Dipole moments (Debyes) of selected stationary points
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IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\\n\\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\\n\\nLaunching 2021
\\n\\nArtificial Intelligence, ISSN 2633-1403
\\n\\nVeterinary Medicine and Science, ISSN 2632-0517
\\n\\nBiochemistry, ISSN 2632-0983
\\n\\nBiomedical Engineering, ISSN 2631-5343
\\n\\nInfectious Diseases, ISSN 2631-6188
\\n\\nPhysiology (Coming Soon)
\\n\\nDentistry (Coming Soon)
\\n\\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\\n\\nNote: Edited in October 2021
\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/132"}},components:[{type:"htmlEditorComponent",content:'With the desire to make book publishing more relevant for the digital age and offer innovative Open Access publishing options, we are thrilled to announce the launch of our new publishing format: IntechOpen Book Series.
\n\nDesigned to cover fast-moving research fields in rapidly expanding areas, our Book Series feature a Topic structure allowing us to present the most relevant sub-disciplines. Book Series are headed by Series Editors, and a team of Topic Editors supported by international Editorial Board members. Topics are always open for submissions, with an Annual Volume published each calendar year.
\n\nAfter a robust peer-review process, accepted works are published quickly, thanks to Online First, ensuring research is made available to the scientific community without delay.
\n\nOur innovative Book Series format brings you:
\n\nIntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\n\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\n\nLaunching 2021
\n\nArtificial Intelligence, ISSN 2633-1403
\n\nVeterinary Medicine and Science, ISSN 2632-0517
\n\nBiochemistry, ISSN 2632-0983
\n\nBiomedical Engineering, ISSN 2631-5343
\n\nInfectious Diseases, ISSN 2631-6188
\n\nPhysiology (Coming Soon)
\n\nDentistry (Coming Soon)
\n\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\n\nNote: Edited in October 2021
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Besides, he has an M.Sc. degree in Applied Chemistry and a B.Sc. degree in Chemistry, all from the University of Chittagong, Bangladesh. \nDr. Rahman’s research interest includes the study of the fate and behavior of environmental pollutants in the biosphere; design of low energy and low burden environmental improvement (remediation) technology; implementation of sustainable waste management practices for treatment, handling, reuse, and ultimate residual disposition of solid wastes; nature and type of interactions in organic liquid mixtures for process engineering design applications.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Fukushima University",institutionURL:null,country:{name:"Japan"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"201022",title:"Dr.",name:"Hiroshi",middleName:null,surname:"Hasegawa",slug:"hiroshi-hasegawa",fullName:"Hiroshi Hasegawa",profilePictureURL:"https://mts.intechopen.com/storage/users/201022/images/4967_n.jpg",biography:"Hiroshi Hasegawa received his D.Sc. 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\n\t\t\tSince 2000 the number of publications related to MAOS has increased dramatically. One of the reasons for the increased interest in the use of microwave heating was the introduction, at the dawn of the 21st Century, of dedicated monomode and multimode instruments with appropriate temperature and pressure controls, a development that allows reproducibility of results. However, when the microwave methodology was introduced twenty years ago, most reactions were performed in domestic ovens without appropriate temperature control.
\n\t\t\tIn recent years, a number of reports have disclosed the reproducibility of results between monomode and multimode microwave instruments for solution chemistry, the application in parallel and combinatorial chemistry, and some comparisons between homogeneous and heterogeneous systems and reactions performed in closed or open vessels. In the same way, it has been shown that solvent-free reactions can be updated and applied in microwave reactors and the influence of the polarity on the reproducibility of these processes has been highlighted. Furthermore, computational calculations can assist in explaining and/or predicting whether a reaction will be reproducible or not.
\n\t\t\tPossible approaches to scale-up microwave-assisted reactions include continuous-flow reactors, small-scale batch stop-flow protocols or large-scale single-batch reactors. However, the scalability of microwave-induced processes represents an important obstacle due to numerous factors, but principally owing to increased heat loss, changes in absorption, limited penetration depth of the radiation into the reaction medium (only a few centimetres at 2.45 GHz) and the additional reflection of the microwaves. Such intrinsic complications have prevented the use of microwave reactors for volumes larger than a few litres, thus inhibiting the use of this approach for the production of larger quantities of material.
\n\t\t\tAlternatively, some researchers and microwave manufacturers have explored the potential of continuous flow microwave systems. Such an approach offers many advantages in terms of processing versatility, safety, reaction monitoring and optimization. Importantly, this processing method also avoids the limitations associated with the design of scaled microwave cavities, including the associated costs.
\n\t\t\tIn this chapter we intend to highlight the most important reports studying and solving problems concerning the reproducibility and scalability of microwave-assisted processes, from the early reactions performed in unmodified domestic ovens to the recent syntheses utilizing dedicated apparatus or suitable flow instrumentation.
\n\t\tThe microwave applicator is the component of a processing system in which energy is applied to the product to be heated. In a domestic oven the radiation power is generally controlled by on-off cycles of the magnetron. Large switching periods are undesirable in chemistry because of the absence of irradiation between switching steps. In this situation some areas may receive large amounts of energy whereas others may receive very little energy. Typically it is not possible to monitor the reaction temperature in a reliable way. Heating organic solvents in open vessels can lead to violent explosion induced by electric arcs inside the cavity or sparking as a result of switching of the magnetron. On the other hand, working with sealed vessels without monitoring of the pressure can also lead to serious accidents. For these reasons, the use of such equipment in chemistry cannot be recommended. In contrast, dedicated microwave reactors for synthesis feature built-in magnetic stirrers, direct temperature measurement of the reaction mixture with the aid of fibre-optic probes or IR sensors, and software that allows on-line temperature/pressure control by regulation of the microwave power (Kappe & Stadler, 2005).
\n\t\t\tMultimode instruments allow the use of bigger reaction vessels or an increase in reaction throughput by the use of multivessel rotors for parallel synthesis or scale-up. A general disadvantage associated with multimode instruments is the poor level of performance in small-scale experiments (<3 mL). While the generated microwave power is high (1000–1400 W), the power density of the field is generally rather low.
\n\t\t\tMonomode instruments generate a single, highly homogeneous energy field of high power density. These systems couple efficiently with small samples and the maximum power output is in most cases limited to 300 W (Ondruschka et al., 2006).
\n\t\t\tThe question of reproducibility and scale-up will always involve the question of reaction conditions. In addition, the reaction medium (phase) plays a much more important role for this kind of power input compared with classical reactions. Besides the molecular mass, the polarity of the reaction mixture is a critical factor for the absorption of microwave power.
\n\t\t\tOne of the limitations of microwave scale-up technology is the restricted penetration depth of microwave irradiation into absorbing materials. This means that solvent or reagents in the centre of large reaction vessel are heated by convection and not by direct ‘in core’ microwave dielectric heating. For this reason, many researchers have studied the scale-up and reproducibility in batch of the reactions performed on a small scale.
\n\t\t\t\tIn 1998 Hamelin studied the large-scale synthesis of dioxolanes, dithiolanes and oxathiolanes from 2,2-dimethoxypropane and 3,3-dimethoxypentane in the absence of solvent. These reactions had previously been performed in a Prolabo Synthewave 402 apparatus on a 10 mmol scale and were reproduced in a Synthewave 1000 reactor on a 2 mol scale (Perio et al., 1998) (Scheme 1). The authors found that the 2-mol scale was easier than the 10-mmol scale owing the possibility of continuous distillation of methanol under irradiation in the Synthewave 1000 with a packed column, a set-up that is not possible in the smaller Synthewave 402.
\n\t\t\t\tSynthesis and scale-up of dioxolanes, dithiolanes and oxathiolanes
Similar results were reported by Loupy for the reproducibility and scale-up of several reactions (potassium acetate alkylation, regioselective phenacylation of 1,2,4-triazole, deethylation of 2-ethoxyanisole, and typical examples in carbohydrate chemistry) to several hundred grams in a larger batch reactor (Synthewave 1000), with yields equivalent to those obtained under similar conditions (temperature, reaction time) in laboratory-scale experiments (Synthewave 402) (Cléophax et al., 2000).
\n\t\t\t\tLuthman studied the appropriate reaction conditions in terms of choice of solvent, reaction temperature and reaction time to allow the fast and reproducible production of Mannich bases from small (2 mmol) to large (40 mmol) scale reactions in moderate to high yields (18–60%) and high purity (F. Lehmann et al., 2003) (Scheme 2).
\n\t\t\t\tMicrowave-assisted Mannich reactions using substituted acetophenones
Two different microwave systems designed for large-scale operation, such as the Anton Paar 3000 multimode batch reactor (8 × 100 mL PTFE vessels in a ceramic vessel jacket, filling volume of 60–70 mL for each vessel) and the CEM Voyager SF stop-flow reactor (80 mL glass vessel, filling volume 50 mL), were evaluated by Lehmann (H. Lehmann & LaVecchia, 2005) for special use in a kilolab. As a model reaction, the aromatic substitution of aryl halides with nucleophiles like phenolates or amines was chosen (Scheme 3).
