Summary of the transition temperatures for pure 9OO4 and all 9OO4/CNT samples on cooling (C) and heating (H).
\\n\\n
\\n"}]',published:!0,mainMedia:{caption:"Milestone",originalUrl:"/media/original/124"}},components:[{type:"htmlEditorComponent",content:'
Barely three months into the new year and we are happy to announce a monumental milestone reached - 150 million downloads.
\n\nThis achievement solidifies IntechOpen’s place as a pioneer in Open Access publishing and the home to some of the most relevant scientific research available through Open Access.
\n\nWe are so proud to have worked with so many bright minds throughout the years who have helped us spread knowledge through the power of Open Access and we look forward to continuing to support some of the greatest thinkers of our day.
\n\nThank you for making IntechOpen your place of learning, sharing, and discovery, and here’s to 150 million more!
\n\n\n\n\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{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"}]},book:{item:{type:"book",id:"10350",leadTitle:null,fullTitle:"Sleep Medicine and the Evolution of Contemporary Sleep Pharmacotherapy",title:"Sleep Medicine and the Evolution of Contemporary Sleep Pharmacotherapy",subtitle:null,reviewType:"peer-reviewed",abstract:"Sleep is a fundamental physiological feature experienced by all known mammalian, and most non-mammalian, species. Underscoring its importance is the wide array of neural and cellular processes that have evolved to govern when and how it occurs, its duration, sequence of phases, and the influence it exerts on numerous other brain functions. This book takes up the growing prevalence of sleep disorders affecting these processes and the panorama of pharmaceutical tools that have evolved for their medical care. Its wide-ranging discussion promises not only recent updates on their clinical management but a contemporary window into sleep’s cross-cutting relevance for the many neurological dysfunctions now known to associate with sleep disturbances.",isbn:"978-1-83969-822-4",printIsbn:"978-1-83969-821-7",pdfIsbn:"978-1-83969-823-1",doi:"10.5772/intechopen.91536",price:119,priceEur:129,priceUsd:155,slug:"sleep-medicine-and-the-evolution-of-contemporary-sleep-pharmacotherapy",numberOfPages:198,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"65adb695b7195972208b5da128f531ba",bookSignature:"Denis Larrivee",publishedDate:"January 7th 2022",coverURL:"https://cdn.intechopen.com/books/images_new/10350.jpg",numberOfDownloads:1207,numberOfWosCitations:0,numberOfCrossrefCitations:1,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:1,numberOfDimensionsCitationsByBook:0,hasAltmetrics:0,numberOfTotalCitations:2,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 20th 2021",dateEndSecondStepPublish:"May 18th 2021",dateEndThirdStepPublish:"July 17th 2021",dateEndFourthStepPublish:"October 5th 2021",dateEndFifthStepPublish:"December 4th 2021",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"206412",title:"Prof.",name:"Denis",middleName:null,surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee",profilePictureURL:"https://mts.intechopen.com/storage/users/206412/images/system/206412.jpeg",biography:"Dr. Denis Larrivee is a visiting scholar at the Mind and Brain Institute, Las Vegas; University of Navarra Medical School, Spain; and Loyola University Chicago. He has held professorships at Weill Cornell University Medical College, NYC, and Purdue University, Indiana. A former fellow at Yale University\\'s Medical School Dr. Larrivee received the Association for Research in Vision and Ophthalmology\\'s first-place award for studies on photoreceptor degenerative and developmental mechanisms. He is the chief editor of several medical and scientific texts, including topics on brain- computer interfacing, Alzheimer’s disease, neuromodulation and neurostimulation procedures, neuroethics, and sleep pharmacotherapies. He is an editorial board member of the journals Annals of Neurology and Neurological Sciences and EC Neurology. An International Neuroethics Society Expert he is the author of more than ninety papers and book chapters in such varied journals/venues as Neurology and Neurological Sciences, Journal of Neuroscience, Journal of Religion and Mental Health, and IEEE Explore. In 2018 he was a finalist in the international Joseph Ratzinger Expanded Reason Award sponsored by the Francis Vittorio University of Madrid.",institutionString:"Loyola University Chicago",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"6",totalChapterViews:"0",totalEditedBooks:"5",institution:{name:"Loyola University Chicago",institutionURL:null,country:{name:"United States of America"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"201",title:"Somnology",slug:"somnology"}],chapters:[{id:"79284",title:"Introductory Chapter: The Promise of Sleep Pharmacotherapy - Healing Systems Level Dysfunction",doi:"10.5772/intechopen.101177",slug:"introductory-chapter-the-promise-of-sleep-pharmacotherapy-healing-systems-level-dysfunction",totalDownloads:81,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Denis Larrivee",downloadPdfUrl:"/chapter/pdf-download/79284",previewPdfUrl:"/chapter/pdf-preview/79284",authors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],corrections:null},{id:"78603",title:"Neurophysiology of Basic Molecules Affecting Sleep and Wakefulness Mechanisms, Fundamentals of Sleep Pharmacology",doi:"10.5772/intechopen.100166",slug:"neurophysiology-of-basic-molecules-affecting-sleep-and-wakefulness-mechanisms-fundamentals-of-sleep-",totalDownloads:183,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"As part of the biological rhythm, the human brain has a healthy functioning with the ability to differentiate between day and night hours in any given day (sleep rhythm, life rhythm). From the control of hormone levels to muscle tonus, from the regulation of respiratory rate to the content of our thoughts, sleep has an impact on all bodily and cognitive functions. It is not surprising to see such effects of sleep on the body as it leads to significant changes in the electrical activity of the brain in general. Electrical signal changes in the brain (sleep-wakefulness rhythm) are regulated by neurohormonal molecules and their receptors in the body. Neurotransmitters that control sleep and wakefulness can be listed as “Glutamate, Acetylcholine, Histamine, Norepinephrine and GABA”. Main hormones are: