List of premature risk factors associated with metabolic bone disorders for both antenatal and postnatal period.
\\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
\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"}]},book:{item:{type:"book",id:"8091",leadTitle:null,fullTitle:"Autonomic Nervous System Monitoring - Heart Rate Variability",title:"Autonomic Nervous System Monitoring",subtitle:"Heart Rate Variability",reviewType:"peer-reviewed",abstract:"Heart rate variability (HRV) is considered a reliable reflection of the many physiological factors modulating the normal rhythm of the heart. It reflects autonomic nervous system (ANS) function, and as such, it is used in numerous fields of medicine. Written by experts in the field, this book provides a comprehensive overview of HRV. The first section is dedicated to technical themes related to monitoring and the variables recorded. The second section highlights use of HRV in hypothermia. Finally, the third section covers general aspects of HRV application.",isbn:"978-1-83880-519-7",printIsbn:"978-1-83880-518-0",pdfIsbn:"978-1-83880-577-7",doi:"10.5772/intechopen.77922",price:119,priceEur:129,priceUsd:155,slug:"autonomic-nervous-system-monitoring-heart-rate-variability",numberOfPages:138,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"98067dd53efd76b17cf31d1664f88982",bookSignature:"Theodoros Aslanidis",publishedDate:"May 20th 2020",coverURL:"https://cdn.intechopen.com/books/images_new/8091.jpg",numberOfDownloads:6777,numberOfWosCitations:2,numberOfCrossrefCitations:8,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:16,numberOfDimensionsCitationsByBook:1,hasAltmetrics:0,numberOfTotalCitations:26,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 30th 2019",dateEndSecondStepPublish:"September 19th 2019",dateEndThirdStepPublish:"November 18th 2019",dateEndFourthStepPublish:"February 6th 2020",dateEndFifthStepPublish:"April 6th 2020",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"200252",title:"Dr.",name:"Theodoros",middleName:null,surname:"Aslanidis",slug:"theodoros-aslanidis",fullName:"Theodoros Aslanidis",profilePictureURL:"https://mts.intechopen.com/storage/users/200252/images/system/200252.png",biography:"Dr. Theodoros K. Aslanidis received an MD from Plovdiv Medical University, Bulgaria, and a Ph.D. from Aristotle University of Thessaloniki, Greece. After serving as a medical doctor in the Hellenic Army Force and as a rural physician at Outhealth Centre, Iraklia and Serres’ General Hospital, Greece, he completed anesthesiology specialty training at Hippokratio General Hospital of Thessaloniki. He also completed Critical Care subspecialty training at AHEPA University Hospital, and the Prehospital Emergency Medicine postgraduate program, Hellenic National Centre for Emergency Care. He served as an EMS physician and emergency communication center medic before moving to his current post as consultant-researcher at the Intensive Care Unit, St. Paul General Hospital of Thessaloniki, Greece. He also serves as a senior lecturer in the Research Faculty, College of Offshore and Remote Medicine, Pretty Bay, Malta.",institutionString:"Saint Paul General Hospital of Thessaloniki",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"4",totalChapterViews:"0",totalEditedBooks:"6",institution:null}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"983",title:"Cardiac Electrophysiology",slug:"cardiac-electrophysiology"}],chapters:[{id:"69051",title:"HRV in an Integrated Hardware/Software System Using Artificial Intelligence to Provide Assessment, Intervention and Performance Optimization",doi:"10.5772/intechopen.89042",slug:"hrv-in-an-integrated-hardware-software-system-using-artificial-intelligence-to-provide-assessment-in",totalDownloads:808,totalCrossrefCites:2,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Heart rate variability (HRV) is increasingly recognized as a central variable of interest in health maintenance, disease prevention and performance optimization. It is also a sensitive biomarker of health status, disease presence and functional abilities, acquiring and processing high fidelity inter beat interval data, along with other psychophysiological parameters that can assist in clinical assessment and intervention, population health studies/digital epidemiology and positive performance optimization. We describe a system using high-throughput artificial intelligence based on the KUBIOS platform to combine time, frequency and nonlinear data domains acquired by wearable or implanted biosensors to guide in clinical assessment, decision support and intervention, population health monitoring and individual self-regulation and performance enhancement, including the use of HRV biofeedback. This approach follows the iP4 health model which emphasizes an integral, personalized, predictive, preventive and participatory approach to human health and well-being. It therefore includes psychological, biological, genomic, sociocultural, evolutionary and spiritual variables as mutually interactive elements in embodying complex systems adaptation.",signatures:"Robert L. Drury",downloadPdfUrl:"/chapter/pdf-download/69051",previewPdfUrl:"/chapter/pdf-preview/69051",authors:[{id:"305353",title:"Dr.",name:"Robert L.",surname:"Drury",slug:"robert-l.-drury",fullName:"Robert L. Drury"}],corrections:null},{id:"71001",title:"Root Mean Square of the Successive Differences as Marker of the Parasympathetic System and Difference in the Outcome after ANS Stimulation",doi:"10.5772/intechopen.89827",slug:"root-mean-square-of-the-successive-differences-as-marker-of-the-parasympathetic-system-and-differenc",totalDownloads:965,totalCrossrefCites:4,totalDimensionsCites:5,hasAltmetrics:0,abstract:"The autonomic nervous system has a huge impact on the cardiac regulatory mechanism, and many markers exist for evaluating it. In this chapter we are going to focus on the RMSSD (Root mean square of successive differences), considered the most precise marker for the parasympathetic effector on the heart. Before is necessary to learn what the Heart Rate Variability is and how it works, which type of range of HRV exists and how we can measure it. Finally, there will be a presentation of how the RMSSD can be used in different field, and how and why the outcome can change and what does it mean.",signatures:"Giovanni Minarini",downloadPdfUrl:"/chapter/pdf-download/71001",previewPdfUrl:"/chapter/pdf-preview/71001",authors:[{id:"307733",title:"M.Sc.",name:"Giovanni",surname:"Minarini",slug:"giovanni-minarini",fullName:"Giovanni Minarini"}],corrections:null},{id:"70280",title:"Heart Rate Variability Recording System Using Photoplethysmography Sensor",doi:"10.5772/intechopen.89901",slug:"heart-rate-variability-recording-system-using-photoplethysmography-sensor",totalDownloads:919,totalCrossrefCites:2,totalDimensionsCites:5,hasAltmetrics:0,abstract:"Heart rate variability (HRV) is a physiological measurement that can help to monitor and diagnose chronic diseases such as cardiovascular disease, depression, and psychological stress. HRV measurement is commonly extracted from the electrocardiography (ECG). However, ECG has bulky wires where it needs at least three surface electrodes to be placed on the skin. This may cause distraction during the recording and need longer time to setup. Therefore, photoplethysmography (PPG), a simple optical technique, was suggested to obtain heart rate. This study proposes to investigate the effectiveness of PPG recording and derivation of HRV for feature analysis. The PPG signal was preprocessed to remove all the noise and to extract the HRV. HRV features were collected using time-domain analysis (TA), frequency-domain analysis (FA) and nonlinear time-frequency analysis (TFA). Five out of 22 HRV features, which are HR, RMSSD, LF/HF, LFnu, and HFnu, showed high correlation (rho > 0.6 and prho < 0.05) in comparison to standard 5-min excerpt while producing significant difference (p-value < 0.05) during the stressing condition across all interval HRV excerpts. This simple yet accurate PPG recording system perhaps might useful to assess the HRV signal in a short time, and further can be used for the ANS assessment.",signatures:"Noor Aimie-Salleh, Nurul Aliaa Abdul Ghani, Nurhafiezah Hasanudin and Siti Nur Shakiroh Shafie",downloadPdfUrl:"/chapter/pdf-download/70280",previewPdfUrl:"/chapter/pdf-preview/70280",authors:[{id:"307771",title:"Dr.",name:"Noor",surname:"Aimie-Salleh",slug:"noor-aimie-salleh",fullName:"Noor Aimie-Salleh"},{id:"308225",title:"Ms.",name:"Nurhafiezah",surname:"Hasanudin",slug:"nurhafiezah-hasanudin",fullName:"Nurhafiezah Hasanudin"},{id:"312328",title:"Ms.",name:"Siti Nur",surname:"Shakiroh",slug:"siti-nur-shakiroh",fullName:"Siti Nur Shakiroh"},{id:"312329",title:"Ms.",name:"Nurul Aliaa",surname:"Abdul Ghani",slug:"nurul-aliaa-abdul-ghani",fullName:"Nurul Aliaa Abdul Ghani"}],corrections:null},{id:"63852",title:"Modeling Thermoregulatory Responses to Cold Environments",doi:"10.5772/intechopen.81238",slug:"modeling-thermoregulatory-responses-to-cold-environments",totalDownloads:1195,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The ability to model and simulate the rise and fall of core body temperature is of significant interest to a broad spectrum of organizations. These organizations include the military, as well as both public and private health and medical groups. To effectively use cold models, it is useful to understand the first principles of heat transfer within a given environment as well as have an understanding of the underlying physiology, including the thermoregulatory responses to various conditions and activities. The combination of both rational or first principles and empirical approaches to modeling allow for the development of practical models that can predict and simulate core body temperature changes for a given individual and ultimately provide protection from injury or death. The ability to predict these maximal potentials within complex and extreme environments is difficult. The present work outlines biomedical modeling techniques to simulate and predict cold-related injuries, and discusses current and legacy models and methods.",signatures:"Adam W. Potter, David P. Looney, Xiaojiang Xu, William R. Santee and Shankar Srinivasan",downloadPdfUrl:"/chapter/pdf-download/63852",previewPdfUrl:"/chapter/pdf-preview/63852",authors:[{id:"262568",title:"Mr.",name:"Adam",surname:"Potter",slug:"adam-potter",fullName:"Adam Potter"},{id:"271096",title:"Dr.",name:"David",surname:"Looney",slug:"david-looney",fullName:"David Looney"},{id:"271097",title:"Dr.",name:"Xiaojiang",surname:"Xu",slug:"xiaojiang-xu",fullName:"Xiaojiang Xu"},{id:"271098",title:"Dr.",name:"William",surname:"Santee",slug:"william-santee",fullName:"William Santee"},{id:"271099",title:"Prof.",name:"Shankar",surname:"Srinivasan",slug:"shankar-srinivasan",fullName:"Shankar Srinivasan"}],corrections:null},{id:"63545",title:"Techniques to Reduce the Magnitude and Duration of Redistribution Hypothermia in Adults",doi:"10.5772/intechopen.80830",slug:"techniques-to-reduce-the-magnitude-and-duration-of-redistribution-hypothermia-in-adults",totalDownloads:567,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"While much effort has been devoted to correcting intraoperative hypothermia and documenting the adverse outcomes associated with hypothermia, less attention has been directed to preventing redistribution hypothermia in the first place. Methods currently exist that can reduce the magnitude of redistribution hypothermia, but are not widely practiced. This chapter focuses on the pathophysiology of redistribution hypothermia and the currently available methods that can be employed to reduce redistribution hypothermia. Additional promising, but currently unproven, methods are discussed. Since hypothermia causes adverse outcomes, it is anticipated that the reduction in redistribution hypothermia will improve patient outcome.",signatures:"Jonathan V. Roth",downloadPdfUrl:"/chapter/pdf-download/63545",previewPdfUrl:"/chapter/pdf-preview/63545",authors:[{id:"267272",title:"Dr.",name:"Jonathan V",surname:"Roth",slug:"jonathan-v-roth",fullName:"Jonathan V Roth"}],corrections:null},{id:"68750",title:"Heart Rate Variability as Biomarker for Prognostic of Metabolic Disease",doi:"10.5772/intechopen.88766",slug:"heart-rate-variability-as-biomarker-for-prognostic-of-metabolic-disease",totalDownloads:790,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Lifestyle emerging diseases like obesity, metabolic syndrome (MeS), and diabetes mellitus are considered high-risk factors for lethal arrhythmias and side effects. A Poincaré plot is constructed with the time series of RR and PP electrocardiogram (ECG) intervals, using two stages: the new phase and the old phase. We proposed this diagram of two dimensions, a way to quantify and observe the regularity of events in space and time. Therefore, the heart rate variability (HRV) can be used as a biomarker for early prognostic and diagnostic of several metabolic diseases; additionally, this biomarker is obtained by a noninvasive tool like the electrocardiogram.",signatures:"Alondra Albarado-Ibañez, Rosa Elena Arroyo-Carmona, Daniela Alexandra Bernabé-Sánchez, Marissa Limón-Cantú, Benjamín López-Silva, Martha Lucía Ita-Amador and Julián Torres-Jácome",downloadPdfUrl:"/chapter/pdf-download/68750",previewPdfUrl:"/chapter/pdf-preview/68750",authors:[{id:"305458",title:"Ph.D.",name:"Julian",surname:"Torres-Jacome",slug:"julian-torres-jacome",fullName:"Julian Torres-Jacome"},{id:"305461",title:"Dr.",name:"Alondra",surname:"Albardo-Ibañez",slug:"alondra-albardo-ibanez",fullName:"Alondra Albardo-Ibañez"},{id:"305462",title:"Dr.",name:"Rosa Elena",surname:"Arroyo-Carmona",slug:"rosa-elena-arroyo-carmona",fullName:"Rosa Elena Arroyo-Carmona"},{id:"305463",title:"BSc.",name:"Daniela Alexandra",surname:"Bernabe-Sanchez",slug:"daniela-alexandra-bernabe-sanchez",fullName:"Daniela Alexandra Bernabe-Sanchez"},{id:"305464",title:"BSc.",name:"Marissa",surname:"Limón-Cantú",slug:"marissa-limon-cantu",fullName:"Marissa Limón-Cantú"},{id:"305466",title:"BSc.",name:"Benjamin",surname:"López-Silva",slug:"benjamin-lopez-silva",fullName:"Benjamin López-Silva"},{id:"305467",title:"Dr.",name:"Martha Lucia",surname:"Ita-Amador",slug:"martha-lucia-ita-amador",fullName:"Martha Lucia Ita-Amador"}],corrections:null},{id:"69381",title:"Evolution of Parasympathetic Modulation throughout the Life Cycle",doi:"10.5772/intechopen.89456",slug:"evolution-of-parasympathetic-modulation-throughout-the-life-cycle",totalDownloads:765,totalCrossrefCites:0,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Based on the largest data set ever available for analysis of heart rate variability (HRV) variables, in healthy individuals, it was possible to determine the evolutionary behavior of three representative components of parasympathetic nervous system function (RMSSD, PNN50, and HF ms2), in different age groups of the life cycle: newborns, children and adolescents, young adults, and, finally, middle-aged adults. A near-parabolic and nonsynchronous behavior was observed among the different variables evaluated, with low values at first, then progressive elevation, and later fall, approximating the values of the newborns to the values of middle-aged adults and suggesting that the autonomic nervous system, at least relatively to its parasympathetic component, undergoes a growing maturation that is completed in the young adult and later suffers a progressive degeneration, completing the life cycle. This fact should be considered when comparing the analysis between healthy individuals and those with different states of pathological impairment.",signatures:"Moacir Fernandes de Godoy and Michele Lima Gregório",downloadPdfUrl:"/chapter/pdf-download/69381",previewPdfUrl:"/chapter/pdf-preview/69381",authors:[{id:"305849",title:"Dr.",name:"Moacir",surname:"Fernandes de Godoy",slug:"moacir-fernandes-de-godoy",fullName:"Moacir Fernandes de Godoy"},{id:"305851",title:"Dr.",name:"Michele",surname:"Lima Gregório",slug:"michele-lima-gregorio",fullName:"Michele Lima Gregório"}],corrections:null},{id:"69583",title:"The Role of Magnetic Resonance Imaging (MRI) in Autonomic Nervous System Monitoring",doi:"10.5772/intechopen.89593",slug:"the-role-of-magnetic-resonance-imaging-mri-in-autonomic-nervous-system-monitoring",totalDownloads:768,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Medical imaging of the nervous system is the methodology used to achieve pictures of parts of the nervous system for therapeutic uses to recognize the ailments. Magnetic resonance imaging (MRI) is a kind of medical imaging tool that utilizes solid magnetic fields and radio waves to deliver point-by-point pictures of the inside of the body. There are large number of imaging methodologies done each week around the world. Medical imaging is developing rapidly due to developments in image acquisition tools including functional MRI and hybrid imaging modalities. This chapter abridged the role of magnetic resonance imaging (MRI) in autonomic nervous system monitoring. This chapter also summarizes the image interpretation challenges in diagnosing autonomic nervous system disorders.",signatures:"Yousif Mohamed Y. Abdallah and Nouf H. Abuhadi",downloadPdfUrl:"/chapter/pdf-download/69583",previewPdfUrl:"/chapter/pdf-preview/69583",authors:[{id:"274452",title:"Dr.",name:"Yousif",surname:"Abdallah",slug:"yousif-abdallah",fullName:"Yousif Abdallah"},{id:"306956",title:"Dr.",name:"Nouf",surname:"Abuhadi",slug:"nouf-abuhadi",fullName:"Nouf Abuhadi"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"5949",title:"Resuscitation Aspects",subtitle:null,isOpenForSubmission:!1,hash:"876e8435664e85af78acd71c44e3e0a4",slug:"resuscitation-aspects",bookSignature:"Theodoros Aslanidis",coverURL:"https://cdn.intechopen.com/books/images_new/5949.jpg",editedByType:"Edited by",editors:[{id:"200252",title:"Dr.",name:"Theodoros",surname:"Aslanidis",slug:"theodoros-aslanidis",fullName:"Theodoros Aslanidis"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7290",title:"Special Topics in Resuscitation",subtitle:null,isOpenForSubmission:!1,hash:"5cc25d9b8a8bec2e374939f147f4e007",slug:"special-topics-in-resuscitation",bookSignature:"Theodoros K. 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Two of the challenges with microwave food products are that it is often difficult to achieve the desired flavour that matches products prepared in a conventional oven or by frying and to get the browning that the consumer expects. There are reactions that occur in those processes that do not occur when foods are heated in the microwave oven and this is part of what contributes to the lack of flavour and colour development. In trying to solve the flavour issues, it is important to understand what flavours are as well as all of the attributes of a food product that lead to consumer liking. Solving the colour problem involves an understanding of the reactions that produce colour and finding ways to get those reactions to occur. The typical browning which occurs when foods are heated by conventional means produces not only the desired brown pigments but also produces a variety of desirable flavours.
