The qualities of Triguna are described as follows.
\r\n\t
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She is an Associate Professor and senior consultant of Pediatrics in the Faculty of Medicine at Zagazig University and a member of the International Society of Pediatric Oncology (SIOP), the European Hematology Association (EHA), and the Egyptian Society of Hematology.",coeditorOneBiosketch:"Professor at Zagazig University and an active member at EHA, SIOP, HAA, and ESPHO. Dr. Hassan is a guest speaker at numerous pediatric oncology and hematology meetings and he had over 50 international research publications in Pediatrics and Pediatric Hematology and Oncology.",coeditorTwoBiosketch:"Professor at Zagazig University, president of Sharkia Thalassemia Association, and member of the Egyptian national guidelines committee (NEGC) for evidence-based clinical practice. Prof. Sherief has over 50 international publications and many national publications and is an editorial board member in 17 international journals and Peer Reviewer for more than 38 international journals.",coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"187545",title:"Prof.",name:"Marwa",middleName:null,surname:"Zakaria",slug:"marwa-zakaria",fullName:"Marwa Zakaria",profilePictureURL:"https://mts.intechopen.com/storage/users/187545/images/system/187545.png",biography:"Prof. Marwa Zakaria is an Associate Professor of Pediatrics and Pediatric Hematology and Oncology, Pediatric Department, Zagazig University, Egypt. She is an active member of the International Society of Pediatric Oncology (SIOP), European Hematology Association (EHA), and Egyptian Society of Pediatric Hematology and Oncology (ESPHO). She has participated in several professional trainings and workshops, including ICH GCP online training, EHA Master Class and Bite-size Master Class, and training from the Society of Neuro-Oncology (SNO). She completed a postgraduate training program in Pediatric Nutrition at the School of Medicine, Boston University, USA, in 2017. She completed several international preceptorships, including a thalassemia preceptorship and a hemophilia preceptorship. Dr. Zakaria is the recipient of a 2018 award from SIOP, and scholarships from EHA-HOPE in 2017 and 2018. She has participated in many international and national pediatric and hematology conferences, where she has also been a guest speaker. She has more than forty international research publications in pediatrics and pediatric hematology and oncology to her credit. She has edited three books and five book chapters. 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He is an active member of the European Hematology Association (EHA), International Society of Pediatric Oncology (SIOP), and Egyptian Society of Pediatric Hematology and Oncology (ESPHO), and has attended numerous national and international pediatric and hematology conferences held by these organizations and others. He has been a guest speaker at numerous pediatric oncology and hematology meetings and has published more than fifty international research publications in pediatrics and pediatric hematology and oncology. Dr. Hassan has edited two books and authored four book chapters. He has participated in many professional trainings and workshops. He received international scholarships from EHA-HOPE Cairo in 2017 and 2018, and an award from SIOP in 2016. He has completed several international preceptorships, including a hemophilia preceptorship at Saint Luc Hospital, Brussels, Belgium, and an immune-thrombocytopenia (ITP) preceptorship at Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia. Dr. Hassan is an editor and reviewer for many journals, including Hemophilia, Medicine, Oncology Letters, Child Neurology, and more. He was a primary investigator in four international clinical trials and a sub-investigator for ten others.",institutionString:"Zagazig University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"5",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Zagazig University",institutionURL:null,country:{name:"Egypt"}}},coeditorTwo:{id:"110940",title:"Prof.",name:"Laila",middleName:null,surname:"Sherief",slug:"laila-sherief",fullName:"Laila Sherief",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bS1HqQAK/Profile_Picture_2022-05-19T09:40:38.jpg",biography:"Professor Laila Sherief has been a long-serving member of the Zagazig University community in Egypt. She first graduated with honours from the Zagazig University and then went on to do her internship and residency there before becoming a lecturer, an Associate Professor then a Professor in Paediatric in the Faculty of Medicine. Prof. Sherief has published extensively in national/international medical journals and at medical conferences. She has over 50 international publications and many national publications and acts as a Peer Reviewer for more than 38 international journals, including Pediatric Hematology and Oncology, Pediatrics International, Journal of Coagulation & fibrinolysis, Medicine, BMC Endocrinal Disorders, Transfusion Medicine and Cancer Chemotherapy & Pharmacology. She is editorial board member in 17 international journals as BMC Pediatric, Frontiers in Genetics, Hematology case reports, Archives of hematology case reports and reviews, and Annals of Medical case reports. She supervised 83 master and MD thesis in Pediatric, Pediatric Hematology & Oncology and Clinical pathology\r\nProf. Sherief frequently attends national and international conferences and maintains memberships in many professional societies as International Society of Paediatric Oncology (SIOP), International Society of Haemostatis and Thrombosis (ISTH)., Egyptian Society of Pediatric Haematology & Oncology (ESPHO) and Egyptian Societies of thalassemia. She is the president of Sharkia thalassemia Association, Egypt, and member of the Egyptian national guidelines committee (NEGC) for evidence- based clinical practice. She was a member of the scientific committee for promotion of professors of pediatrics in the Supreme Council of Universities in Egypt from 2013 to 2016.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Zagazig University",institutionURL:null,country:{name:"Egypt"}}},coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"16",title:"Medicine",slug:"medicine"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"466998",firstName:"Dragan",lastName:"Miljak",middleName:"Anton",title:"Mr.",imageUrl:"https://mts.intechopen.com/storage/users/466998/images/21564_n.jpg",email:"dragan@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. 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It is a simple art of living comprising of practical knowledge, philosophical and spiritual illumination. Ayurveda medicine is an ancient legacy that resides in the Indian subcontinent. Millions of people in India are presently applying Ayurveda in daily life. Nowadays, it is in practice for health care in European countries. The literary meaning of the word “Ayurveda” is a compound of the word ‘Ayush’ (life principle) and ‘Veda’ (knowledge). Life itself is defined as the body’s combination, sense organs, mind and soul, the preventing factor for decay and death. With this perspective, Ayurveda includes healthy living and therapeutic measures like purification (Panchakarma) and palliative medicine related to physical, mental, social, and spiritual harmony [1]. Thus, Ayurveda is motivating to preserve a healthy person’s health and treat causative factors of pathogenesis.
A comprehensive literature search related to Diet and Behavior and description related basic principles of Ayurveda using all available Ayurvedic compendium, research articles from the various database such as Google Scholar, PubMed, Shodhganga was performed. The reference list of research articles identified and were screened for the diet and behavior in health security.
The basic principle of Ayurveda denotes that everything in the external universe also appears in the human body’s internal cosmos. The human body consists of millions of cells, having a self-disseminating and self -correcting system to maintain harmony in the body as similar to the universe. Human is the essence of the universe, there is as much diversity in the world, and the same is observed in human beings themselves. In other words, human beings are a living microcosm of the universe, and the universe is a living macrocosm of human beings. The Panchamahabhut are the five significant elements present in both the form as a microcosm in the human body and cosmos in the universe, namely Prithvi (Earth), Jala (Water), Agni (Fire), Vayu (Air), and Akasha (Aether). Panchamahabhut is taking part in the formation of an embryo and shelter a development of the origin with its different peculiarities, gives appropriate shape to the body and various organs with the help of Prithvi (Earth). Formation of multiple types of fluids (like blood, serum, lymph, etc.) and gives elasticity, moistness to the body with the help of Jala (Water). Bodily temperature, digestive fire, various enzymes, metabolism symbolizes Agni (Fire). The various activities inside the body (circulation, digestion, filtration, transportation, respiration, etc.), multiple movements, and body functions represent Vayu (Air). The numerous spaces in the body (blood vessels, capillaries, gastrointestinal space, lungs lobules, ear, eyes, nostrils, skin pores, etc.) symbolizes Akasha (Aether). Panchamahabhuta also helps in the formation of Dosha, three fundamental bodily humors; Vata, Pitta, and Kapha. The related elements are Air and Ether, Fire and Water, Water and Earth take part in the formation of Vata, Pitta, and Kapha, respectively. Thus, Panchamahabhuta is the utmost important factor that describes the fundamental principles of Ayurveda [2].
The concept of Guna is thoroughly explained in scientific literature since Bhagwat Gita, Sankhya Darshana, and Atharva Veda. Triguna theory has been utilized to explain the perception of personality in modern era as well. Triguna is Sattva, Rajas, and Tamas, featured with stability, activation, and inertia, respectively. All three exist in human beings, representing the predominance of one or other feature, providing unique quality to humankind. The manifestation of Triguna is attributed to the mental function and mental processes of human beings and all living beings, including the food, surrounding animals, and other elements in the environment [3]. Each individual behaves or lives based on the dominance of Triguna they have and project their personality as well in the mode of worship, the type of food consumed, and everyday activities, having specific qualities (Table 1).
SN | Triguna | Qualities |
---|---|---|
1 | Sattva | Spiritual qualities, mental strength, respect for teachers and elders, non-violence, kindness, silent demeanor, self-control, meditative, etc. |
2 | Rajas | Passionate, enthusiasm, interest, activity & work-driven, restlessness, desire, greed, etc. |
3 | Tamas | Cautiousness, apprehension, revengeful, hardworking, materialistic, ambiguity, idleness, etc. |
The qualities of Triguna are described as follows.
