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for the biome gut-lung therapy: The Lung Microbiome Michael J. Cox, Markus J. Ege, Erika von Mutius, 2019-03-01 Studying the lung microbiome requires a specialist approach to sampling, laboratory techniques and statistical analysis. This Monograph introduces the techniques used and discusses how respiratory sampling, 16S rRNA gene sequencing, metagenomics and the application of ecological theory can be used to examine the respiratory microbiome. It examines the different components of the respiratory microbiome: viruses and fungi in addition to the more frequently studied bacteria. It also considers a range of contexts from the paediatric microbiome and how this develops to disease of all ages including asthma and chronic obstructive pulmonary disease, chronic suppurative lung diseases, interstitial lung diseases, acquired pneumonias, transplantation, cancer and HIV, and the interaction of the respiratory microbiome and the environment. |
for the biome gut-lung therapy: Microbiome, Immunity, Digestive Health and Nutrition Debasis Bagchi, Bernard William Downs, 2022-07-21 Microbiome, Immunity, Digestive Health and Nutrition: Epidemiology, Pathophysiology, Prevention and Treatment addresses a wide range of topics related to the role of nutrition in achieving and maintaining a healthy gut microbiome. Written by leading experts in the field, the book outlines the various foods, minerals, vitamins, dietary fibers, prebiotics, probiotics, nutritional supplements, phytochemicals and drugs that improve gut health. It specifically addresses molecular and cellular mechanisms and pathways by which these nutritional components contribute to the physiology and functionality of a healthy gut microbiome and gut health. Intended for nutrition researchers and practitioners, food experts, gastroenterologists, nurses, general practitioners, public health officials and health professionals, this book is sure to be a welcomed resource. - Outlines the nutritional guidelines and healthy lifestyle that is important to boost gut health - Demonstrates the effects of diverse environmental stressors in the disruption of the gastrointestinal ecology - Discusses the molecular and immunological mechanisms associated with healthy gut microbiome functions - Addresses how to boost healthy gut microflora and microbiome - Suggests areas for future research of microbiome-based nutrition and therapies |
for the biome gut-lung therapy: The Microbiome in Respiratory Disease Yvonne J. Huang, Stavros Garantziotis, 2022-01-01 This book comprehensively covers the microbiome in respiratory disease, from the initial research study to the disease-specific implications and related applications. Research on the respiratory microbiome is increasing in volume and scope. This reflects rapidly growing interest in the study of respiratory disease to understand how microbiota shape mechanisms of disease pathogenesis. The respiratory tract spans the nasal passages, sinus cavities, oropharynx, and the tracheobronchial tree of the lungs. In these compartments of the upper and lower respiratory tract, the microbiota have now been studied in the context of several chronic respiratory conditions. These include chronic sinusitis, allergic rhinitis, asthma, chronic obstructive pulmonary disease (COPD), bronchiectasis and pulmonary fibrosis, to name a few. The potential impact of ecological interactions (i.e., between microbes and between microbiota and host) within and across respiratory compartments is increasingly recognized. The book is organized into two main sections. Part I, Principles and Tools, covers conceptual modeling of the respiratory microbiome, experimental methodology with a focus on a priori considerations in study design and sampling, laboratory and computational methods for analysis of respiratory microbiome data, and minimizing interpretive pitfalls. Part II, Applications, discusses the evidence from specific studies that have shed novel insights into the influence of respiratory microbiota on mechanisms or outcomes in specific diseases. Based on current best evidence, disease-specific chapters include chronic rhinosinusitis, asthma (pediatric and adult studies), chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), bronchiectasis not due to CF, idiopathic pulmonary fibrosis, and lung transplant. This is an ideal reference for forward-thinking practitioners with interest in novel developments in precision medicine applications in lung disease, as well as translational scientists in the field of microbiology, immunology and lung biology. |
for the biome gut-lung therapy: Gut Feelings Alessio Fasano, Susie Flaherty, 2021-03-16 Why the microbiome--our rich inner ecosystem of microorganisms--may hold the keys to human health. We are at the dawn of a new scientific revolution. Our understanding of how to treat and prevent diseases has been transformed by knowledge of the microbiome--the rich ecosystem of microorganisms that is in and on every human. These microbial hitchhikers may hold the keys to human health. In Gut Feelings, Alessio Fasano and Susie Flaherty show why we must go beyond the older, myopic view of microorganisms as our enemies to a broader understanding of the microbiome as a parallel civilization that we need to understand, respect, and engage with for the benefit of our own health. |
for the biome gut-lung therapy: Fiber Fueled Will Bulsiewicz, MD, 2020-05-12 The instant New York Times, USA Today, and Publisher's Weekly bestseller A bold new plant-based plan that challenges popular keto and paleo diets, from an award-winning gastroenterologist. The benefits of restrictive diets like paleo and keto have been touted for more than a decade, but as renowned gastroenterologist Dr. Will Bulsiewicz, or Dr. B, illuminates in this groundbreaking book, the explosion of studies on the microbiome makes it abundantly clear that elimination diets are in fact hazardous to our health. What studies clearly now show--and what Dr. B preaches with his patients--is that gut health is the key to boosting our metabolism, balancing our hormones, and taming the inflammation that causes a host of diseases. And the scientifically proven way to fuel our guts is with dietary fiber from an abundant variety of colorful plants. Forget about the fiber your grandmother used to take--the cutting-edge science on fiber is incredibly exciting. As Dr. B explains, fiber energizes our gut microbes to create powerhouse postbiotics called short-chain fatty acids (SCFAs) that are essential to our health. SCFAs are scientifically proven to promote weight loss, repair leaky gut, strengthen the microbiome, optimize the immune system, reduce food sensitivities, lower cholesterol, reverse type 2 diabetes, improve brain function, and even prevent cancer. Restrictive fad diets starve the gut of the critical fiber we need, weaken the microbes, and make our system vulnerable. As a former junk-food junkie, Dr. B knows firsthand the power of fiber to dramatically transform our health. The good news is that our guts can be trained. Fiber-rich, real foods--with fruits, vegetables, whole grains, seeds, nuts, and legumes--start working quickly and maintain your long-term health, promote weight loss, and allow you to thrive and feel great from the inside out. With a 28-day jumpstart program with menus and more than 65 recipes, along with essential advice on food sensitivities, Fiber Fueled offers the blueprint to start turbocharging your gut for lifelong health today. |
for the biome gut-lung therapy: Translational Research in Biomedical Sciences: Recent Progress and Future Prospects Krupakar Parthasarathy, |
