\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"7862",leadTitle:null,fullTitle:"Traumatic Brain Injury - Neurobiology, Diagnosis and Treatment",title:"Traumatic Brain Injury",subtitle:"Neurobiology, Diagnosis and Treatment",reviewType:"peer-reviewed",abstract:"Traumatic brain injury (TBI) is a significant public health problem. There are several advanced techniques available for the investigation of disease neurobiology, diagnosis, and treatment. This book covers many topics in the active TBI research field such as cumulative mild head injury review, brain changes, and risk factors, as well as post-concussion syndrome (PCS) definition, classification, and association with brain dysfunction. Brain changes, including blood flow, intracranial pressure, and neuroinflammation, the neurobiological basis of neuroprotective activation, as well as correlation with PCS, including sleep, are illustrated further. Furthermore, multiple biomarkers, including S-100?, UCH-L1, and GFAP for blood-brain barrier breakdown and neuronal injury, are reviewed thoroughly. Lastly, well-evaluated neuroprotective agents, hypothermia as a neuroprotective effect in TBI, and effects investigation, as well as sedation in TBI as a neurocritical and therapeutic strategy with different assessments, are reported. This book introduces readers to a number of perspectives, including TBI disease pathophysiology and post-concussion syndrome classification, associated brain changes, imaging diagnosis, and several useful biomarkers with high sensitivities, as well as multiple therapeutic strategies. Various advanced technical developments, upfront neuroimaging, and clinical data are presented together with comprehensive, up-to-date, and interesting examples. Detailed reviews and accurate illustrations together with objective and informative discussions of several challenging problems such as PCS and neuroprotective treatments are the advantages of this book. Finally, this book will hopefully convey the clinical aspects of TBI and help guide diagnosis and therapeutic research in this field.",isbn:"978-1-78984-296-8",printIsbn:"978-1-78984-295-1",pdfIsbn:"978-1-78984-500-6",doi:"10.5772/intechopen.77680",price:119,priceEur:129,priceUsd:155,slug:"traumatic-brain-injury-neurobiology-diagnosis-and-treatment",numberOfPages:166,isOpenForSubmission:!1,isInWos:1,isInBkci:!1,hash:"247618f9fcfd8e9054e1202968e3387b",bookSignature:"Yongxia Zhou",publishedDate:"September 11th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/7862.jpg",numberOfDownloads:7931,numberOfWosCitations:3,numberOfCrossrefCitations:1,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:5,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:9,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"October 9th 2018",dateEndSecondStepPublish:"November 20th 2018",dateEndThirdStepPublish:"January 19th 2019",dateEndFourthStepPublish:"April 9th 2019",dateEndFifthStepPublish:"June 8th 2019",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"259308",title:"Dr.",name:"Yongxia",middleName:null,surname:"Zhou",slug:"yongxia-zhou",fullName:"Yongxia Zhou",profilePictureURL:"https://mts.intechopen.com/storage/users/259308/images/system/259308.jpeg",biography:"Yongxia Zhou obtained a Ph.D. in Biomedical Imaging from the University of Southern California. Her research interest is radiology and neuroscience technology and application. She had been trained as an imaging scientist at several prestigious institutes including Columbia University, the University of Pennsylvania, and the National Institutes of Health (NIH). Her research focuses on multi-modal neuroimaging integration such as MRI/PET and EEG/MEG instrumentation to make the best use of multiple modalities for better interpretation of underlying disease mechanisms. She is the author and editor of more than twelve books for well-known publishers including IntechOpen and Nova Science. She has published more than 100 papers and abstracts in many reputed international journals and conferences and served as reviewer and editor for several academic associations.",institutionString:"University of Southern California",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"4",institution:{name:"University of Southern California",institutionURL:null,country:{name:"United States of America"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1056",title:"Neurology",slug:"neurology"}],chapters:[{id:"66328",title:"Post Concussion Syndrome",doi:"10.5772/intechopen.85432",slug:"post-concussion-syndrome",totalDownloads:1372,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:1,abstract:"Post-concussion syndrome (PCS) is a complex disorder and the complete pathophysiology is still not completely understood. PCS can be subcategorized into physiological PCS, vestibulo-ocular PCS, cervicogenic PCS, and mood-related PCS based on predominant clinical signs and symptoms. Physiological PCS is the most classic type of PCS and is due to global metabolic dysfunction in the brain which affects the autonomic nervous system (ANS) and cerebral blood flow (CBF) autoregulation. This is suspected to be the cause for symptom-limited exercise intolerance which is a characteristic finding in this subtype. In this chapter we discuss the definition of PCS and the main subtypes. We further discuss possible causes for symptoms of PCS based on research that have studied this disorder using advanced imaging, cardiovascular and cerebrovascular metrics, and intracranial pressure. Finally, we discuss the treatment of PCS and the possible long-term effects.",signatures:"Mohammad Nadir Haider and Itai Bezherano",downloadPdfUrl:"/chapter/pdf-download/66328",previewPdfUrl:"/chapter/pdf-preview/66328",authors:[null],corrections:null},{id:"66002",title:"Neuroprotection, Photoperiod, and Sleep",doi:"10.5772/intechopen.85013",slug:"neuroprotection-photoperiod-and-sleep",totalDownloads:860,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"After an acquired brain injury, responses that induce cell death are activated; however, neuroprotective mechanisms are also activated. The relation between these responses determines the destination of the damaged tissue. This relation presents variations throughout the day; numerous studies have shown that the onset of a stroke occurs preferably in the morning. In the rat, ischemia causes more damage when it is induced during the night. The damage caused by a traumatic brain injury (TBI), in the rat, varies depending on the time of day it is induced. Minor behavioral damage has been reported when the TBI occurs during the night, a period that coincides with the wakefulness of the rat. It also has been observed that sleep deprivation accelerates the recovery. Our group has documented that this is due, in part, to a difference in the degree of activation of cannabinergic, GABAergyc, and glutamatergic systems.",signatures:"Marina Martinez-Vargas, Mercedes Graciela Porras-Villalobos, Francisco Estrada-Rojo, Ricardo Jesus Martinez-Tapia, Adan Perez-Arredondo, Antonio Barajas-Martinez and Luz Navarro",downloadPdfUrl:"/chapter/pdf-download/66002",previewPdfUrl:"/chapter/pdf-preview/66002",authors:[null],corrections:null},{id:"63996",title:"Cumulative Mild Head Injury (CMHI) in Contact Sports",doi:"10.5772/intechopen.80668",slug:"cumulative-mild-head-injury-cmhi-in-contact-sports",totalDownloads:1105,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"The effect of cumulative mild head injury (CMHI) in contact sports such as rugby union and football (soccer) is seen at all levels as more concussive injuries are reported each year globally and in South Africa. This is problematic as repeated concussions may lead to cognitive deficits in attention and poorer overall cognitive profiles both in the short and long term. The aim of this chapter is to present a brief review of research on CMHI in football and rugby and other sports (briefly) both international and South African underpinned by an overview of the anatomy and neuroanatomy of the brain to illustrate the mechanisms involved in head injuries. Risk factors for all types of MHI are also given.",signatures:"Kathryn Nel and Saraswathie Govender",downloadPdfUrl:"/chapter/pdf-download/63996",previewPdfUrl:"/chapter/pdf-preview/63996",authors:[null],corrections:null},{id:"66463",title:"Neuronal and Glial Biomarkers Research for Traumatic Brain Injury",doi:"10.5772/intechopen.85555",slug:"neuronal-and-glial-biomarkers-research-for-traumatic-brain-injury",totalDownloads:1044,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The potential of early neurological inaccurate assessment of severity in patients with traumatic brain injury (TBI) has been highlighted; in some cases, for example, the severity of the injury is overestimated or underestimated. These findings have led to the search of biomarkers associated with early brain injury. Research in this field has exponentially increased over the past 20 years, with most publications on the subject in the last 10 years, whose results range from promising findings to other sometimes inconclusive one. An ideal biomarker should be able to demonstrate high sensitivity and specificity for brain injury, among other aspects. Literature has shown that there is not a single biomarker that predicts the patient’s clinical decline with high sensitivity and specificity. Instead, it is required to use a panel of markers that reflect different aspects of head trauma. This chapter gives a review of the most promising biomarkers studied as predictors of severity of TBI, with a special focus on their nature, location, basal concentrations, and methods by which they can be quantified in blood samples.",signatures:"Alexander Rodríguez, Eliana Cervera and Pedro Villalba",downloadPdfUrl:"/chapter/pdf-download/66463",previewPdfUrl:"/chapter/pdf-preview/66463",authors:[null],corrections:null},{id:"67849",title:"Use of Neuroprotective agents for Traumatic Brain Injury",doi:"10.5772/intechopen.85720",slug:"use-of-neuroprotective-agents-for-traumatic-brain-injury",totalDownloads:1262,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"Traumatic brain injury (TBI) is the leading cause of mortality and morbidity especially in young ages, while over 30 years of neuroprotective agents use for TBI management provided neither any recommended agent for favorable outcome nor less adverse effects in TBI management yet. This review got selected keywords? search and ran in known international and local databases, with no limitation up to September 6, 2015. Related to the subject, clinical human studies have been selected for the review. Data from 32 studies were classified into 10 subgroups. About 18 studies with a population of 4637 participants were included in 6 topic reviews and meta-analyses. Oxygen use in acute management of TBI to reduce mortality rates could be recommended. Corticosteroid use in solo acute TBI management is prohibited due to increasing risk of mortalities. However, in dual-diagnosed patients (TBI and spinal cord injury (SCI) together), corticosteroid use should be obtained by a Bracken protocol. The use of citicoline in acute TBI is no more supported. The use of cyclosporine-A for ICP control depends on the resources and physician?s decision. Rivastigmine use for chronic neurocognitive conditions of TBI management had some beneficence in severely impaired participants. However, the use of other agents in TBI has no field of support yet.",signatures:"Mohammad Meshkini, Ali Meshkini and Homayoun Sadeghi-Bazargani",downloadPdfUrl:"/chapter/pdf-download/67849",previewPdfUrl:"/chapter/pdf-preview/67849",authors:[null],corrections:null},{id:"65803",title:"Direct Brain Cooling in Treating Severe Traumatic Head Injury",doi:"10.5772/intechopen.84685",slug:"direct-brain-cooling-in-treating-severe-traumatic-head-injury",totalDownloads:1095,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"There are scientific evidences that hypothermia provides a strong neuroprotective effect on the brain following traumatic insults. In this chapter, we describe the pathophysiology of severe head injury with emphasis on benefits of hypothermia. To support these hypothetical or theoretical benefits, we describe our previous study with very encouraging findings done on severe head injuries, treated with direct focal brain cooling, and monitored with intracranial pressure, cerebral perfusion pressure, brain oxygenation, and brain temperature. This chapter ends with our current and still ongoing study in which one of its main objectives is to innovate a direct focal brain cooling machine. This chapter briefly explains the technical part of this cooling machine.",signatures:"Zamzuri Idris, Ang Song Yee, Regunath Kandasamy, Asrulnizam Abd Manaf, Mohd Hasyizan Bin Hassan and Wan Nazaruddin Wan Hassan",downloadPdfUrl:"/chapter/pdf-download/65803",previewPdfUrl:"/chapter/pdf-preview/65803",authors:[null],corrections:null},{id:"66351",title:"Sedation in TBI Patients",doi:"10.5772/intechopen.85266",slug:"sedation-in-tbi-patients",totalDownloads:1194,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"Sedation is an important topic in neurocritical patients. When compared with general intensive care unit and traumatic brain-injured patients, sedation has its therapeutic indications, such as management of intracranial pressure, treatment of status epilepticus, sedation for targeted temperature management patients and paroxysmal sympathetic activity. Nowadays, the assessment of sedation is done by neurological evaluation and new monitors based on electroencephalography signals that help the physician titrate the sedative agents. Therefore, the aim of this chapter is to discuss the main pharmacological properties of sedatives and analgesics, their proper indications related to pathophysiological issues and their titrations based on the abovementioned new technologies.",signatures:"Lorenzo Peluso, Berta Monleon Lopez and Rafael Badenes",downloadPdfUrl:"/chapter/pdf-download/66351",previewPdfUrl:"/chapter/pdf-preview/66351",authors:[null],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"8125",title:"Medical Imaging",subtitle:"Principles and Applications",isOpenForSubmission:!1,hash:"e0fa3875d6f66d5ccd8cd3f1444c3fb9",slug:"medical-imaging-principles-and-applications",bookSignature:"Yongxia Zhou",coverURL:"https://cdn.intechopen.com/books/images_new/8125.jpg",editedByType:"Edited by",editors:[{id:"259308",title:"Dr.",name:"Yongxia",surname:"Zhou",slug:"yongxia-zhou",fullName:"Yongxia 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\r\n\tThis book on "Cryptography-Modern Theory and Practices" aims to provide comprehensive coverage of information security requirements during this pandemic period. IT industry is facilitating work-from-home and also businesses of all nature including e-Governance, Teaching-Learning, Commercial, etc to function. Hence, a huge volume of data has now become digitized and this has opened up new avenues in information security. Cryptography applications are being customized to suit today's needs.