The fundamental concept of health is a balanced state between three bodily humours, i.e., Tridosha (Vata, Pitta, and Kapha). Vata is the air principle necessary for every movement and function of various systems. Pitta is the fire principle useful for digestion, energy level, and metabolism in the system. Kapha is the water principle related to mucous, lubrication, nutrient, serous fluid in the system. The five significant elements (Panchamahabhut) combine in pairs to form three dynamic forces: Vata, Pitta, and Kapha, continually moving in emotional balance with the others, required for healthy life normalcy in human behavior.
Every person comprises all three Doshas. However, the proportion varies according to the individual and is predominant [4]. That is why people can have many standard features and have an endless variety of nature, which decides the Prakrit of each individual. Each Dosha has its characteristics of governing principles (Table 2).
Dosha | Vata | Pitta | Kapha |
---|---|---|---|
Predominant stage in life | Old age | Teen and Adult. | Childhood years. |
Function | Body movement, respiration, natural urges, the transformation of the tissues, motor and sensory functions, secretions, anxiety, emptiness, nerve impulses, etc. | Body temperature, digestion, eyesight, understanding, hunger, thirst, intelligence, anger, hatred, jealousy, etc. | Steadiness, energy, lubrication, compassion, greediness, attachment, build-up, holding, etc. |
Characteristics | Cold, light, irregular mobility, dry, rough, etc. | Hot, light, liquid, delicate, sharp, smelly, soft, strong, etc. | Fatty, cold, heavy, stable, dense, smooth, etc. |
Stage of Vitiation | nerve irritation, high blood pressure, gas, confusion, nerve loss, congestion, constipation, thoughtlessness, etc. | Ulceration, hormonal imbalance, irritable skin, emotions, anger, faulty digestion, inability to understand, slow metabolism, etc. | Sinusitis and cough and cold, obesity, lethargy, experiences a dry respiratory tract, burning stomach, etc. |
The characteristics of the governing principles of life are as follows.
Dhatus are the primary supporter to structure and function of the body as like a tissue, seven in number known as Rasa (final metabolic juice and plasma-derived from the digestive system), Rakta (blood and related circulatory system), Mamsa (musculature, tendons, muscular system), Meda (fat, fat-like structures, adipose tissues), Ashti (bones, bony part, and skeleton), Majja (marrow, bone marrow) and Shukra (structurally and functionally related to the male and female reproductive system). These all structures that make the body, an integral part of it, imbalance causes fatigue and diseases. It is imperative to understand the normal and abnormal functioning of all Dhatus to recognize the exact pathophysiology in the body during disease condition. The formation of Dhatus is consecutively, and nourishments of each Dhatus depends upon the previous one. During this tissue formation process, some metabolic waste is produced as tissue excreta is known as Dhatumala, also having a unique identity in structural and functional processes in the body. If some abnormality is molded in Rasa Dhatus, the sequential nourishment will be affected, resulting in improper microcirculation and developing deformity in the next tissue [5].
Srotasa is the passages or channels through with Dhatus (various tissues) are transported for their transformation and metabolism. Srotasa comprises multiple systems in the body, described under the physiological heading, the structures from which the contents move out, ooze out, or transude out. The nutrient substances are provided to various tissues through these channels, related to their corresponding tissues’ metabolic state through different mechanisms. They are of different shapes like circular, elongated, and reticular. Channels are microscopically innumerable in numbers, but they are thirteen in number or eleven in pairs as per other ancient authors in a macroscopic manner. Each channel has its roots organs; an entire track is governed given its physiology, pathology, and treatment [6].
Prakriti is the crucial concept, and the fundamental constitution of the body decides at the time of conception, fixed throughout the lifetime. It is the genetically determined physical and mental constitution of the individual. It is a combination of Vata, Pitta, and Kapha. Different persons have different varieties known to be their basic Prakriti as per the predominance of bodily humor. According to Ayurveda, it is the unique feature of human beings that every individual reacts differently when exposed to the same environment as once fingerprint or DNA. Thus, it is necessary to determine the person’s exact Prakriti to assess a person properly for their diet, behavior, pathology, and treatment. Every person has their own unique identity, which constitutionally defines body physiology, stimuli to environmental factors, the reaction towards various drugs, and susceptibility to multiple diseases. However, in the current scenario, it is considered as a concept of preventive and personalized medicine. The knowledge of Prakriti is a unique specialty and essential tool to understand the mental and physical nature of the person, predict disease susceptibility, helps in diagnosis of the disease, and even break the pathophysiology of the disease [7]. There are many recognizable phenotypic features described for each type of Prakriti (Table 3).
Vata | Pitta | Kapha |
---|---|---|
Body frame is thin, does not gain weight. Skin is dry rough with dark complexion. Hairs are dry and splitting. Activities are quick. Appetite is variable. Working capacity is less. Poor immunity. Required warm food and climate. Perspiration is quite scanty. Frequent constipation, having disturbed sleep. Anxious, depression, unpredictable in nature. | Body frame is medium. Skin is delicate, pinkish complexion, warm in touch. Hairs are soft, having premature graying and tendency to baldness. Increased appetite. Having sharp vision. Feels internally warm and hot. Required cold food, and climate. Hot food and climate can not be tolerated. Having frequent loose motion, excessive thirst and smelly perspiration. Brilliant, having sharp memory, brave, jealous, aggressive and commanding in nature. | Body frame is broad and large, tendency to gain the weight. Complexion is fair, glossy and skin is thick, soft and smooth. Hairs are thick, oily and dark. Having good working stamina, but less physical activity. Voice is deep and pleasant. Perspiration is moderate and having low thirst. Sleep is deep and sound. Eyes are large calm and stable. Having calm, joyful and polite nature. |
Key distinguishing features for Prakriti determination.
In Ayurveda, the term Koshta is explained in two senses; first is regarding anatomical ground viz. space and hollowness of the body and second in terms of physiological way viz. bowel movement according to the fundamental constitution of the person. There are three types of Koshta explained in the Ayurveda context viz. Kura (hard bowel), Mrudu (soft bowel), Madhyam (moderate bowel), having their features with specific Prakriti and Dosha (Table 4). It can be assessed with bowel habits frequency, consistency, straining, or efforts, and time is taken for proper defecation [8].
SN | Koshta | Meaning | Dosha relation | Agni relation | Feature |
---|---|---|---|---|---|
1 | Kura | Hard bowel | Vata | Vishama | Poorly secretive and absorptive, hard feces with the difficulty of elimination or even non-elimination. Appetite Irregular, variability in digestion, abdominal distension or gas, tendency of constipation, etc. |
2 | Mrudu | Soft bowel | Pitta | Tikshna | Stool is soft, lubricated and slippery, watery or semi-solid, nature of hyperacidity, prone to gastritis, heartburn, hot flashes, acidic saliva, and fever. Tendency of loose motion etc. |
3 | Medium | Moderate bowel | Kapha | Manda | Stool with more lubrication, but less slippery, having optimum secretion and absorption, metabolism is slow and feel heaviness in the stomach, the body, and the mind, etc. |
Characteristics of the Koshta.
Agni has an integral role in digestion and metabolism, that ingested food is digested, absorbed, and assimilated, make available as a final metabolic juice with the help of this rest of the tissue (Dhatu) nourished sequentially. As per modern medicine, metabolic processes, division, and multiplication are a continuous process from birth to death. As biological energy, Agni essential to be constant for the body’s survival, provided strength to every cell till the end of life. Agni is also classified into four heads, viz. Vishama (Irregular Metabolism), Tikshna (Hypermetabolism), Manda (Hypometabolism), Sama Agni (balanced state) correlated concerning Koshta as in Table 4. The balanced Agni featured happiness, perfect health, calm and clear state of mind. Individuals can digest a reasonable quantity of food in any season without any problem and can easily tolerate changes in the environment and changes in the seasons. A person can enjoy balanced digestion, absorption, and elimination [9].
Ahar means taking in, swallowed through the throat, esophagus, and process in the gastrointestinal tract. Food is the best thing that endures life and provides strength, color, complexion, vigor, and body development, hence called superior medicine. The great scholar Lolimbaraj said that when the diet is wrong, medication is of no use; when the diet is correct, there is no need for medicine. Most of the time, the cause of numerous diseases is improper diet. Food also contains five great elements, i.e., Panchamahabhutas; if one consumes food in proper proportion, it will help balance similar elements in the body. Light food comprises Vayu, Agni, and Akasha Mahabhuta, whereas heavy food contains Prithvi and Jala Mahabhuta predominance. Based on Agni and Koshta, individuals have to consume their diet concerning the saturation point to maintain proper body strength [10].