\n\t\t\t\tAromatic substitution of 2,4-dichloropyrimidine with
These reactions were previously performed in a small-scale Emrys Optimizer microwave reactor (20 mL glass vials). The study was focused on temperature/pressure limits, handling of suspensions, ability for rapid heating and cooling, robustness, and overall processing time.
\n\t\t\t\tA green approach to
\n\t\t\t\t\t\t\t
Open-vessel microwave-promoted Suzuki reactions in water
In general, two approaches have been used for microwave-assisted parallel and combinatorial chemistry: On the one hand, series’ of compounds can be prepared sequentially in an automated single-mode instrument, which allow for control of temperature and pressure in each reaction independently. On the other hand, compounds can be prepared in parallel arrays using a multimode instrument. The use of a single-mode instrument offers the advantage of full control of each reaction. However, in this case, all reactions must be processed sequentially and this could lead to a bottleneck in productivity, especially for large series’ of compounds. Multimode instruments offer the possibility of performing multiple reactions in one irradiation experiment, but reactions are usually performed without appropriate control of the temperature, which in turn limits the reproducibility of the experiments – especially when unmodified domestic ovens are used. In an effort to overcome these problems, several dedicated microwave reactors have been developed since 2003.
\n\t\t\t\tNüchter demonstrated that a multiPREP reactor system (36 pressure reactors or 15 reflux reactors), combiCHEM (plates with 24, 48 and 96 reactions vessels sealed with Teflon-laminated silicon mats), and an HPR system (6–10 small autoclaves for pressurized reactions at up to 50 bar and 250 ºC) allow parallel reactions to be carried out with up to 96 reactor chambers in a microwave field with total reproducibility in yield and/or selectivity (Nüchter & Ondruschka, 2003a). The authors studied different processes such as nucleophilic substitutions, condensation reactions, oxidations, and multi-centre reactions.
\n\t\t\t\tAlso in 2003, Kappe scaled different organic reactions from the 1 mmol to 100 mmol scale using a prototype multimode microwave reactor from Anton Paar that allowed parallel processing in either quartz or PTFE-TFM vessels with maximum operating limits of 300 ºC and 80 bar of pressure (eight-vessel rotor employing either 100 mL PTFE-TFM or 80 mL quartz vessels) (Stadler et al., 2003). The transformations included multicomponent chemistries, transition metal-catalyzed carbon-carbon cross-coupling protocols, solid-phase organic synthesis, and Diels–Alder cycloaddition reactions using gaseous reagents in prepressurized reaction vessels.
\n\t\t\t\tAlcázar investigated the possibility of scaling up the synthesis of several compounds simultaneously in one irradiation experiment (Alcázar et al., 2004). This parallel approach would allow reduced reaction times in comparison with the sequential irradiation of single samples in single-mode instruments. The authors studied an
\n\t\t\t\t\t\t\t
Yield comparison between systems for
On the basis of these results, a multimode combiCHEM reactor was used to assess the heating homogeneity of a multiwell plate with 24 equal reactions (Alcázar, 2005). Interestingly, reaction yields were slightly higher in the multimode instrument than in a single-mode set-up, and the author concluded that the former system offered enough reproducibility to develop further parallel chemistry. Once the performance of the multiwell plate had been evaluated, a set of 24 different compounds was prepared in parallel using the fully optimized conditions by combining four amines with six alkylating agents. In order to make an appropriate correlation across instruments, the same reactions were performed in a single-mode reactor. The results showed that good reproducibility was achieved between the two instruments: on average, the difference in yield was only 2.3%. However, to complete the whole sequence of reactions the single-mode instrument required 2.5 h, whereas the multimode instrument required only 40 min to achieve comparable results. This system combined the advantages of the parallel approach and microwave heating.
\n\t\t\t\tAs mentioned above, for the scale-up from gram to kilogram scales two different approaches have been used historically – batch and continuous-flow. The major limitation of the continuous microwave reactor is that these systems are unsuitable for heterogeneous mixtures and viscous liquids. For these reasons, Maes performed a comparative study between a stop-flow system (CEM Voyager system based on the Discover single-mode platform equipped with an 80 mL glass vessel, a peristaltic pump and two valves) and two multi-mode platforms that allow parallel processing of several vessels per batch: Milestone MicroSYNTH equipped with a rotor with 10 vessel positions (vessel volume 100 mL) and CEM MARS equipped with a fourteen rotor positions (80 mL) (Loones et al., 2005). The reaction model used was the Buchwald–Hartwig amination (Scheme 7). They found that rapid Pd-catalyzed amination of aryl chlorides under microwave irradiation can be easily scaled-up on both single-mode and multi-mode platforms with similar yields if BTF (trifluoromethylbenzene) is used as the solvent. However, the stop-flow Voyager system was preferred since it is a completely automated unit that allows the continuous production of reaction product without the need to manually load and unload reaction vessels. Moreover, the Voyager system allows pumping of heterogeneous mixtures, which is problematic in continuous-flow units.
\n\t\t\t\tScale-up of the Pd-catalyzed amination of 4-chloroanisole with morpholine
Reworking some of the reactions described in the literature that were originally performed in household microwave devices showed that it is absolutely necessary to analyze any result obtained in these specific devices. Due to the incomplete description of many reactions reported in microwave chemistry, reproducibility is difficult to assess in most cases. Only in rare cases are identical microwave devices available. Additionally, devices of the same series can have different field homogeneity. Only in a few cases are all reaction conditions known precisely and reproducibly. Even the use of different amounts of starting materials can produce different results, a factor that can usually be neglected for conventionally heated reactions. Moreover, the applied settings of the microwave devices are often insufficiently reported or the importance of these parameters is completely ignored (Nüchter et al., 2003b).
\n\t\t\t\tIn 1994 Login reported that commercial domestic ovens have limitations that can result in non reproducible fixation results in pathology and he developed a calibration protocol to identify the best locations for fixation within household microwave ovens (Login & Dvorak, 1994).
\n\t\t\t\tMicrowave-assisted extraction (MAE) is a process in which microwave energy is used to heat solvents in contact with a sample in order to partition analytes from the sample matrix into the solvent. In most cases, recoveries of analytes and reproducibility are improved compared to conventional techniques. The basic principles and main studies, including reproducibility, on the use of microwave energy for extraction have been reviewed (Eskilsson & Björklund, 2000).
\n\t\t\t\tMastragostino reported the microwave-assisted synthesis of Ag2V4O11 starting from V2O5 and Ag2CO3 (Arbizzani et al., 2007). Although acceptable reproducibility may be attained in the exploratory phase by using low-cost domestic ovens modified to read the temperature of the reaction mixture (the irradiation was manually stopped when the temperature of the sample reached a set value), properly controlled synthesis conditions can be achieved only with scientific microwave systems with control of irradiation power and reaction temperature (such as the CEM Discover single-mode reactor).
\n\t\t\t\tThe influence of microwave energy on the rate of cleavage of –C–S– and –S–S– bonds by azide ions has been investigated using a domestic oven. It was found that microwaves do not accelerate the cleavage of the –C–S– bond whereas –S–S– bond cleavage is faster. However, the reproducibility of this reaction is very poor and the microwave technique is not recommended for quantitative determination (Kurzawa & Stachowiak, 2001).
\n\t\t\t\tWhen the microwave methodology was introduced twenty-five years ago, most reactions were performed in domestic ovens without appropriate temperature and pressure controls. As a consequence, there is a plethora of interesting organic transformations that have been reported to take place in domestic ovens. However, reactions performed in this kind of instrument, i.e. without appropriate temperature and pressure controls, are generally considered as not reproducible, thus limiting the application of such reactions.
\n\t\t\t\tThe polarity of the solvent is the most important parameter to consider when microwave reactions are performed in solution. Polar solvents absorb the microwave radiation directly and the polarity of the substrate is relatively unimportant. In the case of non-polar solvents, however, the radiation is absorbed by the substrates, but the differences in absorption of the substrates are moderated by the solvent, especially in dilute solution. In both cases, the reaction temperature is limited by the solvent boiling point and microwave-assisted reactions in solution are easily controlled. In neat reactions, radiation is again absorbed by the substrates but there is no solvent to stabilize the temperature. In this situation, the nature of the substituents and the polarity of the substrates influence the absorption of microwave energy and, hence, the yield. Moreover, in the absence of solvent the temperature is not limited by the boiling point of the solvent. A process involving highly polar reagents, intermediates or transition states can hardly be controlled under microwave irradiation. Hence, it does not follow that a solvent-free reaction previously performed in a domestic oven will be controllable and reproducible in dedicated microwave reactors in a similar way to reactions in solution, as the field density is very different from one instrument to another (Nüchter et al., 2004).