Melatonin, Corticotropin Releasing Hormone (CRH), cortisol, prolactin, Growth Hormone (GH), Insulin like Growth Factor (IGF-1, Somatomedin-C), Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH), progesterone, estrogen, testosterone, catecholamines, leptin and neuropeptide Y″. The effects of pharmacological agents on sleep and wakefulness cycles are materialized through the following molecules and their receptors: Hypnotics (GABA A agonists, benzodiazepines, gabapentin, tiagabine), sedative antidepressants (tricyclic antidepressants, trazadone, mitrazapine), antihistamines, medications used for the treatment of sleeplessness (melatonin and melatonin analogues), amphetamine (most commonly used stimulant), secretion of monoamines (dopamine), non-amphetamine stimulants used in the treatment of hypersomnia and narcolepsy (modafinil, bupropion, selegiline, caffeine) and other substances (alcohol, nicotine, anesthetics). To the extent we can conceptualize the physiological mechanisms of these basic molecules listed above and the regions they affect, we can appreciate the effects of these substances on sleep physiology and sleep disorders.",signatures:"Murat Kayabekir",downloadPdfUrl:"/chapter/pdf-download/78603",previewPdfUrl:"/chapter/pdf-preview/78603",authors:[{id:"265598",title:"Associate Prof.",name:"Murat",surname:"Kayabekir",slug:"murat-kayabekir",fullName:"Murat Kayabekir"}],corrections:null},{id:"78493",title:"Narcolepsy Treatment: Present and Future",doi:"10.5772/intechopen.99777",slug:"narcolepsy-treatment-present-and-future",totalDownloads:173,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Narcolepsy is a chronic, disabling sleep disorder with a significant diagnostic delay. Nowadays, treatment is focused on managing symptoms that impacts patient’s life, such as at workplace, social events or even at school, but not aimed cure the disease. However, we have pharmacological treatments that effectively help control the main symptoms (excessive daytime sleepiness, cataplexy, fragmentation of nocturnal sleep, sleep paralysis and hypnagogic and hypnopompic hallucinations). On the other hand, pharmacological treatment must be individualised as there are great variations in severity, order of appearance symptoms and development of the disease. We intend to expose the different symptomatic treatments recommended by clinical guidelines and the clinical management from a practical point of view. Future treatments include therapies based on the replacement of hypocretin or the administration of agonist receptors. Other techniques such as hypothalamic stem cell transplantation, gene replacement therapy or immunotherapy are also being investigated.",signatures:"Juan José Ortega-Albás, Raquel López García, Alfonso Martínez Martínez, Sonia Carratalá Monfort, Juan Antonio Royo Prats, Laura Albiol Varela and Patricia Ortega Gabás",downloadPdfUrl:"/chapter/pdf-download/78493",previewPdfUrl:"/chapter/pdf-preview/78493",authors:[{id:"417140",title:"Associate Prof.",name:"Juan José",surname:"Ortega-Albás",slug:"juan-jose-ortega-albas",fullName:"Juan José Ortega-Albás"},{id:"427118",title:"M.D.",name:"Raquel",surname:"López García",slug:"raquel-lopez-garcia",fullName:"Raquel López García"},{id:"427119",title:"Dr.",name:"Alfonso",surname:"Martínez Martínez",slug:"alfonso-martinez-martinez",fullName:"Alfonso Martínez Martínez"},{id:"427120",title:"Dr.",name:"Sonia",surname:"Carratalá Monfort",slug:"sonia-carratala-monfort",fullName:"Sonia Carratalá Monfort"},{id:"427121",title:"Dr.",name:"Juan Antonio",surname:"Royo Prats",slug:"juan-antonio-royo-prats",fullName:"Juan Antonio Royo Prats"},{id:"427122",title:"Dr.",name:"Laura",surname:"Albiol Varela",slug:"laura-albiol-varela",fullName:"Laura Albiol Varela"},{id:"427124",title:"Mrs.",name:"Patricia",surname:"Ortega Gabás",slug:"patricia-ortega-gabas",fullName:"Patricia Ortega Gabás"}],corrections:null},{id:"78877",title:"The Pharmacology of Parasomnias and Movement Disorders of Sleep",doi:"10.5772/intechopen.100472",slug:"the-pharmacology-of-parasomnias-and-movement-disorders-of-sleep",totalDownloads:164,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The treatment of parasomnias and sleep related movement disorders is not always pharmacologic, indeed, some of these disorders respond to behavioral approaches without the risks of pharmaceuticals. This chapter endeavors to pull forward the disorders in which pharmacologic treatment is the best choice and lay out the pharmacologic properties of the treatments. It is not the goal of this chapter to present an encyclopedic review of the parasomnias and sleep related movement disorders. It is, however, the intent of this chapter to comprehensively review pharmacologic treatments used in the management of the disorders in which drug use is most necessary. The pharmacokinetic and pharmacodynamic properties and known risks of these pharmaceuticals are presented and discussed. When more than one pharmaceutical is used clinically within a class of drugs, thorough review of selected drugs is presented. The chapter includes investigations, mostly human studies, of the drugs discussed. The author’s extensive experience in pharmacology, neurology, and sleep medicine take the chapter through pharmacological information a clinician needs to guide the management of these disorders.",signatures:"Gregory S. Carter",downloadPdfUrl:"/chapter/pdf-download/78877",previewPdfUrl:"/chapter/pdf-preview/78877",authors:[{id:"418748",title:"Dr.",name:"Gregory S.",surname:"Carter",slug:"gregory-s.