Comparison of five different drying method
\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\n'}],latestNews:[{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"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"7877",leadTitle:null,fullTitle:"Perioperative Care for Organ Transplant Recipient",title:"Perioperative Care for Organ Transplant Recipient",subtitle:null,reviewType:"peer-reviewed",abstract:"This book is addressed to physicians and researchers working in the ever-expanding research and practice fields of transplantation medicine. Its purpose is to present the transplantation community with a collection of works written by prominent experts in a variety of transplant-related fields, encompassing the most recent scientific and practical developments and accomplishments in the highly specialized segment of transplantation medicine, such as perioperative care for organ transplant candidates and recipients.",isbn:"978-1-78984-423-8",printIsbn:"978-1-78984-422-1",pdfIsbn:"978-1-83962-242-7",doi:"10.5772/intechopen.77696",price:119,priceEur:129,priceUsd:155,slug:"perioperative-care-for-organ-transplant-recipient",numberOfPages:160,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"f392542b05ddea5e08e4662dbc1dc8f7",bookSignature:"Alexander Vitin",publishedDate:"October 2nd 2019",coverURL:"https://cdn.intechopen.com/books/images_new/7877.jpg",numberOfDownloads:8646,numberOfWosCitations:4,numberOfCrossrefCitations:4,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:9,numberOfDimensionsCitationsByBook:0,hasAltmetrics:0,numberOfTotalCitations:17,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"October 22nd 2018",dateEndSecondStepPublish:"December 3rd 2018",dateEndThirdStepPublish:"February 1st 2019",dateEndFourthStepPublish:"April 22nd 2019",dateEndFifthStepPublish:"June 21st 2019",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"201176",title:"Associate Prof.",name:"Alexander",middleName:null,surname:"Vitin",slug:"alexander-vitin",fullName:"Alexander Vitin",profilePictureURL:"https://mts.intechopen.com/storage/users/201176/images/system/201176.jpg",biography:"Dr. Vitin graduated cum laude from Kharkov State Medical University in 1981 (MD). He did his residency in surgery and worked as a surgeon, then as a research fellow. Dr. Vitin obtained his Ph.D. on extracorporeal detoxication in End stage Liver Disease patients. \r\nCurrently he is working as an attending anesthesiologist, faculty and an associate professor at the Department of Anesthesiology, University of Washington, Seattle, WA, USA. Since 2014, he is UNOS-appointed Director of Transplant Anesthesia. His main area of expertise and research interests are anesthesia and perioperative care for solid organ transplantation (liver, kidney, pancreas, intestine and combinations).",institutionString:"University of Washington",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"University of Washington",institutionURL:null,country:{name:"United States of America"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"202",title:"Surgery",slug:"surgery"}],chapters:[{id:"67806",title:"Introductory Chapter: Tour De Force of Transplantation Science",doi:"10.5772/intechopen.87078",slug:"introductory-chapter-tour-de-force-of-transplantation-science",totalDownloads:695,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Alexander A. Vitin",downloadPdfUrl:"/chapter/pdf-download/67806",previewPdfUrl:"/chapter/pdf-preview/67806",authors:[{id:"201176",title:"Associate Prof.",name:"Alexander",surname:"Vitin",slug:"alexander-vitin",fullName:"Alexander Vitin"}],corrections:null},{id:"65660",title:"Perioperative Care for Kidney Transplant Recipients",doi:"10.5772/intechopen.84388",slug:"perioperative-care-for-kidney-transplant-recipients",totalDownloads:1822,totalCrossrefCites:2,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Transplantation carries significant mortality benefit compared to dialysis in end-stage kidney disease. Increased perioperative risk, however, results in a higher mortality in the first 3 months post-transplantation compared to remaining on haemodialysis. Consequently, optimal perioperative management is essential. Patients presenting for kidney transplantation require rapid assessment and preparation for theatre to minimise ischaemic times and improve mortality and graft outcomes. This task is often complicated by the presence of multiple medical comorbidities. Furthermore, early complications of hypotension, delayed graft function, renovascular and ureteric surgical complications and rejection render the perioperative phase of transplant challenging for the recipient and for the transplant team. In this chapter, we outline current practices in the assessment and management of kidney transplant recipients during the perioperative period, particularly focusing on their clinical application and the evidence underpinning them.",signatures:"Sebastian Hultin, Carmel M. Hawley, David W. Johnson and Ross S. Francis",downloadPdfUrl:"/chapter/pdf-download/65660",previewPdfUrl:"/chapter/pdf-preview/65660",authors:[{id:"172329",title:"Dr.",name:"Carmel",surname:"Hawley",slug:"carmel-hawley",fullName:"Carmel Hawley"},{id:"172331",title:"Dr.",name:"Ross",surname:"Francis",slug:"ross-francis",fullName:"Ross Francis"},{id:"178936",title:"Prof.",name:"David",surname:"Johnson",slug:"david-johnson",fullName:"David Johnson"},{id:"283620",title:"Dr.",name:"Sebastian",surname:"Hultin",slug:"sebastian-hultin",fullName:"Sebastian Hultin"}],corrections:null},{id:"66962",title:"Viral Infections after Kidney Transplantation: CMV and BK",doi:"10.5772/intechopen.86043",slug:"viral-infections-after-kidney-transplantation-cmv-and-bk",totalDownloads:1529,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Opportunistic infections commonly occur during the first 6 months after kidney transplant, including cytomegalovirus (CMV) and polyomaviruses. Viral pathogens such as CMV and polyomaviruses, JC or BK virus (BKV), are able to replicate in the kidney and/or cause systemic disease, and symptomatic infection with these agents can be associated with significant morbidity and mortality in immunocompromised host. While BK virus usually replicates in kidney transplant causing BK virus nephropathy (BKN) with characteristic decoy cells in the urine, CMV infection more often leads to systemic infection involving the gastrointestinal tract (GIT), lungs, or liver and can only sporadically be detected in renal transplant. In both cases, the disease is most often due to reactivation of a latent virus. Prevention and early treatment of posttransplant infection are therefore crucial with kidney transplant recipients. Since BKV viruria and viremia can be seen without renal injury and viral nephropathy, a diagnosis of BKN must be confirmed by renal biopsy. To date, preemptive treatment is the best strategy for CMV infection, while no available standard therapy, except for reduction of immunosuppression, is available for BKV infection.",signatures:"Večerić-Haler Željka and Kojc Nika",downloadPdfUrl:"/chapter/pdf-download/66962",previewPdfUrl:"/chapter/pdf-preview/66962",authors:[{id:"249591",title:"Prof.",name:"Nika",surname:"Kojc",slug:"nika-kojc",fullName:"Nika Kojc"},{id:"285874",title:"Prof.",name:"Željka",surname:"Večerić-Haler",slug:"zeljka-veceric-haler",fullName:"Željka Večerić-Haler"}],corrections:null},{id:"66702",title:"Antibody Mediated Rejection in Kidney Transplant Recipients",doi:"10.5772/intechopen.85886",slug:"antibody-mediated-rejection-in-kidney-transplant-recipients",totalDownloads:1796,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Antibody mediated rejection (ABMR) presents a significant challenge for long term graft survival in kidney transplantation. New technologies, including genomic studies and assays to detect and define donor-specific antibodies, have provided important insights into the pathophysiology and diagnosis of ABMR. Unfortunately, this progress has not yet translated into better outcomes for patients, as in the absence of a drug able to suppress antibody generation by plasma cells, available therapies can only slow down graft destruction. This chapter reviews the current understanding of ABMR, and details its diagnosis, and treatments, both those established in current routine clinical practice and those on the horizon.",signatures:"Nika Kojc and Željka Večerić Haler",downloadPdfUrl:"/chapter/pdf-download/66702",previewPdfUrl:"/chapter/pdf-preview/66702",authors:[{id:"249591",title:"Prof.",name:"Nika",surname:"Kojc",slug:"nika-kojc",fullName:"Nika Kojc"},{id:"285874",title:"Prof.",name:"Željka",surname:"Večerić-Haler",slug:"zeljka-veceric-haler",fullName:"Željka Večerić-Haler"}],corrections:null},{id:"66282",title:"Perioperative Care for Lung Transplant Recipients: A Multidisciplinary Approach",doi:"10.5772/intechopen.85277",slug:"perioperative-care-for-lung-transplant-recipients-a-multidisciplinary-approach",totalDownloads:1079,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Lung