Flavours and colours generated as a result of the Maillard reaction are of critical importance for the commercial success of microwave-processed foods. Recent interest in the microwave generation of Maillard flavours and colours was a response on the part of the food industry, based on the consumer demand for fast and convenient food products. The fundamental differences between microwave and conventional heating, the composition of the food matrix, and the design of microwave ovens all seem to play a role in the inability of microwave heating to propagate colou and flavourting Maillard reactions in food products. The increased sales of microwave ovens in the last decade, especially into the North American market, provided the food industry with the impetus for renewed interest in carrying out the Maillard reaction in microwaveable food products.
Flavour is defined as the experience of the combined perception of compounds responsible for taste and aroma. The flavour of food is very important for its acceptability and a slight change in the odour of processed food may affect the overall quality of the product. Aromas come from low molecular weight organic compounds that can volatilize and be sensed in the nasal cavity. These compounds are not of one simple class of chemicals but rather are many different chemical types, including acids, esters, alcohols, ketones, pyrazines, thiazoles and terpenes as well as many others. The human body has a complex set of receptors that recognize both individual compounds as well as mixture of compounds to identify different flavours.
Character impact compounds are individual chemicals with a specific, recognizable aroma. Some examples are methyl anthranilate (concord grape), citral (lemon), cinnamic aldehyde (cinnamon), methyl salicylate (wintergreen) and diacetyl (butter). While these individual compounds have a characteristic odour, they do not make up the complete flavour of a product, whether naturally occurring such as in a concord grape or in a flavour added to a product. Many other compounds are also present which build the overall flavour profile. Considerable work has been done to identify the flavour compounds in different foods. There are over 170 compounds that have been identified that contribute to the flavour of a strawberry, while coffee and chocolate are much more complex with over 800 compounds identified.
In the United States, there is a legal definition of natural and artificial flavours.
The complete definitions are found in the Code of Federal Regulations (CFR) Title 21 101.22 (Code of Federal Regulations, 2008). Artificial flavours are defined in (a)(1) as follows:
The term artificial flavour or artificial flavouring means any substance, the function of which is to impart flavour, which is not derived from a spice, fruit or fruit juice, vegetable or vegetable juice, edible yeast, herb, bark, bud, root, leaf or similar plant material, meat, fish, poultry, eggs, dairy products, or fermentation products thereof. Artificial flavour includes the substances listed in Sec. 172.515(b) and 182.60 of this chapter except where these are derived from natural sources.
Natural flavours are defined in (a)(3) of Title 21 101.22, as follows:
The term natural flavour or natural flavouring means the essential oil, oleoresin, essence or extractive, protein hydrolysate, distillate, or any product of roasting, heating or enzymolysis, which contains the flavouring constituents derived from a spice, fruit or fruit juice, vegetable or vegetable juice, edible yeast, herb, bark, bud, root, leaf or similar plant material, meat, seafood, poultry, eggs, dairy products, or fermentation products thereof, whose significant function in food is flavouring rather than nutritional. Natural flavours include the natural essence or extractives obtained from plants listed in Sec. 182.10, 182.20, 182.40, and 182.50 and part 184 of this chapter, and the substances listed in Sec. 172.510 of this chapter.
The browning reaction will be discussed later and it is interesting to note that process flavours can be made using the browning reaction and are defined as natural since they are a product of roasting or heating.
Spices are also defined in (a)(2) of Title 21 101.22 as follows:
The term spice means any aromatic vegetable substance in the whole, broken, or ground form, except for those substances which have been traditionally regarded as foods, such as onions, garlic and celery; whose significant function in food is seasoning rather than nutritional; that is true to name; and from which no portion of any volatile oil or other flavouring principle has been removed.
The regulation goes on to list a number of individual spices. It should be noted that many materials that are considered artificial are identical to those in nature: it is simply how they were produced that determines whether they are natural or artificial. As an example, diacetyl is natural if it comes from milk or is produced by fermentation (as in wine and fermented dairy products) but is artificial if it is synthesized from other chemicals. All of the chemical properties are the same no matter where the individual chemical came from. The only time that a compound can never be natural is if it has never been found from any natural source. One compound, which gives a cotton candy type flavour, is ethyl maltol. This has never been found in nature so if a flavor contains this compound, it will be at least partially artificial.
In other countries, there are different definitions as to what is natural and artificial. In some countries, there is the concept of nature identical. It states that if a compound exists in nature, then it does not matter where it comes from, it would not be considered artificial. The flavour could not be called natural but has simply been referred to as flavour. It is important that the regulations for each country be checked to understand what is allowed and how flavours added to products should be labeled.
Flavouring materials come from a variety of sources. One of the main sources is plants. The flavour materials can be present in any part of a plant including the flower, leaf, stem or bark. To be used in food products, the materials are generally extracted from the plant material to provide an isolate that is just the flavour. There are different techniques that can be used for isolation including solvent extraction (often ethanol), steam distillation and supercritical fluid extraction. Dairy products and meats and seafood can also be sources of flavouring materials. Dairy products provide a good source of base material that can be modified by enzymes to create much more concentrated flavors than are present in the natural dairy product. The enzymes break down the fats and proteins present to yield higher concentrations of the flavour compounds that represent the flavors of these dairy products. Some of the components of dairy flavors are short chain fatty acids including butyric acid that are unpleasant at high concentrations but help to contribute to the characteristic flavour of dairy products.
Many flavours are produced by processing, primarily with the use of heat. The subject of browning will be covered in more detail later in this chapter but will be briefly addressed here. Flavours can be created by heating one or more reducing sugars with one or more amino acids for different times and at different temperatures. Very different flavours can be produced which can be added to foods as natural flavours.
Flavours can also be produced using biotechnology. This is an area that has been explored for years to determine ways to get plants or microorganisms to produce higher quantities of flavouring materials than they do naturally. While there has been limited success by some companies to produce individual flavour compounds through this process, it has not achieved wide commercial success.
The industrial and domestic use of microwaves has increased dramatically over the past few decades. While the use of large-scale microwave processes is increasing, recent improvements in the design of high-powered microwave ovens, reduced equipment manufacturing costs and trends in electrical energy costs offer a significant potential for developing new and improved industrial microwave processes.
Microwave heating is relatively fast compared to conventional heating since it does not depend on the slower diffusion process in the latter. This property initiated the initial investigation into carrying out chemical reactions under microwave irradiation (Giguere et al., 1986). In certain cases, chemical reactions were completed in a few seconds that otherwise would have taken hours. In addition to fast rates of heating, microwaves are also more selective and components can be heated selectively in a reaction mixture compared to conventional heating. This property has been used to enhance the extraction of essential oils from plants immersed in a microwave transparent solvent (Paré et al., 1991).
Microwaves are electromagnetic waves within a frequency band of 300MHz to 300 GHz. In the electromagnetic spectrum (Fig. 1) they are embedded between the radio frequency range at lower frequencies and infrared and visible light at higher frequencies. Thus, microwaves belong to the non-ionising radiations.
Superheating of solvents is another phenomena that accompanies microwave heating and helps accelerate chemical reactions. Superheating refers to the increase in temperature of liquids above their boiling points while they remain completely in the liquid phase. For example, water boils under microwave heating at 105°C and acetonitrile (B.P. 82°C) at 120°C. A chemical reaction carried out in an open vessel in acetonitrile under microwave irradiation will be accelerated by 14 times relative to conventional heating, assuming the reaction rate doubles for every 10°C rise in temperature (Peterson, 1993). When chemical reactions are carried out in closed containers under microwave irradiation, the maximum temperature attainable is not limited to the temperature of the heating medium, as in conventional heating, but depends only on the microwave power applied and the rate at which the sample can lose heat. The extreme high temperatures attained in a closed container during microwave heating can generate extreme high pressures (especially if the reaction produces gaseous products), which can alter equilibrium product distribution according to Le Chatelier’s principle (Peterson, 1993).
Electromagnetic spectrum. Additionally, the two most commonly used microwave frequency bands (at 915MHz and 2450 MHz) are sketched.
There are several major factors that impact the flavour quality of microwave food products. They primarily stem from the fact that in a conventional oven, the product is surrounded by hot air which heats the product from the outside and also dries the surface. In microwave heating, the entire product is heated at the same time but the heating may not be uniform (van Eijk, 1994). In drying the surface, it helps to reduce the rate at which volatile flavour molecules can move from inside the product to the surface and evaporate. It in a sense forms a crust that is more difficult for the flavour molecules to move through. In microwave heated products, the surface stays moist and cooler, which readily allow flavour compounds to be carried out of the food as steam is lost.
The surface of the product will also get to a higher temperature in a conventional oven. This enhances the rate of the browning reaction on the surface as this reaction goes more rapidly under lower moisture and higher temperature conditions. The browning reaction provides not only the desirable brown colour but also produces a large number of flavour compounds. In conventionally heated products, the added flavour is retained better and a large number of flavours are produced on the browned surface of the product. In products where browning is not expected, this is not an issue. If a product is simply to be reheated, the microwave does an excellent job as you are not relying on it to produce flavour. One additional factor that influences flavour development in products heated in the microwave is that they are in the oven for a much shorter period of time than those cooked in a conventional oven. The browning reaction takes time to develop and the product is not heated long enough for this reaction to proceed to the point where brown pigments and flavour compounds are produced. It should be noted that there are a wide variety of products where the time and temperature of heating do not create an issue for flavour development. High moisture products that are going to be reheated work very well. While some flavour will be lost during the heating process, it does not vary significantly from conventional reheating. Vegetables, with their own inherent flavor, can easily be steamed in the microwave oven.
The sensory properties of vacuum-microwave-dried and air-dried carrot slices, which were water blanched initially. The vacuum-microwave-dried carrot slices received the higher ratings for texture, odour and overall acceptability as compared to the air-dried carrot slices.
The retention of volatile components responsible for flavour was more in hot air microwave drying compared to conventional hot air drying alone. The flavour strength of garlic dried by hot air alone is 3.27 mg/g dry matter whereas the flavour strength of the garlic dried by microwave drying is 4.06 mg/g dry matter. Effect of microwave drying on the shelf life and sensory attributes (appearance, colour, odour and overall quality) of coriander (
Amaranth had similar scores for fresh and dried ones; however, there was significant decrease for the sensory attributes of other greens. They concluded that microwave drying was highly suitable for amaranth, moderately suitable for shepu and fenugreek and less suitable for coriander and mint. Wheat samples were evaluated and the sensory characteristics of grain were assessed by the panel of 10 members. The sample produced a burnt or roasted odour when exposed for a long exposure time (180 s) but there was no significant difference in the grain odour when long exposure times were avoided.
Due to high temperature and long drying time, volatile compounds are vapourised and are lost with water vapour, resulting in significant loss of characteristic flavour in dried products. Case-hardening is a common problem in dried fruits due to rapid drying. As drying proceeds, the rate of water evaporation is faster than the rate of water movement to the product surface, hence making the outer skin dry
At air dryer temperatures, volatile flavour compounds are lost, structural changes such as case hardening may inhibit later rehydration, and extended drying times allow chemical and enzymatic reactions to degrade vitamins, flavour and colour compounds microwave dried frozen berries had a higher rehydration ratio. Microwave (MW) drying generated three unique flavou compounds (2-butanone, 2-methyl butanal, and 3-methyl butanal) while freeze-dried berries lost several, including the typical blueberry aroma, 1,8-cineole. Compared with hot-air dried berries, MW-dried cranberries have better colour, softer texture and similar
The advantages of MW blanching (MB) over conventional heat blanching methods (water or steam) include in-depth heating without a temperature gradient, and rapid inactivation of enzyme complexes that cause quality degradation coupled with minimal leaching of vitamins, flavours, pigments, carbohydrates, and other water-soluble components. No differences existed for flavour of green beans and mustard greens due to blanching method. In beans and mustard greens, steam blanching produced a texture equal to MB vegetables but chlorophyll degradation was greater. Cooking time of chicken breasts increased with decreasing power level, but cooking losses were not affected. Both sensory and instrumental tenderness (Instron compression) were best at 60% power level, while juiciness, mealiness and flavour were unaffected by power level. Convectional MW-cooked chicken was more tender, juicy and acceptable than MW-cooked chicken, avour intensity was similar. Thiamin retention ranged from 77% in conventionally cooked chicken breasts to 98% in MW-cooked chicken legs.
