\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"9523",leadTitle:null,fullTitle:"Oral and Maxillofacial Surgery",title:"Oral and Maxillofacial Surgery",subtitle:null,reviewType:"peer-reviewed",abstract:"Oral and maxillofacial surgery is a specialized branch of dentistry that deals with the surgical management of various head and neck pathologies. The specialty focuses on reconstructive surgery of the oro-facial region, surgery of facial trauma, the oral cavity and jaws, dental implants as well as cosmetic surgery. As such, surgeons in this field require extensive knowledge of not only these various surgical procedures but also head and neck anatomy. This book provides comprehensive information on both. Its goal is to educate oral and maxillofacial surgeons to enable them to treat a wide range of conditions and diseases using the most current surgical trends.",isbn:"978-1-83880-336-0",printIsbn:"978-1-83880-335-3",pdfIsbn:"978-1-83880-460-2",doi:"10.5772/intechopen.87318",price:119,priceEur:129,priceUsd:155,slug:"oral-and-maxillofacial-surgery",numberOfPages:186,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"5eb6ec2db961a6c8965d11180a58d5c1",bookSignature:"Gokul Sridharan",publishedDate:"January 14th 2021",coverURL:"https://cdn.intechopen.com/books/images_new/9523.jpg",numberOfDownloads:6495,numberOfWosCitations:1,numberOfCrossrefCitations:2,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:2,numberOfDimensionsCitationsByBook:0,hasAltmetrics:0,numberOfTotalCitations:5,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"December 5th 2019",dateEndSecondStepPublish:"March 13th 2020",dateEndThirdStepPublish:"May 12th 2020",dateEndFourthStepPublish:"July 31st 2020",dateEndFifthStepPublish:"September 29th 2020",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"82453",title:"Dr.",name:"Gokul",middleName:null,surname:"Sridharan",slug:"gokul-sridharan",fullName:"Gokul Sridharan",profilePictureURL:"https://mts.intechopen.com/storage/users/82453/images/system/82453.png",biography:"Dr. Gokul Sridharan is currently an associate professor in the Department of Oral Pathology and Microbiology, YMT Dental College and Hospital, Navi Mumbai. He obtained a Ph.D. for his work titled 'Salivary and serum metabolomics in oral leukoplakia and oral squamous cell carcinoma.” His fields of interest include oral pre-cancer, oral cancer, salivary diagnostics, metabolomics, and oxidative stress. He has several scientific publications to his credit and actively contributes as a peer reviewer to numerous journals. He is an active member of the editorial boards of several journals of repute. Dr. Sridharan has undergone training and is a qualified diploma holder in medical law and ethics and is also certified in tobacco cessation and control.",institutionString:"YMT Dental College and Hospital",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"4",institution:null}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1149",title:"Oral and Maxillofacial Surgery",slug:"oral-and-maxillofacial-surgery"}],chapters:[{id:"73177",title:"Surgical Anatomy of the Temporal Bone",doi:"10.5772/intechopen.93223",slug:"surgical-anatomy-of-the-temporal-bone",totalDownloads:1053,totalCrossrefCites:1,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Numerous neurological lesions and tumors of the paranasal sinuses and oral cavity may spread into the middle and posterior cranial fossae through the anatomical apertures. For the appropriate management of these pathologies, many extensive surgical approaches with a comprehensive overview of the anatomical landmarks are required from the maxillofacial surgery’s point of view. The surgical significance lies in the fact that iatrogenic injury to the petrous segment of the temporal bone including the carotid artery, sigmoid sinus, and internal jugular vein, can lead to surgical morbidity and postoperative pseudoaneurysm, vasospasm, or carotid-cavernous fistula. To simplify understanding complex anatomy of the temporal bone, we aimed to review the surgical anatomy of the temporal bone focusing on the associations between the surface landmarks and inner structures. Also, breaking down an intricate bony structure into smaller parts by compartmental approach could ease a deep concentration and navigation. To identify the anatomic architecture of the temporal bone by using reference points, lines and compartments can be used to supplement anatomy knowledge of maxillofacial surgeons and may improve confidence by surgical trainees. Especially, this systematic method may provide an easier way to teach and learn surgical spatial structure of the petrous pyramid in clinical applications.",signatures:"Gülay Açar and Aynur Emine Çiçekcibaşı",downloadPdfUrl:"/chapter/pdf-download/73177",previewPdfUrl:"/chapter/pdf-preview/73177",authors:[{id:"105745",title:"Prof.",name:"Aynur Emine",surname:"Cicekcibasi",slug:"aynur-emine-cicekcibasi",fullName:"Aynur Emine Cicekcibasi"},{id:"316257",title:"Dr.",name:"Gülay",surname:"Acar",slug:"gulay-acar",fullName:"Gülay Acar"}],corrections:null},{id:"72598",title:"Surgical Anatomy of the Tonsils",doi:"10.5772/intechopen.93038",slug:"surgical-anatomy-of-the-tonsils",totalDownloads:1061,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The tonsils represent a circular band of mucosa associated with lymphoid tissues, Waldeyer’s ring, which is located at the entrance of the upper aerodigestive tract, with a significant role in the immune defense system. Waldeyer’s ring is composed of the pharyngeal, tubal, palatine, and lingual tonsils acting as secondary lymphoid tissues. Particularly, the palatine tonsils are the largest of the tonsils with deep branching crypts and contain B and T lymphocytes and M cell which plays a role in the uptake and transport of antigens. Because of the tonsil enlargement during childhood, upper airway obstruction and obstructive sleep apnea syndrome are mostly seen. Knowledge of the surgical anatomy of the tonsils and variations of the neurovascular and muscular structures around it allows optimal choice of surgical technique to avoid iatrogenic complications during tonsillectomy. Recent medical studies reported that a detailed understanding of the anatomic risk factors in upper airway obstruction allows to predict treatment response to surgical intervention. Due to the penetration of benign or malign lesions of the tonsil into the lateral wall of the pharynx, transoral robotic approach to this region is necessary to identify the surgical anatomic landmarks which are required to perform safe and effective surgical intervention.",signatures:"Gülay Açar",downloadPdfUrl:"/chapter/pdf-download/72598",previewPdfUrl:"/chapter/pdf-preview/72598",authors:[{id:"316257",title:"Dr.",name:"Gülay",surname:"Acar",slug:"gulay-acar",fullName:"Gülay Acar"}],corrections:null},{id:"72367",title:"Methods of Collection and Transport of Materials to Laboratory from Oral and Dental Tissue Lesions",doi:"10.5772/intechopen.92677",slug:"methods-of-collection-and-transport-of-materials-to-laboratory-from-oral-and-dental-tissue-lesions",totalDownloads:709,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The oral pathology laboratory is the most resourceful place for the diagnosis of oral lesions. Most clinicians err on the collection and transport of oral and associated tissues to the laboratory. Oral tissue examination includes a wide range such as oral biopsy (for routine formalin fixed and fresh tissue), saliva, swabs, cytology smears and fine needle-aspirated, cystic fluid. This in turn adversely affects the final diagnosis of the disease. Thus, it is high time to appreciate and acknowledge the role of collection containers, fixing reagents and transport media as an adjunct for successful diagnosis.",signatures:"Krishna Sireesha Sundaragiri, Soumya Makarla and Bharat Sankhla",downloadPdfUrl:"/chapter/pdf-download/72367",previewPdfUrl:"/chapter/pdf-preview/72367",authors:[{id:"316511",title:"Dr.",name:"Krishna Sireesha",surname:"Sundaragiri",slug:"krishna-sireesha-sundaragiri",fullName:"Krishna Sireesha Sundaragiri"},{id:"316760",title:"Dr.",name:"Soumya",surname:"Makarla",slug:"soumya-makarla",fullName:"Soumya Makarla"},{id:"316761",title:"Dr.",name:"Bharat",surname:"Sankhla",slug:"bharat-sankhla",fullName:"Bharat Sankhla"}],corrections:null},{id:"73532",title:"Contemporary Overview of Blood Concentrates in Oral and Maxillacial Surgery",doi:"10.5772/intechopen.93865",slug:"contemporary-overview-of-blood-concentrates-in-oral-and-maxillacial-surgery",totalDownloads:388,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"It has always been a target to shorten and improve the healing process in medical field. Platelets with cytokines and growth factors in their structure have great importance on wound healing. Features of platelets gave the clinicians the idea of using platelet concentrates to promote the healing process. For this reason, many platelet-derived biomaterials have been tried in the medical field over the years. When approaching today, platelet concentrates have been found to be used medically, especially with the use of platelet rich plasmas (PRPs) and then platelet rich fibrins (PRFs). In particular, several studies conducted in recent years have revaled different blood concentrates. This chapter summarizes the develoment over time, properties and usage areas of blood concentrates in dentistry.",signatures:"Onur Gönül, Ahmet Usame Çiçek, Murat Afat, Onur Atali and Faysal Uğurlu",downloadPdfUrl:"/chapter/pdf-download/73532",previewPdfUrl:"/chapter/pdf-preview/73532",authors:[{id:"166970",title:"Dr.",name:"Onur",surname:"Gonul",slug:"onur-gonul",fullName:"Onur Gonul"},{id:"327655",title:"Mr.",name:"Ahmet Usame",surname:"Çiçek",slug:"ahmet-usame-cicek",fullName:"Ahmet Usame Çiçek"},{id:"327656",title:"Dr.",name:"Onur",surname:"Atalı",slug:"onur-atali",fullName:"Onur Atalı"},{id:"327657",title:"Dr.",name:"Faysal",surname:"Uğurlu",slug:"faysal-ugurlu",fullName:"Faysal Uğurlu"},{id:"327658",title:"Dr.",name:"Murat",surname:"Afat",slug:"murat-afat",fullName:"Murat Afat"}],corrections:null},{id:"71949",title:"Emerging Role of Nuclear Medicine in Oral and Maxillofacial Surgery",doi:"10.5772/intechopen.92278",slug:"emerging-role-of-nuclear-medicine-in-oral-and-maxillofacial-surgery",totalDownloads:721,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"During the past several years, nuclear medicine has emerged as one of the most useful imaging studies in oral and maxillofacial surgery, not only in diagnosis and staging but also in the management plan and follow-up protocols of many cancer or inflammatory diseases. Nuclear medicine has in addition a special place in treating several benign and malignant diseases. The practicing maxillofacial surgeon’s knowledge of nuclear medicine capabilities and advantages and disadvantages of each modality is crucial in his or her daily work. The purpose of this chapter is to clarify the important role of nuclear medicine in diagnosis and treatment of oral and maxillofacial region pathologies as well as its indications and limitations in the daily practice of the oral and maxillofacial surgeon.",signatures:"Tina Nazerani, Peter Kalmar and Reingard M. Aigner",downloadPdfUrl:"/chapter/pdf-download/71949",previewPdfUrl:"/chapter/pdf-preview/71949",authors:[{id:"177355",title:"Dr.",name:"Tina",surname:"Nazerani",slug:"tina-nazerani",fullName:"Tina Nazerani"},{id:"319210",title:"Prof.",name:"Reingard M.",surname:"Aigner",slug:"reingard-m.