Various types of illness due to water.
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These books synthesize perspectives of renowned scientists from the world’s most prestigious institutions - from Fukushima Renewable Energy Institute in Japan to Stanford University in the United States, including Columbia University (US), University of Sidney (AU), University of Miami (USA), Cardiff University (UK), and many others.
\\n\\nThis collaboration embodied the true essence of Open Access by simplifying the approach to OA publishing for Academic editors and authors who contributed their research and allowed the new research to be made available free and open to anyone anywhere in the world.
\\n\\nTo celebrate the 50 books published, we have gathered them at one location - just one click away, so that you can easily browse the subjects of your interest, download the content directly, share it or read online.
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IntechOpen and Knowledge Unlatched formed a partnership to support researchers working in engineering sciences by enabling an easier approach to publishing Open Access content. Using the Knowledge Unlatched crowdfunding model to raise the publishing costs through libraries around the world, Open Access Publishing Fee (OAPF) was not required from the authors.
\n\nInitially, the partnership supported engineering research, but it soon grew to include physical and life sciences, attracting more researchers to the advantages of Open Access publishing.
\n\n\n\nThese books synthesize perspectives of renowned scientists from the world’s most prestigious institutions - from Fukushima Renewable Energy Institute in Japan to Stanford University in the United States, including Columbia University (US), University of Sidney (AU), University of Miami (USA), Cardiff University (UK), and many others.
\n\nThis collaboration embodied the true essence of Open Access by simplifying the approach to OA publishing for Academic editors and authors who contributed their research and allowed the new research to be made available free and open to anyone anywhere in the world.
\n\nTo celebrate the 50 books published, we have gathered them at one location - just one click away, so that you can easily browse the subjects of your interest, download the content directly, share it or read online.
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Food additives are natural or manufactured substances, which are added to food to restore colors lost during processing. They provide sweetness, prevent deterioration during storage and guard against food poisoning (preservatives). This book provides a review of traditional and non-traditional food preservation approaches and ingredients used as food additives. It also provides detailed knowledge for the evaluation of the agro-industrial wastes based on their great potential for the production of industrially relevant food additives. Furthermore the assessment of potential reproductive and developmental toxicity perspectives of some newly synthesized food additives on market has been covered. Finally, the identification of the areas relevant for future research has been pointed out indicating that there is more and more information needed to explore the possibility of the implementation of some other materials to be used as food additives.",isbn:null,printIsbn:"978-953-51-0067-6",pdfIsbn:"978-953-51-5206-4",doi:"10.5772/1521",price:119,priceEur:129,priceUsd:155,slug:"food-additive",numberOfPages:270,isOpenForSubmission:!1,isInWos:1,isInBkci:!1,hash:"d5d05e31d794c4697626a5616a9fe077",bookSignature:"Yehia El-Samragy",publishedDate:"February 22nd 2012",coverURL:"https://cdn.intechopen.com/books/images_new/1014.jpg",numberOfDownloads:109036,numberOfWosCitations:141,numberOfCrossrefCitations:49,numberOfCrossrefCitationsByBook:3,numberOfDimensionsCitations:208,numberOfDimensionsCitationsByBook:3,hasAltmetrics:1,numberOfTotalCitations:398,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"March 16th 2011",dateEndSecondStepPublish:"April 13th 2011",dateEndThirdStepPublish:"August 18th 2011",dateEndFourthStepPublish:"September 17th 2011",dateEndFifthStepPublish:"January 15th 2012",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"81644",title:"Prof.",name:"Yehia",middleName:null,surname:"El-Samragy",slug:"yehia-el-samragy",fullName:"Yehia El-Samragy",profilePictureURL:"https://mts.intechopen.com/storage/users/81644/images/system/81644.jpg",biography:"Dr. El-Samragy has over four decades of a professional career bridged between academia and industry. He is Professor Emeritus of Food Science at Ain Sham University, Cairo, Egypt, and Visiting Research Professor at Cornell University, Ithaca, NY and Utah State University, Logan, UT, USA. He is an International Expert Trainer of Food Safety and Quality Management Systems. He worked as an Expert at some international organizations including FAO, UNIDO, UNDP, JECFA, ISO, USAID, ACDI-VOCA and DANIDA, in different projects of technology transfer, food standards, food product development, waste utilization, cleaner production, implementation of integrated management systems. He is IRCA Lead Auditor/Tutor of QMS, and Food Safety (HACCP & ISO/FSSC 22000) (IRCA Certificate # 01182132), and Lead Instructor, FSPCA Preventive Controls for Human Food Course (FSPCA Certificate # d16e213f) and FSPCA Foreign Supplier Verification Programs (FSPCA Certificate # d26bcf6b). Also, he registered and approved to deliver Food Safety and HACCP training and examinations leading to Highfield Qualifications (Highfield Tutor # 29012). He has extensive experience in delivering training courses on QMS, HACCP and ISO/FSSC 22000 in Egypt, Libya, Sudan, Zambia, Tanzania, Ghana, Sierra Leone, Liberia, Gambia, South Africa, Uganda, Saudi Arabia, Yemen, Jordan, Dubai, Sharjah, Syria, Bahrain, Lebanon, Kazakhstan, Russia, USA and Canada.",institutionString:"Ain Shams University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Ain Shams University",institutionURL:null,country:{name:"Egypt"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"324",title:"Food Chemistry",slug:"agricultural-and-biological-sciences-bromatology-food-chemistry"}],chapters:[{id:"28906",title:"Food Additive",doi:"10.5772/34455",slug:"food-additive",totalDownloads:17348,totalCrossrefCites:9,totalDimensionsCites:13,hasAltmetrics:0,abstract:null,signatures:"R. 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\r\n\tThe book “Nut Crops - New Insights” will cover the technologies, fields, and categories related to nut crop cultivation, growth, micropropagation, pathogen defense, weed control, and biotechnological applications in crop science with special reference to nuts.
\r\n\r\n\tThis book aims to have scientific chapters concerned with all aspects of nut science and particularly the biological, agricultural engineering, social and ecological knowledge application for nut crops management in the tropical and subtropical regions.
\r\n\r\n\tThis book aims to encourage the researchers to demonstrate how the field experiments contribute to the understanding of the biophysical processes related to crop development, growth, and the formation and realization of yield.
\r\n\r\n\tThe book “Nut Crops - New Insights” will provide a platform for all knowledge seekers to get the best of research that has been done around the globe relevant to plant nutrition, nut production, crop cultivation, etc. The readership of the book will include researchers and students of crop science and individuals with similar academic levels.
",isbn:"978-1-80356-633-7",printIsbn:"978-1-80356-632-0",pdfIsbn:"978-1-80356-634-4",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,hash:"1843d68aceace005d335966147f9b751",bookSignature:"Dr. Muhammad Akram",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11795.jpg",keywords:"Nuts, Edible Crops, Growth Regulators, Cultivar, Crop Cultivation, Micropropagation, Nut Breeding, Weed Control, Insecticides, Plant Pathogens, Nutritional Improvement, Nut Nutrition",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"March 17th 2022",dateEndSecondStepPublish:"June 3rd 2022",dateEndThirdStepPublish:"August 2nd 2022",dateEndFourthStepPublish:"October 21st 2022",dateEndFifthStepPublish:"December 20th 2022",remainingDaysToSecondStep:"11 days",secondStepPassed:!1,currentStepOfPublishingProcess:2,editedByType:null,kuFlag:!1,biosketch:"Chairperson and Associate Professor in the Department of Eastern Medicine, Government College University Faisalabad, Pakistan and ex-chairman in the Department of Eastern Medicine and Surgery, University of Poonch, Pakistan. Dr. Muhammad Akram serves as an editor and invited reviewer of several national and international journals and he has numerous publications and presentations to his credit.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"215436",title:"Dr.",name:"Muhammad",middleName:null,surname:"Akram",slug:"muhammad-akram",fullName:"Muhammad Akram",profilePictureURL:"https://mts.intechopen.com/storage/users/215436/images/system/215436.jpg",biography:"Dr. Muhammad Akram is an Associate Professor in the Department of Eastern Medicine, Government College University Faisalabad, Pakistan. He received his Ph.D. from Hamdard University Karachi-Pakistan in 2013. Dr. Akram was a chairman in the Department of Eastern Medicine and Surgery, University of Poonch, Rawalakot Azad Kashmir from 2015 to 2017. He received many honors and awards during his career. 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Without water no one can think of life on earth. About 71% of earth is covered with water. Of that 71% water about 97% resides in oceans and only 3% of water is fresh water (Figure 1a) and of that 3% about 68.7% of freshwater is locked up in icecaps and glaciers (Figure 1b), and it is quite a surprising fact that almost all the remaining fresh water is below the ground. Of all the freshwater on the surface of earth only 0.3% is contained in fresh lakes, and rivers [1].
(a) Water distribution on the earth and (b) freshwater distribution on the earth.
As the population is increasing day by day the water availability per capita is decreasing. So the challenge of limited amount of freshwater and its decreasing per capita availability is an issue of concern but another major challenge is water pollution that has not only environmental impact but also have a major effect on human health. As per the statistics 783 million people do not have access to clean and safe water worldwide [2]. Around 319 million people in Sub-Saharan Africa are without the access to improved reliable drinking water sources. One in nine people worldwide do not have access to safe and clean drinking water. 443 million school days are lost each year due to water-related diseases [3]. In developing countries, as much as 80% of illnesses are linked to poor water and sanitation conditions [4]. 2.6 billion people in the world lack adequate sanitation and which contributes to about 10% of the global disease burden [5]. Half of the world’s hospitals beds are filled with people suffering from a water-related disease [6].
There are various type of illnesses due to water and are summarized in Table 1.
Type of diseases | Source | Example | References |
---|---|---|---|
Water borne | Human or animal waste | Cholera, typhoid, and dysentery, | [7] |
Water washed | Lack of clean water for washing | Skin and eye infections | [8] |
Water based | Organism developed in water and then become parasite | Schistosomiasis | [9] |
Water-related insect vector | Mosquitoes breed in water | Malaria and dengue | [9] |
Various types of illness due to water.
As we have seen that the contaminated water has a very bad impact on human health even some heavy metals that if taken for long time it can cause cancer such as arsenic is considered as one the carcinogenic contaminant in water. After understanding the health issues related to contaminant water there is need to understand the source of contamination and major contaminants that pollute the water.
In recent years, magnetic materials have been potentially used for removal of water pollutants, particularly organic contaminates (dyes, chlorinated hydrocarbons, aromatics), pesticides, as well as heavy metals [10]. There are a large number of techniques available for water treatment for safe drinking water including adsorption, precipitation, solvent extraction, ion exchange, reverse osmosis, membrane separation, evaporation, and photocatalysis. The development of nanoscience and nanotechnology shows their potentiality in removing toxic elements from water bodies with better water treatment process. The design and development of nanomaterials which belong to the size range of 1–100 nm exhibiting unique properties as compared to the bulk materials leads to the enormous improvements in many sectors including, health, manufacturing, electronics, environmental remediation as well. The magnetic nanomaterials (paramagnetic or ferromagnetic or superparamagnetic) with tailored surface chemistry have already expanded their scope of application in water treatment. In this chapter, various processes of drinking water treatment and waste water treatment using advanced magnetic materials in removing toxic metal ions, organic and inorganic solutes, bacteria and viruses has been discussed.
There are many sources of drinking water and the main sources are ground water, lakes, canals, reservoirs, rain water, fog water and sea water. These sources are contaminated in different ways and broadly the source of contamination can be divided in to two categories:
Direct sources or point sources
Indirect sources or non-point sources
Direct sources basically include effluent from industries, treatment plants, refineries, factories, etc. However, indirect sources or non-point sources include the water contamination entering to the water body through a number of processes, e.g., while putting the fertilizers and pesticides to the agricultural field, the elements presents in the chemical percolates down to the groundwater and ultimately pollute the water.
There are various types of water contaminants, however in the following subsections organic contaminants, inorganic contaminants and pathogens are briefly discussed.
Organic contaminants present in drinking water create severe problem on human health. Pollution by organic chemicals in water bodies occurs by various mechanisms. Industrial waste containing various organic chemical contaminants pollutes the water bodies. Volatile organic compounds (VOCs), pesticides, phenolic compounds, phthalates, and nitrogen-containing compounds, are often detected in polluted water [11]. Many of these compounds have been found to be carcinogenic, even in very low concentrations. WHO Guidelines for drinking water quality, levels are set for 28 organic constituents (i.e., microcystin-LR, chlorinated alkanes, chlorinated benzenes and miscellaneous), 33 pesticides, and 9 disinfectant by-products, due to their health effects on humans [12]. It is noteworthy to mention that, occurrence of pharmaceutical and personal care products and perfluoroalkyl acids in aquatic environment has been recognized as emerging issue in environmental chemistry [13].
Inorganic contaminants include metals, salts and other compounds that do not contain carbon. Many of them are naturally occurring and should be considered as an integral part of those waters, e.g., calcium carbonate and bicarbonate in hard water. The metal ions such as Hg(II), Pb(II), Cr(III), Cr(VI), Ni(II), Co(II), Cu(II), Cd(II), Ag(I), As(V) and As(III) are toxic from eco toxicological point of view. Besides, the pollution by the radioactive elements is of major concern looking into their long-term hazardous impacts.
Pathogens such as bacteria, viruses and parasites may be present in very low concentration in drinking water; but cause many infectious diseases and are considered as one of the major risk factors with drinking water safety [14]. The pathogenic microorganisms enter in to water body through sewage discharge as a major source or through the wastewater from industries like slaughterhouses. Water-borne pathogens have been the causes of many disease outbreaks such as diarrhea, cholera, gastro-intestinal illness [15]. The recurrence of water-borne pathogens is due to a number of reasons like heavy water contamination, population explosion, change in potable water treatment methods, globalization of commerce and travel. It has been made possible to detect pathogen based water contamination to a large extent owing to the improved methods for detection and source tracking [16, 17]. The most serious health risk is related with ingestion of water which is contaminated with fecal matter and the discharge of wastewater into various ambient water bodies is what contributes to the multiplication of numbers of such pathogens (bacteria, viruses, protozoa and helminthes) [18].
Water treatment is defined as the removal of the above contaminants using some specific process. In most of the water treatment processes, conventional adsorption process with activated carbon is adopted and the adsorption capacity is substantially decreased in presence of high concentration of organic matters in water where the active sites are mostly occupied by these materials. In recent times, there are various technologies have been employed for the removal of water contaminants such as filtration (ceramic, bio sand, membrane, and activated carbon based filtration), heat and UV radiation, chemical treatment (coagulation-flocculation, chemical disinfection), and desalination (reverse osmosis, distillation). The various techniques in water treatment can categorized into following six classes [19]:
Adsorption
Biotechnology
Catalytic processes
Membrane processes
Ionizing radiation processes
Magnetically assisted processes.
There are specific advantages and disadvantages for a particular process. The nanotech based processes are promising option in current water treatment processes because of their target specificity, ease of separation, high adsorption per unit area, as well as less maintenance.
There has been increased interest in using magnetic materials in water treatment which are basically composed of magnetic core of iron oxides organic compounds, carbon materials, etc. Recently, nanomaterials in different shapes, morphologies, forms, e.g., metal-containing nanoparticles, carbonaceous nanomaterials, zeolites, dendrimers, carbon nanotubes, nanofibers have been used for water purification [20]. However, the difficulty arises in using these materials is the separation of solid materials from liquid and which is more difficult as the particle size decreases in nanoscale. On the other hand, the using of magnetic, particularly the magnetic nanoparticles (MNPs) materials have the advantage of magnetic filtration in separation of solid from liquid and are more efficient [21].