-carter",fullName:"Gregory S. Carter"}],corrections:null},{id:"78739",title:"Impact of Insomnia in the Elderly: The Correlation between Snoring and Apnea/Hypopnea Index",doi:"10.5772/intechopen.100167",slug:"impact-of-insomnia-in-the-elderly-the-correlation-between-snoring-and-apnea-hypopnea-index",totalDownloads:119,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The purpose of this study was to examine the relationship between snoring and obstructive sleep apnea/hypopnea index in community dwelling older men and women. In this retrospective case-series study, the author was using a sequential collection of clinical datum design. There were 124 community-dwelling elders (mean age=71.85 years, Standard Deviation=4.85 years) with complaints of sleep disturbance. Including 46 females (F: M= 1:1.71), all the total subjects with sleep disturbance, after meeting the following criteria of exclusion: age below 65 years, heart failure, and chronic obstructive lung disease, were admitted to the sleep medicine laboratory where sleep questionnaire was used. They underwent in laboratory over-night polysomnography (PSG). The period of this study was 13 months; the total number of subjects whom took PSG in this Sleep Center Laboratory was 1,087 individuals during this period. The proposed neural model used is a generalized regression neural network (GRNN). This neural model has some advantages such as cost and time efficiencies in relation to experimental measurements. The training speed of the proposed technique is faster and the network architecture is simpler. In all likelihood, this model can be used in clinical applications that can reduce the necessity of in-laboratory nocturnal sleep studies since it has surpassed current classification approaches in terms of accuracy, simplicity, cost, time efficiency, and generalization. The correlation between snoring and AH1 was evaluated, though there was no measurement of vasopressin-positive and vasoactive-intestinal-polypeptide (AVP) neurons in postmortem examination of suprachiasmatic nucleus (SCN), as there was no death case. To the contrary, focus was set on the analysis of sleep disturbances that could be interpreted as the result of altered SCN function. The relationship between Snoring and AHI for the elderly with regard to its clue and impact on INSOMNIA is presented. The relationship between clinical sleep apnea and the physiological events surrounding the octogenarians was assessed. Clinically no indication for any brain tissue biopsy.",signatures:"Bing Tang",downloadPdfUrl:"/chapter/pdf-download/78739",previewPdfUrl:"/chapter/pdf-preview/78739",authors:[{id:"95530",title:"Dr.",name:"Bing",surname:"Tang",slug:"bing-tang",fullName:"Bing Tang"}],corrections:null},{id:"78822",title:"Elements of Diagnosis and Non-surgical Treatment of Obstructive Sleep Apnea in Adults from the Dental Medicine Perspective",doi:"10.5772/intechopen.100419",slug:"elements-of-diagnosis-and-non-surgical-treatment-of-obstructive-sleep-apnea-in-adults-from-the-denta",totalDownloads:91,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Dentists hold a key role in the context of ever-growing concerns regarding the management of Obstructive Sleep Apnea (OSA) in adults. Dentists’ contribution in this domain starts with the screening of patients with possible OSA. An earlier intervention for correcting a dento-maxillary anomaly or a parafunction will often serve as a preventive treatment with regard to possible OSA. Furthermore, dental medicine offers nowadays, apart from orthodontic and surgical treatment, a set of therapeutical methods, the most commonly used being the oral appliance and myofunctional therapies. Another important sphere of professional responsibility of the dentist involved in the treatment of OSA consists of periodical examinations focused on assessing clinical evolution, corrective interventions on oral appliances and interventions for preventing local complications. On the other hand, recent studies indicate the potential of different pharmacotherapy agents on OSA pathophysiology, severity and treatment. These agents have shown promising results in improving the efficacy of other therapies dedicated to OSA, therefore, current topics in modern scientific research include the evaluation of standard, even higher doses of single agents or the combination of different agents on the evolution of OSA, as well as the assessment of the association of diverse pharmacotherapy agents with other OSA therapies.",signatures:"Teodor Trăistaru, Mihaela Pantea, Ana Maria Cristina Țâncu and Marina Imre",downloadPdfUrl:"/chapter/pdf-download/78822",previewPdfUrl:"/chapter/pdf-preview/78822",authors:[{id:"327901",title:"Dr.",name:"Ana Maria",surname:"Țâncu",slug:"ana-maria-tancu",fullName:"Ana Maria Țâncu"},{id:"363195",title:"Dr.",name:"Marina",surname:"Imre",slug:"marina-imre",fullName:"Marina Imre"},{id:"417512",title:"Dr.",name:"Mihaela",surname:"Pantea",slug:"mihaela-pantea",fullName:"Mihaela Pantea"},{id:"419059",title:"Prof.",name:"Teodor",surname:"Traistaru",slug:"teodor-traistaru",fullName:"Teodor Traistaru"}],corrections:null},{id:"78349",title:"Sleep and the Fitness to Drive: A Swiss Perspective",doi:"10.5772/intechopen.99791",slug:"sleep-and-the-fitness-to-drive-a-swiss-perspective",totalDownloads:115,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Medical conditions and behavioral patterns affecting sleep are a largely underestimated threat to traffic safety. Unsupervised or even illegal self-treatment of sleep issues by, for example, anti-histamines, cannabis products, or stimulants, questions safe driving and the fitness to drive as well as low compliance/adherence to treatments (CPAP, medication, etc.) of medical conditions, such as OSAS, or narcolepsy. In such cases, Swiss law calls for a medical assessment of the fitness to drive by experts in traffic medicine. With increasing complexity, this medical assessment is escalated in a four-tiered system of qualified experts, ranging from a qualified practitioner to experts in traffic medicine, at, for example, an Institute for Legal Medicine. The following overview provides insight in the Swiss framework of traffic medicine assessments that – with all caveats and potential drawbacks – helps mitigating the risk of sleep-related accidents. For this, we first introduce Swiss traffic medicine and then argue for consistent terms and measurements to assess sleepy driving. A concise summary of those sleep related conditions most relevant in traffic medicine is followed by an overview over potential issues of sleep-medication.",signatures:"Stefan Lakämper and Kristina Keller",downloadPdfUrl:"/chapter/pdf-download/78349",previewPdfUrl:"/chapter/pdf-preview/78349",authors:[{id:"416593",title:"Dr.",name:"Kristina",surname:"Keller",slug:"kristina-keller",fullName:"Kristina Keller"},{id:"416595",title:"Dr.",name:"Stefan",surname:"Lakämper",slug:"stefan-lakamper",fullName:"Stefan Lakämper"}],corrections:null},{id:"78358",title:"Circadian Rhythm Disorders",doi:"10.5772/intechopen.99816",slug:"circadian-rhythm-disorders",totalDownloads:147,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Circadian rhythm disorders are a group of sleep conditions that involve a misalignment of an individual’s internal timekeeping system with that of one’s desired sleep-wake time. This desynchrony can compromise sleep health as well