\r\n\tThe purpose of the book is to bring together the latest knowledge about genetic diversity by presenting the studies of some of the scientists who are engaged in development of new tools and ideas used to reveal genetic diversity, often from very different perspectives. The book should prove useful to students, researchers and experts in the area of biology, medicine and agriculture.
",isbn:"978-1-80356-945-1",printIsbn:"978-1-80356-944-4",pdfIsbn:"978-1-80356-946-8",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"0b1e679fcacdec2448603a66df71ccc7",bookSignature:"Prof. Mahmut Çalışkan and Dr. Sevcan Aydin",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11643.jpg",keywords:"PCR Based Methods, Protein Based Methods, Sequencing, Conservation of Genetic Resources, Natural Variation, Molecular Markers, Genetic Manipulation in Animals, Resistance to Disease, Genetic Manipulation in Plants, Use of Microorganisms in Biotechnology, Genetic Differentiation, Gene Therapy and Gene Editing",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 7th 2022",dateEndSecondStepPublish:"June 16th 2022",dateEndThirdStepPublish:"August 15th 2022",dateEndFourthStepPublish:"November 3rd 2022",dateEndFifthStepPublish:"January 2nd 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"16 days",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Professor of genetics and molecular biology and Head of Biotechnology division at İstanbul University in Turkey whose main research areas include plant molecular genetics, microbial biotechnology and characterization and biotechnological use of halophilic archaeal strains.",coeditorOneBiosketch:"Associate Professor of Biotechnology Division in Department of Biology at Istanbul University in Turkey whose main research areas include genetics, environmental biotechnology and bioengineering.",coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"51528",title:"Prof.",name:"Mahmut",middleName:null,surname:"Çalışkan",slug:"mahmut-caliskan",fullName:"Mahmut Çalışkan",profilePictureURL:"https://mts.intechopen.com/storage/users/51528/images/system/51528.png",biography:"Mahmut Çalışkan is a Professor of Genetics and Molecular Biology in the Department of Biology, Biotechnology Division, Istanbul University, Turkey. He obtained a BSc from Middle East Technical University, Ankara, and a Ph.D. from the University of Leeds, England. His main research areas include the role of germin gene products during early plant development, analysis of genetic variation, polymorphisms, and the characterization and biotechnological use of halophilic archaea.",institutionString:"Istanbul University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"8",institution:{name:"Istanbul University",institutionURL:null,country:{name:"Turkey"}}}],coeditorOne:{id:"462767",title:"Dr.",name:"Sevcan",middleName:null,surname:"Aydin",slug:"sevcan-aydin",fullName:"Sevcan Aydin",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003QRfRpQAL/Profile_Picture_2022-03-24T08:49:06.jpg",biography:"Sevcan Aydın is an Associate Professor of Biotechnology Division in Department of Biology at Istanbul University in Türkiye. She obtained her bachelor's degree from Biology Department of Ege University. She obtained her Ph.D. in Biotechnology Programme of Istanbul Technical University. 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Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"72",title:"Ionic Liquids",subtitle:"Theory, Properties, New Approaches",isOpenForSubmission:!1,hash:"d94ffa3cfa10505e3b1d676d46fcd3f5",slug:"ionic-liquids-theory-properties-new-approaches",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/72.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"2270",title:"Fourier Transform",subtitle:"Materials Analysis",isOpenForSubmission:!1,hash:"5e094b066da527193e878e160b4772af",slug:"fourier-transform-materials-analysis",bookSignature:"Salih Mohammed Salih",coverURL:"https://cdn.intechopen.com/books/images_new/2270.jpg",editedByType:"Edited by",editors:[{id:"111691",title:"Dr.Ing.",name:"Salih",surname:"Salih",slug:"salih-salih",fullName:"Salih Salih"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"117",title:"Artificial Neural Networks",subtitle:"Methodological Advances and Biomedical Applications",isOpenForSubmission:!1,hash:null,slug:"artificial-neural-networks-methodological-advances-and-biomedical-applications",bookSignature:"Kenji Suzuki",coverURL:"https://cdn.intechopen.com/books/images_new/117.jpg",editedByType:"Edited by",editors:[{id:"3095",title:"Prof.",name:"Kenji",surname:"Suzuki",slug:"kenji-suzuki",fullName:"Kenji Suzuki"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3828",title:"Application of Nanotechnology in Drug Delivery",subtitle:null,isOpenForSubmission:!1,hash:"51a27e7adbfafcfedb6e9683f209cba4",slug:"application-of-nanotechnology-in-drug-delivery",bookSignature:"Ali Demir Sezer",coverURL:"https://cdn.intechopen.com/books/images_new/3828.jpg",editedByType:"Edited by",editors:[{id:"62389",title:"PhD.",name:"Ali Demir",surname:"Sezer",slug:"ali-demir-sezer",fullName:"Ali Demir Sezer"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"872",title:"Organic Pollutants Ten Years After the Stockholm Convention",subtitle:"Environmental and Analytical Update",isOpenForSubmission:!1,hash:"f01dc7077e1d23f3d8f5454985cafa0a",slug:"organic-pollutants-ten-years-after-the-stockholm-convention-environmental-and-analytical-update",bookSignature:"Tomasz Puzyn and Aleksandra Mostrag-Szlichtyng",coverURL:"https://cdn.intechopen.com/books/images_new/872.jpg",editedByType:"Edited by",editors:[{id:"84887",title:"Dr.",name:"Tomasz",surname:"Puzyn",slug:"tomasz-puzyn",fullName:"Tomasz Puzyn"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"52052",title:"Making Soil More Accessible to Plants: The Case of Plant Growth Promoting Rhizobacteria",doi:"10.5772/64826",slug:"making-soil-more-accessible-to-plants-the-case-of-plant-growth-promoting-rhizobacteria",body:'\nSoil is a composed of minerals, organic matters, water, and microorganisms and it covers the surface of the earth. Soil not only provides an attachment surface for plants but also the necessary materials for their growth. It also acts as host to many types of bacteria. The number of bacterial species living in the soil varies according to the environmental conditions such as temperature of the soil, amount of salt, chemicals, and moisture in the soil, and plants growing nearby in the soil [1]. Bacteria are usually found abundant around the rhizosphere. The term “rhizosphere” was first coined by Lorenz Hiltner in 1904 to define the layer of soil around the plant root that is populated by microorganisms. The relationship between the plant and the soil bacteria can be beneficial, harmful, or neutral according to the environmental conditions surrounding the plant [2]. For example, bacterial species that has the trait to increase phosphate solubility of the plant can only be beneficial when the plant is growing on a phosphate‐poor soil. When the phosphate is given to the plant as fertilizer, the bacterium species becomes neutral from the plant point of view.
\nThe human population has been increasing rapidly and the industrialization grows accordingly. This contributes to the fact that not only the current food sources would not be enough even every condition would stay the same but also industrialization has very negative effects on the environment, such as decrease in the available land for agriculture available land, global warming, and air and water pollution. New strategic solutions should be addressed to improve agricultural yields and sustainability so that the food requirements for the human population will be met with the lowest environmental impacts. A likely solution can be the use of “plant growth promoting rhizobacteria (PGPR)”, soil bacteria which colonize at the rhizosphere of the plants stimulating the plant growth. The term PGPR was first coined by Kloepper and Schroth in 1978. The type of PGPR is directly related to the products exudate by the plant root such as sugars, organic acids, and proteins. Understanding how the plant chooses which type of PGPR would form the microbial community in the rhizosphere would give us insight when choosing PGPR inoculants for increased plant crop yields and is a major scientific issue [3].
\nThere are numerous types of bacteria which have been observed to possess at least one PGPR trait such as
Phytohormones, another name for plant growth substances, are plant hormones or messengers that influence the plant’s response to its environment. These organic compounds are produced in one part of plant in a very low amount and carried into the other locations of the plant [4]. The physical responses gained by these hormones are ripening or growth of roots and leaves.
\nThere are five main types of phytohormones: auxins, gibberellins, ethylene, cytokinins, and abscisic acid. PGPR usually produces cytokinins, gibberellins, and IAA as phytohormones.
\nCytokinins are compounds whose structure is similar to adenine. As the name suggests this hormone induces cytokinesis (cell division) in plants thus involves in growth, root initiation, increase in root surface area [6, 7]. This hormone can be synthesized by plant, some PGPRs, and yeast strains [8]. Some phytopathogens are also reported to synthesize cytokinins, but the amount of the produced hormone regulates whether it promotes or induces plant growth. Various bacterial strains of
Gibberellin, another phytohormone is also synthesized by some cytokinin‐producing PGPR. Gibberellin has a role in flowering, germination, dormancy, sex expression, and plant growth. The gibberellin and cytokinin mechanisms for bacterial production and regulations are now fully understood. Thus, the known effects of these hormones come from the plant physiological knowledge [10].
\nIAA (indole‐3‐acetic acid) is the most significant and most studied auxin produced by plants [9] and PGPR which has role in cellular responses such as cell division, organogenesis, gene expression, pigment formation, seed germination, root development, photosynthesis, and tropic responses (such as to gravity and light) [9, 11]. IAA also has role in stress resistance of plants [12]. Like cytokinin, the amount of IAA can be both inhibitory and stimulatory. The amount of IAA that required for the plant growth promotion is influenced by the plant species and the bacterial species [4]. Since IAA is responsible for root formation and lengthening, one of the effects of IAA on plants is increasing the amount of nutrients by the root and the amount of exudation from the root [13]. The increase in exudations promotes the increase in biomass of PGPR and the nodule formation in the rhizosphere [14].
\nPhytohormone ethylene is responsible for ripening of fruit, promoting root growth, activation other phytohormones, inhibiting formation of
Nitrogen is an essential element for life as it is present in the structures of important biochemicals such as proteins and nucleotides. Although the air is rich with N2 (g), plants, and many other complex organisms cannot use nitrogen in this form. Biological nitrogen fixation (BNF) process by N‐fixing bacteria produces the ammonia which can be used by plants as a nitrogen source. Plants biomass and product yields are limited by the amount of nitrogen available, thus applications of N‐containing fertilizers is heavily used in agriculture. The downside of using chemical fertilizers is they are expensive and have negative impact on environment. Using PGPR and providing needed nitrogen by the BNF can be an alternative way to increase agricultural yield [16, 17].