However solid/liquid (S/L) separation is more difficult as the particle size decreases. On the other side, in case of magnetic sorbents based on Fe oxides, the magnetic filtration may be applied for S/L separation. Furthermore, the removal of particles from solution with the use of magnetic fields is more selective and efficient (and often much faster) than centrifugation or filtration (Yauvuz et al.) [21]. Here are the advantages of using MNPs adsorbent for water treatment processes:
Small size and thus high surface to volume ratio
Solid/liquid separation through magnetic filtration is selective, faster than centrifugation and filtration techniques
Reusability
Greater biocompatibility
Magnetic separation
Different types of magnetic materials have been synthesized and designed for development of advanced materials and applied effectively in widespread uses such as biomedicine, magnetic resonance imaging (MRI), catalysis, spintronics, robotics, engineering, environmental remediation, etc. [22] There are different synthesizing methods viz. co-precipitation, solvothermal, hydrothermal, microemulsion, sonochemical, etc. which determine their particle size, distribution, morphology, surface functionality, and magnetic properties and in turn of their various application [22]. Magnetic materials are made from mixtures of metals of iron, cobalt, nickel, and alloys and their oxides (of the type MFe2O4, where M is a metal). Out of these materials, iron (zero valent iron) and its oxides, i.e., usually γ-Fe2O3 (maghemite) and Fe3O4 (magnetite) nanoparticles have attained significant interest in recent years and have been used for water treatment processes. The various composite magnetic materials such as Fe3O4@C [23, 24], Fe@SiO2 [25], Fe3O4@TiO2 [26], Fe3O4@PPO (poly(propylene oxide)), PEO (poly(ethylene oxide) [27], Fe3O4@PDA (polydopamine) [28], Fe3O4@PNIPAM (poly(N-isopropylacrylamide)) [29], Fe3O4@MIPs (molecularly imprinted polymer-encapsulated particles) [30], Fe3O4@CNTs (multi-walled carbon nanotubes) [31], Fe@CS (carbon spheres) [32], Fe/iron oxide-oxyhydroxide/rGO (grapheme) [33], etc. have been used for environmental applications. Singh and his co-workers synthesized a series of magnetic nanocomposites such as CoFe2O4–ZnS [34], Fe3O4@GTPs (green tea polyphenols) [35], Fe3O4–Cr2O3 [36], CoFe2O4-Cr2O3-SiO2 [37] and applied for wastewater treatment.
In addition to their suitable magnetic properties, i.e., ferrimagnetic, ferromagnetic and superparamagnetic (nanoparticle size less than 10 nm), their synthesis procedure is simple and cost-effective and they can be easily functionalized as desired for many applications. The size and shape and magnetism of these magnetic materials can be easily controlled based on their application and thus they can be easily dispersed in liquid medium and their stability can be retained for multiple uses. Moreover, these materials are non-toxic or less toxic, chemically inert, thermally stable as well as biocompatible.
Appearance of water pollution as a global threat demands the development of low-cost and reliable materials for effective waste water remediation. The magnetic materials have been used for clean water technology for both in laboratory as well as field scale [38, 39]. In recent years, iron oxide nanomaterials have been used as adsorbent or immobilizing agent and photocatalyst or the both depending on nature of contaminants in water [40].
Heavy metal contamination in water such as cadmium, zinc, lead, chromium, nickel, copper, vanadium, platinum, silver and titanium due to industrial activities is significantly increasing which is detrimental to human beings and animals. Magnetic nanomaterial adsorbents have been potentially used for removal of metallic ions such as Cr(VI), Cu(II), Co(II),Cd(II), As(V), As(III) and Hg(II) in water [41, 42] which are more effective as compared to micron size particles. The magnetic chelating resin based materials have been used for effective removal of Cu(II), Co(II), and Ni(II) ions [43]. The magnetic hydrogels based on 2-acrylamine-2-methyl-1-propansulfonic acid can be used for removal of many heavy metal ions such Cd(II), Co(II), Fe(II), Pb(II), Ni(II), Cu(II) and Cr(III) from water in repeated cycles [44]. The Cu(II) can also be effectively removed by functionalized mesostructured silica containing magnetite [45]. The acrylate-based polymer composites with magnetite can be used in selective removal of heavy metals from water (selectivity: Cu > Cr > Zn > Ni) [46]. Layered double hydroxide (LDH) prepared from Fe3+ and Ni2+ shows good adsorption of As and subsequent magnetic separation [47]. The magnetic zeolite composites are used for decontamination of heavy metals from water [48]. The composite materials of mesoporous magnetic MCM-41 with aminopropyls are used for selective removal of As(V), and Cr(VI) in presence of Cu(II) [49].
Magnetic nanoparticles are used as an adsorbent for the removal of various dyes and dyes stuff from aqueous solution. Removal of dyes from waste water has become a serious issue of concern because of its harmful impact on human. Dyes basically can be classified in to two categories, i.e., anionic dyes and cationic dyes.
Long et al. [50] synthesized Fe3O4@catechol/polyethylenimine (PEI) nanoparticles and tested for adsorption of three different kind of anionic dyes, i.e., methyl blue, orange G and amaranth and found the maximum adsorption capacities of 344.8, 192.3 and 146.2 mg/g, respectively. Saksornchai et al. [51] synthesized magnetite (Fe3O4) coated with cetyltrimethylammonium bromide (CTAB) and tested for the adsorption of anionic dye Congo red (CR) removal. They found maximum adsorption capacity for CR dye to be 93.46 mg/g. Faraji et al. [52] synthesized triazine-based nitrogen-rich network-modified magnetic nanoparticles were synthesized for the adsorption of methyl orange. Sahraei et al. [53] reported the synthesis of magnetic bio-sorbent hydrogel beads based on modified gum tragacanth/graphene oxide for the removal of heavy metals and dyes from water. They found the adsorption capacity of 101.7 mg/g for Congo red dye. Ge et al. [54] fabricated Fe@MgO magnetic nanocomposites for the removal of heavy metal ions and dye from water. They found that the synthesized nanocomposite showed excellent adsorption capacity of 6947.9 mg/g for methylene orange. Wu et al. [55] fabricated multi-functional magnetic nanoparticle core covered with polyethylenimine (PEI) derived quaternary ammonium compounds (QAC) corona through electrostatic attraction for the removal of dyes and metal ion adsorption. The adsorption results corresponding to synthesized nanoparticle showed the maximum adsorption capacity of 653 mg/g for AF as a representative of dyes. Konicki et al. [56] synthesized Fe@graphite core shell nanocomposite for the removal of anionic dyes from aqueous solution. The synthesized nanoparticles were tested for the adsorption of two anionic dyes namely acid red 88 (AR88) and direct orange 26 (DO26) and the maximum adsorption capacity was found to be 63.7 mg/g and 42.7 for AR88 and DO26, respectively. Zhang et al. [57] synthesized the Fe3O4 nanoparticle modified with 3-glycidoxypropyltrimethoxysilane (GPTMS) and poly-lysine (P-Lys). They found that the synthesized MNPs could effectively remove anionic dyes including methyl blue (MB), orange I (OR-I), amaranth (AM) and acid red 18 (AR-18) from water solution.
Cationic dyes are most toxic because they can easily interact with negatively charged cell membrane surfaces, and also they can enter in to the cells and can concentrate in cytoplasm (Bayramoglu et al.) [58]. Ge et al. [59] have studied the adsorption of cationic dyes such as crystal violet, methylene blue and alkali blue 6B from aqueous solutions by use of polymer-modified magnetic nanoparticles. The cationic dyes could be quickly removed from water solution with high efficiency at pH 5–12. More significantly, the MNP showed high efficiency as a reusable adsorbent for fast and convenient removal of cationic dyes from water solution. Yan et al. [60] have synthesized full biodegradable magnetic adsorbent based on glutamic acid modified chitosan and silica coated Fe3O4 nanoparticles for removal of three different kinds of cationic dyes, methylene blue, crystal violet and cationic light yellow 7GL, from aqueous solutions. Chen et al. [61] have prepared magnetic adsorbent by fabrication of chitosan/polyacrylic acid multilayer onto magnetic Fe3O4 microspheres for removal of adsorption of two cationic dyes, methylene blue and crystal violet from aqueous solution. Amiri et al. [62] synthesized cobalt ferrite silica magnetic nanocomposite for the adsorption of Malachite green dye and found the adsorption capacity of 75.5 mg/g for that dye. Li et al. [63] synthesized wettable magnetic hypercrosslinked microporous nanoparticle for the water treatment. The synthesized nanoparticle consists of microporous organic polymer which combine sodium acrylate functionalized hypercrosslinked polymer with magnetic Fe3O4 nanoparticle to form a hybrid. They tested the synthesized hybrid for the adsorption of Rhodamine B dye and found the maximum adsorption capacity of 216 mg/g. Singh et al. [64] had synthesized the superparamagnetic nanoparticles coated with green tea polyphenol by wet chemical method. They found that the particles have a very high adsorption capacity of (7.25 mg/g) for removal of methylene blue (MB) dye in wastewater treatment. Li et al. [65] synthesized magnetic peach gum bead bio-sorbent for the adsorption of MB dye and found the maximum adsorption capacity of 231.5 mg/g.
The presence of pharmaceuticals such as antibiotics, anticonvulsants, antipyretics drugs, hormones in surface and ground water possesses a major environmental challenge. Their contamination even at trace amount is a serious concern to the aquatic organisms as well.
Attia et al. [66] synthesized magnetic nanoparticles coated zeolite for the adsorption of pharmaceutical compounds from aqueous solution. They found that the synthesized magnetic nanoparticles can remove more that 95% of PPCPs in 10 min. Reddy et al. [67] reviewed spinal ferrite nanoparticles and found that SF and its derivatives can be used for remediation of various pollutants. Nadim et al. [68] Synthesized gallic acid coated magnetic nanoparticles (GA-MNP) and used as a photocatalyst for degradation of meloxicam; a commonly prescribed nonsteroidal anti-inflammatory drug.
Recently, M. Hayasi and his coworker described the use of magnetic poly (styrene-2-acrylamido-2-methyl propanesulfonic acid) (St-AMPS) as adsorbent for removal of the pharmaceuticals viz. ceftriaxone sodium, diclofenac sodium, and atenolol from water [69].
Liu [70] discussed the use of various magnetic nanoparticles (MNPs) in pharmaceutical removal from waste water their recent review which are outlined below (Table 2).
Magnetic materials used | Pharmaceuticals present in water | Processes involved for decontamination | References |
---|---|---|---|
Nano zero-valent iron (nZVI) | Carbamazepine | Adsorption, chemical degradation (Fenton oxidation) | [71] |
Nano zero-valent iron (nZVI) and PEG and zeolite supported nZVI | Amoxicillin, ampicillin | Adsorption | [72] |
Zero valent iron (ZVI) | Carbamazepine | Chemical degradation | [73] |
Diazepam | Chemical degradation | [74] | |
Maghemite (Fe2O3) core confined in a silica porous layer | Atenolol, gemfibrozil, and sulfamethoxazole | Adsorption | [75] |
MFe2O4 (M = Fe, Mn, Co, Zn) | Tetracycline, oxytetracycline, and chlortetracycline | Adsorbent | [76] |
MnFe2O4/(activated carbon)AC | Sulfamethoxazole | Adsorption | [77] |
MgFe2O4/γ-Fe2O3 | Minocycline | Adsorption | [78] |
Fe3O4 MNPs in ultrasound (US)/H2O2 system | Sono-degradation | [79] | |
Fe3O4@α-MnO2 microspheres | Ciprofloxacin | Catalytic degradation | [80] |
Fe-ZnO | Diclofenac | Photocatalytic degradation | [81] |
Magnetic nanomaterials used for removal of pharmaceuticals.
Xu et al. [82] demonstrated that poly-allylamine-hydrochloride (PAAH) stabilized magnetic nanoparticles are powerful tools to remove pathogenic bacteria from drinking water with high efficiency and no significant toxicity was observed in the MNPs treated water. Over 99.5% of the pathogens (four main pathogens viz.
Zhang et al. [83] synthesized magnetic nanoparticle coated with Cu doped MgO through a hydrophilic carbon layer (Fe3O4@C@MgO-Cu). They found its potential application as disinfectant in water purification by examining the antibacterial activity of the Fe3O4@C@MgO-Cu composite toward Gram-negative
Zhang et al. [84] synthesized magnetic poly-N,N′-[(4,5-dihydroxy-1,2-phenylene)bis(methylene)]bisacrylamide) (POHABA)-based core-shell nanostructure on the Fe3O4 core surface (Fe3O4@POHABA). The magnetic nanocomposite, Fe3O4@POHABA can be used in domestic water treatment against bacterial pathogens.
Rana et al. [85] synthesized ferromagnetic Ni-doped ZnO nanoparticles and applied as an antibacterial agent to control the growth of bacterial pathogens. They found the as synthesized material to be very effective against water related bacteria such as
Shukla et al. [86] synthesized the iron oxide nanoparticles coated with chitosan oligosaccharide and used for the removal of pathogenic protozoan cysts, entamoeba cyst (which causes amebiasis) from water. They found that
Zhang et al. [87] synthesized Fe3O4 nanoparticles surrounded with polyethylenimine-derived corona and found to be efficient in capturing the pathogens and heavy metals.
Zhan et al. [88] synthesized the amine-functionalized magnetic nanoparticle (Fe3O4-SiO2-NH2) and used for rapid removal of pathogenic bacteria and viruses. The magnetic materials can be effectively used to capture a wide range of pathogens including various bacteria such as
Park et al. [89] developed a novel magnetic hybrid colloid (MHC) decorated with varying sized Ag nanoparticles. The MHC was prepared as a cluster of superparamagnetic Fe3O4 coated with silica shell. The MHC decorated with the Ag nanoparticle of 30 nm size (Ag30@MHC) exhibited the highest antimicrobial efficacy toward
Magnetic water treatment (MWT) is a new technique which is promising in environmental remediation in addition to its increased application in the area of medicine, agriculture and industrial process. The water molecules acquire unique physicochemical characteristics under the influence of the magnetic fields (MFs). It is a non-chemical method and the water molecules undergo change from their cluster of many loosely bound water molecules into very small, uniform and hexagonally organized clusters of molecules under the magnetic treatment [90]. These features of the magnetized water prevent the polluting agents to enter in to its cluster and also make their easy passage through the cells of plant as well as of animals. Moreover, the MFs have antimicrobial activity on water. Therefore, the magnetized water molecules depict as bio-friendly and eco-friendly compounds to environmental management as well as to plant and animal cells.
While taking sustainability in to consideration there are various factors over which it depends. Important factors include environmental impact on use of MNPs, toxicity associated with the MNPs, reusability, reactivity, adsorption capacity, biocompatibility, stability, etc. For example, uncoated nanoparticles are associated with some toxicity while coating can help them to make non-toxic. Similarly, their regeneration and reusability are the main factors for making them technically more viable and economically sustainable materials for commercial uses.