transplantation has evolved as the gold standard for selective patients with end-stage lung disease since the first clinical lung transplant was performed in 1983 in the United States. Over the last few decades, lung transplantation volume has increased worldwide with steadily improving outcomes; however, access to lung transplantation remains limited due to the critical shortage of donor organs. Factors that have contributed to improved outcomes include a multidisciplinary management approach supported by advancements in surgical and anesthetic techniques, nursing and critical care, immunosuppressive therapy, transplant immunobiology, and the perioperative use of extracorporeal membrane oxygenation (ECMO) and ex vivo lung perfusion (EVLP). Excellent outcomes have been achieved in selective patients with high-risk comorbidities such as age over 65 years, concomitant severe coronary artery disease (CAD), and preexisting sensitization with donor-specific antibodies (DSAs). Such comorbidities are no longer considered absolute contraindications to lung transplantation. This chapter provides an overview of perioperative care of lung transplant recipients with focus on a multidisciplinary approach and highlights management strategies for patients with concomitant severe coronary artery disease and end-stage lung disease as well as those with preexisting sensitization with DSAs.",signatures:"Stacey H. Brann, Steven S. Geier, Olga Timofeeva, Norihisa Shigemura, Francis Cordova and Yoshiya Toyoda",downloadPdfUrl:"/chapter/pdf-download/66282",previewPdfUrl:"/chapter/pdf-preview/66282",authors:[{id:"283188",title:"Dr.",name:"Stacey",surname:"Brann",slug:"stacey-brann",fullName:"Stacey Brann"},{id:"288392",title:"Prof.",name:"Steven",surname:"Geier",slug:"steven-geier",fullName:"Steven Geier"},{id:"288393",title:"Dr.",name:"Olga",surname:"Timofeeva",slug:"olga-timofeeva",fullName:"Olga Timofeeva"}],corrections:null},{id:"65734",title:"Cytokine Biomarkers as Indicators of Primary Graft Dysfunction, Acute Rejection, and Chronic Lung Allograft Dysfunction in Lung Transplant Recipients: A Review",doi:"10.5772/intechopen.84661",slug:"cytokine-biomarkers-as-indicators-of-primary-graft-dysfunction-acute-rejection-and-chronic-lung-allo",totalDownloads:752,totalCrossrefCites:0,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Lung transplantation is well accepted form of treatment for end-stage lung disease in selected patients. The number of lung transplants performed worldwide has increased annually with chronic obstructive pulmonary disease being the leading cause. The morbidity and mortality in the early period are due to nonspecific primary graft dysfunction (PGD) and acute lung rejection (ALR). Chronic lung allograft dysfunction (CLAD) is the cause of long-term complications following lung transplantation and seen in almost half of the patient during the first 5 years. Activation of pro- and anti-inflammatory cytokines and chemokines has been described during various phases of lung transplantation recovery. We reviewed the literature for cytokine activity associated with PGD, ALR, and CLAD. This review aims to summarize the specific associations between bronchoalveolar lavage (BAL) and plasma cytokine levels and the association of PGD, ALR, and CLAD.",signatures:"John Hallsten and Wickii T. Vigneswaran",downloadPdfUrl:"/chapter/pdf-download/65734",previewPdfUrl:"/chapter/pdf-preview/65734",authors:[{id:"268004",title:"Prof.",name:"Wickii",surname:"Vigneswaran",slug:"wickii-vigneswaran",fullName:"Wickii Vigneswaran"},{id:"284431",title:"Mr.",name:"John",surname:"Hallsten",slug:"john-hallsten",fullName:"John Hallsten"}],corrections:null},{id:"67081",title:"Delirium Management, Treatment and Prevention Solid Organ Transplantation",doi:"10.5772/intechopen.86297",slug:"delirium-management-treatment-and-prevention-solid-organ-transplantation",totalDownloads:973,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Delirium following solid organ transplant is a very common complication. Post-operative delirium has been shown to be associated with longer length of stays, increased post-operative complications, increased readmission rates, higher costs, and increased mortality. Therefore, every healthcare provider who is involved in the care of transplant recipients should be well educated in the importance of early diagnosis of delirium, treatment of potential contributing factors, and optimizing management. Routine delirium screening to allow prompt diagnosis and workup is paramount to the care of post-operative transplant patients. Identifying high risk individuals for pre-operative rehabilitation to help decrease post-operative delirium rates, as well as focusing on functional and cognitive recovery following delirium are important preventative and rehabilitation efforts to optimize outcomes for transplant patients. This chapter will highlight a proactive approach to delirium prevention and management in the transplant population.",signatures:"Clark D. Kensinger and Jon S. Odorico",downloadPdfUrl:"/chapter/pdf-download/67081",previewPdfUrl:"/chapter/pdf-preview/67081",authors:[{id:"128410",title:"Prof.",name:"Jon S.",surname:"Odorico",slug:"jon-s.-odorico",fullName:"Jon S. Odorico"},{id:"285935",title:"Dr.",name:"Clark",surname:"Kensinger",slug:"clark-kensinger",fullName:"Clark Kensinger"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"6211",title:"Medical and Surgical Education",subtitle:"Past, Present and Future",isOpenForSubmission:!1,hash:"6c32a9763401f2d6e07b50f3e6451870",slug:"medical-and-surgical-education-past-present-and-future",bookSignature:"Georgios Tsoulfas",coverURL:"https://cdn.intechopen.com/books/images_new/6211.jpg",editedByType:"Edited by",editors:[{id:"57412",title:"Prof.",name:"Georgios",surname:"Tsoulfas",slug:"georgios-tsoulfas",fullName:"Georgios Tsoulfas"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6705",title:"Organ Donation and Transplantation",subtitle:"Current Status and Future Challenges",isOpenForSubmission:!1,hash:"e1ab81caf9179b0618c80dcd9bfd84a3",slug:"organ-donation-and-transplantation-current-status-and-future-challenges",bookSignature:"Georgios Tsoulfas",coverURL:"https://cdn.intechopen.com/books/images_new/6705.jpg",editedByType:"Edited by",editors:[{id:"57412",title:"Prof.",name:"Georgios",surname:"Tsoulfas",slug:"georgios-tsoulfas",fullName:"Georgios Tsoulfas"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9790",title:"Surgical Management of Head and Neck Pathologies",subtitle:null,isOpenForSubmission:!1,hash:"8ae195fe1164fd55b69b775d596f1e8a",slug:"surgical-management-of-head-and-neck-pathologies",bookSignature:"Ho-Hyun (Brian) Sun",coverURL:"https://cdn.intechopen.com/books/images_new/9790.jpg",editedByType:"Edited by",editors:[{id:"184302",title:"Dr.",name:"H. 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In this chapter an overview of microwave heating as one method of thermal food processing is presented. Due to the limited space, this overview cannot be complete; instead some important theoretical information and also examples of practical uses at home and in industry are shown. This chapter provides a starting point, and the interested reader is directed to the references, where more information about the special themes discussed in this chapter can be found (Dehne, 1999). Additional to the references in the text the interested reader is also referred to two bibliographies that cover more or less all the published work on microwaves (W.H.O, 2012).
The development of dielectric heating applications in food industry started in the radio frequency range in the 1930s (Püschner, 1966). The desired energy transfer rate enhancement led to an increased frequency: the microwaves. The first patent, describing an industrial conveyor belt microwave system was issued in 1952 (Spencer, 1952), however its first application started 10 years later. This was caused by the need for high power microwave sources to be developed. The first major applications were finish drying of potato chips, pre-cooking of poultry and bacon, tempering of frozen food and drying of pasta (Decareau, 1985). Whereas the first applications were only temporarily successful, since the quality enhancement due to the microwave process could quickly be achieved by a more economic improvement of the conventional technique, the other techniques survived and are still successful in industrial application.
Today’s uses range from these well known applications over pasteurization and sterilization to combined processes like microwave vacuum drying. The rather slow spread of food industrial microwave applications has a number of reasons: there is the conservatism of the food industry (Decareau, 1985) and its relatively low research budget. Linked to this, there are difficulties in moderating the problems of microwave heating applications. One of the main problems is that, in order to get good results, they need a high input of engineering intelligence.
