The chemical compositions of raw material wt/%
\r\n\tFourth, the effects of digitalization on economic and sustainable development and the benefits of digitization for public services, including e-governance, e-payments, e-democracy, e-health, e-learning, e-payments, and so on, are also presented.
\r\n\r\n\tAt the fifth stage, we will try to highlight the imperative role of blockchain technology, artificial intelligence, and machine learning in the digitization process.
\r\n\r\n\tLast but not least, the main threats of a digital economy are presented under the form of cybercrime and “surveillance capitalism”, including the impact of financial crimes referring to card frauds, online frauds, digital frauds, digital shadow economy, black market, money laundering, etc.
",isbn:null,printIsbn:"979-953-307-X-X",pdfIsbn:null,doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"45ca4a969c50d02d2bab6894218c7ef8",bookSignature:"Prof. Monica Violeta Achim and Dr. Nawazish Mirza",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/10918.jpg",keywords:"Definition, Digital Transactions, Innovative Financial Services, Cryptocurrency, E-governance, E-payments, Spiral Transformation of Knowledge, Financial Education, Artificial Intelligence, Machine Learning, Money Laundering Surveillance Capitalism Economy, the General Data Protection Regulation (GDPR)",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfDimensionsCitations:0,numberOfTotalCitations:0,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"June 25th 2021",dateEndSecondStepPublish:"September 17th 2021",dateEndThirdStepPublish:"November 16th 2021",dateEndFourthStepPublish:"February 4th 2022",dateEndFifthStepPublish:"April 5th 2022",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"9 months",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:5,editedByType:null,kuFlag:!1,biosketch:"In February 2020, Ph.D. Achim won the Prize for Excellence in Scientific Research, at Babeș-Bolyai University, Cluj-Napoca, Romania. Since 2020, she became a member of the Romanian Ministery of Education and Research, as a representative in the panel of Economic Sciences.",coeditorOneBiosketch:"Prof.Mirza obtained a Ph.D. from the University of Paris Dauphine and has over 18 years of research, teaching, and consulting experience across Western Europe, Middle East, Asia Pacific, and Australia.",coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"236659",title:"Prof.",name:"Monica Violeta",middleName:null,surname:"Achim",slug:"monica-violeta-achim",fullName:"Monica Violeta Achim",profilePictureURL:"https://mts.intechopen.com/storage/users/236659/images/system/236659.jpg",biography:"Monica Violeta Achim is is currently full professor and doctoral supervisor in the field of Finance at the Faculty of Economic Sciences and Business Administration, Babeş-Bolyai University, Cluj-Napoca. She teaches the disciplines 'Diagnosis and Financial Analysis”, 'Financial analysis in banks” and 'Economic and financial crime” at the same faculty. She has many research concerns in the area of financial analysis, business performances, corporate governance, economic and financial crimes and public finance. With over 22 years of experience in academia, she has published as author and co-author, over 130 scientific articles and 25 books. Among the main targeted top journals, the following can be mentioned: The European Journal of Health Economics, Technological and Economic Development of Economy, Population Health Management, Social Indicators Research, Apply Research in Quality Life, Journal of Business Economics and Management, E+M Ekonomie and Management, Economic Research-Ekonomska Istraživanja, Sustainability, Entrepreneurship Research Journal, Singapore Economic Review. Her most recent reference work is the book Economic and financial crime. Corruption, Shadow economy and Money laundering, published as co-authored at Springer. She is also reviewer and board member for many international journals.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Babeș-Bolyai University",institutionURL:null,country:{name:"Romania"}}}],coeditorOne:{id:"420517",title:"Dr.",name:"Nawazish",middleName:null,surname:"Mirza",slug:"nawazish-mirza",fullName:"Nawazish Mirza",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000039UrYIQA0/Profile_Picture_1622035121865",biography:"Nawazish Mirza is a professor of finance at the Excelia Business School, La Rochelle, France. He obtained a Ph.D. from the University of Paris Dauphine and has over 18 years of research, teaching, and consulting experience across Western Europe, Middle East, Asia Pacific, and Australia. 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The production of high-quality sinter is critical for efficient blast furnace operation [1-3].
Sintering is a complex process involving, as it does, many interrelated physico-chemical phenomena pertaining to flow of gas through the bed of packed granules, heat transfer between gas and solids, chemical reactions between components of the sinter feed and between solid components and gas, etc. Mineralization reaction mainly occurs in preheating layer, combustion layer and initial cooling layer during the sintering process, which is reflected by the ability of solid-phase reactions, the capacity for the generation of liquid phase and the behavior of condensation and crystallization [4,5].
Crystalline condensation is the significant stage of mineralization during iron ore sintering, including the processes that crystalline substance and amorphous substance precipitate from high temperature solution phase, and material is consolidated when melt cooling down. Binder phase of calcium ferrite and part of iron oxides crystallize in this process, which have an important influence on mineral composition and microstructure of sinter, finally determine the sinter strength and metallurgical properties [6-9].
Calcium ferrite has special features such as good intensity, excellent reducibility and low formation temperature, which is suitable for developing low-temperature sintering, improving the qualities of sinter and reducing energy consumption. Crystalline condensation is a key stage to the forming and developing of calcium ferrite, which directly affects its precipitation behavior and crystalline morphology [10-16]. In the paper, the microstructure characteristics of sinter are analyzed, and crystalline condensation mechanism of calcium ferrite binder phase system based on minerals’ precipitation behavior and crystallization condition are studied, also the major factors influencing the generation of calcium ferrite are discussed, which provide theoretical support on improving microstructure of sinter and optimizing its quality.
The chemical compositions of raw material for mini-sintering are summarized in Table 1. This mineral, which belongs to oxidized ore, has high iron grade, low gangue content, and the ratio of Total Iron (TFe) to FeO is much higher than 3.5. The chemical, flux (calcium oxide), and the additive (Al2O3, SiO2), is analytic grade reagent.
Al2O3\n\t\t\t | \n\t\t\tLOI | \n\t\t||||||
Iron ore | \n\t\t\t64.94 | \n\t\t\t0.86 | \n\t\t\t0.03 | \n\t\t\t0.01 | \n\t\t\t3.78 | \n\t\t\t0.77 | \n\t\t\t1.67 | \n\t\t
The chemical compositions of raw material wt/%
Mini-sintering test was used to research the mineralization reactions, such as liquid generation, crystallization behaviour, ect., under high temperature. Horizontal heating furnace whose temperature and atmosphere could be controlled by program was adopted to conduct mini-sintering experiment. The device of mini-sintering was shown in Fig.1.
The device of mini-sinter test
In order to simulate sintering process exactly, this experiment divided sintering process into preheating belt, reaction belt, melt belt, solidification belt and sintered belt. On the basis of physicochemical characteristics of each belt and the actual temperature curve of sintering bed, the heating program and atmosphere simulated were shown in Table.2.
\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
Preheating belt | \n\t\t\t60 | \n\t1 | \n\tN2\n\t | \n
Reaction belt | \n\t700 | \n1 | \nCO:O2:CO2=1:1:5 | \n
Melt belt | \n\t1200 | \nWith rate the of 10℃/min | \nCO:O2:CO2=1:1:5 | \n
Solidification belt | \n\t1300 | \n2 | \nAir | \n
Sintered belt | \n\t1000 | \n1 | \nAir | \n
The heating program and atmosphere of mini-sintering
Experimental flow of mini-sintering
The research regarding the formation behavior of SFCA ((Quaternary compound of calcium ferrite containing silicate and alumina) was adopted mini-sinter. The steps of testing mineralization were agglomeration, roasting and mineralogical analysis. The experimental flow is shown in Fig.2.
After ore blended, the mixture was compacted into a cylinder with the size of Φ30×25mm under the pressure of 300kg/cm2 for 1 min. Then the cylinders were sintered at 1280~1300℃ according to the heating programs in Table.1. The sintered sample was used to observe the mineralization of sintering mixture. The agglomerates were mounted with epoxy resin, and then polished to form a section, which the microstructures were observed by optical microscope and SEM, and mineral components were detected by image analysis software.
Columnar&acicular SFCA was defined as the ratio of length-diameter was bigger than 2.5. The graphic processing software could recognize the SFCA and figure out its content. The process consisted of image reading, image filtering, identification and segmentation, length-diameter ratio detection, and statistics of selected area.
A 700 mm deep×Φ 180 mm sinter pot was utilised to simulate sintering process, and its schematic diagram was demonstrated in Fig.3.
Schematic diagram of laboratory sinter pot
Raw materials having been blended and granulated were charged into the sinter pot. Under the mixtures, a hearth layer of approximate 20mm thick was previously prepared to protect the grate from thermal erosion. After charging, the fuel in the surface layer was ignited by an ignition hood initially, and then the combustion front moved downwards with the support of downdraught system, which was mainly a draught fan used to enable sufficient air to be sucked into sinter pot from top.
Apart from that, sintering speed, yield, tumbler index, productivity etc. were detected to evaluate sinter quality. Sintering speed was the ratio of layer height and sintering time, and yield was the percentage of sinter above 5mm after screening. Productivity reflected the quantity of sinter produced unit area and unit time. Tumbler index, which could reflect sinter strength, was the percentage of sinter above 6.3mm after 7.5kg sinter was tested in a Φ1000×500mm tumbler for 200r.
The mineralization behavior of sintering mixtures in different temperature has been researched, as is shown in Fig.4. When the temperature is at 1100-1150℃, solid-phase reaction occurs, but it was not obvious because of the slow reaction speed. Then when the temperature increases to 1200℃, a large number of CF generate by solid-phase reactions. As the temperature reaches to 1225-1250℃, the liquid phase generates obviously and the holes begin to shrink. Liquid content is developed when the temperature increases to 1300℃. At the temperature of 1300℃, the main mineral constituents are CF, secondary magnetite and hematite.
Effect of temperature on mineralization of mixture
So, with the increase of the temperature during sintering, reactions occur between fine particles of iron ores and fluxes to form low-melting compounds and then generate liquid phase, but iron ore nuclei almost would not participate in the reaction for its low reacting speed. As the temperature rises continually, the amount of liquid phase is increased and the fluidity of liquid improved. In the process of temperature-fall, crystals start to form with the condensation of liquid phase. Therefore, the macrostructure model of sinter can be divided into two parts, the melt zone and unfused ores, which is composed of the melt bonding the unfused ores together (as shown in Fig.5).
The structure of sinter
The microstructures of sinter were studied (Fig.6). The minerals in unfused ores are relatively simple, mainly for iron oxides, and its structure is relatively dense. Melt zone as the product of liquid condensing and crystallization, a variety of substances are precipitated during cooling process, and holes formed due to the shrinkage of liquid phase.
The Microstructure structure of sinter
The microstructures of melt zone are mainly divided into 3 kinds, corrosion structure of magnetite and CF, eutectic structure of CF and silicate, and pilotaxitic texture of hematite and CF, as shown in Fig.7. It’s shown that the melt zone of sinter mainly presents as the corrosion structure of magnetite and calcium ferrite, which accounts for 80%-90% in melt zone. And a few partial areas rich in porosity present as mixed structure of hematite and calcium ferrite, or the eutectic structure of calcium ferrite and silicate. So, SFCA is the most important bonding phase in melt zone.
Microstructures of melt zone
According to the difference in the characteristics of calcium ferrite, they can be divided into four types of morphology, including plate-type, sheet-type, columnar-type, and acicular-type, which are shown in Fig.8. The chemical compositions of four kinds of calcium ferrite were studied, and the fracture toughness of different morphology of calcium ferrite was tested.
