\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"2054",leadTitle:null,fullTitle:"Human Papillomavirus and Related Diseases - From Bench to Bedside - A Clinical Perspective",title:"Human Papillomavirus and Related Diseases",subtitle:"From Bench to Bedside - A Clinical Perspective",reviewType:"peer-reviewed",abstract:"Cervical cancer is the second most prevalent cancer among women worldwide, and infection with Human Papilloma Virus (HPV) has been identified as the causal agent for this condition. The natural history of cervical cancer is characterized by slow disease progression, rendering the condition, in essence, preventable and even treatable when diagnosed in early stages. Pap smear and the recently introduced prophylactic vaccines are the most prominent prevention options, but despite the availability of these primary and secondary screening tools, the global burden of disease is unfortunately still very high. 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Afterwards he pursued a PhD in Biomedical Sciences (Antwerp University). Later, he joined the International Centre for Reproductive Health (ICRH) and research efforts focused on sexually transmitted viruses. Finally, he obtained two consecutive post-doc grants at Ghent University (Ghent, Belgium), with specific focus on papilloma virus research.\nCurrently, Dr. Vanden Broeck holds the position of professor Molecular Virology and heads the ICRH HPV/cervical cancer research team. Within this team, multi-disciplinary research is performed on the prevention of cervical cancer (vaccine, screening), as well as clinical/translational aspects of cervical cancer research, but equally fundamental research forms part of the research agenda.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"3",institution:{name:"Ghent University",institutionURL:null,country:{name:"Belgium"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1046",title:"Infectious Diseases",slug:"infectious-diseases"}],chapters:[{id:"26297",title:"Human Papillomavirus: Biology and Pathogenesis",doi:"10.5772/27154",slug:"human-papillomavirus-biology-and-pathogenesis",totalDownloads:5364,totalCrossrefCites:3,totalDimensionsCites:5,hasAltmetrics:0,abstract:null,signatures:"José Veríssimo Fernandes and Thales Allyrio Araújo de Medeiros Fernandes",downloadPdfUrl:"/chapter/pdf-download/26297",previewPdfUrl:"/chapter/pdf-preview/26297",authors:[{id:"68984",title:"Dr.",name:"Jose",surname:"Fernandes",slug:"jose-fernandes",fullName:"Jose Fernandes"},{id:"121926",title:"Dr.",name:"Thales",surname:"Fernandes",slug:"thales-fernandes",fullName:"Thales Fernandes"}],corrections:null},{id:"26298",title:"Immunohistochemistry in the Diagnosis of Squamous Intraepithelial Lesions of the Uterine Cervix",doi:"10.5772/29219",slug:"immunohistochemistry-in-the-diagnosis-of-squamous-intraepithelial-lesions-of-the-uterine-cervix",totalDownloads:5571,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Evanthia A. 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The biofuels like hydrogen, bioethanol, syngas, and many more can be produced which find applications as alternate energy sources and address vital environmental issues related to non-renewable energy sources. These biofuels are very sustainable and eliminating the research gaps can further lead to the commercial production of cyanobacterial biofuels in the market across the world. The range of metabolic products is tremendously valuable as antimicrobial, anticancer, anti-inflammatory, antitumor, antioxidative in nature, which has excellent therapeutic applications.
\r\n\r\n\tThis book envisions elaborating on the recent advancements and the new perspectives in the area of cyanobacterial research on the global platform.
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Her research interests include renewable sources of energy from microalgae and further utilizing the residual biomass for the generation of value-added products, bioremediation through microalgae and microbial consortium, antioxidative enzymes and stress, and nutraceuticals from microalgae. She has been working on algal biotechnology for the last two decades. She has published her research in many international journals and has authored many books and chapters with renowned publishing houses. She has also delivered talks as an invited speaker at many national and international conferences. 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Marine protected areas (MPAs) are globally recognized as an important regulatory tool for protecting and conserving coastal and marine biodiversity [1]. A marine protected area (MPA) is defined by the International Union for Conservation of Nature (ICUN) as a delineated geographical area, recognized, dedicated, and managed, through legal or other effective means, to achieve long-term conservation of nature with associated ecosystem services and cultural values [2]. MPAs can improve ecosystem functions and services through maintaining ecological structure and processes that support economic and social uses of marine resources [3]. MPAs can also contribute toward climate change adaptation by protecting ecosystem resilience and essential ecosystem services [4].
According to reference [5], there are multiple objectives for the designation MPAs. Such objectives may include: (1) conservation and protection of natural marine resources to ensure their long-term viability and to maintain their genetic diversity; (2) restoration of damaged or over exploited areas considered as critical to the survival of important species; (3) improvement of the relationship between humans, their environment, and economic activities, by maintaining traditional uses and the sustainable exploitation of resources; (4) improvement of fishing yields, by protecting spawning and recruitment processes, and by enhancing fishing management; (5) resolution of present or anticipated conflicts between coastal area users; (6) improvement of knowledge about the marine environment by dealing with research and educational aspects; and (7) valuation of heritage for local communities through tourism and economic profitability. Therefore, there are growing national and international interests in establishing MPAs to protect biodiversity and to manage marine resources [6].
Various relevant international conventions, including the Convention on Biological Diversity (CBD), the Convention on Wetlands of International Importance (Ramsar Convention), and the World Heritage Convention, serve to advance the number and coverage of MPAs worldwide [7]. Aiming to protect and conserve its natural environment, Bahrain signed the Convention on Biological Diversity in 1992 and ratified it in 1996 [8]. Bahrain recognizes MPAs as a key strategy to protect sensitive ecosystems and marine resources. Therefore, natural coastal and marine protected areas have been established in Bahrain.
A recent study [9] evaluated the management effectiveness of MPAs in the Arabian Gulf and revealed variable levels of performance. This study highlighted a knowledge gap in relation to MPAs’ conditions and their management practices in Bahrain. The main objective of the present study is to investigate whether the current environmental management system is enabling MPAs to achieve their intended objectives in protecting sensitive coastal and marine ecosystems in Bahrain. Accordingly, this study (1) explores the ecological and legal contexts of MPAs in Bahrain, (2) evaluates the effectiveness of Bahraini MPAs in achieving their conservation goals, and (3) suggests measures that might enhance the effectiveness of those MPAs in protecting coastal and marine ecosystems in Bahrain.
The methodological approach of the present study (Fig. 1) is composed of four dimensions: (1) providing an ecological description for the regional and national coastal and marine ecosystems; (2) investigating the ecological characteristics of the Bahraini MPAs by reviewing available published and gray literature; (3) collecting in-field information related to the ecological conditions of MPAs in Bahrain; (4) analyzing the legal framework of MPAs in Bahrain; and (5) soliciting views of conservation practitioners, academics, and other relevant bodies about the importance of MPAs and their effectiveness in Bahrain using a semi-structured interview.
Methodology approach of the study.
The Arabian Gulf is a semi-enclosed sea situated in the subtropical region of the Middle East (Fig. 2). It constitutes part of the Arabian Sea Ecoregion and represents a realm of the tropical Indo-Pacific Ocean. The Arabian Gulf is a relatively shallow basin with an average depth of 35 m. The marine environment of the Arabian Gulf is naturally stressed due to marked fluctuations in sea temperatures and high salinities. Sea temperatures can exceed a range of 20oC between winter and summer. Summer temperatures can exceed 35oC, making the Arabian Gulf the hottest sea on Earth [10]. The Arabian Gulf is also characterized by extreme salinities that exceed 44 psu in open waters and 70 psu in coastal lagoons. Therefore, marine flora and fauna inhabiting the Arabian Gulf are living close to the limits of their environmental tolerance [11]. Despite these extreme climatic conditions, the Arabian Gulf supports a wide range of coastal and marine ecosystems that contribute significantly to the productivity of marine resources, including seagrass beds, coral reefs, mangroves, and mudflats [12].
A map showing the Arabian Gulf and bordering countries (Google Earth).
Anthropogenically, the Arabian Gulf is considered among the highest impacted regions in the world [13] due to intensive reclamation and dredging activities, industrial and sewage pollutants, hypersaline water discharges from desalination plants, and oil pollution [14]. Therefore, designation of MPAs is arguably critical for the protection of naturally stressed coastal and marine ecosystems in the Arabian Gulf. In relation to this, there are currently about 38 officially designated MPAs covering around 18,180 km2 in the Arabian Gulf [15]. However, several weaknesses in the MPAs in the Arabian Gulf were identified, including limitation in regulation enforcement, lack of management plans, weak communication with local stakeholders, traditional communities, and local marine resource users [9].
The Kingdom of Bahrain consists of an archipelago of approximately 40 natural islands in addition to several islets, shoals, and patches of reefs, lying centrally on the southern shores of the Arabian Gulf between latitudes 25° 32\' and 26° 20\' north and longitudes 50° 20\' and 50° 50\' east. The general aspects of climate in Bahrain are cool winters (14−23oC) with moderate rainfall, and hot summers (26−40oC) with high humidity. The winter season in Bahrain is accompanied by rainfall with an average of approximately 74 mm per annum. The summer season is hot with a substantial increase in humidity due to the high rate of evaporation from the surrounding seawaters [16]. Salinities around Bahrain are generally high due to the effects of high temperatures associated with high evaporation rates. Salinities on the west coast are higher than those on the east coast, with average means of 50−57 psu for the west coast and 43−45 psu for the east coast. This variation in the salinity gradients may be attributed to a complex system of water circulation around Bahrain enforced by reduced water exchange, particularly in south of Bahrain, where salinity could reach 70−80 psu in areas with restricted water flow such as tidal pools and lagoons [17]. The total land area of Bahrain in 2012 is about 777 km2 [16]. Despite the limited land area of Bahrain, waters surrounding its islands support several Valued Ecosystem Components (VECs) such as seagrass beds, coral reefs, mangrove swamps, and mudflats that provide important ecological goods and services.
Seagrass beds are highly productive ecosystems that are characterized by important ecological and economic functions. They provide food sources and nursery grounds for turtles, dugongs, shrimps, and a variety of economically important marine organisms. Three species of seagrass occur in Bahrain, namely
Coral reefs are characterized by both biological diversity and high levels of productivity. They provide a variety of ecological services such as renewable sources of seafood; maintenance of genetic, biological, and habitat diversity; recreational values; and economic benefits such as utilizing destructive reefs for creating land through the process of reclamation. Coral habitats are mainly restricted to the north and east of Bahrain. These include Fasht Al-Adhm to the east of Bahrain (the largest reef in Bahrain, 200 km2), Fasht Al-Jarim and Khor Fasht 20 km to the north, and Bulthama, 75 km northeast of Bahrain. Additionally, several other smaller reefs are scattered around eastern areas of Bahrain [19, 20]. Live coral cover in Bahrain is generally low, ranging from 5 to 16% [20]. This could be attributed to the massive bleaching events that occurred in the Arabian Gulf in the summers of 1996 and 1998. Bahrain was the worst affected by these events with an estimated overall loss of 97% of live corals [21].