\nBiological nitrogen fixation fortunately not limited to the PGPR that forms symbiotic nodules with legumes, but there are nonsymbiotic free living nitrogen fixing bacteria as well.
Nitrogen is not the only crucial element for life which can limit the plant growth. For example, phosphorus is also essential for the plants. Soil holds large amounts of phosphate, yet it is found in insoluble form. Some PGPR are reported to solubilize the phosphate in the soil through acidification, chelation, or enzymatically [19]
It has been known that, microorganisms compete against each other for nutrients, colonization sites in their natural environments. Many PGPR species evolved mechanism to reduce competition such as releasing of antibiotics, lytic enzymes, or weak organic acids to the environment. This characteristic of PGPR makes it a valuable tool against plant pathogens [18]. Yet, increase in the usage of antibiotic producing bacteria might result in development of resistant pathogens.
\nThe enzymes that PGPR secrete to eliminate pathogens such as
Induced systemic and systemic acquired resistances are response mechanisms that plants evolved against pathogens. Unlike systemic acquired resistance (SAR) which is triggered by infection by a pathogen, in ISR, the trigger is a PGPR which will make the plant resistance to phytopathogens. ISR starts at the root and spreads to the shoots [21]. This phenomenon was first observed in 1991 by van Peer et al. They infected
Iron is another essential nutrient for plants. In aerobic conditions, iron is found as Fe3+ form which is not soluble for microorganisms and plants. Some microorganisms produce and secrete low mass iron chelators. These chelators are called siderophores and have high affinity for iron. These operate as solubilizing agents for Fe3+ in limiting conditions. Fe3+ becomes Fe2+ for while entering the cell membrane and then unbind from the siderophores inside the cell [22].
\nSiderophore production is also observed to be a biocontrol mechanism, since with this process, PGPR derives other microorganisms from iron. PGPR also reported to use siderophores to obtain other heavy metals (such as arsenic) from the soil and prevents the heavy metal toxicity in plants [23]. This characterization can be used for bioremediation of the heavy metal toxic soil as well.
\nEthylene is a phytohormone which is also secreted as response to biotic and abiotic stresses such from salt, drought, or pathogenic bacteria. Although promoting growth and ripening of fruits, in high amounts ethylene have harmful effects on the plant. Many PGPRs synthesis an enzyme called ACC deaminase, which destroys the precursor of ethylene called 1‐aminocyclopropane‐1‐carboxylate (ACC), thus decreasing the ethylene levels and relieving the stress of the plant [24].
\nSome PGPRs which do not have the ability to produce ACC deaminase, can also promote the growth of plants via secretin of IAA even though other inhibitory factors are found in the environment [9].
\nRhizobacteria are soil bacteria which colonize at the root of legumes forming nodules. They fix the atmospheric nitrogen for the plant benefit in exchange for carbon source. Rhizobacteria are the most known PGPRs. Inoculation with rhizobacteria provides biomass increase in legumes [4, 9].
\nRhizobacteria are host‐specific bacteria, meaning that they will not form rhizosphere nodules with any type of plants. The most common rhizobacteria are Rhizobium and Bradyrhizobium. They are both Gram‐negative, rod‐shaped (bacilli) bacteria. Rhizobium forms symbiotic nodule with vetches, peas, lentil, clovers, and beans [4].
\nFortunately, nitrogen fixation is not limited to Rhizobacteria. There are many free‐living species which can also perform biological nitrogen fixation.
\nSome important nonsymbiotic nitrogen‐fixing bacteria include
Applications of
The family
Plant growth promoting rhizobacteria are being intensify researched to increase crop yields, to protect the plants and stimulate the plant growth via phyhormone production. Even though the mechanisms behind PGPR characteristics are not fully discovered, there are many commercialized PGPR strains which are used as agricultural inoculants. These strains are
The inoculation of agricultural plants with PGPR still makes the minor fraction of crop enhancement methods. To increase the application of PGPRs, the mechanisms that are unknown should be studied, the differences and advantages of using nonsymbiotic PGPR over rhizobacteria species should be determined. The production and storage of the PGPR inoculants should be addressed.
\nDue to the climate and soil composition, there are inconsistencies between the greenhouse trials’ results and the field trials should be minimized. A computational approach can be used to find the interaction of plant and PGPR and simulate physiological responses under certain environmental conditions.
Trauma is one of the leading causes of death worldwide [1] with 5.8 million lives lost each year as a direct result of injury [2], and it is a major economic burden to society in both Europe and United States [1, 3]. Trauma management is demanding for clinicians, often a life-threatening and most of the time a painful condition. Early and effective pain control in trauma is essential not only for acute status control, but has also been associated with a lesser incidence of chronic pain, as well as a shorter period of recovery [1, 2]. Many factors influence the selection of analgesics, and we have available a generous options of pain killers, but in reality, an adequate pain control is often difficult to achieve. According to many reports, trauma patient analgesia is remaining an undermanaged condition [3, 4, 5]. Opioid analgesics are often appropriate first-line pain killers for acute pain but come with hemodynamic and respiratory depression, as well as concerns about the addiction risks. Ketamine is a dissociative and analgesic drug that can be used alone or in combination with other analgesic medication. The terms low-dose, analgesic, pain control and sub-dissociative dose can be used interchangeably.
Ketamine is an agent with attractive pharmacological and pharmacokinetic characteristics. Ketamine is a potent dissociative agent with an evolving role in the management of both pediatric and adult trauma patients due to its sedative, analgesic and anesthetic properties, beside its sympathomimetic effect. Ketamine is a derivate of phenylcyclidine with a hallucinogenic property, beside its primarily antagonist activity on N-methyl-D-aspartate receptors although it also acts on opioid (μ), and muscarinic receptors, and sodium channels. Its action is targeting the central nervous system
The sedative and analgesic effects of this drug begin to wear off in 10–15 min.
For many years, ketamine was considered to be a harmful drug to use for airway management or in multiple trauma conditions, especially where a traumatic brain injury component was involved, due to fears of increasing intracranial pressure (ICP) [6]. But recent studies show which can be a real helpful drug, in certain conditions like the combative trauma patient who needs airway management or other situations like improving pain control or anesthesia induction in a hemodynamically unstable trauma patient [6]. Recent experiences show that do not raise intracranial pressure as was once assumed and does raise blood pressure improving cardiovascular stability, unlike most sedating drugs [6]. Also, a drug should be considered extremely helpful for acute invasive procedures that need to be performed under sedation [7, 8], offering a great advantage of analgesia and respiratory stability at the same time. Ketamine is known an optimal drug in various emergency settings. Also, away from the emergency room, studies have been performed to assess the safety and efficacy of ketamine for trauma patients, showing that ICU patients with a sub-dissociative ketamine infusion needed fewer opioid analgesics and had a better hemodynamic stability [9]. In this chapter, we present the current literature surrounding the safety and efficacy of ketamine in the trauma condition to establish its utility for these patients.
Ketamine has minimal effects on the respiratory drive and protective reflexes of the protective airway reflexes are maintained, thus allowing to keep spontaneous ventilation. However, administering high doses that would be used for anesthetic effect there is a risk of respiratory depression [5, 9]. Ketamine is also responsible for bronchodilation, increased salivation, pulmonary vasodilation and increased cardiac output, through increasing mean arterial pressure and heart rate. Its profile on hemodynamics is favorable, making this agent a unique drug, a considerable option especially in approaching a shocked trauma patient. Also, its depressant effects on the gastrointestinal system are very minimal. Ketamine could have an antiplatelets action by inhibiting phosphoinositide breakdown and mobilization of Ca2+ in those platelets stimulated by collagen [10].
The physiological mechanisms lead to neuroprotection, vasodilation and increased cerebral blood flow.
In particular, new clinical data and case studies support a therapeutic effect of ketamine in suppression of spreading depolarization (SD) following traumatic brain injury (TBI). This is fundamental as SD has been suggested as an important mechanism for secondary brain injury and delayed cerebral ischemia [10].
Ketamine has been recently discovered to be a “glutamate modulator.” Its action is exerted at two levels: (a) presynaptic, inhibiting the release of glutamate and (b) post-synaptic, performing as a competitive blocker of NMDA receptors, also inhibiting calcium entrance into cells and the production of nitric oxide and oxygen-free radicals, modulating glucose metabolism and the generation of mitochondrial ATP, and also, inhibiting the apoptotic phenomenon. Furthermore, it inhibits the production and release of cytokines not only by the microglia but also by interleukin-8, tumor necrosis factor, Ca++, K+, oxygen-free radicals, adenosine triphosphate.
The cerebral metabolic rate of oxygen is increased, although in a heterogeneous action, more in insula and the frontal lobes, while decreasing in the temporal lobes, pons and cerebellum. Cerebral blood flow does not follow the same pattern. Probably, a dose-dependent uncoupling mechanism is implied. Intracranial pressure remains unaffected or even sometime decreased, being associated with increases in cerebral perfusion pressure.
Cerebral oxygenation remains unchanged. Moreover, ketamine does not compromise the autoregulatory mechanisms or the carbon dioxide (CO2) reactivity of the cerebral vasculature [10, 11].
It is important to promote recent findings that NMDA receptors have different protein subpopulations in their composition, capable of triggering various pathways that stimulate proliferation, synaptogenesis or neuronal regeneration, depending on which protein is activated [12].
Extensive studies have shown that after stroke or traumatic brain injury, NMDA receptors remain hypofunctional, which could be responsible for cognitive impairments. Activating and stimulating these receptors by alternative pathways (glycine/serine) is a promising strategy [12].
There are convincing evidences demonstrating the efficacy and safety of ketamine as an analgesic for trauma patients.