The results of energy spectrum analyses and fracture toughness tests for different types of SFCA are shown in Table 3. It can be seen that SFCA of acicular-type and columnar-type have lower Fe2O3 content than plate-type and granular-type, but higher contents of Ca and Si. There was no obvious difference in the content of Al2O3 among four structures, while SFCA of columnar& acicular-type has lower content of MgO than plate& sheet-type. The components of columnar-SFCA is closed to calcium diferrite (ω(CaO) = 14.9), and acicular-SFCA has a relative component between calcium diferrite and the eutectic chemicals of CaO⋅Fe2O3-CaO⋅Fe2O3.
Fracture toughness was used to measure the microstrength of various types of SFCA. As shown in Table 3, the order of the strength of four kinds of SFCA is acicular-type>columnar-type>sheet-type>platy-type, while the strength of the sheet-type and plate-type are close, as well as the plate-type and sheet-type. Due to their similar strength, acicular-type and columnar-type are named as columnar&acicular-type, as well as the plate&sheet-type. The corrosion structure of magnetite and the columnar&acicular-type is the best microstructure with the highest strength.
The structural morphology of SFCA
Consequently, increasing the content of liquid phase in melt zone and developing the bonding phase that is mainly composed by columnar&acicular-type SFCA seem to be effective measures to improve sinter strength.
\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t||||
\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t||
Platy-type | \n\t\t0.85 | \n\t\t9.07-10.65 | \n\t\t82.50-89.00 | \n\t\t2.59-4.05 | \n\t\t2.83-4.16 | \n\t\t0.55-1.92 | \n\t
Sheet-type | \n\t\t0.91 | \n\t\t10.75-12.49 | \n\t\t71.79-85.66 | \n\t\t3.73-6.66 | \n\t\t3.03-4.11 | \n\t\t0.92-2.28 | \n\t
Columnar-type | \n\t\t1.33 | \n\t\t13.27-15.43 | \n\t\t68.07-78.86 | \n\t\t7.09-9.26 | \n\t\t3.39-4.44 | \n\t\t0.40-1.43 | \n\t
Acicular-type | \n\t\t1.39 | \n\t\t13.99-17.04 | \n\t\t70.57-75.37 | \n\t\t6.60-9.99 | \n\t\t3.20-4.25 | \n\t\t0.57-0.80 | \n\t
The component and fracture toughness of various SFCA
Calcium oxide (mass fraction 8%) was added into iron ores to ensure the formation of CF melt during sintering. Briquettes were cooled down to 1280℃, 1250℃, 1200℃, 1150℃, and 1050℃ at a cooling rate of 50℃/min respectively, and then quenched by water. Fig.9 shows the micrograph of products at different quenching temperature.
Dominated mineral composition were hematite and CF in each products, and microstructure was corrading, however the crystallization had obvious differences (Table 4).
According to the results, we preliminary deduce that the precipitation temperature of crystal in CF system is close to 1200℃.In order to verify this inference, briquettes were cooled with 50 ℃/min to 1200 ℃, and holding 10 min at this temperature, then quenched by water finally. It was found experimentally that as the holding time prolonged, crystalline morphology became significant needle-like. Although dominated mineral compositions were hematite and CF, precipitation quantity of CF increased.
\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t
1280℃ 1250℃ | \n\t\tFig. 1a Fig. 1b | \n\t\tNo crystalline state were formed. The binder phase, which had no time to crystallize under high temperature quenching, keeped the original morphology. | \n\t
1200℃ | \n\t\tFig. 1c | \n\t\tThe rudiment of the crystalline state CF was obtained, and its characteristic of morphology was unidirectional extension. | \n\t
1150℃ 1050℃ | \n\t\tFig. 1d Fig. 1e | \n\t\tMelt were crystallized gradually, developed more fully, in addition, needle-like CF were precipitated. | \n\t
Mineral composition and microstructure of different quenching temperature
Undercooling is a essential driving force for phase transition. When the temperature is lower than the melting point, undercooling
Micrograph of different quenching temperature
In addition, we can find that the rudiment of CF was excessive and small, and exhibited unidirectional extension, which would become needle-liked when it developed. All of these conform to the morphology features of rapid crystallization, which proved that CF crystal had rapid growth speed, strong crystal ability, and little affection by dynamics and extenal factors.
Binary phase diagram of CaO and Fe2O3 [
Cooling rate determines the time of crystal precipitation, which is one of important factors of crystallization. Using controllable cooling design, cooling rate was controled at 150℃/min, 100℃/min, 50℃/min in high temperature stage (≥1000℃), and 50℃/min in low temperature stage (≤ 1000℃). Natural cooling method was adopted when briquettes was cooled down to 600℃.
Adding 8% of calcium oxide(R=2.3) into raw material as flux. After sintering and cooling, Fig.11 and Table 5 provides a set of typical microstructure corresponding to the samples prepared from different cooling rate.
Micrograph of different cooling rate
Based on the experimental results, it was said that CF crystal can precipitate in rapid cooling rate. At the same time, slowing cooling rate was significantly in favour of further development of the crystal.
In the actual production process, cooling rate of the upper and lower material layers are 120~130℃/min and 40~50℃/min respectively [6]. During the production of high-basicity sinter, we can deduce that the cooling process of lower material layer is relative slow, and this can be in favor of the crystallization of needle-like CF and development of melting structure. From the perspective of crystal precipitation behavior, we conclude that the lower material layer is superior to upper one.
\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t
150℃/min | \n\t\tFig. 3a | \n\t\tCrystal rudiment of CF was found, which further confirmed that CF had strong crystalize abiliity. | \n\t
100℃/min | \n\t\tFig. 3b | \n\t\tThe crystal precipitation became obvious with decreasing cooling rate, and crystal tended to intensive. | \n\t
50℃/min | \n\t\tFig. 3c | \n\t\tAlong with melt crystallizing fully, CF developed to needle-like morphology, which formed interlaced and corrasive structrue with hematite. | \n\t
Mineral composition and microstructure of different cooling rate
The influences of Ca/Fe, SiO2, Al2O3 and MgO on the generation of calcium ferrite in melt zone were studied. The molar ratio of Ca/Fe and the content of MgO were changed by adding calcium or magnesium fluxes, and the contents of SiO2 and Al2O3 were changed by regulating the types of iron ores used.
The influences of Ca/Fe on the generation of columnar&acicular-SFCA in melt zone were studied. The results are shown in Fig.12. As the molar ration of Ca/Fe is low, there is little columnar&acicular-SFCA in melt zone. With the increase of Ca/Fe, the generation of SFCA is improved first, then down when the Ca/Fe exceeds 0.4.
Influence of Ca/Fe on the generation of SFCA in melt zone
The influence of Ca/Fe on the microstructure of melt zone is shown in Fig.10. The total content of SFCA increases with the improvement of the molar ratio of Ca/Fe, but columnar&acicular-SFCA increases first and then decreases. When Ca/Fe is 0.23, the morphology of SFCA is mainly platy-type(Fig.13(a)). As Ca/Fe reaches to 0.3-0.4, the main form of SFCA exists as columnar&acicular-type, which reaches the maximum amount (Fig.13(c) ~ Fig.13(e)). When Ca/Fe increases to 0.5, the content of columnar&acicular-SFCA decreases instead, and sheet-type SFCA of interconnection mode forms remarkably (Fig.13(f)).
Influence of Ca/Fe on the microstructure of melt zone
The influences of SiO2 content in melt zone on the generation of columnar&acicular-SFCA and the microstructure were studied. The results are shown in Fig.14 and Fig.15.
Influence of SiO2 on the generation of SFCA in melt zone
Influence of SiO2 on the microstructure of melt zone
For the influence of SiO2, when the content of SiO2 increases from 4.3% to 5.0%, the content of columnar&acicular-SFCA increases to some extent (Fig.15(a) ~ Fig.15 (c)). SiO2 content of 5.0% would benefit the generation of columnar&acicular-SFCA because SiO2 is an important ingredient for SFCA formation. While SiO2 exceeds 5.0%, the reaction between CaO and SiO2 occurs more easily than that between CaO and Fe2O3. As a consequence, the amount of SFCA coming from the reaction between CaO and Fe2O3 is reduced. And it facilitates producing platy SFCA other than columnar&acicular-type since more silicate is generated (Fig.15(e) and\n\t\t\t\t\tFig.15(f)).
Al2O3 is also an influencing factor for SFCA [19]. The effect of Al2O3 on the generation of SFCA in melt zone is investigated, and the results are shown in Fig.16. When the content of Al2O3 is not more than 1.8%, columnar&acicular-SFCA generates sufficiently. As Al2O3 content continues to increase, it’s disadvantage for the form of columnar&acicular-SFCA.
Influence of Al2O3 on the generation of SFCA in melt zone
The influence of Al2O3 on the microstructure of melt zone is presented in Fig.10. When the content of Al2O3 is under 1.8%, melt zone mainly consists of the corrosion structure formed by SFCA and magnetite(Fig.17(a)~ (Fig.17(c)). But the microstructure would change markedly when the content of Al2O3 is more than 1.8%. The columnar&acicular-SFCA is suppressed and the platy SFCA gets developed (Fig.17(d)~ (Fig.17(f))). When the content of Al2O3 is excessively high, it would not only increase the melting point of sintering mix, but also increase the viscosity of liquid phase. Thus the fluidity of liquid phase is worsened, which makes it difficult for the precipitation of columnar&acicular-SFCA that crystallises along one-way extension, and makes the size and quantity of the pores in the melt zone increase.
Influence of Al2O3 on the microstructure of melt zone
In the same way, the influence of MgO on the formation of SFCA was researched. With the increase of the content of MgO, the content of SFCA decreases(as shown in Fig.18). And the main reason is that Mg2+ entered into the crystal lattice of magnetite, forming magnesiaspinel [(Fe,Mg) O Fe2O3]. The crystal lattice of magnetite is stabilised by solid solution of Mg2+. As a result, it would suppress the formation of SFCA by preventing the oxidising reaction from magnetite to hematite [20,21]. With the increase of MgO from 1.4% to 6.4%, the content of columnar&acicular-SFCA decreases from 34.67% to 18.17%.
Influence of MgO on the generation of SFCA in melt zone
The influence of MgO on the microstructure of melt zone is shown in Fig.19. When the content of MgO is excessively high, lumpy pieces of recrystallisation magnetite are generated in melt zone, and the content of columnar&acicular-SFCA is decreased significantly.
Influence of MgO on the microstructure of melt zone
Therefore, the chemical composition of melt zone plays a considerably important role in liquid phase and the generation of SFCA. The suitable chemical components of melt zone have been proved to be that, the molar ratio of Ca/Fe is 0.3-0.4, the content of SiO2 is about 5%, the content of Al2O3 is less than 1.8%, the content of MgO should be controlled as low as possible under the condition guaranteeing the slag-making of blast furnace. In accordance with the principles introduced above (Table 6), the performance of mixtures on the mineralization can be optimised.
0.3-0.4 | \n\t\tabout 5.0% | \n\t\t≤1.8 | \n\t\tLow as possible | \n\t
Suitable ranges of chemical component in melt zone for mineralization
The chemical composition of melt zone can be calculated by Equation 1. On the basis of that, all of the fluxes react with the fine iron ores less than 0.5mm to form the melt zone. According to the equation, as knowing the composition of raw materials, adhesive fines (-0.5mm) content and the proportions of raw materials, the chemical compositions in melt zone can be figured out.
