More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
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Our breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
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“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
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Additionally, each book published by IntechOpen contains original content and research findings.
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We are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
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Simba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
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IntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
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Since the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
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More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\n
Our breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n
“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\n
Additionally, each book published by IntechOpen contains original content and research findings.
\n\n
We are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
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\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:"5091",leadTitle:null,fullTitle:"Fiber Laser",title:"Fiber Laser",subtitle:null,reviewType:"peer-reviewed",abstract:"This book is a self-contained collection of scholarly papers targeting an audience of practicing researchers, academics, PhD students, and other scientists. This book describes the rapidly developing field of fiber laser technology filling the very important role of",isbn:"978-953-51-2257-9",printIsbn:null,pdfIsbn:"978-953-51-4207-2",doi:"10.5772/60690",price:139,priceEur:155,priceUsd:179,slug:"fiber-laser",numberOfPages:440,isOpenForSubmission:!1,isInWos:1,isInBkci:!0,hash:"40e5294b3b43962bb1484282ef39a569",bookSignature:"Mukul Chandra Paul",publishedDate:"March 2nd 2016",coverURL:"https://cdn.intechopen.com/books/images_new/5091.jpg",numberOfDownloads:41284,numberOfWosCitations:68,numberOfCrossrefCitations:45,numberOfCrossrefCitationsByBook:10,numberOfDimensionsCitations:84,numberOfDimensionsCitationsByBook:10,hasAltmetrics:1,numberOfTotalCitations:197,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 27th 2015",dateEndSecondStepPublish:"May 18th 2015",dateEndThirdStepPublish:"August 22nd 2015",dateEndFourthStepPublish:"November 20th 2015",dateEndFifthStepPublish:"December 20th 2015",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6,7,8",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"66454",title:"Dr.",name:"Mukul",middleName:"Chandra",surname:"Paul",slug:"mukul-paul",fullName:"Mukul Paul",profilePictureURL:"https://mts.intechopen.com/storage/users/66454/images/743_n.jpg",biography:"Dr. Mukul Chandra Paul received the M.Sc degree in Inorganic Chemistry from Burdwan University in 1989 and the Ph.D degree in the field of development of radiation sensitive fibers for evaluation of their radiation response behavior at room temperature from Central Glass and Ceramic Research Institute in 2003. Since 1997, he has been Research Scientist with the Fiber Optic Laboratory of CGCRI.\r\n\r\nHis interests have been focused mainly in the field of development of various type of optical preforms for making of specialty optical fibre based device and component. Development of gain-flattened Er doped fiber(EDF) for use in C-band optical amplifier, development of suitable photosensitive optical fibers GeO2 doped , GeO2-B2O3 doped, Cladding mode suppressed(CMS) fibers for writing Bragg-grating to be used as strain sensor, temperature sensor, gain-flattening filter etc. Another area of his research work was focused on doping of rare-earths specifically Er and Yb into different nano-crystalline hosts such as ZrO2, Y2O3 PbF2 of silica based core glass of optical preform through solution doping technique followed by MCVD process for making of fiber optic based devices such high power fiber laser, upconversion fiber laser & high power optical amplifier. \r\n\r\nIn the last five years, he was actively associated with a CSIR Networked Project on “Development of key technologies for photonics and opto-electronics†where a complete packaged Erbium Doped Fibre Amplifier (EDFA) module using our EDF has been developed with an industrial partnership of OJ Optics, Cochin. \r\n\r\nHis scientific role in the field of development of different specialty optical fibers involved selection of suitable core glass composition of the fiber to improve their desired property for which purpose can be used for making of optical fiber based components and devices. Identification of the critical parameters associated with making of different type of preforms from which specialty fibers can be drawn. Overcome of the critical parameters with proper choice of core deposition temperature, core & cladding glass compositions, suitable strength of precursors of co-dopants and collapsing condition. Standardization of the whole deposition programme after evaluation of the optical and geometrical parameters to get the exact desired parameters of the fibers. He has published more than 70 journal and International papers and 3 patents",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Central Glass and Ceramic Research Institute",institutionURL:null,country:{name:"India"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"755",title:"Photonics",slug:"electrical-and-electronic-engineering-photonics"}],chapters:[{id:"49762",title:"Self-pulsing Dynamics in Yb-doped Fiber Lasers",doi:"10.5772/62087",slug:"self-pulsing-dynamics-in-yb-doped-fiber-lasers",totalDownloads:2521,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"There is worldwide considerable interest in the study and development of high-power Yb-doped continuous wave (CW) and pulsed fiber lasers for various material processing applications. Although it appears to be trivial to generate high-power CW output from Yb-doped CW fiber lasers by pumping with high-power CW laser diodes; however, it is not so easy to generate truly CW output without amplitude modulations due to self-pulsing phenomenon. The observation of random self-pulses overriding CW output has been reported by several authors. These random self-pulses may have very high peak power to cause catastrophic damage of fiber laser components and thereby inhibit generation of high-power CW output. This chapter describes self-pulsing dynamics and its elimination in different Yb-doped CW fiber laser configurations.",signatures:"B.N. Upadhyaya",downloadPdfUrl:"/chapter/pdf-download/49762",previewPdfUrl:"/chapter/pdf-preview/49762",authors:[{id:"176778",title:"Dr.",name:"B. N.",surname:"Upadhyaya",slug:"b.-n.-upadhyaya",fullName:"B. N. Upadhyaya"}],corrections:null},{id:"49474",title:"Active Q-switched Fiber Lasers with Single and Dualwavelength Operation",doi:"10.5772/61571",slug:"active-q-switched-fiber-lasers-with-single-and-dualwavelength-operation",totalDownloads:2591,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"A brief explanation on Q-switched fiber laser operating principle for active technique in terms of operation characteristics is presented. Experimental analysis of proposed pulsed fiber lasers by the active Q-switched technique is demonstrated. Experimental setups include the use of Er/Yb doped fiber as a gain medium and an acousto-optic modulator as cavity elements. Setup variations include the use of fiber Bragg gratings for wavelength selection and tuning and Sagnac interferometer for wavelength selection in single wavelength operation and for cavity loss adjustment in dual wavelength operation. The experimental analysis of principal characteristics of single-wavelength operation of the fiber laser and cavity loss adjustment method for dual-wavelength laser operation are discussed.",signatures:"R. Iván Álvarez-Tamayo, Manuel Durán-Sánchez, Olivier Pottiez,\nBaldemar Ibarra-Escamilla, Evgeny A. Kuzin and M. Espinosa-\nMartínez",downloadPdfUrl:"/chapter/pdf-download/49474",previewPdfUrl:"/chapter/pdf-preview/49474",authors:[{id:"160257",title:"Mr.",name:"Ricardo Ivan",surname:"Alvarez Tamayo",slug:"ricardo-ivan-alvarez-tamayo",fullName:"Ricardo Ivan Alvarez Tamayo"}],corrections:null},{id:"49471",title:"Passive Q-switched and Mode-locked Fiber Lasers Using Carbon-based Saturable Absorbers",doi:"10.5772/61703",slug:"passive-q-switched-and-mode-locked-fiber-lasers-using-carbon-based-saturable-absorbers",totalDownloads:2416,totalCrossrefCites:3,totalDimensionsCites:10,hasAltmetrics:1,abstract:"This chapter aims to familiarize readers with general knowledge of passive Q-switched and mode-locked fiber lasers. It emphasizes on carbon-based saturable absorbers, namely graphene and carbon nanotubes (CNTs); their unique electronic band structures and optical characteristics. The methods of incorporating these carbon-based saturable absorbers into fiber laser cavity will also be discussed. Lastly, several examples of experiments where carbon-based saturable absorbers were used in generating passive Q-switched and mode-locked fiber lasers are demonstrated.",signatures:"Mohd Afiq Ismail, Sulaiman Wadi Harun, Harith Ahmad and Mukul\nChandra Paul",downloadPdfUrl:"/chapter/pdf-download/49471",previewPdfUrl:"/chapter/pdf-preview/49471",authors:[{id:"66454",title:"Dr.",name:"Mukul",surname:"Paul",slug:"mukul-paul",fullName:"Mukul Paul"},{id:"14201",title:"Dr.",name:"Sulaiman Wadi",surname:"Harun",slug:"sulaiman-wadi-harun",fullName:"Sulaiman Wadi Harun"},{id:"17620",title:"Prof.",name:"Harith",surname:"Ahmad",slug:"harith-ahmad",fullName:"Harith Ahmad"},{id:"176726",title:"Dr.",name:"Mohd Afiq",surname:"Bin Ismail",slug:"mohd-afiq-bin-ismail",fullName:"Mohd Afiq Bin Ismail"}],corrections:null},{id:"49653",title:"Double-scale Pulses Generated by Mode-locked Fibre Lasers and Their Applications",doi:"10.5772/61956",slug:"double-scale-pulses-generated-by-mode-locked-fibre-lasers-and-their-applications",totalDownloads:1513,totalCrossrefCites:5,totalDimensionsCites:11,hasAltmetrics:0,abstract:"This chapter presents a detailed analysis of properties of double-scale pulses (also called noise-like pulses and femtosecond clusters) generated in fibre lasers and gives an in-depth discussion of promising applications of such pulses.",signatures:"Sergey Kobtsev, Sergey Smirnov and Sergey Kukarin",downloadPdfUrl:"/chapter/pdf-download/49653",previewPdfUrl:"/chapter/pdf-preview/49653",authors:[{id:"100017",title:"Dr.",name:"Sergey",surname:"Smirnov",slug:"sergey-smirnov",fullName:"Sergey Smirnov"},{id:"100018",title:"Dr.",name:"Sergey",surname:"Kukarin",slug:"sergey-kukarin",fullName:"Sergey Kukarin"},{id:"176724",title:"D.Sc.",name:"Sergey",surname:"Kobtsev",slug:"sergey-kobtsev",fullName:"Sergey Kobtsev"}],corrections:null},{id:"49423",title:"Passively Stabilized Doubly-Resonant Brillouin Fiber Lasers",doi:"10.5772/61714",slug:"passively-stabilized-doubly-resonant-brillouin-fiber-lasers",totalDownloads:1581,totalCrossrefCites:1,totalDimensionsCites:3,hasAltmetrics:0,abstract:"We consider ultra narrow-line lasers based on doubly-resonant fiber cavities, describe experimental techniques, and present two methods for passive stabilization of single-frequency fiber Brillouin lasers. In the first approach, Brillouin fiber laser is passively stabilized at the pump resonance frequency by employing the self-injection locking phenomenon. We have demonstrated that this locking phenomenon delivers a significant narrowing of the pump laser linewidth and generates the Stokes wave with linewidth of about 0.5 kHz. In the second methodology, the fiber laser is stabilized with an adaptive dynamical grating self-organized in un-pumped Er-doped optical fiber. The laser radiates a single-frequency Stokes wave with a linewidth narrower than 100 Hz. The ring resonators of both presented lasers are simultaneously resonant for the pump and the Stokes radiations. For adjusting the double resonance at any preselected pump laser wavelength, we offer a procedure that provides a good accuracy of the final resonance peak location with ordinary measurement and cutting errors. The stable regime for both Brillouin lasers is observed during some intervals, which are interrupted by short-time jumping-intervals. The lasers’ stability can be improved by utilizing polarization-maintaining (PM) fiber configuration and a cavity protection system.",signatures:"Vasily V. Spirin, Patrice Mégret and Andrei A. Fotiadi",downloadPdfUrl:"/chapter/pdf-download/49423",previewPdfUrl:"/chapter/pdf-preview/49423",authors:[{id:"7794",title:"Dr.",name:"Vasily",surname:"Spirin",slug:"vasily-spirin",fullName:"Vasily Spirin"},{id:"107849",title:"Prof.",name:"Patrice",surname:"Mégret",slug:"patrice-megret",fullName:"Patrice Mégret"},{id:"176723",title:"Dr.",name:"Andrei",surname:"Fotiadi",slug:"andrei-fotiadi",fullName:"Andrei Fotiadi"}],corrections:null},{id:"49466",title:"Dual-Wavelength Fiber Lasers for the Optical Generation of Microwave and Terahertz Radiation",doi:"10.5772/61690",slug:"dual-wavelength-fiber-lasers-for-the-optical-generation-of-microwave-and-terahertz-radiation",totalDownloads:2113,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Dual-Wavelength Fiber Lasers (DWFLs), which provide a simple and cost-effective approach for the optical generation of Microwave (MHz) and Terahertz (THz) radiation. The emphasis of this review is to trace the early development of DWFLs, including the issues and limitations faced by the various gain media right to the latest advancements in this field as well as their roles in generating the desired output. This review covers both the simple approaches of narrow-band filters and comb filters for microwave radiation generation, as well as the use of DWFLs with diethylaminosulfurtetrafluoride or LiNbO3 crystals for generating THz radiation.",signatures:"Kavintheran Thambiratnam, Harith Ahmad and Mukul C. Paul",downloadPdfUrl:"/chapter/pdf-download/49466",previewPdfUrl:"/chapter/pdf-preview/49466",authors:[{id:"66454",title:"Dr.",name:"Mukul",surname:"Paul",slug:"mukul-paul",fullName:"Mukul Paul"},{id:"17620",title:"Prof.",name:"Harith",surname:"Ahmad",slug:"harith-ahmad",fullName:"Harith Ahmad"},{id:"176653",title:"Dr.",name:"Kavintheran",surname:"Thambiratnam",slug:"kavintheran-thambiratnam",fullName:"Kavintheran Thambiratnam"}],corrections:null},{id:"49738",title:"Tunable Single-, Dual- and Multi-wavelength Fibre Lasers by Using Twin Core Fibre-based Filters",doi:"10.5772/62097",slug:"tunable-single-dual-and-multi-wavelength-fibre-lasers-by-using-twin-core-fibre-based-filters",totalDownloads:1816,totalCrossrefCites:2,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Tunable fibre lasers draw intensive attention because their emission wavelength can be systematically tuned within a certain spectral range, which allows using a single laser source instead of several sources. This is convenient and cost-effective for many applications in a range of fields, such as telecom, material processing, microscopy, medicine and imaging and so on. The laser wavelength can be tuned in a certain range of wavelength by inserting wavelength-selective elements into the laser’s optical cavity. This chapter describes the twin core fibre (TCF)-based filters, which work as the wavelength-selective element. They are introduced into the ring cavity to implement tunable single-, dual- and multi-wavelength fibre lasers. First, we deduced the coupled-mode theory of TCF-based filter. Second, we experimentally and numerically characterized the optical properties of TCF-based filters including free spectral range, polarization dependence, strain effect and bending effect. Finally, we investigated three tunable fibre lasers which operate at single-, dual- and multi-wavelengths, respectively. The operation mechanism of the fibre lasers mainly involved the elastic-optic effect, polarization hole burning effect and non-linear optical loop mirror. We emphasized the tuning mechanism and the tuning characteristics of the tunable fibre lasers.",signatures:"Guolu Yin, Xin Wang, Shuqin Lou and Yiping Wang",downloadPdfUrl:"/chapter/pdf-download/49738",previewPdfUrl:"/chapter/pdf-preview/49738",authors:[{id:"151586",title:"Dr.",name:"Yiping",surname:"Wang",slug:"yiping-wang",fullName:"Yiping Wang"},{id:"176725",title:"Dr.",name:"Guolu",surname:"Yin",slug:"guolu-yin",fullName:"Guolu Yin"},{id:"179141",title:"BSc.",name:"Xin",surname:"Wang",slug:"xin-wang",fullName:"Xin Wang"},{id:"179142",title:"Prof.",name:"Shuqin",surname:"Lou",slug:"shuqin-lou",fullName:"Shuqin Lou"}],corrections:null},{id:"49435",title:"Utilization of Reflective Semiconductor Optical Amplifier (RSOA) for Multiwavelength and Wavelength-Tunable Fiber Lasers",doi:"10.5772/61752",slug:"utilization-of-reflective-semiconductor-optical-amplifier-rsoa-for-multiwavelength-and-wavelength-tu",totalDownloads:1952,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"In this chapter, there are three sections to demonstrate the reflective semiconductor optical amplifier (RSOA)-based fiber laser architectures for multiwavelength and wavelength-tunable operations. In the first section, we introduce an L-band multiwavelength laser by utilizing a C-band RSOA with a linear cavity, which is produced by a polarization controller (PC), an optical coupler (OCP), and a reflected fiber mirror (RFM). In the proposed RSOA laser scheme, two to seven wavelengths could be lased and created simultaneously in the L-band range, while the RSOA operates at various bias currents.",signatures:"Yeh Chien-Hung and Chow Chi-Wai",downloadPdfUrl:"/chapter/pdf-download/49435",previewPdfUrl:"/chapter/pdf-preview/49435",authors:[{id:"106255",title:"Prof.",name:"Chien-Hung",surname:"Yeh",slug:"chien-hung-yeh",fullName:"Chien-Hung Yeh"}],corrections:null},{id:"49530",title:"Dissipative Solitons in Fibre Lasers",doi:"10.5772/61713",slug:"dissipative-solitons-in-fibre-lasers",totalDownloads:1975,totalCrossrefCites:2,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Interdisciplinary concept of dissipative soliton is unfolded in connection with ultrafast fibre lasers. The different mode-locking techniques as well as experimental realizations of dissipative soliton fibre lasers are surveyed briefly