\r\n\r\n\tThe objective of this book is to provide comprehensive and up-to-date coverage on various cryptographic and information security approaches suiting the current scenario. Emerging topics in information security such as blockchain, cyber-physical systems-based applications are presented in this book, in addition to cryptography applications of images and videos.
\r\n\r\n\tThe book also aims to provide Information security basics to enable readers to have coverage from fundamentals. The book's target audience is graduate students, academicians, researchers, scientists, professionals working in computer science and electrical engineering as well as developers and practitioners working in information security, image, and video processing.
",isbn:"978-1-80355-733-5",printIsbn:"978-1-80355-732-8",pdfIsbn:"978-1-80355-734-2",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,hash:"c7064daa2173c825500f5457927de96b",bookSignature:"Dr. Srinivasan Ramakrishnan",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11190.jpg",keywords:"Cyber-Physical Systems, Encryption Techniques, Key Distribution Techniques, Hardware Security, Ethical Hacking, Cyber Attacks, Surveillance System, Cyber Security Policies, Authentication and Integrity Techniques, BlockChain Security, Image and Video, Applications in Cloud-Based Applications",numberOfDownloads:21,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfDimensionsCitations:0,numberOfTotalCitations:0,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"October 14th 2021",dateEndSecondStepPublish:"November 11th 2021",dateEndThirdStepPublish:"January 10th 2022",dateEndFourthStepPublish:"March 31st 2022",dateEndFifthStepPublish:"May 30th 2022",remainingDaysToSecondStep:"6 months",secondStepPassed:!0,currentStepOfPublishingProcess:5,editedByType:null,kuFlag:!1,biosketch:"An active researcher in Cryptography and Information Security with 10 books edited and over 139 papers published in international, national journals and conference proceedings. Dr. Ramakrishnan received his Ph.D. degree in Information and Communication Engineering from PSG College of Technology, Anna University, Chennai in 2007, is a member of societies such as ISTE, IACSIT, IAENG, and his biography has been included in Marquis Who's Who in the World 2012 & 2016 edition.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"116136",title:"Dr.",name:"Srinivasan",middleName:null,surname:"Ramakrishnan",slug:"srinivasan-ramakrishnan",fullName:"Srinivasan Ramakrishnan",profilePictureURL:"https://mts.intechopen.com/storage/users/116136/images/system/116136.jpg",biography:"Dr.S.Ramakrishnan received his PhD degree in Information and Communication Engineering from Anna University, Chennai in 2007.He has 21 years of teaching experience and 1 year industry experience. He is a Professor and the Head of the Department of Information Technology, Dr.Mahalingam College of Engineering and Technology, Pollachi, India. \nProf.Ramakrishnan was the Convener, Board of Studies (BoS), IT Board, Anna University of Technology, Coimbatore. He acted as a research supervisor for 9 PhD candidates, out of which 8 of them completed & 1 submitted their thesis. He also guided several B.E and M.E Projects.\nHe is an Associate Editor for IEEE Access and reviewer of 31 International Journals including 9 IEEE Transactions, 6 Elsevier Science Journals, 5 IET Journals, ACM Computing Reviews, Springer Journals, Wiley Journals, etc. He is in the editorial board of 6 International Journals. \nHe is a Guest Editor of special issues in 4 International Journals including Telecommunication Systems Journal of Springer. He has published 196 papers in conference and journals like IEEE Transactions on Image Processing, IEEE Transactions on Industrial Electronics, Elsevier-Pattern Recognition, Elsevier-A : Statistical Mechanics and its Applications, IET Image Processing, IET Healthcare Technology Letters, Springer, IETE Journal of Research, Taylor & Francis etc. He has also reviewed 23 books for ACM Computing Reviews and 3 books McGraw Hill International Edition. He has published a Patent filed at Indian Patent Office. \nDr.S.Ramakrishnan has authored 12 books on topics such as Image Processing, Speech Processing, Pattern Recognition, Wireless Sensor Networks, Cryptography published by CRC Press of Taylor and Francis Group, USA, Nova Science, Lambert Academic Publishing, Germany and InTech Publisher, Croatia. \nProf.Ramakrishnan has organized an International conference on Data Science, Intelligent System and Information Security (ICDIIS’20), 9 National Conferences, 4 National Symposiums, 111 training programmes for both faculty members and students. He has delivered about 56 Guest Lectures for the faculty members and acted as a resource person for various faculty development programmes. Ramakrishnan has delivered keynote addresses in three IEEE International conferences and one in a National Conference.\nDr.Ramakrishnan has successfully completed External Funded project Sponsored by Council of Scientific & Industrial Research (CSIR), All India Council for Technical Education (AICTE), Defence Research and Development Organisation (DRDO). \nHis areas of research include digital image processing, information security, and soft computing.",institutionString:"Dr. Mahalingam College of Engineering and Technology",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"6",institution:null}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"9",title:"Computer and Information Science",slug:"computer-and-information-science"}],chapters:[{id:"81500",title:"Advance in Keyless Cryptography",slug:"advance-in-keyless-cryptography",totalDownloads:5,totalCrossrefCites:0,authors:[null]},{id:"81827",title:"Perspective Chapter: The Importance of Pipeline in Modern Cryptosystem",slug:"perspective-chapter-the-importance-of-pipeline-in-modern-cryptosystem",totalDownloads:5,totalCrossrefCites:0,authors:[null]},{id:"80957",title:"Perspective Chapter: Distinguishing Encrypted from Non-Encrypted Data",slug:"perspective-chapter-distinguishing-encrypted-from-non-encrypted-data",totalDownloads:12,totalCrossrefCites:0,authors:[null]}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"429343",firstName:"Martina",lastName:"Ivancic",middleName:null,title:"Ms.",imageUrl:"https://mts.intechopen.com/storage/users/429343/images/19998_n.jpg",email:"martina@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:"5883",title:"Modern Fuzzy Control Systems and Its Applications",subtitle:null,isOpenForSubmission:!1,hash:"9939991547baa89659302f11765df7a3",slug:"modern-fuzzy-control-systems-and-its-applications",bookSignature:"S. 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Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"41740",title:"Advanced Light Emissive Device Structures",doi:"10.5772/52416",slug:"advanced-light-emissive-device-structures",body:'\n\t\tThis Chapter contains our latest achievements on organic and inorganic light emitters for display and waveguide applications. Two simultaneous efforts are described and analyzed. The first is the application of some transparent polymers to photoactive device structures. The second area focuses on the fabrication of optoelectronically-important structures based on GaP nanoparticles and their composites. The choice of materials are further complementary since they each are considered candidates for use in all optical circuits with commercial interest for light emitters, waveguides, converters, accumulators and other planar, fiber or discrete micro-optic elements.
\n\t\t\tThree objectives have been fulfilled and are reported here: 1) the development of new technologies for the preparation of nanocrystalline composite and GaP films; 2) the fabrication of novel optical planar light emissive structures for light emissive devices based on GaP/polymers nanocomposites; and 3) the generalization of experimental results from light emissive GaP bulk crystals, nanoparticles and nanocomposites.
\n\t\t\tPhotoluminescence (PL), Raman light scattering (RLS), X-ray diffraction (XRD), atomic force and transmission electron microcopies (AFM and TEM) and other diagnostic methods have been used to characterize quality of GaP bulk and nanocrystals, GaP/polymers nanocomposites and to evaluate emissive efficiency of the obtained device structures. New solutions based on growth technique with use of modern analytical techniques were applied for growth and monitoring of semiconducting and composite films and fibers.
\n\t\t\tOne of the main results described in the present Chapter is the creation and investigation of nanocomposite films based on GaP nanoparticles inserted into optically transparent polymers to prepare unique light emissive devices for optoelectronic applications. Different polymers were tested that combine the processability and durability of engineering thermoplastics with suitable for GaP nanoparticles optical, electrical, thermal, and environment resistant properties.
\n\t\t\tPerfect single crystals from our unique collection of pure and doped GaP single crystals [1-25] compared with GaP nanoparticles prepared by us [26-31] serve as a standard yielding fundamental new knowledge and insights into semiconductor optical physics. Elaborating optimal methods of fabrication of GaP nanoparticles and their light emissive composites with compatible polymers [32-36] we use our own experience and literature data [37-39]. Due to considerable efforts in the past, including our contribution also, GaP has received significant attention as a material for use in a wide range of important modern optoelectronic devices including photodetectors, light emitters, electroluminescent displays and power diodes as well as being a model material with which to investigate the fundamental properties of semiconductors.
\n\t\t\tThese two components of the composites, GaP and specially selected polymers, were unified based on their compatibility with the light emission spectral region as well as in their eventual integration into all optical circuits where bulk crystals or nanocrystals of GaP have been of commercial interest mainly for fiber and planar light emissive and micro-optic elements.
\n\t\t\tWe hope our device structures obtained with application of accumulated for years results in their optics and technology [1-36, 41-43] will have significant commercial value because they present a new optical medium and product.
\n\t\tWhile bulk and thin film GaP has been successfully commercialized for many years, its application in nanocomposites as a new optical medium has only received attention recently. This section reviews our recent efforts to advance the quality of GaP nanoparticles for light emissive devices based on polymer/GaP nanocomposites.
\n\t\t\tThis activity is the important milestone in the creation of the nanocomposites for advanced light emissive device structures because GaP nanoparticles having the necessary luminescent and electroluminescent properties and compatible with a polymer matrix is a key element of these structures. We hope the described here some details and parameters of the technological processes used for fabrication of GaP nanocrystals with the improved and necessary for concrete application characteristics of luminescence will be useful in further elaboration of the relevant optoelectronic devices.
\n\t\t\tThe quality of GaP nanoparticles was improved using mild aqueous synthesis and different colloidal reactions of Ga and P sources in toluene [26-38]. We used these methods taking into account that success of our activity depends on optimal choice of the types of chemical reactions, necessary chemicals and their purity, conditions of the synthesis (control accuracy, temperature, pressure, duration, etc.), methods and quality of purification of the nanocrystals, storage conditions for nanoparticles used in the further operations of fabrication of the GaP/nanocomposites.
