysis of animal assisted therapy for young people which showed a moderate positive affect for young people with autism, medical, behaviour and emotional issues. Two recent systematic reviews suggest a need for future studies to include when publishing detailed insights into the intervention and in addition to consider using both validated measures and a qualitative exploration [33, 34].
Two systematic reviews have been published [35, 36] considering the impact of equine assisted therapy on physical issues for adults living with disabilities and schizophrenia respectively. These reviews both found that studies lacked any randomisation within the sample and an adequate sample size. The reviews did show however that studies that have been published so far do report some positive outcomes in relation to a range of physical, behavioural and social issues.
A small study has considered equine assisted therapies impact on depression, anxiety, mindfulness and sleep quality. All areas showed statistically significant improvement, but the sample was small, and the intervention used within the study not well described [37].
EAIs have also been studied by occupational therapists. A pilot study [38] aimed to test an occupational therapy intervention offered in an equine environment and assess preliminary effects on occupational performance goals, behaviour, and social functioning of youth with autism. The findings showed there may be improvements in occupational, behavioural, and social outcomes for this group. Next steps in research terms included refining feasibility measures and implementing a randomised controlled efficacy study.
As the world is currently suffering in the grip of the COVID-19 pandemic it is important to note that the intervention under study here plus other equine assisted interventions internationally have reported increased demand to support young people particularly during the pandemic. As alternative learning or therapy providers equine assisted interventions offer non-pharmacological support for those for whom talk based therapies are not working. Particularly during lockdown and prolonged periods of isolation equine assisted support has been particularly in demand for supporting young people; albeit with strict safety measures in place and some changes made to how sessions are delivered [39].
It is also vital to consider the welfare of equines involved in this activity. Horses are highly susceptible to work stressors related to physical constraints and/or to the need to control emotions while interacting with humans. A narrative review of research [40] found that to date few studies have investigated horses’ stress responses during EAIs, and further studies are recommended, with the final aim to derive a reliable multidimensional method for assessing a horse’s reaction during therapeutic programs, ultimately helping professionals to better develop interventions by taking into consideration the animal’s perspective. However, it is clear that the use of interventions which enable humans to consider the world from the horse’s perspective as a prey animal are likely to improve the world for horses as they increase understanding of and empathy for these wonderful animals.
This intervention is offered by a charity which operates in the South of England and is referred over 160 people every year by a variety of referrers such as Schools & Pupil Referral Units, Children’s Social Services, NHS Mental Health Services, Troubled Families Local Authority Services, Offender Services and other specialist agencies such as charities working with Domestic Violence or Drug and Alcohol Services. The people referred are currently living with 2–4 issues from the list below and they are referred because they are disengaged from talk-based support.
Attention Deficit Hyper-Activity Disorder
Autism Spectrum Disorder
Anxiety/depression
Not attending school (training, work)
Relationship difficulties
Mood swings/impulsivity
Self-harm
Bullying, aggression, anger management issues
Drug & alcohol misuse/child or parents
Eating disorder
Offending
Domestic violence
Neglect / abuse
Parents with mental health problems
Living in care or leaving care
Conduct disorder
The intervention uses the principles of the Parelli Natural Horsemanship program as its philosophical underpinning and structure [41]. This approach is based on developing calmness, and partnership skills through learning natural horsemanship skills. At this introductory level this involves ‘playing’ with specially trained horses inviting them to respond to requests with the young person on the ground and the horse on a loose rope or at liberty. The learning is facilitated by a specialist facilitator and the students are taught how to play the seven ‘games’ with the horse. The course takes place in an indoor arena over 10 hours in five, two hour sessions.
The games taught are:
In order to be effective, the human needs to use clear, phased assertive communication and control their body language and energy in an assertive, non-aggressive way.
