Light signal, excitation sources and photo detector devices for chemical sensors.
\\n\\n
Dr. Pletser’s experience includes 30 years of working with the European Space Agency as a Senior Physicist/Engineer and coordinating their parabolic flight campaigns, and he is the Guinness World Record holder for the most number of aircraft flown (12) in parabolas, personally logging more than 7,300 parabolas.
\\n\\nSeeing the 5,000th book published makes us at the same time proud, happy, humble, and grateful. This is a great opportunity to stop and celebrate what we have done so far, but is also an opportunity to engage even more, grow, and succeed. It wouldn't be possible to get here without the synergy of team members’ hard work and authors and editors who devote time and their expertise into Open Access book publishing with us.
\\n\\nOver these years, we have gone from pioneering the scientific Open Access book publishing field to being the world’s largest Open Access book publisher. Nonetheless, our vision has remained the same: to meet the challenges of making relevant knowledge available to the worldwide community under the Open Access model.
\\n\\nWe are excited about the present, and we look forward to sharing many more successes in the future.
\\n\\nThank you all for being part of the journey. 5,000 times thank you!
\\n\\nNow with 5,000 titles available Open Access, which one will you read next?
\\n\\nRead, share and download for free: https://www.intechopen.com/books
\\n\\n\\n\\n
\\n"}]',published:!0,mainMedia:null},components:[{type:"htmlEditorComponent",content:'
Preparation of Space Experiments edited by international leading expert Dr. Vladimir Pletser, Director of Space Training Operations at Blue Abyss is the 5,000th Open Access book published by IntechOpen and our milestone publication!
\n\n"This book presents some of the current trends in space microgravity research. The eleven chapters introduce various facets of space research in physical sciences, human physiology and technology developed using the microgravity environment not only to improve our fundamental understanding in these domains but also to adapt this new knowledge for application on earth." says the editor. Listen what else Dr. Pletser has to say...
\n\n\n\nDr. Pletser’s experience includes 30 years of working with the European Space Agency as a Senior Physicist/Engineer and coordinating their parabolic flight campaigns, and he is the Guinness World Record holder for the most number of aircraft flown (12) in parabolas, personally logging more than 7,300 parabolas.
\n\nSeeing the 5,000th book published makes us at the same time proud, happy, humble, and grateful. This is a great opportunity to stop and celebrate what we have done so far, but is also an opportunity to engage even more, grow, and succeed. It wouldn't be possible to get here without the synergy of team members’ hard work and authors and editors who devote time and their expertise into Open Access book publishing with us.
\n\nOver these years, we have gone from pioneering the scientific Open Access book publishing field to being the world’s largest Open Access book publisher. Nonetheless, our vision has remained the same: to meet the challenges of making relevant knowledge available to the worldwide community under the Open Access model.
\n\nWe are excited about the present, and we look forward to sharing many more successes in the future.
\n\nThank you all for being part of the journey. 5,000 times thank you!
\n\nNow with 5,000 titles available Open Access, which one will you read next?
\n\nRead, share and download for free: https://www.intechopen.com/books
\n\n\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:"1594",leadTitle:null,fullTitle:"Molecular Photochemistry - Various Aspects",title:"Molecular Photochemistry",subtitle:"Various Aspects",reviewType:"peer-reviewed",abstract:'There have been various comprehensive and stand-alone text books on the introduction to Molecular Photochemistry which provide crystal clear concepts on fundamental issues. This book entitled "Molecular Photochemistry - Various Aspects" presents various advanced topics that inherently utilizes those core concepts/techniques to various advanced fields of photochemistry and are generally not available. The purpose of publication of this book is actually an effort to bring many such important topics clubbed together. The goal of this book is to familiarize both research scholars and post graduate students with recent advancement in various fields related to Photochemistry. The book is broadly divided in five parts: the photochemistry I) in solution, II) of metal oxides, III) in biology, IV) the computational aspects and V) applications. Each part provides unique aspect of photochemistry. These exciting chapters clearly indicate that the future of photochemistry like in any other burgeoning field is more exciting than the past.',isbn:null,printIsbn:"978-953-51-0446-9",pdfIsbn:"978-953-51-4990-3",doi:"10.5772/2058",price:119,priceEur:129,priceUsd:155,slug:"molecular-photochemistry-various-aspects",numberOfPages:296,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"de17d4df94b220132bdacf9e9d09d2d6",bookSignature:"Satyen Saha",publishedDate:"March 30th 2012",coverURL:"https://cdn.intechopen.com/books/images_new/1594.jpg",numberOfDownloads:55132,numberOfWosCitations:85,numberOfCrossrefCitations:25,numberOfCrossrefCitationsByBook:3,numberOfDimensionsCitations:93,numberOfDimensionsCitationsByBook:4,hasAltmetrics:0,numberOfTotalCitations:203,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 23rd 2011",dateEndSecondStepPublish:"June 20th 2011",dateEndThirdStepPublish:"October 25th 2011",dateEndFourthStepPublish:"November 24th 2011",dateEndFifthStepPublish:"March 23rd 2012",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6,7,10",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"54025",title:"Dr.",name:"Satyen",middleName:null,surname:"Saha",slug:"satyen-saha",fullName:"Satyen Saha",profilePictureURL:"https://mts.intechopen.com/storage/users/54025/images/2521_n.jpg",biography:"Born in Kolkata (formerly Calcutta) in India, Satyen Saha received B.Sc. (Chemistry honors, 1994) and M.Sc. (Chemistry, 1996) from Jadavpur University, Kolkata. He did his Ph.D. (Photochemistry, 2002) from Hyderabad Central University, Hyderabad, India under the supervision of Prof. Anunay Samanta. Subsequently he moved to Department of Chemistry, University of Tokyo, Tokyo for post doctoral research (2002–2005) in the group of Prof. Hiro-o Hamaguchi, followed by post doctoral research work with Prof. Richard Wiess, Georgetown University, Washington DC, USA. He was the recipient of JSPS post doctoral fellowship for the foreign researcher. At present he is a permanent faculty in department of Chemistry, Banaras Hindu University (central university), Varanasi, India. 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When the light interacts with matter, some effects are produced that do not affect to electron levels of atoms, and consequently, they do not introduce changes in the light wavelength. Thus, the light is reflected, absorbed, scattered, and transmitted with the original wavelength (
Some phenomena caused by the light-matter interaction.
In addition, other changes can appear, such as light polarization or modification of polarization angle of light. Thus, in a general way, the matter modifies the properties of light (direction, intensity, wavelength and/or polarization).
When the modification of light properties depends on one of the characteristics of the matter, that change can be used to quantify this characteristic, obtaining an optical sensor.
Optical fibers guide the light from excitation source to the sensing area and from the sensing area to the optical detector. During this path, the light hardly suffers any attenuation, and the addition of other sources of optical noise is reduced. So, optical fibers produce a large improvement of Signal-to-Noise Ratio (S/N) in relation to optical sensors without optical fibers.
Besides, optical fibers guide the exciting, the reflected, the scattered, the emitted, and the transmitted light through examining places which would be otherwise difficult to access, making optical fibers quite useful in medicine or biology. It also avoids the need for equipment to be in the vicinity of substance to be measured, which is very interesting for remote operation [30,36,37,48].
Moreover, it is feasible to place several sensors (similar or different) in diverse places along the same optical fiber, obtaining a real sensor network. Several methods for multiplexing excitation signals and demultiplexing signals produced by sensors are available in the domain of time, frequency or light spectrum.
The operation of optical fiber sensors requires a light source for exciting the fiber system –including the optical sensor– and a photo detector to read the light emitted by sensing area that includes information about the X, the variable of interest. There are several options for the connection of light source and photo detector as is shown in Figure 2.
Schemes of possible connections between light source, sensing area and photo detector: (a) bifurcated optical fibers and sensor in the end of fiber; (b) individual fiber with semi-transparent mirror and sensing area in the end of the fiber; (c) individual fiber with sensing area inside the fiber.
Moreover, there are two different types of optical fiber sensor in function of the interaction between the variable, to be measured, and the light: intrinsic and extrinsic sensors.
In intrinsic sensors, the fiber has two functions: first, it is the guiding for exciting and emitting light, and second, the fiber is the transducer. In this case, the variable to be measured modifies some properties of fiber, such as the refraction index or the absorption coefficient (Figure 3). Depending on the magnitude of that variable, the final change of the transmitted radiation will vary, as it happens in evanescence sensors. [13,28].
Diagram of the complete intrinsic optical sensor system.
Furthermore, extrinsic sensors use the optical fiber to guide the exciting light from the source to sensing area (outside the optical fiber), and the emitting light, from sensing area to the photo detector (see Figure 4).
Types of extrinsic optical sensor based on modulation of the light technique: (a) the measured variable produces direct modulation of light; (b) the measured variable, X, produce a change in another variable Y of a sensor, and Y modulates the light.
Sometimes, the observed variable can modulate the light (Figure 4a) but, usually the interaction takes place by means of a specific sensor (Figure 4b) that acts as an interface between the variable X and the optical fiber [41].
For all the above cases, the resulting light contains information about the variable X, that is, the light has been modulated by X. The modulation can modify one or more light characteristic parameters, such as intensity, wavelength, polarization angle, phase or time delay. The type of modulation determines the light source, the photo detector, and the detection procedure [31].
The light intensity is the simplest solution for most of optical fiber sensors and can be used for all cases of Figure 1. However, the use of light intensity introduces some problems in measurement processes because the light intensity is also sensible to other variables. This fact causes both perturbation and noise, and reduces the accuracy of measurement.
The effect of noise could be very important in extrinsic sensors (Figure 4) because the light must leave the optical fiber to reach the sensor, and return into the fiber. During the external path of light, optical noise could be added to the signal, reducing the S/N ratio. Optical filters between the fiber end and the photo detector can increase this ratio by reducing the presence of external sources of light. In addition, the use of a DC source for exciting must be substituted by a fixed frequency source and a narrow band-pass filter after the photodetection to reduce the bandwidth and to increase de S/N ratio. The use of synchronic switched-capacitor filters for both, excitation and received signals, improves the operation of the system because it provides large stability of central frequency [21]. All these solutions are shown in the block diagram of Figure 5.
General idea of a light intensity measurement system based upon an optical fiber extrinsic sensor with bifurcated fibers. In case of sensors without modification in wavelength, the emission of sensor has the same wavelength that exciting light (
Perturbation of light intensity has a lot of causes: changes in light source, optical fiber couplings (source-to-fiber, fiber-to-sensor, fiber-to-photo detector), and changes in the attenuation of fiber due to curvature, optical fiber length, etc. To prevent the effect of unknown changes in the characteristics of light path in luminescence sensors, it is possible to use a reference signal such as part of the exciting light reflected in optical sensor. The final design is similar to the system in Figure 5, but it uses a tri-furcated optical fiber and two photo detectors, one for the optical sensor emission, and other one for the reflected light from exciting signal (Figure 6).
Diagram of the extrinsic optical sensor system with ratiometric measurement to avoid light interferences.
