The band structure analysis results of ultrafast light emission from nanoparticles with various grain sizes.
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",isbn:"978-1-83768-132-7",printIsbn:"978-1-83768-131-0",pdfIsbn:"978-1-83768-133-4",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"8e41aab8223c29ce69c00e8c8f6f560d",bookSignature:"Prof. Vlassios Hrissanthou and Assistant Prof. Vasilis Bellos",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/12059.jpg",keywords:"Reservoir, Check Dam, River Flow, River Sediment Transport, Stilling Basin, Weir, Bridge Pier, Scouring, Reservoir Volume Capacity, Dimensioning Flood, Dimensioning Hydrograph, Length of Spillway",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 20th 2022",dateEndSecondStepPublish:"July 21st 2022",dateEndThirdStepPublish:"September 19th 2022",dateEndFourthStepPublish:"December 8th 2022",dateEndFifthStepPublish:"February 6th 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"13 days",secondStepPassed:!1,areRegistrationsClosed:!1,currentStepOfPublishingProcess:2,editedByType:null,kuFlag:!1,biosketch:"Prof. Hrissanthou is the author and co-author of 48 publications in scientific journals, 88 publications in conference proceedings, and 12 book chapters published in English, Greek, and German. He is a member of the Hellenic Hydrotechical Association, the Deutsche Vereinigung fur Wasserwirtschaft, the European Water Resources Association (EWRA), the International Association of Hydrological Sciences (IAHS), and the International Association for Hydro-Environment Engineering and Research (IAHR).",coeditorOneBiosketch:"Dr. Vasilis Bellos is an Assistant Professor at the Department of Environmental Engineering, Democritus University of Thrace, Xanthi, Greece. Dr. Bello's research interest includes integrated water resources management focusing on the design and the environmental management of hydraulic works.",coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"37707",title:"Prof.",name:"Vlassios",middleName:null,surname:"Hrissanthou",slug:"vlassios-hrissanthou",fullName:"Vlassios Hrissanthou",profilePictureURL:"https://mts.intechopen.com/storage/users/37707/images/system/37707.png",biography:"Dr.-Ing. Vlassios Hrissanthou is an Emeritus Professor at the Civil Engineering Department of Democritus University of Thrace (DUTH), Xanthi, Greece. He studied Civil Engineering at the Aristotle University of Thessaloniki (AUTH), Greece, obtaining the diploma of Civil Engineer in 1972. He then undertook postgraduate and doctoral studies on Hydrology and Hydraulic Structures at the University of Karlsruhe (KIT), Germany. Subsequently, he completed a postdoctoral study on Hydraulics and Hydraulic Structures at the University of the Armed Forces Munich (UniBw München), Germany. His teaching work includes the following graduate and postgraduate study courses: Fluid Mechanics, Hydraulics, Engineering Hydrology, River Engineering, Hydropower Engineering, Water Resources Management, Open Channel Hydraulics, Hydrology of Groundwater, Advanced Engineering Hydrology, Sediment Transport, Reservoir Design, Time Series Analysis, Selected Chapters of Hydropower Engineering, and Hydraulics of Stratified Flows. He has supervised a plethora of diploma, postgraduate and doctoral dissertations. He has participated as principal investigator in several competitive international, german and greek research projects, dealing amongst others with soil erosion and sediment transport. Professor Hrissanthou is the author and co-author of 48 publications in scientific journals, 88 publications in conference proceedings, as well as 12 publications in book chapters in English, Greek and German. Finally, he has reviewed numerous publications for 49 international scientific journals.",institutionString:"Democritus University of Thrace",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"5",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Democritus University of Thrace",institutionURL:null,country:{name:"Greece"}}}],coeditorOne:{id:"479700",title:"Assistant Prof.",name:"Vasilis",middleName:null,surname:"Bellos",slug:"vasilis-bellos",fullName:"Vasilis Bellos",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:"Dr. Vasilis Bellos is an Assistant Professor at the Department of Environmental Engineering, Democritus University of Thrace, Xanthi, Greece. Dr. Bello's research interest includes integrated water resources management focusing on the design and the environmental management of hydraulic works.",institutionString:"Democritus University of Thrace",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Democritus University of Thrace",institutionURL:null,country:{name:"Greece"}}},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"11",title:"Engineering",slug:"engineering"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"444316",firstName:"Blanka",lastName:"Gugic",middleName:null,title:"Mrs.",imageUrl:"https://mts.intechopen.com/storage/users/444316/images/20016_n.jpg",email:"blanka@intechopen.com",biography:"As an Author Service Manager, my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. Whether that be identifying an exceptional author and proposing an editorship collaboration, or contacting researchers who would like the opportunity to work with IntechOpen, I establish and help manage author and editor acquisition and contact."}},relatedBooks:[{type:"book",id:"10198",title:"Response Surface Methodology in Engineering Science",subtitle:null,isOpenForSubmission:!1,hash:"1942bec30d40572f519327ca7a6d7aae",slug:"response-surface-methodology-in-engineering-science",bookSignature:"Palanikumar Kayaroganam",coverURL:"https://cdn.intechopen.com/books/images_new/10198.jpg",editedByType:"Edited by",editors:[{id:"321730",title:"Prof.",name:"Palanikumar",surname:"Kayaroganam",slug:"palanikumar-kayaroganam",fullName:"Palanikumar Kayaroganam"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"72",title:"Ionic Liquids",subtitle:"Theory, Properties, New Approaches",isOpenForSubmission:!1,hash:"d94ffa3cfa10505e3b1d676d46fcd3f5",slug:"ionic-liquids-theory-properties-new-approaches",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/72.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"2270",title:"Fourier Transform",subtitle:"Materials Analysis",isOpenForSubmission:!1,hash:"5e094b066da527193e878e160b4772af",slug:"fourier-transform-materials-analysis",bookSignature:"Salih Mohammed Salih",coverURL:"https://cdn.intechopen.com/books/images_new/2270.jpg",editedByType:"Edited by",editors:[{id:"111691",title:"Dr.Ing.",name:"Salih",surname:"Salih",slug:"salih-salih",fullName:"Salih Salih"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"117",title:"Artificial Neural Networks",subtitle:"Methodological Advances and Biomedical Applications",isOpenForSubmission:!1,hash:null,slug:"artificial-neural-networks-methodological-advances-and-biomedical-applications",bookSignature:"Kenji Suzuki",coverURL:"https://cdn.intechopen.com/books/images_new/117.jpg",editedByType:"Edited by",editors:[{id:"3095",title:"Prof.",name:"Kenji",surname:"Suzuki",slug:"kenji-suzuki",fullName:"Kenji Suzuki"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3828",title:"Application of Nanotechnology in Drug Delivery",subtitle:null,isOpenForSubmission:!1,hash:"51a27e7adbfafcfedb6e9683f209cba4",slug:"application-of-nanotechnology-in-drug-delivery",bookSignature:"Ali Demir Sezer",coverURL:"https://cdn.intechopen.com/books/images_new/3828.jpg",editedByType:"Edited by",editors:[{id:"62389",title:"PhD.",name:"Ali Demir",surname:"Sezer",slug:"ali-demir-sezer",fullName:"Ali Demir Sezer"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"872",title:"Organic Pollutants Ten Years After the Stockholm Convention",subtitle:"Environmental and Analytical Update",isOpenForSubmission:!1,hash:"f01dc7077e1d23f3d8f5454985cafa0a",slug:"organic-pollutants-ten-years-after-the-stockholm-convention-environmental-and-analytical-update",bookSignature:"Tomasz Puzyn and Aleksandra Mostrag-Szlichtyng",coverURL:"https://cdn.intechopen.com/books/images_new/872.jpg",editedByType:"Edited by",editors:[{id:"84887",title:"Dr.",name:"Tomasz",surname:"Puzyn",slug:"tomasz-puzyn",fullName:"Tomasz Puzyn"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"16368",title:"Photoluminescence of Nanowires under Ultrashort Laser Pulse Excitation",doi:"10.5772/16315",slug:"photoluminescence-of-nanowires-under-ultrashort-laser-pulse-excitation",body:'As the boundary condition was dropped down to the nanometer scale, the photo electronic properties can be changed dramatically especially that the photon luminescence (PL) properties may be changed significantly. Becausetwo of the dimensions is comparable to or even smaller than the wavelengths of the PL, the nanowires are expected to show a variety of quantum confinement effects, such as density ofstate singularities, macro molecularbehaviour over the long distances, high coherence of the emission, much high luminescenceefficiency and low lasing threshold which is essential toconstruct novel integrated photo electronicdevices in nanoscale. Besides, the high surface-to-volume ratio of these nanostructuresalso allows studying the role of surface states (and their ambient-driven changes)in determining the nanostructure carrier transport and optical excitation/recombination properties. The surface state and quantum confinement are two fundamental effects responsible to the photo electronic characteristic of nanostructures. Naturally the photoelectronic properties determine the future application for nanostructures including nanoparticles, nanowires, nanorods and so on. For example photo electronic properties determine whether the nanowires fabricated are suitable for such electronic application as field emission and photo-detection etc. Meanwhile many kinds of nanowires whose bulk materials can be used as photo luminescent sources are taken granted as the nanolaser active media. Such an idea needs lots of experiment to examine and confirm by the data of both the steady-state spectroscopy and time-resolved spectroscopy dynamically.
Therefore we demonstrate a series studies on dynamic mechanism of nanowires (1 dimensional structure)and nanoparticles (0 dimensional structures) with respect to time, excitation density and photonic energy of PL. The sample focused are zinc oxide (ZnO)(Wang et al., 2009), carbon silicon (SiC)(Zhao et al., 2007), tungsten oxide (WO) covering both direct bandgap semiconductor and indirect bandgap semiconductors.
The following will present the surface state effect on nanoparticles, ultrafast light emission from nanowires and directional lasing behaviour from nanotree. The mechanism of the ultrafast light emission will be discussed qualitatively.
The ultrafast photoluminescence experiment demonstration was constructed with laser system, sample adjustment and detection system. The laser system was select based on the steady state PL spectroscopy of the nanowires. For example, we selected the femtosecond laser pulse at wavelength of 320nm to study the band-band transition of SiC nanowires and ZnO nanoparticles. But for the surface-state exploration we chose picosecond laser pulse at wavelength of 532nm for excitation to the ZnO nanosparticles and we selected picosecond laser pulse at wavelength of 300nm for the excitation to the nanodiamond particles(Zhao et al., 2004). The sample design includes the direction alignment of the sample, the consideration of the polarization of the excitation and the detection because the nanowires undergoes special orientation which is sensitive to the excitation polarization and gives light emission in certain direction and polarization. If necessary we would arrange for a set of microscope monitor system to infirm the correct excitation locally.The detection system was constructed by a set of selective streak cameras and the corresponding spectroscope. The streak camera can be changed with the different time-resolution from 20 picosecond to 700 femtosecond. The spectroscope can be selected whether the quartz prism spectroscope was used for ultraviolet detection for the high transmissivity or the optical grating spectroscope for high wavelength resolution was appliedfor the proper spectral limit.
The experimental set-up is shown in Figure 1. The laser system includes commercial available femtosecond laser system with optical parameter amplifier (OPA), picosecond
Experimental set-up for ultrafast photoluminescence measurement
laser system with Cavity-damped dye laser and high energy picosecond laser system with OPA. Different laser sources are selected due to different motivations. The three total reflectors are adjusted for compensate the electrical delay of the photodiode triggering the streak camera in order to keep the synchronism between the optical induced signal and the triggering signal. But for the streak camera with high repetition rate such as 82 MHz, the external optical delay path is not necessary since the laser excitation keeps constantly both on the intensity and the profile in time domain. The excitation can be focused to the sample on face or from the behind according to the properties of the sample. Generally, the excitation incidence beam is injected on face to the sample fabricated on the substrate of silicon or some other opacities. Furthermore in order to avoid the excitation light into the detection system the excitation can be assigned as perpendicular to the emission collecting lens axis especially for the colloidal solution of nanostructures.The two Glan-Laser Calcite Polarizer prisms are adjusted for the polarization selected and the intensity manipulation for excitation. Additionally the cut-off filters for the excitation can not be neglected for preventing the detection system exposed under high irradiation of the laser.
The fluorescence detected by the streakcamera is the convolution of the instrumental response function and the fluorescence of the materials. Assume the instrumental response function is
Here the instrumental response function consists the excitation and the influence of the optical filters and lenses. The total influence tends to be in the distribution as Gaussian function profile in time-domain. Because the ideal transition rate at room temperature is proportional to the life-time reversely, we considered the theoretical fluorescence intensity
Therefore we should find proper amplitude and corresponding life-time satisfying the following:
We applied an iterative Monte-Carlo method to searchthe best result out of the fluorescence decays with consideration of a global optimization algorithm. It should be noticed that the parameter
As the so-called nanowires is quasi 1-dimensional material. The photo electronic properties may undergo both bulk-like and nanodots-like. For example the laser cavity effect is originated from the bulk materials while quantum confinement effect and surface state effect are more dependent upon the quantum dots and the nanoparticles. In order to get the whole description of nanowires we should make it clear that the photo electronic properties of nanodots or nanoparticles.
The quantum confinement effect(QCE) and surface states are two incompatible physicalmechanisms in modifying the energy band structure ofnanostructures. These two mechanisms competewith each other on the influence to PL spectra. For nanodotsor nanostructures with diameters less than 10 nm, the QCEplays a dominant role while the large surface-to-volume ratio also bringsmuch influence on the system\'s Hamiltonian when thematerial size is reduced to the nanometre scale. Therefore wedemonstrated the size-dependent time-resolvedPL spectra of ZnO nanoparticles with different sizes.The results show a key role of the surface states recombinationin the PL of nanometre sized particles due to the large surface-to-volume ratio.