\n\t\t\tUltrasonication and ultracentrifugation have been applied during the synthesis and selection of nanoparticles to increase their quality and to select them on dimensions.
\n\t\t\tThe relevant spectra of photoluminescence and Raman light scattering, X-ray diffraction and electron microscopy of the nanoparticles prepared under different conditions have been compared with each other as well as with those from bulk single crystals. Thoroughly-prepared powders and suspensions of the nanoparticles have been used for preparation of GaP film nanocomposites on the base of different polymers compatible with the nanoparticles on optical and mechanical properties.
\n\t\t\tThe equipment for fabrication of fluoropolymers and polymer nanocomposites has been elaborated by the author (JB) from Clemson University during our joint activity on light emissive structures. This equipment and approaches were applied to our specific needs without any serious modification.
\n\t\t\t\tIt was found the synthesis on the base of white phosphorus gives the best quality of GaP nanoparticles. Due to the known prohibition for free sale of white phosphorus we have elaborated the facilities for its preparation using sublimation of its red modification (see Figure 1).
\n\t\t\t\t\tPreparation of white phosphorus.
The device is the silica tube, which is hermetic to the air, and is heated from one end while the P vapor is transferred by a neutral gas (nitrogen or argon) environment at the other cooled end of the tube where it is condensed there to form white phosphorus. After completion of the process the white phosphorus can be removed; the tube must be immersed into a water bath that to avoid inflammation of phosphorus in air.
\n\t\t\t\t\tThe obtained white phosphorus must be stored as a water suspension. Then this suspension by melting in boiled water is turned into the substance using in the synthesis of GaP nanoparticles.
\n\t\t\t\tA new model of autoclave for the hydrothermal synthesis of GaP nanoparticles from the appropriate chemical solutions has been established given the requisite high temperatures (up to 500°C) for the organic solvents using GaCl3•6H2O and white phosphorus as precursors. Software for the process of synthesis at the temperature control and regulation with the accuracy of 0.1°C has been developed.
\n\t\t\t\t\tThe key part of the method are the chemical reactions at high temperature and pressure. The reactor here is a hollow hermetic teflon cylinder. The necessary temperature (125°С, 200°С) inside the cylinder is obtained by its heating, while the pressure – by evaporation of water.
\n\t\t\t\t\tEquipment for preparation of GaP nanocrystals on the base of NaBH4 or Na3P.
The equipment for colloidal synthesis of GaP nanocrystals using NaBH4 or Na3P in toluene is shown in Figure 2.
\n\t\t\t\tIn 2005 the authors developed methods to fabricate GaP nanoparticles [26]. So, the technology and properties of the nanoparticles obtained in 2005-2006 and later [27, 28] are a good reference point for comparison to the new data provided herein.
\n\t\t\t\tMore recently the authors [31] have concentrated on low temperature methods to synthesize GaP nanoparticles with improved luminescent characteristics. These methods are considerably different from those of other standard high temperature methods.
\n\t\t\t\tThe first samples of GaP nanoparticles having a distinct luminescence at room temperature were obtained by hydrothermal method from aqueous solutions at relative low temperature (120-200°C). This method is discussed in Subsection 2.2.1. It was found that the composition of the nanoparticles corresponds to stoichiometric GaP.
\n\t\t\t\tThe colloidal method provides a good opportunity to control the conditions of the synthesis, to decrease power inputs and to increase quality of nanoparticles concerning their purity and uniformity of their dimensions. In actuality, the single parameter, which may be controlled in the other methods, is the temperature, while using colloidal methods one can control nucleation of nanoparticles as well as velocity of their growth. The other important advantage of the colloidal method is the ability of so called “capping”; that is to isolate nanoparticles from each other, to prevent their agglomeration during storage, simultaneously inhibiting their further growth. Therefore, we have elaborated the methods of GaP nanocrystals colloidal synthesis using NaBH4 and Na3P compounds (Subsections 2.2.2 and 2.2.3).
\n\t\t\t\tNoted here are only essential details of the aqueous syntheses of GaP nanoparticles prepared at different temperatures and reaction conditions.
\n\t\t\t\t\tUsing the literature data noted above the first nanocrystalline samples of GaP [26] have been prepared. The first aqueous prepared, relatively monodisperse, well crystallized GaP nanocrystallites, exhibiting pronounced quantum confinement effect have been presented in [27]. The relevant reactions were carried out in an aqueous solution at 120-160°C. A typical synthesis was as follows: 35,0 ml H2O, 1,0 g Ga2O3, 1,0 g NaOH, 2,0 g white phosphorus were added to a 50 ml Teflon –lined autoclave, and 1,5 g I2 then was added. The autoclave was kept at 120-160°C for 8 hrs and then cooled to room temperature.
\n\t\t\t\t\tGaP nanoparticles were obtained in an alkali solution, taking advantage of the reaction of Ga(OH)4 with PH3 which was produced from white phosphorus dispersed in alkali solution:
\n\t\t\t\t\tThe yield of GaP in alkali solution is only about 12%. In order to improve the yield of GaP iodine was added to induce the reaction with white phosphorus, based on follow process:
\n\t\t\t\t\tThe X-ray powder diffraction patterns of the as-prepared products indicated to the zinc blend structure of GaP with a= 5.43 Å. Average crystallite size estimated by the Scherrer equation are about 5 nm for GaP nanocrystals [27].
\n\t\t\t\t\tNanoparticles of GaP have been prepared by mild aqueous synthesis at different temperatures, modifications and compositions of the reacting components.
\n\t\t\t\t\tNaOH pellets were dissolved in distilled water. Ga2O3, red or white phosphorus powder and I2 were mixed and added to the NaOH solution. The mixed solution was then placed into an autoclave and heated in an oven for 8 hours at 125 or 200°C. After the completion of heating the autoclave was taken out of the oven and cooled. The obtained powder was filtered, washed with ethanol, HCl and distilled water and dried or ultrasonicated in the bath with a special solvent for separation in dimensions and preparation of a suspension for any nanocomposite. The dried powders were then characterized using standard methods of XRD, TEM, Raman scattering and photoluminescence. For comparison industrial and specially grown and aged GaP single crystals also were used [1, 24].
\n\t\t\t\t\tTEM images of GaP nanoparticles obtained by the aqueous synthesis. a. Thoroughly ultrasonicated and dried nanopowder. b. Initial clusters with the dimensions of the order of 100 nm.
The instruments employed for Raman light scattering and luminescence measurements included spectrographs interfaced to a liquid nitrogen-cooled detector and an argon ion laser or lamp excitation sources. Raman scattering spectra was obtained at room temperature by excitation with 514.5 nm radiation. Luminescence was excited by UV light of the lamps or the N2 laser nanosecond pulses at wavelength 337 nm and measured at room temperature [25-28].
\n\t\t\t\t\t\n\t\t\t\t\t\tFigure 3 shows the TEM images of GaP nanoparticles obtained by the aqueous synthesis. The washed, thoroughly ultrasonicated and dried nanopowder contains mainly single 10nm nanoparticles (Figure 3a), obtained from the initial clusters with the dimensions of the order of 100 nm (Figure 3b).
\n\t\t\t\t\tRaman light scattering from GaP nanoparticles of different treatment (spectra 2-4) in comparison with perfect GaP bulk crystals (spectrum 1).
Spectrum 2: Not thoroughly treated powder of nanoparticles prepared using red phosphorus at 200°C. Spectrum 3: Thoroughly treated GaP nanoparticles prepared using red phosphorus at 200°C. Spectrum 4: Nanoparticles prepared on the base of white P by low temperature syntheses.
\n\t\t\t\t\t\n\t\t\t\t\t\tFigure 4 shows the Raman light scattering spectra from GaP nanoparticles prepared using white or red P in mild aqueous synthesis at increased or low temperatures and ultrasonically treated.
\n\t\t\t\t\tIn the colloidal method of the synthesis freshly prepared white phosphorus was used and ultrasonicated in toluene. Here the mixture for the reaction of the synthesis consists of GaCl3\n\t\t\t\t\t\t. nH2O diluted in toluene and dry NaBH4. One of 2 fractions of different colors obtained in the synthesis was removed by rinsing in ethanol and water while the next one, containing the nanoparticles, was treated in an high-speed ultracentrifuge.
\n\t\t\t\t\tThe characteristic GaP Raman lines from aged GaP single crystals (Figure 4, spectrum 1) and from the nanoparticles prepared using white P at low temperature (Figure 4, spectrum 4) were narrow and intense whereas, nanoparticles prepared from red P at higher temperatures (Figure 4, spectra 2 and 3) were weak and broad; the especially weak and broad spectrum exhibits not thoroughly washed powder (please see spectrum 2).
\n\t\t\t\t\tX-ray diffraction from GaP nanoparticles.1. White phosphorus, using low temperature syntheses, well-treated powder. 2. White P, not the best performance and powder treatment. 3. Red phosphorus, the best result. 4. Perfect GaP bulk crystal.
In Figure 5 one can see x-ray diffraction from the GaP nanoparticles prepared at different conditions using red or white phosphorus (spectra 1-3) in comparison with the diffraction from perfect GaP single crystal (spectrum 4). The nanoparticles obtained by low temperature aqueous synthesis using white phosphorus exhibited clear and narrow characteristic lines like those obtained from perfect GaP bulk single crystals taken from our unique collection of long-term (app. 50 years) ordered GaP single crystals (Figure 5, spectra 1 and 4). Contrary to that, nanoparticles prepared using red phosphorus or less-than-optimum conditions showed broad and weak characteristic lines (Figure 5, spectra 2 and 3).
\n\t\t\t\t\tAny luminescence was absent in newly-made industrial and our freshly prepared crystals but it was bright in the same app. 50 years aged crystals (Figure 6, spectrum 1; the features of luminescence in the perfect aged crystals please see in [16-25]). Initial results on luminescent properties of GaP nanoparticles [26] confirmed the preparation of GaP nanoparticles with dimensions of between 10-100 nm and clear quantum confinement effects but the luminescent spectrum was not bright enough and its maximum was only slightly shifted to UV side against the 2.24 eV forbidden gap at room temperature (Figure 6, spectrum 2). The nanoparticles obtained from the reaction with white P at low (125°C) temperature exhibit bright broad band spectra considerably shifted to UV side [27, 28, 36] (Figure 6, spectrum 3, 4). Note that the original powder contains only a part of GaP particles with nearly 10 nm dimension, which develop quantum confinement effect and the relevant spectrum of luminescence, so the spectrum of luminescence consists of this band with maximum at 3 eV and of the band characterizing big particles with the maximum close to the edge of the forbidden gap in GaP (Figure 6, spectrum 3), but thorough ultrasonic treatment gives an opportunity to get the pure fraction of nanoparticles with the spectrum 4 having the maximum at 3 eV.
\n\t\t\t\t\tLuminescence of GaP nanoparticles prepared at different conditions (spectra 2-4) and in comparison with the luminescence of perfect GaP bulk single crystals (1). Please see explanations in the text below.
With these results, one can compare the properties of GaP nanoparticles with those of bulk single crystals grown in the 1960s or, approximately, 50 years ago [1-25]. The authors have investigated their optical and mechanical properties [16-25] in the 1960s, 1970s, 1980s and 1990s. Due to a significant number of defects and a highly intensive non-radiative recombination of non-equilibrium current carriers, initially luminescence from the freshly prepared undoped crystals could be observed only at the temperatures 80K and below. Today, luminescence is clearly detected in the region from 2.0 eV and until 3.0 eV at room temperature (see Figure 6, spectrum 1). Taking into account that the indirect forbidden gap is only 2.25 eV, it is suggested that this considerable extension of the region of luminescence to the high energy side of the spectrum as well as a pronounced increase of its brightness are connected with a very small concentration of defects, considerable improvement of crystal lattice, high transparency of perfect crystals, low probability of phonon emission at rather high temperature and participation of direct band-to-band electron transitions.