-aigner",fullName:"Reingard M. Aigner"},{id:"319211",title:"Dr.",name:"Peter",surname:"Kalmar",slug:"peter-kalmar",fullName:"Peter Kalmar"}],corrections:null},{id:"73020",title:"Review of Current Practice for Temporomandibular Joint Meniscopexy Surgery",doi:"10.5772/intechopen.93403",slug:"review-of-current-practice-for-temporomandibular-joint-meniscopexy-surgery",totalDownloads:425,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Disc repositioning for temporomandibular joint dysfunction (TMD) is a known and established procedure. Indications for the surgery and outcomes vary. A review of the available literature on the indications, surgical technique, and outcomes of TMJ Meniscopexy as a means of management of temporomandibular joint disease was performed. This was carried out using PubMed, MEDLINE, Scopus, and Google Scholar and was limited to the past 11 years using key medical search terms relevant to the subject area while being consistent with our exclusion criteria. The search yielded a total of 23 articles containing 3 reviews, 6 technical notes, 11 retrospective studies, and 3 prospective studies. Multiple techniques were described in the literature including arthroscopic techniques (n = 4), open suturing techniques (n = 4), mini-anchor techniques (n = 9), and splint-assisted surgery (n = 1). Several variables were used to determine success including both qualitative and quantitative measures determined clinically, through MRI or via patient questionnaire. When considering various combinations of these functional outcomes, all studies showed a significant improvement post-operatively. This demonstrates the success of disc repositioning procedures as an option in certain cases of TMD. Although there is evidence to show improvement in functional outcomes associated with Meniscopexy as a means of TMD management, there remains to be a lack of high-level evidence to further support this.",signatures:"Omar Sheikh, Matin Ali Madadian and Amanveer Benning",downloadPdfUrl:"/chapter/pdf-download/73020",previewPdfUrl:"/chapter/pdf-preview/73020",authors:[{id:"215524",title:"Dr.",name:"Omar",surname:"Sheikh",slug:"omar-sheikh",fullName:"Omar Sheikh"},{id:"322367",title:"Dr.",name:"Matin",surname:"Madadian",slug:"matin-madadian",fullName:"Matin Madadian"},{id:"322368",title:"Dr.",name:"Amanveer",surname:"Benning",slug:"amanveer-benning",fullName:"Amanveer Benning"}],corrections:null},{id:"73663",title:"Diagnosis and Management of Mandibular Condyle Fractures",doi:"10.5772/intechopen.93795",slug:"diagnosis-and-management-of-mandibular-condyle-fractures",totalDownloads:1016,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"In the maxillofacial region, mandibular condyle fracture accounts for about 10–40% of the trauma spectrum. This chapter deals with the etiology, classification, clinical features, diagnosis, and contemporary management of mandibular condyle fractures. Along with the regular management strategies, treatment protocols for geriatric and pediatric patients have also been discussed. The indications and contraindications of closed as well as open reduction and fixation of condyle fractures are analyzed in detail.",signatures:"Kasi Ganesh Sriraam and K. Rajendran Arun Vignesh",downloadPdfUrl:"/chapter/pdf-download/73663",previewPdfUrl:"/chapter/pdf-preview/73663",authors:[{id:"319910",title:"Dr.",name:"Kasi",surname:"Ganesh Sriraam",slug:"kasi-ganesh-sriraam",fullName:"Kasi Ganesh Sriraam"},{id:"326422",title:"Dr.",name:"K. Rajendran Arun",surname:"Vignesh",slug:"k.-rajendran-arun-vignesh",fullName:"K. Rajendran Arun Vignesh"}],corrections:null},{id:"74298",title:"Alveolar Ridge Augmentation Techniques in Implant Dentistry",doi:"10.5772/intechopen.94285",slug:"alveolar-ridge-augmentation-techniques-in-implant-dentistry",totalDownloads:667,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Implant supported restorations have become an ideal treatment alternative for the rehabilitation of edentulous sites. However alveolar bone defects due to resorption, trauma or oncologic diseases may considerably affect favorable implant positioning and prosthetic outcomes. Various alveolar ridge augmentation procedures are available to gain enough bone volume and apply the ideal treatment plan afterwards. Guided bone regeneration, ridge splitting, distraction osteogenesis, maxillary sinus augmentation and autogenous block bone grafting are main techniques which have successful outcomes in reconstruction of bone defects. It’s difficult to demonstrate that one augmentation procedure offers better outcomes than another. Studies documenting augmentation techniques seem to be comparable and state favorable results for each procedure.",signatures:"Melike Aytekin and Volkan Arisan",downloadPdfUrl:"/chapter/pdf-download/74298",previewPdfUrl:"/chapter/pdf-preview/74298",authors:[{id:"49161",title:"Prof.",name:"Volkan",surname:"Arisan",slug:"volkan-arisan",fullName:"Volkan Arisan"},{id:"318272",title:"Ph.D. Student",name:"Melike",surname:"Aytekin",slug:"melike-aytekin",fullName:"Melike Aytekin"}],corrections:null},{id:"72805",title:"A Review of Maxillofacial Rehabilitation Using Osseointegrated Implants in Oncological Patients: Buttress Implant Concept",doi:"10.5772/intechopen.93224",slug:"a-review-of-maxillofacial-rehabilitation-using-osseointegrated-implants-in-oncological-patients-butt",totalDownloads:455,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Cancer leaves important consequences in the shape, function and esthetics of the patient, especially when it is cancer of the oral cavity or upper aero-digestive tract. Although reconstruction with local and microvascular flaps is sometimes a viable option, maxillofacial rehabilitation with osseointegrated implants is a well-reported treatment alternative with a high success rate. The main advantages in this modality of rehabilitation are the decrease in biological and economic costs, simplifying the management of these defects by reducing surgical intervention, hospitalization time, postoperative morbidity and treatment time. There are several classification systems; however, there is no classification system that has accurately described the maxillofacial defect under a surgical, prosthetic and reconstructive approach with osseointegrated implants. The purpose of this study is to guide professionals in decision-making for maxillofacial rehabilitation using osseointegrated implants located in the anatomical buttresses of the maxillofacial region.",signatures:"Leandro Díez-Suárez, Vicente González-Cardín, Antonio Gómez-Pedraza and Martín Granados-García",downloadPdfUrl:"/chapter/pdf-download/72805",previewPdfUrl:"/chapter/pdf-preview/72805",authors:[{id:"319052",title:"Dr.",name:"Leandro",surname:"Díez Suárez",slug:"leandro-diez-suarez",fullName:"Leandro Díez Suárez"},{id:"319053",title:"Prof.",name:"Antonio",surname:"Gómez Pedraza",slug:"antonio-gomez-pedraza",fullName:"Antonio Gómez Pedraza"},{id:"319054",title:"Prof.",name:"Vicente",surname:"González Cardín",slug:"vicente-gonzalez-cardin",fullName:"Vicente González Cardín"},{id:"322414",title:"Prof.",name:"Martín",surname:"Granados García",slug:"martin-granados-garcia",fullName:"Martín Granados García"}],corrections:null}],productType:{id:"1",title:"Edited 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",isbn:"978-1-80356-588-0",printIsbn:"978-1-80356-587-3",pdfIsbn:"978-1-80356-589-7",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"3731c009f474c6ed4293f348ca7b27ac",bookSignature:"Dr. Asghar Ali Kamboh",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11578.jpg",keywords:"Beneficial Microorganisms, Probiotic Role in Health and Immunity, Supplementation of Probiotics in Poultry, Dietary Supplementation of Yeast in Farm Animals, Gut Health, Probiotic and Mucosal Immunity, Probiotics and Intestinal Architecture, Probiotics and Nutrient Absorption, Ban of Antibiotics in Food Animals, Regulatory Issues of Antibiotic Use in Farm Animals, Alternatives to Antibiotic in Animal Production, Consequences of Antimicrobials Use in Animals",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"March 15th 2022",dateEndSecondStepPublish:"June 3rd 2022",dateEndThirdStepPublish:"August 2nd 2022",dateEndFourthStepPublish:"October 21st 2022",dateEndFifthStepPublish:"December 20th 2022",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"a month",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"A well-known researcher in the area of Veterinary Sciences with a key interest in Veterinary Microbiology and immunology. Dr. Asghar Ali Kamboh completed his Ph.D. in Veterinary Science from Nanjing Agricultural University, China. He has published more than 100 research and review articles in national and international peer-reviewed journals. He is an editor/editorial board member of many scholarly journals in the area of animal health and production.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"225390",title:"Dr.",name:"Asghar Ali",middleName:null,surname:"Kamboh",slug:"asghar-ali-kamboh",fullName:"Asghar Ali Kamboh",profilePictureURL:"https://mts.intechopen.com/storage/users/225390/images/system/225390.jpeg",biography:"Dr. Asghar Ali Kamboh was born in Mehrabpur, Sindh, Pakistan. He completed his studies in Veterinary Medicine and Masters in Veterinary Microbiology in 2003 and 2007 respectively, with distinguished grades. In 2009, he was awarded an overseas scholarship by the Government of Pakistan and proceeded to China for doctoral studies. Currently, he is working as an Associate Professor in the Department of Veterinary Microbiology, Sindh Agriculture University, Tandojam. He has edited two books and published more than 100 research and review articles in national and international peer-reviewed journals. He has supervised/co-supervised more than 35 M.Phil students. He is also the author of many books and book chapters. 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If its thickness is larger than nanometre size, the oxide layer can be termed as
Grain boundaries have distinct properties relative to bulk material in terms of atomic coordination, reactivity and diffusion rates. Phase contact creates interfaces that represent changes in composition with disrupted atomic bonding. Grain boundary refers to the interface zone between grains of the same phase, while interfaces are boundaries between dissimilar phases. It represents the narrow zone where atomic bonding is disrupted by misalignment of the crystalline grains. This disrupted bonding at the grain boundary is about 5–10 atoms across. Grain boundaries have nanoscale spatial dimensions, which can generate substantial resistance to ionic transport due to dopant (or impurity) segregation. This diffusion provides active paths for atomic motion, particularly at high temperature, during the diffusion-controlled oxidation or corrosion. Thus, composite properties are sensitive to the interface structure and chemistry to large potential variations.
This crystallographic structure of a metal alloy is one of the important parameters in determining the oxidation or corrosion behaviour. The characters of grain boundaries in oxide layers formed on substrates influence adhesion and friction behaviour, surface fracture and wear during high temperature steel processing. However, the effect of grain characters on the oxidation behaviour is not fully understood yet. There are still many challenges, one of which is how to engineer grain boundaries to optimise the oxidation resistance of these materials. For this reason, detailed understanding of the processing-structure-property relationships that focus on grain boundaries and interfaces is critical to advanced manufacturing of metals. Furthermore, it is necessary to modify the grain boundary characteristics of this alloy which affect its oxidation resistance.
In this chapter, an attempt has been made to explore the role and behaviour of grain boundaries in the oxide scale formed on the steel surface during metal processing. In doing so, two things we need to consider for such high-temperature plastic deformation are diffusion mechanism at grain boundaries and resulting boundary migration in the growth of grains.
This section is devoted to the fundamental issues of oxidation mechanism that should be defined and summarised before specific problems are confronted. During metal processing at elevated temperatures, oxidation occurs inevitably on the surface of products. In the case of the pure iron, the oxide scale formed on is a complex mixture of three iron oxide phases: hematite (Fe2O3), magnetite (Fe3O4) and wustite (Fe1-xO,
In view of the iron cations can exist in the two valence states, iron oxides can have different crystal structures with different Fe/O ratios. These phases include wustite (Fe1-xO), magnetite (Fe3O4) and hematite (α-Fe2O3) [2].
Wustite has a defective halite structure, with anion sites occupied by O2− and most cation sites occupied by divalent Fe2+ ions. Cubic close-packed (CCP) array of O2− stacked along the [111] direction. Most of the iron is octahedral with a small proportion of Fe3+ on the vacant tetrahedral sites (Figure 1a). A cation-deficient phase written as Fe1−
Crystal structure of (a) wustite (FeO), (b) magnetite (Fe3O4) and (c) hematite (α-Fe2O3).
Magnetite (Fe3O4) has an inverse spinel structure containing both divalent and trivalent iron ions. The distribution of its cation is written as (Fe3+) [Fe3+Fe2+] O4, where the parentheses denote the tetrahedral sites and the square brackets denote the octahedral sites. In this case, the ferric ion Fe3+ relinquishes half of the octahedral sites to the ferrous species Fe2+, that is, with 8Fe3+ ions located in tetrahedral sites plus (8Fe3+ and 8Fe2+) ions distributed into octahedral sites per unit cell. The structure consists of octahedral and mixed tetrahedral/octahedral layers stacked along the [111] direction. Figure 1b shows the sequence of Fe- and O-layers and the section of this structure with three octahedral and two tetrahedral. Magnetite with an excess of oxygen also exists, but this excess is much smaller than that with wustite, and the corresponding concentration of defects is also less.
