Indoor/outdoor sampled variables.
\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
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While one part was spent in their homes, the other part was spent in their working environments, such as factories and offices.
As a consequence of spending their lives in these two environments, we found that people developed certain health-related symptoms, such as headache, fatigue, nausea and getting irritated with other people. When these symptoms detected in indoor environments, it is called sick building syndrome (SBS). On the other hand, when these symptoms are stronger and related to their workplace, it is called work risk hazard.
To identify these symptoms, sampling apparatus is employed. There is a growing interest in employing bioindicators that, after tests in the laboratory, can now be employed in real case studies.
In this chapter, a new methodology based on the statistical study of One-Way ANOVA was developed to test bioindicators, such as fungi, in real case studies. With this statistical study it was possible to relate bioindicators with indoor conditions like pets’ presence, limited space and presence of localized humidity problems.
The SBS is defined by the World Health Organization (WHO, 1983) as the occurrence of an increased prevalence of no specific symptoms among populations in determined buildings (Thörn, 1998).
Between its more important and common symptoms, we find eyes, nose and throat irritation, mental fatigue, headaches, nausea, skin irritation, irritability and lack of concentration (Hedge et al., 1996; Raw et al., 1996; Gupta et al., 2007).
It is difficult to detect SBS due to its non-specific symptoms that appear with a higher prevalence than the expected value. Consequently, there is no clear consensus at the moment to define SBS and to determine if it is diagnosed by the exclusion of other causes.
On the other hand, subjective detection of SBS is being analyzed in recent research works. This detection is based on surveys and questionnaires about the perception of occupants of an indoor environment, such as that developed previously to analyze indoor thermal comfort (ASHRAE, 2003). All the subjective and objective parameters are analyzed in depth below.
As stated above, there are some parameters that can define SBS. To control these parameters like indoor air temperature, relative humidity and dust, amongst others, are some of the questions that must be asked.
The first question is if there is a need to employ any natural or mechanical ventilation. After a review of recent research works on this topic, it was concluded that there is a prevalence of some symptoms when the mechanical ventilation is working.
These symptoms are, for example, some upper respiratory problems and fatigue. The results showed that these effects can be related to the dust deposition in ducts, humidifiers and chillers of the HVAC system. On the other hand, the air remains clean when it is introduced into the house through natural ventilation, such as doors and windows.
The corrective actuation way to relax these symptoms is by HVAC system corrections and building design improvements. For example, recent research works like that of Kolari et al. (2005) showed that duct cleaning will not imply an improvement of indoor air quality, but is related to an improvement of indoor perception of air quality and its relation to nasal symptoms. Furthermore, a clear reduction, in the building, of the volatile organic compounds (VOC), carbon dioxide (CO2) and fungal spore concentrations reach values below the actual after a duct cleaning process.
At the same time, the percentage of outdoor air that can be introduced into the indoor ambience must be considered. In this sense, it is very important to remember that, in the last few years, to reduce the energy consumption in HVAC system the air changes of indoor air was reduced (Osayintola & Simonson, 2006); consequently, a percentage of indoor air returns to the same indoor ambience mixed with outdoor air with a corresponding increment in CO2 and moist air humidity.
We must consider that air changes are due to mechanical ventilation and infiltrations of outdoor air. In this sense, the mechanical ventilation must be improved and buildings must be less airtight. What is more, an increment in air changes of indoor air implies an improvement of indoor air quality, as reported by Haghighatt & Donnini, 1999.
Finally, outdoor air is not the only source of contaminants of indoor environments. Other parameters, such as indoor materials contamination must be considered as a source of pollution.
Once the objective parameters to detect the SBS (WHO, 1989) are defined, it is the right moment to define the subjective parameters. Among the main subjective parameters, we must consider job stress and perception of the indoor air quality.
Studies by Hedge et al. (1996) showed a clear relationship between SBS and working conditions than with environmental parameters. Furthermore, parameters such as type of job can influence the perception of SBS.
The other parameter, which is perception of indoor air quality, must be considered. In this sense, we find that the perception of indoor air quality depends not only on combustion gases, VOC, dust, particles and but also on parameters like mucous membranes temperature and humidity that can alter these perceptions (Salonvaara & Simonson, 2000 and Simonson et al., 2001). Other parameters such as air movement perception can alter this situation too.
Finally, to control the subjective parameters, we can employ questionnaires that are recognized as a more important tool to define the relationship between objective and subjective perception.
These surveys must cover an area for objective parameters that must be sampled, such as indoor air temperature and relative humidity and, at the same time, the same survey must be present in another region for the subjective parameters that must question the occupants of a building, such as indoor air perception and job stress.
The SBS detected by symptoms or by some bioindicators must be corrected. In other words, we must consider that SBS is related with building construction and not necessarily with the occupants. Consequently, parameters like air temperature, relative humidity and dust are sampled to define the SBS.
Despite the fact that indoor air quality can be sampled with different apparatus like multi-gas samplers, it was learned that, in the past few years, there is an increasing interest in employing some natural indicators and monitors because they present some advantages with respect to most of loggers.
The main advantages of these indicators are based on the fact that they do not need any kind of calibration or energy source. It is the work of fungi to evaluate indoor environments and mosses and lichens to evaluate outdoor ambiences.
From these concepts, we do an initial definition of bioindicator and biomonitor. A bioindicator is an organism that can be used for identification and qualitative determination of human-generated environmental factors.
At the same time, we can define accumulative bioindicators which have the ability to store contaminants in their tissues and are used for the integrated measurement of the concentration of such contaminants in the environment, as a result of the equilibrium process of biota compound intake/discharge from and into the surrounding environment.
Biomonitors are organisms used for the quantity determination of contaminants and can be sub-classified as sensitive and accumulative. The methodology based in biomonitors present the problem of the need of a background level of this contaminant in the environment objective of study.
Owing to its feasibility to be employed in a real case study, once defined, a few examples of biomonitors and bioindicators are explained below. To sample outdoor ambiences, we can employ mosses and lichens, and to sample indoor ambiences we can employ fungi.
Despite the fact that fungi develop in nature some functions, such as recycled energy and nutrients, most of these tasks are not adequate if it is to be developed in indoor environments.
It is due to fungi being related to spores, fungal fragments, mycotoxins and VOCs emissions is the reason for the failing health of the occupants. In this sense, nowadays we find indoor environments that present higher VOCs concentration than in years before and related to the fact that building designs were modified in accordance with energy saving, and consequently, buildings are more airtight and present a low number of air changes.
When most researchers tried to find where fungi were located in indoor environments, the results showed that it developed on walls, roofs and in materials wherever it can be find dust to develop a growing media.
This fungi development increased with higher air temperatures and relative humidity values of over 75%. This is the higher value of relative humidity that must never be passed to prevent fungi developing in indoor environments.
At the same time, fungi emit mycotoxins that are low molecular weight compounds and toxic for animals and men (Cabral , 2010).
To analyze outdoor air quality, bioindicators, such as lichens and mosses, are employed due to they present some advantages respect traditional sampling methods. For example, these bioindicators were selected as they do not present any seasonal variation and their longevity. Consequently, these bioindicators let us sample indoor conditions for long periods without calibration and without any kind of energy source, which is a clear advantage respect traditional loggers.
Lichens are defined as a symbiotic association (Newbound et al., 2010) of a fungus and an alga, and can be employed to develop a map of all the species detected in a sampling area. Another method is basically in the sampling process of pollutants in the thallium of the lichen.
Other methods are based in the transplantation of native lichens to a place where it will be killed by pollutants after a reduced period of time. Finally, new methods are being developed to define the climate change with different lichens sampling processes over calcareous rocks.
As a function of previous sampling processes, two indexes can be defined based in lichens measurements. The first index is called the index of atmospheric purity and the second is the index of poleotolerance.
Mosses are employed to define, at the same time as lichens, outdoor air quality (Szczepaniak & Biziuk, 2003). Mosses present some advantages as bioindicator as, for example, it can be employed in different regions due to their growth in different environmental conditions, such as industrial and urban areas.
Another advantage of mosses is based on the fact that sampling process is cheap and simple. It will allow a very large number of sites to be sampled, obtaining a better sampling map. At the same time, these natural indicators present some disadvantages. For example, to develop a comparative study with mosses and lichens, the same species of lichens and trees are needed to obtain adequate results to do a comparative study.
On the other hand, fungi growth in indoor environments depends on indoor temperature and relative humidity in all zones of the building. Consequently, one of the methods to control fungi growth in indoor ambiences is to control occupants’ habits. For example, most researchers proposed an increment in the air changes during cooking in the kitchens, in the bathroom during mornings and in bedrooms during the nights. This increment in air changes can be obtained by natural ventilation through open windows.
Recent research works is related to airborne microorganisms with some infections or allergic disorders (Parat et al., 1997), and some epidemiologic studies have been related to dust mite exposure with some degree of asthma. In general, however, we can say that in ambiences with higher allergen exposure we find higher asthma prevalence (Liu, 2004).
Despite this, there is not always a relationship between fungi development and asthma in children. Consequently, some researchers reached the conclusion that, with actual methodologies, it cannot be done (Jovanovic et al., 2004).
Nowadays, there is very little information on how to prevent allergies, such as environmental hygiene, avoidance of some foods and prevention of contact with some kind of pets.
However, things are more complicated and not the same for all allergens. Although increased exposure to house dust mite allergen is paralleled by increased sensitisation rates, the same is not true for cat allergen.
One possible explanation for the different effects of different allergens may be their biochemical properties: mite allergens, in contrast to cat and dog allergens, contain proteolytic enzymes. It has been shown that, concerning house dust mites, a low-allergen environment can be achieved (Lauener, 2003).
To summarize, we can say that new standards are needed to show the better methodology to sample indoor ambiences and define the effect of indoor pollutants over health to reduce sensitization to these parameters (Lauener, 2003).
Other factors like distance of the building from the source (a nearby park) and supermicrometre particle concentrations will be associated with the concentration levels of fungi in indoor ambiences of occupied buildings (Hargreaves et al., 2003).
At the present time, the only way to guarantee lower mite allergen levels in modern homes in the western world is to remove the carpets and to encase the mattresses and beddings. Furthermore, to reduce this exposure, we must improve IAQ.
The three primary considerations in improving IAQ are (1) evaluation of construction failures that allow moisture into the walls and roofs, (2) poor ventilation, causing excessive humidity and accumulation of gaseous and/or chemical exposure from materials in the living space, and (3) poorly designed or failing HVAC systems that contribute to poor air calculation.
About the two last points, some authors (Parat et al., 1997) have analyzed that massive proliferation of microorganisms may take place in HVAC unit with certain risk factors, such as low efficiency filters, cold mist humidifiers using water recycling, areas in which condensation water remains stagnant, large recirculation of air and faulty or deficient maintenance conditions.
They demonstrated that compared to a naturally ventilated building, a HVAC system which is well designed and well maintained improves the microbiological quality of indoor air and, in consequence, can reduce health hazards for its occupants.
Finally, not all indoor allergens are necessarily equal in their propensity to cause asthma and its related health effects like shortness of breath and coughing. For example, using dust allergen concentration as a proxy for exposure, recent studies have revealed that indoor cockroach allergen exposure, but not mite or cat allergen exposure, is a significant risk factor for asthma (Hens, 2007).
Despite the fact that the data collected on household characteristics varied greatly between the studies and that building materials techniques are very different in different parts of the world, some common themes have emerged.
For example, concentrations of moulds varied hardly between areas (Jovanovic et al., 2004), and neither climatologically conditions nor differences between urban and rural regions exhibited a systematic influence.
In another example (Perfetti et al., 2004), no association was found between the concentration of mite allergens and the environmental characteristics (geographic location, floor above ground, type of ventilation) and no correlation was found between indoor humidity and allergen levels.
We must consider the fact that house dust mites live in an environment where there is no liquid water, and they are dependent on the ambient humidity to absorb water from the atmosphere. To get this, water dust mites can gain it by diffusion through the body or extract the water vapor from air via hygroscopic crystals in their supracoxal glands, located at the base of their first pair of legs.
The optimum relative humidity for mite growth is 75–95%, at temperatures of 15–30ºC, whereas above 70% relative humidity conditions may be optimal for fungal growth (Liao et al., 2004). Relative humidity has a major influence on the survival of mite colonies and therefore levels of mite allergens.
Although laboratory and early field studies suggested that there was a strong relationship between relative humidity and mite allergen levels, this had not been conformed by more recent large-scale studies when other factors have been considered in a multivariate analysis.
For example, freezing and/or dry weather can damage fungi and reduce the spore counts on outdoor samples, but the conditions indoors may be very hospitable to fungal growth non-seasonally (Zhou et al., 2000).
From these studies, we can conclude that outdoor relative humidity influences indoor relative humidity, but other household factors can influence mite allergen levels and that means allergen levels in different geographical areas tend to be influenced by the local climate.
As a result of this, novel techniques have been developed recently, which allows measurements of relative humidity to be made within the mite microhabitat, that is, where it matters, in the depth of the carpet or mattress.
This has revealed that the relative humidity in the carpet may be higher than that in the room air, and that with different types of construction, the differences between room RH and floor RH will vary. This suggests that the relative humidity in the room air does not necessarily reflect the RH in the micro-habitat of the mite—in the depth of the carpet pile.