\n\t\t\t\tIn 2007 Díaz-Ortiz & Alcázar showed for the first time that solvent-free reactions performed in domestic ovens could be reproduced, scaled and parallelized in controlled microwave monomode and multimode reactors (Díaz-Ortiz et al., 2007). The 1,3-dipolar cycloaddition of nitrile
1,3-Dipolar cycloaddition of nitrile with nitrile
Plot of yield versus temperature for 1,3-dipolar cycloaddition reactions
The third step in the study concerned the scalability of the reaction. For this purpose, eight different nitriles were reacted with a nitrile
Comparative results for eight nitriles in different applications and isolated yields obtained
In order to extend the preliminary results to see whether any solvent-free reaction previously performed in a domestic oven can be reproduced in dedicated apparatus, the same authors studied four new reactions that cover a wide range of chemical transformations (Díaz-Ortiz et al., 2011). It was found that
Oxidation of benzylic bromides
With the aim of explaining why the oxidations of benzylic bromides are not reproducible processes under microwave irradiation, a computational study on this reaction and the aforementioned 1,3-dipolar cycloaddition – which is easily reproduced - was performed (Table 1). The results show that reactions involving a moderate or medium increase in polarity in the pathway from reactants to products (Table 1, Entry 1) are relatively easy temperature-controlled processes under microwaves. In contrast, large increases in polarity during the reaction path (Table 1, Entries 2 and 3) give rise to extreme absorptions of microwave energy and make these processes more difficult to control and reproduce.
\n\t\t\t\tEntry | \n\t\t\t\t\t\t\tProcess | \n\t\t\t\t\t\t\tDipole Moments (Debyes) | \n\t\t\t\t\t\t|
Reactants | \n\t\t\t\t\t\t\tIntermediate | \n\t\t\t\t\t\t||
1 | \n\t\t\t\t\t\t\t1,3-Dipolar cycloaddition solution (acetonitrile) | \n\t\t\t\t\t\t\t5.51 | \n\t\t\t\t\t\t\t11.27 | \n\t\t\t\t\t\t
2 | \n\t\t\t\t\t\t\tOxidation of benzylic bromides SN2 solution (bromobenzene) | \n\t\t\t\t\t\t\t5.05 | \n\t\t\t\t\t\t\t25.02 | \n\t\t\t\t\t\t
3 | \n\t\t\t\t\t\t\tOxidation of benzylic bromides SN1 solution (bromobenzene) | \n\t\t\t\t\t\t\t5.55 | \n\t\t\t\t\t\t\t52.04 | \n\t\t\t\t\t\t
Dipole moments (Debyes) of selected stationary points
A combined (multimode and single-mode) microwave device (MLS ETHOS 1200 Combi ) was used by Ondruschka to perform a comparative study of both single-mode and multimode microwave irradiation methods (Nüchter et al., 2003b). The authors studied a lipase-catalyzed transesterification process, and Biginelli and Hantzsch reactions. The results were similar for both single-mode and multimode microwave devices in all reactions. Differences in the yields of the pure products were due to different workup procedures and small systematic errors. The authors completed their work with a useful study of the heating behaviour of polar systems in the multimode microwave field: energy input in pure substances, and mixtures of polar and non-polar substances.
\n\t\t\tMost examples of microwave-assisted chemistry published to date have been performed on a scale of less than 1 g, with a typical reaction volume of 1–5 mL. The main applications have been to accelerate and optimize well-known and established synthetic procedures. In microwave-assisted synthesis there is a need to develop techniques that can ultimately provide products on a multikilogram scale before this approach can become a fully accepted industrial technology. Thus, the further development of large reactors is required, at least on the pilot plant scale to enable multikilogram production of lead compounds. It was not until the mid-1990s that the issue of scale-up was first investigated (Raner et al., 1995; Cablewski et al., 1994; Roberts & Strauss, 2005). Since that time, a significant number of prototypical and commercial microwave scale-up reactors have been reported, for both batch and continuous operation, and most of these were described by chemical engineering groups.
\n\t\t\tThe scale-up of microwave chemistry clearly has several benefits to offer over conventional heating. However, there are some problems that make the scale-up of microwave chemistry difficult to achieve. The big challenge for process scale-up involving microwave technology is to establish a reliable and safe process setup where issues like physical properties (i.e., penetration depth), temperature control, and reactor design have to be carefully considered. On using batch reactors, the user is confronted with problems in heating large volumes due to the limited penetration depth of microwave irradiation (Nüchter et al., 2004).
\n\t\t\tThe scale-up of microwave-mediated transformations can be defined in different ranges, leading to the use of different concepts and varying instrumentation. Depending on the user, the term “scale-up” will have different meanings. In the case of method development, scale-up starts with processing a 50 mL reaction mixture, corresponding to a 10- to 100-fold scale-up of reactions performed in standard single-mode microwave vials with a processing volume of 0.5–5.0 mL. A possibility for further scale-up would be the use of the “numbering up” approach, i.e. running the same reaction several times in sequence. This approach is aided by existing robotic equipment, which allows unattended vessel transfer in and out of the microwave cavity. Alternatively, such reactions can also be performed by parallel synthesis in corresponding multivessel rotor systems on switching to multimode instruments. From an industrial viewpoint, scale-up means process development and the highest possible throughput, a situation that virtually excludes the use of batch reactors. In fact, it is the productivity and not the size of the vessel that is important, which clearly indicates that flow systems, regardless of whether applied in stop-flow (SF) or continuous flow (CF) mode, have distinct benefits over batch process reactors.
\n\t\t\tThe approaches can be categorized as: scale-up in parallel, scale-up in sequence, and scale-up by continuous flow (Figure 4). Hybrid approaches have also been devised.
\n\t\t\tStrategies for microwave scale-up
The advantages of microwave heating in chemistry results in the need for scale-up possibilities. Moreover, the direct homogenous heating of reaction mixtures under microwave irradiation is believed to facilitate direct scaling without heat and mass transport issues (Kappe & Stadler, 2005). In fact, direct scaling of microwave-assisted synthesis in batch mode, without the need for process optimization, has already been demonstrated in organic synthesis on using open or closed reaction vessels (Leadbeater, 2010).
\n\t\t\t\tWhen considering batch scale-up, one approach is to use a single, larger, reaction vessel. This avoids the problem of tedious charging and discharging of multiple reaction vessels. However, penetration depth and/or power density could become issues as the vessel size increases.
\n\t\t\t\t\tIf the reaction can be carried out in the absence of solvents, or superheated solvents are not required, or if the process can be performed successfully below the boiling point of the solvent, the large reaction can be run in an open-vessel model. At present there are several commercially available microwave ovens to carry out this scale-up mode, including CEM MARS, MILESTONE Micro-SYNTH and MINILABOTRON SAIREN.
\n\t\t\t\t\tThis methodology has some disadvantages. For example, the penetration depth or power density may be an issue and of course reactions that need elevated temperatures and pressures cannot be carried out. However, considerable scale-up can be – and has been – achieved in such reactors.
\n\t\t\t\t\tOpen-vessel conditions prove advantageous for driving equilibrium reactions to completion when the product or by-product is a more volatile component than the starting materials. A Milestone MicroSYNTH reactor has been used to perform a fractional distillation in the synthesis of a tricyclic heterocycle (Razzaq & Kappe, 2007).
Reaction between
The Hantzsch 1,4-dihydropyridine synthesis (Bowman et al., 2008a) was also scaled up successfully to the 0.5–1 mol level in the MARS unit and this involved heating up to 1 L of reaction mixture. One batch provided 250 g of dihydropyridine product in less than 1 h.
\n\t\t\t\t\tLeadbeater et al. evaluated a new batch reactor, designed by AccelBeam Synthesis, that allows reactions to be performed on scales from 2–12 L (Schmink et al., 2010). A number of reactions have been investigated, including palladium-mediated transformations, condensation reactions, nucleophilic aromatic substitution reactions, and alkylations. One important aspect of this work was that a linear scaling approach was taken and changes were not made to the protocol on moving from the small, developmental scale to larger scales. In some cases reactions were scaled over 18,000-fold on moving from small (0.1–1 mmol) to large (1–18 mol) runs. It is noteworthy that in order to simulate a situation where multiple sequential microwave steps were employed to reach a desired target compound, these authors developed a sequence of reactions as a medicinal chemist might do at the 10 mmol scale in order to synthesize a drug-like molecule (Scheme 11). Overall, the sequence employed three microwave steps and afforded 473 g of the target molecule in 38% yield, almost identical to the 39% obtained in the small scale process.
\n\t\t\t\t\tPreparation of 2-(benzylthio)-6-methyl-4-(phenylamino)pyrimidine
Horikoshi et al. employed a batch reactor to synthesize silver nanoparticles in aqueous media by reduction of a diaminosilver(I) complex with carboxymethylcellulose (Horikoshi et al., 2010). The microwave process yielded smaller silver particles with a narrower distribution than the conventional heating process.