In a very recent meta-analysis published in 2020, where controlled human studies were included, Mahmoud Yousefifard performed extensive search conducted in electronic databases gathering data to the end of 2018. The efficacy and side effects of ketamine administration in prehospital pain management were compared with those of opioid analgesics. Data from seven articles were included in the present meta-analysis. Ketamine administration was not much more effective than administrating morphine or fentanyl in prehospital pain management of trauma patients. However, co-administration of ketamine + morphine was considerably more effective than ketamine alone, in alleviating pain in prehospital settings. Finally, it was concluded that ketamine alone had less side effects than morphine alone. However, co-administration of ketamine + morphine increases the risk of side effects compared with when morphine is prescribed alone [13].
In 2020, Gaël de Rocquigny published a systemic review in regarding the use of ketamine for prehospital pain control on the battlefield [14]. This included a database searching for studies on ketamine use in combating prehospital settings, at the point of injury or during evacuation. Eight studies were included with 2029 casualties receiving ketamine. Ketamine use increased from 3.9% during the period preceding its addition to the Tactical Combat Casualty Care guidelines in 2012 to 19.8% after this guidelines release. It was the analgesic of choice (up to 52% of casualties) in one of the studies. Ketamine has been preferred to be given during tactical medical evacuation when no analgesic was administered at the point of injury. Pain score decreased from moderate or severe to mild or none, often after only one dose. In one study, ketamine administration during tactical evacuation was associated with increased systolic blood pressure as opposed to those situations when morphine was given. Incoherent speech, hallucinations and extremity movements were the most seen adverse events reported. However, all studies tend to strengthen the belief in the efficacy and safety of ketamine when given at 50-mg to 100-mg intravenous for prehospital analgesia in combat casualties. So, from these army studies, we can easily extrapolate these findings and apply to the civil medicine.
In 2018, Mary K. Walters published a study on the ketamine as an analgesic adjuvant in a trauma patient with rib fractures. This was a retrospective study, based on case-control chart review assessing ICU adult patients with a diagnosis of ≥1 rib fracture and an Injury Severity Score > 15. Patients received standard-of-care analgesia with the physician’s choice medication with or without ketamine as a continuous, fixed, intravenous infusion at 0.1 mg/kg/h. The authors pointed out that low-dose ketamine appears to be a safe and effective adjuvant option to reduce pain and decrease opioid use in rib fracture [15].
In 2019, Thomas Carver published a prospective, randomized, double-blind placebo-controlled trial on ketamine infusion for pain control in multiple rib fractures. This level II of evidence study included adult patients with three or more rib fractures admitted to a Level I Trauma Center. Other exclusion criteria were Glasgow Coma Scale score less than 13 and chronic opiate use. The experimental arm received low-dose ketamine (LDK) at 2.5 μg/kg/min, while the placebo cohort received an equivalent rate of 0.9% normal saline. The primary outcome was reduction in numeric pain score (NPS) during the first 24 h. From the secondary outcomes studied, oral morphine equivalent (OME) utilization was included. The average Injury Severity Score (ISS) was 14. Low-dose ketamine failed to decrease NPS or OME within the overall cohort, but a decrease in OME was observed among patients with an ISS greater than 15. This study authors also conclude that confirmatory studies are necessary to determine whether LDK is a useful adjunct among severely injured patients [16].
In 2017, Babak Mahshidfar conducted a randomized double-blinded clinical trial to compare low-dose ketamine (LDK) with morphine for pain relief in trauma patients. He enrolled 300 trauma patients from the emergency room of two university hospitals. The patients were randomly divided into two groups. The first group was administered i.v. 0.2 mg/kg of ketamine, while the second group received 0.1 mg/kg of i.v. morphine. The results of this study suggest that LDK, at a dose of 0.2 mg/kg, in the earlier minutes leads to significant reduction of pain when compared with that of intravenous morphine. It also created fewer complications than morphine [17].
In 2014, Joshua P Miller performed an institutional review board-approved, randomized, prospective, double-blinded trial at a tertiary, Level 1 Trauma Center. The study was focused on low-dose ketamine vs. morphine for acute pain control in the ED. They enrolled adult patients with acute abdominal, flank, low back or extremity pain. Subjects were consented and randomized to intravenous LDK (0.3 mg/kg) or intravenous MOR (0.1 mg/kg). The primary outcome was the maximum change in NRS scores. Low-dose ketamine compared with MOR for acute pain did not produce a greater reduction in NRS pain. But it is assumed that LDK induced a significant analgesic effect within 5 min and provided a moderate reduction in pain for 2 h. The time to achieve maximum reduction in NRS pain scores was at 5 min for LDK and 100 min for MOR. Vital signs, adverse events, clinician and nurse satisfaction scores were similar between groups [18].
In 2012, Paul A. Jennings proved that intravenous morphine plus ketamine provides analgesia superior to that of intravenous morphine alone. This is a prehospital study, randomized, prospective and controlled study. Patients with traumatic condition and a verbal pain score of greater than 5 after 5 mg of i.v. morphine were eligible for enrollment. Patients included in the ketamine group were administered a bolus of 10 or 20 mg, followed by 10 mg every 3 min. The second group patients received just morphine 5 mg i.v. every 5 min until pain free. Pain scores were regularly assessed until hospital arrival. The study conclusion was intravenous morphine plus ketamine for out-of-hospital adult trauma patients providing analgesia superior to that of intravenous morphine alone but was associated with an increase in the rate of minor adverse effects [19].
In 2017, Benov and colleagues published a review of data cases from 17 years of time frame from the military prehospital trauma registry of the Israeli Defense Forces. This included data from 141 solders patients, victims of explosion, who had received ketamine for analgesia. This review made a relatively conclusive statement: “Ketamine in subanesthetic doses is almost an ideal analgesic exhibited through its profound pain relief, its margin of safety, and its role in potentiation of opioids and prevention of opioid hyperalgesia” [20].
In 2007, Michel Galinski investigated the morphine consumption associated with ketamine for severe acute pain in emergency setting, where patients with a visual analog scale (VAS) score of minimum 60/100 were included. The K group patients received 0.2 mg/kg of i.v. ketamine over 10 min, while the P group patients received sodium chloride, as the control group. The patients from both groups were given an initial intravenous morphine dose of 0.1 mg/kg, plus as required doses were supplemented with 3 mg every 5 min. Efficient analgesia was defined as a VAS score not exceeding 30/100. The goals of this study were to assess morphine consumption and VAS at 30 min. They concluded that morphine consumption was much less in the K group vs. the P group. The VAS score at T30 did not differ significantly between the two groups [21]. We could assume the fact that the VAS score at T30 was similar for the two groups due to the fact that the time action for the ketamine dose is roughly around 10–15 min, and the K group received just an initial dose. So probably I would have been better also to have a VAS score at T15, for example, for more realistic and objective findings.
In 2019, Sheila C. Takieddine investigated whether ketamine administered
In 2017, Kaitlin A. Pruskowski conducted a study to investigate the efficiency of the initiation of a ketamine continuous infusion in critically ill trauma patients for sedation and analgesic purposes. The secondary goals were to find out the patient population in which ketamine was administered, assess the time patients reached their goal level of sedation and find out the dosing required as adjunctive sedative agents. This retrospective chart review was investigated for 19-month period. This study was focused on the critically ill mechanically ventilated trauma patients. The study concluded that the use of ketamine in critically ill mechanically ventilated adult trauma patients was associated with decreased opioid use but it was also associated with the increased use of dexmedetomidine and ziprasidone to achieve and maintain sedation [23].
In 2014, Kim Phung Tran published a prospective study aiming to compare the analgesic effects and side effects of ketamine and morphine in out-of-hospital environment. The conclusion of this research was that ketamine had a pain control effect similar to morphine, and also accompanied by a lower risk of airway patency issues. The side effects as agitation and hallucinations were higher in incidence in the ketamine group. These conclusions are to be well appreciated as utility and application, particularly in rough and low-resource environments [24].
Bredmose PP conducted in 2009 another prospective study in the field of prehospital care investigating ketamine for analgesia and procedural sedation. This study evaluated the role of ketamine for analgesia and sedation in 1030 trauma patients in a prehospital trauma service led by physicians. Ketamine administration was the first choice in awake non-trapped victims with blunt trauma for analgesia and procedural sedation. This study data interpretation did not point out concerns for loss of airway, oxygen desaturation or clinically significant emergence reactions associated with ketamine use. Ketamine could be considered relatively safe when administered by physicians in out-of-hospital trauma care [25].
Still remaining in the prehospital field, it is advocated that there are many features of ketamine that seem to make it an ideal drug for prehospital use, including disaster surgery where extra personnel and advanced monitoring are not available.
In light of these premises, James E. Svenson performed a retrospective study of all patients transported by a regional aeromedical program. Data were collected from 40 patients, where ketamine was used. The study included pediatric and adult patients with age between 2 months and 75 years old. The indications for administration varied, from trauma to medical conditions. Shock status with need for analgesia, combativeness or agitation, intact airway concerns, or pain unresponsive to opioid drugs were the most common indications for use. Ketamine was administered either intravenously or intramuscularly (when no intravenous access was available). Minimal or no adverse effects [26] were reported.
In 2019, Kugler, Nathan published a level I of evidence study, randomized, double-blind placebo-controlled prospective trial enrolling elderly patients (age, ≥65 years) with three or more rib fractures presented to a Level I trauma center. The exclusion criteria were Glasgow Coma Scale score less than 14 and/or chronic opiate medication. Patients were randomized in two groups, either low-dose ketamine (LDK) at 2 μg/kg/min or an equivalent rate of 0.9% natrium chloride. This study conclusion is that low-dose ketamine failed to affect NPS or OME within the overall cohort, but a decrease in OME was observed in those with an Injury Severity Score greater than 15. Also, in this view, it is recommended that additional studies are necessary to confirm whether LDK benefits severely injured elderly patients [27].
One of other benefits of using ketamine in trauma is that could be an option for rapid sequence intubation (RSI) induction and maintaining sedation. Ketamine has emerged as an alternative for RSI induction, because the conventional propofol makes hemodynamics vulnerable and induction doses of etomidate during rapid sequence intubation cause transient adrenal dysfunction, where clinical significance on trauma patients is uncertain.