In Figure 6, I1 is the intensity produced by the excitation source, A1 is the attenuation coefficient from source to optical sensor, A2 is the attenuation coefficient from optical sensor to each photo detector, and k is the reflection coefficient in the optical sensor. The processor can evaluate these coefficients by means of the reference signal at wavelength λ1, and obtain the sensor response at wavelength
The responses of luminescence sensors produce two different measurable effects. The first one is the steady state value of intensity of emitted light that can be processed as is shown in the above point. However, the dynamic response of the optical sensor to a pulse excitation is similar to the plot of Figure 7a, where this response is characterized by the time constant of a mono-exponential decay (in a first approximation). This time constant τ, is dependent on the value of the variable of interest,
Light intensity and time constant can be used for measurement purposes, but the time constant has a better instrumental behavior [20,23] because the total uncertainty of the measuring instrument is considerably reduced.
However, the analysis is not simple because the emitted light has additional dependences such as the time constant of excitation pulse, the distortions of efficiency of optical sensor and the dynamic response of photo detector.
In the other hand, when the optical response of sensor has a dynamic behavior dependent on the input variable
The sensor response is a signal with the same excitation frequency, but with a phase delay,
Where f is the excitation frequency.
Responses of the luminescence sensor to: (a) a pulse light; (b) a sinusoidal light.
This measurement strategy is very useful for optical sensors with extremely short values of time constant (less than 1 ns), which is very interesting in some fluorescent sensors [17].
There is not a universal solution for critical devices in the topologies of optical fiber sensors, because each type of measurement strategy forces the specifications and the requirements for those devices. The measurement system is constituted by the source for exciting light, the optical fibers, and the photo detectors. All these devices must be selected for matching the wavelength spectra of involved phenomena, and according to the measurement strategies. Thus, excitation source must cover the excitation band of the optical sensor; the optical fibers should introduce low attenuation in the involved wavelengths; and the photo detector device has to process all the light emitted by the optical sensor.
Optical filters could be included in the design to guarantee removing the excessive band pass, and to ensure enough noise reduction without decrease the signal power. In the case of optical sensors with wide spectrum sensitivity, too narrow optical filters allow us a heavy reduction of optical noise, but the use of them implies the decrease of the total light power, resulting in a poor S/N ratio.
The choice of source for exciting light depends on measurement type (intensity, and time or frequency domain). For intensity and frequency domain measurement, the source must produce a DC+AC light signal. The operation frequency of AC component does not have important restrictions in the case of intensity, but must be properly selected for frequency domain operation, according to the expected time delay produced by the sensor response. LEDs and laser diodes (LDs) are excellent solutions for these applications. Pulsating sources are the right selection for time domain measurement; in this case, the total energy of pulse and its duration are the most important parameters that must be taking into account in the design process. Pulse lasers are the best choice for this kind of measurement, because it is possible to obtain extremely short pulses. Other solutions, such as short-arc pulse lamps (Xe, H2, etc.) could be used in a design [4], but they have some inconvenient: they cannot concentrate the light into the fiber tip and, consequently, need additional –and expensive– optical systems (parabolic mirrors, lenses… ) to do it. Moreover, pulse lamps are used to produce wide emission spectrum, forcing the addition of optical filters to reduce the complete spectrum, and to adequate it to the wavelength band.
The photo detector is the device that provides an electrical signal in function on received light signal; its choice is quite similar to the selection of excitation source, because it must have a spectral response including the emission spectrum. Too wide spectral response would include undesirable optical noise, and narrow spectral response reduces the total power of desirable signal; in both cases, the effect becomes negative for S/N ratio.
A common solution for photo detector is the photodiode, a low-volume, low-cost, and versatile device valid for most of applications. However, photodiodes have high noise generation, large dark current, poor sensitivity, and parameter dependence on temperature. Solutions such as avalanche photodiodes (APDs) increase the sensitivity [2], but include additional noise (avalanche noise) and increase the sensitivity dependence on temperature. Sometimes, photodiodes and APDs should be refrigerated to keep a constant temperature by means of Peltier cells and control closed loops for temperature [39]. When the emission level is low (power signal is similar to noise equivalent power (NEP), photodiodes do not have enough sensitivity or introduce intolerable noise level. In these cases, a photomultiplier Tube (PMT) must be used, to guarantee a good behavior of light to electrical signal conversion. In the past, PMTs are complex, expensive; they have a large volume and need high voltage power sources. But, in the present, they are compact solutions, with low voltage supply (5 or 12 V), and reasonable cost. PMTs provides low dark current, produces low noise, and have high sensitivity, being an excellent solution for most of optical fiber sensor based on luminescence phenomenon.
A chemical sensor is a device that can be used for measurement the activity or concentration of chemical specie (analyte) in a sample. It is constituted by two stages [24]. The first stage indentifies and interacts with analyte, and the second one is a transducer, coupled to the first stage (Figure 9).
A chemical sensor: (a) sample and sensor; (b) the chemical sensor identifies the analyte, and generates a physical signal.
When the identification stage interacts with the analyte produces changes in its properties (emission and/or absorption of light, electrostatics changes, vibrations, chemical reactions, etc.), that is detected by transducer stage to generate an analytical signal [25,26].
Optical sensors are a type of chemical sensors that provides an optical response depending on analyte concentration in a sample, and they can classify in function of the optical property that has been measured: absorbance, reflectance, fluorescence, phosphorescence, luminescence, Raman dispersion, evanescence, refraction index, etc. When optical fibers are added to these sensors, it is possible to use the fibers for light signal transmission, obtaining an optrode [32].
Light to matter interaction has been above explained (Figure 1), founding various phenomena that modify the properties of exciting (incident) light without changes in its wavelength. For several cases, the behavior of the light in this interaction depends on some characteristics of matter and, consequently, it could be used to identify those characteristics. Thus, the measurement of the light reflected, absorbed, scattered or transmitted is a way for detection or quantification of a property which is able to produce a change in the light.
In transparent media, absorbance and transmittance measurements are closely related because the rest of effects are negligible; consequently, they produce similar results. Absorbance can be used to identify some substances (atoms or molecules) in a medium, because each substance has a specific absorption spectrum. However, a simple quantification in any environment becomes very complex, because there will be more than one chemical specimen in the medium. So, a valid identification and/or quantification require a detailed study of a portion of spectrum. Absorption spectrometry is the technique that can identify and/or quantify the causes of the resulting spectrum, and it involves complex mathematical process and statistical analysis [45].
But, optical sensors based upon absorption are designed for specific analysis, usually in a particular and controlled medium. Hence, these sensors use a small number of wavelengths (even, one specific wavelength), and quantify the change on light intensity when the incident light runs through the sample [7]. By a similar way, reflectance sensors are also designed for specific analysis in opaque or low transparent substances (Figure 10).
Abortion, transmission and reflection performance of the light: (a) in a transparent medium; (b) to face opaque medium.
In the case of absorbance, the relationship between incident and transmitted light at a specific wavelength can be expressed by means the absorption coefficient,
When this coefficient
In the case of reflectance, the hemispherical coefficient of reflectance,
This coefficient depends on obvious physical parameters, and sometimes also includes information about the presence of quantity of a specific substance. Thus, the reflectance can be used as an instrumental parameter in the design of a sensor for that substance. As the previous case, a large number of variables can affect the value of reflectance coefficient and an experimental calibration process must be carried out to obtain the static transfer curve.
Scattering light is only used for detection of some physical parameters, such as liquid turbidity [38] or smoke detection, and it is not usual in neither chemical nor biological measurements.
Fluorescence and phosphorescence are two of processes of a photo-luminescence molecule. It absorbs UV or visible radiation to increase the energy level from a fundamental singlet state S0 to excited electronic singlet states S1, as is shown in the Jablonsky diagram of Figure 11. Some low energy changes can occur from this new fundamental state S1 to near energy levels produced by vibrational relaxation, without radiation emission. When the molecule returns to the original singlet state S0, can emit a radiation with a longer wavelength than the absorbed radiation; this emission is known as fluorescence. But, the molecule can also return to the original state S0 through non-radiant transition (vibrational relaxation, internal conversion, external conversion, and intersystem crossing). The most likely path to the fundamental state S0 will be one that minimizes the mean timelife of the excited state.
Jablonsky diagram for luminescence processes. Thick lines are fundamental states and fine lines correspond to vibrational states associated to a fundamental state.
Intersystem crossing is an unusual phenomenon that increases the spin multiplicity of electron and drives it to a triplet state (T1). From this state the molecule returns to its original unexcited state by means an emission of radiation (phosphorescence) or without radiation emission. The phosphorescence phenomenon is longer in time than fluorescence one, and produce longer wavelength. In addition, due to the low probability of the phosphorescence, the total intensity of radiation is very low compared to the fluorescence process.
For both cases, fluorescence and phosphorescence, the kinetic of process can be represented by a first order equation:
Where [M*] is the concentration of molecules in excited states and k is a constant that represents the speed of process and depends on the molecule properties. By integrating,
Where [M*]0 is the initial concentration of excited molecules, and τ = 1/k is known as the medium lifetime of the excited state. As the emission intensity is proportional to the concentration of excited molecules, the previous equation can be rewritten in terms of light intensity, as follows,
In some cases, the deactivation of excited states can be produced by a non-radiant external conversion way due to the interaction of photo-luminescent molecules with external molecules. This implies an energy transfer that reduces the concentration of excited molecules and, consequently, the intensity of light emission decrease. This effect is known as quenching and can be used to determine the concentration of these external molecules (quenchers). This effect can be quantified by means the Stern-Volmer equation,
Where I0 and τ0 are the intensity and medium lifetime of light emission without quencher, I[Q] and τ[Q] are the intensity and medium lifetime in presence of a concentration of quencher [Q], and kb is the bimolecular constant of quenching. The product τ0kb = KSV is known as the Stern-Volmer constant. This constant is actually modified by diffusion process and depends on the diffusion coefficients of photo-luminescent and quenchers molecules [3,18]. The Stern-Volmer equation establishes a linear but not-accuracy relationship, due to heterogeneity of chemical sensor. It is possible to correct this relationship, and it must be done. [1,14,15,20,23,46].
Most of chemical sensors that use optical fibers are extrinsic, because the inclusion of reactive substances inside the fiber (necessary for intrinsic sensor) will increase the response time of recognition stage (Figure 9), due to the slow diffusion process of analyte through the fiber. Hence, most of optical fiber chemical sensors use bifurcated fibers (Figure 2a) or a single fiber with a semi-transparent mirror (Figure 2b). In both cases, the chemical sensor (or the sample to analyze) is placed near or in the end of fiber, depending on fiber type and measurement strategy (Figure 12).
In luminescence sensors, the fiber tip can be shaped to reduce the reflection for exciting wavelength and to prevent the presence of exciting light in the photo detector as a noise. It could include selective membranes to improve the selectivity of sensor (Figure 13); but the membrane increases the sensor settling time due to the diffusion process through it.
The complete sensor includes the source for excitation and the photo detector device. Table 1 shows some consideration about the selection of these systems, taking into account the type of chemical sensor. The most critical specifications for the light source and photo-detector device are for time domain measurements in fluorescence, due to the usual short time response of chemical sensor that forces the selection of extremely short pulse sources and high speed detectors; the low intensity produced by phosphorescence sensors force the use of high sensitivity photo detectors in all cases.