The word Vihar means transportation, distribution, wandering, which includes daily and seasonal activities. According to individual Prakriti, Agni, and Kosta, great scholars have described their importance, usefulness, and harmfulness. The great ancient scientist prescribed daily schedule and behavioral changes in terms of daily routine, yoga and exercise, nighttime routine, seasonal routine, regarding basic instinct, suppressible or non-suppressible natural urges, code of conducts related to ethics, social, mental, moral, and physical category, sidestepping of excessive and incorrect use of sense organs, governing on speech and thoughts. With this regime, a person remains healthy and can prevent disease conditions related to lifestyle disorders [10].
The Agni, biological energy, in a balanced state, keeps the body healthy and leads to long life. The imbalance or stoppage of this energy’s functioning, the whole metabolism would be disturbed, and the individual may ill, diseased, or dies in a short duration. It plays a vital role in nutrition. Most of the diseases, physical-physiological and psychological, are the byproducts of the Agni’s malfunctioning, hence called the key root of health. It coordinates physiological processes like digestion, reabsorption, sensations, and the formation of energy. Due to the malfunctioning of Agni, food is not digested correctly and formed a toxic substance in the body that is referred to as ‘Ama’ in Ayurveda. This poisonous substance is solely responsible for poor digestion, improper blood circulation, low energy level, poor complexion, poor immunity leads to disease conditions according to Prakriti, and Dosha-Dhatu balance [11, 12].
Ayurveda, Ahar (Diet), and Vihar (Behaviour) are advised as per seasonal and diurnal regimes based on Prakriti. The individual should adopt these regimes as per their Prakriti and keeps equilibrium in Dosha (three bodily humours). Ayurveda offers extensive preventive measures considering Prakriti types to maintain health with favourable foods and behavioral, physical activities. And at the same time, restrict and advised to avoid unfavorable diet and physical activities that may create disease and illness in the body. The healthy state of the body and disease condition depends entirely on Agni concerning diet and behavior [13].
The basics of Ayurveda suggested the state of equilibrium of Dosha (three body humors), Dhatu (seven types of tissues), and Trimala (Sweat, Urine, Stool) for the healthy living being. The ingested food gets digested well with the help of balanced biological energy and form productive nutrients for the nourishment of the bodily tissues. It sequentially takes place with the metabolic energy of each tissue and nourishes dependent tissues also. A healthy diet is essential for good health, which protects the body from many diseases. A healthy diet means a variety of foods, with less salt and sugar, the saturated and trans essential fats, including cereals, starchy roots, lentils and beans, fruits and vegetables, animal source foods (as per need), a preferably fibrous diet with sprouts, salad, leafy vegetables which keeps the body fit and fine. The intake of diet at the appropriate time and with due interval is essential. A person should consume food which is suitable to him as per his Prakriti and which digested quickly. Keep three-four hours interval between breakfast and lunch. Please keep in mind the gap between dinner and next morning breakfast should be eleven-twelve hours. With proper diet, quality of sleep is of utmost importance for good health. For good digestion and sleep, keep a minimum two hours interval between dinner and bed time [14]. Adequate sleep is as equally important as eating healthy and exercising. Nowadays, people sleeping less than the required duration are connected with higher body weight, poor nutrition, greater risk of heart disease and stroke, affected glucose mechanism, risk of diabetes, and low immunity. In a pandemic situation, body physiology gets changes according to the external environment that will affect the person’s overall health. In that situation, everyone has to make a diet plan as per the suitability of the person. Proper diet planning includes good food habits, nutritional food, a wholesome diet, an easily digested diet, low calory healthy diet, and a timetable of breakfast, lunch, and dinner. Dietary and behavioral measures include the type of diet, time of consumption, the interval between intake of food, the quantity of intake (should be one-third of stomach capacity), and nutrition values. The central concept of diet in Ayurveda includes three types of diet Satvik, Rajas, and Tamas; a person should consume a diet accordingly to keep equilibrium for sustenance and good health management strong relation between gut health and mind. Whole things are interconnected; scheduling and management play a significant role in the pandemic situation for good health. Perhaps Ayurveda teaches us an important lesson that our health is up to us, how to live every day and every hour, choose either health or illness, opt for sound options, and think-rethink our choices [15].
The awareness regarding diet and behavior is essential for health security, which is excellently elaborated in the Ayurveda context. The dietary pattern related to various ages is also explained in the literature. The adolescent age group is very vulnerable to food choices responsible for growing age health related problems. Consciousness and knowledge about recommended food and nutrition may reduce the risk in growth and development. There should be a feedback system in adolescent age for nutrition knowledge and healthy behavior. Simultaneously, the pregnant woman is the weaker part of society. She needs the intervention of more nutritious diets and healthy habits that improve her health and reflections on a healthy baby. There should be one unique health plan related to pregnant women, which should be developed and validated regularly for the part of the government’s health care mechanism. The dietary interventions affect the gut microflora composition and their function, reducing the risk of various diseases. Another concept related to the drug delivery system of bioactive components through nanotechnology plays a vital role in health promotion, health security, and disease prevention. In this method, one can increase bioactive compounds’ bio-availability at various stages of digestion, absorption, and assimilation. In old age people, the most significant risk factor is neurodegenerative diseases due to calorie restrictions and intermittent fasting. According to age and Prakriti and behavioral guidelines, a health regulatory body should unanimously frame a comprehensive diet plan [16, 17, 18, 19, 20, 21].
The health streams like Ayurveda, Modern medicine, Homeopathy, Siddha, Unani, etc., are solutions to health-related problems. The global health community has to determine health crisis problems and strategic level integrated models with disaster defender system which can enhance global capacities and capabilities for infectious diseases. The complementary sciences can help community-based contextual issues effectively and maybe the part of more decisive strategic planning in the outbreak of contagious diseases for strengthening the immune system of the society. The global health leadership, WHO must formulate strong international health regulations treaty and country-wise administration, considering bottom line community no longer been deprived of health providers in disaster situations. WHO should develop a global response system for crisis response and risk reduction worldwide to collaboratively take opinion of practitioners and health care decision-makers in various fields irrespective of the health care system [22, 23, 24, 25].
The Ayurveda plays a significant role in managing diet and behavior, advised ingesting, according to Prakruti, Koshta, and Agni, considering the daily and seasonal changes for health security. A person has to take the proper diet recommended to their Prakriti in a pandemic situation and ensured activities with exercise are suggested in the prescribed period.
The authors declare no conflict of interest.
Aether Digestive power, biological energy Fire principle Diet bones, bony part, and skeleton life principle Tridosha (Vata, Pitta, Kapha) body tissue Water principle bowel movement type hard bowel moderate bowel marrow, bone marrow musculature, tendons, muscular system Hypometabolism fat, fat-like structures, adipose tissues, soft bowel five elements - (Akash, Vayu, Agni, Jala, and Prithvi) Earth principle blood and related circulatory system final metabolic juice and plasma-derived from the digestive system balanced state of metabolism structurally and functionally related to the male and female reproductive system Hypermetabolism Air principle Knowledge Exercise/Movements/behaviour Irregular Metabolism
All the vessels that drain blood out of the heart are called artery, and those that drain blood into the heart are called vein. Pulmonary veins, literally, are the vessels that transport oxygenated blood from the lungs back to the left atrium. The information of those veins is hardly found in veterinary textbooks. First of all, this chapter is focus on the development of those veins in fetus. If something wrongs during the process, different type of the abnormality leads to different results. The diagnosis, treatment and prognosis in human medicines are introduced simply in this chapter. In addition, pulmonary venous abnormalities in the veterinary medicines are reported in several species. Those case reports will also be briefly reviewed in this chapter.
The development of the cardiovascular system is complicated because it involves the process from before the folding of heart tube and extend to the later stage of vascular growth. In the vertebrate embryo, most discussion start from the Carnegie stage 12, which approximately equals to 28-30 days in human [1] and 2 days in chicken [2]. At this moment, the primitive pulmonary vein originates from the venous plexus of splanchnic mesoderm. The staining characteristic of the pulmonary vein orifices in the developing heart can prove that the pulmonary vein is not part of the heart tube: it has no atrial natriuretic factor and has connexin 40 (a transmembrane protein that responsible for electrical coupling mostly found in the nodal tissue) [3]. In addition, an observation study of chicken embryo using image analysis and three-dimensional reconstruction technique also revealed that the pulmonary vein is developing from the splanchnic plexus [4]. The venous plexus of splanchnic mesoderm is a great capillary network that spread from the heart to the liver, connecting cardinal and umbilicovitelline veins. In other words, the pulmonary vein is communicating with systemic venous system in the beginning. In the subsequent developmental process, this communication will degenerate, therefore separating the systemic and pulmonary venous systems (Figure 1) [5].
The normal pulmonary venous development. A, the lung buds are surrounded the splanchnic plexus that communicates umbilical veins and cardinal veins. B, Common pulmonary vein is formed and connected with the sinoatrial part of the heart. C, the connection between pulmonary and splanchnic venous plexus is disappearing. D, the common pulmonary vein develops to four distinct pulmonary veins that incorporates separately with the left atrium. LA, left atrium; LCCV, left common cardinal vein; LLB, left lung bud; RA, right atrium; RCCV, right common cardinal vein; RLB, right lung bud; UV, umbilical vein.