with an emphasis on their energy scalability. Basic topics of the dissipative soliton theory are elucidated in connection with concepts of energy scalability and stability. It is shown that the parametric space of dissipative soliton has reduced dimension and comparatively simple structure that simplifies the analysis and optimization of ultrafast fibre lasers. The main destabilization scenarios are described and the limits of energy scalability are connected with impact of optical turbulence and stimulated Raman scattering. The fast and slow dynamics of vector dissipative solitons are exposed.",signatures:"Vladimir L. Kalashnikov and Sergey V. Sergeyev",downloadPdfUrl:"/chapter/pdf-download/49530",previewPdfUrl:"/chapter/pdf-preview/49530",authors:[{id:"176576",title:"Dr.",name:"Vladimir",surname:"Kalashnikov",slug:"vladimir-kalashnikov",fullName:"Vladimir Kalashnikov"},{id:"177719",title:"Dr.",name:"Sergey",surname:"Sergeyev",slug:"sergey-sergeyev",fullName:"Sergey Sergeyev"}],corrections:null},{id:"49681",title:"Fiber-laser-generated Noise-like Pulses and Their Applications",doi:"10.5772/61856",slug:"fiber-laser-generated-noise-like-pulses-and-their-applications",totalDownloads:2902,totalCrossrefCites:4,totalDimensionsCites:6,hasAltmetrics:0,abstract:"We describe generation and amplification of medium- and high-energy noise-like pulses (NLPs) using Yb-doped optical fibers. We also demonstrate supercontinuum (SC) generation techniques in which NLPs serve as the pump. SC pumped by NLPs has been employed successfully in optical coherence tomography systems.",signatures:"Ci-Ling Pan, Alexey Zaytsev, Yi-Jing You and Chih-Hsuan Lin",downloadPdfUrl:"/chapter/pdf-download/49681",previewPdfUrl:"/chapter/pdf-preview/49681",authors:[{id:"3341",title:"Prof.",name:"Ci-Ling",surname:"Pan",slug:"ci-ling-pan",fullName:"Ci-Ling Pan"},{id:"177838",title:"Dr.",name:"Alexey",surname:"Zaystev",slug:"alexey-zaystev",fullName:"Alexey Zaystev"},{id:"177839",title:"Ph.D. Student",name:"Yi-Jing",surname:"You",slug:"yi-jing-you",fullName:"Yi-Jing You"},{id:"177840",title:"Dr.",name:"Chih-Hsuan",surname:"Lin",slug:"chih-hsuan-lin",fullName:"Chih-Hsuan Lin"}],corrections:null},{id:"49456",title:"45°-Tilted Fiber Gratings and Their Application in Ultrafast Fiber Lasers",doi:"10.5772/61739",slug:"45-tilted-fiber-gratings-and-their-application-in-ultrafast-fiber-lasers",totalDownloads:2084,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"This chapter reviews the recentachievements of 45°-tilted fiber gratings (45°-TFGs) in all fiber laser systems, including the theory, fabrication, and characterization of 45° TFGs and 45° TFG-based ultrafast fiber laser systems working in different operating regimes at the wavelength of 1 µm, 1.5 µm, and 2 µm.",signatures:"Zhijun Yan, Chengbo Mou, Yishan Wang, Jianfeng Li, Zuxing Zhang,\nXianglian Liu, Kaiming Zhou and Lin Zhang",downloadPdfUrl:"/chapter/pdf-download/49456",previewPdfUrl:"/chapter/pdf-preview/49456",authors:[{id:"169900",title:"Dr.",name:"Kaiming",surname:"Zhou",slug:"kaiming-zhou",fullName:"Kaiming Zhou"},{id:"169901",title:"Dr.",name:"Lin",surname:"Zhang",slug:"lin-zhang",fullName:"Lin Zhang"},{id:"176761",title:"Dr.",name:"Zhijun",surname:"Yan",slug:"zhijun-yan",fullName:"Zhijun Yan"},{id:"177699",title:"Dr.",name:"Chengbo",surname:"Mou",slug:"chengbo-mou",fullName:"Chengbo Mou"},{id:"177700",title:"Prof.",name:"Yishan",surname:"Wang",slug:"yishan-wang",fullName:"Yishan Wang"},{id:"177701",title:"Dr.",name:"Jianfeng",surname:"Li",slug:"jianfeng-li",fullName:"Jianfeng Li"},{id:"177702",title:"Dr.",name:"Zuxing",surname:"Zhang",slug:"zuxing-zhang",fullName:"Zuxing Zhang"},{id:"177703",title:"Dr.",name:"Xianglian",surname:"Liu",slug:"xianglian-liu",fullName:"Xianglian Liu"}],corrections:null},{id:"49610",title:"Numerical Simulation of Fiber Laser Operated in Passively QSwitched and Mode-Locked Regimes",doi:"10.5772/61882",slug:"numerical-simulation-of-fiber-laser-operated-in-passively-qswitched-and-mode-locked-regimes",totalDownloads:2314,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The aim of this chapter is to highlight the role of simulation methods as tools for analysis of low and medium average power fiber laser operated in passively Q-switched and/or mode-locking regimes into the design of various applications such as materials micro-processing of sensor applications. The chapter’s purpose consists in making available to specialists in the field of lasers, electro-optics and even nano-photonics improved procedures for designing high-accuracy remote sensors dedicated to large range of laboratory, industrial and military applications. The reason that this chapter deals with passive optical Q-switching and mode-locking techniques tailored for fiber lasers is the high percentage of sensing devices operating in this regime. Numerical simulation results obtained for this class of laser emitters can be used for other types of lasers, such as optical fiber lasers. There are briefly presented the two main mathematical methods used to analyze solid laser oscillators in passive optical Q-switching regime: the coupled rate equations approach and the iterative approach. The validation of the presented numerical simulation methods is done by comparison with experimental results.",signatures:"Sorin Miclos, Dan Savastru, Roxana Savastru and Ion Lancranjan",downloadPdfUrl:"/chapter/pdf-download/49610",previewPdfUrl:"/chapter/pdf-preview/49610",authors:[{id:"149668",title:"MSc.",name:"Ion",surname:"Lancranjan",slug:"ion-lancranjan",fullName:"Ion Lancranjan"},{id:"176874",title:"Dr.",name:"Dan",surname:"Savastru",slug:"dan-savastru",fullName:"Dan Savastru"},{id:"178991",title:"Dr.",name:"Roxana",surname:"Savastru",slug:"roxana-savastru",fullName:"Roxana Savastru"},{id:"178994",title:"MSc.",name:"Sorin",surname:"Miclos",slug:"sorin-miclos",fullName:"Sorin Miclos"}],corrections:null},{id:"49810",title:"Gain Saturation in Optical Fiber Laser Amplifiers",doi:"10.5772/62136",slug:"gain-saturation-in-optical-fiber-laser-amplifiers",totalDownloads:2784,totalCrossrefCites:4,totalDimensionsCites:5,hasAltmetrics:0,abstract:"This chapter describes the determination of amplifying parameters in rare–earth–doped optical fiber laser amplifiers. In the context of this review, the system will be analyzed under both continuous–wave (CW) and pulse conditions. A comprehensive analysis has been implemented using the set of coupled propagation rate equations based on the atomic energy structure of dopant as well as the absorption and emission cross sections.",signatures:"Maryam Eilchi and Parviz Parvin",downloadPdfUrl:"/chapter/pdf-download/49810",previewPdfUrl:"/chapter/pdf-preview/49810",authors:[{id:"11130",title:"Prof.",name:"Parviz",surname:"Parvin",slug:"parviz-parvin",fullName:"Parviz Parvin"},{id:"176583",title:"Dr.",name:"Maryam",surname:"Eilchi",slug:"maryam-eilchi",fullName:"Maryam Eilchi"}],corrections:null},{id:"49749",title:"Heat Generation and Removal in Fiber Lasers",doi:"10.5772/62102",slug:"heat-generation-and-removal-in-fiber-lasers",totalDownloads:2240,totalCrossrefCites:2,totalDimensionsCites:5,hasAltmetrics:0,abstract:"The present chapter looks at heat generation and heat removal in fiber lasers, particularly if high–power or high–energy operation is required. In the context of the review, for the purpose of calculation of heat dissipation for different parts of the active gain media and providing effective cooling procedures, thermal loading as well as longitudinal and transverse temperature profiles of dual–clad fibers are comprehensively investigated both inside and outside of the doped fiber core. Considering numerical analysis, the heat deposited in the fiber due to pump and laser power is determined via the steady–state equations and also transient conductive, convective, as well as radiative heat transfer equations. Besides this, important features regarding how to mitigate thermal effects are stated. On the other hand, we will show that chilling mechanisms are very efficient methods for dissipating heat which is extensively adopted in high–power regimes. Finally, the concept of a cryogenic laser is discussed after propounding a novel cooling system, namely the dry–ice chiller.",signatures:"Maryam Eilchi and Parviz Parvin",downloadPdfUrl:"/chapter/pdf-download/49749",previewPdfUrl:"/chapter/pdf-preview/49749",authors:[{id:"11130",title:"Prof.",name:"Parviz",surname:"Parvin",slug:"parviz-parvin",fullName:"Parviz Parvin"},{id:"176583",title:"Dr.",name:"Maryam",surname:"Eilchi",slug:"maryam-eilchi",fullName:"Maryam Eilchi"}],corrections:null},{id:"49955",title:"Computational Dynamics of Anti-Corrosion Performance of Laser Alloyed Metallic Materials",doi:"10.5772/62334",slug:"computational-dynamics-of-anti-corrosion-performance-of-laser-alloyed-metallic-materials",totalDownloads:2081,totalCrossrefCites:4,totalDimensionsCites:5,hasAltmetrics:0,abstract:"Laser surface alloying (LSA) is a material processing technique that utilizes the high power density available from defocused laser beam to melt both reinforcement powders and a part of the underlying substrate. Because melting occurs solitary at the surface, large temperature gradients exist across the boundary between the underlying solid substrate and the melted surface region, which results in rapid self-quenching and resolidifications. Reinforcement powders are deposited in the molten pool of the substrate to produce corrosion-resistant coatings. These processes influence the structure and properties of the alloyed region. A 3D mathematical model is developed to obtain insights on the behavior of laser melted pools subjected to various process parameters. It is expected that the melt pool flow, thermal and solidification characteristics will have a profound effect on the microstructure of the solidified region.",signatures:"Olawale S. Fatoba, Patricia A.I. Popoola, Sisa L. Pityana and\nOlanrewaju S. Adesina",downloadPdfUrl:"/chapter/pdf-download/49955",previewPdfUrl:"/chapter/pdf-preview/49955",authors:[{id:"169258",title:"Dr.",name:"Patricia",surname:"Popoola",slug:"patricia-popoola",fullName:"Patricia Popoola"},{id:"176884",title:"Mr.",name:"Olanrewaju",surname:"Adesina",slug:"olanrewaju-adesina",fullName:"Olanrewaju Adesina"},{id:"176885",title:"Dr.",name:"Olawale",surname:"Fatoba",slug:"olawale-fatoba",fullName:"Olawale Fatoba"},{id:"176896",title:"Dr.",name:"Sisa",surname:"Pityana",slug:"sisa-pityana",fullName:"Sisa Pityana"}],corrections:null},{id:"49426",title:"Laser Surface Modification — A Focus on the Wear Degradation of Titanium Alloy",doi:"10.5772/61737",slug:"laser-surface-modification-a-focus-on-the-wear-degradation-of-titanium-alloy",totalDownloads:2457,totalCrossrefCites:10,totalDimensionsCites:13,hasAltmetrics:0,abstract:"Over the years, engineering materials are being developed due to the need for better service performance. Wear, a common phenomenon in applications requiring surface interaction, leads to catastrophic failure of materials in the industry. Hence, preventing this form of degradation requires the selection of an appropriate surface modification technique. Laser surface modification techniques have been established by researchers to improve mechanical and tribological properties of materials. In this chapter, adequate knowledge about laser surface cladding and its processing parameters coupled with the oxidation, wear and corrosion performances of laser-modified titanium has been reviewed.",signatures:"Olanrewaju Adesina, Patricia Popoola and Olawale Fatoba",downloadPdfUrl:"/chapter/pdf-download/49426",previewPdfUrl:"/chapter/pdf-preview/49426",authors:[{id:"169258",title:"Dr.",name:"Patricia",surname:"Popoola",slug:"patricia-popoola",fullName:"Patricia Popoola"},{id:"176884",title:"Mr.",name:"Olanrewaju",surname:"Adesina",slug:"olanrewaju-adesina",fullName:"Olanrewaju Adesina"},{id:"176885",title:"Dr.",name:"Olawale",surname:"Fatoba",slug:"olawale-fatoba",fullName:"Olawale Fatoba"}],corrections:null},{id:"49536",title:"Laser Engineering Net Shaping Method in the Area of Development of Functionally Graded Materials (FGMs) for Aero Engine Applications - A Review",doi:"10.5772/61711",slug:"laser-engineering-net-shaping-method-in-the-area-of-development-of-functionally-graded-materials-fgm",totalDownloads:2204,totalCrossrefCites:4,totalDimensionsCites:14,hasAltmetrics:0,abstract:"Modern aero engine components are subjected to extreme conditions were high wear rate, excessive fatigue cycles, and severe thermal attack are inevitable. These aggressive conditions reduce the service life of components. Its generic effect is magnified in the light of understanding the fact that aero engine parts are highly sensitive to functional and dimensional precision; therefore, repair and replacement are great factors that promote downtime during operation. Hard thermal barrier coatings have been used in recent times due to their optimized properties for maximum load bearing proficiency with high temperature capability to meet performance and durability required. Nevertheless, less emphasis is being given to the coating-substrate interaction. Functionally graded structures have better synergy and flexibility in composition than coatings, giving rise to controlled microstructure and improved properties in withstanding acute state of affairs. Such materials can be fabricated using Laser Engineered Net Shaping (LENS™), a laser-based additive manufacturing technique. LENS™ offers a great deal in rapid prototyping, repair, and fabrication of three-dimensional dense structures with superior properties in comparison with traditionally fabricated structures. The manufacture of aero engine components with functionally graded materials, using LENS™, can absolutely mitigate the nuisance of buy-to-fly ratio, lost time in repair and maintenance, and maximize controlled dimension and multi-geometric properties, enhanced wear resistance, and high temperature strength. This review presents an extensive contribution in terms of insightful understanding of processing parameters and their interactions on fabrication of functionally graded stainless steel, which definitely influence the final product quality.",signatures:"Patricia Popoola, Gabriel Farotade, Olawale Fatoba and Olawale\nPopoola",downloadPdfUrl:"/chapter/pdf-download/49536",previewPdfUrl:"/chapter/pdf-preview/49536",authors:[{id:"169258",title:"Dr.",name:"Patricia",surname:"Popoola",slug:"patricia-popoola",fullName:"Patricia Popoola"},{id:"176885",title:"Dr.",name:"Olawale",surname:"Fatoba",slug:"olawale-fatoba",fullName:"Olawale Fatoba"},{id:"177716",title:"Dr.",name:"Olawale",surname:"Popoola",slug:"olawale-popoola",fullName:"Olawale Popoola"},{id:"177717",title:"Mr.",name:"Gabriel",surname:"Farotade",slug:"gabriel-farotade",fullName:"Gabriel Farotade"}],corrections:null},{id:"49687",title:"Fiber Lasers in Material Processing",doi:"10.5772/62014",slug:"fiber-lasers-in-material-processing",totalDownloads:3744,totalCrossrefCites:2,totalDimensionsCites:4,hasAltmetrics:0,abstract:"The economic aspects of laser usage in manufacturing that form important criteria in the choice of a suitable laser system for thick-section metal cutting include: high processing speeds, high processing depths, high cut edge quality, and high wall-pug efficiency of the laser system. Consequently, the performance of the high brightness ytterbium fiber laser system in thick-section metal cutting is evaluated based on the maximum achievable cutting speeds, maximum cutting depths possible, and cut edge quality attainable. The maximum processing speeds, maximum processing depths, and resulting cut edge quality are governed by a number of parameters related to the laser system, workpiece specification, and the cutting process. The effects of the processing parameters in the cutting of thick-section stainless steel and mild steel and medium-section aluminium have been reported; optimization of the processing parameters for enhancement of the cut edge quality has been discussed.",signatures:"Catherine Wandera",downloadPdfUrl:"/chapter/pdf-download/49687",previewPdfUrl:"/chapter/pdf-preview/49687",authors:[{id:"176766",title:"Dr.",name:"Catherine",surname:"Wandera",slug:"catherine-wandera",fullName:"Catherine Wandera"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"1503",title:"Photonic Crystals",subtitle:"Introduction, Applications and Theory",isOpenForSubmission:!1,hash:"0a8d7b891f71e1ebc405cb2b3b0ee381",slug:"photonic-crystals-introduction-applications-and-theory",bookSignature:"Alessandro Massaro",coverURL:"https://cdn.intechopen.com/books/images_new/1503.jpg",editedByType:"Edited by",editors:[{id:"89960",title:"Dr.",name:"Alessandro",surname:"Massaro",slug:"alessandro-massaro",fullName:"Alessandro Massaro"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7310",title:"Advances in Photodetectors",subtitle:"Research and Applications",isOpenForSubmission:!1,hash:"06c22478e66a3ad195c384bc36c78f8e",slug:"advances-in-photodetectors-research-and-applications",bookSignature:"Kuan Chee",coverURL:"https://cdn.intechopen.com/books/images_new/7310.jpg",editedByType:"Edited by",editors:[{id:"206271",title:"Prof.",name:"Kuan",surname:"Chee",slug:"kuan-chee",fullName:"Kuan Chee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10459",title:"Light-Emitting Diodes and Photodetectors",subtitle:"Advances and Future Directions",isOpenForSubmission:!1,hash:"3e9039cfb58370a6596abf61dfaf4973",slug:"light-emitting-diodes-and-photodetectors-advances-and-future-directions",bookSignature:"Maurizio Casalino and Jagannathan Thirumalai",coverURL:"https://cdn.intechopen.com/books/images_new/10459.jpg",editedByType:"Edited by",editors:[{id:"106767",title:"Dr.",name:"Maurizio",surname:"Casalino",slug:"maurizio-casalino",fullName:"Maurizio Casalino"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. 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\r\n\tThis book should describe in detail sound propagation, process, and characteristics, hearing, and process of speech communication, sound absorption, noise acceptance, the fundamental process of acoustic and how the workplace can be designed to control the surrounding sound and its effects on workers. Use theory and possible practical application to drive the knowledge from human involvement in workplace activities to any possible risk of health and safety hazards of the job.
