Optimized antenna parameters
\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
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Ali",dateSubmitted:"June 5th 2018",dateReviewed:"September 6th 2018",datePrePublished:"December 31st 2018",datePublished:"April 3rd 2019",book:{id:"7293",title:"Fractal Analysis",subtitle:null,fullTitle:"Fractal Analysis",slug:"fractal-analysis",publishedDate:"April 3rd 2019",bookSignature:"Sid-Ali Ouadfeul",coverURL:"https://cdn.intechopen.com/books/images_new/7293.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"103826",title:"Dr.",name:"Sid-Ali",middleName:null,surname:"Ouadfeul",slug:"sid-ali-ouadfeul",fullName:"Sid-Ali Ouadfeul"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"261659",title:"Prof.",name:"Jawad",middleName:null,surname:"Ali",fullName:"Jawad Ali",slug:"jawad-ali",email:"jawadkali@theiet.org",position:null,institution:{name:"Institution of Engineering and Technology",institutionURL:null,country:{name:"United Kingdom"}}},{id:"262048",title:"Dr.",name:"Hadi",middleName:null,surname:"Ziboon",fullName:"Hadi Ziboon",slug:"hadi-ziboon",email:"haditarishziboon@yahoo.co.uk",position:null,institution:null}]},book:{id:"7293",title:"Fractal Analysis",subtitle:null,fullTitle:"Fractal Analysis",slug:"fractal-analysis",publishedDate:"April 3rd 2019",bookSignature:"Sid-Ali Ouadfeul",coverURL:"https://cdn.intechopen.com/books/images_new/7293.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"103826",title:"Dr.",name:"Sid-Ali",middleName:null,surname:"Ouadfeul",slug:"sid-ali-ouadfeul",fullName:"Sid-Ali Ouadfeul"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}}},ofsBook:{item:{type:"book",id:"10845",leadTitle:null,title:"Marine Ecosystems - Biodiversity, Ecosystem Services and Human Impacts",subtitle:null,reviewType:"peer-reviewed",abstract:"\r\n\tMarine Ecosystems are very productive and include the open ocean, the deep-sea ocean, and coastal marine ecosystems, each of which has different physical and biological characteristics. The biodiversity of some of these ecosystems is very rich and abundant offering unique opportunities for high-yield production of proteinaceous material, being a source of high-quality foods. Biodiversity is fundamental to sustaining marine ecosystem services, such as food, maintenance of water quality, and recovery from perturbations, being threatened worldwide. The main threats to marine biodiversity are habitat loss, eutrophication, overexploitation, pollution by hazardous substances, the introduction of non-native species, and other human activities. Efforts to reduce these pressures are essential for coastal water quality, recovery of ecosystem services, global food security, and ecosystem stability. Bioindicators to assess the presence of stressors are important tools to be used as early warning signals to early detect their presence, monitor and management of these ecosystems, and thus promote ecosystem health.
\r\n\r\n\t
\r\n\tThe protection of biodiversity is a major target of the European Union Marine Strategy Framework Directive, requiring an assessment of the status of biodiversity on the level of species, habitats, and ecosystems including genetic diversity and the role of biodiversity in food web structure and functioning. The restoration of marine ecosystems can support the productivity and reliability of goods and services that the ocean provides to humankind, to maintain ecosystem integrity and stability. Some of the goods produced by the marine ecosystem services are fish harvests, wild plant and animal resources, water, some of the services provided recreation, tourism, breeding and nursery habitats, water transport, carbon sequestration, erosion control, and habitat provision.
With the beginning of the new information era, necessity of wideband wireless communications technology is increasing rapidly due to the need to support more users and to provide information with higher data transmitting rates. Ultra-wideband (UWB) technology could be the most suitable technologies that promise to revolutionize high data rate transmission and enable the personal area networking industry leading to new innovations and greater quality of services to the end users. A UWB system is found to be extremely useful and consists of various satisfying features such as high data rate, high precision ranging, fading robustness, and low cost transceiver implementation. UWB is regarded as a very promising and fast emerging low-cost technology with uniquely attractive features inviting major advances in wireless communications, sensor networking, radar, imaging, and positioning systems [1, 2].