Different from conventional heating systems, where satisfactory results can be achieved easily by intuition, good microwave application results often do need a lot of knowledge or experience to understand and moderate effects like uneven heating or the thermal runaway. Another disadvantage of microwave heating as opposed to conventional heating is the need for electrical energy, which is its most expensive form. Nevertheless, microwave heating has a number of quantitative and qualitative advantages over conventional heating techniques that make its adoption a serious proposition. One main advantage is the place where the heat is generated, namely the product itself. Because of this, the effect of small heat conductivities or heat transfer coefficients does not play such an important role. Therefore, larger pieces can be heated in a shorter time and with a more even temperature distribution. These advantages often yield an increased production.
Due to the very large number of microwave ovens in households, the food related industry not only uses microwaves for processing but also develops products and product properties especially for microwave heating. This way of product enhancement is called product engineering or formulation.
Detailed references to the baking process of bread, cakes, pastry etc. by the help of microwaves on industrial scale can be found. An enhanced throughput is achieved by an acceleration of the baking where the additional space needs for microwave power generators are negligible. Microwaves in baking are used in combination with conventional or infrared surface baking; this avoids the problem of the lack of crust formation and surface browning. An advantage of the combined process is the possible use of European soft wheat with high alpha-amylase and low protein content.
In contrast to conventional baking microwave heating inactivates this enzyme fast enough (due to a fast and uniform temperature rise in the whole product) to prevent the starch from extensive breakdown, and develops sufficient CO2 and steam to produce a highly porous (Decareau, 1986). One difficulty to be overcome was a microwavable baking pan, which is sufficiently heat resistant and not too expensive for commercial use. By 1982 patents had been issued overcoming this problem by using metal baking pans in microwave ovens (Schiffmann et al., 1981 and Schiffmann, 1982).
The main use of microwaves in the baking industry today is the microwave finishing, when the low heat conductivity lead to considerable higher baking times in the conventional process. A different process that also can be accelerated by application of microwave heating is (pre-) cooking. It has been established for (pre)cooking of poultry (Helmar et al., 2007), meat patties and bacon. Microwaves are the main energy source, to render the fat and coagulate the proteins by an increased temperature. In the same time the surface water is removed by a convective air flow. Another advantage of this technique is the valuable by-product namely rendered fat of high quality, which is used as food flavoring (Schiffmann, 1986).
Thawing and tempering have received much less attention in the literature than most other food processing operations. In commercial practice there are relatively few controlled thawing systems. Frozen meat, fish, vegetables, fruit, butter and juice concentrate are common raw materials for many food-manufacturing operations. Frozen meat, as supplied to the industry, ranges in size and shape from complete hindquarters of beef to small breasts of lamb and poultry portions, although the majority of the material is `boned-out\' and packed in boxes approximately 15 cm thick weighing between 20 and 40 kg. Fish is normally in plate frozen slabs; fruit and vegetables in boxes, bags or tubs; and juice in large barrels. Few processes can handle the frozen material and it is usually either thawed or tempered before further processing.
Thawing is usually regarded as complete when all the material has reached 0 0C and no free ice is present. This is the minimum temperature at which the meat can be boned or other products cut or separated by hand. Lower temperatures (e.g. -5 to -2 0C) are acceptable for product that is destined for mechanical chopping, but such material is `tempered\' rather than thawed. The two processes should not be confused because tempering only constitutes the initial phase of a complete thawing process. Thawing is often considered as simply the reversal of the freezing process.
However, inherent in thawing is a major problem that does not occur in the freezing operation. The majority of the bacteria that cause spoilage or food poisoning are found on the surfaces of food. During the freezing operation, surface temperatures are reduced rapidly and bacterial multiplication is severely limited, with bacteria becoming completely dormant below -10 0C. In the thawing operation these same surface areas are the first to rise in temperature and bacterial multiplication can recommence. On large objects subjected to long uncontrolled thawing cycles, surface spoilage can occur before the centre regions have fully thawed.
Conventional thawing and tempering systems supply heat to the surface and then rely on conduction to transfer that heat into the centre of the product. A few, including microwave, use electromagnetic radiation to generate heat within the food. In selecting a thawing or tempering system for industrial use a balance must be struck between thawing time, appearance and bacteriological condition of the product, processing problems such as effluent disposal, and the capital and operating costs of the respective systems. Of these factors, thawing time is the principal criterion that often governs selection of the system. Appearance, bacteriological condition and weight loss are important if the material is to be sold in the thawed condition but are less so if it is for processing. The main detrimental effect of freezing and thawing meat is the large increase in the amount of proteinaceous fluid (drip) released on final cutting, yet the influence of thawing rate on drip production is not clear.
James and James (2002) reported that studies have shown that there was no significant effect of thawing rate on the volume of drip in beef or pork. Several authors concluded that fast thawing rates would produce increased drip, while others showed the opposite. Thawing times from -8 to 0 0C of less than 1 minute or greater than 2000 minutes led to increased drip loss (James et al., 2002). The results are therefore conflicting and provide no useful design data for optimizing a thawing system. With fish, fruit and vegetables ice formation during freezing breaks up cell structure and fluids are reduced during thawing. In microwave tempering processes the heating uniformity and the control of the end temperature are very important, since a localized melting would be coupled to a thermal runaway effect.The benefits of microwave drying we should first have a quick look at the much more conventional method of air drying. As shown in Fig.1, a typical drying curve of a foodstuff can be subdivided into three phases. The first period is one of constant drying rate per unit of surface area. During this period the surface is kept wet by the constant capillary-driven flow of water from within the particle. The factors that determine and limit the rate of drying in the so-called `constant rate period\' all describe the state of the air: temperature and relative humidity as well as air velocity (Erle, 2000).
Typical drying curve for air drying
In drying the main cause for the application of microwaves is the acceleration of the processes, which are (without using microwaves) limited by low thermal conductivities, especially in products of low moisture content. Correspondingly sensorial and nutritional damage caused by long drying times or high surface temperatures can be prevented. The possible avoidance of case hardening, due to more homogeneous drying without large moisture gradients is another advantage. Two cases of microwave drying are possible, drying at atmospheric pressure and that with applied vacuum conditions.
Combined microwave-air-dryers are more widespread in the food industry, and can be classified into a serial or a parallel combination of the both methods. Applied examples for a serial hot air and microwave dehydration are pasta drying and the production of dried onions (Metaxas et al., 1983) whereas only intermittently successful in the 1960s and 1970s was the finish drying of potato chips. The combination of microwave and vacuum drying also has a certain potential. Microwave assisted freeze drying is well studied, but no commercial industrial application can be found, due to high costs and a small market for freeze dried food products (Knutson et al., 1987). Microwave vacuum drying with pressures above the triple point of water has more commercial potential has microwave vacuum drying with pressures above the triple point of water.
Microwave energy overcomes the problem of very high heat transfer and conduction resistances, leading to higher drying rates. These high drying rates correspond also to lower shrinkage and to the retention of water insoluble as shown in Figure 4. In parsley, for example, most of essential oils are present as a separate phase with high boiling temperature. For fast drying conditions (high microwave energy input) only the small amount of volatile essential oils that is dissolved is lost, whereas there is not enough time to resolve the remaining oil in the separated phase (Erle, 2000).
In contrast the retention of water soluble aromas, as in apples, is not as advantageous, since the microwave energy generates many vapour bubbles, so that the volatile aromas have a large surface to evaporate. Nevertheless, the low pressures limit the product temperatures to lower values, as long as a certain amount of free water is present and this helps to retain temperature sensitive substances like vitamins, colours etc. So, in some cases the high quality of the products could make also this relative expensive process economical.
Microwave vacuum dehydration is used for the concentration or even powder production of fruit juices and drying of grains in short times without germination.Newly and successfully applied is the combination of pre-air-drying, intermittent microwave vacuum drying (called puffing) and post-air-drying. It is predominantly used to produce dried fruits and vegetables, with improved rehydration properties (Räuber, 2000). After the form is stabilized by case hardening due to conventional air-drying, the microwave vacuum process opens the cell structures (puffing) due to the fast vapourization of water and an open pore structure is generated. The subsequent post-drying reduces the water content to the required value.