Cameron P. Upchurch in 2017 published the four-year retrospective study comparing etomidate and ketamine for induction during rapid sequence intubation of adult trauma patients. In this analysis spanning an institutional protocol switch from etomidate to ketamine as the standard rapid sequence intubation induction agent for adult trauma patients, patient-centered outcomes were similar for patients who received etomidate and ketamine [28].
In 2019, Josefine Baekgaard investigated whether ketamine should be preferred over other induction agents for RSI in trauma patients. Library was systematically searched for studies reporting RSI of adult trauma patients with ketamine compared with another induction agent (etomidate, propofol, thiopental or midazolam). Extremely few studies have compared induction agents for RSI in trauma patients. Only four studies were included. The review conclusion was that no significant differences have been found in mortality, length of hospital stay or a number of blood transfusions after induction with ketamine compared with other induction agents, but a clinically relevant benefit or harm cannot be excluded [29].
In 2021, Lucy Stanke aiming to bring more evidences in the prehospital field of RSI drug comparison published a retrospective study to evaluated adult patients undergoing prehospital RSI over 13 months within a regional emergency transport medicine service. The purpose of this study was to evaluate hemodynamic changes after the administration of ketamine versus etomidate in prehospital RSI. The analysis emphasized that no cardiovascular differences were reported between patients who received ketamine versus etomidate for out-of-hospital RSI. None of these two drugs was associated with an increased requirement for additional hypnotics, and neither drug was associated with an increased first-attempt tracheal intubation success rate. This study also concluded that more studies, on larger cohorts and prospective designs, are needed to identify patients who may benefit from either ketamine or etomidate [30].
During emergency situations where RSI of anesthesia is required like in shocked or hypotensive patients (e.g., massive hemorrhage due to ruptured major vessels, pelvic fracture or other polytrauma conditions), prior resuscitation is often suboptimal and comorbidities (particularly cardiovascular) may be extensive, making challenges even worst. The induction drugs with the most favorable pharmacological properties offering a hemodynamic stability appear to be etomidate and ketamine. However, etomidate has been withdrawn from use in some countries and is known to impair steroidogenesis. Ketamine has been traditionally contra-indicated in the presence of head trauma, but we argue in this article that any adverse effects of the drug on intracranial pressure or cerebral blood flow are in fact attenuated or reversed by a better cardiovascular stability, sedation and controlled ventilation conferred by the drug. Ketamine represents a very rational option for RSI in hemodynamically compromised patients [31].
For many years, the use of ketamine was restricted in TBI patients based on evidence from the 70s that suggested its detrimental effect on intracranial pressure. New research in healthy volunteers or in patients without neurological comorbidities scheduled for general surgery demonstrated that intracranial pressure, cerebral blood flow and cerebral perfusion pressure increase during anesthesia with variable doses of ketamine and no neurological side effects or sequels were noticed [32, 33]. Other series of studies with small numbers of patients with different central nervous system pathologies that had in common abnormal cerebral spinal fluid circulation reported similar findings, emphasizing the absence of side effects [34, 35, 36, 37, 38, 39]. Other recent systematic studies with various degrees and types of limitations reported that in heterogeneous acute brain populations (subarachnoid hemorrhage, tumors, TBI), ketamine induces only temporary variations in intracranial pressure without modifying cerebral perfusion pressure and has no detrimental effect on outcome, intensive care unit stay or mortality [36, 37, 38]. When assessing populations of severe acute bran injury, ketamine was not associated with an increase of intracranial pressure in sedated and normocapnic mechanically ventilated patients; furthermore, ketamine may decrease intracranial pressure in some individualized situations [39]. Other recent updates of ketamine administration in TBI led to similar findings [40].
As regards the ketamine use in acute phase of severe traumatic brain injury (TBI), in 2021, Daniel Agustin Godoy stated that ketamine is “an old drug for new uses,” having more and more evidences of its benefits even in this condition. In the acute phase of severe acute brain injury, it is paramount to prevent and avoid secondary insults that can further complicate a primary brain injury [41]. Managing a goal-driven sedation and optimal pain control is a cornerstone of improving patient survival, satisfaction and minimizing distress. Without an optimal sedation, there are rising consequences including delayed recovery, difficult weaning from mechanical ventilation, higher complication rate and prolonged hospital staying [42].
Several different classes of hypnotic drugs are used in the management of patients with TBI [43, 44, 45]. These drugs are used at induction of anesthesia, to provide and keep sedation, to reduce elevated intracranial pressure, to control seizures and facilitate mechanical ventilation [46, 47]. To date, it is unclear which agent or combination of drugs is the most effective in achieving these goals. Ketamine is a versatile agent with attractive pharmacological and pharmacokinetic properties.
Controversies concerning the optimal sedation management persist, especially in critically TBI, who were systematically excluded from large randomized studies [44]. Different from other agents, ketamine does not depress respiratory activity or airway reflexes (except at very high doses) and may have potential neuroprotective effects, as well as a potential in decreasing seizures and non-convulsive epileptic activity [48, 49]. These properties make from ketamine a realistic choice when profound analgesia and sedation are required.
But there are still some restrictions in severe traumatic brain injury, and certain conditions would contraindicate ketamine administration, such as loss of cerebral autoregulation, hydrocephalus or the concomitant presence of untreated brain aneurysms [40, 50, 51].
Ketamine induces intraocular pressure (IOP) changes bur, which are mild and without clinical significance [52, 53]. The current guidelines do not limit the use of ketamine in known or suspected open globe injuries [54].
Ketamine is not recommended to be used for procedural sedation in eye examination as one of the known side effects of this drug is nystagmus.
An absolute contraindication is hypersensitivity to this drug [40]. Due to hepatic metabolism and mainly kidney elimination, it should not be administrated in the context of liver failure and/or renal failure [40, 50, 51]. Other relative contraindications are those conditions where high blood pressure triggers potentially dangerous complications such as diastolic cardiac dysfunction, coronary ischemia or aortic dissection [40, 55]. In severe alcoholism, toxicity of ketamine has been described [40]. Use of ketamine in pediatrics is restricted to children younger than 3 months of age. There was reported higher incidence of airway complications like laryngospasm in very young patients [52].
Concerning the TBI, there are only a few contraindications nowadays. These were presented in a previous section.
Nevertheless, ketamine attributes to psychotomimetic effects, which could be the main reserve for not being a first choice when sedation is required [48, 49].
In this section, indications for ketamine use will be divided in four general situations: analgesia, procedural sedation, induction of anesthesia/RSI and acute agitation/excited delirium [56].
Ketamine’s analgesic effect is comparable to opioids but with a lesser impact on hemodynamics or respiratory system.
Ketamine could be an optimal analgesic in a trauma condition with moderate to severe pain, in or at risk for developing hemorrhagic shock or respiratory failure [57].
Ketamine potentiates the analgesic effect of opioids and could be given to trauma patients with insufficient pain control after receiving opioids or when a top-up of opioids may be risky or harmful.
Ketamine may be given to the trauma condition, as an alternative to opioids or other non-opioids medication.
Ketamine could be an adequate option for the trauma patient receiving buprenorphine/naloxone for opioid misuse.
Ketamine is optimal choice as a procedural sedation agent in patients with or at risk for respiratory failure or hemorrhagic shock.
For short sedation procedures as in burns debridement or musculoskeletal injuries maneuvers.
Is an optimal choice in shocked trauma patients for RSI due to its analgesic and sedative features and also for its cardiovascular stability?
Ketamine may be used in trauma conditions when fast control of agitation is required such as in patients with delirium or when rapid control is essential to diminish the risk of injury to staff, family or the patients themselves.
The dose considerations of ketamine in adults can be either body weight-based or non-weight-based. For a better accuracy in dose calculations in pediatrics, the dose should always be weight or length based using a standardized measuring tape.
There are no standard recommendations for the ketamine dose. What follows are dose recommendations based on literature review and expert opinion.
Intermittent dose:
0.1–0.3 mg/kg (maximum 30 mg) i.v. every 20 min as required for a maximum of three doses.
This can be given by slow i.v. push or as an i.v. bag over 10–15 min (associated with side effects such as feelings of unreality and oversedation with no difference in analgesic efficacy) [58].
0.5–1.0 mg/kg intranasal (i.n.)
Adult continuous infusion dose:
0.1–0.4 mg/kg/hour i.v.
Adult non-weight-based analgesic dosing:
50 mg i.m., repeat as required every 30–60 min for pain control or until nystagmus develops indicating approach of the dissociative state.
20 mg slow i.v./i.o. push over 1 min, repeat as required every 20 min for desired analgesia or until nystagmus appears indicating reaching the dissociative state.
1 mg/kg i.v. (maximum 100 mg per dose)
Induction of anesthesia/RSI
2 mg/kg i.v. (maximum 200 mg)
3–5 mg/kg i.m.
1–2 mg/kg i.v.
i.v. access in the acutely agitated patient or the patient with excited delirium might be too risky and difficult; so, it is not advisable due to the increased risk to the practitioner of occupational needle stick injury.
High-dose (5 mg/kg) prehospital i.m. ketamine administration is associated with an increased intubation rate upon arrival to the hospital [59, 60, 61]. Clinicians giving high-dose ketamine should be prepared to control the airway.
In some expert’s opinion doses between 0.5 and 0.9 mg/kg i.v. are not efficacious for sedation and could trigger a sense of unreality that can lead to issues in patient management.
Ketamine can induce a transient apnea in high doses or with fast administration. These conditions are associated with higher intubation rate. Patients given ketamine should be kept under observation for the risk of respiratory failure, and clinicians using ketamine, especially in high doses, should be ready to take over airway control.
There is a lack of safety data to support recommendations in what concerning the use of ketamine in pregnancy and during breast feeding [62].
Another previous controversy, but recently cleared, ketamine use can be considered in trauma patients with schizophrenia as there does not seems to be a higher incidence of psychosis in these kinds of conditions [63, 64].