",isbn:"978-1-80356-651-1",printIsbn:"978-1-80356-650-4",pdfIsbn:"978-1-80356-652-8",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"769f942393275479acca64e4f4fea958",bookSignature:"Dr. Bankole Kolawole Fasanya and Dr. Sridhar Krishnamurti",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11518.jpg",keywords:"Frequency, Sound Power, Absorption, Noise, Soundproof, Reflection, Inverse Square, Perception, Signal, Background Noise, Building, Noise Barrier",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"March 18th 2022",dateEndSecondStepPublish:"May 26th 2022",dateEndThirdStepPublish:"July 25th 2022",dateEndFourthStepPublish:"October 13th 2022",dateEndFifthStepPublish:"December 12th 2022",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"a month",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Dr. Fasanya is an Assistant Professor at Purdue University, USA. Prior to his current position, he has worked in different capacities with different institutions: Senior research associate (Auditory Protection and Prevention - US Army Aeromedical Research Laboratory, Adjunct Assistant Professor-NCAT, Facilities Engineer MVA, etc). Dr. Fasanya holds a Ph.D. in Industrial and systems engineering with a specialization in ergonomics and human factors.",coeditorOneBiosketch:"Dr. Sridhar Krishnamurti is a Professor and Program Director of Audiology at Auburn University. Sridhar has\r\nauthored a book, journal articles, and book chapters in Audiology and Hearing Conservation. He\r\nis a recipient of several Research grant awards, including the 1999 New Investigator Research\r\nAward from the American Academy of Audiology and the 2011 Auburn University Alumni\r\nUndergraduate Teaching Excellence and 2012 Auburn University Faculty Research Awards.",coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"214494",title:"Dr.",name:"Bankole",middleName:"Kolawole",surname:"Fasanya",slug:"bankole-fasanya",fullName:"Bankole Fasanya",profilePictureURL:"https://mts.intechopen.com/storage/users/214494/images/system/214494.jpg",biography:"Bankole K. Fasanya received a BSc in Mechanical Engineering in 1999 from The Polytechnic Ibadan, Nigeria, his Master’s degree in Industrial and Systems Engineering from Morgan State University, Maryland, USA and his doctorate degree in Industrial and Systems Engineering specialized in ergonomics and human factors from North Carolina Agricultural and Technical State University, USA. His research focuses on human and environmental safety, ergonomics and human factors, auditory prevention and protection and noise assessment and control at workplaces. Dr. Fasanya is currently an assistant professor at Purdue University Northwest in Indiana, USA. He currently serves as one of the executive members of the American Hearing Conservative Association (NHCA). He is an OSHA-Authorized general industry safety train the trainer and a certified occupational hearing conservationist (COHC).",institutionString:"Purdue University Northwest",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Purdue University Northwest",institutionURL:null,country:{name:"United States of America"}}}],coeditorOne:{id:"466252",title:"Dr.",name:"Sridhar",middleName:null,surname:"Krishnamurti",slug:"sridhar-krishnamurti",fullName:"Sridhar Krishnamurti",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003RKaOOQA1/Profile_Picture_2022-04-08T11:15:28.jpg",biography:"Dr. Sridhar Krishnamurti is a Professor and Program Director of Audiology at Auburn University.\r\nHe has served on the research grants review panel for several agencies and journals including\r\nAlzheimer’s Association, DOD Hearing Restoration Research, Ear and Hearing, American\r\nJournal of Public Health, and Journal of the American Academy of Audiology. Sridhar\r\nKrishnamurti has served as the past-continuing education administrator for Audiology Special\r\nInterest Divisions 6-9 and a Fellow of the American Academy of Audiology. Sridhar has\r\nauthored a book, journal articles, and book chapters in Audiology and Hearing Conservation. He\r\nis a recipient of several Research grant awards, including the 1999 New Investigator Research\r\nAward from the American Academy of Audiology and the 2011 Auburn University Alumni\r\nUndergraduate Teaching Excellence and 2012 Auburn University Faculty Research Awards.\r\nSridhar is currently President of the Council of Au.D Programs and an Executive Council member\r\nfor the National Hearing Conservation Association. His research has been funded by Oak Ridge\r\nAssociated Universities (ORISE) program and CDC-NIOSH.",institutionString:"Auburn University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Auburn University",institutionURL:null,country:{name:"United States of America"}}},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"11",title:"Engineering",slug:"engineering"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"429342",firstName:"Zrinka",lastName:"Tomicic",middleName:null,title:"Ms.",imageUrl:"https://mts.intechopen.com/storage/users/429342/images/20008_n.jpg",email:"zrinka@intechopen.com",biography:"As an Author Service Manager, my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. Whether that be identifying an exceptional author and proposing an editorship collaboration, or contacting researchers who would like the opportunity to work with IntechOpen, I establish and help manage author and editor acquisition and contact."}},relatedBooks:[{type:"book",id:"7620",title:"Safety and Health for Workers",subtitle:"Research and Practical Perspective",isOpenForSubmission:!1,hash:"1233909d682e2cced428e1042fd40ad4",slug:"safety-and-health-for-workers-research-and-practical-perspective",bookSignature:"Bankole Fasanya",coverURL:"https://cdn.intechopen.com/books/images_new/7620.jpg",editedByType:"Edited by",editors:[{id:"214494",title:"Dr.",name:"Bankole",surname:"Fasanya",slug:"bankole-fasanya",fullName:"Bankole Fasanya"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10198",title:"Response Surface Methodology in Engineering Science",subtitle:null,isOpenForSubmission:!1,hash:"1942bec30d40572f519327ca7a6d7aae",slug:"response-surface-methodology-in-engineering-science",bookSignature:"Palanikumar Kayaroganam",coverURL:"https://cdn.intechopen.com/books/images_new/10198.jpg",editedByType:"Edited by",editors:[{id:"321730",title:"Prof.",name:"Palanikumar",surname:"Kayaroganam",slug:"palanikumar-kayaroganam",fullName:"Palanikumar Kayaroganam"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. 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1. Introduction
Artificial insemination (AI) is the manual transfer of semen into the female’s vagina. Basically it is a two step procedure: first, collecting semen from the male [1]; and second, inseminating the semen into the female [2]. In poultry, depending on the objectives and goals of the farm or laboratory, there may be intervening steps such as semen dilution, storage, and evaluation.
Artificial insemination is practiced extensively with commercial turkeys. This is primarily the result of selective breeding for a heavier and broader-breasted commercial turkey and the consequent inability of toms to consistently transfer semen to the hen at copulation. The broiler industry has not adapted AI to the extent of the turkey industry but it is occasionally used in pedigree lines and in regions where labor is relatively cheap.
To grasp the magnitude of AI in the turkey industry compared to that of livestock, a hypothetical flock of 500 breeder hens inseminated with 100 μL of diluted semen (1:1) twice the week before the onset of egg production and once weekly thereafter for the 24 wk of egg production would entail 13,000 inseminations using 650 mL of semen. It should be apparent with these numbers, semen collection and hen inseminations are labor intensive as each male and female must be handled each week.
Looking back over the use of AI in the turkey industry one can safely say that in the 1960s, weekly inseminations were based on semen volume per dose using undiluted semen. In the 1970s and early 1980s, breeder farms began to dilute semen and inseminate a known number of sperm per dose. In the mid-1980s through the 1990s, hens were initially inseminated a week before the onset of lay and inseminations were performed with a known number of ‘viable’ sperm. Currently, while inseminating before the onset of egg production remains widely practiced, most companies, but not all [3], have gone back to inseminating a known volume of semen or number of sperm per dose, in the 1970s and 1980s.
In the following chapter we will review the basics of AI and fertility evaluation in poultry. To better appreciate the biological basis of these techniques, an overview of the reproductive biology of poultry is provided. Detailed descriptions of techniques for the collection, evaluation, dilution, and storage of poultry semen are available in a recent publication by Bakst and Long [4]. Earlier comprehensive reviews include Lake and Stewart [5], Bakst and Wishart [6], and Bakst and Cecil [7].
2. Reproductive biology of poultry
This section will introduce to some and review for others the strategy of avian reproduction with emphasis on the hen. For more comprehensive reviews on reproduction in the avian male and female see Jamieson [8].
2.1. Overview
The goal of AI is to produce a succession of fertilized eggs between successive inseminations. To accomplish this, weekly inseminations must replenish the sperm population in the uterovaginal junction (UVJ) sperm storage tubules (SSTs). Birds do not have an estrous cycle that synchronizes copulation with ovulation. Alternatively, about 7-10 days before their first ovulation, hens mate, sperm ascend the vagina and then enter the SSTs. At the onset of egg production, individual sperm are slowly released from the SSTs, transported to the anterior end of the oviduct, and interact with the surface of the ovum (see [9-10] for recent reviews). Whether fertilized or not, over the next 24-26 hr the ovum is transported though the oviduct, accruing the outer perivitelline layer (PL) in the infundibulum, the albumen in the magnum, the shell membrane in the isthmus, and the hard shell in the uterus (also referred to as the shell gland) before oviposition. If fertilized, the blastoderm in the first laid egg consists of 40,000-60,000 cells in the turkey and 80,000-100,000 cells in the chicken.
Ovary: In the hen only the left ovary and oviduct become functional organs. About 2-3 wk before the onset of lay, small (less than 1 mm in diameter) white-yolk follicles begin to accumulate yellow yolk with some being recruited into a hierarchy of maturing yellow-yolk follicles (Figure 1). At the time of ovulation, the largest follicle, designated as F1, is ovulated. About 17 days were necessary for the 1 mm diameter white yolk follicle to mature to a pre-ovulatory 40 mm diameter yellow yolk follicle [11]. After the F1 follicle is ovulated, the next largest follicle, formerly designated F2, becomes the F1 follicle and will ovulate at the beginning of the next daily “ovulatory cycle” in 24-26 hr.
Figure 1.
The ovary and oviduct of a turkey hen in egg production occupy much of the abdominal cavity. The ovarian follicular hierarchy consisting of ovarian follicles at various stages of develop (7 maturing follicles visible in this photograph) is observed. The largest follicle, F1 follicle is the next to ovulate. The ovum ovulated about 10 hr earlier has accrued albumen in the magnum (m), a shell membrane in the isthmus, and is observed in the uterus (ut) undergoing shell formation. Its post-ovulatory follicular sheath (POF) appears as an open pocket. The vagina (distal to the uterus and not visible) is embedded in connective tissue and enveloped by the abdominal fat pad.
The follicular sheath surrounding the maturing oocyte consists of histologically distinct concentric layers of cells: the outer serosa (germinal epithelium); the theca externa, which forms the greatest portion of the follicle wall, provides structural support to the follicle and has steriodogenic cells; the theca interna, a highly vascularized layer, which like the theca externa has steroid-producing cells (both thecal layers synthesize androgens and estrogens); and, the granulosa cell layer, enveloping the oocyte, which is responsible for progesterone secretion and the synthesis of the inner PL. The inner PL is homologous to the mammalian zona pellucida and is a fibrous reticulum about 2 μm thick. At ovulation, only the inner PL envelops the ovum. While there is no corpus luteum formation in birds, the thecal layers and the granulosa of the post-ovulatory follicle (POF) produce prostaglandins [12] and progesterone, respectively [13-16] then regress over the next 72 hr. The POF has a pocket like appearance after ovulation (Figure 1). On the surface of the inner PL overlying the germinal disc (GD), which is a 3.5 mm diameter disc of white yolk containing the haploid pronucleus and associated organelles, are sperm receptors. Sperm bind to the receptors overlying the GD, hydrolyze a path through the inner PL, and are incorporated into the ovum. Polyspermy is normal in birds but only one sperm in apposition to the female pronucleus undergoes nuclear decondensation and initiates syngamy, the reconstitution of the diploid number of chromosomes.
2.2. Oviduct
The mature oviduct consists of five anatomically and functionally distinct segments (Figures 1 and 2): the infundibulum, which secretes an albumen-like product that forms the outer PL and prevents pathological polyspermy; the magnum, responsible for deposition of the albumen proteins; the isthmus, which forms the shell membrane; the uterus (also referred to as the shell gland), a pocket-like structure that elaborates the hard-shell; and, the vagina, which is a conduit between the uterus and cloaca for the egg-mass at oviposition and is responsible for sperm selection and storage following semen transfer. Interestingly, when the vagina and uterus are excised and fixed in toto and the connective tissue surrounding the vagina subsequently removed, the vagina appears as a coiled segment (Figure 3) [10]. This anatomy explains the resistance one feels when performing a vaginal insemination with a straw regardless of the presence or absence of an egg mass in the uterus. If inseminating a hen within 30 min after oviposition, the connective tissue around the vagina and the smooth muscle composing the vaginal wall are flaccid. Venting (exteriorizing the vagina for placement of the inseminating straw) at this time may induce a partial prolapse leading to a deep insemination (closer to the UVJ) and the forfeiture of sperm selection by the vagina. Such deep inseminations are associated with high embryo mortality, possibly due to pathological polyspermy.
The surface mucosa of each segment of the oviduct is lined with parallel, gently spiraling folds along the longitudinal axis. The surface epithelium lining the luminal mucosa contains varying proportions of secretory and ciliated cells. All segments except the fimbriated region of the infundibulum and the vagina possess sub-epithelial tubular glands that secrete components used in egg formation [17]. However, the anterior 2-3 cm of the vagina, an area referred to as the UVJ (Figure 3), contains the SSTs, the primary sites of sperm storage [10] (Figure 4).
At ovulation, the ovum is grasped by the fimbriated region of the infundibulum and, if sperm are present, the ovum may be fertilized within a 10-15 min interval [18]. Thereafter, infundibular secretions accrue around the ovum, forming the outer PL, which acts as a barrier to further sperm penetration. Birkhead [19] observed that the number of sperm trapped in the outer PL is positively correlated with the size of the ovum and is likewise correlated with the number of sperm that have penetrated the inner PL. Interestingly, the sperm trapped in the outer PL retain an intact acrosome [20-21]. If fertilized, the first cleavage furrow in the GD appears 7-8 hr post-ovulation, while the egg-mass is in the isthmus.
2.3. Oviductal sperm selection, transport, and storage
Following deposition in the oviduct, sperm are transported to UVJ by a combination of their intrinsic motility and cilia beat activity [9-10, 22-23]. Within the SST lumen, sperm are either widely spaced or oriented parallel with their heads toward the distal end of the SST (Figure 4). Sperm are apposed to, but not directly contacting the apical microvilli of the SST epithelial cells. This spatial relationship may facilitate lipid transfer between the resident sperm and the SST epithelial cells [24-25]. Interestingly, alkaline phosphatase, known to play a role in lipid transfer, has been histochemically localized in the apical region of the SST epithelium [26].
The duration of sperm storage in the SSTs is species-dependent. Chickens can store sperm for up to three weeks, whereas turkeys can maintain sperm for 10 weeks in the SST and still lay a fertilized ovum [27-28]. This may be related to number of SSTs present in the UVJ; turkeys have been reported to have 20,000-30,000 SSTs, while chickens have been estimated to have only 5,000-13,500 [29-30]. Additionally, after several generations of selection for high fertility, chicken hens possessed increased numbers of SSTs when compared to non-selected control hens, suggesting the number of SSTs may be positively correlated with fertility [31]. In contrast, under commercial conditions, different broiler strains exhibiting different fertility levels revealed similar numbers of SSTs [29].
Figure 2.
The segments of the turkey oviduct with a hard-shelled egg in the uterus are observed. Sperm transferred into the vagina undergo an intense selection process before reaching the sperm storage tubules (SSTs) localized in the utero-vaginal junction. Sperm are slowly released from the SSTs and ascend to the infundibulum, the site of fertilization. In this photograph, the vagina is enveloped by connective tissue.
Figure 3.
Following fixation in neutral-buffered formalin and the removal of the surrounding connective tissue, the coiled morphology of the turkey vagina is revealed. When inseminating a hen, one should insert the straw with the semen until resistance is felt, then release the semen as the straw is withdrawn. As observed here the resistance is due to the coiled vaginal and not an egg mass in the uterus.