In this chapter the removal of water pollutants by using magnetic materials of zero valent iron, magnetite (Fe3O4), maghemite (γ-Fe2O3) as adsorbent, photocatalyst and coagulants have been described. The MNPs have been used in removal of water pollutants through their various surface functionalities (e.g., coating with polyphenols, amino acids, sugars, alkaloids, terpenoids, proteins, carbonyl, carboxyl, carbon, polysaccharides, and semiconductors) with desired size and shapes, and magnetic behavior. Looking in to the fast development of magnetic materials in different technological and scientific fields, magnetic nanomaterials appear to be extremely promising for water and wastewater treatment. The waste water treatment methods using these materials are fast, non-toxic, and eco-friendly as compared to the available physic-chemical treatments which make it attractive for materializing commercially. Their magnetic nature makes them attractive for waste water treatment because of their easy separation from aqueous medium after purification and can be reused in repeated treatment cycles. However, research for bulk production, controlling morphology, optimizing surface functionality and their stability, and biocompatibility should be essentially considered prior to commercial application from laboratory scale. Moreover, further studies needs to be addressed to detail mechanism of magnetic nanomaterials in water treatment. The magnetic nanoparticles and their composites with their high surface to volume ratio offer more surfaces for chemical as well as physical adsorption and thus show high reactivity which gives the prospects of using these materials in large scale removal of emerging water pollutants.
Stroke is the leading non-communicable disease worldwide and in the Southeast Asia (SEA) region [1]. In Bangladesh, stroke is the second leading non-communicable disease in terms of the cause of death and long-term disability. Those who survived from stroke attack need quality rehabilitation services to maintain their health and prevent them from death due to the second episode of stroke attack [2]. The quality of services can be viewed from many perspectives. However, the patient perspective is now given more importance because it can lead to the effectiveness of healthcare services and better health outcomes. Therefore, this study aims to examine the level of patient expectations and perceptions and the factors relating to the patient expectations and perceptions of outpatient post-stroke rehabilitation services delivery management in Bangladesh.
This chapter includes an overview of Bangladesh, health status and challenges, stroke definition and situation, post-stroke situation and how Bangladesh healthcare service systems respond to the post-stroke, stroke, and post-stroke care pathway and quality of post-stroke rehabilitation services as well as the methodology to examine the quality of post-stroke rehabilitation services and conceptual framework of this research study.
Bangladesh is one of the smallest and most densely populated countries in the world. It is a developing country and a founding member of the South Asian Association of Regional Cooperation (SAARC) to promote regional connectivity and cooperation. Additionally, it is a member of the Commonwealth of Nations [3].
Bangladesh is a country in the South Asia Region [3]. According to the Ministry of Health and Family Welfare [4], geographically it is divided into eight divisions/provinces, and the total land area of this country is 147,570 sq. km. Dhaka division is the central division, and Dhaka city is the capital city of Bangladesh followed by Rajshahi, Barishal, Chittagong, Sylhet, Mymensingh, Khulna, and Rangpur divisions. Bangladesh National Portal [5] reported that the divisions/provinces are divided into 64 districts and 11 metropolises. Under the districts, there are 491 sub-districts. The sub-districts contain 4553 union councils in the rural areas and 323 municipalities in the urban areas. Consequently, a ward is under the municipality and the municipality is under the metropolis. There is no specific number of wards and villages. Figure 1 demonstrates the overall administrative geography of the government of Bangladesh.
The administrative geography of the Government of Bangladesh. Adopted from: Bangladesh National Portal [
The World Bank [6] reported that approximately 162 million people are living in this country. The World Bank [6] also claimed that in 2016, there are nearly 1253 people per sq. km. However, nearly 35% of the total population are living in urban areas for their employment.
The economic status of the citizens is improving, but still, possibly 25% of the total population are living under the poverty line [7]. In the year 2016, the growth domestic product (GDP) per capita was 1358.78 US$, and in the same year, the annual growth rate was 7.11 US$ [6].
According to Muhammad et al. [8], the healthcare system of Bangladesh has achieved the Millennium Development Goal Four (MDG-4) by reducing infant mortality rate and growth rate, and maternal and child health improvement. Consequently, life expectancy at birth has increased. As an example, the World Bank [9] reported that in 2005, the life expectancy at birth was 67.94 years and in the year 2015, it reached 72.22 years (i.e. male 70.59 years and female 73.94 years). It is comparatively higher than other state members in SAARC. As evidence, the Bhutanese life expectancy was 69.8 years; Indian was 68.3 years, and Myanmar was 66.3 years in the year 2015 data. However, Ahmed et al. [10] claimed that the health system of Bangladesh had achieved MDG-4 and better life expectancy, though several life-threatening diseases still remain.
The top five causes of death in Bangladesh are heart disease, stroke, Chronic Obstetric Pulmonary Diseases (COPD), lower respiratory infections, and diabetes [11]. The mortality rate of infectious diseases, maternal, prenatal, and nutritional conditions gradually went down from 30.9% in the year 2010 to 25.3% of total death in the year 2015 [12]. Relatively, the mortality rate of non-communicable diseases is now rising and going to be a major health challenge and life-threatening diseases in Bangladesh [8]. NCDs caused almost 67% of the total death [9]. Significantly, stroke caused more than half of the total NCD fatalities in Bangladesh [13]. And due to the shortage of the health workforce and inefficient management, it was difficult to provide proper services for people who had strokes [4]. Table 1 demonstrated all related data by selecting the major geographical, socio-demographic, economic, and health status of the citizens of Bangladesh.
According to the American Stroke Association [15], stroke is one of the NCDs which is a medical emergency characterized by a neurological deficit attributed to an acute focal injury of the central nervous system (CNS) by a vascular cause, including cerebral infarction, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH) and it is a major cause of disability and death worldwide.
Nearly 4.46 million people have died due to stroke per year; 1.2 million in developed countries and nearly 3.2 million in developing countries [16]. For example, stroke was the 4th leading cause of death for US citizens in the year 2010 [17]. In every 40 seconds, someone was attacked by a stroke, and in every 4 minutes, someone died because of the stroke. It was also the leading cause of long-term disability in the United States. Similarly, in the year 2012 Australia projected that 377,000 people had a stroke sometime in their lives; and in 2013, the estimated deaths due to stroke were 8100 people [18]. Additionally, the stroke prevalence in European countries was also more similar to that in other countries. In 2015, it was found that, in the Netherlands, 0.2% of the total population had suffered from stroke each year [19]. Moreover, in 2008, around 3.7 million Southeast Asian people died from stroke. Islam et al. [20] reported that in Bangladesh, approximately 48,951 people had died due to stroke.
According to mortality, morbidity, and long-term disability rate, stroke is the second leading NCD in Bangladesh [11]. Nearly 113.9 persons per 100,000 had died due to stroke in the year 2013, and the increasing rate per year was 4.9% [21]. A total of 20% stroke patients died immediately in the acute phase, and 80% of the stroke survivors lived with minor or major disabilities [22]. Moreover, Centre for Injury Prevention Health Development and Research Bangladesh (CIPRB) [23] reported that approximately 15 out of 1000 Bangladeshi people were affected by stroke. Additionally, Islam et al. [20] found that the prevalence of stroke is 0.03% and it is snowballing. Nearly 485 out of 10,000 people died suffering from stroke disability [20]. Mamin et al. [24] found that nearly 82.5% Bangladeshi stroke survivors’ age ranged between 41 and 60 years. Consequently, the big proportions of working people have lost their functional ability and it greatly impacts the economy of Bangladesh.
The American Stroke Association [25] claimed that the stroke effects depend on the lesion of the area of the brain cell. Different areas of the brain cell are responsible for different activities. Due to the lesion of the brain cell, the stroke effects can be physical paralysis, memory loss, speech loss, emotional, and behavioral problems. Wolfe [26] claimed that the stroke impacts could be explained from the perspectives of the government, society, family, and patient. From there, the socio-economic impact of stroke is more common in developing countries. Similarly, Institute for Health Metrics and Evaluation [11] reported that a stroke is a great economic burden for a developing country like Bangladesh.
According to Mamin et al. [24], nearly 77% of stroke survivors were public or private or self-employed in Bangladesh. Similarly, Global Health Statistics [21] reported that a big proportion of the working-age group and healthy life had been lost due to stroke in Bangladesh. For example, an estimated 1259.1 people at the age range of 30–34, 9102.9 people at the age range of 50–54, and 21695.5 people at the age range of 60–64 were affected by stroke and lost their functional life in the year 2014. Therefore, the government of Bangladesh has lost a big proportion of its workforce, and it greatly impacts the government and the economy.
Besides, Mohammad [22] claimed that the physical limitation of the patients greatly impacted the patients’ participation in the social programs or activities in society. They need long-term hospitalization and rehabilitation services, and the family has to look after them. However, Disability in Bangladesh (2004) reported that it is difficult to bear the whole treatment cost and the health system of Bangladesh has no health insurance package for their citizens. Therefore, it is also an economic burden for their families [11]. According to Mohammad [22], the burden of stroke is not only for their families, but it is also a burden for the patient because of their post-stroke disabilities and impairments.
The post-stroke means a group of conditions including physical disability, emotional disturbance, and loss of cognition [27]. At the post-stroke phase, patients suffered from several complications; such as pressure sores, urinary tract infections (UTI), joint contraction, aspiration pneumonia, and recurrent stroke due to lack of proper healthcare services [2]. Consequently, these complications could be a leading reason for readmission and also for excruciating death. Gordon et al. [28] reported that daily activity or daily routine exercise helps the post-stroke patients’ to reduce immobility and make them as functional as possible. Therefore, the post-stroke phase is more crucial. Additionally, Runa [29] found that post-stroke complication is a very common problem in Bangladesh.
Accordingly, Mohammad [22] claimed that better care and rehabilitation services could get them back to their independent life. The better quality of healthcare services means a better patient experience, and it is associated with better health outcomes with a higher level of loyalty to follow preventive and treatment strategies of the hospital personnel [30]. Therefore, the healthcare system needs to ensure better and sustainable healthcare services to reduce post-stroke patients’ complications by increasing the better patient experience and patient participation in healthcare [31].
The health system is a dynamic and enduring obligation to peoples’ health throughout their lifespan [32]. The primary purpose of the health system is to provide healthcare services to promote, restore or maintain the health of the nation [33]. According to the healthcare policy and
All the national specialized and medical college hospitals are providing the tertiary level of healthcare services [10]. According to the Ministry of Health and Family Welfare [4], there are numerous condition-based specialized hospitals and 14 medical college hospitals that provide the tertiary level of healthcare services, and these are the highest level of referral hospitals in the health system of Bangladesh. Ahmad [36] reported that this tertiary care concentrated more on curative and intensive healthcare services along with rehabilitative care services and ignored the promotive and preventive care services. Besides, Mamin et al. [24] claimed that the public hospitals also wanted to avoid these rehabilitation services in the health systems of Bangladesh.
In regard to stroke care, all public and private hospitals are serving their in-patient intensive curative care and treatment services [4]. However, only a few of them are providing after-stroke rehabilitation services at the physical rehabilitation department on an out-patient basis [37]. Separately, the non-profit organization as the Centre for the Rehabilitation of the Paralyzed (CRP) is providing after-stroke rehabilitation services in both ways (i.e. in-patient and out-patient basis) [38]. The CRP also extended its branches and services across the six divisions in the health systems of Bangladesh [39].
According to the Ministry of Health and Family Welfare [4], secondary care or less intensive care is being provided at the district general hospitals. There are 62 district general hospitals to serve their secondary care services throughout the districts of the country. Secondary care includes curative, promotive, and preventive services. The promotive and preventive care services are being provided only for infectious diseases (i.e. Tuberculosis, Malaria, influenza, etc.) [40]. These secondary care hospitals are the first referral hospital in the health system of Bangladesh, and it does not provide rehabilitation services.
According to the Ministry of Health and Family Welfare [4], primary care includes curative, promotive, and preventive treatment facilities along with rehabilitative services. The primary care services are being provided at the sub-district or Upazila level, union level, and community level. At this primary care level, the public sector provided the services free of charge. The Upazila health complex and Union sub-centers are committed to providing curative, promotive, and preventive services only. There are 491 Upazila health complex hospitals and 3134 Union Sub-centers at the primary care level to provide in-patient and out-patient services. There are 13,336 community clinics serving maternal and child-related outdoor primary care services with basic medicines. Besides, Biswas et al. [40] reported that the Upazila health complex with the cooperation of NGOs has been running an NCD corner (i.e. fast-track corner) at the primary care level of Bangladesh to prevent the risk factors of NCDs. Consequently, due to the lack of healthcare personnel of the public sector, the NGOs are providing community-based rehabilitation services at this primary care level free of charge.
Table 2 lists all the hospitals and other healthcare facilities beneath the Directorate General of Health Services (DGHS) of the Ministry of Health and Family Welfare of Bangladesh. There is no list of private hospitals; thus, only public hospitals’ information is listed in the table. In this table, the type of hospital services includes inpatient and outpatient types of services.
Subject | Indicators | Value |
---|---|---|
Area | Total land area (sq. km) | 147,570 |
Population | Total population in the year 2016 (in million) Density in 2016 (per sq. km) Crude birth rate in 2015 (per 1000) Crude death rate in 2015 (per 1000) | 162 1251.84 19.23 5.31 |
Life-expectancy | Male in the year 2016 (at birth) Female in the year 2016 (at birth) Total in the year 2016 (at birth) | 70.59 73.94 72.22 |
Economic condition | GDP per capita in 2016 (US $) GDP per capita PPP in 2016 (US $) Annual Growth rate in 2016 | 1358.78 3580.70 7.11 |
Ethnicity | Muslim (% of total population) Hinduism (% of total population) Others (% of total population) | 90 9 1 |
Communicable diseases | Total mortality rate in 2015 (% of total death) | 25.3 |
Non-communicable diseases | Total mortality rate in 2015 (% of total death) | 66.9 |
Level of facilities | Type of facilities | Type of services | Total no. of facilities | Bed occupancy |
---|---|---|---|---|
Secondary & Tertiary level hospitals and other facilities under DGHS | ||||
District | 50-bed hospital District & General hospital | Hospital Hospital | 2 65 | 100 10,328 |
Divisional & National level | Chest diseases hospital Dental college hospital Hospital for alternative medicine Infectious disease hospital Leprosy hospital Medical college hospital Other hospitals Specialized hospital Specialty post-graduate institute and hospital Trauma centre Chittagong skin & hygiene treatment centre National asthma centre National centre for control of rheumatoid fever and heart diseases | Hospital Hospital Hospital Hospital Hospital Hospital Hospital Hospital Hospital Hospital Hospital Hospital Hospital | 13 1 2 5 3 14 4 3 11 5 1 1 1 | 866 200 200 180 130 12,963 325 850 3184 100 N/A N/A N/A |
Total number of hospitals and other facilities | 131 | 29,426 | ||
Primary level healthcare facilities | ||||
Upazila | Upazila health complex (50 bed) Upazila health complex (31 bed) Upazila health complex (10 bed) Upazila health complex (0 bed) Upazila health office 31-bed hospital 30-bed hospital | Hospital Hospital Hospital Hospital Outdoor Hospital Hospital | 297 113 11 3 60 5 2 | 14,850 3503 110 0 …… 155 60 |
Total Upazila level facilities | 491 | 18,678 | ||
Union | 20-bed hospital 10-bed hospital Union sub-center Union health and family welfare center | Hospital Hospital Outdoor Outdoor | 32 19 1498 1585 | 640 190 …… …… |
Total union level facilities | 3134 | 830 | ||
Word | Community clinic (at present) | Outdoor | 13,336 | …… |
Grand total primary level hospitals | 482 | 19,508 | ||
Grand total primary level facilities | 16,968 | 19,508 | ||
Grand total health facilities under DGHS of Bangladesh | 17,099 | 48,934 |
The hospitals and other healthcare facilities under the DGHS of Bangladesh.
Source: Ministry of Health and Family Welfare [4].