\n\t\t\t\tAnother approach to perform the scale-up involves the use of a single large sealed vessel. In this case, it is possible to carry out reactions in heterogeneous conditions, in the presence of solvents, and at pressure. Despite this versatility, the limiting factor is the vapour pressure generated by a superheated solvent due to safety concerns. While moderately high pressures (~20 bar) are easily contained in small scale microwave reactors, the use of large vessel sizes requires more safety features and greater engineering expertise in the system design. This results in more complex reactors that are less easy to use and more expensive. In this sense, to contain the pressures likely to be generated, strong materials must be used to construct the reaction vessels, but they must also be microwave transparent. This rules out the use of metals on this scale and leaves thick-walled (quartz) glass, ceramics, and polytetrafluoroethene (PTFE or Teflon), or combinations thereof. However, these materials are all thermal insulators. In either case, cooling is further compromised by the necessarily thick-walled vessels such that, for larger microwave reactors, the cooling time is often notably longer than the combined heat-up and reaction periods. This situation increases the cycle time per batch and reduces the overall output, thus lessening the benefit of rapid microwave heating. Some of these problems have been solved in certain systems. For example, flash evaporation using the mechanical pressure of superheated solvent in the vessel can discharge the reaction mixture while it is still hot into a collection vessel, thus allowing the cooling to occur off-line from the reactor.
\n\t\t\t\t\tCommercially available microwave reactors in which sealed-vessel scale-up can be performed are the BIOTAGE ADVANCER 350, Batch SYNTH, Ultraclave, MILESTONE ETHOS 1600, Anton Paar monowave 300, and Anton Paar Masterwave BTR.
\n\t\t\t\t\tScale-up in a single sealed vessel represents perhaps the least utilized scale-up option. This may be because the reactors are large and expensive and that more expertise is required for their use.
\n\t\t\t\t\tOne particular example of pharmaceutical interest was the Grandberg synthesis of 2-methyltryptamine (Scheme 12) (Bowman et al., 2008b). A conventional approach to this reaction had already been scaled up to 20 kg at Novartis (Slade et al., 2007). However, the Advancer reactor was used to give results on a 0.2 mol scale that are comparable to those achieved by the Novartis group.
\n\t\t\t\t\tGrandberg synthesis of 2-methyltryptamine
Schubert reported ring-opening polymerizations in batch mode of 2-ethyl-2-oxazoline on scales up to 100 g without the need for process optimization (Paulus et al., 2006). Nevertheless, it should be noted that this pressurized process cannot be scaled indefinitely in batch mode for safety reasons.
\n\t\t\t\t\tDeetlefs reported the use of a CEM MARS system for the synthesis of a wide range of ionic liquids based on nitrogen-containing heterocycles (Deetlefs & Seddon, 2003). The process can be performed on a range of reaction scales (50 mmol to 2 mol) in either sealed or open vessels.
\n\t\t\t\tLaboratory-scale batch microwave reactors generally offer a maximum batch size of 1 L reaction volume and in most cases this is divided into several smaller reaction vessels (multivessel rotor systems). This approach does not exactly match the “one vessel” philosophy, but the parallel setup allows for the processing of several batches of either the same reaction mixture or of closely related mixtures. In fact, this combination of batch synthesis and parallel processing can furnish either compound libraries on the gram scale or a larger amount of one single compound in a short time. Although the Milestone UltraCLAVE system provides a 3.5 L single vessel cavity, it has proven to be more effective to heat smaller volumes in parallel rather than one big batch, given that identical microwave output power is applied (Loones et al., 2005; Cléophax et al., 2000).
\n\t\t\t\tThe demands made on industry, especially the pharmaceutical industry, are changing at an unprecedented pace, making speed critical in modern chemistry. For this reason, high-speed microwave synthesis and combinatorial chemistry have attracted a considerable amount of attention in recent years. These approaches offer significant advantages to the synthetic chemist: reduced reaction times and improved yields as a result of microwave heating and increased productivity due to the implementation of combinatorial chemistry. However, the evolution of microwave instrumentation is delivering new systems that allow reactions to be carried out in specialized multiwell plates under temperature and pressure controlled conditions (Nüchter & Ondruschka, 2003; Alcázar, 2005; Kremsner et al., 2007).
\n\t\t\t\tCaliendo et al. disclosed the synthesis of series of piperazine derivatives as 5-HT1A agonists using microwave irradiation in all the reactions (Caliendo et al., 2001; Caliendo et al., 2002) (Scheme 13). They compared the results obtained with microwave heating with those obtained using traditional heating. In all cases, compounds were obtained in higher overall yields and reaction times were reduced from hours to minutes on using microwave irradiation. Reactions were performed in a multimode instrument using parallel racks that allow the preparation of sets of compounds in a single irradiation experiment.
\n\t\t\t\tSynthesis of
Researchers at Johnson & Johnson Pharmaceuticals have described tropanylidene derivatives as combined mu/delta opioid receptor agonists (Costas et al., 2004). The preparation of these analogues was achieved by developing a parallel solution phase strategy under microwave irradiation, which allows multiple sequential reactions to occur in a single reaction vessel (Scheme 14).
\n\t\t\t\tPreparation of tropanylidene derivatives
This approach allowed the synthesis of 192 compounds in a quicker and more efficient manner than using the corresponding solid phase approach. Additionally, the parallel solution phase approach allowed rapid scale-up of selected compounds for further
Caliendo et al. described an efficient, facile, and practical parallel combinatorial synthesis of substituted-benzoxazines under microwave irradiation (Caliendo et al., 2004). The procedure involved the use of a specially designed microwave oven for organic synthesis that was suitable for the parallel synthesis of solution libraries. As a demonstration, a library of 19 substituted
Structure of cromakalin (CRK) and 1,4-benzoxazineamides
To facilitate the preparation of β-peptide libraries in parallel, Murray and Gellman adapted the reaction conditions for the solid-phase synthesis of 14-helical β-peptides for use in a multimode microwave reactor (Murray & Gellam, 2006). The low temperature and pressure requirements of microwave-assisted β-peptide synthesis were found to be compatible with multiwall filter plates composed of polypropylene. Microwave heating of the 96-well plate was sufficiently homogeneous to allow the rapid preparation of a β-peptide library in acceptable purity.
\n\t\t\t\tAn environmentally friendly method based on microwave radiation has been developed for the synthesis of a library of
\n\t\t\t\t\t\t\t
The combination of parallel synthesis and microwave chemistry has clearly improved the efficiency in the preparation of derivatives. The synthesis of compound libraries in single-mode instruments fully integrated into automatic platforms in a sequential way is well established. Additionally, integration of reaction performance in multiwell plates under microwave irradiation with automatic platforms for sample preparation and work up is expected to further optimize library synthesis.
\n\t\t\tAlthough dedicated modern microwave instruments for MAOS are very successful in small-scale operations, microwave scale-up in batch mode beyond a reaction volume of approx. 1 L is not feasible (Glasnov & Kappe, 2007). The penetration depth of only a few centimetres and the limited dimensions of the standing wave cavity are the main reasons for the development of continuous or stop-flow microwave reactors. In these systems the reaction mixture is passed through a relatively small microwave-heated flow cell, which avoids the aforementioned drawbacks.
\n\t\t\t\tIt was recognised early on in the development of microwave reactors that flow-based applications offered tremendous advantages in terms of processing capabilities. Two of the early pioneers of microwave chemistry extolled the virtues of continuous microwave reactors as early as the 1990s (Chen et al., 1990; Cablewski et al., 1994). However, such pioneering developments received little recognition or further development due to a combination of inferior technology, poor quality manufacture and the fact that the adoption of continuous flow protocols was in direct contradiction to the emerging, at that time, Combinatorial Chemistry (small scale multiparallel batch processes).
\n\t\t\t\tThe key requirement of a continuous flow microwave reactor is the ability to continuously monitor and adjust the reaction parameters whilst in operation. This facilitates easy reaction optimization, introduction of automated safety controls and ensures a reliable and prolonged processing capability. Additionally, the combination of such processing techniques with the enabling technology of immobilized reagents, scavengers and catalysts to effect multi-step synthetic transformations has allowed the generation of novel pharmaceutical architectures and more complex natural products.
\n\t\t\t\tOne of the first successful examples of scale-up was developed by Strauss (Cablewski et al., 1994). These authors prepared hundred gram quantities of a cyclopentenone intermediate using the continuous microwave reactor that they developed themselves (Scheme 16). The standard purification protocol for the product (distillation to remove small residual quantities of the starting material) was ineffective for large scale syntheses and, as a result, a scavenging procedure using a bisulfate-functionalized ion exchange resin to remove the reaction base (NaOH) was employed. The enhanced processing capability provided by this solid phase purification approach demonstrates the superior throughput that can be achieved by an innovative combination of technologies.
\n\t\t\t\tPreparation of 3-methylcyclopent-2-enone using a flow microwave reactor
Recently published examples of continuous flow organic microwave synthesis involve, for example, the synthesis of 5-amino-4-cyanopyrazoles (Smith et al., 2007). The design consists of fluorinated polymer tubing wound around a Teflon core that is fitted with a dummy pressure cap. This flow device has the basic shape of a 20 mL vial suitable for the Biotage EXP single-mode instrument. The input tube is connected to an HPLC pump and a 7 bar back-pressure regulator is placed at the exit. Both connections are physically located at the bottom of the microwave unit. In addition, with this system, purification can be facilitated by passing the exiting flow stream through columns packed with polymer-supported reagents or scavengers. The synthesis of various 5-amino-4-cyanopyrazoles by reaction of a set of hydrazines with ethoxymethylene malononitrile in methanol was performed at temperatures between 100–120 ºC with a residence time of 0.8–4 min (Scheme 17). Subsequent passage of the reaction mixture through a column with supported benzylamine to scavenge any unreacted malononitrile, followed by a column packed with activated carbon to remove coloured impurities, furnished the desired product in high purities, good to excellent yields and in quantities up to 250 g. A benefit of this flow device is its versatility, since different tubing lengths can be wrapped in the system to provide reactors with different internal volumes. The application of multiple bundle tubings allows different reactions to be performed in parallel in one single reactor.