Little is known concerning the cellular and molecular mechanisms that sustain sperm within the SST lumen for prolonged periods of storage. These mechanisms likely involve the reversible suppression of sperm motility and metabolism, protection and repair of the sperm plasma membrane, uptake and storage of molecules to sustain sperm metabolism, and maintenance of the SST lumen by removing by-products of sperm metabolism and degraded sperm [32-33]. It is clear the SSTs generate a discrete environment to maintain sperm viability via the influx and efflux of compounds critical for sperm survival [25, 34). While ultrastructural analysis has revealed only limited evidence of secretory activity [25], the identification of membrane-bound vesicles released from the apical tips of the SST epithelial cell microvilli suggests a role in the maintenance of resident sperm through lipid transfer [22, 25, 26, 32, 35, 36]. A large proportion of the sperm plasma membrane is composed of polyunsaturated fatty acids [37] that are highly susceptible to damage induced by lipid peroxidation [37]. The peroxidation of these fatty acids results in increased damage to and permeability of the sperm plasma membrane [39, 40]. A complex system of anti-oxidation enzymes are present in the SST epithelial cells and presumably interact with luminal sperm to minimize damage due to lipid peroxidation and maintain sperm membrane integrity [41]. While many metabolites required by sperm in the SSTs have yet to be identified, increased avidin expression is apparent in SSTs relative to surrounding UVJ epithelial tissue possibly providing a means of sequestering biotin and other vitamins for use by the SSTs or resident sperm [42-43]. Interestingly, progesterone has been shown to induce expression of avidin in the oviduct, providing a potential link between progesterone fluctuation and sperm storage in and release from the SSTs [42, 44, 45].
Figure 4.
Three views of the turkey’s sperm-storage tubules (SSTs) are observed. The left panel is a stereoscope image showing the pleomorphic appearance of the SSTs. The length of the SST can be as long as 300μm. In the right panel a hen was inseminated with sperm stained with Hoechst 33342, a nuclear fluorescent dye, the UVJ mucosa containing SSTs was isolated, and an unfixed squash preparation was observed by dual interference contrast and fluorescence microscopy. Sperm with fluorescing nuclei are observed in the two SST lumina. The lower-middle panel shows a histological section of a portion of a SST containing sperm (the dense rod-like structures in the lumen are sperm nuclei. The arrow indicates the transition between the pseudo-stratified columnar ciliated epithelium of the uterovaginal junction and the simple columnar epithelium of the SST that is characterized in histological preparations by the supra-nuclear vacuole.
Sperm exit the SSTs in a slow, continuous stream [46-49]; however, a stimulus cuing the egress of resident sperm from the SSTs has yet to be identified. The observations that receptors for estrogen and progesterone exist in the SSTs has led to the suggestion that these compounds may trigger release of resident sperm, possibly in response to hormonal cues over the course of the ovulatory cycle[50-52]. However, an alternate theory suggests the inherent mobility of the sperm plays a larger role than hormonal induction in egress of sperm from SSTs [9]. Resident sperm exhibit a slow, synchronized oscillatory movement in the lumen of SSTs, suggesting the presence of a fluid current through the SST lumen [23-24]. The identification of water channels, known as aquaporins, in the apical epithelium of SSTs lends credence to a model wherein motile sperm maintain their residence in the SST lumen by swimming against the fluid current generated via the aquaporins [53-56]. In the SST lumen, sperm retain their motility by fatty acid oxidation. It has been suggested the sperm membrane is the source of this fatty acid and that as the quality of the sperm membrane gradually decreases there is a reduction of available ATP and sperm motility decreases [56]. Sperm are then swept out of the SST lumen into the UVJ, where they encounter various stimuli enhancing their motility. These sperm are then transported to the infundibulum, the site of fertilization [57]. Such motility-enhancing factors may include changes in environmental pH and neuroendocrine factors such as serotonin [58-62]. Further oxidation of sperm fatty acids, possibly sequestered from the surround milieu, generates the energy required for sperm to respond to such motility-enhancing factors and transcend the oviduct [9, 22, 55, 63].
Once sperm are deposited in the oviduct, several selection barriers must be overcome prior to ascending to the infundibulum and fertilizing an ovum. This selection occurs initially in the vagina: only highly mobile (defined as progressive movement in a viscous medium at 40oC) sperm traverse the vagina [9]. While sperm mobility is a major factor in sperm selection in the vagina, sperm selection is also dependent upon the glycoprotein composition of the sperm plasma membrane. The sperm glycocalyx is highly complex and heavily sialylated and modification of the glycocalyx results in reduced fertility and failure of the sperm to enter the SSTs [64-67]. Interestingly, removal of membrane-associated carbohydrates did not affect sperm entry into SSTs if sperm were inseminated directly into the UVJ or when co-incubated with UVJ explants, suggesting the glycocalyx plays a central role in sperm transport and selection through the vagina [64, 66, 68]. Further barriers to sperm prior participating in the process of fertilization include sperm release from the SST and subsequent transport to the infundibulum, and their interaction with the ovum (reviewed in [69]).
2.4. Sperm: Ovum interaction and fertilization
Given the voluminous nature of the hen’s ovum and the GD relative to mammalian ova, one must assume that yet-to-be identified factors “attract” sperm to the GD. Examination of the electrophoretic profile of the GD and non-GD regions of the PL revealed no variation in protein composition [70]. Furthermore, the abrogation of the preferential interaction of sperm and the inner PL overlying the GD in vitro suggests the factors underlying the preferential binding of sperm are not necessarily associated with the inner PL [70]. It is clear, however, glycoproteins play a large role in the interaction between the sperm and ova, even if not directly involved in targeting of sperm to the GD in vivo [71]. Pre-treatment of either the PL or sperm with N-glycanases resulted in significantly decreased sperm-ovum interaction in vitro [68, 71]. Conversely, N-linked oligosaccharides released from the inner PL by N-glycosidase treatment could induce the acrosome reaction in sperm in vitro [72]. These findings strongly suggest N-linked glycans, most likely terminal N-acetyl glucosamine residues, have an essential role in the sperm-ovum interaction in avian species, specifically in induction of the acrosome reaction [68, 72].
Interaction between the sperm and inner PL results in induction of the acrosome reaction [73]. During the acrosome reaction, the inner and outer acrosomal membranes dehisce resulting in the release of acrosin (a trypsin-like enzyme) [21, 74]. As the result of the acrosome reaction, sperm hydrolyze a small hole in the inner PL (Figure 5), enabling sperm to reach the microvilli-studded surface of the ovum [21, 74]. The capacity of sperm to hydrolyze and penetrate the inner PL is the biological basis for the sperm penetration assay discussed below and next section.
Figure 5.
In the left panel, a turkey sperm stained with Hoechst 33342 prior to insemination is observed on the surface of the inner perivitelline layer (PL). The sperm’s acrosome will release a trypsin like enzyme, acrosin, and digest a hole through the inner PL. The right panel shows multiple sperm holes (white perforations) in the inner PL overlying the germinal disc (GD) of a duck ovum (polyspermy is normal in birds). Sperm hole numbers can be used to assess true fertility and the duration of the fertile period..
Unlike mammals, polyspermy is the norm in avian fertilization. The GD (3.5 mm in diameter) provides a relatively small target for fertilization in the large megalecithal ova (yolk-filled ova) of chickens and turkeys (3.5 – 4.0 mm in diameter); thus polyspermy may be an evolutionary adaptation to ensure higher rates of fertilization in such species [74]. The inner PL may be penetrated by many sperm, although only one male pronucleus will ultimately fuse (syngamy) with the female pronucleus to form the nascent embryo (reviewed in [75-77]. A single sperm hole in the inner PL does not ensure fertilization. Although turkeys show a lower number of sperm interacting with ova relative to chickens, the presence of three sperm holes in the inner PL predicts a 50% probability of fertilization, whereas, six sperm holes suggest a probability greater than 95% fertilization [78]. The outer PL is rapidly depositied around the ovum in the posterior infundibulum and proximal magnum and is impenetrable by sperm [21, 78-79] thus preventing pathological polyspermy.
Given the volume of the GD relative to a single sperm, another possible function of polyspermy may be to activate specific molecular factors in the GD cytoplasm thereby initiating the process of embryogenesis. Yet, polyspermy also results in the presence of multiple male pronuclei in the GD. To cope with this potentially harmful scenario, the mature ovum has been found to have DNase I and II endonuclease activities, both of which will degrade sperm DNA [76]. In contrast, no such DNase activity has been detected in mammalian ova that engage in monospermic fertilization, further suggesting the role of these enzymes in the avian embryo is to protect against detrimental genetic consequences of polyspermy [76].
The number of holes in the inner PL is highly positively correlated with fertility. Correlations exist between the number of sperm inseminated, the number undergoing the acrosome reaction at the inner PL [80], and the number of sperm embedded in the outer PL [81]. The number of sperm holes in the inner PL and the number sperm trapped in the outer PL may be used to estimate the duration of fertility (‘fertile period’) in hens. While the number of sperm penetrating the inner PL shows a decreasing logarithmic relationship over time [81-82], a positive correlation between the total number of sperm penetrating the inner PL and the number of sperm stored in the SSTs was observed [83]. Given these observations, it should not be surprising there is also a positive correlation between the number of SSTs containing sperm and the proportion of sperm that have undergone the acrosome reaction at the inner PL [82].
3. Techniques in artificial insemination and fertility evaluation in poultry
For non-domestic birds, chapters in Bakst and Long [4], Lake and Stewart [5] and Bakst and Wishart [6] provide overviews of semen evaluation and AI techniques. Artificial insemination technology and reproductive biology for ratites were reviewed by Malecki et al. [84].
3.1. Semen collection
Primarily due to the anatomical variation of the phallic region in different birds, semen collection techniques will vary. In contrast to ratites and water-fowl with an intromittent phallus, Galliformes (chicken, turkey, and quail) do not have an intermittent organ. Their non-intromittent organ consists of folds and bulges that make contact with the female’s cloaca at mating. From an anatomical perspective, there are considerable differences between the non-intromittent organs of the chicken and turkey (Figure 6). The rooster has a prominent medial phallic body and relatively small lateral phallic bodies and lymph folds. Conversely, the turkey tom has no medial phallic body but prominent lateral phallic bodies and lymph folds. Sex sorting at hatch by cloacal examination is based on the relative differences in size of these structures between the males and females.
Figure 6.
The turkey (left) and chicken (right) cloacae are viewed with the dorsal lips of the cloacae pulled back to expose each species phallus non-protrudens. Unlike the turkey, the chicken has a central protuberance, the medial phallic body (MPB) and regressed lateral phallic bodies (LPB) and lymph folds (LF). The turkey phallus non-protrudens is characterized by dominant LPB and LF and the conspicuous absence of the MPB.
The goal of semen collector is to obtain the maximum volume of clean, high quality semen with the minimal amount of handling. In chickens and turkeys, the abdominal massage technique [1, 4] involves massaging the cloacal region to achieve phallic tumescence. This is followed by a ‘cloacal stroke’, a squeezing of the region surrounding the sides of the cloaca to express the semen. Little additional semen can be expressed after two cloacal strokes; additional cloacal strokes may cause damage to the phallic and cloacal regions and contribute to semen contamination [85].
Semen should be pearly white, viscous, and clean. With each male collected, the semen collector should perform a visual examination of the semen at the time of ejaculation. This is easier with the turkey because the ejaculate accumulates on the phallus before it is collected by the ‘milker’ (semen collector). Off-color or watery semen, and semen contaminated with blood or fecal/urates debris should not be used for insemination. Due to the increased volume of transparent fluid in rooster semen, which is a transudate derived from the phallus at the time of ejaculation, chicken semen is less viscous and sperm concentration lower than that of turkey semen.
3.2. Sperm concentration
If semen is to be diluted, it is best .to have a known volume of semen diluent (a tissue culture-like medium formulated to sustain sperm viability) at ambient temperature in the semen receptacle before collection begins. For routine AI of turkey hens, semen from 10-12 toms are pooled in a single receptacle, mixing the semen gently after each male is collected. Semen volume is determined and if the AI dose is based on numbers of sperm (generally 250-350 million sperm per dose) sperm concentration is determined. The most popular techniques for determining sperm concentration are the packed cell volume (PCV; also referred to as a spermatocrit) and optical density (OD; photometry).
Determining sperm concentration using PCVs is nearly identical to that of determining blood hematocrit values. Semen aspirated into micro-hematocrit tubes are centrifuged in a hematocrit centrifuge until the sperm are tightly packed (10 min); the percentage of packed sperm cells relative to the original semen volume in the micro-tube is determined. Sperm concentration is derived using a conversion factor or standard curve previously derived by comparing and graphically plotting varying ascending sperm concentrations from hemocytometer counts to corresponding spermatocrit readings. (See [4] for detailed protocols to determine sperm concentration and the derivation of standard curves.)
The optical density (OD) is determined using a photometer. The OD of highly diluted semen is directly proportional to the concentration of sperm, thus providing an indirect estimate of the sperm concentration. Like the PCV method, sperm concentration is derived using a conversion factor or previously derived standard curve by comparing and graphically plotting varying sperm concentrations from hemocytometer counts to corresponding OD readings [4].
The PVC and OD methods are two indirect methods of determining sperm concentration, that is, the final concentration is calculated from a regression equation or standard curve derived, in part, from direct sperm counts with a hemocytometer [4]. Briefly, to derive a regression equation and standard curve, serial dilutions (n=5) covering a wide range of sperm concentrations are prepared and sperm concentrations are determined with a hemocytometer and the instrument or method that requires the standard curve (at least 4 replicates with 4 different semen samples). This is a tedious procedure but if reliable and repeatable sperm numbers are to be inseminated it is best to establish standard curves for each instrument every 12-18 months. The reason for this is that the rotational speed of different centrifuges and the intensity of a photometer’s light source may differ as a result of manufacturer’s variation, age of the instrument, and/or repeated use of the instrument, thereby producing variations in the respective final readings and subsequent calculations of sperm concentrations.
Another concern when using any semen evaluation method is variation in the operator’s techniques. Consistency is the key to repeatable data. The technical staff all must follow the same standard operating procedures (SOPs). For example, when counting sperm with a hemocytometer, all individuals in a lab should following the same SOP for how long the sperm are permitted to settle on the grid and which sperm to count or omit from the count. Also, is the photometer zeroed with the same buffer? If a procedure calls for an incubation period, such as in a live-dead stain, are the samples being incubated for the same duration each time using the same stain concentrations? A lack of consistency in following the SOPs within a laboratory will lead to unwarranted variation and non-reproducible and inaccurate data.
3.3. Sperm viability
In the context of semen evaluation, reference to ‘viable’ sperm simply implies that such sperm possess an intact plasmalemma and are assumed to be functional. Plasmalemma integrity is frequently determined using either a dead-cell or a live-cell stain alone or simultaneously. The dead-cell stains are excluded by sperm with an intact plasmalemma but stain dead sperm possessing a permeable plasmalemma. Live-cell stains permeate the intact sperm plasmalemma and become visible only after reacting with cytosolic enzymes or interacting with sperm nuclear proteins. Both eosin and propidium iodide are popular dead-cell stains while calcein AM and SYBR-14 are frequently used live-cell stains (see [86] for extended discussion and availability for the live-cell probes). On a commercial breeder farm, the nigrosin/eosin (N/E) technique is most likely the procedure to be used to determine sperm viability [4]. Briefly, sperm are stained with N/E and a smear of the stained sperm is made on a slide (Figure 7). Under a bright field microscope the viable sperm remain pearly white, while eosin will stain non-viable sperm a pink to magenta color. The nigrosin serves as a background to enhance differentiation between the non-viable and viable sperm. In contrast to the N/E technique, a more sophisticated laboratory may use flow cytometry that sorts viable from non-viable sperm after staining with calcein AM or SYBR-14 and propidium iodide.
Figure 7.
The left panel shows a nigrosin eosin preparation of turkey sperm with nearly 100% viable sperm (unstained) white nuclei and midpieces. The sperm head is clearly visible as the white arcing segment; the acrosome and midpiece are difficult to differentiate from the nucleus. The upper right panel reveals a normal sperm and a second sperm with an abnormally curved and swollen midpiece. Observed in the lower right panel is a nonviable sperm stained with eosin throughout the nucleus and midpiece. Barely visible at the anterior end of the nucleus is the unstained, conical shaped acrosome.
3.4. Sperm motility and mobility
Sperm motility can be progressive (forward direction) or non-progressive (random movement or oscillations) movement. Generally, progressive motility is determined subjectively at ambient temperature using a microscope at low magnification (hanging-drop technique) or objectively using a computer-assisted semen analysis system. These techniques are reviewed by Bakst and Long [4]. Motility evaluated by microscopy has been shown to have little correlation with fertility and simply reveals that the sperm are motile. First described by Froman and McLean [87] and further elaborated for commercial use by Froman [88], the sperm mobility assay has gained popularity as a measure of an individual male’s ability to produce highly mobile sperm [mobility defines the ability of sperm to move progressively against a viscous medium (Accudenz) at 41°C] that are more likely to fertilize an ovum than males producing less mobile sperm. While the sperm mobility assay is a powerful tool for the selection of the most fecund males to be used in AI, it necessitates attention to details and accurate and consistent preparation of the reagents.
3.5. Evaluation of fertility
The measure of a successful AI program is sustained hen fertility. While candling-fertility is useful, there is an eight or more day lag between the last AI and candling-fertility determination, which overlaps with the next insemination (hen insemination is generally at 7-day intervals). With AI programs, it is often desirable to determine the fertility status of a flock before the next weekly insemination. There are several options available: breaking-out fresh eggs and examining the GD to differentiate a fertilized from an unfertilized or early dead embryo; setting normal but culled eggs (checked, hairline cracked, or dirty eggs) in a spare incubator for 24-36 hr before breaking-out [89]; counting sperm in the outer PL; and counting sperm holes in the inner PL. The above procedures are reviewed in Bakst and Long [4].