The Ministry of Health and Family Welfare [41] reported that there were 74,099 physicians, 6,481 dental surgeons, almost 46,000 registered nurses, 775 pharmacists, 6,029 medical technologists, and 66,623 community health workers. The number of physicians and population ratio was 4.5 per 10,000 populations. There was no more data on the rehabilitation professionals, only a little information available about the physical therapist. The Ministry of Health and Family Welfare [4] reported that in the public sector, nearly 117 physiotherapists are working. Separately, World Confederation for Physical Therapy (WCPT) [42] reported that approximately 1,600 physiotherapists are working in the whole Bangladesh healthcare service sectors. According to a 2016 report of the Bangladesh Health Professionals Institute (BHPI), 241 occupational therapists have graduated and are working in various national and international organizations and hospitals in the country and abroad [43]. The Society of Speech and Language Therapists (SSLTs) reports that speech and language therapy is a relatively new profession in comparing with other rehabilitation professions in Bangladesh and as of 2016, there are 104 graduate speech and language therapists those are working in various national and international healthcare organizations in Bangladesh [44]. Approximately, 25 to 30 students from each department of BHPI (the academic institute of CRP) (Occupational Therapy and Speech and Language Therapy) completing their graduate program each year and initiate clinical practices [39]. Table 3 demonstrated the healthcare personnel and population ratio of serving healthcare services healthcare services in Bangladesh. Therefore, the availability of rehabilitation services and the fee for the services are the greatest challenge for the person with rehabilitation service needs.
Healthcare providers and population ratio | ||
---|---|---|
Healthcare personnel | Number | Ratio |
Physician | 74,099 | 4.5: 10,000 people |
Neurologist | 60 | 0.004: 10,000 people |
Dental surgeons | 6481 | 0.40: 10,000 people |
Registered nurse | 46,000 | 2.84: 10,000 people |
Physical therapist | 1600 | 0.1: 10,000 people |
Occupational Therapist | 241 | 0.024: 10,000 people |
Speech and Language Therapist | 104 | 0.010: 10,000 People |
Community health worker | 66,623 | 4.11: 10,000 people |
According to Bangladesh National Health Accounts [45], the total health expenditure was only 3.5% of the total GDP. It is relatively low, and according to per capita, the health expenditure was 27 US$. However, from this expenditure, the government invested only 23%, and the rest of the amount came from out-of-pocket payments. According to Ahmed et al. [10], this out-of-pocket payment was almost 63% of total healthcare cost. Besides, there was no specific budget for stroke and post-stroke patients and their healthcare services. Moreover, the Ministry of Health and Family Welfare [4] reported that they invested only 2714 million BDT taka (32 million US$) for overall NCDs surveillance. This was a very small expenditure compared to the expenditures on communicable and maternal diseases (i.e. 579 million US$) in the healthcare service system of Bangladesh. Therefore, financial challenge is a big challenge to provide NCD-related healthcare programs in the healthcare system of Bangladesh.
Since the liberation, the health system of Bangladesh has been concentrating on controlling communicable and maternal and child-related diseases [10]. Global Health Statistics [21] reported that within the last decade the burden of NCDs is snowballing and has become a major health challenge for Bangladeshi citizens. Furthermore, the Ministry of Health and Family Welfare concentrated on this issue, and with the cooperation of NGOs and private organizations, they developed different policies and had been implementing these to strengthen the healthcare system of Bangladesh [40].
There is no specific policy and program for after-stroke disability. All the policies are focused on preventive and promotive health care services to control the risk factors of NCDs including stroke. However, these services are also important to reduce the second episode of stroke attack [46] such as the Health, Nutrition and Population Strategic Investment Plan (HNPSI) for six years (2016–2021) to inter-organization collaborative work and improve healthy lifestyles [4];
The health system of Bangladesh has been following a pluralistic healthcare system. The Ministry of Health and Family Welfare is the main government organization of the health system of Bangladesh [4]. This ministry is responsible for providing curative, promotive, and preventive services through tertiary care, secondary care, and primary care organizations. For rehabilitation services, the Ministry of Social Welfare is the responsible government organization, but at present both ministries (i.e. Ministry of Health and Family Welfare and Ministry of Social Welfare) are working collaboratively to serve rehabilitation services at the different levels of healthcare services [47].
The public sector in the health systems of Bangladesh did not concentrate more on rehabilitation services [24]. Thus, the private sectors (for-profit organizations) and NGOs (not-for-profit organizations) extended their healthcare services including rehabilitation services [20]. A few of the private hospitals are providing post-stroke rehabilitation services at tertiary care level hospitals on an inpatient and outpatient basis. Along with the private sectors, several NGOs under the Ministry of Social Welfare have been offering post-stroke rehabilitation services within the community and hospital [40]. These NGOs are the Bangladesh Rehabilitation Assistance Committee (BRAC), Handicap International (HI), International Committee of the Red Cross (ICRC), and the CRP (Handicap International (HI) [48] and Islam et al. [20]). The International Committee of the Red Cross (ICRC) with the collaboration of CRP has been providing rehabilitation services in the community [49]. While only the CRP provides hospital-based stroke rehabilitation services besides community-based rehabilitation services.
The CRP is offering rehabilitation services throughout the six divisions of the administrative geography of Bangladesh [39]. The CRP is also committed to provide Multi-Disciplinary Team (MDT) based rehabilitation services. According to Gresham et al. [50], the rehabilitation services by a multidisciplinary team provide better health outcomes after-stroke disabilities. The MDT approach consists of different specialists or professionals, those working in a team according to the needs of the patient [51]. In this approach, all professionals are offering their highest potential skills to change the patients’ condition as much as possible. Figure 2 demonstrates the overall service structures of the Bangladesh healthcare system.
Health service systems structure in Bangladesh health systems. Adopted from:
According to CRP [39], the CRP is a not-for-profit NGO to serve rehabilitation services for person with disabilities. CRP’s vision is “to ensure the inclusion of girls and boys, women and men with disabilities into mainstream society.” To achieve this vision, CRP worked with several missions such as “to promote an environment where all girls and boys, women and men with disabilities have equal access to health, rehabilitation, education, employment, the physical environment, and information.” The CRP is coordinated by a committee, and it is committed to serving quality services.
Trust for Rehabilitation of the Paralyzed (TRP) is the central committee and all the decisions such as policy, programs, and implementation are being addressed by the recommendation of this committee. The executive director coordinates all the CRP services throughout the CRP branches. The program manager helps the executive director to coordinate all the programs. The program manager divides all the CRP activities into various programs or services. Every wing is being coordinated by the head of the wing along with several heads of the departments. Additionally, there is the academic wing to provide the skillful rehabilitation professionals to serve the quality services toward the patients. It has ten branches, and the medical service wing is responsible for serving all healthcare services.
In this context, the physical therapy department is responsible for recovering physical functions, the occupational therapy department for recovering daily activities, and the speech and language therapy department for recovering communication and swallowing difficulties. According to CRP policy, all medical professionals have to wear hospital uniform during therapy services. Only the five CRP divisional hospital branches (i.e. Rajshahi, Chittagong, Barisal, Sylhet- Moulvibazar, and Mymensingh branches) along with the main branch of Dhaka division has been providing the out-patient medical services and rehabilitation services. The rest of the branches are responsible for providing Community-Based Rehabilitation (CBR) services and health promotion and prevention activities beneath the rehabilitation wing. CBR is offering these services five full days a week, from 8 am to 5 pm. There are several departments, and the research and evaluation department coordinates all the research-oriented formalities in the CRP. CBR collects donation and undergoes several income-generating activities to enhance the endowment to run the healthcare services (i.e. CRP cafeteria, nursery, woodshop, etc.). Figure 3 demonstrates the CRP management organogram with several services and activities throughout the country.
The organogram of the CRP activities in Bangladesh. Sources: Adapted from [
The CRP (2016) reported that all of 755 dedicated employees are working throughout this organization and its branches. However, there is no exact data for the total number of separate rehabilitation professionals.
The rehabilitation service systems and stroke care depend on the severity of the patients and the episodes of the stroke attack [52]. They have mentioned two phases; the acute phase and the sub-acute phase of stroke care. However, Pitthayapong et al. [2] added the post-stroke phase and it is started at the end of the acute and subacute periods of stroke.
Acute stroke care means care that takes place 24–48 hours after stroke, and during this period they need more intensive comprehensive services including rehabilitation if possible [52]. Particularly, inpatient rehabilitation care units of the hospitals serve the acute stroke care services, and the tertiary/specialized hospitals and divisional general hospitals provide comprehensive stroke care services under the healthcare services structure of Bangladesh ([53]; Bhowmik et al. [7]; & Nessa et al. [37]).
At the end of the acute period of stroke, the sub-acute period of stroke starts, and the duration of this phase is one week until one month [52]. At this period the neurological condition of the stroke patients is more stabilized than during the acute stroke period, and from this phase, they attend a regular rehabilitation program [54]. The acute and sub-acute stroke patient services are similarly available in the tertiary/specialized hospitals and divisional general hospitals in Bangladesh (Directorate General of Health Services [53]; Bhowmik et al. [7]; Nessa et al. [37]).
Post-stroke care is care that started at the end of the acute and sub-acute phase of stroke patients [55]. However, Habib and Hirschfeld [56] found that the post-stroke care with the integration of rehabilitation services was effective. The limited specialized public and private hospitals at the tertiary level and the CRP hospital provide after-stroke/post-stroke rehabilitation services. The NGOs and Upazila health complex hospitals provide preventive and promotive services for reducing the risk factors of the second episode of stroke attack in the health systems of Bangladesh (Biswas et al. [40] & Ahmed et al. [10]).
The stroke care pathways in the Bangladesh health service system are complex and difficult to control. According to Biswas et al. [40], first, the patient visits the Upazila health complex, and if the responsible health professional notices any signs and symptoms of the stroke risk factors, then they suggest that the patient has to continue the preventive and promotive services from the NCDs corner. Directorate General of Health Services [53] reported that according to the stroke management guideline; if the patient needs emergency services, they are referred to the district hospital for secondary care. Thus, the district hospital takes care of this patient according to their available resources. If the patient’s condition becomes more severe, then the district hospital refers the patient to the tertiary or specialized hospitals for more intensive care and neurological treatment.
According to this stroke management guideline, after completing the acute stage, some of the hospitals send them to the rehabilitation hospital or the rehabilitation unit of the hospitals for early rehabilitation services [53]. Moreover, the rehabilitation professionals are working with those post-stroke patients with a set of standard goals, and after achieving this goal, they send them back to the community or home to continue community-based rehabilitation services by several NGOs [10, 20, 39]. Similarly, they are continuing preventive and promotive services through NCDs corner of the primary care level to reduce the second chance of stroke attack [40]. This study concentrated only on the post-stroke out-patient rehabilitation services system in Bangladesh. According to Ahmed et al. [10], CRP is a rehabilitation center for serving post-stroke rehabilitation services in Bangladesh. It is serving hospital-based inpatient, out-patient, domiciliary, and community-based rehabilitation services. Figure 4 shows the stroke and post-stroke care pathways along with the rehabilitation services in Bangladesh.
Stroke and post-stroke care pathways along with the rehabilitation services in Bangladesh. Adopted from: Directorate General of Health Services [
According to Runa [29], CRP is the biggest rehabilitation hospital in Bangladesh. It provides comprehensive post-stroke rehabilitation services following a Multi-Disciplinary Team (MDT) approach. The MDT team is composed of a physician, physiotherapist, occupational therapist, speech and language therapist, rehabilitation nurse, and patient’s caregiver.
According to the CRP service delivery process [39], at the first contact, the patient comes to the reception (1) to collect the serial token, and after collecting the token, they have to wait in the waiting areas (2) for MDT screening (3). The MDT professionals screen the patient’s condition and consequently recommend the patient for further rehabilitation services. According to the MDT recommendations, the patient goes to the laboratory (4) for the clinical test if recommended and reception (5) for the appointment of outpatient rehabilitation services. There are three departments; physical therapy, occupational therapy, and speech and language therapy for post-stroke rehabilitation services. After collecting the therapists’ appointment from the reception, the patient has to go to the recommended departments (6) to receive the therapy services and wait for therapy timing (7). However, the patient may have to visit several departments based on the patient’s needs. The repetition of the therapy session depends on the patients’ physical stability and availability of the therapy session. The three departments professional demonstrate a health education program (8) at the end of their therapy session. The main purpose of this program is to provide knowledge about stroke risk factors prevention and health promotional activities.
At the end of the session, according to the therapist’s recommendation, the patient may have to go to the pharmacy (9) and the reception (10) again for further appointments. Finally, the patient goes back home (11, 12) and comes again on another day for a laboratory report and the next appointments if needed. Otherwise, the patient and the patient’s caregiver can get help from CRP telemedicine services (13) and CBR services. Using this telecommunications service, they can continue their therapy services at home (Figure 5) [39].
Demonstrated the overall post-stroke outpatient rehabilitation services pathways in the CRP hospital. Sources and Adopted: From, CRP [
The Republic of India is a border country of Bangladesh. India is surrounded almost entirely by sharing its’ borders within west, north, and east areas. It has been following a three-tiered model of health care service delivery. These tiered models comprise of primary, secondary, and tertiary level of healthcare services. The primary healthcare centers are particularly focusing on prevention, recognition, and referral for rehabilitation. The secondary level at district hospitals has fortified with medical doctors and other general facilities. At the divisional level, all tertiary care hospitals have equipped with all specialized facilities that are provided by public and private healthcare organizations [57]. There are enormous differences in accessibility and affordability in private and public hospitals for post-stroke healthcare services. For this circumstance, it’s becoming a major challenge for the patients who are seeking quality healthcare facilities for after-stroke patients.
The Republic of the Union of Myanmar has been sharing its border with the country of Bangladesh. Myanmar has been following pluralistic healthcare system followed by public, private, and NGO sectors. Ministry of Health (MOH) and other professional organizations have been working collaboratively for reducing communicable diseases. While communicable diseases declined, non-communicable diseases have been rising as a major concerning issue in Myanmar. The Department of Health (DOH) is mainly responsible for ensuring healthcare services through rural health centres (RHCs) and sub-rural health centres (Sub-RHCs) in the corresponding the municipality, district, and regional health centers. Preventive, promotive, and rehabilitative services have been providing for all citizens as well as for post-stroke patients to reduce premature deaths. All RHCs, Sub-RHCs are providing primary care services and at the regional level has available emergency and specialized hospital services based on the patients’ need [58].
Nepal is a state of government that has spanned a decade of political disturbance, revolution, and ferocity from the years 1996 to 2006. That particularly affects the development of healthcare sectors in Nepal. In this regard, private sectors have been following a leading role in ensuring healthcare services for the citizens of Nepal. Nepal’s healthcare system is struggling to control infectious diseases and the Ministry of Health and Population (MoHP) has made a significant achievement in reducing infectious diseases. However, due to demographic changes and urbanization, the burden of national diseases has shifted from infectious to non-infectious disease patterns [59]. Wherein, 108 out of every 100,000 deaths in Nepal are occurring by cerebrovascular diseases and almost 543/100,000 persons have led a Disability-Adjusted Life Years (DALY) after their stroke [60]. Public and private sectors have been providing curative and rehabilitative services but, patients have to depend on the private sector for emergency and specialized hospital facilities. The affordability of medical treatment has considered a major role in accessing hospital facilities for all citizens. Besides, out-of-pocket payment is a very common problem in Nepal to receive in-patients hospital services.
The Royal Government of Bhutan provides free health care services by following the principles of primary healthcare strategy. Bhutan has improved slowly on the way to building a strong health system. However, the Ministry of Health (MoH) has faced several burdens of diseases where the prevalence of non-communicable diseases (NCDs) is aggravated. To fight against the growing trend of NCDs, Bhutan has applied a multisectoral national action plan to prevent health risks of NCDs [61].