In designing microwave food processes and packaging, various factors that affect microwave heating of foods should be taken into consideration if the effect of uneven heating associated with the use of microwaves is to be kept under control. These factors fall into two broad categories. The first one is thermo-physical properties of the food. The second is factors associated with the dielectric characteristics of food and the field intensity distributions provided by various microwave energy applicators and heating systems.
The thermo-physical factors that require serious consideration in the design of microwave food processes and packaging systems are:
The physical size and shape of foods affect the temperature distribution within the food. This results from the fact that the intensity of the wave decreases with depth as it penetrates the food. If the physical dimensions of the food are greater than twice the penetration depth of the wave, portions of the food nearer the surface can have very high temperatures while the mid-portions are still cold. On the other hand, if the dimensions of the food are much lower than the penetration depth of the wave, the center temperature can be far higher than the temperature at the surface. This situation normally results in “the focusing effect,” which results from the combined intensity of the wave (in three space dimensions) being higher at the inner portions than the outer portions of the product.
Some shapes reflect more microwaves than others. In addition, some shapes prevent increasing amounts of the waves from leaving the material by reflecting them back into the interior. For most spherical and cylindrical foods, wave focusing occurs for product diameters between 20 and 60 mm. In rectangular foods, focusing causes the overheating of corners. Thus in package design, sharp corners are avoided and tube-shaped pans have been suggested (Giese 1992). Moreover, in foods with corners, packages are designed using metals or aluminum foils to reflect microwave energy away from corners and thus selectively heat some portions more.
In microwave heating, the product temperature rises above its ambient temperature due to volumetric heating. Higher product surface area therefore results in higher surface heat loss rate and more rapid surface cooling. During microwave heating, the highest temperature is not at the surface of the product (despite the higher intensity of power absorbed there) but somewhere in the interior.
How much a food product will heat given a specific amount of energy depends on its heat capacity. The implication of this for microwave heating is that different food products heated together have different temperature histories. To control this, some microwave food packages are sealed tight to allow heat transfer between hotter and colder foods, thus giving similar temperature history for different foods in the same package.
Microwave energy is transported as an electromagnetic wave in certain frequency bands in the range between about 0.3 GHz and 300 GHz. When microwaves impinge on a dielectric material, part of the energy is transmitted, part reflected and part absorbed by the material where it is dissipated as heat. Heating is due to `molecular friction\' of permanent dipoles within the material as they try to reorient themselves with the oscillating (electrical) field of the incident wave. The power generated in a material is proportional to the frequency of the source, the dielectric loss of the material, and the square of the field strength within it. A material is subjected to microwave energy in a device known as an applicator or cavity. Considering all these features, it is possible to identify those candidate materials and processes that can use microwave heating effectively and understand microwave ingredient interaction mechanisms. Only after such a step is taken can microwave heating be exploited fully in terms of its unique characteristics, which include the facts that no contact is required between the energy source and the target and that heating is volumetric, rapid and highly specific in nature.
International convention dictates that microwave ovens (and other industrial, scientific and medical microwave applications) operate at specific frequencies, the most favoured being 2.45 GHz. At this frequency the electric field swings the orientation of water molecules 109 times every second, creating an intense heat that can escalate as quickly as 10 0C per second (Lew et al., 2002). Water being the predominant component of biological materials, its content directly influences heating. However, there are minor contributions from a host of other factors (Schiffmann, 1986): heating is accelerated by ionic effects (mostly salt content) and specific heat of the composite material (Decareau, 1992). Specific heat is an important property in the thermal behaviour of a food subjected to microwaves. Produce with low specific heat may heat very rapidly, and even faster than water of the same weight. Oil heats faster than water due to its much lower specific heat (Schiffmann, 1986). Hence for oily materials, the influence of specific heat becomes the determining factor in microwave heating, owing to the low specific heat of oils, often less than half that of water (Ohlsson, 1983).
When an oscillating electrical field is applied to a polar dielectric, the dipoles within the material attempt to align themselves (polarize) with the field. The rate of change of polarization represents a displacement current in the dielectric and the product of this and the applied field gives the power generated as heat. Averaged over a cycle, the power `lost\' in the material (i.e. dissipated as heat) depends on the phase angle between the applied field and the polarization. For most dielectrics the lag depends on the flexibility of the molecules that house the dipoles, and the randomization effect of temperature.
The Maillard reaction is incredibly complex. For instance, a simple example such as the reaction of glucose with ammonia gives evidence, using simple methods, of the formation of more than 15 compounds and the reaction of glucose with glycine gives more than 24. Using HPLC and TLC on solvent-soluble material only [0.1% (w/w) of reactants], about 100 components are detectable as reaction products of xylose and glycine (Hodge,1953).In order to understand something so complex, it is necessary to draw up a simplified scheme of the reactions involved. This has been done most successfully by Hodge in 1953 (Fig. 2).
The discussion here is based on this.
Hodge subdivides the Maillard reaction as follows:
Initial stage: products colourless, without absorption in the ultraviolet (about 280 nm).
Reaction A: Sugar–amine condensation
Reaction B: Amadori rearrangement
Intermediate stage: products colourless or yellow, with strong absorption in the ultraviolet.
Reaction C: Sugar dehydration
Reaction D: Sugar fragmentation
Reaction E: Amino acid degradation (Strecker degradation)
Final stage: products highly coloured.
Reaction F: Aldol condensation
Reaction G: Aldehyde–amine condensation and formation of heterocyclic nitrogen compounds.
It is worth noting that Mauron (1981) calls the three stages Early, Advanced, and Final Maillard reactions, respectively. The way these reactions fit together is outlined in Fig.2. The final products of nonenzymic browning are called melanoidins to distinguish them from the melanins produced by enzymic browning. Theoretically, the distinction is clear; however, in practice, it is very difficult to classify the dark brown products formed in foods, since they tend to be very complex mixtures and are chemically relatively intractable. Reaction H has been inserted into Fig.2. It represents the much more recently discovered free-radical breakdown of Maillard intermediates. Oxygen plays an essential role in enzymic browning, but is not essential for nonenzymic browning. It may help in fact, for example, in the formation of reductones, such as dehydroascorbic acid, but it may also hinder the progress of the reaction, for example, in oxidising 2-oxopropanal to 2-oxopropanoic acid.
Maillard reaction.
In relation to the flavours produced on exposure to microwave radiation,Yaylayan et al.(1994) examined many combinations of sugars and amino acids, grouping the latter into aliphatic, hydroxylated, aromatic, secondary, basic, amide, acid, and sulfur-containing ones. The odours observed were grouped into eight and they have been assigned to the above groups, as far as possible, below:
Caramel (1); Meaty ( 4); Nutty (9); Meaty + vegetable Fragrant (6); Baked potato (5) and Baked (3).
Shibamoto and Yeo (1994) have compared microwave (700 W, high setting, 15 min) and thermal treatment (reflux, 100 0C, 40 h) for a glucose–cysteine system. The conditions used were determined by the onset of browning and aroma formation. The two sets of conditions gave samples with similar popcorn and nutty flavours, but the microwaved samples also gave pungent, raw, and burnt aromas, absent from the conventionally heated ones. The sample prepared conventionally at pH 9 contained much higher amounts of methylpyrazine and 2,6-dimethylpyrazine, whereas the microwaved one gave a much higher amount of 4,5-dimethyloxazole and was the only one to produce 2,3-dihydro-3,5-dihydroxy-6-methyl-4H-pyran-4-one. Such data, to some extent, explain the differences in acceptability of the two types of heating. For browning to occur in microwaving, a minimum of 10% moisture is required. Surprisingly, microwaving at pH 2 gave about twice the absorption at 420 nm than at pH 9 (about 1 AU), the absorption for pH 5 and 7 samples being nearly 0 (<0.1 AU).
As the Maillard reaction is a series of chemical transformations (Yaylayan, 1997) factors that influence a chemical reaction also affect the Maillard reaction. In general, the rates of chemical reactions depend primarily on temperature, pressure, time, and concentration of reactants. High temperature, pressure, and superheating of reaction solvent associated with microwave irradiation can accelerate simple or single-step chemical reactions such as esterification, hydrolysis and cyclization reactions (Richard et al., 1988; Bose et al., 1994). If the microwave heating is performed under a closed system, then the rate of the microwave reaction accelerates up to 1000 times. However, the time factor plays a crucial role in influencing the product distribution of more complex reactions when carried out under microwave heating. The influence on competitive and consecutive reactions is an important consequence of fast rate of heating under microwave irradiation that is especially pertinent to the propagation of Maillard reaction.
Given the fact that the Maillard reaction is a complex series of consecutive and competitive reactions, product distribution and intensity of browning will be most affected by microwave irradiation relative to conventional heating. Generally, the final outcome of a Maillard reaction (colour, volatile aroma compounds, and nonvolatile products) depends on temperature, water content, pH, and heating time. Thus, any variation in the reaction parameters will affect the profile of the end products, and hence the perceived aroma and colour. Although simple chemical reactions are fast under microwave irradiation, multistep reactions can remain incomplete or they do not proceed to the same extent as under conventional heating. They produce mixtures that contain the same products (Yaylayan et al., 1994) but with altered distribution patterns. The flavour perception is sensitive to such variations in relative concentrations of different components, especially the character impact compounds, thus drastically changing the sensory properties.
There are few reports in the literature on the microwave-assisted generation of Maillard products using precursors or intermediates. Preparative scale microwave-assisted synthesis (Shui et al., 1990) of Amadori products from D-glucose and amino acids is feasible but has not been reported. However, Barbiroli et al. (1978) observed 70–75% conversion of added glucose/leucine into Amadori compounds with a corresponding decrease in the amount of added amino acid in a bread mix when microwaved for 3 min. Steinke et al. (1989) generated Strecker aldehydes from an aqueous solution of an amino acid and 2,3-butadione (diacetyl) in sealed vials microwaved for 4 min or heated in a water bath for 60 min at the same temperature. Significantly higher concentrations of aldehydes were measured in the microwave heated samples. The effect of electrolytes and pH on the formation of Maillard products during microwave irradiation of aqueous model systems has been studied.
The addition of different salts (Yeo and Shibamoto, 1991a) such as sodium chloride, calcium chloride, and sodium sulfate increased both the intensity of browning and the concentration of flavour compounds. The total volatiles generated from a glucose/cysteine model system (Yeo, and Shibamoto, 1991b) under microwave irradiation has been found to increase with pH. It seems that increasing the pH and concentration of electrolytes enhances the rate of Maillard reactions under microwave irradiation.
Attempts have been made to compare the chemical composition and yields of volatiles in microwaved and conventionally heated Maillard model systems. However, this type of comparison can be misleading due to the variations in the time-temperature exposure of the two systems under study. In most cases, the temperature of the microwave system is not monitored and time of irradiation is chosen arbitrarily. In order to compare the yields of two systems undergoing the same reaction at different times and temperatures, knowledge of kinetic parameters is required to ascertain whether there are differences in the two processes. Alternatively, the intensity of brown colour formation can be used as an indication that the two systems have undergone equivalent time-temperature exposure. Yaylayan et al. (1994) mimicked actual cooking and surface drying of foods by subjecting the same aqueous sugar/amino acid mixtures to microwave irradiation (640 W) and to conventional heating in an open system, until all the water was evaporated and the residue was dark brown. In order to ensure that both treatments produced the same extent of Maillard reaction for comparison purposes, the conventional heating time was adjusted such that after similar dilutions, both samples had the same spectrophotometric absorption at 460 nm. On the average, 1 min of microwave heating time produced the same browning extent as 12 min of conventional heating time. With such treatment, no significant qualitative changes were observed in the composition of both samples, as identified by GC/MS. Parliment (1993) studied, in sealed vials, the products of the Maillard reaction between glucose and proline formed under microwave (600 W, preheated conventionally for 3 min and irradiated for 45 s) and conventionally heated systems (150°C for 15 min). Qualitatively both systems produced similar compounds but in the microwave system N-heterocyclic compounds were present in smaller amounts.
Inhibition of pyrazine formation by natural antioxidants and the foods containing them was measured in a microwaved glucose/glycine model system. Inhibition of lipid oxidation by the same materials was assayed in both bulk and emulsion systems. Pyrazines were determined by solid-phase micro extraction followed by GC. Lipid oxidation volatiles were assayed by polyamide fluorescence produced by either a bulk oil display or a hematin- or 2,2’-azobis-(2-amidino-propane) dihydrochloride-accelerated lecithin or fish oil emulsion. It was shown that (i) the inhibition of pyrazine formation depends on high concentrations of water-soluble antioxidants; (ii) such antioxidants occur naturally in some foods and are usually polyphenols; (iii) during pyrazine inhibition, oxidized polyphenols show enhanced nonfluorescing browning similar to enzymic browning products; (iv) monophenols, which structurally cannot form quinone polymers on oxidation, inhibit pyrazines with less browning; (v) during the final pyrazine-forming phase of the Maillard reaction, polyphenolics and reducing agents such as glutathione and ascorbic acid are partially consumed with some nutritional loss; (vi) fruit powders of grape seed, grape skin, and red wine are highly pyrazineinhibitory, steeped blueberry strongly so, but plum purees are moderately pro-pyrazine, and freeze-dried vegetables strongly pro-pyrazine; and (vii) black and green tea infusions are highly inhibitory, whereas spices have mixed effects.
The major food components - water, carbohydrates, lipids, proteins and salts (minerals) - interact differently with MW. Because the primary mechanisms of MW heating are dipole rotation and ion acceleration, MW interactions with foods depend heavily on salt and moisture content. Water selectively absorbs the energy (Mudgett, 1990). In intermediate and high moisture products, the water, not the solids, absorbs the MW energy (Mudgett, 1989; Karel, 1975). However, because of their high heat capacity, they tend to heat unevenly. In drier products, the dissolved salts are concentrated (in the remaining water); if the solids exceed saturation level and precipitate, their ionic conductivities are limited. However, the solids themselves do absorb energy (marshmallow ignition: Mudgett, 1989). Low moisture products generally heat more evenly due to their low heat capacity (Schiffman, 1986).
Alcohols and the hydroxyl groups on sugars and carbohydrates are capable of forming hydrogen bonds and undergo dipolar rotation in an electric field. Low levels of alcohols or sugars in solution in foods have little effect on the interaction of MW with water and dissolved ions. At higher concentrations (jellies, candies), sugars can alter the frequency response of water with MW (Mudgett, 1989).
Proteins have ionizable surface regions that may bind water (or salts), giving rise to various effects associated with free surface charge. Lipids, other than the charged carboxyl groups of the fatty acids, which are usually unavailable due to their participation in the ester linkages of triglycerides, are hydrophobic and interact little with MW if water is present. MW do appear to interact with lipids (and colloidal solids) in low moisture foods as evidenced by energy absorption that cannot be accounted for by either free water or ion activity.
The interaction of microwave energy and food products causes internal heat generation. The rapidly alternating electromagnetic field produces intraparticle collisions in the material, and the translational kinetic energy is converted into heat. For many food products the heating is uneven; the outer layers heat most rapidly, depending on the depth of penetration of the energy, and the heat is subsequently conducted into the body of the food. Current research is concerned with achieving uniform heating, especially in relation to pasteurization and sterilization of foods, where non-uniform heating could result in a failure to achieve a safe process. For materials that are electrical conductors –
The main frequency bands used are 2450 and 896 MHz in Europe and 915 MHz in the USA. Greater penetration and more uniform heating are obtained at the longer wavelengths for food products with low loss factors. Datta and Liu (1992) have compared microwave and conventional heating of foods and concluded that microwave heating is not always the most effective method, especially for nutrient preservation. The effect depends on a variety of properties of the system.