Mangrove habitats are ecologically important coastal ecosystems that provide food, shelter, and nursery areas for a variety of terrestrial and marine fauna. Natural mangrove plants, which are represented by a single species,
Mudflats are among the most productive marine habitats that contribute significantly to the marine productivity in Bahrain. These habitats typically harbour large numbers of wintering and migratory shorebirds [23]. Mudflats in Bahrain are represented by low-energy areas on the northern and eastern coasts of Bahrain, as well as patches of sheltered lagoons within Hawar Islands.
Recent marine habitat mapping in Bahrain revealed sixteen types of habitats in Bahrain, namely algae, coral, seagrass, sand, mud, rock, mangrove, salt marsh, sabkha, rock and sand, coral-rock-sand, algae-rock-sand, mud and sand, mixed habitats, deep water mud, and deep water mixed habitats. Figure 3 shows the distribution of these marine habitats based on the Marine Atlas of Bahrain [19].
A map showing marine habitat classification in Bahrain [
This section provides a brief overview of the institutional governance of conservation in Bahrain, which will provide a context for analyzing the legal framework of MPAs. The Environmental Protection Committee (EPC), established by Decree No. 7 of 1980 under the Ministry of Health, was the first governmental authority concerned with protection of environment in Bahrain. The EPC was upgraded by the Legislative Decree No.21 of 1996, establishing Environmental Affairs under the Ministry of Housing, Municipalities and Environment. In 2000, the Environmental Affairs was reorganized under the Ministry of State for Municipalities Affairs and Environmental Affairs. A second governmental body concerned with wildlife protection is the National Committee for Wildlife Protection, which was established by the Legislative Decree No. 2 of 1995. This committee was upgraded to become the National Commission for Wildlife Protection by the Legislative Decree No 12 of 2000.
For the purpose of integration of efforts and resources to achieve an effective protection for the environment, the main governmental bodies concerned with the environment were joined under the umbrella of the Public Commission for the Protection of Marine Resources, Environment and Wildlife (PCPMREW) in 2002. The PCPMREW was established by the Legislative Decree No. 50 of 2002 and reorganized further by Legislative Decrees No. 10 and No. 43 of 2005.
More recently (2012), the Supreme Council for Environment (SCE) was established by the Legislative Decree No. 47 of 2012. The SCE forms the foundation to strategically integrating biodiversity considerations among all governmental and private sectors in Bahrain. The Legislative Decree with respect to Establishing and Organizing the Supreme Council for Environment explicitly indicates that decisions of the Council are binding to all ministries, authorities, and institutions in the Kingdom. Figure 4 shows the chronological development of environmental bodies in Bahrain.
Institutions concerned with conservation in Bahrain.
Coastal and marine environments in Bahrain are characterized by regionally and globally important habitats, including seagrass beds, coral reefs, and mangroves. Additionally, waters surrounding Bahrain support some of the most endangered species such as dugongs and turtles. These ecosystems maintain genetic and biological diversity and contribute to food security for the region. However, these ecosystems are vulnerable to environmental extremes in the Arabian Gulf and susceptible to the increasing anthropogenic stressors from the rapid economic and industrial developments in Bahrain. Therefore, protecting these fragile ecosystems is a priority in Bahrain. Designating marine protected areas is considered as a key strategy to protect coastal and marine ecosystems in Bahrain. Toward this, there are currently five designated natural marine protected areas in Bahrain, namely Hawar Islands, Tubli Bay, Mashtan Island, Duwhat Arad, and Fasht Bulthama (Fig. 5).
A map showing marine protected areas in Bahrain; Hawar Islands, Tubli Bay, Mashtan Island, Duwhat Arad, and Fasht Bulthama. Modified from reference [
The archipelago of Hawar Islands (581 km2), which is located in the Gulf of Bahrain (Fig. 6), is characterized by varied coastal habitats, including muddy, sandy, and rocky shores as well as saline wetlands. These islands are surrounded by shallow waters (average depth 2 m) that promote the growth of extensive seagrass beds and algal mats (Fig. 7). Waters surrounding Hawar Islands support vulnerable species such as dugongs, turtles, and dolphins. For instance, seagrass beds between Bahrain and Hawar Islands support a large population of the globally threatened dugongs (
A map showing the geographic location of Hawar Islands (Google Earth).
Extensive growth of seagrass beds around Hawar Islands.
Hawar Islands are vastly important for seabirds. These islands host the World’s largest breeding colony of Socotra Cormorants (
Hawar Islands are characterized by a complex of ecological habitats, including seagrass beds, algal mats, sand, and mudflats. Additionally, these islands are home to distinctive populations of flora, mega-fauna
The objectives of the Prime Minister Order were the protection of the terrestrial and marine natural habitats and their wild species of Hawar Islands and the protection of rare and endangered species. Several subsequent regulations were issued to support the protection of Hawar Islands, including the Ministerial Order No. 6 of 1996 with respect to the recommendations of the National Commission for Wildlife Protection Related to Hawar Islands and their Territorial Waters. This order prevents all forms of fishing around Hawar Islands and their territorial waters and only allows the use of traditional fishing gear such as hadrah (an intertidal fixed stake trap), cages, and trolls. This order also prevents taking eggs or chicks of breeding birds, including
Fishing around Hawar Islands was regulated by the Order of the Public Commission for the Protection of Marine Resources, Environment and Wildlife No. 13 of 2005 with respect to the Regulation of Fishing in Hawar Islands and their Territorial Waters. This order prohibits fishing in commercial quantities and overfishing around Hawar Islands and their territorial waters. It also prevents the use of any tools, machines, or materials that can pose a threat to the marine resources in the region. The order allows the use of the traditional fishing gears (
Internationally, Hawar Islands were designated as a Ramsar site (Convention on Wetlands of International Importance) in 1997 due to the abundance of globally significant, rare, and endangered bird species.
Tubli Bay (Fig. 8), located in the northeast of Bahrain, is a sheltered coastal body that supports a variety of habitats, including mudflats, seagrass beds, algal mats, mangrove swamps, and patches of rocky shores. Tubli Bay is a productive shallow bay that forms an important nursery ground for several commercial fish species and prawns [30]. Additionally, it provides important feeding and roosting grounds for large numbers of wintering and migratory shorebirds. Several wader species were recorded in the bay, including
A map showing Tubli Bay and Ras-Sanad area, southwest of the bay (Google Earth).
Tubli Bay hosts the last standing natural mangrove ecosystems in Bahrain (Fig. 9). Mangroves,
Mangrove plants in Ras-Sanad area, Tubli Bay.
Tubli Bay has been under pressure from several human activities. These include reclamation and dredging activities (Fig. 10) and sewage discharges (Fig.11) from the main sewage treatment plant in Bahrain. The marine area of Tubli Bay has been reduced from 25 to 12 km2 in 2008 due to intensive reclamation activities. These activities significantly destroyed mangrove stands and reduced their spatial distribution. Historically, mangrove stands were densely dominant on the coastline of Tubli Bay [33]. However, due to coastal development and pollution, mangrove stands have progressively reduced over the years (Fig. 12). Recently, a study investigating the composition of mangrove plant community in Tubli Bay during the years 2005 and 2010 indicated that the current area of mangroves is around 0.31 km2 [34].
Reclamation activities along the coastline of Tubli Bay.
Sewage discharges to the marine environment of Tubli Bay from the main sewage treatment plant in Bahrain.
Destroyed mangrove plants in Ras-Sanad area due to a large spill of cooking oil from a nearby factory in 1997.
The mangroves in Ras-Sanad areas were declared as a nature reserve by the Environmental Protection Committee in 1986. Tubli Bay was declared as a protected area in 1995 based on the Ministerial Order No. 1 of 1995 with respect to Banning of Reclamation in Tubli Bay. This order explicitly prohibits construction activities in the mangrove area in Ras-Sanad as it is considered as a nature reserve category (
Law No. 53 of 2006 with respect to the Declaration of Tubli Bay as a Natural Protected Area was issued to prevent the unsustainable reclamation activities along the coastline of Tubli Bay. This law considers Tubli Bay as natural protected area (Natural Park) and stresses on stopping all types of reclamation and dredging activities in the Bay. The law also directs all the competent governmental authorities to take all necessary measures to protect the environment and wildlife in the bay. This was followed by the Ministerial Order No. 70 of 2011 with respect to Determination of the Reclamation Line in Tubli Bay. This order specifies the final line of the marine area of the bay. Internationally, Tubli Bay was designated as a Ramsar site in 1997 for birds.
Mashtan is a small offshore sandy island (0.2 km2) located between Bahrain and Hawar Islands (Fig. 13). Waters surrounding this island are characterized by widespread growth of seagrass beds that provide feeding grounds for many species, including dugongs and sea turtles. Additionally, the surrounding environment is characterized by the presence of mixed habitats, including scattered coral reefs and patches of sand and mudflats [19].
A map showing the location of Mashtan Island (Google Earth).
Mashtan Island is nationally protected based on the Order of the National Commission of Wildlife Protection No.1 of 2002 with respect to the Declaration of Mashtan Island as a Protected Area. The designation of Mashtan Island as a protected area is based on the general policy of the government to protect terrestrial and marine habitats and their associated organisms.
Duwhat Arad is a sheltered bay (0.5 km2) located in the northeast of Bahrain (Fig. 14). The bay is a shallow mudflat that forms an important ground for feeding and roosting of important shorebirds, including
A map showing the location of Arad Bay (Google Earth).
Wader birds in Arad Bay during high tide.
Transplanted mangroves in Arad Bay.
Fasht Bulthama contains the healthiest corals in Bahraini waters (Fig. 17). This reef is characterized by relatively high levels of coral diversity (22 species) and coral cover (16.3%) [20]. The reef is surrounded by pearl oyster banks characterized by high abundance of the pearl oyster (
Fasht Bulthama contains high levels of coral and fish diversity. (© Courtesy of Hani Bader)
Views of conservationists, environmentalists, and other relevant bodies related to the effectiveness of marine protected areas in Bahrain were solicited using semi-structured interviews. The target population for the interviews consisted of members from the Supreme Council for Environment (1), academic institutions (8), and environmental consulting firms (2). They are experts in several fields related to biology conservation, including marine ecology, marine biology, environmental biology, and environmental management. Additionally, selected graduates (5) who completed a course in conservation biology at the Department of Biology, University of Bahrain were included in the interviews. The interviewees were asked for their views and experience in reference to the effectiveness of the five designated natural marine protected areas in Bahrain.