Fast IV administration can trigger transient apnea. Ketamine should be given in a slow bolus, over 1 min or more unless being used in RSI where it is followed shortly by a muscle relaxing drug and intubation. Transient apnea following i.m. administration appears to be extremely rare [43].
Reported side effects are laryngospasm, hypersalivation, nausea, dizziness, nystagmus, dysphoria and emergence agitation. Most of the time, these side effects are transient and self-limited and do not require any intervention or rescue. If laryngospasm occurs, it can be managed with repositioning or jaw thrust and positive pressure ventilation. In rare instances, intubation may be necessary.
Emergence reactions are notable to be rare. When appears, these can be safely managed with benzodiazepine use. Pre-medicating with benzodiazepines is not recommended.
When used in concomitantly, ketamine increases the pain control effects of opioids. The administration of ketamine and opioids in combination improves analgesia with lesser doses of opioids thus decreasing the chance of opioid-induced adverse effects on cardiovascular and respiratory system [65].
Combining ketamine with opioid medication has been reported to block opioid-induced hyperalgesia and acute opioid tolerance.
When used in concomitantly, ketamine increases the sedative effects of benzodiazepines with its risk for respiratory depression. Extra caution should be sought, and airway monitoring should be considered.
Benzodiazepines should not be used prophylactically to prevent emergence reactions and should only be considered to manage an emergence reaction if the patient is a danger to themselves or staff. Suboptimal sedation requesting additional ketamine versus a true emergence reaction should be taken into consideration before the benzodiazepine administration.
Ketamine increases the sedative effects of alcohol, and it is essential to anticipate the risks of respiratory decompensation when ketamine is administered to an acutely intoxicated patient [57].
Ketamine should be excluded if cocaine use is suspected as ketamine’s sympathomimetic effects could superimpose over the cardiovascular toxicity of cocaine [18].
In the literature, there are not sufficient data in what concerning the use of ketamine in the geriatrics. It is advisable to decrease the dose when using ketamine in the elderly since NMDA receptor binding is slowed with age.
Ketamine is an alternative option to opioids and benzodiazepines for analgesia and sedation in the pediatric trauma patient over the age of 3 months.
Because of possible negative consequences on the developing brain in kids who have received repeated or prolonged exposure to drugs that block NMDA receptors, the use of ketamine in infants less than 3 years of age should be assessed within the context of the benefits and risks of the procedure [19].
Before ketamine use, it is first to take into account the adjunct measures for analgesia such as fractures immobilization or dislocations reductions.
Precautions should be taken when using ketamine out of hospital in the head-injured child. Adverse effects of ketamine in the children with head injuries have not been reported in the literature, though evidence on this topic is limited [66].
Analgesia and sedation are dynamic processes that must meet specific goals, be controlled and be easily modified according to the progress of patient’s condition. Knowledge of drug pharmacology and its safety margin and profile are paramount to limit their side effects. Setting a goal-directed strategy, establishing local protocols of administration and monitoring treatment are the cornerstone of an efficient analgesia and sedation strategy. These qualities contribute to fulfilling an optimal and safe level of sedation, looking to balance the deleterious effects of under or over sedation [12].
Further studies on the use of ketamine in the adult and pediatric trauma patient population are required.
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His studies in robotics lead him not only to a PhD degree but also inspired him to co-found and build the International Journal of Advanced Robotic Systems - world's first Open Access journal in the field of robotics.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"441",title:"Ph.D.",name:"Jaekyu",middleName:null,surname:"Park",slug:"jaekyu-park",fullName:"Jaekyu Park",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/441/images/1881_n.jpg",biography:null,institutionString:null,institution:{name:"LG Corporation (South Korea)",country:{name:"Korea, South"}}},{id:"465",title:"Dr",name:"Christian",middleName:null,surname:"Martens",slug:"christian-martens",fullName:"Christian Martens",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"479",title:"Dr.",name:"Valentina",middleName:null,surname:"Colla",slug:"valentina-colla",fullName:"Valentina Colla",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/479/images/358_n.jpg",biography:null,institutionString:null,institution:{name:"Sant'Anna School of Advanced Studies",country:{name:"Italy"}}},{id:"494",title:"PhD",name:"Loris",middleName:null,surname:"Nanni",slug:"loris-nanni",fullName:"Loris Nanni",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/494/images/system/494.jpg",biography:"Loris Nanni received his Master Degree cum laude on June-2002 from the University of Bologna, and the April 26th 2006 he received his Ph.D. in Computer Engineering at DEIS, University of Bologna. On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. His research interests include pattern recognition, bioinformatics, and biometric systems (fingerprint classification and recognition, signature verification, face recognition).",institutionString:null,institution:null},{id:"496",title:"Dr.",name:"Carlos",middleName:null,surname:"Leon",slug:"carlos-leon",fullName:"Carlos Leon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Seville",country:{name:"Spain"}}},{id:"512",title:"Dr.",name:"Dayang",middleName:null,surname:"Jawawi",slug:"dayang-jawawi",fullName:"Dayang Jawawi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Technology Malaysia",country:{name:"Malaysia"}}},{id:"528",title:"Dr.",name:"Kresimir",middleName:null,surname:"Delac",slug:"kresimir-delac",fullName:"Kresimir Delac",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/528/images/system/528.jpg",biography:"K. Delac received his B.Sc.E.E. degree in 2003 and is currentlypursuing a Ph.D. degree at the University of Zagreb, Faculty of Electrical Engineering andComputing. His current research interests are digital image analysis, pattern recognition andbiometrics.",institutionString:null,institution:{name:"University of Zagreb",country:{name:"Croatia"}}},{id:"557",title:"Dr.",name:"Andon",middleName:"Venelinov",surname:"Topalov",slug:"andon-topalov",fullName:"Andon Topalov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/557/images/1927_n.jpg",biography:"Dr. Andon V. Topalov received the MSc degree in Control Engineering from the Faculty of Information Systems, Technologies, and Automation at Moscow State University of Civil Engineering (MGGU) in 1979. He then received his PhD degree in Control Engineering from the Department of Automation and Remote Control at Moscow State Mining University (MGSU), Moscow, in 1984. From 1985 to 1986, he was a Research Fellow in the Research Institute for Electronic Equipment, ZZU AD, Plovdiv, Bulgaria. In 1986, he joined the Department of Control Systems, Technical University of Sofia at the Plovdiv campus, where he is presently a Full Professor. He has held long-term visiting Professor/Scholar positions at various institutions in South Korea, Turkey, Mexico, Greece, Belgium, UK, and Germany. And he has coauthored one book and authored or coauthored more than 80 research papers in conference proceedings and journals. His current research interests are in the fields of intelligent control and robotics.",institutionString:null,institution:{name:"Technical University of Sofia",country:{name:"Bulgaria"}}},{id:"585",title:"Prof.",name:"Munir",middleName:null,surname:"Merdan",slug:"munir-merdan",fullName:"Munir Merdan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/585/images/system/585.jpg",biography:"Munir Merdan received the M.Sc. degree in mechanical engineering from the Technical University of Sarajevo, Bosnia and Herzegovina, in 2001, and the Ph.D. degree in electrical engineering from the Vienna University of Technology, Vienna, Austria, in 2009.Since 2005, he has been at the Automation and Control Institute, Vienna University of Technology, where he is currently a Senior Researcher. His research interests include the application of agent technology for achieving agile control in the manufacturing environment.",institutionString:null,institution:null},{id:"605",title:"Prof",name:"Dil",middleName:null,surname:"Hussain",slug:"dil-hussain",fullName:"Dil Hussain",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/605/images/system/605.jpg",biography:"Dr. Dil Muhammad Akbar Hussain is a professor of Electronics Engineering & Computer Science at the Department of Energy Technology, Aalborg University Denmark. Professor Akbar has a Master degree in Digital Electronics from Govt. College University, Lahore Pakistan and a P-hD degree in Control Engineering from the School of Engineering and Applied Sciences, University of Sussex United Kingdom. Aalborg University has Two Satellite Campuses, one in Copenhagen (Aalborg University Copenhagen) and the other in Esbjerg (Aalborg University Esbjerg).\n· He is a member of prestigious IEEE (Institute of Electrical and Electronics Engineers), and IAENG (International Association of Engineers) organizations. \n· He is the chief Editor of the Journal of Software Engineering.\n· He is the member of the Editorial Board of International Journal of Computer Science and Software Technology (IJCSST) and International Journal of Computer Engineering and Information Technology. \n· He is also the Editor of Communication in Computer and Information Science CCIS-20 by Springer.\n· Reviewer For Many Conferences\nHe is the lead person in making collaboration agreements between Aalborg University and many universities of Pakistan, for which the MOU’s (Memorandum of Understanding) have been signed.\nProfessor Akbar is working in Academia since 1990, he started his career as a Lab demonstrator/TA at the University of Sussex. After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. 