\n\t\t\t\t\tOur unique collection of long-term-ordered perfect GaP single crystals provides opportunities for deep fundamental analogies between perfect single crystals and nanoparticles [29-31] as well as to predict and to realize in nanoparticles and perfect bulk crystals new and interesting properties and applications as the advanced light emissive elements of relevant device structures. More detailed analyses and discussion of these results can be found in the references cited above and will be futher published.
\n\t\t\t\tIn the method employed here, NaBH4 was used as a deoxidizer during the synthesis in the solvent – toluene, where the sources of Ga and P (white phosphorus) have been dissolved (GaCl3) or suspended. NaBH4 can be used also due to its high solubility in ethanol. The ethanol solution of NaBH4 was introduced into the process of the synthesis during 5 hours, controlling the velocity of its introduction at the moderate heating up to 70°С.
\n\t\t\t\t\tWhite-yellow precipitates were the result of the synthesis. The precipitate was rinsed multiple times in toluene, removing the remaining P and GaCl3, and then in water, removing the water- soluble species such as NaCl. The centrifugal separation from the solvent has been used for extraction of the final precipitate having a lemon color.
\n\t\t\t\t\tOne can suppose the following scheme for the GaP synthesis:
\n\t\t\t\t\tThe last reaction is the closing one, including creation of NaCl, which can be easily removed with deionized water. The main problem of the described synthesis is the exclusion Ga metal particles in the precipitate. The problem is controled via the rate of Ga ion deoxidation, depending on temperature, the types of solvent and deoxidizer. Using low (~1 mL/min) rate of introduction of NaBH4 ethanol solution into the process helps to avoid the metal Ga creation.
\n\t\t\t\tFor the preparation of Na3P we used elementary Na, white P and the mixture of InCl3/GaCl3 (4 wt% InCl3 + 96 wt% GaCl3). The main experimental procedures can be described as follows: a 5.2 g mixture of GaCl3 and InCl3 was dissolved in 150 ml of xylene. Then, 2 g of sodium and 0.9 g of white phosphorus were added into the solution. The solution was stirred at 100°C for 10 hrs. After the reaction, the product was filtered for 3 times in xylene and 3 times in deionized water. The resultant powders were dried in vacuum at 60–80°C for 2 hrs. All the above mentioned manipulations were conducted in high purity nitrogen (99.999%) atmosphere in a glove box. Lastly, three equal parts of the product was heated respectively to 300°C, 480°C and 600°C for 1 hr in pure nitrogen (99.999%) flows. The reactions can be expressed as:
\n\t\t\t\t\tAs the result the GaP nanoparticle aggregation was obtained. In a glove box, previously purged with dry nitrogen, 1.2 g of white phosphorus (P4) and 1.7 g of sodium (Na) were placed in 100 mL of distilled dimethylbenzene in an Erlenmeyer flask. The mixture was then stirred, heated to 120°C and maintained at that temperature for 10 hrs. A black fragmented product, Na3P, was obtained. About 10 g of gallium (Ga) pellets were added to a quartz tube with one sealed end. The tube was purged with dry nitrogen and then heated gently. A chlorine gas flow through the melting metal was put in place at a rate until all the gallium reacted. The product - gallium chloride (GaCl3) was formed. In the glove box, 6.5 g of GaCl3 was dissolved in 100 mL of distilled dimethylbenzene in an Erlenmeyer flask. The solution was stirred and heated to 100°C. Then 2.5 g of Na3P was added to the Erlenmeyer flask and the mixture was heated at 100°C with continuous stirring for 2.5 hr. After cooling, the mixture was filtered and washed with water.
\n\t\t\t\t\tThe alternative method for preparation of GaP nanocrystals is interaction of GaCl3 and Na3P:
\n\t\t\t\t\tIn this method the stoichiometric ratio of Na (99,9%) and P (99,995%) is placed in the reactor with the Ar inert atmosphere. The reaction of preparation of Na3P goes between melted Na and dispersed white P at 110°C in boiling toluene under intense stirring. This violent reaction must be supported at the necessary conditions (110°C and intense stirring) for 5 hrs. As the result we have the black suspension of Na3P:
\n\t\t\t\t\tXRD spectrum of GaP nanocrystals prepared on the base of Na3P and GaCl3.
According to elaborated by us technology [28, 31] the synthesis of GaP nanocrystals goes in the toluene solvent between dissolved (GaCl3) and dispersed (Na3P) initial chemicals at 80°С under ultrasonic machining for 5 hrs, creating a black-brown precipitate, which must be rinsed multiple times in toluene (removal of P and GaCl3) and water (removal of the soluble matter like NaCl). A high speed centrifuge must be used for separation of the precipitate. The resultant material must not be cleaned; its purity depends only on the purity of the initial components.
\n\t\t\t\t\tThe XRD spectrum of GaP nanocrystals prepared using Na3P and GaCl3 in toluene is presented in Figure 7. One can observe the characteristic (111), (220) and (311) reflections for GaP. However, there are some extraneous lines of the low intensity, probably, from NaCl, NaPO3 and showing that purification of GaP nanoparticles was not enough. The extraneous lines of the other than GaP components can be seen also in the spectra of GaP nanoparticles obtained by the method of Energy Dispersion X-ray Analysis (EDAX).
\n\t\t\t\t\tIn conclusion we note that the growth of GaP nanocrystals is the key element in the creation of nanocomposite for advanced device structures because, in spite of the lack of the concrete parameters and conditions of synthesis in the relevant literature sources, all the necessary data for the preparation of GaP nanoparticles are provided herein.
\n\t\t\t\t\tThus, nanoparticles of GaP have been prepared using white P by mild aqueous low temperature synthesis and 2 methods of colloidal chemistry. The spectra of PL, RLS, and XRD together with TEM images of the nanoparticles prepared under different conditions have been compared with each other as well as with those from bulk single crystals, from hydrothermal and colloidal reactions in toluene were presented. Uniform GaP nanoparticles, following ultrasonic treatment yielded a bright luminescence at room temperature with a broad band with maximum at 3 eV and have been used to prepare GaP/polymer nanocomposites.
\n\t\t\t\tPolyglycidyl methacrylate (PGMA), polyglycidyl methacrylate-co-polyoligoethyleneglycol methacrylate (PGMA-co-POEGMA) and biphenyl vinyl ether (BPVE) polymers were used to synthesize GaP nanocomposites suitable for light emissive luminescent device structures. Some other polymers, dielectrics and with high electric conductivity, will be also investigated in the process of preparation of this Chapter and used for elaboration of light emissive device structures.
\n\t\t\tFilm nanocomposites of good quality with very bright and broad-band luminescence have been prepared. Quality and surface morphology of the nanocomposite films was studied in ambient air using AFM in taping mode on a Dimension 3100 (Digital Instruments, Inc.) microscope while luminescence of the nanocomposites films deposited by dip-coating from a suspension in water-ethanol mixture solution on the surface of a silica substrate was excited by the N2 laser nanosecond pulses at wavelength 337 nm and measured at room temperature.
\n\t\t\tThe nanocomposites on the base of the noted above polymers were used for preparation and test of film light emissive device structures.
\n\t\t\tThickness of the polymer composite film was within 250-300 nm defined from AFM scratch experiment. The following procedures have been used in the fabrication of the nanocomposites:
\n\t\t\tGaP powder was ultrasonicated in methylethylketone (MEK) using Branson 5210 ultrasonic bath. Then, PGMA was added to the MEK solution. GaP to polymer ratio was less than 1:10.
GaP powder was dispersed in water-ethanol mixture (1:1 volume ratio) and ultrasonicated using Branson 5210 bath for 120 min. Then, PGMA-co- POEGMA was added in the form of water-ethanol mixture (1:1 volume ratio) solution. GaP to polymer ratio was less than 1:3. Nanocomposite films were deposited on quartz slides via dip-coating;
GaP powder was dispersed in the biphenyl vinyl ether/dichloromethane (BPVE/DCM) solution; the solution was stirred and filtered from the excess of the powder. A few mL drops of the settled solution were casted onto silicon wafer.
More details on preparation and characterization of our GaP/polymers nanocomposites can be found in [31-36].
\n\t\t\tTEM image of GaP thoroughly ultrasonicated and dried nanoparticles obtained by mild aqueous synthesis (a) and AFM topography image of the GaP/PGMA nanocomposite (b).
\n\t\t\t\tFigure 8a shows the TEM images of GaP nanoparticles obtained by the aqueous synthesis. One can see GaP nanoparticles, having characteristic dimensions less than 10 nm. The washed, thoroughly ultrasonicated and dried nanopowder contains mainly single nanoparticles, while the same powder obtained without ultrasonic treatment consists of the clusters with the dimensions of the order of 100 nm.
\n\t\t\t\n\t\t\t\tFigure 8b shows the AFM topography images of the GaP/PGMA film nanocomposite deposited by dip-coating from a suspension in water-ethanol mixture solution on the surface of a silica substrate. The AFM images demonstrated that no significant aggregation was caused by the polymerization. In general, individual particles were observed.
\n\t\t\tThe thoroughly washed, ultrasonicated and dried nanopowders obtained by mild low temperature aqueous synthesis from white P as well as their specially prepared suspensions have been used for fabrication of blue light emissive GaP nanocomposites on the base of some optically and mechanically compatible with GaP polymers. The relevant luminescence spectra are presented in Figures 9 and 10.
\n\t\t\t\n\t\t\t\tFigure 9 shows the spectra for GaP/PGMA-co-POEGMA nanocomposites. Comparing the results for the nanocomposites prepared from GaP powder or suspension (Figure 9, spectra 1 and 2 respectively), it was established that the best quality have the nanocomposites obtained from the nanoparticles stored as a suspension in a suitable liquid (see spectrum 2).
\n\t\t\tSpectra of luminescence from GaP/ PGMA-co-POEGMA nanocomposites. Nanoparticles have been prepared using white P by mild aqueous synthesis and stored as the dry powder (spectrum 1) or suspension in a liquid (spectrum 2).
Luminescence spectra of 2 GaP/BPVE nanocomposites produced on the base of 2 parties of GaP nanoparticles prepared using different conditions.
According to our measurements, the matrix polymers PGMA-co-POEGMA or BPVE used in this work provide no contribution to the spectra of luminescence of the based on these matrixes GaP nanocomposites presented in Figures 9 and 10, so, the nanocomposite spectra coincide with those obtained from the relevant GaP powders or suspensions. We note that in the GaP/BPVE nanocomposite the position of the luminescent maximum can be changed between 2.5 – 3.2 eV and the brightness is 20-30 more than in the PGMA and PGMA-co-POEGMA matrixes. We explain the broadening of the luminescence band and the shift of its maximum to low photon energies in luminescence of the nanocomposite based on the GaP powder in Figure 9, spectrum 1, by the presence of the nanoparticles with the dimensions of 10-100 nm in the powder. Meanwhile, suspensions containing the 10 nm nanoparticles exhibit pronounced quantum confinement effects since this diameter equals the Bohr diameter of the bound exciton in GaP.