The contents of the semi-structured interviews were derived from the Marine Protected Area Score Card [36]. This score card is a simple questionnaire that depends on the use of existing knowledge and information from academics, local scientists, or experts. It is composed of six main headings reflecting the stages of marine protected area management proposed by the International Union for Conservation of Nature (IUCN). These stages include context, planning, inputs, processes, outputs, outcomes. The score card comprises 34 main questions under the mentioned stages related to legal status and regulation of MPA, threats to MPA, monitoring of MPA, stakeholder engagement and awareness, objectives of MPA, management plan, research, and communication. However, some of these questions were modified or merged to accommodate the environmental and legislative contexts, and regularity frameworks in Bahrain.
A comprehensive and enforced legislation framework is a key pillar for the success of any MPA. Generally, the five MPAs in Bahrain are legally designated (
Human and financial resources are critical for the success of any conservation initiative. The establishment of the Directorate of Biodiversity at the Supreme Council for Environment in 2012 is a major step forward to strengthen the institutional capacity in protecting biodiversity in Bahrain. However, most of the interviewees indicated that the Directorate of Biodiversity might be understaffed with limited budget, which could affect the implementation of major ongoing conservation programs. For instance, The Supreme Council for Environment has finalized a detailed plan to ecologically rehabilitate the mangroves in Ras-Sanad area. However, limited financial resources are hindering such initiatives.
Globally, MPAs are increasingly exposed to a wide range of anthropogenic threats. Reclamation and dredging, industrial and sewage effluents, hypersaline water discharges from desalination plants, and oil pollution are examples of anthropogenic stressors that may affect the MPAs in Bahrain [37]. The remote locations of Hawar Islands and Fasht Bulthama make them less vulnerable to human disturbance. However, these two MPAs are affected by overfishing. Several interviewees confirmed the intensive fishing activities in Hawar Islands and Fasht Bulthama. Mashtan Island is susceptible to sedimentation due to dredging and reclamation activities south of Bahrain. Avifauna in Arad Bay might be affected by intensive recreational activities. Tubli Bay is mainly affected by reclamation activities and sewage pollution. Reclamation has been more marked in Tubli Bay. This bay has nearly lost 50% of its original marine area. Reclamation activities in the bay have resulted in a loss of many mangrove stands, mudflats, and rocky patches. Excessive nutrient enrichment due to the continuous discharge of domestic sewage to the shallow marine area of the bay has resulted in several eutrophication incidents. Generally, all interviewees agreed that there are limited comprehensive mechanisms to control or limit human activities affecting MPAs in Bahrain.
A successful MPA depends on knowledge-based decision making, where scientific research is integrated into management actions [38]. Studies investigating marine protected areas and their associated ecosystems in Bahrain have included surveys of marine benthic assemblages in Tubli Bay [30, 32, 33, 39, 40], ecological aspects and spatial distribution of mangroves [35, 41, 42], physiological aspects of mangroves [22], microbial communities in Ras-Sanad area [43], ecological surveys for Hawar Islands [29, 44], coral cover in Fasht Bulthama [20], avifauna distribution in Tubli Bay and Arad Bay [23, 28, 31], environmental assessment for Tubli Bay [45], heavy metal contamination in Tubli Bay [46], and the selection of marine protected areas in Bahrain [47]. This latter publication [47] is considered the most comprehensive study detected to prioritize candidate MPAs based on ecological and socioeconomic criteria using a Geographic Information System (GIS). Despite their importance, these studies are rarely referred to in the decision-making process related to MPAs in Bahrain as agreed by most of the interviewees.
Monitoring physical, chemical, and biological aspects of MPAs can provide decision makers with information on the state of biodiversity, and consequently, assist in identifying management goals and assessing priorities for conservation [48]. It was agreed by interviewees that information on the biophysical, sociocultural, and economic conditions associated with MPAs in Bahrain is not sufficient to support planning and decision-making process. Generally, adequate monitoring programs for MPAs in Bahrain are limited. Some of the interviewees argued that the main Universities in Bahrain (University of Bahrain and Arabian Gulf University) have the scientific and technical capabilities to conduct integrated monitoring programs for the MPAs in Bahrain. Toward this end, the University of Bahrain has conducted two major ecological surveys for Hawar Islands in support of sustainable development in these islands. However, such monitoring programs are hindered by limited financial resources. For instance, an interviewee indicated that a proposed study by the University of Bahrain to conduct an integrated environmental assessment for Arad Bay, which could result in formulating a management plan for the bay, is awaiting financial support from concerned environmental authority in Bahrain.
Understanding of MPAs’ objectives by local communities is recognized as a key for the success of conservation initiatives [49]. Further, public participation in the designation process is important for effective implantation of regulations and management plans. Knowledge and attitudes of local communities toward marine protected areas in Bahrain were investigated by a recent study [50] using a questionnaire survey. This study reported an agreement (95%) among the surveyed population with respect to the need for MPAs in Bahrain. However, only 55% of the respondents indentified all the MPAs in Bahrain. This highlighted the need for more systematic measures to increase environmental awareness related to MPAs in Bahrain among stakeholders and the public. Most of the interviewees stressed the need to further incorporate conservation aspects in schools’ curricula, and to increase awareness programs through different sources of media.
Education plays an important role in capacity building related to conservation biology in Bahrain. Toward this end, a course in conservation biology was introduced at the Department of Biology, University of Bahrain in 2009. This course explores the principles of conservation biology, including biological diversity and its value, threats to biological diversity, conservation at the population and species levels, and management of habitats and ecosystems. The course discusses aspects of biodiversity conservation in Bahrain. Several graduate students skilled in knowledge relating to conservation biology joined relevant institutions. Although such initiatives should reflect positively in capacity building related to conservation biology, most of the interviewees stressed the need for systematically introducing the biodiversity concerns into the higher education institutions in Bahrain.
Generally, there is an assumption among the interviewees that indicated that the effectiveness of MAPs in Bahrain could be improved by taking necessary legislative and management actions. Around 19% viewed MPAs in Bahrain as being effective. This was mainly attributed to the relatively stable ecological conditions in Hawar Islands and Fashit Bulthama. Nearly 37% of the interviewees emphasized that there are increasing signs of ecological and environmental degradation in the MPAs and deemed them relatively effective. Conversely, a large proportion of the interviewees (44%) indicated that MPAs are not effective under the current marine conservation system in Bahrain (Fig. 18). They attributed this to the increasing evidence of further degradation in the mangroves in Ras-Sanad area, the increasing of human activities in Arad Bay that may be limiting wintering waders from using the mudflats and the increasing of overfishing activities in Hawar Islands and Fasht Bulthama that could compromise their ecological integrity.
Views of interviewees on the effectiveness of MPAs in Bahrain.
The effectiveness of any MPA lies in its ability to support viable long-term populations; especially for vulnerable and endangered species and to maintain healthy ecosystems. MPAs in Bahrain are contributing to the protection of critical coastal and marine habitats and their associated flora and fauna. However, there are several constraints that may restrict the effectiveness of the MPAs in Bahrain. These include limitation in regulation enforcement, lack of comprehensive management plans, and limitation in participation of stakeholders and local marine resource users in the designation process.
Adaptive management, which is a structured and iterative management process, could be suggested as a measure to enhance the effectiveness of MPAs in protecting coastal and marine ecosystems in Bahrain. Adaptive management is composed of several stages, including collecting information related to MPAs from different sources, formulating and implementing management plans, and adjusting and refining management plans based on the outcomes from monitoring and practices. Figure 19 illustrates a typical adaptive management cycle [51].
A typical adaptive management cycle [
Findings of this study indicate that there are yet further needs to strengthen efforts on conserving coastal and marine environments in Bahrain. Recommendations that may contribute to enhancing the effectiveness of MPAs in Bahrain might include:
Characterizing the current biological, ecological, legal, social, and economic conditions of MPAs in Bahrain;
Collecting information related to MPAs in Bahrain from all relevant bodies, including environmental authorities, stakeholders, scientists, and the general public;
Consulting best currently available scientific knowledge related to MPAs in Bahrain to support decision making and management;
Conducting studies to assess provisioning, supporting, and regulating cultural goods and services provided by coastal and marine ecosystems in Bahrain;
Linking ecosystem services and human well-being, which will lead to a better understating of the importance of MPAs by decision makers, stakeholders, and the public;
Formulating comprehensive management plans for MPAs in Bahrain;
Incorporating concerns of all relevant stakeholders in the management plans;
Defining clearly the conservation objectives, individually and collectively, of MPAs in Bahrain;
Specifying the boundaries of MPAs in Bahrain;
Formulating strategies to address human threats to MPAs in Bahrain;
Implanting and enforcing the management plans in cooperation with all relevant stakeholders;
Designing integrated monitoring programs that allow evidence-based decision making regarding MPAs in Bahrain;
Encouraging scientific research and providing necessary financial resources;
Incorporating conservation aspects in the curricula of schools and universities;
Amending relevant MPAs legislations;
Allocating human and financial resources to accomplish conservation initiatives;
Strengthening the institutional and legal capacity of the Biodiversity Directorate at the Supreme Council for Environment;
Increasing public awareness about ecosystem services and the role of MPAs.
Challenges of marine conservation in Bahrain can be extended to the whole region of the Arabian Gulf [9]. Regional network of MPAs could assist in protecting the fragile ecosystems of the Arabian Gulf. Therefore, further cooperation between local and regional institutions and organizations concerned with MPAs, scientific research, and environmental monitoring is required. In this respect, the Regional Organization for the Protection of the Marine Environment (ROPME) can play an important role in coordinating the efforts of marine conservation in the Arabian Gulf.