As noted previously, the sperm penetration assay is not only used to determine true fertility, but also to estimate the number of sperm residing in the use SSTs at the time of ovulation [90]. The isolation of the inner PL and staining procedure, initially developed for chicken eggs by Bramwell et al. [91], was quickly adapted to turkey eggs by Donoghue [92]. The major drawback to the sperm penetration assay as originally described is that it is time consuming, particularly with respect to isolating, washing, and positioning the PL wrinkle-free on the slide. Spasojevic [10] and colleagues at Willmar Poultry Company (Willmar, MN) significantly increased the efficiency of preparing the PL slides from turkey eggs in the following manner: the albumen is removed from the ovum as in the original procedure [4]; a square is outlined on a slide using super glue; the slide is placed firmly on the ovum’s surface with the GD centered in the square; after the glue is set, the PL is cut and washed to remove adhering yolk. The advantages here are speed and the PL remains wrinkle free.
A different modification of the sperm penetration assay was suggested by I.A. Malecki (personal communication) and entails placing a filter ring over the GD (inside diameter slightly larger than the GD), cutting around the outside diameter of the filter ring (about 2 mm between the inside and outside perimeter of the ring), and lifting the filter ring off the ovum. The filter ring with the adhering PL is washed gently with saline to remove the yolk and GD material until transparent, placed on a slide, and then fixed and stained with saline washes after each step. Our laboratory has used the filter ring technique with eggs from broilers, turkeys, ducks, and quail and it is now our preferred method for the performing the sperm penetration assay.
4. Conclusion
Artificial insemination is a common practice in the poultry industry with the turkey industry in North America and Europe using it almost exclusively for the production of hatching eggs. The broiler industry has not adapted AI for several reasons: because of sheer numbers of broiler breeders that need to be inseminated weekly, the labor cost would be very significantly; the initial investment in special housing for the males; an efficient, cost effective means of actually performing the inseminations (housing and catching the hens) would need to be developed; and finally, the concern that after a few generations of breeding broilers by AI, the behaviors associated with natural mating may be less dominant. Notwithstanding these concerns, the benefits of AI for broilers would include the following: the male:female ratio would be increase from 1:10 for natural mating to 1:25 with AI; with fewer males needed, there would be greater selection pressure on the male traits of economic importance and subsequently greater genetic advancement per generation; biosecurity concerns associated with “spiking” aging hen flocks with new and/or younger males to augment mating frequency and fertility would be eliminated; and, differences in body conformation between males and females that impact semen transfer at mating would no longer be a consideration.
In 1995, Sir Peter Lake wrote an excellent review of the history of AI, its impact on the poultry industry, and what is needed to advance the practice of AI with poultry [93]. Unfortunately, AI technology has not advanced significant since this review article. More than 15 years later, the only significant advance is in the evaluation of sperm mobility and the impact that males producing highly mobile sperm have on paternity [9]. Notwithstanding, it is foreseeable that sometime in the future, research addressing poultry sperm biology and the cellular and molecular basis of oviductal sperm transport, selection, and storage will lead to the following innovations in AI technology: insemination intervals increased to 10-14 days (versus 7-day) with fewer sperm per insemination; in vitro sperm storage for 24-36 hr at ambient temperature with minimal loss of sperm viability; and, the possibility of transgenic progeny following the insemination of sperm carrying transgenes.
\n',keywords:null,chapterPDFUrl:"https://cdn.intechopen.com/pdfs/41721.pdf",chapterXML:"https://mts.intechopen.com/source/xml/41721.xml",downloadPdfUrl:"/chapter/pdf-download/41721",previewPdfUrl:"/chapter/pdf-preview/41721",totalDownloads:9586,totalViews:3091,totalCrossrefCites:5,totalDimensionsCites:14,totalAltmetricsMentions:2,impactScore:10,impactScorePercentile:98,impactScoreQuartile:4,hasAltmetrics:1,dateSubmitted:"April 18th 2012",dateReviewed:"November 7th 2012",datePrePublished:null,datePublished:"January 9th 2013",dateFinished:"December 25th 2012",readingETA:"0",abstract:null,reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/41721",risUrl:"/chapter/ris/41721",book:{id:"3206",slug:"success-in-artificial-insemination-quality-of-semen-and-diagnostics-employed"},signatures:"M.R. Bakst and J.S. Dymond",authors:[{id:"155683",title:"Dr.",name:"Murray R.",middleName:null,surname:"Bakst",fullName:"Murray R. Bakst",slug:"murray-r.-bakst",email:"murray.bakst@ars.usda.gov",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"167852",title:"Dr.",name:"Jessica",middleName:null,surname:"Dymond",fullName:"Jessica Dymond",slug:"jessica-dymond",email:"jessica.dymond@ars.usda.gov",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Reproductive biology of poultry",level:"1"},{id:"sec_2_2",title:"2.1. Overview",level:"2"},{id:"sec_3_2",title:"2.2. Oviduct",level:"2"},{id:"sec_4_2",title:"2.3. Oviductal sperm selection, transport, and storage",level:"2"},{id:"sec_5_2",title:"2.4. Sperm: Ovum interaction and fertilization",level:"2"},{id:"sec_7",title:"3. Techniques in artificial insemination and fertility evaluation in poultry ",level:"1"},{id:"sec_7_2",title:"3.1. Semen collection",level:"2"},{id:"sec_8_2",title:"3.2. Sperm concentration",level:"2"},{id:"sec_9_2",title:"3.3. Sperm viability",level:"2"},{id:"sec_10_2",title:"3.4. Sperm motility and mobility",level:"2"},{id:"sec_11_2",title:"3.5. Evaluation of fertility",level:"2"},{id:"sec_13",title:"4. Conclusion",level:"1"}],chapterReferences:[{id:"B1",body:'Burrows WA, Quinn JP. The method of obtaining spermatoza from the domestic fowl. Poultry Science 1935;14(4) 251-4.'},{id:"B2",body:'Quinn JP, Burrows WA. Artificial insemination in fowls. The Journal of Heredity 1936;27(1) 31-7.'},{id:"B3",body:'Spasojevic R. Two hundred million sperm cells per hen? No Way! Proceedings – Midwest Poultry Federation Convention, Turkey Breeder Workshop, March 16-18, 2010. CD available at MPF. St. Paul, Minnesota. www.midwestpoultry.com'},{id:"B4",body:'Bakst MR, Long JA. Techniques for Semen Evaluation, Semen Storage, and Fertility Determination. 2, 1-113. 2010. 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British Poultry Science 1987;28(2) 307-18.'},{id:"B58",body:'Stephens RE, Prior G. Dynein from serotonin-activated cilla and flagella: Extraction characteristics and distinct sites for cAMP-dependent protein phosphorylation. Journal of Cell Science 1992;103(4):999-1012.'},{id:"B59",body:'Holm L, Ridderstrale Y, Knutsson PG. Localisation of carbonic anhydrase in the sperm storing regions of the domestic hen. Cell Tissues Organs 1996;156(4):253-60.'},{id:"B60",body:'Holm L, Wishart GJ. The effect of pH on the motility of spermatoza from chicken, turkey and quail. Animal Reproduction Science 1998;54(1):45-54.'},{id:"B61",body:' Freedman SL, Akuffo VG, Bakst MR. Evidence for the innervations of sperm storage tubules in the oviduct of the turkey (Meleagris gallopavo). Reproduction 2001;121(5):809-14.'},{id:"B62",body:' Bakst MR, Akuffo V. Serotonin localization in the turkey vaginal but not sperm storage tubule epithelia. Journal of Avian Biology 2008;39(3):348-54.'},{id:"B63",body:' Froman DP, Bowling ER, Wilson JL. Sperm mobility phenotype not determined by sperm quality index. Poultry Science 2003;82(3):496-502.'},{id:"B64",body:'Froman DP, Engel HN. Alteration of the spermatozoal glycocalyx and its effect on duration of fertility in the fowl (Gallus domesticus). Biology of Reproduction 1989;40(3):615-22.'},{id:"B65",body:' Froman DP, Thursam KA. Desialylation of the rooster sperm\'s glycocalyx decreases sperm sequestration following intravaginal insemination of the hen. Biology of Reproduction 1994;50(5):1094-9.'},{id:"B66",body:'Steele MG, Wishart GJ. Demonstration that the removal of sialic acid from the surface of chicken spermatozoa impedes their transvaginal migration. Theriogenology 1996;46(6):1037-44.'},{id:"B67",body:'Pelaez J, Long JA. Characterizing the glycocalyx of poultry spermatozoa: I. Identification and distribution of carbohydrate residues using flow cytometry and epifluorescence microscopy. Journal of Andrology 2007;28(2):342-52.'},{id:"B68",body:'Robertson L, Wishart GJ, Horrocks AJ. Identification of perivitelline N-linked glycans as mediators of sperm-egg interaction in chickens. Journal of Reproduction and Fertility 2000;120(2):397-403.'},{id:"B69",body:'Birkhead TR, Brillard JP. Reproductive isolation in birds: postcopulatory prezygotic barriers. Trends in Ecology & Evolution 2007;22(5):266-72.'},{id:"B70",body:'Steele MG, Meldrum W, Brillard JP, Wishart GJ. The interaction of avian spermatozoa with the perivitelline layer in vitro and in vivo. Journal of Reproduction and Fertility 1994;101(3):599-603.'},{id:"B71",body:' Howarth B. Carbohydrate involvement in sperm-egg interaction in the chicken. Journal of Receptor Research 1992;12(2):255-65.'},{id:"B72",body:' Horrocks AJ, Stewart JM, Jackson L, Wishart GJ. Induction of acrosomal exocytosis in chicken spermatozoa by inner perivitelline-derived N-linked glycans. Biochemical and Biophysical Research Communications 2000;278(1):84-9.'},{id:"B73",body:'Koyanagi F, Masuda S, Nishiyama H. Acrosome reaction to cock spermatoza incubated with the perivitelline layer of the hen\'s ovum. Poultry Science 1988;67(12):1770-4.'},{id:"B74",body:'Bakst MR, Howarth B, Jr. The fine structure of the hen\'s ovum at ovulation. Biology of Reproduction 1977;17(3):361-9.'},{id:"B75",body:'Wasserman PM, Jovine L, Litscher ES. A profile of fertilization in mammals. Nature Cell Biology 2001;3(2):E59-64.'},{id:"B76",body:' Stepinska U, Olszanska B. DNase I and II present in avian oocytes: A possible involvement in sperm degradation at polyspermic fertilisation. Zygote 2003;11(1):35-42.'},{id:"B77",body:'Stepinska U, Bakst MR. Fertilization. In: Jamieson BGM, editor. Reproductive Biology and Phylogeny of Birds. Enfield, New Hampshire: Science Publishers; 2007. p. 553-87.'},{id:"B78",body:'Wishart GJ. Quantitative aspects of sperm:egg interaction in chickens and turkeys. Animal Reproduction Science 1997;48(1):81-92.'},{id:"B79",body:'Bellaris R, Harkness M, Harkness RD. The vitelline membrane of the hen\'s egg: A chemical and electron microscopal study. Journal of Ultrastructure Research 1963;8(3):339-59.'},{id:"B80",body:'Bramwell RK, Howarth B, Jr. Preferential attachment of cock spermatozoa to the perivitelline layer directly over the germinal disc of the hen\'s ovum. Biology of Reproduction 1992;47(5):1113-7.'},{id:"B81",body:' Wishart GJ. Regulation of the length of the fertile period in the domestic fowl by numbers of oviducal spermatozoa, as reflected by those trapped in laid eggs. Journal of Reproduction and Fertility 1987;81(2):495-9.'},{id:"B82",body:'Brillard JP, Antoine H. Storage of sperm in the uterovaginal junction and its incidence on the numbers of spermatoza present in the perivitelline layer of hen\'s eggs. British Poultry Science 1990;31(3):635-44.'},{id:"B83",body:'Wishart GJ. Quantitative aspects of sperm:egg interaction in chickens and turkeys. Animal Reproduction Science 1997;48(1):81-92.'},{id:"B84",body:'Malecki IA, Rybnik PK, Martin GB, Malecki I, Glatz P. Artificial insemination technology for ratites: A review. Australian Journal of Experimental Biology 2008;48(10):1284-92.'},{id:"B85",body:'Bakst MR, Cecil HC. Gross appearance of turkey cloacae before and after single or multiple manual semen collections. Poultry Science 1983;62(4):683-9.'},{id:"B86",body:'Haugland RP. Handbook of Fluorescent Probes and Research Products. 9th ed. Eugene, Oregon: Molecular Probes, Inc.; 2002.'},{id:"B87",body:' Froman DP, McLean DJ. Objective measurement of sperm motility based upon sperm penetration of Accudenz®. Poultry Science 1996;75(6):776-84.'},{id:"B88",body:'Froman DP. Application of the sperm mobility assay to primary broiler breeder stock. Journal of Applied Poultry Research 2006;15(2):280-6.'},{id:"B89",body:' Bakst MR, McGary S, Estevez I, Knapp T. Use of nonsettable eggs to evaluate turkey hen fertility. Journal of Applied Poultry Research 2002;11(4):402-5.'},{id:"B90",body:'Brillard JP, Bakst MR. Quantification of spermatozoa in the sperm-storage tubules of turkey hens and the relation to sperm numbers in the perivitelline layer of eggs. Biology of Reproduction 1990;43(2):271-5.'},{id:"B91",body:'Bramwell RK, Marks HL, Howarth B. Quantitative determination of spermatozoa penetration of the perivitelline layer of the hen\'s ovum as assessed on oviposited eggs. Poultry Science 1995;74(11):1875-83.'},{id:"B92",body:' Donoghue AM. The effect of twenty-four hour in vitro storage on sperm hydrolysis through the perivitelline layer of ovipositioned turkey eggs. Poultry Science 1996;75(8):1035-8.'},{id:"B93",body:'Lake, PE. Historical perspective of artificial insemination technology. In: Bakst MR and Wishart GJ, editors. Proceedings - First International Symposium on the Artifical Insemination of Poultry. Savoy, Illinois: Poultry Science Association; 1995. p. 1-20'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"M.R. Bakst",address:"murray.bakst@ars.usda.gov",affiliation:'
Animal Biosciences and Biotechnology Laboratory Beltsville Area, Agricultural Research Service, U.S. Department of Agriculture Beltsville, Maryland, USA
Animal Biosciences and Biotechnology Laboratory Beltsville Area, Agricultural Research Service, U.S. Department of Agriculture Beltsville, Maryland, USA
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1. Introduction
Aortic aneurysms in pregnancy are a rare but potentially fatal occurrence. The incidence in the general population is low at 2.6–3.5 per 100,000 person-years [1]. Women present with aortic aneurysms at an average age of 67 years, which is older than the average age of men presenting at 60 years. A significant index of suspicion is necessary to identify aortic aneurysms during pregnancy. Symptoms of aortic aneurysm or aortic dissection include significant chest pain that may or may not radiate to the back, dyspnea, syncope, and dysphagia. Chest x-ray (PA and lateral) should not be withheld for pregnant women with such symptoms. Although the cardiac silhouette may appear mildly enlarged on chest x-ray during pregnancy, persistent symptoms with or without a widened mediastinum should be evaluated with further imaging. In any patient, the highest morbidity and mortality results from an aortic dissection. Table 1 shows types of aortic dissections, their description, and their associated mortality rates.
Type of Dissection
Description
Mortality
Stanford type A
Involves ascending aorta
40%
Stanford type B
Involves descending aorta
10%
Table 1.
Types of aortic dissections and associated mortality rates [1].
The highest mortality risk is a Stanford type A acute dissection, which describes an intimal tear involving the ascending aorta allowing blood to flow into the medial layer, which can ultimately culminate in aortic rupture leading to ischemia, tamponade, aortic regurgitation, or stroke. Stanford type A dissections typically present with a pulse deficit, systolic blood pressure limb differential of over 20 mmHg, focal neurologic deficits, or syncope [2]. Stanford type B dissections, which involve the descending aorta, have a lower mortality rate of 10% after 30 days. These are usually managed medically with strict blood pressure control as opposed to type A dissections, which typically require surgical management [2].
Risk factors for aortic aneurysms and resulting aortic dissections vary depending on age. For older women in the general population, hypertension and atherosclerosis contribute to the development of aortic aneurysms and aortic dissections. In contrast, aortic aneurysms in reproductive aged women usually occur in the setting of an underlying connective tissue or genetic disorder, such as Marfan’s disease, Ehlers-Danlos syndrome, Turner’s syndrome, or Loeys-Dietz syndrome, or an underlying aortopathy, such as bicuspid aorta, coarctation of the aorta, familial thoracic aortic dissection syndrome, or aneurysm-osteoarthitis. Among women less than 40 years old with aortic aneurysms, pregnancy has been shown to increase the risk of dissection by up to 25 fold [1]. Fortunately, the incidence of aortic aneurysm in pregnancy is low at 0.05 per 100,000 person-years; however, maternal mortality is high and ranges from 21–53% [3]. Aortic dissections in pregnancy account for 0.1–0.4% of all dissections and represent 0.0004% of all pregnancies [4].
Due to the rare occurrence of aortic aneurysm and dissection in pregnancy, management is largely based on case series and expert opinion. Treatment is nuanced and complex often due to perceived conflicting priorities of maternal and fetal health. The family’s wellbeing is absolutely dependent on maternal survival and long-term health so these are not actually separate priorities. This chapter will review the unique physiology and risk factors for aortic dissection in pregnant women with aortic aneurysms, optimal management of known aortic aneurysms in reproductive aged women prior to pregnancy, best practice guidelines for aortic aneurysms during pregnancy, mode and timing of delivery of the pregnancy, and recommendations for postpartum care including prevention of or planning for another high-risk pregnancy.