The object of this chapter was to get information about Spanish apartments’ microbial levels and relate it with their characteristics. Results will be useful to get a healthy home, taking into account costs versus energy saving, and improve health outcomes (Bernstein et al., 2008).
In our case study, different apartments located in the northwest of Spain were selected, in accordance with different criteria defined to obtain realistic comparisons between indoor ambiences.
The first criterion is that, in all apartments, the residents presented some kind of health problems related with the relative humidity, which is typical in this area. The reason for this work is to relate health problems with indoor conditions, in building constructions’ humid areas and occupants’ habits. In particular, fungi and bacterial growth were sampled in these indoor environments.
All apartments present natural ventilation to remove all indoor air. Despite this, other mechanical ventilation system was located in toilets to reduce the humidity released during bath.
The heating system consists of heat water radiators and is employed only for a few months in the winter season. On the other hand, there is no cooling system, as the temperatures during the summer season are not too high. Consequently, during summer ventilation is enough to reduce indoor temperature.
To obtain adequate comparative results in apartments, sampling process was developed in accordance with the daily life conditions indicated by occupants. Furthermore, all buildings present the same construction and located in the same city. Consequently, outdoor weather conditions were the same for all the buildings.
Outdoor weather conditions were sampled by some weather stations located in a representative zone of the area where the buildings are located. This sampling process was developed by weather stations from MeteoGalicia (2002), with a sampling and frequency of 10 minutes.
On the other hand, humidity and temperature were measured by a 1221 Datalogger, with sensors of temperature and relative humidity, and tinytag Plus 2 dataloggers were employed.
These loggers were located in each apartment, in accordance with the ISO Standard indications. In particular, each sampling point was separated from heat sources conditions and as near as possible of center of gravity each room to obtain representative values of indoor
As explained earlier, a microbiological analysis off indoor ambiences was done. Consequently, two culture media were employed: Trypticase Soy Agar to find the total number of bacteria and Malt Agar was used to define fungi growth.
To compare sampled mean values of temperature and relative humidity for fungi and bacteria, a statistical study of one-way ANOVA was done. This statistical study consists in an analysis of the variance of one factor for a significance level of 0.05.
Furthermore, different statistical studies, such as Duncan and Student-Newman-Keuls
In this study, two assumptions were defined. The first is based on the fact that the dependent variable is normally distributed. The second is that the two groups have approximately equal variance on the dependent variable.
In the same study, two hypotheses were considered. The hypothesis null is that there are no significant differences between the groups\' mean scores. The alternate hypothesis is that there is a significant difference between the groups\' mean scores. Finally, to develop this task, the statistical software SPSS 11.0 was employed. More information on how to employ this software SPSS can be found in their website (SPSS).
At this point, the main results obtained are shown. In particular, Table 1 shows us the main indoor and outdoor air temperature and relative humidity of 25 apartments during the sampling process.
Despite this, we must consider the fact that this table shows the main value of sampled data, and consequently, conclusions about instantaneous values at different hours cannot be obtained from this table.
From Figs. 1, 2 and 3, we can conclude that Coruña, located in the northwest coast of Spain, presents a mild climate. In this sense, we can see that outdoor temperature is not too high in summer and too low in winter season. Mean temperature values of 11°C during winter and 16°C during summer, respectively, can be expected.
Flat | tindoor (ºC) | RHindoor | toutdoor (ºC) | RHoutdoor |
A | 20.97 | 63.45 | 16.72 | 74.6 |
B | 24.09 | 65.09 | 17.76 | 88.8 |
C | 19.42 | 62.1 | 14.12 | 82 |
D | 20.38 | 64.87 | 17.7 | 59.6 |
E | 21.46 | 63.59 | 17.7 | 62 |
F | 23.43 | 65.03 | 22.28 | 66.8 |
G | 22.2 | 70.92 | 16.24 | 94 |
H | 19.92 | 63.73 | 15.64 | 75 |
I | 21.24 | 49.62 | 18.08 | 45 |
J | 23.78 | 55.7 | 17.76 | 47 |
K | 25.11 | 48.09 | 17.6 | 58.8 |
L | 23.63 | 65.58 | 20.04 | 73.2 |
M | 22.37 | 67.19 | 19.28 | 78.4 |
N | 21.74 | 63.65 | 15.6 | 74.76 |
O | 24.05 | 50.31 | 15.2 | 74.2 |
P | 20.29 | 59.22 | 12.08 | 88 |
Q | 20.32 | 62.23 | 11.84 | 88 |
R | 20.1 | 62.66 | 14.4 | 89.2 |
S | 17.4 | 69.88 | 14.4 | 87.4 |
T | 19.42 | 64.79 | 16.6 | 72 |
U | 21.13 | 61.1 | 15.8 | 76 |
V | 22.63 | 65.22 | 21.4 | 59.4 |
W | 25.12 | 61.18 | 21.64 | 64.4 |
X | 19.14 | 64.56 | 14.84 | 78 |
Y | 23.83 | 65.65 | 21.5 | 60.8 |
Indoor/outdoor sampled variables.
Outdoor temperature.
Outdoor relative humidity.
Outdoor humidity ratio.
On the other hand, outdoor relative humidity showed mean values between 83% in March and 93% in November. Consequently, mean outdoor relative humidity of 86% is obtained throughout the year, as we can see in Fig. 2.
Finally, another way to show the relationship between temperature and relative humidity was to express the outdoor air humidity ratio, as we can see in Fig. 3. This humidity has shown yearly values between 0.04 and 0.08 kg of water per kilogram of dry air.
This high humidity is incremented with different indoor moisture sources. This increment of humidity ratio under temperatures of 21°C will imply relative humidity values over 75% in some daily life periods, as we can see in Fig. 3.
From Table 1, we can conclude that the northwest of Spain present apartments with an indoor mean relative humidity about 62% and temperature of about 21.7°C. Thus, value is relatively high, but not excessively high for a coastal area. However, due to an indoor relative humidity of not more than 75% with an adequate cleaning procedure, development of fungi can be prevented.
Flat | Characteristics |
A | Pet |
B | Normal |
C | Normal |
D | Limited space |
E | Normal |
F | Humidity problems |
G | Humidity problems |
H | Limited space |
I | Normal |
J | Pet |
K | Humidity problems |
L | Limited space |
M | Normal |
N | Humidity problems |
O | Normal |
P | Normal |
Q | Pet |
R | Normal |
S | Normal |
T | Humidity problems |
U | Normal |
V | Normal |
W | Humidity problems |
X | Normal |
Y | Normal |
Observed characteristic.
At the same time, temperature and relative humidity were sampled and different characteristics of each apartment flood were considered (Table 2). This Table shows us parameters like pets’ presence, limited space and presence of localized humidity problems in the walls and roofs that were considered.
Finally, if none of previous commented parameter was detected, then the apartment was considered normal.
Once Tables 1 and 2 have shown us the main value of temperature, relative humidity and apartment characteristics, it is the right moment to show the results of fungi and bacteria growth, as we can see in Figs. 4 and 5.
Total bacteria sampled (CFU/m3).
Total fungi sampled (CFU/m3).
After fungi and bacteria growth in these indoor environments are sampled to relate these pollutants with indoor relative humidity, like in most of laboratory studies (NTP 335, 2008), it is necessary that this is applied to real case studies. In particular, in this chapter a relationship between fungi and bacteria with the particular parameters detected in each building, reflected in Table 2, was proposed.
From this study, we see that there is no possibility to obtain an adequate linear regression between humidity and fungi reflected by a correlation factor below 0.9, see Figure 6.
It is related with the fact that, in real buildings, there are other parameters that does not influence in most laboratory studies, but in real case studies it can alter the situation. It is the case of the presence of pets, moisture sources and moisture-damaged walls and roofs.
Fungi linear regression.
To relate these indoor conditions with sampled indoor parameters, it was proposed to develop one-way ANOVA analyses with different
In particular, the Duncan
From the one-way ANOVA analysis, we can concluded that apartments having pets showed the same indoor air bacteria evolution with time and, consequently, can be separated as an independent group, as we can see in Table 3.
A | J | Q | B | C | E | I | M | O | P | R | S | U | V | X | Y | D | H | L | F | G | K | N | T | W |
Group 1: Pets | Group 2: Normal, limited space and humidity problems |
One-way ANOVA and Duncan
A | J | Q | B | C | E | I | M | O | P | R | S | U | V | X | Y | D | H | L | F | G | K | N | T | W |
Group 1: Normal, limited space and pets | Group 2: Humidity problems |
One-way ANOVA and Duncan
On the other hand, it was concluded that there exists a clear different indoor air fungi developed in apartments that present some humidity problems on walls and roofs with respect to others, as we can see in Table 4.
This research work tried to relate indoor air conditions with fungi and bacteria growth. In this sense, objective and subjective parameters were considered. So, parameters like indoor and outdoor temperature and relative humidity were sampled in relation to bacteria and fungi growth. At the same time, parameters such as presence of pets and humidity problems in walls and roofs were considered too.
The results showed us that it is not easy to relate fungi growth with indoor air relative humidity like in laboratory studies. It is owing to the fact that there are some factors that can alter this situation. Furthermore, pets’ presence was related to the increment in bacteria in indoor air, and humidity problems were related with fungi developed in a statistical way.
In conclusion, we can say that one-way ANOVA is an interesting tool to be employed by engineers to approach real case studies with laboratory conclusions.
I express my gratitude to INEGA, the University of A Coruña, Xunta de Galicia and all individuals and institutions that collaborated during the writing of this chapter.
The clinical specialty of radiotherapy is an essential part of the multidisciplinary process of treatment of malignant neoplasms. Moreover, oncological diseases are and will continue to be a growing health - social and socio - economic problem nationally and globally in the coming decades. The development of the clinical method of radiotherapy is based on advances in nuclear and information technology. In recent years, dramatic and I would say revolutionary changes have taken place in connection with the introduction into routine practice of a number of new methods and radiotherapy techniques for delivering of the therapeutic dose. All these innovations, set the requirements for the development of precise and clear rules, criteria and standards for the quality of the radiotherapy process as well as for conducting a regular dosimetric quality audit. Clinical audit is defined as a process of quality improvement that seeks to improve patient care and outcomes by systematically reviewing the clinical activity performed against certain formulated criteria [1].
The quality audit in radiotherapy is an independent review of the quality assurance programs, which is ideally external to the process or part of the process being audited, ie. it is performed through independent procedures and by independent staff, who are not responsible for the performance of the activities, that are the subject of the audit.
The purpose of the introduction and development of the concept of external audit in the radiotherapy is to create and maintain a consistently high quality of the treatment method. The external audit ensures, that the clinical requirements for the quality of radiotherapy are met to achieve optimal treatment in terms of maximizing the likelihood of tumor control, while maintaining low normal tissue damage within clinically acceptable levels. As part of this, the implementation of a quality assurance program will minimize errors and incidents. Most countries seek to establish transparent quality management systems in health care for a number of reasons - professional, social, financial and political. The main goal of this form of quality assurance (QA) is to improve patient care with the intention of maximizing the effect of clinical activities, minimizing harm to the individual and society as a whole.
Achieving high quality in clinical practice in general and in radiation therapy in particular is a fundamental goal. The effectiveness of the clinical method of radiotherapy depends on the exact reproducibility of the patient’s position, the technical parameters of the irradiation systems and the exact dosimetric calibration of the used photon or electron beams of radiation, which are subject to international standards. The technical achievements and the conducted clinical studies impose the need of quality control programs and respectively external dosimetric audit of the radiation therapy process. This has led to the development and publication of a large number of international recommendations. The aim is to provide reliable, effective and precise radiation therapy. One of the key element is the organization and conducting of dosimetry audit in modern radiation therapy.
Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020. The most common in 2020 (in terms of new cases of cancer) are: breast (2.26 million cases); lung (2.21 million cases); colon and rectum (1.93 million cases); prostate (1.41 million cases); skin (non-melanoma) (1.20 million cases) and stomach (1.09 million cases) [2]. Radiotherapy is recognized as an essential element of an effective cancer care program throughout the world. It is vital component of the treatment of cancer for many years. Aproximatelly half of all cancer patients requiring a radiotherapy in some time of their deceases. Abdel-Wahab et al. [3], Barton et al. [4], and Atun et al. [5], argue, that radiotherapy is a critical and cost-effective component of a comprehensive cancer control plan [6].
Modern radiotherapy is a very complex process of treatment planning and delivery of radiation dose. Today, radiotherapy encompasses a lot of steps from clinical evaluation to posttreatment follow-up. The clinical process of modern radiation therapy starts with a therapeutic decision at the first appointment with cancer patient, where the radiation oncologist prescribes the radiotherapy treatment. Then the immobilization of patient is performed, which be adopted during treatment. A computerized tomography (CT) scan of the patient is acquired for delineations of the planning target volumes (PTV) and the organs-at-risk (OARs). The CT images may be fusion with other imaging modalities such as magnetic resonance imaging (MRI) and positron emission tomography (PET) for the precise determination of PTV and OARs. A treatment plan is created on a treatment planning system (TPS) based on the outlined structures and on the dose prescription to the PTV and tolerance dose criteria to the OARs. A pre-treatment quality assurance (QA) verification of the treatment plan has been performed after its evaluation and approving by the radiation oncologist. Image guided radiation therapy (IGRT) modality is using to check patient positioning before each treatment.