Where w(Q) is the content of chemical composition Q in melt zone, %;
xi is the ratio of iron ore i in the mixture, %;
xi-0.5 is the content of fine grains(-0.5mm) in ore i, %;
wiQ is the content of chemical composition Q in adhesive fines(-0.5mm) of ore i, %;
wiLOI is the loss on ignition of fraction -0.5mm in ore i, %;
xj is the ratio of flux j in the mixture, %;
wjQ is the content of chemical composition Q in flux j, %;
wjLOI is the loss on ignition of flux j,%.
Take a sintering plant in china as an example. The basic ore blending scheme is the producing plan before optimizing. The chemical composition in melt zone of basic scheme is shown in Table 7. According the suitable ranges of relative components, the molar ratio of Ca/Fe and the contents of SiO2, Al2O3 are all beyond their appropriate values in basic scheme. Columnar&acicular-SFCA are low because the chemical component of melt zone fails to meet the expected match.
\n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t | \n\t|||
Molar ratio of Ca/Fe | \n\t\tSiO2 /% | \n\t\tAl2O3 /% | \n\t\tMgO /% | \n\t||
Basic | \n\t\t0.28 | \n\t\t5.43 | \n\t\t2.03 | \n\t\t2.98 | \n\t\t23.86 | \n\t
Optimization A | \n\t\t0.32 | \n\t\t5.08 | \n\t\t1.78 | \n\t\t3.08 | \n\t\t32.66 | \n\t
Optimization B | \n\t\t0.33 | \n\t\t5.16 | \n\t\t1.82 | \n\t\t3.14 | \n\t\t34.27 | \n\t
The chemical component of melt zone and the property of mineralisation
In order to optimise the chemical components of melt zone, it is necessary to increase the molar ratio of Ca/Fe and reduce the contents of Al2O3 and SiO2 in the fraction of -0.5mm on the basis of basic scheme. The methods of optimisation are decreasing the content of -0.5mm in blending ores to raise the Ca/Fe, and decreasing the ores of high Al2O3 and SiO2. Two ore blending schemes of optimisation are obtained. The chemical components of melt zone are shown in Table 7 after optimising the ore blending. It can be seen that the molar ratio of Ca/Fe of Optimisation A and Optimisation B increased to 0.32 and 0.33 respectively, the content of SiO2 decreased to 5.08% and 5.16%, and Al2O3 decreased to 1.78% and 1.82%, all reaching or approaching the suitable range for mineralisation. Compared with the basic scheme.
The influences of mineralisation improvement by optimising the ore blending on sintering are shown in Table 8. When the proportion of coke breeze remained at 5%, sintering speed of two optimising schemes increases from 21.94mm/min to 23.55mm/min, 23.78mm/min, the yield increases from 72.66 to 74.05%, 73.69%, the productivity increases from 1.48t/(m2 h) to 1.60t/(m2 h), 1.59t/(m2 h), and the tumbler strength increases from 65.00% to 66.40%, 66.45%. When the production and quality indexes are comparative, the ratio of coke breeze can be decreased from 5.0% to 4.7%, and the solid fuel consumption reduces by 5.6%.
\n\t\t\t | \n\t\t\n\t\t\t \n\t\t\t | \n\t\t\n\t\t\t \n\t\t\t | \n\t\t\n\t\t\t | \n\t\t\n\t\t\t \n\t\t\t | \n\t\t\n\t\t\t \n\t\t\t | \n\t
Standard | \n\t\t5.0 | \n\t\t21.94 | \n\t\t72.66 | \n\t\t65.00 | \n\t\t1.48 | \n\t
Optimization A | \n\t\t5.0 | \n\t\t23.55 | \n\t\t74.05 | \n\t\t66.74 | \n\t\t1.60 | \n\t
Optimization A | \n\t\t4.7 | \n\t\t22.22 | \n\t\t71.88 | \n\t\t64.56 | \n\t\t1.48 | \n\t
Optimization B | \n\t\t5.0 | \n\t\t23.78 | \n\t\t73.69 | \n\t\t66.45 | \n\t\t1.59 | \n\t
The influence of the optimisation of mineralisation to the sintering
The structure of sinter composes of a melt zone and unfused ores. Sinter strength is mainly subjected to the properties of melt zone since unfused ores are wrapped by melt zone is proposed. It facilitates obtaining sinter of high strength with the increase of SFCA in melt zone during melt condensation.
Crystalline CF began to precipitate at about 1200℃.The lower cooling temperature, the better crystal growth, and the more content of precipitated needle-like CF. CF crystal has rapid growing speed, strong crystal ability, and little affection by dynamics and external factors. However, slowdowning the cooling rate is obviously favorable to development of crystal.
SFCA can be divided into four structural types, including plate-type, sheet-type, columnar-type, and acicular-type. The strength of columnar&acicular-type SFCA is better than that of plate& sheet-type.
The suitable chemical components for mineralisation of the melt zone are that, the molar ratio of Ca/Fe is 0.3-0.4, the content of SiO2 is about 5%, the content of Al2O3 is less than 1.8%, and the content of MgO should be controlled as low as possible for guaranteeing the slag-making of blast furnace.
The authors are grateful to the National Natural Science Foundation of China(no. 51304245) and the Postdoctoral Science Foundation (no.2013M540639 and no.2014T70691) for supporting this research.
An anastomosis is a surgical connection between two structures. It usually means a connection that is created between tubular structures, such as blood vessels or loops of the intestine. Surgeons can choose to join together the two parts of the intestine by using either sewing (sutures) or staples. Sewing by hand has been used successfully for over 100 years. However, stapling takes less time to perform. As with any intervention, anastomosis carries some risks. These include blood clots, bleeding, scarring, blockage, stricture, or abnormal narrowing, damage to the surrounding structures, and infections, all of which can lead to anastomotic leakage, sepsis, septic shock, or even death (Figures 1 and 2).
Intraoperative aspect of an anastomosis performed manually at the level of the small bowel.
Intraoperative aspect of an anastomosis performed mechanically at the level of the small bowel.
Barbed sutures are available in a variety of both absorbable and nonabsorbable monofilament materials. Specifically, currently available bidirectional and unidirectional barbed suture materials include PDO, polyglyconate, poliglecaprone 25, glycomer 631, nylon, and polypropylene. A study performed by Wiggins [1] searched through a systematic review and meta-analysis for the benefits of barbed suture utilization in gastrointestinal anastomosis. The conclusion was that the use of barbed sutures for gastrointestinal anastomosis appears to be associated with shorter overall operative times. There was no difference in rates of complications (including anastomotic leak, bleeding, or stricture) compared with standard suture materials.
The study included consecutive CD patients with ileal/ileocolonic strictures who had SWE shear wave elastography within one week of surgical resection.
The SWE of the stenotic bowel wall was compared to the biofragmentable anastomosis ring used for gastrointestinal anastomoses in a literature review conducted by Bobkiewicz and coauthors [2].
The theoretical idea was that a biofragmentable anastomosis ring (BAR) could be used instead of manual and stapled anastomoses in the upper and lower GI tracts.
The aim of this study was to see how effective BAR was for bowel anastomoses using our own content. Methodologies: Between 2004 and 2014, a retrospective study was conducted on a total of 203 patients who underwent bowel surgery with BAR anastomosis in the upper and lower gastrointestinal tract. The study concluded that using BAR for GI tract anastomoses is an easy and quick procedure with a low rate of perioperative mortality (0.5%) and complication rates (Figures 3 and 4).
Foreign body reaction at the level of the tissues containing suture material.
Colorful surgical nylon monofilament suture with a curved needle.
The ideal stapling device should be capable of rapid creation of an anastomosis with serosal apposition without the persistence of a foreign body or a foreign body reaction, which potentially contributes to early anastomotic dehiscence or late anastomotic stricture (Figures 5 and 6).
Linear surgical stapler.
(a and b) circular stapling device and its mode of appliance.
While 2-row stapling has become normal in low anterior resections (LARs), it has no effect on morbidity or the incidence of AL.
Conducted by Nekliudov [3] is the first prospective, randomized clinical trial that compares the success rate of modern 3-row circular staplers to that of traditional 2-row staplers.
According to the hypothesis, the frequency of AL in the 3-row stapler group is not significantly higher than in the 2-row stapler group.
The rate of AL, as determined by imaging studies and measured using the Pearson chi-squared test and Fisher exact test, is the primary endpoint.
Secondary outcomes include AL severity (A, B, or C), anastomotic bleeding, postoperative complication rate (graded using the Clavien-Dindo classification), reintervention rate, stapler dysfunction rate, complications of nonfunctioning stoma, overall and cancer-specific quality of life (measured using short-form (36) questionnaire and quality-of-life (30) questionnaire core, respectively), fecal incontinence, and overall and cancer-specific quality of life.
Following the LAR, both patients will be tracked for a period of 12 months.
This is the first prospective randomized trial to look at the efficacy of 3-row staplers for colorectal anastomosis following rectal cancer surgery.
It could show that 3-row circular staplers are feasible in LAR in terms of short- and long-term patient outcomes (Figures 7 and 8).
2-row staple lines.
3-row staple lines.
A study performed by Jeong and coauthors [4] was assembled to report an institution’s experiences with transanal total mesorectal excision (TME) of rectal cancer using single-port equipment and to discuss the feasibility and safety of the technique. In the institution mentioned, 10 patients (6:4) treated with transanal TME with colorectal anastomosis were examined (Figure 9).
Complete TME specimen (a) and sectioned (b) after abdomino-perineal resection with intact mesorectum.
In six of 10 patients, TME was done without the use of a laparoscope.
The average time spent on the operating table was 303.5 minutes.
The distal margin was 2.1 (0.2–4.2) cm on average.
The average number of lymph nodes harvested is 17.5.
Except for one patient who had an anastomotic leak, the majority of patients began dietary intake on POD 3 and were discharged on POD 7.
The only postoperative complication was an anastomotic leak.
Conclusions: In selected cases of rectal cancer, pure natural orifice transluminal endoscopic surgery (NOTES) TME with coloanal anastomosis was found to be healthy and feasible.
Anastomotic leak (AL) is a common problem in colorectal surgery, and its prevalence has remained steady in recent years.
The use of an intra-abdominal drain or mechanical bowel preparation to prevent AL has been shown to be ineffective and should be avoided.
The function of oral antibiotic preparation regimens should be explained and compared to other routes of administration, such as intravenous or enema, according to a study conducted by Meyer and coauthors [5].
Parallel to this, preoperative antibiotherapy should target pathogens that induce collagenase, as defined by the microbiome study.
Fluorescence angiography may minimize AL even further, resulting in major intraoperative improvements in surgical strategies.
Fluorescence angiography can be used more often.
There have been studies, such as the one by Gained and coauthors [6], that looked at the literature’s connection between colorectal cancer recurrence, microbiome, and anastomotic leakage, and among the findings, one can find the aspect according to which the numerous mechanisms by which environmental factors act on the microbiome to alter its composition and function, with the net effect of adversely affecting oncological outcomes following surgery, are well documented and increasing.
Diet, antibiotic use, the procedures used to prepare the colon for surgery, and the physiological discomfort of the procedure are all examples of environmental causes.
Furthermore, using next-generation sequencing technologies to investigate the intestinal microbiome has the ability to affect cancer outcomes following colon resection. In a systematic review that targeted the endoscopic management of early postoperative complications, a literature search was performed by Clifford and coauthors [7] for published full text articles using the PubMed, Cochrane, and Scopus databases using the search criteria string “colorectal anastomotic (“leak” or “bleed”),” “endoscopy,” and “endoscopic management.” Endoscopic therapy in the management of stable patients with colorectal anastomotic leaks appears safe and is associated with the high rates of technical performance in selected patients, according to a review of 89 papers.