The crystal system of hematite (α-Fe2O3) is a rhombohedral structure (Figure 1c) with a low concentration of structural defects. Hexagonal close-packed (HCP) arrays of oxygen ions are stacked at the [001] direction. The O-O distances along the shared face of an octahedron are shorter (0.2669 nm) than the distance along the unshared edge (0.3035 nm), and hence, the octahedron is distorted trigonally. The shared Fe-O3-Fe triplet structure influences the magnetic properties of the oxide because hematite is an n-type (n = negative carrier) semi-conducting oxide in which the diffusion of anions is dominant.
In a word, these iron oxides have the different crystal symmetries representing by a different space group: ferrite,
Due to the presence of alloying elements and impurities in Fe-C steel alloys, the oxidation rates, phase development and morphologies of oxide scale are dramatically different from pure iron under various processing parameters. The reader can be referred to some published books [1], with regard to these four factors, alloying elements, oxidation kinetics, resulting oxides and their microstructure. More attention will be given here to the relationships between theories associated with grain boundaries of oxide scale.
The oxide scale formed on low carbon steels generally consists of a typical three-layered microstructure with a thin outer layer of hematite (Fe2O3), an intermediate layer of magnetite (Fe3O4) and an inner layer of wustite (Fe1−xO, 1−
Analogous to the alloying strength in steel substrate, the alloying additions modified the oxidation quite dramatically. Normally, the amount of silicon and chromium aims to form a protective oxide scale, whereas small additions of nickel, copper, niobium, molybdenum and vanadium led to a greatly increased adherence of oxide scale. For instance, silicon generally enriches and forms an anchor-like morphology at the oxide scale/steel interface or grain boundaries of the oxides. Manganese is normally used as a solvent, while the transport of carbon is via defects such as pores rather than lattice or grain boundary diffusion. Because manganese has a stronger affinity for oxygen than iron does, manganese is normally spread sparingly over the entire oxide layer in the cross-sectional direction [3]. In addition to alloying elements, the atmosphere of gas as it interacted with oxides, especially water vapour, has made our understanding of the overall situation elusive [5], while the different behaviour of steel alloys in air-moisture mixtures has further complicated the set of observations.
The thickness or weight change in oxide scale with time is generally used to assess oxidation rates of the metallic alloys. In a linear or parabolic growth rate, the mixed para-linear kinetics is widely accepted to deal with the short-time growth of oxide scale during high-temperature metal processing. With the oxidation of steels below 727°C (the eutectoid point of the Fe-C system [4]), the oxidation kinetics is similar to pure iron due to without decarburisation at various atmospheres and follows approximately parabolic kinetics. In a case of oxidation in pure iron at 700–1200°C, the thickness ratio between 100:5:1 and 100:10:1 (FeO:Fe3O4:Fe2O3) can be obtained, whereas at 400 and 550°C without wustite, it can be 10:1 to 20:1 (Fe3O4:Fe2O3) [6]. The phase development during the high-temperature oxidation of steel alloys concentrated mostly on the evolution of wustite during isothermal holding because wustite will decompose into magnetite and ferrite below 570°C.
The oxide scale consists of most magnetite and hematite at room temperature. Three research directions can be: wustite formation above 700°C, magnetite and hematite below 570°C and wustite decomposition between two temperature ranges. This chapter here only focuses the morphologies of oxide scale at room temperature cooling from high-temperature processing. It is noted that this scheme, using microstructures at room temperature to deduce what happened at high temperature, can thus far be subject to the current characterisation techniques. If one
This section covers the microstructure or morphologies, the crystallographic preferred orientation (i.e. texture) and characteristics of grain boundaries in the magnetite/hematite oxide scale.
Figure 2 shows the oxidised samples in the cross-sectional or thickness direction parallel to the direction of oxide growth and from the top surface. Electron backscattered diffraction (EBSD) phase mapping shown in \nFigure 2a\n and b\n indicates a columnar-shape microstructure between the outer granular grains and the globular inner layer [7]. The oxide scale is composed of a thin outer layer of hematite and the inner duplex magnetite layers. The outer layer is columnar in structure, whereas the inner layer is much finer grained and the grains are equiaxed. The grains of magnetite have granular shape with the grain size around 3 µm in the outer layer of oxide scale. In addition, hematite near the surface gradually penetrates into the cracks within the oxide scale.
EBSD phase maps for wustite, hematite, magnetite and ferrite of the microalloyed steel hot rolled at 860°C with the thickness reductions and then cooling rates of (a) 10%, 10°C/s, and (b) 13%, 23°C/s [
Grain shape and size highly influence the oxidation of pure metals and their alloys at high temperature. Oxidised scale shows the rough microstructure with valleys around grain boundary (Figure 2c, d [8]). This indicates that the transport of cations along grain boundaries is the dominant mechanism for outer scale growth. The diffusion of metal ions can result in vacancies and cavity to facilitate the formation of local pores [8]. Therefore, the grain-refined metal substrate can enhance the grain boundary diffusion at high temperature.
Crystallographic orientation refers to how the atomic planes in a volume of crystal or grain are positioned relative to a fixed reference [9]. These grains present the occurrence of certain orientations caused by heat treatments from melting and subsequently thermomechanical processing. This tendency is known as preferred orientation or texture.
Analysis of the microtexture in the oxide phases and their orientation relationship is now being studied. A strong {001} texture may be found in wustite whatever the steel substrate [10], though this fibre texture also evolves in magnetite under low-temperature oxidation [6]. Figure 3 shows texture development of magnetite and hematite in deformed oxide layers and their intensity distributions along associated fibres or texture components. Magnetite has a cubic structure, and its ODF sections are depicted using the
Development of texture intensity
Study on orientation relationship of oxide phase is still less explored thus far. A cube-cube orientation relationship between wustite and magnetite may prevail in undeformed oxide scale possibly due to the defective structure of the wustite. The orientation of the magnetite and substrate was reported {110}Fe//{100}Fe3O4, <110>Fe//<100>Fe3O4 in the case of transforming by continuous cooling from 400°C. By contrast, the Fe/FeO orientation relationship was {100}Fe//{110}FeO, <110>Fe//<110>FeO. For a very thin oxide scale, a Fe/FeO orientation relationship was {100}Fe//{100}FeO, <100>Fe//<110>FeO [13].
Effects of grain orientation and grain boundary characters on the elevated temperature oxidation behaviour demonstrate the role of grain boundaries in enhancing high-temperature oxidation resistance of various polycrystalline steel alloys. Overall surface energy and tribological behaviour can also be enhanced by grain boundary engineering.
Grain boundaries can be classified geometrically in terms of the relative misorientation between the neighboured grains. This relative misorientation can be defined by misorientation axis and angle. For instance, 2° ≤
In oxidation and corrosion, it is widely believed that HAGBs have undergone hot corrosion and substantial depletion/segregation of alloying elements through the entire cross section. Distribution of grain boundaries in surface layer of oxide scale reveals that the misorientation tends to be large near grain boundaries, particularly at the oxide-substrate interface, where the high fraction of small magnetite grains is accumulated.
Low-energy CSL boundaries with higher mobility can enhance the resistance of cracking or oxidation [15, 16]. CSL boundaries with low Σ orientation (Σ ≤ 49) display improved physical and chemical properties relative to general or high CSL boundaries (Σ > 49) [17]. Some studies [18] reported that the resistance to intergranular oxidation of Ni-Fe alloy increased upon increasing the fraction of special boundaries. The extent of oxidation of individual Σ boundaries in Ni-Fe alloys is based on morphological observations. It found that Σ3, Σ11 and Σ19 were more resistant to oxidation than other Σ boundaries [19].
In a oxidised microalloyed low carbon steel [12], a high proportion of low-angle and low-ΣCSL boundaries, magnetite for 60°/<111> (Σ3), and hematite for 57.42°/<1-210> (Σ13b) and 84.78°/<0-110> (Σ19c) can be found. Misorientation peaks occur in α-Fe2O3 for axes near <0001> in the angle range of 27°–63° and <102> in the angle range of 63°–83°. For α-Fe2O3, the relatively high densities correspond to 57.42°/<110> (Σ13b) and 84.78°/<010> (Σ19c).
Furthermore, CSL boundaries distributions in Figure 4 [17] reveal that Fe3O4 carries a high proportion of Σ3, Σ5 and Σ7, whereas α-Fe2O3 has a profound fraction of Σ7, Σ13b and Σ19c. It is noted that coherent twins have been excluded from this analysis, which results in a significantly lower fraction of Σ3 boundaries. In any case, it becomes clear that these low CSL grain boundary characteristics in Fe3O4 and α-Fe2O3 can be used to enhance crack resistance and further improve tribological properties of oxidised steels during high-temperature processing.
Histogram plots of CSL boundary distribution for (a) Fe3O4 and (b) α-Fe2O3, of the samples with different thickness reductions (TRs) and cooling rates (CRs) of oxide scale formed on a microalloyed low carbon steel [
The grain boundaries of either wustite, magnetite or hematite play a significant roles in the oxidation of metals and during their processing at high temperature. Three stages can be divided into: (i) diffusion-controlled oxidation of metal alloys; (ii) the plastic deformation mechanism near grain boundaries and resulting fracture of oxide scales; and (iii) tribological properties of oxide scale consisting various different grain boundaries during metal processing. All these above are this section will address.
Grain characters, such as grain shape or grain boundary, highly influence the oxidation kinetics of pure metals and alloys. Grain boundary diffusion is more predominant in iron metal oxidation at high temperature. At low temperatures, the role of grain boundary diffusion as a main factor in comparison with other short circuits remains elusive.
To understand the role of grain boundary in diffusion-controlled oxidation, it is essential to detect which types of grain boundaries are involved. The EBSD/X-ray energy dispersive spectroscopy (EDS) map scanning can analyse the elemental distribution and correlate with the grain boundary character, and hence visualise the type of grain boundaries that are susceptible to hot corrosion or oxidation. Figure 5 shows the image quality plus grain boundary map of the cross section of the hot corrosion alloy 617 [14] and EDS elemental distribution maps of various alloying elements. Preferential segregation/depletion of alloying elements occurred at grain boundaries: the segregation of Mo, S, Co and Ni at the random HAGBs along with a depletion of Cr after hot corrosion. The presence of S segregations also at intact interfaces and at oxide grain boundaries affects the oxide growth mechanism [20]. ∑3 boundaries show few preferential enrichment/depletion of any alloying element, that is, indicating that these boundaries are resistant to hot corrosion.
(a) Image quality plus grain boundary map (colour code: ∑3-red, ∑9-blue, ∑27-green, random HAGBs-black) and EDS elemental map showing distribution of (b) Mo, (c) S, (d) Co, (e) Ni, (f) Cr, (g) Al and (h) O across the cross section of the alloy 617 after hot corrosion testing [
Two dominant diffusion can occur at grain boundary or lattices [8]. Surface diffusion happens at lower temperatures compared to grain boundary diffusion, and volume diffusion is active only at very high temperatures. With a small grain size, the higher grain boundary area naturally increases grain boundary diffusion [21]. Grain boundary diffusion is more sensitive to grain size when compared to volume diffusion. In contrast to lattice diffusion, the control of elemental diffusion at the grain boundaries can be effective to have a thin and compact oxide scale on the Fe-Cr alloy surface [22]. This suggests that the grain boundary diffusion is confined at the initial of oxidation, while the oxide layer is relatively thin.
In a stainless steel of cyclic steam oxidation, the previous results [23] indicate that grain boundaries not only promote the chromium outward diffusion, but also provide the fast diffusion paths for the oxygen penetration. The grain boundaries promote the iron outward diffusion, accompanied with the fast growth of interfacial voids between two oxide layers. In a Ni-5Cr alloy, intergranular selective oxidation also accompanied by local chromium depletion and diffusion-induced grain boundary migration. Recently, coupled transmission electron microscope (TEM)/APT surface and grain boundary oxide compositions were identified, and Ni enrichment was observed around the oxides. The data provide novel information on the role of the minor impurities and the formation of early-stage oxides in 304 stainless steel [24]. However, copper diffusion along grain boundaries is not the main mechanism in this case. A high-resolution characterisation of the oxide–metal interface has shown the presence of a Fe-rich oxide, less dense than the original Cr-rich oxide [25]. It is reasonable that the Gibbs free energy reduction with Cu spinel solid solution formation in hematite at high oxygen partial pressure induces the bulk diffusion of Cu through hematite grains to the top surface of external oxide [26].