This common pulmonary vein connects the lung buds to the dorsal heart tube, where would develop to left atrium after the outgrowth of intertrial septum. At the level of left atrium, the common pulmonary vein would usually divide into four branches and incorporate with left atrium, forming the smooth part of the left atrium wall [6]. In a study using 26 normal human embryos, the initial process of formation of the human pulmonary vein is very similar to that seen in animal models; marked temporal and morphological difference between the development process of right- and left-side pulmonary veins was found: a much longer tributary being formed on the left than on the right [7].
Various congenital abnormalities of pulmonary veins can occur if anything is wrong during these developmental processes. The cor triatriatum sinister (CTS), a condition that left atrium is separated into two chambers by a membranous tissue, is thought to be the consequence of the inappropriate incorporation of pulmonary veins with the left atrium [7]. In addition, if the atrophy of connection between pulmonary veins and systemic venous system is fail, total or partial anomalous pulmonary venous connection (TAPVC or PAPVC) occurs, depending on the degree of remanent communication between systemic and pulmonary venous system [8].
The pulmonary veins, in contrast to systemic veins that collect deoxygenated blood from all organs except lungs, deliver oxygen-rich blood from the lungs to the left atrium. Generally, there are four tributaries of pulmonary vein that would form four ostia on the left atrial wall, two from the right cranial and caudal pulmonary vein and the other two from the left cranial and caudal pulmonary vein (Figure 2). The right cranial pulmonary vein collects blood from the right cranial and middle lung lobe, and the right caudal pulmonary vein receives blood from the right caudal and accessory lung lobe. The rest pulmonary veins serve for the corresponded lung lobs that they are named after [9].
Normal anatomy of pulmonary veins. The blue (deoxygenated) marks pulmonary arteries, and the red (oxygenated) marks the pulmonary veins.
In atypical but not rare situations in human, pulmonary veins that both originate from right (4%) or left (17.8%) may fuse into a common trunk before entering the left atrium [10]. Additional pulmonary veins derive from individual lung lobes can also happen. Generally, these variations of the number of pulmonary veins are not always problematic, but it may interfere with clinical decisions especially in surgical procedures.
In the species that have two atriums, two ventricles, and execute oxygen exchange via the lungs, the oxygenated blood is pumped from the aorta and sent into tissues. The oxygen, nutrients and metabolic products diffuse and exchange in the capillaries that converge and form the vein. Vena cava collect all the venous blood and return to right atrium, right ventricle and lungs. After oxygenation in the lung, these fresh, oxygen-rich blood is returned into left atrium via pulmonary veins, therefore complete the cycle of blood circulation.
Before we go deeper into more understanding of the pulmonary veins, there is an important concept that should be explained first. The cardiovascular system has several functions that are all indispensable to keep the body works normally. Maintaining the systemic arterial pressure is the first priority of the cardiovascular system, it means that the systemic arterial pressure is the last one that the decompensation occurs. The second one is to keep the cardiac output at an adequate level that can provide enough blood flow to the peripheral tissues. Maintaining the normal capillary pressure is the last priority, and therefore it is the reason that the first sign of heart failure is commonly those that associate with congestion [11]. In the cases of pulmonary vein abnormalities, although the pathophysiological mechanisms are different among diagnosis, the loss of normal capillary and venous pressure is often the end result of the developmental disorders. Patient is commonly presented to the clinic because of signs related to congestion. Therefore, we will discuss the pulmonary venous pressure in the next paragraph.
In the fetus, the pressure of the pulmonary system is higher compared to after birth because of very high pulmonary vascular resistance and resultant low pulmonary blood flow (only account for 10 to 15% of right heart stroke volume). The pulmonary vascular resistance falls after birth, and the pressure of pulmonary system drops to a lower level than the systemic circulation in normal setting [12]. In an experiment that studying normal dogs with light sedation, the mean pulmonary venous pressure (17.1 ± 6.5 mm Hg) is consistently slightly higher than mean left atrial pressure (13.4 ± 6.3 mm Hg), which is almost the same with mean pulmonary wedge pressure (13.3 ± 6.2 mm Hg). Considering that the lungs are a large organ that occupy the thorax cavity, the pulmonary venous pressure between locations that differ from altitude (distance from left atrium) is vary [13]. Generally, the pulmonary veins share the similar intravascular pressure with left atrium because there is no valve between them.
During ventricular systole and early diastole, the blood in the pulmonary veins flow into left atrium, and part of blood in the left atrium would regurgitates back into pulmonary veins when the atrial active pumping that corresponds to the ventricular late filling phase. The changes of pulmonary venous profile among different cardiac cycle can be record by the echocardiographic Doppler examination [14]. It is therefore reasonable that any reason that elevates pressure of the left atrium has the potential to increase the pulmonary venous pressure, because of the higher impedance of draining blood forward and larger regurgitated volume from the high-pressured left atrium.
Another important characteristic of vessel that we cannot forget when we are discussing the hemodynamic is the vascular distensibility and compliance. Distensibility is an ability of vessel whose volume can increase or decrease for every increase or decrease intravascular pressure, and the compliance is equal to distensibility times the volume of blood in the given portion of the circulation. Because of the different wall constitution between veins and arteries, the distensibility of veins is about eight times larger than that of arteries. That is, the venous system can conserve more blood and only has slightly elevation of the intravascular pressure [15]. The pulmonary veins have similar distensibility to the systemic veins, meaning that the pulmonary venous pressure would not exceed the normal range before large amount of blood is congested in the pulmonary capillary and veins.
Various congenital and acquired cardiovascular diseases that affecting pulmonary veins themselves and the left atrium could lead to the congestion of pulmonary veins. They can be simply classified into conditions that cause obstruction or pulmonary overcirculation. Occlusions of one or more pulmonary veins, and the divided left atrium (like the CTS) are examples that pulmonary venous blood flow has difficulties to get through obstacles in its normal pathway and therefore causing high pressure to the rest part of pulmonary veins. In addition, pulmonary overcirculation caused by intra- or extra-cardiac left to right shunting (atrial and ventricular septal defects, patent foramen ovale, patent ductus arteriosus, and anomalous pulmonary venous connection and so on) also has the potential to causes pulmonary congestion because of larger than normal volume that circulates the pulmonary vasculature. Among them, CTS, TAPVC and PAPVC are three of the good examples that is closely related to the development of pulmonary veins. We will discuss these diseases in the following sections.
The CTS is a relatively rare congenital cardiovascular disease that has been first reported in 1868 [16]. In an autopsy research, it was accounted for 0.1% to 0.4% in human patients with congenital heart disease [17]. In veterinary medicine, the true prevalence is hard to know because this abnormality is not always producing heart murmur and develops clinical signs that can be observed by the owner and the veterinarian at the general practice. By reviewing case reports, naturally-occurred CTS is identified more frequently in cats [18, 19, 20, 21, 22, 23] than in dogs [24, 25, 26].
The embryonic cause of CTS is still controversial, but the theory of pulmonary venous abnormality is the most popular. In the development of pulmonary veins, they should incorporate with left atrium and form four ostia on the smooth part of the dorsal left atrial wall. If certain degree of failure in this process occurs, the left atrium could be separated by the remains of the pulmonary veins, most of the time is a fibromuscular membrane. The left atrium is therefore divided to a proximal chamber that locates between the atriopulmonary junction and the fibromuscular membrane, and a distal chamber that extends from the fibromuscular membrane to the mitral valve annulus. The molecular cause of CTS was first reported in experimental mice without hyaluronidase 2, which is an enzyme required for the degradation of hyaluronan that is the major extracellular matrix component of the heart [27]. Later, the similar result was obtained by genetic studies in affected human families and mice [28].
Anatomic variation of the membrane exists and whether or how much of the blood flow would be impeded depends on the three-dimensional relative position between the membrane and left atrium. This intra-atrial septum can be complete, incomplete or fenestrated, and its size, shape, thickness and location can be varied among affected patients. Types of diaphragmatic, hourglass and tubular has been used to describe the variations [29]. In a retrospective study, the histopathology of the membranous tissue was investigated. Elastin fibers were found to be presence in the top and bottom side and was absent in the middle layer of the diaphragm. Cardiomyocytes with positive staining of cardiac troponin C were located in the peripheral region, more on the side that near the diaphragm and atrial septum than on the side that near the diaphragm and the atrial free wall. The remanent area was mostly made up by the fibrous collagen and other mesenchymal cells. These specimens were collected from human patients that undergo surgical repair of the Cor triatriatum sinister, without surgical death in this cohort [30].
Impendence of the blood flow in the left atrium could cause turbulence, but the pressure gradient between two chambers may be not large enough for the heart murmur to be heard. Elevated pressure in the proximal chamber of the left atrium could raise the intravascular pressure of the pulmonary veins, and signs of left-side congestive heart failure may occur. However, the natural progression of the CTS in human patients is generally stable, with more than half patients were diagnosed in adulthood. In patients that need surgical correction using cardiopulmonary bypass, the surgery is safe and effective [31].