The most suitable method, patient selection, and considering the practical and long-term consequences of this approach remain challenging.
To fully assess the function of these novel strategies, further data from large prospective cohort studies are needed.
Shalaby and coauthors [8] conducted another systematic review on endoluminal vacuum-assisted therapy as a salvage treatment for rectal anastomotic leakage and found the following findings among 476 articles identified, 17 studies reporting on 276 patients:
The weighted mean success rate was 853% (95% confidence interval [CI]: 801–905), with a median time from the start of EVT to full healing of 47 (range 40–105) days.
The weighted mean rate of stoma reversal was 759% (646–872%) across the studies.
After EVT, twenty-five patients (91%) needed additional interventions.
Thirty-eight patients (138%) experienced complications as a result of the procedure.
The weighted mean complication rate was 111% (60–162%) across all tests.
Preoperative radiotherapy, the absence of a diverting stoma, complications, and male sex were all found to be significantly associated with failure.
According to the findings of the study, EVT is linked to a high rate of full healing of anastomotic leakage and stoma reversal.
In appropriately selected patients with anastomotic leakage, it is a viable choice.
Colorectal cancer surgery is thought to involve “high tie” and “low tie” of the inferior mesenteric artery (IMA).
However, the blood supply of the anastomosis is closely linked to the ligation stage, which can increase the leakage rate, and it is unclear which technique confers a lower anastomotic leakage rate (AL) and survival advantage.
The aim of the literature review, as stated by Yang and coauthors [9], was to compare the efficacy and impact of IMA high ligation versus IMA low ligation on anastomotic leakage, lymph node yield rates, and 5-year survival.
Finally, after reviewing studies from 1990 to 2017, researchers came to the conclusion that neither the high-tie nor the low-tie approach has any data in terms of anastomotic leakage, harvested lymph nodes, or 5-year survival rates.
More RCT is needed.
A study conducted by Simianu and coauthors [10] looked at the recency effect, which means that people place disproportionate emphasis on events that occurred recently when making decisions, but the magnitude of this influence on surgeons’ decisions is uncertain.
The use of preventative leak testing before and after colorectal operations with anastomotic leaks is examined in this study to see whether there is a recency effect in surgeons.
A prospective cohort of adult patients (aged 18 years) undergoing elective colorectal surgery at Washington State hospitals participating in the Surgical Care and Outcomes Assessment Program was used to develop the materials and methods (2006–2013).
The key outcome measure was the difference in leak monitoring between 6 months before and 6 months after an anastomotic leak.
A leak rate of 2.6% (n = 124) was found in 4854 elective colorectal operations performed by 282 surgeons at 44 hospitals.
The anastomosis was not checked in 40 leaks (32%), which were spread through 25 surgeons.
While the small sample size restricted the ability to detect an overall difference in leak testing use, 9 (36%) of the 25 surgeons increased their leak testing by 5% or more after leaks in cases where the anastomosis was not checked.
The above facts led to the conclusion that only one-third of qualified surgeons demonstrated the recency effect.
Understanding the degree to which the recency effect influences clinical decisions may be useful in developing quality management strategies that involve clinician’s behavior change.
Wang and colleagues [11] contrasted many aspects of robot-assisted versus laparoscopic surgery for rectal cancer by reviewing 20 studies with a total of 5496 patients, divided into a robot-assisted surgery group (
Longer operating period (OR: 0.48, 95% CI: 0.14, 0.82), lower conversion to open surgery rate (OR: 0.55, 95% CI: 0.44, 0.69), shorter LOS (Length Of Stay) (OR: −0.15, 95% CI: −0.30, 0.00), faster bowel function recovery (OR: −0.38, 95% CI: −0.74, −0.02), and lower postoperative complications were all correlated with the robot-assisted surgery community (OR: 0.79, 95% CI: 0.65, 0.97).
There were no substantial differences between groups in EBL, anastomosis leak rate, or oncological outcomes such as the number of lymph nodes removed, the DRM, or the PCRM (Figures 10 and 11).
Dehiscence at the level of the anastomosis.
Methylene blue test.
Postoperative ileus generates a high impact on morbidity, hospital stay, and costs. Vergara Fernandez and coauthors [12] conducted a randomized controlled trial of 64 patients who had elective colorectal surgery with primary anastomosis in a tertiary referral center. Patients were divided into two groups: (i) those who chewed their gums (
Illustration of a simple abdominal X-ray exam in a patient with bowel obstruction.
It can sometimes be treated endoscopically, when surgery is contraindicated, by performing, as was found in a case report by Deng and team [13] with minimally invasive endoscopic approach was adopted to repair the obstruction. A needle knife was used to puncture the linear white scar, and contrast agent was injected under endoscopy and fluoroscopic guidance. Fluoroscopically, the proximal bowel was identified and a dual knife-mediated membrane puncture was performed. A guidewire was then passed through the incision into the proximal bowel and progressive pneumatic dilatation was performed successively with a controlled radial expansion balloon dilator until a 1.8-cm-diameter dilation was achieved. After conventional balloon dilatation, the endoscope easily passed through the anastomosis without any patient discomfort. There were no postoperative signs of immediate or delayed complications (Figure 13).
Colonoscopic aspect of a anastomotic stenosis.
Following TME, postoperative defecation dysfunctions known as “anterior resection syndrome” might appear.
Straight colorectal anastomosis (SCA), colon J-pouch (CJP), and side-to-end anastomosis are all common reconstruction techniques (SEA) (Figures 14 and 15).
Types of anastomoses illustrated.
Aspect of the J-pouch.
There are no prospective, randomized, multi-center trials that compare their functional results, including long-term evaluations.
As a result, the primary endpoint of a study designed by Marti and collab [14] that included 336 patients from 15 hospitals who were randomized had a comparison of composite evacuation scores 12 months after TME as a primary endpoint.
Secondary endpoints included a comparison of composite evacuation and incontinence ratings at 6, 18, and 24 months after surgery, as well as morbidity and overall survival.
The study looked at the “per protocol” (PP) population, which complied with all-trial criteria, as well as the “intention-to-treat” (ITT) population.
At any time point, there were no statistically significant variations in the composite evacuation ratings of the PP and ITT populations.
Similarly, at any time point, there was no statistically significant difference in composite incontinence scores for the PP and ITT populations among the three trial weapons.
Conclusions: Within the scope of the investigation, surgeons in charge can continue to conduct intestinal continuity reconstruction following TME at their discretion.
In addition to the studies previously reported, Hou and collab [15] investigated whether the use of side-to-end anastomosis (SEA) in sphincter-preserving resection (SPR) is problematic and conducted a meta-analysis to compare the safety and efficacy of SEA with colonic J-pouch (CJP) anastomosis, which has been shown to improve postoperative bowel function.
The meta-analysis included a total of 864 patients from 10 RCTs.
At 12 months after SPR, patients who underwent SEA had a higher defecation frequency and a lower incidence of incomplete defecation than those who underwent CJP anastomosis with low heterogeneity and a lower incidence of incomplete defecation at 3 months after surgery.
The SEA group also had a shorter operating period with no substantial heterogeneity.
The SEA group had a higher anorectal resting strain, but there was a lot of heterogeneity.
There were no significant differences between the groups in terms of efficacy outcomes such as defecation frequency, urgency, incomplete defecation, use of pads, enema, medications, anorectal squeeze pressure, and maximum rectal volume, or safety outcomes such as operating time, blood loss, use of protective stoma, postoperative complications, clinical outcomes, and complication rates.
In comparison with CJP anastomosis, the current evidence indicates that SEA is a successful anastomotic technique for achieving comparable postoperative bowel function without raising the risk of complications.
Shorter operating times, a lower occurrence of incomplete defecation three months after surgery, and improved sphincter function are all advantages of SEA.
However, after SPR, long-term defecation frequency should be closely monitored.
Assessing intraoperative perfusion with indocyanine green (ICG) and near-infrared (NIR) visualization can aid in selecting the degree of intestinal transection and subsequent anastomotic vascular sufficiency, according to the theory.
In a prospective study of nonselected patients undergoing any elective colorectal surgery with anastomosis in three tertiary hospitals over a 3-year span, NIR-ICG was used to look at anastomosis perfusion.
In addition to standard operator visual evaluation alone, a standard procedure was followed to evaluate NIR-ICG perfusion before and after anastomosis construction.
The researchers looked at 540 patients (median age 64 years, 279 men) who had surgery for neoplastic (330) and benign (174) pathology.
A total of 425 operations (853%) were initiated laparoscopically, with a 59% conversion rate.
In total, 220 patients (437%) had high anterior resection or reversal of Hartmann’s procedure, and 90 patients (179%) had low anterior resection.
ICG angiography was effective in every patient, with leak rates of 24% (12 of 504) overall, 26% for colorectal anastomoses, and 3% for low anterior resection.
The anastomotic leak rates were lower when NIR-ICG imaging was used than in the participating centers from over 1000 related operations conducted with the same technique but without NIR-ICG technology. As a result, the study’s findings were as follows:
Patients undergoing elective colorectal surgery should have their NIR-ICG levels checked on a regular basis.
The use of NIR-ICG can alter intraoperative decisions, potentially lowering anastomotic leak rates.
Kryzauskas conducted a systematic review and meta-analysis of publications, which included a total of 23 studies, with a total of 7115 patients, that were conducted to see whether intraoperative testing of the mechanical integrity and perfusion of the colorectal anastomosis could minimize the risk of AL. Intraoperative checks for the integrity (OR: 0.52, 95% CI: 0.34–0.82, P.001) and perfusion (OR: 0.40, 95% CI: 0.22–0.752, P.001) of the lower gastrointestinal tract anastomoses are linked to a substantially lower AL rate, according to a pooled study. The researchers came to the conclusion that intraoperative monitoring for anastomosis integrity or perfusion both reduced the AL dose. Studies combining these two anastomosis testing methods, especially intraoperative endoscopy and indocyanine green fluorescence angiography, could be very promising for further AL reduction. Since diabetes is a well-established independent factor that results in higher anastomotic leakage rates, the effects of biological sealants on colorectal anastomosis and their potential impact in patients with severe diabetes were studied in depth.
Fibrin sealants have been used to avoid anastomotic dehiscence in both laboratory and clinical trials.
We looked for existing evidence in the field by searching Medline (1966–2016) and Scopus (2004–2016). There is no evidence to support the use of fibrin sealants as a supplement in diabetic patients undergoing colorectal surgery at this time.
Experimental animal models with severe diabetes may be very useful in this area, and more research is required before fibrin sealants are used in a clinical environment.
In a systematic study and meta-analysis, Wu and team [16] analyzed the air leak test conducted intraoperatively.
The intraoperative air leak test (ALT) is a standard intraoperative test used to detect anastomosis that is mechanically inadequate.
The aim of this meta-analysis is to see whether ALT can help reduce postoperative colorectal anastomotic leakage (CAL).
The report included 22 experiments, with the following being the most notable.
According to the data, conducting an ALT using the recorded technique does not substantially reduce the clinical CAL rate, but it is still important due to the increased risk of CAL in ALT(+) cases.
Additional repairs, unfortunately, may not be successful in reducing this risk using current methods.
The findings of this study call for the standardization of ALT methodology and the creation of successful methods for repairing ALT(+) anastomoses.