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ASD is associated with deficiencies in communication and social interaction, as well as restricted and repetitive behavioural patterns, according to the fifth edition of the diagnostic and statistical manual of mental disorders (DSM-5). By using the ISI Web of Knowledge as the reference data basis, we perform a bibliometric study of the use of VR as an educational tool for high-functioning ASD children. By this study we can quantify, on the one hand, the up to day importance of the different types of VR applied to this field: immersive or non-immersive, as well as the use of human or agent avatars. On the other hand, we can also differentiate amongst those interventions that work on emotional and social competences. The analysis of periods of research scarce, research abundance and research trends provides a dynamic view of the strategies used in this field in the last 20 years and suggests future lines of research.",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Jorge Fernández-Herrero, Gonzalo Lorenzo-Lledó and Asunción\nLledó Carreres",authors:[{id:"187920",title:"Prof.",name:"Gonzalo",middleName:null,surname:"Lorenzo",slug:"gonzalo-lorenzo",fullName:"Gonzalo Lorenzo"},{id:"189580",title:"Prof.",name:"Asunción",middleName:null,surname:"Lledó",slug:"asuncion-lledo",fullName:"Asunción Lledó"},{id:"213024",title:"Mr.",name:"Jorge",middleName:null,surname:"Fernandez-Herrero",slug:"jorge-fernandez-herrero",fullName:"Jorge Fernandez-Herrero"}]},{id:"68639",doi:"10.5772/intechopen.88569",title:"Social Media and Young People’s Mental Health",slug:"social-media-and-young-people-s-mental-health",totalDownloads:2107,totalCrossrefCites:1,totalDimensionsCites:3,abstract:"Evidence suggests that social media can impact detrimentally on children and young people’s mental health. At the same time, social media use can be beneficial and have positive effects. This chapter outlines the detrimental and positive effects of social media use for young people. Schools play a critical role in educating young people about how to use social media safely and responsibly. However, schools cannot address all the issues and parents, social media and advertising companies also have a responsibility to protect children and young people from harm. This chapter outlines some of the potential solutions to the issues that are identified.",book:{id:"7927",slug:"selected-topics-in-child-and-adolescent-mental-health",title:"Selected Topics in Child and Adolescent Mental Health",fullTitle:"Selected Topics in Child and Adolescent Mental Health"},signatures:"Jonathan Glazzard and Samuel Stones",authors:[{id:"294281",title:"Prof.",name:"Jonathan",middleName:null,surname:"Glazzard",slug:"jonathan-glazzard",fullName:"Jonathan Glazzard"},{id:"309587",title:"Mr.",name:"Samuel",middleName:"Oliver James",surname:"Stones",slug:"samuel-stones",fullName:"Samuel Stones"}]},{id:"57269",doi:"10.5772/intechopen.71265",title:"Enhancing Young Children’s Access to Early Childhood Education and Care in Tanzania",slug:"enhancing-young-children-s-access-to-early-childhood-education-and-care-in-tanzania",totalDownloads:1494,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"This chapter draws on the current situation of limited access of young children to early childhood education and care (ECEC) settings in Tanzania. It offers information and evidence on early childhood education and care (ECEC) from an international perspective to those who are, directly or indirectly, involved with young children and their families. Basically, early childhood education and care in Tanzania is still unsatisfactory. Many children have no access to early childhood settings for various reasons including: lack of parents’ awareness on the importance of early investment in education, lack of support from the government, low socio-economic status of parents, gender discrimination, and traditional norms and cultural values. To improve the situation, there is need for a forging of partnership between the government, parents, and the community. Government policy-makers have to set clear policies regarding how quality early childhood education and care can be equitably funded and conducted throughout the country.",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Ignasia Mligo",authors:[{id:"212055",title:"Dr.",name:"Ignasia",middleName:null,surname:"Mligo",slug:"ignasia-mligo",fullName:"Ignasia Mligo"}]},{id:"57391",doi:"10.5772/intechopen.71287",title:"Influence of Parental Divorce on Anxiety Level of Adolescents",slug:"influence-of-parental-divorce-on-anxiety-level-of-adolescents",totalDownloads:1897,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Family divorce might have an effect on some aspects of child development. Adolescence as a transitional stage is marked by process of seeking identity, the need for intimate relationship, as well as the struggle for psychological independence from family. Anxiety is defined as a state of extreme worry, fear, and uncertainty which results from the expectation of a threatening event or situation. The aims of study are: to explore the differences in anxiety levels among adolescents from divorced and intact families; to explore the level of anxiety of adolescents from divorced and intact families with respect to their genders. A demographic questionnaire was created and The Beck Anxiety Inventory was applied to measure anxiety. The scale was applied with 162 participants who were chosen randomly from 5 different high schools in Istanbul province. The study found out that there are statistically significant differences in anxiety level of adolescents between children from divorced and intact families. Descriptive measures are in range as follows: (17.67 ± 9.645). The adolescents from divorced families had a higher level of anxiety (t = 17.322; p < .05). The result related to the second study aim shows that there are no statistically significant differences in anxiety between male and female adolescents from divorced and intact families (p > .05).",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Senija Tahirović and Gokce Demir",authors:[{id:"214445",title:"Dr.",name:"Senija",middleName:null,surname:"Tahirovic",slug:"senija-tahirovic",fullName:"Senija Tahirovic"},{id:"214465",title:"MSc.",name:"Gokce",middleName:null,surname:"Demir",slug:"gokce-demir",fullName:"Gokce Demir"}]},{id:"57686",doi:"10.5772/intechopen.71672",title:"Children and Young People’s Vulnerabilities to Grooming",slug:"children-and-young-people-s-vulnerabilities-to-grooming",totalDownloads:2237,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Child abuse is evolving, pervasive and complex and children are vulnerable to its widespread reach in many aspects of their lives, from face-to-face interactions to those they have online. This chapter aims to review contemporary literature which outlines the vulnerabilities of children to face-to-face and online grooming as part of a process leading to child abuse and exploitation. The chapter will undertake a review of literature on two aspects of grooming: child sexual exploitation (CSE) and radicalisation. It will draw on contemporary case examples to illustrate grooming drawn from UK Serious Case Reviews (SCR) on CSE and, on radicalisation, the case of the three girls from Bethnal Green who were groomed for travel to Syria. It will then reflect on the push and pull factors of grooming to highlight the similarities between CSE and radicalisation. Moving on, the chapter will then consider how and if interactive social media simulations, linked to an innovative, preventative educational approach and designed with reference to Vygotsky’s social construction theory, have the potential to educate young people to help protect them from being groomed. The chapter will then make reference to the findings of a small pilot study which evaluated the use of this approach with young people.",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Jane Reeves, Emma Soutar, Sally Green and Tracy Crowther",authors:[{id:"211328",title:"Prof.",name:"Jane",middleName:null,surname:"Reeves",slug:"jane-reeves",fullName:"Jane Reeves"},{id:"211838",title:"Dr.",name:"Tracy",middleName:null,surname:"Crowther",slug:"tracy-crowther",fullName:"Tracy Crowther"},{id:"211839",title:"Mrs.",name:"Emma",middleName:null,surname:"Soutar",slug:"emma-soutar",fullName:"Emma Soutar"},{id:"211840",title:"Mrs.",name:"Sally",middleName:null,surname:"Green",slug:"sally-green",fullName:"Sally Green"}]}],mostDownloadedChaptersLast30Days:[{id:"57686",title:"Children and Young People’s Vulnerabilities to Grooming",slug:"children-and-young-people-s-vulnerabilities-to-grooming",totalDownloads:2237,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Child abuse is evolving, pervasive and complex and children are vulnerable to its widespread reach in many aspects of their lives, from face-to-face interactions to those they have online. This chapter aims to review contemporary literature which outlines the vulnerabilities of children to face-to-face and online grooming as part of a process leading to child abuse and exploitation. The chapter will undertake a review of literature on two aspects of grooming: child sexual exploitation (CSE) and radicalisation. It will draw on contemporary case examples to illustrate grooming drawn from UK Serious Case Reviews (SCR) on CSE and, on radicalisation, the case of the three girls from Bethnal Green who were groomed for travel to Syria. It will then reflect on the push and pull factors of grooming to highlight the similarities between CSE and radicalisation. Moving on, the chapter will then consider how and if interactive social media simulations, linked to an innovative, preventative educational approach and designed with reference to Vygotsky’s social construction theory, have the potential to educate young people to help protect them from being groomed. The chapter will then make reference to the findings of a small pilot study which evaluated the use of this approach with young people.",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Jane Reeves, Emma Soutar, Sally Green and Tracy Crowther",authors:[{id:"211328",title:"Prof.",name:"Jane",middleName:null,surname:"Reeves",slug:"jane-reeves",fullName:"Jane Reeves"},{id:"211838",title:"Dr.",name:"Tracy",middleName:null,surname:"Crowther",slug:"tracy-crowther",fullName:"Tracy Crowther"},{id:"211839",title:"Mrs.",name:"Emma",middleName:null,surname:"Soutar",slug:"emma-soutar",fullName:"Emma Soutar"},{id:"211840",title:"Mrs.",name:"Sally",middleName:null,surname:"Green",slug:"sally-green",fullName:"Sally Green"}]},{id:"68639",title:"Social Media and Young People’s Mental Health",slug:"social-media-and-young-people-s-mental-health",totalDownloads:2107,totalCrossrefCites:1,totalDimensionsCites:3,abstract:"Evidence suggests that social media can impact detrimentally on children and young people’s mental health. At the same time, social media use can be beneficial and have positive effects. This chapter outlines the detrimental and positive effects of social media use for young people. Schools play a critical role in educating young people about how to use social media safely and responsibly. However, schools cannot address all the issues and parents, social media and advertising companies also have a responsibility to protect children and young people from harm. This chapter outlines some of the potential solutions to the issues that are identified.",book:{id:"7927",slug:"selected-topics-in-child-and-adolescent-mental-health",title:"Selected Topics in Child and Adolescent Mental Health",fullTitle:"Selected Topics in Child and Adolescent Mental Health"},signatures:"Jonathan Glazzard and Samuel Stones",authors:[{id:"294281",title:"Prof.",name:"Jonathan",middleName:null,surname:"Glazzard",slug:"jonathan-glazzard",fullName:"Jonathan Glazzard"},{id:"309587",title:"Mr.",name:"Samuel",middleName:"Oliver James",surname:"Stones",slug:"samuel-stones",fullName:"Samuel Stones"}]},{id:"57391",title:"Influence of Parental Divorce on Anxiety Level of Adolescents",slug:"influence-of-parental-divorce-on-anxiety-level-of-adolescents",totalDownloads:1897,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Family divorce