Transthoracic echocardiography is usually helpful in making diagnosis [32]. Except for detecting Cor triatriatum sinister, the echocardiography can also identify concurrent lesions. High proportion (58%) of affected human patients had associated abnormalities, and atrial septal defect and anomalous pulmonary venous connection were the most common and should be always keep in mind [30, 31, 33]. Two feline cases had been published that one kitten had CTS combined with persistent left cranial vena cava [20], and the other was diagnosed CTS with incomplete atrioventricular septal defect [21]. Some conditions can mimic the CTS under two-dimensional imaging mode, including supramitral ring or pulmonary stenosis [34]. In cases that the echocardiographic result alone is controversial or is suspicious of having multiple cardiovascular developmental diseases, additional imaging tools should be considered. A special case that was diagnosed as CTS with TAPVC by echocardiography combined with saline contrast technique was report in 2020 [35]. In some conditions especially when our target area is located near the heart base, the transesophageal echocardiography can provide better image resolution and details than the transthoracic echocardiography. Cardiac catheterization angiography has its advantages that it can measure the true intra-lumen pressure, which is always an estimated value if only echocardiography is performed. However, its clinical utility is limited in the veterinary field because deep sedation to generalized anesthesia is usually required in veterinary patients. Other imaging tools like computed tomography angiography and magnetic resonance imaging can provide multiplaner image reconstruction and assist with the diagnosis process [29].
Early in the 1998, a kitten presented signs of respiratory distress and diagnosed with CTS was successfully surgically managed. The membrane was torn by a dilator introduced from an opened left atrium [18]. Procedure that combining thoracotomy and cardiac catheter guided cutting balloon was performed in a cat that signs of congestive heart failure resolved completely after the hybrid technique [22]. Surgical correction under cardiopulmonary bypass was also feasible in feline patient with appropriate body size and weight [23]. In canine, the first case was published in 2012, and the patient was doing well only by internal medical treatment for the congestive heart failure [25]. A poodle case was presented with acute dyspnea and cyanosis, and was unfortunately made its definite diagnosis in postmortem examination [26]. Recently, Toaldo et al. reported a 6-year-old intact male French bulldog was accidentally diagnosed as CTS [24].
By reviewing veterinary literature, we can find that cats are more frequently presented, and their age at diagnosis is generally younger (8 weeks old to 4 years old, mostly <1 year old) than dogs (3, 5 and 6 years old). Although most of affected cats had congestive heart failure at admission (this result can be biased in veterinary patients), the surgery is usually tolerable and the patient can be free of heart failure after procedure. Medicine for controlling congestive heart failure is an alternative option if surgery is not performed. Weather the surgery is also benefit and recommended in patient without heart failure is not conclusive.
Another important developmental abnormality of pulmonary vein is the anomalous pulmonary venous connection. In human medicine, the TAPVC was comprised of 1–5% congenital heart diseases cases [36] and 0.6 to 1.2 per 10,000 live births [37]. The PAPVC was found 0.4% to 0.7% in the routine autopsies [38, 39]. A retrospective study that reviewed 290 dogs with cardiovascular malformations from 1953 to 1965 revealed that only 1 case was diagnosed PAPVC with secundum atrial septal defect [40]. For the published case reports, there are only 3 dogs [41, 42, 43] and each 1 of chicken [44] and foal [45] that are diagnosed as TAPVC; only 4 dogs [46, 47, 48] and 2 cats [49, 50] are PAPVC. One canine case reported in 1975 did not describe its detail (TAPVC or PAPVC) [51].
As previous discussed, the primitive pulmonary veins from the lung buds develop from the splanchnic plexus, which communicates with the systemic venous system, and connects to the left atrium. As development proceeds, the connection between pulmonary veins and the systemic venous system disappears. If the communication between pulmonary veins and the systemic venous system persists, TAPVC or PAPVC would be diagnosed depending on the degree of persistent connections [8].
The TAPVC is that all pulmonary veins being abnormally connected to the systemic venous circulation, that is, the right atrium would receive both systemic and pulmonary venous return. Researchers had described four types of TAPVC depending on the connection level (Figure 3). Type I, or supra-cardiac type, is the most common type that consist 40–55% of cases. The pulmonary veins empty through left innominate vein, superior vena cava or azygos veins. Type II, or cardiac type, is the second common type that consist 15–30% of cases. The pulmonary veins drain into the right atrium through the coronary sinus or in the posterior wall of the right atrium. Type III, or infra-cardiac type, is accounting approximately 15–26% of cases. The pulmonary veins run to the portal venous system or inferior vena cava. And type IV, or mixed type, is representing 2–10% cases that there are at least two different drainage sites [52, 53].
The classification of TAPVR. Type I, the Supra-cardiac type; Type II, the cardiac type; Type III, the infra-cardiac type, and the Type IV, the mixed type. CaVC, caudal vena cava; CrVC, cranial vena cava; PA, pulmonary artery; PV, pulmonary vein; RA, right atrium.
In the setting of TAPVC, a right-to left shunt via an atrial septal defect (ASD), patent foramen ovale (PFO) or to a lesser extent of patent ductus arteriosus is required for completing circulation and maintaining life [54]. The presence of right (pulmonary) to left (systemic) shunting permits mixture of oxygenated and deoxygenated blood to enter the systemic circulation. Signs of dyspnea with exertion, cyanosis and exercise intolerance could be observed, and the patient is at risk of developing to pulmonary hypertension and congestive heart failure. Three veterinary cases were found to have concurrent ASD (secundum type in 1 dog [41] and 1 chicken [44]; sinus venous type in another dog [42]) and the case of foal [45] had concurrent PFO. A special child case had been recognized recently that all of his pulmonary veins were anatomically connected to the left atrium but the blood inside actually was drained into superior vena cava via an innominate vein, therefore corresponded to the definition of supra-cardiac type of anomaly [35].
Thoracic radiography is commonly the first imaging exam, it can be normal or some classic changes may exist depending on the types of abnormal connections. A snowman sign has been described in patients with supra-cardiac TAPVC. The head is formed by superior vena cava, vertical vein (common vein that formed by the four anomalous pulmonary veins) and innominate vein, and the body is formed by enlarged right atrium. Another famous radiographic characteristic is the scimitar signs in the PAPVC. It describes the anomalous pulmonary veins like a sword with a curved blade that mostly affect the right-side lung lobes [5, 55].
In addition, the clinical utility of echocardiography in diagnosing abnormalities of pulmonary venous connection is somewhat difficult because of limited echo window, but it can provide the information of the concurrent congenital cardiac anomalies and hemodynamic consequences like the dilated right heart or possible pulmonary hypertension. Transesophageal echocardiography has the advantage that it can access from the heart base aspect, therefore providing more clear images of the structures near the heart base. Right heart catherization can opacify the right heart chambers and venous vasculature but is limited that some small accessory and anomalous vessels may be missed.
For obtaining the full picture of abnormal development of pulmonary veins, multidetector computed tomography and magnetic resonance imaging both can provide good images. The importance of advanced imaging modules in diagnosing these complex cardiovascular developmental diseases had been emphasized in these years [49, 50]. Both of multidetector computed tomography and magnetic resonance imaging are non-invasive, and they can offer multiplanar and three-dimensional reconstructive model. Small lesions and details can be further illustrated by contrast median. Lack of ionizing radiation is the advantage of magnetic resonance imaging, but this procedure needs longer time and sedation which may be risky in some patients [53].
Generally, surgical repair is recommended at the time that TAPVC is diagnosed [56]. The surgical outcome is acceptable with the 6.6% of intraoperative and late death and 15% of recurrent pulmonary venous obstruction in the survivors. Risk factors for both undesired consequences including preoperative pulmonary venous obstruction, infra-cardiac type and mixed type [57]. This result emphasizes the importance of pre- and intra-operative assessment.
Partial anomalous pulmonary venous connection refers to equal to or more than 1, but not all, pulmonary veins being connected to the systemic venous circulation rather than the left atrium. Affected animals can exhibit no clinical signs or have symptoms associates with congestive heart failure and pulmonary hypertension. In the total of 6 veterinary cases, half of them were asymptomatic (2 miniature schnauzers [46] and 1 Devon Rex cat [49]) and the other half were presented with signs of decompensation (exercise intolerance in 1 Belgian Malinois dog [47], pulmonary edema in 1 toy poodle [48] and 1 American shorthair kitten [50]). The severity of symptoms depends on the number of affected pulmonary veins, that is, the degree of left-to-right shunt. A ratio of pulmonary to systemic blood flow (Qp:Qs) can be used to estimate the magnitude of left-to-right shunt, and the ratio greater than 1.5 to 2 is generally considered hemodynamic significant because the patient is at risk of pulmonary hypertension and heart failure, and surgical treatment is usually recommended in these cases [58].
According to the affected pulmonary veins, as many as 27 different anatomic variations had been proposed [59]. The characteristic of partial APVR in pediatric and adult populations varies significantly. In a prospective survey of pediatric patients, mostly (90%) were right-sided and in association of sinus venosus atrial septal defect [60]. In other two retrospective study that focused on adult (>18 years old), abnormal development of pulmonary vein from the left upper lobe was the most (ranging from 47–79%), followed by the right upper pulmonary vein (ranging from 17–38%) [61, 62]. The human patients that were diagnosed in childhood were mostly symptomatic, and those that diagnosed until adulthood were usually an incidental finding. Related signs including dyspnea, orthopnea, fatigue, chest pain, palpitations, tachycardia, and peripheral edema [53].
