eChapters

This chapter focuses on the structure, classes, properties and biological functions of immunoglobulins. It introduces the basic antibody molecule, including heavy and light chains, variable and constant regions, antigen-binding sites and Fc fragments. The characteristics of IgG, IgM, IgA, IgE and IgD are examined in relation to their distribution and immune functions. Questions cover primary and secondary immune responses, placental transfer, mucosal protection, allergic reactions, complement activation and agglutination. The chapter also addresses antibody affinity, avidity, isotypes, allotypes, idiotypes, class switching and Bence-Jones proteins. It provides essential knowledge of how antibodies recognize antigens and contribute to immune protection and diagnosis.

Introduction
Antimicrobial resistance (AMR) represents one of the most significant public health challenges of modern times. The discovery of antibiotics in the early 20th century revolutionized medicine, transforming once-fatal infections into manageable conditions and enabling life-saving procedures such as organ transplantation, chemotherapy, and joint replacement surgery. However, the overuse and misuse of antibiotics in human medicine, veterinary practice, and agriculture have accelerated the development of resistant microorganisms. Today, infections caused by resistant pathogens claim millions of lives worldwide each year, with the World Health Organization warning of a postantibiotic era in which minor injuries or routine surgeries could again become life-threatening. Although AMR is often framed within the context of hospital-acquired infections and clinical treatment failure, its implications extend much further. In particular, AMR has significant consequences for physical and health fitness. For athletes, soldiers, patients in rehabilitation, and physically active individuals, resistant infections can disrupt performance, delay recovery, and compromise long-term health. The increasing prevalence of resistant organisms in community environments—including gyms, swimming pools, and sports facilities—further raises concern. This chapter situates AMR at the intersection of clinical medicine, sports science, and community health. It explores how resistant pathogens affect physically active populations, complicate rehabilitation processes, and influence outcomes in both competitive and recreational Fitnes. It also highlights the global and national responses to AMR, preventive strategies relevant to Fitnes and rehabilitation, and the role of healthcare professionals

Ketamine and Propofol - “Ketofol”
“Ketofol’’ is a 1:1 (w:w) combination of ketamine and propofol (Taboada and Leece, 2014; Thejasree et al., 2018). The advantages of using both ketamine and propofol in combination (Ketofol) include analgesia, rapid recovery, preservation of airways and maintenance of spontaneous respiration and haemodynamic stability (Saeed, 2011). The admixture has benefits of both drugs, while reducing the side effects of the individual drugs when administered alone (Amornyotin, 2014; Lee and Lee, 2016; Mirfazaelian et al., 2016). Propofol-induced respiratory depression is less with the admixture, while analgesia and cardiorespiratory functions are good due to ketamine (Amornyotin, 2014; Mirfazaelian et al., 2016). Since the adverse effects are dose dependent, the combination helps reduce the dose of the individual drug needed to cause the desired anaesthetic effects. This combination of ketamine and propofol can be used to induce anaesthesia following sedation with any of the previously mentioned balanced sedative cocktails. Induction should be “titrated to effect” based on the depth of sedation achieved from the administration of the balanced sedative cocktails.
Thiopentone and Propofol - “Thio-propofol”
Thio-propofol is a 1:1 vol:vol mixture of 2.5% thiopentone and 1% propofol (Ko et al., 1999; Evans et al., 2002; Larisa et al., 2008). Since the mechanisms of action of propofol and thiopentone are similar, the mixture provides an additive hypnotic interaction (Vinik et al., 1999) and behaves in-between to that of the

Introduction
Infection prevention and control refers to prevention and control of infections and their transmission in healthcare settings. Healthcare Associated Infections (HAI) are one of the most common adverse events in delivery of care and a major public health problem with an impact on morbidity, mortality and quality of life. Up to 7% of patients in developed and 10% in developing countries acquire at least one HAI. These infections also present a significant economic burden for the health system.1It is evident that HAIs result in prolonged hospital stays, long-term disability, increased resistance of microorganisms to antimicrobials, additional cost on health systems, high cost for patients and their family, and preventable deaths.
The core components of IPC2
• IPC programme at the national and health facility level
• National and facility level evidence-based guidelines on IPC
• Education and training
• HAI surveillance
• Multimodal strategies
• Monitoring and audit of IPC practices and feedback
• Workload, staffing and bed occupancy
• Built environment, materials and equipment for IPC
HAI Burden
HAI are one of the most common adverse events in healthcare delivery and a major public health problem with an impact on morbidity, mortality and