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t
Absorbance | \n\t\t\tLED, Laser, LD | \n\t\t\tPhotodiode | \n\t\t\tAC+DC signal Intensity measurement | \n\t\t
Reflectance | \n\t\t|||
Fluorescence | \n\t\t\tPulsating lamps, LED, LD, lasers | \n\t\t\tPhotodiode, APD, PMT | \n\t\t\tShort time response Time-domain measurement | \n\t\t
LED, Laser, LD | \n\t\t\tAC+DC signal Frequency-domain measurement | \n\t\t||
AC+DC signal Intensity measurement | \n\t\t|||
Phosphorescence | \n\t\t\tPulsating, lamps, LD or lasers | \n\t\t\tAPD, PMT | \n\t\t\tMedium-large time response Time-domain measurement | \n\t\t
LED, Laser, LD | \n\t\t\tPhotodiode, APD, PMT | \n\t\t\tAC+DC signal Frequency-domain measurement | \n\t\t|
AC+DC signal Intensity measurement | \n\t\t
Light signal, excitation sources and photo detector devices for chemical sensors.
Situation of chemical sensor in the end of fiber considering the optical fiber topology: the parameters
Chemical sensor placed into the fiber tip with a selective membrane.
The measurements are commonly based in analysis of the time domain or the frequency domain, as it is explained in the above section 2. Time domain measurements have practical difficulties. This method requires a big number of points of the signal response to obtain the time constant, and this is a limitation because of the small size of the sampling period. Due to the characteristics of the physical phenomenon and/or the high cost of the system, it is more efficient using the frequency domain to measure the fluorescence emission, whose lifetime is in a range limited by nanoseconds and a few microseconds [22,47]. In this method, the lifetime is obtained from the phase shift between emission signal from the chemical sensor and the excitation signal used. Currently, some analytical instruments that enable the measurement of a large number of analytes such as pH, carbon dioxide, or oxygen, are known. This section deals with a brief description of the main components of fluorescence sensors, focusing on a sensor for measuring dissolved oxygen concentration.
The system consists of a DC+AC light source which excites the Ruthenium sensor. When this chemical sensor is energized, it produces a fluorescence excitation with a wavelength around 470 nm, and the following fluorescence emission wavelength is near to 600 nm in the case of oxygen measurements.
In fluorescence analysis is not necessary to employ a high intensity light source, but a correct generation of the excitation waveform is very important because this waveform will be used in the final processing. Thus, the best device for been implemented in the emission sub-system (Figure 14) is a LED [11,12,27].
Optical fiber sensor for D.O. based on Ruthenium chemical sensor. It operates with phase detection and temperature correction.
This LED must emit a light with a wavelength close enough to the excitation one (470 nm), and as optic fiber is used to transfer the light, its viewing angle must be small enough to improve the directionality of the emission. So, as LED OVL-5523 also has the intensity needed to excite the Ruthenium sensor, it can be a good solution for the light source of a frequency domain fluorescence system (fluorimeter).
The PIN photodiode is a common photo detector employed in a lot of digital communication systems with optical fiber because it has a good reliability and a quite wide bandwidth. But, considering the disadvantages, it can be mentioned, that it introduces a large noise, it needs an external system to establish its temperature, and its bandwidth is above our specification range. Other interesting photo detector is the APD, it does not have the disadvantages said previously, but in this case, its internal gain is intrinsically unstable. These devices are cheaper and have a smaller volume than PMT, which needs a special enclosure to obtain a correctly amplification of the output current. Nevertheless, their instrumentation characteristics make of this last photo detector, the best option to take part in the fluorescence based system.
In Figure 14, it is possible to appreciate the block diagram of the fluorimeter. The system generates a sinusoidal signal with a DC component for LED excitation. The light is transferred to the Ruthenium sensor by low-cost bifurcated optic fiber (gradual index plastic optical fiber with a diameter of 1 mm). The chemical sensor where the fluorescence phenomenon takes place is in contact with the sample. The fluorescence emission generated goes through the fiber to the PMT. The photo detector output signal (current) and the sinusoidal excitation signal are processed to obtain the frequency response of the fluorimeter.
The data produced by this system can be modelled by a Stern-Volmer equation, but in this case it is better to use a multivariable regression because the influence of the temperature is quite high.
The obtained model has a high correlation considering the phase shift and the temperature as explicative variables of oxygen concentration
Relationship between the real values of D.O. in water patterns and predicted values from fluorimeter of
Phosphorescence analysis in the domain of time is a well known procedure to carry out several important measurements of several analytes. Concentration of dissolved oxygen in water (D.O.), moisture level, pH value and other chemical parameters can be obtained by means of analysis of phosphorescence emission of a chemical sensor properly excited with light [5,9,18]. In this section, some considerations about main blocks of a time domain phosphorimeter will be discussed, including some improvements.
Light source must excite the chemical sensor that yields a phosphorescence emission with a wavelength quite far from excitation wavelength. In Al-Ferron Sol-gel chemical sensor [18, 48] used for oxygen measurement, excitation wavelength is placed from near UV to violet and the emission takes place around the green light wavelength.
An excitation with high pressure Xe pulse lamps (or similar short-arc lamps) produces a wide spectrum (white light) and high intensity pulses of light, requiring optical filters to reduce optical noise. In addition, these lamps need to include other optical accessories, like parabolic mirrors or lenses to concentrate the light into the optical fibers tip. The final cost of this kind of lamps and associated power and trigger circuits is very high, and these circuits introduce several critical subjects in cabling, housing, protection and/or EMC. Finally, an aging process takes place in arc lamps, reducing the lifetime of lamp, generally due to electrodes are worn out [6].
Laser light sources increase the intensity of pulses, reduce their narrowness, and avoid the use of additional optical systems such as filters and mirrors because the produced light is coherent. But they introduce the same problems in total cost, cabling protection and EMC. Final results of laser-based time domain phosphorimeters are quite similar to results obtained with pulse lamps. The high concentration of power pulse becomes a problem for optical fibers connected to laser sources: the end of fiber has a progressive increase of attenuation by burning.
LD and UV-LEDs are other possible solution for light excitation. They facilitate the connection to optical fiber tip and reduce both, the total cost and the system volume, overcome most of inconvenient of arc lamps and lasers. Moreover, the MTBF of UV-LED is very high in comparison with lasers and lamps, reducing maintenance and replacement costs.
The excitation wavelength of chemical sensor (Al-Ferron immobilized in Sol-Gel) has a maximum peak around 390 nm and its emission spectrum has a peak value around 590 nm. Thus, UV LED like NSHU590 can be a balanced solution for the light source of a time domain phosphorimeter.
The detection of emitted light is critical in phosphorescence based system due to low level of Al-Ferron emission. The best solution –under the instrumental point of view– is the use of a PMT because of its high sensitivity. Moreover, it has low noise, low dark and non dependence on temperature. A comparison between APDs and PMTs results in similar instrumentation characteristics will be that the initial advantages of APD in volume are compensated with the presence of cooling systems [39] for holding constant temperature, and thus, avoiding sensitivity changes. Standard PIN-Photodiodes introduce large noise and need temperature stabilization [6].
Final design of phosphorimeter is shown in Figure 16, where the chemical sensor is included inside a flow cell for calibration purposes, by using a full-controlled gases mixture of argon and oxygen. UV LED output is a waveform that consists of narrow pulses widely separated from each other in order to guarantee tine enough for full extinguishing of chemical sensor emission between pulses. Resulting excitation waveform is shown in that figure.
Design of an optical fibers time domain phosphorimeter with Al-Ferron chemical sensor. Bifurcated optical fibers are constituted by a bundle of 1500 borosilicate fibers, in contact with the chemical sensor powder. All optical filters have been removed for this design because the optical noise is not too important.
This system has an excellent behaviour for low level oxygen concentration, obtaining a good correlation coefficient for Stern-Volmer equation (see Figure 16a).
Stern-Volmer equation for low-level oxygen concentration is a well-know fact, but the behaviour of phosphorescence emission at large value of [O2] is usually described as a ‘saturation process’ in the chemical sensor. Thus, for [O2] less than 4%, Stern-Volmer equation can be experimental verified but becomes inexact above this point. However, there is not saturation process but a slope change in plot. In Figure 16b, an extended plot (from 0% to 21% of [O2]) is displayed, showing two different slopes. The fact of slope change allows us to use phosphorescence lifetime analysis over the limitations of Stern-Volmer equation although the obtained sensitivity is lower. The obtained change in slope is a common question in phosphorescence analysis and it is present in both, medium lifetime analysis and intensity analysis as it has been described for other phosphorescence sensors.
Experimental results of a phosphorimeter using Al-Ferron chemical sensor: (a) for low oxygen concentrations; (b) Extended results of Stern-Volmer relationship with two linear areas.
Optical fiber sensors can be applied for several biological measurements. However, in most of cases, the final sensor does not have a direct interaction with a biological parameter, but it has a chemical or physical operation principle. The general idea is similar to the exposed in Figure 9, an indirect interaction. In this case, a biological variable produces a chemical or physical change suitable for measurement by light modulation (absorbance, reflectance, luminescence, etc.). So, as a general conclusion, an optical fiber sensor for biological measurement is a type of above discussed solutions.
An example is the well known reaction to detect or determine the quantity of ATP (adenosine triphosphate), a coenzyme used in cell reactions by means luciferine,
The results of this reaction include adenosine monophosphate (AMP), and it emits light! The light intensity is proportional to the quantity of ATP. This phenomenon is known as bioluminescence but, it could be called chemical-luminescence. There are a lot of applications of this test in the determination of quantity of cells or their activity in a sample.
The main restrictions imposed to the use of any sensor for biological applications are the bio-compatibility and the disturbance for in-vivo measurements; because this kind of sensors is applied in human and veterinary medicine, and in food industry, sectors with extremely restrict conditions and standards. For example, a catheter with a D.O. sensor for determining the oxygen saturation in blood could be a fluorescence sensor based on ruthenium chemical sensor, but it must have a complete bio-compatibility.
In next sections, some examples of sensors for biological applications are presented. In all cases the objective is the monitoring and control of food production.
Daily measurement of nutritional milk parameters could be used for cow selection, cow feed tuning in order to increase economic efficiency, and milk differentiation to obtain predefined values of fat content, total protein or lactose in the farm outlet. Modern dairy farms include several control and automation systems, which are able to provide interesting data for farm management and to improve the economical results of exploitation [44]. NIR spectrometry has been used to estimate milk composition, but previous works are referred to dry milk, homogenised milk, high cost spectrometry equipment [43], or requires sampling and previous treatment of milk samples [16,49], avoiding a cow-side final implementation.
All spectrometry equipment consists of an excitation light source able to produce a continuous spectrum for all wavelengths and a photo-detection system for measuring the received light in the same light spectrum. The reduction of range of interesting light wavelengths simplifies the design of complete system and decreases the final cost because low-cost LEDs and photodiodes can be used for excitation and light detection. Moreover, photodiodes can be used without cooling systems or temperature controllers, keeping an enough S/N ratio.
To investigate the potentiality of VIS-NIR spectrometry, several milk samples has been taken from a farm during milking (along milking and from different cows). Each milk sample is divided into two similar sub-samples and preserved using refrigeration and bronopol (2-Bromo-2-nitro-1,3-propanediol). First sub-sample is sent to a certified laboratory for composition analysis, using standard procedures, obtaining reference values for fat (TG), total protein (TP) and lactose (TL) content; second sub-sample is analyzed by spectrometry. Finally, results of both analyses are compared in order to determine the capability of VIS-NIR spectrometry to estimate the milk composition.