for the biome gut-lung therapy: Obesity and Lung Disease Anne E. Dixon, 2024 This new edition provides a fully updated guide to obesity's relation to lung disease. Over forty percent of the U.S. population is obese, and obesity is increasing in much of the world. Obesity has a major impact on health conditions such as diabetes and cardiovascular disease. The effects of obesity on lung disease have drawn increasing attention in recent years. Furthermore, the COVID pandemic has dramatically illustrated how obesity affects respiratory disease, constitutes a major risk factor for COVID-19, and presents challenges to pulmonary care in the ICU. Obesity changes physiology, immune and metabolic function, and is associated with changes in diet and the microbiome, all of which combine to have a major impact on the pathogenesis of respiratory diseases. Obesity is thus a risk factor for many respiratory diseases such as asthma, pulmonary hypertension, thromboembolic disease, obstructive sleep apnea and ARDS. Obesity also complicates the management of many other respiratory diseases and conditions such as COPD, thromboembolic disease, and the care of the critically ill patient. The objectives of this book are three-fold: To review how physiological, immune and metabolic factors might contribute to lung disease. To discuss the impact of obesity on common lung diseases To outline important considerations in the management of critically ill obese patients. There have been major advances in our understanding of the relationship between obesity and lung disease since the first edition in 2013, in addition to the major lessons learned about the importance of obesity during the COVID-19 pandemic. This has led to the addition of eight new chapters on topics such as, the microbiome, lung transplant, and COVID-19 in the ICU. This is an ideal guide for all clinicians taking care of patients with pulmonary and critical care diseases, as well as basic and translational scientists interested in how obesity affects respiratory health. |
for the biome gut-lung therapy: Microbiome Therapeutics Nar Singh Chauhan, Suneel Kumar, 2023-05-17 Microbiome Therapeutics: Personalized Therapy Beyond Conventional Approaches addresses the current knowledge and landscape of microbiome therapeutics, providing an overview of existing applications in health and disease as well as potential future directions of microbiome modulations and subsequent translation to the global industry and market. This important reference provides the most current status of microbiome therapeutics as well as possible future perspectives through coverage of topics including the application of microbiome therapeutics; various additive, subtractive and modulatory approaches; microbiome composition of health and diseases, insights into live bio-therapeutics and the clinical data supporting their efficacy. Case studies are provided throughout the book to further define, describe and evaluate microbiome therapeutics success and failure. - Provides chapters focused on illness types to address the potential of microbiome therapeutics in several significant disorders - Offers human gut microbiome explorations that have enriched the understanding of microbiome colonization, maturation, and dysbiosis in health and disease subsets - Addresses important concepts like economic potential in the global therapeutics market as well as ethical, technical, and regulatory aspects |
for the biome gut-lung therapy: Murray & Nadel's Textbook of Respiratory Medicine E-Book V. Courtney Broaddus, Joel D. Ernst, Talmadge E. King Jr, Stephen C. Lazarus, Kathleen F. Sarmiento, Lynn M. Schnapp, Renee D. Stapleton, Michael B. Gotway, 2021-05-28 Known for its clear readability, thorough coverage, and expert authorship, Murray & Nadel's Textbook of Respiratory Medicine has long been the gold standard text in the fast-changing field of pulmonary medicine. The new 7th Edition brings you fully up to date with newly expanded content, numerous new chapters, a new editorial team, and extensive updates throughout. It covers the entire spectrum of pulmonology in one authoritative point-of-care reference, making it an ideal resource for pulmonary physicians, fellows, and other pulmonary practitioners. - Offers definitive, full-color coverage of basic science, diagnosis, evaluation, and treatment of the full range of respiratory diseases. - Provides detailed explanations of each disease entity and differential diagnoses with state-of-the-art, evidence-based content by global leaders in the field. - Contains a newly expanded section on common presentations of respiratory disease, plus new chapters on COVID-19, asthma and obesity, airplane travel, lung cancer screening, noninvasive support of oxygenation, lung microbiome, thoracic surgery, inhaled substances, treatment of lung cancer, and more. - Covers hot topics such as vaping; advanced ultrasound applications and procedures; interventional pulmonology; immunotherapy; lung cancer targeted therapy; outbreaks, pandemics and bioterrorism; point-of-care ultrasound; use of high-flow oxygen, and more. - Includes extensively reorganized sections on basic science, pleural disease, and sleep, with new chapters and approaches to the topics. - Features more than 1,450 anatomic, algorithmic, and radiologic images (400 are new!) including CT, PET, MR, and HRCT, plus extensive online-only content: 200 procedural and conceptual videos plus audio clips of lung sounds. - Brings you up to date with the latest respiratory drugs, mechanisms of action, indications, precautions, adverse effects, and recommendations, with increased emphasis on algorithms to illustrate decision making. - Enhanced eBook version included with purchase. Your enhanced eBook allows you access to all of the text, figures, reporting templates, and references from the book on a variety of devices. |
for the biome gut-lung therapy: Environmental Chemicals, the Human Microbiome, and Health Risk National Academies of Sciences, Engineering, and Medicine, Division on Earth and Life Studies, Board on Life Sciences, Board on Environmental Studies and Toxicology, Committee on Advancing Understanding of the Implications of Environmental-Chemical Interactions with the Human Microbiome, 2018-03-01 A great number of diverse microorganisms inhabit the human body and are collectively referred to as the human microbiome. Until recently, the role of the human microbiome in maintaining human health was not fully appreciated. Today, however, research is beginning to elucidate associations between perturbations in the human microbiome and human disease and the factors that might be responsible for the perturbations. Studies have indicated that the human microbiome could be affected by environmental chemicals or could modulate exposure to environmental chemicals. Environmental Chemicals, the Human Microbiome, and Health Risk presents a research strategy to improve our understanding of the interactions between environmental chemicals and the human microbiome and the implications of those interactions for human health risk. This report identifies barriers to such research and opportunities for collaboration, highlights key aspects of the human microbiome and its relation to health, describes potential interactions between environmental chemicals and the human microbiome, reviews the risk-assessment framework and reasons for incorporating chemicalâ€microbiome interactions. |