In recent years, radiotherapy has been advancing toward achieving a higher cure rate with a higher therapeutic dose and minimum side-effects. This has been possible through the development of high-performance and highprecision radiotherapy techniques and by applying cutting-edge medical technologies [7].
Modern radiotherapy reached a very high degree of complexity and sophistication and expected to represent an added value for the cancer patients in terms of clinical outcomes and improved radiation protection.
In 2016, IAEA published a new guidance document titled: Accuracy Requirements and Uncertainties in Radiotherapy [8]. All forms of radiotherapy should be applied as accurately as reasonably achievable with technical and biological factors being considered, but that regular independent dosimetry audit be conducted using postal (remote) or on-site visits [9].
The concept of verifying the realized dose in the medical applications of ionizing radiation was introduced in the early 20th century shortly after the first application of X-rays for the treatment of cancer.
Initially, in order to adequately assess the daily fraction that would be prescribed to patients, doctors irradiated their own hands to observe a skin reaction - “dose of erythema”.
In 1925, the Swedish physicist R. Sievert [10] created a circulating physical department to standardize the Roentgen radiation (X-rays) used in oncology therapy in his country. The department found some unreliable dosimeters and identified the need for better protective equipment for X-ray personnel. At the same time, the data collected from the measurements of the dosimetric value - Percent Depth Dose (PDD) were used as reference values for the technical equipment used for clinical purposes at that time.
Another documented example of an early dosimetry audit was found in Poland, following Marie Curie’s idea that a Laboratory for measuring the dose of X-rays and the radioactive isotope radium used in hospitals at the time should be opened. The laboratory for dosimetry measurements was founded in 1936 [10].
The dosimety laboratory in the International Atomic Energy Agency (IAEA) was established in the early 1960s to organize and conduct dosimetry audits for radiotherapy centers worldwide and to ensure international consistency in radiation dosimetry. The first pilot postal comparison of the radiation dose between different radiotherapy centers was organized by the IAEA in the period 1965–1966 as a joint project with the World Health Organization (WHO).
Dosimetry audit (DA) is a tool for quality improvement. It can be defined as a systematic and critical analysis of the quality of the dosimetry activities performed in specific radiotherapy center. The dosimetry audit includes an assessment of data, documents and resources in order to verify the performed clinical dosimetry activity against the adopted international standards of good practice. The essence of the dosimetry audit can be summarized as:
Improving the quality and organization of the dosimetry activities.
Further professional training of medical physicists.
Increasing the efficiency and safety of the radiotherapy.
Improving the quality of the overall radiotherapy process.
Promoting the efficient use of available resources.
The results of the dosimetry audit inform the staff about the main elements of the quality and the weaknesses of the dosimetry activities carried out, comparing the audited dosimetric practice with the standards for good clinical radiation dosimetry. Dosimetry audit identify areas for improvement and provide confidence in safety and efficacy, which are essential to creating a clinical environment of continuous development and improvement.
One of the main risks for patients undergoing radiation therapy is the delivery of a dosimetry inaccurate therapeutic dose during radiation therapy sessions. Dosimetry inaccuracies directly reflect on tumor control, cancer treatment and toxicity affected the survival, and quality of life of cancer patients. The differences between the prescribed and delivered dose directly affect the clinical outcomes. The precision of the therapeutic method of radiation therapy is mainly related to the high degree of accuracy of the radiation dose applied during the treatment of patients.
Dosimetry audit is a partial audit and related to the quality assurance procedures in the field of the performed dosimetry activities in a specific radiotherapy center and namely [11, 12, 13]:
Quality tool that improves the accuracy of clinical radistion dosimetry.
Conducted on a voluntary basis, but each radiotherapy center must initiate it itself.
DA is a “second opinion”, regardless of the specific treatment center regarding the performed clinical dosimetry - procedures, protocols, measuring instruments, etc.
Identifies gaps in procedures and methods used as well as errors in routine practice.
Identifying and understanding of errors leads to improved quality in general in the clinical activities of specific radiotherapy center.
Illustrates the good dosimetry practice in the field of radiation clinical dosimetry based on world standards.
Contributes to the avoidance of accidents and omissions in the daily radiotherapy activity.
DA is confidential.
DA leads to the exchange of knowledge, skills, information and competence.
Dosimetry audit is proactive, ie. consists in reviewing the current clinical dosimetry in order to improve its quality. It is organized and conducted remotely, ie. It is (remote audit).
Dosimetry audit worldwide are organized in different ways, often for geographical, economic or political reasons, but mainly check the fundamental value - the absorbed dose in reference conditions, ie. so-called - beam output [12]. The measurement of the value of the absorbed dose in the so-called reference conditions i.e. beam output is the most fundamental measurement that confirms whether the therapeutic system generating ionizing radiation and used for radiotherapy is properly calibrated [14].
The existence of an error in the calibration of the radiation beams leads to the creation of a systemic error in the treatment of each individual patient, which in turn leads to systemic differences in the results of the conducted radiation therapy.
DA is a key component in quality management in radiotherapy and plays an important role in the safe application and use of new methods and techniques of radiotherapy [15, 16].
The International Atomic Energy Agency (IAEA) as the founder of the idea of dosimetry audit and main organizator of the program for postal dosimetryc audit with thermoluminescent dosimeters (TLDs) and radiophotoluminescent dosimeters (RPLDs) for nearly fifty years has identified the following types [17] (See Figure 1).
IAEA classification of different types dosimetry audits [
The European Union has issued a new directive on the use of ionizing radiation for medical purposes 2013/58 / EURATOM, which entered into force in 2014 [18]. The new Directive updates the basic standards for radiation protection in clinical and professional settings, emphasizes clinical audits, reinforces their importance for quality improvement and recommends, that Member States ensure that dosimetry audits are carried out in accordance with national audit procedures.
A clinical audit is defined as “a systematic review or review of medical radiological procedures that seeks to improve the quality and outcome of patient care through a structured review in which medical radiological practices, procedures and outcomes are performed against established standards for good medical radiological procedures. procedures, changing practices where appropriate and applying new standards if necessary.”
Dosimetry audits are one of the main measures introduced to ensure the safety of patients undergoing radiotherapy. The international organizations conducting clinical trials set as a condition for participation the results of the dosimeter audit in order to evaluate the clinical dosimetry in the specific radiotherapy center, with it participated in the clinical trial [19]. In this way, dosimetry quality assurance (QA) and quality control (QC) are doubled as a tool in the fine-tuning used in clinical trial technology [20].
Performing an external dosimetry audit is an expensive procedure that requires special knowledge, skills, actions, time and effort. In some countries, basic safety standards require regular dosimetric audits with different requirements and frequencies.
The audit documentation of radiotherapy centers participating in an international clinical trial is not always easy to obtain and analyze because it is heterogeneous in terms of the type and frequency of dosimetric audit and is different for different centers and countries in Europe.
All this is the basis of the European Federation of Organizations for Medical Physics (EFOMP) to initiate a survey to determine what kind of audit, clinical or dosimetric, is required by law in different European countries, what role the medical physicist plays and to get a general idea for the regulations and practices regarding the quality assurance and quality control of the radiotherapy equipment.
EFOMP is developing a questionnaire in order to obtain the necessary information on the general requirements and standards for organizing and conducting dosimetric audit, quality assurance of dosimetric activity and periodic dosimetric inspections in EU countries at the end of 2019. The questions are addressed to the community of medical physicists to assess the regulatory status of dosimetric audits performed in radiotherapy centers.
The questionnaire was sent to 33 National Member Organizations (NMOs) in November 2019 (at the time of the survey’s dissemination, 33 NMOs were part of EFOMP). The results were obtained in the period December 2019–March 2020.
The first section of the questionnaire refers to the requirements for conducting periodic dosimetric audits in radiotherapy centers in Europe, the subject (auditor) performing the audit according to national legislation, as well as the source of the auditor (internal / external).
19 NMOs (58%) of the 33 EFOM members replied to the questionnaire. Of these, 14 are EU Member States (54%) and 5 are non-EU (46%).
In eleven European countries (11/19 NMOs), 9 EU members and 2 non-EU countries, national regulations require regular dosimetric audits to be carried out in radiotherapy centers (See Figure 2).
Dosimetric audit requirements according to the NMO responses [
Dosimetry audits are performed as follows: by external auditors in (6/11 NMOs), by internal auditors (2/11 NMOs) and by an unspecified auditor in (3/11 NMOs). 42% (8/19 NMOs), of which 5 EU members and 3 non-EU countries state that the requirements for conducting a dosimetric audit are not regulated at national level.
Only 11 NMOs report that national regulations require regular dosimetric audits of radiotherapy centers, but only 6 European countries state that there are well-established procedures that must be followed for an audit to be valid. Dosimetric audit is of great interest to EFOMP and is given great importance in Council Directive 2013/59 / EURATOM. Overall, the EFOMP study shows significant heterogeneity in national policies on the dosimetric audit program of radiotherapy centers.
Dosimetric audits were conducted in only 58% of the countries (NMOs) that participated in the survey organized and conducted by EFOMP in November 2019, although the deadline for transposition of the European Directive 2013/59 / EURATOM into national legislations is the end of 2019.
The physical phenomenon of photoluminescence is the basis for the detection of ionizing radiation with radiophotoluminescent dosimeters. Radiophotoluminescence as a phenomenon shows that some materials, after irradiation with sources of ionizing radiation, begin to luminesce under illumination with ultraviolet (UV) light and the luminescent light is proportional to the dose they were irradiated [21] (See Figures 3 and 4).
Schematic representation of the RPL process in phosphate glass doped with silver Ag+ ions [
The amount of luminescent light is proportional to the radiation dose [
This effect was used to create radiophotoluminescent (RFL) dosimeters, which are alumina-phosphate glasses, activated with silver and synthesized by a special technology that used the effect of photoluminescence.
In 1949, the RPL phenomenon was first discovered and applied for measuring the dose in the event of a radiation accident. The magnitude of the radiation dose ranged from 0.1 to 1 Gy [22]. At that time, there were still some problems with glass surface contamination and measuring the RPL signal became a technical challenge. Later, the ability to register ionizing radiation was drastically improved by changing the chemical composition of the glass used. Thus, the measurement range is from 0.1 mGy to 10 Gy [23].
Radiophotoluminescent dosimeters are an accumulative type of dosimeter. They work on the principle of the phenomenon of radiophotoluminescence, which is observed in some solids. RPLDs are made of silver-activated phosphate glass and are shaped like small glass rods (See Figure 5).
General type of radiophotoluminescent dosimeters (RPLDs) – glass rods.
The glass rods are 12 mm long and 1.5 mm in diameter. Each glass rod has an identification number engraved on one end. The sensitive area of the dosimeter is 6 mm long. When irradiated with ionizing radiation, stable luminescent centers are formed in the silver ions - positive and negative. The measurement of the absorbed dose is performed by optical excitation of the dosimeter with a laser emitting ultraviolet light [21]. The first RPLD was produced in 1949 [22]. Significant technological improvements have been made over time, including the accuracy and reliability of their measurement [23]. They are currently one of the best solid state dosimeters [21].
Today, the production of RPL dosimetry is advancing remarkably thanks to modern electronics and is well accepted as a solid-state, passive dosimeter operating in the range of 10μGy to 10 Gy, using a pulsed laser beam of UV light. Radiophotoluminescence dosimeters (RPLD) as a new type of solid state dosimeters are used in radiation dosimetry for radiotherapy in the last two decades.
The dosimetry system based on radiophotoluminescent dosimeters (RPLDs) is the Ace Dosimetry System, consisting of GD-302 M glass rods and an FDG-1000 reader from Asahi Techno Glass Corporation (ATG). It is used in IAEA Dosimetry Laboaratory (See Figure 6).
Dose Ace dosimetry system consisting of GD-302 M glass rods and an FGD-1000 reader/analyzer from the Japanese Asahi Techno Glass Corporation (ATG).
The glass rods are made of silver-activated phosphate glass. They are 12 mm long and 1.5 mm in diameter. Each glass rod has an identification number engraved on one end. The sensitive area of the dosimeter is 6 mm long. The glass rods are placed in specially made waterproof capsules. Each capsule with a glass rod already placed in it can be considered as an
Glass rods on the left and waterproof capsule on the right.
The dosimetry audit with RPLDs is the newest form of the audit offering as a service by IAEA Dosimetry Laboratory to the Member States. The participants (radiotherapy centers) should to irradiate the RPLDs in a water phantom using an IAEA standard holder in reference conditions: S = 10x10 cm field size, 10 cm depth in water phantom and nominal Source Surface Distance (SSD) or Source Axis Distance (SAD) of 100 cm used clinically.
Each capsule has an ID number and a bar code. The sensitive area is also marked on the capsule to allow precise positioning (See Figure 8).
ID number and bar code of the capsules – in the left. The sensitive area is marked on the capsule – in the right.
The purpose of the dosimetric audit is to perform the measurements specified in the instruction in the same conditions under which the patients are irradiated on daily basis (See Figure 9).
The dosimetry audit should be performed in the same conditions in which patient is irradiated during treatment procedure.
The irradiation procedure of RPLDs includes the following steps according to the IAEA instruction sheet [25, 26]:
Assemble the holder (Figure 10).
Place the holder in a water tank on the treatment table (Figure 11).