Surgical repair of the PAPVC with different strategies (intracardiac baffle, pulmonary vein implantation, or superior vena cava division with reimplantation on the right atrial appendage) in children showed excellent outcomes [60]. In a case series that only contain adult patients (20 to 66 years old), conservative management with close monitoring is recommended in asymptomatic patients, and the surgical outcomes in symptomatic patients are usually excellent with low complication rate [63]. Sinus node dysfunction and postoperative venous stenosis are the possible consequences followed surgery [64]. In a recent canine case, his PAPVC and sinus venosus ASD were successfully repaired by single-patch method under cardiopulmonary bypass. The patient remained stable and free of clinical signs in the following one year, suggesting that this is a valid treatment option for other similar case [48].
We can find that the terms of “connection”, “drainage” and “return” are all used in the literature to describe the abnormality. The “connection” indicates an anomalous venoatrial connection, whereas the word “drainage” or “return” describe the concept of abnormal pulmonary venous return despite normal anatomical connection [65]. Appropriate wording should be applied depending on the individual case. By reviewing veterinary literature, the clinical manifestation of TAPVC or PAPVC can vary depending on the individual. Owing to the scarcity of these diseases, we still know little about them. Future reports, including studies before and after death, treatment options and related outcome, are warrant.
In this chapter, we describe the embryology, physiological function and congenital diseases associated with pulmonary veins. The developmental process of the cardiovascular system is complicated, and every step is crucial. The CTS, TAPVC and PAPVC are rare congenital cardiovascular diseases in human and other animals, and can be asymptomatic or life-threatening. The improvement of advance imaging modules helps in diagnosing these abnormalities, particularly those have multiple concurrent developmental diseases. Knowledges regarding to the treatment intervention in the veterinary medicine is much less than the human medicine, further studies are welcome to provide more information.
We really appreciate of Dong-Hua, Liu, who provided these wonderful drawings for our chapter.
The authors declare no conflict of interest.
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Elements of sustainable design are integral to vernacular architecture that have evolved over time using local materials and technology emerging from ambient natural and cultural environment creating optimum relationships between people and their place. This chapter aims to redefine what identity is as a concept and the impact of globalization on contemporary architecture especially on regions with rich heritage and unique culture as the Arab World. To accomplish this, the chapter examines the emergence of “local identity” as a reaction to the globalization of cultural values, uniform architectural styles, and stereotype patterns through discussing sustainability as a motivation for identity in culture and architecture. The research methodology is based on conducting a qualitative analysis of literature review to the main concepts discussed in this chapter such as: identity, culture, vernacular architecture, and sustainability. Through comparative analysis, the chapter investigates sustainability potential of vernacular architecture in the region to derive core concepts as guidelines of reproducing the characteristics of society and reveal identity of contemporary architecture in the Arab World.",book:{id:"8260",slug:"urban-and-architectural-heritage-conservation-within-sustainability",title:"Urban and Architectural Heritage Conservation within Sustainability",fullTitle:"Urban and Architectural Heritage Conservation within Sustainability"},signatures:"Maha Salman",authors:[{id:"258226",title:"Dr.",name:"Maha",middleName:null,surname:"Salman",slug:"maha-salman",fullName:"Maha Salman"}]},{id:"51000",doi:"10.5772/63726",title:"Towards Sustainable Sanitation in an Urbanising World",slug:"towards-sustainable-sanitation-in-an-urbanising-world",totalDownloads:3204,totalCrossrefCites:11,totalDimensionsCites:17,abstract:"Urban sanitation in low‐ and middle‐income countries is at an inflection point. It is increasingly acknowledged that conventional sewer‐based sanitation cannot be the only solution for expanding urban areas. There are other objective reasons apart from the lack of capital. The lack of stable energy supplies, of spare parts and of human resources for reliable operation, and the increasing water scarcity are factors that seriously limit the expansion of centralised systems. This chapter argues that a new paradigm for urban sanitation is possible, if the heterogeneity within developing cities is reflected in the implementation of different sanitation systems, adapted to each urban context and integrated under one institutional roof. This new paradigm entails: (1) innovative management arrangements; (2) increased participation and the integration of individual, community and private sector initiatives; (3) thinking at scale to open new opportunities; (4) improved analysis of the situation and awareness raising. Moving beyond conventional approaches towards sustainable urbanisation needs to follow both a top‐down and a bottom‐up approach, with proper incentives and a variety of sanitation systems which, in a future perspective, will become part of the ‘urban ecosystem’.",book:{id:"5235",slug:"sustainable-urbanization",title:"Sustainable Urbanization",fullTitle:"Sustainable Urbanization"},signatures:"Philippe Reymond, Samuel Renggli and Christoph Lüthi",authors:[{id:"181079",title:"Dr.",name:"Christoph",middleName:null,surname:"Lüthi",slug:"christoph-luthi",fullName:"Christoph Lüthi"},{id:"182136",title:"Mr.",name:"Philippe",middleName:null,surname:"Reymond",slug:"philippe-reymond",fullName:"Philippe Reymond"},{id:"182137",title:"Mr.",name:"Samuel",middleName:null,surname:"Renggli",slug:"samuel-renggli",fullName:"Samuel Renggli"}]},{id:"44263",doi:"10.5772/54339",title:"Conservation and Sustainability of Mexican Caribbean Coral Reefs and the Threats of a Human-Induced Phase-Shift",slug:"conservation-and-sustainability-of-mexican-caribbean-coral-reefs-and-the-threats-of-a-human-induced-",totalDownloads:2354,totalCrossrefCites:4,totalDimensionsCites:11,abstract:null,book:{id:"3364",slug:"environmental-change-and-sustainability",title:"Environmental Change and Sustainability",fullTitle:"Environmental Change and Sustainability"},signatures:"José D. Carriquiry, Linda M. Barranco-Servin, Julio A. Villaescusa,\nVictor F. Camacho-Ibar, Hector Reyes-Bonilla and Amílcar L. Cupul-\nMagaña",authors:[{id:"158136",title:"Prof.",name:"Jose D.",middleName:"D.",surname:"Carriquiry",slug:"jose-d.-carriquiry",fullName:"Jose D. Carriquiry"},{id:"160078",title:"Dr.",name:"Julio A.",middleName:null,surname:"Villaescusa",slug:"julio-a.-villaescusa",fullName:"Julio A. Villaescusa"},{id:"160079",title:"MSc.",name:"Linda M.",middleName:null,surname:"Barranco-Servin",slug:"linda-m.-barranco-servin",fullName:"Linda M. Barranco-Servin"},{id:"160082",title:"Prof.",name:"Victor F.",middleName:null,surname:"Camacho-Ibar",slug:"victor-f.-camacho-ibar",fullName:"Victor F. Camacho-Ibar"},{id:"167394",title:"Dr.",name:"Hector",middleName:null,surname:"Reyes-Bonilla",slug:"hector-reyes-bonilla",fullName:"Hector Reyes-Bonilla"},{id:"167395",title:"Dr.",name:"Amilcar L.",middleName:null,surname:"Cupul-Magaña",slug:"amilcar-l.-cupul-magana",fullName:"Amilcar L. Cupul-Magaña"}]},{id:"42926",doi:"10.5772/55736",title:"Disaster Risk Management and Social Impact Assessment: Understanding Preparedness, Response and Recovery in Community Projects",slug:"disaster-risk-management-and-social-impact-assessment-understanding-preparedness-response-and-recove",totalDownloads:10048,totalCrossrefCites:3,totalDimensionsCites:11,abstract:null,book:{id:"3364",slug:"environmental-change-and-sustainability",title:"Environmental Change and Sustainability",fullTitle:"Environmental Change and Sustainability"},signatures:"Raheem A. Usman, F.B. Olorunfemi, G.P. Awotayo, A.M. Tunde and\nB.A. Usman",authors:[{id:"156875",title:"Dr.",name:"Usman A",middleName:null,surname:"Raheem",slug:"usman-a-raheem",fullName:"Usman A Raheem"},{id:"166449",title:"Dr.",name:"A.M",middleName:null,surname:"Tunde",slug:"a.m-tunde",fullName:"A.M Tunde"},{id:"167886",title:"Dr.",name:"F.B.",middleName:null,surname:"Olorunfemi",slug:"f.b.-olorunfemi",fullName:"F.B. Olorunfemi"},{id:"167887",title:"Dr.",name:"G.P.",middleName:null,surname:"Awotayo",slug:"g.p.