for the biome gut-lung therapy: Headache Disorders in Pandemic Conditions Aynur Özge, Derya Uludüz, Hayrunnisa Bolay, Ömer Karadaş, 2023-04-13 This book provides a physician’s pathfinder for COVID specific headache disorders as well as general headache practice in a pandemic era. Practical solutions to headache management at every level are highlighted, along with the changing nature of previous headache disorders under lockdown conditions. Headache Disorders in Pandemic Conditions examines the specific nature of headache symptoms during COVID-19 infection, the secondary causes of COVID-specific headache disorders and practical issues of previous known headache disorders during a pandemic. The book also explores the effect of lockdown on headache management and changes in headache education, practice, risks and guidelines. Neurologists, headache specialists, general practitioners, medical students and residents will find this book to be a practical and clear guide to Covid-19 specific headache disorders in clinical practice. |
for the biome gut-lung therapy: Novel Anti-inflammatory Approaches for Cystic Fibrosis Lung Disease: Identification of Molecular Targets and Design of Innovative Therapies Carla Maria Pedrosa Ribeiro, Noel Gerard McElvaney, Giulio Cabrini, 2022-01-04 |
for the biome gut-lung therapy: Exploring the Gut Microbiome in Cancer Zodwa Dlamini, 2024-10-04 This book explores the relationship between the gut microbiome and cancer, illuminating various facets from fundamental roles to personalized therapies. It provides a comprehensive overview of the impact of the gut microbiome on cancer development, offering potential for innovative diagnostic and treatment approaches. The book discusses the role of dysbiosis in cancer development, the influence of the microbiome on treatment responses, and strategies to modulate the microbiome for enhanced therapies. It reviews the influence of the gut microbiome on immunotherapy resistance and chemoresistance in cancer patients. Additionally, the book presents gut microbiome biomarkers for cancer diagnosis and prognosis, the implication of the gut-brain axis on cancer development and progression, and the impact of diet and lifestyle on the microbiome. Towards the end, the book investigates the role of the gut microbiome in pediatric cancer and provides an outlook on the future challenges, technological advancements, and ethical considerations of gut microbiome research in the context of personalized cancer therapies. This book is intended for cancer researchers, medical oncologists, clinicians, pharmacologists, translational investigators, and medical students. |
for the biome gut-lung therapy: The Renin Angiotensin System in Cancer, Lung, Liver and Infectious Diseases Sukhwinder K. Bhullar, Paramjit S. Tappia, Naranjan S. Dhalla, 2023-03-14 This book of the series on “Advances in Biochemistry in Health and Disease” includes state-of-the-art information on the status of renin-angiotensin system (RAS) in the form of 24 chapters. This book has been organized into three sections: (i) General Implications of RAS in human health and Infectious Diseases, (ii) Lung, Liver and Kidney Diseases, and (iii) Development of Cancer. Each chapter has discussed comprehensive knowledge regarding the molecular and cellular aspects of the role of RAS in the pathophysiology and pharmacotherapy of different disease processes. Biochemical mechanisms associated with angiotensin II type 1 and type II receptors, and angiotensin (1-7) MAS receptors for the occurrence of both harmful and beneficial effects of prolonged activation of RAS in different diseases have been outlined. It is noteworthy to point out that different chapter in this book were prepared by recognized global expertise in the area of inflammation, oxidative stress and signal transduction pathways to highlight the role of RAS in different diseases. It is our sincere hope that this book will be of great interest to both biomedical investigators and health professionals as well as graduate students and postdoctoral fellows all over the world. |
for the biome gut-lung therapy: The Human Microbiome, Diet, and Health Food Forum, Food and Nutrition Board, Institute of Medicine, 2013-02-27 The Food Forum convened a public workshop on February 22-23, 2012, to explore current and emerging knowledge of the human microbiome, its role in human health, its interaction with the diet, and the translation of new research findings into tools and products that improve the nutritional quality of the food supply. The Human Microbiome, Diet, and Health: Workshop Summary summarizes the presentations and discussions that took place during the workshop. Over the two day workshop, several themes covered included: The microbiome is integral to human physiology, health, and disease. The microbiome is arguably the most intimate connection that humans have with their external environment, mostly through diet. Given the emerging nature of research on the microbiome, some important methodology issues might still have to be resolved with respect to undersampling and a lack of causal and mechanistic studies. Dietary interventions intended to have an impact on host biology via their impact on the microbiome are being developed, and the market for these products is seeing tremendous success. However, the current regulatory framework poses challenges to industry interest and investment. |
for the biome gut-lung therapy: Gut Giulia Enders, 2018-02-17 AN INSTANT NEW YORK TIMES BESTSELLER AS SEEN ON NETFLIX’S HACK YOUR HEALTH: THE SECRETS OF YOUR GUT “Everything you ever wanted to know about the gut (and then some).” —SELF Discover the secrets of your digestive system—and how to hone a healthy gut—plus new research on the mind-gut connection. With quirky charm, science star and medical doctor Giulia Enders explains the gut’s magic, answering questions like: What’s really up with gluten and lactose intolerance? How does the gut affect obesity? What's the connection between our microbiome and mental health? Why does acid reflux happen? In this revised edition of her beloved bestseller, Enders includes a new section on the brain-gut connection, and dives into groundbreaking discoveries of psychobiotics—microbes with psychological effects that can influence mental health conditions like depression and even stress. For too long, the gut has been the body’s most ignored and least appreciated organ. But it does more than just dirty work; it’s at the core of who we are, and this beguiling book will make you finally listen to those butterflies in your stomach: they’re trying to tell you something important. |
for the biome gut-lung therapy: Oral Biofilms S. Eick, 2020-12-21 Biofilms are highly organized polymicrobial communities that are embedded in an extracellular matrix and formed on natural and artificial surfaces. In the oral cavity, biofilms are formed not only on natural teeth, but also on restorative materials, prosthetic constructions, and dental implants. Oral diseases like caries, gingivitis, periodontitis, and also pulp inflammation are associated with biofilms. This publication is an up-to-date overview on oral biofilms from different clinically relevant perspectives. Experts comprising basic researchers and clinicians report on recent research relating to biofilms - from general summaries to recommendations for daily clinical work. This book covers all aspects of oral biofilms, including models used in the laboratory, biofilms in dental water unit lines, periodontal and peri-implant biofilms, caries-related biofilms, halitosis, endodontic biofilms, and Candida infections, as well as biofilms on dental materials and on orthodontic appliances. Several chapters deal with anti-biofilm therapy, from the efficacy of mechanical methods and the use of antimicrobials, to alternative concepts. This publication is particularly recommended to dental medicine students, practitioners, other oral healthcare professionals, and scientists with an interest in translational research on biofilms. |