2. Aortic aneurysm and dissection in pregnancy
2.1 Physiology of pregnancy in aortic aneurysms
Aortic aneurysms in pregnancy have a much higher risk of progression to aortic dissection and rupture than aortic aneurysms in the general population. This difference is incompletely understood, but can be mostly explained by physiologic, specifically vascular, changes unique to pregnancy, as well as underlying connective tissue or genetic disorders that predispose reproductive aged women to aortic aneurysms. The clinical features of these diseases are often exacerbated in pregnancy and increase the morbidity and mortality of aortic aneurysms in pregnancy and the pregnancies themselves.
2.1.1 Vascular changes of pregnancy
During pregnancy, specific physiologic changes occur to support the fetus and prepare for childbirth. Cardiovascular changes begin in the first trimester and peak in the third trimester and peripartum period, starting at 28 weeks of gestation up until 4 weeks after delivery. The vascular changes of pregnancy can negatively impact the progression of an aortic aneurysm and significantly contribute to the increased risk of aortic dissection in aortic aneurysm in pregnancy. Some of these changes include increased cardiac output, heart rate, circulating volume, and left ventricular mass, all of which increase the risk of aortic dissection and rupture [1]. Estrogen and progesterone, both hormones that significantly increase in pregnancy, have been proven to change the microstructure of the aortic media and intima layers, causing fragmentation of reticulum fibers and loss of corrugation of elastic fibers [4]. This weakening of the vessel walls further contributes to the increased risk of aortic dissection and rupture. Some hypothesize that the gravid uterus, as it increases in size, compresses the aorta and thus increases the aortic outflow resistance, also increasing the risk of aortic dissection [1]. All of these vascular changes are most pronounced in the third trimester, when 50% of aortic dissections occur, and during the peripartum period, 4 weeks before and 4 weeks after delivery, when 33% of aortic dissections occur [2]. Certain conditions specific to pregnancy, such as pre-eclampsia, which causes vasoconstriction and sudden severe elevation of blood pressures, significantly increases the risk for aortic dissection and further complicates management.
2.1.2 Connective tissue and genetic disorders in pregnancy
There are several connective tissue and genetic disorders that predispose reproductive aged women to aortic aneurysms and have serious implications during pregnancy, both on the progression to aortic dissection and rupture as well as the pregnancy itself. While not an exhaustive list, the connective tissue and genetic disorders that will be discussed in this section include Marfan syndrome, Ehlers-Danlos syndrome, Loeys-Dietz syndrome, and Turner syndrome.
Marfan syndrome is an autosomal dominant connective tissue disorder that affects approximately 3 in 10,000 people [3]. Among pregnant women with aortic aneurysms, Marfan syndrome causes approximately half of aortic dissections [1]. It is characterized by musculoskeletal abnormalities including pectus excavatum, ocular abnormalities, cardiovascular abnormalities including aortic aneurysm and dissection, pulmonary abnormalities including spontaneous pneumothorax, skin abnormalities including stretch marks, and dura abnormalities including lumbosacral dural ectasia [5]. In the past, life expectancy was extremely limited, usually due to cardiovascular complications related to the disease; however, with current medical and surgical therapy, life expectancy can extend into the 70s. Diagnosis of Marfan syndrome can be made clinically based on criteria within different organ systems based on positive or negative family history. In the absence of family history, 2 major criteria from 2 different organ systems and 1 other major or minor criteria from another organ system must be met. In the presence of family history, only 1 major criterion and 1 major or minor criterion from a different organ system is necessary for diagnosis. Diagnosis can be confirmed by genetic testing, which will show a mutation on the fibrillin gene on chromosome 15.
During pregnancy, women with Marfan disease incur a high risk of morbidity and mortality due to the possibility of aortic dissection. This risk is particularly pronounced when aortic root dilation is over 4 cm. When the aortic root dilation is less than 4 cm, the risk of dissection is 1%; when the aortic root dilation is over 4 cm, the risk of dissection increases to 10%. Additionally, when aortic root dilation is over 4–4.5 cm, pregnant women will likely experience an accelerated rate of aortic root growth as compared to nonpregnant women [5]. In addition to maternal cardiovascular risk, there is likely an increased risk of obstetric and postpartum complications including a higher rate of preterm labor, preterm premature rupture of membranes, maternal urinary incontinence, and pelvic organ prolapse postpartum.
In nonpregnant patients, beta-blockers significantly slow the growth of the aortic root and decrease the risk of aortic dissection. There is some concern about the use of these medications in pregnancy due to possible adverse effects for the fetus including intrauterine growth restriction and fetal bradycardia. The risk benefit ratio supports the use of betablockers for treatment of aortic aneurysm during pregnancy. Selective beta-1 receptor blockers, such as metoprolol, are usually chosen due to a decreased risk of intrauterine growth restriction [5].
Several medications commonly used in obstetrics require careful use in pregnant women with Marfan syndrome. In cases of threatened preterm labor, tocolytics such as magnesium sulfate and calcium channel blockers can be used without significant adverse events. However, beta-adrenergic agonists, such as terbutaline, may increase the risk for tachycardia and arrhythmias and thus should be used with extreme caution. Additionally, indomethacin, commonly used for tocolysis in threatened preterm labor less than 32 weeks of gestation, can cause fluid retention, which may increase the risk for aortic dissection, and thus should also be used with extreme caution [5].
Ehlers-Danlos syndrome, less common than Marfan syndrome, occurs in approximately 1 in 5000 people. There are 6 different types of Ehlers-Danlos syndrome, which generally causes hypermobility of the joints, poor wound healing, tissue fragility, and hyperelastic skin [3]. The most severe type of Ehlers-Danlos syndrome and the most dangerous during pregnancy is the vascular type of disease. While hypermobility of the joints and hyperelasticity of the skin are less common in this type of disease, there is a significantly increased risk of aortic dissection, which is often not preceded by aortic dilation [3]. Due to tissue fragility, pregnant women with Ehlers-Danlos syndrome vascular type also have an increased risk of peripartum mortality up to 12% due to the risk of arterial or uterine rupture and hemorrhage [3].
Loeys-Dietz syndrome is a connective tissue disorder caused by mutation of the genes TGFBR1 or TGFBR2. Loeys-Dietz syndrome shares many characteristics with Marfan syndrome and Ehlers-Danlos syndrome vascular type. The disease is characterized by pectus excavatum, joint hypermobility, arterial tortuosity, hypertelorism, and bifid uvula [3]. Life expectancy for women with Loeys-Dietz syndrome is short with a mean age of death at 26 years, usually due to vascular complications. Similar to Marfan syndrome and Ehlers-Danlos syndrome vascular type, tissue fragility contributes to an increased risk of aortic dissection and uterine rupture, conferring significant morbidity and mortality in pregnancy.
Turner syndrome is a genetic disorder caused by complete or partial loss of one of the X chromosomes in a female. It occurs in approximately 1 in 2000 female births and is characterized by short stature, delayed puberty, premature ovarian failure, learning disabilities, bicuspid aortic valve, coarctation of the aorta, and aortic arch abnormalities [3]. Due to the high rate of aortopathy in women with Turner syndrome, the risk of aortic dissection in pregnancy is significantly elevated over the general population. While most women with Turner syndrome experience infertility due to premature ovarian failure, women with mosaic Turner syndrome may be fertile and thus capable of pregnancy. The risk of death from acute aortic dissection among pregnant women with Turner syndrome is 2%, and thus pregnancy is not recommended if a cardiac anomaly is present [3].
While knowledge of these connective tissue and genetic disorders may aid in diagnosis, aortic dissection may still occur in the absence of known risk factors and thus should remain on the differential for any pregnant woman who presents with chest pain radiating to her back.
2.2 Management prior to conception
Screening for aortic aneurysm should ideally be performed prior to conception in at-risk women. At-risk women include reproductive aged women with a personal or family history of aortic aneurysm or dissection in the past, known connective tissue or genetic disorder predisposing them to aortic aneurysm, known aortopathy, congenital heart disease, previous cardiac surgery, or significant trauma [4].
Any female with known aortic disease should receive proper family planning and contraceptive counseling as soon as and ideally before they are able to become pregnant. Important aspects of counseling include the significant risk to maternal health and the heritable nature of many underlying diseases that cause aortic aneurysm and dissection. After careful review of a woman’s individual risk or based on a woman’s family planning desires, surrogacy and adoption may be the safest route for parenthood. Women should be aware that deciding to become pregnant can have serious consequences to their own health.
Baseline workup includes referral to and establishment of care with a cardiologist if not already done, echocardiography, electrocardiogram, and genetic consultation if necessary. Routine medications must be reviewed to make sure they are not teratogenic as many patients are stable on warfarin, ACE inhibitors, and ARBs, all of which carry significant fetal risk with exposure in utero [4].
Among women with Marfan syndrome, elective surgery is generally recommended prior to conception when the baseline aortic root dilation is greater than 4.7 cm [5]. This is due to the maternal risk of death exceeding 10% [4]. Preconception care should include echocardiography to assess the proximal and distal aortic diameters and valvular and cardiac function. In women with significant ventricular enlargement, Holter monitoring is recommended to evaluate for arrhythmias.
Elective surgery should also be recommended prior to pregnancy in women with bicuspid aortic valve and aortic root dilation greater than 5 cm due to the maternal risk of death exceeding 10% [4]. Due to the high risk of aortic dissection, elective surgery prior to pregnancy is also recommended in the following situations: history of aortic valve surgery and aortic root dilation greater than 4.5 cm, Loeys-Dietz syndrome and aortic root dilation greater than 4.2 cm, any aortic root dilation greater than 5.5 cm regardless of underlying connective tissue disease, and symptomatic, traumatic, or syphilitic aneurysms [4].
Importantly, while physicians may make recommendations one way or another, women have autonomy over when and if they wish to become pregnant and thus care teams must be willing to support women’s choices or refer to a team that can provide proper clinical care.
2.3 Management during pregnancy
After thorough counseling or if a woman desires pregnancy regardless of the risks, management of aortic aneurysm in pregnancy requires close follow up, multidisciplinary care, and a heightened index of suspicion for aortic dissection or need for surgical intervention.
2.3.1 Screening during pregnancy
After pregnancy is established, strict blood pressure control and serial imaging are necessary to evaluate the aortic root diameter. Depending on the baseline aortic root diameter and the underlying cause of aortic aneurysm, imaging can be obtained as frequently as every 4–8 weeks or as infrequently as every trimester throughout pregnancy and then postpartum [3]. Blood pressure control and heart rate control are recommended using beta-blockers to slow the growth of the aortic root and help prevent aortic dissection [5]. Prompt recognition of rapid growth of aortic aneurysm or aortic dissection is essential due to the high risk of progression to aortic rupture, maternal death, and poor fetal/neonatal outcomes. If the aortic root diameter is increasing too rapidly, surgery may be necessary during pregnancy to decrease the risk of aortic dissection.
2.3.2 Imaging during pregnancy
Physicians who are unfamiliar with imaging in pregnancy may worry about fetal risks with different imaging modalities. Echocardiogram is safe and sufficient to monitor stability or progression of known aortic aneurysm in pregnancy. CT or MRI should be used to evaluate the aortic arch or thoracic aorta if these areas are known or suspected to be involved during pregnancy. In the workup of aortic aneurysm, the benefit of an accurate diagnosis from a CT angiogram highly outweighs the radiation exposure risk for the maternal-fetal dyad and should not be withheld. The radiation exposure from a CT angiogram is 0.01–0.66 mGy, which is well below the threshold for fetal injury (50 mGy) [6].
In an acute situation, such as when an aortic dissection is suspected, it is important to select the correct and most accurate imaging modality. CT angiography imaging is considered the gold standard and accuracy of diagnosis of aortic dissection approaches 100% with the newest machines available at most hospitals [7]. Transesophageal echocardiography is usually sufficient for diagnosing dissection; however, studies have shown significant inter-observer variability. Magnetic resonance angiogram is able to properly evaluate left ventricular dysfunction; however, most imaging units refer acute patients to CT angiography due to the time sensitive nature of diagnosis of aortic dissection [8].
2.3.3 Surgery during pregnancy
When aortic aneurysm or aortic dissection occurs in pregnancy, management is largely based on case series and expert opinion. Withholding indicated surgery from a pregnant woman as a result of concern for teratogenesis, pregnancy loss, preterm birth, or litigation is unfounded, and may significantly contribute to both maternal and neonatal morbidity [9]. Recommendations for aortic aneurysm treatment and surgery triage are based on nonpregnant individuals. Table 2 shows differing society guidelines for evidence-based timing of surgical intervention. In general, if the aortic root diameter exceeds 5 cm, rapid progression in size is noted, or there is aortic valve regurgitation, surgical intervention during pregnancy is recommended and the benefits absolutely outweigh the risks [3]. While there is no standardized definition of rapid progression, most agree that an increase of more than 3–5 mm is significant. Pregnant women with aortic aneurysms are more likely to have an underlying aortopathy, which should decrease thresholds for surgical repair as risk for aortic dissection, aortic rupture, and maternal death are increased. Preeclampsia also increases risk for dissection and rupture. Studies have also shown an increased risk of mortality for patients with shorter stature, independent of size of aneurysm, and thus some experts recommend basing clinical decisions on the maximal cross-sectional area, which is calculated by dividing the square centimeters of the maximal aortic root diameter by the patient’s height in meters, rather than the absolute aortic root diameter. When this measurement is used, surgical intervention during pregnancy is recommended if the ratio is above 10 [4].
Society
Recommendation
Canadian society for vascular surgery
Aortic root diameter at or above 5 cm, less if growing faster than 10% per year
Japanese circulation society
Aortic root diameter at or above 6 cm, 5 cm if accompanied by pain
European society of cardiology
Aortic root diameter greater than 5.5 cm, less if there is an indication for surgery on the aortic valve to combine surgeries
American college of cardiology
Aortic root diameter at or above 5.5 cm, less if growing faster than 0.5 cm/year, 4-5 cm or maximal cross sectional area greater than 10 with aortopathy or bicuspid aortic valve
Table 2.
Society guidelines for surgical intervention of asymptomatic thoracic aortic aneurysms* [3, 10].
Symptomatic patients or patients with aortic dissection require urgent surgical intervention regardless of aortic root diameter.
Contrary to popular belief, cardiopulmonary bypass (CPB), which is necessary for cardiothoracic surgical intervention, is not strictly contraindicated during pregnancy. The optimal mode and timing of delivery in relation to cardiothoracic surgery is discussed in the next section, but for some women, continuing pregnancy during CPB may be considered if they have compelling surgical indications and a previable or extremely preterm fetus. During CPB, several modifications can improve the fetal mortality rate below 20%, including performing the procedure under normothermic conditions in the left lateral decubitus position to maintain placental perfusion and decrease the risk of uterine contractions and preterm labor, high pump flow rate over 2.5–2.7 L/min−1/m−2 to maintain placental perfusion, short CPB and aortic cross-clamp time, perfusion above 70 mmHg, and hematocrit over 28% [5, 11].
For some women, particularly in the late second or third trimester, cesarean delivery immediately before cardiothoracic surgical intervention is the preferred management option. A common misconception in this scenario is excessive uterine bleeding if CPB and full anticoagulation are performed soon after cesarean delivery. Post cesarean bleeding is controlled physiologically by myometrial contraction and a two-layer suture closure. Preventative and early detection strategies include leaving the laparotomy open during the cardiothoracic surgery to directly evaluate and manage any intra-abdominal bleeding, placement of a prophylactic intrauterine balloon to provide uterine tamponade, or active monitoring of vaginal bleeding with the use of Allen stirrups [5]. In a case series, twenty-one mothers who had CPB initiated immediately after cesarean delivery had an average blood loss of 800 mL. None had excessive bleeding requiring abdominal packing or hysterectomy, and none used the additional preventative strategies mentioned above [11].
2.3.4 Fetal diagnosis of Aortopathy
Genetic screening or testing of the fetus is recommended for autosomal dominant aortopathies due to the high risk of transmission in the offspring. This information can be used for delivery and neonatal care planning, such as what level of care is needed, or it can be used by parents to determine whether or not to continue this particular pregnancy. These conditions include but are not limited to Marfan syndrome, Ehlers-Danlos syndrome, and Loeys-Dietz syndrome. This can be accomplished by chorionic villus sampling or amniocentesis. Unfortunately, even after obtaining fetal or placental cells, diagnosis of Marfan syndrome in the fetus may be missed as there are hundreds of mutations that have been identified on the fibrillin 1 gene, and not all of them have been definitely linked to Marfan syndrome [7]. Fetal sonographic findings may assist in fetal diagnosis of Marfan syndrome, such as cardiomegaly, dilated ascending aorta, dilated pulmonary artery, or dysplastic atrioventricular valves [7].
2.4 Mode and timing of delivery
Optimal management for the health of the mother and fetus depends on the size of the aortic aneurysm, presence or absence of aortic dissection, presence of underlying aortopathy, fetal gestational age, and desires for the pregnancy. Multidisciplinary counseling and informed consent are essential and complicated. This section will review best practices for the mode of delivery, including assisted vaginal or cesarean, and timing of delivery in relation to cardiothoracic surgical repair.
2.4.1 Mode of delivery
In pregnant women with aortic aneurysms, the mode of delivery depends on the presence of aortopathy, size, and stability of the aortic aneurysm. Vaginal delivery is recommended for women with aortic root diameters less than 4 cm. Epidural for adequate analgesia to help maintain blood pressure and heart rate control is recommended. Among pregnant women with Marfan syndrome, dural ectasia, or dural sac dilation, should be ruled out prior to epidural placement as they may often be asymptomatic in up to 90% of patients with Marfan syndrome [7]. Strict blood pressure control with antihypertensive medications and an assisted second stage of labor with either vacuum or forceps is recommended to decrease the risk of dissection [3].