Set the therapy unit for a vertical beam, with a 10 cm x 10 cm field size (Figure 11).
Align the holder tube with the central axis of the beam (Figure 11).
Adjust the water level by filling the water tank exactly to the level of the top of the holder. Make sure that the tube of the holder is also filled with water (Figure 11).
Adjust the patient’ couch height so that the water surface is at your usual distance using in the daily clinical practice.
Assembling the IAEA standard holder for the RPLDs irradiations [
Two alternative geometry set-ups for the RPLD irradiation [
The procedure of irradiation of the dosimeters covers the following actions:
Before irradiation recheck whether the alignment, field size, water level and distance are correct (Figure 11).
Insert the capsule into the hole of the holder, so that the dot on the capsule is positioned in the centre of the tube (Figure 12).
Irradiate the RPLD capsule with the number of monitor units (MU) calculated above.
Remove the capsule from the holder (Figure 12) and wipe it dry.
Repeat the procedure, steps 2 to 4, for the second capsule.
Different positions of the capsule with RPLD – inserting, capsule in the position and removing [
An RPLD capsule in a small bag must not be irradiated, because it is used to record environmental influences during transport and storage.
Calculation of the number of monitor units to deliver 2 Gy to a tumor, whose centre is the RPLD capsule is at 10 cm depth.
The absorbed dose to water Dw is calculated from the RPLD response registered by the RPLD reader according to the expression:
where:
The determination of all these factors, their values, meitanence, quality assurance and combined uncertainty of the RPLD system are comprehensively given in [27].
Bulgarian radiotherapy centres participated in the IAEA/WHO Postal Dose Audit Service with (RPLD) in last three years. The new Varian and Elekta therapy treatment machines have been installed in 2011–2017. The energy of the photon beams is in the range of 6 MV-15 MV. The total number of 34 beams were cheked. The results are given on Figure 13. The 33 beams (97%) in reference conditions are in the tolerance of +/− 5%. Follow up have been organized for the beam exceed the tolerance and successfully is clarified the reason. The results of the dosimetry audits despite the fact, that the radiotherapy equipment in Bulgaria was in long-term technology stagnation, show the ability of Bulgarian medical physicists to provide quality dosimetric control at the current world criteria.
The results of IAEA/WHO RPLD audit 2017–2019. Ratios of IAEA mean dose/stated dose. Each point in the graph represent averaged dose of 2(two) capsules.
The results show, that all measured values of the applied dose are within ±5%. There is a tendency to improve the accuracy, which we attribute to the in-depth knowledge, experience and skills of the staff of medical physicists due to their regularly participation in the dosimetry audits.
Independent dosimetry audits play an important role in patient treatment quality, radiation protection and safety. Audits have the potential to identify issues and resolve them, reducing the probability of harmful errors to occur. They also support the safe implementation of new techniques and technologies, and promote knowledge sharing at a national and/or international level by benchmarking centres with similar equipment [28]. Indeed, the IAEA stresses the importance of every radiotherapy centre equipped with new machines and those that are going to introduce new treatment techniques in clinical practice, participate in dosimetry audits before starting treating patients, and regularly after that [29]. Moreover, a recent European Directive (2013/59 Euratom) recommends that new radiological procedures should be audited. Independent dose audits are also mandatory in many multi-institutional clinical trials in radiotherapy to ensure that participants deliver accurate doses and so the reported results are not biased [30, 31, 32].
The need of safe and effective radiotherapy is growing as cancer morbidity is growing worldwide. Modern radiotherapy is used to treat and improve the quality of life of patients undergoing this type of therapy. Currently, radiation therapy is widely recognized as one of the safest areas of modern medicine and errors in radiation therapy are very rare [33].
Patient safety is of paramount importance to medical staff in radiotherapy centers and safety considerations are an element in all aspects of the day-to-day clinical activities. Technological advances and clinical research over the past few decades have given radiation oncologists the capability to personalize treatments for accurate delivery of radiation dose based on clinical parameters and anatomical information. Two major strategies, acting synergistically, will enable further widening of the therapeutic window of radiation oncology in the era of precision medicine: technology-driven improvement of treatment conformity, including advanced image guidance and particle therapy, and novel biological concepts for personalized treatment, including biomarker-guided prescription, combined treatment modalities and adaptation of treatment during its course [34].
Modern radiotherapy is one of most rapidly developing nuclear applications in medicine and today it is a safe and highly effective cancer treatment modality. Precise radiation dosimetry measurements are used to keep radiotherapy safe and effective. The need of dosimetric and geometric accuracy in radiotherapy is well defined [28, 35]. Recommendations of the International Commission of Radiation Units and Measurements (ICRU) given as early as in 1976, state that the dose delivery to the primary target should be within ±5% of the prescribed value (but in some special circumstances it should comply within ±2% to the prescribed dose to the target [36].
Radiation beams produced by radiotherapy machines need to be calibrated. Precise measurement of the dose is crucial for this calibration, since the quality and effectiveness of the medical radiation therapy rely on their accuracy. By the end of 2018, 2364 radiotherapy centres in 136 countries world-wide have been audited by the IAEA/WHO; 4427 machines and 5790 beams were encompassed by the audit programme. The total results of 13,756 individual TLD/RPLD irradiated sets over a period of 50 years were readout, evaluated and analyzed. 86% of them are within the 5% acceptance limit [37].
In our days, modern radiation therapy requires technologically advanced equipment and a professional strategy for the treatment of cancer patients in order to achieve the best clinical result, especially when the vision of the European Society for Radiation Therapy and Oncology for 2020 is: “Every cancer patient in Europe will have access to state-of-the-art radiation therapy as part of a multidisciplinary approach in which treatment is individualized for a particular patient’s cancer, taking into account the patient’s personal circumstances” [38].
Professionalism and morality oblige us to provide safe and effective radiation therapy, i.e. to know, that we are doing everything well, but also to be able to do it even better. Times have changed, mostly for the better. Few could argue with the fact that the tools we work with today are extremely superior and extremely complex than a few years ago. Advances in technology provide more sophisticated, promising and accurate techniques for targeting malignancies, while minimizing normal tissue damage is crucial for patients treated with radiation therapy [39].
Dosimetry audit has been identified in the activities of ESTRO as one of the most important topics, accompanying the improvement of the quality of radiotherapy practice in Europe through standardization [28]. International organizations as the IAEA and EU in their recent recommendations place external dosimetry audit as a mandatory element in the quality assurance program in radiotherapy [18, 35].
Over the years, the audits have contributed to good dosimetry practice and accuracy of dose measurements in modern radiotherapy. Dosimetry audit ensures, that the correct therapeutic dose is delivered to the patients undergoing radiotherapy and play a key role in activities to create a good
With acknowledgments to the IAEA for organizing my scientific visit at IAEA Dosimetry Laboratory in October 2019 in connection with Technical Cooperation Project: BUL6014 Establishing a National Dosimetry Audit System and Dosimetry Quality Audit Programme in Radiation Therapy with objective to enhance safer radiation therapy treatment in Bulgaria.
The author declare no conflict of interest.
The author highly appreciate the long-term efforts and activities of IAEA to improve continuously quality of radiotherapy, radiation protection and safety of patients, providing standards, training and guidance, direct technical assistance and building capacity and awareness.
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It leads to a condition which was associated with the generation of catalytically active IgGs-hydrolyzing DNA, myelin basic protein (MBP), and MOG. Production of Abzs was associated with increased proteinuria, leading changes in differentiation of mice bone marrow hematopoietic stem cells (HSCs) and an increase in proliferation of lymphocytes in bone marrow, spleen, and thymus as well as a significant suppression of cell apoptosis in these organs. Treatment of control non-autoimmune CBA mice with MOG led to the different differentiation and proliferation of HSCs comparing with EAE C57BL/6 mice. The treatment of EAE mice with cuprizone inducing demyelination lead to a significant decrease in the size of the brain corpus callosum, but do not significantly change the differentiation profile of HSCs differentiation when compared with untreated mice. It indicates that cuprizone treatment is associated with demyelination, but not autoimmune reactivity. The possible differences in immune system reorganizations during preclinical phases of the disease, acute and late EAE, leading to production of different autoantibodies and Abzs as well other changes are discussed.",book:{id:"5156",slug:"trending-topics-in-multiple-sclerosis",title:"Trending Topics in Multiple Sclerosis",fullTitle:"Trending Topics in Multiple Sclerosis"},signatures:"Georgy A. Nevinsky",authors:[{id:"47119",title:"Dr.",name:"Georgy",middleName:null,surname:"Nevinsky",slug:"georgy-nevinsky",fullName:"Georgy Nevinsky"}]},{id:"21744",doi:"10.5772/19010",title:"Hallmarks in the History of Epilepsy: From Antiquity Till the Twentieth Century",slug:"hallmarks-in-the-history-of-epilepsy-from-antiquity-till-the-twentieth-century",totalDownloads:9305,totalCrossrefCites:6,totalDimensionsCites:27,abstract:null,book:{id:"627",slug:"novel-aspects-on-epilepsy",title:"Novel Aspects on Epilepsy",fullTitle:"Novel Aspects on Epilepsy"},signatures:"Emmanouil Magiorkinis, Kalliopi Sidiropoulou and Aristidis Diamantis",authors:[{id:"33300",title:"Dr.",name:"Emmanouil",middleName:null,surname:"Magiorkinis",slug:"emmanouil-magiorkinis",fullName:"Emmanouil Magiorkinis"},{id:"33563",title:"Ms.",name:"Kalliopi",middleName:null,surname:"Sidiropoulou",slug:"kalliopi-sidiropoulou",fullName:"Kalliopi Sidiropoulou"},{id:"33564",title:"Dr.",name:"Aristidis",middleName:null,surname:"Diamantis",slug:"aristidis-diamantis",fullName:"Aristidis Diamantis"}]},{id:"24857",doi:"10.5772/28930",title:"Hormonal Signaling Systems of the Brain in Diabetes Mellitus",slug:"hormonal-signaling-systems-of-the-brain-in-diabetes-mellitus",totalDownloads:1993,totalCrossrefCites:3,totalDimensionsCites:25,abstract:null,book:{id:"745",slug:"neurodegenerative-diseases-processes-prevention-protection-and-monitoring",title:"Neurodegenerative Diseases",fullTitle:"Neurodegenerative Diseases - Processes, Prevention, Protection and Monitoring"},signatures:"Alexander Shpakov, Oksana Chistyakova, Kira Derkach and Vera Bondareva",authors:[{id:"75886",title:"Dr",name:"Vera",middleName:null,surname:"Bondareva",slug:"vera-bondareva",fullName:"Vera Bondareva"},{id:"75888",title:"Dr.",name:"Alexander",middleName:null,surname:"Shpakov",slug:"alexander-shpakov",fullName:"Alexander Shpakov"},{id:"81684",title:"Dr",name:"Oksana",middleName:null,surname:"Chistyakova",slug:"oksana-chistyakova",fullName:"Oksana Chistyakova"},{id:"81685",title:"Dr.",name:"Kira",middleName:null,surname:"Derkach",slug:"kira-derkach",fullName:"Kira Derkach"}]},{id:"19739",doi:"10.5772/18469",title:"Antiepileptic Medicinal Plants used in Traditional Medicine to Treat Epilepsy",slug:"antiepileptic-medicinal-plants-used-in-traditional-medicine-to-treat-epilepsy",totalDownloads:9699,totalCrossrefCites:7,totalDimensionsCites:23,abstract:null,book:{id:"628",slug:"clinical-and-genetic-aspects-of-epilepsy",title:"Clinical and Genetic Aspects of Epilepsy",fullTitle:"Clinical and Genetic Aspects of Epilepsy"},signatures:"E. Ngo Bum, G.S. Taiwe, F.C.O. Moto, G.T. Ngoupaye, R.R.N. Vougat, V.D. Sakoue, C. Gwa, E.R. Ayissi, C. Dong, A. Rakotonirina and S.V. Rakotonirina",authors:[{id:"31580",title:"Prof.",name:"Elisabeth",middleName:null,surname:"Ngo Bum",slug:"elisabeth-ngo-bum",fullName:"Elisabeth Ngo Bum"},{id:"46671",title:"Dr.",name:"Germain",middleName:"Sotoing",surname:"Taïwe",slug:"germain-taiwe",fullName:"Germain Taïwe"},{id:"46672",title:"MSc.",name:"Fleur",middleName:null,surname:"Moto",slug:"fleur-moto",fullName:"Fleur Moto"},{id:"46673",title:"Prof.",name:"Gwladys",middleName:"Temkou",surname:"Ngoupaye",slug:"gwladys-ngoupaye",fullName:"Gwladys Ngoupaye"},{id:"46674",title:"MSc.",name:"Espoir",middleName:null,surname:"Ayissi",slug:"espoir-ayissi",fullName:"Espoir Ayissi"},{id:"46675",title:"MSc.",name:"Christian",middleName:null,surname:"Dong",slug:"christian-dong",fullName:"Christian Dong"},{id:"46676",title:"MSc.",name:"Frédéric",middleName:null,surname:"Maidawa",slug:"frederic-maidawa",fullName:"Frédéric Maidawa"},{id:"46677",title:"MSc.",name:"Gildas",middleName:null,surname:"Djafsia",slug:"gildas-djafsia",fullName:"Gildas Djafsia"},{id:"46678",title:"MSc.",name:"Leopold",middleName:null,surname:"Nanga",slug:"leopold-nanga",fullName:"Leopold Nanga"},{id:"46679",title:"MSc.",name:"Saleh",middleName:null,surname:"Soudi",slug:"saleh-soudi",fullName:"Saleh Soudi"},{id:"46680",title:"Dr.",name:"Alice",middleName:null,surname:"Rakotonirina",slug:"alice-rakotonirina",fullName:"Alice Rakotonirina"},{id:"46681",title:"Dr.",name:"Silvère",middleName:null,surname:"Rakotonirina",slug:"silvere-rakotonirina",fullName:"Silvère Rakotonirina"}]},{id:"44560",doi:"10.5772/54744",title:"The Role of Epigenetics in Neurodegenerative