for the biome gut-lung therapy: Current Applications for Overcoming Resistance to Targeted Therapies Myron R. Szewczuk, Bessi Qorri, Manpreet Sambi, 2019-07-15 Targeted therapies were initially developed to exploit the upregulation and dependence on key oncogenic pathways critical to cancer progression. Additionally, they also presented as a method to overcome chemoresistance by supplementing conventional therapeutic regimens with targeted therapies. However, the development of resistance to these combinatorial approaches has led to the reassessment of currently available therapeutic options to overcome resistance to targeted therapy. This book aims to provide an update on the advancements in the therapeutic arms race between cancer, clinicians and scientists alike to overcome resistance to targeted therapies. Subject experts provide a comprehensive overview of the challenges and solutions to resistance to several conventional targeted therapies in addition to providing a discussion on broad topics including targeting components of the tumor microenvironment, emerging therapeutic options, and novel areas to be explored concerning nanotechnology and the epigenome. |
for the biome gut-lung therapy: Natural Resistance to and Host-Directed Prevention of Tuberculosis Robert Wilkinson, Anna Kathleen Coussens, Thomas Richard Hawn, 2020-06-16 Tuberculosis remains an important bacterial disease responsible for more than one million deaths per year. The risk of overt disease is highest in the first year post infection, nevertheless, asymptomatic chronic infection (referred to as Latent Tuberculosis Infection, LTBI) may also be established. LTBI cannot be ascertained directly, it can only be inferred from a skin or blood test of immune sensitization. Nevertheless, it is often stated that one third of the world’s population has LTBI. The central tenet of Tuberculosis control has therefore been antibiotic treatment of overt disease and the selective less intensive antibiotic treatment of patients considered at risk of progression of LTBI. Much Tuberculosis research has been directed towards elucidation of the mechanisms of host susceptibility to disease. The best-characterized immune risk factor for Tuberculosis is HIV-1 co-infection. Others include anti-TNF therapies, Diabetes Mellitus, other forms of immunosuppression, and cigarette smoking. However in most clinical cases of Tuberculosis, no underlying immunological defect can be identified. Since the general assumption is that most people infected with Tuberculosis never develop disease, this suggests that most people who are exposed and infected with Mycobacterium tuberculosis harbor immunity to Tuberculosis. This encourages the hypothesis that vaccination should be possible and indeed Bacille Calmette Guérin (BCG) vaccination confers protection against disseminated disease in children. However, BCG vaccination is not associated with reduced pulmonary disease in adults, which is a significant limitation. Furthermore it has been recognized that increased resistance to Tuberculosis occurs in specific populations. These include (i) heavily exposed persons in whom tests of immune sensitization nevertheless remain persistently negative; (ii) children aged between 5 years and puberty, and (iii) persons with documented persistent positive tests of sensitization who nevertheless never manifest disease. As progress towards the elimination of Tuberculosis is insufficient under current antibiotic-based strategies, the idea to enhance immune resistance either via improved vaccination or enhanced natural immunity is important. Recent research interest has therefore increased attention on the analysis of resistance in humans. The current BCG vaccine is conventionally thought to prevent progression of established infection. However, vaccination strategies now also envisage the prevention of infection and relapse. There has been a rapid growth of interest in adjunctive host-directed immune interventions which aim to either enhance protective immunity or to regulate pathological tissue-damaging immunity. However, the idea of host-directed prevention is less widely discussed. |
for the biome gut-lung therapy: Gut Microbiota and Pathogenesis of Organ Injury Peng Chen, 2020-04-22 This book aims to introduce the latest research in gut microbiota by systematically summarizing how it modulates the pathogenesis of organ injury including alimentary tract injury, liver injury, lung injury, brain injury, renal injury, heart and vascular injury, endocrine disorders, immune responses and multiple organ dysfunction syndrome (MODS) during sepsis. Gut microbiota which is recognized as a new “organ” in the body has been demonstrated to be able to regulate the homeostasis of many organs. The key role played by gut microbiota is the hotspot in biomedical research nowadays. This book provides a state-of-the-art report on recent discoveries regarding the novel insight into the mechanisms of human diseases progression. It will also offer the overall picture of the pathophysiologic roles of gut microbiota. This book is helpful for graduate students and professional researchers to get the knowledge of frontiers in both gut microbiota and organ injury. |
for the biome gut-lung therapy: Microbiome and Cancer Erle S. Robertson, 2019-02-20 This book ventures into a new and exciting area of discovery that directly ties our current knowledge of cancer to the discovery of microorganisms associated with different types of cancers. Recent studies demonstrate that microorganisms are directly linked to the establishment of cancers and that they can also contribute to the initiation, as well as persistence of, the cancers. Microbiome and Cancer covers the current knowledge of microbiome and its association with human cancers. It provides important reading for novices, senior undergraduates in cancer and microbiology, graduate students, junior investigators, residents, fellows and established investigators in the fields of cancer and microbiology. We cover areas related to known, broad concepts in microbiology and how they can relate to the ongoing discoveries of the micro-environment and the changes in the metabolic and physiologic states in that micro-environment, which are important for the ongoing nurturing and survival of the poly-microbial content that dictates activities in that micro-environment. We cover the interactions of microorganisms associated with gastric carcinomas, which are important for driving this particular cancer. Additional areas include oral cancers, skin cancers, ovarian cancers, breast cancers, nasopharyngeal cancers, lung cancers, mesotheliomas, Hodgkin’s and non-Hodgkin’s lymphomas, glioblastoma multiforme, hepatocellular carcinomas, as well as the inflammatory response related to the infectious agents in cancers. This book covers the metabolic changes that occur because of infection and their support for development of cancers, chronic infection and development of therapeutic strategies for detection and control of the infection. The field of microbiome research has exploded over the last five years, and we are now understanding more and more about the context in which microorganisms can contribute to the onset of cancers in humans. The field of microbiome research has demonstrated that the human body has specific biomes for tissues and that changes in these biomes at the specific organ sites can result in disease. These changes can result in dramatic differences in metabolic shifts that, together with genetic mutations, will produce the perfect niche for establishment of the particular infection programmes in that organ site. We are just beginning to understand what those changes are and how they influence the disease state. Overall, we hope to bring together the varying degrees of fluctuations in the microbiome at the major organ sites and how these changes affect the normal cellular processes because of dysregulation, leading to proliferation of the associated tissues. |