Cesarean delivery is recommended for women with an aortic root diameter over 4 cm, severe aortic valve regurgitation, significant progression of aortic aneurysm, or history of a previous dissection or repair [7]. Detailed planning and communication with anesthesia, cardiology, and cardiothoracic surgery are necessary regardless of the mode of delivery.
2.4.2 Timing of delivery
Prior to fetal viability, providers must have a discussion with women about the option of or recommendation for pregnancy termination. For example, Marfan syndrome and other aortopathies with an aortic root size greater than 4 cm is an indication for pregnancy termination due to the significant risk of maternal death if the pregnancy is continued. If cardiothoracic surgical repair is indicated before fetal viability, termination of pregnancy should be strongly considered due to the fetal loss rate of up to 33% and the increased potential for long term neurologic impairment after CPB [12]. The definition of fetal viability is nuanced and depends on the woman’s personal beliefs, the accuracy of gestational age dating, a particular state’s legislation, and institutional guidelines. The American College of Obstetricians and Gynecologists defines the periviable period as between 20 and 25 weeks of gestation. Deliveries under 20 weeks 0 days are defined as spontaneous abortions. With accurate gestational age dating, there is no survival of neonates delivered at 20 and 21 weeks. Although there have been significant advances in neonatal intensive care, individualized and evidence-based conversations about neonate survival and life without significant neurologic impairment are essential.
After fetal viability, the decision analysis shifts to decisions about CPB and cardiac surgery with the fetus remaining in utero or delivery of the fetus just before the cardiac surgery. Risks of prematurity include but are not limited to neonatal death, low birthweight, respiratory distress, and neuro-developmental disabilities. Before 32 weeks of gestation, maternal administration of intravenous magnesium sulfate is recommended for fetal neuroprotection to reduce the risk of cerebral palsy. Before 34 weeks of gestation, corticosteroids are recommended for fetal lung maturation [13]. While there is no consensus, most experts recommend cesarean delivery immediately followed by CPB starting at 28–32 weeks of gestation as it is thought that at this gestational age, the benefits of delivery without exposure to maternal CPB outweigh the risks of neonatal prematurity [4, 5]. Advances in neonatal intensive care have improved neonatal survival and a lower gestational age for delivery may be reasonable (above 25 weeks) if the patient chooses to avoid the fetal risk of CPB and accept the risks of prematurity.
Before approximately 25 weeks of gestation, surgical repair via CPB with a viable fetus in utero may be the best management plan. The obstetrician and patient must then decide whether to monitor the fetal heart rate during cardiac surgery and what actions should be taken in the event of nonreassuring fetal heart rate, such as perfusion adjustments, intrauterine resuscitation, or delivery. This discussion requires shared decision making and multidisciplinary planning [5]. If neither urgent cesarean delivery nor intrauterine resuscitation are available or desired, intraoperative fetal monitoring is not necessary and may cause more harm than benefit. At all time points throughout the surgery, maternal life should be prioritized as maternal cardiac arrest or severe hypoxemia will most certainly lead to fetal death or extreme fetal morbidity. After 20 weeks gestation during a maternal cardiac arrest, the uterus should be emptied by hysterotomy no later than 4–5 minutes after arrest to maximize venous return and efficacy of maternal resuscitation efforts. If the fetus is viable, delivery no later than 4–5 minutes after maternal cardiac arrest and resuscitation also results in good neonatal outcomes. Tocodynamometry, to monitor uterine contractions, is generally recommended intraoperatively (when feasible) and postoperatively. Preterm contractions are common during and after CPB and may or may not result in preterm labor [5].
2.5 Postpartum care
Equally as important as managing acute complications of aortic aneurysm in pregnancy is planning for or prevention of the next high-risk pregnancy. This section discusses optimization of care in the postpartum period after delivery and options for contraception should the patient desire prevention of another pregnancy.
2.5.1 Postpartum surveillance
The postpartum period represents a particularly vulnerable timeframe for women as many of them will lose insurance coverage, neglect to care for themselves due to focus on their newborn, and are recovering from their delivery and potentially cardiothoracic surgery as well. The physiologic changes of pregnancy do not immediately return to pre-pregnancy after delivery, and many of the cardiovascular changes persist beyond the traditional 6 week postpartum period, when most women’s insurance companies will terminate their coverage. In a recent cohort-crossover study, researchers found that the risk of aortic dissection and rupture remain increased as compared to the general population as long as 1 year after delivery [14]. This elevated risk of morbidity and mortality emphasizes the need for careful coordination of postpartum care and surveillance, including regular follow up with cardiology and obstetrics and gynecology, careful maintenance of medication, and routine imaging and lab work.
2.5.2 Contraception
The postpartum period is a critical time to discuss contraception and plans for childbearing in the future. Unfortunately, due to the medical complexity of these patients and the effort required to coordinate care effectively, contraception is often forgotten in the care of the recently postpartum woman with an aortic aneurysm or aortic dissection during pregnancy. As mentioned earlier in this chapter, the discussion of family planning and contraception has ideally already occurred before or as soon as women with known aortic aneurysms are able to become pregnant. If this has not occurred, it is beneficial to discuss contraception during the prenatal course so that a plan is made for after delivery. If this has not occurred, this discussion can happen during the postpartum period. Primary care providers, cardiologists, and cardiothoracic surgeons may not be equipped to discuss the safest and most reliable contraceptive options with patients, and thus this discussion may be best suited for the obstetrician/gynecologist. Ideally, cardiologists and surgeons should become familiar with selective contraceptive methods (such as the progestin-only injectable) to provide short term so that women with cardiovascular disease do not conceive before seeing an obstetrician/gynecologist.
The Centers for Disease Control and Prevention developed the US Medical Eligibility Criteria (US MEC) for Contraceptive Use, which gives standardized recommendations for each type of contraceptive method in the setting of certain medical conditions [15]. In patients with complicated valvular heart disease, estrogen containing hormonal contraceptive methods are contraindicated due to the increased risk of heart attack and stroke. However, all other methods including the copper and levonorgestrel IUDs, the etonogestrel implant, the progestin-only injectable, and progestin-only pills, are considered safe and effective for these women. Contraceptive counseling should include discussion of a woman’s priorities in different aspects of the contraceptive method, such as efficacy, side effects, patient autonomy, and future pregnancy plans.
3. Conclusion
Aortic aneurysm in pregnancy is a rare occurrence that leads to increased maternal, fetal, and neonatal morbidity and mortality. Specific changes to women’s physiology and complications unique to pregnancy predispose pregnant women with aortic aneurysm to aortic dissection; therefore a high index of suspicion is lifesaving. Pregnant women with aneurysms are likely to have an underlying collagen disorder or aortopathy and are at even higher risk for aortic root diameter growth and progression to aortic dissection, rupture, and death. Such underlying conditions also increase the risk for poor obstetrical outcomes such as uterine rupture, premature delivery, and maternal hemorrhage. In women who are known to be at-risk for aortic aneurysm or aortic dissection, management and counseling prior to conception is essential and should include discussion of highly effective contraception, surrogacy, and adoption. Management of aortic aneurysm in pregnancy requires multidisciplinary care, imaging, and medication management. Indicated surgery should not be withheld simply because of the pregnancy or provider discomfort as absence of treatment results in worse outcomes. Decisions regarding surgery and mode and timing of delivery are nuanced, complicated, and require shared patient centered decision making, effective communication, and cooperation from multiple specialists in a tertiary care center. With careful planning, adequate facilities, and skilled providers, favorable outcomes for mother and baby are possible for patients who experience aortic aneurysm and dissection in pregnancy.
Acknowledgments
We gratefully acknowledge the Sharma Foundation for their funding of this chapter to allow open access publication for widespread dissemination of this chapter’s information.
Conflict of interest
The authors declare no conflict of interest.
\n',keywords:"aortic dissection, pregnancy, postpartum, delivery timing, contraception",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/75467.pdf",chapterXML:"https://mts.intechopen.com/source/xml/75467.xml",downloadPdfUrl:"/chapter/pdf-download/75467",previewPdfUrl:"/chapter/pdf-preview/75467",totalDownloads:221,totalViews:0,totalCrossrefCites:0,dateSubmitted:"January 18th 2021",dateReviewed:"January 27th 2021",datePrePublished:"March 1st 2021",datePublished:"December 22nd 2021",dateFinished:"March 1st 2021",readingETA:"0",abstract:"Aortic aneurysms in pregnancy are rare but often fatal due to the natural physiologic changes of pregnancy and comorbidities specific to pregnancy, which increase the risk for aortic dissection and rupture. These physiologic changes are most pronounced in the third trimester and during the peripartum period, when approximately one third of dissections occur. In patients with known aortic aneurysms or conditions that make them prone to aortic aneurysms, preconception counseling can make pregnancy safer and more manageable. Aortic aneurysms diagnosed during pregnancy are usually due to underlying connective tissue diseases or aortopathies that have not been previously diagnosed. These women require multidisciplinary care including but not limited to obstetrics and gynecology, maternal fetal medicine, neonatology, cardiology, cardiothoracic surgery, cardiothoracic anesthesia, and genetics. Decisions include screening for dissection, when to proceed with surgical management, the best mode and timing for delivery, postpartum care, and contraception.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/75467",risUrl:"/chapter/ris/75467",signatures:"Jennifer Chin and Marguerite Lisa Bartholomew",book:{id:"10302",type:"book",title:"Aortic Aneurysm",subtitle:"Clinical Findings, Diagnostic, Treatment and Special Situations",fullTitle:"Aortic Aneurysm - Clinical Findings, Diagnostic, Treatment and Special Situations",slug:"aortic-aneurysm-clinical-findings-diagnostic-treatment-and-special-situations",publishedDate:"December 22nd 2021",bookSignature:"Ana Terezinha Guillaumon and Daniel Emilio Dalledone Siqueira",coverURL:"https://cdn.intechopen.com/books/images_new/10302.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",isbn:"978-1-83962-840-5",printIsbn:"978-1-83962-837-5",pdfIsbn:"978-1-83962-841-2",isAvailableForWebshopOrdering:!0,editors:[{id:"251226",title:"Prof.",name:"Ana Terezinha",middleName:null,surname:"Guillaumon",slug:"ana-terezinha-guillaumon",fullName:"Ana Terezinha Guillaumon"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"338165",title:"M.D.",name:"Jennifer",middleName:null,surname:"Chin",fullName:"Jennifer Chin",slug:"jennifer-chin",email:"chinj@hawaii.edu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"345049",title:"Dr.",name:"Marguerite Lisa",middleName:null,surname:"Bartholomew",fullName:"Marguerite Lisa Bartholomew",slug:"marguerite-lisa-bartholomew",email:"mbarthol@hawaii.edu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"University of Hawaii at Manoa",institutionURL:null,country:{name:"United States of America"}}}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Aortic aneurysm and dissection in pregnancy",level:"1"},{id:"sec_2_2",title:"2.1 Physiology of pregnancy in aortic aneurysms",level:"2"},{id:"sec_2_3",title:"2.1.1 Vascular changes of pregnancy",level:"3"},{id:"sec_3_3",title:"2.1.2 Connective tissue and genetic disorders in pregnancy",level:"3"},{id:"sec_5_2",title:"2.2 Management prior to conception",level:"2"},{id:"sec_6_2",title:"2.3 Management during pregnancy",level:"2"},{id:"sec_6_3",title:"2.3.1 Screening during pregnancy",level:"3"},{id:"sec_7_3",title:"2.3.2 Imaging during pregnancy",level:"3"},{id:"sec_8_3",title:"Table 2.",level:"3"},{id:"sec_9_3",title:"2.3.4 Fetal diagnosis of Aortopathy",level:"3"},{id:"sec_11_2",title:"2.4 Mode and timing of delivery",level:"2"},{id:"sec_11_3",title:"2.4.1 Mode of delivery",level:"3"},{id:"sec_12_3",title:"2.4.2 Timing of delivery",level:"3"},{id:"sec_14_2",title:"2.5 Postpartum care",level:"2"},{id:"sec_14_3",title:"2.5.1 Postpartum surveillance",level:"3"},{id:"sec_15_3",title:"2.5.2 Contraception",level:"3"},{id:"sec_18",title:"3. Conclusion",level:"1"},{id:"sec_19",title:"Acknowledgments",level:"1"},{id:"sec_22",title:"Conflict of interest",level:"1"}],chapterReferences:[{id:"B1",body:'Zhu JM, Ma WG, Peters S. Aortic dissection in pregnancy: management strategy and outcomes. Annals of Thoracic Surgery. 2017;103:1199-1206.'},{id:"B2",body:'Rajagopalan S, Nwazota N, Chandrasekhar S. Outcomes in pregnant women with acute aortic dissections. International Journal of Obstetric Anesthesia. 2014;23(4):348-356.'},{id:"B3",body:'vanHagen I, Roos J. Aortopathology and pregnancy. Best Practice and Research: Clinical Obstetrics and Gynecology. 2014;28(4):537-550.'},{id:"B4",body:'Smok D. Aortopathy in pregnancy. Seminars in Perinatology. 2014;38:295-303.'},{id:"B5",body:'Houston L, Sullivan S. Marfan syndrome and vascular dissections during pregnancy. Minerva gynecology. 2012;64(5):409-419.'},{id:"B6",body:'Guidelines for diagnostic imaging during pregnancy and lactation. Committee Opinion No. 723. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;130:e210-6.'},{id:"B7",body:'Hartnell G. Imaging of aortic aneurysms and dissection. Journal of Thoracic Imaging. 2001;16(1):35-46.'},{id:"B8",body:'Saliba E, Sia Y. The ascending aortic aneurysm: when to intervene? International Journal of Cardiology. 2015;6:91-100.'},{id:"B9",body:'Nonobstetric surgery during pregnancy. Committee Opinion No. 775. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;133:e285-6.'},{id:"B10",body:'Hiratzka L, Bakris G, Beckman J, et al. American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines; American Association for Thoracic surgery; American College of Radiology; American Stroke Association; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society of Interventional Radiology; Society of Thoracic Surgeons; Society for Vascular Medicine. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patients with thoracic aortic disease: Executive summary: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Anesthesia and Analgesia. 2010 Aug;111(2):279-315.'},{id:"B11",body:'John A, Gurley F, Schaff HJ. Cardiopulmonary bypass during pregnancy. Annals of Thoracic Surgery. 2011;91(4):1191-1196.'},{id:"B12",body:'Liu Y, Han F, Zhuang J. Cardiac operation under cardiopulmonary bypass during pregnancy. Journal of Cardiothoracic Surgery. 2020;15(1):92.'},{id:"B13",body:'Periviable birth. Obstetric Care Consensus No. 6. American College of Obstetricians and Gynecologists. Obstetrics and Gynecology. 2017;130:e187-199.'},{id:"B14",body:'Kamel H, Roman M, Pitcher A, Devereux R. Pregnancy and the risk of aortic dissection or rupture. Circulation. 2016;134(7):527-533.'},{id:"B15",body:'Curtis K, Tepper N, Jatlaoui T, et al. U.S. medical eligibility criteria for contraceptive use. 2016;65:1-104.'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Jennifer Chin",address:"jmyc@uw.edu",affiliation:'
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In general, MREs can be prepared by mixing micron-sized magnetic particles into nonmagnetic rubber-like matrices. In this chapter, the materials, the preparing methods, the analytical models, and the applications of MREs are reviewed. First, different kinds of magnetic particles and rubber-like matrices used to prepare MREs, as well as the preparing methods, will be introduced. Second, some examples of the microstructures, as well as the microstructure-based analytical models, of MREs will be shown. Moreover, the magnetic field-induced changes of the macroscopic physical or mechanical properties of MREs will be experimentally given. Third, the applications of MREs in engineering fields will be introduced and the promising applications of MREs will be forecasted. This chapter aims to bring the reader a first-meeting introduction for quickly knowing about MREs, instead of a very deep understanding of MREs.",book:{id:"7685",slug:"smart-and-functional-soft-materials",title:"Smart and Functional Soft Materials",fullTitle:"Smart and Functional Soft Materials"},signatures:"Taixiang Liu and Yangguang Xu",authors:[{id:"283475",title:"Associate Prof.",name:"Yangguang",middleName:null,surname:"Xu",slug:"yangguang-xu",fullName:"Yangguang Xu"}]},{id:"59283",doi:"10.5772/intechopen.73824",title:"Zeolite Mixed Matrix Membranes (Zeolite-MMMs) for Sustainable Engineering",slug:"zeolite-mixed-matrix-membranes-zeolite-mmms-for-sustainable-engineering",totalDownloads:1414,totalCrossrefCites:5,totalDimensionsCites:14,abstract:"Mixed matrix membranes (MMMs) could provide a solution to the permeability and selectivity trade-off in polymeric membranes and bridge the gap with inorganic membranes. MMM could offer the physicochemical stability of a ceramic material while ensuring the desired morphology with higher permeability, selectivity, hydrophilicity, fouling resistance, as well as greater thermal, mechanical, and chemical strength over a wider temperature and pH range. Zeolites are fascinating and versatile materials, vital for a wide range of industries due to their unique structure, greater mechanical strength, and chemical properties. This chapter focused on zeolite-MMM and characterized various zeolite-reinforced polymeric membrane types and applications. Several key rules in the synthesis procedures have been comprehensively discussed for the optimum interfacial morphology between the zeolites and polymers. Furthermore, the influence of the zeolite filler incorporation has been discussed and explored for a range of applications. This chapter provided a broad overview of the MMM’s challenges and future improvement investigative directions.",book:{id:"6499",slug:"zeolites-and-their-applications",title:"Zeolites and Their Applications",fullTitle:"Zeolites and Their Applications"},signatures:"Mahboobeh Maghami and Amira Abdelrasoul",authors:[{id:"151521",title:"Dr.",name:"Amira",middleName:null,surname:"Abdelrasoul",slug:"amira-abdelrasoul",fullName:"Amira Abdelrasoul"},{id:"239836",title:"Mrs.",name:"Mahboobeh",middleName:null,surname:"Maghami",slug:"mahboobeh-maghami",fullName:"Mahboobeh Maghami"}]},{id:"38416",doi:"10.5772/50504",title:"Carbon Fibre Sensor: Theory and Application",slug:"carbon-fibre-sensor-theory-and-application",totalDownloads:3966,totalCrossrefCites:9,totalDimensionsCites:13,abstract:null,book:{id:"3052",slug:"composites-and-their-applications",title:"Composites