Diseases",slug:"the-role-of-epigenetics-in-neurodegenerative-diseases",totalDownloads:4012,totalCrossrefCites:10,totalDimensionsCites:18,abstract:null,book:{id:"3278",slug:"neurodegenerative-diseases",title:"Neurodegenerative Diseases",fullTitle:"Neurodegenerative Diseases"},signatures:"Luca Lovrečić, Aleš Maver, Maja Zadel and Borut Peterlin",authors:[{id:"75615",title:"Dr.",name:"Luca",middleName:null,surname:"Lovrecic",slug:"luca-lovrecic",fullName:"Luca Lovrecic"}]}],mostDownloadedChaptersLast30Days:[{id:"44555",title:"Pharmacological Treatment of Acute Ischemic Stroke",slug:"pharmacological-treatment-of-acute-ischemic-stroke",totalDownloads:3670,totalCrossrefCites:6,totalDimensionsCites:9,abstract:null,book:{id:"3278",slug:"neurodegenerative-diseases",title:"Neurodegenerative Diseases",fullTitle:"Neurodegenerative Diseases"},signatures:"Humberto Mestre, Yael Cohen-Minian, Daniel Zajarias-Fainsod and\nAntonio Ibarra",authors:[{id:"72488",title:"Dr.",name:"José Juan Antonio",middleName:null,surname:"Ibarra Arias",slug:"jose-juan-antonio-ibarra-arias",fullName:"José Juan Antonio Ibarra Arias"},{id:"120571",title:"Mr.",name:"Humberto",middleName:null,surname:"Mestre",slug:"humberto-mestre",fullName:"Humberto Mestre"},{id:"165904",title:"Dr.",name:"Daniel",middleName:null,surname:"Zajarias-Fainsod",slug:"daniel-zajarias-fainsod",fullName:"Daniel Zajarias-Fainsod"},{id:"165905",title:"Mrs.",name:"Yael",middleName:null,surname:"Cohen-Minian",slug:"yael-cohen-minian",fullName:"Yael Cohen-Minian"}]},{id:"60608",title:"Mucuna and Parkinson’s Disease: Treatment with Natural Levodopa",slug:"mucuna-and-parkinson-s-disease-treatment-with-natural-levodopa",totalDownloads:4661,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Mucuna pruriens is a tropical bean containing large amounts of levodopa and is the most important natural remedy for Parkinson’s disease. Famous neurologists have patented methods of extraction for its advantages over the synthetic forms, Sinemet and Madopar. This natural levodopa is less toxic and has a faster and more lasting effect and can delay the need for pharmaceuticals and combination therapies. Currently, there are many patients with Parkinson’s disease who take Mucuna and spontaneously reduce the dose of conventional drugs and do so behind their doctors’ backs. Mucuna should always be taken under medical supervision.",book:{id:"6406",slug:"parkinson-s-disease-understanding-pathophysiology-and-developing-therapeutic-strategies",title:"Parkinson's Disease",fullTitle:"Parkinson's Disease - Understanding Pathophysiology and Developing Therapeutic Strategies"},signatures:"Rafael González Maldonado",authors:[{id:"214658",title:"Dr.",name:"Rafael",middleName:null,surname:"Gonzalez-Maldonado",slug:"rafael-gonzalez-maldonado",fullName:"Rafael Gonzalez-Maldonado"}]},{id:"19700",title:"Physiotherapy for Children with Cerebral Palsy",slug:"physiotherapy-for-children-with-cerebral-palsy",totalDownloads:21769,totalCrossrefCites:1,totalDimensionsCites:3,abstract:null,book:{id:"630",slug:"epilepsy-in-children-clinical-and-social-aspects",title:"Epilepsy in Children",fullTitle:"Epilepsy in Children - Clinical and Social Aspects"},signatures:"Mintaze Kerem Günel",authors:[{id:"38412",title:"Prof.",name:"Mintaze",middleName:null,surname:"Kerem Günel",slug:"mintaze-kerem-gunel",fullName:"Mintaze Kerem Günel"}]},{id:"51151",title:"Association Between Multiple Sclerosis Risk and Human Immunodeficiency Virus Infection: Insights and Challenges",slug:"association-between-multiple-sclerosis-risk-and-human-immunodeficiency-virus-infection-insights-and-",totalDownloads:2044,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"Multiple sclerosis (MS) is a convoluted autoimmune and inflammatory disease of the central nervous system (CNS) in which the protective myelin sheath is eroded and the underlying nerve fibers are damaged. There is no conclusive knowledge on the role played by different etiological factors in its development, and studies have shown that it primarily results due to complex interactions between the genetic, geographic and infectious components. Among the risk factors reported to have a possible role in MS development, retroviruses also appear to influence it. Studies suggest human immunodeficiency virus (HIV) infection to be inversely related to MS risk, but to date, the association between the two remains enigmatic. This protective inverse association has become an area of active research and the most plausible explanations for this may be immune suppression and/or antiretroviral medications. The purpose of writing this chapter is to provide background information on the unfathomable relationship between HIV infection and the risk of developing MS while at the same time providing description of the insights garnered from recent studies. While highlighting the application of ART (antiretroviral therapy) as budding future alternative for MS management, this chapter provides momentum for further studies.",book:{id:"5156",slug:"trending-topics-in-multiple-sclerosis",title:"Trending Topics in Multiple Sclerosis",fullTitle:"Trending Topics in Multiple Sclerosis"},signatures:"Ehtishamul Haq, Insha Zahoor and Mushfiquddin Khan",authors:[{id:"181077",title:"Dr.",name:"Ehtishamul",middleName:null,surname:"Haq",slug:"ehtishamul-haq",fullName:"Ehtishamul Haq"},{id:"185233",title:"Dr.",name:"Insha",middleName:null,surname:"Zahoor",slug:"insha-zahoor",fullName:"Insha Zahoor"},{id:"185234",title:"Dr.",name:"Mushfiquddin",middleName:null,surname:"Khan",slug:"mushfiquddin-khan",fullName:"Mushfiquddin Khan"}]},{id:"63824",title:"Plasmapheresis in Treatment of Myasthenia Gravis",slug:"plasmapheresis-in-treatment-of-myasthenia-gravis",totalDownloads:1349,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Treatment of myasthenia gravis is still a rather difficult task, since there is no single tactic to use different drugs (corticosteroids, rituximab, immunoglobulins), especially since it is associated with a number of side effects. They are not able to remove the accumulating autoantibodies and immune complexes, the large size of which does not allow them to be excreted by the kidneys as well. Special problems of treatment arise when myasthenic crises develop associated with respiratory failure requiring artificial lungs ventilation. Plasmapheresis can help to solve this for it is possible to remove antibodies and other pathological metabolites. In addition, regular plasmapheresis is able not only to prevent exacerbations but also to reduce doses of the maintenance therapy with less risk of their side effects, which is confirmed by our own experience.",book:{id:"7160",slug:"selected-topics-in-myasthenia-gravis",title:"Selected Topics in Myasthenia Gravis",fullTitle:"Selected Topics in Myasthenia Gravis"},signatures:"Valerii Voinov",authors:null}],onlineFirstChaptersFilter:{topicId:"1056",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"81721",title:"Atrial Fibrillation and Stroke",slug:"atrial-fibrillation-and-stroke",totalDownloads:5,totalDimensionsCites:0,doi:"10.5772/intechopen.104619",abstract:"Atrial fibrillation (AF) represents a major cause of morbidity and mortality in adults, especially for its strong association with thromboembolism and stroke. In this chapter, we aim to provide an overview on this cardiac arrhythmia, addressing several important questions. Particularly, we faced the possible mechanisms leading to an increased risk of embolism in AF, emphasizing how Virchow’s triad for thrombogenesis is unable to fully explain this risk. Disentangling the risk of stroke caused by AF and by other associated vascular conditions is extremely challenging, and risk stratification of patients with AF into those at high and low risk of thromboembolism has become a crucial determinant of optimal antithrombotic prophylaxis. Moreover, we discuss the typical clinical and radiological characteristics of cardioembolic strokes, addressing acute, time-dependent reperfusional therapies in case of ischemic stroke. The role of anticoagulation in AF is also fully analyzed; the benefit of oral anticoagulation generally outweighs the risk of bleeding in AF patients, and a variety of scoring systems have been developed to improve clinical decision-making when initiating anticoagulation. With their predictable pharmacokinetic profiles, wide therapeutic windows, fewer drug–drug and drug-food interactions, and the non-vitamin K antagonist (VKA) oral anticoagulants (NOACs) have changed the landscape of thromboprophylaxis for AF patients, offering the opportunity to use effective anticoagulants without the need for intensive therapeutic drug monitoring.",book:{id:"10782",title:"Cerebrovascular Diseases - Elucidating Key Principles",coverURL:"https://cdn.intechopen.com/books/images_new/10782.jpg"},signatures:"Francesca Spagnolo, Vincenza Pinto and Augusto Maria Rini"},{id:"81639",title:"Atrial Cardiopathy and Cryptogenic Stroke",slug:"atrial-cardiopathy-and-cryptogenic-stroke",totalDownloads:24,totalDimensionsCites:0,doi:"10.5772/intechopen.103736",abstract:"Cryptogenic stroke (CS) is defined as the presence of cerebral infarcts, the cause which has not been identified despite an appropriate diagnostic evaluation, and it accounts for approximately 30–40% of all ischemic strokes. There is a certain subgroup of CS with embolic characteristics on neuroimaging studies and no evidence of atrial fibrillation alternative or any alternative cause. Recent data suggest that disorders of the atrium, even without atrial fibrillation, could increase thromboembolic risk. The pathological atrial substrate, or atrial cardiopathy (AC), may be an important and underrecognized cause of cryptogenic strokes. This chapter will review the information on the rationale and data behind the concept of atrial cardiopathy, its pathophysiology, proposed biomarkers of atrial cardiopathy, and therapeutic implications.",book:{id:"10782",title:"Cerebrovascular Diseases - Elucidating Key Principles",coverURL:"https://cdn.intechopen.com/books/images_new/10782.jpg"},signatures:"Marianela López Armaretti, Natalia Romina Balian and María Cristina Zurrú"},{id:"81011",title:"Amino Acids as Neurotransmitters. The Balance between Excitation and Inhibition as a Background for Future Clinical Applications",slug:"amino-acids-as-neurotransmitters-the-balance-between-excitation-and-inhibition-as-a-background-for-f",totalDownloads:33,totalDimensionsCites:0,doi:"10.5772/intechopen.103760",abstract:"For more than 30 years, amino acids have been well-known (and essential) participants in neurotransmission. They act as both neuromediators and metabolites in nervous tissue. Glycine and glutamic acid (glutamate) are prominent examples. These amino acids are agonists of inhibitory and excitatory membrane receptors, respectively. Moreover, they play essential roles in metabolic pathways and energy transformation in neurons and astrocytes. Despite their obvious effects on the brain, their potential role in therapeutic methods remains uncertain in clinical practice. In the current chapter, a comparison of the crosstalk between these two systems, which are responsible for excitation and inhibition in neurons, is presented. The interactions are discussed at the metabolic, receptor, and transport levels. Reaction-diffusion and a convectional flow into the interstitial fluid create a balanced distribution of glycine and glutamate. Indeed, the neurons’ final physiological state is a result of a balance between the excitatory and inhibitory influences. However, changes to the glycine and/or glutamate pools under pathological conditions can alter the state of nervous tissue. Thus, new therapies for various diseases may be developed on the basis of amino acid medication.",book:{id:"10890",title:"COVID-19, Neuroimmunology and Neural Function",coverURL:"https://cdn.intechopen.com/books/images_new/10890.jpg"},signatures:"Yaroslav R. Nartsissov"},{id:"80821",title:"Neuroimmunology and Neurological Manifestations of COVID-19",slug:"neuroimmunology-and-neurological-manifestations-of-covid-19",totalDownloads:59,totalDimensionsCites:0,doi:"10.5772/intechopen.103026",abstract:"Infection with SARS-CoV-2 is causing coronavirus disease in 2019 (COVID-19). Besides respiratory symptoms due to an attack on the broncho-alveolar system, COVID-19, among others, can be accompanied by neurological symptoms because of the affection of the nervous system. These can be caused by intrusion by SARS-CoV-2 of the central nervous system (CNS) and peripheral nervous system (PNS) and direct infection of local cells. In addition, neurological deterioration mediated by molecular mimicry to virus antigens or bystander activation in the context of immunological anti-virus defense can lead to tissue damage in the CNS and PNS. In addition, cytokine storm caused by SARS-CoV-2 infection in COVID-19 can lead to nervous system related symptoms. Endotheliitis of CNS vessels can lead to vessel occlusion and stroke. COVID-19 can also result in cerebral hemorrhage and sinus thrombosis possibly related to changes in clotting behavior. Vaccination is most important to prevent COVID-19 in the nervous system. There are symptomatic or/and curative therapeutic approaches to combat COVID-19 related nervous system damage that are partly still under study.",book:{id:"10890",title:"COVID-19, Neuroimmunology and Neural Function",coverURL:"https://cdn.intechopen.com/books/images_new/10890.jpg"},signatures:"Robert Weissert"},{id:"80005",title:"Infarct Stroke and Blood Glucose Associated with Food Consumption in Indonesia",slug:"infarct-stroke-and-blood-glucose-associated-with-food-consumption-in-indonesia",totalDownloads:62,totalDimensionsCites:0,doi:"10.5772/intechopen.101548",abstract:"Stroke is the primary cause of death in adults. It is predicted that the death caused by stroke will increase twice in the next 30 years. In Indonesia, stroke is one of the diseases of the circulatory system, which has been taking the first place of causing death since 2007. Indonesia has rice as the main type of daily food consumed, which has higher glycemic index than other sources. This study aims to find the risk of blood glucose level that determines the incidence of infarct stroke. There were 164 patients enrolled in this study, 82 patients in each stroke and not stroke group. The blood examination is using the enzymatic method, which is the hexokinase method. The results of research revealed that indicators of high blood glucose level were found in infract stroke incidence, including casual blood glucose, fasting blood glucose, 2-h postprandial blood glucose, and glycated hemoglobin. These four indicators were found in a higher level in the infarct stroke than the non-stroke