In general, the quality is somewhere between air-dried and freeze-dried products. The reduction of drying times can be quite beneficial for the colour and the aroma. Venkatesh and Raghavan (2004) dried rosemary in a household microwave oven with good aroma retention. Krokida and Maroulis (1999) measured colour and porosity of microwave-dried apples, bananas, and carrots. Khraisheh et al. (2004) compared air-dried and microwave-dried potatoes and found a reduction of shrinkage and improved rehydration for the latter. Venkatesh et al (2004) reported on chicken products, seafood, and vegetables of good quality. He used air at 10±20 0C to cool the product during microwave drying. Quality can often be improved further by the use of vacuum. This reduces thermal as well as oxidative stress during processing.
For instance, Yongsawatdigul and Gunasekaran (1996) showed that colour and texture of microwave-vacuum-dried cranberries were better than those of air-dried samples. If we look specifically at the retention of aroma, it becomes necessary to distinguish between two basic cases. In most foods the aroma molecules are present in very small amounts, so that they are likely to be dissolved in the water phase. In this situation, the volatility of the aroma molecule in water is essential.
Considering the fact that we perceive aroma -as opposed to taste - with our noses, it is quite clear that aroma molecules are normally volatile; otherwise they would stay in the food during eating and not contribute to the aroma. In other words, if there is an interface between a water phase (i.e. a food) and a gas phase, the aroma molecules tend to choose the gas phase. In air drying, the surface where the aroma molecules can escape is mainly the outer surface of the particles. This is also where the water molecules evaporate. So the surface of the food particle will be depleted of aroma, but the losses cannot be higher than those that come with the capillary water flow from within. As a result, the losses of water and aroma are coupled.
Microwave drying is not common in the food industry. There are many reasons for its limited use: the technical problems described above were not well- understood in the past. This has led to some failures, which have surely discouraged other potential users. Schiffmann (2001) has listed a number of formerly successful applications that have been discontinued. Among these are the finish drying of potato chips, pasta drying, snack drying, and the finish drying of biscuits and crackers. It is apparently not always the microwave process itself but rather changes in the circumstances of production that make competing technologies more successful.
In spite of these difficulties, there are some current applications. Schiffmann (2001) mentions cereal cooking and drying with a production rate of nearly 1 ton/h. Pasta drying with microwaves is carried out in Italy. Microwave- vacuum drying is being used for meat extract and, at least for a number of years, for the production of a powder made from orange juice concentrate.
The combination of air drying and microwave-vacuum puffing is being used in Germany and Poland for fruits and vegetables. As the food industry does not disclose all its production processes, we cannot expect this list to be complete. Hauri (1989) has provided values for the necessary investment and the specific energy requirements of five different drying methods (Table 1). Based on the same throughput, the investment needed for microwave-vacuum drying is rather high, while the energy figures are more favorable than for air drying.
Types of drying process | Specific energy demand kwh/kg | Specific investment costs for equal throughput |
Air band drying | 1.9 | 100% |
Spry drying | 1.6 | 120% |
Vacuum contact drying | 1.3 | 150% |
Microwave Vacuum drying | 1.5 | 190% |
Freez drying | 2.0 | 230% |
Comparison of five different drying method
Studies of microwave assisted pasteurization and sterilization have been motivated by the fast and effective microwave heating of many foods containing water or salts. A detailed review can be found in (Rosenberg et al., 1987). Although, physically non-thermal effects on molecules are very improbable, early works seemed to show just these effects. But in most cases the results claimed could not be reproduced, or they lacked an exact temperature distribution determination. The improbability of non-thermal effects becomes clear, when the quantum energy of photons of microwaves, of a thermal radiator and the energy of molecular bonds are compared. The quantum energy of a photon of f = 2.45 GHz is defined by E =
Since the collection of energy with time for bound electrons are forbidden by quantum mechanics, only multi-photon processes, which are very unlikely, could yield chemical changes. Recently Lishchuk also showed that even a deviation of the energy distribution of water molecules from the conventional Boltzmann distribution cannot be proved (Lishchuk et al., 2001).
More thinkable is the induction of voltages and currents within living cell material, where eventual consequences are still in discussion (Sienkiewicz, 1998). Due to the unquestioned thermal effects of microwaves, they can be used for pasteurization and sterilization. Studied applications of microwave pasteurization or sterilization cover pre-packed food like yoghurt or pouch-packed meals as well as continuous pasteurization of fluids like milk (Helmar et al., 2007). Due to the corresponding product properties either conveyor belt systems or continuous resonator systems are invented.
The possibly high and nearly homogeneous heating rates, also in solid foods (heat generation within the food) and the corresponding short process times, which helps preserving a very high quality yield advantages of microwave compared to conventional techniques. The crucial point in both processes is the control and the knowledge of the lowest temperatures within the product, where the destruction of microorganisms has the slowest rate. Due to the difficult measurement or calculation of temperature profiles it is still very seldom industrially used.
Blanching is an important step in the industrial processing of fruits and vegetables. It consists of a thermal process that can be performed by immersing vegetables in hot water (88-99 0C, the most common method), hot and boiling solutions containing acids and/or salts, steam, or microwaves. Blanching is carried out before freezing, frying, drying and canning. The main purpose of this process is to inactivate the enzyme systems that may cause color, flavor and textural changes, such as peroxidase, polyphenol-oxidase, lipoxygenase and pectin enzymes. The efficiency of the blanching process is usually based on the inactivation of one of the heat resistant enzymes: peroxidase or polyphenoloxidase.
Blanching has additional benefits, such as the cleansing of the product, the decreasing of the initial microbial load, exhausting gas from the plant tissue, and the preheating before processing. A moderate heating process such as blanching may also release carotenoids and make them more extractable and bioavailable (Arroqui et al., 2002).
However, this operation has also some inconvenient effects such as losses in product quality (texture and turgor), environmental impact, and energy costs. Leaching and degradation of nutritive components, such as sugars, minerals and vitamins, may occur when blanching with water or steam. The blanching process should assure enzyme inactivation while minimizing the negative effects, taking into account the interdependence of every aspect (Arroqui et al., 2002).
The use of microwaves for food processing has increased through the last decades. Some of the advantages compared with conventional heating methods include speed of operation, energy savings, precise process controls and faster start-up and shut-down times (Kidmose and Martens, 1999). Microwave blanching of fruits and vegetables is still limited. Some of the advantages compared with conventional heating methods include speed of operation and no additional water required. Hence there is a lower leaching of vitamins and other soluble nutrients, and the generation of waste water is eliminated or greatly reduced.
Blanching with hot water after the microwave treatment compensates for any lack of heating uniformity that may have taken place, and also prevents desiccation or shriveling of delicate vegetables. And while microwave blanching alone provides a fresh vegetable flavor, the combination with initial water or steam blanching provides an economic advantage. This is because low-cost hot water or steam power is used to first partially raise the temperature, while microwave power, which costs more, does the more difficult task of internally blanching the food product.
A still further advantage is that microwave blanching enables a finish blanching of the center sections more quickly and without being affected by thick or non-uniform sections. Uniformity is also more rapidly accomplished in microwave ovens of the continuous tunnel types in contrast to the customary non-uniformity in institutional or domestic ovens (Smith and Williams, 1971).
The spraying of cold water at the end of the blanching process allows a better nutrient retention than the immersion of the food in cold water. Sub-atmospheric pressure, when applied to the steam blanching process, reduces the amount of oxygen and therefore results in a lower degradation of vegetable pigments and nutrients. Pressurized steam reduces blanching time. Optimal conditions of time, temperature, vapor pressure and microwave power depend on the particular vegetable that is being processed and must be empirically determined.
The knowledge of precise microwave power per weight of food that is needed to inactivate a particular enzyme should be sufficient to achieve a successful blanching and to avoid adverse effects. When the process temperature is not adequate, the enzymatic deteriorative action may prevail or even increase in some cases. Figure 2 shows the activity of mushroom polyphenol oxidase in a phosphate buffer 0.05M solution. The samples were previously treated in a microwave oven at specific times, using different potency levels: high, medium and low, which correspond to 770, 560 and 240 watts, respectively.
Mushroom tyrosinase as affected by microwaves.