Various diffusion mechanisms can differ from types of grain boundaries in different oxidised substrates, for example, CSL special grain boundaries in ferritic stainless steel [18], whereas high-angle grain boundaries in Al2O3 [27]. Diffusion-controlled oxidation mechanism of the oxides thermally grown on the metal surface is similar to the pure oxides in bulk ceramics, ranging from a point effect mechanism to migration of disconnections, grain boundary ledge defects [27].
This section will discuss the internal stress state after diffusion-controlled oxidation of metal alloys and plastic deformation of oxide scales during metal processing. The occurrence of concomitant grain boundary sliding in the thermally grown oxides may be evidenced leading then to the corresponding microscopic strain. Local strain caused by the oxidation of magnetite to hematite can cause inter crystalline microcracks. These microcrackings can induce plastic deformation under differential contraction and to open diffusion paths inducing grain boundary diffusion.
Cracking propagation can roughly attribute to alloying elements segregation at grain boundaries. To delve, then which types of grain boundaries will occur these elements accumulation, and which types of alloying elements would be detrimental to crack propagation? For example, the Co oxide enriches at the boundaries of high stacking fault (SF)/low SF grains [28] and the Ni/Ti/Al-rich oxides at normal grain boundaries. But the enrichments of these elements have slightly influence on crack initiation and propagation in some Ni-based superalloy.
The mechanical stresses in the oxide scale play a significant role in its integrity. Generally, internal stresses are induced by the growth of oxides, thermal expansion mismatch and applied forces [6], some of which originate from many different causes. The formation and propagation of cracks generally occur along grain boundaries of oxide scale. The stress is the greatest at the tips of small cracks in the material, and consequently, the reaction proceeds at its greatest rate from these tips. To alleviate the propagation of cracks, low-angle and low-ΣCSL boundaries in microstructure can offer obstacles, because they minimise the solute effects and reduce the interaction between the interfaces and glissile dislocation. In the case of magnetite/hematite scale [17], the oxide scale is easy to crack in presence of Σ13b and Σ19c in α-Fe2O3 compared to Fe3O4 with Σ3. Thus, it is possible that during this time, tailoring specific grain boundaries can provide new insight into means of suppressing propagation of cracks when it is undesirable and into means of producing specific trapped nanoparticles when it is desired.
One thing we should consider is to distinguish grain boundary strengthening to steel substrate or to formed oxide scale itself. Extensive studies have been focused on the role of grain boundaries played in the steel substrate. For instance, grain boundary strengthening and precipitation hardening are considered to provide the most to the high-strength properties of the mechanically alloyed oxide dispersion strengthened (ODS) ferritic alloys, containing nano-sized (<3.5 nm) oxide dispersions. A higher density of these oxide particles with larger sizes than the ones in the matrix was found at the grain boundaries in ODS Fe–12Cr–5Al alloys (Y2O3 + ZrO2) (Figure 6 [29]).
(a) High-angle annular dark field (HAADF)—scanning transmission electron microscopy (STEM) images of Fe–12Cr–5Al alloys (Y2O3 + ZrO2) and (b) diffraction patterns after being mechanically alloyed and extruded at 950°C [
The grain refinement can be used to explain this strengthening process. Whatever grain boundaries works, the essential mechanism should be similar. However, the difference of a protective oxide scale containing reactive element may not simply be due to a site blocking effect in the grain boundary [30]. The contributions of dopant ions to the multiple electrical and ionic processes would provide valuable guidance to elucidate the deformation mechanism of oxide scale thermally formed on steel alloys. That is reason to note the difference between them as the presence of oxide particles at the grain boundaries and the temperature at which they were formed.
Many different surface properties of metals and alloys will influence tribological performance. These surface properties include surface energy, crystallographic orientation, grain boundaries, texturing of surface and crystal structure. Grain boundaries in the oxide layers can alter the underlying failure mechanisms of formed oxide scale, which affects their tribological performance during metal processing. There are various strained conditions along grain boundaries because many dislocations present to help accommodate the misfit or mismatch in adjacent orientations. These high energy regions at the surface could make sliding more difficult and increase the friction force of materials during metal forming.
Various mechanisms can be used to explain the role of grain boundaries in the tribolgoical properties of oxide scale during metal processing at high temperature. Our previous study [21] implies that grain boundary sliding contributes significantly to dissipation in oxide layers during hot rolling. If the oxidised grain boundary is under tension, both the metal and the oxide scale during thermal cycling tend to facilitate crack initiation [20]. A mechanism has been addressed for stress-aided grain boundary oxidation ahead of cracks. Oxygen embrittlement can therefore serve as the form of dynamic embrittlement or oxidation-induced grain boundary cracking during services at elevated temperatures [31]. In essence, the role of anisotropy needs to be investigated to clarify, which anisotropy (grain boundary energy or mobility) is dominant at which conditions. The local grain boundary planes can be dominated by the growing side of the boundary.
The friction characteristics with oxide scale also reveal a grain boundary effect—a profound dependence of friction on crystallographic direction and orientation and grain boundary characters. The variation of the coefficient of friction and rolling force in different thickness reductions during hot rolling associated with microtexture and grain boundary characters in magnetite/hematite scale formed on a microalloyed low carbon steel [17].
In summary, the role of grain boundary chemistry and structure on fundamental mechanisms and properties of oxide scale can help to accelerate the design optimisation of grain boundaries in oxidation or corrosion resistance.
Before starting, we need to consider some sample preparations to detect grain boundaries. Two directions are generally used to observe the oxide scale formed on the metal surface. One is the cross-sectional or thickness direction of the oxidised sample, parallel to the direction of oxide growth. Another is the top surface of oxidised sample suitable for the relatively thin oxide layers or the initial oxidation conditions. In order to visualise the grain boundary, the testing sample can be polished using mechanical and chemical-mechanical polishing methods. Particularly, it is necessary to select different etchants for different compositions in the oxide scale or metal substrate. Sometimes, this classical polishing/etching method cannot observe the grain morphologies both the oxide scale and the substrate concurrently. In electron backscattered diffraction (EBSD) technique and transmission electron microscope (TEM), the grain characters can be detected clearly without etching the sample. EBSD can use normal ion milling to prepare the sample. This is can make easier than TEM because TEM need to reduce the thickness of the sample using focus ion milling beam (FIB) or other advanced approaches. In a word, EBSD or TEM is generally used to observe the sample in cross-sectional direction, whereas scanning electron microscopy (SEM) can be used for top surface morphologies of oxidised sample.
Experimentally resolving and characterising grain boundary structure often requires a host of techniques: X-ray diffraction (XRD), scanning electron microscopy (SEM), electron backscattered diffraction (EBSD), transmission electron microscopy (TEM), X-ray energy dispersive spectroscopy (EDS) and electron energy loss spectroscopy (EELS). XRD or neutron diffraction normally deals with a texture that reflects an average value obtained from many different grains, that is, macrotexture. This chapter will address some techniques to obtain microtexture involving some individual grains.
Most grain boundary characters can be observed in low-vacuum secondary electron microscope (LV-SEM). In the backscattered electrons (BSE) mode, Z-contrast can assist phase identification. SEM/BSE hardly observe oxide scale and steel substrate without etching, because two parts of oxides and steel hardly to etching both using the same etchant. That is because polishing and etching for sample preparation can bring out the grain boundaries to more easily delineate individual grains. SEM/EDS and scanning transmission electron microscopy (STEM)/EELS help analyse the chemical species present and, combined with elemental mapping, can provide a distribution of the different chemistries in a spot, line or area. Sometimes, SEM can couple focus ion beam (FIB) to observe the grain characters along the cutting surface when preparing for TEM samples.
Electron backscattered diffraction (EBSD) can perform microstructure, phase identification, the crystallographic texture, and internal stresses, of oxidised sample. Some system can provide a transmission kikuchi diffraction (TKD) mode where the short working distance in backscattered electrons (BSE) detector as a complement. Various professional software suite fully integrated with image collection, versatile EBSD analysis and phase identification, can be used to acquire the online texture information and to analyse the offline scanning maps. Grain boundary mapping shows the crystallographic orientation of individual grains and the microstructure in the oxide scale [9]. Further, grain reconstruction can be carried out to delve the various mechanism associated with individual grains.
High-resolution transmission electron microscopy (HR-TEM) has improved microscopy resolution, more developed techniques, and coupling with advanced approaches will enable the understanding and engineering of grain boundaries (including twins) and intergranular films. For instance, scanning transmission electron microscopy (STEM) coupled with electron energy loss spectroscopy (EELS) is capable of simultaneously mapping the atomic/electronic structure of light elements such as oxygen at adequate spatial resolution. The electronic state of the elements across the boundary can be identified by STEM-EELS line scan crossing the grain boundary in steps of a few nanometres [32]. TEM imaging further resolves details of the crystal structure of grains and grain boundaries.
Atom probe tomography has some unique virtues for hydrogen detection, such as near-atomic resolution and equal sensitivity to all elements in the periodic table. The advanced technique has been used to investigate hydrogen embrittlement in the oxide scale of two common zirconium alloys [33]. Grain boundaries of oxides can be low-field areas of the APT specimen and then can readily be identified [34]. A combined use of TEM and APT can be used to quantify grain boundary segregation and has been applied to the case of carbon GB segregation in ferrite [24] and intergranular oxidation of a Ni–4Al alloy [35].
For some corrosion environment, electrochemical scanning tunnelling microscopy (ECSTM) has applied to analyse
Time-of-flight secondary ion mass spectrometry (TOF-SIMS) provides elemental, chemical state and molecular information from surfaces of solid materials. Analogous to SEM/EDS instruments, TOF-SIMS aims to the compositional analysis of ultra-thin layers and nanoscale sample features. The difference is that TOF-SIMS can be used to characterise molecular information from organic materials and tissue sections for medical research.
This chapter covers the recent advance associated with grain boundaries in the oxide scale formed on metal alloys during metal processing. A number of benefits include (i) characterisation of grain boundaries ranging from microstructure, preferred orientations and different types of grain boundaries; (ii) the role of grain boundaries in the oxide scale playing in diffusion-controlled oxidation, deformation mechanism and tribological performance; and (iii) introducing the experimental techniques and analytical methodology underpinning this subject.
Some specific results can be concluded ranging from micotexture and grain boundaries characters. The (100) plane of magnetite is much more sensitive to the oxidation. In the coincident site lattice (CSL) boundaries, the ∑3 in magnetite and ∑13b in hematite are dominant in the oxide scale. These findings suggest that low-angle grain boundaries and low-energy CSL boundaries can be used to prevent the initiation and propagation of cracks, further to enhance oxidation resistance of the materials.
Three current challenges dominate in the characterisation, mechanism and techniques for investigation the grain characters in oxide scale during metal processing at high temperature. First, grain characters consisting of grain shape and size, phase grain boundaries within oxide scale and orientation relationship between oxides are also need to be considered. Second, to delve which types of (special) grain boundaries to enhance the oxidation/corrosion resistance and then to tailoring them. Finally, a combination of the various advanced techniques provides the frameworks for future investigation on the oxidation of the other metal alloys even bulk ceramics.
This work was supported by the China Postdoctoral Science Foundation under Grant No. 2015M580094, and the National Natural Science Foundation of China under Grant Nos.11274198 and 51532004.
Chronic pain is classified as pain that lasts longer than three to 6 months. Besides medical treatment, it consists of many other issues, such as social, economic and psychological. The treatment of chronic pain is a chronic problem for many specialities; it is generally based on an approach with antidepressants, anti-epileptics and opioids as drugs of first choice. Still, there is no right choice for these patients and 60–70% remains untreated [1, 2].
Chronic pain management is arguably at its most effective when a multidisciplinary approach is used. Ketamine can optimise other (non-opioid) medications by reducing opioid requirements [3].
The socioeconomic burden due to chronic pain is another problematic issue and cannot be overestimated. In Europe, the reported burden of chronic pain is nearly equally steep, with the point prevalence estimated to be 25–30% [4].