as the functioning of other organ system, and significantly diminish one’s quality of life. There are six well-defined circadian rhythm disorders that can be classified as either intrinsic or extrinsic, based on the underlying factors that contribute to the condition. Intrinsic circadian disorders include the following: 1) advanced sleep-wake phase disorder, 2) delayed sleep-wake phase disorder, 3) irregular sleep-wake rhythm disorder, and 4) non-24-hour sleep-wake rhythm disorder. The two circadian disorders caused by external factors include 1) shift work disorder, and 2) jet lag disorder, both of which are due to behaviorally mediated misalignments of circadian system. This chapter serves to summarize these disorders, guide clinicians towards screening and evaluation of these conditions, and introduce basic treatment strategies that can be applied by non-sleep medicine clinicians.",signatures:"Ajay Sampat and Armand Ryden",downloadPdfUrl:"/chapter/pdf-download/78358",previewPdfUrl:"/chapter/pdf-preview/78358",authors:[{id:"416407",title:"Assistant Prof.",name:"Ajay",surname:"Sampat",slug:"ajay-sampat",fullName:"Ajay Sampat"},{id:"426799",title:"Dr.",name:"Armand",surname:"Ryden",slug:"armand-ryden",fullName:"Armand Ryden"}],corrections:null},{id:"79099",title:"Sleep Disorders in Pregnancy",doi:"10.5772/intechopen.100300",slug:"sleep-disorders-in-pregnancy",totalDownloads:134,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Sleep disturbances and changes in circadian rhythms are commonly observed in pregnant women. These disorders can result from anatomical, physiological, psychological, and hormonal alterations that can influence sleeping during this phase. Sleep disorders during pregnancy can be responsible for detrimental effects on both mother and foetus. In this chapter we will focus on the epidemiology of sleep disorders, physiological sleep mechanisms and their alterations during pregnancy, as well as on risk factors for sleep disorders in pregnancy. We will then focus of the most frequent sleep disorders during pregnancy, also considering eventual adverse implications for both mother and child, prognosis, and possible pharmacological and non-pharmacological treatments.",signatures:"Patrizia Moretti, Giulia Menculini and Lucia Gonfia",downloadPdfUrl:"/chapter/pdf-download/79099",previewPdfUrl:"/chapter/pdf-preview/79099",authors:[{id:"331026",title:"Assistant Prof.",name:"Patrizia",surname:"Moretti",slug:"patrizia-moretti",fullName:"Patrizia Moretti"},{id:"420018",title:"Dr.",name:"Lucia",surname:"Gonfia",slug:"lucia-gonfia",fullName:"Lucia Gonfia"},{id:"436679",title:"Dr.",name:"Giulia",surname:"Menculini",slug:"giulia-menculini",fullName:"Giulia Menculini"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"6610",title:"Evolving BCI Therapy",subtitle:"Engaging Brain State Dynamics",isOpenForSubmission:!1,hash:"81a5621637cfaad35284f268db29bb60",slug:"evolving-bci-therapy-engaging-brain-state-dynamics",bookSignature:"Denis Larrivee",coverURL:"https://cdn.intechopen.com/books/images_new/6610.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7868",title:"Redirecting Alzheimer Strategy",subtitle:"Tracing Memory Loss to Self Pathology",isOpenForSubmission:!1,hash:"57b9b4f3a8d378e6ce3b7444d134fbd1",slug:"redirecting-alzheimer-strategy-tracing-memory-loss-to-self-pathology",bookSignature:"Denis Larrivee",coverURL:"https://cdn.intechopen.com/books/images_new/7868.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"8059",title:"Neurostimulation and Neuromodulation in Contemporary Therapeutic Practice",subtitle:null,isOpenForSubmission:!1,hash:"8cc2c649900edf37ff3374fdc96a1586",slug:"neurostimulation-and-neuromodulation-in-contemporary-therapeutic-practice",bookSignature:"Denis Larrivee and Seyed Mansoor Rayegani",coverURL:"https://cdn.intechopen.com/books/images_new/8059.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7798",title:"Neuroethics in Principle and Praxis",subtitle:"Conceptual Foundations",isOpenForSubmission:!1,hash:"c331b07083fed290d6be2ccf32f1118f",slug:"neuroethics-in-principle-and-praxis-conceptual-foundations",bookSignature:"Denis Larrivee",coverURL:"https://cdn.intechopen.com/books/images_new/7798.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7076",title:"Updates in Sleep Neurology and Obstructive Sleep Apnea",subtitle:null,isOpenForSubmission:!1,hash:"263810af663c2c7e8eeb63993239973f",slug:"updates-in-sleep-neurology-and-obstructive-sleep-apnea",bookSignature:"Fabian H. 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Composites of nanoparticles with liquid crystal represent a unique physical system, where properties of the constituents fully mix and may lead to show new behavior. As of now, traditional composites are well understood, the superposition of component of the composites interfacial interactions play a very important role in holding the composite together. As the filler size shrink, the surface area begins to dominate, leading to unique behavior of the composites. Carbon nanotubes (CNT) and liquid crystals (LC) are good examples of such components. For large number of applications, the challenge lies in the alignment and ordering of CNTs to take advantages of their highly anisotropic thermal characteristics. Carbon nanotubes have emerged as a new category of nanosized particles for incorporation into different liquid crystal systems, attracting favorable interest from both basic level science research and industrial applications [1]. As a result of the exceptional properties of carbon nanotubes, the novel materials can be envisioned that exhibit property enhancements at lower concentration than in conventional composite technology [2]. In the research area of polymer nanocomposites, reported property enhancements include enhanced mechanical performance [3, 4], higher thermal and electrical conductivity [5, 6, 7], and increased property of crystallization rate [8, 9, 10, 11, 12]. In addition to CNT’s thermal, mechanical, and magnetic properties [13, 14, 15, 16, 17, 18, 19, 20, 21, 22], their unique electrical properties make them potentially very useful materials for making nanoflexible electronic devices [2, 23, 24, 25, 26]. Liquid crystals [27, 28, 29] are anisotropic fluids that exhibit thermodynamically stable phases between an isotropic liquid and a full, three-dimensionally ordered solid. In the nematic (N) phase, LCs show orientational order, and in the smectic-A (SmA) phase, the rod-like molecules are