for the biome gut-lung therapy: The Gut Microbiome in Health and Disease Dirk Haller, 2018-07-27 The book provides an overview on how the gut microbiome contributes to human health. The readers will get profound knowledge on the connection between intestinal microbiota and immune defense systems. The tools of choice to study the ecology of these highly-specialized microorganism communities such as high-throughput sequencing and metagenomic mining will be presented. In addition the most common diseases associated to the composition of the gut flora are discussed in detail. The book will address researchers, clinicians and advanced students working in biomedicine, microbiology and immunology. |
for the biome gut-lung therapy: Adult Short Bowel Syndrome Mandy L. Corrigan, Kristen Roberts, Ezra Steiger, 2018-10-09 Adult Short Bowel Syndrome: Nutritional, Medical, and Surgical Management serves as a practical guide to the medical, surgical and nutritional care of complex patients with Short Bowel Syndrome (SBS), providing information on SBS with the most up-to-date, evidence-based data available. Additionally, the book presents global perspectives and highlights emerging areas of research that are influencing the care of patients with SBS. Intended for nutritionists, dieticians, physicians (specifically, general practitioners, gastroenterologists, and surgeons), nurse practitioners, pharmacists, students and researchers, this book serves as a quick reference on the medical, surgical and nutritional care of complex patients with short bowel syndrome. - Presents emerging areas of research related to Short Bowel Syndrome (gut microbiome, pre/probiotics), as well as current applications in clinical practice - Compiles an overview, classification and complications of the Short Bowel Syndrome disease state - Contains effective dietary concepts (including rationale and use of oral rehydration solutions) for managing malabsorption caused by Short Bowel Syndrome - Includes medical and pharmaceutical management techniques to compliment nutrition interventions - Discusses surgical options for consideration in patients with Short Bowel Syndrome - Highlights international perspectives on treatment and care |
for the biome gut-lung therapy: Human Microbes - The Power Within Vasu D. Appanna, 2018-02-05 This book offers a unique perspective on the invisible organ, a body part that has been visualized only recently. It guides the readers into the world of the microbial constituents that make humans the way they are. The vitamins they produce, the smell they generate, the signals they create, and the molecular guards they elaborate are some of the benefits they bestow on humans. After introducing the notion as to why microbes are an integral component in the development of humans, the book examines the genesis of the microbiome and describes how the resident bacteria work in partnership with the skin, digestive tract, sexual organs, mouth and lungs to execute vital physiological functions. It then discusses the diseases that are triggered by the disruption of the harmonious relationships amongst these diverse systems and provides microbial cures to ailments such as obesity and digestive complications. Finally, the book focuses on the future when the workings of the human microbes will be fully unravelled. Societal changes in health education, the establishment of the microbiome bank, the fight against hunger, space travel, designer traits and enhanced security are explained. Each chapter is accompanied by captivating illustrations and ends with a visual summary. Dr. Appanna has been researching for over 30 years on various aspects of microbial and human cellular systems. He is a professor of biochemistry and has also served as Department Chair and Dean of the Faculty at Laurentian University, Sudbury, Canada. The book is aimed at readers enrolled in medical, chiropractic, nursing, pharmacy, and health science programs. Practicing health-care professionals and continuing education learners will also find the content beneficial. |
for the biome gut-lung therapy: The Health Benefits of Smoking Cessation United States. Public Health Service. Office of the Surgeon General, 1990 |
for the biome gut-lung therapy: Stem Cells and the Future of Regenerative Medicine Institute of Medicine, Board on Neuroscience and Behavioral Health, National Research Council, Division on Earth and Life Studies, Board on Life Sciences, Committee on the Biological and Biomedical Applications of Stem Cell Research, 2002-01-25 Recent scientific breakthroughs, celebrity patient advocates, and conflicting religious beliefs have come together to bring the state of stem cell researchâ€specifically embryonic stem cell researchâ€into the political crosshairs. President Bush's watershed policy statement allows federal funding for embryonic stem cell research but only on a limited number of stem cell lines. Millions of Americans could be affected by the continuing political debate among policymakers and the public. Stem Cells and the Future of Regenerative Medicine provides a deeper exploration of the biological, ethical, and funding questions prompted by the therapeutic potential of undifferentiated human cells. In terms accessible to lay readers, the book summarizes what we know about adult and embryonic stem cells and discusses how to go about the transition from mouse studies to research that has therapeutic implications for people. Perhaps most important, Stem Cells and the Future of Regenerative Medicine also provides an overview of the moral and ethical problems that arise from the use of embryonic stem cells. This timely book compares the impact of public and private research funding and discusses approaches to appropriate research oversight. Based on the insights of leading scientists, ethicists, and other authorities, the book offers authoritative recommendations regarding the use of existing stem cell lines versus new lines in research, the important role of the federal government in this field of research, and other fundamental issues. |
for the biome gut-lung therapy: Eat to Beat Disease William W Li, 2019-03-19 Eat your way to better health with this New York Times bestseller on food's ability to help the body heal itself from cancer, dementia, and dozens of other avoidable diseases. Forget everything you think you know about your body and food, and discover the new science of how the body heals itself. Learn how to identify the strategies and dosages for using food to transform your resilience and health in Eat to Beat Disease. We have radically underestimated our body's power to transform and restore our health. Pioneering physician scientist, Dr. William Li, empowers readers by showing them the evidence behind over 200 health-boosting foods that can starve cancer, reduce your risk of dementia, and beat dozens of avoidable diseases. Eat to Beat Disease isn't about what foods to avoid, but rather is a life-changing guide to the hundreds of healing foods to add to your meals that support the body's defense systems, including: Plums Cinnamon Jasmine tea Red wine and beer Black Beans San Marzano tomatoes Olive oil Pacific oysters Cheeses like Jarlsberg, Camembert and cheddar Sourdough bread The book's plan shows you how to integrate the foods you already love into any diet or health plan to activate your body's health defense systems-Angiogenesis, Regeneration, Microbiome, DNA Protection, and Immunity-to fight cancer, diabetes, cardiovascular, neurodegenerative autoimmune diseases, and other debilitating conditions. Both informative and practical, Eat to Beat Disease explains the science of healing and prevention, the strategies for using food to actively transform health, and points the science of wellbeing and disease prevention in an exhilarating new direction. |