and Their Applications",fullTitle:"Composites and Their Applications"},signatures:"Alexander Horoschenkoff and Christian Christner",authors:[{id:"142113",title:"Dr",name:"Alexander",middleName:null,surname:"Horoschenkoff",slug:"alexander-horoschenkoff",fullName:"Alexander Horoschenkoff"},{id:"142207",title:"Mr.",name:"Christian",middleName:null,surname:"Christner",slug:"christian-christner",fullName:"Christian Christner"}]}],mostDownloadedChaptersLast30Days:[{id:"61328",title:"Introductory Chapter: Adsorption and Ion Exchange Properties of Zeolites for Treatment of Polluted Water",slug:"introductory-chapter-adsorption-and-ion-exchange-properties-of-zeolites-for-treatment-of-polluted-wa",totalDownloads:2142,totalCrossrefCites:4,totalDimensionsCites:6,abstract:null,book:{id:"6499",slug:"zeolites-and-their-applications",title:"Zeolites and Their Applications",fullTitle:"Zeolites and Their Applications"},signatures:"Mohamed Nageeb Rashed and Pachagoundanpalayam\nNachimuthugounder Palanisamy",authors:[{id:"63465",title:"Prof.",name:"Mohamed Nageeb",middleName:null,surname:"Rashed",slug:"mohamed-nageeb-rashed",fullName:"Mohamed Nageeb Rashed"}]},{id:"66197",title:"Magnetorheological Elastomers: Materials and Applications",slug:"magnetorheological-elastomers-materials-and-applications",totalDownloads:2164,totalCrossrefCites:16,totalDimensionsCites:21,abstract:"Magnetorheological elastomers (MREs) are a type of soft magneto-active rubber-like material, whose physical or mechanical properties can be altered upon the application of a magnetic field. In general, MREs can be prepared by mixing micron-sized magnetic particles into nonmagnetic rubber-like matrices. In this chapter, the materials, the preparing methods, the analytical models, and the applications of MREs are reviewed. First, different kinds of magnetic particles and rubber-like matrices used to prepare MREs, as well as the preparing methods, will be introduced. Second, some examples of the microstructures, as well as the microstructure-based analytical models, of MREs will be shown. Moreover, the magnetic field-induced changes of the macroscopic physical or mechanical properties of MREs will be experimentally given. Third, the applications of MREs in engineering fields will be introduced and the promising applications of MREs will be forecasted. This chapter aims to bring the reader a first-meeting introduction for quickly knowing about MREs, instead of a very deep understanding of MREs.",book:{id:"7685",slug:"smart-and-functional-soft-materials",title:"Smart and Functional Soft Materials",fullTitle:"Smart and Functional Soft Materials"},signatures:"Taixiang Liu and Yangguang Xu",authors:[{id:"283475",title:"Associate Prof.",name:"Yangguang",middleName:null,surname:"Xu",slug:"yangguang-xu",fullName:"Yangguang Xu"}]},{id:"67279",title:"Development, Characterization and Properties of Silk Fibre and Grafted Silk Fibre Reinforced Polymer Composite Films",slug:"development-characterization-and-properties-of-silk-fibre-and-grafted-silk-fibre-reinforced-polymer-",totalDownloads:1107,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"The use of natural fibres over synthetic fibres is gaining widespread importance due to its availability; renewability, low density and satisfactory mechanical properties making them an ecological alternative to synthetic fibres. The innumerable properties of silk fibre have made it superior to be used by researchers both in the plastic and biomedical sector. Silk fibre reinforced PVA (polyvinylalcohol) and PVA/PVP (polyvinyl pyrrolidone) films were prepared via solution casting technique. The effect of silk fibre concentration, on the structural, thermal, mechanical, bio-degradable and the morphological properties of the composite films was assessed. The results indicated that the addition of silk fibres improved the thermal, morphological, mechanical and biodegradable properties of the films. The extensive use of silk fibroin in the biomedical field, due to its robust properties has made it a promising material, suitable in tissue engineering applications. Keeping this in view, the current study also focuses on re-tailoring the properties of silk fibres by grafting a natural polysaccharide like chitosan and thereby fabricate composite films of PVA reinforced with this grafted fibre. The films were tested for their potential applications in tissue engineering, by subjecting them to in vitro biocompatibility tests. The films were also tested for their antibacterial properties. The results thus obtained indicated that the films were non-toxic in all concentrations and were found to be suitable for biomaterial applications.",book:{id:"8162",slug:"generation-development-and-modifications-of-natural-fibers",title:"Generation, Development and Modifications of Natural Fibers",fullTitle:"Generation, Development and Modifications of Natural Fibers"},signatures:"Sareen Sheik and Gundibasappa Karikannar Nagaraja",authors:[{id:"285152",title:"Prof.",name:"G.K.",middleName:null,surname:"Nagaraja",slug:"g.k.-nagaraja",fullName:"G.K. 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This definition includes all natural cellulosic fibers (cotton, jute, sisal, coir, flax, hemp, abaca, ramie, etc.) and protein-based fibers such as wool and silk. There are also man-made cellulose fibers (e.g., viscose rayon and cellulose acetate) that are produced with chemical procedures from pulped wood or other sources (cotton, bamboo). Natural fibers being cost effective and abundantly available yields high potential in various industrial and commercial applications such as in the interior applications of the passenger cars, panels for partition and false ceiling, partition boards, roof tiles, coir fibers in packaging, furniture applications, as insulating materials in low energy houses, geo-textiles for soil protection and erosion control, enhancing barrier properties, composites etc. Due to research and developmental work in modification and treatment methods of natural fibers, utilization of natural fibers has observed a significant growth in various applications. The chapter addresses the potential applications of natural fibers in various commercial sectors for the development of environment-friendly products with an aim to replace synthetic fibers or inorganic fillers with cost-effective and efficient products.",book:{id:"8162",slug:"generation-development-and-modifications-of-natural-fibers",title:"Generation, Development and Modifications of Natural Fibers",fullTitle:"Generation, Development and Modifications of Natural Fibers"},signatures:"Jatinder Singh Dhaliwal",authors:[{id:"272683",title:"Mr.",name:"Jatinder Singh",middleName:null,surname:"Dhaliwal",slug:"jatinder-singh-dhaliwal",fullName:"Jatinder Singh Dhaliwal"}]}],onlineFirstChaptersFilter:{topicId:"934",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:106,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. 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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:4,paginationItems:[{id:"14",title:"Cell and Molecular Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",isOpenForSubmission:!0,editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",slug:"rosa-maria-martinez-espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",biography:"Dr. Rosa María Martínez-Espinosa has been a Spanish Full Professor since 2020 (Biochemistry and Molecular Biology) and is currently Vice-President of International Relations and Cooperation development and leader of the research group 'Applied Biochemistry” (University of Alicante, Spain). Other positions she has held at the university include Vice-Dean of Master Programs, Vice-Dean of the Degree in Biology and Vice-Dean for Mobility and Enterprise and Engagement at the Faculty of Science (University of Alicante). She received her Bachelor in Biology in 1998 (University of Alicante) and her PhD in 2003 (Biochemistry, University of Alicante). She undertook post-doctoral research at the University of East Anglia (Norwich, U.K. 2004-2005; 2007-2008).\nHer multidisciplinary research focuses on investigating archaea and their potential applications in biotechnology. She has an H-index of 21. She has authored one patent and has published more than 70 indexed papers and around 60 book chapters.\nShe has contributed to more than 150 national and international meetings during the last 15 years. Her research interests include archaea metabolism, enzymes purification and characterization, gene regulation, carotenoids and bioplastics production, antioxidant\ncompounds, waste water treatments, and brines bioremediation.\nRosa María’s other roles include editorial board member for several journals related\nto biochemistry, reviewer for more than 60 journals (biochemistry, molecular biology, biotechnology, chemistry and microbiology) and president of several organizing committees in international meetings related to the N-cycle or respiratory processes.",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"15",title:"Chemical Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",isOpenForSubmission:!0,editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. Dr. Beydemir is also Rector of Bilecik Şeyh Edebali University, Turkey.",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",slug:"deniz-ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",biography:"Dr. Deniz Ekinci obtained a BSc in Chemistry in 2004, MSc in Biochemistry in 2006, and PhD in Biochemistry in 2009 from Atatürk University, Turkey. He studied at Stetson University, USA, in 2007-2008 and at the Max Planck Institute of Molecular Cell Biology and Genetics, Germany, in 2009-2010. Dr. Ekinci currently works as a Full Professor of Biochemistry in the Faculty of Agriculture and is the Head of the Enzyme and Microbial Biotechnology Division, Ondokuz Mayıs University, Turkey. He is a member of the Turkish Biochemical Society, American Chemical Society, and German Genetics society. Dr. Ekinci published around ninety scientific papers, reviews and book chapters, and presented several conferences to scientists. He has received numerous publication awards from several scientific councils. Dr. Ekinci serves as the Editor in Chief of four international books and is involved in the Editorial Board of several international journals.",institutionString:null,institution:{name:"Ondokuz Mayıs University",institutionURL:null,country:{name:"Turkey"}}},editorThree:null},{id:"17",title:"Metabolism",coverUrl:"https://cdn.intechopen.com/series_topics/covers/17.jpg",isOpenForSubmission:!0,editor:{id:"138626",title:"Dr.",name:"Yannis",middleName:null,surname:"Karamanos",slug:"yannis-karamanos",fullName:"Yannis Karamanos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6Jv2QAE/Profile_Picture_1629356660984",biography:"Yannis Karamanos, born in Greece in 1953, completed his pre-graduate studies at the Université Pierre et Marie Curie, Paris, then his Masters and Doctoral degree at the Université de Lille (1983). He was associate professor at the University of Limoges (1987) before becoming full professor of biochemistry at the Université d’Artois (1996). He worked on the structure-function relationships of glycoconjugates and his main project was the investigations on the biological roles of the de-N-glycosylation enzymes (Endo-N-acetyl-β-D-glucosaminidase and peptide-N4-(N-acetyl-β-glucosaminyl) asparagine amidase). From 2002 he contributes to the understanding of the Blood-brain barrier functioning using proteomics approaches. He has published more than 70 papers. His teaching areas are energy metabolism and regulation, integration and organ specialization and metabolic adaptation.",institutionString:null,institution:{name:"Artois University",institutionURL:null,country:{name:"France"}}},editorTwo:null,editorThree:null},{id:"18",title:"Proteomics",coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",isOpenForSubmission:!0,editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",slug:"paolo-iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",biography:"Paolo Iadarola graduated with a degree in Chemistry from the University of Pavia (Italy) in July 1972. He then worked as an Assistant Professor at the Faculty of Science of the same University until 1984. In 1985, Prof. Iadarola became Associate Professor at the Department of Biology and Biotechnologies of the University of Pavia and retired in October 2017. Since then, he has been working as an Adjunct Professor in the same Department at the University of Pavia. His research activity during the first years was primarily focused on the purification and structural characterization of enzymes from animal and plant sources. During this period, Prof. Iadarola familiarized himself with the conventional techniques used in column chromatography, spectrophotometry, manual Edman degradation, and electrophoresis). Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. In this context, he has developed and validated new methodologies (e.g., Capillary Electrophoresis coupled to Laser-Induced Fluorescence, CE-LIF) whose application enabled him to determine both the amounts of biochemical markers (Desmosines) in urine/serum of patients affected by Chronic Obstructive Pulmonary Disease (COPD) and the activity of proteolytic enzymes (Human Neutrophil Elastase, Cathepsin G, Pseudomonas aeruginosa elastase) in sputa of these patients. More recently, Prof. Iadarola was involved in developing techniques such as two-dimensional electrophoresis coupled to liquid chromatography/mass spectrometry (2DE-LC/MS) for the proteomic analysis of biological fluids aimed at the identification of potential biomarkers of different lung diseases. He is the author of about 150 publications (According to Scopus: H-Index: 23; Total citations: 1568- According to WOS: H-Index: 20; Total Citations: 1296) of peer-reviewed international journals. He is a Consultant Reviewer for several journals, including the Journal of Chromatography A, Journal of Chromatography B, Plos ONE, Proteomes, International Journal of Molecular Science, Biotech, Electrophoresis, and others. He is also Associate Editor of Biotech.",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",slug:"simona-viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",biography:"Simona Viglio is an Associate Professor of Biochemistry at the Department of Molecular Medicine at the University of Pavia. She has been working since 1995 on the determination of proteolytic enzymes involved in the degradation process of connective tissue matrix and on the identification of biological markers of lung diseases. She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. 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Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. 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. 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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:!1,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. 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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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In recent years, the application of chemistry to biological molecules has gained significant interest in medicinal and pharmacological studies. This topic will be devoted to understanding the interplay between biomolecules and chemical compounds, their structure and function, and their potential applications in related fields. Being a part of the biochemistry discipline, the ideas and concepts that have emerged from Chemical Biology have affected other related areas. This topic will closely deal with all emerging trends in this discipline.",annualVolume:11411,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",institutionString:null,institution:{name:"Ondokuz Mayıs University",institutionURL:null,country:{name:"Turkey"}}},editorThree:null,editorialBoard:[{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",fullName:"Abdulsamed Kükürt",profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",institutionString:null,institution:{name:"Kafkas University",institutionURL:null,country:{name:"Turkey"}}},{id:"241413",title:"Dr.",name:"Azhar",middleName:null,surname:"Rasul",fullName:"Azhar Rasul",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRT1oQAG/Profile_Picture_1635251978933",institutionString:null,institution:{name:"Government College University, Faisalabad",institutionURL:null,country:{name:"Pakistan"}}},{id:"178316",title:"Ph.D.",name:"Sergey",middleName:null,surname:"Sedykh",fullName:"Sergey Sedykh",profilePictureURL:"https://mts.intechopen.com/storage/users/178316/images/system/178316.jfif",institutionString:null,institution:{name:"Novosibirsk State University",institutionURL:null,country:{name:"Russia"}}}]},{id:"17",title:"Metabolism",keywords:"Biomolecules Metabolism, Energy Metabolism, Metabolic Pathways, Key Metabolic Enzymes, Metabolic Adaptation",scope:"Metabolism is frequently defined in biochemistry textbooks as the overall process that allows living systems to acquire and use the free energy they need for their vital functions or the chemical processes that occur within a living organism to maintain life. Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. Thus all studies on metabolism will be considered for publication.",annualVolume:11413,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/17.jpg",editor:{id:"138626",title:"Dr.",name:"Yannis",middleName:null,surname:"Karamanos",fullName:"Yannis Karamanos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6Jv2QAE/Profile_Picture_1629356660984",institutionString:null,institution:{name:"Artois University",institutionURL:null,country:{name:"France"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",fullName:"Anca Pantea Stoian",profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"203824",title:"Dr.",name:"Attilio",middleName:null,surname:"Rigotti",fullName:"Attilio Rigotti",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institutionString:null,institution:{name:"Pontifical Catholic University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"300470",title:"Dr.",name:"Yanfei (Jacob)",middleName:null,surname:"Qi",fullName:"Yanfei (Jacob) Qi",profilePictureURL:"https://mts.intechopen.com/storage/users/300470/images/system/300470.jpg",institutionString:null,institution:{name:"Centenary Institute of Cancer Medicine and Cell Biology",institutionURL:null,country:{name:"Australia"}}}]},{id:"18",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. The Proteomics topic aims to attract contributions on all aspects of MS-based proteomics that, by pushing the boundaries of MS capabilities, may address biological problems that have not been resolved yet.",annualVolume:11414,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorThree:null,editorialBoard:[{id:"72288",title:"Dr.",name:"Arli Aditya",middleName:null,surname:"Parikesit",fullName:"Arli Aditya Parikesit",profilePictureURL:"https://mts.intechopen.com/storage/users/72288/images/system/72288.jpg",institutionString:null,institution:{name:"Indonesia International Institute for Life Sciences",institutionURL:null,country:{name:"Indonesia"}}},{id:"40928",title:"Dr.",name:"Cesar",middleName:null,surname:"Lopez-Camarillo",fullName:"Cesar Lopez-Camarillo",profilePictureURL:"https://mts.intechopen.com/storage/users/40928/images/3884_n.png",institutionString:null,institution:{name:"Universidad Autónoma de la Ciudad de México",institutionURL:null,country:{name:"Mexico"}}},{id:"81926",title:"Dr.",name:"Shymaa",middleName:null,surname:"Enany",fullName:"Shymaa Enany",profilePictureURL:"https://mts.intechopen.com/storage/users/81926/images/system/81926.png",institutionString:"Suez Canal University",institution:{name:"Suez Canal University",institutionURL:null,country:{name:"Egypt"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"chapter.detail",path:"/chapters/41721",hash:"",query:{},params:{id:"41721"},fullPath:"/chapters/41721",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()