Microwave heating involves conversion of electromagnetic energy into heat by selective absorption and dissipation. Microwave heating is attractive for heating of foods due to its origin within the material, fast temperature rise, controllable heat deposition, and easy clean-up. The very high frequencies used in microwave heating allow for rapid energy transfers and, thus, high rates of heating. These rates are a main advantage of this technique. Also, because microwaves penetrate the sample, heating is accomplished in the interior of the food. When heating rapidly, the quality of fruits and vegetables such as flavor, texture, color and vitamin content is better kept (Dorantes-Alvarez et al., 2000). However, rapid heating can also lead to problems of non-uniform heating when excessively high energy transfer rates are used (Ohlsson, 2000). It has been observed that microwave processing of chicken, beef, bacon, trout, and peanut oil does not change the fatty acid composition of these products, nor produces trans- isomers (Helmar et al., 2007).
The most likely future for microwave food processing is in the continued development of unique single systems that overcome the limitations discussed previously. Compared to the development of traditional blanching systems, it is still a challenge to design appropriate equipment for microwave blanching.
This is due mainly to the following factors:
Better control of the process is required due to the shorter heating times that microwave heating requires.
The temperature distribution within the food product is affected by additional factors. A better distribution can be achieved by the use of standing and hold times at the end of the process. More research is needed in order to develop a method that would assure better repeatability of the process and equilibration of temperatures. The last objective can also be helped by a careful control of the food composition (Anantheswaran and Ramaswamy, 2001). Since the heating migration in microwave processing occurs from the initial and hottest locations in the interior of the food, it is difficult to locate and assess the cold point, as in traditional thermal methods. Therefore, the use of specific software to calculate the parameters of the process will help to achieve a higher efficiency (RodrõÂguez et al., 2003).
In the near future, it is expected that researchers interested in this matter will discover more specific effects that may be advantageous in the processing of food by microwave blanching. This would give an additional value to food products and would overcome the cost of microwave energy for this particular application.
Many industrial activities involve the creation and subsequent disposal of waste, which represents a noticeable cost in terms of money and pollution. Moreover, sometimes waste materials are hazardous as well, i.e. materials containing asbestos or byproducts of nuclear plant. In this case, regulatory procedures are particularly restrictive, to guarantee the safety of the operators, and the choice of an inertization process becomes a compromise between safety issues, energetic evaluations and economical aspects. Thus, the waste treatment has to be evaluated nation of the final product.
The disposal of waste materials is now becoming a very serious problem, since in recent years the great increase of their production was not matched by a corresponding rise in the number of authorized dumps. Moreover, the existing regulation does not always allow all kind of waste material to be recycled, especially if harmful or hazardous materials are involved (Oda et al., 1992). But considering the present year production of wastes like ashes, or the wide spread presence on the territory of asbestos containing materials, it seems impossible to handle this environmental issue only by disposal in dumps. To face this situation, it is necessary to study and develop alternative ways to treat and re-use the components of waste materials, for instance converting them in secondary raw materials and, if possible, restoring them to accomplish the task they were initially meant for. Waste, even if originated by the same manufacturing process, and thus belonging to the same category (i.e. ashes, nuclear waste, asbestos containing materials, etc.), can be regarded as a multi-component material having a wide range of compositions, and usually it is the presence of only some of these components that makes all the mixture a product to be disposed of. Thus, a process allowing selective treatment of the "unwanted" portion of the waste, and to do this volumetrically, could represent an enormous advantage in terms of time and money, especially as far as materials presenting low thermal conductivity are concerned (Marucci et al., 2000). Microwaves can be an interesting candidate to fulfill the need for this kind of processes, and this is particularly true if the matrix of the waste materials exhibits dielectric properties significantly different from those of the unwanted components.
The food processed by this novel technology is safe for consumption. “Because the microwave energy is changed to heat as soon as it is absorbed by the food, it cannot make the food radioactive or contaminated (O.S.H.A, 2012). When the microwave energy is turned off and the food is removed from the oven, there is no residual radiation remaining in the food. In this regard, a microwave oven is much like an electric light that stops glowing when it is turned off (Gallawa, 2005).
Microwave ovens are commonplace in households and are established there as devices of everyday use. Their primary function is still the reheating of previously cooked or prepared meals. The relatively new combination of microwaves with other (e.g. conventional, infrared or air jet) heating systems should enhance their potential for a complete cooking device, that could replace conventional ovens. Unfortunately, in industry the distribution of microwave processes is still far away from such high numbers. Only a relatively low number of microwave applications can be found in actual industrial production, compared with their indisputable high potential. These successful microwave applications range over a great spectrum of all thermal food processes. The most prominent advantages of microwave heating are the reachable acceleration and time savings and the possible volume instead of surface heating. Reasons mentioned for the failure of industrial microwave applications range from high energy costs, which have to be counterbalanced by higher product qualities, over the conservatism of the food industry and relatively low research budgets, to the lack of microwave engineering knowledge and of complete microwave heating models and their calculation facilities. The latter disadvantage has been partly overcome by the exponentially growing calculating power which makes it possible to compute more and more realistic models by numerical methods. Very important for the task of realistic calculations is the determination of dielectric properties of food substances by experiments and theoretical approaches. Nevertheless in order to estimate results of microwave heating applications and to check roughly the numerical results, knowledge of simple solutions of the one-dimensional wave propagation like the exponentially damped wave is of practical (and also educational) relevance. But still the best test for numerical calculations is experiments, which yield the real temperature distributions within the product, which is really important especially in pasteurization and sterilization applications. While more conventional temperature probe systems, like fibre optic probes, liquid crystal foils or infrared photographs only give a kind of incomplete information about the temperature distribution within the whole sample, probably magnetic resonance imaging has the potential to give very useful information about the heating patterns. Hopefully, this together with the enormous calculation and modeling power will give the microwave technique an additional boost to become more widespread in industrial food production.
The breakthrough of microwave technology in the food industry due to its high potential has been predicted many times before, but it has been delayed every time up to now. That is why we are cautious in predicting the future of microwaves in industrial use. However, we think that the potential of microwave technology in the food industry is far from being exhausted.
The pericardium is a two-layer membrane surrounding the heart and vital vessels. The two-layer structure included a serous visceral membrane inside and a fibrous membrane (parietal pericardium) outside. The fibrous membrane is adhered to the diaphragm, posterior part of sternum by the tissue and ligament to fix the heart. The pericardium encloses the heart and pericardial fluid, which provides lubrication for the myocardium [1]. Pericardial puncture is a standard and useful therapeutic procedure for the treatment of diagnosis of tamponade or symptomatic pericardial effusion [1]. In 1996, Sosa et al. first described the use of pericardial puncture in an electrophysiological laboratory for epicardial ablation in ventricular arrhythmia, [2] the use of pericardial puncture to map and ablate ventricular arrhythmia started to expand in other diseases [3].
Before to the era of catheter ablation with epicardial approach, patients with ventricular tachycardia (VT) refractory to catheter ablation from the endocardium often required surgical approach. The technique became well-developed and skilled in high-volume center recently. Many centers reported the successful application of the epicedial ablation in a diverse range of cardiac arrhythmia. Therefore, the indication for the epicardial approach has extended. The potential indication included substrate/ idiopathic VTs, accessory pathways, and miscellaneous supraventricular tachycardias [4]. Since Sosa et al. first introduced the application of epicardial ablation for the ventricular arrhythmias (VAs) in Chagas disease, [2] the use of this technique through a percutaneous method has been applied to other diseases [3].
In the patients with ischemic cardiomyopathy due to prior myocardial infarction (MI) and VT, the involved circuit mostly involved the inner part of the heart [5]. In the previous report, part of the ischemic VT circuit may involve areas within the subepicardial area [6]. The advantage of the epicardial approach was demonstrated by clinical study. An approach with combined endo-epicardial mapping/ablation has been reported to show a better outcome selected patients with non-ischemic cardiomyopathy (NICM) VT ischemic VT [7, 8, 9, 10]. Furthermore, the percutaneous technique for epicardial access have been proven to improve outcomes with an acceptable risk of peri-operative adverse event in experienced operator or high-volume centers [11]. However, there were many surrounding epicardial vascular structures or nerves in the tract of epicardial puncture. The unskilled operators may encounter serious and detrimental complications. Prior studies have reported the incidence rate of major complications around 4.1-8.8%, including adverse event of a hemopericardium, intra-abdominal bleeding, and arterial/venous/nerve injuries [11, 12, 13, 14]. This chapter was aimed to discuss the clinical implication, patient selection, and detailed procedure for the epicardial ablation in the patients with VA.