The analysis of each milk sample by spectrometry is carried out using a low-cost VIS-NIR spectrophotometer from Ocean Optics, able to provide 1236 values in the 400.33 to 949.59 nm, resulting in a resolution of 0.444 nm. Three different spectra are obtained by means of custom-designed analyzing cell connected to spectrophotometer and light source using several optical fibers as we can see in Figure 17. When an appropriate excitation lamp is used, this system is able to provide orthogonal spectrum (M90) caused by scattered light, transmittance spectrum (TR) and reflectance spectrum (RE). All these values are corrected by ratiometric techniques to reduce uncontrolled attenuation and disturbances [7].
Three spectra analyzer for fresh milk
Spectral data has been smoothed by applying iterative local linear polynomial fit with tricubic weighting [8] to redraw smoothed spectra with low resolution, 20 nm. Thus, the total number of input variables for statistical treatment is reduced and, the problem simplified, without significant data lost. Regression-based methods are used for prediction, using TG, TP and TL as dependent variables and smoothed spectra M90, TR y RE, with 20 nm of resolution as independent variables. For each value of three smoothed spectra, square and cubic terms are generated such as additional input variables to include non-linear behaviour of model. Hence, model includes 504 input variables (56 × 3 ×3), 56 values of each spectrum, and its square and cubic terms).
Total number of input variables is lower than number of observations. So, a multivariate technique for dimensional reduction must be applied, the traditional Principal Component Regression (PCR) or the useful PLS (Partial Least Squares) in univariate response (PLS-1) [29]. Both, PCR and PLS-1 methods are based on calculation of orthogonal components from a linear combination of original variables to reduce the total number of variables. The objective of PLS-1 is to extract the components from correlations between original independent variables and dependent variable. In our case, to choice the final components number, the average squared error of predicted values is calculated for all cases, by means of leave-one-out cross-validation. The use of R statistical environment simplifies these calculations and procedures [40]. Table 2 shows the optimum number of used components for both methods and the percentage of explained variance. The results are quite simple: fat content in milk can be obtained with only one excitation wavelength!
Based on this idea, a low-cost optoelectronic sensor has been developed for working in the NIR region of light spectrum. The developed sensor shown in Figure 18 is a reflectance optical fiber sensor that consists of a stainless steel tube, optical fibers for light conduction from a light emitter to the milk to a light receiver, and circuits for the signal treatment and control unit.
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t||
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t||
Fat content (TG) | \n\t\t\t1 | \n\t\t\t1 | \n\t\t\t82 | \n\t\t
Lactose content (TL) | \n\t\t\t11 | \n\t\t\t8 | \n\t\t\t62 | \n\t\t
Total protein content (TP) | \n\t\t\t2 | \n\t\t\t2 | \n\t\t\t17 | \n\t\t
Comparison of PCR and PLS-1 results in prediction of milk composition. An overall interpretation could establish an excellent behaviour for prediction of fat content (it uses only one component and can explain a high percentage of variance); results are interesting for lactose content, although using many components.
On-line optical fiber sensor for the estimation of fat content in milk. Picture shows an in-farm implementation of this system.
The operation of the system is as follows: the light proceeding from an infrared LED comes into contact with the milk, where part of the light is reflected and then, detected by a photodiode. Due to the fact that the reflected light depends on milk fat, the value of fat can be calculated by a control unit. Figure 19a shows the real behaviour of this sensor for homogenized milk samples, and Figure 19b, for raw milk during milking process. In both cases, the output signal is the voltage produced after conditioning circuit.
Analysis of 38 samples of fresh un-homogenized raw milk. Actual fat values are provided by a certified laboratory and have and uncertainty less than 2%.
Colour contributes to organoleptic attributes and quality parameters of food. Moreover, it can be used in the production process: to determine the maturation level of fruits and vegetables, in the identification of origin and adulteration of consumption oils, in the fermentation process of grape juice for winemaking or other fermentation process (beer, cider, etc.). In all these cases, colour determination is used to make decisions during the production processes.
In some traditional food industries, the colour is provided by experts, but this introduces subjectivity and uncertainty, and increases the processing time. The final results are a lost of repeatability, reproducibility and quality, and an increase of final cost. Expert estimation of colour can be substituted by a colorimeter that produces on-line results, improves instrumental parameters and reduces cost. A complete colour estimation includes an analysis of reflected (for solid foods) or transmitted/absorbed (for liquid foods) light spectrum in visible wavelengths (400 to 700 nm), but it is usual the reduction of analysis to a short set of wavelengths according to food type and the property that we like to know.
A colour analysis for solid foods such as vegetables, fruits or meat does not require optical fiber sensors and can be carried out by CCD cameras and image analysis; however, sensors for colour estimation of liquid foods can take advantage of optical fibers to reach any measurement place during production process. Figure 20 shows a colour probe with bifurcated optical fibers that uses a transmittance/absorbance measurement.
Optical fiber colour probe for liquid foods. The distance d is a design parameter and it depends on liquid transparency. All materials of sensor must accomplish with food industry standards.
In wine industry, colour depends on some parameters such as the grape composition, winemaking techniques and several reactions that take place during wine storage. The composition of wine colour changes continuously during winemaking and storage, with associated changes in sensory characteristics. Usual colour analysis for grape juices and wines is made by measurements at three wavelengths in blue, green and red spectrum areas: 420, 520 and 620 nm [19], but there are several methods to measure the chromatic parameters in all wines types, such as the method based on the CIE [33] or the OIV [34] method to determine the wine colour. These methods use two very similar processes to obtain colorimetric values of wine samples because the wine absorbs the radiation incident, or transmits the one that not absorbed. In both cases, the objective of each method is to obtain three colorimetric values to situate each wine in one point of the specific colour space [34]. Both methods have quite similar characteristics, including their high cost, because they use spectrometers, very expensive and delicate equipment, and other subsystems like special illuminants.
In addition, final colour read-out involves a complex procedure, not allowing on-line operation; this limitation reduces the use of these colorimeters in winemaking process.
On-line requirements and low-cost condition force to explore new methods of colour measurement, that is able to provide on-line chromatic values without punishing the cost, that is: they can be used within the control system of winemaking processes [10]. A new design with RGB colour space simplifies the sensor and reduces the cost of illuminant because a halogen lamp is able to provide enough power excitation in the three selected wavelength. To simplify the fiber topology and connector system it is possible to use a RGB photodiode as photo-detector.
The results from this RGB optical sensor can be plotted in the traditional diagram used for wine colour classification (Figure 21a) [42]; thus, the chromaticity values (tone, H and chroma, C) can be derived from measured values (Figure 21b) by,
where YB and RG are, respectively, the Yellow-to-Blue and the Red-to-Green ratios,.
(a) Wine classification in Y/B-R/G coordinates system; (b) Definition of chromaticity parameters of a wine.
The use of a colorimetric optical fiber probe has a lot of applications in food industry. Another interesting case is the colour determination of consumption oil, because it can be used to identify the type of oil, even the olive type and the acidity level. Figure 22 shows a diagram block of a RGB colorimeter, applied to oil colour characterization. It includes a full controlled illuminant (white light emitter) with a feedback of emitted light to avoid long term and temperature derives.
Optical fiber RGB colorimeter applied to oil colour characterization.
As we can see in Figure 23, oil colour can be used to identify the origin of oil, even with only two wavelengths: red (620 nm) and green (540 nm), reducing the blocks of block diagram of Figure 22. A more precise identification needs the value of blue (420 nm) channel and could provide additional knowledge, such as adulteration of oil with dye or the evolution of properties during cycling use for deep frying.
Differentiation of several types of consumption oils by means the values of green (abscissas) and red (ordinates), using arbitrary units.
Optical fiber sensors are widely applied for a lot of measurement processes because they have important advantages such as the high noise immunity and the use for remote and multi-position measurement. In particular, the use of optical fibers in combination to chemical sensors increases the potentiality of these sensors and extends their applications.
In above sections, we have presented several operation principles (absorbance, reflectance and luminescence), data processing strategies, and the potential use for measurement purposes by means of some real implementation and the consequent discussion about experimental results. For all these systems, we have taken into account some restrictions and conditions of associated devices such as light excitation sources, photo detector devices and, of course, the design conditions of optical fiber systems and sensors.
Just as with the general population, athletes can suffer from clinical and subclinical mental health symptoms and disorders that affect various areas of their functioning. A study conducted with elite athletes found that just under half of the respondents met criteria for at least one mental health “problem” including psychological distress, depression, general and social anxiety, panic disorder, and eating disorders [1]. Up to 60% of female athletes that participate in sports that require individuals to maintain a lean physique struggle with eating disorders [2]. College athletes display more binge drinking behavior than non-athlete college students [3], and 15% of student athletes have participated in pathological gambling behavior [4]. Athletes in the 30–50-year-old age have been shown to be at a 2–4 times higher risk of death by suicide than that of the general population in the same age range [5]. Within the athletic population, injured athletes experience more depression, anxiety, and lower self-esteem immediately after injury and during recovery than uninjured athletes [6]. In the case of elite athletes, these symptoms and disorders may have negative effects on performance, therefore potentially further impacting their well-being. The objective of this chapter is to discuss various forms of psychotherapy that are appropriate for the elite athlete population and to highlight several unique challenges that mental health professionals may face when working with this population.
In order to improve overall functioning, athletes dealing with mental health symptoms and disorders should seek psychotherapy. Psychotherapy, either as the sole treatment or combined with other nonpharmacological and pharmacological strategies, is a vital component in the management of clinical and subclinical mental health symptoms and disorders in elite athletes. For psychotherapy to be most effective with athletes, it must address athlete-specific issues while being validated as a “normal” or standard treatment for mental health difficulties by the athletes and their core stakeholders (partners, family, coaches, agents, etc.). As a means of decreasing the stigma often associated with mental health treatment, it may be helpful to reframe psychotherapy treatment as “performance help” as the goal is to improve functioning therefore improving athletic performance [7].
There are several different forms of psychotherapy that have been implemented and found to be successful in the treatment of athletes suffering from mental health symptoms and disorders. These are individual psychotherapy, marital/family psychotherapy, and group psychotherapy.
Individual psychotherapy involves a patient meeting with a trained mental health professional in a one-on-one setting. Oftentimes individual psychotherapy alone can be a sufficient treatment for less severe mental health issues such as mild depression, anxiety, and sports-related adjustment issues [8]. Individual psychotherapy provided by a sport psychiatrist or a psychologist or counsellor who specializes in the treatment of athletes can be useful in the treatment of psychiatric disorders as well as in improving adherence to medication.
The types of individual psychotherapies that are most commonly used in young adults, college students, and collegiate athletes are supportive therapy, cognitive behavioral therapy, motivational enhancement therapy, and psychodynamic therapy. These four therapies appear to have common healing factors including affective engagement, feeling understood by the therapist, offering a framework for understanding the problem/solution, therapist expertise, therapeutic structure/procedures, optimism regarding improvement, and experiences of success [9].
Of these therapies, cognitive behavioral therapy (CBT) has received the most empirical support [10]. CBT works to help patients understand how dysfunctional thoughts can lead to negative emotional activation and maladaptive actions or inactions [11]. This form of therapy is a very appropriate choice for athletes as it mirrors elements in physical training such as comfort with structure, direction, and practice [12]. As athletes are typically already comfortable with these elements, it can make this method of treatment one that makes practical sense to implement, especially athletes who participate in individual sports due to their familiarity with individual goal setting and self-reliance [8]. CBT appears to be most useful in cases of depression, anxiety, substance use disorders, anger/aggression, insomnia, somatization, chronic pain, and general stress [13].