arranged in layers with their long axes on average, normal to the layer planes. They show both orientational and partial translational order characterized by a quasi-1-d density wave. The smectic phases incorporate the structures of materials with diverse symmetry groups [30], such as that of smectic-C (SmC), which has the layer tilting away from the director. In smectic-B (SmB) phase, the molecules show short-range hexagonal ordering within the layers but not from layer to layer, and it shows a short or long-range translational order. Higher order, lower symmetry, liquid crystalline materials have been studied because three of their industrial applications as well as important physical models of self-assembly [29, 30]. When CNTs are dispersed in a liquid crystal, they can modify the physical properties and hence the phase behavior of the nanocomposite. Due to the specific surface anchoring between nanoparticle and LC, the nanoparticles can act either as nucleation sites for a given type of order or as disordering sites that stabilize the isotropic phase [31, 32]. However, if the local ordering effects of CNT surfaces are randomly arranged, this can lead to a random-field effect [33] and an overall disordering of the composites. Investigations have been made on liquid crystal nanocomposites using optical microscopy and differential scanning calorimetry (DSC), finding an enhancement of the isotropic to nematic phase transition temperature and revealing a “chimney type” phase diagram over a narrow range of CNT weight percent between 0.001 and 0.002 wt% [34]. In fact, researchers found that the addition of CNT into LC increases the clearing point of LCs because of the strong attraction of CNT and LC [35]. However, other studies have found disordering effects of CNT on LC phase transitions [31]. Other work has shown improved electro-optical switching properties of nanocomposites in thermotropic or lyotropic liquid crystals and CNTs [36, 37, 38, 39, 40, 41]. In liquid crystals, the effect of carbon nanotubes on the phase ordering of LC/CNT composites depends on the surface coupling of the molecule and graphene surface, as well as the distribution of those surfaces. In fact, it is also observed that aligned CNTs can cause an increase of the orientational order in the LC [42, 43]. Such composites have been proposed as memory devices by exploiting their nanoelectromechanical properties [44, 45]. Recently, investigations on LC/CNT composites have shown that the CNTs can induce chirality in the bulk LC [46, 47, 48]. Most of the recent studies were focused on the nematic ordering and the isotropic (I) to nematic (N) phase transition behavior in LC/CNT composite scaffolds. In this study, we focus the phase transition behavior of the liquid crystal alkoxyphenylbenzoate (9OO4) doped with multiwall carbon nanotubes as a function of CNT weight percent. The incorporation of nanotubes in pure 9OO4 reveals that all mesophase transition temperatures and the crystallization transition temperatures shift upward. These results suggest that the interactions between molecular structure, dipole moment of liquid crystal, and graphene-like surface can allow the random dispersion of CNTs to promote both orientational and positional order. We interpret this effect in terms of pinning the director at the CNT surface with bulk-like scalar order parallel to the CNT long axis over distances that span multiple nematic domains while allowing the LC molecule to slide along the surface, accommodating four various positional orders. Our presentation is organized as follows: Following this introduction, Section 2 describes the preparation of the sample and modulated differential scanning calorimetry procedure, as well as the electroclinic procedure. Section 3 describes the calorimetric and electroclinic results of all phase transitions in the 9OO4/CNT system, Section 4 provides a discussion, and Section 5 provides conclusions of our work and future directions.
\nThe liquid crystal 9OO4 is a phenyl benzoate containing an oxoester linkage group with two alkoxy end groups (see Figure 1). The molecular mass for 9OO4 is Mw = 424.66 g/mol with an extended molecular structure approximately 4 nm long and 0.8 nm wide. For 9OO4, modeling suggests that due to the carbon = oxygen double bond in the oxoester linking group, the effective dipole moment of 9OO4 is approximately perpendicular to the long axis and average plane of the phenyl rings. The multiwall CNTs were obtained from Nanostructured and Amorphous Materials, Inc., and have an average outer diameter of 8–15 nm, an inner diameter 3–5 nm, a length of 500–2000 nm, and a distribution of different chiral structures [46]. To reduce aggregation, a small amount of CNTs were dispersed first in acetone and shaken using a mixer for 30 min, followed by sonication for 3 hours. The 9OO4 was added to the acetone + CNT mixture to achieve the desired final weight percent ϕw of CNTs. The mixture was then sonicated for 3 hours to facilitate good dispersion. Finally, the acetone was evaporated slowly and then allowed to degass under a modest vacuum in the isotropic phase of 9OO4 at ∼364 K (or 90°C) for about 2 hours. Microbalance is used to mass the mixture of composites to ensure complete removal of acetone before sealed in the experimental sample cell. This process was continuously repeated to prepare 0 (pure 9OO4), 0.008, 0.010, 0.025, and 0.200 wt% CNT samples and tested uniform dispersion with the help of microscopy. On cooling, pure 9OO4 exhibits the phase sequence I - 87 - N - 73 - SmA - 62 - SmC - 50 - SmB - 35 - K (crystal), where temperatures are in Celsius; while on heating, melting occurs nearly 25 K higher, which is followed by a specific heat peak almost 2 K higher than the melting peak before entering the SmA phase. Further heating yields the N and I phases. Based on the imaginary specific heat ∆C″ p behavior, the I-N transition is weakly first order, the N-SmA is continuous, the SmA-SmC is continuous, the SmC-SmB is first order, and the SmB-K is strongly first order. The initial melting from crystal is strongly first order followed by a second, weakly first order, Cp feature that indicates the presence of a narrow temperature range having a smectic-like texture, as seen under polarizing microscopy (labeled SmX) between the K and SmA phase on heating [49]. Unfortunately, the polarizing microscope images could not distinguish which type of smectic is the SmX region.