ZnO nanoparticles of different grain size were preparedby the homogenous precipitation method (HPM)(Wang et al., 2006). The average particle sizes for five groups of samplesare 17 nm, 25 nm, 40 nm, 10 nmand 300 nm. The samples were excited by quasi-continuous picosecond (ps) laser pulses from Vanguard 2000-HM532 laser at 532 nm at room temperature. The laser pulse duration is 12 ps and the pulse repetition is 82 MHz. The maximal output laser power is 2 W. The excitation laser pulses were focused on the sample by a lens with a focal length of 75 mm. The emission was collected before being detected by a synchroscan streak camera (Hamamatsu M1587, resolution of 10 ps) for time-resolved photo luminescence (TRPL) detection. Fig. 2 gives the image of the streak camera of two kinds of nanoparticles representatively. Both images are obtained under the same spectral condition. The focused spot size of the laser beam is 100 micrometer in diameter, and the excitation power density is 2.59 ×105 W/cm2. All the PL spectra exhibit broad bands covering the range from 1.2 eV to 2.3 eV. From Figure 2 we can see clearly that with the increased grain size of the ZnO nanoparticles, the PL band undergoes a red-shift significantly. By optimizing the peak position and half-width of the Gaussian peaks, it was possible to obtain a good fit for the four-peak combination coming from the surface state induced light emission.
The image of surface induced ultrafast light emission. (a) Particle grain size is 20nm, (b) Particle size is 300nm.
The band structure analysis are shown in table 1, Xc indicates the deconvoluted peaks according to Gaussian method with both the central position of the peak and the corresponding intensity. As labeled, the four Gaussian peaks are centered at Xc1, Xc2, Xc3, and Xc4 from the highest photonic energy to the lowest one. All the PL spectra are obtained under the same experimental condition.
Sample | Size(nm) | Xc1 | Xc2 | Xc3 | Xc4 | ||||
Peak(nm) | Inten. (a.u.) | Peak(nm) | Inten. (a.u.) | Peak(nm) | Inten. (a.u.) | Peak(nm) | Inten. (a.u.) | ||
20 | 596 | 0.41 | 643 | 0.71 | 730 | 0.66 | 807 | 0.25 | |
25 | 595 | 0.35 | 648 | 0.69 | 739 | 0.69 | 804 | 0.38 | |
40 | 602 | 0.37 | 661 | 0.67 | 750 | 0.63 | 810 | 0.42 | |
110 | 589 | 0.18 | 698 | 0.46 | 762 | 0.42 | 807 | 0.49 | |
300 | 598 | 0.12 | 700 | 0.41 | 764 | 0.44 | 807 | 0.48 |
The band structure analysis results of ultrafast light emission from nanoparticles with various grain sizes.
The size threshold for surface-state light emission (left) relationship between the peak position and the grain sizes; (right) relationship between the PL intensity and the grain sizes.
Fig. 3 provides the luminescence peak position and the corresponding relative amplitude as a function of ZnO particle size. Upon increasing the grain size from samples
The energy band gap of ZnO is about 3.37 eV, corresponding to light emission at wavelength of 368 nm. ZnO luminescence mainly covers three bands: ultraviolet (UV), green and orange. Most scientists indicated that the green PL comes from intrinsic defects in ZnO samples, while the orange or yellow emission comes from lithium and other impurities(Djurisic et al., 2005). Under such a low photonic energy excitation of 2.33 eV (532nm), which is much lower than that for the band gap transition of ZnO, the PL spectra of all the nanoparticle samples clearly exhibit broad emissions in the range from 1.2 eV to 2.3 eV. The broad emission bands are not considered to come from the introduced impurities, because no impurity was detected in our samples during identification. Such spectra indicate that certain states must lie in the fundamental energy band gap close to the Fermi level of ZnO nanoparticles. We attribute the broad bands obtained with the low photon energies to surface-state transitions, because the only difference in the preparation is the temperature corresponding to their particle sizes.
The existence of such surface-state bands has firmly been established both experimentally and theoretically. Moreover, the surface states located close to the Fermi level are due to the so-called dangling bond in elemental semiconductors. A dangling bond on a crystal surface likely gives rise to a localized state within the band gap. The unsaturated covalent bands can easily form states especially in the center of the gap. Although, it is suggested that no gap surface states exist on perfect ZnO surfaces, as no broken
The time decay curves of three typical different average sizes of samples a, c and e, with
From our spectral results we can concluded that as the grain size is increased the surface state induce light emission turns to weak and the lifetime turns longer. It should be noted that as the grain size drops down to several nanometer the quantum confinement should be dominant to the ultrafast light emission because the bandgap enlargement will be much strong than the disturbance induce by surface state. As the size of the grain goes up to certain value that the bulk structure becomes dominant so that the surface-volume ratio is not much significant the surface state induced light emission should be diminished. Just at a proper size region the surface-state induced light emission cannot be neglected and this may bring important effect to the photo electronic integration on nanometer scale because of the size-peak-lifetime dependent light emission.
Besides Surface state effect in nanoparticles there is other interesting lasing effect from nanoparticles of ZnO. The experiment was demonstrated at room temperature. The excitation laser pulse was generated from commercial available OPA system pumped by Ti: sapphire system (Maitai, Spectral Physics) at wavelength of 320 nm with the pulse repetition of 1 kHz. The pulse duration is 160 fs. The excitation intensity was manipulated by a Glan-Laser Calcite Polarizer-Laser Calcite Polarizer prism. The light emission was collected by a lens composition before focused into the transient spectroscopy system (HAMAMATSU C 6860) connected with quartz prism spectroscope. The spectral resolution is less than 1 nm. In spite that time-resolution is 700 fs the laser pulse was indeed broadened by optical apparatus so that the overall time-resolution of the detection system is 1ps.
The ultrafast light emission from ZnO nanoparticles.
Figure 5 shows that ultrafast lasing effect of ZnO nanoparticles with the size of about 17nm. The wavelength spectrum shows no sharp peak emerging at 385nm or at 390nm which is different from the lasing from ZnO bulk crystal materials. One reason is that electron hole plasma is generated in the nanoparticles and the nanometer boundary condition and the nanoparticles cannot provide any kinds of cavity to generate optical resonance. Furthermore the PL life time is shortened as the pump power increased until the pump power was increased to 136 micro Watt that the decay curve time-resolved PL turns to be symmetrical. Such a fast process implies that the EHP possesses an ultrafast behaviour in nanometer scale.
Therefore, surface state effects play important role in ultrafast light emission from the nanometer particles and the ultrafast light emission related to the transition from the conduction band to the valence band is rather an ultrafast lasing effect than nanolaser. Therefore nanoparticles are not proper candidates for special wavelength respected nanolaser; the nanowires may be a good choice.But the pumping intensity dependence of the PL intensity indicate that the PL at wavelength of 385nm corresponding to the band-band transition of the ideal ZnO crystal structure still under goes the linear dependence as the pumping power is above 117 micro. This is the important evidence for amplified stimulated light emission but not laser because the no cavity has been generated for any oscillation. That is nanoparticles can build amplified light emission easily but cannot construct the oscillating cavity.
Nanoparticles are quasi zero dimensional materials and the PL spectra imply that the nanolaser cannot be respected from just the nanoparticles. Nanowire is quasi 1D material and it undergoes the photo electronic properties of both nanoparticles and the bulk one. Therefore may the nanowire be the ideal candidate for more application in photo electronic.
We have studied the ultrafast light emission of SiC nanowires and WO nanowires and we have measured the ultrafast wide band blue light emission from SiC nanowires and super fluorescence from WO nanowires. The structural characterizations of SiC nanowires and WO nanowires have been shown in the Figure 6.
The experiment of Ultrafast photoluminescence spectroscopy for nanowires of SiC and WO are carried out under femtosecond laser pulse excitation at the wavelength of 320nm from an OPA of a femtosecond (fs) Ti:Sapphire laser with pulse duration of 160 fs (commercial OPA model800CF, Amplifier model Hurricane, Seed model Maitai from Spectra-physics). By a fused silica lens (75.6-mm focal length), the excitation pulse was focused ontothe sample surface at an angle of about 45ºto the normalof the surface. The average power of the excitationon the sample was about up to 400 micro Watt (corresponding to apower density of about 10 GW/cm2).
Morphology of nanowires of WO and SiC, (a) is the SEM of WO nanowires, (b) (c) and (d) are the SEM, XRD and HRTEM for WO lattice characterization; (e, the right most) is the SEM and XRD characteristic of SiC nanowires.
The PL from SiCnanowires was collected at a direction normal to the samplesurface and collected into the spectroscope connected witha streak camera (Hamamatsu C1587) with a time resolutionof 2 ps. The temporal full-width at half- maximum(FWHM) of our instrument response function (IRF) wasless than 10 ps.
For the PL from WO nanowires we can choose the spectral resolution from 0.5nm to 6.0nm and the time resolution from 10ps to less than 1ps.
The details of the spectroscopy of SiC nanowires and the powder of SiC are shown in Figure 7. The photoluminescence of SiC nanowires exhibits wide emission band and cannot be all included in the interested spectra range for the limitation of the spectrometer. From the figure, we can see that there is a large blue shift (~29 nm) between the emission centers of SiC powder and SiC nanowires. Obviously, the blue shift is caused by the nanowires. The photoluminescence of SiC powder can be well fitted by a single Gaussian line with its peak at 446.6nm. However, the emission of SiC nanowires is much broad and represents multiple peaks. We performed Gaussian multi-peak fitting process to the deconvolution and got the result of two peaks located at 418nm and 446.6nm respectively. Thus we can conclude that the peak at 446nm is due to the emission from the SiC powder, while the wide peak at 418nm is caused by the SiC nanowires. Because the diameter of the nanowires ranges from 20 to 50 nm and the curvature of the apex of the nanowires can be down to 2 nm, there should be great difference in the degree of quantum confinement and the surface-to-volume ratio of the nanowires, which accounts for the wide emission peak of the nanowires and the slight shift of the PL peak wavelength. It is well known that the band gap of the bulk 3C SiC is 2.3 eV(Bimberg et al., 1978), corresponding to the emission at the wavelength of 539 nm at room temperature, therefore, the PL peak energy of the nanowires is blue-shifted. But such large blue shift is not practical for quantum confinement. Another reason is that the SiC nanowire undergoes certain phase transition so that 6H SiC was present in the process of the irradiation under intense femtosecond laser pulse. Even for 6H SiC material the bandgap is 2.9 eV corresponding to the light emission at wavelength of 427nm our light emission at 418nm still present a blue shift significantly which due to 64 meV of the band gap widening. Similar results have been obtained in other low-dimensional SiC, the blue-shift emission peak can be explained by the energy gap widening due to the quantum confinement effect in these nanowires.
Ultrafast light luminescence from nanowires and micro powder of SiC, (a) and (b) are the wavelength domain properties of nanowires and micro powder of SiC; (c) is the time domain curve of nanowires of SiC. All scatter dots are for the experimental results and the solid lines are the fitting results.
As the new peak at 418 nm is the dominant emission of the SiC nanowires, we will focus on its dynamic analysis. The red line in Fig. 7c shows the biexponential fitting result to the experimental data. The deconvolution result shows that the two decay constants of the SiC nanowires are 25 ps and 566 ps, respectively. It implies the coexistence of two different recombination paths. It should be noted that the decay time of 567 ps is on the same order of magnitude of that of the SiCnanocrystalline films reported and is nearly three orders of magnitude faster than that of the bound-exciton transitions of bulk SiC at low temperature (Hartman and Dean, 1970). The other decay time is 26 ps. Since quantum confinement effects is indicated occur in low-dimensional SiC, the geometrical restriction of the electron-hole pairs lead to a strong enhancement effect of the oscillator strength of the confined levels resulting in direct transitions in the nanowires and the faster decay process.
Similar explanation has been proposed in low-dimensional Si to account for the fast decay process. Similar results of Si nanowires at room temperature have comparable PL decay time (20 ps), which is also attributed to the luminescence due to the quantum-confinement effect. On the other hand, it\'s known that surface states play an important role in the carrier recombination process with large surface-to-volume ratio in low-dimensional Si. Theoretical calculation shows that the lifetime of self-trapped exciton localized at the surface state is close to 1 ns. Furthermore, similar lifetime (~1 ns) has been found in low-dimensional Si and SiC experimentally, which is also attributed to the recombination of the excitons localized at the surface states. Thus, the slower decay process in SiC nanowires could be subjected to the surface states recombination process. This can be further proved by the energy dispersive x-ray analysis, which shows that the nanowires are pure, containing only Si and C indicating that the slower process is not possible from impurity related emission centers.
In summary, the needle-shaped SiC nanowires give intense blue light emission band peaking at 418 nm under UV fs laser excitation at room temperature. TRPL analysis result shows a biexponential decay behaviour with a faster time constant of 26 ps and a slower one of 567 ps, respectively. The faster decay component is attributed to the direct recombination of the quantum-confined carriers, while the slower one corresponding to the recombination of excitons localized at surface states.
The ultrafast light emission from WO nanowires is analyzed by two steps. First we have detected the time-wavelength-intensity dependent spectroscopy. Under femtosecond laser excitation the WO nanowires undergo two significant effects. One is the PL intensity increases dramatically as the pumping intensity increases. The other is the life-time was shortened to almost to the same level of the instrumental response. To make it quantitatively, we have carried the pump intensity dependent PL measurement which is shown in Fig. 8 (b). We can find that under the low intensity of the pumping, the PL intensity is proportional to the pumping intensity which means that PL emission comes from the spontaneous emission. We applied the linear fitting curve of the function of
Another interesting result is that there is a band shift in Fig. 8 (a) when the pumping intensity increases the lasing like peak turns to shift to red. We applied the high spectral measurement to investigate the detail dynamics of the PL behaviour as shown in Figure 9. The left side in Figure is the integration of the whole image of the streak camera. As the spectral resolution improved the wavelength spectroscopy can be found that there be three bands from the wavelength from 385nm to 395nm corresponding to the transition of the oxygen vacancies. The bandgap of WO is 2.6~2.7 eV corresponding wavelength about 460nm. While the resonant states introduced by oxygen vacancies can generate an direct transition leading to photonic emission with much high efficiency than that of the intrinsic transition from the conduction band to the valence band because the WO is the indirect semiconductor (Karazhanov et al., 2003).
a) The emission intensity spectra of WO3-x nanowires obtained under the pump intensities of femtosecond laser, correspondingly from low to high, of 30, 40, 50, 60, 70, 80, 90, 100, 110, 130, and 225 W/cm2, respectively.(b)The intensity of emission peak versus the pump intensity (the black dot line), the fitting curve of the function of Ie=a1Ip (the red dot line, a1 is a constant of 6.0), and the fitting curve of the function of Ie=a2Ip2 (the green dot line, a2 is a constant of 0.28). (c), (d), and (e) are the emission decay curves of WO3-x nanowires at low pump intensity of less than 90 W/cm2(section A), the midst pump density of 110 W/cm2((section B), and high pump density of more than 130 W/cm2 ( section C), respectively.