An athlete’s feelings and opinions on substance use, legal or illegal, can be strongly influenced by peers, family, coaches, trainers, and other individuals that they are in close contact with. For example, a coach who notices that a new prescription has caused a slight drop in performance may attempt to convince their athlete to take less than the prescribed amount or stop taking the medication altogether. Teammates that often engage in illicit drug use may pressure other athletes to try it or believe that it is permissible. Motivational enhancement therapy (MET) uses principles of motivational interviewing to help patients understand their ambivalent feelings and opinions towards substance use [8]. Accordingly, MET appears to be most useful in cases of risky drinking and adverse alcohol behaviors, cannabis use, tobacco cessation, and medication adherence issues [14, 15].
Psychotherapy, compared to psychopharmacological treatments, is considered the best primary treatment of adjustment disorder, one of the more common mental health disorders experienced by athletes [8]. An adjustment disorder is an excessive emotional or behavioral reaction to a stressful event or change in a person’s life. Athletes often face many situations requiring them to cope with stressful changes, including being traded to a new team, moving to new cities, and adjusting to injury. Due to the relatively short duration of adjustment disorders, psychotherapies that are short-term and problem-solving focused appear to be the most efficacious modality, given the shorter timeframe of the disorder [16].
Involvement of family in psychotherapy can help athletes understand how personal and family stress can impact overall athletic performance [14]. Spouses or partners and other family members can play a significant role in the mental health of an athlete. Part of that role can involve assisting the athlete in caring for their mental health. If an athlete is willing to involve family members, a healthcare provider may gain a better understanding and more well-rounded view of the patient as family members can provide important supplemental information [7]. Family members are often crucial in ensuring treatment adherence, and it is a common belief that in certain circumstances, psychoeducation should be required for patients as well as their partner/family member(s) before being able to start psychotropic medications [7]. If an athlete is amenable, coaches, trainers, agents, and other close individuals can provide additional supplementary information about the athlete as well as work to facilitate their adherence to treatment during daily activities. These individuals and family members are often the people who encourage athletes to seek out help in the first place.
In addition to helping, family can also be a source of stress for athletes, or elements of the athlete’s life may be sources of stress for their family. Many times, familial issues may either be the source of the presenting problem or the problem itself when an athlete seeks treatment [8]. Recent studies have shown that family problems in a collegiate athlete’s life may predispose them to mental health distress and could be used as a good screening method to assist referrals [17]. Some issues that are not exclusive to the family setting of athletes alone but may present themselves with greater frequency include substance use, domestic violence, time spent away from home, jealousy, and extramarital affairs [14]. These types of issues can also be the underlying causes of psychiatric symptoms that lead athletes to present for psychotherapy. Because of this, clinicians must be able to appropriately implement marriage/couple psychotherapy which can sometimes be difficult if both parties are not committed to participating in treatment [8].
A third form of psychotherapy that may benefit athletes is group therapy. This form of therapy involves individuals coming together in a group setting with a mental health professional to receive psychoeducation and psychotherapy. In addition, the individuals are able hear and learn from the experiences of the other individuals in the group. Finding these shared experiences may lead to greater change than what can be provided by therapy and medication [18].
This form of psychotherapy is often used for athletes with substance abuse issues and can include groups such as Alcoholics Anonymous and Narcotics Anonymous. Group therapy is often used in combination with medication, particularly for substance use disorders, and can be led by qualified mental health clinicians [8]. Group psychotherapy may be particularly effective for team sport athletes as they are accustomed to performing as a member of a team (the group) and following the leadership of a coach (the mental health professional), and this format may provide an added level of comfort [7, 8].
A common issue with high profile athletes that may work as a deterrent to this form of psychotherapy is the issue of confidentiality and anonymity [8]. Athletes are more likely to agree to using this approach to therapy if they have had positive experiences with it in the past, confidentiality can be guaranteed, and it can be well integrated into their life [19].
Due to differences in lifestyle and other factors, mental health clinicians must keep in mind several considerations when working with elite athletes compared to the general population. Although psychotherapeutic interventions are similar to those with non-athletes, elite athletes can present unique challenges including diagnostic ambiguity, barriers to help-seeking behaviors, and altered expectations about services.
When attempting to diagnose athletes, there are many considerations that a clinician must keep in mind. One is that many of the symptoms and behaviors that athletes may present with are shared between mental health disorders and typical/expected athlete behavior. Take over-training syndrome and clinical depression: shared symptoms are fatigue, appetite loss, weight change, cognitive deficits, and a general lack of energy and motivation [20]. These symptoms have two different causes and therefore require different treatments to resolve symptoms. Athletes may also perform ritualistic behavior in order to relieve anxiety during athletic performance [21]. This could include behaviors such as unique free-throw warm-ups in basketball, avoiding stepping on the foul line while taking the field in baseball, or eating Skittles™ before every football game. While this may lead a clinician to suspect a diagnosis of obsessive–compulsive disorder, these behaviors are limited only to competitive settings and result in no overall life impairment [22].
In addition to the presenting symptoms and behaviors themselves, the underlying cause of them may be different for athletes than for individuals in the general population. Due to their experiences and lifestyles, athletes have unique triggers that may cause their psychiatric symptoms. Depression can be brought on by overtraining, poor performance, or retirement from a sport [2, 22]. Athletes in contact and even non-contact sports are constantly exposed to the potential for severe injury which can bring about mood disturbance, tension, and anger [23]. There are also greater prevalence rates of performance anxiety and jetlag induced insomnia among elite athletes in comparison to the general population [24].
Even within the elite athlete population, athletes who perform in different sports may have varying risks for different mental health symptoms and disorders. Research shows that athletes who participate in individual sports, compared to those in team sports, may be at a greater risk for depressive symptoms [25, 26]. Because of these ambiguities and potential differences in symptoms and behaviors, mental health practitioners must carefully consider each case in order to choose correct diagnoses and methods of treatment.
The most common barrier to athletes seeking treatment is stigma associated with mental health [27]. Some athletes may hold the belief that receiving mental healthcare is a sign of “weakness” and evidence of being “crazy” or untrustworthy [2]. In one study, student athletes in Australia reported poor understanding of mental health and past negative experiences in help seeking as other barriers to seeking out treatment [28]. Because of these misperceptions and misunderstandings of mental health, many athletes may refuse to seek help due to their own beliefs or the beliefs held by their peers, family, and coaches. Research has shown that perceived stigma, confidence in consolation, cultural preferences, and openness can be used to predict a coach’s likelihood of referring their players to mental health services [8]. This means that coaches who view mental health as less stigmatizing, have greater confidence in positive outcomes from consolation, have receiving therapy as a cultural preference over other forms of treatment or no treatment, and have higher levels of openness are more likely to refer their athletes to therapy for issues regarding mental health.
Another barrier to seeking or continuing treatment is when a problematic behavior is viewed as positive or helpful to an athlete’s sport performance. A wrestler or fighter may justify an eating disorder such as anorexia nervosa or bulimia nervosa because it helps them to maintain or cut weight before contests [20]. A football or baseball player may choose to struggle through mood disturbances and inter-personal difficulties while using anabolic steroids if they believe that the steroids are helping them to build muscle and perform at higher levels [4]. If an athlete is currently in treatment, beliefs such as these may cause strains in the patient-therapist relationship when the clinician points out the negative effects of these behaviors that are viewed as beneficial by the athlete [8].
As noted earlier, confidentiality can be difficult to ensure or maintain at times. Some athletes – especially those who are particularly well known in their area, state, or country – may fear being recognized while attending or traveling to and from treatment sessions. These athletes may prefer that mental health professionals come to them to provide services at team facilities or their home or hotel in order to avoid public exposure [27]. While this may be permissible, mental health professionals must consider to pros and cons of providing treatment outside of the clinical setting [8]. Some athletes may prefer not only confidentiality from the public but also confidentiality from individuals involved in their personal lives. Even though coaches, trainers, agents, and family may prefer to be involved and included in psychoeducation and psychotherapy as they are accustomed to being involved in the athlete’s life, this can create complexities regarding confidentiality [2].
Elite athletes are often accustomed to special treatment and accommodations that are not given to the general population. Many athletes have assistants or people within their organizations who create and organize schedules, arrange travel accommodations, and complete day to day tasks for them [27]. This can become a challenge for the mental health professional when it is preferable to speak with the athlete than with their assistant [14].
While some athletes prefer that mental health clinicians meet them where they are for confidentiality purposes, some athletes make this request because it is what is normal for them. Oftentimes athletes will have healthcare professionals and others meet them at team facilities or their home, so this is what is typical and expected. As stated earlier, mental health professionals must consider the advantages and disadvantages of providing psychotherapy outside of the clinical setting [8]. With their busy schedules and frequent traveling combined with repeated accommodations by others, athletes may expect that clinicians can provide services at any time if it is convenient for the athlete. This can make establishing and maintaining boundaries difficult for the clinician if they attempt to schedule and travel to meet the athlete’s preferences [27].
Although many elite athletes may be well-off financially, they may not be accustomed to paying for certain services [2]. For example, agents may try to provide tickets, passes, or merchandise that are equal in value to the charge for treatment [2]. Accepting these in lieu of monetary payment is unethical and could lead to future boundary issues as the professional patient-therapist relationship could be viewed as a more personal one by both parties [2].
In all situations, the clinician’s goal should be to balance “flexibility with appropriate boundaries” [2]. This is done by balancing the unique needs of the athlete with providing appropriate treatment based on the athlete’s diagnosis, their specific circumstances, and the context in their sport [29].
Narcissism and aggression are personality traits that can be common among elite athletes [7]. These are traits that the clinician may encounter during mental health services with athletes, or they could be the presenting issue for a patient coming in for treatment.
Elite athletes may often achieve great fame and wealth. They are often held in high esteem by fans, family, teammates, coaches, and others. People admire them for what they are able to accomplish and follow not only their athletic performances but also their personal lives through the media. Because of social media, athletes’ lives are more accessible to the public than they used to be, and they may receive praise and attention via this platform in addition to what they receive in person. All of this can lead to feelings of superiority or narcissism as they are often the center of attention and may be accustomed to being in the spotlight [8]. Because of this, an athlete may feel as though they are not in need of help since they receive so much adoration on a constant basis, or they may have unrealistic expectations about therapy [2]. For example, if they do not see immediate results from therapy or it does not come as naturally to them as their sport does, then they may decide that it is not beneficial to them and not worth their time or effort. In extreme cases, these athletes may develop grandiose beliefs, lose their ability to empathize, and respond with fury to real and imagined slights [8].
Recent research has found a positive relationship between anger, aggressiveness, general aggressive behavior, antisocial behavior toward opponents and teammates, and the experience of and expression of anger [30]. This supports previous findings that antisocial traits may often lead to outbursts of anger, especially within training, practices, and games [8]. Due to their pride being built upon the praise of others, many successful athletes are insecure or have fragile egos and may exhibit rage and aggression when confronted with real or imagined threats to their sense of self-worth [7, 31]. The loss of praise and increase of criticism due to a poor performance or decision by an athlete can “injure” the ego, which can lead to a response of “impulsive and explosive rage” as they deal with a cycle of praise and criticism that is uncommon in other populations [31].