\nThe member of the 4-n-alkoxy phenyl-40-m-alkoxy benzoate homolog series denoted nOOm. In this study, n = 9 and m = 4 (9OO4). Note that the negative dielectric anisotropy is due to the O-C=O group in the benzoate group linking the two phenyl rings. Molecular modeling suggests that the effective dipole moment of about 2.5 is pointing approximately perpendicular to the twisted phenyl rings, essentially out of the page [
Modulated differential scanning calorimetry (MTDSC/MDSC) allows for the simultaneous measurement of the evolution of both the heat flow and heat capacity. It is essentially the combination of traditional ac-calorimetry and DSC. This method allows for measuring the total heat flow of material, as well as its nonreversible and reversible heat capacities. A detailed description of the MDSC method can be found elsewhere [50, 51, 52, 53, 54, 55, 56, 57]. MDSC experiments were performed using a Model Q200 from TA Instruments, USA. Prior to all measurements, temperature calibration was done with a sapphire disc, under the same experimental conditions used for all 9OO4/CNT samples. The analysis method used to extract the complex specific heat is based on linear response theory [50, 58]. In general, a temperature oscillation is described as T(t) = T0 + T˙0 t + AT sin(ωt), where T0 is the initial temperature at time t = 0, T indicates the absolute temperature at time t, T˙0 represents the baseline temperature scan rate, AT is the temperature amplitude, and ω (ω = 2πf) is the angular frequency of the temperature modulation. The rate of temperature is also time dependent and is given by equation T˙(t) = dT/dt = T˙0 + Aqcos(ωt), where Aq represents the amplitude of temperature modulation r (Aq = ωAT). Since the applied temperature rate consists of two components, T0 the underlying rate and Aqcos(ωt) the periodic rate. The measured heat flow HF can also be separated into two components in response to these temperature rates. The periodic component can be described by HFq = AHF cos(ωt − φ), where AHF represents the amplitude of the heat flow and φ is the phase angle between heat flow and temperature rate. The absolute value of the complex specific heat is written as C ∗ p = AHF/mAq, where ‘m’ is the mass of the sample. The phase angle φ requires a small calibration to account for finite six thermal conductivities of the sample and cell, see Ref. [57]. The real part of specific C′p and imaginary part of specific heat C″p are then given by C′ p = C ∗ p cos(φ) and C″p = C ∗ p sin(φ), which allows for a consistent definition for the complex specific heat. Typically, under equilibrium conditions, C″ p = 0 after φ calibration. The appearance of a peak-like nonzero C″p feature commensurate with a peak in the real part of the specific heat indicates that this feature is a first-order transition and involves a latent heat. The excess specific heats were determined in order to isolate the contribution from the various transitions. A linear baseline was used over the entire temperature scan range in order to determine ∆Cp = Cp − Cbaseline for both the real and imaginary parts of specific heat components, though C″p always exhibited a very shallow linear baseline that was very close to zero, indicating near equilibrium conditions for the experimental parameters used in this work. For specific heat features that are close in temperature, the wing of one peak is subtracted from the lower specific heat peak in order to isolate the excess specific heat of the lower temperature transition, denoted as δCp = ∆Cp − Cwing, where Cwing is a mimic function (polynomial) of the underlying wing. This calculation was only applied to the real component of the specific heat. The particular transition enthalpy component is simply the integration of the excess specific heat component over a consistent temperature range. Finally, for first-order transitions, the transition temperature (TIN, TCB, TBK, TKX, and TXA) is determined as the highest temperature of the two-phase coexistence region indicated by the onset of nonzero values of ∆C″ p. For continuous transitions, the transition temperature is taken as the ∆C′ p peak temperature. We have tested quasi-equilibrium parameter such as scan rate, temperature amplitude, and modulation time period by varying different values above and below specified values of nearly equilibrium.
\nDetails of the electroclinic effect experimental set up are described elsewhere [59]. Briefly, a cell of thickness d = 7.7 ± 0.1 μm was constructed from a pair of indium-tin-oxide–coated glass slides covered with a rubbed polyimide alignment layer. The cell was filled with 0.05 wt% CNT in 9OO4, which aligned in the planar direction. Light polarized at 22.5° relative to the director orientation was incident on the cell, subsequently passing through the cell, an analyzer, and into a detector. On applying an ac-electric field E at frequency f = 25 Hz across the cell, the director rotated in the cell’s plane by an angle θ [∝ E], resulting in an ac intensity component Iac at frequency f, as measured by a lock-in amplifier. It can be shown [59] that the ratio Iac/4Idc corresponds to the spatially averaged rms director rotation θ, where Idc is the dc intensity measured at the detector. At each temperature, the electric field was ramped from 0 to 2.6 × 106 V/m (rms) over a time 450 s, and the results were fitted to a straight line. The electroclinic coefficient is defined as ec ≡ dθ/dE.
\nFor the pure 9OO4, calorimetry shows that the I-N phase transition occurs at TIN = 86.23°C, the N-SmA phase transition at TNA = 71.49°C, the SmA-SmC phase transition at TAC = 61.5°C, the SmC-SmB phase transition at TCB = 49.38°C, and SmB-Cry phase transition at TBK = 35.3°C in good agreement with literature values [49]. All the phase transitions are characterized by a distinct Cp peaks at a nearly equilibrium scan rate of ±0.3 K/min (Figures 2–6). The strongly first-order melting followed by a second first-order Cp feature indicates the presence of an intermediate phase (labeled SmX) between K and SmA on heating. The transition temperatures and enthalpies of pure 9OO4 on cooling and heating are presented in Tables 1 and 2.
\n(a) Excess real part specific heat associated with the I-N phase transition as function of temperature about TIN on cooling. The definitions of the symbols are indicated in the inset. (b) Excess real part of specific heat associated with the I-N phase transition as function of temperature about TIN on heating.
(a) The excess real part of specific heat associated with the N-SmA phase transition as function of temperature about TNA on cooling. (b) The excess real part specific heat associated with the N-SmA phase transition as function of temperature about TNA on heating. The definitions of the symbols are indicated in the inset.
Excess real specific heat associated with the SmA-SmC phase transition as function of temperature about TAC on cooling for different CNT content sample. The definition of the symbols is given in the inset.
Electroclinic response is a function of electric applied field (E). Data collected at temperature 63.2°C, approximately 1.2°C above SmA
The inverse electroclinic coefficient
\n | TIN(C) | \nTNA(C) | \nTAC(C) | \nTCB(C) | \nTBK(C) | \nTKX(H) | \nTKA(H) | \nTNA(H) | \nTIN(H) | \n
---|---|---|---|---|---|---|---|---|---|
0.000 | \n86.19 | \n71.27 | \n61.10 | \n49.38 | \n35.00 | \n60.96 | \n63.55 | \n71.46 | \n86.48 | \n
0.008 | \n87.13 | \n72.68 | \n62.49 | \n50.33 | \n39.16 | \n61.36 | \n64.24 | \n72.72 | \n87.27 | \n
0.010 | \n87.14 | \n72.69 | \n62.50 | \n50.26 | \n39.34 | \n61.45 | \n64.34 | \n72.85 | \n87.27 | \n
0.025 | \n87.37 | \n72.52 | \n62.53 | \n50.25 | \n39.66 | \n61.49 | \n64.06 | \n72.45 | \n87.10 | \n
0.050 | \n86.92 | \n72.50 | \n62.28 | \n50.17 | \n39.85 | \n61.42 | \n64.00 | \n72.62 | \n87.35 | \n
0.200 | \n86.88 | \n72.48 | \n62.27 | \n50.13 | \n39.56 | \n61.37 | \n63.98 | \n72.51 | \n87.27 | \n
Summary of the transition temperatures for pure 9OO4 and all 9OO4/CNT samples on cooling (C) and heating (H).