The most significant experimental finding of our study is the time-resolved spectroscopy measurement of SF which resolves in first time the dynamic process of a SF in picosecond-scale. As shown in Figs. 9(a) and 9(b), a red shift and a blue shift at the first and second halves of the SF pulse have been clearly detected, respectively, with use of high spectral resolution spectrometer (0.5 nm) and high time resolution of our streak camera (less than 1.0 ps). Three peaks with the centre wavelengths of 396nm (3.13 eV), 391nm (3.17 eV), and 386 nm (3.21 eV) (Fig. 9(c)) can be seen at the time of 4.3, 5.5 and 8.9 ps (Fig. 9(d)) after the initiation of excitation pulse, respectively. Fig. 9(d) reveals that for the majority of emitted photons, the first group is at the wavelength of 396 nm at time of 4.3ps, the second one at 391 nm at time of 5.5ps and the last one at 386 nm at time of 8.8ps. The peak at 391 nm may be attributed to the recombination of Frenkelexcitons themselves, and the peaks at 396 and 386 nm are then a red shift and a blue shift at the first and second halves of the ultrafast photo luminescent pulse, respectively. This effect of frequency-shift during radiation is the fingerprint characteristic of cooperative emission in solid state, different from the case of atomic gas system.
a) The ultraviolet SF pulse profile recorded under the pump intensity of 225 W/cm2 (the peak of excitation pulse at the time of zero). (b) The time-resolved emission spectra of ultraviolet SF just recorded at the time of a, b, c, d, e, and f, which are indicated in (a). (c) The time-integrated spectrum of ultraviolet SF. (d) The emission decay curves of ultraviolet SF at the centre wavelength of 396 nm (black), 391 nm (red), and 386 nm (green); their maximal intensities occur at 4.3ps, 5.5ps and 8.8 ps after the peak of excitation pulse, respectively.
We have demonstrated a new new theoretical model for atwo-dimensional system, and to apply it to explain the present findings(Luo et al. 2011).
As the theoretical model indicates that the first and last groups of emitted photons in SF process occur at
Therefore ultrafast photo luminescent phenomena of various nanowires enrich the prospective application of nanowires in light sources and integrated photo electronics with both ideal structures of nanowires and the defects contained nanostructures. With the artificial nanostructures we can obtain various novel structures for further practical design of functional materials.
Compare with the uniform nanowires the composed structure of nanowires even with micro rods are a new kind of complex artificial materials with novel photo electronic features. Among various composed nano-micro structures ZnOnanotrees have attracted much attention in recent years. We have measured the ultrafast photo luminescent of ZnOnanotree with various spacial respects and found that there be different lasing behaviour inside the nanotree structures (Zhao et al., 2010).
SEM image of ZnOnanotree.a: title view; b: side view; c: magnification image of single nanotree. Direction dependent lasing emission of ZnOnanotree structure.
From Figure 10 we can see clear that each ZnOnanotree is uniformly composed of a hexagonal prismatic microcrystalline trunk and radial-oriented nanobranches on the micro trunk’s six columnar surfaces (Fig. 10 c), thus forming a nanostructured
The spacial distribution of the ultrafast photoluminescence of ZnO tree was measured with the set-up as the schematic inset in Figure 10. As the trunk is parallel to the normal line of the sample plane we adjusted the angle between the excitation laser beam and the normal line of the sample to obtain the relationship between the lasing emission and the geometry of excitation to the nanotrees. The spacial intensity distribution shows the maximum lasing emission at the direction nearly parallel to the trunks which increase dramatically as the angle bends to nearly parallel to the direction of the trunk of the tree. This means no matter which direction to get the excitation the end effective lasing comes from the trunk of the nanotrees. Such effective lasing emission implies that there may be energy transfer process from the branches to the trunk of the nanotrees.
XRD results of the ZnOnanotree, a: TEM image of nanotree, b: HRTEM of branch-trunk junction, c: schematic structure model of ZnOnanotree.
By checking the crystal structure of the ZnOnanotree we can find that both the microtrunks and the nanobranches have grown along the
As the nanotree shows a specific spatial construction compared with other homogeneous nanowires and nanorods we should explore the detailed light emission on the basis of the novel structures. In order to explore the details of the excitation energy flow we demonstrated four extremely schematic setups for the detection of the dynamic lasing emission. According to the directions of the excitation and detection, we denote the E for excitation and D for detection which addressed letter V for the nearly parallel to the
Comparative lasing efficiency under different geometrical conditions. The blue arrow and the red arrow represent for the excitation and the emission correspondingly. The number is for modification in order to get proper ccomparisons among different conditions.
Figure 12 shows that when the excitation was set vertically, the lasing along the trunk presents in different separate modes. One of the most significant lasing comes from the mode at wavelength of 379 nm which was assigned as P band of ZnO nanostructures. The others separate modes should come from the cavity effect of the trunk. From the separation and the cavity analysis we can calculate the length trunk is about 15 micro meters long accordant with the morphology. But the horizontal light emission (EHDH) shows a wide band with very low intensity. Such ultrafast light emission is similar to amplified spontaneous emission. Furthermore, we can find that such light emission undergoes red-shift compared to that of trunk which is due to the nanostructures larger than 100nm scale. Therefore, we attribute such wide band random lasing to the light emission of the nanobranches growing on the trunk with angle of 108 to the
Because the far field lasing emission are all demonstrated by the light with the polarization perpendicular to the
As for semi-perpendicular excitation (EH), we may expect that the branches get mainly excited and the trunk got excited much less than that of semi-parallel setup the light emission should be mainly from the branches of the nanotree. But the result has shown much different to such a deduction. Firstly, as the branches undergo the structure in nanometer scale, the light emission presents a wide band spectrum as detected under EHDH, but it demonstrated a very low intensity compared to the trunk emission of EVDV setup. Secondly, with the detection of EHDV separate modes are distinguished with the same wavelength separation as that of the EVDV as well as much higher intensity and a slight redshift than that of EVDV. Because the excitation keeps the same under these two conditions we should consider the energy transfer from the branches to the trunk of the nanotree. Since the PL only concerns about the electric vector perpendicular to the c axis the detected light emission far field is only the emission of the electric vector which is perpendicular to the corresponding
As we known that photosynthesis is one of the most important energy transform process on earth and the initial energy transfer process is the key step to harvest the solar energy for the coming processes, the artificial ultrafast energy harvesting apparatus has attracted much more attention of both material experts and photonic scientists. Our nanotree of ZnO has the similar structure as the LHC of algae which has six antae linked onto the core structure. Since the core structure is arranged on the membrane of the thylakoid behaving as the acceptor of the excitation energy, this open a door for us to applied a certain structure to the trunk of the nano-pine-tree to link to the corresponding acceptor of such a coherent excitation leading to energy transferring apparatus with high efficiency and high speed.
The PL efficiency of trunk to branches has been calculated based on the structural statistics. Table 1 shows the detailed calculation of TB ratio (Data have been listed in Table 2.). The efficiency is the projection factor of the excitation beam. The structural T/B ration is the ratio of the absorption cross area based on the structural statistics. The experimental T/B ratio is calculated from the PL spectroscopy. Under the vertical excitation the structural T/B ratio is 0.355 while the experimental T/B ratio is 0.063 indicating that there is part of energy transferred from the trunk to the branches. But under parallel excitation, the structural T/B ratio is 0.496 while the experimental ratio is up to 20.6 showing that the majority of the excitation energy in the branches transferred into the trunk leading to a large PL ratio of T/B.
To study the dynamic process of the nanotree structures, we have carried out a excitation–dependent lasing detection, which under the parallel condition we adjusted the excitation laser power by Glan-Laser Calcite Polarizer prism from few micro Watt to about 120 micro Watt. The excitation dependent lasing emission is shown in Figure 13. Figure 13 (a) is the time-decay curves of both lower excited lasing emission and the higher excited lasing emission respectively. The slower delay curve belongs to the lower excitation at the mean optical power of 5.5 micro Watt which corresponding to the focal pumping density of 374MW/cm2. Such a process was taken to the ultrafast lasing emission of high excitation but not relates to the correlated light emission. The fast decay curve belongs to the higher pumping at the mean focal density of 3.4GW/cm2, which is closed to bring the correlated light emission such that we have obtained the almost Gaussian profile of the delay curve which means that the light emission response time is less than the excitation lasing pulse, about 4 picoseconds in our experiment.
Furthermore, a clear linear relationship has been given by the intensities of both excitation and lasing emission as shown in Figure 13 (b). The fitting result shows that the threshold of excitation for lasing emission is 20 micro Watt. The linear dependence of the light emission with the intensity matches the laser theory of a constant gain efficiency of the gain medium which is nanostructures ZnO in our experiment. Therefore the trunk of the nanotree behaves as both the gain medium and the cavity of the lasing emission. The branches play the role of light harvesting and transfer the harvested energy to the laser cavity to get the phase matched lasing emission. Such a geometrical restricting lasing structure is appropriated for photo electronic integration.
Lasing effect of the nanotree under parallel excitation.a) Time-resolved spectra of emission under different pumping intensity. b) Dependence of light emission on the excitation intensity.
One important comment is that on order to get the lasing emission evidently we have carried all the lasing detection under the pumping laser intensity at the power of 50 micro Watt corresponding to the focal light intensity of 3.4 GW/cm2. Additionally, for the more detailed dynamic energy transfer study we have demonstrated the ultrafast ling detection under the fastest responding selection but have not obtained any significant improved results. It implies that the energy transfer between the branches and the trunk must be much faster than 1.0 picosecond, the time-resolution of our detection system, which may have a certain degree of coherent interaction between the trunk and branches of the ZnOnanotree.
From discussion above, we have demonstrated a directional lasing emission from structured ZnOnanotree with ultrafast time-resolved laser spectroscopy. The lasing shows a far field diffraction angle less than 0.04 rad (Figure 10) with separate cavity modes. The detailed direction excitation setup analysis gives an ultrafast energy transfer between the branches and the trunk of the nanotree evidently. Nano branches play the role of light harvesting and transferring the harvested energy to the trunk which behaves as both the gain medium and the laser cavity for phase matching of lasing emission. Such a geometrical restricting lasing structure is appropriated for photo electronic integration (Wang et al., 2009). The transferring time may be much faster than 1.0 picosecond. The results imply that with proper artificial techniques man can fabricate apparatus with featured high energy transfer function and ultrafast energy transfer time as well as high intensity lasing emission shedding light on the ultrahigh speed light communications and integrated photo electronic.
Ex | Em | Excitation efficiency | Trunk area | power | Branch area | power | Experimental detection | ||
T | T | B | B | T | B | ||||
V | H | 0.0955 | 0.335 | 0.021 | 0.665 | 0.064 | 270490 | ||
V | 0.9045 | 0.264 | 0.239 | 0.736 | 0.667 | 16958 | |||
0.260 | 0.732 | ||||||||
T/B ratio | 0.355 | 0.063 | |||||||
H | H | 0.9568 | 0.335 | 0.320 | 0.665 | 0.636 | 5656 | ||
V | 0.0432 | 0.264 | 0.011 | 0.736 | 0.032 | 116700 | |||
0.331 | 0.668 | ||||||||
T/B ratio | 0.496 | 20.6 |
The energy transfer calculation between the trunks and the branches of the ZnOnanotrees, Ex is for the excitation direction while Em for the detection direction.
In summary, nanowires as one-dimensional material have attracted much attention on the functional application research. Photo electronic properties determine its application on photo detection, integrated optical devices and novel kinds of light source.
We have constructed a series experiments for the ultrafast photo luminescence detection and completed the analysis of the mechanisms of the ultrafast light emission from various nanowires as well as beginning with the nanoparticles of ZnO. We have found the surface state induced ultrafast light emission from the transition within the bandgap in ZnO nanoparticles and measured that there is a size threshold for surface state induced light emission. Besides, we have detected the ultrafast blue light emission from the needle like SiC nanowires and the spectral results show the significant quantum confinement. Furthermore, we have accomplished the mechanism studies on the super fluorescence from WO nanowires and concluded that the SF is due to the oxygen defects resonance transition. To investigate the nanowires UPL more practically, we developed a complex set-up to study the ultrafast light emission of the nanotrees of ZnO and find the lasing effect from the trunks of thenanotrees and find the clue of the energy transfer from the branches to the trunks. From the ultrafast photo luminescence studies we have been clear for the following.
With proper artificial design man can find the wide-band ultrafast light emission due to the surface-state. Because the bandwidth of surface state induced light emission can be tuned through the size of the material in nanometre scale we may construct optional light sources by the size design. Certainly surface state can also bring trouble for the neat narrow band emission this should be pay attention in the material design.
The super fluorescence in the defect contained nanowires made of indirect semiconductors such as WO nanowires brings new hope for ultrafast integrated photo electronics. Several picoseconds response time means an ultrafast light transformation in practice.
Composition of the nanotree undergoes the ultrafastlasing effect and energy transfer phenomenon. Such structure may be useful for artificial solar energy harvesting apparatusdevelopment.
The authors gratefully acknowledge the financial support of the project from the National Natural Science Foundation of China (Grant No. 10574165), the project from the Natural Science Foundation of Guangdong (Grant No. 8151027501000017), theScience and Technology Department of Guangdong Province,the Department of Information Industry of Guangdong Province and the Science andTechnology Department of Guangzhou City.
All surgical procedures, including dental surgery, present risk of complications, which may include pain, nerve injury, swelling, infections, and hemorrhage. Dental surgery is defined as any dental intervention including an incision in the oral mucosa or gingiva, including anything from a simple dental extraction to alveoloplasties [1]. Bleeding control is an important step during dental surgery procedures [2] because excessive bleeding complicates surgery and increases the risk of morbidity. To avoid such complications when long-lasting bleeding occurs, despite the proper use of traditional techniques for hemorrhage control, a broad range of hemostatic agents are available, as adjunctive measures to enhance hemostasis in the course of dental surgeries [3]. Despite the expressive rise in the amount and types of topical hemostats in the past decade, high-level evidence regarding the management of these agents during bleeding in dental surgery is still lacking.