Elite athletes are a unique population that can provide uncommon challenges, but they also have strengths and circumstances that make them good candidates for psychiatric treatment. The goal of treatment is to improve mental health in order to maintain peak athletic functioning. Psychotherapy is a common form of treatment for mental health issues and may be particularly effective for elite athletes in the form of individual psychotherapy, marital/family psychotherapy, or group psychotherapy. Due to the nature of the elite athlete population, mental health clinicians may face several unique challenges in providing services to these individuals. These include diagnostic ambiguity, barriers to help-seeking behaviors, altered expectations about services, and personality factors. Elite athletes face many pressures and stressors that are not common to the general population. Mental health professionals should keep these considerations in mind during treatment and work to normalize and reduce stigma towards receiving mental health services within the elite athlete population.
IntechOpen implements a robust policy to minimize and deal with instances of fraud or misconduct. As part of our general commitment to transparency and openness, and in order to maintain high scientific standards, we have a well-defined editorial policy regarding Retractions and Corrections.
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\\n\\n1. RETRACTIONS
\\n\\nA Retraction of a Chapter will be issued by the Academic Editor, either following an Author’s request to do so or when there is a 3rd party report of scientific misconduct. Upon receipt of a report by a 3rd party, the Academic Editor will investigate any allegations of scientific misconduct, working in cooperation with the Author(s) and their institution(s).
\\n\\nA formal Retraction will be issued when there is clear and conclusive evidence of any of the following:
\\n\\nPublishing of a Retraction Notice will adhere to the following guidelines:
\\n\\n1.2. REMOVALS AND CANCELLATIONS
\\n\\n2. STATEMENTS OF CONCERN
\\n\\nA Statement of Concern detailing alleged misconduct will be issued by the Academic Editor or publisher following a 3rd party report of scientific misconduct when:
\\n\\nIntechOpen believes that the number of occasions on which a Statement of Concern is issued will be very few in number. In all cases when such a decision has been taken by the Academic Editor the decision will be reviewed by another editor to whom the author can make representations.
\\n\\n3. CORRECTIONS
\\n\\nA Correction will be issued by the Academic Editor when:
\\n\\n3.1. ERRATUM
\\n\\nAn Erratum will be issued by the Academic Editor when it is determined that a mistake in a Chapter originates from the production process handled by the publisher.
\\n\\nA published Erratum will adhere to the Retraction Notice publishing guidelines outlined above.
\\n\\n3.2. CORRIGENDUM
\\n\\nA Corrigendum will be issued by the Academic Editor when it is determined that a mistake in a Chapter is a result of an Author’s miscalculation or oversight. A published Corrigendum will adhere to the Retraction Notice publishing guidelines outlined above.
\\n\\n4. FINAL REMARKS
\\n\\nIntechOpen wishes to emphasize that the final decision on whether a Retraction, Statement of Concern, or a Correction will be issued rests with the Academic Editor. The publisher is obliged to act upon any reports of scientific misconduct in its publications and to make a reasonable effort to facilitate any subsequent investigation of such claims.
\\n\\nIn the case of Retraction or removal of the Work, the publisher will be under no obligation to refund the APC.
\\n\\nThe general principles set out above apply to Retractions and Corrections issued in all IntechOpen publications.
\\n\\nAny suggestions or comments on this Policy are welcome and may be sent to permissions@intechopen.com.
\\n\\nPolicy last updated: 2017-09-11
\\n"}]'},components:[{type:"htmlEditorComponent",content:'IntechOpen’s Retraction and Correction Policy has been developed in accordance with the Committee on Publication Ethics (COPE) publication guidelines relating to scientific misconduct and research ethics:
\n\n1. RETRACTIONS
\n\nA Retraction of a Chapter will be issued by the Academic Editor, either following an Author’s request to do so or when there is a 3rd party report of scientific misconduct. Upon receipt of a report by a 3rd party, the Academic Editor will investigate any allegations of scientific misconduct, working in cooperation with the Author(s) and their institution(s).
\n\nA formal Retraction will be issued when there is clear and conclusive evidence of any of the following:
\n\nPublishing of a Retraction Notice will adhere to the following guidelines:
\n\n1.2. REMOVALS AND CANCELLATIONS
\n\n2. STATEMENTS OF CONCERN
\n\nA Statement of Concern detailing alleged misconduct will be issued by the Academic Editor or publisher following a 3rd party report of scientific misconduct when:
\n\nIntechOpen believes that the number of occasions on which a Statement of Concern is issued will be very few in number. In all cases when such a decision has been taken by the Academic Editor the decision will be reviewed by another editor to whom the author can make representations.
\n\n3. CORRECTIONS
\n\nA Correction will be issued by the Academic Editor when:
\n\n3.1. ERRATUM
\n\nAn Erratum will be issued by the Academic Editor when it is determined that a mistake in a Chapter originates from the production process handled by the publisher.
\n\nA published Erratum will adhere to the Retraction Notice publishing guidelines outlined above.
\n\n3.2. CORRIGENDUM
\n\nA Corrigendum will be issued by the Academic Editor when it is determined that a mistake in a Chapter is a result of an Author’s miscalculation or oversight. A published Corrigendum will adhere to the Retraction Notice publishing guidelines outlined above.
\n\n4. FINAL REMARKS
\n\nIntechOpen wishes to emphasize that the final decision on whether a Retraction, Statement of Concern, or a Correction will be issued rests with the Academic Editor. The publisher is obliged to act upon any reports of scientific misconduct in its publications and to make a reasonable effort to facilitate any subsequent investigation of such claims.
\n\nIn the case of Retraction or removal of the Work, the publisher will be under no obligation to refund the APC.
\n\nThe general principles set out above apply to Retractions and Corrections issued in all IntechOpen publications.
\n\nAny suggestions or comments on this Policy are welcome and may be sent to permissions@intechopen.com.
\n\nPolicy last updated: 2017-09-11
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I am also a member of the team in charge for the supervision of Ph.D. students in the fields of development of silicon based planar waveguide sensor devices, study of inelastic electron tunnelling in planar tunnelling nanostructures for sensing applications and development of organotellurium(IV) compounds for semiconductor applications. I am a specialist in data analysis techniques and nanosurface structure. I have served as the editor for many books, been a member of the editorial board in science journals, have published many papers and hold many patents.",institutionString:null,institution:{name:"Sheffield Hallam University",country:{name:"United Kingdom"}}},{id:"12392",title:"Mr.",name:"Alex",middleName:null,surname:"Lazinica",slug:"alex-lazinica",fullName:"Alex Lazinica",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/12392/images/7282_n.png",biography:"Alex Lazinica is the founder and CEO of IntechOpen. 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Today his focus is on defining the growth and development strategy for the company.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"19816",title:"Prof.",name:"Alexander",middleName:null,surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/19816/images/1607_n.jpg",biography:"Alexander I. Kokorin: born: 1947, Moscow; DSc., PhD; Principal Research Fellow (Research Professor) of Department of Kinetics and Catalysis, N. Semenov Institute of Chemical Physics, Russian Academy of Sciences, Moscow.\r\nArea of research interests: physical chemistry of complex-organized molecular and nanosized systems, including polymer-metal complexes; the surface of doped oxide semiconductors. He is an expert in structural, absorptive, catalytic and photocatalytic properties, in structural organization and dynamic features of ionic liquids, in magnetic interactions between paramagnetic centers. The author or co-author of 3 books, over 200 articles and reviews in scientific journals and books. He is an actual member of the International EPR/ESR Society, European Society on Quantum Solar Energy Conversion, Moscow House of Scientists, of the Board of Moscow Physical Society.",institutionString:null,institution:{name:"Semenov Institute of Chemical Physics",country:{name:"Russia"}}},{id:"62389",title:"PhD.",name:"Ali Demir",middleName:null,surname:"Sezer",slug:"ali-demir-sezer",fullName:"Ali Demir Sezer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62389/images/3413_n.jpg",biography:"Dr. Ali Demir Sezer has a Ph.D. from Pharmaceutical Biotechnology at the Faculty of Pharmacy, University of Marmara (Turkey). He is the member of many Pharmaceutical Associations and acts as a reviewer of scientific journals and European projects under different research areas such as: drug delivery systems, nanotechnology and pharmaceutical biotechnology. Dr. Sezer is the author of many scientific publications in peer-reviewed journals and poster communications. Focus of his research activity is drug delivery, physico-chemical characterization and biological evaluation of biopolymers micro and nanoparticles as modified drug delivery system, and colloidal drug carriers (liposomes, nanoparticles etc.).",institutionString:null,institution:{name:"Marmara University",country:{name:"Turkey"}}},{id:"64434",title:"Dr.",name:"Angkoon",middleName:null,surname:"Phinyomark",slug:"angkoon-phinyomark",fullName:"Angkoon Phinyomark",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/64434/images/2619_n.jpg",biography:"My name is Angkoon Phinyomark. I received a B.Eng. degree in Computer Engineering with First Class Honors in 2008 from Prince of Songkla University, Songkhla, Thailand, where I received a Ph.D. degree in Electrical Engineering. My research interests are primarily in the area of biomedical signal processing and classification notably EMG (electromyography signal), EOG (electrooculography signal), and EEG (electroencephalography signal), image analysis notably breast cancer analysis and optical coherence tomography, and rehabilitation engineering. I became a student member of IEEE in 2008. During October 2011-March 2012, I had worked at School of Computer Science and Electronic Engineering, University of Essex, Colchester, Essex, United Kingdom. In addition, during a B.Eng. I had been a visiting research student at Faculty of Computer Science, University of Murcia, Murcia, Spain for three months.\n\nI have published over 40 papers during 5 years in refereed journals, books, and conference proceedings in the areas of electro-physiological signals processing and classification, notably EMG and EOG signals, fractal analysis, wavelet analysis, texture analysis, feature extraction and machine learning algorithms, and assistive and rehabilitative devices. I have several computer programming language certificates, i.e. Sun Certified Programmer for the Java 2 Platform 1.4 (SCJP), Microsoft Certified Professional Developer, Web Developer (MCPD), Microsoft Certified Technology Specialist, .NET Framework 2.0 Web (MCTS). I am a Reviewer for several refereed journals and international conferences, such as IEEE Transactions on Biomedical Engineering, IEEE Transactions on Industrial Electronics, Optic Letters, Measurement Science Review, and also a member of the International Advisory Committee for 2012 IEEE Business Engineering and Industrial Applications and 2012 IEEE Symposium on Business, Engineering and Industrial Applications.",institutionString:null,institution:{name:"Joseph Fourier University",country:{name:"France"}}},{id:"55578",title:"Dr.",name:"Antonio",middleName:null,surname:"Jurado-Navas",slug:"antonio-jurado-navas",fullName:"Antonio Jurado-Navas",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",biography:"Antonio Jurado-Navas received the M.S. degree (2002) and the Ph.D. degree (2009) in Telecommunication Engineering, both from the University of Málaga (Spain). 