\n\t\t\t\n\t\t\t\tFigures 9 and 10 present a clear image of the quantum confinement effect in the GaP nanoparticles. In accord with our data [28-30] the shift is about a few tenths of eV and, obviously, it is impossible to explain only through this effect the dramatic 1 eV enhancement to the region of luminescence at 300 K on the high-energy side of the spectrum.
\n\t\t\t\n\t\t\tIn order to explain this interesting phenomenon we postulate that the nanocrystals, much like the ideal long-term ordered bulk GaP single crystals, exhibit this huge increase in blue-shifted luminescence due to: (a) negligibly small influence of defects and non-radiative recombination of electron-hole pairs and very high efficiency of their radiative annihilation, (b) high perfection of nanocrystal lattice, and (c) high transparency of nanocrystals due to their small dimensions for the light emitted from high points of the GaP Brillouin zones, for instance, in the direct transitions Γ1c - Γ15v between the conductive and valence bands with the photon energy at 300°K equal to 2.8 eV [40] and (d) high efficiency of this so called “hot” luminescence.
\n\t\t\tOur first attempts to prepare GaP nanoparticles [26] yielded room temperature luminescence with maximum shifted only to 2.4 eV in comparison with the new maximum at 3.2 eV. It confirms significant achievements in technology of GaP nanoparticles and GaP/polymers nanocomposites. On the base of these improved technologies for preparation of GaP nanoparticles and GaP/polymer nanocomposites we can change within the broad limits the main parameters of luminescence and expect to create a framework for novel light emissive device structures using dramatic 1 eV expansion of GaP luminescence to UV region.
\n\t\t\tThe film device structures demonstrate broadband luminescence in the region from UV until yellow-red with controlled width and position of maximum with the luminous intensity up to 1 cd compared with industrial light emitting diodes.
\n\t\tJointly with Refs. [1-31] this section is a generalization of the results on long-term observation of luminescence, absorption, Raman light scattering, and microhardness in bulk semiconductors in comparison with some properties of the best to the moment GaP nanocrystals. We show that the combination of these characterization techniques elucidates the evolution of these crystals over the course of many years, the ordered state brought about by prolonged room-temperature thermal annealing, and the interesting optical properties that accompany such ordering. We demonstrate that long-term natural stimuli improve the perfection of our crystals, which can lead to novel heterogeneous systems and new semiconductor devices with high temporal stability.
\n\t\t\tOur unique collection of long-term ordered perfect GaP single crystals gives opportunities to find deep fundamental analogies in properties of the perfect single crystals and nanoparticles as well as to predict and to realize in nanoparticles and perfect bulk crystals new interesting properties and applications.
\n\t\t\tThe long-term ordering of doped GaP and other semiconductors has been observed as an interesting accompanying process, which can only be studied in the situation when one has a unique set of samples and the persistence to observe them over decade time scales.
\n\t\t\tAny attempt to accelerate the above noted processes, for instance, through annealing of GaP at increased temperatures cannot be successful because high-temperature processing results in thermal decomposition (due to P desorption) instead of improved crystal quality. Therefore successful thermal processing of GaP can only take place at temperatures below its sublimation temperature, requiring a longer annealing time. Evaluated within the framework of the Ising model the characteristic time of the substitution reaction during N diffusion along P sites in GaP:N crystals at room temperature constitutes 10 -15 years [5]. Hence, the observations of luminescence of the crystals made in the sixties and the nineties were then compared with the results obtained in 2009-2012 in closed experimental conditions.
\n\t\t\tThe pure and doped GaP crystals discussed herein were prepared nearly 50 years ago. Throughout the decades they have been used to investigate electro- and photoluminescence (PL), photoconductivity, bound excitons, nonlinear optics, and other phenomena. Accordingly, it is of interest also to monitor the change in crystal quality over the course of several decades while the crystal is held under ambient conditions.
\n\t\t\tMore specifically, since 2005, we have analyzed the optical and mechanical properties of single crystalline Si, some III–V semiconductors, and their ternary analog CdIn2S4, all of which were grown in the 1960s. Comparison of the properties of the same crystals has been performed in the 1960s, 1970s, 1980s, 1990s [1-12], and during 2000s [13–25] along with those of newly made GaP nanocrystals [26-28] and freshly prepared bulk single crystals [19-23]. We improved in the preparation of GaP nanocrystals the known methods of hydrothermal and colloidal synthesis taking into account that success of our activity depends on optimal choice of the types of chemical reactions, necessary chemicals and their purity, conditions of the synthesis (control accuracy, temperature, pressure, duration, etc.), methods and quality of purification of the nanocrystals, storage conditions for nanoparticles used in the further operations of fabrication of the GaP/nanocomposites.
\n\t\t\tSingle crystals of semiconductors grown under laboratory conditions naturally contain a varied assortment of defects such as displaced host and impurity atoms, vacancies, dislocations, and impurity clusters. These defects result from the relatively rapid growth conditions and inevitably lead to the deterioration of the mechanical, electric, and optical properties of the material, and therefore to rapid degradation of the associated devices.
\n\t\t\tDifferent defects of high concentration in freshly prepared GaP single crystals completely suppress any luminescence at room temperature due to negligible quantity of free path for non-equilibrium electron-hole pairs between the defects and their non-radiative recombination, while the quantum theory predicts their free movement in the field of an ideal crystal lattice. The long-term ordered and therefore close-to-ideal crystals demonstrate bright luminescence and stimulated emission repeating behavior of the best nanoparticles with pronounced quantum confinement effects. These perfect crystals due to their unique mechanical and optical properties are useful for application in top-quality optoelectronic devices as well as they are a new object for development of fundamentals of solid state physics, nanotechnology and crystal growth.
\n\t\t\tContinuing generalization of data on improvement of properties from semiconductor GaP:N crystals prepared nearly 50 years ago and their convergence to the behavior of GaP nanoparticles, here we discuss only the most interesting for fundamentals of solid state physics and application in optoelectronics and photonics data.
\n\t\t\tOver time, driving forces such as diffusion along concentration gradients, strain relaxation associated with clustering, and minimization of the free energy associated with properly directed chemical bonds between host atoms result in ordered redistribution of impurities and host atoms in a crystal.
We observe in the long-term ordered GaP:N single crystals a new type of the crystal lattice, where host atoms occupy their equilibrium positions, while impurities divide the lattice in the short chains of equal length in which the host atoms develop harmonic vibrations.
The nearly half-centennial evolution of the GaP:N luminescence and its other optical and mechanical properties are interpreted as the result of both volumetrically ordered N impurities and the formation of an ordered crystal-like bound exciton system. The highly ordered nature of this new host and excitonic lattices increases the radiative recombination efficiency and makes possible the creation of advanced non-linear optical media for optoelectronic applications.
Taking into account the above-mentioned results, a model for the crystal lattice and its behavior at a high level of optical excitation for 40-year-old ordered N-doped GaP have been suggested [3]. At relevant concentrations of N, the anion sub-lattice can be represented as a row of anions where N substitutes for P atoms with the period equal to the Bohr diameter of the bound exciton in GaP (approximately 10 nm). At some level of excitation, all the N sites will be filled by excitons, thereby creating an excitonic crystal which is a new phenomenon in solid-state physics and a very interesting object for application in optoelectronics and nonlinear optics [3, 30].
\n\t\t\tThe perfect ordered GaP:N crystals demonstrate uniform luminescence from a broad excitonic band instead of the narrow zero-phonon line and its phonon replica in disordered and partly ordered (25-year-old) crystals due to the ordered crystals having no discrete impurity level in the forbidden gap. To the best of our knowledge, the transformation of a discrete level within the forbidden gap into an excitonic band is observed for the first time. In this case, the impurity atoms regularly occupy the host lattice sites and affect the band structure of the crystals, which is now a dilute solid solution of GaP-GaN rather than GaP doped by occasionally located N atoms.
\n\t\t\tAs noted previously, the luminescence of fresh doped and undoped crystals could be observed only at temperatures below about 80 K. The luminescence band and lines were always seen at photon energies less than the value of the forbidden gap (2.3 eV). Now, after 50 years, luminescence of the long-term-ordered bulk crystals similar to the GaP nanocrystals [27-31] is clearly detected in the region from 2.0 eV to 3.0 eV at room temperature [13-25]. We believe, in the long-term-ordered bulk crystals this considerable extension of the region of luminescence at 300°K to the high-energy side of the spectrum is due to: (a) a very small concentration of defects, (b) low contribution of nonradiative electron–hole recombination, (c) considerable improvement of crystal lattice, (d) high transparency of perfect crystals, and (e) low probability of phonon emission at indirect transition.
\n\t\t\tEarlier, in freshly prepared crystals we observed a clear stimulated emission from a GaP:N resonator at 80 K [4] as well as so called superluminescence from the GaP single crystals. Presently, our ordered crystals have a bright luminescence at room temperature that implies their perfection and very lower light losses. Currently we demonstrate [19, 20, 24, 29, 30] that the stimulated emission is developed even at room temperature by direct electron–hole recombination of an electron at the bottom of the conduction band with a hole at the top of the valence band and the LO phonon absorption.
\n\t\t\tWe also have demonstrated the considerable improvement of quality of GaP nanocrystals as the result of elaboration of an optimal for them nanotechnology. Figure 11 compares the luminescence spectra of our long-term (up to 50 years) ordered GaP single crystals (spectrum 1) to that from high quality GaP nanoparticles [27-31] and their GaP nanoparticles/polymers nanocomposites [34-36].
\n\t\t\tThe best quality GaP nanoparticles have been prepared by hydrothermal or colloidal synthesis from white phosphorus at decreased temperature (125°C) and intense ultrasonication.
\n\t\t\tComparing the results for the nanocomposites prepared from GaP powder or suspension (Figure 11, spectra 2 and 3 respectively), it was established that the maximum shift to ultraviolet and the best quality in general have the nanocomposites obtained from the nanoparticles stored as a suspension in a suitable liquid.
\n\t\t\tNanocrystals stored as dry powder demonstrate rather broad luminescent band with maximum at 2.8 eV (Figure 11, spectrum 2), while the nanocrystals of about 10 nm sizes, thoroughly separated and distributed in a suspension, that prevent their coagulation, mechanical and optical interaction, exhibit bright narrow-band luminescence with maximum at 3.2 eV, approximately 1 eV above the position of the absorption edge in GaP at 300oK (Figure 11, spectrum 3). The thoroughly washed, ultrasonicated and dried nanopowders as well as their specially prepared suspensions have been used for fabrication of blue light emissive GaP nanocomposites on the base of some optically and mechanically compatible with GaP polymers.
\n\t\t\tLuminescence of perfect bulk GaP single crystals (1) in comparison with the luminescence of GaP nanoparticles and GaP/polymers nanocomposites (2-3). Nanoparticles prepared from white P by mild aqueous or colloidal synthesis at decreased temperature, stored as the dry powder (spectrum 2) or suspension in a liquid (spectrum 3).
According to our measurements, the matrix polymers PGMA-co-POEGMA or BPVE used in this work provide no contribution to the spectra of luminescence of the based on these matrixes, so, the nanocomposite spectra coincide with those obtained from the relevant GaP powders or suspensions.
\n\t\t\tWe note that in the GaP/BPVE nanocomposite the position of the luminescent maximum can be changed between 2.5 – 3.2 eV and the brightness is 20-30 more than in the PGMA and PGMA-co-POEGMA matrixes. We explain the broadening of the luminescence band and the shift of its maximum to low photon energies in luminescence of the nanocomposite based on the GaP powder by presence in the powder of the nanoparticles with the different dimensions between 10-100 nm. Meanwhile, the nanocomposites on the base of the suspensions containing only approximately 10 nm nanoparticles, exhibit bright luminescence with maximum at 3.2 eV due to high transparency of 10 nm nanoparticles for these high energy emitted photons and pronounced quantum confinement effects since this diameter equals the Bohr diameter of the bound exciton in GaP.