The marine environment in Bahrain supports a variety of habitats such as seagrass beds, coral reefs, mangroves, and mudflats. In addition to their intrinsic value and role in maintaining biodiversity, these ecosystems provide important ecological, economic, and cultural services to communities in Bahrain. Marine resources including fisheries provide sources of income, employment, and recreation, and contribute to the cultural heritage and food security. Bahrain has recognized the importance of marine biological and environmental resources and the need to protect them. MPAs are the most advocated approach for marine conservation. Several MPAs have been established to protect representative sensitive habitats in Bahrain, including offshore islands surrounded by extensive seagrass beds, mangroves swamps, coral reefs, and mudflats. However, these MPAs are influenced by anthropogenic stressors that may affect their ecological integrity, including reclamation and dredging, industrial and sewage effluents, oil pollution, and overexploitation. Effective management of MPAs in Bahrain is restricted by limitation in enforcement of relevant laws, lack of comprehensive management plans, and limitation in financial resources. Adopting integrated adaptive management approach, and promoting scientific research, education, and environmental awareness can enhance the effectiveness of MPAs in protecting coastal and marine ecosystems in Bahrain.
Support provided by the Department of Biology, University of Bahrain is greatly appreciated. The contributions by the interviewees are greatly acknowledged and appreciated. Special thanks are due to Dr. Brendan O’Connor for his constructive comments. Thanks are also extended to Tahani Naser for her technical assistance.
Ocular hypertension occurs when the pressure in the eye (intraocular pressure or IOP) is beyond the normal value with no signs of vision loss or damage to the optic nerve [1]. With ocular hypertension, the aqueous humor (fluid produced by the eye) is poorly drained. The buildup of fluid in the eye leads to an increase in IOP that could potentially lead to damage of the optic nerve, causing glaucoma [2]. The mean normal IOP is 15 mmHg and the mean IOP of untreated glaucoma is 18 mm Hg [1]. Ocular hypertension typically presents with no signs or symptoms, making it difficult to detect without access to an eye exam. Individuals with elevated IOP may be treated with cataract surgery and lensectomy [2, 3]. To properly address populations at risk for ocular hypertension, it is advantageous to determine how demographic variables may impact an individual’s susceptibility to blindness. Demographic variables are innate or non-changeable determinants of a disease. Addressing inequities in wealth, health, and access to medical care, as well as improved education on the benefits of early surgical intervention, can bend the curve of blindness from glaucoma. In this chapter, we use epidemiologic studies focusing specifically on Blacks to describe the prevalence and management of ocular hypertension.
In 2019, Black Americans made up 12.8% of US population, accounting for over 42 million people [4]. Although Blacks make up a minority of the population, many eye diseases, including ocular hypertension and glaucoma, affect a disproportionate number of Blacks, leading to higher rates of vision loss than documented in white-Americans [5]. Definitions of race and ethnicity have been ill-defined in past medical literature, with many overlaps. Therefore, the term “Blacks” in this context refers to an individual of black African descent. The population of Blacks in the Caribbean is over 21 million and in Africa is close to one billion [6]. There are also issues of decreased access to surgery in both locations [7].
While it has been universally accepted and documented that Blacks have higher prevalence of ocular hypertension, the degree of prevalence may differ for varying black populations. For example, the black-American and black-Caribbean populations studied in the Baltimore Eye Survey and the Barbados Eye Study, respectively, are ethnically unique. Both populations of Blacks presented with a high prevalence of ocular hypertension, but to a different degree. The prevalence of ocular hypertension in the black-Caribbean population was reported at levels nearly twice that of the black-American population [8, 9, 10, 11]. Studies have also reported a notably higher prevalence of ocular hypertension in Blacks in comparison to other racial groups (primarily white) [12, 13].
In response to a lack of substantial ocular research with Black study participants, extensive population-based studies including the Baltimore Eye Survey [9], The Ocular Hypertension Treatment Study [2], The Barbados Eye Study [8], and the African American Eye Disease Study [13] were created to address the disproportionate prevalence of eye diseases present in Blacks. Further studies are needed to continue to build upon this body of research, particularly to look at earlier interventions of cataract surgery and trabecular bypass as an earlier intervention to prevent glaucoma.
Studies have shown that with age the crystalline lens increases in width. During accommodation, the iris bows posteriorly. With age there is increased contact between the posterior iris pigment epithelium and lens zonules leading to pigment liberation and obstruction of the trabecular meshwork [14]. This is often seen with heavier pigment in the trabecular meshwork inferiorly compared to superiorly on gonioscopy [15]. The increased width of the lens can also lead to pupillary block and iris obstruction of the trabecular meshwork leading to elevated intraocular pressure. This common mechanism of ocular hypertension in persons over the age of 50 is often overlooked by physicians. Current physicians and those in training must be better educated to look for this clinically and intervene promptly. Early cataract surgery and lensectomy is beneficial to remove the large lens and trabecular bypass to restore aqueous outflow via the obstructed trabecular meshwork [14].
Previous studies have shown intraocular pressure (IOP) to be highly heritable, indicating possible genetic influence on the development of ocular hypertension [12, 16]. There is additional substantial evidence suggesting that ocular hypertension leading to glaucoma may have a genetic component [17], but the specific genetic risk factors have not yet been identified. A 2012 genome wide association study conducted in 11,972 participants from The Netherlands, UK, Australia, and Canada investigated candidate genes in human ocular tissue to identify susceptibility to elevated IOP and glaucoma [12]. Elevated IOP commonly occurs in patients over the age of 50 and often presents with enlargement of the lens, narrowing of the angle, iridolenticular apposition, or pigment liberation that obstructs the trabecular meshwork. Genes regulating these ocular components were studied and the results revealed that genetic variants expressed in genes GAS7 and TMCO1 were associated with changes in IOP in the populations studied. Both revealed only marginal evidence for ocular hypertension, as GAS7 was associated with a 0.19 mmHg decrease in IOP and TMCO1 was associated with a 0.28 mmHg increase in IOP [12]. Additional findings revealed that individuals of European ancestry expressed the GAS7 variant at 0.44 frequency while those of African ancestry expressed the same variant at 0.12 frequency [12]. The lower frequency of this variant in Blacks may reflect the elevated IOP common in individuals of African descent and requires further research.
While impressive strives have been made over the past two decades to identify genetic components of ocular diseases [18], a comprehensive understanding of the pathophysiology has frequently been limited to individuals of European and Asian ancestry, requiring an increased need for genetic research in Blacks and other understudied populations. For example, multiple genetic variants in genes associated with elevated IOP were discovered in non-Black populations and a majority do not replicate, nor have an effect, in Blacks [19, 20, 21]. In response to an increased need for the identification of genetic risk factors that underlie elevated IOP in the understudied population of Blacks, the Primary Open-Angle African American Glaucoma Genetics (POAAGG) study was created in 2014 and took place over the course of five years to address these research disparities [22]. This study identified a genetic variation known as a single nucleotide polymorphism (SNP) involved in the homeostasis of the trabecular meshwork [23]. The trabecular meshwork (TM) is located in the anterior portion of the eye and regulates the outflow of the aqueous humor into circulation [24]. If resistance increases in the TM during aqueous humor outflow, intraocular pressure may rise leading to ocular hypertension. By identifying a genetic variant that may affect the TM in Blacks, the POAAGG study has made a pertinent finding to our understanding of the role of genetics in ocular hypertension and glaucoma. As one of the first large cohort studies with over 5,000 study participants, additional analyses are needed to further validate the implications of this study.
In addition, the progression of elevated IOP in Blacks leading to ocular hypertension is likely a combination of genetic, environmental, aging and socioeconomic factors, as well as others not mentioned. These demographic variables will continue to be explored throughout this chapter.
Intraocular pressure is routinely measured in clinical practice to assess various conditions within the eye, including that of the optic nerve and visual field [25]. Goldmann applanation tonometry is the most common technique used to measure IOP, but its accuracy and use as a diagnostic tool may be impeded by the rigidity of the cornea [25]. A thicker cornea may cause an overestimate of IOP and a thinner cornea may cause an underestimate of IOP. The consensus on the necessity to correct IOP based on central corneal thickness is not yet clear. While CCT is statistically significant as a predictor of glaucoma development [2], it does not present as an independent risk factor [26].
The Ocular Hypertension Treatment Study (OHTS) and the European Glaucoma Prevention Study (EGPS) recognized central corneal thickness as one of the most significant predictors for primary open-angle glaucoma [2, 27]. The mean central corneal thickness is about 560 μ m and the risk for developing ocular hypertension has been reported to nearly double (hazard ratio of 1.82) for every 40 μm decrease [28]. Patients with thin corneas (<555 μm) [2] may present with an underestimated IOP reading, placing the individual at potential risk if actual IOP is elevated. The primary diagnostic criteria for ocular hypertension is IOP, so any factor that hinders this measurement may lead to an errant diagnosis. Patients with ocular hypertension typically present with thicker corneas, which may lead to an overestimation of IOP, while primary open angle glaucoma patients present with thinner corneas [29]. While the influence of elevated IOP on central corneal thickness has not yet been determined, individuals whose IOPs have been reduced pharmacologically by at least 20% demonstrated no change in corneal thickness [30].
Differences in central corneal thickness were noted between black Americans and white Americans. In the OHTS, Blacks were found to have thinner central corneal thickness (555.7 μm), resulting in lower applanation readings and a miscalculated estimation of the true level of IOP [30]. The South African Eye Study [31] also measured differences in central corneal thickness and compared the findings to measurements of intraocular pressure in Blacks, mixed ethnicity peoples, and whites. The findings revealed that Blacks had the thinnest corneas and highest IOP, followed by mixed ethnicity then white individuals.
These results suggest the possible need for refining the risk factor definitions when measuring central corneal thickness and IOP in varying populations. While obtaining a central corneal thickness measurements for all patients may not be necessary, patients with ocular hypertension should continue to be monitored to measure accurate IOP and determine possible susceptibility to glaucoma.
Differing from glaucoma, ocular hypertension presents with a normal optic nerve and no signs of damage. Ocular hypertension is often a precursor to glaucoma as abnormally high pressures in the eye may lead to damage of the optic nerve causing vision loss or blindness [1]. Studies have indicated differences in the structure of the optic nerve between Blacks and whites [32, 33]. The optic disc area was 12% larger in Blacks compared to Whites [32]. The larger optic nerve may cause a greater strain at similar pressure levels, but it is not clear if larger optic discs affect one’s susceptibility to ocular hypertension as there are incongruous reports [10, 34]. The impact of these differences has been postulated to affect the increased susceptibility of Blacks to ocular hypertension and glaucoma.
The retinal nerve fiber layer (RNFL) is primarily comprised of retinal ganglion cell axons that progressively diminish in glaucoma. As a result, the RNFL thins considerably and may present as an early manifestation of glaucoma [35]. As a precursor to glaucoma, RNFL was measured in patients with ocular hypertension and the results revealed a significant thinning of RNFL of about 15% in ocular hypertensive eyes as compared to normal eyes [36]. Other studies have yet to demonstrate significant differences RNFL between normal eyes and those with ocular hypertension, possibly due to the sensitivity of the instruments used to measure and the study population [36, 37].