-awotayo",fullName:"G.P. Awotayo"}]}],mostDownloadedChaptersLast30Days:[{id:"64381",title:"Sustainability and Vernacular Architecture: Rethinking What Identity Is",slug:"sustainability-and-vernacular-architecture-rethinking-what-identity-is",totalDownloads:4441,totalCrossrefCites:8,totalDimensionsCites:22,abstract:"Sustainability has often been a fundamental part of the composition of both tangible and intangible cultural resources; sustainability and preservation of cultural identity are complementary. Elements of sustainable design are integral to vernacular architecture that have evolved over time using local materials and technology emerging from ambient natural and cultural environment creating optimum relationships between people and their place. This chapter aims to redefine what identity is as a concept and the impact of globalization on contemporary architecture especially on regions with rich heritage and unique culture as the Arab World. To accomplish this, the chapter examines the emergence of “local identity” as a reaction to the globalization of cultural values, uniform architectural styles, and stereotype patterns through discussing sustainability as a motivation for identity in culture and architecture. The research methodology is based on conducting a qualitative analysis of literature review to the main concepts discussed in this chapter such as: identity, culture, vernacular architecture, and sustainability. Through comparative analysis, the chapter investigates sustainability potential of vernacular architecture in the region to derive core concepts as guidelines of reproducing the characteristics of society and reveal identity of contemporary architecture in the Arab World.",book:{id:"8260",slug:"urban-and-architectural-heritage-conservation-within-sustainability",title:"Urban and Architectural Heritage Conservation within Sustainability",fullTitle:"Urban and Architectural Heritage Conservation within Sustainability"},signatures:"Maha Salman",authors:[{id:"258226",title:"Dr.",name:"Maha",middleName:null,surname:"Salman",slug:"maha-salman",fullName:"Maha Salman"}]},{id:"67342",title:"Introductory Chapter: Heritage Conservation - Rehabilitation of Architectural and Urban Heritage",slug:"introductory-chapter-heritage-conservation-rehabilitation-of-architectural-and-urban-heritage",totalDownloads:2616,totalCrossrefCites:3,totalDimensionsCites:6,abstract:null,book:{id:"8260",slug:"urban-and-architectural-heritage-conservation-within-sustainability",title:"Urban and Architectural Heritage Conservation within Sustainability",fullTitle:"Urban and Architectural Heritage Conservation within Sustainability"},signatures:"Kabila Faris Hmood",authors:[{id:"214741",title:"Prof.",name:"Dr. Kabila",middleName:"Faris",surname:"Hmood",slug:"dr.-kabila-hmood",fullName:"Dr. Kabila Hmood"}]},{id:"76898",title:"The Relationship between Land Use and Climate Change: A Case Study of Nepal",slug:"the-relationship-between-land-use-and-climate-change-a-case-study-of-nepal",totalDownloads:700,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Land Use and Climate change are interrelated to each other. This change influences one another at various temporal and spatial scales; however, improper land uses are the primary causal factor on climate change. It studies relevant literature and Nepal’s case to assess the relationship between land use and climate change. Similarly focuses on how land-use impacts climate change and vice versa. In recent centuries land-use change significant effects on ecological variables and climate change. Likewise, understanding the research on both topics will help decision-makers and conservation planners manage land and climate.",book:{id:"10754",slug:"the-nature-causes-effects-and-mitigation-of-climate-change-on-the-environment",title:"The Nature, Causes, Effects and Mitigation of Climate Change on the Environment",fullTitle:"The Nature, Causes, Effects and Mitigation of Climate Change on the Environment"},signatures:"Pawan Thapa",authors:[{id:"349566",title:"M.Sc.",name:"Pawan",middleName:null,surname:"Thapa",slug:"pawan-thapa",fullName:"Pawan Thapa"}]},{id:"50282",title:"Relation Between Land Use and Transportation Planning in the Scope of Smart Growth Strategies: Case Study of Denizli, Turkey",slug:"relation-between-land-use-and-transportation-planning-in-the-scope-of-smart-growth-strategies-case-s",totalDownloads:4667,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"In the decision-making process of planning residential areas in developing countries, importance of the commercial areas and need for a sustainable urban transportation infrastructure have generally been ignored based on several sociopolitical reasons. Meanwhile, decision-making periods of location choice and determining areal densities are conducted without quantitative spatial/technical analyses. Those urban matters bring along new planning paradigms like smart growth (SG) and new urbanism. SG is a land use planning paradigm which indicates that traffic problems should be minimized by transit alternatives, effective demand management and providing a balance between land use and transportation planning. This study aims to apply SG strategies to the land use planning process and evaluate the accuracy of land use planning decisions in the perspective of sustainable transportation. In order to reveal the effects of land use planning decisions on the available transportation infrastructure, two scenarios are investigated for 2030. In the first scenario “do nothing” option is considered, while the residential area densities and trip generation rates are regulated based on SG strategies in the second scenario. The results showed that the land use and traffic impact analyses should simultaneously be conducted before land use configuration process.",book:{id:"5235",slug:"sustainable-urbanization",title:"Sustainable Urbanization",fullTitle:"Sustainable Urbanization"},signatures:"Gorkem Gulhan and Huseyin Ceylan",authors:[{id:"182126",title:"Dr.",name:"Gorkem",middleName:null,surname:"Gulhan",slug:"gorkem-gulhan",fullName:"Gorkem Gulhan"},{id:"185555",title:"Dr.",name:"Huseyin",middleName:null,surname:"Ceylan",slug:"huseyin-ceylan",fullName:"Huseyin Ceylan"}]},{id:"42926",title:"Disaster Risk Management and Social Impact Assessment: Understanding Preparedness, Response and Recovery in Community Projects",slug:"disaster-risk-management-and-social-impact-assessment-understanding-preparedness-response-and-recove",totalDownloads:10045,totalCrossrefCites:3,totalDimensionsCites:11,abstract:null,book:{id:"3364",slug:"environmental-change-and-sustainability",title:"Environmental Change and Sustainability",fullTitle:"Environmental Change and Sustainability"},signatures:"Raheem A. Usman, F.B. Olorunfemi, G.P. Awotayo, A.M. Tunde and\nB.A. Usman",authors:[{id:"156875",title:"Dr.",name:"Usman A",middleName:null,surname:"Raheem",slug:"usman-a-raheem",fullName:"Usman A Raheem"},{id:"166449",title:"Dr.",name:"A.M",middleName:null,surname:"Tunde",slug:"a.m-tunde",fullName:"A.M Tunde"},{id:"167886",title:"Dr.",name:"F.B.",middleName:null,surname:"Olorunfemi",slug:"f.b.-olorunfemi",fullName:"F.B. Olorunfemi"},{id:"167887",title:"Dr.",name:"G.P.",middleName:null,surname:"Awotayo",slug:"g.p.-awotayo",fullName:"G.P. Awotayo"}]}],onlineFirstChaptersFilter:{topicId:"136",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"82644",title:"Climate-Driven Temporary Displacement of Women and Children in Anambra State, Nigeria: The Causes and Consequences",slug:"climate-driven-temporary-displacement-of-women-and-children-in-anambra-state-nigeria-the-causes-and-",totalDownloads:28,totalDimensionsCites:0,doi:"10.5772/intechopen.104817",abstract:"With increasing periods of extreme wet seasons, low lying geographic position, with socioeconomic, and political factors; some communities in Anambra State, Nigeria experience heightened floods annually resulting in loss of shelter, displacement of people with breakdown of livelihoods, particularly in rural communities worsening their risks and vulnerabilities. In 2012, a major flood event in the state temporarily displaced about 2 million people. In this chapter, we used a community-based adaptation approach to investigate the causes and consequences of climate-related temporary displacement on community members in Ogbaru LGA, Anambra State following flood events. We used global positioning system to obtain the community’s ground control points and gathered our data via field observation, transects walks, focus group discussions, photography, and in-depth interviews. Our findings reveal a heightened magnitude of flood related disasters with decreased socio-economic activities, affecting their health and well-being. Also, the community members have a practice of returning to their land, after flood events, as a local mitigating risk management strategy. For multilevel humanitarian responses at the temporary shelter camps, it becomes imperative to meaningfully engage the community members on the challenging risks and vulnerabilities they experience following climate-driven temporary displacement to inform adaptation and resilience research, policy change and advocacy.",book:{id:"7724",title:"Climate Change in Asia and Africa - Examining the Biophysical and Social Consequences, and Society's Responses",coverURL:"https://cdn.intechopen.com/books/images_new/7724.jpg"},signatures:"Akanwa Angela Oyilieze, Ngozi N. Joe-Ikechebelu, Ijeoma N. Okedo-Alex, Kenebechukwu J. Okafor, Fred A. Omoruyi, Jennifer Okeke, Sophia N. Amobi, Angela C. Enweruzor, Chinonye E. Obioma, Princess I. Izunobi, Theresa O. Nwakacha, Chinenye B. Oranu, Nora I. Anazodo, Chiamaka A. Okeke, Uwa-Abasi E. Ugwuoke, Uche M. Umeh, Emmanuel O. Ogbuefi and Sylvia T. Echendu"},{id:"79637",title:"Evaluation of the Spatial Distribution of the Annual Extreme Precipitation Using Kriging and Co-Kriging Methods in Algeria Country",slug:"evaluation-of-the-spatial-distribution-of-the-annual-extreme-precipitation-using-kriging-and-co-krig",totalDownloads:54,totalDimensionsCites:0,doi:"10.5772/intechopen.101563",abstract:"In this chapter, we have conducted a statistical study of the annual extreme precipitation (AMP) for 856 grid cells and during the period of 1979–2012 in Algeria. In the first step, we compared graphically the forecasts of the three parameters of the generalized extreme value (GEV) distribution (location, scale and shape) which are estimated by the Spherical model. We used the Cross validation method to compare the two methods kriging and Co-kriging, based on the based on some statistical indicators such as Mean Errors (ME), Root Mean Square Errors (RMSE) and Squared Deviation Ratio (MSDR). The Kriging forecast error map shows low errors expected near the stations, while co-Kriging gives the lowest errors on average at the national level, which means that the method of co-Kriging is the best. From the results of the return periods, we calculate that after 50 years the estimated of the annual extreme precipitation will exceed the maximum AMP is observed in the 33-year.",book:{id:"7724",title:"Climate Change in Asia and Africa - Examining the Biophysical and Social Consequences, and Society's