CNT weight percent
ϕw | \n∆ | \n∆ | \n∆ | \n∆ | \n∆ | \n∆ | \n∆ | \n∆ | \n|||
---|---|---|---|---|---|---|---|---|---|---|---|
0.000 | \n3.9 | \n0.95 | \n3.1 | \n35.9 | \n35.9 | \n80.2 | \n72.0 | \n32.0 | \n3.0 | \n4.9 | \n83.4 | \n
0.008 | \n3.8 | \n0.99 | \n2.6 | \n38.9 | \n38.9 | \n84.1 | \n69.2 | \n17.1 | \n2.9 | \n5.1 | \n85.7 | \n
0.010 | \n4.3 | \n0.96 | \n2.6 | \n39.7 | \n39.7 | \n84.4 | \n67.4 | \n13.6 | \n2.9 | \n4.8 | \n83.9 | \n
0.025 | \n3.2 | \n0.69 | \n2.6 | \n29.1 | \n29.1 | \n70.1 | \n67.8 | \n10.5 | \n2.9 | \n4.2 | \n75.0 | \n
0.050 | \n3.4 | \n1.01 | \n2.8 | \n31.2 | \n31.2 | \n72.4 | \n61.9 | \n10.3 | \n2.8 | \n4.4 | \n85.3 | \n
0.200 | \n3.6 | \n1.03 | \n2.7 | \n27.4 | \n27.4 | \n70.0 | \n62.0 | \n12.7 | \n2.9 | \n5.0 | \n74.6 | \n
Summary of the transition enthalpies for pure 9OO4 and all 9OO4/CNT samples on cooling and heating.
CNT weight percent
For the I-N phase transition, the excess real specific heat signatures as a function of temperature about TIN for pure 9OO4 and 9OO4/CNT composite samples are shown in Figure 2. The ∆C′p of 9OO4/CNT for the I-N transition phase is steeper and narrower than in the pure 9OO4, with the peak maximum nearer the high-temperature side of the coexistence region. The ∆C′p and C″p behavior are consistent on heating and cooling, as well as being reproducible after multiple thermal cycles. The ∆C′p wings above and below the I-N transition match each other and that in pure 9OO4 on heating and cooling. The ∆C′p peak height for cooling and heating scans within the two-phase I + N coexistence region is about the same as that in pure 9OO4 up to ϕw = 0.010, decreasing markedly for the 0.025 sample and then rising with increasing ϕw up to the highest CNT content sample of 0.20 wt% studied.
\nFor the N-SmA phase transition, the specific heat δC′p on cooling and heating as a function of temperature about TNA is shown in Figure 3 for bulk 9OO4 and 9OO4/CNT composite samples. For all samples, the N-SmA phase transition does not exhibit any special feature in the case of imaginary specific heat, indicating an apparent absence of latent heat, and indicates the continuous nature of the transition. The δC′p of the N-SmA transition for the composite 9OO4/CNT samples overlay each other for all CNT concentrations ϕw and for bulk 9OO4 on the SmA side while are systematically below bulk 9OO4 on the nematic side of the transition. The δC′p behavior does not show any features as a function of ϕw, and no power-law fits were attempted.
\nFor the SmA-SmC phase transition, the excess specific δC′p as the function of temperature for pure 9OO4 and 9OO4/CNT composite samples is shown in Figure 4. The observed shape and continuous nature of the δC′p peak for pure 9OO4 are consistent with a Landau (mean-field) second-order transition [30] with no observed signature in C″p. The δC′p (AC) for the 9OO4/CNT samples, heights are the same as pure 9OO4 up to 0.025 wt% and then decrease for the 0.05 and 0.20 wt% samples. The step in δC′p (AC) on the SmC-side for below TAC is 0.025 J/gK for pure 9OO4 and all 9OO4/CNT samples, independent of ϕw.
\nThe tilt susceptibility at the SmA-SmC transition was examined by measuring the electroclinic effect [59] in the LC/CNT mixtures. In the past, it has been shown that there is a nonzero enantiomeric excess for these CNTs, as well as a net chirality for CNTs from four other manufacturers [43]. When dissolved in a liquid crystal, the CNT imparts a net chiral environment to the liquid crystal in the vicinity of the CNT surface. On application of an electric field, a surface electroclinic effect obtains, which requires the presence of a chiral symmetry environment and in which the director rotates by an angle θ ∝ E. Because of the sufficiently high concentration of CNTs, the polarized light “sees” an average rotation of the liquid crystal director for the entire sample. Figure 5 shows the director rotation at temperature 63°C as the function applied filed.
\nThe inverse electroclinic coefficient ec−1 is shown as a function of temperature for the 0.05 wt% 9OO4/CNT sample in Figure 6, approaching the SmC phase from the SmA. A three parameter (amplitude, TAC, and susceptibility exponent) power-law fit of ec−1 versus temperature resulted in γ = 0.99 ± 0.06. Despite the localization of the chirality induced in the liquid crystal to within a few nanometers of the CNT surface [58], the susceptibility exponent clearly is mean-field-like and apparently unaffected by the presence of the nanotubes. This result suggests that the director rotation extends a length scale ξ, comparable to the SmC correlation length, into the bulk liquid crystal from the narrow chiral region immediately surrounding the CNTs, which is the region that responds directly to the applied field. As an aside, we note that although TAC was obtained for this concentration of nanotubes, it is not possible to compare it with the transition temperature in the absence of nanotubes, for which chirality would be absent, and no electroclinic effect would be present.
\nFor the SmC-SmB-K phase transition sequence on cooling, the ∆C′p and C″ p signatures for pure 9OO4 and 9OO4/CNT composite samples over a range from +4 to −10 K about TCB are shown in Figure 7. All peak signatures remain sharp, while the peak height of the SmC-SmB phase transition decreases with increasing ϕw. The SmC-SmB transition is marked by a strongly first-order specific heat signature at TCB = 49.38°C, with the imaginary part being much larger than the real part. The total transition enthalpy ∆HCB decreases slightly, while ∆HBK increases slightly with increasing ϕw. Similarly, the imaginary part is much larger than the nearly nonexistent ∆C′p for the SmB-K transition. This is consistent with both the SmC-SmB and SmB-K phase transitions being strongly first order, as expected. Note that the C″p behavior observed in the SmB phase are due to a very slow phase conversion to the SmB from the SmC.