\nThe periprocedual management of patients receiving therapeutic anticoagulation represents a challenge for dental practitioners, as the risk of bleeding must be counterbalanced against the risk of systemic or local thromboembolic phenomena. Recommendations for dental interventions in individuals receiving anticoagulation therapy remain quite unclear, in spite of practice guidelines from both dental [4] and medical [5] fields.
\nThis chapter aims to discuss the effective ways of managing bleeding complications in dental surgery, mainly in high-risk patients. The role of biosurgical materials to prevent or solve these complications, during and after dental surgery procedures, will also be addressed, as well as their modes of action, practical applications, adverse effects, and effectiveness.
\nThe physiological mechanism that prevents and hinders bleeding at the area of an injury while preserving regular blood flow everywhere else in the circulation is called hemostasis [6]. The hemostasis process has two major components. Primary hemostasis initiates promptly after vascular injury, and it can be divided into four consecutive and superposed stages: (A) vasoconstriction, (B) platelet adhesion, (C) platelet activation, and (D) platelet aggregation [7, 8, 9, 10]. Primary hemostasis results in the formation of a platelet plug [10]. Secondary hemostasis comprises a sequence of serine protease zymogens and their cofactors, which interact successively on phospholipid surfaces (damaged endothelial cells or platelets), leading to the development of covalently cross-linked fibrin [10, 11, 12]. This cross-linked fibrin mesh is then incorporated into and around the platelet plug. It strengthens and stabilizes the blood clot. These two processes are intertwined and occur at the same time [6]. These systems are regulated by multiple anticoagulant mechanisms, which are responsible for maintaining blood fluidity in the absence of injury, generating a clot that is consistent with the trauma. Hemostasis and the avoidance of bleeding or thrombosis are directly related to the adequate balance between procoagulant and anticoagulant systems [6].
\nHemorrhage in dental surgery can be categorized as:
Primary hemorrhage: bleeding occurs during surgery
Reactionary hemorrhage: bleeding occurs 2–3 hours after surgery
Secondary hemorrhage: bleeding occurs until 14 days after surgery, probably due to an infection
Hemorrhage can also be categorized according to the area injured: vascular, bone, and soft tissue [13, 14]. Bleeding diathesis is an unusual susceptibility to bleeding and may be genetic, autoimmune, or acquired (Table 1) [15, 17]. Selected bleeding disorders will be covered in this chapter.
\n\nThe most prevalent hereditary bleeding disorders are von Willebrand disease and hemophilia, affecting 1% of the population and 20,000 people in the USA, respectively [18, 19, 20, 21, 22]. Dental patients presenting inherited bleeding present a significantly higher risk of perioperative bleeding. The frequency and severity of bleeding are related to disease-related factors, such as the severity of the hemophilia. Factors related to the patient include the level of periodontal disease, vasculopathy or platelet dysfunction, and procedure-related factors (teeth extracted—type and the number—or the size of the wound area) [23].
\nOne example of autoimmune bleeding diathesis is the immune thrombocytopenic purpura (ITP), an idiopathic thrombocytopenic purpura condition, characterized by isolated thrombocytopenia without a clinically apparent cause [24].
\nThe most common acquired bleeding diathesis is the one related to hemostasis-altering medications. Anticoagulant agents are among the most prescribed medications in the USA [25]. For decades, anticoagulants have been prescribed to prevent arterial and venous thromboembolism [1]. Prolonged bleeding and bruising are some of the adverse events related with these medications [4]. The most frequently used drugs are therapeutic platelet inhibitors, vitamin K antagonists, or direct oral anticoagulants. Patients susceptible to hemorrhage may present severe bleeding resulting from dental surgery procedures. The use of biosurgical hemostatic agents to decrease or control bleeding may be beneficial for patients at risk for bleeding diathesis.
\nBleeding complications can occur either in healthy or systemically compromised patients. Some patients tend to bleed excessively during or after dental surgery, due to different factors, such as anticoagulant therapy, inherited bleeding disorders, uncontrolled hypertension, extreme trauma to soft tissues, and non-compliance to postoperative recommendations. In these cases, the use of an effective hemostatic agent enhances hemostasis, providing a wide spectrum of benefits, such as superior management of the anticoagulated patient, shorter operation time, as well as smaller wound exposure and shorter recovery time.
\nThe ideal topical hemostatic agent should be biocompatible, affordable, and effective [14, 26, 27]. In recent years, the number of different topical hemostatic agents has increased significantly (Table 2). Knowledge and familiarity with the wide range of topical hemostatic agents available are essential for dental practitioners, including their effectiveness, mode of action, and adverse effects. A well-informed professional will be able to opt for the most effective and practical agent for each situation. In relation to the use of local hemostatic in dental procedures, available scientific data is not homogenous. Most publications use one or more local hemostatic agents to compensate for the anticoagulant effect and prevent postoperative bleeding [29]. The most common local biosurgical hemostatic agents used in dentistry and approved by the Food and Drug Administration (FDA) are listed in Table 2.
\nTypes and trade name of some biosurgical agents–adapted from Pereira et al. [28].
Local biosurgical hemostatic agents can be classified into (A) passive or mechanical, (B) active, and (C) flowables [30].
\nConsidered as the most effective agents for small amounts of bleeding, passive or mechanical agents provide platelet activation and aggregation. This results in a matrix formation in the bleeding area that works as a barrier to stop bleeding, by activating the extrinsic clotting pathway and providing a surface that will allow coagulation to occur faster [30]. As these agents are biologically inactive, they rely on the individual’s own fibrin production to attain hemostasis. Passive hemostats are only indicated for individuals with an unscathed coagulation cascade [27]. They are generally applied as frontline agents, since they are readily available, do not require special storage or handling, and are relatively affordable [14, 27, 31].
\nGelatin is a hydrocolloid derived from acid partial hydrolysis of purified animal collagen. It is presented as a gelatin sponge, powder (mixed to form a paste), or film. Gelatin can be placed dry or after moistening it with saline [14, 28, 32, 33]. Gelatin-based products adapt effortlessly to wounds making it appropriate for application into irregular surfaces [27]. Although their mode of action is not completely understood, gelatin-based products likely act more physically than chemically in the coagulation cascade [28, 34]. Affordability, ease of use and good hemostatic activity make topical hemostats with gelatin matrix a popular tool for reducing the morbidity caused by hemorrhage [27, 28] after dental extractions and periodontal surgeries.
\nThe most popular absorbable gelatin sponge in dentistry is Gelfoam®. It is a hemostatic compressed sponge obtained from purified porcine skin gelatin. Gelfoam® is capable of absorbing many times its weight of whole blood [35]. Generally, when applied in soft tissues, its complete absorption occurs within 4–6 weeks.
\nCollagen absorbable products are nontoxic and non-pyrogenic. They are sourced from either bovine dermal collagen or bovine tendon. Collagen hemostats provide a matrix for clot formation and consolidation. These products also improve clotting factor release and platelet aggregation and degranulation, thereby breaking up clot formation. Their presentation in sheets and flours allows for easy adaptation and adhesion to irregular surfaces. Although they are commercialized at a higher price than gelatin-based hemostats, hemostasis can usually be accomplished relatively quicker (1–5 min). Collagen absorbable products are easily removed, reducing the risks of rebleeding and the need for various applications. They are absorbed in 8–10 weeks if remained in place. Adverse effects linked to bovine collagen products might include swelling and allergic reaction [30].
\nHelistat® is a collagen-based product originated from purified and freeze-dried bovine flexor tendon and is available as a spongelike structure [14, 27]. Helistat® can hold many times its own weight of fluid, as it is highly absorbent. Collagen induces platelet agglomeration when in contact with blood. In order to achieve hemostasis, Helistat® must be kept at the site (approximately 2–5 minutes). Subsequently, it can be removed, replaced, or left in place. It is easily manipulated, and it must be handled dry, and any excess must be removed. Complete reabsorption occurs within 14–56 days [14, 27, 36]. Helistat® may foster bacterial growth, acting as a nidus for abscess formation [14, 27, 37]; therefore, it should not be placed in wounds with any kind of contamination or infection. Possible adverse reactions of Helistat® or similar products are allergic reaction, foreign body reaction, and adhesion formation [27, 38].
\nSimple oxidized cellulose was first introduced in the early 1940s in the USA. In the 1960s, a new topical hemostatic-oxidized regenerated cellulose (ORC) was launched as a meshwork made from treated and sterilized cellulose—Surgicel®. ORC products are originated from vegetal-based alpha cellulose, available in absorbable knitted fabrics (low or high density), and prepared as sterile fabric meshworks. They are ready-to-use products that may be kept at room temperature and absorb 7–10 times its own weight [27, 30]. ORC cause contact activation and platelet activation, and, when absorbed, a gelatinous mass is created, assisting in the establishment of the clot formation [30]. Thrombin is ineffective with these agents due to low-pH factors. ORC are utilized in the management of capillary, venous, and small arterial bleeding, and they require dry application, without addition of saline or thrombin [27, 39] and are absorbed within 4–8 weeks, depending on the volume applied, the tissue bed, and the magnitude of blood saturation [27, 40, 41, 42]. To prevent delayed healing, excessive volumes should be removed [27]. ORC should not be used in osseous defects as it may intervene with bone regeneration [14, 27, 31]. Adverse effects also include reactions related to the acidic nature of ORC. This characteristic may induce necrosis and inflammation of the surrounding tissue and makes thrombin inefficient with these agents. When left in the wound, they may lead to fluid encapsulation and foreign body reaction [14, 27].
\nThe most common commercial products in this category are Surgicel®, Oxycel®, and Surgicel Nu-Knit®. Surgicel® and Surgicel Nu-Knit® come in knit, solid fiber form, whereas Oxycel® comes in knit, hollow fiber form; however, they function basically in a similar manner [30].
\nOxidized cellulose (OC) agents are produced from sterilized and treated cellulose, presented as a meshwork. In the presence of blood, they present a three- to fourfold increase in volume and are converted into gel. OC dissolve completely in 1–2 weeks into biodegradable end products glucose and water, and they do not interfere with wound healing [14, 27].
\nActCel® binds to calcium ions, resulting in more calcium available for the coagulation cascade [14, 27, 37]. Biochemically, it intensifies the coagulation process by increasing platelet aggregation and physically by 3D clot stabilization. ActCel® is especially indicated in third molar extractions, to avoid the occurrence of dry sockets, and in orthognathic and periodontal surgeries [27]. ActCel® is hypoallergenic, as it does not contain collagen, thrombin, or chemical additives. It also has important bacteriostatic properties [27, 43], which are particularity relevant in infected wounds [27].
\nGelita-Cel® is a relatively quick acting, oxidized resorbable cellulose hemostatic gauze of natural origin. It presents a decreased risk for encapsulation, as it resorbs as fast as 96 hours [14, 27, 37].
\nPolysaccharide hemospheres are a fairly new class of topical biosurgical hemostatic agents, produced from vegetable starch, and they contain no animal or human elements. They are commercially presented in powder form. Polysaccharide hemospheres increase barrier formation by creating a hydrophilic effect, dehydrating the blood, and concentrating its solid components [14, 27]. Due to their 3D scaffold, they are devised to enhance clot formation and organization, even in the absence of intrinsic coagulation activity [14, 44, 45]. Polysaccharide hemospheres should be used with caution in diabetic patients, as they consist of sugars [27].
\nArista™AH is the only FDA-approved product in the polysaccharide hemosphere category. It is used in dental surgery as an adjunctive hemostatic agent, when conventional mechanical procedures, such as pressure and ligature, are not effective or practical.
\nHemostatic adhesives are often used as adjuncts to standard hemostatic procedures to control bleeding from surgical areas [30]. One of the most well-known products in this category is BioGlue®. It consists of a solution of 10% glutaraldehyde and 45% bovine albumin solution purified by precipitation, heat, and chromatography radiation [28, 46]. BioGlue® has been extensively used for its sealants and hemostatic characteristics. The risk of leaking through the suture tracks is the main disadvantage of BiolGue® [27]. In the search for newly created adhesives with the chemical features and the safe reabsorptive profile required to benefit dental surgery patients, several clinical trials are currently in process.
\nActive hemostatic agents are biologically active, as they play a direct role in the coagulation cascade, inducing the formation of a fibrin clot [26, 27].
\nThrombin is key to hemostasis, as well as to the inflammatory and cell signaling processes. It is the base of the fibrin clot, fostering the transformation of fibrinogen to fibrin [28]. Topical thrombin hemostats are originated from either bovine or human plasma, and they can also be produced through recombinant DNA techniques [14, 27]. In the past, the only thrombin hemostat available was composed of bovine plasma (Thrombin-JMI). Although it has proven to be efficient in terminating bleeding, bovine thrombin induces an important immune response [28, 47]. Individuals on hemodialysis, with increased levels of antibodies against topical bovine thrombin, had higher incidence of vascular access thrombosis, severe coagulopathy, and bleeding after exposure to bovine thrombin [28, 48]. As an attempt to avoid these hazardous effects, thrombin derived from human plasma (Evithrom®) and recombinant human thrombin (Recothrom®) were developed. In 2010, Browman et al. [49] demonstrated, in a comparative study between recombinant human thrombin and bovine thrombin, that human recombinant thrombin showed the same efficacy in surgical hemostasis, a comparable safety profile, and a remarkably lower immune response than bovine thrombin. Thrombin may be applied topically, as a solution combined with gelatin sponges mixed with a gelatin matrix, as a dry powder, or as a spray [14, 27]. It is commonly used in conjunction with Gelfoam® to stop moderate to severe bleeding.
\nFibrin sealant or fibrin glue originates from bovine and/or human blood components and simulates the last phases of the coagulation cascade, generating a fibrin clot [30]. These agents control local, as well as diffuse, bleeding from the surgical area. Nevertheless, they are ineffective in controlling intense bleeding. Its use in dentistry includes tooth extraction sites, bone grafting, and periodontal surgery [14].
\nTisseel® was the first fibrin sealant approved by the FDA. It has in its composition human thrombin and fibrinogen, intermixed with aprotinin and CaCl2. Because aprotinin is a bovine protein, it is a potential allergen. Multiple exposures may cause allergic reactions, as well as anaphylactic reaction approaching lethality [30, 50]. As for its ideal application, a dry operating field is required; Tisseel® is particularly effective when applied prior to bleeding. In this situation, fibrinogen may polymerize before blood pressure increases local microcirculation flow. When used after the onset of bleeding, one should apply local pressure over the wound to allow polymerization [28, 51]. Tisseel® is available in a pre-filled syringe, allowing for effective application using the EasySpray and DuploSpray MIS systems.