Responses",coverURL:"https://cdn.intechopen.com/books/images_new/7724.jpg"},signatures:"Hicham Salhi"},{id:"77854",title:"Flooding and Flood Modeling in a Typhoon Belt Environment: The Case of the Philippines",slug:"flooding-and-flood-modeling-in-a-typhoon-belt-environment-the-case-of-the-philippines",totalDownloads:163,totalDimensionsCites:0,doi:"10.5772/intechopen.98738",abstract:"Flooding is a perennial world-wide problem and is a serious hazard in areas where the amount of precipitable water has potential to dump excessive amount of water. The warming of the Earth’s climate due to the increase in greenhouse gases (GHGs) increases the availability of water vapor and hence, of extreme precipitation as observed and forecasted by researchers. With rainfall intensity too high, the torrential rains coupled with weather systems that enhances its effects, flooding not only submerges anything low-lying, it also washes away living and non-living things along the course of the river and the floodplain. The flooding is even worsened by the increase in velocity of flow caused by unsustainable urbanization and denudation of the watershed at the headwaters. Nature’s strength is an order of a magnitude that is way beyond that of the strength of men but human ingenuity enables us to transform our living environment into models that could help us better understand it. Flood modeling provides us decision support tools to deal better with nature. It also enables us to simulate the future especially nowadays that changes in our climate is imminent and even happening already in many parts of the world. Therefore, strategies on how to cope with our ever changing environment is very important particularly to countries that are at more risk to climate change such as the archipelagic Philippines.",book:{id:"7724",title:"Climate Change in Asia and Africa - Examining the Biophysical and Social Consequences, and Society's Responses",coverURL:"https://cdn.intechopen.com/books/images_new/7724.jpg"},signatures:"Fibor J. Tan"},{id:"77797",title:"Adapting to Climatic Extremes through Climate Resilient Industrial Landscapes: Building Capacities in the Southern Indian States of Telangana and Andhra Pradesh",slug:"adapting-to-climatic-extremes-through-climate-resilient-industrial-landscapes-building-capacities-in",totalDownloads:99,totalDimensionsCites:0,doi:"10.5772/intechopen.98732",abstract:"There is now greater confidence and understanding of the consequences of anthropogenic caused climate change. One of the many impacts of climate change, has been the occurrence of extreme climatic events, recent studies indicate that the magnitude, frequency, and intensity of hydro-meteorological events such as heat waves, cyclones, droughts, wildfires, and floods are expected to increase several fold in the coming decades. These climatic extremes are likely to have social, economic, and environmental costs to nations across the globe. There is an urgent need to prepare various stakeholders to these disasters through capacity building and training measures. Here, we present an analysis of the capacity needs assessment of various stakeholders to climate change adaptation in industrial parks in two southern states of India. Adaptation to climate change in industrial areas is an understudied yet highly urgent requirement to build resilience among stakeholders in the Indian subcontinent. The capacity needs assessment was conducted in two stages, participatory rural appraisal (PRA) and focus group discussion (FGD) were conducted among various stakeholders to determine the current capacities for climate change adaptation (CCA) for both, stakeholders and functional groups. Our analysis indicates that in the states of Telangana and Andhra Pradesh, all stakeholder groups require low to high levels of retraining in infrastructure and engineering, planning, and financial aspects related to CCA. Our study broadly supports the need for capacity building and retraining of functionaries at local and state levels in various climate change adaptation measures; likewise industry managers need support to alleviate the impacts of climate change. Specific knowledge, skills, and abilities, with regard to land zoning, storm water management, developing building codes, green financing for CCA, early warning systems for climatic extremes, to name a few are required to enhance and build resilience to climate change in the industrial landscapes of the two states.",book:{id:"7724",title:"Climate Change in Asia and Africa - Examining the Biophysical and Social Consequences, and Society's Responses",coverURL:"https://cdn.intechopen.com/books/images_new/7724.jpg"},signatures:"Narendran Kodandapani"},{id:"77460",title:"Changing Climatic Hazards in the Coast: Risks and Impacts on Satkhira, One of the Most Vulnerable Districts in Bangladesh",slug:"changing-climatic-hazards-in-the-coast-risks-and-impacts-on-satkhira-one-of-the-most-vulnerable-dist",totalDownloads:211,totalDimensionsCites:0,doi:"10.5772/intechopen.98623",abstract:"Changes in the climate due to anthropogenic and natural variation are indicated by parameters including temperature and rainfall. Climate change variability with changing trends of the two have been unpredictable and unprecedented globally leading to changing weather patterns, natural disasters, leading to sectoral impacts on food and water security, livelihood, human health among others. This research analyses the changing patterns of these parameters over the last 35/37 years of Satkhira district of Bangladesh to assess the state and trend across spatial and temporal dimensions. Such, the study validates to rationalize the observed seasonal changes that persist in Satkhira of Bangladesh. Both in terms of intensity and frequency of the occurrences of natural disasters, the series of natural events have been triangulated, with impacts and vulnerability being assessed from temperature variations, erratic rainfall, cyclone, flood and water logging etc. The study’s prime contribution remains in attribution of climate change in relation contextual circumstances in the region including sea level rise, salinity intrusion. Therefore, the risk and climatic hazards and its resulting impacts over time has been assessed to draw deeper connection between theoretical and practical values. The series of analyses also draw conclusion that assets are at risk from changing climatic condition.",book:{id:"7724",title:"Climate Change in Asia and Africa - Examining the Biophysical and Social Consequences, and Society's Responses",coverURL:"https://cdn.intechopen.com/books/images_new/7724.jpg"},signatures:"Md. Golam Rabbani, Md. Nasir Uddin and Sirazoom Munira"},{id:"76915",title:"The Impacts of Climate Change in Lwengo, Uganda",slug:"the-impacts-of-climate-change-in-lwengo-uganda",totalDownloads:102,totalDimensionsCites:0,doi:"10.5772/intechopen.97279",abstract:"Climate Change has become a threat worldwide. Vulnerable communities are at foremost risk of repercussions of climate change. The present study aimed at highlighting a case study of climate change impacts on Lwengo District of Uganda. Out of the total geographical area of the district, 85% hectares are under cultivation and most of its population depends majorly on the rain- fed agriculture sector to meet the food requirement and as a major income source. With the changing climatic conditions, agriculture is the major sector which is being impacted. The region has experienced disasters from some time, usually the second seasons rains used to result in such disasters but since 2016 both seasons have occurred disasters, which majorly include hailstorm, strong wind, long dry spells, pests and diseases. The situation became more severe due to shortage of availability of skilled human resources, quality equipment for disaster management, limited financial resources and weak institutional capacity, which resulted in increasing vulnerability of small farm holders. Some of the adaptation strategies are being taken up by the government but there is a need to understand prospects of decision-making that are site specific and more sustainable for smallholder communities. Climatic changes possess many obstacles to farming communities which require sustainable adaptation to enhance the adaptive capacities of the communities through continued production systems, which are more resilient to the vagaries of weather. Farmers are practising such options which are location specific, governed by policy framework and dependent on dynamism of farmers. 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He also obtained an MSc in Molecular and Genetic Medicine, and a Ph.D. in Clinical Immunology and Human Genetics from the University of Sheffield, UK. He also completed a short-term fellowship in Pediatric Clinical Immunology and Bone Marrow Transplantation at Newcastle General Hospital, England. Dr. Rezaei is a Full Professor of Immunology and Vice Dean of International Affairs and Research, at the School of Medicine, Tehran University of Medical Sciences, and the co-founder and head of the Research Center for Immunodeficiencies. He is also the founding president of the Universal Scientific Education and Research Network (USERN). Dr. Rezaei has directed more than 100 research projects and has designed and participated in several international collaborative projects. He is an editor, editorial assistant, or editorial board member of more than forty international journals. 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:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{id:"333753",title:"Dr.",name:"Rais",middleName:null,surname:"Ahmed",slug:"rais-ahmed",fullName:"Rais Ahmed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333753/images/20168_n.jpg",biography:null,institutionString:null,institution:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{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). 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