The Maldives is a developing country where the government is the head of the country. The Maldives has achieved a distinguished improvement in the health status of all citizens in gaining five out of eight Millennium Development Goals (MDGs) that creates a strong basement in achieving sustainable development goals (SDGs). However, considering the socioeconomic and environmental changes, the country has faced new challenges in controlling non-communicable diseases (NCDs). About 81% of total deaths are caused by NCDs in the Maldives. To address the burden of NCDs, a multisectoral national plan of action has been developed and implemented in focusing on preventive and promotional health interventions to bring changes in lifestyles and reduce health risks of NCDs. The Ministry of Health (MoH) is primarily responsible for ensuring primary health care facilities for all citizens, where, some private hospitals and NGOs provide healthcare in collaboration with the public sector. The government has spent the maximum amount of the total budget in the health sector. For instance, out-of-pocket payments for healthcare services are declining [59, 62].
The burden of NCDs as well as stroke is not an issue of a particular country. Globally, it is now a common public health concerning issue. World Health Organization has been working worldwide in dropping down the risk of NCDs. Several countries have adopted a multisectoral collaboration approach to improve health status and work collaboratively with the participation of all individuals in different sectors. In Bangladesh, the Ministry of Health and Family Welfare in cooperation with various NGOs and private organizations has launched NCD corner at the Upazila level for providing preventive, promotional, and rehabilitative services in the community for persons who are having health risks and after-stroke disability. The scarcity of healthcare personnel is also an important barrier for providing such services. At the same time, healthcare financing and lack of infrastructure are the most important hindering factors for maintaining these kinds of services in the community. Therefore, this is the time for the ministry of health and family welfare to work with other ministries and donor agencies for the betterment of all citizens of Bangladesh.
In order to reduce the bureaucratic problem in adopting any approach related to healthcare in society, the government has to implement a decentralization system.
The government should increase the annual health care budget for providing low-cost or free treatment facilities. In this case, the government should work with various national and international donor agencies for financial assistance.
Government and other legislative organizations need to work on primary care practices in both rural and urban areas by increasing the capacity of primary care workers. Similarly, it recommends considering planning environmental changes to make the infrastructure user-friendly and accessible to all.
Local community leaders, social workers, and general people are needed to be aware of the health risk of NCDs. In this case, a multisectoral collaboration in action approach would be an effective way to work collaboratively as well as initiating telerehabilitation services, remote rehabilitation services, public education, and awareness for early rehabilitation in reducing health risks of affecting NDCs.
Continuous quality control and monitoring systems are needed for maintaining the quality of the healthcare services as well as strengthening the healthcare service systems of Bangladesh.
The study authors declared that there is no conflict of interest.
Bangladesh Rehabilitation Assistance Committee
Community-Based Rehabilitation
Central Nervous System
Chronic Obstetric Pulmonary Diseases
Centre for Rehabilitation of the Paralyzed
Disability-Adjusted Life Year
Directorate General of Health Services
Department of Health
Growth Domestic Product
Handicap International
Health, Nutrition and Population Strategic Investment
Intracerebral Hemorrhage
International Committee of the Red Cross
Millennium Development Goal
Multi-Disciplinary Team
Ministry of Health
Ministry of Health and Family Welfare
Ministry of Health and Population
Non-Communicable Diseases
Rural Health Centre
South Asian Association of Regional Cooperation
Subarachnoid Hemorrhage
Sustainable Development Goals
South-East Asia Region
Society of Speech and Language Therapists
Trust for Rehabilitation of the Paralyzed
Urinary Tract Infections
World Confederation for Physical Therapy
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Morrish"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7121",title:"Cell Growth",subtitle:null,isOpenForSubmission:!1,hash:"9845b4d66ecca197908bcbfe4fd89321",slug:"cell-growth",bookSignature:"Biba Vikas and Michael Fasullo",coverURL:"https://cdn.intechopen.com/books/images_new/7121.jpg",editedByType:"Edited by",editors:[{id:"241658",title:"Dr.",name:"Biba",middleName:null,surname:"Vikas",slug:"biba-vikas",fullName:"Biba Vikas"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"8498",title:"Extracellular Vesicles and Their Importance in Human Health",subtitle:null,isOpenForSubmission:!1,hash:"eb168770441543e33da9325f16197fb4",slug:"extracellular-vesicles-and-their-importance-in-human-health",bookSignature:"Ana Gil De Bona and Jose Antonio Reales Calderon",coverURL:"https://cdn.intechopen.com/books/images_new/8498.jpg",editedByType:"Edited by",editors:[{id:"203919",title:"Dr.",name:"Ana",middleName:null,surname:"Gil De Bona",slug:"ana-gil-de-bona",fullName:"Ana Gil De Bona"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"8774",title:"Programmed Cell Death",subtitle:null,isOpenForSubmission:!1,hash:"0459d0c7a518f61817a48fd4709c35bd",slug:"programmed-cell-death",bookSignature:"Hala Gali-Muhtasib and Omar Nasser Rahal",coverURL:"https://cdn.intechopen.com/books/images_new/8774.jpg",editedByType:"Edited by",editors:[{id:"57145",title:"Prof.",name:"Hala",middleName:null,surname:"Gali-Muhtasib",slug:"hala-gali-muhtasib",fullName:"Hala Gali-Muhtasib"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6883",title:"Cell Signalling",subtitle:"Thermodynamics and Molecular Control",isOpenForSubmission:!1,hash:"e4e17d85c0643c7f4d274fa9adbcc628",slug:"cell-signalling-thermodynamics-and-molecular-control",bookSignature:"Sajal Ray",coverURL:"https://cdn.intechopen.com/books/images_new/6883.jpg",editedByType:"Edited by",editors:[{id:"173697",title:"Prof.",name:"Sajal",middleName:null,surname:"Ray",slug:"sajal-ray",fullName:"Sajal Ray"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6925",title:"Endoplasmic Reticulum",subtitle:null,isOpenForSubmission:!1,hash:"a9e90d2dbdbc46128dfe7dac9f87c6b4",slug:"endoplasmic-reticulum",bookSignature:"Angel Català",coverURL:"https://cdn.intechopen.com/books/images_new/6925.jpg",editedByType:"Edited by",editors:[{id:"196544",title:"Prof.",name:"Angel",middleName:null,surname:"Catala",slug:"angel-catala",fullName:"Angel Catala"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6964",title:"Cell Culture",subtitle:null,isOpenForSubmission:!1,hash:"045f3a964a9628162956abc06ef5777d",slug:"cell-culture",bookSignature:"Radwa Ali Mehanna",coverURL:"https://cdn.intechopen.com/books/images_new/6964.jpg",editedByType:"Edited by",editors:[{id:"182118",title:"Dr.",name:"Radwa Ali",middleName:null,surname:"Mehanna",slug:"radwa-ali-mehanna",fullName:"Radwa Ali Mehanna"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6820",title:"Keratin",subtitle:null,isOpenForSubmission:!1,hash:"6def75cd4b6b5324a02b6dc0359896d0",slug:"keratin",bookSignature:"Miroslav Blumenberg",coverURL:"https://cdn.intechopen.com/books/images_new/6820.jpg",editedByType:"Edited by",editors:[{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",slug:"miroslav-blumenberg",fullName:"Miroslav Blumenberg"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7264",title:"Calcium and Signal Transduction",subtitle:null,isOpenForSubmission:!1,hash:"e373a3d1123dbd45fddf75d90e3e7c38",slug:"calcium-and-signal-transduction",bookSignature:"John N. Buchholz and Erik J. Behringer",coverURL:"https://cdn.intechopen.com/books/images_new/7264.jpg",editedByType:"Edited by",editors:[{id:"89438",title:"Dr.",name:"John N.",middleName:null,surname:"Buchholz",slug:"john-n.-buchholz",fullName:"John N. Buchholz"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6683",title:"Ion Channels in Health and Sickness",subtitle:null,isOpenForSubmission:!1,hash:"8b02f45497488912833ba5b8e7cdaae8",slug:"ion-channels-in-health-and-sickness",bookSignature:"Kaneez Fatima Shad",coverURL:"https://cdn.intechopen.com/books/images_new/6683.jpg",editedByType:"Edited by",editors:[{id:"31988",title:"Prof.",name:"Kaneez",middleName:null,surname:"Fatima Shad",slug:"kaneez-fatima-shad",fullName:"Kaneez Fatima Shad"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:14,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"64565",doi:"10.5772/intechopen.81552",title:"Two-Dimensional (2D) and Three-Dimensional (3D) Cell Culturing in Drug Discovery",slug:"two-dimensional-2d-and-three-dimensional-3d-cell-culturing-in-drug-discovery",totalDownloads:3283,totalCrossrefCites:11,totalDimensionsCites:40,abstract:"Cell culture is an indispensable in vitro tool used to improve our perception and understanding of cell biology, the development of tissue engineering, tissue morphology, mechanisms of diseases and drug action. Efficient cell culturing techniques both in vitro and in vivo allow researchers to design and develop new drugs in preclinical studies. Two-dimensional (2D) cell cultures have been used since 1900s and are still a dominant method in many biological studies. However, 2D cell cultures poorly imitate the conditions in vivo. Recently three-dimensional (3D) cell cultures have received remarkable attention in studies such as drug discovery and development. Optimization of cell culture conditions is very critical in ensuring powerful experimental reproducibility, which may help to find new therapies for cancer and other diseases. In this chapter, we discuss the 2D and 3D cell culture technologies and their role in drug discovery.",book:{id:"6964",slug:"cell-culture",title:"Cell Culture",fullTitle:"Cell Culture"},signatures:"Jitcy Saji Joseph, Sibusiso Tebogo Malindisa and Monde Ntwasa",authors:null},{id:"68141",doi:"10.5772/intechopen.87778",title:"Nonenzymatic Exogenous and Endogenous Antioxidants",slug:"nonenzymatic-exogenous-and-endogenous-antioxidants",totalDownloads:1888,totalCrossrefCites:16,totalDimensionsCites:29,abstract:"Nonenzymatic exogenous and endogenous antioxidants play an important role in human health and act as preservatives for cosmetics, pharmaceuticals, and food products. This chapter will discuss the chemical structure and mechanism of action of the most important nonenzymatic small exogenous and endogenous organic molecules that act as antioxidants. The chapter will focus on the structural features, functional groups, properties, biosynthetic origin, and mechanism of action of such antioxidants. It also covers damages that free radicals create and the mechanisms by which they are neutralized by the various antioxidants. The scope of this chapter will be limited to nonenzymatic exogenous and endogenous antioxidants since enzymatic antioxidants have been discussed extensively in several reviews.",book:{id:"7999",slug:"free-radical-medicine-and-biology",title:"Free Radical Medicine and Biology",fullTitle:"Free Radical Medicine and Biology"},signatures:"Ziad Moussa, Zaher M.A. Judeh and Saleh A. Ahmed",authors:[{id:"300774",title:"Dr.",name:"Ziad",middleName:null,surname:"Moussa",slug:"ziad-moussa",fullName:"Ziad Moussa"},{id:"306324",title:"Dr.",name:"Zaher",middleName:null,surname:"M. A. Judeh",slug:"zaher-m.-a.-judeh",fullName:"Zaher M. A. Judeh"},{id:"306325",title:"Prof.",name:"Saleh",middleName:null,surname:"A. Ahmed",slug:"saleh-a.-ahmed",fullName:"Saleh A. Ahmed"}]},{id:"62562",doi:"10.5772/intechopen.79502",title:"Keratin Waste: The Biodegradable Polymers",slug:"keratin-waste-the-biodegradable-polymers",totalDownloads:2265,totalCrossrefCites:9,totalDimensionsCites:15,abstract:"Keratins are everywhere, from being the major components of household dust to common contaminants of laboratory protein analysis. Keratin is the major structural fibrous protein belonging to the large family of structural proteins to form hair, wool, feathers, nails, and horns of many kinds of animals and has a high concentration of cysteine, 7–20% of the total amino acid residues, that form inter- and intramolecular disulfide bonds. Keratin wastes are considered as the environmental pollutants and produced mostly from the poultry farms, slaughterhouses, and leather industries. Keratin wastes are dumped, buried, used for landfilling, or incinerated and all these actions increase the threats of environmental hazards, pollution, negatively influence the public health, and increase greenhouse gases concentration. Nature has provided planet Earth with a variety of beneficial organisms. Soil is considered as a well-known source for the growth of keratinophilic microflora (fungi and bacteria), which have the capability to degrade the keratin waste. The keratin-degradation ability of keratinophilic microflora has been credited with the production of the microbial keratinase enzyme and biodegradation takes place (enzymatic degradation). So, the keratin wastes are the biodegradable polymers. Keratinase is the industrially significant enzyme that offers bioconversion of keratin waste, utilization as animal feed supplements, and dehairing agents in tannery industries and textile industries.",book:{id:"6820",slug:"keratin",title:"Keratin",fullTitle:"Keratin"},signatures:"Tarun Kumar Kumawat, Anima Sharma, Vishnu Sharma and\nSubhash Chandra",authors:[{id:"250905",title:"Dr.",name:"Anima",middleName:null,surname:"Sharma",slug:"anima-sharma",fullName:"Anima Sharma"},{id:"257932",title:"Dr.",name:"Tarun Kumar",middleName:null,surname:"Kumawat",slug:"tarun-kumar-kumawat",fullName:"Tarun Kumar Kumawat"},{id:"257942",title:"Dr.",name:"Vishnu",middleName:null,surname:"Sharma",slug:"vishnu-sharma",fullName:"Vishnu Sharma"},{id:"257944",title:"Prof.",name:"Subhash",middleName:null,surname:"Chandra",slug:"subhash-chandra",fullName:"Subhash Chandra"}]},{id:"62159",doi:"10.5772/intechopen.79050",title:"Keratins in Skin Epidermal Development and Diseases",slug:"keratins-in-skin-epidermal-development-and-diseases",totalDownloads:2402,totalCrossrefCites:5,totalDimensionsCites:13,abstract:"Epidermal keratinocyte (KC), the major cell type in the skin epidermis, plays critical roles in forming a permeability barrier to separate internal organs from external stimuli. Keratins, constituting about 30–80% of the total protein in KCs, form the major intermediate filament cytoskeleton of KC. Keratins consist of 54 unique genes in humans and they are expressed in cell-, differentiation- and development-dependent manner. While keratin pairs K5-K14 and K1-K10 are normally associated with KCs at different cell differentiation stages, other keratin pairs such as K6-K16/K17 and K8–K18 and are usually not expressed in normal skin interfollicular epidermis, but are elevated during wounding, inflammatory skin diseases such as psoriasis or malignant conversion of KC. The expression and function of keratins are tightly regulated at both transcriptional and post-transcriptional levels. Inherited or spontaneous mutations in keratins or abnormal keratin regulations or modifications can cause KC and cutaneous tissue fragility, skin hypertrophic and inflammatory conditions or malignant transformation of KC, therefore accounting for a large number of disorders in human skin. Here we review the recent literature on how keratins are normally expressed during skin development and how mutations or misregulations of these keratins are involved in the pathogenesis of skin diseases.",book:{id:"6820",slug:"keratin",title:"Keratin",fullTitle:"Keratin"},signatures:"Ling-juan Zhang",authors:[{id:"241614",title:"Dr.",name:"Lingjuan",middleName:null,surname:"Zhang",slug:"lingjuan-zhang",fullName:"Lingjuan Zhang"}]},{id:"67488",doi:"10.5772/intechopen.85416",title:"Milk Exosomes: Isolation, Biochemistry, Morphology, and Perspectives of Use",slug:"milk-exosomes-isolation-biochemistry-morphology-and-perspectives-of-use",totalDownloads:1988,totalCrossrefCites:1,totalDimensionsCites:10,abstract:"Cells of the multicellular organisms communicate with each other in many different ways, among which extracellular vesicles play a unique role. Almost all cell types secrete vesicles into the extracellular space and deliver their contents to recipient cells. Today, one of the groups of extracellular vesicles that is of particular interest for studying is exosomes—membrane vesicles with a diameter of 