Vision loss is a pertinent public health challenge that requires the efforts of many to overcome [38, 39]. Addressing these disparities involves contending with the pervasive economic and racial inequalities that have had a disproportionate impact on Blacks, particularly in healthcare utilization. These inequities are evident in a 2020 study documenting the recency of eye examinations among black adults over the age of 55 [40]. In this study, 13.4% of participants (n = 740) reported having no eye examination in the last five years and nearly 25% had not had an eye exam in the last year [40]. Concerningly, 20% of study participants with diabetes mellitus were not instructed by other healthcare providers to seek annual eye examinations.
Systemic and social inequities have resulted in poor health outcomes in Blacks [41]. When examining wealth in the United States, there is countless evidence of extensive racial disparities. In 2016, the net worth of the average white family in the US was nearly ten times more than that of a Black family at $171,000 and $17,150 respectively [42]. These extensive differences in wealth and income reflect the consequences of years of discrimination, segregation, and inequality that mark the history of the US from its inception. The wealth gap between Blacks and whites in the US demonstrates the differences in opportunity afforded to citizens [42]. Colonialism has contributed to similar wealth disparities in the Caribbean and Africa. Differing from the circumstances in developing countries, the eye health care system in the United States is highly capable of delivering the care necessary to treat patients [41, 43]. However, much improvement is needed in the means by which education is delivered to the public and effective screening may take place.
The history of medicine and health care in the United States is tainted by a myriad of forms of injustice and violence towards Blacks that includes segregation of medical facilities, unequal healthcare access, and disdainful medical experimentation [44, 45]. Today, these inequalities are especially evident in employment, housing, and wealth opportunities in medically underserved areas and populations (MUA/P) [46, 47, 48]. MUA/P have been defined by the Health Resources and Services Administration as areas or populations having too few health care providers, high poverty or high elderly populations [49]. In addition, there are also social factors that have had strong implications on the health outcomes of Blacks, particularly poverty, food insecurity, and affordable housing. Low-socioeconomic status and race have been independently associated with increased vision loss placing poor Blacks at an increased risk [47]. These social factors that have often led to poor health outcomes in Blacks are rooted in racism and implicit biases that have to be recognized and changed at the personal, medical, and institutional level in order to lead to change [50].
Many studies have reported the association between visual impairment and poor quality of life, as well as physical and mental illness [51, 52, 53]. Unilateral and bilateral vision loss and blindness can impact a person’s quality of life by affecting their ability to read, walk, commute, and carry out daily activities [54]. In addition to the disparities previously mentioned, blindness can exasperate the inequities faced by Blacks in the US. Early treatment of ocular hypertension by reducing elevated IOP by 20% can reduce the risk of developing glaucoma in half [2], thereby reducing the risk of blindness. Earlier cataract surgery, clear lensectomy, and trabecular bypass may reduce it even more. Implementing measures to address ocular hypertension in Blacks can help reduce the risk of blindness and address health inequities in the medical community. In addition, public policy is needed to develop models of healthcare that make services more accessible, particularly in communities that are medically underserved.
Access to health care can impact one’s health outcomes. The utilization of healthcare may be determined by whether people know care is needed, whether obtaining care is wanted, and whether care can be accessed [55]. Access is often used to describe the ease of obtaining care, including its availability, the accommodations provided, and affordability. Health care in the United States often cannot be utilized without insurance, regardless of the presence of a healthcare provider that is geographically accessible. The public health challenge regarding ocular hypertension is that if the elevated IOP was detected earlier on, further exasperation of the condition could be slowed and potential diseases could be prevented [56, 57]. With newer surgical approaches progression can be halted with earlier cataract surgery/clear lensectomy and trabecular bypass.
Successful treatments for elevated IOP have included topical medications, surgery, or laser [58]. Reducing IOP significantly may lead to a delay in progression to optic nerve damage, visual field loss, or glaucoma [59]. Several studies have reported the impact of lack of medical care on health outcomes [60, 61]. The Salisbury Eye Evaluation Study [62] was a population-based study that sought to investigate the causes of blindness and visual impairments of adults between the ages of 65 and 84. The study revealed higher levels of blindness and visual impairments in Blacks compared to whites, with 37% of the conditions classified as surgically treatable and 44% categorized as targets for low vision remediation. The study was not able to identify patients whose eye condition was amenable and chose not to undergo surgery for reasons including financial barriers, fear of the surgical procedure, or absence of functional loss. It is important to encourage all patients, particularly those with ocular hypertension, to seek continuous to monitor their condition.
The Affordable Care Act (ACA) was enacted in March 2010 with its primary goals being to make affordable health insurance available to more people and to generally lower the cost of health care [63]. Better health outcomes in Blacks have been linked to increases in health insurance coverage under the ACA [64]. While uninsured rates were reduced, Black Americans remained 1.5 times more likely to be uninsured than non-Hispanic white Americans [65]. Additionally, data gained from the National Health Interview Survey conducted between 2014–2016 revealed that access and utilization of eye care is lower among racial and ethnic minorities [66]. Increased access to health care and affordable insurance may improve the health outcomes of vulnerable populations with ocular hypertension.
Patient education is an interactive process in which learning may take place between the healthcare provider and the patient. Increased patient education of vision health may lead to an increasing trend of eye doctor visits. Previous studies have reported that those with more education are more likely to seek care from an eye care professional as opposed to those with less education [67]. As a result of ocular hypertension, many Black patients were reported to present to an ophthalmologist with more extensive damage to the optic nerve as compared to whites [68]. As a result, the disease progression in Blacks was more vulnerable to malignancy even after intervention is initiated. Safer earlier cataract surgery and trabecular bypass are important treatment options that should be offered earlier.
Educating patients on ocular hypertension involves sharing the risk factors associated with the eye condition such as family history, age, medical conditions, and past eye injuries, as well prevention and treatment options. Due to the asymptomatic presentation of ocular hypertension with no signs of vision loss, it is possible that patients have not/will not seek treatment until further damage and vision loss occur. Prior recorded interactions between physicians and patients have found that providers were less likely to educate Black patients about glaucoma and were also less likely to educate patients of lower health literacy about glaucoma medications [69]. It is important for the patient’s eye health that ocular hypertension and its potential progression to glaucoma are described and apprehensible, particularly to those in populations most at risk. Through patient education of ocular hypertension, the patient may better understand their susceptibility to eye disease and can seek early treatment if necessary.
Given the information presented in this chapter, initiation of treatment for ocular hypertension may be started earlier in Blacks with the possibility of arresting or reducing elevated IOP. The aging population of adults aged 65 and older is continuously increasing with expectation of this number to reach nearly 90 million in the US by 2050 [70]. In addition, growing levels of obesity increasing the prevalence of diabetes make an increasing number of individuals at risk for vision loss in the future. As the risk factors for ocular hypertension increase, recognition of patient vulnerabilities and systemic level changes are needed to ensure that the needs of patients are properly and conveniently addressed.
This chapter has demonstrated the unique demographic and ocular characteristics that have affected Blacks in the progression of ocular hypertension. The combination of race, socioeconomic status, and access to treatment may influence the diagnosis and health outcome of individuals with ocular hypertension. Acknowledging these factors and implementing changes to promote early diagnosis and treatment, as well as addressing health and wealth disparities in high-risk populations, can lead to lower rates of glaucoma and blindness. Physician advice through patient education, as well as affordability, continuity, and frequent access to care has demonstrated a strong association with increased eye care services [71]. Diagnosis and early intervention of elevated levels of intraocular pressure and ocular hypertension may reduce the risk of glaucoma, vision loss, and blindness in future patients.
The authors declare no conflict of interest.
This is a brief overview of the main steps involved in publishing with IntechOpen Compacts, Monographs and Edited Books. Once you submit your proposal you will be appointed a Author Service Manager who will be your single point of contact and lead you through all the described steps below.