Contrary to “Law of Finite Biology” though the number of genetic codes will exhaust soon in an exponential way (presumably leading to solutions to every known genetic anomaly related health problem), the number of NCE (New Chemical Entity), their number being finite⁹⁹ too, will run out of fuel soon too, despite unraveling of genomic decoding. The bleak scenario in the pharmaceutical field is a testimony to the latter surmise. As many a wise scholar has pointed out, the era of single molecule drug seem to drawing curtains. However, unlike what seems common sense, the era of combinational drug therapies of MM paradigm probably will not foot the bill. Just as very high speed serial computing simulates parallel processing but does not make real time parallel processing, mixtures of prima facie complementary medicinal molecules will perhaps not make combinational recipes. The fundamentals of non-linear dynamical complex systems (NLDCS) paradigm demand so. The odds against success with such efforts are close to odds of success of creating life one bit at a time out of mixing C, H and O molecules in a jar would be. The number of genes might be finite, but data on their combinations (and their corresponding effects) and more so on their permutations (one has to only imagine the vastness of those possibilities) would, as of now or in near future, cause an information overload and comprehension failure¹⁰⁰ (limitation of human biological brain apparatus) pitting researchers and industry against a futility barrier. However, TM provides a silver lining to these bleak analyses. Analytical comprehension of TM recipes, regimens or techniques might be unachievable by contemporary science, empirical testing of their efficacy and safety being doable and therefore taken care of, TM can provide an outlet to the drug discovery impasse because the same natural forces that shaped multi-gene interaction into complex and dynamical mode have created some of, if not all, TM solutions.

Decision Support Systems convert farm data into recommendations that improve livestock productivity, health and sustainability. This chapter explains data-driven, model-driven and knowledge-based systems and their principal components: data management, analytical models and user interfaces. Technologies such as IoT, artificial intelligence, machine learning and cloud computing support applications in feed optimization, disease prediction, reproductive management, milk production and animal-welfare monitoring. Dairy and poultry examples demonstrate how DSS can reduce operational costs and strengthen farm decisions. Implementation challenges include inadequate data quality, high costs, limited technical expertise and maintenance requirements. Future systems are expected to integrate blockchain, robotics, Edge AI and increasingly autonomous management technologies.

Animal husbandry faces increasing pressure to produce safe milk, meat and eggs while improving animal welfare and reducing environmental impacts. Traditional observation-based management is increasingly inadequate for large and complex livestock systems. This chapter introduces digital transformation through Precision Livestock Farming, which combines IoT devices, smart sensors, wearables, computer vision, artificial intelligence, machine learning and digital twins. Continuous animal-centred data enables timely decisions concerning health, reproduction, feeding, behaviour and welfare. The chapter explains how digital technologies can support early disease detection, efficient resource use and improved productivity across commercial and smallholder farms, creating more profitable, sustainable and welfare-conscious livestock systems.

Introduction
Good Laboratory Practices (GLP) are a quality system concerned with the organizational process and the conditions under which non-clinical health and environmental safety studies are planned, performed, monitored, recorded, archived, and reported. GLP ensures the quality and integrity of the study process rather than the scientific validity of the study itself. It provides a framework for ensuring that data generated in non-clinical safety studies are reliable and reproducible, thereby facilitating the mutual acceptance of data by regulatory authorities worldwide (OECD, 1998; US EPA, 2016). GLP represents a structured quality system designed to ensure the consistency and reliability of non-clinical safety studies. It establishes a framework encompassing organizational processes and laboratory conditions, with a focus on:
1. Systematic Study Conduct: GLP mandates a methodical approach to the planning, execution, supervision, recording, reporting, and archiving of studies.
2. Data Integrity Assurance: The primary objective is to guarantee the dependability of data generated, thereby fostering confidence in safety assessments.
3. Regulatory Compliance Support: GLP facilitates adherence to regulatory standards, enabling the acceptance of study findings by authorities worldwide.
4. Non-Clinical Safety Focus: It specifically applies to studies that precede human clinical trials, particularly those evaluating the potential hazards of chemical substances (OECD, 1998).
In veterinary and allied fields, GLP extends beyond general scientific rigor to address the unique challenges of animal health, food safety, and environmental protection related to animal populations. It ensures the reliability and traceability of data generated in studies related to veterinary pharmaceuticals, feed additives, diagnostics, and environmental toxicology involving animals. The focus is on maintaining the integrity of studies that directly impact animal welfare, public health, and agricultural sustainability (World Organization for Animal Health, 2018; FDA, 2010). In the context of veterinary medicine or treatment aspects, GLP in veterinary refers to a a well organised quality system that governs the organization and conditions under which non-clinical studies related to animal health and safety are planned, performed, monitored, recorded, reported, and archived. This includes:

Plants are used as medicine since time immemorial. One of the area of Ethnobotany, Ethnopharmacology is considered as the scientific evaluation of traditional medicinal plants (Cotton, 1996). Cox (1994) has suggested that the ethno-directed sampling is most likely to succeed in identifying drugs used in the treatment of gastrointestinal, inflammatory and dermatological complaints. The Plant kingdom is a virtual goldmine of potential drug targets and other active molecules awaiting to be discovered. It has been estimated that only 10 - 15 per cent of the 7,50,000 existing species of higher plants have been surveyed for biologically active compounds.

India has a very wealthy tradition of herbal medicines for the treatment of many health discomforts.The tradional healing practicese are common and popular among all the tribes and communities.It is evident that many communities have so much belief in their ethnobotanical knowledge that they often prefer a traditional medicineal practicener over any certified medical personality. Among all the plant species which have been already reported by many researchers for their ethno medicinal properties are getting very rare in their original habitat.These plants are obviously of great medicinal importance and immediate need of conservation.Some medicinal plants which are exclusively found in forest are getting lost due to habitat fragmentation and enormous deforestation.

Toxicology is defined as the study of chemical or physical agents which interact with biologic systems to produce a response in the organisms. Toxicity is the relative ability of a substance to cause injury to biologic tissue. Given the broad range of toxicities any substance might eventually invoke in an organism, it is easy to understand the wisdom of Paracelsus (1493-1541) when he said, “All substances are poisons; there is none which is not a poison. The right dose differentiates a poison and a remedy”.

Toxicology is the study of the harmful effects of chemical compounds on biologic systems, including their properties, actions, and effects. The toxic agent is referred to as a toxicant or poison. The term toxin refers to poisons produced by a biologic source (eg, venoms, plant toxins); the redundant term biotoxin is occasionally used. Toxicosis, poisoning, and intoxication are synonymous terms for the disease produced by a toxicant. Toxicity (sometimes incorrectly used instead of poisoning) refers to the amount of a toxicant necessary to produce a detrimental effect. Hazard describes the likelihood of poisoning under conditions of use.

The yesteryear concept of employing one or two acclaimed anaesthetic drugs to produce sedation and general anaesthesia is now switching over to the era of balanced sedation and balanced anaesthesia. The theory of balanced anaesthesia entails achieving the state of general anaesthesia with the proportionate administration of a mixture of small amounts of several neuronal depressant drugs which summates the advantages of the individual drugs but not their disadvantages (Bettschart-Wolfensberger and Larenza, 2007). Knowledge about balanced anesthesia and targeted effects of drugs on neuronal pathways has started to influence veterinary anaesthetists worldwide. But there are many constraints for a vast majority of veterinary practitioners in India to follow this emerging modality of anaesthetic practice. It is almost impractical for most of them to get the assistance of a veterinary anaesthesiologist every time. So they experience complexities to deal with the pharmacological dosing of multiple component drugs of balanced anaesthetic protocols. Memorising the doses and calculating the volume of injection of multiple component drugs where the doses of some drugs has to be calculated in milligram per kilogram body weight while others have to be calculated in microgram per kilogram body weight becomes a cumbersome task for the practitioner. Moreover, many of these anaesthetic drugs are available in ampoules, and hence multiple ampoules have to be broken for every single surgery; consuming a lot of time. Wastage of the leftover anaesthetic in opened ampoules is another concern. Unavailability of some drugs at some areas is another issue the practitioner faces. These challenges constrain the practitioner from practicing balanced anaesthesia and most of them lean on the verily familiar conventional anaesthetic protocol, based exclusively on one or two frequently used drugs, for almost all the surgical procedures of varying depth. Since only one or two anaesthetic drugs are involved in the protocol, the drugs have to be used at its upper limit of pharmacological doses to achieve the desired endpoints of anaesthesia. This will increase the probable risk of undesired side effects of these drugs. The challenges that restrict our practitioners from advancing beyond the era of sole reliance on one or two drugs for producing the state of anaesthesia has to be addressed and measures to resolve these issues have to be evolved to promote and equip our veterinary practitioners to practice the safer technique of balanced anaesthesia. Encompassing these objectives, and based on evidence and