Generally, the endocardial approach was contraindicated in the following condition
Endocardial mural thrombus was presented.
Coexisted mechanical valves were presented in the mitral and aortic valve
In the patient with the presence of newly-identified mural thrombus, the strategy of endocardial ablation should be postponed. Previous report described the results of endocardial VT ablation in 8 patients with identified old thrombus [15]. Intracardiac echocardiography (ICE) seems to be more sensitive for the detection of LV thrombi compared to transthoracic echocardiography (TTE) and is helpful in real-time navigation of the mapping / ablation catheter. No procedural or periprocedural complications were observed in this retrospective study [15].
Mechanical prosthetic aortic and mitral valves preclude either a retrograde aortic or transseptal approach to the left ventricle (LV) endocardium. Several operators have reported previously on the use of unconventional techniques during VT ablation such as transventricular septal puncture, [16, 17] epicardial approach, [18] transmechanical valve approach, [19] transcoronary venous approach, [20] or transapical approach [21].
Intrapericardial access is usually obtained through a subxiphoidal pericardial puncture. This approach might not be possible in patients with pericardial adhesions caused by prior cardiac surgery, pericarditis, or prior epicardial ablation. (Figures 1 and 2) In such cases, a hybrid procedure involving surgical access to a subxiphoid pericardial window or lateral thoracotomy might be a feasible and safe method of performing epicardial catheter ablation in the electrophysiology laboratory [4].
Epicardial puncture in a patient with prior epicardial ablation. The figure showed the anterior–posterior view during epicardial puncture. The fluoroscopic view demonstrated the contrast stasis in the bottom of the epicardium due to prior ablation and severe adhesion. The wire could not advance further in the localized epicardial space.
Epicardial puncture in a patient with prior coronary artery bypass grafting. The figure showed the anterior–posterior view during after an initial puncture. The fluoroscopic view demonstrated the contrast stasis in the bottom of the epicardium due to prior cardiac surgery severe adhesion. The wire could not advance further in the localized epicardial space (panel A). After several attempts, the ablation catheter was advanced to the limited epicardial space. Coronary angiography was done before the ablation to avoid coronary injury through the graft (panel B).
The previous study showed a good response with subendocardial resection to treat the subendocardial location of the VT substrate from surgical experience, which indicated the endocardial VT circuits [22]. Furthermore, the endocardial catheter ablation with mappable VT demonstrated good acute procedural success rate. However, the long-term outcome was unsatisfied [23]. A prior study examined all ischemic cardiomyopathy (ICM) VT cases with endocardial and/or epicardial mapping/ablation. Epicardial approach was applied in 14% of patients, and application of ablation in the epicardium was done in 8.5% patients. Part of the patient (0.5%) did not undergo epicardial ablation because of proximity to an epicardial coronary artery to the of identifying epicardial substrate [24]. In an Asian study from Taiwan, the epicardial approach for the ICM-related VT was rarely reported [14]. This may be related to the highest quality and convenience of Taiwan’s public health system. A recent non-randomized study provided evidence of epicardial-endocardial approach in these patients [25]. Generally, the region of myocardial infarction does not appear to be predictive of epicardial involvement. On the other hand, imaging, such as cardiac magnetic resonance imaging (MRI), cardiac computed tomography, or nuclear scintigraphy suggesting transmural infarction may identify patients more likely to have epicardial substrate [26].
The recent review article summarized most common idiopathic VT arising from the right and left ventricle: (1) outflow tract VT, (2) fascicular VT, (3) intra-cavitary VT, (4) perivalvular VT, and (5) epicardial VT [27]. Around 1. 8–9. 2% of idiopathic VT were raised from the epicardium. In the prior study, the electrocardiography is a useful parameter for predicting the successful ablation sites of VT originating from the continuum between the aortic sinus of Valsalva (ASV) and the left ventricle (LV) summit [28]. In the results, aVL/aVR Q-wave ratio is useful in the prediction of successful ablation sites. A coronary venous approach / pericardial access might be required with a cutoff value of 1.536-1.740 and > 1.740 respectively.
Brugada syndrome (BrS) is one of the main causes of sudden cardiac arrest in young population [29]. The efficacy and adverse effects of anti-arrhythmic drugs on BrS was disappointing. Catheter ablation emerged and offers an alternative therapeutic strategy for these patients with repeat recurrent implantable cardioverter defibrillator (ICD) shock after the ICD implantation. Nademanee et al. first demonstrated the effectiveness and safety of ablating the arrhythmogenic electrogram at the epicardium of right ventricular outflow tract (RVOT) to decrease the VT/VF burden [30]. Further study on the post-mortem heart demonstrated interstitial fibrosis and reduced gap junction expression in the epicardium of RVOT in BrS patients. The abnormal fibrosis resulted in arrhythmogenic potentials. Eliminating the arrhythmogenic potentials by using ablation could abolish the BrS ECG pattern and reduce VT/VF burden. In the clinical practice, the operator may perform epicardial mapping and identified the slow conduction zone and abnormal electrogram in the RV epicardially. (Figure 3) The electrophysiological group in Taipei Veterans General Hospital first introduced the warm water instillation, which would enhance the phenotype and functional substrate in the patient with BrS. Ablation by targeting the triggers and abnormal epicardial substrates provided an effective strategy for preventing ventricular tachyarrhythmia recurrences in BrS [31].
Local fractioned potential in the epicardial right ventricular outflow tract of a patient with Brugada syndrome. The left panel demonstrated local abnormal signal and delayed electrogram, which was localized in the epicardial right ventricular outflow tract. (red arrow, right panel) this patient was diagnosed as Brugada syndrome and survived from an episode of sudden cardiac death due to ventricular fibrillation.
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a heritable desmosome disorder. The clinical manifestations vary from asymptomatic concealed stage, electrical abnormality with ventricular arrhythmias (VAs), to progressive heart failure [32, 33]. Catheter ablation is emerging as an alternative therapy for drug-refractory VAs in patients with ARVC. Although the catheter ablation could result in acute procedural success with VT termination, the high incidence of recurrence limited the role of ablation in ARVC initially [34, 35]. The application of epicardial and endocardial ablation of VT in the patients with ARVC had been proposed with good effects acute and long-term outcome and VAs-freedom [36, 37]. Recent studies also demonstrated that 45 ~ 84. 6% patients were free from VA recurrences or ICD therapy through the combination of endocardial and epicardial ablation [38, 39]. Epicardial approach is required in more than one third ARVC patients for achieving non-inducibility in the prior reports [40]. The number of fulfilled SAECG criteria was correlated to the extent of diseased epicardial substrate and could be a potential surrogate marker to predict the requirement of epicardial ablation in ARVC with drug-refractory VA [40].
In contrast to ischemic cardiomyopathy, non-ischemic cardiomyopathy (NICM) consists of a heterogeneous group of diseases [41] affecting the myocardium. Despite the progress and improvement in the pharmacological medication of heart failure in recent decades have significantly decreased the disease progression and mortality in NICM patients, anti-arrhythmic medications and ICD implantations remain the most important treatment for patients carrying a high risk of VT/VF or who have experienced aborted SCD due to fatal VT/VF [42]. Owing to the improvement in electro-anatomic mapping and ablation catheter, catheter ablation of VT in NICM patients has been recognized as an upcoming issue [43]. A prior study proven the promising results that a successful catheter ablation could reduce VT recurrences and improve the survival in NICM patients regardless of the functional class status or left ventricular function [44]. NICM VTs in different disease entities could result from non-uniform arrhythmogenic substrates, which can lead to different ablation outcomes.
With the exception of ARVC and BrS, the arrhythmogenic substrates in NICM that could be identified by electroanatomic mapping, are mostly located in the base or perivalvular region of the LV, which is distinct from the substrate ICM [45]. The arrhythmogenic potentials could be identified from the endocardial/epicardial aspect in the patients with NICM [46]. These arrhythmogenic substrates frequently associate fibrosis tissue that leads to conduction disturbance and fractionated electrograms [47]. Aside from the electroanatomic substrate mapping with bipolar/unipolar voltage, cardiac MR can provide additional information to unmask the scar distribution as a non-invasive manner [48, 49, 50]. Additionally, patients with scar involving the inferolateral aspect of the LV, which frequently requires an epicardial approach, usually have a better prognosis than those with anteroseptal scar [51].