Antennas are indispensable elements of any wireless communication systems. For UWB communication systems, the antennas must be of low profile, compact size, light weight, low cost and conformable to the architecture of the mounting devices. Amongst various types of antennas such as log periodic, TEM horn, stacked patch, spiral and planar structure, the antenna with planar profile seems to be the most preferred choice [3-5]. It has the advantage of low profile in size, compactness, and easily embeddable into wireless devices or integratable with other RF circuitry
In recent years, printed slot antennas are under consideration for use in UWB applications and are getting more and more popular because of the merits of wide frequency bandwidth, low profile, lightweight, ease of fabrication and integration with other devices or RF circuitries. Compared to the electrical antennas, slot antennas have relatively large magnetic fields that tend not to couple strongly with near-by objects, which make them suitable for applications wherein near-filed coupling is required to be minimized [6]. A conventional narrow slot antenna has limited bandwidth, whereas wide-slot antennas exhibit wider bandwidth. Recently, different printed wide-slot antennas fed by a microstrip line or coplanar waveguide have been reported [7, 8]. Apart from these antennas, monopole like slot antennas have also been reported to have wide bandwidth characteristics [9-11]. By using different tuning techniques or employing different slot shapes such as rectangle, circle, arc-shape, annular-ring, U-shaped [12-16], different slot antennas achieved wideband or ultra-wideband performance. A square slot antenna excited by a CPW-fed widened tuning stub was proposed in [17]. By properly choosing the location and size of the tuning stub, the proposed antenna achieved a bandwidth of 60% with an overall dimension of 72 mm × 72 mm. In [18], a novel broadband design of a CPW-fed square slot antenna loaded with conducting strips has been introduced. The -10 dB impedance bandwidth of the proposed slot antenna is more than 60%. In [19], a printed wide-slot antenna fed by a microstrip line is introduced. By employing an arc-shaped slot and a square-patch feed, the antenna achieved an impedance bandwidth ranging from 1.82 GHz to 7.23 GHz. Although the antenna achieved a good impedance bandwidth with an overall dimension of 110 mm × 110 mm, it does not operate within the entire UWB. The design of a printed wide-slot antenna with a rotated slot is presented in [20]. The impedance bandwidth of the antenna varies with the rotation angle of the slot and can maintain 50.2% with suitable angle. More recently, the design of a printed wide-slot antenna for wideband applications is proposed in [21]. The antenna consists of an E-shaped patch and E-shaped slot and achieves an impedance bandwidth of 120% (2.8 - 11.4 GHz). However, the antenna does not possess a compact profile having a dimension of 85 mm × 85 mm. A new CPW-fed tapered ring slot antenna was presented in [22]. With an overall size of 66.1 mm × 44 mm, the proposed antenna achieved an impedance bandwidth range of 8.9 GHz (ranging from 3.1 - 12 GHz). The actual bandwidth was, however, limited by the distortion of radiation patterns.
In this chapter, a printed wide slot antenna that achieves a physically compact planar profile having sufficient impedance bandwidth and omnidirectional radiation pattern is proposed for UWB communication systems. By etching a microstrip fed rectangular tuning stub as radiating element and a tapered shape slot in the ground plane, the proposed antenna achieved a UWB characteristics. The antenna structure is flat, and its design is simple and easy to fabricate.
The geometry and configuration of the proposed antenna is illustrated in Figure 1. The antenna consists of a tapered shape slot etched out of the ground plane and a microstrip line fed rectangular tuning stub for excitation. The tuning stub fed by microstrip line of 50 Ω characteristics impedance is printed on one side of an inexpensive FR4 substrate of thickness 1.6 mm, with relative permittivity 4.6 and loss tangent 0.02 while the slot is etched out on the other side. The reason for choosing FR4 substrate material is its low cost. Despite of relatively high loss tangent, the antenna fabricated on FR4 achieved moderate gain and efficient, which are sufficient for UWB wireless communications. The slot in the ground plane consists of two sections: the rectangular section of dimension
Geometry and detailed view of the proposed slot antenna.
Based on this design, some sensitive parameters are studied numerically in order to investigate the influence of the parameters on antenna performance. In the simulation only one parameter was varied each time, where as the others were kept constant. All simulation was carried out by employing Zeland’s IE3D based on method of moment [23].
Usually a large slot is used in a wide-slot antenna to achieve a high level of electromagnetic coupling to the tuning stub. Therefore variation of the tuning stub shape and slot shape will change the coupling; and thus control the impedance matching. In order to optimize the coupling between the microstrip-line and the tapered slot, different stub shapes are studied. The rectangular shape tuning stub is compared with four other stubs as shown in Figure 2. Figure 3 shows the simulated return loss curves for the five different stubs. It is observed that, for elliptical and circular shape tuning stubs, the impedance matching become very poor due to poor electromagnetic coupling between the feed-line and tapered slot. The rectangular shape tuning stub shows a good coupling with tapered shape slot proving a wider impedance matching for UWB application.
Different tuning stub shape (a) Rectangular (b) Circular, (c) Square, (d) Elliptical and (e) Tapered.
Simulated return loss curves for different tuning stub shape
The wide-slot antenna is well-known to have wide impedance bandwidth though its operating bandwidth is limited due to the degradation of the radiation patterns at higher frequencies [7]. Through the numerical study on different slot shapes as shown in Figure 4, it is seen that currents flowing on the edge of the slot will increase the cross-polarization component in the
Different slot shape (a) Circular, (b) Elliptical, (c) Square and (d) Tapered.
Simulated return loss curves for different tuning slot shape.
The gap between the slot and the ground plane determines the matching between the feed line and slot antenna. The effect of feed gap on the impedance matching was investigated in [7] and [21]. It was found that by enhancing the coupling between the slot and microstrip feed line, good impedance matching can be obtained. An optimum value of the impedance bandwidth can be obtained for a certain optimum value of coupling. However, if the coupling increases further from this optimum value, the impedance matching becomes worse due to over-coupling. Figure 6 shows the simulated results of the proposed antenna for different feed gaps of -0.25, 0, 0.75 and 1.25 mm. It can be observed from the Figure that lower edge frequency of the operating band is highly dependent on the feed gap, while the feed gap has a little effect on the upper edge frequencies. It is also observed that a feed gap of 0.75 mm can give the widest operating band with good return loss values. Table 1 is therefore represents a good summary of the optimized parameters of the proposed antenna for achieving the ultra-wide impedance bandwidth.
Simulated return loss curves for different feed gap.