\n\t\t\tIn accordance with previous data [27-31, 34-36] the shift due to the quantum confinement effects is about a few tenths of eV and, obviously, it is impossible to explain only through this effect the dramatic 1 eV expansion of the region of luminescence at 300 K to the high-energy side of the spectrum.
\n\t\t\tIn order to explain this interesting phenomenon we postulate that the nanocrystals, much like the ideal long-term ordered bulk GaP single crystals, exhibit this huge increase in blue-shifted luminescence due to: (a) negligibly small influence of defects and non-radiative recombination of electron-hole pairs and very high efficiency of their radiative annihilation, (b) high perfection of nanocrystal lattice, and (d) high transparency of nanocrystals due to their small dimensions for the light emitted from high points of the GaP Brillouin zones, for instance, in the direct transitions Γ1\n\t\t\t\tc - Γ15\n\t\t\t\tv between the conductive and valence bands with the photon energy at 300°K equal to 2.8 eV [40] and (e) high efficiency of this so called “hot” luminescence.
\n\t\t\tOur first attempts to prepare GaP nanoparticles [26] yielded room temperature luminescence with maximum shifted only to 2.4 eV in comparison with the new maximum at 3.2 eV. It confirms significant achievements in technology of GaP nanoparticles and GaP/polymers nanocomposites. On the base of these improved technologies for preparation of GaP nanoparticles and GaP/polymer nanocomposites we can change within the broad limits the main parameters of luminescence and expect to create a framework for novel light emissive device structures using dramatic 1 eV expansion of GaP luminescence to UV region.
\n\t\t\tSemiconductor nanoparticles were introduced into materials science and engineering mainly that to avoid limitations inherent to freshly grown semiconductors with a lot of different defects. The long-term ordered and therefore close to ideal crystals repeat behavior of the best nanoparticles with pronounced quantum confinement effect. These perfect crystals are useful for application in top-quality optoelectronic devices as well as they are a new object for development of fundamentals of solid state physics.
\n\t\t\tThis study of long-term convergence of bulk- and nanocrystal properties brings a novel perspective to improving the quality of semiconductor crystals. The unique collection of pure and doped crystals of semiconductors grown in the 1960s provides an opportunity to observe the long term evolution of properties of these key electronic materials. During this almost half-centennial systematic investigation we have established the main trends of the evolution of their optoelectronic and mechanical properties. It was shown that these stimuli to improve quality of the crystal lattice are the consequence of thermodynamic driving forces and prevail over tendencies that would favor disorder. For the first time, to the best of our knowledge, we have observed a new type of the crystal lattice where the host atoms occupy their proper (equilibrium) positions in the crystal field, while the impurities, once periodically inserted into the lattice, divide it in the short chains of equal length, where the host atoms develop harmonic vibrations. This periodic substitution of a host atom by an impurity allows the impurity to participate in the formation of the crystal\'s energy bands. It leads to the change in the value of the forbidden energy gap, to the appearance of a crystalline excitonic phase, and to the broad energy bands instead of the energy levels of bound excitons. The high perfection of this new lattice leads to the abrupt decrease of non-radiative mechanisms of electron-hole recombination, to both the relevant increase of efficiency and spectral range of luminescence and to the stimulated emission of light due to its amplification inside the well arranged, defect-free medium of the crystal. The further development of techniques for the growth of thin films and bulk crystals with ordered distribution of impurities and the proper localization of host atoms inside the lattice should be a high priority.
\n\t\t\t\tThis long-term evolution of the important properties of our unique collection of semiconductor single crystals promises a novel approach to the development of a new generation of optoelectronic devices. The combined methods of laser assisted and molecular beam epitaxies [41-43] will be applied to fabrication of device structures with artificial periodicity; together with classic methods of crystal growth, can be employed to realize impurity ordering that would yield new types of nanostructures and enhanced optoelectronic device performance.
\n\t\t\t\tOur long-term ordered and therefore close to ideal crystals repeat behavior of the best nanoparticles with pronounced quantum confinement effect. These perfect crystals are useful for application in top-quality optoelectronic devices as well as they are a new object for development of fundamentals of solid state physics.
\n\t\t\t\tFor the first time we also show that well-aged GaP bulk crystals as well as high quality GaP nanoparticles have no essential difference in their luminescence behavior, brightness or spectral position of the emitted light. The long-term ordered and therefore close to ideal crystals repeat behavior of the best nanoparticles with pronounced quantum confinement effect. These perfect crystals are useful for application in top-quality optoelectronic devices as well as they are a new object for development of fundamentals of solid state physics.
\n\t\t\t\tEspecially important for application in new generation of light emissive devices is the discovered in framework of the Project [31] dramatic expansion of luminescence region in GaP perfect bulk single crystals as well as in the best prepared GaP nanocrystals and based on them composites with transparent polymers. The broad discussion and dissemination of our results will stimulate development of our further collaboration with reliable partners from the USA, Italy, Romania, France and other countries.
\n\t\t\tThe authors are very grateful to the US Department of State, Institute of International Exchange, Washington, DC, The US Air Force Office for Scientific Research, the US Office of Naval Research Global, Civilian R&D Foundation, Arlington, VA, Science & Technology Center in Ukraine, Clemson University, SC, University of Central Florida, FL, Istituto di elettronica dello stato solido, CNR, Rome, Italy, Universita degli studi, Cagliari, Italy, Joffe Physico-Technical Institute, St.Petersburg State Polytechnical University, Russia, Institute of Applied Physics and Academy of Sciences of Moldova for support and attention to this protracted (1963-present time) research.
\n\t\tVarious neurogenic conditions are responsible for lower urinary tract symptoms (LUTS) which further worsen the quality of life (QoL) of patients. In most cases, LUTS onset follows a neurogenic diagnosis by several years, while in certain disorders (i.e., parkinsonism) the urologic disease can sometimes precede neurogenic symptoms. However, in all cases, LUTS represent a significant problem for neurogenic patients, especially for those suffering from physical limitations, such as spinal cord injured (SCI) ones. In addition, LUTS of neurogenic origin is often secondary to a bladder-sphincteric dysfunction which can lead to severe complications and, therefore, must be early and properly managed. The aim of treatment is to restore adequate bladder filling and emptying processes, preventing severe complications, especially to the upper urinary tract (renal failure), and improving QoL. Various therapeutic options are today available for neurogenic LUTS, varying from conservative approaches (behavioral treatment, physical therapy) to pharmacologic oral medications (antimuscarinics, beta-3- agonists, alpha-blockers). Among LUTS, urinary incontinence (UI) is the most bothersome and, in the neurogenic bladder (NGB), is often severe because it is the consequence of neurogenic detrusor overactivity (NDO), which is characterized by involuntary bladder contractions. Conservative treatments and first-line therapeutic options often fail to provide complete recovery from neurogenic UI. In these cases, the international guidelines therapeutic algorithms suggest the use of mini-invasive treatments, including onabotulinum toxin A (BoTA) which has proven to be effective in restoring urinary continence, improving urodynamic parameters, and ameliorating QoL. This chapter aims to report the current knowledge about the relationship between neurogenic disorders and LUTS, their impact on patients’ QoL, and how they improve after administration of BoTA, as shown by large cohort studies provided by literature.
Neurogenic bladder refers to bladder dysfunction secondary to neurologic disease affecting any point of the complex neuronal circuit, which can ultimately compromise safe bladder filling and emptying [1]. Various pathologic conditions of the central and peripheral nervous system can lead to altered bladder and urethral sphincter function, and consequently, many people suffering from the neurogenic disease can develop LUTS. Epidemiological data available show that, in the United States, NGB has been found in 40–90% of patients with multiple sclerosis (MS), in 37–72% of patients with parkinsonism, and 15% of patients with stroke [2, 3]. In the same country, it is estimated that 70–84% of patients with SCI have at least some degree of bladder dysfunction, which is also frequently seen in patients with spina bifida, associated with vesicoureteral reflux in 40% of children and UI in 60.9% of young adults [4]. Less common scenarios for NGB may include diabetes mellitus (due to autonomic neuropathy involving the bladder), unintended sequelae following pelvic surgery, and cauda equina syndrome resulting from lumbar spine pathology [5]. More specific epidemiological data are provided by studies on neurogenic UI. A meta-analysis of five studies showed that men who suffered a stroke were at increased risk for UI with a pooled odds ratio 0f 2.68 [6]. Other reports showed that men who had a stroke presented an increased risk for UI with an odds ratio ranging from 7.1 to 8.26 [7, 8]. These studies reported that among UI sufferers, the stroke survivors had a higher prevalence of UI compared to controls (17% vs. 9%). Poorer data are provided by Literature regarding neurogenic UI in women. However, various studies analyzed the association between UI and dementia in females. Even if data in some cases are controversial, in a 9-year follow-up of 1453 women aged 65 years and over enrolled in a US HMO, diagnosed dementia was strongly associated with an incident diagnosis of UI (odds ratio of 3.0, ranging from 2.4 to 3.7, 95% CI) [9]. Given the strength and consistency of association with prevalent and incident UI, and given that treatment for reversible dementia can improve UI, a causal role seems certain [9, 10]. Among NGB patients are those suffering from the non-neurogenic neurogenic bladder (the Hinman syndrome), a pathological condition characterized by the uncoordinated activity of the lower urinary tract muscles. In these patients the contraction of the sphincter during voiding and overactivity of the detrusor muscle may lead to urinary frequency and incontinence, reproducing a neurogenic voiding pattern that can determine complications to the bladder wall like those secondary to NGB [11]. NGB is responsible for symptoms of both the bladder filling and voiding phase. Symptom association and severity are strongly related to the site of the neural system involved by the pathophysiological mechanisms of the specific neurogenic condition. Therefore, it is important for clinicians, caregivers, and patients, to gain adequate knowledge of bladder neurophysiology and pathophysiology of NGB.
Bladder dysfunction secondary to a neurogenic disease can be classified considering the location of the neurologic lesion in the nervous system [12]. This type of classification has the most clinical utility to manage patients with NGB from diagnosis to treatment. Neural control of the bladder and urethral sphincters is extremely complex. However, the different areas of the central and peripheral nervous system play specific and highly defined roles during the bladder filling and emptying. Various studies, including urodynamic investigations, neurophysiologic tests, and advanced imaging techniques (PET, functional MRI) allowed the precise identification of the parts of the nervous system that are activated during the different phases of the micturition cycle. The storage phase of the micturition cycle (bladder filling) is maintained by inhibition of parasympathetic activity, and consequent active relaxation of the bladder mediated by the sympathetic system acting on beta 3 adrenoceptors of the detrusor muscle. During the bladder filling, the sympathetic and pudendal nerve mediated contraction of the urethral sphincters prevents urine leakage under normal conditions. Sensory information from the bladder triggers the micturition reflex leading to bladder emptying. This phase is characterized by the inhibition of the pudendal nerve and suppression of sympathetic activity [13]. Consequently, the detrusor muscle contracts while the pelvic floor muscles and the urethral sphincters relax. When the bladder afferent pathways (from the peripheral pudendal nerves to the spinal cord, and through mesencephalus) stimulate the cerebral cortex, the detrusor center of this region allows micturition to begin or delay [14]. The micturition starts with the external urethral sphincter relaxation, induced by the cerebral cortex, and the detrusor contraction stimulated by the sacral micturition center (located at the spinal cord level S2 to S4) through the pelvic nerves which release acetylcholine to the muscarinic receptors of the detrusor muscle [13, 14]. During the micturition, the simultaneous relaxation of the external sphincter, when the detrusor contracts, is under the control of the pontine micturition center. Therefore, various areas of the nervous system, located in different sites, exert specific control on the bladder and urethral sphincters. In the case of neurogenic disorders, functional changes of detrusor-sphincter complex, clinical signs, and symptoms related, will depend on the site involved by the disease and to the loss of its specific function, as reported in the following scheme.