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After introducing the link between PSE and parental competence, the role of PSE on parenting quality, its multiple influences, and transactional effects connected to contextual or cultural variables are discussed. The chapter addresses some key issues: (a) the levels of PSE measurement (i.e., domain- or task-specific approach), their interrelationship and magnitude as mutual predictors (study 1); (b) infant-caring, parent’s adjustment, and PSE development in the transition to parenthood (study 2); (c) parenting difficult children and the role of PSE as a “buffer” variable moderating the effects of negative child’s characteristics on parenting skills; and (d) PSE beliefs in family context, the relationships with other family measures (marital self-efficacy and stress), and their associations with children’s adjustments (study 3). Finally, in the study 4, PSE is presented as an outcome variable in a parent training. 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Parental involvement and parenting styles are defined and analyzed as possible parameters of adolescent problems, including bullying and victimization. Special emphasis is given to the distinction between behavioral and psychological parental control. Furthermore, issues such as parent‐adolescent conflict, locus of control, and parental values are discussed as correlates of these problems, since prior research has identified them as either risk or protective factors for child and adolescent social and emotional adaptation.",book:{id:"5605",slug:"parenting-empirical-advances-and-intervention-resources",title:"Parenting",fullTitle:"Parenting - Empirical Advances and Intervention Resources"},signatures:"Stelios N. Georgiou and Maria Symeou",authors:[{id:"193345",title:"Prof.",name:"Stelios",middleName:null,surname:"Georgiou",slug:"stelios-georgiou",fullName:"Stelios Georgiou"},{id:"197682",title:"Dr.",name:"Maria",middleName:null,surname:"Symeou",slug:"maria-symeou",fullName:"Maria Symeou"}]},{id:"67167",doi:"10.5772/intechopen.86517",title:"Aligning Human Resource Management with Knowledge Management for Better Organizational Performance: How Human Resource Practices Support Knowledge Management Strategies?",slug:"aligning-human-resource-management-with-knowledge-management-for-better-organizational-performance-h",totalDownloads:1965,totalCrossrefCites:6,totalDimensionsCites:7,abstract:"Contributing to the HR-approach to knowledge management (KM), this chapter aims at outlining the role of human resource management (HRM) in supporting KM through utilizing the theoretical and empirical literature. The article is divided into two sections. The first section presents various knowledge concepts, KM perspectives and KM strategies. This section ends up by linking these topics in a KM sequential model which helps us to track the philosophical underpinnings and perspectives of each KM strategy. The second section investigates various HR orientations and HR practices and situates their differing contextual characteristics under each KM strategy. It aligns various HR practices with different KM strategies; suggesting that HRM is most effective as a combination of practices that are consistent and sharpened in supporting each KM strategy, which is part of the organizational strategy. The debated practices are recruitment and selection, compensation management, training and development, performance management, retention management and career management. Each of those practices is speculated to alter based on the chosen KM strategy; presenting a framework that is useful for practitioners and academics alike. The review ends up by identifying some research gaps and opportunities to be carried out in future studies. 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Nonetheless, family factors—especially those related to parenting—seem to be crucial during childhood, because children are nested within their families and family factors are able to indirectly influence other factors as well. The current chapter focuses on the relationship between parental style and internalizing symptoms in childhood. In the first part of the chapter, the most important studies on the topic are reviewed in detail and differences in parenting behaviors between mothers and fathers are illustrated. A discussion on the cognitive and metacognitive factors as possible pathways of the relation between parenting and childhood symptoms is also proposed. The last part of the chapter reviews studies investigating the efficacy of parental involvement in cognitive behavior therapy for children who exhibit internalizing symptoms.",book:{id:"5605",slug:"parenting-empirical-advances-and-intervention-resources",title:"Parenting",fullTitle:"Parenting - Empirical Advances and Intervention Resources"},signatures:"Simona Scaini, Sara Palmieri and Marcella Caputi",authors:[{id:"240074",title:"Dr.",name:"Simona",middleName:null,surname:"Scaini",slug:"simona-scaini",fullName:"Simona Scaini"},{id:"240906",title:"Dr.",name:"Marcella",middleName:null,surname:"Caputi",slug:"marcella-caputi",fullName:"Marcella Caputi"}]},{id:"67575",doi:"10.5772/intechopen.86757",title:"Toward Management Based on Knowledge",slug:"toward-management-based-on-knowledge",totalDownloads:1128,totalCrossrefCites:3,totalDimensionsCites:3,abstract:"In a world overwhelmed with pervasive digital technologies, the organization is transformed and becomes a socio-technical system which is constantly renewed. Organization needs specific skills, adapted to the values and to the cultures peculiar to each location. The cooperation and the mobility become a shape of inescapable work which rests on a permanent personal and collective learning. Beyond the information handled in the digital information systems, the role of the tacit knowledge, which is in each individual’s head, cannot be ignored. A constructivist attitude replaces a determinist attitude strongly deep-rooted in our educational modes. The managers have to pass from a posture of authority and of control to a posture of incitation, of support, and of accompaniment. The notions that are introduced in this chapter result from a managerial and socio-technical vision of knowledge management. They arouse essential reflections to develop a mode of management adapted to the digital transformation of the organizations called management based on knowledge.",book:{id:"7808",slug:"current-issues-in-knowledge-management",title:"Current Issues in Knowledge Management",fullTitle:"Current Issues in Knowledge Management"},signatures:"Michel Grundstein",authors:[{id:"292425",title:"Mr.",name:"Michel",middleName:null,surname:"Grundstein",slug:"michel-grundstein",fullName:"Michel Grundstein"}]}],mostDownloadedChaptersLast30Days:[{id:"55633",title:"Parental Self-efficacy in Promoting Children Care and Parenting Quality",slug:"parental-self-efficacy-in-promoting-children-care-and-parenting-quality",totalDownloads:2099,totalCrossrefCites:9,totalDimensionsCites:13,abstract:"Parental self-efficacy (PSE) emerges as a crucial variable into exploring variability in parenting quality. After introducing the link between PSE and parental competence, the role of PSE on parenting quality, its multiple influences, and transactional effects connected to contextual or cultural variables are discussed. The chapter addresses some key issues: (a) the levels of PSE measurement (i.e., domain- or task-specific approach), their interrelationship and magnitude as mutual predictors (study 1); (b) infant-caring, parent’s adjustment, and PSE development in the transition to parenthood (study 2); (c) parenting difficult children and the role of PSE as a “buffer” variable moderating the effects of negative child’s characteristics on parenting skills; and (d) PSE beliefs in family context, the relationships with other family measures (marital self-efficacy and stress), and their associations with children’s adjustments (study 3). Finally, in the study 4, PSE is presented as an outcome variable in a parent training. In all summarized studies, a special attention was devoted to father’s PSE as a specific factor affecting childrearing and parent’s well-being. As Bandura says, PSE is not a personality trait, but a learnable set of beliefs producing positive effects on parenting quality. 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The chapter is based on an empirical study starting from the classification of oil district and aims to understand how firms’ position affect knowledge transfer process within the district. We support the idea that knowledge transfer is deeply affected by firms’ contractual power as well as by their position within the district. The companies of the industrial districts have the advantage of exploiting and sharing knowledge with each other. The literature generally holds that knowledge transfer requires a sense of equality and fairness among the firms, to create conditions in which firms will share their own knowledge for joint competitive advantage. However, empirical evidence shows that the value chains are often characterized by hierarchical relations and asymmetry between the parties: this feature is particularly evident in the oil districts. For companies attempting to acquire new information, the typologies of their intercompany collaboration and their cultural relationships are crucial.",book:{id:"7808",slug:"current-issues-in-knowledge-management",title:"Current Issues in Knowledge Management",fullTitle:"Current Issues in Knowledge Management"},signatures:"Giovanna Testa",authors:[{id:"293404",title:"Dr.",name:"Giovanna",middleName:null,surname:"Testa",slug:"giovanna-testa",fullName:"Giovanna Testa"}]},{id:"67167",title:"Aligning Human Resource Management with Knowledge Management for Better Organizational Performance: How Human Resource Practices Support Knowledge Management Strategies?",slug:"aligning-human-resource-management-with-knowledge-management-for-better-organizational-performance-h",totalDownloads:1961,totalCrossrefCites:6,totalDimensionsCites:7,abstract:"Contributing to the HR-approach to knowledge management (KM), this chapter aims at outlining the role of human resource management (HRM) in supporting KM through utilizing the theoretical and empirical literature. The article is divided into two sections. The first section presents various knowledge concepts, KM perspectives and KM strategies. This section ends up by linking these topics in a KM sequential model which helps us to track the philosophical underpinnings and perspectives of each KM strategy. The second section investigates various HR orientations and HR practices and situates their differing contextual characteristics under each KM strategy. It aligns various HR practices with different KM strategies; suggesting that HRM is most effective as a combination of practices that are consistent and sharpened in supporting each KM strategy, which is part of the organizational strategy. The debated practices are recruitment and selection, compensation management, training and development, performance management, retention management and career management. Each of those practices is speculated to alter based on the chosen KM strategy; presenting a framework that is useful for practitioners and academics alike. The review ends up by identifying some research gaps and opportunities to be carried out in future studies. Those research gaps, if addressed, will extend our understanding of KM and the supporting role HRM.",book:{id:"7808",slug:"current-issues-in-knowledge-management",title:"Current Issues in Knowledge Management",fullTitle:"Current Issues in Knowledge Management"},signatures:"Hadi El-Farr and Rezvan Hosseingholizadeh",authors:[{id:"293827",title:"Dr.",name:"Hadi",middleName:null,surname:"El-Farr",slug:"hadi-el-farr",fullName:"Hadi El-Farr"},{id:"293834",title:"Dr.",name:"Rezvan",middleName:null,surname:"Hosseingholizadeh",slug:"rezvan-hosseingholizadeh",fullName:"Rezvan Hosseingholizadeh"}]},{id:"53767",title:"Parenting Practices and the Development of Internalizing/ Externalizing Problems in Adolescence",slug:"parenting-practices-and-the-development-of-internalizing-externalizing-problems-in-adolescence",totalDownloads:1708,totalCrossrefCites:5,totalDimensionsCites:8,abstract:"This chapter examines the existing relationship between different types of