A meta-analysis of randomized controlled trials on the use of suction drains following rectal surgery was conducted by Guerra and coauthors [17], and after looking at 760 patients from four RCTs that were eligible (RCT comparing drained with undrained anastomoses following rectal surgery), the use of drains showed little benefit in terms of anastomotic leak, pelvic complications, or reintervention.
On the other hand, the drained party had a slightly higher rate of postoperative bowel obstruction.
The researchers concluded that using pelvic drains routinely does not provide a major benefit in preventing postoperative complications following rectal surgery with extraperitoneal anastomosis.
Furthermore, a higher risk of bowel obstruction following surgery should be considered.
Non-surgery-based intraoperative risk factors for anastomotic healing also influence surgical outcome.
After analyzing 117 papers, a review by van Rooijen and team [18] provided an overview of potential modifiable risk factors that could play a role during the operation, and the results (the main outcome measure was the risk of anastomotic leakage and other postoperative complications during colorectal surgery) revealed that diabetes mellitus, hyperglycemia and a high HbA1c, anemia, and data on blood pressure, inotropes/vasopressors, oxygen supplementation, form of analgesia, and goal-directed fluid therapy are all unequivocal.
There was no research that looked into the effect of body core temperature or mean arterial pressure on CAL.
Subjective considerations including the surgeon’s own evaluation of local perfusion and the visibility of the operating field have not been studied for incidence in CAL patients.
The findings revealed that in order to enhance colorectal treatment, both surgery-related and non-surgery-related risk factors that can be changed must be established.
In their ongoing attempt to minimize the number of CAL, surgeons and anesthesiologists can collaborate on these issues.
In the Netherlands, a multicenter cohort study is currently being conducted to determine individual intraoperative risk factors for CAL.
In perforated diverticulitis, for example, there has been no consensus in the management, which is why the Shaban and coauthors [19] felt compelled to perform a systematic review and meta-analysis, particularly because many surgeons choose the Hartmann’s procedure to avoid the risk of an anastomotic leak.
As a result, we proposed that in certain patients, resection with primary anastomosis is a healthy option.
The study found 1933 abstracts, of which 14 trials (2 RCTs, 4 prospective non-randomized, and 8 retrospective non-randomized) with 765 patients met the inclusion criteria, with 482 in the Hartmann’s group and 283 in the primary anastomosis group.
Primary anastomosis had a slightly lower mortality rate (10.6%) than Hartmann’s (20.7%) (
The rate of morbidity was also lower (41.8 vs. 51.2%) (
Primary anastomosis had a risk ratio of 0.92 in favor of mortality (
The average rate of anastomotic leak was 5.9%.
Resection and primary anastomosis should be considered as a feasible and secure operative technique in selected patients with perforated diverticulitis, according to the findings of the study.
However, there is a scarcity of high-level data, and further research is needed.
Resection with primary anastomosis (PRA) with or without diverting ileostomy (DI), Hartmann’s procedure (HP), laparoscopic lavage (LL), and damage control surgery were among the aspects reviewed in another and more complicated approach to damage control strategy in perforated diverticulitis with generalized peritonitis performed by Sohn and team [20] (DCS).
DCS is divided into two levels.
Limited resection of the diseased colon, oral and aboral closure, lavage, and vacuum-assisted abdominal closure are all options for emergency surgery.
After proper resuscitation, a second look operation is performed: definitive reconstruction with colorectal anastomosis (±DI) or HP.
The inclusion criteria were fulfilled by eight observational studies involving 256 patients.
There was no randomized study available.
Purulent peritonitis affected 67% of the patients, while feculent peritonitis affected 30%. Hinchey stage II diverticulitis was observed in 3% of the patients. The Mannheim peritonitis index (MPI) was greater than 26 in 49% of the cases. In 73% of cases, a colorectal anastomosis was developed during the second surgery. DI was used in 15% of the above group. HP was given to the remaining 27%. The postoperative mortality rate was 9%, and the morbidity rate was 31%. The rate of anastomotic leak was 13%. Without a stoma, 55% of patients were discharged.
Conclusions: DCS is a safe treatment for acute perforated diverticulitis with generalized peritonitis, with a high incidence of colorectal anastomosis and stoma-free hospital discharge in more than half of patients.
Pickhardt [21] compared the accuracy of CT colonography versus optical colonoscopy for neoplastic involvement at the surgical anastomosis 1 year after curative-intent colorectal cancer resection for neoplastic involvement at the surgical anastomosis.
As part of a prospective, multicenter study, 201 patients (mean age 58.6 years; 117 men, 84 women) underwent same-day contrast-enhanced CT colonography and colonoscopy approximately 1 year (mean, 12.1 months; median, 11.9 months) after colorectal cancer resection.
Many of the patients enrolled had no clinical signs of illness and were found to have a low risk of recurrence (stage I–III).
Relevant intraluminal anastomotic pathology tends to be very rare 1 year after colorectal cancer resection in lower-risk cohorts, according to the findings.
Diagnostic contrast-enhanced CT colonography, unlike colonoscopy, successfully measures both the intraluminal and extraluminal dimensions of the anastomosis.
Yang and collab [22] investigated the use of stents as a bridge to surgery in the treatment of acute left-sided obstructive colorectal cancer.
In a meta-analysis of randomized controlled trials, the factor according to which the trials were conducted was taken into account.
The use of self-expanding metallic stents (SEMS) as a bridge to surgery in the treatment of acute left-sided obstructive colorectal cancer has remained contentious.
The following were the outcomes:
We chose 8 RCTs papers with a total of 497 instances.
The stent group had significantly lower directly stoma rates, significantly higher active primary anastomosis rates, and significantly lower post-procedural complication rates.
The stent party, on the other hand, had substantially higher tumor recurrence rates, leading to the following conclusions:
This meta-analysis confirms that SEMS placement can lower the rate of direct stomas and increase the rate of active primary anastomosis; however, it is linked to a higher rate of tumor recurrence.
Laparoscopic anterior resection (LAR) is nowadays routine practice in specialized high-volume centers, with equivalent oncological outcomes to open surgery. Anastomotic leakage (AL) remains one of the most threatening complications in colorectal surgery with the incidence of up to 20%. Therefore, recognition of the risk factors of postoperative complications is essential in order to be prevented. Moreover, one must underline the importance of some risk factors such as age, nutrition status of the patient, experience of the surgeon, and many other factors that influence outcome of colorectal surgery. Some risk factors can be modified before the intervention to prevent postoperative complications. Contrary to that, long-term postoperative complications may promote tumor recurrence and decrease survival.
The author declares no conflict of interest.
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",metaTitle:"Waiver Policy",metaDescription:"We feel that financial barriers should never prevent researchers from publishing their research. With the need to make scientific research more publically available and support the benefits of Open Access, more institutions and funders have dedicated funds to assist their faculty members and researchers cover the APCs associated with publishing in Open Access. Below we have outlined several options available to secure financing for your Open Access publication.",metaKeywords:null,canonicalURL:"/page/waiver-policy",contentRaw:'[{"type":"htmlEditorComponent","content":"At IntechOpen, the majority of OAPFs are paid by an Author’s institution or funding agency - Institutions (73%) vs. Authors (23%).
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\\n"}]'},components:[{type:"htmlEditorComponent",content:'At IntechOpen, the majority of OAPFs are paid by an Author’s institution or funding agency - Institutions (73%) vs. Authors (23%).
\n\nThe first step in obtaining funds for your Open Access publication begins with your institution or library. IntechOpen’s publishing standards align with most institutional funding programs. Our advice is to petition your institution for help in financing your Open Access publication.
\n\nHowever, as Open Access becomes a more commonly used publishing option for the dissemination of scientific and scholarly content, in addition to institutions, there are a growing number of funders who allow the use of grants for covering OA publication costs, or have established separate funds for the same purpose.
\n\nPlease consult our Open Access Funding page to explore some of these funding opportunities and learn more about how you could finance your IntechOpen publication. Keep in mind that this list is not definitive, and while we are constantly updating and informing our Authors of new funding opportunities, we recommend that you always check with your institution first.
\n\nFor Authors who are unable to obtain funding from their institution or research funding bodies and still need help in covering publication costs, IntechOpen offers the possibility of applying for a Waiver.
\n\nOur mission is to support Authors in publishing their research and making an impact within the scientific community. Currently, 14% of Authors receive full waivers and 6% receive partial waivers.
\n\nWhile providing support and advice to all our international Authors, waiver priority will be given to those Authors who reside in countries that are classified by the World Bank as low-income economies. In this way, we can help ensure that the scientific work being carried out can make an impact within the worldwide scientific community, no matter where an Author might live.
\n\nThe application process is open after your submitted manuscript has been accepted for publication. To apply, please fill out a Waiver Request Form and send it to your Author Service Manager. If you have an official letter from your university or institution showing that funds for your OA publication are unavailable, please attach that as well. The Waiver Request will normally be addressed within one week from the application date. All chapters that receive waivers or partial waivers will be designated as such online.