for the biome gut-lung therapy: Ovarian Cancer Biomarkers Khalid El Bairi, 2021-10-09 This book comprehensively summarizes the biology, etiology, and pathology of ovarian cancer and explores the role of deep molecular and cellular profiling in the advancement of precision medicine. The initial chapter discusses our current understanding of the origin, development, progression and tumorigenesis of ovarian cancer. In turn, the book highlights the development of resistance, disease occurrence, and poor prognosis that are the hallmarks of ovarian cancer. The book then reviews the role of deep molecular and cellular profiling to overcome challenges that are associated with the treatment of ovarian cancer. It explores the use of genome-wide association analysis to identify genetic variants for the evaluation of ovarian carcinoma risk and prognostic prediction. Lastly, it highlights various diagnostic and prognostic ovarian cancer biomarkers for the development of molecular-targeted therapy. |
for the biome gut-lung therapy: Canine Genetics, Health and Medicine , 2021-06-02 The advances being made in veterinary medicine in the modern era are continuously pushing the boundaries of what is presently possible and available. From unraveling canine genetics and gene therapies to understanding the microbiome and the effects parasites have on canine health. Whilst many advances are being made with clinical diagnosis, surgeries, prosthetics, pharmaceuticals, and imaging techniques, preventative medicine is also at the forefront of technology. Our understanding of the medical issues, critical care, pharmaceutics, anatomy, pathology, genetics, and disease are all imperative in making advances in canine medicine. This book covers a diverse range of topics in canine health by highlighting recent and forthcoming canine medicine and health innovations and improvements. |
for the biome gut-lung therapy: Parasitology and Microbiology Research Gilberto Antonio Bastidas Pacheco, Asghar Ali Kamboh, 2020-06-17 The study of both unicellular and multicellular living beings and the diseases they produce from a biological point of view requires constant review of their relationship with their host and environment, given their indisputable sanitary importance. In this sense, in parasitology and microbiology, updated and concise information on life cycle, taxonomic classification, clinical manifestations, diagnosis, treatment, epidemiological behavior, and control measures is of vital importance. This is what we pursue with this book. The approach to parasitology and microbiology and the research that is carried out on it is unquestionable because the associations between life forms have been present from the very beginning of life.Research in parasitology and microbiology is necessary and indispensable for controlling diseases that affect much of the world with serious economic and social consequences. The challenge is to promote research to keep these diseases at bay. This book shows what has been done up to now and what can be done in the future to combat infectious diseases. |
for the biome gut-lung therapy: Microbial Endocrinology: The Microbiota-Gut-Brain Axis in Health and Disease Mark Lyte, John F. Cryan, 2014-07-05 The field of microbial endocrinology is expressly devoted to understanding the mechanisms by which the microbiota (bacteria within the microbiome) interact with the host (“us”). This interaction is a two-way street and the driving force that governs these interactions are the neuroendocrine products of both the host and the microbiota. Chapters include neuroendocrine hormone-induced changes in gene expression and microbial endocrinology and probiotics. This is the first in a series of books dedicated to understanding how bi-directional communication between host and bacteria represents the cutting edge of translational medical research, and hopefully identifies new ways to understand the mechanisms that determine health and disease. |
for the biome gut-lung therapy: The Microbiome in Health and Disease , 2020-05-29 The Microbiome in Health and Disease, Volume 171 in the Progress in Molecular Biology and Translational Science series, provides the most topical, informative and exciting monographs available on a wide variety of research topics. The series includes in-depth knowledge on the molecular biological aspects of organismal physiology, with this release including chapters on Microbiome in health and disease, CNS development and microbiome in infants, A gut feeling in ALS, Microbiome (Virome) and virus infection, Bugs and Drugs: microbiome in medicine metabolism, Immunity, T cells, and microbiome, Salmonella (Bacterial) infection and cancer: of mice and men, and many other highly researched topics. Provides a novel theme and multiple disciplinary topics of microbiome research in basic and translational studies Presents an updated collection on bacteria, virus, fungi and their interactions in microbiome Includes a timely discussion on the tools and methods used for modeling and analysis of microbiome data |
for the biome gut-lung therapy: Microbial Endocrinology Mark Lyte, Primrose P.E. Freestone, 2010-10-22 Microbial endocrinology represents a newly emerging interdisciplinary field that is formed by the intersection of the fields of neurobiology and microbiology. This book will introduce a new perspective to the current understanding not only of the factors that mediate the ability of microbes to cause disease, but also to the mechanisms that maintain normal homeostasis. The discovery that microbes can directly respond to neuroendocrine hormones, as evidenced by increased growth and production of virulence-associated factors, provides for a new framework with which to investigate how microorganisms interface not only with vertebrates, but also with invertebrates and even plants. The reader will learn that the neuroendocrine hormones that one most commonly associates with mammals are actually found throughout the plant, insect and microbial communities to an extent that will undoubtedly surprise many, and most importantly, how interactions between microbes and neuroendocrine hormones can influence the pathophysiology of infectious disease. |