Ketamine has been on the market as an alternative to phencyclidine since 1960s. In 1965, it is used as an anaesthetic. Ketamine produces dissociative anaesthesia as well as analgesia and amnesia. Because of its side effects like, the induction of a psychedelic state causing agitation, hallucinations and panic attacks, ketamine has limited use in contemporary anaesthesia.
Ketamine is a phenylpiperidine derivative structurally related to phencyclidine with 2(2-chlorophenyl)-2-(methylamino)-cyclohexanone as its chemical structure. There are two different forms of ketamine: the racemic mixture (Ketalar®, Pfizer Inc., available in the US since 1966) and the S(+) enantiomer (S-ketamine or Ketanest-S®, Pfizer Inc.).
Ketamine is a potent N-Methyl-D-aspartate (NMDA) antagonist and is generally used in the treatment of acute and chronic pain, sedation, induction and maintenance of anaesthesia and ICU sedation [5]. It exerts its NMDA antagonism by binding to the phencyclidine receptor site when the channel is open. Its property to inhibit these receptors, it is postulated that ketamine can help treat chronic neuropathic pain [6]. Also, ketamine can be used as an antidepressant, making it useful in the concomitant treatment of pain and depression [7].
Ketamine is known to prevent central sensitization, so infusions of ketamine started intraoperatively and continued into the early postoperative period might prevent chronic postoperative pain, which is a problem impacting approximately 20% of surgical patients [8]. Ketamine, by inhibition of the N-Methyl-D-aspartate receptor (NMDAR), causes strong analgesia in neuropathic pain. Also, NMDAR is involved in the process of chronification of pain [9].
Ketamine also interacts with other receptors such as opioidergic, muscarinic and mono aminergic receptors. But still, little is known about the contributions of these receptor systems to the various effects of ketamine [10].
There are many routes that ketamine can be given; IV, IM, SC, oral, rectal, nasal, transdermal, epidural, or intrathecal [11]. Orally administered ketamine undergoes extensive first-pass metabolism, primarily via N-demethylation, resulting in small ketamine concentrations and large nor-ketamine concentrations in blood and tissue [12].
One of the challenging concepts about chronic pain patients should be treated in an inpatient setting. When outpatient treatment is planned, other issues must be considered like lack of monitoring, increased risk of toxicity and abuse. Smart dosing regimens, patient (and doctor) training, frequent contact and close monitoring of drug are needed for home treatment of ketamine [13].
The multimodal approach is the most effective treatment of chronic pain. Ketamine is often administered together with opioid analgesics, post-operatively and in the treatment of chronic cancer pain.
Ketamine has been studied for central pain after spinal cord injury. Oral and parenteral ketamine was found to be effective. It reduced continuous and evoked pain in these patients, and it is related to only mild side effects [14]. Ketamine showed an analgesic effect in a case with neuropathic pain after cauda equina trauma [15]. Ketamine was found effective in a patient with central poststroke pain after subarachnoid haemorrhage, besides providing analgesia, ketamine also helped the opioids and anticonvulsants to be tapered and discontinued [16]. The authors used midazolam for premedication and used iv incremental dose. With 50 mg oral dosing nightly, increasing to 50 mg 3 times a day resulted in relief of allodynia and hyperalgesia.
Complex regional pain syndrome is a chronic pain condition having both autonomic and inflammatory features. It occurs acutely in about 7% of patients who have limb fractures, limb surgery, or other injuries. Only a small percentage of it turns into a chronic form. This transition is often paralleled by a change from ‘warm complex regional pain syndrome,’ with inflammatory characteristics dominant, to ‘cold complex regional pain syndrome’ in which autonomic features dominate. Many complex mechanisms take role in this period. This may include peripheral and central sensitization, autonomic changes and sympatho-afferent coupling, inflammatory and immune alterations, brain changes, and genetic and psychological factor. Effective management of the chronic form of the syndrome is often challenging. There are reports about epidural use of ketamine in patients with complex regional pain syndromes and refractory to other treatments [16, 17]. Dose for epidural ketamine suggested was 0.3 mg/kg followed by 25 mcg/kg/h with only transient side effects like headache and nausea.
Fibromyalgia is a disorder characterised by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Fibromyalgia is thought to amplify painful sensations by affecting the way your brain and spinal cord process painful and nonpainful signals. Symptoms usually appear after physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event.
In patients with fibromyalgia, ketamine which is given 0.3 mg/kg iv, showed an increase in endurance and reduction in pain intensity, tenderness at trigger points, referred pain, temporal summation, muscular hyperalgesia, and muscle pain at rest. It is suggested that ketamine by reducing central sensitization, is effective in fibromyalgia.
Peripheral vascular disease is a common reason of limb pain-causing considerable suffering. In its early stages, it can present as intermittent claudication, but with multiple levels of occlusion rest pain can develop. Patients presenting with critical limb ischemia face a 13% risk of primary amputation. The pain often responds poorly to different treatment strategies including opioids.
As ischemic pain of arteriosclerosis may consist of both nociceptive and neuropathic components, it is generally poorly responsive to opioids. When compared with ketamine with a potent dose dependent analgesic effect (0.15, 0.3, o.45 mg/kg iv) in clinical ischemic pain but with a narrow therapeutic window, ketamine may show better analgesia in these patients [18]. Also dose dependent side effect such as disturbed cognition and perception recorded for these patients.
According to aetiology, neuropathic pain syndromes are heterogeneous; in clinical aspect, they have many similarities. Pain, dysesthesias and hyperalgesia are the main features of neuropathic pain syndromes. Unfortunately, standard pharmacologic therapies are generally insufficient.
Current interest in ketamine focuses on its ability to alleviate chronic pain, especially when chronic pain has a neuropathic component. Chronic neuropathic pain is the most widely investigated indication for IV ketamine. Different doses have been tried between 0.25 and 0.75 mg/kg iv. Most side effects are observed with high doses. Neuropathic pain results from lesions of the somatosensory nervous system causing alterations in structure and function so that pain occurs spontaneously and responses to noxious and innocuous stimuli are amplified [19].
Another condition that generally manifests with neuropathic pain is chronic diabetes. In mice, this can be modelled with high-dose injection of streptozotocin which selectively kills pancreatic beta cells through DNA alkalization. Ketamine when given systemic infusion at 20 mg/kg/day for 5 days showed to reduce heat and mechanical hyperalgesia for several weeks following treatment.
Ketamine is frequently used for managing acute episodes of refractory neuropathic pain. In these situations, generally, large doses of opioids are used which leads to development of severe hyperalgesia. The mechanism of opioid induced hyperalgesia is not certain, one of the leading theories is overactivation and stimulation of the NMDA-receptor, so this proposed mechanism would explain why NMDA receptor modulators such as ketamine are effective in treating the condition. Ketamine with 10 mg/h iv suggested for opioid hyperalgesia. Also, subcutaneous administration can be a good alternative for these patients to get time for finding iv access.
Neuropathic pain related to ‘nerve damage in the trigeminal region’ is one of the chronic pain topics, which generally needs many interventions for pain relief. Ketamine can be an alternative for these kinds of pain issues. NMDA receptor inhibition by ketamine might change the sensitization, so ketamine causes pain relief even after ketamine has been eliminated from the body. The optimal dose suggested as 60 mg per oral, 6 times a day found [20]. Some side effects like dizziness and fatigue were well tolerated.
After amputation of a limb, most amputees suffer from stump and phantom limb pain. Many medical and surgical therapies have been tried, but only a few treatments have been found to be effective. Both peripheral and spinal mechanisms have been accused of underlying mechanism. Studies show that C-fibre input may induce a central hyperexcitability in dorsal horn neurons. There is evidence that this hyperexcitability in part is mediated by excitatory amino acids acting at NMDA receptor sites and that excitatory amino acid receptor antagonists may block this central hyperexcitability and its clinical manifestations.
Case series and case reports support ketamine use in stump and phantom pain. Ketamine showed a significant increase in pressure thresholds and reduced hyperpathia. Especially for patients who did not benefit from conventional treatments, iv ketamine was very effective. Doses such as 0.1 mg/kg iv over 5 min then infusion of 7 g/kg/min for 45 min and 0.125–0.3 mg/kg iv then continuous sc infusion 0.125–0.2 mg/kg/h for maintenance showed effective results. Also, other papers support the use of oral ketamine to control phantom pain (50 mg/6 hr) [21].
Nerve injury may lead to persistent pathological pain with hyperalgesia and pain evoked by non-noxious stimuli. Long-lasting hyperexcitability in nociceptive neurons initiated by increased activity in primary afferents may play a role in the pathogenesis of nerve injury pain. In particular, the N-methyl-o-aspartic acid receptors may be important for the development of long-lasting changes in neuronal excitability. NMDA receptor blockers inhibit the progressive increase in action potential discharge (wind-up) and neuronal hyperexcitability produced by repeated stimulation of small-diameter primary. NMDA receptor blockers also inhibit nociceptive behaviour in animals caused by nerve injury.
Ketamine is effective for pain relief in postherpetic neuralgia. Ketamine produces significant pain relief and also reduces allodynia and hyperpathia [22]. Relief of continuous pain was observed at the smallest dose but was most marked at the largest (0.05, 0.075, 0.1, 0.15 mg/kg/h. sc). The number and severity of spontaneous pain attacks are also reduced. Ketamine administration showed even complete resolution of ophthalmic postherpetic neuralgia [23].
Patients with refractory chronic migraine suffer from continuous pain and nonpainful symptoms, substantial disability, and have generally failed treatments with multiple medications. Patients with severe pain have often failed typically inpatient or outpatient infusion treatment, so few options remain for them.
Ketamine use for headaches has demonstrated benefits. Subcutaneous ketamine of 80 μg/kg was associated with an approximately 50% reduction in acute migraine-related pain and an approximate 75% reduction in chronic migraine-related pain [24].
Unfortunately, there was weak or no evidence supporting ketamine infusions for immediate improvements in pain management of mixed neuropathic pain, PLP, PHN, fibromyalgia, cancer pain, ischemic pain, migraine headache and low-back pain. Evidence only supports ketamine infusions for intermediate or long-term improvements in pain management of CRPS [25].
Some reports suggest that ketamine decreases the rate of chronic postoperative pain when administered as a pre-incisional dose (0.15–1 mg/kg iv) followed by an intraoperative infusion, and intravenous ketamine has been shown to significantly reduce chronic pain incidence following certain types of surgeries [26].
Multimodal approach to chronic pain is found to be the most effective treatment. In general, ketamine is administered with opioids, post-operatively and in the treatment of chronic cancer pain. A Cochrane review showed that ketamine is effective in reducing morphine consumption, and is related to less pain and less nausea and vomiting [27]. Also, ketamine positively affect opioid treatment in cancer pain [28]. The ability of ketamine to reduce the incidence (and severity) of opioid side effects is important as side effects reduce patient compliance. So, an opioid-ketamine combination may be useful in non-neuropathic pain states (e.g., in the palliative setting) or in mixed nociceptive/neuropathic pain states (e.g., in cancer pain).
Studies show that ketamine has also anti-depressant effects [29]. In fact, clinical studies showed that a subanaesthetic dose of ketamine produces antidepressant effects Ketamine has a positive effect on depressive symptoms in otherwise therapy-resistant patients. Because depression and chronic pain share common mechanistic pathways, Most chronic pain patients face depression or depression-like symptoms.
In fact, the treatment of chronic pain may serve two purposes, treating the pain and ameliorating the depressive symptoms. When the pain is treated and the depression simultaneously resolves, or the reverse is true.
Some experimental reports conclude that ketamine has also anti-inflammatory, neuroprotective and anti-tumour effects [30].
Intravenous ketamine infusions have the advantages of avoiding first-pass metabolism and also controlling the way of administration. But this requires inpatient settings allowing the healthcare team to monitor for adverse conditions and track treatment efficacy.