A comprehensive investigation of patients with NICM and VT includes cardiac imaging and genetic testing. These information might enable recognition of undiagnosed diseases, such as isolated and active cardiac sarcoidosis or inherited cardiomyopathies. An accurate diagnosis could improve patient selection for ablation and early consideration of individualized treatments [52].
An epicardial approach could performed for patients with refractory ablation from an endocardial approach. The clinical documentation of surface ECG could provide specific electrocardiographies evidence supporting an epicardial origin [28, 53, 54]. In cases with a disease entity favoring an epicardial substrate, or those with electroanatomic mapping supporting the existence of a diseased epicardial substrate, an epicardial approach could be considered [30, 55, 56].
Before preparing for epicardial approach, the first step is to localize the VT origin and identify the potential regions of arrhythmogenic substrates. The surface ECG morphologies provide the information about the origin and the potential need for an epicardial approach [53]. Standardized echocardiography or intracardiac could delineate the valvular structure, area of hypokinesia or akinesia, and excluding any intracardiac thrombus [57]. Computed tomography (CT) and cardiac MRI with a late gadolinium enhancement, could localize the regions of abnormal tissue in specific protocol [48, 49, 50]. The distribution and extent of the scar is useful for deciding the ablation strategy, such as an epicardial approach, transcoronary venous ablation, alcohol ablation, or simultaneous bipolar ablation. The integration of the reconstructed images obtained from CT and MRI and 3-D navigation, mapping systems (Figure 4) can aid in the illustration of the structural complexity and avoidance of damage to the critical regions, in terms of vascular or nervous structures.
Cardiac magnetic resonance imaging (CMRI) and three-dimensional reconstruction in a patient with non-ischemic myocardial infarction. The CMRI demonstrated a late gadolinium enhancement (LGE) in the mid posterior wall. The three-dimensional reconstruction was performed to guide the catheter ablation.
After obtaining informed consent, the procedure would be performed with the patients in a fasting state under general anesthesia. Pre-procedure subxiphoid echocardiography was recommended to perform routinely. In some cases, the echocardiography could help the operator avoid liver or gastric injuries. A subxiphoid puncture was performed to penetrate the pericardium in the inferior aspect of the hear according to the technique described by Sosa et al [2]. Access to the pericardium was achieved by using an 18 G Tuohy Needle (Arrow International, Inc., Reading, PA, USA) in the laboratory of Taipei Veterans General Hospital through the subxiphoid process. The anteroposterior projection was usually used to direct the access in the anterior/posterior plane, while the left anterior oblique (LAO) 60° projection was used to guide the needle leftward tangentially to the cardiac border. Figure 5 demonstrated the adjacent structure with these two views by reconstruction of the CT. After passing through the diaphragm, 1-2 cm3 of contrast could be injected between the diaphragm and pericardium to observe tenting of the pericardium. After entering the posterior side of pericardium, a 0.032 guidewire would be advanced to the left heart border in the LAO projection, and 10 cm3 of contrast could be injected into the pericardial space through a 5F dilator or the side hole of a 5Fr sheath to allow for visualization of any adhesions. (Figure 6) An 8-Fr Sheath or flexible long Sheath would be exchanged by using the guide wire. The ablation/mapping catheter would be inserted through the sheath after obtain the access to avoid injury by the edge of the sheath. Angiography would be performed while locating the catheter in the interested area to avoid coronary injury. (Figure 7) After the procedure, the epicardial sheath was exchanged for a pigtail. Pericardial injections of hydrocortisone 100 mg and ketorolac tromethamine 30 mg were routinely given immediately and 24 hours after the epicardial procedure to prevent any future epicardial adhesions or pericarditis.
The anatomy with anterior–posterior view (left panel) and LAO view (right panel). The green arrow indicated the anterior approach and the red arrow indicated the posterior approach.
Epicardial puncture in a patient with arrhythmogenic right ventricular cardiomyopathy. The anterior–posterior view (left panel) and LAO view (right panel) showed the wire in the epicardial space surrounding the whole heart and the contrast in the epicardial space without adhesion.
Angiography before epicardial ablation. After a successful epicardial puncture through posterior approach, the angiography was performed before the ablation to avoid coronary injury.
A ‘needle-in-needle’ technique for epicardial access has been described by Kumar et al [58]. In this approach, a 7-cm 18-gauge needle is inserted beneath the sternum. The purpose of this short needle is to provide stability and tactile feedback for a long (15- or 20-cm) micropuncture 21-gauge needle, which is inserted through the 18-gauge needle. Once the 21-gauge needle is inserted into the pericardial space, along 0.018-inch guidewire with a floppy tip is advanced into the pericardial space. Upon fluoroscopic confirmation that the guide wire has been inserted into the pericardium both needles are then removed. Micropuncture dilators are then used to upsize the guide wire to a 0.35-inch wire and ultimately, an 8-Fr sheath is introduced into the pericardial space. The ‘needle-in-needle’ approach was compared to the traditional methods. Successful epicardial access was achieved in 100% of the ‘needle-in-needle’ cases, as compared to 94% with the Sosa technique. Failure of epicardial access in the traditional method were due to prior cardiac surgery [13] or adhesions from prior epicardial mapping/ablation or episodes of pericarditis [7]. Major pericardial bleeding was similar between both techniques [58].
In anatomic, there is a potential space below the sternum and xyphoid process. While puncturing below the xyphoid process, the needle might directly pass through the fibrous pericardium avoiding the puncture through the diaphragm [59]. The term of “anterior approach” was used for the epicardial approach via this potential space (Figure 8). This approach was based on the previous finding that an increased fluid in the anterior part of the heart during supine position [60, 61]. Theoretically, the density of myocardium is heavier than and pericardial fluid. During supine position, the heart might force the pericardial fluid to the anterior part within the pericardium. Keramati et al. reported the anterior approach was successfully performed in 100% of patients in their study cohort [62]. The success rate was similar between the anterior approach and the needle in needle approach. On the other hand, the success rate of the anterior approach was higher than the traditional approach. In the report, there were no major pericardial hemorrhage and even the PV puncture. Figure 9 demonstrated the illustration of the anterior approach and posterior approach.
An illustration of anterior and posterior approach. The figure showed the X-ray from the lateral view. The green arrow indicated the anterior approach and the red arrow indicated the posterior approach. The horizontal cut of the hears from lower caudal part of the cranial part. The white arrow indicates the sequence from the lower part of the higher part. Each cut was corresponding to the horizontal while line in the X-ray.
Example of anterior approach. Anterior approach was performed successfully. The guide wire was exchanged with an 8 Fr sheath after confirming the location.
The technique of carbon dioxide insufflation was first reported with right atrial exit in human study by Greenbaum et al [63]. A modified approach with exit from the coronary sinus was reported by Silberbauer et al [64]. The pericardial space was insufflated with carbon dioxide after creating the exit, which allowing visualization of the pericardial membrane and separated membrane to the myocardium. The epicardial space with carbon dioxide allowed safe epicardial puncture and minimized the risk of RV perforation. A multi-center registry was conducted with this modified approach. There was no patient complicated with the RV puncture of coronary artery injury [65]. However, the operator needs to take care of the potential risk of bleeding from the exit site.
This approach was first described by Long et al [64] in 2019. This approach was different from traditional approach using the contrast-filled syringe to the needle. In the wire-guided approach, a J-tipped guide wire is within the needle during puncture. After advancing the needle the adjacent area of the pericardium, the wire was advanced. The wire would curve back if it reached the parietal pericardium, and the operator could feel the heart pulsations. The wire was dragged back to the needle’s tip at this point. The wire and needle were both pressed again at the same time. While the needle was traveling through the epicardium, the wire would fall into the pericardial region. The study found that this method was safe and that the success rate was comparable to that of the traditional method.