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t
\n\t\t\t\t | \n\t\t\t22 | \n\t\t
\n\t\t\t\t | \n\t\t\t24 | \n\t\t
\n\t\t\t\t | \n\t\t\t2 | \n\t\t
\n\t\t\t\t | \n\t\t\t10.75 | \n\t\t
\n\t\t\t\t | \n\t\t\t11 | \n\t\t
\n\t\t\t\t | \n\t\t\t7 | \n\t\t
\n\t\t\t\t | \n\t\t\t18 | \n\t\t
\n\t\t\t\t | \n\t\t\t13 | \n\t\t
\n\t\t\t\t | \n\t\t\t7 | \n\t\t
\n\t\t\t\t | \n\t\t\t3 | \n\t\t
α | \n\t\t\t900\n\t\t\t | \n\t\t
\n\t\t\t\t | \n\t\t\t0.75 | \n\t\t
Optimized antenna parameters
A prototype of tapered shape slot antenna with optimal parameters tabulated in Table 1 is fabricated for experimental verification as shown in Figure 7. The antenna performance is measured in an anechoic chamber using Satimo’s antenna measurement system and Agilent E8362C vector network analyzer.
The measured and simulated return loss curves of the proposed antenna are depicted in Figure 8. It is seen that the proposed antenna exhibits a wideband performance from 3 to 11.2 GHz (115.5%) for -10 dB return loss value. The measured result agrees reasonably with the simulated one across the whole operating band. The disagreement between simulation and measurement is mainly due to the fabrication tolerance. It may also be due to the effect of the feeding cable as the antenna is small. Despite being physically small than the antenna proposed in [7, 13, 17, 20, 21], the antenna still achieved wide bandwidth to cover the entire ultra-wide frequency band.
Photograph of the realized antenna.
Simulated and measured return loss curves of the proposed antenna.
It is observed from the return loss curve that the proposed antenna is capable of supporting multiple resonances. The first resonance emerges at around 3.4 GHz, the second resonance at 6 GHz, third resonance at 8 GHz and fourth one at 10 GHz. The overlapping of these resonances, which are closely spaced over the spectrum leads to an ultra-wide operating band, which support the principle presented in [24].
The input impedance of proposed antenna is shown in Figure 9. Though there is variation in the frequency range from 5 - 8 GHz, it is seen in the Figure that the resistance is nearly flat and tends to 50 Ω values while the reactance is relatively constant at 0 Ω. Moreover, at these frequencies the measured phase of the input impedance is almost linear, which ensure that all the frequency components of the signal have the same delay leading to less pulse distortions. It is also seen that at the higher frequency end the resistance and reactance are getting away from 50 Ω and 0 Ω lines, respectively, i.e. the impedance matching is getting worse.
Input impedance and phase of the proposed slot antenna.
The return loss curve or the input impedance can only illustrate the antenna performance as a lumped load at the end of microstrip line [25]. The electromagnetic characteristics of the antenna can only be understood by examining the current distributions behavior at resonance frequencies. Simulated surface current distributions on the antenna close to the resonance frequencies are depicted in Figure 10. Figure 10(a) shows the current distribution at first resonance frequency of 3.4 GHz. The current pattern near the second resonance at around 6 GHz is shown in Figure 10(b), representing approximately a second order harmonic. Figure 10(c) present third order harmonic at 8 GHz. Figure 10(d) plots a more complicated current pattern at 10 GHz, corresponding to the fourth order harmonic. These current distributions is also support the principle that the overlapping of closely spaced resonances resulting in UWB characterization of the proposed antenna. At these four frequencies the resonances are clearly observed on the edges of both the tapered shape slot and rectangular tuning stub.
Simulated current distributions at (a) 3.4, (b) 6, (c) 8 and (d) 10 GHz.
Satimo Starlab 0.6–18 GHz anechoic chamber at University of Hong Kong is used for the measurements of gain, total antenna efficiency, and radiation pattern [27]. This system uses the near-field measurement techniques that allow measurement of electric fields within the near-field of the antenna to calculate the equivalent far-field data of the antenna under test. The near-field of an antenna is the area close to the antenna, where the electric charge and electromagnetic induction effects occur. These effects fade out far more rapidly with increasing distance from the antenna (proportional to the cube of the distance) than the radiated electromagnetic far-field that fades out proportional to the distance. Near-field effects become negligible more than a few wavelengths away from the antenna. Once the near-field data have been measured, a Fourier transformation is used to calculate the equivalent far-field data. The antenna, mounted on the test board, is positioned in the center of a circular “arch” that contains 16 separate measurement probes. These probes are spaced equally apart along the circular surface. The antenna is rotated horizontally through 360°, and the combination of this rotation and the array of probes allows a full 3D scan of the antenna to be carried out, allowing full 3D radiation patterns to be measured, plotted, and analyzed. Information about antenna gain and efficiency can then be calculated from the far-field radiation pattern data. A coaxial cable was incorporated in the measurement system and the system was calibrated.
Measured radiation patterns at 3.4 GHz and 6 GHz [solid line: co-polarization, crossed line: cross-polarization].
Figures 11 and 12 show the measured 2D radiation patterns in two principal planes-namely, the
Measured radiation patterns at 8 GHz and 10 GHz [solid line: co-polarization, crossed line: cross-polarization].
Measured 3D radiation pattern in
Figure 13 depict the measured 3D radiation patterns at 3.4 and 8 GHz. In the patterns the red color indicates the stronger radiated
The measured peak gain of the proposed slot antenna is shown in Figure 14. From the Figure, it can be seen that the proposed antenna achieves an average peak gain of 3.81 dBi. The maximum realized gain is 5.4 dBi at 9.8 GHz, where the radiation patterns become slight directional.
Measured peak antenna gain.
Measured radiation efficiency.