A meta-analysis including seven different studies examining both neuropathic and non-neuropathic pain conditions showed a significant analgesic effect for intravenous ketamine infusions. The median ketamine dose of 0.35 mg/kg was reached after 5 h. In these studies, maximum analgesic effect was observed between 48 h and 2 weeks post-infusion. The studies showed no efficacy difference between ketamine as a sole agent or adjuvant therapy [31]. This meta-analysis reported that ketamine shows significant promise for the treatment of a wide variety of chronic pain conditions, including neuropathic and non-neuropathic. Due to the long-acting nature of ketamine’s analgesia, outpatients treatments could be effective with visits required as frequently as infusions are needed.
Ketamine can be used as a third-line agent in intractable cancer pain. In a case study of cancer patients with intractable pain, ketamine infusions at a rate of 1.5 mg/kg/day reduced total daily morphine use by 50% after patients were sent home with ketamine/morphine pain pumps [32].
Oral and nasal formulations generally do not need are direct physician supervision in contrast to infusions, so oral and nasal formulations are more desirable for management of long-term pain conditions. Despite requiring higher doses due to extensive metabolism, oral administrations have also been found to be effective in providing analgesia.
A study with a daily dose of 2 mg/kg, ketamine showed reduction in pain in two-thirds of patients while one-half of patients reported some adverse event [33].
Intranasal ketamine, although now mostly taken part in the treatment of depression, has also been tried for management of cancer pain. Intranasal ketamine was found to be successful in 65% of breakthrough cancer pain patients and achieved a Numerical Pain Intensity Scale (NPIS) score that was at least 40% lower than pre-treatment levels [34].
Ketamine as a topical agent may be preferred for patients in whom systemic ketamine administration via oral or IV routes is not desirable administration. Topical application provides the benefit of keeping plasma concentrations and therefore potential side effects at a minimum.
Topical ketamine has been tried in chronic regional pain syndrome, studies reported effective reduction in pain measures, tactile allodynia and Visual Analog Scale pain score. Besides being a good alternative in pain management, still, there is concern about the systemic levels of ketamine [35].
Ketamine besides being an anaesthetic is used to treat various chronic pain syndromes, especially those that have a neuropathic component. Inhibition of the N-methyl-D-aspartate receptor and probably some other mechanisms like enhancement of descending inhibition and anti-inflammatory effects at central sites results in strong analgesia even with low doses.
The side effects of ketamine noted in clinical studies include psychedelic symptoms (hallucinations, memory defects, panic attacks), nausea/vomiting, somnolence, cardiovascular stimulation and hepatoxicity. There are also risks ranging from the bladder and renal complications to persistent psychological behaviour and memory defects by the increase in ketamine usage. Also, abuse is another problem.
Cognitive side effects of ketamine frequently limit its use. Since its discovery, ketamine was known to produce dissociative and psychomimetic effects. These effects are also responsible for the continued abuse of ketamine [36].
Studies showed that ketamine produces structural and physiological changes in the brain, even a decrease in grey and white matter volumes in the pre-frontal cortex and white matter degeneration in the left temporoparietal lobe has been reported [37].
Regardless of the mechanism of these cognitive disorders, many research has been done to find out what drugs may be able to prevent them. Several of these studies have demonstrated that benzodiazepines, specifically midazolam and haloperidol, reduced undesired psychotic side effects and nausea associated with ketamine administration [38].
Cystitis related to ketamine use is another problem, especially for long term users. The increase in neurotrophin in bladder tissue accused to cause the chronic inflammation of the bladder and urinary tract in ketamine cystitis [39].
Elevation of serum liver enzymes has been reported in patients receiving ketamine infusions, but these levels decreased back to baseline within 10–14 days following treatment [40].
Due to ketamine’s central inhibition effect of norepinephrine reuptake in adrenergic nerves, an increase in cardiac output via elevations in heart rate, systolic blood pressure, and diastolic blood pressure can be observed. Also, ketamine acts as a sympathomimetic on the cardiovascular system [41].
Because of dissociative and hallucinogenic effects of ketamine, it has been abused. Even therapeutic doses are generally less than street-use doses, ketamine still maintains addictive potential.
In clinical settings, ketamine is generally well tolerated, especially when benzodiazepines are used to suppress the psychotropic side effects. Patients receiving ketamine should be monitored closely, especially for CNS, haemodynamic, renal and hepatic symptoms as well as abuse. Until definite proof is obtained ketamine administration should be restricted to patients with therapy-resistant severe neuropathic pain.
Ketamine as an analgesic can be used for several indications and in many ways. It may be used most effectively to reduce the symptoms of allodynia, hyperalgesia and hyperpathia rather than acting as a traditional analgesic. This could be consistent with NMDA receptor blockade limiting or reducing central sensitization, although the ability of ketamine to interact with such a wide variety of receptors means that this is currently only speculative.
There are various dose regimens for different application ways for ketamine. Most of the data is based on case reports. Still, there are also concerns about side effects and with different premedication like lorazepam or midazolam, most of the side effects may resolve.
The data provides encouraging suggestions about ketamine for chronic pain situations. To talk about pros of ketamine for chronic pain management:
Ketamine is tried for many types of pain and found most useful
Pain related to neuropathies can be relieved by ketamine
Ketamine can be effective for pain where opioids are ineffective, and hyperalgesia occurred cause of opioids.
Ketamine can be used during the perioperative period both for acute analgesia management and for preventing chronic pain.
Ketamine can be applied by many routes; epidural, subcutaneous, intravenous.
Ketamine has an antidepressant effect, which plays an important role in the management of chronic pain.
These Terms and Conditions outline the rules and regulations pertaining to the use of IntechOpen’s website www.intechopen.com and all the subdomains owned by IntechOpen located at 5 Princes Gate Court, London, SW7 2QJ, United Kingdom.
',metaTitle:"Terms and Conditions",metaDescription:"These terms and conditions outline the rules and regulations for the use of IntechOpen Website at https://intechopen.com and all its subdomains owned by Intech Limited located at 7th floor, 10 Lower Thames Street, London, EC3R 6AF, UK.",metaKeywords:null,canonicalURL:"/page/terms-and-conditions",contentRaw:'[{"type":"htmlEditorComponent","content":"By accessing the website at www.intechopen.com you are agreeing to be bound by these Terms of Service, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. Use and/or access to this site is based on full agreement and compliance of these Terms. All materials contained on this website are protected by applicable copyright and trademark laws.
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\\n\\nIntechOpen has no formal affiliation to any external sites that link to www.intechopen.com, unless otherwise specifically stated. As such, it is not responsible for content that appears on any such sites. The inclusion of any link to IntechOpen does not imply endorsement by IntechOpen. Use of any such linked website is done solely at the user's own discretion.
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\n\nThe following terminology applies to these Terms and Conditions, Privacy Statement, Disclaimer Notice, and any or all Agreements:
\n\n“Client”, “Customer”, “You” and “Your” refers to you, the person accessing this website and accepting the Company’s Terms and Conditions;
\n\n“The Company”, “Ourselves”, “We”, “Our” and “Us”, refers to our Company, IntechOpen;
\n\n“Party”, “Parties”, or “Us”, refers to both the Client and ourselves, or either the Client or ourselves.
\n\nAll Terms refer to the offer, acceptance, and consideration of payment necessary to provide assistance to the Client in the most appropriate manner, whether by formal meetings of a fixed duration, or by any other agreed means, for the express purpose of meeting the Client’s needs in respect of provision of the Company’s stated services/products, and in accordance with, and subject to, the prevailing laws of the United Kingdom.
\n\nAny use of the above terminology, or other words in the singular, plural, capitalization and/or he/she or they, are taken as interchangeable.
\n\nUnless otherwise stated, IntechOpen and/or its licensors own the intellectual property rights for all materials on www.intechopen.com. All intellectual property rights are reserved. You may view, download, share, link and print pages from www.intechopen.com for your own personal use, subject to the restrictions set out in these Terms and Conditions.
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\n\nIn no circumstances shall IntechOpen or its suppliers be liable for any damages (including, without limitation, damages for loss of data or profit, or due to business interruption) arising out of the use, or inability to use, the materials on IntechOpen's websites, even if IntechOpen or an IntechOpen authorized representative has been notified orally or in writing of the possibility of such damage. Some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages; consequently, these limitations may not apply to you.
\n\nIntechopen.com website content and services are provided on an "AS IS" and an "AS AVAILABLE" basis. Material appearing on www.intechopen.com could include minor technical, typographical, or photographic errors. IntechOpen may make changes to any material contained on its website at any time without notice.
\n\nIntechOpen has no formal affiliation to any external sites that link to www.intechopen.com, unless otherwise specifically stated. As such, it is not responsible for content that appears on any such sites. The inclusion of any link to IntechOpen does not imply endorsement by IntechOpen. Use of any such linked website is done solely at the user's own discretion.
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\n\nWithout prior approval and express written permission, you may not create frames around our web pages or use other techniques that alter in any way the visual presentation or appearance of our website.
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\n\nThese Terms and Conditions are governed by and construed in accordance with the laws of the United Kingdom and you irrevocably submit to the exclusive jurisdiction of the courts in London, United Kingdom.