\n\t\t\t\tFlow microwave synthesis of 5-amino-4-cyanopyrazoles
Microwave heating seems to be particularly competitive with transition metal-catalyzed processes, not only bringing long reaction times down to minutes but also minimizing the levels of undesired side products and preventing collapse of the catalytic system (Nikbin et al., 2007).
\n\t\t\t\tThe combination of reactor design with immobilization techniques is very important for the flow process as it facilitates maximal interaction between reagents and catalysts without causing clogging problems. Moreover, the immobilized catalysts could be used over several cycles without a significant drop in activity. Kappe described a Heck cross-coupling reaction using a continuous-flow reactor based on a megaporous glass carrier material with suitable polymer functionalization introduced into the pore volume of this support (Kunz et al., 2005). For this purpose, a basic ion-exchange resin-loaded monolith was used in order to create the close neighbourhood of ionic sites and Pd(0) sites (Scheme 18). Pure products were collected without the need for extensive purification steps. The combination of composite-based flow-through reactors with microwave irradiation may lead to new and effective methods to scale up organic reactions.
\n\t\t\t\tHeck transformation applying a continuous-flow reactor
Recently, Organ has prepared highly porous Pd films composed of nanometer-sized particles (Comer & Organ, 2005). These Pd films served as an excellent catalyst for Heck reactions under continuous flow microwave conditions. The authors showed that 10 mg of product can be obtained from this reactor system within 1 min. Gram quantities of the products were obtained by flowing reaction mixtures through a single capillary for about 90 min.
\n\t\t\t\tAnother interesting study was described by Wilson (Wilson et al., 2004), who developed a continuous microwave reactor that eliminates the potential reaction parameter re-optimization (time and temperature) typically required when methods are transferred from small-volume, single-mode systems to larger (but limited)-volume multimode systems (Figure 6). The representative chemistries explored include SNAr, esterification, and the Suzuki cross-coupling reaction, all of which were successfully and safely scaled up to multigram quantities using a home-made continuous flow microwave cell (Scheme 19).
\n\t\t\t\tGlass coiled flow cell
SNAr, esterification, and a Suzuki cross-coupling reaction in a microwave-flow reactor
When reactions need to be performed on several hundred gram or kilogram scales, typical for pilot or manufacturing plants, microwave synthesis is not easily scalable (Singh et al., 2008). As a result, the development of stop-flow or continuous flow microwave reactors, capable of working with slurries, are key for the successful translation of the reaction conditions. In this way Moseley (Marafield & Moseley, 2010) used SNAr reactions to evaluate the stop-flow approach, where reagents were loaded into the microwave vial, the reaction proceeded and finally the vial was emptied in an automatic process without manual intervention. This approach gave production rates of >0.5 Kg per day, which would meet the manufacturing requirements of early clinical pharmaceutical development.
\n\t\t\t\tThe same transformation shown in Scheme 20 was used in a recent article to validate the Milestone FlowSYNTH, a commercially available continuous flow microwave reactor designed for working at manufacturing scale (Bergamelli et al., 2010). This instrument gave productivities up to 0.65 mol/h (~170 g/h). Even higher productivities were achieved for the ortho Claisen rearrangement, in which nearly 30 kg of material per day could be produced in one unit. The rearrangement was included in a three-step microwave synthesis of naphthofuran, which was successfully scaled up, although the first reaction, naphthol
SNAr evaluated in a stop-flow reactor
Synthesis of naphthofuran
In order to improve the performance of the system, Dressen modified five key points to reduce the potential blockage by solids (Dressen et al., 2010). The modified system was assessed in the enantiomerically selective esterification of (
To sum up this section, the scale up of processes using microwave irradiation in continuous flow systems has proved to be a valuable tool when homogeneous reactions are involved. In the case of heterogeneous reactions, solid reagents in cartridges have proven efficacy on the multigram scale. In the case of kilogram scale heterogeneous reactions, improvements in the handling of heavy slurries have been achieved, even though further development of this technology is still needed to overcome clogging and plugging problems. Other factors that must be taken into account, as introduced by different authors (Bergamelli et al., 2010; Dressen et al., 2010), concern the concept of energy efficiency. Energy cost is a key factor when deciding between different technologies.
\n\t\t\t\tEsterification reactions of (
The application Microwave Assisted Organic Synthesis on the laboratory scale has been very successful – especially since the introduction of dedicated microwave instruments. However, the expansion of this technique as the first choice to perform a chemical synthesis has been hindered by the following limitations:
\n\t\t\tThe use of various instruments from different companies and with different characteristics (power density, volume, waveguides etc.).
The indistinct use of monomode and multimode instruments with and without control of the incident power, respectively.
The general use, until 2000, of domestic kitchen-type microwave instruments, the results of which are considered to be non-reproducible.
The low penetration depth of microwave irradiation, which hinders the scale up of reactions assisted by microwaves.
In this first part of the review we have described the efforts made to solve the problems of reproducibility. Reproducibility between microwave instruments can be achieved through accurate control of the reaction conditions, especially when the temperature of the reaction is the parameter to be controlled. This reproducibility can be extended from kitchen-type microwave instruments to monomode and multimode reactors and even when the reaction is scaled-up. Reproducibility can be attained regardless of the polarity of the solvent and also in solvent-free conditions, where the polarities of the substrates have a dramatic influence on the absorption of microwave irradiation. The only exceptions are the reactions in which the polarity increases dramatically along the reaction coordinate.
\n\t\t\tIn the second part of the review, the strategies for scaling-up microwave reactions have been covered. One approach involves the use of large microwave cavities (volumes up to 12 L) in batch and, in some cases, with specially designed multimode microwave instruments. A second approach concerns parallel reactions in multimode systems and probably the most promising is the use of continuous flow systems that combine the advantages of microwave irradiation, volumetric heating with a high heating rate, and flow reactors, especially the efficient heat transfer and the possible application of the same reaction conditions from laboratory scale to pilot plant.
\n\t\tFinancial support from DGCYT of Spain through project CTQ2010-14975/BQU and Consejería de Educación JCCM through projects PII2I-0100 and PEII11-0049 is gratefully acknowledged.
\n\t\tAmerican trypanosomiasis ranks as the fourth most frequent disease-causing loss of productive years [1]. Also known as Chagas disease, this disease is a parasitic infection transmitted by hematophagous vectors [2] and is characterized by an acute period with general symptoms, which leads to a chronic phase and the development of complications at different levels of the infected organism. The reports, made by the World Health Organization (WHO), mention that in the world there are between 16 and 18 million infected people which approximately only 1% receives an early diagnosis and full treatment, being the area with the highest incidence is in the Latin American area where this infection is considered endemic. Due to the public health implications and the high percentage of complications that it presents in chronic phases, the Pan-American organization and the World Health Organization consider this disease as the most serious parasitic infection in Latin America [1].
In addition to vector transmission, this infection can be spread vertically through infected women during pregnancy, leading to gestational disease with implications for uterine or neonatal development.
Among the major complications of the chronic stage of Chagas disease, it is the development of the so-called—mega syndromes, within which megaesophagus and Chagasic megacolon are more frequently included, which develop from alterations in the neurosensory system in the muscular layers of these organs. Both scenarios present significant complication rates that condition the loss of productive years, a decrease in the quality of life, and compromise life depending on the presentation of volvulations or eating disorders.
Although the development of complications associated with the chronic stages of Chagas diseases, such as intestinal volvulations [3] in megacolon, is relatively uncommon in Western countries, it is still considered the most severe complication [4], positioning itself as the third cause of lower intestinal obstruction in some countries, only below diverticular disease and colon cancer [1]; with respect to megaesophagus, complications can occur even in patients who are considered asymptomatic, who nevertheless present motor disorders of the esophagus that can lead to the development of neoplasms.
Chagas disease was discovered in 1909 by Dr. Carlos Chagas, he studied blood-sucking insects with a nocturnal habit called “barbeiros” (Figure 1). Chagas sent samples of Barbeiros that Dr. Cruz inoculated into monkeys. After 30 days, Chagas examined the monkeys’ blood and found parasites, which he named
Hematophagous barbeiro insect causing transmission of Chagas disease.