Pericardial window provides clear visualization of the epicardial myocardium and manipulation of the mapping catheter and Realtime feedback for the location of the mapping catheter cooperating with the 3-D anatomic mapping system. The operator might not able to perform percutaneous subxiphoid access in patients with pericardial adhesions. In these patients, a surgical window may be required to gain access to the pericardium. This technique involves a subxiphoid incision, followed by manual lysis of adhesions to visualize the epicardial surface. A sheath was then placed into the pericardial space after opening a small window in the pericardium [66]. This technique should be considered in patients with a prior history of cardiac surgery with dense pericardial adhesions [67].
In the prior report, the incidence of major complications was 10.0%, and that for minor complications was 17.5% [14]. Prior single and multicenter studies also reported similar findings [11, 12]. However, it is important to keep in mind that these complication rates were obtained from arrhythmia centers with an experience of epicardial approach. The surgical backup was required for potential major complications. Major complications of intra-abdominal bleeding due to vessel damage and MI owing to ablation in the adjacent area were reported [68]. Another possible cause of intra-abdominal bleeding is the liver puncture or perforation. The operator should also take care for the location of the coronary sinus. Coronary sinus puncture might occur if the puncture site is close to the base of the heart. Thus, detailed preoperative evaluations by ECG, echocardiography, and peri-operative image, especially for patients with hepatomegaly or a congested liver, may prevent the occurrence of any life-threatening complications.
RV puncture was not uncommon and it has been reported to be a minor complication with an incidence of 4. 5 ~ 7. 5% [13, 14, 68]. The RV puncture could be reduced after a learning curve. Post-procedural pericarditis was common. Prolonged and intolerable chest pain due to pericarditis might be improved by the administration of intrapericardial steroids and non-steroidal anti-inflammatory drugs. Phrenic nerve injuries and coronary artery damage could be avoided by phrenic nerve pacing and pre-ablation angiography [69, 70].
In the patient with anticoagulant, the epicardial access could be performed according to the guideline. After excluding the potential risk of adhesion, history of epicardial surgery, and complex anatomy, the procedure might be classified as a minor risk procedure in an experienced operator [71]. Therefore, the procedure could be performed at NOAC through level (12 or 24 hours after the first intake) and resume after the procedure or latest next day without active bleeding. Beside, the procedure should be better performed by experienced operator and avoid repeated RV puncture. Antidote or blood transfusion should be available in the hospital.
The need for an epicardial approach for VA ablation displayed a gradually increasing trend. The disease entity, prior surgery or ablation, electrocardiography, image study, and other diagnostic test should be carefully reviewed before the decision making. The prior studies demonstrate the effectiveness of epicardial catheter ablation with acceptable safety in experienced referral center.
This work was supported by Ministry of Science and Technology of Taiwan (109-2314-B-075 -076 -MY3), Grant of TVGH (V109B-013).
This work was contributed to the electrophysiological team in Taipei Veterans General Hospital.
The Figure 5 was contributed to the Mr. Liu, Kuan-Hong from Johnson & Johnson.
The author declares no conflict of interest.
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All published Book Chapters are licensed under a Creative Commons Attribution 3.0 Unported License. Monographs are licensed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license granted to all others. Our Copyright Policy aims to guarantee that original material is published while at the same time giving significant freedom to our Authors. IntechOpen upholds a flexible Copyright Policy meaning that there is no copyright transfer to the publisher and Authors hold exclusive copyright to their work.
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\n\n\n\nIntechOpen is committed to disseminating high-quality scientific research in a manner that exemplifies the best practice in scholarly publishing. IntechOpen is an official member of the Committee on Publication Ethics (COPE), which advocates the maintenance of the highest ethical standards for all parties involved in the act of publishing, including Authors, Academic Editors of the book, Peer Reviewers, the publisher and Societies, where applicable.
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\n\nAll scientific works are subject to Peer Review prior to publishing. IntechOpen is a member of the Committee on Publication Ethics (COPE) and all participating referees and Academic Editors are expected to review submitted scientific works in line with the COPE Ethical Guidelines for Peer Reviewers where applicable.
\n\n\n\nThe Internet has changed the dynamics of scholarly communication and publishing which is why we find it necessary to clearly indicate our stance on what we consider to be a published scientific work. A significant number of working papers, early drafts, and similar works in progress are shared openly online between members of the scientific community. It has become common practice for researchers to announce their work on a personal website or a blog in order to gather comments and suggestions from other researchers. Such works and online postings are ‘published’ in the sense that they are made publicly available, but this does not mean that if submitted for publication by IntechOpen they are not original works. We differentiate between reviewed and non-reviewed works when determining whether a work is original and has been published in a scholarly sense or not.
\n\n\n\nTo identify instances of fraud and misconduct during the publishing process, IntechOpen implements a robust policy governing such occurrences. In line with our general commitment to openness, and in order to maintain the highest scientific standards, we are committed to transparency about our editorial policy regarding retractions and corrections.
\n\n\n\nWhen faced with potential misconduct, IntechOpen accepts its responsibility to maintain the integrity of the academic record. For particularly complex cases, IntechOpen might ask for the assistance of formal industry bodies or seek advice from an appropriate team of advisors.
\n\nIntechOpen's advisors are professionals and scholars with broad knowledge and understanding of different aspects of the scientific publishing process: editorial, authorship, and reviewing roles; publication ethics, copyright, and general legal issues; as well as bibliographic and technical standards.
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\n\nIntechOpen publishes books in the English language. If you are interested in the translation of Book Chapters, please check IntechOpen's Translation Policy.
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\n\nOnline First Chapters are considered published on the day they are posted and are citable from that date.
\n\nChapters will remain listed as Online First until the final versions of the books are published online. Following publication of the full monograph, Chapters will be redirected from the Online First version and will be available only through the final link of the official published page.
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The toxic and allergic reactions of synthetic dyes are compelling the people to think about natural dyes. Natural dyes are renewable source of colouring materials. Besides textiles it has application in colouration of foods, medicine and in handicraft items. Though natural dyes are ecofriendly, protective to skin and pleasing colour to eyes, they are having very poor bonding with textile fibre materials, which necessitate mordanting with metallic mordants, some of which are not eco friendly, for fixation of natural dyes on textile fibres. So the supremacy of natural dyes is somewhat subdued. This necessitates newer research on application of natural dyes on different natural fibres for completely eco friendly textiles. The fundamentals of natural dyes chemistry and some of the important research work are therefore discussed in this review article.",book:{id:"9203",slug:"chemistry-and-technology-of-natural-and-synthetic-dyes-and-pigments",title:"Chemistry and Technology of Natural and Synthetic Dyes and Pigments",fullTitle:"Chemistry and Technology of Natural and Synthetic Dyes and Pigments"},signatures:"Virendra Kumar Gupta",authors:[{id:"305259",title:"Dr.",name:"Virendra",middleName:null,surname:"Kumar Gupta",slug:"virendra-kumar-gupta",fullName:"Virendra Kumar Gupta"}]},{id:"49647",title:"Fiber Selection for the Production of Nonwovens",slug:"fiber-selection-for-the-production-of-nonwovens",totalDownloads:10512,totalCrossrefCites:9,totalDimensionsCites:17,abstract:"The most significant feature of nonwoven fabric is made directly from fibers in a continuous production line. While manufacturing nonwovens, some conventional textile operations, such as carding, drawing, roving, spinning, weaving or knitting, are partially or completely eliminated. For this reason the choice of fiber is very important for nonwoven manufacturers. The commonly used fibers include natural fibers (cotton, jute, flax, wool), synthetic fibers (polyester (PES), polypropylene (PP), polyamide, rayon), special fibers (glass, carbon, nanofiber, bi-component, superabsorbent fibers). 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His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null},{id:"25",title:"Evolutionary Computation",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",isOpenForSubmission:!0,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. 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He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. 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He is currently a full professor in\nthe Department of Automation and Applied Informatics at the\nsame university. Dr. Voloşencu is the author of ten books, seven\nbook chapters, and more than 160 papers published in journals\nand conference proceedings. He has also edited twelve books and\nhas twenty-seven patents to his name. He is a manager of research grants, editor in\nchief and member of international journal editorial boards, a former plenary speaker, a member of scientific committees, and chair at international conferences. His\nresearch is in the fields of control systems, control of electric drives, fuzzy control\nsystems, neural network applications, fault detection and diagnosis, sensor network\napplications, monitoring of distributed parameter systems, and power ultrasound\napplications. 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