might have an effect on some aspects of child development. Adolescence as a transitional stage is marked by process of seeking identity, the need for intimate relationship, as well as the struggle for psychological independence from family. Anxiety is defined as a state of extreme worry, fear, and uncertainty which results from the expectation of a threatening event or situation. The aims of study are: to explore the differences in anxiety levels among adolescents from divorced and intact families; to explore the level of anxiety of adolescents from divorced and intact families with respect to their genders. A demographic questionnaire was created and The Beck Anxiety Inventory was applied to measure anxiety. The scale was applied with 162 participants who were chosen randomly from 5 different high schools in Istanbul province. The study found out that there are statistically significant differences in anxiety level of adolescents between children from divorced and intact families. Descriptive measures are in range as follows: (17.67 ± 9.645). The adolescents from divorced families had a higher level of anxiety (t = 17.322; p < .05). The result related to the second study aim shows that there are no statistically significant differences in anxiety between male and female adolescents from divorced and intact families (p > .05).",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Senija Tahirović and Gokce Demir",authors:[{id:"214445",title:"Dr.",name:"Senija",middleName:null,surname:"Tahirovic",slug:"senija-tahirovic",fullName:"Senija Tahirovic"},{id:"214465",title:"MSc.",name:"Gokce",middleName:null,surname:"Demir",slug:"gokce-demir",fullName:"Gokce Demir"}]},{id:"57167",title:"The Early Childhood Educators’ Attitudes Towards Innovative Instructional Applications about Digital Learning Activities for Young Children",slug:"the-early-childhood-educators-attitudes-towards-innovative-instructional-applications-about-digital-",totalDownloads:1197,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The innovative value and practices of digital learning activities assist early childhood educators in employing effective instruction to improve young children’s performance as well as advance their own professional autonomy to implement digital learning activities for young children. This study examined the factors and relationships about early childhood educators’ attitudes towards the integration and behavioral intention of digital learning tools into young children’s innovative pedagogical activities using a questionnaire survey. The questionnaire consisted of five factors, including digital innovative value (DIV), digital innovative practices (DIP), perception of instructional use (PIU), instructional professional autonomy (IPA), and behavioral intention to use (BIU). The researcher used structural equation modeling to analyze the survey data. The results showed that early childhood educators’ perceptions about innovative value and applications of digital learning activities play a key role in the success of young children’s performance and competence in preschool. The early childhood educators with positive attitudes towards the innovative consideration and practical instructional applications of digital learning activities had more behavioral intention to plan and design instructional activities with innovative applications of digital learning tools.",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Ru-Si Chen",authors:[{id:"211677",title:"Prof.",name:"Ru-Si",middleName:null,surname:"Chen",slug:"ru-si-chen",fullName:"Ru-Si Chen"}]},{id:"57680",title:"Thinking and Learning Demands in Contemporary Childhood",slug:"thinking-and-learning-demands-in-contemporary-childhood",totalDownloads:1477,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Is today’s childhood is the same as the past’s? Frankly speaking, we cannot answer this question as a clear yes. It is obvious that children today are more into tablet computers, social networks and online games than traditional child games. Besides, our communication styles have been changed significantly for the past years. We, no longer need to meet others face to face to ask for help or to chat. Artificial intelligence, machine learning and robots are another story of the contemporary world. Robots capable of perceiving their surroundings and making decisions have started to deprive many people of their jobs. But what kind of jobs will human beings perform? The increasing emphasis on innovation, cooperation, critical thinking, being creative, problem solving, communication skills and project management is an indicator of what kind of a business world will today’s children meet in the future. This on-going trend also includes clues about how should children be educated. This study is focusing on thinking and learning demands expected contemporary children to meet. Throughout the chapter, the changing world was depicted briefly and then demands of the contemporary age on critical thinking, creative thinking, problem solving and learning were explored respectively.",book:{id:"6327",slug:"contemporary-perspective-on-child-psychology-and-education",title:"Contemporary Perspective on Child Psychology and Education",fullTitle:"Contemporary Perspective on Child Psychology and Education"},signatures:"Cenk Akbiyik",authors:[{id:"212205",title:"Associate Prof.",name:"Cenk",middleName:null,surname:"Akbiyik",slug:"cenk-akbiyik",fullName:"Cenk Akbiyik"}]}],onlineFirstChaptersFilter:{topicId:"1390",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:106,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{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:"14",title:"Artificial Intelligence",doi:"10.5772/intechopen.79920",issn:"2633-1403",scope:"Artificial Intelligence (AI) is a rapidly developing multidisciplinary research area that aims to solve increasingly complex problems. In today's highly integrated world, AI promises to become a robust and powerful means for obtaining solutions to previously unsolvable problems. This Series is intended for researchers and students alike interested in this fascinating field and its many applications.",coverUrl:"https://cdn.intechopen.com/series/covers/14.jpg",latestPublicationDate:"June 11th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:9,editor:{id:"218714",title:"Prof.",name:"Andries",middleName:null,surname:"Engelbrecht",slug:"andries-engelbrecht",fullName:"Andries Engelbrecht",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRNR8QAO/Profile_Picture_1622640468300",biography:"Andries Engelbrecht received the Masters and PhD degrees in Computer Science from the University of Stellenbosch, South Africa, in 1994 and 1999 respectively. He is currently appointed as the Voigt Chair in Data Science in the Department of Industrial Engineering, with a joint appointment as Professor in the Computer Science Division, Stellenbosch University. Prior to his appointment at Stellenbosch University, he has been at the University of Pretoria, Department of Computer Science (1998-2018), where he was appointed as South Africa Research Chair in Artifical Intelligence (2007-2018), the head of the Department of Computer Science (2008-2017), and Director of the Institute for Big Data and Data Science (2017-2018). In addition to a number of research articles, he has written two books, Computational Intelligence: An Introduction and Fundamentals of Computational Swarm Intelligence.",institutionString:null,institution:{name:"Stellenbosch University",institutionURL:null,country:{name:"South Africa"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:6,paginationItems:[{id:"22",title:"Applied Intelligence",coverUrl:"https://cdn.intechopen.com/series_topics/covers/22.jpg",isOpenForSubmission:!0,annualVolume:11418,editor:{id:"27170",title:"Prof.",name:"Carlos",middleName:"M.",surname:"Travieso-Gonzalez",slug:"carlos-travieso-gonzalez",fullName:"Carlos Travieso-Gonzalez",profilePictureURL:"https://mts.intechopen.com/storage/users/27170/images/system/27170.jpeg",biography:"Carlos M. Travieso-González received his MSc degree in Telecommunication Engineering at Polytechnic University of Catalonia (UPC), Spain in 1997, and his Ph.D. degree in 2002 at the University of Las Palmas de Gran Canaria (ULPGC-Spain). He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). He was vice dean from 2004 to 2010 in the Higher Technical School of Telecommunication Engineers at ULPGC and the vice dean of Graduate and Postgraduate Studies from March 2013 to November 2017. He won the “Catedra Telefonica” Awards in Modality of Knowledge Transfer, 2017, 2018, and 2019 editions, and awards in Modality of COVID Research in 2020.\n\nPublic References:\nResearcher ID http://www.researcherid.com/rid/N-5967-2014\nORCID https://orcid.org/0000-0002-4621-2768 \nScopus Author ID https://www.scopus.com/authid/detail.uri?authorId=6602376272\nScholar Google https://scholar.google.es/citations?user=G1ks9nIAAAAJ&hl=en \nResearchGate https://www.researchgate.net/profile/Carlos_Travieso",institutionString:null,institution:{name:"University of Las Palmas de Gran Canaria",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"23",title:"Computational Neuroscience",coverUrl:"https://cdn.intechopen.com/series_topics/covers/23.jpg",isOpenForSubmission:!0,annualVolume:11419,editor:{id:"14004",title:"Dr.",name:"Magnus",middleName:null,surname:"Johnsson",slug:"magnus-johnsson",fullName:"Magnus Johnsson",profilePictureURL:"https://mts.intechopen.com/storage/users/14004/images/system/14004.png",biography:"Dr Magnus Johnsson is a cross-disciplinary scientist, lecturer, scientific editor and AI/machine learning consultant from Sweden. \n\nHe is currently at Malmö University in Sweden, but also held positions at Lund University in Sweden and at Moscow Engineering Physics Institute. \nHe holds editorial positions at several international scientific journals and has served as a scientific editor for books and special journal issues. \nHis research interests are wide and include, but are not limited to, autonomous systems, computer modeling, artificial neural networks, artificial intelligence, cognitive neuroscience, cognitive robotics, cognitive architectures, cognitive aids and the philosophy of mind. \n\nDr. Johnsson has experience from working in the industry and he has a keen interest in the application of neural networks and artificial intelligence to fields like industry, finance, and medicine. \n\nWeb page: www.magnusjohnsson.se",institutionString:null,institution:{name:"Malmö University",institutionURL:null,country:{name:"Sweden"}}},editorTwo:null,editorThree:null},{id:"24",title:"Computer Vision",coverUrl:"https://cdn.intechopen.com/series_topics/covers/24.jpg",isOpenForSubmission:!0,annualVolume:11420,editor:{id:"294154",title:"Prof.",name:"George",middleName:null,surname:"Papakostas",slug:"george-papakostas",fullName:"George Papakostas",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002hYaGbQAK/Profile_Picture_1624519712088",biography:"George A. Papakostas has received a diploma in Electrical and Computer Engineering in 1999 and the M.Sc. and Ph.D. degrees in Electrical and Computer Engineering in 2002 and 2007, respectively, from the Democritus University of Thrace (DUTH), Greece. Dr. Papakostas serves as a Tenured Full Professor at the Department of Computer Science, International