The realized radiation efficiency of the proposed antenna is shown in Figure 15. It is seen that the fabricated antenna achieves an average radiation efficiency of 77.9% and the maximum efficiency is 88.2%. Despite of fluctuations observed in the curves due to wider bandwidth, the proposed slot antenna achieves good gain and radiation efficiency with a compact profile in comparison with the other reported microstrip line fed planar antennas and is similar to those proposed in [17] and [26].
Since UWB systems directly transmit narrow pulses rather than continuous wave, the time domain performances of the UWB antenna is very crucial. A good time domain performances is a primary requirement of UWB antenna. The antenna features can be optimized to avoid undesired pulse distortions. For a transmitting/receiving antenna system as shown in Fig. 16(a), the transfer function (S21 parameter) is required to have flat magnitude and linear phase response over the operating band to minimize the distortions in the received signal waveform and is defined as [28-30]
where
where ω=2π
The distance,
The group delay is defined as the negative derivative of the phase response with respect to frequency and usually used to evaluate the phase response of the transfer function. The group delay gives an indication of the time delay of an impulse signal at different frequencies. Ideally, when the phase response is strictly linear, the group delay variation is zero. The transfer functions and group delay between a pair of proposed antennas had been measured inside an anechoic chamber with dimension of 4 m × 4 m × 8 m using Satimo’s StarLab antenna measuring equipment. Since UWB technology employed in short range communication systems, in the measurements the transmitting and receiving antennas are placed face-to face at distance 0.5 m apart as illustrates in Figure 16. The measurements were taken at different azimuth angle in
Setup for transfer function and group delay measurement (a) schematic diagram and (b) in anechoic chamber.
The magnitude and phase of the measured transfer function of the proposed antenna are shown in Figure 17. It is observed that the magnitudes of the transfer function are relatively smooth over the whole UWB frequency range and the variation is less than 10 dB. Linear phase response is also observed within the frequency range from 3 - 10 GHz as depicted in Figure 17. The measured group delay as shown in Figure 18 demonstrates relatively constant responses over the entire UWB frequency band. The average variation in the group delay is less than 1.3 ns, which corresponds very well to the phase of the transfer functions. This small variation in transfer function indicates that the proposed antenna does not distort the phase of the transmitted/received signals, which is a primary requirement of UWB applications.
Magnitude and phase of the measured transfer function.
Measured group delay of the proposed antenna.
The design of a compact printed wide slot antenna has been proposed and implemented for ultra-wideband applications. The proposed antenna consist of a tapered shape slot and rectangular tuning stub, and fabricated onto a 22 mm × 24 mm× 1.6 mm size FR4 dielectric substrate. The measured results show that the proposed antenna achieves good impedance matching constant gain, stable radiation patterns over an operating bandwidth of 3 to 11.2 GHz (115.5%) to cover the entire UWB. The stable radiation pattern with a maximum gain of 5.4 dBi and good time domain behaviors makes the proposed antenna a suitable candidate for practical UWB applications.
Age-related macular degeneration (AMD) is the primary cause of low vision in the Western world. Patients with low vision typically request treatment so that they can read, write, perform work, recognize faces, watch TV, drive a car, and so on. The damage induced by AMD leads to a central absolute or relative scotoma of different shape and extension, with subsequent loss or reduction of fine visual abilities like reading. Visual rehabilitation in AMD must begin with highlighting the vision needs of the patient. In most cases, being able to read is the first requirement. Face recognition is also very important, particularly when the visually impaired person is greeted by someone they cannot recognize, which may cause embarrassment and potential depression. The recovery of vision in intermediate visual activities such as writing, using the computer, and fine manual work are also fundamental, as is vision for watching television and movies.
The first step in visual rehabilitation is evaluating the patient’s residual vision for far and near, which can be unilateral or bilateral. This must be followed by determining the preferential retinal locus (PRL), which can be located above the macula atrophy, nasally, temporally, or inferiorly. The choice of mono or binocular optical aids for reading and distance vision is linked to the location of the PRL and the extent of the scotoma and the residual retina. It is essential to perform a series of orthoptic training for the localization and development of eccentric fixation, until the visually impaired patient becomes aware of their recovery abilities, being able to direct their gaze to the healthy retinal locus corresponding to the PRL. It is a long path that varies according to the depth of the low vision and the depth of the scotoma.
Audio-biofeedback (ABFB) is a process through which the subject learns and regains the ability to control and influence their own physiological responses through one psycho-physiological feedback and greater proprioception [1]. Biofeedback is used in rehabilitation and is based on biomechanical and physiological measurements of the body such as the neuromuscular, respiratory, and cardiovascular systems, movements, postural control, and force. An example of physiological biofeedback is electromyography biofeedback to increase the activity in weak or paretic muscles or to reduce the tone in spastic muscles. In electromyography, surface electrodes are used to detect a change in skeletal muscle activity, which is then fed back to the user by a visual or auditory signal. Another example is cardiovascular biofeedback, which is used to reduce blood pressure in hypertension and lower the mean heart rate [2].
In ophthalmology, audio-biofeedback is used in low-vision rehabilitation of maculopathy [3]. In our study, patients received eight monocular training sessions of audio-biofeedback, each lasting 10 minutes, every 7 days. Microperimetry (MP-1, Nidek Tech., Padova, Italy) was performed at the beginning and at the end of thesequence, as well as ETDRS visual acuity (VA) at 4 meters and Pelli-Robson Contrast Sensitivity (CS) at 1 meter.
Audio-biofeedback employs a sound to train the patient to keep a specific gaze position, which is marked on the digital retinal image by the operator and displayed as a target to the patient. If the patient’s gaze matches the selected position, a continuous sound is emitted. When the eye drifts away, the sound becomes progressively more discontinuous.