\nAnother option for fibrin sealants, Evicel®, originates from pooled human plasma. It is available as two separate vials of fibrinogen and human thrombin. Prior to use, the two deep frozen solutions must be thawed and mixed after defrosting and heating up (20–30°C) [30].
\nCrosseal™ is a virally inactivated, second-generation surgical sealant. It is produced from concentrated human clottable proteins, namely, biological active component (BAC), which contains the active component fibrinogen, and human α-thrombin (1000 IU/ml) [52]. This fibrin sealant is applied using an application device which drips/sprays Crosseal™ onto the bleeding site.
\nThere are two main categories of flowable biosurgicals: products containing porcine gelatin, which can be combined with thrombins (bovine, human-pooled plasma thrombin, or rhThrombin), and bovine collagen-based agents, packed with human-pooled plasma thrombin. The flowable agents are deemed the most effective of all the local hemostatic agents [30, 53].
\nSurgiflo® is an absorbable, sterile, hemostatic porcine gelatin matrix, combined with Thrombin-JMI, a topical bovine-derived thrombin. It should be placed directly to the bleeding areas to activate the hemostatic process [30]. A compression period is required for polymerization of the sealant components [28].
\nFloseal® consists of a bovine gelatin matrix, plasma-extracted human thrombin, and CaCl2. Its gelatin granules expand (10–20%), as it comes in contact with blood, producing a seal when the product is applied to a bleeding area [27, 30]. The thrombin fraction of the product triggers the regular pathway of the coagulation cascade, converting fibrinogen to a fibrin polymer and creating a clot around the firm matrix [27], which is reabsorbed within the expected period of standard wound healing (6–8 weeks) [14, 27, 33, 42, 54]. A distinctive feature of Floseal® is the need for the presence of blood for activation [30, 55]. Neither compression, nor a dry surgical field is required for its application [28].
\nBecause of this biosurgical flowability, they can easily adapt to irregular wounds. Flowables have been utilized as frontline topical hemostats in major dental surgeries, in patients where conventional procedures are ineffective. They can be utilized as an adjunct to hemostasis in practically all dental surgical interventions. Flowables are effective on both hard and soft tissues [27, 30]. They have a risk of transmitting infectious agents and are contraindicated in patients who are allergic to materials of bovine origin [27].
\nAlthough traditional methods, such as ligature and manual pressure, can promote hemostasis, they are not an effective approach of bleeding control in less accessible sites and complex injuries. Furthermore, bleeding control is especially challenging in patients presenting acquired or congenital coagulation disorders.
\nTopical biosurgical hemostatic agents comprise a wide range of products aiming at minimizing the risk of bleeding. In recent years, several clinical trials have analyzed the effectiveness, advantages, and limitations of biosurgicals, as well as performed comparisons among the different types of biosurgicals and other non-biologic agents. Despite the beneficial effect of these local hemostatic agents in preventing bleeding in dental surgery, available data comparing their effectiveness and efficiency is still scarce and inconclusive. Methodological heterogeneities, such as the lack of a standard therapy and comparable treatment regimens, are noticeable among studies, as well as the reduced number of randomized controlled trials [2, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70].
\nIn summary, local hemostatic agents are very distinct products with diverse indications. Presently, there is no definite evidence-based approach to guide the dental practitioner when selecting a local hemostatic agent. They must be aware of the characteristics of each single hemostatic agent, to elect the most suitable product for every particular clinical situation. In addition, current available data shows that no topical agent can be regarded as superior or more effective than the others [2]. Further experimental research and controlled clinical trials are warranted to define the most cost-effective biosurgical hemostatic agents in dentistry.
\nThe dental practitioner should assess the bleeding risk of the patient, as well as the bleeding risk of the surgical intervention, preoperatively. After assessing both bleeding risks, the professional can then conceive an intraoperative and postoperative plan. The international normalized ratio (INR) must be evaluated in patients reporting an elevated risk of bleeding. While a standard parameter of coagulation has an INR of 1 [71], the therapeutic range runs from 2.0 to 3.5. In this case, it is recommended to use local hemostatic measures independently or in combination with conventional methods. These agents can be used before, during, and after dental surgeries.
\n\n
Comprehensive medical history, including all medications in the patient’s regimen, to identify potential bleeding issues prior to the surgery [26].
In order to decrease surgical bleeding, patients receiving anticoagulant therapy may need to break up exodontia into multiple appointments [26, 72].
Laboratory values such as platelet count, INR, and prothrombin time are of critical value in medically compromised patients [26].
Demographic risk factors (female sex and older age) [73].
Supplemental patient-related risk determinants: diabetes mellitus, hypertension, obesity, hemostatic disorders, renal impairment, and other major organ system failures [73, 74, 75].
Timing of the appointment: early morning visits allowing patients to return to the dental office in case of postsurgical hemorrhage [26].
Patients at a higher bleeding risk are those reporting family history of bleeding and previous bleeding problems after dental surgery or trauma and individuals using medications, such as aspirin, anticoagulants, and/or long-term antibiotics. Any illnesses associated with bleeding problems, such as leukemia, congenital heart disease, liver disease, or hemophilia, present a higher risk of bleeding. The dental professional needs to be aware and prepared for any intercurrence, during or after a surgical procedure. Individuals presenting advanced periodontal disease are also considered as having a higher risk of perioperative bleeding. In such cases, the surgical plan should include a preoperative phase, consisting of scaling and root planning and a proper chlorhexidine gluconate mouth rinse regimen, 2 weeks before an elective procedure [26].
\nThe risk of bleeding of a dental intervention may be ranked as high, moderate, and low [25, 76, 77, 78]. In most patients, antithrombotic therapy is not interrupted before dental interventions with low bleeding risk, due to the disastrous complications of thrombosis (Table 3) [25, 76, 77, 78]. Moderate and high bleeding potential interventions might need the temporary discontinuation of the antithrombotic therapy [25, 76, 77, 78].
\nDental interventions that do not require anticoagulation therapy interruption*–adapted from Kaplovitch and Dounaevskaia [25].
Dental surgical interventions are considered by most recommendations, as minor procedures presenting self-limited blood loss and low bleeding risk. Bleeding, in most cases, can be managed with local hemostatic agents [79, 80].
\nThe dental care of individuals receiving therapeutic anticoagulation becomes critical when invasive procedures are needed. At this time, the clinician must decide either to maintain the anticoagulation therapy and risk bleeding complications or withdraw the anticoagulation medication and risk developing systemic thrombosis [1]. After decades of controversial data, there is currently a nearly unanimous consensus that anticoagulation therapy, for most dental surgeries, should not be discontinued. The higher risk of bleeding complications is compensated by the elevated risk of developing thromboembolic complications [1, 81, 82, 83, 84].
\nNational dental and medical group statements and multiple evidence-based clinical guidelines have considered the issue independently and support the maintenance, for most dental patients, of anticoagulation therapy (American Dental Association; American Academy of Dental Sleep Medicine; American Heart Association; American College of Cardiology; American Academy of Neurology; American Society of Anesthesiologists; Society for Neuroscience in Anesthesiology and Critical Care; American College of Chest Physicians (ACCP)) [1]. In a 2012 statement [76], the ACCP recommended continuing anticoagulation therapy with warfarin, with the additional utilization of a local hemostatic. The ACCP advised a 2–3-day anticoagulation therapy suspension, in order to lower the INR levels to a range of 1.6 and 1.9 [76, 85].
\nLately, the dental care of patients receiving anticoagulant treatment has been the focus of expressive scientific interest, in both dental and medical fields. A recent literature review showed that only 31 (0.6%) of more than 5400 patients receiving over 11,300 dental surgical interventions while continuing to take vitamin K antagonist anticoagulants (warfarin in most cases) demanded more than local maneuvers for hemostasis. No cases of fatal hemorrhage were reported. In over 2600 individuals whose anticoagulation was discontinued for dental interventions, 22 thromboembolic complications (0.8% of medication withheld), including 6 fatal events (0.2% of medication withheld), were observed [83]. Similar results have been shown in a literature review of dental surgery and antiplatelet medications. Of more than 1200 patients receiving over 2300 dental surgical procedures while continuing their antiplatelet medications (aspirin in most cases), only 2 (0.2%) needed more than local measures for hemostasis. Conversely, in over 320 individuals undergoing 370 antiplatelet interruptions for dental procedures, 17 (5.3%) suffered thromboembolic complications [86].
\nAvailable data shows that the majority of dental interventions can be safely conducted in patients receiving anticoagulation treatment, when considering older medications [4]. However, there are fewer studies reporting the provision of dental care in individuals using newer direct oral anticoagulants. The clinical implications of these newer anticoagulant and antiplatelet therapies have only been recently investigated [80, 87]. The protocol followed by the dental practitioner when managing these patients varies significantly and shows inconsistencies reflecting the lack of large-scale studies and evidence-based clinical guidelines [80, 88, 89]. The risk of postoperative bleeding after invasive periodontal treatment in individuals using different anticoagulation therapies was assessed, retrospectively, in 456 individuals receiving an antiplatelet and/or anticoagulant therapy [90]. Data was collected after 484 invasive periodontal interventions, with 99.6% of patients continuing their medications during the procedures. Postoperative bleeding was reported only following three interventions (0.35%), and it was controlled with local hemostatic maneuvers. Although the authors did not specify which type of local hemostatic procedure was used, this retrospective study showed a very low risk of bleeding in patients receiving an invasive periodontal intervention while using an anticoagulant or antiplatelet medication [90]. These results support the recommendation that such medications do not need to be discontinued in anticipation to invasive periodontal interventions.
\nExtended inter- or postoperative bleeding following dental surgery is infrequent, seldom demanding anything more than the use of local hemostatic biosurgicals. The judgment of whether or not to interrupt anticoagulation treatment can be both intricate and dynamic, and it should be based on the indication for pharmacological therapy, as well as previous thromboembolic history. The discontinuation of anticoagulant therapy may be required in dental interventions with moderate and high bleeding risk [25, 76, 77, 78]. Currently, most clinicians dealing with anticoagulant management tend to personalize the periprocedural management of the bleeding potential, according to the individual risk of each procedure—low, moderate, or high—following the current clinical practice recommendations based on best evidence and maintaining the anticoagulant therapy. Thereby, the patient anticoagulant regimen should be continued in specific low-risk dental procedures, without consultation or fear of disproportionate bleeding demanding additional intervention (Table 3) [25].
\nUndoubtedly, anticoagulant agents are effective in preventing thromboembolism. Nevertheless, their potential for critical adverse effects cannot be ignored. The use of antithrombotic medications is the most frequent cause of an adverse drug event requiring individuals to seek out emergency care [25, 91]. The majority of drug interactions with anticoagulants lead to elevated risk of bleeding. The nature of the interactions cannot be predicted, as they are expressed through both pharmacodynamic mechanisms and pharmacokinetic properties [25].
\nRegarding patient safety, potential risk for interaction, as well as knowledge of appropriate prescribing and monitoring, is crucial. Equally decisive is selecting the appropriate anticoagulant agent and monitoring the potential for drug–drug interaction [10, 11, 12, 13, 14, 15, 17, 25]. Common anticoagulants and their interaction with the most common medications prescribed for dental patients are described in Table 4 [25, 92, 93, 94, 95, 96, 97, 98].
\nCommon anticoagulants and potential interactions with dental medications–adapted from Kaplovitch and Dounaevskaia [25].
Most studies evaluating the occurrence of peri- and postoperative bleeding show anticoagulation therapy can be maintained when adequate local hemostatic maneuvers are used.
\nAs an example, a controlled clinical trial compared the occurrence of bleeding following dental extractions in individuals receiving oral anticoagulants (experimental group) versus patients that had never received oral anticoagulant therapy (control group). Tooth extractions were performed, and a piece of oxidized cellulose was placed only into the sockets in the experimental group. The wound borders were sutured, and a gauze saturated with tranexamic for 30–60 minutes was applied with pressure in the wound. Both groups presented similar bleeding complications [99]. In a similar clinical trial [100], 161 tooth extractions were performed in patients undertaking warfarin. After tooth extraction, an oxidized cellulose gauze was placed in the socket, and the wound was sutured. Patients were assigned to four groups, according to their INR range (INR was 1.5–1.99 in group 1; 2.0–2.49 in group 2; 2.5–2.99 in group 3; and 3.0–3.7 in group 4). No significant differences were found in the postoperative bleeding among groups.
\nBased on the latest evidence and clinical practice recommendations on the perioperative management of dental patients receiving direct oral anticoagulants, on single or dual antiplatelet therapy or vitamin K antagonists, as well as on the current scientific knowledge on biosurgical hemostatic agents, the following conclusions can be made:
The majority of dental procedures can be securely executed without the withholding of anticoagulants, using only local hemostatic therapy. In fact, current recommendations and consensus support the continuation of antiplatelet or anticoagulant therapy. Discontinuing these drugs can increase the risk of thromboembolism, at the cost of minor bleeding, which can be restrained without difficulty. The appropriate use of local hemostatic measures, such as topical biosurgical hemostatic agents, should always be considered whenever indicated.
In order to safely treat a patient receiving anticoagulant therapy, familiarity with anticoagulants and with the potential for drug–drug interactions is required, in addition to knowledge about the topical hemostatic options available.
Topical biosurgical hemostatic agents are diverse agents with distinct indications. The dental practitioner must be aware of the properties of each single agent, in order to properly select the product needed in each different clinical condition.
Based on current available data, no topical hemostatic agent can be regarded as superior or more effective than the others. Further experimental research and controlled clinical trials are warranted to define the most cost-effective biosurgical hemostatic agents in dentistry.
A definite protocol for excessive bleeding is still required for dental surgery in patients with hemorrhagic diathesis. The most effective local hemostatic agent with lesser complications should be determined in future research, considering their availability and cost-effectiveness.
The authors are grateful to Kisa Iqbal BSc Hons, DDS Candidate c/o 2020, New York University College of Dentistry, for editing this article.
\nThe authors declare no conflict of interest.