Hellenic University, Greece. Dr. Papakostas has 10 years of experience in large-scale systems design as a senior software engineer and technical manager, and 20 years of research experience in the field of Artificial Intelligence. Currently, he is the Head of the “Visual Computing” division of HUman-MAchines INteraction Laboratory (HUMAIN-Lab) and the Director of the MPhil program “Advanced Technologies in Informatics and Computers” hosted by the Department of Computer Science, International Hellenic University. He has (co)authored more than 150 publications in indexed journals, international conferences and book chapters, 1 book (in Greek), 3 edited books, and 5 journal special issues. His publications have more than 2100 citations with h-index 27 (GoogleScholar). His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null},{id:"25",title:"Evolutionary Computation",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",isOpenForSubmission:!0,annualVolume:11421,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. In the last five years, he has published more than 60 papers in international journals indexed in the JCR (around 70% of them belonging to first quartile journals) and he has edited some Springer books “Supervised Descriptive Pattern Mining” (2018), “Multiple Instance Learning - Foundations and Algorithms” (2016), and “Pattern Mining with Evolutionary Algorithms” (2016). He has also been involved in more than 20 research projects supported by the Spanish and Andalusian governments and the European Union. He currently belongs to the editorial board of PeerJ Computer Science, Information Fusion and Engineering Applications of Artificial Intelligence journals, being also associate editor of Applied Computational Intelligence and Soft Computing and IEEE Transactions on Cybernetics. Finally, he is editor-in-chief of Progress in Artificial Intelligence. He is a Senior Member of the IEEE Computer, the IEEE Computational Intelligence, and the IEEE Systems, Man, and Cybernetics Societies, and the Association of Computing Machinery (ACM). Finally, his main research interests include data science, computational intelligence, and their applications.",institutionString:null,institution:{name:"University of Córdoba",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"26",title:"Machine Learning and Data Mining",coverUrl:"https://cdn.intechopen.com/series_topics/covers/26.jpg",isOpenForSubmission:!0,annualVolume:11422,editor:{id:"24555",title:"Dr.",name:"Marco Antonio",middleName:null,surname:"Aceves Fernandez",slug:"marco-antonio-aceves-fernandez",fullName:"Marco Antonio Aceves Fernandez",profilePictureURL:"https://mts.intechopen.com/storage/users/24555/images/system/24555.jpg",biography:"Dr. Marco Antonio Aceves Fernandez obtained his B.Sc. (Eng.) in Telematics from the Universidad de Colima, Mexico. He obtained both his M.Sc. and Ph.D. from the University of Liverpool, England, in the field of Intelligent Systems. He is a full professor at the Universidad Autonoma de Queretaro, Mexico, and a member of the National System of Researchers (SNI) since 2009. Dr. Aceves Fernandez has published more than 80 research papers as well as a number of book chapters and congress papers. He has contributed in more than 20 funded research projects, both academic and industrial, in the area of artificial intelligence, ranging from environmental, biomedical, automotive, aviation, consumer, and robotics to other applications. He is also a honorary president at the National Association of Embedded Systems (AMESE), a senior member of the IEEE, and a board member of many institutions. His research interests include intelligent and embedded systems.",institutionString:"Universidad Autonoma de Queretaro",institution:{name:"Autonomous University of Queretaro",institutionURL:null,country:{name:"Mexico"}}},editorTwo:null,editorThree:null},{id:"27",title:"Multi-Agent Systems",coverUrl:"https://cdn.intechopen.com/series_topics/covers/27.jpg",isOpenForSubmission:!0,annualVolume:11423,editor:{id:"148497",title:"Dr.",name:"Mehmet",middleName:"Emin",surname:"Aydin",slug:"mehmet-aydin",fullName:"Mehmet Aydin",profilePictureURL:"https://mts.intechopen.com/storage/users/148497/images/system/148497.jpg",biography:"Dr. Mehmet Emin Aydin is a Senior Lecturer with the Department of Computer Science and Creative Technology, the University of the West of England, Bristol, UK. His research interests include swarm intelligence, parallel and distributed metaheuristics, machine learning, intelligent agents and multi-agent systems, resource planning, scheduling and optimization, combinatorial optimization. Dr. Aydin is currently a Fellow of Higher Education Academy, UK, a member of EPSRC College, a senior member of IEEE and a senior member of ACM. In addition to being a member of advisory committees of many international conferences, he is an Editorial Board Member of various peer-reviewed international journals. He has served as guest editor for a number of special issues of peer-reviewed international journals.",institutionString:null,institution:{name:"University of the West of England",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null}]},overviewPageOFChapters:{paginationCount:19,paginationItems:[{id:"82196",title:"Multi-Features Assisted Age Invariant Face Recognition and Retrieval Using CNN with Scale Invariant Heat Kernel Signature",doi:"10.5772/intechopen.104944",signatures:"Kamarajugadda Kishore Kumar and Movva Pavani",slug:"multi-features-assisted-age-invariant-face-recognition-and-retrieval-using-cnn-with-scale-invariant-",totalDownloads:6,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Pattern Recognition - New Insights",coverURL:"https://cdn.intechopen.com/books/images_new/11442.jpg",subseries:{id:"26",title:"Machine Learning and Data Mining"}}},{id:"82063",title:"Evaluating Similarities and Differences between Machine Learning and Traditional Statistical Modeling in Healthcare Analytics",doi:"10.5772/intechopen.105116",signatures:"Michele Bennett, Ewa J. Kleczyk, Karin Hayes and Rajesh Mehta",slug:"evaluating-similarities-and-differences-between-machine-learning-and-traditional-statistical-modelin",totalDownloads:6,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Machine Learning and Data Mining - Annual Volume 2022",coverURL:"https://cdn.intechopen.com/books/images_new/11422.jpg",subseries:{id:"26",title:"Machine Learning and Data Mining"}}},{id:"81791",title:"Self-Supervised Contrastive Representation Learning in Computer Vision",doi:"10.5772/intechopen.104785",signatures:"Yalin Bastanlar and Semih Orhan",slug:"self-supervised-contrastive-representation-learning-in-computer-vision",totalDownloads:28,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Pattern Recognition - New Insights",coverURL:"https://cdn.intechopen.com/books/images_new/11442.jpg",subseries:{id:"26",title:"Machine Learning and Data Mining"}}},{id:"79345",title:"Application of Jump Diffusion Models in Insurance Claim Estimation",doi:"10.5772/intechopen.99853",signatures:"Leonard Mushunje, Chiedza Elvina Mashiri, Edina Chandiwana and Maxwell Mashasha",slug:"application-of-jump-diffusion-models-in-insurance-claim-estimation-1",totalDownloads:9,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Data Clustering",coverURL:"https://cdn.intechopen.com/books/images_new/10820.jpg",subseries:{id:"26",title:"Machine Learning and Data Mining"}}}]},overviewPagePublishedBooks:{paginationCount:9,paginationItems:[{type:"book",id:"7723",title:"Artificial Intelligence",subtitle:"Applications in Medicine and Biology",coverURL:"https://cdn.intechopen.com/books/images_new/7723.jpg",slug:"artificial-intelligence-applications-in-medicine-and-biology",publishedDate:"July 31st 2019",editedByType:"Edited by",bookSignature:"Marco Antonio Aceves-Fernandez",hash:"a3852659e727f95c98c740ed98146011",volumeInSeries:1,fullTitle:"Artificial Intelligence - Applications in Medicine and Biology",editors:[{id:"24555",title:"Dr.",name:"Marco Antonio",middleName:null,surname:"Aceves Fernandez",slug:"marco-antonio-aceves-fernandez",fullName:"Marco Antonio Aceves Fernandez",profilePictureURL:"https://mts.intechopen.com/storage/users/24555/images/system/24555.jpg",biography:"Dr. Marco Antonio Aceves Fernandez obtained his B.Sc. (Eng.) in Telematics from the Universidad de Colima, Mexico. He obtained both his M.Sc. and Ph.D. from the University of Liverpool, England, in the field of Intelligent Systems. He is a full professor at the Universidad Autonoma de Queretaro, Mexico, and a member of the National System of Researchers (SNI) since 2009. Dr. Aceves Fernandez has published more than 80 research papers as well as a number of book chapters and congress papers. He has contributed in more than 20 funded research projects, both academic and industrial, in the area of artificial intelligence, ranging from environmental, biomedical, automotive, aviation, consumer, and robotics to other applications. He is also a honorary president at the National Association of Embedded Systems (AMESE), a senior member of the IEEE, and a board member of many institutions. His research interests include intelligent and embedded systems.",institutionString:"Universidad Autonoma de Queretaro",institution:{name:"Autonomous University of Queretaro",institutionURL:null,country:{name:"Mexico"}}}]},{type:"book",id:"7726",title:"Swarm Intelligence",subtitle:"Recent Advances, New Perspectives and Applications",coverURL:"https://cdn.intechopen.com/books/images_new/7726.jpg",slug:"swarm-intelligence-recent-advances-new-perspectives-and-applications",publishedDate:"December 4th 2019",editedByType:"Edited by",bookSignature:"Javier Del Ser, Esther Villar and Eneko Osaba",hash:"e7ea7e74ce7a7a8e5359629e07c68d31",volumeInSeries:2,fullTitle:"Swarm Intelligence - Recent Advances, New Perspectives and Applications",editors:[{id:"49813",title:"Dr.",name:"Javier",middleName:null,surname:"Del Ser",slug:"javier-del-ser",fullName:"Javier Del Ser",profilePictureURL:"https://mts.intechopen.com/storage/users/49813/images/system/49813.png",biography:"Prof. Dr. Javier Del Ser received his first PhD in Telecommunication Engineering (Cum Laude) from the University of Navarra, Spain, in 2006, and a second PhD in Computational Intelligence (Summa Cum Laude) from the University of Alcala, Spain, in 2013. He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. He is a Senior Member of the IEEE, and a recipient of the Biscay Talent prize for his academic career.",institutionString:"Tecnalia Research & Innovation",institution:null}]},{type:"book",id:"7656",title:"Fuzzy Logic",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/7656.jpg",slug:"fuzzy-logic",publishedDate:"February 5th 2020",editedByType:"Edited by",bookSignature:"Constantin Volosencu",hash:"54f092d4ffe0abf5e4172a80025019bc",volumeInSeries:3,fullTitle:"Fuzzy Logic",editors:[{id:"1063",title:"Prof.",name:"Constantin",middleName:null,surname:"Volosencu",slug:"constantin-volosencu",fullName:"Constantin Volosencu",profilePictureURL:"https://mts.intechopen.com/storage/users/1063/images/system/1063.png",biography:"Prof. Dr. Constantin Voloşencu graduated as an engineer from\nPolitehnica University of Timișoara, Romania, where he also\nobtained a doctorate degree. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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