The contribution of audio-biofeedback to low-vision rehabilitation depends on the seriousness of the case, although it is useful in all cases. In some cases, where the PRL is in a good place, biofeedback allows stabilization of a fixation already used with the increase of retinal sensitivity in decibel and reduction of the fixation ellipse known as the bivariate contour ellipse area (BCEA).
In other cases, where the PRL used by the patient is in an area of little use for vision with an insufficient visual span to reading, audio-biofeedback allows shifting of the fixation to a better locus called the trained retinal locus (TRL).
In audio-biofeedback with microperimetry, tracking is one of the key features, as it allows for automatic detecting of the patient’s eye movements during the exam of fixation as well as during the feedback training. The tracking detects and scores the patient’s fixation trajectory frame by frame. The user can preconfigure the parameters that define the characteristics of the fixation target, including the shape, extent, color, and thickness of the target.
There is the possibility to use letters or phrases as “custom” fixation.
The stability of fixation is classified [4, 5, 6] as follows:
Stable if more than 75% of the fixation points are contained within the circle with a diameter equal to 2°.
Relatively unstable if more than 75% of the fixation points are contained within the circle with a diameter of 2°.
Unstable if less than 75% of the fixation points are contained within the circle with a diameter of 4°.
The fixation itself is classified as follows:
Predominant central if more than 50% of the fixation points are contained within the foveal circle with a diameter of 2°.
Poorly central if the fixation points contained within the foveal circle are between 25% and 50%.
Predominantly eccentric if less than 25% of the fixation points are contained within the circle fixation trajectory.
The area of fixation is called bivariate contour ellipse area (BCEA) and is based on the published scientific literature [7]. The results of the relative analysis are converted into a graphical and numerical mode in three ellipses where the area and the measurements of each ellipse include different percentages of fixation points (68.2%, 95.4%, and 99.6%) corresponding respectively to 1–2-3 standard deviations. The BCEA is expressed in square degrees, the major and minor axes are expressed in degrees, and the inclination of the major axis is expressed from −90° to 90° with 0° for the horizontal position.
The normal value of BCEA is 0.5–1° squared.
In audio-biofeedback, the pattern used for rehabilitation training is a chessboard format with six alternating schemes with varying radius, frequency in Hertz (number of pattern image changes in each second), and degrees of retinal coverage from 2° to 8° with elements of 0.5° in size or more.
Patients are trained to fix the new area of the retina by asking them to move their gaze toward the new fixation. As the patient moves, an intermittent sound plays. The closer the patient gets to the new zone, the more the sound will be continuous.
A 73-year-old woman presented with neovascular AMD treated with intravitreal anti-vascular endothelial growth factor therapy (anti-VEGF) in both eyes.
Best corrected visual acuity (BCVA) in the right eye was 20/400, and BCVA in the left eye was 20/500.
Microperimetry MP1 Nidek showed a spontaneous and unstable PRL localized below compared to atrophic fovea with a medium sensitivity of 8 dB in the right eye(Figure 1). The eccentricity of fixation measured by microperimetry was 4° (Figure 2). The PRL area represented by the BCEA was 111.28° squared (3 Std Dev) (Figure 3).
Microperimetry before rehabilitation.
Decentering of fixation before audio-biofeedback.
BCEA before audio-biofeedback.
The left eye with a worse visual functioning situation showed a spontaneous PRL located below and nasally with a medium sensitivity of 7 dB (Figure 4).
PRL and mean sensitivity.
The eccentricity of fixation was 6° (Figure 5) and BCEA was 71.89° squared (Figure 6).
Decentralization of fixation.
BCEA before audio-bofeedback.
The patient completed 10 sessions of audio-biofeedback lasting 10 minutes per eye. After the audio-biofeedback, there was an improvement in the quality of vision.
The best corrected visual acuity (BCVA) in the right eye improved from 20/400 to 20/200, and in the left eye it improved from 20/500 to 20/400. The contrast sensitivity and the parameters of microperimetry improved as well. In the right eye, the PRL shifted from below to the temporal position with an increase of mean sensitivity from 8 dB to 13 dB (Figure 7).
In the RE the PRL shifted from below in temporal position.
The BCEA (bivariate contour ellipse area) decreased from 111.28° squared (3 st SD) to 31.12° squared, thus showing a clear improvement of fixation stability that is closely related to the improvement in mean sensitivity and to the shift of the PRL (Figure 8).
Reduction of BCEA after ABFB with an increase in stability of the fixation.
Beyond improvement in visual acuity, contrast sensitivity, stability of fixation, and sensitivity, as well as relocated fixation, the patient acquired the awareness of his own ability to fix, to use the visual residual, and to move toward the best site of vision (Figure 9).
The ocular movement toward the best eccentric fixation area allows the visually impaired patient with maculopathy to be able to see the tree.
A 68-year-old woman presented with atrophic AMD. BCVA in both the right eye and left eye was 20/400.
The first microperimetry showed a central scotoma with a sensitivity of 0 dB without presence of PRL in the right eye but of an erratic searching of the presented fixation point without a precise point of fixation (Figure 10).
RE: Erratic fixation.
The BCEA area was 314.87° squared, and it was not possible to find the decentralization of fixation for the absence of fixation (Figure 11).
RE: BCEA 314.87° squared.
Microperimetry showed an unstable and spontaneous PRL located below the atrophic fovea with a mean sensitivity of 8 dB in the left eye (Figure 12).