for the biome gut-lung therapy: Essentials of Interventional Cancer Pain Management Amitabh Gulati, Vinay Puttanniah, Brian M. Bruel, William S. Rosenberg, Joseph C. Hung, 2018-12-28 This text provides a comprehensive review and expertise on various interventional cancer pain procedures. The first part of the text addresses the lack of consistency seen in the literature regarding interventional treatment options for specific cancer pain syndromes. Initially, it discusses primary cancer and treatment-related cancer pain syndromes that physicians may encounter when managing cancer patients. The implementation of paradigms that can be used in treating specific groups of cancer such as breast cancer, follows. The remainder of the text delves into a more common approach to addressing interventional cancer pain medicine. After discussing interventional options that are commonly employed by physicians, the text investigates how surgeons may address some of the more severe pain syndromes, and covers the most important interventional available for our patients, intrathecal drug delivery. Chapters also cover radiologic options in targeted neurolysis and ablative techniques, specifically for bone metastasis, rehabilitation to address patients’ quality of life and function, and integrative and psychological therapies. Essentials of Interventional Cancer Pain Management globally assesses and addresses patients’ needs throughout the cancer journey. Written by experts in the field, and packed with copious tables, figures, and flow charts, this book is a must-have for pain physicians, residents, and fellows. |
for the biome gut-lung therapy: Biotechnology in Healthcare, Volume 2 Debmalya Barh, 2022-08-14 Biotechnology in Healthcare presents up-to-date knowledge on the emerging field of biotechnology as applied to the healthcare industry. Biotechnology has revolutionized healthcare in the last two decades by developing and introducing novel diagnostics, therapeutics, and preventive measures; whether it is noncommunicable or communicable disease, primary or secondary care, or public health, it has shown its immense potential to provide a solution to the healthcare providers, physicians, and allied health care professionals.The second volume, Applications and Initiatives, contains 19 chapters focused on the applications of biotechnology related to public healthcare, hospital management, oncology, neurodegenerative and infectious diseases, regenerative medicine, IVF, clinical trials, precision food, FMGCs, PPCPs, pharmaceuticals, and smart technologies to monitor pandemic. Further, this volume also presents government initiatives and entrepreneurship challenges in healthcare biotechnology sector.This is a valuable resource for students, biotechnologists, bioinformaticians, clinicians, and members of biomedical and healthcare fields who need to understand more about the promising developments of the emerging field of biotechnology in healthcare. - Describes various applications of novel biotechnology approaches in healthcare - Presents applications of biotechnology in primary and secondary healthcare and in public health - Discusses government initiatives, challenges and opportunities, and entrepreneurship development in the area of healthcare biotechnology |
for the biome gut-lung therapy: Applications of Advanced Omics Technologies: From Genes to Metabolites , 2014-05-08 The book contains contributions concerning the application of the new instrumental and methodological developments in omics technologies, including those related to Genomics, Transcriptomics, Proteomics, Peptidomics and Metabolomics, Lipidomics and Foodomics. The16 chapters discuss in detail: innovative applications of functional gene microarrays for profiling microbial communities, microRNA profiling, novel genotyping applications using microarray technology in cancer research, next-generation sequencing applied to the study of human microbiome, emerging RNA-SEQ applications in food science, recent progress in plant proteomics, applications of gel-free proteomic approaches, the challenges and applications of proteomics tools for food authenticity, the role of salivary peptidomics in clinical applications, metabolomic approaches to the study of degenerative, cardiovascular and renal diseases, and neonatal medicine. Also covered are other omics applications such as profiling of genetically modified organisms, the fundamentals, applications and challenges of foodomics, and MS-based lipidomics. Moreover, this volume includes relevant and updated aspects on bioinformatics, data treatment, data integration and systems biology. This book complements the previous volume Fundamentals of Advanced Omics Technologies: New Advances from Genes to Metabolites that covered the fundamental aspects of these new omics technologies. - Describes the latest applications of omics technologies - Provides an excellent reference for applications of advanced omics techniques - Includes advanced tools and methodologies for dealing with the data generated |
for the biome gut-lung therapy: Handbook of Sepsis W. Joost Wiersinga, Christopher W. Seymour, 2018-04-13 This practically oriented book provides an up-to-date overview of all significant aspects of the pathogenesis of sepsis and its management, including within the intensive care unit. Readers will find information on the involvement of the coagulation and endocrine systems during sepsis and on the use of biomarkers to diagnose sepsis and allow early intervention. International clinical practice guidelines for the management of sepsis are presented, and individual chapters focus on aspects such as fluid resuscitation, vasopressor therapy, response to multiorgan failure, antimicrobial therapy, and adjunctive immunotherapy. The closing section looks forward to the coming decade, discussing novel trial designs, sepsis in low- and middle-income countries, and emerging management approaches. The book is internatio nal in scope, with contributions from leading experts worldwide. It will be of value to residents and professionals/practitioners in the fields of infectious diseases and internal medicine, as well as to GPs and medical students. |
for the biome gut-lung therapy: Evidence-Based Practice of Critical Care Clifford S. Deutschman, MS, MD, FCCM, Patrick J. Neligan, 2015-12-18 Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis . changing approaches to fluid administration . immune suppression in sepsis . monitoring the microcirculation . the long-term sequelae of critical illness . minimizing ventilator associated lung injury . the benefits of evidence-based medicine management guidelines . rapid response teams . and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU. |
for the biome gut-lung therapy: Immunity Strong Robert G. Lahita, 2022-01-05 There is a biological force within the body that wants you to live to old age. While conventionally this force is known in medicine as the immune system, Dr. Bob calls it: “The Biological Soul.” The Biological Soul is designed to protect you and allow you to live a healthy life. This force is tangible, measurable, lives within the physical body and determines our age and wellbeing through life. It is physical and complex and, in many ways, spiritual. It is affected by life’s stresses, by diets, and by overall health and though not immortal; it both shapes your life and your life shapes it. IMMUNITY STRONG walks readers through how the immune system works, what makes it implode or keeps it safe and what modern science reveals about how it connects to every part of the body to keep it alive—as the seat of our “Biological Soul.” Written in Dr. Bob’s trade-mark down-to earth style, the book explains that the normal immune system functions like a police department protecting the body from harm. While as a nation we have recently been focused on the effects of infections, the book reveals that it is important to note that disorders of immunity are at the root of most diseases that shorten or impact our lives. From chronic pain and fatigue syndromes, heart disease and clogged arteries and even the ability to recognize and destroy cancer, to multiple sclerosis, lupus, celiac disease, rheumatoid arthritis and autoimmune disorders are all linked to one or another glitch in the immune system. The purpose of this book is to provide significant information on the incredible complexity of the immune system and how the integration of spiritual, scientific, and emotional values can enhance health. It is Dr. Bob’s hope that readers will find a new appreciation of the miracle that is the physical body and to understand the potential within our Biological Soul to promote longevity and overall happiness to life. IMMUNITY STRONG: Boost Your Body's Natural Healing Power and Live to 100 is a must-read for anyone wishing to nurture and enhance their health. |