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Erhabor"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6969",title:"Lymphocytes",subtitle:null,isOpenForSubmission:!1,hash:"1aa8ac01c934ebdeedd5d7813036beef",slug:"lymphocytes",bookSignature:"Erman Salih Istifli and Hasan Basri İla",coverURL:"https://cdn.intechopen.com/books/images_new/6969.jpg",editedByType:"Edited by",editors:[{id:"179007",title:"Dr.",name:"Erman Salih",middleName:null,surname:"Istifli",slug:"erman-salih-istifli",fullName:"Erman Salih Istifli"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"5965",title:"Transfusion Medicine and Scientific Developments",subtitle:null,isOpenForSubmission:!1,hash:"b5a95b51b34becb58f940bdc6cc2c26e",slug:"transfusion-medicine-and-scientific-developments",bookSignature:"A.W.M.M. Koopman-van Gemert",coverURL:"https://cdn.intechopen.com/books/images_new/5965.jpg",editedByType:"Edited by",editors:[{id:"105746",title:"Dr.",name:"A.W.M.M.",middleName:null,surname:"Koopman-van Gemert",slug:"a.w.m.m.-koopman-van-gemert",fullName:"A.W.M.M. Koopman-van Gemert"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:3,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"55954",doi:"10.5772/intechopen.69551",title:"Red Blood Cells and Relation to Thrombosis",slug:"red-blood-cells-and-relation-to-thrombosis",totalDownloads:2029,totalCrossrefCites:4,totalDimensionsCites:4,abstract:"Blood coagulation and thrombin generation are primarily a function of platelets, coagulation factors, and endothelial cells. Red blood cells (RBCs) have generally been viewed as innocent bystanders in the clotting process. However, there has been a steadily growing clinical data revealing the active roles of erythrocytes in hemostasis. RBCs may contribute to thrombosis in several ways. In polycythemia, RBCs increase blood viscosity and marginate platelets toward the endothelium. The increased incidence of thrombosis is also associated with hemolytic anemia, especially with sickle cell disease and paroxysmal nocturnal hemoglobinuria. RBCs express phosphatidylserine and microparticles, supporting thrombin generation. They interact with platelets, endothelial cells, and fibrinogen, and these interactions lead their incorporation into the thrombi. The presence of RBCs in clots suppresses plasmin generation and reduces clot dissolution. Decreasing thrombus RBC content would accelerate thrombus resolution. In conclusion, RBCs are important complements of the complex reactions of clot formation.",book:{id:"5965",slug:"transfusion-medicine-and-scientific-developments",title:"Transfusion Medicine and Scientific Developments",fullTitle:"Transfusion Medicine and Scientific Developments"},signatures:"Anil Tombak",authors:[{id:"202814",title:"Associate Prof.",name:"Anil",middleName:null,surname:"Tombak",slug:"anil-tombak",fullName:"Anil Tombak"}]},{id:"70657",doi:"10.5772/intechopen.90372",title:"Distribution of Clinically Relevant Blood Group Antigens among Nigerians and the Management of Rhesus D Negative Pregnancies: Implications for Haemolytic Disease of the Foetus and Newborn and Haemolytic Transfusion Reactions",slug:"distribution-of-clinically-relevant-blood-group-antigens-among-nigerians-and-the-management-of-rhesu",totalDownloads:745,totalCrossrefCites:4,totalDimensionsCites:4,abstract:"The ABO and Rhesus blood group systems are the most clinically relevant blood group systems from haemolytic disease of the foetus and newborn (HDFN) and haemolytic transfusion reaction (HTR) perspectives. Other clinically relevant blood group systems include the Kell, Duffy, Kidd and MNSs blood group systems. The clinical relevance of a blood group system depends on the ability of antibodies of the system to cause HDFN and HTR. This chapter discusses the distribution of ABO, Rhesus and other clinically relevant red cell antigens among Nigerians and implications for HDFN and HTR. There are several challenges associated with the management of Rhesus negative pregnancies, pregnancies associated with clinically significant alloantibodies, implementation of policy on routine antenatal anti-D prophylaxis (RAADP), management of Rhesus negative women that require termination of pregnancy (TOP), provision of antigen negative blood for certain patient groups and the management of pregnant and non-pregnant patients with clinically significant alloantibodies. This chapter highlights the need for Nigeria and other African countries to implement best practices to optimize the care offered to pregnant women as well as patients in whom red cell transfusion is indicated.",book:{id:"9027",slug:"human-blood-group-systems-and-haemoglobinopathies",title:"Human Blood Group Systems and Haemoglobinopathies",fullTitle:"Human Blood Group Systems and Haemoglobinopathies"},signatures:"Osaro Erhabor, Tosan Erhabor, Teddy Charles Adias and Iwueke Ikechukwu Polycarp",authors:[{id:"35140",title:"Dr.",name:"Osaro",middleName:null,surname:"Erhabor",slug:"osaro-erhabor",fullName:"Osaro Erhabor"},{id:"35151",title:"Prof.",name:"Teddy",middleName:"Charles",surname:"Adias",slug:"teddy-adias",fullName:"Teddy Adias"},{id:"308337",title:"Dr.",name:"Tosan",middleName:null,surname:"Erhabor",slug:"tosan-erhabor",fullName:"Tosan Erhabor"},{id:"308338",title:"Dr.",name:"Iwueke",middleName:null,surname:"Ikechukwu",slug:"iwueke-ikechukwu",fullName:"Iwueke Ikechukwu"}]},{id:"70802",doi:"10.5772/intechopen.90995",title:"Sickle Cell Anemia, Representations and Care: Experience of a Brother of a Sick Child in Cameroon",slug:"sickle-cell-anemia-representations-and-care-experience-of-a-brother-of-a-sick-child-in-cameroon",totalDownloads:502,totalCrossrefCites:2,totalDimensionsCites:4,abstract:"In Africa, families often with more than one child consult with both modern and traditional African medicine to treat their child with sickle cell anemia. This research aimed to understand how a child experiences both the medical and traditional care of his sister. We collected data from an interview and family drawing of a young boy growing up with an affected sister in Cameroon. Results showed this child persisted to feel as though his sister had fallen victim to a sorcerer and that he was at risk of the same fate even after the two of them received traditional treatment. He also felt neglected about his suffering because of his sister’s disease by hospital professionals that were caring for her. It is therefore necessary to establish a support system for affected children and their family by providing a safe space in hospitals where they can express and contain their experiences with the disease.",book:{id:"9027",slug:"human-blood-group-systems-and-haemoglobinopathies",title:"Human Blood Group Systems and Haemoglobinopathies",fullTitle:"Human Blood Group Systems and Haemoglobinopathies"},signatures:"Hassan Njifon Nsangou and Régine Scelles",authors:[{id:"312724",title:"Ph.D.",name:"Hassan",middleName:null,surname:"Njifon Nsangou",slug:"hassan-njifon-nsangou",fullName:"Hassan Njifon Nsangou"},{id:"312830",title:"Prof.",name:"Régine",middleName:null,surname:"Scelles",slug:"regine-scelles",fullName:"Régine Scelles"}]},{id:"64280",doi:"10.5772/intechopen.81895",title:"Lymphocytes Studied by Raman Microspectroscopy",slug:"lymphocytes-studied-by-raman-microspectroscopy",totalDownloads:1013,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"The Raman spectroscopy detects the interaction of the incident light with the electrons in the illuminated molecule. The use of Raman spectroscopy to investigate biological molecular structures and the recognition of their particular functional groups have been growing rapidly, and nowadays the use of Raman spectroscopy has expanded toward the cellular level. The activation of lymphocytes occurs when they are exposed to viruses or other foreign antigens. We have observed that Raman spectroscopy can be used to screen the activation of lymphocytes during viral infection. We have indicated the bands that reveal differences between activated and intact cells. The most important marker of the lymphocyte activation process is the prominent 521 cm−1 disulfide band which marks the immunoglobulin formation. The blood from the patients with viral infections, e.g., mononucleosis, and from healthy volunteers was obtained by venipuncture during hospitalization in the University Hospital in Kraków.",book:{id:"6969",slug:"lymphocytes",title:"Lymphocytes",fullTitle:"Lymphocytes"},signatures:"Magdalena Pietruszewska, Grażyna Biesiada, Jacek Czepiel,\nMalwina Birczyńska, Paulina Moskal, Mateusz Kozicki, Emilia Hola,\nAleksander Garlicki and Aleksandra Wesełucha-Birczyńska",authors:null},{id:"69794",doi:"10.5772/intechopen.89952",title:"The Duffy Blood Group System",slug:"the-duffy-blood-group-system",totalDownloads:867,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"The Duffy group system includes six known antigens that reside on a glycoprotein which acts as a receptor for chemokines. It is also a receptor for some malaria species. There are significant racial variations in expression of Duffy antigens. Approximately 68% of Blacks lack both Fya and Fyb antigens. Individuals with this unique phenotype are resistant to two malaria species. Antibodies formed against the Duffy antigens are of IgG subclass and are clinically significant as they can be implicated in acute and delayed hemolytic transfusion reactions as well as hemolytic disease of fetus and newborn. Patients who form anti-Fya or anti-Fyb must receive antigen negative blood units in the future.",book:{id:"9027",slug:"human-blood-group-systems-and-haemoglobinopathies",title:"Human Blood Group Systems and Haemoglobinopathies",fullTitle:"Human Blood Group Systems and Haemoglobinopathies"},signatures:"Fatima A. Aldarweesh",authors:[{id:"307172",title:"Dr.",name:"Fatima A.",middleName:null,surname:"Aldarweesh",slug:"fatima-a.-aldarweesh",fullName:"Fatima A. Aldarweesh"}]}],mostDownloadedChaptersLast30Days:[{id:"73837",title:"Inherited Disorders of Hemoglobin and Plasmodium falciparum Malaria",slug:"inherited-disorders-of-hemoglobin-and-em-plasmodium-falciparum-em-malaria",totalDownloads:546,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"An estimated 300,000 babies are born each year with severe Inherited Disorders of Hemoglobin (IDH). Despite major advances in the understanding of the molecular pathology, control, and management of the IDH thousands of infants and children with these diseases are dying due to the accessibility to appropriate medical care. In addition, as malaria has been the principal cause of early mortality in several parts of the world for much of the last 5000 years, as a result, it is the strongest force for selective pressure on the human genome. That is why, in the world, there is an overlap of malaria endemicity and IDH. Over the past twenty years several studies have shown that IDH such us hemoglobin and/or red cell membrane abnormalities confer resistance to malaria reducing hence the mortality during the first years of life. This has led to the selection of populations with IDH in malaria-endemic areas. This may explain the overlap between these two pathologies. This chapter aims to present the relationship between IDH and malaria susceptibility, make an overview of the current state of knowledge and the burden of IDH, and highlight steps that require to be taken urgently to improve the situation.",book:{id:"9027",slug:"human-blood-group-systems-and-haemoglobinopathies",title:"Human Blood Group Systems and Haemoglobinopathies",fullTitle:"Human Blood Group Systems and Haemoglobinopathies"},signatures:"Edith Christiane Bougouma and Sodiomon Bienvenu Sirima",authors:[{id:"319317",title:"Dr.",name:"Edith Christiane",middleName:"Christianne",surname:"Bougouma",slug:"edith-christiane-bougouma",fullName:"Edith Christiane Bougouma"},{id:"319864",title:"Dr.",name:"Sodiomon Bienvenu",middleName:null,surname:"Sirima",slug:"sodiomon-bienvenu-sirima",fullName:"Sodiomon Bienvenu Sirima"}]},{id:"55676",title:"Transfusion in Transplantation",slug:"transfusion-in-transplantation",totalDownloads:1806,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"Hematopoietic stem cell transplantation is increasingly performed in several diseases; majority of them are hematologic malignancies. Hematopoietic stem cell transplantation is not an instant procedure; contrarily, its unique clinical and laboratorial consequences may take life‐long time. Blood product transfusion