Definition

Paracelsus saying– Nothing is devoid of poison it is the dose that differentiate between a drug and a poison.

? Poison- Any chemical substance either naturally present or Man made produces deleterious effect on the health of living organism are termed as Poisons.

? Toxicology term derived from Greek Word Toxicon which means Poison.

Definitions

? Toxicology: It is the science or study of poisons on biologic systems, including their properties, actions and effects. Also their detection and identification, the treatment and prevention of the conditions produced by them.

? Toxicant: Any poisonous agent/ Professional Term used for Poison.

? Xenobiotic: Derived from Greek Word Xenos means – alien or foreign.

? Xenobiotics are those substances which are foreign to the body and are biologically active but do not take part in the process of energy production.

IoT networks and smart sensors enable continuous livestock monitoring, overcoming the delay and subjectivity associated with manual observation. This chapter reviews sensor types, communication systems, cloud and edge computing, and their applications in animal-health and behaviour tracking. It proposes a framework integrating multimodal sensors with IoT networks and machine-learning models such as CNNs and LSTMs. The system can detect abnormalities, predict health conditions and provide real-time decision support. Practical benefits include earlier intervention, improved welfare, reduced labour and more efficient production. The chapter also addresses implementation problems, costs, connectivity, data security, technical reliability and ethical considerations associated with constant digital monitoring of animals.

It 9001:2000 Means customer satisfaction and continuous improvement

ISO (International Organization for Standardization) is a worldwide federation of national Standards bodies from each country. The object of ISO is to promote the development of Standardization and related activities in the world with a view to facilitating international exchange of goods and services, and to developing cooperation in the spheres of intellectual, scientific, technological and economic activity. The results of ISO technical work are published as International Standards.

Quality management Systems (QMS) certification as per ISO 9001 : 2000 is an important opportunity that can enable the companies acquire the label of an enterprise caring for the customer needs and improve their economic performance at the same time. QMS provides an organization a systematic structured documented and effective approach to consistently maintain the product quality meeting customer requirements.

Introduction

Solanum trilobatum L., an important medicinal plant, belonging to Solanaceae is widely distributed in South Asia and has been used in Indian traditional medicinal systems of Siddha and Ayurveda. The members of Solanaceae accumulate steroidal alkaloids based on a C₂₇ cholestane skeleton, e.g. solasodine and tomatidine. Recently, mixtures of solasodine glycosides have been successfully used for the treatment of certain human skin carcinomas (Cham, 1994). Solasodine glycosides have antineoplastic activity in cell culture, animals and in humans (Cham and Daunter1990). It has been demonstrated that specific endogenous lectins which are present on the plasma membranes of susceptible cells recognize and bind the sugar moiety of the solasodine glycosides and the glycosides are subsequently internalized and cause cell death (Cham and Daunter1990). Hence the present study was undertaken to isolate the solasodine from S. trilobatum.

Alkaloids are a class of basic, naturally occurring organic compounds that contain at least one nitrogen atom. Alkaloids showed quite diverse medicinal properties (Rates, 2001). Many of them possess local anesthetic properties, but their practical use is limited for clinical purposes (Hesse, 2002). Morphine is one of the most known alkaloids isolated from Papaver somniferum (opium poppy), which had been used and still is for medical purposes. This alkaloid is a powerful narcotic which is used for the relief of pain, but its usefulness is limited because of its addictive properties.