Burfoot et al. (1988) examined the microwave pasteurization of prepared meals using a continuous tunnel device. The product was heated to 80–85◦C for a few minutes, sufficient to inactivate vegetative pathogenic bacteria,
Variations in electric fields, food constituents and the location of the food in a MW oven can lead to nonuniform heating, allowing for less-than-ideal interaction of food components and survival of microorganisms. A number of techniques to improve uniformity of MW heating, such as rotating and oscillating foods, providing an absorbing medium (water) around the product, cycling the power (pulsed power), and varying the frequency and phase, can improve the situation; however, dielectric properties of the food must be known in order to develop effective processes (Yang and Gunasekaran, 2001; Guan et al., 2004).
Using moisture, salt, and fat content, and temperature (<70 0C) at MW frequencies, Calay et al. (1995) developed polynomial equations to estimate dielectric properties of grains, fruits and vegetables, and meat products. However, they concluded that it was impossible to develop a generic composition based equation. This may be, in part, because as cooking temperature increases, the dielectric constant may increase while the loss factor and depth of penetration decrease (Zheng et al., 1998). The result is that changes in formulation usually require re-evaluation with regard to dielectric properties and behavior upon exposure to MW energy.
At the molecular level, the mechanism of heat generation in the microwave oven relies mainly on the interaction of the microwave radiation with dipoles/induced dipoles or with ions. Proteins and lipids do not significantly interact with microwave radiation in the presence of aqueous ions that selectively absorb the radiation. However, in the absence of water, lipids and colloidal solids are known to interact strongly with microwave radiation and the observed levels of energy absorption cannot be explained by the presence of free water and by ion activity (Pomeanz and Meloan, 1987).
Microwave radiation can also interact with alcohols, sugars, and polysachharides. Tightly bound water monolayers do not absorb energy due to hindered molecular rotations. Microwave interactions with a multicomponent system such as food can differ considerably from simple aqueous Maillard model systems, in that “matrix effects” can produce undesirable consequences. Since the core aqueous region of foods are the main sites of interaction with the microwaves, the interior vapor pressure generated as a result can actively force the vapor to the surface of the food, unlike in the conventional oven, where passive migration of water by capillary action to the surface, is diffusion controlled (Schiffmann, 1994a). The water-saturated food surfaces usually remain at relatively cool temperatures of the oven during cooking (40–60°C), thus preventing browning and crisping (Schiffmann, 1994b). Model studies have already indicated that there are no fundamental differences in the solution phase chemistry of Maillard reaction under microwave irradiation. However, the overall performance of food products under microwave irradiation implies the development of characteristic textural, color and aroma properties similar to that of conventional heating, which differs markedly from microwave heating due to fast rate of heating and “matrix effects.”
Food products that rely heavily on Maillard flavours and colours, such as roasted and baked products, perform well in the conventional oven due to the following:
The high temperature of the air surrounding the product dehydrates the surface, producing a crust that protects the food from loss of moisture and important aroma volatiles. Dehydration steps are also crucial for the formation of color and aroma precursors by the Maillard reaction.
Long time exposure in the conventional oven ensures the completion of slow and/or multistep Maillard reactions responsible for browning and for the generation of specific aromas.
In the case of porous materials such as bread, the high temperature and relative low humidity of the air surrounding the product cause rapid heating of the surface of the food relative to the center, thus creating a temperature and a corresponding inward vapor pressure gradient that helps retain volatile aroma compounds inside the core.
In the microwave oven, the short time exposure and the lack of hot dry air (air being transparent to microwave irradiation) surrounding the surface of the food product not only prevents crusting but also promotes sogginess due to the condensation of the moisture. On the other hand, the rapid release of moisture and its evaporation from the center of the food causes the added and formed volatiles to be “steam distilled” at temperatures below their boiling points. Hence baked and roasted food products, which rely heavily on Maillard produced flavors, usually do not perform well in the microwave oven.
Schiffmann (1994a) summarized the different factors related to microwave ovens that affect aroma generation during cooking of food such as variation in the type of commercial ovens (power, cavity size, …..
The use of microwave energy in food processing can be classified into six unit operations: (re)heating, baking and (pre)cooking, tempering, blanching, pasteurisation and sterilisation, and dehydration. Although their objectives differ, these aims are established by similar means: an increase in temperature. Nevertheless, for each special use (different from pure microwave heating), different advantages and disadvantages have to be taken into account. These are presented in the next sections together with some examples of real industrial applications.
Microwaves lend well to speeding up almost any drying processing which the liquid being evaporated is neither explosive nor flammable. The great advantage of microwave drying is speed, often allowing the drying of a material in 10% or less of the normal drying time. However, in no application, other than laboratory analytical drying systems, are microwaves used to dry a product alone. Always there is the use of additional heat—hot air, ambient or forced circulation; infrared; or some combination of these. In fact, microwave heating, properly applied, and usually represents a minor part of the total heat energy required for drying, the reason being cost.
Also, the following benefits encourage the application of microwave drying technology:
The products obtain excellent rehydration properties because of the volumetric vaporisation of water, which is a constituent of most food stuffs. When evaporated simultaneously through the whole product piece volume, the water forms capillars inside the product pieces, which produce a high porosity and therefore allow an easy rehydration. In many cases gaining porosity is associated with an expansion of volume, so this process is called „puffing“ sometimes. The instant properties are crucial for the application of dried food in the composition of ready meals and additives used in modern citchens.
The same effect of gaining porosity enables the production of crispy fruit and vegetable snacks.
In comparison to conventional air belt drying the application of microwaves under vacuum conditions allows fast volumetric drying of the product pieces at relatively low temperatures. So vitamins, taste, flavour and natural colours are conserved very well.
In comparison to other advanced drying technologies (
The combination of microwave vacuum drying or puffing and conventional airbelt pre-drying into a continuous production line is economically most advantageous.
Drying occurs when water vapor pressure differences between the food interior and exterior drive moisture transfer into the surrounding air. MW drying occurs by both dielectric and conventional heating. When above 50% moisture, as moisture content decreases, dielectric constant and loss factor decrease, especially at higher temperatures. Below 30% moisture content, MW penetration depth increases sharply (Feng et al., 2002). MW heating in a drying system may adversely affect product quality due to nonuniform temperature distribution and difficulty in controlling product final temperature at low moisture contents.
MW energy can improve quality of fried products. Potato chips can be fried then dried by MW and hot air (Decareau, 1985). MW finish drying to maintain the temperature below the Maillard browning point, of russet burbank potato slices containing <0.9% reducing sugar, allows production of chips of acceptable color and texture (Porter, 1971). Potatoes containing >0.9% reducing sugar must be removed from the oil at an intermediate moisture content >13% to obtain acceptable color of the MW-finished product. Oil content of MW-finished chips may be 90% that of conventional chips because the fat is absorbed at prefinish moisture levels. Osmotic dehydration prior to MW dehydration efficiently removes water from fruits and preserves volatile flavor compounds. Prothon et al. (2002) osmotically dried apple cubes in 50% (w/w) sucrose, then dried them in a MW-assisted drier. Osmotic dehydration reduced drying time required to reach 10% moisture, but also decreased drying rate and effective moisture diffusivity.
Osmotic pretreatment increased cell wall thickness and increased firmness frehydrated apple pieces, but reduced rehydration capacity. Drying is more efficient when strawberries and blueberries are pretreated with 2% ethyl oleate and 0.5% NaOH (osmotic drying: Venkatachalapathy and Raghavan, 1998, 1999). The osmotic dehydration step was necessary to produce MW-dried strawberries that had similar rehydration ratio, texture, color and sensory properties to freeze-dried berries. Dipping blueberries in 2.5% ethyl oleate and 0.2% NaOH followed by sucrose osmotic dehydration prior to MW drying treatment reduces drying (from >80% to 15% moisture) time to one-twentieth of that needed for tray drying (Feng et al., 1999). MW-dried frozen berries had a higher rehydration ratio. MW drying generated three unique flavour compounds (2-butanone, 2-methyl butanal, and 3-methyl butanal) while freeze-dried berries lost several, including the typical blueberry aroma, 1,8-cineole. Compared with hot-air dried berries, MW-dried cranberries have better color, softer texture and similar storage stability at room temperature (Yongsawatdigul and Gunasekaran, 1996). Vacuum permits water vaporization at a lower temperature and at a faster rate than at atmospheric pressure. Application of vacuum reduces the boiling point of water and the drying temperatures. Combining vacuum and MW drying (VMD) reduces or avoids the heat and rate limitations at atmospheric pressure (Durance and Wang, 2002). MW energy is an efficient mechanism of energy transfer through the vacuum and into the interior of the food. Drying time for carrots has been shown to be 30% less for a combination of VMD and hot air drying than that of a conventional hot air drying method (Baysal et al., 2002). No constant rate period existed and drying occurred mainly during the falling rate period. No differences occurred in dry matter content, bulk density or porosity; however, aw and color (L, a, b values) were higher and rehydration capacities were higher in carrots dried by the combination method. Fruit and vegetable variety can have significant effects on the VMD process.
After blanching potatoes prior to VMD to produce fat-free chips, Lefort et al. (2003) reported that yellow flesh cultivars had lower moisture content and higher specific gravity, starch content, and crispness scores than red flesh cultivars. The authors concluded that cultivars low in specific gravity and starch content produced chips with a crispy but less rigid texture, which are desirable characteristics for chips produced by VMD. Color was unaffected. A CaCl2 pretreatment prior to MW-assisted AD increases the hardness of rehydrated apples and potatoes (Arhne et al., 2003). Water loss rates are similar during drying at 50 0C, but at 70 0C rates in potatoes are slower Retention of volatiles makes VMD an attractive preservation method for herbs and spices. Parsley subjected to VMD is greener immediately and after 8 weeks than hot air-dried samples (Boehm et al., 2002). VMD preserved more than 90% of the essential oils compared to 30% by hot air drying and resulting in higher parsley-like and green-grassy aroma and less hay/straw-like off-flavor. MW drying of a variety of herbs, requiring 10 to 16 min, affected color, appearance, aroma and relative reconstitution capacity (RRC; Fathima et al., 2001). The RRC for dried coriander, mint, fenugreek, shepu and amaranthus was 10.3, 10.3, 31.7, 32.8, and 38.3 respectively. Herbs with the lowest RRC (mint, coriander), had the lowest scores for flavor and color scores, while dried amaranthus, with the highest RRC, had scores similar to that of the fresh herb. Storage (60 d) results in little change in sensory properties. Working with garlic, Sharma and Prasad (2001) reported that in comparison with hot air drying (70 0C) alone, VMD reduced drying time by 80-90% and dried garlic products had higher sensory quality scores. Yousif et al. (1999) found that VMD basil yielded 2.5 times the linalool and 1.5 times methylchavicol (the major volatiles) as air-dried samples. VMD basil had more volatiles than fresh basil due to chemical reactions during drying. AD basil was darker and less green. VMD samples had a higher rehydration rate, while the potential of the plant material to rehydrate was hindered in AD samples possibly due to maintenance of structural integrity of the cells.
Begum and Brewer (2001) studied the physical, chemical and sensory quality of snow peas blanched by boiling water, steam, microwave and microwave blanching in heat-sealable bags. No differences occurred in lightness L values. Boiling water-blanched peas were the least green, with low a values, whereas steam and microwave blanched in bag peas were the most green. Boiling water-blanched peas had the least b value whereas there was no significant difference in the b values for all other blanching treatments. Ascorbic acid, one of the most labile nutrients in vegetable is water soluble and sensitive to pH, light and heat and is affected by the naturally occurring enzyme ascorbic acid oxidase. Preservation of ascorbic acid in vegetables, particularly those that are good sources, is important in preserving food quality (Brewer and Begum, 2003). Ascorbic acid losses in fruits and vegetables are inevitable and all blanching treatments result in some reduced ascorbic acid losses. Boiling water blanching produced the lowest reduced ascorbic acid content in snow peas while all other blanching treatments resulted in 31–32 mg/100 g. At higher power and longer times actual reduced ascorbic acid content increased, but when adjusted for moisture losses, reduced ascorbic acid content decreased. Lane et al. (1985) studied the ascorbic acid content of four vegetables blanched by microwave and conventional methods (boiling water and steaming). Their results suggested that with the exception of steam-blanched purple hull peas, ascorbic acid retention was not affected by the blanching method. Drake et al. (1981) studied the influence of blanching method on the quality of selected vegetables. Water-and steam-blanched asparagus and green beans had similar ascorbic acid concentrations and both were superior in ascorbic acid to the microwave-blanched product. Microwave and steam-blanched green peas contained less ascorbic acid than water-blanched green peas.
Microwave baking has been the focus of much research and development since the 1950s, with variable success (Seyhun et al., 2003). All results point to the general rule that to achieve success, considerable product reformulation must be considered (Decareau, 1992). Baking with various emulsifiers, gums, starches, fat contents and enzymes has been widely investigated (Ozmutlu et al., 2001; Sumnu, 2001; Keskin et al., 2004). With adequate product formulation, microwave baking can offer good quality products with high convenience. Pillsbury® has a new line of frozen biscuits and dinner rolls specifically designed for the microwave to deliver warm, soft, ready-to-eat bread rolls in 25 s.
The browning reactions in baked products are the result of heating of reducing sugars with proteins or nitrogen-containing substances to form compounds like melanoidins, and start at around 160 0C (Matz, 1960). When sugars such as fructose, maltose and dextrose are heated to around 171 0C, molecules are combined to form coloured substances called caramels. A relatively low food surface and low surrounding temperatures in microwave baking do not enable the browning reactions to occur. Moreover, in microwave ovens, evaporated water molecules from the food system directly interact with cold air around the product and condense, which prevents browning and crisping reactions (Schiffmann, 1994). Dough products which are expected to be crisp and brown become soggy after baking. When heated for a longer period, they become dry and brittle but never brown. Brown surfaces achieved by Maillard reactions and caramelization of sugars are a result of high temperature accompanied by dehydration (Burea et al., 1987). In addition, time is necessary for completion of these browning reactions. The kinetic rate constant of browning reaction increases with increased temperature (Ibarz et al., 2000) and decreased moisture content (Moyano et al., 2002).
Good browning and flavour development were attained when no water was added to the system. The characteristic baked/roasted aroma produced decreased as moisture content increased. Flavour development was still apparent in the 5% moisture system (GC/MS analysis of flavour compounds) despite very little browning. Electrolytes (0-0.5M NaCl, CaCl2, FeCl2, or NaSO3) enhanced both flavor production and browning intensity in an L-cysteine/D-glucose model system. NaCl promoted the development of the greatest amount of volatiles (seven times the control) and FeCl2 the least (three Microwave processing, nutritional and sensory quality 93 times the control). NaCl produced the most browning while FeCl2 produced the least. Browning treatments for breads were evaluated. When susceptors were used with MW baking, desired browning and hardness were obtained on the bottom surfaces of the breads but did not affect surface color significantly. Breads coated with the solution containing sodium bicarbonate (10.5%), glucose (31.6%) and glycine (5.3%) did not have the desired crust colour or hardness, while conventional browning at 200 0C achieved browning on top and bottom surfaces and crust formation on the bottom surface in 8 min.