All the horses who engage in these courses are kept outside in a natural environment (hedges, trees other horses) in friendship groups with access to shelter if they want it. The workload for each horse is logged and kept light in line with the charities welfare policy. All horse training, handling and husbandry uses natural horsemanship methods and underpinning philosophies and is informed by the charities welfare policy. The horses taking part in this intervention are trained to Parelli level 3 or above by the course facilitators (who are Parelli trained, and trained by the charity to provide this intervention specifically). In addition, rescue horses are retrained using natural horsemanship methods and then take part in the intervention and are then rehomed as appropriate through the registered rescue charity in partnership with the charity providing this intervention.
The methods used to answer the questions posed by the elements of the feasibility study included:
Analysis of referral data from the charity
Interview with the charity CEO (who set up the intervention)
Analysis of before and after scores for participants completed by referrers
The charity beneficiaries are now 600 individuals every year, out of those around 160 undertake the Restart intervention which is evaluated here, the rest benefit from lighter touch support over a longer period, volunteer activities to support the course and/or accredited training through a local college. Over the period of data collection for this study (2016–2018/19) 326 had completed the intervention with an evaluation tool (before they start the program and then two months after they finished the program) completed by their referrer. Completion rates for those who start the Restart intervention are 95%. Referrals are increasing year on year with referrers from multiple agencies as outlined sending those people for whom talk based interventions are not working. Referrers report that between 10 and 15% of their clients do not respond well to talk based interventions. During the COVID – 19 pandemic numbers did drop however the charity stayed open to support individuals with acute mental health and behavioural issues. The charity has been running for ten years and has consistently grown throughout this period.
Since the establishment of this intervention different agencies are becoming aware of it and now the demand is outstripping supply with overall more than 1000 people having completed the course and over 160 per year now being referred just for the Restart intervention.
The intervention which we are focusing on in this paper forms the majority of the activity undertaken by this charity. The lighter touch work with a wider group has now also picked up momentum and is benefitting more individuals, with less acute needs. This variety of offer from the charity has been developed in response to need with many individuals experiencing poor mental health and cuts in mental health services on the NHS in the UK causing wide spread need and little support in many areas.
The main resource issues are the highly trained instructors in natural horsemanship (individuals with typically 10+ years of training). In addition, these individuals need further development to facilitate this intervention from the charity. A physical site for the intervention is needed, and having a yard and an indoor school with a special soft surface is required in order for the charity to function all year round plus ancillary buildings for administration rest rooms etc. In addition, the site for the charity needs to be both accessible to local people in the areas from which the referrals mainly originate which is primarily areas of deprivation and able to house horses in a natural environment which needs safely fenced outdoor space for grazing and social interaction for them.
According to the charity CEO the intervention has not substantially changed since the first month, however the relationships within the family of those who are referred and the resilience skills within the family as a whole (where appropriate) have been identified as very important by the participants, course facilitators and the referrers. Therefore, the charity is now undertaking work with troubled families, foster families and the teams around the family to try to positively impact on these processes. This is being done both through the Restart intervention and as part of the ‘lighter touch’ support offered which includes longer term support for those who need it after completing the intervention and educational opportunities with local colleges to develop social skills as well as volunteering opportunities. All these have been developed through local networking and identification of local need.
This intervention is now recognised as a professional partner by Social Care, Community Mental Health Teams, Child and Adolescent Mental Health Services, Domestic Violence and Drug & Alcohol Services. It is now part of the landscape of care for schools, General Practitioners and social prescribing ‘navigators’. Working across so many sectors however is demanding on the time of the charity staff and requires excellent networking and communication skills. It is interesting that all these agencies are seeing some individuals and families many times however as their ‘offer’ is primarily talk based there is a consistent group for whom their services are not working. Indeed, it would appear that individuals tend to get referred to this charity when they are stuck in ‘treatment’ being ‘bounced’ between services over and over again. They then do this intervention which is intended to positively influence their engagement with services, family, relationships and education.
This charity has now replicated its programmes across eight sites in the UK. With two international sites also launched. Additional facilitators have been trained by the charity to aid replication, recruited primarily from those who already hold instructor status with Parelli Natural Horsemanship.
In this study before and after measures were completed by the person’s referrer to the course 326 completed scales were included in the analysis (see Figure 1).
Star chart.