In a study by Aufderheide et al. with the review of mummies exhumed from archeological sites in both Peru and Chile, a carbon dating of their tissues was revealed to approximately 7000 BC. and confirmed by means of the polymerase chain reaction (PCR) the presence of DNA of the
In the case of Latin America, 20% of its population is at risk of acquiring the infection, especially in endemic areas. In Mexico, it is considered a public health problem, since it is estimated that 1.1 million people are infected. The incidence from 2000 to 2007 remained in the range of 0.07–0.37 per 100,000 people, increasing to 0.70 in 2012. During 2018, 150 cases were registered throughout the republic. According to a 2013–2018 report, Chagas disease is the most serious parasitic disease in Latin America, since there are 110 million people at risk of infection in 21 different countries, likewise, the World Health Organization has classified it as one of the 14 lagging diseases [8].
The
The acute phase of Chagas disease is characterized by strong inhibition of the host’s immune response triggered by virulence factors of
As mentioned above, Chagas disease has two phases of development, the acute and the chronic period. The acute phase can occur at any age, has an incubation period of 4–14 days, and a duration of 2–4 months. It is asymptomatic in 95% of cases when symptoms occur, these include fever (75%), inflammation in the inoculation site (inoculation chagoma, 25%), unilateral eyelid edema (Romaña-Mazza sign; when the conjunctiva is the gateway, 50%) (Figure 2), lymphadenopathy, and hepatosplenomegaly. The acute phase lasts 4–8 weeks, and parasitemia decreases substantially from day 90 onwards. A severe acute phase occurs in less than 1–5% of patients, including manifestations, such as acute myocarditis, pleural effusion, and meningoencephalitis (mortality risk 0.2–0.5% [8].
Flagellated tripoamastigote causing the circulating phase of the disease.
Cases of congenital infection are generally characterized by the absence of symptoms in 70–80% of cases. The remaining 20–30% may have signs and symptoms, such as prematurity, low weight for gestational age, edema, jaundice, respiratory distress, persistent tachycardia, hepatosplenomegaly, and anemia. Occasionally sepsis, fever, hydrops fetalis, rash, petechiae, lymphadenopathy, meningoencephalitis, cerebral calcifications, fundus abnormalities, interstitial pneumonia, myocarditis. It can be classified as asymptomatic, early symptoms (<less than 30 days old), or late symptoms (> 30 days old) [8].
The specific symptoms, which occur in the chronic stage, will depend directly on the organ that is affected and the damage that has occurred during the entire period of the disease. There is an asymptomatic chronic phase. This is characterized by the absence of symptoms and the presence of parasitemia and/or positive serology. This form can persist but only 30% of the patient the rest may progress to symptomatic form over a period of 10–30 years.
The symptomatic phase consists of the presence of chronic heart disease (cardiomegaly) represents the main cause of mortality and/or gastrointestinal disease (megaesophagus, megacolon, megaileum, megastomach, megabladder, megaduodenum, and megajejunum) with fluctuating parasitemia levels.
The most common gastrointestinal affectation due to Chagas disease is the megaesophagus, it affects any age, sex, and stage of the disease. The initial symptoms can be quite nonspecific, such as hypersalivation, nocturnal cough, a sensation of coughing after eating, and weight loss that further complicates the diagnosis [13], is characterized by the inability of the esophagus lower esophageal sphincter (LES) to relax in response to swallowing and absence of peristalsis in the esophageal body and; both motor abnormalities determine esophageal dilation with food stasis that will produce most of the symptoms and complications of the disease [13].
In the acute phase of the disease, parasites cause invasion of muscle tissue of the heart and digestive system, causing ganglionitis and lymphocytic infiltration, which leads to neuronal degeneration in these organs. It has been observed a massive loss of myenteric neurons, while the loss of submucosal neurons is moderate [14]. The asymptomatic or indeterminate chronic phase is clinically silent and with very low parasitemia, the duration varies between 5, 10, and up to 20 years; during this stage, the diagnostic methods of choice are serological tests. After this phase, the chronic symptomatic period occurs in which approximately 27% of patients present cardiac lesions, 6% damage to the digestive system (mainly in the esophagus and colon), and 3% to the peripheral nervous system [13].
The myenteric and submucosal plexus make up the enteric nervous system in humans, where the ganglionic nerve networks are located. The myenteric or Auerbach’s plexus is located between the muscular layer and the longitudinal layer (Figure 3) and extends from the upper part of the esophagus to the internal anal sphincter. Additionally, the human submucosa contains two ganglion plexuses, the inner one is called Meissner’s plexus and is localized in the submucosal plexus, while the Schabadasch’s plexus is outer [15].
Amastigote without flagellum responsible for cell invasion.
The progressive and irreversible deterioration in the enteric nervous system caused by the
Hypocontractibility, motor dyskinesia, and incomplete or absent relaxation of the lower esophageal sphincter are results of this destruction of the myenteric plexuses, which lead to the classic presentation of achalasia. In esophageal symptoms and altered motility, an increase in the diameter of the esophagus is observed in 7–10% of infected subjects (Nisimura et al., 2020). Despite the findings that have been made in relation to the loss of esophageal motility secondary to damage to nerve structures, it has been proposed that the condition in other cell groups is necessary to explain more broadly the damage caused by the parasite. Therefore, it has been proposed that the damage caused to the muscle and nerve layers is also associated with immunomodulatory mechanisms and the local inflammatory response [14].
The biomechanics of swallowing is directly related to the contraction of the suprahyoid muscles. This contraction promotes the elevation and stabilization of the laryngeal complex during swallowing. Analysis of the suprahyoid musculature by electromyography has generally included the end of the oral phase, the pharyngeal phase, and the beginning of the esophageal phase. In the oral and pharyngeal phases of swallowing in patients with Chagas disease, there is an increase in oral residues, a longer pharyngeal clearance and upper esophageal transit, and a longer opening of the upper esophageal sphincter. It has been observed that the contractile activity in the electromyography of patients with Chagas disease is lower than that of those who present motor esophageal disorders without this disease. This may be explained by decreased muscle recruitment of the suprahyoid muscles in patients with Chagasic megaesophagus and symptoms of dysphagia [16].
The diagnosis of Chagas megaesophagus is based mainly on the clinical history, symptoms, barium esophagram (Figure 4), manometry, and endoscopy [17], which could be classified as follows.
Rezende’s classification of Chagasic esophagopathy | |
---|---|
Stage | Description |
Stage 0 | indeterminate phase |
Stage 1 | normal diameter with delayed emptying |
Stage 2 | Moderate esophageal dilation and hypertonia of the lower esophageal sphincter |
Stage 3 | Large increase in caliber with little contractile activity |
Stage 4 | Megaesophagus |
Unilateral eyelid edema, Romaña-Mazza sign.
An objective way to assess the severity of symptoms, as well as the effectiveness of treatment, is the Eckardt score, which ranges from 0 to 12 points, which classifies the stages of the disease. The score assigns from 0 to 3 for weight loss, dysphagia, chest pain, and regurgitation, the final value consisting of the sum of these elements—stage 0 (0–1 points), stage I (2–3 points), stage II (4–6 points), and stage III (> 6 points) [18].
Eckardt Clinical Scoring System for Achalasia | ||||
---|---|---|---|---|
Score | Weightloss | Dysphagia | Retrosternal chest pain | Regurgitation |
0 | No | No | No | No |
1 | < 5 kg | Often | Often | Often |
2 | 5-10 kg | Everyday | Everyday | Everyday |
3 | >10 kg | Each meal | Each meal | Each meal |
The goal of treatment is to restore the ability to feed orally and alleviate all these symptoms, which can be achieved by various modalities, such as endoscopic dilation, peri-oral endoscopic myotomy, and Heller Pinotti laparoscopic cardiomyotomy, which is currently considered the standard treatment for non-advanced megaesophagus patients. These modalities eliminate resistance to the outflow of food, improving esophageal emptying [18].
Recurrence of dysphagia after cardiomyotomy is associated with gastroesophageal reflux with esophagitis, incomplete myotomy, fibrosis at the site of the gastroesophageal junction, an inappropriate indication of technique for patients with advanced megaesophagus, and intrathoracic migration of the gastric fundus. The reoperation is usually not very successful in relation to the first procedure and many patients require esophagectomy treatment, which is the option of choice when symptoms reappear or the stage is advanced but adds greater morbidity and mortality associated with thoracic esophageal dissection. An alternative to esophagectomy is esophageal mucosectomy, with less morbidity due to preservation of the esophageal muscle tunica and an intraluminal dissection of the esophageal mucosa with subsequent transposition of the gastric tube without violation of the mediastinum [18].
The appropriate choice of surgical treatment for recurrent achalasia depends on the pathophysiology of the recurrence. Therefore, for patients with incomplete myotomy or fibrosis at the esophagogastric junction, a new myotomy with partial fundoplication is still indicated, as long as the esophageal wall has not been damaged during dissection. For patients with significant reflux or dolichomegaesophagus, the indication is esophagectomy with transposition of a stomach or colonic tube [18].