for the biome gut-lung therapy: Human Microbiota in Health and Disease Bryan Tungland, 2018-05-25 Human Gut Microbiota in Health and Disease: From Pathogenesis to Therapy is a comprehensive discussion of all the aspects associated with gut microbiota early colonization, its development and maintenance, and its symbiotic relationship with the host to promote health. Chapters illustrate the complex mechanisms and metabolic signalling pathways related to how the gut microbiota maintain proper regulation of glucose, lipid and energy homeostasis and immune response, while mediating inflammatory processes involved in the etiology of many chronic disease conditions. Details are provided on the primary etiological factors of chronic disease, the effects of gut dysbiosis and its associated disease conditions, while providing an overview of therapeutic strategies involving dietary fiber and prebiotics, fecal microbiota transplantation therapy and probiotics. Throughout the chapters, a comprehensive review of peer-reviewed animal and human studies is provided as evidence related to the history of human exposure, safety, tolerance, toxicity, nomenclature, and clinical efficacy of utilizing prebiotic fructans, s, as well as probiotic intervention, and dietary modification in the prevention and intervention of chronic disease conditions. With common use today of pharmaceutical medicine in treating symptoms, and frequent overuse of antibiotics in chronic disease within mainstream medical practice, understanding the etiological mechanisms of dysbiosis-induced chronic disease, and natural approaches that offer prevention and potential cures for these diseases is of vital importance to overall human health. - Details the complex relationship between human microbiota in the gut, oral cavity, urogenital tract and skin as well as their colonization, development and impact of factors that influence the relationship - Illustrates the mechanisms associated with dysbiosis-associated inflammation and its role in the onset and progression in chronic disease - Provides the primary mechanisms and comprehensive scientific evidence for the use of dietary modification, and pro- and pre-biotics in preventing and intervening in chronic disease |
Biome - Wikipedia
A biome (/ ˈ b aɪ. oʊ m /) is a distinct geographical region with specific climate, vegetation, and animal life. It consists of a biological community that has formed in response to its physical …
Biome | Definition, Map, Types, Examples, & Facts | Britannica
May 9, 2025 · Biome, the largest geographic biotic unit, a major community of plants and animals with similar life forms and environmental conditions. It includes various communities and is …
What is Biome? Definition, Types, Characteristics, Examples
Apr 16, 2025 · Biomes are the life zones in which various communities of living organisms showing common types of environmental adaptations survive together. There are 5 major …
Biomes – What Is A Biome, Different Types Of Biomes - Active Wild
May 17, 2023 · A biome refers to a large ecological area on the planet's surface with similar climate conditions, such as temperature and rainfall patterns, that can be broadly categorized …
What is a Biome? Definition, Types, and Examples
Apr 13, 2025 · From a biological perspective, biomes are large-scale environmental patterns that make Earth livable, breathable, and richly diverse. They are, in essence, the broadest …
Biome Definition and Examples in Biology - Science Notes and …
May 5, 2024 · A biome is a geographical region characterized by specific climate conditions, vegetation, and animal life. Each biome consists of multiple ecosystems and habitats. The …
The Five Major Types of Biomes - Education
May 7, 2025 · A biome is a large area characterized by its vegetation, soil, climate, and wildlife. There are five major types of biomes: aquatic , grassland , forest , desert , and tundra , though …
Biomes of the World | Ask A Biologist
Jul 19, 2013 · A biome is a type of environment that is defined by the types of organisms that live there. We can also think of these as life zones ("bio" means life). Dividing land up in this way …
What is a Biome? – Definition and Characteristics
A biome is a large-scale climate zone with specific flora (plants) and fauna (animals) adapted to its environment. It includes multiple ecosystems that share similar weather patterns, soil types, …
What Are The Different Biomes Of The World? - Science ABC
Oct 19, 2023 · Biomes are regions or landscapes of the world that are divided on the basis of climatic conditions, vegetation, and adaptation of flora and fauna. The regions with ice caps, …
Biome - Wikipedia
A biome (/ ˈ b aɪ. oʊ m /) is a distinct geographical region with specific climate, vegetation, and animal life. It consists of a biological community that has formed in response to its physical …
Biome | Definition, Map, Types, Examples, & Facts | Britannica
May 9, 2025 · Biome, the largest geographic biotic unit, a major community of plants and animals with similar life forms and environmental conditions. It includes various communities and is …
What is Biome? Definition, Types, Characteristics, Examples
Apr 16, 2025 · Biomes are the life zones in which various communities of living organisms showing common types of environmental adaptations survive together. There are 5 major …
Biomes – What Is A Biome, Different Types Of Biomes - Active Wild
May 17, 2023 · A biome refers to a large ecological area on the planet's surface with similar climate conditions, such as temperature and rainfall patterns, that can be broadly categorized …
What is a Biome? Definition, Types, and Examples
Apr 13, 2025 · From a biological perspective, biomes are large-scale environmental patterns that make Earth livable, breathable, and richly diverse. They are, in essence, the broadest …
Biome Definition and Examples in Biology - Science Notes and …
May 5, 2024 · A biome is a geographical region characterized by specific climate conditions, vegetation, and animal life. Each biome consists of multiple ecosystems and habitats. The …
The Five Major Types of Biomes - Education
May 7, 2025 · A biome is a large area characterized by its vegetation, soil, climate, and wildlife. There are five major types of biomes: aquatic , grassland , forest , desert , and tundra , though …
Biomes of the World | Ask A Biologist
Jul 19, 2013 · A biome is a type of environment that is defined by the types of organisms that live there. We can also think of these as life zones ("bio" means life). Dividing land up in this way …
What is a Biome? – Definition and Characteristics
A biome is a large-scale climate zone with specific flora (plants) and fauna (animals) adapted to its environment. It includes multiple ecosystems that share similar weather patterns, soil types, …
What Are The Different Biomes Of The World? - Science ABC
Oct 19, 2023 · Biomes are regions or landscapes of the world that are divided on the basis of climatic conditions, vegetation, and adaptation of flora and fauna. The regions with ice caps, …