MW-baked dough products are often of lower quality than conventionally baked products. Differences in heat and mass transfer patterns, insufficient starch gelatinization due to very short MW baking times, MW-induced changes in gluten, and rapid generation of gas and steam result in crustless products which are tougher and coarser and have less firm textures than conventionally baked products. They often have reduced height, gummy texture, hard crumb, and an undesirable moisture gradient along the vertical axis of the product. During baking, two simultaneous processes occur: (1) energy (heat) is transferred to the food and (2) this causes changes (starch gelatinization, protein denaturation) within and at the surface of the product. In conventional baking, the pattern of temperature rise in the interior differs substantially from that near its surface. During MW heating, the dough near the surface is heated instantaneously but heat must be transferred to the interior via conduction. This instantaneous surface heating promotes nearly instantaneous water evaporation as well. In addition, the cellular structure of dough makes it a poor heat conductor.
Flavours generated as a result of browning reactions are also absent in microwave baked products. The aroma profile of a microwave baked cake was shown to be similar to that of batter. Many of the nutty, brown and caramel-type aromas observed in the conventional cake were lacking in microwave baked cakes (Whorton and Reineccius, 1990). Individual flavour components are subjected to losses through distillation, flavour binding by starches and proteins and chemical degradation during microwave baking. Crust also provides a barrier against the loss of flavours (Eliasson and Larsson, 1993). Flavours can easily be released from microwave baked product due to the absence of crust.
Changing the food formulation to reduce compound volatility minimizes loss of flavour compounds during microwave baking. This can be done by adding an oil phase or increasing the oil content (Yaylayan and Roberts, 2001). Flavouring agents may be encapsulated to reduce the volatility of aroma compounds (Whorton and Reineccius, 1990). Unwanted flavours such as flour or egg-like flavours develop during microwave baking of cakes. Flavouring agents may be added to mask these unwanted flavours and obtain a similar flavour profile to conventionally baked cakes. Since products baked in microwave ovens have inferior quality, improving this quality represents a challenge to food technologists. Therefore, a thorough understanding of the effects of microwaves on the major ingredients in baked products such as starch and gluten will play an important role in improving the quality of these products.
Microwave heating of food products is done in a relatively quick time period as compared to conventional oven cooking. The flavour of the final product can result from aroma generated during microwave cooking. It can also be already contained in the food,
The impact of microwave cooking on the formation of early Maillard products was investigated and compared with the effect of conventional cooking, using milk as a test system. Experiments were carried out at controlled temperatures of 80°C and 900C, respectively, at holding times up to 420 min. Hydroxymethylfurfural (HMF) and lactulose, which are all established indicators to estimate heat damage, were determined. The concentrations of all the heating indicators increased with increasing heating time. For example in the 90°C test series the furosine values rose from 34 mg litre-1 (0.5 h) to 94 mg litre-1 (2 h holding time) in the milk heated by microwaves and from 35 mg litre-1 (0.5 h) to 96 mg litre-1 (2 h) in the conventionally heated milk. None of the reaction products showed significant differences as between the microwave heating and conventional cooking methods (Katz, 1994).
Flavour may be a problem in MW-cooked foods because flavour volatiles distill off, bind to proteins and other molecules or fail to develop at all. A number of methods have been developed to prevent or offset these flavor problems. Extraction process wherein substrates are mixed with MW-transparent solvent and exposed to MW which liberates target compounds from natural materials (
Vegetables are often cooked to increase palatability and digestibility, ascorbic acid content of MW-cooked, frozen peas was lower, retention of chlorophyll and organic acids (lactic, succinic, malic, citric……
Cooking starchy tubers gelatinizes the starch softening the texture. After a lag of 4 min, water loss during MW cooking of potatoes was rapid and linear. Starch gelatinization began at the surface and in the center, and then spread throughout the tuber cross-section after 1 min. Results suggest that the MW cooking process is divided into two phases: (1) the MW energy input raises the internal temperature to about 100 0C, then (2) water is vaporized at a constant temperature. Immersing potatoes in boiling water after the first phase prolonged cooking time compared to MW heating, suggesting that MW treatment affects texture by a mechanism independent of the thermal profile induced by cooking.
This chapter reviewed the flavours and colors appropriate for microwave foods. It discusses the types of flavor definition, the sources of natural flavours and the difference between conventional and microweave heating as well as the generation of flavour from microwave heating especially via maillard reaction. It isolates the particular effects of microwave heating on the browning reaction in flavor formation and its implications for the choice and application of flavours for microwave foods. For products that are simply seasoned and reheated, the microwave does not present significant challenges that are different from conventional heating. Microwave popcorn is an ongoing challenge to create a good flavour that will not all be volatilized during heating. Encapsulation can provide a benefit in protecting the flavour during processing and helping to retain it during the popping process. As work continues to better understand flavours, there will be new developments that will benefit microwave food products.
Metabolic bone disease (MBD), the third most prevalent disorder of the endocrine system, involves any disorder that alters the phenomena of mineralization in the normal skeleton. The disorder is primarily caused by abnormalities in the structure of bone or its mass, vitamin D level as well as the presence of certain minerals such as calcium and phosphorus [1].
The concentration of extracellular calcium is crucial for several functions at the cellular level, which needs to be retained in restricted levels. The free concentration of calcium is predominantly negatively regulated by the secretion of the parathyroid hormone (PTH) in response to calcium-sensing receptors. A substantial drop in the level of free calcium activates the release and synthesis of PTH, which often leads to calcium reabsorption in the renal tubules, enhanced secretion of calcitriol (vitamin D3) promoting calcium absorption from the intestine, and immediate release of calcium from the skeleton, which contains 99% of calcium in the body. Conversely, in regard to rising levels of calcium in the body, PTH level drops that lead to a decline in the above-stated processes. This balance is seen to be disturbed in various pathological circumstances leading to elevated or low calcium levels. High calcium levels, known as hypercalcemia, and low calcium levels, known as hypocalcemia, are observed in conditions such as hypoparathyroidism and vitamin D deficiency.
The most common forms of MBD comprises of osteoporosis, osteomalacia, primary hyperparathyroidism, and fluorosis, while fibrous dysplasia, Paget’s disease, osteogenesis imperfecta, and tumor-induced osteomalacia account for its rare forms.
Osteoporosis is a severe MBD that constitutes to be a serious health issue for older people. It represents a decline in the bone mass per unit volume, leading to significant weaknesses in the bone structure, which ultimately leads to bone deformity/fracture. Osteoporosis is categorized as primary when there is no prominent diagnosis of the disease and secondary when an established contributing cause such as steroid treatment is detectable. Type I (postmenopausal) and type II (age-related) are categorized under primary osteoporosis. Type I osteoporosis incorporates bone loss with the expedited bone mass reduction due to the withdrawal of estrogens [2].
Osteomalacia results from curtailed absorption of calcium and phosphate in the intestine due to a deficiency in vitamin D or more rarely due to calcium or phosphate deficiency. Joint pain with fragility in bone and muscular weakness are the common symptoms observed in patients with osteomalacia [3].
Paget’s disease leads to skeletal lesions resulting in progressive bone turnover. The finely constructed bone lacks a natural lamellar framework and has poor quality with effects like bone deformity with prominent fractures and related pain [4].
Hyperparathyroidism results due to excess secretion of PTH, which can be categorized as primary hyperparathyroidism or secondary hyperparathyroidism. Primary hyperparathyroidism occurs due to the raised concentration of calcium in the serum. Research reports show hypercalcemia with an abnormally high level of alkaline phosphatase and elevated serum PTH [5].
Fibrous dysplasia is categorized as a rare form of metabolic disorder in which the bones are covered with irregular structures, which appear as a scar-like fibrous tissue. This deposited structure affects bone structure and integrity, making it more fragile and fracture-prone.
This chapter discusses in brief about the associated risk factors and diagnosis of MBD along with the preventive measures and the pharmacological approaches for the treatment of MBD.
Several contributing factors that control bone mass are diet, lifestyle, levels of cytokines, level of mobilization and physical activity, hormones, genetic factors, and local growth factors. Table 1 illustrates premature risk factors associated with MBD for both antenatal and postnatal period.
Antenatal | Postnatal |
---|---|
Preclampsia | Liver and kidney disease |
Placental insufficiency | Use of drugs such as loop diuretics, methylxanthines, glucocorticoids |
Prevalence of neuromuscular disorders, intraventricular hemorrhage | Prevalence of bronchopulmonary dysplasia |
List of premature risk factors associated with metabolic bone disorders for both antenatal and postnatal period.
The amalgamation of various nutritional and biomechanical factors results in the precipitation of MBD. Some of them are discussed below:
Vitamin D is inevitable for retaining the rate of metabolism in bone. The major function of vitamin D is to boost calcium and phosphorus intestinal absorption by its active metabolite 1,25dihydroxyvitamin D3 along with fostering the continuance of neuromuscular function as well as bone remodeling. Disorders in which this active metabolite is deficient can pose a greater risk of the incidence of bone disorders [6]. Low levels of vitamin D results in decreased absorption of intestinal calcium and phosphorus, with a drop in the level of calcium in serum with an increased synthesis of PTH. A rise in the level of PTH in plasma preserves the level of normal serum calcium by enhancing 1,25-(OH)2D renal development, growing bone yield, and escalating loss in mass of bone. Lack of sufficient intake or a maternal lack of vitamin D is the most leading cause of deficiency of vitamin D. Renal failure or the incidences of hepatic disease, receptor defects, or synthesis of congenital vitamin D are the other instances that cause a vitamin D deficiency. Additionally, two other rare genetic diseases, including vitamin D-dependent rickets type 1 or pseudovitamin D deficiency rickets, are caused due to the mutation in the gene encoding 1α-hydroxylase enzyme (CYP27B1 gene), which is a rate-limiting enzyme involved in the bioactivation of vitamin D.
A recent report has evaluated vitamin D status and its relationship with skeletal health in 40 healthy adult Nigerians (aged between 21 and 50 years) [7]. An array of physiological parameters were evaluated, which predominantly included markers of bone health, thyroid function and renal function, levels of parathyroid hormone, calcium excretion rates, and serum 25-hydroxyvitamin-D levels. The observed results indicated the fact that approximately 70% of the reported cases had an incidence of vitamin D insufficiency with 25% of the subjects indicated osteopenia, while none of the subjects presented with osteoporosis. The bone mineral density (BMD) T-score for osteopenic subjects was significantly lower than for non-osteopenic subjects. It was also observed that osteocalcin levels in serum were considerably higher in osteopenic subjects versus non-osteopenic subjects; however, a 24-hour calcium excretion was comparable between the two groups. Mean serum 25-hydroxyvitamin-D was lower in subjects with osteopenia compared to non-osteopenic subjects, while parameters for thyroid, renal, and calcium-phosphorus were not significantly different in the observed group [7].
Disorders related to homeostasis of calcium and phosphorus results in ultimate clinical consequences for neonates. A fine positive balance between calcium and phosphorus is indispensable for sufficient bone growth and maturation. Neonates with persistent malabsorption are at high prospects of poor absorption of calcium, phosphorus, magnesium, or vitamin D, either due to medical or surgical interventions [8].
Some drugs that are frequently used in premature births also support the incidence of MBD. Some of the prominent classes of such drugs are loop diuretics such as furosemides, corticosteroids, methylxanthines, antifungals, and certain antiepileptics. The most probable reason may be activation of osteoclasts and reduction of osteoblast proliferation and decreased absorption, thereby the ultimate elimination of calcium by the kidneys [9].
The concentration of minerals such as calcium and phosphorus in premature breast milk is inadequate in regard to the estimated requirement, presuming that they ingest approximately one third that is essential in fetal life [9]. In addition, milk products are high in concentration of the stated minerals but have a lower bioavailability; hence, consumption of mineral fortified milk is essential for preventing and treating MBD.
Biomechanical factors that impact the alteration of bone structure is accountable for the reduction of bone mass caused by reduced activity level. The majority of bone-loading process occurs during the third trimester. Nevertheless, in the absence of bone loading, bone formation stops and further osteoclasts are activated leading to a reduction in bone strength [10]. Neonatal demineralization of the skeleton may result from immobilization due to the prevalence of other disease conditions or neurological implications.
Thyroid hormones are prerequisite for the development of the skeleton and are prime regulators of bone maintenance. Hypothyroidism induces delayed development of the skeleton and growth retardation with delayed bone development owing to inadequate endochondral ossification. Hyperparathyroidism also impacts bone metabolism, which causes significant conditions such as hypercalcemia, demineralization of the bone, and delay in growth and development. Due to these abovementioned-stated issues, a decline in the normal function of kidneys eventually leads to mineral and bone metabolism disturbances culminating in serious skeletal deformities [11].
Since there are no ultimate diagnosis and therapy indications for MBD, and the related sign and symptoms also appear very late, it is, therefore, appropriate to monitor the subjects at risk for the development of the related disorder.
Levels of alkaline phosphatase (ALP) rise physiologically at about 6–12 weeks of age over the first 3 weeks of life. Regardless of the lack of signs and symptoms, ALP levels > 500 IU/L suggest impaired bone homeostasis and values >700 IU/L is associated with bone demineralisation [12].
Serum phosphate levels <5.6 mg/dl are strongly linked with the prevalence of the radiologically apparent disorder in preterm infants with an average gestational age of 24.7–33.0 weeks [13].
Hypophosphatemia is the most prevalent physiological modification coupled with premature MBD, which causes a reduced release of PTH and thereby increases the reabsorption of phosphate from the renal tubular. Infants born <28 weeks of gestation have a reduced baseline value for phosphate, resulting in increased excretion of phosphate in urine, even in the mere existence of lower levels of phosphate that appear as a significant marker for MBD incidence [14].
Dual-energy X-ray absorptiometry (DEXA) is the conventional method used for BMD assessments. DEXA employs the use of low ionizing radiation and measures the calcium content in bone in terms of grams of hydroxyapatite/cm2.
Quantitative ultrasound is another technique that is relatively inexpensive and measures the mineral content of bone as well as the organic matrix. The parameters that are evaluated by the abovementioned technique are the speed of sound and bone transmission time [15].
There are certain non-pharmacological approaches that need to be inculcated in daily life for the prevention of MBD. Some of them are discussed below:
Individuals with MBD should be educated about the potential advantages of physical activity and motivated to be active within their ability and in keeping their values and goals as realistically possible. They should be given training on how to self-monitor for signs and symptoms that should be brought to their healthcare team’s attention and the emergency contact information for this team should be issued [16].
The Institute of Medicine (IOM) prescribes that dietary calcium consumption should be limited to 1000 mg daily for men aged 50–70 years, and 1200 mg daily for women aged 51 years and over [17]. Presently, the impact of calcium supplementation on stone formation is unclear. Large doses of supplemental calcium are likely to lead to stone formation, especially if given separately from a meal. If appropriate, patients with stones should be advised to take a meal with calcium supplements, and further, the disease condition needs to be closely monitored [18].
Vitamin D is a vital component of calcium absorption, which helps in the maintenance of bone health. The IOM recommends 600 IU and 800 IU per day for men and women who are aged 51–70 years and over 70 years, respectively [17]. Earlier reports indicate the fact that combined vitamin D and calcium intake demonstrated a reduction in the risk of fracture in older adults, but the effects varied according to the study setting, i.e., institution versus community dwellers. The risk of fracture among older adults was lower in the community dwellers than for institutionalized elderly people. However, further research is required for appropriate dose and dosing regimens to end up in a conclusive remark [19].