The star chart tool and further assessment tool was completed electronically by the referrer. The scores were then stored on an excel spread sheet by charity staff with each participant being allocated a code number so the researcher could not identify the person or the referrer, ethical permission was gained from the researchers employing universities ethics panel. This registered charity undertakes risk assessments for all participants who are never left unsupervised with the horses. The horses are all observed for possible stress/distress continuously throughout the course activities informed by the ethogram of horse behaviour [40] activities would cease immediately if any observations of this were made.
The sample constitutes a convenience sample of 7–68 year olds (mean age 20) accessing the course over a three year period for whom full data were obtained female = 193 male = 133. The reasons for referral are shown below in Table 1.
Main reason for referral | Anxiety/depression | Mental health diag- nosis | ADHD/ASD | Bullying/angry/aggressive/violent | Lacks confidence/bullied/ lonely/low self esteem | Witness to domestic violence/ abuse/ neglect | Not attending school/ excluded from school | Self-harm/suicidal | Relationship issues/ attachment disorder |
---|---|---|---|---|---|---|---|---|---|
N = 326 | 45 | 13 | 16 | 68 | 41 | 30 | 43 | 22 | 20 |
Reasons for referral.
The star chart (Figure 1) used has been developed for this EAI program. The referrer rates the young person from 0 (stuck) to 4 (independently using the skills being assessed).
Pre-test scores were analysed using cronbach’s alpha in order to assess the tools internal reliability the score was 0.9 indicating the tool has high internal reliability.
Data was analysed using SPSS and a non-parametric related sample sign test which showed statistically significant improvements between the pre and post-test scores for all eight outcomes with a significance level of p.000. Included here in Table 2 are the numbers of positive, negative and no change scores for the sample.
Star chart skills development pre and post assessment by referrer n = 326 | Number of participants with a positive score change | Number of participants with a negative score change | Number of participants with no score change | Total number of scores in analysis for each Skill |
---|---|---|---|---|
Realistic Planning | 228 | 30 | 68 | 326 |
Assertiveness | 238 | 23 | 65 | 326 |
Communication | 212 | 43 | 71 | 326 |
Calmness | 241 | 24 | 61 | 326 |
Engagement (as a learner) | 220 | 28 | 78 | 326 |
Focus and Perseverance | 222 | 24 | 80 | 326 |
Empathy | 213 | 37 | 76 | 326 |
p.000. Numbers of positive negative and no change scores.
Overall scores for all eight outcomes on the star chart improved for 293 of the participants with 33 experiencing a worsening of their overall score two months after completing the course. On examination of each of these individuals there was no consistent area which worsened across this group. All of the 33 did have some dimensions where they had improved their score or remained at the same score pre and post the intervention.
This intervention does not use cognitive (talking or classroom based) approaches, a key element of this intervention would appear to be that the facilitator and the student are guided by the same principles used for teaching horses, which focus on reading body language and responding appropriately in the moment. The course teaches through practical simulation rather than verbal explanation and uses primarily non-verbal methods (through rehearsal) to potentially positively impact on the emotions and behaviour of the students. The students are coached to success throughout the intervention which enables them to rehearse and achieve successful embodied communication with the horses throughout the course.
Embodied pedagogy is defined as an educational program which brings together body and mind in a physical and mental act of knowledge, skill and behaviour creation [42]. Embodied communication transcends linguistic capabilities, proclivities and differences and seems to offer a universal language that humans share with other mammals. This mode of communication is available to us as human mammals for learning as a pre-language ability [43]. Through this intervention as participants rehearse the embodied skills through ‘playing’ with the horse they become proficient at communicating calmly. The ‘learning’ appears to be rehearsed and reinforced through repetition thus enabling them to feel calm and assertive.
Arguably this embodied or pre-speech capability to communicate with other species as with young children using ‘inter-natural’ embodied mechanisms may offer an opportunity to disrupt maladaptive behaviours previously established by participants to deal with communication and emotions [43]. This learning process may indeed therefore, offer safe opportunities to rehearse effective calm communication.