Unstable and spontaneous PRL located below the atrophic fovea.
The BCEA in the left eye was 90.10° squared (Figure 13).
BCEA 90.10° squared.
The decentralization of fixation compared to the atrophic fovea was 7° (Figure 14).
Decentralization of eccentric fixation of 7°.
The patient completed 10 sessions of audio-biofeedback in both eyes.
The purpose of the audio-biofeedback was to move the fixation up. In the right eye with erratic fixation, the cross was placed above the atrophic fovea, instead in the left eye the cross was placed above compared to the spontaneous PRL, which was located below the atrophic fovea (Figure 15). The passage from erratic fixation to superior fixation occurred gradually (Figure 16).
Positioning of the best eccentric fixation in both eyes above the atrophic fovea.
Gradual shifting of fixation toward the best site of vision.
In the right eye, the fixation was shifted above and the sensitivity increased from 0 dB in the initial central scotoma with erratic fixation to 10 dB of mean sensitivity with the formation of a new area of fixation called the trained retinal locus (TRL) (Figure 17).
RE: In the new trained fixation (TRL), the sensitivity is 10 dB.
The BCEA in the new fixation, named TRL, was 144.24° squared (Figure 18) against 314.87° squared before the audio-biofeedback.
RE: BCEA (bivariate contour ellipse area) after audio-biofeedback.
After ABFB, the visual acuity improved to 20/200 in both eyes and contrast sensitivity on the Pelli Robson chart increased from 0.60 to 0.90.
A 67-year-old woman presented with AMD. Visual acuity in the right eye was finger count of 20 cm. Visual acuity in the left eye was 20/400 with visual disability. The patient was unable to read and cannot see faces. She was also unable to walk alone without serious problems in orientation and mobility.
Microperimetry showed an erratic fixation without a precise localization with central absolute scotoma and a sensitivity of 0.1 dB (Figure 19).
RE: Erratic fixation.
BCEA in the right eye was 185.08° squared in an erratic fixation (Figure 20).
RE: BCEA 185.08° squared in erratic fixation.
In the left eye, there was a central absolute scotoma with a sensitivity of 0.00 dB (Figure 21).
LE: Absolute central scotoma.
BCEA in the left eye was 192.82° squared (Figure 22).
LE: BCEA 192.82° squared.
After 10 sessions of audio-biofeedback, we obtained a shift of the erratic fixation in a new PRL, named TRL, localized inferiorly to the optic disk near the very large atrophic maculopathy, extended beyond the posterior pole, with a sensitivity of 0.7 dB instead of 0.1 dB at the start. The sensitivity of the retina in the new area of fixation reached a good value of intensity until 10 dB (Figure 23).
RE: Trained retinal locus localized inferiorly to the optic disk with a sensitivity of 0.7 dB instead of 0.1 dB before audio-biofeedback in the erratic fixation.
In the new area of fixation, the BCEA was 73.39° squared (Figure 24).
RE: BCEA 73.39° squared instead 185.08° squared before audio-biofeedback.
In the left eye, after audio-biofeedback, we obtained a new area of fixation in the same site of the right eye, below the optic disk and near the large atrophic macular degeneration with a sensitivity of 0.5 dB from the initial absence in the central absolute scotoma (Figure 25).
LE: Trained retinal locus localized below the optic disk.
The BCEA of the new TRL was 99.6° squared (Figure 26).
In the new trained eccentric fixation, the BCEA decreased from 192.82° squared to 99.6° squared.
Visual acuity in the right eye improved from finger count to 20/400. Visual acuity in the left eye improved from 20/400 to 20/250. Before rehabilitation, the patient was not able to read with electronic aid. After ABFB, she was able to read with CCTV. Furthermore, she was able to see more clearly when walking, see the number of days of months in the calendar without glasses, and look at photos of family members. When she was able to see her father’s photo, she was moved!
Often in low-vision rehabilitation, we find a PRL localized very far from the atrophic fovea (Figures 27 and 28).
Atrophic AMD with PRL located up in both eyes and very far from atrophic fovea.
Atrophic AMD with PRL located down in both eyes and very far from atrophic fovea.
In other cases, the PRL may be closer to the atrophic fibrotic fovea (Figure 29).
PRL located up from atrophic fovea.
Still, in other cases, a very unstable foveal fixation must be stabilized (Figure 30).
Stabilization of fixation.
In this case, we used a custom target of fixation with a four-word phrase that the patient can read when presented in the best area of fixation.
Figures 31 and 32 are examples of chessboard patterns used for audio-biofeedback.
Example of chessboard pattern used for audio-biofeedback.
Example of chessboard pattern used for audio-biofeedback.
Audio-biofeedback may be applied in other types of maculopathies such as hereditary retinal dystrophy, Stargardt disease, cone dystrophy, Best maculopathy, and myopic degeneration (Figures 33–36).
Stargardt disease before audio-biofeedback.
Microperimetry in Stargardt disease after audio-biofeedback.
Microperimetry in best disease after audio-biofeedback.
Myopic macular degeneration.
The improvements of retinal sensitivity in the new area of fixation (TRL) go hand in hand with an improvement in the quality of vision and the quality of life. Before low-vision rehabilitation with audio-biofeedback, the visually impaired patient is submitted to the Italian version of the Veterans Affairs (VA) Low-Vision Visual Functioning Questionnaire (LV VFQ-48) [8] based on the idea of Stelmack JA et al. [9] and with the permission of the authors. LV VFQ-48 is a fundamental instrument for measuring the difficulty low-vision persons have in performing daily activities and evaluating vision rehabilitation outcomes.