Maintaining an appropriate intake of proteins is vital for maintaining musculoskeletal functioning in postmenopausal women and men over the age of 50 years. The recommended protein intake is 0.8 g/kg/day [20].
The impact of various caffeinated beverages has been inferred as a trigger of osteoporosis and fragility fracture in individuals; hence, it is recommended to restrict the intake of caffeine [21].
The recent decade has witnessed much progress in the introduction of new medications for the treatment of MBD. The treatment modality of this group of disorders comprises two major treatment regimens, antiresorptive and anabolic conventional therapies. Antiresorptive drugs predominantly reduce the bone resorption rate, while anabolic drugs boost the formation of bone. The following medicines for skeletal disorders, including Paget’s disease of the bone, osteoporosis, MBD, and several other rare type of bone diseases, form the basis of our current clinical treatment regimen.
The major class of drugs included in this category includes bisphosphonates, estrogens, calcitonin, and denosumab.
Bisphosphonates, first-line antiresorptive bone agents, are commonly used to treat osteoporosis caused by glucocorticoids and other disorders marked by severe osteoclastic bone resorption, such as humoral malignant hypercalcemia, Paget’s disease, multiple myeloma, and osteolytic bone metastasis [22]. The drugs specifically included in this group for the treatment of MBD comprises of alendronate, risedronate, and zoledronic acid. Such groups of therapeutic agents bind with a high affinity to the bone’s mineral matrix and prevent resorption of osteoclast of the bone, resulting in reduced bone turnover and a significant increase in bone mass [23]. The most prominent side effect related to bisphosphonates administered orally is the upper gastrointestinal discomfort, which majorly includes the erosion of the esophagus leading to ulcer, heartburn, and indigestion.
Calcitonin is approved for the treatment of osteoporosis care in postmenopausal women when alternative therapies are not practicable [24].
Denosumab, the first biological agent available for osteoporosis treatment, is a fully human monoclonal antibody that acts by inhibiting transmembrane protein (RANKL), which has proven results for the formation and functioning of osteoclasts, thereby reducing bone resorption. It is usually recommended for the patients who are unable to be on drug therapy, which are orally administered but are at high risk for the incidence of fractures. Denosumab is well-tolerated, but associated hypersensitivity or dermatological reactions, musculoskeletal pain, infections, and hypercholesterolemia are the major documented adverse effects. It can trigger hypocalcemia, so calcium levels should be fixed before starting treatment [25, 26].
Estrogen therapy is FDA approved exclusively for the prevention of osteoporosis in postmenopausal women who are at high risk, and should only be used when non-estrogenic osteoporotic medications have been deemed inappropriate. Hormonal replacement therapy is no longer recommended as a first choice for treating and preventing osteoporosis in postmenopausal and premenopausal women due to the overall associated health risks that hugely outweigh the benefits.
While antiresorptive drugs usually display a lower incidence of associated side effects, bone turnover suppression can elucidate the necrosis of the jaw and the incidence of atypical femur fractures that can be documented in patients with long-term bisphosphonate usage [27]. Because antiresorptive agents are unable to preserve bone mass and bone integrity, it continues to be of core interest to identify molecular targets that would promote osteoblast activity and lead to enhanced bone mass with reconstructed skeletal architectures.
Osteoanabolics are another category of drugs, which covers the PTH and parathyroid hormone-related peptide analogs. PTH functions as an efficient endocrine regulator for the maintenance of calcium and phosphate concentrations in extracellular space, vital to the preservation of concentration of calcium in serum and urinary samples within the normal physiological limit. High PTH levels lead to a high bone-turning state with bone resorption exceeding bone formation and ultimately osteoporosis precipitation [28].
Teriparatide was the first anabolic treatment option approved for the treatment of osteoporosis, which has a mode of action similar to that of the PTH hormone. This works by triggering the development of new bone by increasing osteoblastic development when given in low doses [29]. In patients with Paget’s bone disease, elevated concentrations of alkaline phosphatase, prior skeletal radiotherapy, recurrent or metastatic bone malignancy, hypercalcemic disorders such as primary hyperparathyroidism, avoidance of the treatment is suggested [30]. Abaloparatide is another FDA approved drug for the treatment of osteoporosis in postmenopausal women. It is further advised to avoid the treatment in patients with preexisting hypercalcemia and disorder such as primary hyperparathyroidism [31].
Another promising investigational drug is romosozumab, which is a sclerostin-neutralizing antibody. Reports have shown elsewhere that it is better alternative bisphosphonate alendronate in women with severe osteoporosis for reducing the risk of prominent clinical fractures. This was accompanied by a boost in bone formation markers with a decline in bone resorption markers, implying the action of both stimulating bone formation and inhibiting bone resorption [32].
Apart from these two major classes of drugs, various herbal medicines are also gaining attention for being used in the treatment of MBD. Some of them include Hachimi-jio-gan and Juzen-taiho-to,
Recent advances in MBD treatment include medications that target calcium-sensing receptors and proteins linked to the hormone parathyroid, leading to the design of cathepsin K and Src tyrosine kinase inhibitors, calcilytics, and monoclonal antibodies against sclerostin or Dickkopf-1 (Table 2).
Class of drug | Investigational drug | Characteristics | Mode of action | Therapeutic efficacy | References |
---|---|---|---|---|---|
Calcilytics | MK-5442 (Phase II) | Orally bioavailable | CaSR antagonist | Transient PTH pulses and a dramatic rise in the formation of bone markers were noted, with a transitory significant decline in markers of bone resorption. Compared to placebo, no further rise in BMD was reported | [36] |
Cathepsin K inhibitors | ODN | Long half-life, orally bioavailable | Inhibits CatK from binding to its corresponding substrates | Reduced bone turnover in ovariectomized animals and promoted periosteal bone formation was observed | [37] |
ONO-5334 | Synthetic derivative, low molecular weight, oral formulation | Inhibits CatK from binding to its corresponding substrates | In Phase 2 clinical trial in postmenopausal women with osteoporosis, there was a substantial enhancement in BMD in the lumbar spine, total hip, and femoral neck compared to placebo. The observed effect on BMD of ONO-5334 was found to have a similar effect as that of alendronate, when administered at a dose of 70 mg once weekly | [38] | |
Src tyrosine kinase inhibitors | Saracatinib (AZD0530) | Oral formulation | Inhibits the enzyme Src kinase competitively | A notable decrease in bone resorption markers without any noticeable effect on bone formation markers and no serious adverse effects was documented, demonstrating a reduction in osteoclast bone resorption effect of saracatinib | [39] |
Monoclonal antibodies against sclerostin/Dickkopf-1 | Romosozumab (AMG-785) | Human monoclonal anti-sclerostin antibody | Monoclonal antibody against sclerostin | A rise in dose-dependent BMD at the lumbar spine and total hip with a decrease in bone resorption markers with marked improvement in bone formation markers after a period of 3 months was reported | [40] |
Recent advances for the treatment of metabolic bone disease.
PTH, parathyroid hormone; CaSR, calcium sensing receptor; BMD, bone mineral density; CatK, cathepsin K.
Nanoenabled systems for the systemic delivery of drugs for the treatment of MBD have attracted huge attention in recent times. A number of formulations were designed for the controlled delivery of medicaments for better therapeutic efficacy with minimal associated adverse effects. Some of the formulations reported in this specified category include tigecycline entrapped calcium phosphate/poly-DL-lactide-co-glycolide nanoparticles, titanium implants coated with bisphosphonate encased calcium phosphate nanoparticle, and gold nanoparticles incorporated gelatin-based hydrogel. Reports suggest that surface reconfiguration through nanotechnology has played a significant role in the design and manufacture of better spinal implants [41, 42, 43, 44].
The burgeoning of the incidences of MBD is raising concern worldwide. Proper screening of the disorder is of prime importance in dealing with it. Although bisphosphonates remain the first-line treatment choice for the stated disorder, researchers should work upon the novel drugs with a unique mode of action and appreciable long-term safety profile. Based on the literature, it is pertinent to state that a fine balance between the non-pharmacological and pharmacological approaches could help out in dealing with MBD judiciously resulting in its prevention. Therefore, the battle for the search of better drugs for treating patients with metabolic bone diseases continues with an aim to provide better therapeutic efficacy and patient compliance.
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\\n\\nBut, one thing we have in common is -- we are all scientists at heart!
\\n\\nSara Uhac, COO
\\n\\nSara Uhac was appointed Managing Director of IntechOpen at the beginning of 2014. She directs and controls the company’s operations. Sara joined IntechOpen in 2010 as Head of Journal Publishing, a new strategically underdeveloped department at that time. After obtaining a Master's degree in Media Management, she completed her Ph.D. at the University of Lugano, Switzerland. She holds a BA in Financial Market Management from the Bocconi University in Milan, Italy, where she started her career in the American publishing house Condé Nast and further collaborated with the UK-based publishing company Time Out. Sara was awarded a professional degree in Publishing from Yale University (2012). She is a member of the professional branch association of "Publishers, Designers and Graphic Artists" at the Croatian Chamber of Commerce.
\\n\\nAdrian Assad De Marco
\\n\\nAdrian Assad De Marco joined the company as a Director in 2017. With his extensive experience in management, acquired while working for regional and global leaders, he took over direction and control of all the company's publishing processes. Adrian holds a degree in Economy and Management from the University of Zagreb, School of Economics, Croatia. A former sportsman, he continually strives to develop his skills through professional courses and specializations such as NLP (Neuro-linguistic programming).
\\n\\nDr Alex Lazinica
\\n\\nAlex Lazinica is co-founder and Board member of IntechOpen. After obtaining a Master's degree in Mechanical Engineering, he continued his Ph.D. in Robotics at the Vienna University of Technology. There, he worked as a robotics researcher with the university's Intelligent Manufacturing Systems Group, as well as a guest researcher at various European universities, including the Swiss Federal Institute of Technology Lausanne (EPFL). During this time he published more than 20 scientific papers, gave presentations, served as a reviewer for major robotic journals and conferences and, most importantly, co-founded and built the International Journal of Advanced Robotic Systems, the world's first Open Access journal in the field of robotics. Starting this journal was a pivotal point in his career since it proved to be the pathway to the foundation of IntechOpen with its focus on addressing academic researchers’ needs. Alex personifies many of IntechOpen´s key values, including the commitment to developing mutual trust, openness, and a spirit of entrepreneurialism. Today, his focus is on defining the growth and development strategy for the company.
\\n"}]'},components:[{type:"htmlEditorComponent",content:"Our business values are based on those any scientist applies to their research. We have created a culture of respect and collaboration within a relaxed, friendly and progressive atmosphere, while maintaining academic rigour.
\n\nCo-founded by Alex Lazinica and Vedran Kordic: “We are passionate about the advancement of science. As Ph.D. researchers in Vienna, we found it difficult to access the scholarly research we needed. We created IntechOpen with the specific aim of putting the academic needs of the global research community before the business interests of publishers. Our Team is now a global one and includes highly-renowned scientists and publishers, as well as experts in disseminating your research.”
\n\nBut, one thing we have in common is -- we are all scientists at heart!
\n\nSara Uhac, COO
\n\nSara Uhac was appointed Managing Director of IntechOpen at the beginning of 2014. She directs and controls the company’s operations. Sara joined IntechOpen in 2010 as Head of Journal Publishing, a new strategically underdeveloped department at that time. After obtaining a Master's degree in Media Management, she completed her Ph.D. at the University of Lugano, Switzerland. She holds a BA in Financial Market Management from the Bocconi University in Milan, Italy, where she started her career in the American publishing house Condé Nast and further collaborated with the UK-based publishing company Time Out. Sara was awarded a professional degree in Publishing from Yale University (2012). She is a member of the professional branch association of "Publishers, Designers and Graphic Artists" at the Croatian Chamber of Commerce.
\n\nAdrian Assad De Marco
\n\nAdrian Assad De Marco joined the company as a Director in 2017. With his extensive experience in management, acquired while working for regional and global leaders, he took over direction and control of all the company's publishing processes. Adrian holds a degree in Economy and Management from the University of Zagreb, School of Economics, Croatia. A former sportsman, he continually strives to develop his skills through professional courses and specializations such as NLP (Neuro-linguistic programming).
\n\nDr Alex Lazinica
\n\nAlex Lazinica is co-founder and Board member of IntechOpen. After obtaining a Master's degree in Mechanical Engineering, he continued his Ph.D. in Robotics at the Vienna University of Technology. There, he worked as a robotics researcher with the university's Intelligent Manufacturing Systems Group, as well as a guest researcher at various European universities, including the Swiss Federal Institute of Technology Lausanne (EPFL). During this time he published more than 20 scientific papers, gave presentations, served as a reviewer for major robotic journals and conferences and, most importantly, co-founded and built the International Journal of Advanced Robotic Systems, the world's first Open Access journal in the field of robotics. Starting this journal was a pivotal point in his career since it proved to be the pathway to the foundation of IntechOpen with its focus on addressing academic researchers’ needs. Alex personifies many of IntechOpen´s key values, including the commitment to developing mutual trust, openness, and a spirit of entrepreneurialism. Today, his focus is on defining the growth and development strategy for the company.