As previously described, this disease occurs in two phases, an acute one characterized by cell destruction, extensive inflammatory foci, and a large number of circulating parasites, and a chronic phase that can cause potentially fatal cardiac and digestive disorders [19]. It has been described that up to 40% of people who suffer from it will develop one of these complications or a combination of both [20]. Megacolon is defined as irreversible dilation of the colonic segment, predominantly in the chronic phase of Chagas disease, where the dilated segment presents histopathological changes characterized by a significant loss of neurons of the myenteric or Auerbach and submucosal or Meissner plexus and although not the mechanisms of this destruction are well elucidated, it has been proposed that it could be due to the release of toxins during the fragmentation of the parasite, direct cellular damage, or inflammatory damage [20, 21].
Recently it has been described that the progress to the chronic phase is determined mainly by an inflammatory state, to which the virulence of the parasite and its tropism for the tissues contribute. During Chagasic cardiomyopathy, there is an extensive production of pro-inflammatory cytokines, such as interferon γ (INF γ), Tumor Necrosis Factor α (TNF α), as well as other mechanisms that cause tissue damage, such as the cytotoxic activity of CD8 T lymphocytes [10]. Similarly, in Chagasic megacolon, the myenteric plexus is severely affected by an inflammatory process that leads to neuronal degeneration, ganglionitis, peri-ganglionitis, neuritis, and peri-neuritis. The inflammatory infiltrate has been characterized by the presence of eosinophils, mast cells, CD68 + macrophages, Natural Killer CD57 + cells, and TIA-1 + cytotoxic lymphocytes that maintain the inflammatory process and neuronal destruction [21]. It has also been described that the neuronal destruction process derives from an autoimmune response mediated mainly by TNF α and INF γ. Both cytokines are involved in the control of the parasite during acute infection, however, an imbalance in the response of these cytokines can lead to progression to chronicity and eventually to the cardiac and intestinal complications characteristic of the chronic phase of the disease [21]. The role of the megacolon in the context of intestinal neoplasms is controversial. It is suggested that derived from the dilation of the organ and the presence of food stasis, there is prolonged contact between the intestinal mucosa and potentially carcinogenic agents. In this context, the role of Galectin 3, a protein whose increased expression is related to tumor progression and which is used by
According to current estimates, up to 10,000 deaths associated with this disease could occur annually [24], since between 15 and 20% of all cases will present digestive complications, including megaesophagus and megacolon [25]. The prevalence of megacolon in patients with Chagas disease may be higher in those who presented symptoms during the acute phase than in those in whom there were no manifestations in this phase [26].
Chagasic megacolon presents clinically with chronic constipation due to pathological dilation of the organ wall, mainly in the sigmoid portion of the colon, a site where
Although this sequel is well known in the context of Chagas disease, few studies have described the clinical manifestations of its presentation, having little information on digestive visceromegaly caused by
The approach to patients with megacolon associated with Chagas disease is complex because most infected patients do not present symptoms in the acute phase; so, it is very likely that they will seek care when the typical manifestations of megacolon appear (constipation, abdominal pain, diarrhea, changes in defecatory habits, or bloody stools); in this situation, if the patient is not known to have trypanosomiasis and lives in an endemic area, it will be essential to make a proper diagnosis of this disease [30, 31]. When questioning these patients, other associated symptoms and signs should be identified, since heart disease coexists in up to 30% of cases. Likewise, it is necessary to question the patient about other digestive symptoms, since some of these are not associated with Chagas disease [30]. In the study of patients in the chronic phase, the diagnostic methods are indirect, that is, laboratory techniques that identify antigens of
The diagnosis of megacolon depends on clinical, radiological, endoscopic, and surgical findings. One of the most widely used radiological studies is the Barium enema or colon enema (Figure 5), with which the diagnosis can be confirmed if the rectosigmoid diameter at the pelvic border is greater than 6.5 cm or the diameter of the middle sigmoid is 10 cm or more. Computed tomography colonography can also be used as it allows measurement of the diameters and length of the colon from different views [32]. Colonoscopy is not the ideal study for the identification of megacolon, since it depends on the interpretation of the person who performs it, in this sense, the diagnosis can be made through the result of incomplete colonoscopy [32].
Nervous plexuses of the digestive system.
The management of megacolon will depend on the degree of constipation of the patient, his/her nutritional status, and his/her comorbidities. Treatment options are clinical or symptomatic and surgical. There is no consensus on the surgical management of choice, however, the most widely used procedure is the Duhamel-Haddad procedure (rectosigmoidectomy with retrocecal interposition) or rectosigmoidectomy with low end-to-side colorectal anastomosis (see Figures 6–8) [30].
Megaesophagus seen with barium esophagram.
Barium enema showing megacolon.
Intraoperative image of sigmoid volvulation in chagasic megacolon.
It has been reported that complications derived from chronic constipation such as rectal prolapse or acute volvulus may occur [32, 33] (imagen 8). Of these, the most serious complication is volvulus, which occurs when a redundant loop of the colon rotates around the mesentery, which, in turn, causes a closed-loop intestinal obstruction that generates ischemia due to hypoperfusion of the affected segment, where there is an accumulation of gas associated with fermentation of intestinal contents. When this happens, the tension of the wall increases, which worsens the ischemia and promotes perforation of the intestine, which could lead to the death of the patient [34].
The treatment of volvulus is based on the control of symptoms and resuscitation of the patient and then decompression and derotation of the intestine by endoscopy if there is no evidence of peritonitis or perforation, since, if it occurs, the treatment is invariably urgent surgical [34].
American trypanosomiasis is one of the most serious parasitic diseases in the world, it has economic implications in public health systems that condition costs for complications in the different body systems, as well as loss of working years when diagnosed mainly in asymptomatic chronic stages. Damage to the digestive system due to the destruction of neuronal plexuses is responsible for most of the symptoms in chronic stages, which condition disability and put the patient’s life at risk, so early diagnosis in acute stages is the main tool to stop this disease.
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',metaTitle:"Terms and Conditions",metaDescription:"These terms and conditions outline the rules and regulations for the use of IntechOpen Website at https://intechopen.com and all its subdomains owned by Intech Limited located at 7th floor, 10 Lower Thames Street, London, EC3R 6AF, UK.",metaKeywords:null,canonicalURL:"/page/terms-and-conditions",contentRaw:'[{"type":"htmlEditorComponent","content":"By accessing the website at www.intechopen.com you are agreeing to be bound by these Terms of Service, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. Use and/or access to this site is based on full agreement and compliance of these Terms. All materials contained on this website are protected by applicable copyright and trademark laws.
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\n'}]},successStories:{items:[]},authorsAndEditors:{filterParams:{},profiles:[{id:"396",title:"Dr.",name:"Vedran",middleName:null,surname:"Kordic",slug:"vedran-kordic",fullName:"Vedran Kordic",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/396/images/7281_n.png",biography:"After obtaining his Master's degree in Mechanical Engineering he continued his education at the Vienna University of Technology where he obtained his PhD degree in 2004. He worked as a researcher at the Automation and Control Institute, Faculty of Electrical Engineering, Vienna University of Technology until 2008. 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It shows enormous potential to apply in the field of criminal investigation, medical treatment, identity recognition, human‐computer interaction and so on. In this chapter, we introduce the state‐of‐the‐art gait recognition techniques, which include 3D‐based and 2D‐based methods, in the first part. And considering the advantages of 3D‐based methods, their related datasets are introduced as well as our gait database with both 2D silhouette images and 3D joints information in the second part. Given our gait dataset, a human walking model and the corresponding static and dynamic feature extraction are presented, which are verified to be view‐invariant, in the third part. And some gait‐based applications are introduced.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Jiande Sun, Yufei Wang and Jing Li",authors:[{id:"197788",title:"Prof.",name:"Jiande",middleName:null,surname:"Sun",slug:"jiande-sun",fullName:"Jiande Sun"},{id:"197789",title:"M.Sc.",name:"Yufei",middleName:null,surname:"Wang",slug:"yufei-wang",fullName:"Yufei Wang"},{id:"197790",title:"Ms.",name:"Jing",middleName:null,surname:"Li",slug:"jing-li",fullName:"Jing Li"}]},{id:"55646",doi:"10.5772/intechopen.68850",title:"Motion Tracking System in Surgical Training",slug:"motion-tracking-system-in-surgical-training",totalDownloads:1955,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Introduction: Simulation technology is evolving and becoming the focus of attention in surgical training. The development of this technology in assessing open surgical skills is far behind when compared to minimally invasive surgery (MIS) training. Surgical skills such as suturing and tying surgical knots are assessed by an observational tool. It is labour-intensive and time-consuming. Therefore, we explored the potential use of motion tracking system as a non-observational assessment tool for basic surgical skills.