It is particularly important when evaluating an intervention to consider the qualities that render it effective. Participants on this intervention have to try to understand the point of view of another being, the horse a prey animal, in order to develop effectiveness when communicating through their bodies. As a result of this course participants learnt to ‘listen’ to another ‘being’ through their body language and rehearse this skill throughout the course [44].
The people who are generally referred to this intervention have a wide variety of different behavioural and mental health issues as outlined here many of which are associated with experiencing Adverse Childhood Experiences (ACE’s) such as abuse, neglect or witnessing violence in the home. Through evaluation of this intervention it is interesting to note that many leave the course with similar benefits the most consistent and strong of which is calmness thus enabling participants to re-engage with services, education and relationships. With referrers to the intervention (primarily social workers and mental health services) reporting rapid and effective changes in behaviour. As one participant said following completion of the course ‘I feel reborn’. Does using embodied inter-species interventions offer opportunities for those for whom ‘talk’ based interventions and traditional service models are not working to gain beneficial outcomes?
The intervention considered here would lend itself to a more robust study on effectiveness using a randomised controlled trial particularly in relation to ensuring statistical reliability. Access to school/work attendance and achievement records could also be explored pre and post intervention. Further study of this intervention would also benefit from detailed economic analysis of the potential future costs of not treating people for whom violent behaviour and lack of success in talk-based treatment are primary problems.
Starting to think about how to help people develop or learn the path to wellbeing through learning embodied skills is a new way of thinking about this area. The long-term success and expansion of this intervention which has grown from local need would suggest that using alternative embodied approaches for mental health and behavioural issues particularly for those not currently engaging with ‘treatment as usual’ could be a way forward. Indeed, do we need to consider that the increases in mental ill health and distress need us to re-configure services to the point that embodied nature-based approaches are part of, or at the forefront of what is offered routinely. It is important to recognise that in these interventions there is no need for long term costly consultations, diagnostics and pharmacological approaches along with the stigma and labelling which accompanies them. Nature based embodied approaches are very acceptable to both participants and practitioners with little associated stigma, low drop-out rates and high completion rates and may be the most appropriate initial approach for those with non-psychotic issues.
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He has edited more than 50 international books, presented more than 500 lectures/posters in congresses/meetings, and published more than 1,100 scientific papers in international journals.",institutionString:"Tehran University of Medical Sciences",institution:{name:"Tehran University of Medical Sciences",country:{name:"Iran"}}},{id:"180733",title:"Dr.",name:"Jean",middleName:null,surname:"Engohang-Ndong",slug:"jean-engohang-ndong",fullName:"Jean Engohang-Ndong",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/180733/images/system/180733.png",biography:"Dr. Jean Engohang-Ndong was born and raised in Gabon. After obtaining his Associate Degree of Science at the University of Science and Technology of Masuku, Gabon, he continued his education in France where he obtained his BS, MS, and Ph.D. in Medical Microbiology. He worked as a post-doctoral fellow at the Public Health Research Institute (PHRI), Newark, NJ for four years before accepting a three-year faculty position at Brigham Young University-Hawaii. Dr. Engohang-Ndong is a tenured faculty member with the academic rank of Full Professor at Kent State University, Ohio, where he teaches a wide range of biological science courses and pursues his research in medical and environmental microbiology. Recently, he expanded his research interest to epidemiology and biostatistics of chronic diseases in Gabon.",institutionString:"Kent State University",institution:{name:"Kent State University",country:{name:"United States of America"}}},{id:"188773",title:"Prof.",name:"Emmanuel",middleName:null,surname:"Drouet",slug:"emmanuel-drouet",fullName:"Emmanuel