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On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. 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Finally, the idea of internationalisation of the profession of Biokinetics to similar exercise therapy professions such as Clinical Exercise Physiology and Athletic Training will be presented.",book:{id:"6343",slug:"sport-and-exercise-science",title:"Sport and Exercise Science",fullTitle:"Sport and Exercise Science"},signatures:"Terry Jeremy Ellapen, Gert Lukas Strydom, Mariette Swanepoel,\nHenriette Hammill and Yvonne Paul",authors:[{id:"127909",title:"Prof.",name:"Gert Lukas",middleName:null,surname:"Strydom",slug:"gert-lukas-strydom",fullName:"Gert Lukas Strydom"},{id:"226652",title:"Dr.",name:"Terry J.",middleName:null,surname:"Ellapen",slug:"terry-j.-ellapen",fullName:"Terry J. 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The results showed a similar increase between the resting HR and HR after 2 minutes of exercise for TT players and XC skiers competing in 3 km race. Changes in HR in XC skiers competing in 50 m and 1 km races between the rest and exercise were noticeably higher indicating their lower fitness. Future studies focused on the relationship of HR variables, and training quality will provide a more detailed knowledge of the cardiorespiratory fitness and ID relationship.",book:{id:"7949",slug:"cardiorespiratory-fitness",title:"Cardiorespiratory Fitness",fullTitle:"Cardiorespiratory Fitness"},signatures:"Vojtěch Grün, Marta Gimunová and Hana Válková",authors:null}],onlineFirstChaptersFilter:{topicId:"1119",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:11,numberOfPublishedChapters:91,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:108,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:333,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:11,numberOfPublishedChapters:144,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:125,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:113,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:23,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:12,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:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:6,paginationItems:[{id:"22",title:"Applied Intelligence",coverUrl:"https://cdn.intechopen.com/series_topics/covers/22.jpg",isOpenForSubmission:!0,editor:{id:"27170",title:"Prof.",name:"Carlos",middleName:"M.",surname:"Travieso-Gonzalez",slug:"carlos-travieso-gonzalez",fullName:"Carlos Travieso-Gonzalez",profilePictureURL:"https://mts.intechopen.com/storage/users/27170/images/system/27170.jpeg",biography:"Carlos M. Travieso-González received his MSc degree in Telecommunication Engineering at Polytechnic University of Catalonia (UPC), Spain in 1997, and his Ph.D. degree in 2002 at the University of Las Palmas de Gran Canaria (ULPGC-Spain). He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). He was vice dean from 2004 to 2010 in the Higher Technical School of Telecommunication Engineers at ULPGC and the vice dean of Graduate and Postgraduate Studies from March 2013 to November 2017. He won the “Catedra Telefonica” Awards in Modality of Knowledge Transfer, 2017, 2018, and 2019 editions, and awards in Modality of COVID Research in 2020.\n\nPublic References:\nResearcher ID http://www.researcherid.com/rid/N-5967-2014\nORCID https://orcid.org/0000-0002-4621-2768 \nScopus Author ID https://www.scopus.com/authid/detail.uri?authorId=6602376272\nScholar Google https://scholar.google.es/citations?user=G1ks9nIAAAAJ&hl=en \nResearchGate https://www.researchgate.net/profile/Carlos_Travieso",institutionString:null,institution:{name:"University of Las Palmas de Gran Canaria",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"23",title:"Computational Neuroscience",coverUrl:"https://cdn.intechopen.com/series_topics/covers/23.jpg",isOpenForSubmission:!0,editor:{id:"14004",title:"Dr.",name:"Magnus",middleName:null,surname:"Johnsson",slug:"magnus-johnsson",fullName:"Magnus Johnsson",profilePictureURL:"https://mts.intechopen.com/storage/users/14004/images/system/14004.png",biography:"Dr Magnus Johnsson is a cross-disciplinary scientist, lecturer, scientific editor and AI/machine learning consultant from Sweden. \n\nHe is currently at Malmö University in Sweden, but also held positions at Lund University in Sweden and at Moscow Engineering Physics Institute. \nHe holds editorial positions at several international scientific journals and has served as a scientific editor for books and special journal issues. \nHis research interests are wide and include, but are not limited to, autonomous systems, computer modeling, artificial neural networks, artificial intelligence, cognitive neuroscience, cognitive robotics, cognitive architectures, cognitive aids and the philosophy of mind. \n\nDr. Johnsson has experience from working in the industry and he has a keen interest in the application of neural networks and artificial intelligence to fields like industry, finance, and medicine. \n\nWeb page: www.magnusjohnsson.se",institutionString:null,institution:{name:"Malmö University",institutionURL:null,country:{name:"Sweden"}}},editorTwo:null,editorThree:null},{id:"24",title:"Computer Vision",coverUrl:"https://cdn.intechopen.com/series_topics/covers/24.jpg",isOpenForSubmission:!0,editor:{id:"294154",title:"Prof.",name:"George",middleName:null,surname:"Papakostas",slug:"george-papakostas",fullName:"George Papakostas",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002hYaGbQAK/Profile_Picture_1624519712088",biography:"George A. Papakostas has received a diploma in Electrical and Computer Engineering in 1999 and the M.Sc. and Ph.D. degrees in Electrical and Computer Engineering in 2002 and 2007, respectively, from the Democritus University of Thrace (DUTH), Greece. Dr. Papakostas serves as a Tenured Full Professor at the Department of Computer Science, International Hellenic University, Greece. Dr. Papakostas has 10 years of experience in large-scale systems design as a senior software engineer and technical manager, and 20 years of research experience in the field of Artificial Intelligence. Currently, he is the Head of the “Visual Computing” division of HUman-MAchines INteraction Laboratory (HUMAIN-Lab) and the Director of the MPhil program “Advanced Technologies in Informatics and Computers” hosted by the Department of Computer Science, International Hellenic University. He has (co)authored more than 150 publications in indexed journals, international conferences and book chapters, 1 book (in Greek), 3 edited books, and 5 journal special issues. His publications have more than 2100 citations with h-index 27 (GoogleScholar). His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null},{id:"25",title:"Evolutionary Computation",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",isOpenForSubmission:!0,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. In the last five years, he has published more than 60 papers in international journals indexed in the JCR (around 70% of them belonging to first quartile journals) and he has edited some Springer books “Supervised Descriptive Pattern Mining” (2018), “Multiple Instance Learning - Foundations and Algorithms” (2016), and “Pattern Mining with Evolutionary Algorithms” (2016). He has also been involved in more than 20 research projects supported by the Spanish and Andalusian governments and the European Union. He currently belongs to the editorial board of PeerJ Computer Science, Information Fusion and Engineering Applications of Artificial Intelligence journals, being also associate editor of Applied Computational Intelligence and Soft Computing and IEEE Transactions on Cybernetics. Finally, he is editor-in-chief of Progress in Artificial Intelligence. He is a Senior Member of the IEEE Computer, the IEEE Computational Intelligence, and the IEEE Systems, Man, and Cybernetics Societies, and the Association of Computing Machinery (ACM). Finally, his main research interests include data science, computational intelligence, and their applications.",institutionString:null,institution:{name:"University of Córdoba",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"26",title:"Machine Learning and Data Mining",coverUrl:"https://cdn.intechopen.com/series_topics/covers/26.jpg",isOpenForSubmission:!0,editor:{id:"24555",title:"Dr.",name:"Marco Antonio",middleName:null,surname:"Aceves Fernandez",slug:"marco-antonio-aceves-fernandez",fullName:"Marco Antonio Aceves Fernandez",profilePictureURL:"https://mts.intechopen.com/storage/users/24555/images/system/24555.jpg",biography:"Dr. Marco Antonio Aceves Fernandez obtained his B.Sc. (Eng.) in Telematics from the Universidad de Colima, Mexico. 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Prof. Emeje’s several international fellowships include the prestigious Raman fellowship. He has published more than 150 articles and patents. He is also the head of R&D at NIPRD and holds a visiting professor position at Nnamdi Azikiwe University, Nigeria. He has a postgraduate certificate in Project Management from Walden University, Minnesota, as well as a professional teaching certificate and a World Bank certification in Public Procurement. Prof. Emeje was a national chairman of academic pharmacists in Nigeria and the 2021 winner of the May & Baker Nigeria Plc–sponsored prize for professional service in research and innovation.",institutionString:"National Institute for Pharmaceutical Research and Development",institution:{name:"National Institute for Pharmaceutical Research and Development",country:{name:"Nigeria"}}},{id:"436430",title:"Associate Prof.",name:"Mesut",middleName:null,surname:"Işık",slug:"mesut-isik",fullName:"Mesut Işık",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/436430/images/19686_n.jpg",biography:null,institutionString:null,institution:{name:"Bilecik University",country:{name:"Turkey"}}},{id:"268659",title:"Ms.",name:"Xianquan",middleName:null,surname:"Zhan",slug:"xianquan-zhan",fullName:"Xianquan Zhan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/268659/images/8143_n.jpg",biography:"Dr. Zhan received his undergraduate and graduate training in the fields of preventive medicine and epidemiology and statistics at the West China University of Medical Sciences in China during 1989 to 1999. He received his post-doctoral training in oncology and cancer proteomics for two years at the Cancer Research Institute of Human Medical University in China. In 2001, he went to the University of Tennessee Health Science Center (UTHSC) in USA, where he was a post-doctoral researcher and focused on mass spectrometry and cancer proteomics. Then, he was appointed as an Assistant Professor of Neurology, UTHSC in 2005. He moved to the Cleveland Clinic in USA as a Project Scientist/Staff in 2006 where he focused on the studies of eye disease proteomics and biomarkers. He returned to UTHSC as an Assistant Professor of Neurology in the end of 2007, engaging in proteomics and biomarker studies of lung diseases and brain tumors, and initiating the studies of predictive, preventive, and personalized medicine (PPPM) in cancer. In 2010, he was promoted to Associate Professor of Neurology, UTHSC. Currently, he is a Professor at Xiangya Hospital of Central South University in China, Fellow of Royal Society of Medicine (FRSM), the European EPMA National Representative in China, Regular Member of American Association for the Advancement of Science (AAAS), European Cooperation of Science and Technology (e-COST) grant evaluator, Associate Editors of BMC Genomics, BMC Medical Genomics, EPMA Journal, and Frontiers in Endocrinology, Executive Editor-in-Chief of Med One. He has\npublished 116 peer-reviewed research articles, 16 book chapters, 2 books, and 2 US patents. His current main research interest focuses on the studies of cancer proteomics and biomarkers, and the use of modern omics techniques and systems biology for PPPM in cancer, and on the development and use of 2DE-LC/MS for the large-scale study of human proteoforms.",institutionString:null,institution:{name:"Xiangya Hospital Central South University",country:{name:"China"}}},{id:"40482",title:null,name:"Rizwan",middleName:null,surname:"Ahmad",slug:"rizwan-ahmad",fullName:"Rizwan Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/40482/images/system/40482.jpeg",biography:"Dr. Rizwan Ahmad is a University Professor and Coordinator, Quality and Development, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia. Previously, he was Associate Professor of Human Function, Oman Medical College, Oman, and SBS University, Dehradun. Dr. Ahmad completed his education at Aligarh Muslim University, Aligarh. He has published several articles in peer-reviewed journals, chapters, and edited books. His area of specialization is free radical biochemistry and autoimmune diseases.",institutionString:"Imam Abdulrahman Bin Faisal University",institution:{name:"Imam Abdulrahman Bin Faisal University",country:{name:"Saudi Arabia"}}},{id:"41865",title:"Prof.",name:"Farid A.",middleName:null,surname:"Badria",slug:"farid-a.-badria",fullName:"Farid A. Badria",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41865/images/system/41865.jpg",biography:"Farid A. Badria, Ph.D., is the recipient of several awards, including The World Academy of Sciences (TWAS) Prize for Public Understanding of Science; the World Intellectual Property Organization (WIPO) Gold Medal for best invention; Outstanding Arab Scholar, Kuwait; and the Khwarizmi International Award, Iran. He has 250 publications, 12 books, 20 patents, and several marketed pharmaceutical products to his credit. He continues to lead research projects on developing new therapies for liver, skin disorders, and cancer. Dr. Badria was listed among the world’s top 2% of scientists in medicinal and biomolecular chemistry in 2019 and 2020. He is a member of the Arab Development Fund, Kuwait; International Cell Research Organization–United Nations Educational, Scientific and Cultural Organization (ICRO–UNESCO), Chile; and UNESCO Biotechnology France",institutionString:"Mansoura University",institution:{name:"Mansoura University",country:{name:"Egypt"}}},{id:"329385",title:"Dr.",name:"Rajesh K.",middleName:"Kumar",surname:"Singh",slug:"rajesh-k.-singh",fullName:"Rajesh K. Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329385/images/system/329385.png",biography:"Dr. Singh received a BPharm (2003) and MPharm (2005) from Panjab University, Chandigarh, India, and a Ph.D. (2013) from Punjab Technical University (PTU), Jalandhar, India. He has more than sixteen years of teaching experience and has supervised numerous postgraduate and Ph.D. students. He has to his credit more than seventy papers in SCI- and SCOPUS-indexed journals, fifty-five conference proceedings, four books, six Best Paper Awards, and five projects from different government agencies. He is currently an editorial board member of eight international journals and a reviewer for more than fifty scientific journals. He received Top Reviewer and Excellent Peer Reviewer Awards from Publons in 2016 and 2017, respectively. He is also on the panel of The International Reviewer for reviewing research proposals for grants from the Royal Society. He also serves as a Publons Academy mentor and Bentham brand ambassador.",institutionString:"Punjab Technical University",institution:{name:"Punjab Technical University",country:{name:"India"}}},{id:"142388",title:"Dr.",name:"Thiago",middleName:"Gomes",surname:"Gomes Heck",slug:"thiago-gomes-heck",fullName:"Thiago Gomes Heck",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/142388/images/7259_n.jpg",biography:null,institutionString:null,institution:{name:"Universidade Regional do Noroeste do Estado do Rio Grande do Sul",country:{name:"Brazil"}}},{id:"336273",title:"Assistant Prof.",name:"Janja",middleName:null,surname:"Zupan",slug:"janja-zupan",fullName:"Janja Zupan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/336273/images/14853_n.jpeg",biography:"Janja Zupan graduated in 2005 at the Department of Clinical Biochemistry (superviser prof. dr. Janja Marc) in the field of genetics of osteoporosis. Since November 2009 she is working as a Teaching Assistant at the Faculty of Pharmacy, Department of Clinical Biochemistry. In 2011 she completed part of her research and PhD work at Institute of Genetics and Molecular Medicine, University of Edinburgh. She finished her PhD entitled The influence of the proinflammatory cytokines on the RANK/RANKL/OPG in bone tissue of osteoporotic and osteoarthritic patients in 2012. From 2014-2016 she worked at the Institute of Biomedical Sciences, University of Aberdeen as a postdoctoral research fellow on UK Arthritis research project where she gained knowledge in mesenchymal stem cells and regenerative medicine. She returned back to University of Ljubljana, Faculty of Pharmacy in 2016. She is currently leading project entitled Mesenchymal stem cells-the keepers of tissue endogenous regenerative capacity facing up to aging of the musculoskeletal system funded by Slovenian Research Agency.",institutionString:null,institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"357453",title:"Dr.",name:"Radheshyam",middleName:null,surname:"Maurya",slug:"radheshyam-maurya",fullName:"Radheshyam Maurya",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/357453/images/16535_n.jpg",biography:null,institutionString:null,institution:{name:"University of Hyderabad",country:{name:"India"}}},{id:"418340",title:"Dr.",name:"Jyotirmoi",middleName:null,surname:"Aich",slug:"jyotirmoi-aich",fullName:"Jyotirmoi Aich",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038Ugi5QAC/Profile_Picture_2022-04-15T07:48:28.png",biography:"Biotechnologist with 15 years of research including 6 years of teaching experience. Demonstrated record of scientific achievements through consistent publication record (H index = 13, with 874 citations) in high impact journals such as Nature Communications, Oncotarget, Annals of Oncology, PNAS, and AJRCCM, etc. Strong research professional with a post-doctorate from ACTREC where I gained experimental oncology experience in clinical settings and a doctorate from IGIB where I gained expertise in asthma pathophysiology. A well-trained biotechnologist with diverse experience on the bench across different research themes ranging from asthma to cancer and other infectious diseases. An individual with a strong commitment and innovative mindset. Have the ability to work on diverse projects such as regenerative and molecular medicine with an overall mindset of improving healthcare.",institutionString:"DY Patil Deemed to Be University",institution:null},{id:"349288",title:"Prof.",name:"Soumya",middleName:null,surname:"Basu",slug:"soumya-basu",fullName:"Soumya Basu",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035QxIDQA0/Profile_Picture_2022-04-15T07:47:01.jpg",biography:"Soumya Basu, Ph.D., is currently working as an Associate Professor at Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India. With 16+ years of trans-disciplinary research experience in Drug Design, development, and pre-clinical validation; 20+ research article publications in journals of repute, 9+ years of teaching experience, trained with cross-disciplinary education, Dr. Basu is a life-long learner and always thrives for new challenges.