After rehabilitation with audio-biofeedback, there was a positive change in the score regarding better vision in activities of daily living.
The chessboard pattern has an alternating reversal presentation. This leads to a neuro-visual stimulation of retina cells and consequently to a stimulation of the visual cortex with a cerebral reorganization based on the new occipital projection of the new PRL, which replaces the nonfunctioning macula [10, 11].
In conclusion, audio-biofeedback can stabilize the PRL with increased retinal sensitivity and improvement in BCEA, represented by a decrease in the fixation area. It can also lead to the development of a new area of fixation called the trained retinal locus (TRL).
Audio-biofeedback contributes to the patient’s awareness of “where to look to see better.” As such, ABFB for low-vision rehabilitation can improve both the quality of vision and the quality of life.
The Internet has irrevocably changed the dynamics of scholarly communication and publishing. Consequently, we find it necessary to indicate, unambiguously, our definition of what we consider to be a published scientific work.
",metaTitle:"Prior Publication Policy",metaDescription:"Prior Publication Policy",metaKeywords:null,canonicalURL:"/page/prior-publication-policy",contentRaw:'[{"type":"htmlEditorComponent","content":"A significant number of working papers, early drafts, and similar work in progress are openly shared online between members of the scientific community. It has become common to announce one’s own research on a personal website or a blog to gather comments and suggestions from other researchers. Such works and online postings are, indeed, published in the sense that they are made publicly available. However, this does not mean that if submitted for publication by IntechOpen they are not original works. We differentiate between reviewed and non-reviewed works when determining whether a work is original and has been published in a scholarly sense or not.
\\n\\nThe significance of Peer Review cannot be overstated when it comes to defining, in our terms, what constitutes a published scientific work. Peer Review is widely considered to be the cornerstone of modern publishing processes and the key value-adding contribution to a scholarly manuscript that a publisher can make.
\\n\\nOther than the issue of originality, research misconduct is another major issue that all publishers have to address. IntechOpen’s Retraction & Correction Policy and various publication ethics guidelines identify both redundant publication and (self)plagiarism to fall within the definition of research misconduct, thus constituting grounds for rejection or the issue of a Retraction if the work has already been published.
\\n\\nIn order to facilitate the tracking of a manuscript’s publishing history and its development from its earliest draft to the manuscript submitted, we encourage Authors to disclose any instances of a manuscript’s prior publication, whether it be through a conference presentation, a newspaper article, a working paper publicly available in a repository or a blog post.
\\n\\nA note to the Academic Editor containing detailed information about a submitted manuscript’s previous public availability is the preferred means of reporting prior publication. This helps us determine if there are any earlier versions of a manuscript that should be disclosed to our readers or if any of those earlier versions should be cited and listed in a manuscript’s references.
\\n\\nSome basic information about the editorial treatment of different varieties of prior publication is laid out below:
\\n\\n1. CONFERENCE PAPERS & PRESENTATIONS
\\n\\nGiven that conference papers and presentations generally pass through some sort of peer or editorial review, we consider them to be published in the accepted scholarly sense, particularly if they are published as a part of conference proceedings.
\\n\\nAll submitted manuscripts originating from a previously published conference paper must contain at least 50% of new original content to be accepted for review and considered for publication.
\\n\\nAuthors are required to report any links their manuscript might have with their earlier conference papers and presentations in a note to the Academic Editor, as well as in the manuscript itself. Additionally, Authors should obtain any necessary permissions from the publisher of their conference paper if copyright transfer occurred during the publishing process. Failure to do so may prevent Us from publishing an otherwise worthy work.
\\n\\n2. NEWSPAPER & MAGAZINE ARTICLES
\\n\\nNewspaper and magazine articles usually do not pass through any extensive peer or editorial review and we do not consider them to be published in the scholarly sense. Articles appearing in newspapers and magazines rarely possess the depth and structure characteristic of scholarly articles.
\\n\\nSubmitted manuscripts stemming from a previous newspaper or magazine article will be accepted for review and considered for publication. However, Authors are strongly advised to report any such publication in an accompanying note to the External Editor.
\\n\\nAs with the conference papers and presentations, Authors should obtain any necessary permissions from the newspaper or magazine that published the work, and indicate that they have done so in a note to the External Editor.
\\n\\n3. GREY LITERATURE
\\n\\nWhite papers, working papers, technical reports and all other forms of papers which fall within the scope of the ‘Luxembourg definition’ of grey literature do not pass through any extensive peer or editorial review and we do not consider them to be published in the scholarly sense.
\\n\\nAlthough such papers are regularly made publicly available via personal websites and institutional repositories, their general purpose is to gather comments and feedback from Authors’ colleagues in order to further improve a manuscript intended for future publication.
\\n\\nWhen submitting their work, Authors are required to disclose the existence of any publicly available earlier drafts in a note to the Academic Editor. In cases where earlier drafts of the submitted version of the manuscript are publicly available, any overlap between the versions will generally not be considered an instance of self-plagiarism.
\\n\\n4. SOCIAL MEDIA, BLOG & MESSAGE BOARD POSTINGS
\\n\\nWe feel that social media, blogs and message boards are generally used with the same intention as grey literature, to formulate ideas for a manuscript and gather early feedback from like-minded researchers in order to improve a particular piece of work before submitting it for publication. Therefore, we do not consider such internet postings to be publication in the scholarly sense.