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On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. 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Aalborg University has Two Satellite Campuses, one in Copenhagen (Aalborg University Copenhagen) and the other in Esbjerg (Aalborg University Esbjerg).\n· He is a member of prestigious IEEE (Institute of Electrical and Electronics Engineers), and IAENG (International Association of Engineers) organizations. \n· He is the chief Editor of the Journal of Software Engineering.\n· He is the member of the Editorial Board of International Journal of Computer Science and Software Technology (IJCSST) and International Journal of Computer Engineering and Information Technology. \n· He is also the Editor of Communication in Computer and Information Science CCIS-20 by Springer.\n· Reviewer For Many Conferences\nHe is the lead person in making collaboration agreements between Aalborg University and many universities of Pakistan, for which the MOU’s (Memorandum of Understanding) have been signed.\nProfessor Akbar is working in Academia since 1990, he started his career as a Lab demonstrator/TA at the University of Sussex. After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. 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Among these heavy metals, a few have direct or indirect impact on the human body. Some of these heavy metals such as copper, cobalt, iron, nickel, magnesium, molybdenum, chromium, selenium, manganese and zinc have functional roles which are essential for various diverse physiological and biochemical activities in the body. However, some of these heavy metals in high doses can be harmful to the body while others such as cadmium, mercury, lead, chromium, silver, and arsenic in minute quantities have delirious effects in the body causing acute and chronic toxicities in humans. The focus of this chapter is to describe the various mechanism of intoxication of some selected heavy metals in humans along with their health effects. Therefore it aims to highlight on biochemical mechanisms of heavy metal intoxication which involves binding to proteins and enzymes, altering their activity and causing damage. More so, the mechanism by which heavy metals cause neurotoxicity, generate free radical which promotes oxidative stress damaging lipids, proteins and DNA molecules and how these free radicals propagate carcinogenesis are discussed. Alongside these mechanisms, the noxious health effects of these heavy metals are discussed.",book:{id:"7111",slug:"poisoning-in-the-modern-world-new-tricks-for-an-old-dog-",title:"Poisoning in the Modern World",fullTitle:"Poisoning in the Modern World - New Tricks for an Old Dog?"},signatures:"Godwill Azeh Engwa, Paschaline Udoka Ferdinand, Friday Nweke Nwalo and Marian N. Unachukwu",authors:[{id:"241837",title:"Mr.",name:"Godwill Azeh",middleName:null,surname:"Engwa",slug:"godwill-azeh-engwa",fullName:"Godwill Azeh Engwa"},{id:"274194",title:"BSc.",name:"Paschaline Ferdinand",middleName:null,surname:"Okeke",slug:"paschaline-ferdinand-okeke",fullName:"Paschaline Ferdinand Okeke"},{id:"286975",title:"Dr.",name:"Friday",middleName:null,surname:"Nweke Nwalo",slug:"friday-nweke-nwalo",fullName:"Friday Nweke Nwalo"},{id:"286976",title:"Dr.",name:"Marian",middleName:null,surname:"Unachukwu",slug:"marian-unachukwu",fullName:"Marian Unachukwu"}]},{id:"49459",title:"Pharmacokinetics of Drugs Following IV Bolus, IV Infusion, and Oral Administration",slug:"pharmacokinetics-of-drugs-following-iv-bolus-iv-infusion-and-oral-administration",totalDownloads:15401,totalCrossrefCites:15,totalDimensionsCites:22,abstract:null,book:{id:"4491",slug:"basic-pharmacokinetic-concepts-and-some-clinical-applications",title:"Basic Pharmacokinetic Concepts and Some Clinical Applications",fullTitle:"Basic Pharmacokinetic Concepts and Some Clinical Applications"},signatures:"Tarek A. Ahmed",authors:[{id:"175649",title:"Dr.",name:"Tarek A",middleName:null,surname:"Ahmed",slug:"tarek-a-ahmed",fullName:"Tarek A Ahmed"}]},{id:"29240",title:"Oral Absorption, Intestinal Metabolism and Human Oral Bioavailability",slug:"oral-absorption-intestinal-metabolism-and-human-oral-bioavailability-",totalDownloads:27075,totalCrossrefCites:27,totalDimensionsCites:57,abstract:null,book:{id:"672",slug:"topics-on-drug-metabolism",title:"Topics on Drug Metabolism",fullTitle:"Topics on Drug Metabolism"},signatures:"Ayman El-Kattan and Manthena Varma",authors:[{id:"85539",title:"Dr.",name:"Ayman",middleName:null,surname:"El-Kattan",slug:"ayman-el-kattan",fullName:"Ayman El-Kattan"},{id:"88221",title:"Dr.",name:"Manthena",middleName:null,surname:"Varma",slug:"manthena-varma",fullName:"Manthena Varma"}]},{id:"66259",title:"Antioxidant Compounds and Their Antioxidant Mechanism",slug:"antioxidant-compounds-and-their-antioxidant-mechanism",totalDownloads:7490,totalCrossrefCites:53,totalDimensionsCites:135,abstract:"An antioxidant is a substance that at low concentrations delays or prevents oxidation of a substrate. Antioxidant compounds act through several chemical mechanisms: hydrogen atom transfer (HAT), single electron transfer (SET), and the ability to chelate transition metals. The importance of antioxidant mechanisms is to understand the biological meaning of antioxidants, their possible uses, their production by organic synthesis or biotechnological methods, or for the standardization of the determination of antioxidant activity. In general, antioxidant molecules can react either by multiple mechanisms or by a predominant mechanism. The chemical structure of the antioxidant substance allows understanding of the antioxidant reaction mechanism. This chapter reviews the in vitro antioxidant reaction mechanisms of organic compounds polyphenols, carotenoids, and vitamins C against free radicals (FR) and prooxidant compounds under diverse conditions, as well as the most commonly used methods to evaluate the antioxidant activity of these compounds according to the mechanism involved in the reaction with free radicals and the methods of in vitro antioxidant evaluation that are used frequently depending on the reaction mechanism of the antioxidant.",book:{id:"8008",slug:"antioxidants",title:"Antioxidants",fullTitle:"Antioxidants"},signatures:"Norma Francenia Santos-Sánchez, Raúl Salas-Coronado, Claudia Villanueva-Cañongo and Beatriz Hernández-Carlos",authors:[{id:"143354",title:"Dr.",name:"Raúl",middleName:null,surname:"Salas-Coronado",slug:"raul-salas-coronado",fullName:"Raúl Salas-Coronado"},{id:"148546",title:"Dr.",name:"Norma Francenia",middleName:null,surname:"Santos-Sánchez",slug:"norma-francenia-santos-sanchez",fullName:"Norma Francenia Santos-Sánchez"},{id:"193718",title:"Dr.",name:"Beatriz",middleName:null,surname:"Hernández-Carlos",slug:"beatriz-hernandez-carlos",fullName:"Beatriz Hernández-Carlos"},{id:"278133",title:"Dr.",name:"Claudia",middleName:null,surname:"Villanueva-Cañongo",slug:"claudia-villanueva-canongo",fullName:"Claudia Villanueva-Cañongo"}]},{id:"66742",title:"Introductory Chapter: Alkaloids - Their Importance in Nature and for Human Life",slug:"introductory-chapter-alkaloids-their-importance-in-nature-and-for-human-life",totalDownloads:4035,totalCrossrefCites:14,totalDimensionsCites:29,abstract:null,book:{id:"6828",slug:"alkaloids-their-importance-in-nature-and-human-life",title:"Alkaloids",fullTitle:"Alkaloids - Their Importance in Nature and Human Life"},signatures:"Joanna Kurek",authors:[{id:"214632",title:"Dr.",name:"Joanna",middleName:null,surname:"Kurek",slug:"joanna-kurek",fullName:"Joanna Kurek"}]}],onlineFirstChaptersFilter:{topicId:"19",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"82523",title:"Trypan Blue Exclusion Assay, Neutral Red, Acridine Orange and Propidium Lodide",slug:"trypan-blue-exclusion-assay-neutral-red-acridine-orange-and-propidium-lodide",totalDownloads:4,totalDimensionsCites:0,doi:"10.5772/intechopen.105699",abstract:"Cytotoxicity and cell viability assessments are very important parameters that are widely used in fundamental research and drug development to determine the safety profile of toxic compounds. These assays measure the degree to which a substance can cause toxic damage to cells or cell death. There are different assays that have been employed to determine the cytotoxicity of substances. These assays either determine enzymatic function, cell viability, mitochondrial activity, lipid metabolism, cell proliferation and/or cell death. These assays entail use of different kinds of dyes such as trypan blue exclusion dye, neutral red, acridine orange and propidium iodide to stain the cells. Trypan blue dye permeates compromised cell membrane to stain necrotic cells. However, this can lead to false positive and false negative results as it does not provide information on sub-lethal injury. As a result, neutral red and acridine orange can be used as counterstains for trypan blue to stain the lysosome of live cells. Acridine orange can also be used to stain nucleic acids in living cells and is usually co-stained with propidium iodide or ethidium bromide. This is because propidium iodide permeates only compromised plasma membrane thus co-staining cells with these dyes can provide vital information that can be used to differentiate between live and dead cells.",book:{id:"11678",title:"Cytotoxicity",coverURL:"https://cdn.intechopen.com/books/images_new/11678.jpg"},signatures:"Arinzechukwu Ude, Kaiyven Afi-Leslie, Kelechi Okeke and Emmanuel Ogbodo"},{id:"82528",title:"Comparison of the Pharmacokinetics of Eflornithine after Application of Eflornithine Cream and “Eflornithine: Armenicum” Composition in Rates",slug:"comparison-of-the-pharmacokinetics-of-eflornithine-after-application-of-eflornithine-cream-and-eflor",totalDownloads:1,totalDimensionsCites:0,doi:"10.5772/intechopen.105742",abstract:"This chapter reports the study results to determine percutaneous absorption and pharmacokinetics of eflornithine following topical treatment with eflornithine hydrochloride 13.9% cream and “eflornithine–armenicum” composition in rats. The model of aerobic wounds was developed. Eflornithine hydrochloride cream (dose of 460 mg/kg) was applied in group I, and “eflornithine–armenicum” composition was applied in group II at a same dose of Eflornithine. The plasma concentration-time profile of racemic eflornithine following frequent sampling was determined by the HPLC method (LLOQ, 1.5 ng/ml). Eflornithine concentrations were measurable at 24 h, with peak concentrations in plasma 5.3 ng/ml after cream and 3.8 ng/ml after composition application (p < 0.001) and the average time to reach the maximum concentration of eflornithine increases from 2 h to 3.3 h. The area under the pharmacokinetic curve was decreased after composition application by 25%. Eflornithine was eliminated from plasma with a mean terminal half-life of 11.6 hours. It can be assumed that the use of “eflornithine–armenicum” composition allows for maintaining the optimal concentration of two anti-inflammatory compounds at the site of application for a long time, which can improve their pharmacological effect compared to separate use of eflornithine cream.",book:{id:"11812",title:"New Insights Into Pharmacodynamics",coverURL:"https://cdn.intechopen.com/books/images_new/11812.jpg"},signatures:"Hovhannes Ghazaryan and Areg Hovhannisyan"},{id:"82439",title:"Cellular Cytotoxicity and Multiple Sclerosis",slug:"cellular-cytotoxicity-and-multiple-sclerosis",totalDownloads:5,totalDimensionsCites:0,doi:"10.5772/intechopen.105681",abstract:"Multiple sclerosis (MS) is an autoimmune disease in which discrete central nervous system lesions result from perivascular immune cell infiltration associated with damage to myelin (demyelination), oligodendrocytes and neurons. This culminates in debilitating neurological symptoms, primarily affecting women in their child-bearing years. Both the innate and adaptive branches of the immune system have been implicated in disease initiation and progression, and although the underlying cause remains elusive, there is compelling evidence for a complex interaction between genetic and environmental factors, leading to inflammation and neurodegeneration. Both direct cellular toxicity and antibody-dependent cellular cytotoxicity (ADCC) involving several cell types have been identified in playing major roles. These cells and their interactions in the pathogenesis of MS will be discussed.",book:{id:"11678",title:"Cytotoxicity",coverURL:"https://cdn.intechopen.com/books/images_new/11678.jpg"},signatures:"Annie M.L. Willson and Margaret A. Jordan"},{id:"82226",title:"Early Signal Detection: Data Mining of Mental Disorders with Statins",slug:"early-signal-detection-data-mining-of-mental-disorders-with-statins",totalDownloads:6,totalDimensionsCites:0,doi:"10.5772/intechopen.105504",abstract:"Statins are widely prescribed to treat dyslipidemias. It is well-known adverse reaction of these active ingredients related to rhabdomyolysis and myalgia, but there are other signals to be aware of, such as mental disorders. Pharmacovigilance tools help to trace known risks and detect early other unknown effects that appear over time. Data of all the reported suspected adverse drug reactions for statins from the international World Health Organization (WHO) repository Vigibase were analyzed with an adaptation of data mining Bayesian methodology to search for positive signals, threshold of false discovery rate (FDR) < 0.05, and listed candidates for priority clinical investigation. Among positive mental signals observed, some were currently stated as adverse reactions in technical factsheets as insomnia, depression, dementia, and nightmares, but others have not reached this condition as bipolar, psychotic, and emotional disorders or symptoms and suicide. Other diverse central positive signals that can be confounded with mental conditions obtained and not stated were senses impairment, such as blindness, deafness, balance disorder, and events related to suicide. Worrying positive signals proposed as candidates to further investigation are insomnia for pitavastatin, pravastatin, and simvastatin; dementia for atorvastatin and rosuvastatin; and suicide and psychotic disorders for atorvastatin, lovastatin, pravastatin, rosuvastatin, and simvastatin.",book:{id:"11679",title:"Pharmacovigilance and Regulations",coverURL:"https://cdn.intechopen.com/books/images_new/11679.jpg"},signatures:"Maria-Isabel Jimenez-Serrania"},{id:"82398",title:"Computer-Aided Drug Design and Development: An Integrated Approach",slug:"computer-aided-drug-design-and-development-an-integrated-approach",totalDownloads:8,totalDimensionsCites:0,doi:"10.5772/intechopen.105003",abstract:"Drug discovery and development is a very time- and resource-consuming process. Comprehensive knowledge of chemistry has been integrated with information technology to streamline drug discovery, design, development, and optimization. Computer-aided drug design is being utilized to expedite and facilitate hit identification, hit-to-lead selection, and optimize the absorption, distribution, metabolism, excretion, and toxicity profile. Regulatory organizations and the pharmaceutical industry are continuously involved in the development of computational techniques that will improve the effectiveness and efficiency of the drug discovery process while decreasing the use of animals, cost, and time and increasing predictability. The present chapter will provide an overview of computational tools, such as structure-based and receptor-based drug designing, and how the coupling of these tools with a rational drug design process has led to the discovery of small molecules as therapeutic agents for numerous human disease conditions duly approved