40–100 nm. Exosomes are secreted by cells and found in various biological fluids—blood, tears, saliva, urine, cerebrospinal fluid, and milk. Exosomes provide not only targeted delivery of molecular signals to recipient cells but also carry unique markers, which makes them a promising substrate in diagnostic studies, primarily due to their small RNA and protein contents. The milk of cows, horses, humans, and other mammals is a unique source of exosomes since these organisms can produce liters of milk per day, which is much higher than the volume of exosomes produced in cell culture fluid or blood plasma. Unfortunately, milk exosomes are currently much less studied than exosomes of blood or culture fluid. This review examines the methods of the isolation, biochemical analysis (composition of proteins, lipids, and nucleic acids), morphology, and prospects for the use of milk exosomes.",book:{id:"8498",slug:"extracellular-vesicles-and-their-importance-in-human-health",title:"Extracellular Vesicles and Their Importance in Human Health",fullTitle:"Extracellular Vesicles and Their Importance in Human Health"},signatures:"Sergey E. Sedykh, Evgeniya E. Burkova, Lada V. Purvinsh, Daria A. Klemeshova, Elena I. Ryabchikova and Georgy A. Nevinsky",authors:[{id:"47119",title:"Dr.",name:"Georgy",middleName:null,surname:"Nevinsky",slug:"georgy-nevinsky",fullName:"Georgy Nevinsky"},{id:"178316",title:"Ph.D.",name:"Sergey",middleName:null,surname:"Sedykh",slug:"sergey-sedykh",fullName:"Sergey Sedykh"},{id:"291659",title:"Prof.",name:"Elena",middleName:null,surname:"Ryabchikova",slug:"elena-ryabchikova",fullName:"Elena Ryabchikova"},{id:"291660",title:"MSc.",name:"Evgeniya",middleName:null,surname:"Burkova",slug:"evgeniya-burkova",fullName:"Evgeniya Burkova"},{id:"291662",title:"MSc.",name:"Lada",middleName:null,surname:"Purvinsh",slug:"lada-purvinsh",fullName:"Lada Purvinsh"},{id:"291663",title:"MSc.",name:"Daria",middleName:null,surname:"Klemeshova",slug:"daria-klemeshova",fullName:"Daria Klemeshova"}]}],mostDownloadedChaptersLast30Days:[{id:"67793",title:"Kinetic Studies on Cell Growth",slug:"kinetic-studies-on-cell-growth",totalDownloads:3729,totalCrossrefCites:3,totalDimensionsCites:7,abstract:"The kinetic model of cell growth is substantially capable to predict product formation. Mathematical models provide a strategy for solving problems encountered in fermentation process. A biochemical engineering approach to address this problem could be to develop a mathematical model which not only helps in the understanding of the system but also predicts various cultivation strategies to facilitate the optimization of a fermentation process, saving much of the time and cost for performing experiments. The presented overview indicates that many of the environmentally relevant aspects in growth kinetics are still waiting to be discovered, established, and exploited. A kinetic model that describes microbial growth, product formation and substrate consumption and the experimental data were fitted with modified logistic equation.",book:{id:"7121",slug:"cell-growth",title:"Cell Growth",fullTitle:"Cell Growth"},signatures:"Punniavan Sakthiselvan, Setti Sudharsan Meenambiga and Ramasamy Madhumathi",authors:[{id:"268626",title:"Dr.",name:"Punniavan",middleName:null,surname:"Sakthiselvan",slug:"punniavan-sakthiselvan",fullName:"Punniavan Sakthiselvan"},{id:"269591",title:"Dr.",name:"Madhumathi",middleName:null,surname:"Ramasamy",slug:"madhumathi-ramasamy",fullName:"Madhumathi Ramasamy"},{id:"279920",title:"Dr.",name:"S S",middleName:null,surname:"Meenambiga",slug:"s-s-meenambiga",fullName:"S S Meenambiga"}]},{id:"69690",title:"Ion Homeostasis Response to Nutrient-Deficiency Stress in Plants",slug:"ion-homeostasis-response-to-nutrient-deficiency-stress-in-plants",totalDownloads:2436,totalCrossrefCites:3,totalDimensionsCites:5,abstract:"A crucial feature of plant performance is its strong dependence on the availability of essential mineral nutrients, affecting multiple vital functions. Indeed, mineral-nutrient deficiency is one of the major stress factors affecting plant growth and development. Thereby, nitrogen and potassium represent the most abundant mineral contributors, critical for plant survival. While studying plant responses to nutrient deficiency, one should keep in mind that mineral nutrients, along with their specific metabolic roles, are directly involved in maintaining cell ion homeostasis, which relies on a finely tuned equilibrium between cytosolic and vacuolar ion pools. Therefore, in this chapter we briefly summarize the role of the ion homeostasis system in cell responses to environmental deficiency of nitrate and potassium ions. Special attention is paid to the implementation of plant responses via NO3− and K+ root transport and regulation of ion distribution in cell compartments. These responses are strongly dependent on plant species, as well as severity and duration of nutrient deficiency.",book:{id:"7121",slug:"cell-growth",title:"Cell Growth",fullTitle:"Cell Growth"},signatures:"Natalia Osmolovskaya, Julia Shumilina, Ksenia Bureiko, Veronika Chantseva, Tatiana Bilova, Ludmila Kuchaeva, Nikolai Laman, Ludger A. Wessjohann and Andrej Frolov",authors:[{id:"177609",title:"Dr.",name:"Natalia",middleName:null,surname:"Osmolovskaya",slug:"natalia-osmolovskaya",fullName:"Natalia Osmolovskaya"},{id:"309520",title:"Ms.",name:"Julia",middleName:null,surname:"Shumilina",slug:"julia-shumilina",fullName:"Julia Shumilina"},{id:"309521",title:"Ms.",name:"Ksenia",middleName:null,surname:"Bureiko",slug:"ksenia-bureiko",fullName:"Ksenia Bureiko"},{id:"309522",title:"Ms.",name:"Veronika",middleName:null,surname:"Chantseva",slug:"veronika-chantseva",fullName:"Veronika Chantseva"},{id:"309523",title:"Dr.",name:"Tatiana",middleName:null,surname:"Bilova",slug:"tatiana-bilova",fullName:"Tatiana Bilova"},{id:"309524",title:"Mrs.",name:"Ludmila",middleName:null,surname:"Kuchaeva",slug:"ludmila-kuchaeva",fullName:"Ludmila Kuchaeva"},{id:"309525",title:"Prof.",name:"Ludger A.",middleName:null,surname:"Wessjohann",slug:"ludger-a.-wessjohann",fullName:"Ludger A. Wessjohann"},{id:"309526",title:"Dr.",name:"Andrej",middleName:null,surname:"Frolov",slug:"andrej-frolov",fullName:"Andrej Frolov"}]},{id:"62159",title:"Keratins in Skin Epidermal Development and Diseases",slug:"keratins-in-skin-epidermal-development-and-diseases",totalDownloads:2396,totalCrossrefCites:5,totalDimensionsCites:12,abstract:"Epidermal keratinocyte (KC), the major cell type in the skin epidermis, plays critical roles in forming a permeability barrier to separate internal organs from external stimuli. Keratins, constituting about 30–80% of the total protein in KCs, form the major intermediate filament cytoskeleton of KC. Keratins consist of 54 unique genes in humans and they are expressed in cell-, differentiation- and development-dependent manner. While keratin pairs K5-K14 and K1-K10 are normally associated with KCs at different cell differentiation stages, other keratin pairs such as K6-K16/K17 and K8–K18 and are usually not expressed in normal skin interfollicular epidermis, but are elevated during wounding, inflammatory skin diseases such as psoriasis or malignant conversion of KC. The expression and function of keratins are tightly regulated at both transcriptional and post-transcriptional levels. Inherited or spontaneous mutations in keratins or abnormal keratin regulations or modifications can cause KC and cutaneous tissue fragility, skin hypertrophic and inflammatory conditions or malignant transformation of KC, therefore accounting for a large number of disorders in human skin. Here we review the recent literature on how keratins are normally expressed during skin development and how mutations or misregulations of these keratins are involved in the pathogenesis of skin diseases.",book:{id:"6820",slug:"keratin",title:"Keratin",fullTitle:"Keratin"},signatures:"Ling-juan Zhang",authors:[{id:"241614",title:"Dr.",name:"Lingjuan",middleName:null,surname:"Zhang",slug:"lingjuan-zhang",fullName:"Lingjuan Zhang"}]},{id:"62187",title:"Calcium and Cell Response to Heavy Metals: Can Yeast Provide an Answer?",slug:"calcium-and-cell-response-to-heavy-metals-can-yeast-provide-an-answer-",totalDownloads:1239,totalCrossrefCites:2,totalDimensionsCites:3,abstract:"Despite constant efforts to maintain a clean environment, heavy metal pollution continues to raise challenges to the industrialized world. Exposure to heavy metals is detrimental to living organisms, and it is of utmost importance that cells find rapid and efficient ways to respond to and eventually adapt to surplus metals for survival under severe stress. This chapter focuses on the attempts done so far to elucidate the calcium-mediated response to heavy metal stress using the model organism Saccharomyces cerevisiae. The possibilities to record the transient elevations of calcium within yeast cells concomitantly with the heavy metal exposure are presented, and the limitations imposed by interference between calcium and heavy metals are discussed.",book:{id:"7264",slug:"calcium-and-signal-transduction",title:"Calcium and Signal Transduction",fullTitle:"Calcium and Signal Transduction"},signatures:"Ileana Cornelia Farcasanu, Claudia Valentina Popa and Lavinia\nLiliana Ruta",authors:[{id:"203734",title:"Dr.",name:"Ileana",middleName:"Cornelia",surname:"Farcasanu",slug:"ileana-farcasanu",fullName:"Ileana Farcasanu"},{id:"203865",title:"Dr.",name:"Lavinia",middleName:null,surname:"Ruta",slug:"lavinia-ruta",fullName:"Lavinia Ruta"},{id:"255728",title:"Dr.",name:"Claudia Valentina",middleName:null,surname:"Popa",slug:"claudia-valentina-popa",fullName:"Claudia Valentina Popa"}]},{id:"61953",title:"L-Type Calcium Channels: Structure and Functions",slug:"l-type-calcium-channels-structure-and-functions",totalDownloads:2723,totalCrossrefCites:4,totalDimensionsCites:7,abstract:"Voltage-gated calcium channels (VGCCs) manage the electrical signaling of cells by allowing the selective-diffusion of calcium ions in response to the changes in the cellular membrane potential. Among the different VGCCs, the long-lasting or the L-type calcium channels (LTCCs) are prevalently expressed in a variety of cells, such as skeletal muscle, ventricular myocytes, smooth muscles and dendritic cells and forms the largest family of the VGCCs. Their wide expression pattern and significant role in diverse cellular events, including neurotransmission, cell cycle, muscular contraction, cardiac action potential and gene expression, has made these channels the major targets for drug development. In this book chapter, we aim to provide a comprehensive overview of the different VGCCs and focus on the sequence-structure–function properties of the LTCCs. Our chapter will summarize and review the various experimental and computational analyses performed on the structures of the LTCCs and their implications in drug discovery applications.",book:{id:"6683",slug:"ion-channels-in-health-and-sickness",title:"Ion Channels in Health and Sickness",fullTitle:"Ion Channels in Health and Sickness"},signatures:"Tianhua Feng, Subha Kalyaanamoorthy and Khaled Barakat",authors:[{id:"57391",title:"Dr.",name:"Khaled",middleName:"Hasaan",surname:"Barakat",slug:"khaled-barakat",fullName:"Khaled Barakat"},{id:"236912",title:"B.Sc.",name:"Tianhua",middleName:null,surname:"Feng",slug:"tianhua-feng",fullName:"Tianhua Feng"},{id:"236999",title:"Dr.",name:"Subha",middleName:null,surname:"Kalyaanamoorthy",slug:"subha-kalyaanamoorthy",fullName:"Subha Kalyaanamoorthy"}]}],onlineFirstChaptersFilter:{topicId:"47",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"80484",title:"The Use of Stable Isotope Labeling with Amino Acids in Cell Culture (SILAC) to Study Ivermectin-Mediated Molecular Pathway Changes in Human Ovarian Cancer Cells",slug:"the-use-of-stable-isotope-labeling-with-amino-acids-in-cell-culture-silac-to-study-ivermectin-mediat",totalDownloads:80,totalDimensionsCites:0,doi:"10.5772/intechopen.102092",abstract:"Stable isotope labeling with amino acids in cell culture (SILAC) was to use isotopic essential amino acids to replace the original amino acids for cell culture and passage for 8–10 generations, followed by mass spectrometry to identify proteins and the isotopic abundance difference to quantify proteins. SILAC can be used to characterize proteomic changes, and analyze protein turnover, protein interactions, and dynamic changes with quantitative accuracy, and high reproducibility. For this study, SILAC “light” (L-Lysine-2HCl [12C6, 14N2], L-Arginine-HCl [12C6, 14N4])- or “heavy” (L-Lysine-2HCl [13C6, 15N2], L-Arginine-HCl [13C6, 15N4])-labeling RPMI 1640 medium was used to culture human ovarian cancer TOV-21G cells for 10 passages, followed by the treatment of 0.1% dimethylsulfoxide for 24 h and 20 µM ivermectin for 24 h, respectively. The light- and heavy-isotope-labeled proteins were equally mixed (1:1) for digestion with trypsin. The tryptic peptide mixture was fractionated with liquid chromatography and analyzed with tandem mass spectrometry. In total, 4,447 proteins were identified in ivermectin-treated TOV-21G cells in relation to controls. Those proteins were enriched in 89 statistically significant signaling pathways and 62 statistically significant biological processes. These findings clearly demonstrated that SILAC quantitative proteomics was a useful and reliable method to study ivermectin-related proteomic changes in cancer cells, which in combination with molecular pathway networks and biological processes enrichments provided more comprehensive insights into molecular mechanisms of ivermectin in inhibiting TOV-21G cells.",book:{id:"10797",title:"Cell Culture - Advanced Technology and Applications in Medical and Life Sciences",coverURL:"https://cdn.intechopen.com/books/images_new/10797.jpg"},signatures:"Na Li and Xianquan Zhan"},{id:"79031",title:"Isolation and Expansion of Mesenchymal Stem/Stromal Cells, Functional Assays and Long-Term Culture Associated Alterations of Cellular Properties",slug:"isolation-and-expansion-of-mesenchymal-stem-stromal-cells-functional-assays-and-long-term-culture-as",totalDownloads:78,totalDimensionsCites:0,doi:"10.5772/intechopen.100286",abstract:"Mesenchymal stem cell/stromal cells (MSCs) can differentiate into a variety of cell types, including osteocytes, adipocytes and chondrocytes. MSCs are present in the multiple types of adult tissue, such as bone marrow, adipose tissue, and various neonatal birth-associated tissues. Given their self-renewal and differentiation potential, immunomodulatory and paracrine properties, and lacking major histocompatibility complex (MHC) class II molecules, MSCs have attracted much attention for stem cell-based translational medicine research. Due to a very low frequency in different types of tissue, MSCs can be isolated and expanded in vitro to derive sufficient cell numbers prior to the clinical applications. In this chapter, the methodology to obtain primary bone marrow-derived MSCs as well as their in vitro culture expansion will be described. To assess the functional properties, differentiation assays, including osteogenesis, chondrogenesis and adipogenesis, 3-D culture of MSCs and co-culture of MSCs and tumor cells are also provided. Finally, the long-term culture associated alterations of MSCs, such as replicative senescence and spontaneous transformation, will be discussed for better understanding of the use of MSCs at the early stages for safe and effective cell-based therapy.",book:{id:"10797",title:"Cell Culture - Advanced Technology and Applications in Medical and Life Sciences",coverURL:"https://cdn.intechopen.com/books/images_new/10797.jpg"},signatures:"Chenghai Li"},{id:"78960",title:"Two-Dimensional and Three-Dimensional Cell Culture and Their Applications",slug:"two-dimensional-and-three-dimensional-cell-culture-and-their-applications",totalDownloads:250,totalDimensionsCites:0,doi:"10.5772/intechopen.100382",abstract:"Cell culture is one of the most important and commonly used in vitro tools to comprehend various aspects of cells or tissues of a living body such as cell biology, tissue morphology, mechanism of diseases, cell signaling, drug action, cancer research and also finds its great importance in preclinical trials of various drugs. There are two major types of cell cultures that are most commonly used- two-dimensional (2D) and three-dimensional culture (3D). The former has been used since the 1900s, owing to its simplicity and low-cost maintenance as it forms a monolayer, while the latter being the advanced version and currently most worked upon. This chapter intends to provide the true meaning and significance to both cultures. It starts by making a clear distinction between the two and proceeds further to discuss their different applications in vitro. The significance of 2D