group. Other epidemiological studies have shown that diabetes is a risk factor for stroke. Therefore, education about food selection should be a priority in the effort to prevent infarct stroke and diabetes mellitus in Indonesia.",book:{id:"10782",title:"Cerebrovascular Diseases - Elucidating Key Principles",coverURL:"https://cdn.intechopen.com/books/images_new/10782.jpg"},signatures:"Santi Martini, Hermina Novida and Kuntoro"},{id:"80391",title:"COVID-19 and Seizures",slug:"covid-19-and-seizures",totalDownloads:59,totalDimensionsCites:0,doi:"10.5772/intechopen.102540",abstract:"The past two years were deeply marked by the emergence of a global pandemic caused by the worldwide spread of the virus severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) infection. The plethora of repercussions on the health of those affected is extensive, ranging from asymptomatic individuals, mild flu-like disease, and severe respiratory failure, eventually leading to death. Despite this predilection for the respiratory system, the virus is responsible for multisystemic manifestations and soon became clear that neurological involvement was a frequent issue of coronavirus disease 2019 (COVID-19). Much have been pointed out about the neurotropic nature of the virus, the ways by which it invades and targets specific structures of the central nervous system, and the physiopathology behind the neurologic manifestations associated with it (namely encephalomyelitis, Guillain-Barré syndrome, lacunar infarcts, and vascular dysfunction, just to list a few). This chapter aims to raise light about the association between COVID-19 and the mechanisms of acute symptomatic seizures, through neurotropism and neuroinvasion features of SARS-CoV-2, and to review the variety of clinical presentations reported so far.",book:{id:"10890",title:"COVID-19, Neuroimmunology and Neural Function",coverURL:"https://cdn.intechopen.com/books/images_new/10890.jpg"},signatures:"Rafael Jesus, Carolina Azoia, Paulo Coelho and Pedro Guimarães"}],onlineFirstChaptersTotal:16},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:90,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:330,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:9,numberOfPublishedChapters:140,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:123,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:112,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:22,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:11,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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Prior to his appointment at Stellenbosch University, he has been at the University of Pretoria, Department of Computer Science (1998-2018), where he was appointed as South Africa Research Chair in Artifical Intelligence (2007-2018), the head of the Department of Computer Science (2008-2017), and Director of the Institute for Big Data and Data Science (2017-2018). 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He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). He was vice dean from 2004 to 2010 in the Higher Technical School of Telecommunication Engineers at ULPGC and the vice dean of Graduate and Postgraduate Studies from March 2013 to November 2017. He won the “Catedra Telefonica” Awards in Modality of Knowledge Transfer, 2017, 2018, and 2019 editions, and awards in Modality of COVID Research in 2020.\n\nPublic References:\nResearcher ID http://www.researcherid.com/rid/N-5967-2014\nORCID https://orcid.org/0000-0002-4621-2768 \nScopus Author ID https://www.scopus.com/authid/detail.uri?authorId=6602376272\nScholar Google https://scholar.google.es/citations?user=G1ks9nIAAAAJ&hl=en \nResearchGate https://www.researchgate.net/profile/Carlos_Travieso",institutionString:null,institution:{name:"University of Las Palmas de Gran Canaria",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"23",title:"Computational Neuroscience",coverUrl:"https://cdn.intechopen.com/series_topics/covers/23.jpg",isOpenForSubmission:!0,editor:{id:"14004",title:"Dr.",name:"Magnus",middleName:null,surname:"Johnsson",slug:"magnus-johnsson",fullName:"Magnus Johnsson",profilePictureURL:"https://mts.intechopen.com/storage/users/14004/images/system/14004.png",biography:"Dr Magnus Johnsson is a cross-disciplinary scientist, lecturer, scientific editor and AI/machine learning consultant from Sweden. \n\nHe is currently at Malmö University in Sweden, but also held positions at Lund University in Sweden and at Moscow Engineering Physics Institute. \nHe holds editorial positions at several international scientific journals and has served as a scientific editor for books and special journal issues. \nHis research interests are wide and include, but are not limited to, autonomous systems, computer modeling, artificial neural networks, artificial intelligence, cognitive neuroscience, cognitive robotics, cognitive architectures, cognitive aids and the philosophy of mind. \n\nDr. Johnsson has experience from working in the industry and he has a keen interest in the application of neural networks and artificial intelligence to fields like industry, finance, and medicine. \n\nWeb page: www.magnusjohnsson.se",institutionString:null,institution:{name:"Malmö University",institutionURL:null,country:{name:"Sweden"}}},editorTwo:null,editorThree:null},{id:"24",title:"Computer Vision",coverUrl:"https://cdn.intechopen.com/series_topics/covers/24.jpg",isOpenForSubmission:!0,editor:{id:"294154",title:"Prof.",name:"George",middleName:null,surname:"Papakostas",slug:"george-papakostas",fullName:"George Papakostas",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002hYaGbQAK/Profile_Picture_1624519712088",biography:"George A. 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He has (co)authored more than 150 publications in indexed journals, international conferences and book chapters, 1 book (in Greek), 3 edited books, and 5 journal special issues. His publications have more than 2100 citations with h-index 27 (GoogleScholar). His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null},{id:"25",title:"Evolutionary Computation",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",isOpenForSubmission:!0,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. 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In the last five years, he has published more than 60 papers in international journals indexed in the JCR (around 70% of them belonging to first quartile journals) and he has edited some Springer books “Supervised Descriptive Pattern Mining” (2018), “Multiple Instance Learning - Foundations and Algorithms” (2016), and “Pattern Mining with Evolutionary Algorithms” (2016). He has also been involved in more than 20 research projects supported by the Spanish and Andalusian governments and the European Union. He currently belongs to the editorial board of PeerJ Computer Science, Information Fusion and Engineering Applications of Artificial Intelligence journals, being also associate editor of Applied Computational Intelligence and Soft Computing and IEEE Transactions on Cybernetics. Finally, he is editor-in-chief of Progress in Artificial Intelligence. 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His present research includes organic synthesis, drug discovery and development, biochemistry, nanoscience, and nanotechnology.",institutionString:"Visiting Scientist at Lipid Nanostructures Laboratory, Centre for Smart Materials, School of Natural Sciences, University of Central Lancashire",institution:null},{id:"428125",title:"Dr.",name:"Vinayak",middleName:null,surname:"Adimule",slug:"vinayak-adimule",fullName:"Vinayak Adimule",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/428125/images/system/428125.jpg",biography:"Dr. Vinayak Adimule, MSc, Ph.D., is a professor and dean of R&D, Angadi Institute of Technology and Management, India. He has 15 years of research experience as a senior research scientist and associate research scientist in R&D organizations. He has published more than fifty research articles as well as several book chapters. He has two Indian patents and two international patents to his credit. Dr. Adimule has attended, chaired, and presented papers at national and international conferences. He is a guest editor for Topics in Catalysis and other journals. He is also an editorial board member, life member, and associate member for many international societies and research institutions. His research interests include nanoelectronics, material chemistry, artificial intelligence, sensors and actuators, bio-nanomaterials, and medicinal chemistry.",institutionString:"Angadi Institute of Technology and Management",institution:null},{id:"284317",title:"Prof.",name:"Kantharaju",middleName:null,surname:"Kamanna",slug:"kantharaju-kamanna",fullName:"Kantharaju Kamanna",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284317/images/21050_n.jpg",biography:"Prof. K. Kantharaju has received Bachelor of science (PCM), master of science (Organic Chemistry) and Doctor of Philosophy in Chemistry from Bangalore University. He worked as a Executive Research & Development @ Cadila Pharmaceuticals Ltd, Ahmedabad. He received DBT-postdoc fellow @ Molecular Biophysics Unit, Indian Institute of Science, Bangalore under the supervision of Prof. P. Balaram, later he moved to NIH-postdoc researcher at Drexel University College of Medicine, Philadelphia, USA, after his return from postdoc joined NITK-Surthakal as a Adhoc faculty at department of chemistry. Since from August 2013 working as a Associate Professor, and in 2016 promoted to Profeesor in the School of Basic Sciences: Department of Chemistry and having 20 years of teaching and research experiences.",institutionString:null,institution:{name:"Rani Channamma University, Belagavi",country:{name:"India"}}},{id:"158492",title:"Prof.",name:"Yusuf",middleName:null,surname:"Tutar",slug:"yusuf-tutar",fullName:"Yusuf Tutar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/158492/images/system/158492.jpeg",biography:"Prof. Dr. Yusuf Tutar conducts his research at the Hamidiye Faculty of Pharmacy, Department of Basic Pharmaceutical Sciences, Division of Biochemistry, University of Health Sciences, Turkey. He is also a faculty member in the Molecular Oncology Program. He obtained his MSc and Ph.D. at Oregon State University and Texas Tech University, respectively. He pursued his postdoctoral studies at Rutgers University Medical School and the National Institutes of Health (NIH/NIDDK), USA. His research focuses on biochemistry, biophysics, genetics, molecular biology, and molecular medicine with specialization in the fields of drug design, protein structure-function, protein folding, prions, microRNA, pseudogenes, molecular cancer, epigenetics, metabolites, proteomics, genomics, protein expression, and characterization by spectroscopic and calorimetric methods.",institutionString:"University of Health Sciences",institution:null},{id:"180528",title:"Dr.",name:"Hiroyuki",middleName:null,surname:"Kagechika",slug:"hiroyuki-kagechika",fullName:"Hiroyuki Kagechika",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/180528/images/system/180528.jpg",biography:"Hiroyuki Kagechika received his bachelor’s degree and Ph.D. in Pharmaceutical Sciences from the University of Tokyo, Japan, where he served as an associate professor until 2004. He is currently a professor at the Institute of Biomaterials and Bioengineering (IBB), Tokyo Medical and Dental University (TMDU). From 2010 to 2012, he was the dean of the Graduate School of Biomedical Science. Since 2012, he has served as the vice dean of the Graduate School of Medical and Dental Sciences. He has been the director of the IBB since 2020. Dr. Kagechika’s major research interests are the medicinal chemistry of retinoids, vitamins D/K, and nuclear receptors. He has developed various compounds including a drug for acute promyelocytic leukemia.",institutionString:"Tokyo Medical and Dental University",institution:{name:"Tokyo Medical and Dental University",country:{name:"Japan"}}},{id:"94311",title:"Prof.",name:"Martins",middleName:"Ochubiojo",surname:"Ochubiojo Emeje",slug:"martins-ochubiojo-emeje",fullName:"Martins Ochubiojo Emeje",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94311/images/system/94311.jpeg",biography:"Martins Emeje obtained a BPharm with distinction from Ahmadu Bello University, Nigeria, and an MPharm and Ph.D. from the University of Nigeria (UNN), where he received the best Ph.D. award and was enlisted as UNN’s “Face of Research.” He established the first nanomedicine center in Nigeria and was the pioneer head of the intellectual property and technology transfer as well as the technology innovation and support center. Prof. Emeje’s several international fellowships include the prestigious Raman fellowship. He has published more than 150 articles and patents. He is also the head of R&D at NIPRD and holds a visiting professor position at Nnamdi Azikiwe University, Nigeria. He has a postgraduate certificate in Project Management from Walden University, Minnesota, as well as a professional teaching certificate and a World Bank certification in Public Procurement. 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He received his post-doctoral training in oncology and cancer proteomics for two years at the Cancer Research Institute of Human Medical University in China. In 2001, he went to the University of Tennessee Health Science Center (UTHSC) in USA, where he was a post-doctoral researcher and focused on mass spectrometry and cancer proteomics. Then, he was appointed as an Assistant Professor of Neurology, UTHSC in 2005. He moved to the Cleveland Clinic in USA as a Project Scientist/Staff in 2006 where he focused on the studies of eye disease proteomics and biomarkers. He returned to UTHSC as an Assistant Professor of Neurology in the end of 2007, engaging in proteomics and biomarker studies of lung diseases and brain tumors, and initiating the studies of predictive, preventive, and personalized medicine (PPPM) in cancer. In 2010, he was promoted to Associate Professor of Neurology, UTHSC. Currently, he is a Professor at Xiangya Hospital of Central South University in China, Fellow of Royal Society of Medicine (FRSM), the European EPMA National Representative in China, Regular Member of American Association for the Advancement of Science (AAAS), European Cooperation of Science and Technology (e-COST) grant evaluator, Associate Editors of BMC Genomics, BMC Medical Genomics, EPMA Journal, and Frontiers in Endocrinology, Executive Editor-in-Chief of Med One. He has\npublished 116 peer-reviewed research articles, 16 book chapters, 2 books, and 2 US patents. His current main research interest focuses on the studies of cancer proteomics and biomarkers, and the use of modern omics techniques and systems biology for PPPM in cancer, and on the development and use of 2DE-LC/MS for the large-scale study of human proteoforms.",institutionString:null,institution:{name:"Xiangya Hospital Central South University",country:{name:"China"}}},{id:"40482",title:null,name:"Rizwan",middleName:null,surname:"Ahmad",slug:"rizwan-ahmad",fullName:"Rizwan Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/40482/images/system/40482.jpeg",biography:"Dr. Rizwan Ahmad is a University Professor and Coordinator, Quality and Development, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia. Previously, he was Associate Professor of Human Function, Oman Medical College, Oman, and SBS University, Dehradun. Dr. Ahmad completed his education at Aligarh Muslim University, Aligarh. He has published several articles in peer-reviewed journals, chapters, and edited books. His area of specialization is free radical biochemistry and autoimmune diseases.",institutionString:"Imam Abdulrahman Bin Faisal University",institution:{name:"Imam Abdulrahman Bin Faisal University",country:{name:"Saudi Arabia"}}},{id:"41865",title:"Prof.",name:"Farid A.",middleName:null,surname:"Badria",slug:"farid-a.