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Shazrinizam Shaharan, Donncha M Ryan and Paul C Neary",authors:[{id:"37650",title:"Prof.",name:"Paul",middleName:null,surname:"Neary",slug:"paul-neary",fullName:"Paul Neary"},{id:"153270",title:"Mr.",name:"Donncha",middleName:null,surname:"Ryan",slug:"donncha-ryan",fullName:"Donncha Ryan"},{id:"196439",title:"Dr.",name:"Shazrinizam",middleName:null,surname:"Shaharan",slug:"shazrinizam-shaharan",fullName:"Shazrinizam Shaharan"}]},{id:"54897",doi:"10.5772/intechopen.68146",title:"Audio‐Visual Speaker Tracking",slug:"audio-visual-speaker-tracking",totalDownloads:1471,totalCrossrefCites:3,totalDimensionsCites:2,abstract:"Target motion tracking found its application in interdisciplinary fields, including but not limited to surveillance and security, forensic science, intelligent transportation system, driving assistance, monitoring prohibited area, medical science, robotics, action and expression recognition, individual speaker discrimination in multi‐speaker environments and video conferencing in the fields of computer vision and signal processing. Among these applications, speaker tracking in enclosed spaces has been gaining relevance due to the widespread advances of devices and technologies and the necessity for seamless solutions in real‐time tracking and localization of speakers. However, speaker tracking is a challenging task in real‐life scenarios as several distinctive issues influence the tracking process, such as occlusions and an unknown number of speakers. One approach to overcome these issues is to use multi‐modal information, as it conveys complementary information about the state of the speakers compared to single‐modal tracking. To use multi‐modal information, several approaches have been proposed which can be classified into two categories, namely deterministic and stochastic. This chapter aims at providing multimedia researchers with a state‐of‐the‐art overview of tracking methods, which are used for combining multiple modalities to accomplish various multimedia analysis tasks, classifying them into different categories and listing new and future trends in this field.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Volkan Kılıç and Wenwu Wang",authors:[{id:"149571",title:"Dr.",name:"Wenwu",middleName:null,surname:"Wang",slug:"wenwu-wang",fullName:"Wenwu Wang"},{id:"197235",title:"Dr.",name:"Volkan",middleName:null,surname:"Kılıç",slug:"volkan-kilic",fullName:"Volkan Kılıç"}]}],mostDownloadedChaptersLast30Days:[{id:"67001",title:"Optimization of NOE Flights Sensors and Their Integration",slug:"optimization-of-noe-flights-sensors-and-their-integration",totalDownloads:1246,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"This chapter unveils an enhancement strategy for nap-of-the-earth. The nap-of-the-earth (NOE) mode is the most energizing, most unsafe, and is generally the slowest. Military aircraft to maintain a strategic distance from opponent detection and assault in a high-thread circumstance use it. NOE used to limit discovery by the ground-based radar, targets and the control system. The radar altimeter (RA) or terrain following radar (TFR), terrain awareness and warning system (TAWS) used to identify the curbs during flying in NOE flights. Here, while the plane is at the nap of the earth activity, the speed and the height must be moderate as effectively decided. The terrain following radar (TFR) keeps up the altitude from the beginning. Therefore, we analyze the issue to expand the performance of the airplane by extending the terrain by a few modes of the TAWS, which given by various aviation authorities1. Further to this, different TAWS modes of action, explanation of mode selection and progression in TAWS clarified in detail. This chapter displays the MATLAB programme for a few patterns of TAWS mission, and simulation of the flight path for the excessive terrain closure rate from mode two operation of the flight.",book:{id:"7386",slug:"advances-in-human-and-machine-navigation-systems",title:"Advances in Human and Machine Navigation Systems",fullTitle:"Advances in Human and Machine Navigation Systems"},signatures:"Tamilselvam Nallusamy and Prasanalakshmi Balaji",authors:null},{id:"55073",title:"Gait Recognition",slug:"gait-recognition",totalDownloads:2370,totalCrossrefCites:4,totalDimensionsCites:4,abstract:"Gait recognition has received increasing attention as a remote biometric identification technology, i.e. it can achieve identification at the long distance that few other identification technologies can work. It shows enormous potential to apply in the field of criminal investigation, medical treatment, identity recognition, human‐computer interaction and so on. In this chapter, we introduce the state‐of‐the‐art gait recognition techniques, which include 3D‐based and 2D‐based methods, in the first part. And considering the advantages of 3D‐based methods, their related datasets are introduced as well as our gait database with both 2D silhouette images and 3D joints information in the second part. Given our gait dataset, a human walking model and the corresponding static and dynamic feature extraction are presented, which are verified to be view‐invariant, in the third part. And some gait‐based applications are introduced.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Jiande Sun, Yufei Wang and Jing Li",authors:[{id:"197788",title:"Prof.",name:"Jiande",middleName:null,surname:"Sun",slug:"jiande-sun",fullName:"Jiande Sun"},{id:"197789",title:"M.Sc.",name:"Yufei",middleName:null,surname:"Wang",slug:"yufei-wang",fullName:"Yufei Wang"},{id:"197790",title:"Ms.",name:"Jing",middleName:null,surname:"Li",slug:"jing-li",fullName:"Jing Li"}]},{id:"54800",title:"Human Action Recognition with RGB-D Sensors",slug:"human-action-recognition-with-rgb-d-sensors",totalDownloads:1713,totalCrossrefCites:3,totalDimensionsCites:5,abstract:"Human action recognition, also known as HAR, is at the foundation of many different applications related to behavioral analysis, surveillance, and safety, thus it has been a very active research area in the last years. The release of inexpensive RGB-D sensors fostered researchers working in this field because depth data simplify the processing of visual data that could be otherwise difficult using classic RGB devices. Furthermore, the availability of depth data allows to implement solutions that are unobtrusive and privacy preserving with respect to classic video-based analysis. In this scenario, the aim of this chapter is to review the most salient techniques for HAR based on depth signal processing, providing some details on a specific method based on temporal pyramid of key poses, evaluated on the well-known MSR Action3D dataset.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Enea Cippitelli, Ennio Gambi and Susanna Spinsante",authors:[{id:"197890",title:"Ph.D. Student",name:"Enea",middleName:null,surname:"Cippitelli",slug:"enea-cippitelli",fullName:"Enea Cippitelli"},{id:"198036",title:"Prof.",name:"Ennio",middleName:null,surname:"Gambi",slug:"ennio-gambi",fullName:"Ennio Gambi"},{id:"198037",title:"Dr.",name:"Susanna",middleName:null,surname:"Spinsante",slug:"susanna-spinsante",fullName:"Susanna Spinsante"}]},{id:"54897",title:"Audio‐Visual Speaker Tracking",slug:"audio-visual-speaker-tracking",totalDownloads:1473,totalCrossrefCites:3,totalDimensionsCites:2,abstract:"Target motion tracking found its application in interdisciplinary fields, including but not limited to surveillance and security, forensic science, intelligent transportation system, driving assistance, monitoring prohibited area, medical science, robotics, action and expression recognition, individual speaker discrimination in multi‐speaker environments and video conferencing in the fields of computer vision and signal processing. Among these applications, speaker tracking in enclosed spaces has been gaining relevance due to the widespread advances of devices and technologies and the necessity for seamless solutions in real‐time tracking and localization of speakers. However, speaker tracking is a challenging task in real‐life scenarios as several distinctive issues influence the tracking process, such as occlusions and an unknown number of speakers. One approach to overcome these issues is to use multi‐modal information, as it conveys complementary information about the state of the speakers compared to single‐modal tracking. To use multi‐modal information, several approaches have been proposed which can be classified into two categories, namely deterministic and stochastic. This chapter aims at providing multimedia researchers with a state‐of‐the‐art overview of tracking methods, which are used for combining multiple modalities to accomplish various multimedia analysis tasks, classifying them into different categories and listing new and future trends in this field.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Volkan Kılıç and Wenwu Wang",authors:[{id:"149571",title:"Dr.",name:"Wenwu",middleName:null,surname:"Wang",slug:"wenwu-wang",fullName:"Wenwu Wang"},{id:"197235",title:"Dr.",name:"Volkan",middleName:null,surname:"Kılıç",slug:"volkan-kilic",fullName:"Volkan Kılıç"}]},{id:"55646",title:"Motion Tracking System in Surgical Training",slug:"motion-tracking-system-in-surgical-training",totalDownloads:1959,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Introduction: Simulation technology is evolving and becoming the focus of attention in surgical training. The development of this technology in assessing open surgical skills is far behind when compared to minimally invasive surgery (MIS) training. Surgical skills such as suturing and tying surgical knots are assessed by an observational tool. It is labour-intensive and time-consuming. Therefore, we explored the potential use of motion tracking system as a non-observational assessment tool for basic surgical skills.",book:{id:"5783",slug:"motion-tracking-and-gesture-recognition",title:"Motion Tracking and Gesture Recognition",fullTitle:"Motion Tracking and Gesture Recognition"},signatures:"Shazrinizam Shaharan, Donncha M Ryan and Paul C Neary",authors:[{id:"37650",title:"Prof.",name:"Paul",middleName:null,surname:"Neary",slug:"paul-neary",fullName:"Paul Neary"},{id:"153270",title:"Mr.",name:"Donncha",middleName:null,surname:"Ryan",slug:"donncha-ryan",fullName:"Donncha Ryan"},{id:"196439",title:"Dr.",name:"Shazrinizam",middleName:null,surname:"Shaharan",slug:"shazrinizam-shaharan",fullName:"Shazrinizam Shaharan"}]}],onlineFirstChaptersFilter:{topicId:"1308",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:90,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:330,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:9,numberOfPublishedChapters:139,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:122,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:112,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:21,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:10,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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