culture is projected through different assays and therapeutic treatment to understand cell motility and treatment of diseases, whereas 3D culture includes different models and spheroid structures consisting of multiple layers of cells, and puts a light on its use in drug discovery and development. The chapter is concluded with a detailed account of the production of therapeutic proteins by the use of cells.",book:{id:"10797",title:"Cell Culture - Advanced Technology and Applications in Medical and Life Sciences",coverURL:"https://cdn.intechopen.com/books/images_new/10797.jpg"},signatures:"Sangeeta Ballav, Ankita Jaywant Deshmukh, Shafina Siddiqui, Jyotirmoi Aich and Soumya Basu"},{id:"78812",title:"Nanotechnology Application and Intellectual Property Right Prospects of Mammalian Cell Culture",slug:"nanotechnology-application-and-intellectual-property-right-prospects-of-mammalian-cell-culture",totalDownloads:121,totalDimensionsCites:1,doi:"10.5772/intechopen.99146",abstract:"The significant challenges faced by modern-day medicine include designing a target-specific drug delivery system with a controlled release mechanism, having the potential to avoid opsonization and reduce bio-toxicity. Nanoparticles are materials with nanoscale dimensions and maybe natural and synthetic in origin. Engineered nano-sized materials are playing an indispensable role in the field of nanomedicine and nanobiotechnology. Besides, engineered nano-sized particles impart therapeutic applications with enhanced specificity because of their unique bespoke properties. Moreover, such application-customized nanoparticles offer an enormous possibility for their compatibility with different biological molecules like proteins, genetic materials, cell membranes, and organelles at the nano-bio frame. Besides, surface functionalization with targeting moieties such as small molecule ligands, monoclonal antibodies, aptamers, cell-penetrating peptides, and proteins facilitate nanoparticle-based specific tissue targeting. This review summarizes some of the advances in nanoparticle-based therapeutics and theranostics. A better understanding of idealistic preparation methods, physicochemical attributes, surface functionalization, biocompatibility can empower the potential translation of nanomaterials from the ‘bench-to-bedside’. In modern-day medicine, engineered nanoparticles have a wide range of demands ranging from bio-imaging, theranostics, tissue engineering, sensors, drug and nucleic acid delivery, and other pharmaceuticals applications. 2D and 3D mammalian cell-based assays are widely used to model diseases, screening of drugs, drug discovery, and toxicity analyses. Recent advances in cell culture technology and associated progress in nanotechnology have enabled researchers to study a wide variety of physiologically relevant questions. This chapter explores the properties of nanoparticles, different targeted delivery methods, biological analysis, and theranostics. Moreover, this chapter also emphasizes biosafety and bioethics associated with mammalian cell culture and discusses the significance of intellectual property rights from an industrial and academic perspective.",book:{id:"10797",title:"Cell Culture - Advanced Technology and Applications in Medical and Life Sciences",coverURL:"https://cdn.intechopen.com/books/images_new/10797.jpg"},signatures:"Harikrishnareddy Rachamalla, Anubhab Mukherjee and Manash K. Paul"},{id:"78274",title:"A Brief Concept of Cell Culture: Challenges, Prospects and Applications",slug:"a-brief-concept-of-cell-culture-challenges-prospects-and-applications",totalDownloads:175,totalDimensionsCites:0,doi:"10.5772/intechopen.99387",abstract:"Cell culture is an in vitro technique in which cells, tissues, or organs (animal origin) are artificially grown with the support of an artificial environment that encompasses culture medium, CO2 level, pH indicator, temperature keeping tissues alive and growing appropriately. Organ culture, Primary explant culture, and Cell culture among them cell culture widely used for the understanding of cell growth, normal functions, identification of growth factors, viral vaccine development, recombinant DNA (rDNA) technology, and immunobiological research. Due to high feasibility, cell culture practices highly demandable in the pharmaceutical industry. As well as animal cell culture used in laboratory research to study the cytotoxicity of new drug metabolic studies, aging, therapeutic proteins, the effects of drugs and toxic compounds on the cells and mutagenesis and carcinogenesis. There are a lot of issues in cell culture, Mycoplasma is one of the major. During cell culture, a single antibiotic often cannot kill the mycoplasma. Besides, culture media, pH indicator, incubation, cryopreservation, thawing, passaging of cells, and trypsinization have a great impact on cell culture. This chapter will help the reader to understand the whole process of cell culture and its applications, which will take them one step forward in their virology and cell culture research along with inspiration. This chapter also aids in the concept of cell count, cell suspension, CCF measurement, MOI (Multiplicity of Infection), and cell infection. Eventually, the reader will get a crystal clear concept of cell culture.",book:{id:"10797",title:"Cell Culture - Advanced Technology and Applications in Medical and Life Sciences",coverURL:"https://cdn.intechopen.com/books/images_new/10797.jpg"},signatures:"Md. 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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"}}}}]},series:{item:{id:"13",title:"Veterinary Medicine and Science",doi:"10.5772/intechopen.73681",issn:"2632-0517",scope:"Paralleling similar advances in the medical field, astounding advances occurred in Veterinary Medicine and Science in recent decades. These advances have helped foster better support for animal health, more humane animal production, and a better understanding of the physiology of endangered species to improve the assisted reproductive technologies or the pathogenesis of certain diseases, where animals can be used as models for human diseases (like cancer, degenerative diseases or fertility), and even as a guarantee of public health. Bridging Human, Animal, and Environmental health, the holistic and integrative “One Health” concept intimately associates the developments within those fields, projecting its advancements into practice. This book series aims to tackle various animal-related medicine and sciences fields, providing thematic volumes consisting of high-quality significant research directed to researchers and postgraduates. It aims to give us a glimpse into the new accomplishments in the Veterinary Medicine and Science field. By addressing hot topics in veterinary sciences, we aim to gather authoritative texts within each issue of this series, providing in-depth overviews and analysis for graduates, academics, and practitioners and foreseeing a deeper understanding of the subject. Forthcoming texts, written and edited by experienced researchers from both industry and academia, will also discuss scientific challenges faced today in Veterinary Medicine and Science. In brief, we hope that books in this series will provide accessible references for those interested or working in this field and encourage learning in a range of different topics.",coverUrl:"https://cdn.intechopen.com/series/covers/13.jpg",latestPublicationDate:"May 18th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:10,editor:{id:"38652",title:"Prof.",name:"Rita",middleName:null,surname:"Payan-Carreira",slug:"rita-payan-carreira",fullName:"Rita Payan-Carreira",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRiFPQA0/Profile_Picture_1614601496313",biography:"Rita Payan Carreira earned her Veterinary Degree from the Faculty of Veterinary Medicine in Lisbon, Portugal, in 1985. She obtained her Ph.D. in Veterinary Sciences from the University of Trás-os-Montes e Alto Douro, Portugal. After almost 32 years of teaching at the University of Trás-os-Montes and Alto Douro, she recently moved to the University of Évora, Department of Veterinary Medicine, where she teaches in the field of Animal Reproduction and Clinics. Her primary research areas include the molecular markers of the endometrial cycle and the embryo–maternal interaction, including oxidative stress and the reproductive physiology and disorders of sexual development, besides the molecular determinants of male and female fertility. She often supervises students preparing their master's or doctoral theses. She is also a frequent referee for various journals.",institutionString:null,institution:{name:"University of Évora",institutionURL:null,country:{name:"Portugal"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:6,paginationItems:[{id:"19",title:"Animal Science",coverUrl:"https://cdn.intechopen.com/series_topics/covers/19.jpg",editor:{id:"259298",title:"Dr.",name:"Edward",middleName:null,surname:"Narayan",slug:"edward-narayan",fullName:"Edward Narayan",profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",biography:"Dr. Edward Narayan graduated with Ph.D. degree in Biology from the University of the South Pacific and pioneered non-invasive reproductive and stress endocrinology tools for amphibians - the novel development and validation of non-invasive enzyme immunoassays for the evaluation of reproductive hormonal cycle and stress hormone responses to environmental stressors. \nDr. Narayan leads the Stress Lab (Comparative Physiology and Endocrinology) at the University of Queensland. A dynamic career research platform which is based on the thematic areas of comparative vertebrate physiology, stress endocrinology, reproductive endocrinology, animal health and welfare, and conservation biology. \nEdward has supervised 40 research students and published over 60 peer reviewed research.",institutionString:null,institution:{name:"University of Queensland",institutionURL:null,country:{name:"Australia"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"258334",title:"Dr.",name:"Carlos Eduardo",middleName:null,surname:"Fonseca-Alves",slug:"carlos-eduardo-fonseca-alves",fullName:"Carlos Eduardo Fonseca-Alves",profilePictureURL:"https://mts.intechopen.com/storage/users/258334/images/system/258334.jpg",institutionString:null,institution:{name:"Universidade Paulista",institutionURL:null,country:{name:"Brazil"}}},{id:"191123",title:"Dr.",name:"Juan José",middleName:null,surname:"Valdez-Alarcón",slug:"juan-jose-valdez-alarcon",fullName:"Juan José Valdez-Alarcón",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSBfcQAG/Profile_Picture_1631354558068",institutionString:"Universidad Michoacana de San Nicolás de Hidalgo",institution:{name:"Universidad Michoacana de San Nicolás de Hidalgo",institutionURL:null,country:{name:"Mexico"}}},{id:"161556",title:"Dr.",name:"Maria Dos Anjos",middleName:null,surname:"Pires",slug:"maria-dos-anjos-pires",fullName:"Maria Dos Anjos Pires",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bS8q2QAC/Profile_Picture_1633432838418",institutionString:null,institution:{name:"University of Trás-os-Montes and Alto Douro",institutionURL:null,country:{name:"Portugal"}}},{id:"209839",title:"Dr.",name:"Marina",middleName:null,surname:"Spinu",slug:"marina-spinu",fullName:"Marina Spinu",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRLXpQAO/Profile_Picture_1630044895475",institutionString:null,institution:{name:"University of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca",institutionURL:null,country:{name:"Romania"}}},{id:"92185",title:"Dr.",name:"Sara",middleName:null,surname:"Savic",slug:"sara-savic",fullName:"Sara Savic",profilePictureURL:"https://mts.intechopen.com/storage/users/92185/images/system/92185.jfif",institutionString:'Scientific Veterinary Institute "Novi Sad"',institution:{name:'Scientific Veterinary Institute "Novi Sad"',institutionURL:null,country:{name:"Serbia"}}}]},{id:"20",title:"Animal Nutrition",coverUrl:"https://cdn.intechopen.com/series_topics/covers/20.jpg",editor:{id:"175967",title:"Dr.",name:"Manuel",middleName:null,surname:"Gonzalez Ronquillo",slug:"manuel-gonzalez-ronquillo",fullName:"Manuel Gonzalez Ronquillo",profilePictureURL:"https://mts.intechopen.com/storage/users/175967/images/system/175967.png",biography:"Dr. Manuel González Ronquillo obtained his doctorate degree from the University of Zaragoza, Spain, in 2001. He is a research professor at the Faculty of Veterinary Medicine and Animal Husbandry, Autonomous University of the State of Mexico. He is also a level-2 researcher. He received a Fulbright-Garcia Robles fellowship for a postdoctoral stay at the US Dairy Forage Research Center, Madison, Wisconsin, USA in 2008–2009. He received grants from Alianza del Pacifico for a stay at the University of Magallanes, Chile, in 2014, and from Consejo Nacional de Ciencia y Tecnología (CONACyT) to work in the Food and Agriculture Organization’s Animal Production and Health Division (AGA), Rome, Italy, in 2014–2015. He has collaborated with researchers from different countries and published ninety-eight journal articles. He teaches various degree courses in zootechnics, sheep production, and agricultural sciences and natural resources.\n\nDr. Ronquillo’s research focuses on the evaluation of sustainable animal diets (StAnD), using native resources of the region, decreasing carbon footprint, and applying meta-analysis and mathematical models for a better understanding of animal production.",institutionString:null,institution:{name:"Universidad Autónoma del Estado de México",institutionURL:null,country:{name:"Mexico"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"175762",title:"Dr.",name:"Alfredo J.",middleName:null,surname:"Escribano",slug:"alfredo-j.-escribano",fullName:"Alfredo J. 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Working with large volumes of data has given him a good command of big data processing tools and NoSQL databases. He has also been a visiting scholar at the Knowledge Engineering and Discovery Research Institute, Auckland University of Technology.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"314575",title:"Dr.",name:"Jesus",middleName:null,surname:"L. Lobo",slug:"jesus-l.-lobo",fullName:"Jesus L. Lobo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314575/images/system/314575.png",biography:"Dr. Jesús López is currently based in Bilbao (Spain) working at TECNALIA as Artificial Intelligence Research Scientist. In most cases, a project idea or a new research line needs to be investigated to see if it is good enough to take into production or to focus on it. That is exactly what he does, diving into Machine Learning algorithms and technologies to help TECNALIA to decide whether something is great in theory or will actually impact on the product or processes of its projects. So, he is expert at framing experiments, developing hypotheses, and proving whether they’re true or not, in order to investigate fundamental problems with a longer time horizon. He is also able to design and develop PoCs and system prototypes in simulation. He has participated in several national and internacional R&D projects.\n\nAs another relevant part of his everyday research work, he usually publishes his findings in reputed scientific refereed journals and international conferences, occasionally acting as reviewer and Programme Commitee member. Concretely, since 2018 he has published 9 JCR (8 Q1) journal papers, 9 conference papers (e.g. ECML PKDD 2021), and he has co-edited a book. He is also active in popular science writing data science stories for reputed blogs (KDNuggets, TowardsDataScience, Naukas). Besides, he has recently embarked on mentoring programmes as mentor, and has also worked as data science trainer.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"103779",title:"Prof.",name:"Yalcin",middleName:null,surname:"Isler",slug:"yalcin-isler",fullName:"Yalcin Isler",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRyQ8QAK/Profile_Picture_1628834958734",biography:"Yalcin Isler (1971 - Burdur / Turkey) received the B.Sc. degree in the Department of Electrical and Electronics Engineering from Anadolu University, Eskisehir, Turkey, in 1993, the M.Sc. degree from the Department of Electronics and Communication Engineering, Suleyman Demirel University, Isparta, Turkey, in 1996, the Ph.D. degree from the Department of Electrical and Electronics Engineering, Dokuz Eylul University, Izmir, Turkey, in 2009, and the Competence of Associate Professorship from the Turkish Interuniversity Council in 2019.