-badria",fullName:"Farid A. Badria",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41865/images/system/41865.jpg",biography:"Farid A. Badria, Ph.D., is the recipient of several awards, including The World Academy of Sciences (TWAS) Prize for Public Understanding of Science; the World Intellectual Property Organization (WIPO) Gold Medal for best invention; Outstanding Arab Scholar, Kuwait; and the Khwarizmi International Award, Iran. He has 250 publications, 12 books, 20 patents, and several marketed pharmaceutical products to his credit. He continues to lead research projects on developing new therapies for liver, skin disorders, and cancer. Dr. Badria was listed among the world’s top 2% of scientists in medicinal and biomolecular chemistry in 2019 and 2020. He is a member of the Arab Development Fund, Kuwait; International Cell Research Organization–United Nations Educational, Scientific and Cultural Organization (ICRO–UNESCO), Chile; and UNESCO Biotechnology France",institutionString:"Mansoura University",institution:{name:"Mansoura University",country:{name:"Egypt"}}},{id:"329385",title:"Dr.",name:"Rajesh K.",middleName:"Kumar",surname:"Singh",slug:"rajesh-k.-singh",fullName:"Rajesh K. Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329385/images/system/329385.png",biography:"Dr. Singh received a BPharm (2003) and MPharm (2005) from Panjab University, Chandigarh, India, and a Ph.D. (2013) from Punjab Technical University (PTU), Jalandhar, India. 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He also serves as a Publons Academy mentor and Bentham brand ambassador.",institutionString:"Punjab Technical University",institution:{name:"Punjab Technical University",country:{name:"India"}}},{id:"142388",title:"Dr.",name:"Thiago",middleName:"Gomes",surname:"Gomes Heck",slug:"thiago-gomes-heck",fullName:"Thiago Gomes Heck",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/142388/images/7259_n.jpg",biography:null,institutionString:null,institution:{name:"Universidade Regional do Noroeste do Estado do Rio Grande do Sul",country:{name:"Brazil"}}},{id:"336273",title:"Assistant Prof.",name:"Janja",middleName:null,surname:"Zupan",slug:"janja-zupan",fullName:"Janja Zupan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/336273/images/14853_n.jpeg",biography:"Janja Zupan graduated in 2005 at the Department of Clinical Biochemistry (superviser prof. dr. Janja Marc) in the field of genetics of osteoporosis. Since November 2009 she is working as a Teaching Assistant at the Faculty of Pharmacy, Department of Clinical Biochemistry. In 2011 she completed part of her research and PhD work at Institute of Genetics and Molecular Medicine, University of Edinburgh. She finished her PhD entitled The influence of the proinflammatory cytokines on the RANK/RANKL/OPG in bone tissue of osteoporotic and osteoarthritic patients in 2012. From 2014-2016 she worked at the Institute of Biomedical Sciences, University of Aberdeen as a postdoctoral research fellow on UK Arthritis research project where she gained knowledge in mesenchymal stem cells and regenerative medicine. She returned back to University of Ljubljana, Faculty of Pharmacy in 2016. She is currently leading project entitled Mesenchymal stem cells-the keepers of tissue endogenous regenerative capacity facing up to aging of the musculoskeletal system funded by Slovenian Research Agency.",institutionString:null,institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"357453",title:"Dr.",name:"Radheshyam",middleName:null,surname:"Maurya",slug:"radheshyam-maurya",fullName:"Radheshyam Maurya",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/357453/images/16535_n.jpg",biography:null,institutionString:null,institution:{name:"University of Hyderabad",country:{name:"India"}}},{id:"418340",title:"Dr.",name:"Jyotirmoi",middleName:null,surname:"Aich",slug:"jyotirmoi-aich",fullName:"Jyotirmoi Aich",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038Ugi5QAC/Profile_Picture_2022-04-15T07:48:28.png",biography:"Biotechnologist with 15 years of research including 6 years of teaching experience. Demonstrated record of scientific achievements through consistent publication record (H index = 13, with 874 citations) in high impact journals such as Nature Communications, Oncotarget, Annals of Oncology, PNAS, and AJRCCM, etc. Strong research professional with a post-doctorate from ACTREC where I gained experimental oncology experience in clinical settings and a doctorate from IGIB where I gained expertise in asthma pathophysiology. A well-trained biotechnologist with diverse experience on the bench across different research themes ranging from asthma to cancer and other infectious diseases. An individual with a strong commitment and innovative mindset. Have the ability to work on diverse projects such as regenerative and molecular medicine with an overall mindset of improving healthcare.",institutionString:"DY Patil Deemed to Be University",institution:null},{id:"349288",title:"Prof.",name:"Soumya",middleName:null,surname:"Basu",slug:"soumya-basu",fullName:"Soumya Basu",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035QxIDQA0/Profile_Picture_2022-04-15T07:47:01.jpg",biography:"Soumya Basu, Ph.D., is currently working as an Associate Professor at Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India. With 16+ years of trans-disciplinary research experience in Drug Design, development, and pre-clinical validation; 20+ research article publications in journals of repute, 9+ years of teaching experience, trained with cross-disciplinary education, Dr. Basu is a life-long learner and always thrives for new challenges.\r\nHer research area is the design and synthesis of small molecule partial agonists of PPAR-γ in lung cancer. She is also using artificial intelligence and deep learning methods to understand the exosomal miRNA’s role in cancer metastasis. Dr. Basu is the recipient of many awards including the Early Career Research Award from the Department of Science and Technology, Govt. of India. She is a reviewer of many journals like Molecular Biology Reports, Frontiers in Oncology, RSC Advances, PLOS ONE, Journal of Biomolecular Structure & Dynamics, Journal of Molecular Graphics and Modelling, etc. She has edited and authored/co-authored 21 journal papers, 3 book chapters, and 15 abstracts. She is a Board of Studies member at her university. She is a life member of 'The Cytometry Society”-in India and 'All India Cell Biology Society”- in India.",institutionString:"Dr. D.Y. Patil Vidyapeeth, Pune",institution:{name:"Dr. D.Y. Patil Vidyapeeth, Pune",country:{name:"India"}}},{id:"354817",title:"Dr.",name:"Anubhab",middleName:null,surname:"Mukherjee",slug:"anubhab-mukherjee",fullName:"Anubhab Mukherjee",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y0000365PbRQAU/ProfilePicture%202022-04-15%2005%3A11%3A18.480",biography:"A former member of Laboratory of Nanomedicine, Brigham and Women’s Hospital, Harvard University, Boston, USA, Dr. Anubhab Mukherjee is an ardent votary of science who strives to make an impact in the lives of those afflicted with cancer and other chronic/acute ailments. He completed his Ph.D. from CSIR-Indian Institute of Chemical Technology, Hyderabad, India, having been skilled with RNAi, liposomal drug delivery, preclinical cell and animal studies. He pursued post-doctoral research at College of Pharmacy, Health Science Center, Texas A & M University and was involved in another postdoctoral research at Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute, Santa Monica, California. In 2015, he worked in Harvard-MIT Health Sciences & Technology as a visiting scientist. He has substantial experience in nanotechnology-based formulation development and successfully served various Indian organizations to develop pharmaceuticals and nutraceutical products. He is an inventor in many US patents and an author in many peer-reviewed articles, book chapters and books published in various media of international repute. Dr. Mukherjee is currently serving as Principal Scientist, R&D at Esperer Onco Nutrition (EON) Pvt. Ltd. and heads the Hyderabad R&D center of the organization.",institutionString:"Esperer Onco Nutrition Pvt Ltd.",institution:null},{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/319365/images/system/319365.png",biography:"Manash K. Paul is a Principal Investigator and Scientist at the University of California Los Angeles. He has contributed significantly to the fields of stem cell biology, regenerative medicine, and lung cancer. His research focuses on various signaling processes involved in maintaining stem cell homeostasis during the injury-repair process, deciphering lung stem cell niche, pulmonary disease modeling, immuno-oncology, and drug discovery. He is currently investigating the role of extracellular vesicles in premalignant lung cell migration and detecting the metastatic phenotype of lung cancer via machine-learning-based analyses of exosomal signatures. Dr. Paul has published in more than fifty peer-reviewed international journals and is highly cited. He is the recipient of many awards, including the UCLA Vice Chancellor’s award, a senior member of the Institute of Electrical and Electronics Engineers (IEEE), and an editorial board member for several international journals.",institutionString:"University of California Los Angeles",institution:{name:"University of California Los Angeles",country:{name:"United States of America"}}},{id:"311457",title:"Dr.",name:"Júlia",middleName:null,surname:"Scherer Santos",slug:"julia-scherer-santos",fullName:"Júlia Scherer Santos",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311457/images/system/311457.jpg",biography:"Dr. Júlia Scherer Santos works in the areas of cosmetology, nanotechnology, pharmaceutical technology, beauty, and aesthetics. Dr. Santos also has experience as a professor of graduate courses. Graduated in Pharmacy, specialization in Cosmetology and Cosmeceuticals applied to aesthetics, specialization in Aesthetic and Cosmetic Health, and a doctorate in Pharmaceutical Nanotechnology. Teaching experience in Pharmacy and Aesthetics and Cosmetics courses. She works mainly on the following subjects: nanotechnology, cosmetology, pharmaceutical technology, aesthetics.",institutionString:"Universidade Federal de Juiz de Fora",institution:{name:"Universidade Federal de Juiz de Fora",country:{name:"Brazil"}}},{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",slug:"abdulsamed-kukurt",fullName:"Abdulsamed Kükürt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",biography:"Dr. Kükürt graduated from Uludağ University in Turkey. He started his academic career as a Research Assistant in the Department of Biochemistry at Kafkas University. In 2019, he completed his Ph.D. program in the Department of Biochemistry at the Institute of Health Sciences. He is currently working at the Department of Biochemistry, Kafkas University. He has 27 published research articles in academic journals, 11 book chapters, and 37 papers. He took part in 10 academic projects. He served as a reviewer for many articles. He still serves as a member of the review board in many academic journals. He is currently working on the protective activity of phenolic compounds in disorders associated with oxidative stress and inflammation.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Dr.",name:"Volkan",middleName:null,surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178366/images/system/178366.jpg",biography:"Volkan Gelen is a Physiology specialist who received his veterinary degree from Kafkas University in 2011. Between 2011-2015, he worked as an assistant at Atatürk University, Faculty of Veterinary Medicine, Department of Physiology. In 2016, he joined Kafkas University, Faculty of Veterinary Medicine, Department of Physiology as an assistant professor. Dr. Gelen has been engaged in various academic activities at Kafkas University since 2016. There he completed 5 projects and has 3 ongoing projects. He has 60 articles published in scientific journals and 20 poster presentations in scientific congresses. His research interests include physiology, endocrine system, cancer, diabetes, cardiovascular system diseases, and isolated organ bath system studies.