parental practices and the development of internalizing and externalizing behavioral problems in adolescence. Parental involvement and parenting styles are defined and analyzed as possible parameters of adolescent problems, including bullying and victimization. Special emphasis is given to the distinction between behavioral and psychological parental control. Furthermore, issues such as parent‐adolescent conflict, locus of control, and parental values are discussed as correlates of these problems, since prior research has identified them as either risk or protective factors for child and adolescent social and emotional adaptation.",book:{id:"5605",slug:"parenting-empirical-advances-and-intervention-resources",title:"Parenting",fullTitle:"Parenting - Empirical Advances and Intervention Resources"},signatures:"Stelios N. Georgiou and Maria Symeou",authors:[{id:"193345",title:"Prof.",name:"Stelios",middleName:null,surname:"Georgiou",slug:"stelios-georgiou",fullName:"Stelios Georgiou"},{id:"197682",title:"Dr.",name:"Maria",middleName:null,surname:"Symeou",slug:"maria-symeou",fullName:"Maria Symeou"}]},{id:"59028",title:"Parent Training Interventions for Children and Adolescents with Aggressive Behavioral Problems",slug:"parent-training-interventions-for-children-and-adolescents-with-aggressive-behavioral-problems",totalDownloads:1630,totalCrossrefCites:0,totalDimensionsCites:2,abstract:"Children who display early disruptive and aggressive behavior are also at greater risk for delinquency, mood and anxiety disorders, and substance use in the long term. As is the case for many forms of childhood psychopathology, a number of factors are associated with the emergence of aggressive and disruptive behavior, including family factors. Indeed, conduct problems during childhood are usually associated with peculiar parenting practices, such as increasingly coercive cycles of harsh parenting and noncompliance exhibited by child; insensitive and nonresponsive parenting; inconsistent, severe discipline and vague commands and directions; lack of parental warmth and involvement; and absence of parental monitoring and supervision. That is why behavioral parent trainings (BPTs) represent one of the gold standard interventions for conduct problems. The main goal of BPT is to decrease coercive interchanges and, consequently, children aggressive problems by teaching parents strategies in order to apply a more effective discipline. Therefore, the putative mechanism for change in youth behavior in BPT is change in parent behavior. Some of the most employed parent training interventions for aggressive behavior problems are presented.",book:{id:"5605",slug:"parenting-empirical-advances-and-intervention-resources",title:"Parenting",fullTitle:"Parenting - Empirical Advances and Intervention Resources"},signatures:"Pietro Muratori, Valentina Levantini, Azzurra Manfredi, Laura\nRuglioni and Furio Lambruschi",authors:[{id:"238556",title:"Dr.",name:"Pietro",middleName:null,surname:"Muratori",slug:"pietro-muratori",fullName:"Pietro Muratori"}]}],onlineFirstChaptersFilter:{topicId:"1388",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:133,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"6",title:"Infectious Diseases",doi:"10.5772/intechopen.71852",issn:"2631-6188",scope:"This series will provide a comprehensive overview of recent research trends in various Infectious Diseases (as per the most recent Baltimore classification). Topics will include general overviews of infections, immunopathology, diagnosis, treatment, epidemiology, etiology, and current clinical recommendations for managing infectious diseases. Ongoing issues, recent advances, and future diagnostic approaches and therapeutic strategies will also be discussed. This book series will focus on various aspects and properties of infectious diseases whose deep understanding is essential for safeguarding the human race from losing resources and economies due to pathogens.",coverUrl:"https://cdn.intechopen.com/series/covers/6.jpg",latestPublicationDate:"June 25th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:13,editor:{id:"131400",title:"Prof.",name:"Alfonso J.",middleName:null,surname:"Rodriguez-Morales",slug:"alfonso-j.-rodriguez-morales",fullName:"Alfonso J. 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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},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"3",title:"Bacterial Infectious Diseases",coverUrl:"https://cdn.intechopen.com/series_topics/covers/3.jpg",isOpenForSubmission:!1,annualVolume:null,editor:null,editorTwo:null,editorThree:null},{id:"4",title:"Fungal Infectious Diseases",coverUrl:"https://cdn.intechopen.com/series_topics/covers/4.jpg",isOpenForSubmission:!0,annualVolume:11400,editor:{id:"174134",title:"Dr.",name:"Yuping",middleName:null,surname:"Ran",slug:"yuping-ran",fullName:"Yuping Ran",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bS9d6QAC/Profile_Picture_1630330675373",biography:"Dr. Yuping Ran, Professor, Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China. Completed the Course Medical Mycology, the Centraalbureau voor Schimmelcultures (CBS), Fungal Biodiversity Centre, Netherlands (2006). International Union of Microbiological Societies (IUMS) Fellow, and International Emerging Infectious Diseases (IEID) Fellow, Centers for Diseases Control and Prevention (CDC), Atlanta, USA. Diploma of Dermatological Scientist, Japanese Society for Investigative Dermatology. Ph.D. of Juntendo University, Japan. Bachelor’s and Master’s degree, Medicine, West China University of Medical Sciences. Chair of Sichuan Medical Association Dermatology Committee. General Secretary of The 19th Annual Meeting of Chinese Society of Dermatology and the Asia Pacific Society for Medical Mycology (2013). In charge of the Annual Medical Mycology Course over 20-years authorized by National Continue Medical Education Committee of China. Member of the board of directors of the Asia-Pacific Society for Medical Mycology (APSMM). Associate editor of Mycopathologia. Vice-chief of the editorial board of Chinses Journal of Mycology, China. Board Member and Chair of Mycology Group of Chinese Society of Dermatology.",institutionString:null,institution:{name:"Sichuan University",institutionURL:null,country:{name:"China"}}},editorTwo:null,editorThree:null},{id:"5",title:"Parasitic Infectious Diseases",coverUrl:"https://cdn.intechopen.com/series_topics/covers/5.jpg",isOpenForSubmission:!0,annualVolume:11401,editor:{id:"67907",title:"Dr.",name:"Amidou",middleName:null,surname:"Samie",slug:"amidou-samie",fullName:"Amidou Samie",profilePictureURL:"https://mts.intechopen.com/storage/users/67907/images/system/67907.jpg",biography:"Dr. Amidou Samie is an Associate Professor of Microbiology at the University of Venda, in South Africa, where he graduated for his PhD in May 2008. He joined the Department of Microbiology the same year and has been giving lectures on topics covering parasitology, immunology, molecular biology and industrial microbiology. He is currently a rated researcher by the National Research Foundation of South Africa at category C2. He has published widely in the field of infectious diseases and has overseen several MSc’s and PhDs. His research activities mostly cover topics on infectious diseases from epidemiology to control. His particular interest lies in the study of intestinal protozoan parasites and opportunistic infections among HIV patients as well as the potential impact of childhood diarrhoea on growth and child development. He also conducts research on water-borne diseases and water quality and is involved in the evaluation of point-of-use water treatment technologies using silver and copper nanoparticles in collaboration with the University of Virginia, USA. He also studies the use of medicinal plants for the control of infectious diseases as well as antimicrobial drug resistance.",institutionString:null,institution:{name:"University of Venda",institutionURL:null,country:{name:"South Africa"}}},editorTwo:null,editorThree:null},{id:"6",title:"Viral Infectious Diseases",coverUrl:"https://cdn.intechopen.com/series_topics/covers/6.jpg",isOpenForSubmission:!0,annualVolume:11402,editor:{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",institutionURL:null,country:{name:"India"}}},editorTwo:null,editorThree:null}]},overviewPageOFChapters:{paginationCount:58,paginationItems:[{id:"81961",title:"Antioxidants as an Adjuncts to Periodontal Therapy",doi:"10.5772/intechopen.105016",signatures:"Sura Dakhil Jassim and Ali Abbas Abdulkareem",slug:"antioxidants-as-an-adjuncts-to-periodontal-therapy",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Dental Trauma",coverURL:"https://cdn.intechopen.com/books/images_new/11567.jpg",subseries:{id:"2",title:"Prosthodontics and Implant Dentistry"}}},{id:"82357",title:"Caries Management Aided by Fluorescence-Based Devices",doi:"10.5772/intechopen.105567",signatures:"Atena Galuscan, Daniela Jumanca and Aurora Doris Fratila",slug:"caries-management-aided-by-fluorescence-based-devices",totalDownloads:4,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Dental Caries - The Selection of Restoration Methods and Restorative Materials",coverURL:"https://cdn.intechopen.com/books/images_new/11565.jpg",subseries:{id:"1",title:"Oral Health"}}},{id:"81894",title:"Diet and Nutrition and Their Relationship with Early Childhood Dental Caries",doi:"10.5772/intechopen.105123",signatures:"Luanna Gonçalves Ferreira, Giuliana de Campos Chaves Lamarque and Francisco Wanderley Garcia Paula-Silva",slug:"diet-and-nutrition-and-their-relationship-with-early-childhood-dental-caries",totalDownloads:11,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Dental Caries - The Selection of Restoration Methods and Restorative Materials",coverURL:"https://cdn.intechopen.com/books/images_new/11565.jpg",subseries:{id:"1",title:"Oral Health"}}},{id:"81595",title:"Prosthetic Concepts in Dental Implantology",doi:"10.5772/intechopen.104725",signatures:"Ivica Pelivan",slug:"prosthetic-concepts-in-dental-implantology",totalDownloads:27,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg",subseries:{id:"2",title:"Prosthodontics and Implant Dentistry"}}}]},overviewPagePublishedBooks:{paginationCount:8,paginationItems:[{type:"book",id:"6668",title:"Dental Caries",subtitle:"Diagnosis, Prevention and Management",coverURL:"https://cdn.intechopen.com/books/images_new/6668.jpg",slug:"dental-caries-diagnosis-prevention-and-management",publishedDate:"September 19th 2018",editedByType:"Edited by",bookSignature:"Zühre Akarslan",hash:"b0f7667770a391f772726c3013c1b9ba",volumeInSeries:1,fullTitle:"Dental Caries - Diagnosis, Prevention and Management",editors:[{id:"171887",title:"Prof.",name:"Zühre",middleName:null,surname:"Akarslan",slug:"zuhre-akarslan",fullName:"Zühre Akarslan",profilePictureURL:"https://mts.intechopen.com/storage/users/171887/images/system/171887.jpg",biography:"Zühre Akarslan was born in 1977 in Cyprus. She graduated from Gazi University Faculty of Dentistry, Ankara, Turkey in 2000. \r\nLater she received her Ph.D. degree from the Oral Diagnosis and Radiology Department; which was recently renamed as Oral and Dentomaxillofacial Radiology, from the same university. \r\nShe is working as a full-time Associate Professor and is a lecturer and an academic researcher. \r\nHer expertise areas are dental caries, cancer, dental fear and anxiety, gag reflex in dentistry, oral medicine, and dentomaxillofacial radiology.",institutionString:"Gazi University",institution:{name:"Gazi University",institutionURL:null,country:{name:"Turkey"}}}]},{type:"book",id:"7139",title:"Current Approaches in Orthodontics",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/7139.jpg",slug:"current-approaches-in-orthodontics",publishedDate:"April 10th 2019",editedByType:"Edited by",bookSignature:"Belma Işık Aslan and Fatma Deniz Uzuner",hash:"2c77384eeb748cf05a898d65b9dcb48a",volumeInSeries:2,fullTitle:"Current Approaches in Orthodontics",editors:[{id:"42847",title:"Dr.",name:"Belma",middleName:null,surname:"Işik Aslan",slug:"belma-isik-aslan",fullName:"Belma Işik Aslan",profilePictureURL:"https://mts.intechopen.com/storage/users/42847/images/system/42847.jpg",biography:"Dr. Belma IşIk Aslan was born in 1976 in Ankara-TURKEY. After graduating from TED Ankara College in 1994, she attended to Gazi University, Faculty