by the Food and Drug Administration. It is expected that the power of CADD will grow as the technology continues to evolve.",book:{id:"11091",title:"Drug Development Life Cycle",coverURL:"https://cdn.intechopen.com/books/images_new/11091.jpg"},signatures:"Neelima Dhingra"},{id:"81186",title:"Germicidal and Antineoplastic Activities of Curcumin and Curcumin-Derived Nanoparticles",slug:"germicidal-and-antineoplastic-activities-of-curcumin-and-curcumin-derived-nanoparticles",totalDownloads:5,totalDimensionsCites:0,doi:"10.5772/intechopen.103076",abstract:"Curcumin is a major constituent of turmeric and has been shown to have a plethora of health benefits, which include, among many, antimicrobial, anticancer, and reduction of cholesterol. However, it has also been reported that curcumin has less bioaccumulation and is quickly metabolized and cleared from the body. Nanoparticle formulations are known to increase curcumin biocompatibility and targeting. Additionally, the antimicrobial activity of curcumin has been extensively studied and the mechanism of action provides clues for the development of new drugs for drug-resistant microbes. Thus, this chapter will review the biomedical application of curcumin and its nanoformulations against different microbes and other diseases, including cancer.",book:{id:"11323",title:"Antimicrobial and Pharmacological Aspects of Curcumin",coverURL:"https://cdn.intechopen.com/books/images_new/11323.jpg"},signatures:"Lilian Makgoo and Zukile Mbita"}],onlineFirstChaptersTotal:49},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:0,limit:8,total:null},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:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:320,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:133,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:7,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:17,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"14",title:"Artificial Intelligence",doi:"10.5772/intechopen.79920",issn:"2633-1403",scope:"Artificial Intelligence (AI) is a rapidly developing multidisciplinary research area that aims to solve increasingly complex problems. In today's highly integrated world, AI promises to become a robust and powerful means for obtaining solutions to previously unsolvable problems. This Series is intended for researchers and students alike interested in this fascinating field and its many applications.",coverUrl:"https://cdn.intechopen.com/series/covers/14.jpg",latestPublicationDate:"July 5th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:9,editor:{id:"218714",title:"Prof.",name:"Andries",middleName:null,surname:"Engelbrecht",slug:"andries-engelbrecht",fullName:"Andries Engelbrecht",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRNR8QAO/Profile_Picture_1622640468300",biography:"Andries Engelbrecht received the Masters and PhD degrees in Computer Science from the University of Stellenbosch, South Africa, in 1994 and 1999 respectively. He is currently appointed as the Voigt Chair in Data Science in the Department of Industrial Engineering, with a joint appointment as Professor in the Computer Science Division, Stellenbosch University. 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). In addition to a number of research articles, he has written two books, Computational Intelligence: An Introduction and Fundamentals of Computational Swarm Intelligence.",institutionString:null,institution:{name:"Stellenbosch University",institutionURL:null,country:{name:"South Africa"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:6,paginationItems:[{id:"22",title:"Applied Intelligence",coverUrl:"https://cdn.intechopen.com/series_topics/covers/22.jpg",isOpenForSubmission:!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). 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,annualVolume:11419,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,annualVolume:11420,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. Papakostas has received a diploma in Electrical and Computer Engineering in 1999 and the M.Sc. and Ph.D. degrees in Electrical and Computer Engineering in 2002 and 2007, respectively, from the Democritus University of Thrace (DUTH), Greece. Dr. Papakostas serves as a Tenured Full Professor at the Department of Computer Science, International Hellenic University, Greece. Dr. Papakostas has 10 years of experience in large-scale systems design as a senior software engineer and technical manager, and 20 years of research experience in the field of Artificial Intelligence. Currently, he is the Head of the “Visual Computing” division of HUman-MAchines INteraction Laboratory (HUMAIN-Lab) and the Director of the MPhil program “Advanced Technologies in Informatics and Computers” hosted by the Department of Computer Science, International Hellenic University. 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,annualVolume:11421,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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Évora",institutionURL:null,country:{name:"Portugal"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},subseriesFiltersForPublishedBooks:[{group:"subseries",caption:"Animal Nutrition",value:20,count:2},{group:"subseries",caption:"Animal Reproductive Biology and Technology",value:28,count:4},{group:"subseries",caption:"Animal Science",value:19,count:5}],publicationYearFilters:[{group:"publicationYear",caption:"2022",value:2022,count:3},{group:"publicationYear",caption:"2021",value:2021,count:3},{group:"publicationYear",caption:"2020",value:2020,count:3},{group:"publicationYear",caption:"2019",value:2019,count:1},{group:"publicationYear",caption:"2018",value:2018,count:1}],authors:{paginationCount:303,paginationItems:[{id:"313921",title:"Dr.",name:"Hassan M.",middleName:null,surname:"Heshmati",slug:"hassan-m.-heshmati",fullName:"Hassan M. Heshmati",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313921/images/system/313921.jpg",biography:"Dr. Hassan Massoud Heshmati is an endocrinologist with 46 years of experience in clinical research in academia (university-affiliated hospitals, Paris, France; Mayo Foundation, Rochester, MN, USA) and pharmaceutical companies (Sanofi, Malvern, PA, USA; Essentialis, Carlsbad, CA, USA; Gelesis, Boston, MA, USA). His research activity focuses on pituitary tumors, hyperthyroidism, thyroid cancers, osteoporosis, diabetes, and obesity. He has extensive knowledge in the development of anti-obesity products. Dr. Heshmati is the author of 299 abstracts, chapters, and articles related to endocrinology and metabolism. He is currently a consultant at Endocrinology Metabolism Consulting, LLC, Anthem, AZ, USA.",institutionString:"Endocrinology Metabolism Consulting, LLC",institution:null},{id:"76477",title:"Prof.",name:"Mirza",middleName:null,surname:"Hasanuzzaman",slug:"mirza-hasanuzzaman",fullName:"Mirza Hasanuzzaman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/76477/images/system/76477.png",biography:"Dr. Mirza Hasanuzzaman is a Professor of Agronomy at Sher-e-Bangla Agricultural University, Bangladesh. He received his Ph.D. in Plant Stress Physiology and Antioxidant Metabolism from Ehime University, Japan, with a scholarship from the Japanese Government (MEXT). Later, he completed his postdoctoral research at the Center of Molecular Biosciences, University of the Ryukyus, Japan, as a recipient of the Japan Society for the Promotion of Science (JSPS) postdoctoral fellowship. He was also the recipient of the Australian Government Endeavour Research Fellowship for postdoctoral research as an adjunct senior researcher at the University of Tasmania, Australia. Dr. Hasanuzzaman’s current work is focused on the physiological and molecular mechanisms of environmental stress tolerance. Dr. Hasanuzzaman has published more than 150 articles in peer-reviewed journals. He has edited ten books and written more than forty book chapters on important aspects of plant physiology, plant stress tolerance, and crop production. According to Scopus, Dr. Hasanuzzaman’s publications have received more than 10,500 citations with an h-index of 53. He has been named a Highly Cited Researcher by Clarivate. He is an editor and reviewer for more than fifty peer-reviewed international journals and was a recipient of the “Publons Peer Review Award” in 2017, 2018, and 2019. He has been honored by different authorities for his outstanding performance in various fields like research and education, and he has received the World Academy of Science Young Scientist Award (2014) and the University Grants Commission (UGC) Award 2018. He is a fellow of the Bangladesh Academy of Sciences (BAS) and the Royal Society of Biology.",institutionString:"Sher-e-Bangla Agricultural University",institution:{name:"Sher-e-Bangla Agricultural University",country:{name:"Bangladesh"}}},{id:"187859",title:"Prof.",name:"Kusal",middleName:"K.",surname:"Das",slug:"kusal-das",fullName:"Kusal Das",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSBDeQAO/Profile_Picture_1623411145568",biography:"Kusal K. Das is a Distinguished Chair Professor of Physiology, Shri B. M. Patil Medical College and Director, Centre for Advanced Medical Research (CAMR), BLDE (Deemed to be University), Vijayapur, Karnataka, India. Dr. Das did his M.S. and Ph.D. in Human Physiology from the University of Calcutta, Kolkata. His area of research is focused on understanding of molecular mechanisms of heavy metal activated low oxygen sensing pathways in vascular pathophysiology. He has invented a new method of estimation of serum vitamin E. His expertise in critical experimental protocols on vascular functions in experimental animals was well documented by his quality of publications. He was a Visiting Professor of Medicine at University of Leeds, United Kingdom (2014-2016) and Tulane University, New Orleans, USA (2017). For his immense contribution in medical research Ministry of Science and Technology, Government of India conferred him 'G.P. Chatterjee Memorial Research Prize-2019” and he is also the recipient of 'Dr.Raja Ramanna State Scientist Award 2015” by Government of Karnataka. He is a Fellow of the Royal Society of Biology (FRSB), London and Honorary Fellow of Karnataka Science and Technology Academy, Department of Science and Technology, Government of Karnataka.",institutionString:"BLDE (Deemed to be University), India",institution:null},{id:"243660",title:"Dr.",name:"Mallanagouda Shivanagouda",middleName:null,surname:"Biradar",slug:"mallanagouda-shivanagouda-biradar",fullName:"Mallanagouda Shivanagouda Biradar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243660/images/system/243660.jpeg",biography:"M. S. Biradar is Vice Chancellor and Professor of Medicine of\nBLDE (Deemed to be University), Vijayapura, Karnataka, India.\nHe obtained his MD with a gold medal in General Medicine and\nhas devoted himself to medical teaching, research, and administrations. He has also immensely contributed to medical research\non vascular medicine, which is reflected by his numerous publications including books and book chapters. Professor Biradar was\nalso Visiting Professor at Tulane University School of Medicine, New Orleans, USA.",institutionString:"BLDE (Deemed to be University)",institution:{name:"BLDE University",country:{name:"India"}}},{id:"289796",title:"Dr.",name:"Swastika",middleName:null,surname:"Das",slug:"swastika-das",fullName:"Swastika Das",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/289796/images/system/289796.jpeg",biography:"Swastika N. Das is Professor of Chemistry at the V. P. Dr. P. G.\nHalakatti College of Engineering and Technology, BLDE (Deemed\nto be University), Vijayapura, Karnataka, India. She obtained an\nMSc, MPhil, and PhD in Chemistry from Sambalpur University,\nOdisha, India. Her areas of research interest are medicinal chemistry, chemical kinetics, and free radical chemistry. She is a member\nof the investigators who invented a new modified method of estimation of serum vitamin E. She has authored numerous publications including book\nchapters and is a mentor of doctoral curriculum at her university.",institutionString:"BLDEA’s V.P.Dr.P.G.Halakatti College of Engineering & Technology",institution:{name:"BLDE University",country:{name:"India"}}},{id:"248459",title:"Dr.",name:"Akikazu",middleName:null,surname:"Takada",slug:"akikazu-takada",fullName:"Akikazu Takada",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248459/images/system/248459.png",biography:"Akikazu Takada was born in Japan, 1935. After graduation from\nKeio University School of Medicine and finishing his post-graduate studies, he worked at Roswell Park Memorial Institute NY,\nUSA. He then took a professorship at Hamamatsu University\nSchool of Medicine. In thrombosis studies, he found the SK\npotentiator that enhances plasminogen activation by streptokinase. He is very much interested in simultaneous measurements\nof fatty acids, amino acids, and tryptophan degradation products. By using fatty\nacid analyses, he indicated that plasma levels of trans-fatty acids of old men were\nfar higher in the US than Japanese men. . He also showed that eicosapentaenoic acid\n(EPA) and docosahexaenoic acid (DHA) levels are higher, and arachidonic acid\nlevels are lower in Japanese than US people. By using simultaneous LC/MS analyses\nof plasma levels of tryptophan metabolites, he recently found that plasma levels of\nserotonin, kynurenine, or 5-HIAA were higher in patients of mono- and bipolar\ndepression, which are significantly different from observations reported before. In\nview of recent reports that plasma tryptophan metabolites are mainly produced by\nmicrobiota. He is now working on the relationships between microbiota and depression or autism.",institutionString:"Hamamatsu University School of Medicine",institution:{name:"Hamamatsu University School of Medicine",country:{name:"Japan"}}},{id:"137240",title:"Prof.",name:"Mohammed",middleName:null,surname:"Khalid",slug:"mohammed-khalid",fullName:"Mohammed Khalid",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/137240/images/system/137240.png",biography:"Mohammed Khalid received his B.S. in Chemistry in July 2000, and his Ph.D. in Physical Chemistry in 2007 from the University of Khartoum, Sudan. In 2009 he joined the Dr. Ron Clarke research group at the School of Chemistry, Faculty of Science, University of Sydney, Australia as a postdoctoral fellow where he worked on the Interaction of ATP with the phosphoenzyme of the Na+, K+-ATPase, and Dual mechanisms of allosteric acceleration of the Na+, K+-ATPase by ATP. He then worked as Assistant Professor at the Department of Chemistry, University of Khartoum, and in 2014 was promoted to Associate Professor ranking. In 2011 he joined the staff of the Chemistry Department at Taif University, Saudi Arabia, where he is currently active as an Assistant Professor. His research interests include:\r\n(1) P-type ATPase Enzyme Kinetics and Mechanisms; (2) Kinetics and Mechanism of Redox Reactions; (3) Autocatalytic reactions; (4) Computational enzyme kinetics; (5) Allosteric acceleration of P-type ATPases by ATP; (6) Exploring of allosteric sites of ATPases and interaction of ATP with ATPases located in the cell membranes.",institutionString:"Taif University",institution:{name:"Taif University",country:{name:"Saudi Arabia"}}},{id:"63810",title:"Prof.",name:"Jorge",middleName:null,surname:"Morales-Montor",slug:"jorge-morales-montor",fullName:"Jorge Morales-Montor",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/63810/images/system/63810.png",biography:"Dr. Jorge Morales-Montor was recognized with the Lola and Igo Flisser PUIS Award for best graduate thesis at the national level in the field of parasitology. He received a fellowship