The loss of physiological nervous control of the bladder function causes symptoms that may have a negative impact on a patient’s lifestyle and quality of life. While symptoms of the voiding phase may benefit from pharmacological treatment or, in severe cases, from catheterization which can be self-administered at specific time intervals, storage bladder symptoms can hardly limit social interaction, especially when UI is present.
Treatment of NGB aims to prevent complications to the lower and upper urinary tract secondary to bladder-sphincter dysfunction and consequently improve symptoms and patients’ QoL. Major complications of NGB are represented by urinary infections, urinary stones, vesicoureteral reflux, and renal failure. Clinical assessment is based on symptom evaluation, physical examination, renal and bladder ultrasound, and specific instrumental tools, especially flowmetry and urodynamic investigation combined with urethral sphincter electromyography. These tools allow to establish the type and severity of bladder-sphincter dysfunction and to choose treatment. As above reported, UI is the most bothersome symptom. When clinical and urodynamic assessment allows diagnosing NDO as the cause of low bladder compliance and symptoms such as urinary urgency and UI, treatment has the goal to reduce involuntary bladder contractions thus achieving a stable detrusor function (also inducing bladder areflexia). When treatment is effective, intravesical pressure is reduced, and consequently, the risk of vesicoureteral reflux and UI is lower or completely recovered. Various therapeutic options are today available to cure NDO. Based on International Consultation on Incontinence (ICI) algorithms, a conservative approach, followed by oral administration of drugs is recommended as initial management for UI of neurogenic origin, associated with CIC in case of significant post-void residue [17]. Recommended oral drugs are considered antimuscarinics and beta-3-agonists. However, when these therapeutic options fail, the ICI specialized management algorithm suggests BoTA injections into the detrusor muscle for NDO and into the urethral sphincter for bladder-sphincteric dyssynergia. Botulinum toxin causes muscle relaxation (flaccid paralysis) because it binds, at presynaptic level, high-affinity sites on the cholinergic nerve terminals decreasing the release of acetylcholine. After its administration, presynaptic vesicles cannot release the acetylcholine in the synaptic space and consequently, the muscle does not contract. Currently, four different formulations of botulinum toxin, three BTX-A and one botulinum toxin B (BTX-B) are commercially available in Europe and USA: onabotulinumtoxin A / BoTA (Botox, A, Allergan Inc., Irvine, USA) abobotulinumtoxinA (Dysport, Ipsen Limited, Paris, France), incobotulinumtoxinA (Xeomin, Merz Pharmaceutical Raleigh, USA) and rimabotulinumtoxinB (Neurobloc/Myobloc, Solstice Neuroscience Inc., San Francisco, USA). However, adequate clinical data are available only on both BoTA and abobotulinumtoxin B as a treatment option for NDO [18]. Therefore, Literature and international guidelines provide recommendations only for these two formulations to treat NGB, specifically NDO [19]. These two formulations are not interchangeable and of course have different dosing [20], as it’s generally accepted that a dosage of 200–300 U of BoTA is comparable with 500–750 U of abobotulinumtoxin [21]. However, further studies have clearly shown that there are no better outcomes comparing both 750 U of abototulinumtoxin and 300 U of BoTA to 500 U abobotulinumtoxin or 200 U BoTA respectively [21, 22]. Although comparative studies are rare and no studies are available comparing different BTX types in the field of urology, in one small non-randomized cohort study on 26 patients, replacement with abobotulinum after the failure of the first injection with BoTA has been proven to be effective [23]. For this reason, a conversion factor between BoTA and abobotulinumtoxin of 1:2.5 has been suggested by Grosse et al., even if this assumption was not scientifically proven and it’s believed that a variable conversion rate of the two toxins between 1:2 and 1:3 is applicable [24]. Although both these products are commonly used in real clinical practice, the only FDA-approved dose and formulation for urological application is 200 U of BoTA. Intradetrusor administration of BoTA is performed under local or general anesthesia, using a rigid or flexible cystoscope. A special needle (maximum depth 4 mm) allows to perform the administration of the toxin, usually subdividing the total dose (200 U) in twenty different sites of the bladder, avoiding the bladder dome (to prevent the risk of extra-vesical diffusion) and the trigone (to prevent the risk of vesicoureteral reflux). Large evidence of the safety and efficacy of BoTA on NDO is provided by the literature. A recent review performed by L.F. Cooley and S. Kielb reported long-term data from clinical trials and real-life studies, which show that patients with NDO and detrusor sphincter dyssynergia benefit significantly from intradetrusor BoTA injection with regard to the following parameters: improved voided volume, improved bladder pressure and urodynamic outcomes, reduced incidence of urinary tract infections, and improved QoL [1]. The most important studies providing high-quality data are those from Cruz (2011) and Ginsberg (2012) [25, 26]. In these placebo-controlled protocols, the population in both trials was represented by patients suffering from MS and SCI, with urodynamic evidence of NDO, and submitted to BoTA intradetrusor injections (200 or 300 U). The positive results shown by these studies were confirmed by Kennelly et al. who conducted a 3-year prospective study in 396 patients with SCI and MS to assess long-term efficacy of BoTA injections for NDO [27]. Data on detrusor-sphincter dyssynergia are not so strong and consistent as seen with NDO because outcomes come from low-powered studies. However, a recent meta-analysis of BoTA use in SCI patients suffering from detrusor-sphincter dyssynergia did point to the potential efficacy of this approach with an average decrease from 251.8 mL to 153 mL of post-void residue up to 6 months post-BoTA injection as well as a reduction in sequelae of urinary tract infections and need for CIC in some studies [28]. BoTA is injected on the external urethral sphincter usually through the transperineal way under transrectal ultrasound guidance, and in some cases using electromyography support.
Restoring the adequate quality of life should be considered a goal of treatment as significant as the recovery from the disease. QoL is what patients experience on a day-to-day basis and is one of the key considerations when they are involved in choices about their medical care [29]. Quality of life was defined in 1947 by the World Health Organization as a “state of complete physical, mental and social well-being, and not merely the absence of disease and infirmity” [30]. In neuro-urology, treatments aim to correct bladder-sphincteric dysfunction to both prevent severe complications to the urinary tract and improve QoL. However, in daily clinical practice (even more so in the past) QoL has been wrongly interpreted as a secondary consideration with respect to the treatment of bladder dysfunction with serious urologic complications and the preservation of renal function. In recent years, especially since 2010, various studies have been published reporting objective data collected by specific patient-reported outcome measures. These studies clearly show how QoL changes during neurologic diseases when bladder symptoms develop [29]. It is important to assess and understand how a person’s life is affected by bladder changes that can accompany the neurologic disease, especially UI because this evaluation is directed to target the therapy most effectively. Despite it being one of the fundamental aspects of neuro-urology, there has been not much research on QoL differences across bladder management choices; this fact may represent a limit for the assessment of specific therapeutic algorithms which optimize the relationship between clinical success and QoL improvement for the patient [31]. In fact, while literature provides considerable data to support the improvement of functional outcomes of treatments for NGB (i.e. bladder augmentation), there is a much smaller body of studies supporting objective improvements in QoL [31]. A large amount of research has been focused on the identification of specific QoL tools for neurogenic bladder function after SCI. Best et al. conducted a systematic review of literature published from 1950 to 2015 on this topic and found 42 studies including 24 QoL outcome tools (ten objective, fourteen subjective) [32]. This important review concluded the existing outcome measures representative of the three major domains of QoL as “Achievements”, “Utility”, and “Subjective well-being”. The Authors explain that both objective and subjective measures are important in SCI, concluding that the only validated condition-specific outcomes that show sensitivity to NGB are the QLI-SCI (Quality of Life in Spinal Cord Injury) and Qualiveen, while the SF-36 questionnaire provides a valid assessment of objective QoL in SCI. There are some specific studies regarding QoL of neuro-urologic patient sub-categories. In these papers, the authors point out the importance of using dedicated and validated tools to investigate objective and subjective aspects, including psychometric evaluations. Catherine Browne et al. in 2015 provided a report on QoL for people with MS [33]. Bladder dysfunction has been described in approximately 75% of people with MS [34] and therefore, in this study, participants were recruited from one branch of the Multiple Sclerosis Society of Ireland using purposive sampling techniques [35]. Patients from this cohort (19 subjects, 11 females and 8 males) suffered from at least one urinary symptom: involuntary leakage of urine, voiding frequency (>8), nocturia, voiding dysfunction such as hesitancy, straining, poor stream. Outcomes from this investigation showed that bladder dysfunction creates a sense of disruption and loss for people with MS, interfering with daily activities. One of the most important factors conditioning lifestyle was the unpredictability of bladder symptoms, especially urinary urgency which drives UI. In patients suffering from MS, as other people are affected by neurological impairment, bladder dysfunction is magnified due to other co-occurring symptoms; specifically, physical limitations heighten LUTS in terms of mobility issues creating problems in managing urinary frequency and urgency, often leading to UI. In fact, this study showed that also in MS patients, UI represents the most bothersome symptom associated with emotional consequences also because fear of leaking urine in public may be greater than the distress caused by the leakage of urine itself [36]. Urinary incontinence is prevalent also in SCI individuals. In fact, more than 80% of these subjects experience NGB resulting from neurological impairments that determine NDO +/− sphincter dyssynergia or detrusor areflexia [37]. Spinal cord injury patients are at high risk of complications due to the development of vesicoureteral reflux (in case of detrusor-sphincter dyssynergia and consequent high intra-vesical pressures) or high bladder residual volumes (due to areflexia). These conditions may be responsible for urinary infections, hydronephrosis, finally leading to chronic renal failure, thus requiring strong medical intervention which also can contribute to lifestyle changes. For this reason, NGB remains the most important issue in QoL of patients with SCI, apart from physical movement, and it requires an aggressive attitude towards urinary management in order to improve QoL. As previously reported generically for NGB and SCI patients, the Qualiveen questionnaire has proven to adequately assess disease aspects of limitations, constraints, fears, and feelings [38]. Lundqvist et al. found that UI reduced self-reported QoL among individuals with SCI [39]. The same findings were reported by Westgren and Levi, who described lower QoL in SCI subjects with bladder problems with respect to controls [40]. When the bladder is properly managed, LUTS improve, renal function is preserved, and the person with SCI can enjoy a much healthier life [41]. This outcome has been seen especially when significant improvement in urinary continence has been restored and reported as better body image perception and independence [28]. A significant rate of SCI patients practices self-catheterization to void the bladder due to areflexia, which can be a direct consequence of the spinal lesion or the effect of treatment (antimuscarinics or bladder injections with BoTA). Long-term clean intermittent catheterization (CIC) was first promoted in the 1970s by Lapides et al. [42] and became the standard procedure for managing the NGB of SCI patients [43]. Studies on QoL of patients using CIC show that it has many beneficial effects, which include reduced morbidity and mortality, improved body image, and guaranteed improved self-esteem [44]. These outcomes are even more positive when the use of CIC is associated with a complete recovery of UI (when patients are totally dry), as provided in a large rate of SCI patients by BoTA administration [45]. These outcomes in SCI submitted to CIC are supported by other studies. Fuminicelli et al. showed that in the Brazilian and Portuguese populations of SCI patients, QoL scores improved in those using CIC because of better independence, self-confidence, social relationship, and access to work activities [46]. The same authors performed a review on the