Drouet",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/188773/images/system/188773.png",biography:"Emmanuel Drouet, PharmD, is a Professor of Virology at the Faculty of Pharmacy, the University Grenoble-Alpes, France. As a head scientist at the Institute of Structural Biology in Grenoble, Dr. Drouet’s research investigates persisting viruses in humans (RNA and DNA viruses) and the balance with our host immune system. He focuses on these viruses’ effects on humans (both their impact on pathology and their symbiotic relationships in humans). He has an excellent track record in the herpesvirus field, and his group is engaged in clinical research in the field of Epstein-Barr virus diseases. He is the editor of the online Encyclopedia of Environment and he coordinates the Universal Health Coverage education program for the BioHealth Computing Schools of the European Institute of Science.",institutionString:null,institution:{name:"Grenoble Alpes University",country:{name:"France"}}},{id:"131400",title:"Prof.",name:"Alfonso J.",middleName:null,surname:"Rodriguez-Morales",slug:"alfonso-j.-rodriguez-morales",fullName:"Alfonso J. Rodriguez-Morales",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/131400/images/system/131400.png",biography:"Dr. Rodriguez-Morales is an expert in tropical and emerging diseases, particularly zoonotic and vector-borne diseases (especially arboviral diseases). He is the president of the Travel Medicine Committee of the Pan-American Infectious Diseases Association (API), as well as the president of the Colombian Association of Infectious Diseases (ACIN). He is a member of the Committee on Tropical Medicine, Zoonoses, and Travel Medicine of ACIN. He is a vice-president of the Latin American Society for Travel Medicine (SLAMVI) and a Member of the Council of the International Society for Infectious Diseases (ISID). Since 2014, he has been recognized as a Senior Researcher, at the Ministry of Science of Colombia. He is a professor at the Faculty of Medicine of the Fundacion Universitaria Autonoma de las Americas, in Pereira, Risaralda, Colombia. He is an External Professor, Master in Research on Tropical Medicine and International Health, Universitat de Barcelona, Spain. He is also a professor at the Master in Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima, Peru. In 2021 he has been awarded the “Raul Isturiz Award” Medal of the API. Also, in 2021, he was awarded with the “Jose Felix Patiño” Asclepius Staff Medal of the Colombian Medical College, due to his scientific contributions to COVID-19 during the pandemic. He is currently the Editor in Chief of the journal Travel Medicine and Infectious Diseases. His Scopus H index is 47 (Google Scholar H index, 68).",institutionString:"Institución Universitaria Visión de las Américas, Colombia",institution:null},{id:"332819",title:"Dr.",name:"Chukwudi Michael",middleName:"Michael",surname:"Egbuche",slug:"chukwudi-michael-egbuche",fullName:"Chukwudi Michael Egbuche",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/332819/images/14624_n.jpg",biography:"I an Dr. Chukwudi Michael Egbuche. I am a Senior Lecturer in the Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka.",institutionString:null,institution:{name:"Nnamdi Azikiwe University",country:{name:"Nigeria"}}},{id:"284232",title:"Mr.",name:"Nikunj",middleName:"U",surname:"Tandel",slug:"nikunj-tandel",fullName:"Nikunj Tandel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284232/images/8275_n.jpg",biography:'Mr. Nikunj Tandel has completed his Master\'s degree in Biotechnology from VIT University, India in the year of 2012. He is having 8 years of research experience especially in the field of malaria epidemiology, immunology, and nanoparticle-based drug delivery system against the infectious diseases, autoimmune disorders and cancer. He has worked for the NIH funded-International Center of Excellence in Malaria Research project "Center for the study of complex malaria in India (CSCMi)" in collaboration with New York University. The preliminary objectives of the study are to understand and develop the evidence-based tools and interventions for the control and prevention of malaria in different sites of the INDIA. Alongside, with the help of next-generation genomics study, the team has studied the antimalarial drug resistance in India. Further, he has extended his research in the development of Humanized mice for the study of liver-stage malaria and identification of molecular marker(s) for the Artemisinin resistance. At present, his research focuses on understanding the role of B cells in the activation of CD8+ T cells in malaria. Received the CSIR-SRF (Senior Research Fellow) award-2018, FIMSA (Federation of Immunological Societies of Asia-Oceania) Travel Bursary award to attend the IUIS-IIS-FIMSA Immunology