\\n\\nNevertheless, Authors are encouraged to disclose the existence of any internet postings in which they outline and describe their research or posted passages of their manuscripts in a note to the Academic Editor. Please note that we will not strictly enforce this request in the same way that we would instructions we consider to be part of our conditions of acceptance for publication. We understand that it may be difficult to keep track of all one’s internet postings in which the researcher´s current work might be mentioned.
\\n\\nIn cases where there is any overlap between the Author´s submitted manuscript and related internet postings, we will generally not consider it to be an instance of self-plagiarism. This also holds true for any co-Author as well.
\\n\\nFor more information on this policy please contact permissions@intechopen.com.
\\n\\nPolicy last updated: 2017-03-20
\\n"}]'},components:[{type:"htmlEditorComponent",content:'A significant number of working papers, early drafts, and similar work in progress are openly shared online between members of the scientific community. It has become common to announce one’s own research on a personal website or a blog to gather comments and suggestions from other researchers. Such works and online postings are, indeed, published in the sense that they are made publicly available. However, this does not mean that if submitted for publication by IntechOpen they are not original works. We differentiate between reviewed and non-reviewed works when determining whether a work is original and has been published in a scholarly sense or not.
\n\nThe significance of Peer Review cannot be overstated when it comes to defining, in our terms, what constitutes a published scientific work. Peer Review is widely considered to be the cornerstone of modern publishing processes and the key value-adding contribution to a scholarly manuscript that a publisher can make.
\n\nOther than the issue of originality, research misconduct is another major issue that all publishers have to address. IntechOpen’s Retraction & Correction Policy and various publication ethics guidelines identify both redundant publication and (self)plagiarism to fall within the definition of research misconduct, thus constituting grounds for rejection or the issue of a Retraction if the work has already been published.
\n\nIn order to facilitate the tracking of a manuscript’s publishing history and its development from its earliest draft to the manuscript submitted, we encourage Authors to disclose any instances of a manuscript’s prior publication, whether it be through a conference presentation, a newspaper article, a working paper publicly available in a repository or a blog post.
\n\nA note to the Academic Editor containing detailed information about a submitted manuscript’s previous public availability is the preferred means of reporting prior publication. This helps us determine if there are any earlier versions of a manuscript that should be disclosed to our readers or if any of those earlier versions should be cited and listed in a manuscript’s references.
\n\nSome basic information about the editorial treatment of different varieties of prior publication is laid out below:
\n\n1. CONFERENCE PAPERS & PRESENTATIONS
\n\nGiven that conference papers and presentations generally pass through some sort of peer or editorial review, we consider them to be published in the accepted scholarly sense, particularly if they are published as a part of conference proceedings.
\n\nAll submitted manuscripts originating from a previously published conference paper must contain at least 50% of new original content to be accepted for review and considered for publication.
\n\nAuthors are required to report any links their manuscript might have with their earlier conference papers and presentations in a note to the Academic Editor, as well as in the manuscript itself. Additionally, Authors should obtain any necessary permissions from the publisher of their conference paper if copyright transfer occurred during the publishing process. Failure to do so may prevent Us from publishing an otherwise worthy work.
\n\n2. NEWSPAPER & MAGAZINE ARTICLES
\n\nNewspaper and magazine articles usually do not pass through any extensive peer or editorial review and we do not consider them to be published in the scholarly sense. Articles appearing in newspapers and magazines rarely possess the depth and structure characteristic of scholarly articles.
\n\nSubmitted manuscripts stemming from a previous newspaper or magazine article will be accepted for review and considered for publication. However, Authors are strongly advised to report any such publication in an accompanying note to the External Editor.
\n\nAs with the conference papers and presentations, Authors should obtain any necessary permissions from the newspaper or magazine that published the work, and indicate that they have done so in a note to the External Editor.
\n\n3. GREY LITERATURE
\n\nWhite papers, working papers, technical reports and all other forms of papers which fall within the scope of the ‘Luxembourg definition’ of grey literature do not pass through any extensive peer or editorial review and we do not consider them to be published in the scholarly sense.
\n\nAlthough such papers are regularly made publicly available via personal websites and institutional repositories, their general purpose is to gather comments and feedback from Authors’ colleagues in order to further improve a manuscript intended for future publication.
\n\nWhen submitting their work, Authors are required to disclose the existence of any publicly available earlier drafts in a note to the Academic Editor. In cases where earlier drafts of the submitted version of the manuscript are publicly available, any overlap between the versions will generally not be considered an instance of self-plagiarism.
\n\n4. SOCIAL MEDIA, BLOG & MESSAGE BOARD POSTINGS
\n\nWe feel that social media, blogs and message boards are generally used with the same intention as grey literature, to formulate ideas for a manuscript and gather early feedback from like-minded researchers in order to improve a particular piece of work before submitting it for publication. Therefore, we do not consider such internet postings to be publication in the scholarly sense.
\n\nNevertheless, Authors are encouraged to disclose the existence of any internet postings in which they outline and describe their research or posted passages of their manuscripts in a note to the Academic Editor. Please note that we will not strictly enforce this request in the same way that we would instructions we consider to be part of our conditions of acceptance for publication. We understand that it may be difficult to keep track of all one’s internet postings in which the researcher´s current work might be mentioned.
\n\nIn cases where there is any overlap between the Author´s submitted manuscript and related internet postings, we will generally not consider it to be an instance of self-plagiarism. This also holds true for any co-Author as well.
\n\nFor more information on this policy please contact permissions@intechopen.com.
\n\nPolicy last updated: 2017-03-20
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