is an inevitable and critical component for the management. Hematopoietic stem cell transplant patients have different requirements regarding blood products transfusion because of their immune status, long‐term cytopenias and especially HLA and ABO incompatibilities. Health‐care staff who take a part in the management of those patients should be aware of specific and specialized transfusion requirements.",book:{id:"5965",slug:"transfusion-medicine-and-scientific-developments",title:"Transfusion Medicine and Scientific Developments",fullTitle:"Transfusion Medicine and Scientific Developments"},signatures:"Eren Arslan Davulcu, Fahri Sahin and Güray Saydam",authors:[{id:"94230",title:"Prof.",name:"Guray",middleName:null,surname:"Saydam",slug:"guray-saydam",fullName:"Guray Saydam"},{id:"94231",title:"Prof.",name:"Fahri",middleName:null,surname:"Sahin",slug:"fahri-sahin",fullName:"Fahri Sahin"},{id:"202813",title:"M.D.",name:"Eren",middleName:null,surname:"Arslan Davulcu",slug:"eren-arslan-davulcu",fullName:"Eren Arslan Davulcu"}]},{id:"55954",title:"Red Blood Cells and Relation to Thrombosis",slug:"red-blood-cells-and-relation-to-thrombosis",totalDownloads:2030,totalCrossrefCites:4,totalDimensionsCites:4,abstract:"Blood coagulation and thrombin generation are primarily a function of platelets, coagulation factors, and endothelial cells. Red blood cells (RBCs) have generally been viewed as innocent bystanders in the clotting process. However, there has been a steadily growing clinical data revealing the active roles of erythrocytes in hemostasis. RBCs may contribute to thrombosis in several ways. In polycythemia, RBCs increase blood viscosity and marginate platelets toward the endothelium. The increased incidence of thrombosis is also associated with hemolytic anemia, especially with sickle cell disease and paroxysmal nocturnal hemoglobinuria. RBCs express phosphatidylserine and microparticles, supporting thrombin generation. They interact with platelets, endothelial cells, and fibrinogen, and these interactions lead their incorporation into the thrombi. The presence of RBCs in clots suppresses plasmin generation and reduces clot dissolution. Decreasing thrombus RBC content would accelerate thrombus resolution. In conclusion, RBCs are important complements of the complex reactions of clot formation.",book:{id:"5965",slug:"transfusion-medicine-and-scientific-developments",title:"Transfusion Medicine and Scientific Developments",fullTitle:"Transfusion Medicine and Scientific Developments"},signatures:"Anil Tombak",authors:[{id:"202814",title:"Associate Prof.",name:"Anil",middleName:null,surname:"Tombak",slug:"anil-tombak",fullName:"Anil Tombak"}]},{id:"70920",title:"Harmonized and Quality Sample Handling in Biobank-Supported Multicenter Prospective Studies",slug:"harmonized-and-quality-sample-handling-in-biobank-supported-multicenter-prospective-studies",totalDownloads:634,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"In the frame of multicenter research studies, biobanks ensure the harmonization and traceability of the prospective collection of quality samples. This is significant because pre-analytical variables must be carefully considered to guarantee the integrity of biomarkers to be tested and to avoid bias affecting the validity of the analytical results. According to a quality management system, biobanks contribute with documents and records; consumable preparation for collection, processing, and conservation; sample quality controls; and centralized management of sample handling, storage, and distribution. Traceability of samples is based on unique standard codes and the use of pre-assigned, pre-coded, and pre-labeled materials for sample collection, processing, and conservation. By using these supporting tools, quality derivatives are obtained based on common and evidence-based standard operating procedures (SOPs), with associated traceability information in relation with their collection, processing, conservation, and distribution. The biobank-supported workflow, specifically designed and implemented for each project, allows obtaining harmonized quality samples contributing to the quality of large and complex research projects and the corresponding validity of the analyses.",book:{id:"9027",slug:"human-blood-group-systems-and-haemoglobinopathies",title:"Human Blood Group Systems and Haemoglobinopathies",fullTitle:"Human Blood Group Systems and Haemoglobinopathies"},signatures:"Verónica Valdivieso-Gómez, Javier Garrancho-Pérez, Inés Aroca-Siendones and Rocío Aguilar-Quesada",authors:[{id:"217457",title:"Ph.D.",name:"Rocio",middleName:null,surname:"Aguilar-Quesada",slug:"rocio-aguilar-quesada",fullName:"Rocio Aguilar-Quesada"},{id:"217467",title:"Ms.",name:"Veronica",middleName:null,surname:"Valdivieso-Gomez",slug:"veronica-valdivieso-gomez",fullName:"Veronica Valdivieso-Gomez"},{id:"311385",title:"Mr.",name:"Javier",middleName:null,surname:"Garrancho-Pérez",slug:"javier-garrancho-perez",fullName:"Javier Garrancho-Pérez"},{id:"311386",title:"Ms.",name:"Inés",middleName:null,surname:"Aroca-Siendones",slug:"ines-aroca-siendones",fullName:"Inés Aroca-Siendones"}]},{id:"62616",title:"Understanding B Lymphocyte Development: A Long Way to Go",slug:"understanding-b-lymphocyte-development-a-long-way-to-go",totalDownloads:1695,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"B lymphocytes play a significant role in both antigen-dependent and antigen-independent pathways. Although significant progress has been made in context of delineating the pathways that lead to their development, maturity and differentiation, their detailed mechanisms are yet to be dissected out completely. This chapter is aimed towards summarising the knowledge that has been gained till date and identifying the areas that need to be addressed in future research work. Overall, the chapter is planned in a sequential way to guide the reader through the processes of B cell development and the various latest findings that have improved our understanding of this vital physiological system.",book:{id:"6969",slug:"lymphocytes",title:"Lymphocytes",fullTitle:"Lymphocytes"},signatures:"Malavika Bhattacharya",authors:null}],onlineFirstChaptersFilter:{topicId:"1030",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:87,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:99,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:27,numberOfPublishedChapters:289,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:9,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:139,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:0,numberOfUpcomingTopics:2,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!1},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:108,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:0,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!1},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}}]},series:{item:{id:"10",title:"Physiology",doi:"10.5772/intechopen.72796",issn:"2631-8261",scope:"Modern physiology requires a comprehensive understanding of the integration of tissues and organs throughout the mammalian body, including the cooperation between structure and function at the cellular and molecular levels governed by gene and protein expression. While a daunting task, learning is facilitated by identifying common and effective signaling pathways mediated by a variety of factors employed by nature to preserve and sustain homeostatic life. \r\nAs a leading example, the cellular interaction between intracellular concentration of Ca+2 increases, and changes in plasma membrane potential is integral for coordinating blood flow, governing the exocytosis of neurotransmitters, and modulating gene expression and cell effector secretory functions. Furthermore, in this manner, understanding the systemic interaction between the cardiovascular and nervous systems has become more important than ever as human populations' life prolongation, aging and mechanisms of cellular oxidative signaling are utilised for sustaining life. \r\nAltogether, physiological research enables our identification of distinct and precise points of transition from health to the development of multimorbidity throughout the inevitable aging disorders (e.g., diabetes, hypertension, chronic kidney disease, heart failure, peptic ulcer, inflammatory bowel disease, age-related macular degeneration, cancer). With consideration of all organ systems (e.g., brain, heart, lung, gut, skeletal and smooth muscle, liver, pancreas, kidney, eye) and the interactions thereof, this Physiology Series will address the goals of resolving (1) Aging physiology and chronic disease progression (2) Examination of key cellular pathways as they relate to calcium, oxidative stress, and electrical signaling, and (3) how changes in plasma membrane produced by lipid peroxidation products can affect aging physiology, covering new research in the area of cell, human, plant and animal physiology.",coverUrl:"https://cdn.intechopen.com/series/covers/10.jpg",latestPublicationDate:"May 14th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:11,editor:{id:"35854",title:"Prof.",name:"Tomasz",middleName:null,surname:"Brzozowski",slug:"tomasz-brzozowski",fullName:"Tomasz Brzozowski",profilePictureURL:"https://mts.intechopen.com/storage/users/35854/images/system/35854.jpg",biography:"Prof. Dr. Thomas Brzozowski works as a professor of Human Physiology and is currently Chairman at the Department of Physiology and is V-Dean of the Medical Faculty at Jagiellonian University Medical College, Cracow, Poland. His primary area of interest is physiology and pathophysiology of the gastrointestinal (GI) tract, with the major focus on the mechanism of GI mucosal defense, protection, and ulcer healing. He was a postdoctoral NIH fellow at the University of California and the Gastroenterology VA Medical Center, Irvine, Long Beach, CA, USA, and at the Gastroenterology Clinics Erlangen-Nuremberg and Munster in Germany. He has published 290 original articles in some of the most prestigious scientific journals and seven book chapters on the pathophysiology of the GI tract, gastroprotection, ulcer healing, drug therapy of peptic ulcers, hormonal regulation of the gut, and inflammatory bowel disease.",institutionString:null,institution:{name:"Jagiellonian University",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"10",title:"Animal Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/10.jpg",isOpenForSubmission:!0,annualVolume:11406,editor:{id:"202192",title:"Dr.",name:"Catrin",middleName:null,surname:"Rutland",slug:"catrin-rutland",fullName:"Catrin Rutland",profilePictureURL:"https://mts.intechopen.com/storage/users/202192/images/system/202192.png",biography:"Catrin Rutland is an Associate Professor of Anatomy and Developmental Genetics at the University of Nottingham, UK. She obtained a BSc from the University of Derby, England, a master’s degree from Technische Universität München, Germany, and a Ph.D. from the University of Nottingham. She undertook a post-doctoral research fellowship in the School of Medicine before accepting tenure in Veterinary Medicine and Science. Dr. Rutland also obtained an MMedSci (Medical Education) and a Postgraduate Certificate in Higher Education (PGCHE). She is the author of more than sixty peer-reviewed journal articles, twelve books/book chapters, and more than 100 research abstracts in cardiovascular biology and oncology. She is a board member of the European Association of Veterinary Anatomists, Fellow of the Anatomical Society, and Senior Fellow of the Higher Education Academy. Dr. Rutland has also written popular science books for the public. https://orcid.org/0000-0002-2009-4898. www.nottingham.ac.uk/vet/people/catrin.rutland",institutionString:null,institution:{name:"University of Nottingham",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null},{id:"11",title:"Cell Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/11.jpg",isOpenForSubmission:!0,annualVolume:11407,editor:{id:"133493",title:"Prof.",name:"Angel",middleName:null,surname:"Catala",slug:"angel-catala",fullName:"Angel Catala",profilePictureURL:"https://mts.intechopen.com/storage/users/133493/images/3091_n.jpg",biography:"Prof. Dr. Angel Catalá \r\nShort Biography Angel Catalá was born in Rodeo (San Juan, Argentina). He studied \r\nchemistry at the Universidad Nacional de La Plata, Argentina, where received aPh.D. degree in chemistry (Biological Branch) in 1965. 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