of Dentistry in Ankara. She completed her PhD in orthodontic education at Gazi University between 1999-2005. Dr. Işık Aslan stayed at the Providence Hospital Craniofacial Institude and Reconstructive Surgery in Michigan, USA for three months as an observer. She worked as a specialist doctor at Gazi University, Dentistry Faculty, Department of Orthodontics between 2005-2014. She was appointed as associate professor in January, 2014 and as professor in 2021. Dr. Işık Aslan still works as an instructor at the same faculty. She has published a total of 35 articles, 10 book chapters, 39 conference proceedings both internationally and nationally. Also she was the academic editor of the international book 'Current Advances in Orthodontics'. She is a member of the Turkish Orthodontic Society and Turkish Cleft Lip and Palate Society. She is married and has 2 children. Her knowledge of English is at an advanced level.",institutionString:"Gazi University Dentistry Faculty Department of Orthodontics",institution:null}]},{type:"book",id:"7572",title:"Trauma in Dentistry",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/7572.jpg",slug:"trauma-in-dentistry",publishedDate:"July 3rd 2019",editedByType:"Edited by",bookSignature:"Serdar Gözler",hash:"7cb94732cfb315f8d1e70ebf500eb8a9",volumeInSeries:3,fullTitle:"Trauma in Dentistry",editors:[{id:"204606",title:"Dr.",name:"Serdar",middleName:null,surname:"Gözler",slug:"serdar-gozler",fullName:"Serdar Gözler",profilePictureURL:"https://mts.intechopen.com/storage/users/204606/images/system/204606.jpeg",biography:"Dr. Serdar Gözler has completed his undergraduate studies at the Marmara University Faculty of Dentistry in 1978, followed by an assistantship in the Prosthesis Department of Dicle University Faculty of Dentistry. Starting his PhD work on non-resilient overdentures with Assoc. Prof. Hüsnü Yavuzyılmaz, he continued his studies with Prof. Dr. Gürbüz Öztürk of Istanbul University Faculty of Dentistry Department of Prosthodontics, this time on Gnatology. He attended training programs on occlusion, neurology, neurophysiology, EMG, radiology and biostatistics. In 1982, he presented his PhD thesis \\Gerber and Lauritzen Occlusion Analysis Techniques: Diagnosis Values,\\ at Istanbul University School of Dentistry, Department of Prosthodontics. As he was also working with Prof. Senih Çalıkkocaoğlu on The Physiology of Chewing at the same time, Gözler has written a chapter in Çalıkkocaoğlu\\'s book \\Complete Prostheses\\ entitled \\The Place of Neuromuscular Mechanism in Prosthetic Dentistry.\\ The book was published five times since by the Istanbul University Publications. Having presented in various conferences about occlusion analysis until 1998, Dr. Gözler has also decided to use the T-Scan II occlusion analysis method. Having been personally trained by Dr. Robert Kerstein on this method, Dr. Gözler has been lecturing on the T-Scan Occlusion Analysis Method in conferences both in Turkey and abroad. Dr. Gözler has various articles and presentations on Digital Occlusion Analysis methods. He is now Head of the TMD Clinic at Prosthodontic Department of Faculty of Dentistry , Istanbul Aydın University , Turkey.",institutionString:"Istanbul Aydin University",institution:{name:"Istanbul Aydın University",institutionURL:null,country:{name:"Turkey"}}}]},{type:"book",id:"7060",title:"Gingival Disease",subtitle:"A Professional Approach for Treatment and Prevention",coverURL:"https://cdn.intechopen.com/books/images_new/7060.jpg",slug:"gingival-disease-a-professional-approach-for-treatment-and-prevention",publishedDate:"October 23rd 2019",editedByType:"Edited by",bookSignature:"Alaa Eddin Omar Al Ostwani",hash:"b81d39988cba3a3cf746c1616912cf41",volumeInSeries:4,fullTitle:"Gingival Disease - A Professional Approach for Treatment and Prevention",editors:[{id:"240870",title:"Ph.D.",name:"Alaa Eddin Omar",middleName:null,surname:"Al Ostwani",slug:"alaa-eddin-omar-al-ostwani",fullName:"Alaa Eddin Omar Al Ostwani",profilePictureURL:"https://mts.intechopen.com/storage/users/240870/images/system/240870.jpeg",biography:"Dr. Al Ostwani Alaa Eddin Omar received his Master in dentistry from Damascus University in 2010, and his Ph.D. in Pediatric Dentistry from Damascus University in 2014. Dr. Al Ostwani is an assistant professor and faculty member at IUST University since 2014. \nDuring his academic experience, he has received several awards including the scientific research award from the Union of Arab Universities, the Syrian gold medal and the international gold medal for invention and creativity. Dr. Al Ostwani is a Member of the International Association of Dental Traumatology and the Syrian Society for Research and Preventive Dentistry since 2017. He is also a Member of the Reviewer Board of International Journal of Dental Medicine (IJDM), and the Indian Journal of Conservative and Endodontics since 2016.",institutionString:"International University for Science and Technology.",institution:{name:"Islamic University of Science and Technology",institutionURL:null,country:{name:"India"}}}]}]},openForSubmissionBooks:{paginationCount:3,paginationItems:[{id:"11570",title:"Influenza - New Approaches",coverURL:"https://cdn.intechopen.com/books/images_new/11570.jpg",hash:"157b379b9d7a4bf5e2cc7a742f155a44",secondStepPassed:!0,currentStepOfPublishingProcess:3,submissionDeadline:"May 10th 2022",isOpenForSubmission:!0,editors:[{id:"139889",title:"Dr.",name:"Seyyed Shamsadin",surname:"Athari",slug:"seyyed-shamsadin-athari",fullName:"Seyyed Shamsadin Athari"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null},{id:"11569",title:"Bacterial Sexually Transmitted Infections - New Findings, Diagnosis, Treatment, and Prevention",coverURL:"https://cdn.intechopen.com/books/images_new/11569.jpg",hash:"069d6142ecb0d46d14920102d48c0e9d",secondStepPassed:!0,currentStepOfPublishingProcess:3,submissionDeadline:"May 31st 2022",isOpenForSubmission:!0,editors:[{id:"189561",title:"Dr.",name:"Mihaela Laura",surname:"Vica",slug:"mihaela-laura-vica",fullName:"Mihaela Laura Vica"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null},{id:"11568",title:"Staphylococcal Infections - Recent Advances and Perspectives",coverURL:"https://cdn.intechopen.com/books/images_new/11568.jpg",hash:"92c881664d1921c7f2d0fee34b78cd08",secondStepPassed:!1,currentStepOfPublishingProcess:2,submissionDeadline:"July 8th 2022",isOpenForSubmission:!0,editors:[{id:"59719",title:"Dr.",name:"Jaime",surname:"Bustos-Martínez",slug:"jaime-bustos-martinez",fullName:"Jaime Bustos-Martínez"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},onlineFirstChapters:{paginationCount:10,paginationItems:[{id:"82380",title:"Evolution of Parasitism and Pathogenic Adaptations in Certain Medically Important Fungi",doi:"10.5772/intechopen.105206",signatures:"Gokul Shankar Sabesan, Ranjit Singh AJA, Ranjith Mehenderkar and Basanta Kumar Mohanty",slug:"evolution-of-parasitism-and-pathogenic-adaptations-in-certain-medically-important-fungi",totalDownloads:4,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Fungal Infectious Diseases - Annual Volume 2022",coverURL:"https://cdn.intechopen.com/books/images_new/11400.jpg",subseries:{id:"4",title:"Fungal Infectious Diseases"}}},{id:"82367",title:"Spatial Variation and Factors Associated with Unsuppressed HIV Viral Load among Women in an HIV Hyperendemic Area of KwaZulu-Natal, South Africa",doi:"10.5772/intechopen.105547",signatures:"Adenike O. 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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:null},{id:"62900",title:"Prof.",name:"Fethi",middleName:null,surname:"Derbel",slug:"fethi-derbel",fullName:"Fethi Derbel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62900/images/system/62900.jpeg",biography:"Professor Fethi Derbel was born in 1960 in Tunisia. He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. Professor Derbel has published many articles in journals and collaborates intensively with IntechOpen Access Publisher as an editor.",institutionString:"Clinique les Oliviers",institution:null},{id:"300144",title:"Dr.",name:"Meriem",middleName:null,surname:"Braiki",slug:"meriem-braiki",fullName:"Meriem Braiki",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/300144/images/system/300144.jpg",biography:"Dr. Meriem Braiki is a specialist in pediatric surgeon from Tunisia. She was born in 1985. She received her medical degree from the University of Medicine at Sousse, Tunisia. She achieved her surgical residency training periods in Pediatric Surgery departments at University Hospitals in Monastir, Tunis and France.\r\nShe is currently working at the Pediatric surgery department, Sidi Bouzid Hospital, Tunisia. Her hospital activities are mostly concerned with laparoscopic, parietal, urological and digestive surgery. She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. He has authored and reviewed a number of journal articles and book chapters.",institutionString:"National Veterinary Research Institute",institution:{name:"National Veterinary Research Institute",country:{name:"Nigeria"}}},{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. 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She is a professor in the Stomatology Faculty, St. Petersburg State University. She has expertise in the development and evaluation of a wide range of live mucosal vaccines against influenza and bacterial complications. 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Govindarajan completed his BSc degree in Zoology at Government Arts College (Autonomous), Kumbakonam, and MSc, MPhil, and PhD degrees at Annamalai University, Annamalai Nagar, Tamil Nadu, India. He is serving as an assistant professor at the Department of Zoology, Annamalai University. His research interests include isolation, identification, and characterization of biologically active molecules from plants and microbes. He has identified more than 20 pure compounds with high mosquitocidal activity and also conducted high-quality research on photochemistry and nanosynthesis. He has published more than 150 studies in journals with impact factor and 2 books in Lambert Academic Publishing, Germany. He serves as an editorial board member in various national and international scientific journals.",institutionString:null,institution:null},{id:"274660",title:"Dr.",name:"Damodar",middleName:null,surname:"Paudel",slug:"damodar-paudel",fullName:"Damodar Paudel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274660/images/8176_n.jpg",biography:"I am DrDamodar Paudel,currently working as consultant Physician in Nepal police Hospital.",institutionString:null,institution:null},{id:"241562",title:"Dr.",name:"Melvin",middleName:null,surname:"Sanicas",slug:"melvin-sanicas",fullName:"Melvin Sanicas",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/241562/images/6699_n.jpg",biography:null,institutionString:null,institution:null},{id:"337446",title:"Dr.",name:"Maria",middleName:null,surname:"Zavala-Colon",slug:"maria-zavala-colon",fullName:"Maria Zavala-Colon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Puerto Rico, Medical Sciences Campus",country:{name:"United States of America"}}},{id:"338856",title:"Mrs.",name:"Nur Alvira",middleName:null,surname:"Pascawati",slug:"nur-alvira-pascawati",fullName:"Nur Alvira Pascawati",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Universitas Respati Yogyakarta",country:{name:"Indonesia"}}},{id:"441116",title:"Dr.",name:"Jovanka M.",middleName:null,surname:"Voyich",slug:"jovanka-m.-voyich",fullName:"Jovanka M. Voyich",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Montana State University",country:{name:"United States of America"}}},{id:"330412",title:"Dr.",name:"Muhammad",middleName:null,surname:"Farhab",slug:"muhammad-farhab",fullName:"Muhammad Farhab",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{id:"349495",title:"Dr.",name:"Muhammad",middleName:null,surname:"Ijaz",slug:"muhammad-ijaz",fullName:"Muhammad Ijaz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Veterinary and Animal Sciences",country:{name:"Pakistan"}}}]}},subseries:{item:{id:"95",type:"subseries",title:"Urban Planning and Environmental Management",keywords:"Circular economy, Contingency planning and response to disasters, Ecosystem services, Integrated urban water management, Nature-based solutions, Sustainable urban development, Urban green spaces",scope:"