\n\nCroatian version of Terms and Conditions available here
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Therefore, more studies are needed to assess the benefit of antibiotic prescription and whether it is safe to refrain from its use.",book:{id:"5185",slug:"dental-implantology-and-biomaterial",title:"Dental Implantology and Biomaterial",fullTitle:"Dental Implantology and Biomaterial"},signatures:"Dalia Khalil, Bodil Lund and Margareta Hultin",authors:[{id:"179031",title:"Dr.",name:"Dalia",middleName:null,surname:"Khalil",slug:"dalia-khalil",fullName:"Dalia Khalil"},{id:"185113",title:"Dr.",name:"Bodil",middleName:null,surname:"Lund",slug:"bodil-lund",fullName:"Bodil Lund"},{id:"185114",title:"Dr.",name:"Margareta",middleName:null,surname:"Hultin",slug:"margareta-hultin",fullName:"Margareta Hultin"}]},{id:"47915",title:"Rationale for Dental Implants",slug:"rationale-for-dental-implants",totalDownloads:3076,totalCrossrefCites:0,totalDimensionsCites:2,abstract:null,book:{id:"4548",slug:"current-concepts-in-dental-implantology",title:"Current Concepts in Dental Implantology",fullTitle:"Current Concepts in Dental Implantology"},signatures:"Ilser Turkyilmaz and Gokce Soganci",authors:[{id:"171984",title:"Associate Prof.",name:"Ilser",middleName:null,surname:"Turkyilmaz",slug:"ilser-turkyilmaz",fullName:"Ilser Turkyilmaz"}]},{id:"18430",title:"An Important Dilemma in Treatment Planning: Implant or Endodontic Therapy?",slug:"an-important-dilemma-in-treatment-planning-implant-or-endodontic-therapy-",totalDownloads:6264,totalCrossrefCites:0,totalDimensionsCites:0,abstract:null,book:{id:"179",slug:"implant-dentistry-a-rapidly-evolving-practice",title:"Implant Dentistry",fullTitle:"Implant Dentistry - A Rapidly Evolving Practice"},signatures:"Funda Kont Cobankara and Sema Belli",authors:[{id:"28846",title:"Dr.",name:"Funda",middleName:null,surname:"Kont Çobankara",slug:"funda-kont-cobankara",fullName:"Funda Kont Çobankara"},{id:"75862",title:"Prof.",name:"Sema",middleName:null,surname:"Belli",slug:"sema-belli",fullName:"Sema Belli"}]}],onlineFirstChaptersFilter:{topicId:"998",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"81595",title:"Prosthetic Concepts in Dental Implantology",slug:"prosthetic-concepts-in-dental-implantology",totalDownloads:25,totalDimensionsCites:0,doi:"10.5772/intechopen.104725",abstract:"This chapter will address evidence-based prosthetic concepts in dental implantology as well as clinical evidence with focus on appropriate logic and technical skills. Those prosthetic factors are as just important as surgical factors, and long-term success can only be achieved if both of those factors are considered, respected, and strictly followed from planning to prosthetic phase of treatment. This chapter will deal with materials selection for prosthetic part, shape, size, and design of supracrestal parts of abutments and their influence on soft tissue and bone stability around dental implants. Furthermore, one of most important decisions is about choosing the proper way of retention: screw- vs. cement-retained restorations, and it will be discussed in detail. Additionally, emergence profile and its function in soft tissues adaptation and adhesion to different prosthetic materials also have important role in long-term success of dental implant restorations.",book:{id:"10808",title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg"},signatures:"Ivica Pelivan"},{id:"80500",title:"Novel Dental Implants with Herbal Composites: A Review",slug:"novel-dental-implants-with-herbal-composites-a-review",totalDownloads:49,totalDimensionsCites:0,doi:"10.5772/intechopen.101489",abstract:"Missing a permanent tooth is a miserable condition faced by a common man. A tooth decay, periodontitis, mechanical trauma, or any systemic complications lead to such a complication. These bone defects when left untreated lead to severe resorption of the alveolar bone. A proper dental filling with an appropriate bone substitute material could prevent such resorption and paves a way for subsequent implant placement. Dental implants are considered as the prime option by dentists to replace a single tooth or prevent bone resorption. A variety of bone substitutes are available differ in origin, consistency, particle size, porosity, and resorption characteristics. Herbal composites in dentistry fabricated using biphospho-calcium phosphate, casein, chitosan, and certain herbal extracts of Cassia occidentalis, Terminalia arjuna bark, Myristica fragans also were reported to possess a higher ossification property, osteogenic property and were able to repair bone defects. C. occidentalis was reported to stimulate mineralization of the bone and osteoblastic differentiation through the activation of the PI3K-Akt/MAPKs pathway in MC3T3-E1 cells of mice. This implant proved better osteoconductivity and bioactivity compared to pure HAP and other BCP ratios. Terminalia Arjuna was also worked in the incorporation in the graft to enhance the osteogenic property of the implant and gave good results. Another implant bone graft was synthesized containing BCP, biocompatible casein, and the extracts of Myristica fragans and subjected to in vitro investigations and the results revealed the deposition of apatite on the graft after immersing in SBF and also the ALP activity was high when treated with MG-63 cells, NIH-3 T3, and Saos 2 cell lines. This study indicates that the inclusion of plant extract enhances the osteogenic property of the graft. Thus, these novel dental implants incorporated with herbal composites evaluated by researchers revealed an enhanced bone healing, accelerates osseointegration, inhibits osteopenia, and inhibits inflammation. This application of herbal composite inclusion in dentistry and its applications has a greater potential to improve the success rate of dental implants and allows the implications of biotechnology in implant dentistry.",book:{id:"10808",title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg"},signatures:"Gopathy Sridevi and Seshadri Srividya"},{id:"78320",title:"Implant-Retained Maxillary and Mandibular Overdentures - A Solution for Completely Edentulous Patients",slug:"implant-retained-maxillary-and-mandibular-overdentures-a-solution-for-completely-edentulous-patients",totalDownloads:66,totalDimensionsCites:0,doi:"10.5772/intechopen.99575",abstract:"The main goal of modern removable prosthodontics is to restore the normal appearance, function, esthetics and speech in each completely edentulous patient. However, if all teeth are missing in a patient, it becomes very complicated to achieve it using traditional protocols. Therefore, implants were introduced into removable prosthodontics to ensure better retention and stability of the conventional dentures. In case of a large amount of bone missing in the jaw it is necessary to ensure the functioning of the dentures constructing various additional stabilizing and retentive prosthodontic solutions on the osseointegrated implants. Numerous types of attachment systems have been used recently for relating implant-retained overdentures to underlying implants: basically splinting (various bar shape designs) and non-splinting attachments (various ball type attachment, magnet attachment, telescopic coping systems). Indications for their use depend on the surgical and prosthodontic factors such as the number and position of the implants, the amount of free intermaxillary space and the type and size of the overdentures. Different indications, types of the overdentures and the attachment systems will be discussed in this chapter.",book:{id:"10808",title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg"},signatures:"Dubravka Knezović Zlatarić, Robert Ćelić and Hrvoje Pezo"},{id:"79724",title:"Implant Stability Quotient (ISQ): A Reliable Guide for Implant Treatment",slug:"implant-stability-quotient-isq-a-reliable-guide-for-implant-treatment",totalDownloads:60,totalDimensionsCites:0,doi:"10.5772/intechopen.101359",abstract:"Implant stability is a prerequisite for successful dental implants and osseointegration. To determine the status of implant stability, continuous monitoring in an objective and qualitative manner is important. To measure implant stability two different stages are there: Primary and secondary. Primary implant stability at placement is a mechanical phenomenon that is related to the local bone quality and quantity, the type of implant and placement technique used. Primary stability is checked from mechanical engagement with cortical bone. Secondary stability is developed from regeneration and remodeling of the bone and tissue around the implant after insertion and affected by the primary stability, bone formation and remodeling. Implant stability is essential for the time of functional loading. Classical benchmark methods to measure implant stability were radiographs or microscopic analysis, removal torque, push-through and pull-through but due to lack of feasibility, time consumption and ethical reasons other methods have been propounded over period of time like measurement of implant torque, model analysis and most important ISQ which has the ability to monitor osseointegration and the life expectancy of an implant. ISQ is a valuable diagnostic and clinical tool that has far-reaching consequences on implant dentistry and this article throws light on advanced and reliable methods of assessing ISQ.",book:{id:"10808",title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg"},signatures:"Gaurav Gupta"},{id:"79817",title:"Peri-Implant Soft Tissue Augmentation",slug:"peri-implant-soft-tissue-augmentation",totalDownloads:128,totalDimensionsCites:0,doi:"10.5772/intechopen.101336",abstract:"The peri-implant soft tissue (PIS) augmentation procedure has become an integral part of implant-prosthetic rehabilitation. Minimal width of keratinized mucosa (KM) of 2 mm is deemed necessary to facilitate oral hygiene maintenance around the implant and provide hard and soft peri-implant tissue stability. PIS thickness of at least 2 mm is recommended to achieve the esthetic appearance and prevent recessions around implant prosthetic rehabilitation. The autogenous soft tissue grafts can be divided into two groups based on their histological composition—free gingival graft (FGG) and connective tissue graft (CTG). FGG graft is used mainly to increase the width of keratinized mucosa while CTG augment the thickness of PIS. Both grafts are harvested from the same anatomical region—the palate. Alternatively, they can be harvested from the maxillary tuberosity. Soft tissue grafts can be also harvested as pedicle grafts, in case when the soft tissue graft remains attached to the donor site by one side preserving the blood supply from the donor region. Clinically this will result in less shrinkage of the graft postoperatively, improving the outcome of the augmentation procedure. To bypass the drawback connected with FGG or CTG harvesting, substitutional soft tissue grafts have been developed.",book:{id:"10808",title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg"},signatures:"Marko Blašković and Dorotea Blašković"},{id:"79611",title:"Growth Factors and Dental Implantology",slug:"growth-factors-and-dental-implantology",totalDownloads:103,totalDimensionsCites:0,doi:"10.5772/intechopen.101082",abstract:"Normal healing procedure of bone involves various sequential events to develop bone and bridge the bone -to- bone gap. When this healing occurs with a metal (titanium) fixture on one side, it is called as osseointegration. After extensive studies on this topic, it is found that this procedure occurs in presence of various biologic constituents that are spontaneously released at the site. Thus, to accelerate normal healing after implant placement and make results more predictable, it has been proposed to use these autologous factors in the osteotomy site. Since it is the beginning of a new revolution in dental implantology, right now it is essential to analyze all possible combinations of host conditions, bone quality and quantity and bio factors being used. This can definitely be a boon for the patients with compromised systemic or local conditions.",book:{id:"10808",title:"Current Concepts in Dental Implantology - From Science to Clinical Research",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg"},signatures:"Deeksha Gupta"}],onlineFirstChaptersTotal:17},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:106,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. 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Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. 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His research interests are focused on modern imaging methods used in medicine and pharmacy, including in particular hyperspectral imaging, dynamic thermovision analysis, high-resolution ultrasound, as well as other techniques such as EPR, NMR and hemispheric directional reflectance. Author of over 100 scientific works, patents and industrial designs. Expert of the Polish National Center for Research and Development, Member of the Investment Committee in the Bridge Alfa NCBiR program, expert of the Polish Ministry of Funds and Regional Policy, Polish Medical Research Agency. Editor-in-chief of the journal in the field of aesthetic medicine and dermatology - Aesthetica.",institutionString:null,institution:{name:"Medical University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},{id:"8",title:"Bioinspired Technology and Biomechanics",coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",isOpenForSubmission:!0,editor:{id:"144937",title:"Prof.",name:"Adriano",middleName:"De Oliveira",surname:"Andrade",slug:"adriano-andrade",fullName:"Adriano Andrade",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRC8QQAW/Profile_Picture_1625219101815",biography:"Dr. Adriano de Oliveira Andrade graduated in Electrical Engineering at the Federal University of Goiás (Brazil) in 1997. He received his MSc and PhD in Biomedical Engineering respectively from the Federal University of Uberlândia (UFU, Brazil) in 2000 and from the University of Reading (UK) in 2005. He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). He was the head of the undergraduate program in Biomedical Engineering of the Federal University of Uberlândia (2015 - June/2019) and the head of the Centre for Innovation and Technology Assessment in Health (NIATS/UFU) since 2010. He is the head of the Postgraduate Program in Biomedical Engineering (UFU, July/2019 - to date). He was the secretary of the Parkinson's Disease Association of Uberlândia (2018-2019). Dr. Andrade's primary area of research is focused towards getting information from the neuromuscular system to understand its strategies of organization, adaptation and controlling in the context of motor neuron diseases. His research interests include Biomedical Signal Processing and Modelling, Assistive Technology, Rehabilitation Engineering, Neuroengineering and Parkinson's Disease.",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",isOpenForSubmission:!0,editor:{id:"126286",title:"Dr.",name:"Luis",middleName:"Jesús",surname:"Villarreal-Gómez",slug:"luis-villarreal-gomez",fullName:"Luis Villarreal-Gómez",profilePictureURL:"https://mts.intechopen.com/storage/users/126286/images/system/126286.jpg",biography:"Dr. Luis Villarreal is a research professor from the Facultad de Ciencias de la Ingeniería y Tecnología, Universidad Autónoma de Baja California, Tijuana, Baja California, México. Dr. Villarreal is the editor in chief and founder of the Revista de Ciencias Tecnológicas (RECIT) (https://recit.uabc.mx/) and is a member of several editorial and reviewer boards for numerous international journals. He has published more than thirty international papers and reviewed more than ninety-two manuscripts. 