course-2019',institutionString:"Nirma University",institution:{name:"Nirma University",country:{name:"India"}}},{id:"334383",title:"Ph.D.",name:"Simone",middleName:"Ulrich",surname:"Ulrich Picoli",slug:"simone-ulrich-picoli",fullName:"Simone Ulrich Picoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334383/images/15919_n.jpg",biography:"Graduated in Pharmacy from Universidade Luterana do Brasil (1999), Master in Agricultural and Environmental Microbiology from Federal University of Rio Grande do Sul (2002), Specialization in Clinical Microbiology from Universidade de São Paulo, USP (2007) and PhD in Sciences in Gastroenterology and Hepatology (2012). She is currently an Adjunct Professor at Feevale University in Medicine and Biomedicine courses and a permanent professor of the Academic Master\\'s Degree in Virology. She has experience in the field of Microbiology, with an emphasis on Bacteriology, working mainly on the following topics: bacteriophages, bacterial resistance, clinical microbiology and food microbiology.",institutionString:null,institution:{name:"Universidade Feevale",country:{name:"Brazil"}}},{id:"229220",title:"Dr.",name:"Amjad",middleName:"Islam",surname:"Aqib",slug:"amjad-aqib",fullName:"Amjad Aqib",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229220/images/system/229220.png",biography:"Dr. Amjad Islam Aqib obtained a DVM and MSc (Hons) from University of Agriculture Faisalabad (UAF), Pakistan, and a PhD from the University of Veterinary and Animal Sciences Lahore, Pakistan. Dr. Aqib joined the Department of Clinical Medicine and Surgery at UAF for one year as an assistant professor where he developed a research laboratory designated for pathogenic bacteria. Since 2018, he has been Assistant Professor/Officer in-charge, Department of Medicine, Manager Research Operations and Development-ORIC, and President One Health Club at Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan. He has nearly 100 publications to his credit. His research interests include epidemiological patterns and molecular analysis of antimicrobial resistance and modulation and vaccine development against animal pathogens of public health concern.",institutionString:"Cholistan University of Veterinary and Animal Sciences",institution:null},{id:"62900",title:"Prof.",name:"Fethi",middleName:null,surname:"Derbel",slug:"fethi-derbel",fullName:"Fethi Derbel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62900/images/system/62900.jpeg",biography:"Professor Fethi Derbel was born in 1960 in Tunisia. He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. Professor Derbel has published many articles in journals and collaborates intensively with IntechOpen Access Publisher as an editor.",institutionString:"Clinique les Oliviers",institution:null},{id:"300144",title:"Dr.",name:"Meriem",middleName:null,surname:"Braiki",slug:"meriem-braiki",fullName:"Meriem Braiki",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/300144/images/system/300144.jpg",biography:"Dr. Meriem Braiki is a specialist in pediatric surgeon from Tunisia. She was born in 1985. She received her medical degree from the University of Medicine at Sousse, Tunisia. She achieved her surgical residency training periods in Pediatric Surgery departments at University Hospitals in Monastir, Tunis and France.\r\nShe is currently working at the Pediatric surgery department, Sidi Bouzid Hospital, Tunisia. Her hospital activities are mostly concerned with laparoscopic, parietal, urological and digestive surgery. She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. He has authored and reviewed a number of journal articles and book chapters.",institutionString:"National Veterinary Research Institute",institution:{name:"National Veterinary Research Institute",country:{name:"Nigeria"}}},{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",country:{name:"India"}}},{id:"94928",title:"Dr.",name:"Takuo",middleName:null,surname:"Mizukami",slug:"takuo-mizukami",fullName:"Takuo Mizukami",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94928/images/6402_n.jpg",biography:null,institutionString:null,institution:{name:"National Institute of Infectious Diseases",country:{name:"Japan"}}},{id:"233433",title:"Dr.",name:"Yulia",middleName:null,surname:"Desheva",slug:"yulia-desheva",fullName:"Yulia Desheva",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/233433/images/system/233433.png",biography:"Dr. Yulia Desheva is a leading researcher at the Institute of Experimental Medicine, St. Petersburg, Russia. She is a professor in the Stomatology Faculty, St. Petersburg State University. She has expertise in the development and evaluation of a wide range of live mucosal vaccines against influenza and bacterial complications. 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