\n\nHe was Lecturer at Burdur Vocational School in Suleyman Demirel University (1993-2000, Burdur / Turkey), Software Engineer (2000-2002, Izmir / Turkey), Research Assistant in Bulent Ecevit University (2002-2003, Zonguldak / Turkey), Research Assistant in Dokuz Eylul University (2003-2010, Izmir / Turkey), Assistant Professor at the Department of Electrical and Electronics Engineering in Bulent Ecevit University (2010-2012, Zonguldak / Turkey), Assistant Professor at the Department of Biomedical Engineering in Izmir Katip Celebi University (2012-2019, Izmir / Turkey). He is an Associate Professor at the Department of Biomedical Engineering at Izmir Katip Celebi University, Izmir / Turkey, since 2019. In addition to academics, he has also founded Islerya Medical and Information Technologies Company, Izmir / Turkey, since 2017.\n\nHis main research interests cover biomedical signal processing, pattern recognition, medical device design, programming, and embedded systems. He has many scientific papers and participated in several projects in these study fields. He was an IEEE Student Member (2009-2011) and IEEE Member (2011-2014) and has been IEEE Senior Member since 2014.",institutionString:null,institution:{name:"Izmir Kâtip Çelebi University",country:{name:"Turkey"}}},{id:"339677",title:"Dr.",name:"Mrinmoy",middleName:null,surname:"Roy",slug:"mrinmoy-roy",fullName:"Mrinmoy Roy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/339677/images/16768_n.jpg",biography:"An accomplished Sales & Marketing professional with 12 years of cross-functional experience in well-known organisations such as CIPLA, LUPIN, GLENMARK, ASTRAZENECA across different segment of Sales & Marketing, International Business, Institutional Business, Product Management, Strategic Marketing of HIV, Oncology, Derma, Respiratory, Anti-Diabetic, Nutraceutical & Stomatological Product Portfolio and Generic as well as Chronic Critical Care Portfolio. A First Class MBA in International Business & Strategic Marketing, B.Pharm, D.Pharm, Google Certified Digital Marketing Professional. Qualified PhD Candidate in Operations and Management with special focus on Artificial Intelligence and Machine Learning adoption, analysis and use in Healthcare, Hospital & Pharma Domain. Seasoned with diverse therapy area of Pharmaceutical Sales & Marketing ranging from generating revenue through generating prescriptions, launching new products, and making them big brands with continuous strategy execution at the Physician and Patients level. Moved from Sales to Marketing and Business Development for 3.5 years in South East Asian Market operating from Manila, Philippines. Came back to India and handled and developed Brands such as Gluconorm, Lupisulin, Supracal, Absolut Woman, Hemozink, Fabiflu (For COVID 19), and many more. In my previous assignment I used to develop and execute strategies on Sales & Marketing, Commercialization & Business Development for Institution and Corporate Hospital Business portfolio of Oncology Therapy Area for AstraZeneca Pharma India Ltd. Being a Research Scholar and Student of ‘Operations Research & Management: Artificial Intelligence’ I published several pioneer research papers and book chapters on the same in Internationally reputed journals and Books indexed in Scopus, Springer and Ei Compendex, Google Scholar etc. Currently, I am launching PGDM Pharmaceutical Management Program in IIHMR Bangalore and spearheading the course curriculum and structure of the same. I am interested in Collaboration for Healthcare Innovation, Pharma AI Innovation, Future trend in Marketing and Management with incubation on Healthcare, Healthcare IT startups, AI-ML Modelling and Healthcare Algorithm based training module development. I am also an affiliated member of the Institute of Management Consultant of India, looking forward to Healthcare, Healthcare IT and Innovation, Pharma and Hospital Management Consulting works.",institutionString:null,institution:{name:"Lovely Professional University",country:{name:"India"}}},{id:"1063",title:"Prof.",name:"Constantin",middleName:null,surname:"Volosencu",slug:"constantin-volosencu",fullName:"Constantin Volosencu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/1063/images/system/1063.png",biography:"Prof. Dr. Constantin Voloşencu graduated as an engineer from\nPolitehnica University of Timișoara, Romania, where he also\nobtained a doctorate degree. He is currently a full professor in\nthe Department of Automation and Applied Informatics at the\nsame university. Dr. Voloşencu is the author of ten books, seven\nbook chapters, and more than 160 papers published in journals\nand conference proceedings. He has also edited twelve books and\nhas twenty-seven patents to his name. He is a manager of research grants, editor in\nchief and member of international journal editorial boards, a former plenary speaker, a member of scientific committees, and chair at international conferences. His\nresearch is in the fields of control systems, control of electric drives, fuzzy control\nsystems, neural network applications, fault detection and diagnosis, sensor network\napplications, monitoring of distributed parameter systems, and power ultrasound\napplications. He has developed automation equipment for machine tools, spooling\nmachines, high-power ultrasound processes, and more.",institutionString:"Polytechnic University of Timişoara",institution:{name:"Polytechnic University of Timişoara",country:{name:"Romania"}}},{id:"221364",title:"Dr.",name:"Eneko",middleName:null,surname:"Osaba",slug:"eneko-osaba",fullName:"Eneko Osaba",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/221364/images/system/221364.jpg",biography:"Dr. Eneko Osaba works at TECNALIA as a senior researcher. He obtained his Ph.D. in Artificial Intelligence in 2015. He has participated in more than twenty-five local and European research projects, and in the publication of more than 130 papers. He has performed several stays at universities in the United Kingdom, Italy, and Malta. Dr. Osaba has served as a program committee member in more than forty international conferences and participated in organizing activities in more than ten international conferences. He is a member of the editorial board of the International Journal of Artificial Intelligence, Data in Brief, and Journal of Advanced Transportation. He is also a guest editor for the Journal of Computational Science, Neurocomputing, Swarm, and Evolutionary Computation and IEEE ITS Magazine.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"275829",title:"Dr.",name:"Esther",middleName:null,surname:"Villar-Rodriguez",slug:"esther-villar-rodriguez",fullName:"Esther Villar-Rodriguez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/275829/images/system/275829.jpg",biography:"Dr. Esther Villar obtained a Ph.D. in Information and Communication Technologies from the University of Alcalá, Spain, in 2015. She obtained a degree in Computer Science from the University of Deusto, Spain, in 2010, and an MSc in Computer Languages and Systems from the National University of Distance Education, Spain, in 2012. Her areas of interest and knowledge include natural language processing (NLP), detection of impersonation in social networks, semantic web, and machine learning. Dr. Esther Villar made several contributions at conferences and publishing in various journals in those fields. Currently, she is working within the OPTIMA (Optimization Modeling & Analytics) business of TECNALIA’s ICT Division as a data scientist in projects related to the prediction and optimization of management and industrial processes (resource planning, energy efficiency, etc).",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"49813",title:"Dr.",name:"Javier",middleName:null,surname:"Del Ser",slug:"javier-del-ser",fullName:"Javier Del Ser",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49813/images/system/49813.png",biography:"Prof. Dr. Javier Del Ser received his first PhD in Telecommunication Engineering (Cum Laude) from the University of Navarra, Spain, in 2006, and a second PhD in Computational Intelligence (Summa Cum Laude) from the University of Alcala, Spain, in 2013. He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. He is a Senior Member of the IEEE, and a recipient of the Biscay Talent prize for his academic career.",institutionString:"Tecnalia Research & Innovation",institution:null},{id:"278948",title:"Dr.",name:"Carlos Pedro",middleName:null,surname:"Gonçalves",slug:"carlos-pedro-goncalves",fullName:"Carlos Pedro Gonçalves",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRcmyQAC/Profile_Picture_1564224512145",biography:'Carlos Pedro Gonçalves (PhD) is an Associate Professor at Lusophone University of Humanities and Technologies and a researcher on Complexity Sciences, Quantum Technologies, Artificial Intelligence, Strategic Studies, Studies in Intelligence and Security, FinTech and Financial Risk Modeling. He is also a progammer with programming experience in:\n\nA) Quantum Computing using Qiskit Python module and IBM Quantum Experience Platform, with software developed on the simulation of Quantum Artificial Neural Networks and Quantum Cybersecurity;\n\nB) Artificial Intelligence and Machine learning programming in Python;\n\nC) Artificial Intelligence, Multiagent Systems Modeling and System Dynamics Modeling in Netlogo, with models developed in the areas of Chaos Theory, Econophysics, Artificial Intelligence, Classical and Quantum Complex Systems Science, with the Econophysics models having been cited worldwide and incorporated in PhD programs by different Universities.\n\nReceived an Arctic Code Vault Contributor status by GitHub, due to having developed open source software preserved in the \\"Arctic Code Vault\\" for future generations (https://archiveprogram.github.com/arctic-vault/), with the Strategy Analyzer A.I. module for decision making support (based on his PhD thesis, used in his Classes on Decision Making and in Strategic Intelligence Consulting Activities) and QNeural Python Quantum Neural Network simulator also preserved in the \\"Arctic Code Vault\\", for access to these software modules see: https://github.com/cpgoncalves. He is also a peer reviewer with outsanding review status from Elsevier journals, including Physica A, Neurocomputing and Engineering Applications of Artificial Intelligence. Science CV available at: https://www.cienciavitae.pt//pt/8E1C-A8B3-78C5 and ORCID: https://orcid.org/0000-0002-0298-3974',institutionString:"University of Lisbon",institution:{name:"Universidade Lusófona",country:{name:"Portugal"}}},{id:"241400",title:"Prof.",name:"Mohammed",middleName:null,surname:"Bsiss",slug:"mohammed-bsiss",fullName:"Mohammed Bsiss",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/241400/images/8062_n.jpg",biography:null,institutionString:null,institution:null},{id:"276128",title:"Dr.",name:"Hira",middleName:null,surname:"Fatima",slug:"hira-fatima",fullName:"Hira Fatima",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/276128/images/14420_n.jpg",biography:"Dr. Hira Fatima\nAssistant Professor\nDepartment of Mathematics\nInstitute of Applied Science\nMangalayatan University, Aligarh\nMobile: no : 8532041179\nhirafatima2014@gmal.com\n\nDr. Hira Fatima has received his Ph.D. degree in pure Mathematics from Aligarh Muslim University, Aligarh India. Currently working as an Assistant Professor in the Department of Mathematics, Institute of Applied Science, Mangalayatan University, Aligarh. She taught so many courses of Mathematics of UG and PG level. Her research Area of Expertise is Functional Analysis & Sequence Spaces. She has been working on Ideal Convergence of double sequence. She has published 17 research papers in National and International Journals including Cogent Mathematics, Filomat, Journal of Intelligent and Fuzzy Systems, Advances in Difference Equations, Journal of Mathematical Analysis, Journal of Mathematical & Computer Science etc. She has also reviewed few research papers for the and international journals. She is a member of Indian Mathematical Society.",institutionString:null,institution:null},{id:"414880",title:"Dr.",name:"Maryam",middleName:null,surname:"Vatankhah",slug:"maryam-vatankhah",fullName:"Maryam Vatankhah",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Borough of Manhattan Community College",country:{name:"United States of America"}}},{id:"414879",title:"Prof.",name:"Mohammad-Reza",middleName:null,surname:"Akbarzadeh-Totonchi",slug:"mohammad-reza-akbarzadeh-totonchi",fullName:"Mohammad-Reza Akbarzadeh-Totonchi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Ferdowsi University of Mashhad",country:{name:"Iran"}}},{id:"414878",title:"Prof.",name:"Reza",middleName:null,surname:"Fazel-Rezai",slug:"reza-fazel-rezai",fullName:"Reza Fazel-Rezai",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"American Public University System",country:{name:"United States of America"}}},{id:"302698",title:"Dr.",name:"Yao",middleName:null,surname:"Shan",slug:"yao-shan",fullName:"Yao Shan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Dalian University of Technology",country:{name:"China"}}},{id:"125911",title:"Prof.",name:"Jia-Ching",middleName:null,surname:"Wang",slug:"jia-ching-wang",fullName:"Jia-Ching Wang",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"National Central University",country:{name:"Taiwan"}}},{id:"357085",title:"Mr.",name:"P. 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Shukla",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Indian Institute of Technology Kanpur",country:{name:"India"}}},{id:"356823",title:"MSc.",name:"Seonghee",middleName:null,surname:"Min",slug:"seonghee-min",fullName:"Seonghee Min",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Daegu University",country:{name:"Korea, South"}}},{id:"353307",title:"Prof.",name:"Yoosoo",middleName:null,surname:"Oh",slug:"yoosoo-oh",fullName:"Yoosoo Oh",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:"Yoosoo Oh received his Bachelor's degree in the Department of Electronics and Engineering from Kyungpook National University in 2002. He obtained his Master’s degree in the Department of Information and Communications from Gwangju Institute of Science and Technology (GIST) in 2003. In 2010, he received his Ph.D. degree in the School of Information and Mechatronics from GIST. In the meantime, he was an executed team leader at Culture Technology Institute, GIST, 2010-2012. In 2011, he worked at Lancaster University, the UK as a visiting scholar. In September 2012, he joined Daegu University, where he is currently an associate professor in the School of ICT Conver, Daegu University. Also, he served as the Board of Directors of KSIIS since 2019, and HCI Korea since 2016. From 2017~2019, he worked as a center director of the Mixed Reality Convergence Research Center at Daegu University. From 2015-2017, He worked as a director in the Enterprise Supporting Office of LINC Project Group, Daegu University. His research interests include Activity Fusion & Reasoning, Machine Learning, Context-aware Middleware, Human-Computer Interaction, etc.",institutionString:null,institution:{name:"Daegu Gyeongbuk Institute of Science and Technology",country:{name:"Korea, South"}}},{id:"262719",title:"Dr.",name:"Esma",middleName:null,surname:"Ergüner Özkoç",slug:"esma-erguner-ozkoc",fullName:"Esma Ergüner Özkoç",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Başkent University",country:{name:"Turkey"}}},{id:"346530",title:"Dr.",name:"Ibrahim",middleName:null,surname:"Kaya",slug:"ibrahim-kaya",fullName:"Ibrahim Kaya",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Izmir Kâtip Çelebi University",country:{name:"Turkey"}}},{id:"419199",title:"Dr.",name:"Qun",middleName:null,surname:"Yang",slug:"qun-yang",fullName:"Qun Yang",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Auckland",country:{name:"New Zealand"}}},{id:"351158",title:"Prof.",name:"David W.",middleName:null,surname:"Anderson",slug:"david-w.-anderson",fullName:"David W. Anderson",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Calgary",country:{name:"Canada"}}}]}},subseries:{item:{id:"92",type:"subseries",title:"Health and Wellbeing",keywords:"Ecology, Ecological, Nature, Health, Wellbeing, Health production",scope:"\r\n\tSustainable approaches to health and wellbeing in our COVID 19 recovery needs to focus on ecological approaches that prioritize our relationships with each other, and include engagement with nature, the arts and our heritage. This will ensure that we discover ways to live in our world that allows us and other beings to flourish. We can no longer rely on medicalized approaches to health that wait for people to become ill before attempting to treat them. We need to live in harmony with nature and rediscover the beauty and balance in our everyday lives and surroundings, which contribute to our well-being and that of all other creatures on the planet. This topic will provide insights and knowledge into how to achieve this change in health care that is based on ecologically sustainable practices.
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