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Saleh and Amal I. Hassan",coverURL:"https://cdn.intechopen.com/books/images_new/11120.jpg",editedByType:"Edited by",publishedDate:"June 23rd 2022",editors:[{id:"144691",title:"Prof.",name:"Hosam M.",middleName:null,surname:"Saleh",slug:"hosam-m.-saleh",fullName:"Hosam M. Saleh"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10696",title:"Applications of Calorimetry",subtitle:null,isOpenForSubmission:!1,hash:"8c87f7e2199db33b5dd7181f56973a97",slug:"applications-of-calorimetry",bookSignature:"José Luis Rivera Armenta and Cynthia Graciela Flores Hernández",coverURL:"https://cdn.intechopen.com/books/images_new/10696.jpg",editedByType:"Edited by",publishedDate:"June 23rd 2022",editors:[{id:"107855",title:"Dr.",name:"Jose Luis",middleName:null,surname:"Rivera Armenta",slug:"jose-luis-rivera-armenta",fullName:"Jose Luis Rivera Armenta"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},subject:{topic:{id:"198",title:"Physical Therapy",slug:"physical-therapy",parent:{id:"16",title:"Medicine",slug:"medicine"},numberOfBooks:3,numberOfSeries:0,numberOfAuthorsAndEditors:58,numberOfWosCitations:27,numberOfCrossrefCitations:28,numberOfDimensionsCitations:44,videoUrl:null,fallbackUrl:null,description:null},booksByTopicFilter:{topicId:"198",sort:"-publishedDate",limit:12,offset:0},booksByTopicCollection:[{type:"book",id:"7543",title:"Physical Therapy Effectiveness",subtitle:null,isOpenForSubmission:!1,hash:"96855ef0bdc30d253f8fd74aa6cfd363",slug:"physical-therapy-effectiveness",bookSignature:"Mario Bernardo-Filho, Danúbiada Cunha de Sá-Caputo and Redha Taiar",coverURL:"https://cdn.intechopen.com/books/images_new/7543.jpg",editedByType:"Edited by",editors:[{id:"157376",title:"Prof.",name:"Mario",middleName:null,surname:"Bernardo-Filho",slug:"mario-bernardo-filho",fullName:"Mario Bernardo-Filho"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6772",title:"Occupational Therapy",subtitle:"Therapeutic and Creative Use of Activity",isOpenForSubmission:!1,hash:"0f6de90c02282919494d6254e473defe",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",bookSignature:"Meral Huri",coverURL:"https://cdn.intechopen.com/books/images_new/6772.jpg",editedByType:"Edited by",editors:[{id:"171525",title:"Dr.",name:"Meral",middleName:null,surname:"Huri",slug:"meral-huri",fullName:"Meral Huri"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"5711",title:"Occupational Therapy",subtitle:"Occupation Focused Holistic Practice in Rehabilitation",isOpenForSubmission:!1,hash:"38180e287b6cb09b8002b7ab485de2c2",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",bookSignature:"Meral Huri",coverURL:"https://cdn.intechopen.com/books/images_new/5711.jpg",editedByType:"Edited by",editors:[{id:"171525",title:"Dr.",name:"Meral",middleName:null,surname:"Huri",slug:"meral-huri",fullName:"Meral Huri"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:3,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"55163",doi:"10.5772/intechopen.68799",title:"Virtual Reality and Occupational Therapy",slug:"virtual-reality-and-occupational-therapy",totalDownloads:2616,totalCrossrefCites:4,totalDimensionsCites:6,abstract:"Virtual reality is three dimensional, interactive and fun way in rehabilitation. Its first known use in rehabilitation published by Max North named as “Virtual Environments and Psychological Disorders” (1994). Virtual reality uses special programmed computers, visual devices and artificial environments for the clients’ rehabilitation. Throughout technological improvements, virtual reality devices changed from therapeutic gloves to augmented reality environments. Virtual reality was being used in different rehabilitation professions such as occupational therapy, physical therapy, psychology and so on. In spite of common virtual reality approach of different professions, each profession aims different outcomes in rehabilitation. Virtual reality in occupational therapy generally focuses on hand and upper extremity functioning, cognitive rehabilitation, mental disorders, etc. Positive effects of virtual reality were mentioned in different studies, which are higher motivation than non‐simulated environments, active participation of the participants, supporting motor learning, fun environment and risk‐free environment. Additionally, virtual reality was told to be used as assessment. This chapter will focus on usage of virtual reality in occupational therapy, history and recent developments, types of virtual reality technologic equipment, pros and cons, usage for pediatric, adult and geriatric people and recent research and articles.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Orkun Tahir Aran, Sedef Şahin, Berkan Torpil, Tarık Demirok and\nHülya Kayıhan",authors:[{id:"172938",title:"Prof.",name:"Hulya",middleName:null,surname:"Kayihan",slug:"hulya-kayihan",fullName:"Hulya Kayihan"},{id:"183079",title:"Ph.D.",name:"Sedef",middleName:null,surname:"Şahin",slug:"sedef-sahin",fullName:"Sedef Şahin"},{id:"196848",title:"M.Sc.",name:"Orkun Tahir",middleName:null,surname:"Aran",slug:"orkun-tahir-aran",fullName:"Orkun Tahir Aran"},{id:"197159",title:"Mr.",name:"Tarık",middleName:null,surname:"Demirok",slug:"tarik-demirok",fullName:"Tarık Demirok"},{id:"197312",title:"M.Sc.",name:"Berkan",middleName:null,surname:"Torpil",slug:"berkan-torpil",fullName:"Berkan Torpil"}]},{id:"61806",doi:"10.5772/intechopen.78312",title:"Executive Functions and Neurology in Children and Adolescents",slug:"executive-functions-and-neurology-in-children-and-adolescents",totalDownloads:1731,totalCrossrefCites:3,totalDimensionsCites:5,abstract:"This chapter discusses the theoretical and methodological issues of creating a developmental perspective on executive function (EF) in childhood and adolescence. Focusing on school periods, this section outlines the development of the basic components of EF—inhibition, working memory, and attention. Cognitive and neurophysiological evaluations show that despite the emergence of EF in the first few years of life, it continues to grow significantly in childhood and adolescence. The components vary slightly according to their developmental sequence. The chapter links findings to long-standing developmental issues (i.e. developmental sequences and processes) and suggests the necessary research to establish a developmental framework covering early childhood throughout adolescence.",book:{id:"6772",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Therapeutic and Creative Use of Activity"},signatures:"Gokcen Akyurek",authors:[{id:"197265",title:"Dr.",name:"Gokcen",middleName:null,surname:"Akyurek",slug:"gokcen-akyurek",fullName:"Gokcen Akyurek"}]},{id:"56049",doi:"10.5772/intechopen.69101",title:"Measurement of Participation: The Role Checklist Version 3: Satisfaction and Performance",slug:"measurement-of-participation-the-role-checklist-version-3-satisfaction-and-performance",totalDownloads:2800,totalCrossrefCites:3,totalDimensionsCites:4,abstract:"Participation in society is an area of interest to both clinicians and population researchers. Measurement of participation is therefore important, yet differences in definition, in terms of both content and scope, have made general agreement on one instrument tool elusive. What is recognized is the need for a theoretically based tool that captures both the insider and the outsider perspective. The outsider perspective, inclusive of the generally held views of a society, supports the utility for aggregating population data, whereas the insider perspective provides the internally held views of an individual needed for client-centered treatment planning. The Role Checklist Version 3 modifies one of the most commonly used assessment tools in occupational therapy practice, has good preliminary psychometric properties, and is theoretically consistent with both the ICF and the Model of Human Occupation. The Model of Human Occupation is the most widely used theoretical model in occupational therapy. This chapter provides an overview of the theoretical development, empirical testing, and implications for use of this participation measure by occupational therapists along with implications for population researchers.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Patricia J. Scott, Kelsey McKinney, Jeff Perron, Emily Ruff and Jessica\nSmiley",authors:[{id:"195495",title:"Dr.",name:"Patricia J",middleName:null,surname:"Scott",slug:"patricia-j-scott",fullName:"Patricia J Scott"},{id:"208801",title:"Dr.",name:"Kelsey G.",middleName:null,surname:"McKinney",slug:"kelsey-g.-mckinney",fullName:"Kelsey G. McKinney"},{id:"208802",title:"Mr.",name:"Jeffrey M.",middleName:null,surname:"Perron",slug:"jeffrey-m.-perron",fullName:"Jeffrey M. Perron"},{id:"208803",title:"Dr.",name:"Emily G.",middleName:null,surname:"Ruff",slug:"emily-g.-ruff",fullName:"Emily G. Ruff"},{id:"208804",title:"Dr.",name:"Jessica L.",middleName:null,surname:"Smiley",slug:"jessica-l.-smiley",fullName:"Jessica L. Smiley"}]},{id:"55024",doi:"10.5772/intechopen.68463",title:"Occupational Therapy in Oncology and Palliative Care",slug:"occupational-therapy-in-oncology-and-palliative-care",totalDownloads:2664,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Cancer is a chronic disease that may occur in both children and adults. Occupational therapy focuses on the activity limitations and participation problems in their life. Oncology rehabilitation involves in helping an individual with cancer to regain maximum physical, psychological, cognitive, social, and vocational functioning with the limits up to disease and its treatments in an interdisciplinary team concept. These treatment options are associated with the risk of some side effects, including fatigue, pain, cognitive problems, decrease in bone density and muscle endurance, weight loss, and stress- or anxiety-related psychosocial problems. Occupational therapy approaches are a holistic view in a client center and use training in activities of daily living, assistive technology, education of energy conservation techniques, and management of treatment-related problems, such as pain, fatigue, and nausea. In palliative and hospice care, occupational therapists support clients with cancer by minimizing the secondary symptoms related to cancer and its treatments. At the end of life, occupational therapy offers to identify the roles and activities that are meaningful and purposeful to the client with cancer and try to determine the barriers that limit their performance. Clients with cancer who have childhood cancer or adult cancer can face problems about body structure and functions, activity, and participation, which may limit their participation to their daily life.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Sedef Şahin, Semin Akel and Meral Zarif",authors:[{id:"183079",title:"Ph.D.",name:"Sedef",middleName:null,surname:"Şahin",slug:"sedef-sahin",fullName:"Sedef Şahin"},{id:"183078",title:"Dr.",name:"Burcu Semin",middleName:null,surname:"Akel",slug:"burcu-semin-akel",fullName:"Burcu Semin Akel"},{id:"198859",title:"Dr.",name:"Meral",middleName:null,surname:"Zarif",slug:"meral-zarif",fullName:"Meral Zarif"}]},{id:"69611",doi:"10.5772/intechopen.89596",title:"What to Expect: Medical Quality Outcomes and Achievements of a Multidisciplinary Inpatient Musculoskeletal System Rehabilitation",slug:"what-to-expect-medical-quality-outcomes-and-achievements-of-a-multidisciplinary-inpatient-musculoske",totalDownloads:753,totalCrossrefCites:0,totalDimensionsCites:3,abstract:"The incidence of chronic diseases is rising. Rehabilitation plays a vital role in preventing and minimizing the functional limitations associated with chronic conditions and aging. Routine outcome measures include disease-specific and unspecific general health parameters. This study evaluates indicators for medical quality outcomes from 10,373 patients (61.00 ± 13.65 years, 51.7% women) who have undergone orthopedic rehabilitation for three weeks. Inpatient rehabilitation reduces lifestyle-related risk factors, optimizes organ functioning and improves the well-being in the majority of patients (81.3%; SMD = 0.52 ± 0.38). Improvements of unspecific and indication specific outcome parameters can be observed in a comparable magnitude. However, disease specific and unspecific health factors are not directly related to each other (r = 0.19). Age, gender, ICD-classification and time of rehabilitation have an influence on initial values and on indication-specific medical outcomes but are insignificant with regards to improvements in unspecific medical outcome parameters. Inpatient rehabilitation includes two main pathways of medical practice, which can be clearly distinguished in terms of their therapeutic outcome. There are general health interventions, such as lifestyle modifications, diet and physical exercise, and symptom-specific treatments. So multidisciplinary medical rehabilitation improves general well-being and physical functioning as well as reduces risk factors in the majority of patients.",book:{id:"7543",slug:"physical-therapy-effectiveness",title:"Physical Therapy Effectiveness",fullTitle:"Physical Therapy Effectiveness"},signatures:"Vincent Grote, Alexandra Unger, Henry Puff and Elke Böttcher",authors:[{id:"308501",title:"M.D.",name:"Henry",middleName:null,surname:"Puff",slug:"henry-puff",fullName:"Henry Puff"},{id:"308502",title:"Dr.",name:"Vincent",middleName:null,surname:"Grote",slug:"vincent-grote",fullName:"Vincent Grote"},{id:"309934",title:"Dr.",name:"Elke",middleName:null,surname:"Böttcher",slug:"elke-bottcher",fullName:"Elke Böttcher"},{id:"310535",title:"Dr.",name:"Alexandra",middleName:null,surname:"Unger",slug:"alexandra-unger",fullName:"Alexandra Unger"}]}],mostDownloadedChaptersLast30Days:[{id:"55080",title:"Life Skills in Occupational Therapy",slug:"life-skills-in-occupational-therapy",totalDownloads:6021,totalCrossrefCites:3,totalDimensionsCites:0,abstract:"Occupational