\r\nHer research area is the design and synthesis of small molecule partial agonists of PPAR-γ in lung cancer. She is also using artificial intelligence and deep learning methods to understand the exosomal miRNA’s role in cancer metastasis. Dr. Basu is the recipient of many awards including the Early Career Research Award from the Department of Science and Technology, Govt. of India. She is a reviewer of many journals like Molecular Biology Reports, Frontiers in Oncology, RSC Advances, PLOS ONE, Journal of Biomolecular Structure & Dynamics, Journal of Molecular Graphics and Modelling, etc. She has edited and authored/co-authored 21 journal papers, 3 book chapters, and 15 abstracts. She is a Board of Studies member at her university. She is a life member of 'The Cytometry Society”-in India and 'All India Cell Biology Society”- in India.",institutionString:"Dr. D.Y. Patil Vidyapeeth, Pune",institution:{name:"Dr. D.Y. Patil Vidyapeeth, Pune",country:{name:"India"}}},{id:"354817",title:"Dr.",name:"Anubhab",middleName:null,surname:"Mukherjee",slug:"anubhab-mukherjee",fullName:"Anubhab Mukherjee",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y0000365PbRQAU/ProfilePicture%202022-04-15%2005%3A11%3A18.480",biography:"A former member of Laboratory of Nanomedicine, Brigham and Women’s Hospital, Harvard University, Boston, USA, Dr. Anubhab Mukherjee is an ardent votary of science who strives to make an impact in the lives of those afflicted with cancer and other chronic/acute ailments. He completed his Ph.D. from CSIR-Indian Institute of Chemical Technology, Hyderabad, India, having been skilled with RNAi, liposomal drug delivery, preclinical cell and animal studies. He pursued post-doctoral research at College of Pharmacy, Health Science Center, Texas A & M University and was involved in another postdoctoral research at Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute, Santa Monica, California. In 2015, he worked in Harvard-MIT Health Sciences & Technology as a visiting scientist. He has substantial experience in nanotechnology-based formulation development and successfully served various Indian organizations to develop pharmaceuticals and nutraceutical products. He is an inventor in many US patents and an author in many peer-reviewed articles, book chapters and books published in various media of international repute. Dr. Mukherjee is currently serving as Principal Scientist, R&D at Esperer Onco Nutrition (EON) Pvt. Ltd. and heads the Hyderabad R&D center of the organization.",institutionString:"Esperer Onco Nutrition Pvt Ltd.",institution:null},{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/319365/images/system/319365.png",biography:"Manash K. Paul is a scientist and Principal Investigator at the University of California Los Angeles. He has contributed significantly to the fields of stem cell biology, regenerative medicine, and lung cancer. His research focuses on various signaling processes involved in maintaining stem cell homeostasis during the injury-repair process, deciphering the lung stem cell niche, pulmonary disease modeling, immuno-oncology, and drug discovery. He is currently investigating the role of extracellular vesicles in premalignant lung cell migration and detecting the metastatic phenotype of lung cancer via artificial intelligence-based analyses of exosomal Raman signatures. Dr. Paul also works on spatial multiplex immunofluorescence-based tissue mapping to understand the immune repertoire in lung cancer. Dr. Paul has published in more than sixty-five peer-reviewed international journals and is highly cited. He is the recipient of many awards, including the UCLA Vice Chancellor’s award and the 2022 AAISCR-R Vijayalaxmi Award for Innovative Cancer Research. He is a senior member of the Institute of Electrical and Electronics Engineers (IEEE) and an editorial board member for several international journals.",institutionString:"University of California Los Angeles",institution:{name:"University of California Los Angeles",country:{name:"United States of America"}}},{id:"311457",title:"Dr.",name:"Júlia",middleName:null,surname:"Scherer Santos",slug:"julia-scherer-santos",fullName:"Júlia Scherer Santos",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311457/images/system/311457.jpg",biography:"Dr. Júlia Scherer Santos works in the areas of cosmetology, nanotechnology, pharmaceutical technology, beauty, and aesthetics. Dr. Santos also has experience as a professor of graduate courses. Graduated in Pharmacy, specialization in Cosmetology and Cosmeceuticals applied to aesthetics, specialization in Aesthetic and Cosmetic Health, and a doctorate in Pharmaceutical Nanotechnology. Teaching experience in Pharmacy and Aesthetics and Cosmetics courses. She works mainly on the following subjects: nanotechnology, cosmetology, pharmaceutical technology, aesthetics.",institutionString:"Universidade Federal de Juiz de Fora",institution:{name:"Universidade Federal de Juiz de Fora",country:{name:"Brazil"}}},{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",slug:"abdulsamed-kukurt",fullName:"Abdulsamed Kükürt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",biography:"Dr. Kükürt graduated from Uludağ University in Turkey. He started his academic career as a Research Assistant in the Department of Biochemistry at Kafkas University. In 2019, he completed his Ph.D. program in the Department of Biochemistry at the Institute of Health Sciences. He is currently working at the Department of Biochemistry, Kafkas University. He has 27 published research articles in academic journals, 11 book chapters, and 37 papers. He took part in 10 academic projects. He served as a reviewer for many articles. He still serves as a member of the review board in many academic journals. He is currently working on the protective activity of phenolic compounds in disorders associated with oxidative stress and inflammation.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Dr.",name:"Volkan",middleName:null,surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178366/images/system/178366.jpg",biography:"Volkan Gelen is a Physiology specialist who received his veterinary degree from Kafkas University in 2011. Between 2011-2015, he worked as an assistant at Atatürk University, Faculty of Veterinary Medicine, Department of Physiology. In 2016, he joined Kafkas University, Faculty of Veterinary Medicine, Department of Physiology as an assistant professor. Dr. Gelen has been engaged in various academic activities at Kafkas University since 2016. There he completed 5 projects and has 3 ongoing projects. He has 60 articles published in scientific journals and 20 poster presentations in scientific congresses. His research interests include physiology, endocrine system, cancer, diabetes, cardiovascular system diseases, and isolated organ bath system studies.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"418963",title:"Dr.",name:"Augustine Ododo",middleName:"Augustine",surname:"Osagie",slug:"augustine-ododo-osagie",fullName:"Augustine Ododo Osagie",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/418963/images/16900_n.jpg",biography:"Born into the family of Osagie, a prince of the Benin Kingdom. I am currently an academic in the Department of Medical Biochemistry, University of Benin. Part of the duties are to teach undergraduate students and conduct academic research.",institutionString:null,institution:{name:"University of Benin",country:{name:"Nigeria"}}},{id:"192992",title:"Prof.",name:"Shagufta",middleName:null,surname:"Perveen",slug:"shagufta-perveen",fullName:"Shagufta Perveen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192992/images/system/192992.png",biography:"Prof. Shagufta Perveen is a Distinguish Professor in the Department of Pharmacognosy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Dr. Perveen has acted as the principal investigator of major research projects funded by the research unit of King Saud University. She has more than ninety original research papers in peer-reviewed journals of international repute to her credit. She is a fellow member of the Royal Society of Chemistry UK and the American Chemical Society of the United States.",institutionString:"King Saud University",institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"49848",title:"Dr.",name:"Wen-Long",middleName:null,surname:"Hu",slug:"wen-long-hu",fullName:"Wen-Long Hu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49848/images/system/49848.jpg",biography:"Wen-Long Hu is Chief of the Division of Acupuncture, Department of Chinese Medicine at Kaohsiung Chang Gung Memorial Hospital, as well as an adjunct associate professor at Fooyin University and Kaohsiung Medical University. Wen-Long is President of Taiwan Traditional Chinese Medicine Medical Association. He has 28 years of experience in clinical practice in laser acupuncture therapy and 34 years in acupuncture. He is an invited speaker for lectures and workshops in laser acupuncture at many symposiums held by medical associations. He owns the patent for herbal preparation and producing, and for the supercritical fluid-treated needle. Dr. Hu has published three books, 12 book chapters, and more than 30 papers in reputed journals, besides serving as an editorial board member of repute.",institutionString:"Kaohsiung Chang Gung Memorial Hospital",institution:{name:"Kaohsiung Chang Gung Memorial Hospital",country:{name:"Taiwan"}}},{id:"298472",title:"Prof.",name:"Andrey V.",middleName:null,surname:"Grechko",slug:"andrey-v.-grechko",fullName:"Andrey V. Grechko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/298472/images/system/298472.png",biography:"Andrey Vyacheslavovich Grechko, Ph.D., Professor, is a Corresponding Member of the Russian Academy of Sciences. He graduated from the Semashko Moscow Medical Institute (Semashko National Research Institute of Public Health) with a degree in Medicine (1998), the Clinical Department of Dermatovenerology (2000), and received a second higher education in Psychology (2009). Professor A.V. Grechko held the position of Сhief Physician of the Central Clinical Hospital in Moscow. He worked as a professor at the faculty and was engaged in scientific research at the Medical University. Starting in 2013, he has been the initiator of the creation of the Federal Scientific and Clinical Center for Intensive Care and Rehabilitology, Moscow, Russian Federation, where he also serves as Director since 2015. He has many years of experience in research and teaching in various fields of medicine, is an author/co-author of more than 200 scientific publications, 13 patents, 15 medical books/chapters, including Chapter in Book «Metabolomics», IntechOpen, 2020 «Metabolomic Discovery of Microbiota Dysfunction as the Cause of Pathology».",institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"199461",title:"Prof.",name:"Natalia V.",middleName:null,surname:"Beloborodova",slug:"natalia-v.-beloborodova",fullName:"Natalia V. Beloborodova",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/199461/images/system/199461.jpg",biography:'Natalia Vladimirovna Beloborodova was educated at the Pirogov Russian National Research Medical University, with a degree in pediatrics in 1980, a Ph.D. in 1987, and a specialization in Clinical Microbiology from First Moscow State Medical University in 2004. She has been a Professor since 1996. Currently, she is the Head of the Laboratory of Metabolism, a division of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation. N.V. Beloborodova has many years of clinical experience in the field of intensive care and surgery. She studies infectious complications and sepsis. She initiated a series of interdisciplinary clinical and experimental studies based on the concept of integrating human metabolism and its microbiota. Her scientific achievements are widely known: she is the recipient of the Marie E. Coates Award \\"Best lecturer-scientist\\" Gustafsson Fund, Karolinska Institutes, Stockholm, Sweden, and the International Sepsis Forum Award, Pasteur Institute, Paris, France (2014), etc. Professor N.V. Beloborodova wrote 210 papers, five books, 10 chapters and has edited four books.',institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"354260",title:"Ph.D.",name:"Tércio Elyan",middleName:"Azevedo",surname:"Azevedo Martins",slug:"tercio-elyan-azevedo-martins",fullName:"Tércio Elyan Azevedo Martins",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/354260/images/16241_n.jpg",biography:"Graduated in Pharmacy from the Federal University of Ceará with the modality in Industrial Pharmacy, Specialist in Production and Control of Medicines from the University of São Paulo (USP), Master in Pharmaceuticals and Medicines from the University of São Paulo (USP) and Doctor of Science in the program of Pharmaceuticals and Medicines by the University of São Paulo. Professor at Universidade Paulista (UNIP) in the areas of chemistry, cosmetology and trichology. Assistant Coordinator of the Higher Course in Aesthetic and Cosmetic Technology at Universidade Paulista Campus Chácara Santo Antônio. Experience in the Pharmacy area, with emphasis on Pharmacotechnics, Pharmaceutical Technology, Research and Development of Cosmetics, acting mainly on topics such as cosmetology, antioxidant activity, aesthetics, photoprotection, cyclodextrin and thermal analysis.",institutionString:null,institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"334285",title:"Ph.D. Student",name:"Sameer",middleName:"Kumar",surname:"Jagirdar",slug:"sameer-jagirdar",fullName:"Sameer Jagirdar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334285/images/14691_n.jpg",biography:"I\\'m a graduate student at the center for biosystems science and engineering at the Indian Institute of Science, Bangalore, India. I am interested in studying host-pathogen interactions at the biomaterial interface.",institutionString:null,institution:{name:"Indian Institute of Science Bangalore",country:{name:"India"}}},{id:"329248",title:"Dr.",name:"Md. Faheem",middleName:null,surname:"Haider",slug:"md.-faheem-haider",fullName:"Md. Faheem Haider",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329248/images/system/329248.jpg",biography:"Dr. Md. Faheem Haider completed his BPharm in 2012 at Integral University, Lucknow, India. In 2014, he completed his MPharm with specialization in Pharmaceutics at Babasaheb Bhimrao Ambedkar University, Lucknow, India. He received his Ph.D. degree from Jamia Hamdard University, New Delhi, India, in 2018. He was selected for the GPAT six times and his best All India Rank was 34. Currently, he is an assistant professor at Integral University. Previously he was an assistant professor at IIMT University, Meerut, India. He has experience teaching DPharm, Pharm.D, BPharm, and MPharm students. He has more than five publications in reputed journals to his credit. Dr. Faheem’s research area is the development and characterization of nanoformulation for the delivery of drugs to various organs.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"329795",title:"Dr.",name:"Mohd Aftab",middleName:"Aftab",surname:"Siddiqui",slug:"mohd-aftab-siddiqui",fullName:"Mohd Aftab Siddiqui",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329795/images/system/329795.png",biography:"Dr. Mohd Aftab Siddiqui is an assistant professor in the Faculty of Pharmacy, Integral University, Lucknow, India, where he obtained a Ph.D. in Pharmacology in 2020. He also obtained a BPharm and MPharm from the same university in 2013 and 2015, respectively. His area of research is the pharmacological screening of herbal drugs/natural products in liver cancer and cardiac diseases. He is a member of many professional bodies and has guided many MPharm and PharmD research projects. Dr. Siddiqui has many national and international publications and one German patent to his credit.",institutionString:"Integral University",institution:null}]}},subseries:{item:{id:"8",type:"subseries",title:"Bioinspired Technology and Biomechanics",keywords:"Bioinspired Systems, Biomechanics, Assistive Technology, Rehabilitation",scope:'Bioinspired technologies take advantage of understanding the actual biological system to provide solutions to problems in several areas. Recently, bioinspired systems have been successfully employing biomechanics to develop and improve assistive technology and rehabilitation devices. The research topic "Bioinspired Technology and Biomechanics" welcomes studies reporting recent advances in bioinspired technologies that contribute to individuals\' health, inclusion, and rehabilitation. Possible contributions can address (but are not limited to) the following research topics: Bioinspired design and control of exoskeletons, orthoses, and prostheses; Experimental evaluation of the effect of assistive devices (e.g., influence on gait, balance, and neuromuscular system); Bioinspired technologies for rehabilitation, including clinical studies reporting evaluations; Application of neuromuscular and biomechanical models to the development of bioinspired technology.',coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11404,editor:{id:"144937",title:"Prof.",name:"Adriano",middleName:"De Oliveira",surname:"Andrade",slug:"adriano-andrade",fullName:"Adriano Andrade",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRC8QQAW/Profile_Picture_1625219101815",biography:"Dr. Adriano de Oliveira Andrade graduated in Electrical Engineering at the Federal University of Goiás (Brazil) in 1997. He received his MSc and PhD in Biomedical Engineering respectively from the Federal University of Uberlândia (UFU, Brazil) in 2000 and from the University of Reading (UK) in 2005. He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). He was the head of the undergraduate program in Biomedical Engineering of the Federal University of Uberlândia (2015 - June/2019) and the head of the Centre for Innovation and Technology Assessment in Health (NIATS/UFU) since 2010. He is the head of the Postgraduate Program in Biomedical Engineering (UFU, July/2019 - to date). He was the secretary of the Parkinson's Disease Association of Uberlândia (2018-2019). Dr. Andrade's primary area of research is focused towards getting information from the neuromuscular system to understand its strategies of organization, adaptation and controlling in the context of motor neuron diseases. 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