from the Fogarty Foundation to perform postdoctoral research stay at the University of Georgia. He has 153 journal articles to his credit. He has also edited several books and published more than fifty-five book chapters. He is a member of the Mexican Academy of Sciences, Latin American Academy of Sciences, and the National Academy of Medicine. He has received more than thirty-five awards and has supervised numerous bachelor’s, master’s, and Ph.D. students. Dr. Morales-Montor is the past president of the Mexican Society of Parasitology.",institutionString:"National Autonomous University of Mexico",institution:{name:"National Autonomous University of Mexico",country:{name:"Mexico"}}},{id:"217215",title:"Dr.",name:"Palash",middleName:null,surname:"Mandal",slug:"palash-mandal",fullName:"Palash Mandal",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/217215/images/system/217215.jpeg",biography:null,institutionString:"Charusat University",institution:null},{id:"49739",title:"Dr.",name:"Leszek",middleName:null,surname:"Szablewski",slug:"leszek-szablewski",fullName:"Leszek Szablewski",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49739/images/system/49739.jpg",biography:"Leszek Szablewski is a professor of medical sciences. He received his M.S. in the Faculty of Biology from the University of Warsaw and his PhD degree from the Institute of Experimental Biology Polish Academy of Sciences. He habilitated in the Medical University of Warsaw, and he obtained his degree of Professor from the President of Poland. Professor Szablewski is the Head of Chair and Department of General Biology and Parasitology, Medical University of Warsaw. Professor Szablewski has published over 80 peer-reviewed papers in journals such as Journal of Alzheimer’s Disease, Biochim. Biophys. Acta Reviews of Cancer, Biol. Chem., J. Biomed. Sci., and Diabetes/Metabol. Res. Rev, Endocrine. He is the author of two books and four book chapters. He has edited four books, written 15 scripts for students, is the ad hoc reviewer of over 30 peer-reviewed journals, and editorial member of peer-reviewed journals. Prof. Szablewski’s research focuses on cell physiology, genetics, and pathophysiology. He works on the damage caused by lack of glucose homeostasis and changes in the expression and/or function of glucose transporters due to various diseases. He has given lectures, seminars, and exercises for students at the Medical University.",institutionString:"Medical University of Warsaw",institution:{name:"Medical University of Warsaw",country:{name:"Poland"}}},{id:"173123",title:"Dr.",name:"Maitham",middleName:null,surname:"Khajah",slug:"maitham-khajah",fullName:"Maitham Khajah",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/173123/images/system/173123.jpeg",biography:"Dr. Maitham A. Khajah received his degree in Pharmacy from Faculty of Pharmacy, Kuwait University, in 2003 and obtained his PhD degree in December 2009 from the University of Calgary, Canada (Gastrointestinal Science and Immunology). Since January 2010 he has been assistant professor in Kuwait University, Faculty of Pharmacy, Department of Pharmacology and Therapeutics. His research interest are molecular targets for the treatment of inflammatory bowel disease (IBD) and the mechanisms responsible for immune cell chemotaxis. He cosupervised many students for the MSc Molecular Biology Program, College of Graduate Studies, Kuwait University. Ever since joining Kuwait University in 2010, he got various grants as PI and Co-I. He was awarded the Best Young Researcher Award by Kuwait University, Research Sector, for the Year 2013–2014. He was a member in the organizing committee for three conferences organized by Kuwait University, Faculty of Pharmacy, as cochair and a member in the scientific committee (the 3rd, 4th, and 5th Kuwait International Pharmacy Conference).",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"195136",title:"Dr.",name:"Aya",middleName:null,surname:"Adel",slug:"aya-adel",fullName:"Aya Adel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/195136/images/system/195136.jpg",biography:"Dr. Adel works as an Assistant Lecturer in the unit of Phoniatrics, Department of Otolaryngology, Ain Shams University in Cairo, Egypt. Dr. Adel is especially interested in joint attention and its impairment in autism spectrum disorder",institutionString:"Ain Shams University",institution:{name:"Ain Shams University",country:{name:"Egypt"}}},{id:"94911",title:"Dr.",name:"Boulenouar",middleName:null,surname:"Mesraoua",slug:"boulenouar-mesraoua",fullName:"Boulenouar Mesraoua",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94911/images/system/94911.png",biography:"Dr Boulenouar Mesraoua is the Associate Professor of Clinical Neurology at Weill Cornell Medical College-Qatar and a Consultant Neurologist at Hamad Medical Corporation at the Neuroscience Department; He graduated as a Medical Doctor from the University of Oran, Algeria; he then moved to Belgium, the City of Liege, for a Residency in Internal Medicine and Neurology at Liege University; after getting the Belgian Board of Neurology (with high marks), he went to the National Hospital for Nervous Diseases, Queen Square, London, United Kingdom for a fellowship in Clinical Neurophysiology, under Pr Willison ; Dr Mesraoua had also further training in Epilepsy and Continuous EEG Monitoring for two years (from 2001-2003) in the Neurophysiology department of Zurich University, Switzerland, under late Pr Hans Gregor Wieser ,an internationally known epileptologist expert. \n\nDr B. Mesraoua is the Director of the Neurology Fellowship Program at the Neurology Section and an active member of the newly created Comprehensive Epilepsy Program at Hamad General Hospital, Doha, Qatar; he is also Assistant Director of the Residency Program at the Qatar Medical School. \nDr B. Mesraoua's main interests are Epilepsy, Multiple Sclerosis, and Clinical Neurology; He is the Chairman and the Organizer of the well known Qatar Epilepsy Symposium, he is running yearly for the past 14 years and which is considered a landmark in the Gulf region; He has also started last year , together with other epileptologists from Qatar, the region and elsewhere, a yearly International Epilepsy School Course, which was attended by many neurologists from the Area.\n\nInternationally, Dr Mesraoua is an active and elected member of the Commission on Eastern Mediterranean Region (EMR ) , a regional branch of the International League Against Epilepsy (ILAE), where he represents the Middle East and North Africa(MENA ) and where he holds the position of chief of the Epilepsy Epidemiology Section; Dr Mesraoua is a member of the American Academy of Neurology, the Europeen Academy of Neurology and the American Epilepsy Society.\n\nDr Mesraoua's main objectives are to encourage frequent gathering of the epileptologists/neurologists from the MENA region and the rest of the world, promote Epilepsy Teaching in the MENA Region, and encourage multicenter studies involving neurologists and epileptologists in the MENA region, particularly epilepsy epidemiological studies. \n\nDr. Mesraoua is the recipient of two research Grants, as the Lead Principal Investigator (750.000 USD and 250.000 USD) from the Qatar National Research Fund (QNRF) and the Hamad Hospital Internal Research Grant (IRGC), on the following topics : “Continuous EEG Monitoring in the ICU “ and on “Alpha-lactoalbumin , proof of concept in the treatment of epilepsy” .Dr Mesraoua is a reviewer for the journal \"seizures\" (Europeen Epilepsy Journal ) as well as dove journals ; Dr Mesraoua is the author and co-author of many peer reviewed publications and four book chapters in the field of Epilepsy and Clinical Neurology",institutionString:"Weill Cornell Medical College in Qatar",institution:{name:"Weill Cornell Medical College in Qatar",country:{name:"Qatar"}}},{id:"282429",title:"Prof.",name:"Covanis",middleName:null,surname:"Athanasios",slug:"covanis-athanasios",fullName:"Covanis Athanasios",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/282429/images/system/282429.jpg",biography:null,institutionString:"Neurology-Neurophysiology Department of the Children Hospital Agia Sophia",institution:null},{id:"190980",title:"Prof.",name:"Marwa",middleName:null,surname:"Mahmoud Saleh",slug:"marwa-mahmoud-saleh",fullName:"Marwa Mahmoud Saleh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/190980/images/system/190980.jpg",biography:"Professor Marwa Mahmoud Saleh is a doctor of medicine and currently works in the unit of Phoniatrics, Department of Otolaryngology, Ain Shams University in Cairo, Egypt. She got her doctoral degree in 1991 and her doctoral thesis was accomplished in the University of Iowa, United States. Her publications covered a multitude of topics as videokymography, cochlear implants, stuttering, and dysphagia. She has lectured Egyptian phonology for many years. Her recent research interest is joint attention in autism.",institutionString:"Ain Shams University",institution:{name:"Ain Shams University",country:{name:"Egypt"}}},{id:"259190",title:"Dr.",name:"Syed Ali Raza",middleName:null,surname:"Naqvi",slug:"syed-ali-raza-naqvi",fullName:"Syed Ali Raza Naqvi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259190/images/system/259190.png",biography:"Dr. Naqvi is a radioanalytical chemist and is working as an associate professor of analytical chemistry in the Department of Chemistry, Government College University, Faisalabad, Pakistan. Advance separation techniques, nuclear analytical techniques and radiopharmaceutical analysis are the main courses that he is teaching to graduate and post-graduate students. In the research area, he is focusing on the development of organic- and biomolecule-based radiopharmaceuticals for diagnosis and therapy of infectious and cancerous diseases. Under the supervision of Dr. Naqvi, three students have completed their Ph.D. degrees and 41 students have completed their MS degrees. He has completed three research projects and is currently working on 2 projects entitled “Radiolabeling of fluoroquinolone derivatives for the diagnosis of deep-seated bacterial infections” and “Radiolabeled minigastrin peptides for diagnosis and therapy of NETs”. He has published about 100 research articles in international reputed journals and 7 book chapters. Pakistan Institute of Nuclear Science & Technology (PINSTECH) Islamabad, Punjab Institute of Nuclear Medicine (PINM), Faisalabad and Institute of Nuclear Medicine and Radiology (INOR) Abbottabad are the main collaborating institutes.",institutionString:"Government College University",institution:{name:"Government College University, Faisalabad",country:{name:"Pakistan"}}},{id:"58390",title:"Dr.",name:"Gyula",middleName:null,surname:"Mozsik",slug:"gyula-mozsik",fullName:"Gyula Mozsik",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/58390/images/system/58390.png",biography:"Gyula Mózsik MD, Ph.D., ScD (med), is an emeritus professor of Medicine at the First Department of Medicine, Univesity of Pécs, Hungary. He was head of this department from 1993 to 2003. His specializations are medicine, gastroenterology, clinical pharmacology, clinical nutrition, and dietetics. His research fields are biochemical pharmacological examinations in the human gastrointestinal (GI) mucosa, mechanisms of retinoids, drugs, capsaicin-sensitive afferent nerves, and innovative pharmacological, pharmaceutical, and nutritional (dietary) research in humans. He has published about 360 peer-reviewed papers, 197 book chapters, 692 abstracts, 19 monographs, and has edited 37 books. He has given about 1120 regular and review lectures. He has organized thirty-eight national and international congresses and symposia. He is the founder of the International Conference on Ulcer Research (ICUR); International Union of Pharmacology, Gastrointestinal Section (IUPHAR-GI); Brain-Gut Society symposiums, and gastrointestinal cytoprotective symposiums. He received the Andre Robert Award from IUPHAR-GI in 2014. Fifteen of his students have been appointed as full professors in Egypt, Cuba, and Hungary.",institutionString:"University of Pécs",institution:{name:"University of Pecs",country:{name:"Hungary"}}},{id:"277367",title:"M.Sc.",name:"Daniel",middleName:"Martin",surname:"Márquez López",slug:"daniel-marquez-lopez",fullName:"Daniel Márquez López",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/277367/images/7909_n.jpg",biography:"Msc Daniel Martin Márquez López has a bachelor degree in Industrial Chemical Engineering, a Master of science degree in the same área and he is a PhD candidate for the Instituto Politécnico Nacional. His Works are realted to the Green chemistry field, biolubricants, biodiesel, transesterification reactions for biodiesel production and the manipulation of oils for therapeutic purposes.",institutionString:null,institution:{name:"Instituto Politécnico Nacional",country:{name:"Mexico"}}},{id:"196544",title:"Prof.",name:"Angel",middleName:null,surname:"Catala",slug:"angel-catala",fullName:"Angel Catala",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/196544/images/system/196544.jpg",biography:"Angel Catalá studied chemistry at Universidad Nacional de La Plata, Argentina, where he received a Ph.D. in Chemistry (Biological Branch) in 1965. From 1964 to 1974, he worked as an Assistant in Biochemistry at the School of Medicine at the same university. From 1974 to 1976, he was a fellow of the National Institutes of Health (NIH) at the University of Connecticut, Health Center, USA. From 1985 to 2004, he served as a Full Professor of Biochemistry at the Universidad Nacional de La Plata. He is a member of the National Research Council (CONICET), Argentina, and the Argentine Society for Biochemistry and Molecular Biology (SAIB). His laboratory has been interested for many years in the lipid peroxidation of biological membranes from various tissues and different species. Dr. Catalá has directed twelve doctoral theses, published more than 100 papers in peer-reviewed journals, several chapters in books, and edited twelve books. He received awards at the 40th International Conference Biochemistry of Lipids 1999 in Dijon, France. He is the winner of the Bimbo Pan-American Nutrition, Food Science and Technology Award 2006 and 2012, South America, Human Nutrition, Professional Category. In 2006, he won the Bernardo Houssay award in pharmacology, in recognition of his meritorious works of research. Dr. Catalá belongs to the editorial board of several journals including Journal of Lipids; International Review of Biophysical Chemistry; Frontiers in Membrane Physiology and Biophysics; World Journal of Experimental Medicine and Biochemistry Research International; World Journal of Biological Chemistry, Diabetes, and the Pancreas; International Journal of Chronic Diseases & Therapy; and International Journal of Nutrition. He is the co-editor of The Open Biology Journal and associate editor for Oxidative Medicine and Cellular Longevity.",institutionString:"Universidad Nacional de La Plata",institution:{name:"National University of La Plata",country:{name:"Argentina"}}},{id:"186585",title:"Dr.",name:"Francisco Javier",middleName:null,surname:"Martin-Romero",slug:"francisco-javier-martin-romero",fullName:"Francisco Javier Martin-Romero",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSB3HQAW/Profile_Picture_1631258137641",biography:"Francisco Javier Martín-Romero (Javier) is a Professor of Biochemistry and Molecular Biology at the University of Extremadura, Spain. He is also a group leader at the Biomarkers Institute of Molecular Pathology. Javier received his Ph.D. in 1998 in Biochemistry and Biophysics. 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