topic including 13 high-quality studies (from the initial 2945 examined) examining QoL assessment in patients with NGB secondary to different disorders (SCI, MS, Parkinson’s disease, cerebrovascular accident, brain tumors, infection by HTLV-I, neuroschistosomiasis). The report concluded that CIC offers considerable changes in the NGB patients’ living activities, modifying social routines, professional activities, and sexuality, among other areas. However, also in this review, an important concept is the significant role of the recovery from UI to achieve a “dry-status” of the patient using CIC, therefore enhancing the role of proper treatments for the neurogenic UI, as BoTA injections [46]. Intravesical BoTA is a safe and generally well-tolerated procedure because it can be performed under local, regional, or general anesthesia and it requires short operative time. This aspect is important for ensuring good patient acceptance of this treatment which can generally be repeated over time. Quality of life outcomes in patients injected with BoTA has been considered in the most important trials since 2011. Francisco Cruz et al. reported a significant reduction of UI episodes and improvement of urodynamic parameters in 275 patients with NDO after BoTA injection during a multicenter, double-blind, randomized, placebo-controlled trial [47]. This cohort was interviewed during the study by means of Incontinence Quality of Life (I-QOL) questionnaire. Final results showed that among patients submitted to BoTA, 38% and 39,6% respectively submitted to 200 and 300 U were fully dry versus only 7,6 of those in the placebo arm. This clinical finding was associated with a significant improvement of I-QOL total summary scores at 6 weeks from treatment in patients injected, despite the incidence of adverse events (urinary tract infections and urinary retention). Specifically, the total I-QOL score improved from 24.4 to 25.1 in subjects injected with 200 BoTA U, and from 24.3 to 25.9 in those injected with 300 U, while subjects in the placebo group presented a worse score (decreased from 11.7 to 8.6). In the long-term, multi-center, double-blind, randomized, placebo-controlled trial conducted by Ginsberg et al., patients were followed up to 52 weeks. In this protocol, patients were evaluated every 6 weeks after the first 3 months from the first injection of 200 or 300 U, until re-treatment [48]. As shown in the previous trial, also in this study good QoL outcomes were associated with urodynamic improvement. Cystometric measures improved both in SCI and MS subjects, without significant difference between the active dose groups (200 or 300 U). Each BoTA dose significantly improved the I-QOL summary score at week 6 compared with placebo and this result was maintained through week 12 in the overall population with increases from baseline of 9 in the placebo arm, 31 and 33 points in the BoTA 200 and 300 U groups (p < 0.001). The most important side effects reported in this trial were UTI and the need of CIC. However, the change from baseline I-QOL score was analyzed in patients who did not perform CIC at baseline to determine whether subsequent initiation of CIC influenced QoL. In these patients, the I-QOL improvement was similar whether they did or did not begin CIC after treatment. The authors commented in the discussion that the onset of BoTA action was rapid and sustained with a duration of effect time approximately of 9 months, probably influencing the positive effect also on I-QOL scores. Particularly, the positive effect of BoTA on recovery of continence is crucial for these patients. Satisfaction with life has been shown to be significantly lower among neurogenic patients with continence problems and the use of BoTA is often required by these subjects because they frequently discontinue antimuscarinics due to failure of response, side effects, or unmet treatment expectations [47]. Sussman et al. in 2012 randomized patients to intradetrusor placebo or BoTA 200 and 300 U. The Patient Report Outcomes included I-QOL to assess Health Related Quality of Life, the 16-item modified Overactive Bladder-Patient Satisfaction with Treatment Questionnaire (OAB-PSTQ) to assess treatment satisfaction, and Patient Global Assessment to assess treatment goal achievement [48]. Patients of the 200 and 300 U groups had improvement of I-QOL scores significantly greater compared with placebo. Improvements were reported in the avoidance/limiting behavior, psychosocial impact, and social embarrassment domain (
Patients suffering from neurogenic disorders adapt to physical and social limitations. The effect of physical disability of illness cannot be understood if QoL aspects of importance for the individual are not taken into consideration. When urinary symptoms and bladder-sphincteric dysfunction develop, these patients have a significant worsening of their QoL. This report clearly shows that UI is the most bothersome symptom to manage in this population and that it is associated with a hard negative impact on QoL. Recovery of continence allowed by intradetrusor injection of BoTA provides a great QoL improvement which is parallel to the bladder-sphincteric functional modification. This result is supported by various multicentric, randomized, placebo-controlled trials with a specific evaluation of QoL by means of standardized and highly recommended patients’ report outcomes. These studies guarantee that good outcomes are maintained over time despite the need to start CIC. For this reason, BoTA injections are strongly recommended by International Guidelines in these patients. In the future, the authorized use of different types of botulinum toxin for urological use is expected, extending the indication to the pediatric population. Furthermore, large multi-center studies are warranted to design specific protocols which should guide clinicians in managing NGB patients who need re-treatments (in terms of time intervals and BoTA dosing), and which can support the management of subjects who are refractory to BoTA, replacing it by different toxins. However, considering that QoL can be influenced by diverse factors and not only by treatments, it is important to remember that family support, adjustment and coping, productivity, self-esteem, financial stability, education, and physical and social environments must also be assessed and considered in NGB individuals.
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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. He received his MSc and PhD in Biomedical Engineering respectively from the Federal University of Uberlândia (UFU, Brazil) in 2000 and from the University of Reading (UK) in 2005. He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). He was the head of the undergraduate program in Biomedical Engineering of the Federal University of Uberlândia (2015 - June/2019) and the head of the Centre for Innovation and Technology Assessment in Health (NIATS/UFU) since 2010. He is the head of the Postgraduate Program in Biomedical Engineering (UFU, July/2019 - to date). He was the secretary of the Parkinson's Disease Association of Uberlândia (2018-2019). Dr. Andrade's primary area of research is focused towards getting information from the neuromuscular system to understand its strategies of organization, adaptation and controlling in the context of motor neuron diseases. His research interests include Biomedical Signal Processing and Modelling, Assistive Technology, Rehabilitation Engineering, Neuroengineering and Parkinson's Disease.",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null,series:{id:"7",title:"Biomedical Engineering",doi:"10.5772/intechopen.71985",issn:"2631-5343"},editorialBoard:[{id:"49517",title:"Prof.",name:"Hitoshi",middleName:null,surname:"Tsunashima",slug:"hitoshi-tsunashima",fullName:"Hitoshi Tsunashima",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYTP4QAO/Profile_Picture_1625819726528",institutionString:null,institution:{name:"Nihon University",institutionURL:null,country:{name:"Japan"}}},{id:"425354",title:"Dr.",name:"Marcus",middleName:"Fraga",surname:"Vieira",slug:"marcus-vieira",fullName:"Marcus Vieira",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003BJSgIQAX/Profile_Picture_1627904687309",institutionString:null,institution:{name:"Universidade Federal de Goiás",institutionURL:null,country:{name:"Brazil"}}},{id:"196746",title:"Dr.",name:"Ramana",middleName:null,surname:"Vinjamuri",slug:"ramana-vinjamuri",fullName:"Ramana Vinjamuri",profilePictureURL:"https://mts.intechopen.com/storage/users/196746/images/system/196746.jpeg",institutionString:"University of Maryland, Baltimore County",institution:{name:"University of Maryland, Baltimore County",institutionURL:null,country:{name:"United States of America"}}}]},onlineFirstChapters:{paginationCount:0,paginationItems:[]},publishedBooks:{paginationCount:2,paginationItems:[{type:"book",id:"9883",title:"Biosensors",subtitle:"Current and Novel Strategies for 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Fungal infectious illness prevalence and prognosis are determined by the exposure between fungi and host, host immunological state, fungal virulence, and early and accurate diagnosis and treatment. \r\nPatients with both congenital and acquired immunodeficiency are more likely to be infected with opportunistic mycosis. Fungal infectious disease outbreaks are common during the post- disaster rebuilding era, which is characterised by high population density, migration, and poor health and medical conditions.\r\nSystemic or local fungal infection is mainly associated with the fungi directly inhaled or inoculated in the environment during the disaster. The most common fungal infection pathways are human to human (anthropophilic), animal to human (zoophilic), and environment to human (soilophile). Diseases are common as a result of widespread exposure to pathogenic fungus dispersed into the environment. \r\nFungi that are both common and emerging are intertwined. In Southeast Asia, for example, Talaromyces marneffei is an important pathogenic thermally dimorphic fungus that causes systemic mycosis. Widespread fungal infections with complicated and variable clinical manifestations, such as Candida auris infection resistant to several antifungal medicines, Covid-19 associated with Trichoderma, and terbinafine resistant dermatophytosis in India, are among the most serious disorders. \r\nInappropriate local or systemic use of glucocorticoids, as well as their immunosuppressive effects, may lead to changes in fungal infection spectrum and clinical characteristics. Hematogenous candidiasis is a worrisome issue that affects people all over the world, particularly ICU patients. CARD9 deficiency and fungal infection have been major issues in recent years. Invasive aspergillosis is associated with a significant death rate. Special attention should be given to endemic fungal infections, identification of important clinical fungal infections advanced in yeasts, filamentous fungal infections, skin mycobiome and fungal genomes, and immunity to fungal infections.\r\nIn addition, endemic fungal diseases or uncommon fungal infections caused by Mucor irregularis, dermatophytosis, Malassezia, cryptococcosis, chromoblastomycosis, coccidiosis, blastomycosis, histoplasmosis, sporotrichosis, and other fungi, should be monitored. \r\nThis topic includes the research progress on the etiology and pathogenesis of fungal infections, new methods of isolation and identification, rapid detection, drug sensitivity testing, new antifungal drugs, schemes and case series reports. 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Many parasitic diseases are classified as neglected tropical diseases because they have received minimal funding over recent years and, in many cases, are under-reported despite the critical role they play in morbidity and mortality among human and animal hosts. The current topic, Parasitic Infectious Diseases, in the Infectious Diseases Series aims to publish studies on the systematics, epidemiology, molecular biology, genomics, pathogenesis, genetics, and clinical significance of parasitic diseases from blood borne to intestinal parasites as well as zoonotic parasites. We hope to cover all aspects of parasitic diseases to provide current and relevant research data on these very important diseases. In the current atmosphere of the Coronavirus pandemic, communities around the world, particularly those in different underdeveloped areas, are faced with the growing challenges of the high burden of parasitic diseases. At the same time, they are faced with the Covid-19 pandemic leading to what some authors have called potential syndemics that might worsen the outcome of such infections. Therefore, it is important to conduct studies that examine parasitic infections in the context of the coronavirus pandemic for the benefit of all communities to help foster more informed decisions for the betterment of human and animal health.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/5.jpg",keywords:"Blood Borne Parasites, Intestinal Parasites, Protozoa, Helminths, Arthropods, Water Born Parasites, Epidemiology, Molecular Biology, Systematics, Genomics, Proteomics, Ecology"},{id:"6",title:"Viral Infectious Diseases",scope:"The Viral Infectious Diseases Book Series aims to provide a comprehensive overview of recent research trends and discoveries in various viral infectious diseases emerging around the globe. The emergence of any viral disease is hard to anticipate, which often contributes to death. A viral disease can be defined as an infectious disease that has recently appeared within a population or exists in nature with the rapid expansion of incident or geographic range. 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