therapy is a health profession that uses the purposeful activities to achieve multiple and complex rehabilitation aims. The main goals of the occupational therapy are to support the reintegration of individuals in daily living skills as well as to increase their independence and autonomy. Interventions of occupational therapists have primarily focused on self-care, productivity, and leisure time activities. Since the life skills includes a wide range of abilities that enable a person to perform personal care and more complicated tasks such as traveling, shopping, community participation etc., occupational therapists provide life skills training programs to meet the needs of the clients. This chapter aims to contribute to the current understanding and practices of life skills from an occupational therapy perspective. The chapter starts with a brief discussion of the importance of life skills in occupational therapy. After this introduction, the first part takes a look at the definition of life skills and identifies core components of life skills. The second part describes assessment and interventions of life skills. The third one gives an overview about school life skills programs for children and adolescents. Finally, the last part explains some life skills programs in people with disadvantages.",book:{id:"5711",slug:"occupational-therapy-occupation-focused-holistic-practice-in-rehabilitation",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation"},signatures:"Hatice Abaoğlu, Özge Buket Cesim, Sinem Kars and Zeynep Çelik",authors:[{id:"197551",title:"Dr.",name:"Hatice",middleName:null,surname:"Abaoğlu",slug:"hatice-abaoglu",fullName:"Hatice Abaoğlu"},{id:"205199",title:"Dr.",name:"Sinem",middleName:null,surname:"Kars",slug:"sinem-kars",fullName:"Sinem Kars"},{id:"205200",title:"Dr.",name:"Zeynep",middleName:null,surname:"Celik",slug:"zeynep-celik",fullName:"Zeynep Celik"},{id:"205203",title:"Ms.",name:"Özge Buket",middleName:null,surname:"Cesim",slug:"ozge-buket-cesim",fullName:"Özge Buket Cesim"}]},{id:"62493",title:"Occupational Therapy in Forensic Settings",slug:"occupational-therapy-in-forensic-settings",totalDownloads:2515,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"It is necessary for a person to comply with the expectations of society and the rules of law to which these expectations are secured. Offenders turn back to the community after the penalty was executed by isolating from society and some occupations. An occupational imbalance is seen in the individuals, during this penalty period and afterward, because of limited occupational participation. As an occupational being, this affects their physical, mental and psychological well-being. Imprisonment is an important practice in criminal law to punish criminals. This may be necessary for the protection of society from criminals, but successful integration into a community after exiting the prison is the most important factor in preventing recidivism. Occupational therapy focuses on health and well-being by using meaningful and purposeful occupations. Occupation involves any activity that people perform or participate in, such as giving care to themselves or others, working, learning, playing games, and interacting with others. From this perspective, the role of occupational therapists in forensic settings is to determine the abilities of these individuals to congregate their deprived freedoms and use them to train them for an independent and autonomous life; to provide a professional orientation, career counseling, and self-esteem; to gain some habits for physical, spiritual and moral life and to reinforce.",book:{id:"6772",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Therapeutic and Creative Use of Activity"},signatures:"Esma Ozkan, Sümeyye Belhan, Mahmut Yaran and Meral Zarif",authors:null},{id:"70122",title:"Parkinson’s Disease Rehabilitation: Effectiveness Approaches and New Perspectives",slug:"parkinson-s-disease-rehabilitation-effectiveness-approaches-and-new-perspectives",totalDownloads:2029,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Parkinson’s disease has been considered one of the most important and common neurodegenerative diseases in the world. Its motor and nonmotor signs determine a huge functional loss, leading the individuals to lose their independence. Although the treatment requires a pharmacological approach, physical therapy has confirmed its importance in this process. Today, neurorehabilitation is indispensable to increase many of the cardinal signs of the disease. Using traditional or technological approaches, physical therapy has reached good results in improving motor and nonmotor functions, as well as the quality of life of Parkinsonians. However, it is important to develop and to fortify the physical therapy approach so that we can provide stronger evidence about our practice.",book:{id:"7543",slug:"physical-therapy-effectiveness",title:"Physical Therapy Effectiveness",fullTitle:"Physical Therapy Effectiveness"},signatures:"Luciana Auxiliadora de Paula Vasconcelos",authors:[{id:"98546",title:"Dr.",name:"Luciana Auxiliadora",middleName:null,surname:"De Paula Vasconcelos",slug:"luciana-auxiliadora-de-paula-vasconcelos",fullName:"Luciana Auxiliadora De Paula Vasconcelos"}]},{id:"62210",title:"Occupational Therapy’s Role in the Treatment of Children with Autism Spectrum Disorders",slug:"occupational-therapy-s-role-in-the-treatment-of-children-with-autism-spectrum-disorders",totalDownloads:2725,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Occupational therapists (OT) offer a wide range of therapies for individuals with ASD on the basis of specific deficits and difficulties. This chapter explores the role that OT plays, and the expertise, in relation to the interdisciplinary team. In addition, it discusses and presents empirical support for several therapeutic approaches commonly used by OTs working with individuals with ASD.",book:{id:"6772",slug:"occupational-therapy-therapeutic-and-creative-use-of-activity",title:"Occupational Therapy",fullTitle:"Occupational Therapy - Therapeutic and Creative Use of Activity"},signatures:"Bryan M. Gee, Amy Nwora and Theodore W. Peterson",authors:null},{id:"55049",title:"Community Participation in People with Disabilities",slug:"community-participation-in-people-with-disabilities",totalDownloads:2405,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Despite the fact that participation is an important building and a valuable target, the conceptualization, identification and measurement methods vary widely. This chapter tried to gain an insider’s perspective from the obstacles that summarize what meaning participation means, how to characterize it, and what prevents and supports participation. Participation is seen as a right and a responsibility attributed to and attributed to both the person and the community. Participation does not take place in a vacuum; the environment dynamically influences participation. 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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"}}}},{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"}}}}]},series:{item:{id:"11",title:"Biochemistry",doi:"10.5772/intechopen.72877",issn:"2632-0983",scope:"Biochemistry, the study of chemical transformations occurring within living organisms, impacts all areas of life sciences, from molecular crystallography and genetics to ecology, medicine, and population biology. Biochemistry examines macromolecules - proteins, nucleic acids, carbohydrates, and lipids – and their building blocks, structures, functions, and interactions. Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. 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Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"14",title:"Cell and Molecular Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",isOpenForSubmission:!0,editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",slug:"rosa-maria-martinez-espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",biography:"Dr. Rosa María Martínez-Espinosa has been a Spanish Full Professor since 2020 (Biochemistry and Molecular Biology) and is currently Vice-President of International Relations and Cooperation development and leader of the research group 'Applied Biochemistry” (University of Alicante, Spain). Other positions she has held at the university include Vice-Dean of Master Programs, Vice-Dean of the Degree in Biology and Vice-Dean for Mobility and Enterprise and Engagement at the Faculty of Science (University of Alicante). She received her Bachelor in Biology in 1998 (University of Alicante) and her PhD in 2003 (Biochemistry, University of Alicante). She undertook post-doctoral research at the University of East Anglia (Norwich, U.K. 2004-2005; 2007-2008).\nHer multidisciplinary research focuses on investigating archaea and their potential applications in biotechnology. She has an H-index of 21. She has authored one patent and has published more than 70 indexed papers and around 60 book chapters.\nShe has contributed to more than 150 national and international meetings during the last 15 years. Her research interests include archaea metabolism, enzymes purification and characterization, gene regulation, carotenoids and bioplastics production, antioxidant\ncompounds, waste water treatments, and brines bioremediation.\nRosa María’s other roles include editorial board member for several journals related\nto biochemistry, reviewer for more than 60 journals (biochemistry, molecular biology, biotechnology, chemistry and microbiology) and president of several organizing committees in international meetings related to the N-cycle or respiratory processes.",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"15",title:"Chemical Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",isOpenForSubmission:!0,editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. 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He is a member of the Turkish Biochemical Society, American Chemical Society, and German Genetics society. Dr. Ekinci published around ninety scientific papers, reviews and book chapters, and presented several conferences to scientists. He has received numerous publication awards from several scientific councils. 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He worked on the structure-function relationships of glycoconjugates and his main project was the investigations on the biological roles of the de-N-glycosylation enzymes (Endo-N-acetyl-β-D-glucosaminidase and peptide-N4-(N-acetyl-β-glucosaminyl) asparagine amidase). From 2002 he contributes to the understanding of the Blood-brain barrier functioning using proteomics approaches. He has published more than 70 papers. 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Since then, he has been working as an Adjunct Professor in the same Department at the University of Pavia. His research activity during the first years was primarily focused on the purification and structural characterization of enzymes from animal and plant sources. During this period, Prof. Iadarola familiarized himself with the conventional techniques used in column chromatography, spectrophotometry, manual Edman degradation, and electrophoresis). Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. 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She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. She is an author of about 90 publications (According to Scopus: H-Index: 23; According to WOS: H-Index: 20) on peer-reviewed journals, a member of the “Società Italiana di Biochimica e Biologia Molecolare,“ and a Consultant Reviewer for International Journal of Molecular Science, Journal of Chromatography A, COPD, Plos ONE and Nutritional Neuroscience.",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorThree:null}]},overviewPageOFChapters:{paginationCount:43,paginationItems:[{id:"82374",title:"The Potential of the Purinergic System as a Therapeutic Target of Natural Compounds in Cutaneous Melanoma",doi:"10.5772/intechopen.105457",signatures:"Gilnei Bruno da Silva, Daiane Manica, Marcelo Moreno and Margarete Dulce Bagatini",slug:"the-potential-of-the-purinergic-system-as-a-therapeutic-target-of-natural-compounds-in-cutaneous-mel",totalDownloads:4,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Purinergic System",coverURL:"https://cdn.intechopen.com/books/images_new/10801.jpg",subseries:{id:"17",title:"Metabolism"}}},{id:"82103",title:"The Role of Endoplasmic Reticulum Stress and Its Regulation in the Progression of Neurological and Infectious Diseases",doi:"10.5772/intechopen.105543",signatures:"Mary Dover, Michael Kishek, Miranda Eddins, Naneeta Desar, Ketema Paul and Milan Fiala",slug:"the-role-of-endoplasmic-reticulum-stress-and-its-regulation-in-the-progression-of-neurological-and-i",totalDownloads:5,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Updates on Endoplasmic Reticulum",coverURL:"https://cdn.intechopen.com/books/images_new/11674.jpg",subseries:{id:"14",title:"Cell and Molecular Biology"}}},{id:"82212",title:"Protein Prenylation and Their Applications",doi:"10.5772/intechopen.104700",signatures:"Khemchand R. 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Waisundara",profilePictureURL:"https://mts.intechopen.com/storage/users/194281/images/system/194281.jpg",biography:"Dr. Viduranga Waisundara obtained her Ph.D. in Food Science\nand Technology from the Department of Chemistry, National\nUniversity of Singapore, in 2010. She was a lecturer at Temasek Polytechnic, Singapore from July 2009 to March 2013.