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Banigo, Chigozie A. Nnadiekwe and Emmanuel M. 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For 20 years, he has studied the analysis and processing of biomedical images, emphasizing the full automation of measurement for a large inter-individual variability of patients. Dr. Koprowski has authored more than a hundred research papers with dozens in impact factor (IF) journals and has authored or co-authored six books. Additionally, he is the author of several national and international patents in the field of biomedical devices and imaging. 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He has an excellent track record in the herpesvirus field, and his group is engaged in clinical research in the field of Epstein-Barr virus diseases. He is the editor of the online Encyclopedia of Environment and he coordinates the Universal Health Coverage education program for the BioHealth Computing Schools of the European Institute of Science.",institutionString:null,institution:{name:"Grenoble Alpes University",country:{name:"France"}}},{id:"131400",title:"Prof.",name:"Alfonso J.",middleName:null,surname:"Rodriguez-Morales",slug:"alfonso-j.-rodriguez-morales",fullName:"Alfonso J. Rodriguez-Morales",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/131400/images/system/131400.png",biography:"Dr. Rodriguez-Morales is an expert in tropical and emerging diseases, particularly zoonotic and vector-borne diseases (especially arboviral diseases). He is the president of the Travel Medicine Committee of the Pan-American Infectious Diseases Association (API), as well as the president of the Colombian Association of Infectious Diseases (ACIN). He is a member of the Committee on Tropical Medicine, Zoonoses, and Travel Medicine of ACIN. He is a vice-president of the Latin American Society for Travel Medicine (SLAMVI) and a Member of the Council of the International Society for Infectious Diseases (ISID). Since 2014, he has been recognized as a Senior Researcher, at the Ministry of Science of Colombia. He is a professor at the Faculty of Medicine of the Fundacion Universitaria Autonoma de las Americas, in Pereira, Risaralda, Colombia. He is an External Professor, Master in Research on Tropical Medicine and International Health, Universitat de Barcelona, Spain. He is also a professor at the Master in Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima, Peru. In 2021 he has been awarded the “Raul Isturiz Award” Medal of the API. Also, in 2021, he was awarded with the “Jose Felix Patiño” Asclepius Staff Medal of the Colombian Medical College, due to his scientific contributions to COVID-19 during the pandemic. He is currently the Editor in Chief of the journal Travel Medicine and Infectious Diseases. His Scopus H index is 47 (Google Scholar H index, 68).",institutionString:"Institución Universitaria Visión de las Américas, Colombia",institution:null},{id:"332819",title:"Dr.",name:"Chukwudi Michael",middleName:"Michael",surname:"Egbuche",slug:"chukwudi-michael-egbuche",fullName:"Chukwudi Michael Egbuche",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/332819/images/14624_n.jpg",biography:"I an Dr. Chukwudi Michael Egbuche. I am a Senior Lecturer in the Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka.",institutionString:null,institution:{name:"Nnamdi Azikiwe University",country:{name:"Nigeria"}}},{id:"284232",title:"Mr.",name:"Nikunj",middleName:"U",surname:"Tandel",slug:"nikunj-tandel",fullName:"Nikunj Tandel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284232/images/8275_n.jpg",biography:'Mr. Nikunj Tandel has completed his Master\'s degree in Biotechnology from VIT University, India in the year of 2012. He is having 8 years of research experience especially in the field of malaria epidemiology, immunology, and nanoparticle-based drug delivery system against the infectious diseases, autoimmune disorders and cancer. He has worked for the NIH funded-International Center of Excellence in Malaria Research project "Center for the study of complex malaria in India (CSCMi)" in collaboration with New York University. The preliminary objectives of the study are to understand and develop the evidence-based tools and interventions for the control and prevention of malaria in different sites of the INDIA. Alongside, with the help of next-generation genomics study, the team has studied the antimalarial drug resistance in India. Further, he has extended his research in the development of Humanized mice for the study of liver-stage malaria and identification of molecular marker(s) for the Artemisinin resistance. At present, his research focuses on understanding the role of B cells in the activation of CD8+ T cells in malaria. Received the CSIR-SRF (Senior Research Fellow) award-2018, FIMSA (Federation of Immunological Societies of Asia-Oceania) Travel Bursary award to attend the IUIS-IIS-FIMSA Immunology course-2019',institutionString:"Nirma University",institution:{name:"Nirma University",country:{name:"India"}}},{id:"334383",title:"Ph.D.",name:"Simone",middleName:"Ulrich",surname:"Ulrich Picoli",slug:"simone-ulrich-picoli",fullName:"Simone Ulrich Picoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334383/images/15919_n.jpg",biography:"Graduated in Pharmacy from Universidade Luterana do Brasil (1999), Master in Agricultural and Environmental Microbiology from Federal University of Rio Grande do Sul (2002), Specialization in Clinical Microbiology from Universidade de São Paulo, USP (2007) and PhD in Sciences in Gastroenterology and Hepatology (2012). She is currently an Adjunct Professor at Feevale University in Medicine and Biomedicine courses and a permanent professor of the Academic Master\\'s Degree in Virology. She has experience in the field of Microbiology, with an emphasis on Bacteriology, working mainly on the following topics: bacteriophages, bacterial resistance, clinical microbiology and food microbiology.",institutionString:null,institution:{name:"Universidade Feevale",country:{name:"Brazil"}}},{id:"229220",title:"Dr.",name:"Amjad",middleName:"Islam",surname:"Aqib",slug:"amjad-aqib",fullName:"Amjad Aqib",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229220/images/system/229220.png",biography:"Dr. Amjad Islam Aqib obtained a DVM and MSc (Hons) from University of Agriculture Faisalabad (UAF), Pakistan, and a PhD from the University of Veterinary and Animal Sciences Lahore, Pakistan. Dr. Aqib joined the Department of Clinical Medicine and Surgery at UAF for one year as an assistant professor where he developed a research laboratory designated for pathogenic bacteria. Since 2018, he has been Assistant Professor/Officer in-charge, Department of Medicine, Manager Research Operations and Development-ORIC, and President One Health Club at Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan. He has nearly 100 publications to his credit. His research interests include epidemiological patterns and molecular analysis of antimicrobial resistance and modulation and vaccine development against animal pathogens of public health concern.",institutionString:"Cholistan University of Veterinary and Animal Sciences",institution:null},{id:"62900",title:"Prof.",name:"Fethi",middleName:null,surname:"Derbel",slug:"fethi-derbel",fullName:"Fethi Derbel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62900/images/system/62900.jpeg",biography:"Professor Fethi Derbel was born in 1960 in Tunisia. He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. Professor Derbel has published many articles in journals and collaborates intensively with IntechOpen Access Publisher as an editor.",institutionString:"Clinique les Oliviers",institution:null},{id:"300144",title:"Dr.",name:"Meriem",middleName:null,surname:"Braiki",slug:"meriem-braiki",fullName:"Meriem Braiki",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/300144/images/system/300144.jpg",biography:"Dr. Meriem Braiki is a specialist in pediatric surgeon from Tunisia. She was born in 1985. She received her medical degree from the University of Medicine at Sousse, Tunisia. She achieved her surgical residency training periods in Pediatric Surgery departments at University Hospitals in Monastir, Tunis and France.\r\nShe is currently working at the Pediatric surgery department, Sidi Bouzid Hospital, Tunisia. Her hospital activities are mostly concerned with laparoscopic, parietal, urological and digestive surgery. She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. He has authored and reviewed a number of journal articles and book chapters.",institutionString:"National Veterinary Research Institute",institution:{name:"National Veterinary Research Institute",country:{name:"Nigeria"}}},{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",country:{name:"India"}}},{id:"94928",title:"Dr.",name:"Takuo",middleName:null,surname:"Mizukami",slug:"takuo-mizukami",fullName:"Takuo Mizukami",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94928/images/6402_n.jpg",biography:null,institutionString:null,institution:{name:"National Institute of Infectious Diseases",country:{name:"Japan"}}},{id:"233433",title:"Dr.",name:"Yulia",middleName:null,surname:"Desheva",slug:"yulia-desheva",fullName:"Yulia Desheva",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/233433/images/system/233433.png",biography:"Dr. Yulia Desheva is a leading researcher at the Institute of Experimental Medicine, St. Petersburg, Russia. She is a professor in the Stomatology Faculty, St. Petersburg State University. She has expertise in the development and evaluation of a wide range of live mucosal vaccines against influenza and bacterial complications. Her research interests include immunity against influenza and COVID-19 and the development of immunization schemes for high-risk individuals.",institutionString:'Federal State Budgetary Scientific Institution "Institute of Experimental Medicine"',institution:null},{id:"238958",title:"Mr.",name:"Atamjit",middleName:null,surname:"Singh",slug:"atamjit-singh",fullName:"Atamjit Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/238958/images/6575_n.jpg",biography:null,institutionString:null,institution:null},{id:"333753",title:"Dr.",name:"Rais",middleName:null,surname:"Ahmed",slug:"rais-ahmed",fullName:"Rais Ahmed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333753/images/20168_n.jpg",biography:null,institutionString:null,institution:null},{id:"252058",title:"M.Sc.",name:"Juan",middleName:null,surname:"Sulca",slug:"juan-sulca",fullName:"Juan Sulca",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252058/images/12834_n.jpg",biography:null,institutionString:null,institution:null},{id:"191392",title:"Dr.",name:"Marimuthu",middleName:null,surname:"Govindarajan",slug:"marimuthu-govindarajan",fullName:"Marimuthu Govindarajan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/191392/images/5828_n.jpg",biography:"Dr. M. Govindarajan completed his BSc degree in Zoology at Government Arts College (Autonomous), Kumbakonam, and MSc, MPhil, and PhD degrees at Annamalai University, Annamalai Nagar, Tamil Nadu, India. He is serving as an assistant professor at the Department of Zoology, Annamalai University. His research interests include isolation, identification, and characterization of biologically active molecules from plants and microbes. He has identified more than 20 pure compounds with high mosquitocidal activity and also conducted high-quality research on photochemistry and nanosynthesis. He has published more than 150 studies in journals with impact factor and 2 books in Lambert Academic Publishing, Germany. He serves as an editorial board member in various national and international scientific journals.",institutionString:null,institution:null},{id:"274660",title:"Dr.",name:"Damodar",middleName:null,surname:"Paudel",slug:"damodar-paudel",fullName:"Damodar Paudel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274660/images/8176_n.jpg",biography:"I am DrDamodar Paudel,currently working as consultant Physician in Nepal police Hospital.",institutionString:null,institution:null},{id:"241562",title:"Dr.",name:"Melvin",middleName:null,surname:"Sanicas",slug:"melvin-sanicas",fullName:"Melvin Sanicas",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/241562/images/6699_n.jpg",biography:null,institutionString:null,institution:null},{id:"337446",title:"Dr.",name:"Maria",middleName:null,surname:"Zavala-Colon",slug:"maria-zavala-colon",fullName:"Maria Zavala-Colon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Puerto Rico, Medical Sciences Campus",country:{name:"United States of America"}}},{id:"338856",title:"Mrs.",name:"Nur Alvira",middleName:null,surname:"Pascawati",slug:"nur-alvira-pascawati",fullName:"Nur Alvira Pascawati",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Universitas Respati Yogyakarta",country:{name:"Indonesia"}}},{id:"441116",title:"Dr.",name:"Jovanka M.",middleName:null,surname:"Voyich",slug:"jovanka-m.-voyich",fullName:"Jovanka M. Voyich",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Montana State University",country:{name:"United States of America"}}},{id:"330412",title:"Dr.",name:"Muhammad",middleName:null,surname:"Farhab",slug:"muhammad-farhab",fullName:"Muhammad Farhab",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{id:"349495",title:"Dr.",name:"Muhammad",middleName:null,surname:"Ijaz",slug:"muhammad-ijaz",fullName:"Muhammad Ijaz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Veterinary and Animal Sciences",country:{name:"Pakistan"}}}]}},subseries:{item:{id:"20",type:"subseries",title:"Animal Nutrition",keywords:"Sustainable Animal Diets, Carbon Footprint, Meta Analyses",scope:"An essential part of animal production is nutrition. Animals need to receive a properly balanced diet. One of the new challenges we are now faced with is sustainable animal diets (STAND) that involve the 3 P’s (People, Planet, and Profitability). We must develop animal feed that does not compete with human food, use antibiotics, and explore new growth promoters options, such as plant extracts or compounds that promote feed efficiency (e.g., monensin, oils, enzymes, probiotics). These new feed options must also be environmentally friendly, reducing the Carbon footprint, CH4, N, and P emissions to the environment, with an adequate formulation of nutrients.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/20.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11416,editor:{id:"175967",title:"Dr.",name:"Manuel",middleName:null,surname:"Gonzalez Ronquillo",slug:"manuel-gonzalez-ronquillo",fullName:"Manuel Gonzalez Ronquillo",profilePictureURL:"https://mts.intechopen.com/storage/users/175967/images/system/175967.png",biography:"Dr. Manuel González Ronquillo obtained his doctorate degree from the University of Zaragoza, Spain, in 2001. He is a research professor at the Faculty of Veterinary Medicine and Animal Husbandry, Autonomous University of the State of Mexico. He is also a level-2 researcher. He received a Fulbright-Garcia Robles fellowship for a postdoctoral stay at the US Dairy Forage Research Center, Madison, Wisconsin, USA in 2008–2009. He received grants from Alianza del Pacifico for a stay at the University of Magallanes, Chile, in 2014, and from Consejo Nacional de Ciencia y Tecnología (CONACyT) to work in the Food and Agriculture Organization’s Animal Production and Health Division (AGA), Rome, Italy, in 2014–2015. He has collaborated with researchers from different countries and published ninety-eight journal articles. 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