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"418963",title:"Dr.",name:"Augustine Ododo",middleName:"Augustine",surname:"Osagie",slug:"augustine-ododo-osagie",fullName:"Augustine Ododo Osagie",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/418963/images/16900_n.jpg",biography:"Born into the family of Osagie, a prince of the Benin Kingdom. I am currently an academic in the Department of Medical Biochemistry, University of Benin. Part of the duties are to teach undergraduate students and conduct academic research.",institutionString:null,institution:{name:"University of Benin",country:{name:"Nigeria"}}},{id:"192992",title:"Prof.",name:"Shagufta",middleName:null,surname:"Perveen",slug:"shagufta-perveen",fullName:"Shagufta Perveen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192992/images/system/192992.png",biography:"Prof. Shagufta Perveen is a Distinguish Professor in the Department of Pharmacognosy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Dr. Perveen has acted as the principal investigator of major research projects funded by the research unit of King Saud University. She has more than ninety original research papers in peer-reviewed journals of international repute to her credit. She is a fellow member of the Royal Society of Chemistry UK and the American Chemical Society of the United States.",institutionString:"King Saud University",institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"49848",title:"Dr.",name:"Wen-Long",middleName:null,surname:"Hu",slug:"wen-long-hu",fullName:"Wen-Long Hu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49848/images/system/49848.jpg",biography:"Wen-Long Hu is Chief of the Division of Acupuncture, Department of Chinese Medicine at Kaohsiung Chang Gung Memorial Hospital, as well as an adjunct associate professor at Fooyin University and Kaohsiung Medical University. Wen-Long is President of Taiwan Traditional Chinese Medicine Medical Association. He has 28 years of experience in clinical practice in laser acupuncture therapy and 34 years in acupuncture. He is an invited speaker for lectures and workshops in laser acupuncture at many symposiums held by medical associations. He owns the patent for herbal preparation and producing, and for the supercritical fluid-treated needle. Dr. Hu has published three books, 12 book chapters, and more than 30 papers in reputed journals, besides serving as an editorial board member of repute.",institutionString:"Kaohsiung Chang Gung Memorial Hospital",institution:{name:"Kaohsiung Chang Gung Memorial Hospital",country:{name:"Taiwan"}}},{id:"298472",title:"Prof.",name:"Andrey V.",middleName:null,surname:"Grechko",slug:"andrey-v.-grechko",fullName:"Andrey V. Grechko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/298472/images/system/298472.png",biography:"Andrey Vyacheslavovich Grechko, Ph.D., Professor, is a Corresponding Member of the Russian Academy of Sciences. He graduated from the Semashko Moscow Medical Institute (Semashko National Research Institute of Public Health) with a degree in Medicine (1998), the Clinical Department of Dermatovenerology (2000), and received a second higher education in Psychology (2009). Professor A.V. Grechko held the position of Сhief Physician of the Central Clinical Hospital in Moscow. He worked as a professor at the faculty and was engaged in scientific research at the Medical University. Starting in 2013, he has been the initiator of the creation of the Federal Scientific and Clinical Center for Intensive Care and Rehabilitology, Moscow, Russian Federation, where he also serves as Director since 2015. He has many years of experience in research and teaching in various fields of medicine, is an author/co-author of more than 200 scientific publications, 13 patents, 15 medical books/chapters, including Chapter in Book «Metabolomics», IntechOpen, 2020 «Metabolomic Discovery of Microbiota Dysfunction as the Cause of Pathology».",institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"199461",title:"Prof.",name:"Natalia V.",middleName:null,surname:"Beloborodova",slug:"natalia-v.-beloborodova",fullName:"Natalia V. Beloborodova",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/199461/images/system/199461.jpg",biography:'Natalia Vladimirovna Beloborodova was educated at the Pirogov Russian National Research Medical University, with a degree in pediatrics in 1980, a Ph.D. in 1987, and a specialization in Clinical Microbiology from First Moscow State Medical University in 2004. She has been a Professor since 1996. Currently, she is the Head of the Laboratory of Metabolism, a division of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation. N.V. Beloborodova has many years of clinical experience in the field of intensive care and surgery. She studies infectious complications and sepsis. She initiated a series of interdisciplinary clinical and experimental studies based on the concept of integrating human metabolism and its microbiota. Her scientific achievements are widely known: she is the recipient of the Marie E. Coates Award \\"Best lecturer-scientist\\" Gustafsson Fund, Karolinska Institutes, Stockholm, Sweden, and the International Sepsis Forum Award, Pasteur Institute, Paris, France (2014), etc. Professor N.V. Beloborodova wrote 210 papers, five books, 10 chapters and has edited four books.',institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"354260",title:"Ph.D.",name:"Tércio Elyan",middleName:"Azevedo",surname:"Azevedo Martins",slug:"tercio-elyan-azevedo-martins",fullName:"Tércio Elyan Azevedo Martins",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/354260/images/16241_n.jpg",biography:"Graduated in Pharmacy from the Federal University of Ceará with the modality in Industrial Pharmacy, Specialist in Production and Control of Medicines from the University of São Paulo (USP), Master in Pharmaceuticals and Medicines from the University of São Paulo (USP) and Doctor of Science in the program of Pharmaceuticals and Medicines by the University of São Paulo. Professor at Universidade Paulista (UNIP) in the areas of chemistry, cosmetology and trichology. Assistant Coordinator of the Higher Course in Aesthetic and Cosmetic Technology at Universidade Paulista Campus Chácara Santo Antônio. Experience in the Pharmacy area, with emphasis on Pharmacotechnics, Pharmaceutical Technology, Research and Development of Cosmetics, acting mainly on topics such as cosmetology, antioxidant activity, aesthetics, photoprotection, cyclodextrin and thermal analysis.",institutionString:null,institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"334285",title:"Ph.D. Student",name:"Sameer",middleName:"Kumar",surname:"Jagirdar",slug:"sameer-jagirdar",fullName:"Sameer Jagirdar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334285/images/14691_n.jpg",biography:"I\\'m a graduate student at the center for biosystems science and engineering at the Indian Institute of Science, Bangalore, India. I am interested in studying host-pathogen interactions at the biomaterial interface.",institutionString:null,institution:{name:"Indian Institute of Science Bangalore",country:{name:"India"}}},{id:"329248",title:"Dr.",name:"Md. Faheem",middleName:null,surname:"Haider",slug:"md.-faheem-haider",fullName:"Md. Faheem Haider",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329248/images/system/329248.jpg",biography:"Dr. Md. Faheem Haider completed his BPharm in 2012 at Integral University, Lucknow, India. In 2014, he completed his MPharm with specialization in Pharmaceutics at Babasaheb Bhimrao Ambedkar University, Lucknow, India. He received his Ph.D. degree from Jamia Hamdard University, New Delhi, India, in 2018. He was selected for the GPAT six times and his best All India Rank was 34. Currently, he is an assistant professor at Integral University. Previously he was an assistant professor at IIMT University, Meerut, India. He has experience teaching DPharm, Pharm.D, BPharm, and MPharm students. He has more than five publications in reputed journals to his credit. Dr. Faheem’s research area is the development and characterization of nanoformulation for the delivery of drugs to various organs.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"329795",title:"Dr.",name:"Mohd Aftab",middleName:"Aftab",surname:"Siddiqui",slug:"mohd-aftab-siddiqui",fullName:"Mohd Aftab Siddiqui",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329795/images/system/329795.png",biography:"Dr. Mohd Aftab Siddiqui is an assistant professor in the Faculty of Pharmacy, Integral University, Lucknow, India, where he obtained a Ph.D. in Pharmacology in 2020. He also obtained a BPharm and MPharm from the same university in 2013 and 2015, respectively. His area of research is the pharmacological screening of herbal drugs/natural products in liver cancer and cardiac diseases. He is a member of many professional bodies and has guided many MPharm and PharmD research projects. Dr. Siddiqui has many national and international publications and one German patent to his credit.",institutionString:"Integral University",institution:null}]}},subseries:{item:{id:"22",type:"subseries",title:"Applied Intelligence",keywords:"Machine Learning, Intelligence Algorithms, Data Science, Artificial Intelligence, Applications on Applied Intelligence",scope:"This field is the key in the current industrial revolution (Industry 4.0), where the new models and developments are based on the knowledge generation on applied intelligence. The motor of the society is the industry and the research of this topic has to be empowered in order to increase and improve the quality of our lives.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/22.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11418,editor:{id:"27170",title:"Prof.",name:"Carlos",middleName:"M.",surname:"Travieso-Gonzalez",slug:"carlos-travieso-gonzalez",fullName:"Carlos Travieso-Gonzalez",profilePictureURL:"https://mts.intechopen.com/storage/users/27170/images/system/27170.jpeg",biography:"Carlos M. Travieso-González received his MSc degree in Telecommunication Engineering at Polytechnic University of Catalonia (UPC), Spain in 1997, and his Ph.D. degree in 2002 at the University of Las Palmas de Gran Canaria (ULPGC-Spain). He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). 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Possible contributions can address (but are not limited to) the following research topics: Bioinspired design and control of exoskeletons, orthoses, and prostheses; Experimental evaluation of the effect of assistive devices (e.g., influence on gait, balance, and neuromuscular system); Bioinspired technologies for rehabilitation, including clinical studies reporting evaluations; Application of neuromuscular and biomechanical models to the development of bioinspired technology.',annualVolume:11404,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",editor:{id:"144937",title:"Prof.",name:"Adriano",middleName:"De Oliveira",surname:"Andrade",fullName:"Adriano Andrade",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRC8QQAW/Profile_Picture_1625219101815",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"49517",title:"Prof.",name:"Hitoshi",middleName:null,surname:"Tsunashima",fullName:"Hitoshi Tsunashima",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYTP4QAO/Profile_Picture_1625819726528",institutionString:null,institution:{name:"Nihon University",institutionURL:null,country:{name:"Japan"}}},{id:"425354",title:"Dr.",name:"Marcus",middleName:"Fraga",surname:"Vieira",fullName:"Marcus Vieira",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003BJSgIQAX/Profile_Picture_1627904687309",institutionString:null,institution:{name:"Universidade Federal de Goiás",institutionURL:null,country:{name:"Brazil"}}},{id:"196746",title:"Dr.",name:"Ramana",middleName:null,surname:"Vinjamuri",fullName:"Ramana Vinjamuri",profilePictureURL:"https://mts.intechopen.com/storage/users/196746/images/system/196746.jpeg",institutionString:"University of Maryland, Baltimore County",institution:{name:"University of Maryland, Baltimore County",institutionURL:null,country:{name:"United States of America"}}}]},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",keywords:"Biotechnology, Biosensors, Biomaterials, Tissue Engineering",scope:"The Biotechnology - Biosensors, Biomaterials and Tissue Engineering topic within the Biomedical Engineering Series aims to rapidly publish contributions on all aspects of biotechnology, biosensors, biomaterial and tissue engineering. We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics can include but are not limited to: Biotechnology such as biotechnological products and process engineering; Biotechnologically relevant enzymes and proteins; Bioenergy and biofuels; Applied genetics and molecular biotechnology; Genomics, transcriptomics, proteomics; Applied microbial and cell physiology; Environmental biotechnology; Methods and protocols. Moreover, topics in biosensor technology, like sensors that incorporate enzymes, antibodies, nucleic acids, whole cells, tissues and organelles, and other biological or biologically inspired components will be considered, and topics exploring transducers, including those based on electrochemical and optical piezoelectric, thermal, magnetic, and micromechanical elements. Chapters exploring biomaterial approaches such as polymer synthesis and characterization, drug and gene vector design, biocompatibility, immunology and toxicology, and self-assembly at the nanoscale, are welcome. Finally, the tissue engineering subcategory will support topics such as the fundamentals of stem cells and progenitor cells and their proliferation, differentiation, bioreactors for three-dimensional culture and studies of phenotypic changes, stem and progenitor cells, both short and long term, ex vivo and in vivo implantation both in preclinical models and also in clinical trials.",annualVolume:11405,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",editor:{id:"126286",title:"Dr.",name:"Luis",middleName:"Jesús",surname:"Villarreal-Gómez",fullName:"Luis Villarreal-Gómez",profilePictureURL:"https://mts.intechopen.com/storage/users/126286/images/system/126286.jpg",institutionString:null,institution:{name:"Autonomous University of Baja California",institutionURL:null,country:{name:"Mexico"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"35539",title:"Dr.",name:"Cecilia",middleName:null,surname:"Cristea",fullName:"Cecilia Cristea",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYQ65QAG/Profile_Picture_1621007741527",institutionString:null,institution:{name:"Iuliu Hațieganu University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"40735",title:"Dr.",name:"Gil",middleName:"Alberto Batista",surname:"Gonçalves",fullName:"Gil Gonçalves",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYRLGQA4/Profile_Picture_1628492612759",institutionString:null,institution:{name:"University of Aveiro",institutionURL:null,country:{name:"Portugal"}}},{id:"211725",title:"Associate Prof.",name:"Johann F.",middleName:null,surname:"Osma",fullName:"Johann F. 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Valarmathi",profilePictureURL:"https://mts.intechopen.com/storage/users/69697/images/system/69697.jpg",institutionString:"Religen Inc. | A Life Science Company, United States of America",institution:null},{id:"205081",title:"Dr.",name:"Marco",middleName:"Vinícius",surname:"Chaud",fullName:"Marco Chaud",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSDGeQAO/Profile_Picture_1622624307737",institutionString:null,institution:{name:"Universidade de Sorocaba",institutionURL:null,country:{name:"Brazil"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"chapter.detail",path:"/chapters/16327",hash:"",query:{},params:{id:"16327"},fullPath:"/chapters/16327",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()