\nShe relocated to her motherland of Sri Lanka and spearheaded the Functional Food Product Development Project at the\nNational Institute of Fundamental Studies from April 2013 to\nOctober 2016. She was a senior lecturer on a temporary basis at the Department of\nFood Technology, Faculty of Technology, Rajarata University of Sri Lanka. She is\ncurrently Deputy Principal of the Australian College of Business and Technology –\nKandy Campus, Sri Lanka. She is also the Global Harmonization Initiative (GHI)",institutionString:"Australian College of Business & Technology",institution:null}]},{type:"book",id:"6820",title:"Keratin",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6820.jpg",slug:"keratin",publishedDate:"December 19th 2018",editedByType:"Edited by",bookSignature:"Miroslav Blumenberg",hash:"6def75cd4b6b5324a02b6dc0359896d0",volumeInSeries:2,fullTitle:"Keratin",editors:[{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",slug:"miroslav-blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}}]},{type:"book",id:"7978",title:"Vitamin A",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/7978.jpg",slug:"vitamin-a",publishedDate:"May 15th 2019",editedByType:"Edited by",bookSignature:"Leila Queiroz Zepka, Veridiana Vera de Rosso and Eduardo Jacob-Lopes",hash:"dad04a658ab9e3d851d23705980a688b",volumeInSeries:3,fullTitle:"Vitamin A",editors:[{id:"261969",title:"Dr.",name:"Leila",middleName:null,surname:"Queiroz Zepka",slug:"leila-queiroz-zepka",fullName:"Leila Queiroz Zepka",profilePictureURL:"https://mts.intechopen.com/storage/users/261969/images/system/261969.png",biography:"Prof. Dr. Leila Queiroz Zepka is currently an associate professor in the Department of Food Technology and Science, Federal University of Santa Maria, Brazil. She has more than fifteen years of teaching and research experience. She has published more than 550 scientific publications/communications, including 15 books, 50 book chapters, 100 original research papers, 380 research communications in national and international conferences, and 12 patents. She is a member of the editorial board of five journals and acts as a reviewer for several national and international journals. 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The preliminary objectives of the study are to understand and develop the evidence-based tools and interventions for the control and prevention of malaria in different sites of the INDIA. Alongside, with the help of next-generation genomics study, the team has studied the antimalarial drug resistance in India. Further, he has extended his research in the development of Humanized mice for the study of liver-stage malaria and identification of molecular marker(s) for the Artemisinin resistance. At present, his research focuses on understanding the role of B cells in the activation of CD8+ T cells in malaria. Received the CSIR-SRF (Senior Research Fellow) award-2018, FIMSA (Federation of Immunological Societies of Asia-Oceania) Travel Bursary award to attend the IUIS-IIS-FIMSA Immunology course-2019',institutionString:"Nirma University",institution:{name:"Nirma University",country:{name:"India"}}},{id:"334383",title:"Ph.D.",name:"Simone",middleName:"Ulrich",surname:"Ulrich Picoli",slug:"simone-ulrich-picoli",fullName:"Simone Ulrich Picoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334383/images/15919_n.jpg",biography:"Graduated in Pharmacy from Universidade Luterana do Brasil (1999), Master in Agricultural and Environmental Microbiology from Federal University of Rio Grande do Sul (2002), Specialization in Clinical Microbiology from Universidade de São Paulo, USP (2007) and PhD in Sciences in Gastroenterology and Hepatology (2012). She is currently an Adjunct Professor at Feevale University in Medicine and Biomedicine courses and a permanent professor of the Academic Master\\'s Degree in Virology. She has experience in the field of Microbiology, with an emphasis on Bacteriology, working mainly on the following topics: bacteriophages, bacterial resistance, clinical microbiology and food microbiology.",institutionString:null,institution:{name:"Universidade Feevale",country:{name:"Brazil"}}},{id:"229220",title:"Dr.",name:"Amjad",middleName:"Islam",surname:"Aqib",slug:"amjad-aqib",fullName:"Amjad Aqib",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229220/images/system/229220.png",biography:"Dr. Amjad Islam Aqib obtained a DVM and MSc (Hons) from University of Agriculture Faisalabad (UAF), Pakistan, and a PhD from the University of Veterinary and Animal Sciences Lahore, Pakistan. Dr. Aqib joined the Department of Clinical Medicine and Surgery at UAF for one year as an assistant professor where he developed a research laboratory designated for pathogenic bacteria. Since 2018, he has been Assistant Professor/Officer in-charge, Department of Medicine, Manager Research Operations and Development-ORIC, and President One Health Club at Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan. He has nearly 100 publications to his credit. His research interests include epidemiological patterns and molecular analysis of antimicrobial resistance and modulation and vaccine development against animal pathogens of public health concern.",institutionString:"Cholistan University of Veterinary and Animal Sciences",institution:null},{id:"62900",title:"Prof.",name:"Fethi",middleName:null,surname:"Derbel",slug:"fethi-derbel",fullName:"Fethi Derbel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62900/images/system/62900.jpeg",biography:"Professor Fethi Derbel was born in 1960 in Tunisia. He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. Professor Derbel has published many articles in journals and collaborates intensively with IntechOpen Access Publisher as an editor.",institutionString:"Clinique les Oliviers",institution:null},{id:"300144",title:"Dr.",name:"Meriem",middleName:null,surname:"Braiki",slug:"meriem-braiki",fullName:"Meriem Braiki",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/300144/images/system/300144.jpg",biography:"Dr. Meriem Braiki is a specialist in pediatric surgeon from Tunisia. She was born in 1985. She received her medical degree from the University of Medicine at Sousse, Tunisia. She achieved her surgical residency training periods in Pediatric Surgery departments at University Hospitals in Monastir, Tunis and France.\r\nShe is currently working at the Pediatric surgery department, Sidi Bouzid Hospital, Tunisia. Her hospital activities are mostly concerned with laparoscopic, parietal, urological and digestive surgery. She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. He has authored and reviewed a number of journal articles and book chapters.",institutionString:"National Veterinary Research Institute",institution:{name:"National Veterinary Research Institute",country:{name:"Nigeria"}}},{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",country:{name:"India"}}},{id:"94928",title:"Dr.",name:"Takuo",middleName:null,surname:"Mizukami",slug:"takuo-mizukami",fullName:"Takuo Mizukami",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94928/images/6402_n.jpg",biography:null,institutionString:null,institution:{name:"National Institute of Infectious Diseases",country:{name:"Japan"}}},{id:"233433",title:"Dr.",name:"Yulia",middleName:null,surname:"Desheva",slug:"yulia-desheva",fullName:"Yulia Desheva",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/233433/images/system/233433.png",biography:"Dr. Yulia Desheva is a leading researcher at the Institute of Experimental Medicine, St. Petersburg, Russia. She is a professor in the Stomatology Faculty, St. Petersburg State University. She has expertise in the development and evaluation of a wide range of live mucosal vaccines against influenza and bacterial complications. Her research interests include immunity against influenza and COVID-19 and the development of immunization schemes for high-risk individuals.",institutionString:'Federal State Budgetary Scientific Institution "Institute of Experimental Medicine"',institution:null},{id:"238958",title:"Mr.",name:"Atamjit",middleName:null,surname:"Singh",slug:"atamjit-singh",fullName:"Atamjit Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/238958/images/6575_n.jpg",biography:null,institutionString:null,institution:null},{id:"333753",title:"Dr.",name:"Rais",middleName:null,surname:"Ahmed",slug:"rais-ahmed",fullName:"Rais Ahmed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333753/images/20168_n.jpg",biography:null,institutionString:null,institution:null},{id:"252058",title:"M.Sc.",name:"Juan",middleName:null,surname:"Sulca",slug:"juan-sulca",fullName:"Juan Sulca",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252058/images/12834_n.jpg",biography:null,institutionString:null,institution:null},{id:"191392",title:"Dr.",name:"Marimuthu",middleName:null,surname:"Govindarajan",slug:"marimuthu-govindarajan",fullName:"Marimuthu Govindarajan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/191392/images/5828_n.jpg",biography:"Dr. M. Govindarajan completed his BSc degree in Zoology at Government Arts College (Autonomous), Kumbakonam, and MSc, MPhil, and PhD degrees at Annamalai University, Annamalai Nagar, Tamil Nadu, India. He is serving as an assistant professor at the Department of Zoology, Annamalai University. His research interests include isolation, identification, and characterization of biologically active molecules from plants and microbes. He has identified more than 20 pure compounds with high mosquitocidal activity and also conducted high-quality research on photochemistry and nanosynthesis. He has published more than 150 studies in journals with impact factor and 2 books in Lambert Academic Publishing, Germany. He serves as an editorial board member in various national and international scientific journals.",institutionString:null,institution:null},{id:"274660",title:"Dr.",name:"Damodar",middleName:null,surname:"Paudel",slug:"damodar-paudel",fullName:"Damodar Paudel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274660/images/8176_n.jpg",biography:"I am DrDamodar Paudel,currently working as consultant Physician in Nepal police Hospital.",institutionString:null,institution:null},{id:"241562",title:"Dr.",name:"Melvin",middleName:null,surname:"Sanicas",slug:"melvin-sanicas",fullName:"Melvin Sanicas",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/241562/images/6699_n.jpg",biography:null,institutionString:null,institution:null},{id:"337446",title:"Dr.",name:"Maria",middleName:null,surname:"Zavala-Colon",slug:"maria-zavala-colon",fullName:"Maria Zavala-Colon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Puerto Rico, Medical Sciences Campus",country:{name:"United States of America"}}},{id:"338856",title:"Mrs.",name:"Nur Alvira",middleName:null,surname:"Pascawati",slug:"nur-alvira-pascawati",fullName:"Nur Alvira Pascawati",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Universitas Respati Yogyakarta",country:{name:"Indonesia"}}},{id:"441116",title:"Dr.",name:"Jovanka M.",middleName:null,surname:"Voyich",slug:"jovanka-m.-voyich",fullName:"Jovanka M. Voyich",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Montana State University",country:{name:"United States of America"}}},{id:"330412",title:"Dr.",name:"Muhammad",middleName:null,surname:"Farhab",slug:"muhammad-farhab",fullName:"Muhammad Farhab",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{id:"349495",title:"Dr.",name:"Muhammad",middleName:null,surname:"Ijaz",slug:"muhammad-ijaz",fullName:"Muhammad Ijaz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Veterinary and Animal Sciences",country:{name:"Pakistan"}}}]}},subseries:{item:{id:"93",type:"subseries",title:"Inclusivity and Social Equity",keywords:"Social contract, SDG, Human rights, Inclusiveness, Equity, Democracy, Personal learning, Collaboration, Glocalization",scope:"\r\n\tThe environment is subject to severe anthropic effects. Among them are those associated with pollution, resource extraction and overexploitation, loss of biodiversity, soil degradation, disorderly land occupation and planning, and many others. These anthropic effects could potentially be caused by any inadequate management of the environment. However, ecosystems have a resilience that makes them react to disturbances which mitigate the negative effects. It is critical to understand how ecosystems, natural and anthropized, including urban environments, respond to actions that have a negative influence and how they are managed. It is also important to establish when the limits marked by the resilience and the breaking point are achieved and when no return is possible. The main focus for the chapters is to cover the subjects such as understanding how the environment resilience works, the mechanisms involved, and how to manage them in order to improve our interactions with the environment and promote the use of adequate management practices such as those outlined in the United Nations’ Sustainable Development Goals.
",coverUrl:"https://cdn.intechopen.com/series_topics/covers/39.jpg",keywords:"Anthropic effects, Overexploitation, Biodiversity loss, Degradation, Inadequate Management, SDGs adequate practices"},{id:"38",title:"Pollution",scope:"\r\n\tPollution is caused by a wide variety of human activities and occurs in diverse forms, for example biological, chemical, et cetera. In recent years, significant efforts have been made to ensure that the environment is clean, that rigorous rules are implemented, and old laws are updated to reduce the risks towards humans and ecosystems. However, rapid industrialization and the need for more cultivable sources or habitable lands, for an increasing population, as well as fewer alternatives for waste disposal, make the pollution control tasks more challenging. Therefore, this topic will focus on assessing and managing environmental pollution. It will cover various subjects, including risk assessment due to the pollution of ecosystems, transport and fate of pollutants, restoration or remediation of polluted matrices, and efforts towards sustainable solutions to minimize environmental pollution.
",coverUrl:"https://cdn.intechopen.com/series_topics/covers/38.jpg",keywords:"Human activity, Pollutants, Reduced risks, Population growth, Waste disposal, Remediation, Clean environment"},{id:"41",title:"Water Science",scope:"