\n(a) Excess real specific heat associated with the SmC-SmB phase transition as function of temperature about
For all samples, upon heating under continuous quasi-equilibrium conditions, the crystal phase superheats slightly until a strongly first-order specific heat feature is observed. Upon further heating, a second first-order feature is seen before the SmA phase appears. Figure 8 shows pure 9OO4 and 9OO4/CNT composite samples over a range from −6 to +6 K about TXA. The K-SmX ∆Cp peak is narrower for composite samples, except for the ϕw = 0.025 wt% sample, as compared to the pure 9OO4. The melting ∆C′p peak generally decreases in amplitude with an increase in the C″p peak. The total transition enthalpy of ∆HKX = 72 J/g for pure 9OO4 decreases slightly for the 9OO4/CNT samples with increasing ϕw. The ∆HXA = 32 J/g and strongly decreases with ϕw. Interestingly, the second feature specific heat peak height decreases with increasing ϕw and suggests that this feature is not due to residual crystal melting. Because of the magnitude of the enthalpy involved, it is possible that this feature is a transition into an intermediate smectic phase before heating into the SmA phase. We denote this phase as SmX and are unclear from polarizing microscopy image as to whether this phase is SmB or SmC-like, since the melting occurs very near TAC on cooling.
\n(a) Excess real-specific heat associated with the
While the calorimetric and electroclinic behavior of the phases and phase transitions for the 9OO4/CNT samples are clearly retaining the character found in pure 9OO4, the phase boundaries have more shrinking changes due to the CNT. The transition temperature changes from pure 9OO4 for all 9OO4/CNT samples are shown in Figure 9. On cooling, the I-N transition temperature in the 9OO4/CNT samples shift upward by nearly a constant +1.18 K compared to that in pure 9OO4, while the two-phase I + N coexistence width shrink with a constant ∼1.5 K in 9OO4/CNT over this range of ϕw. For the N-SmA, transition temperature in 9OO4/CNT shifts upward by +1.31 K compared to pure 9OO4, shrinking the nematic temperature range ∆Tnem = TIN − TNA by +0.3 K for all ϕw. The SmA-SmC transition temperature in 9OO4/CNT shifts upward by about +1.4 K, widening the SmA range by +0.4 K for all ϕw. The SmC-SmB transition temperature shifts upward by +1.01 K, widening the SmC range slightly for all ϕw studied. Finally on cooling, the SmB-K crystallization shifted upward by the largest, +4 K for all ϕw, narrowing the SmB range by 3 K. On heating, the K-SmX melting superheats an additional +0.4 K, similarly for the SmX-SmA boundary compared to pure 9OO4 for all ϕw samples. The TNA on heating is +1.2 K, and the TIN is +0.8 K higher than in pure 9OO4, narrowing the nematic range ∆Tnem by 0.4 K, similar to that seen on cooling.
\n(a) The phase transition temperature shifts for the
It is useful to compare these results with another high-resolution phase transition study on 8CB/CNT nanocomposites, which also used near equilibrium calorimetric conditions and identical mixing method of CNTs from the same source [31]. The 8CB is a typical rod-like molecule, with biphenyl core, to which an aliphatic tail and a polar cyano head group are attached, whereas 9OO4 has a benzoate group, linking the two phenyl rings and having alkoxy end tails (see Figure 1). The transition temperatures and enthalpies of the isotropic to nematic and nematic to smectic-A phase transitions in 9OO4/CNT and 8CB/CNT systems [31] are shown in Figures 9 and 10. In the 8CB/CNT system, both transition temperatures shift downward by ∼1.5 K with increasing ϕw, with a nonlinear ϕw dependence, while ∆Tnem remains constant as seen by the dashed and dash-dotted lines in panel (a) of Figure 9. Clearly, the same surface and distribution of CNTs for 8CB produce disordering effects on orientational order shifting both the I-N and N-SmA transitions. The transition enthalpies of the I-N and N-SmA phase transitions in the 8CB/CNT system increase over a broad range of ϕw and then remain constant for higher ϕw. The total transition enthalpy of 8CB/CNT system has been interpreted as the sum of the pure transition contribution and a random field induced distortion energy. Apparently, given the near constant decrease of the enthalpy of the 9OO4/CNT, the ordering is bulk like with a reduction perhaps due to suppression of long-wavelength director fluctuations. If the enthalpy suppression of the I-N and N-SmA in 9OO4/CNT was due to surface pinning, it should scale with CNT surface area, approximately linear in ϕw for these low concentrations, which is not observed. This suggests a different surface interaction for the 9OO4 than 8CB molecule with the CNT. The electroclinic effect result suggests that the director rotation θ extends a length scale ξ, comparable to the SmC correlation length, into the bulk liquid crystal forming a chiral region immediately surrounding the CNTs. This chiral region responds to the applied field, resulting in a tilt over the entire SmC correlation region. On cooling, the 9OO4/CNT SmB-K phase transition temperature increases 4 K, and K-SmX phase transition temperature increases 0.5 K on heating for all ϕw, while the total transition enthalpy remains constant on heating and cooling (see Figures 9 and 10). It is important to note that all experimental results presented here are reproducible over repeated scans.
\n(a) The
From the calorimetric observations presented here, the effect of CNTs on the phase transitions of 9OO4 apparently enhances orientational order and is compatible with various positional orders of all the higher order phases (broken symmetries) up to and including the crystal phase. This is despite the globally random dispersion of CNTs in these nanocomposites and in contrast to the disordering effects observed in the 8CB/CNT system [31]. Clearly, at such low concentrations with random CNT distribution, the specific CNT- LC boundary condition must play an important role along with the ultra-high aspect ratio (string-like structure) of the CNT nanoparticles.
\nTo account for the opposing the behavior of the I-N transition between 9OO4/CNT and 8CB/CNT given the similar chemical nature of both liquid crystals and common graphene surface, the CNT may promote nematic order in both liquid crystals but with different correlation lengths of the local anchoring field. For 8CB/CNT system, the nucleated local director for 8CB varies in orientation along the long-axis of the CNT creating a surface paranematic layer while further away from the CNT surface, ˆn becomes aligned parallel to the CNT strands [31]. This would mean that the local anchoring field direction varies along the CNT strands over a distance comparable to or shorter than the ˆn correlation length, leading to quenched random-field disordering effects [33]. For 9OO4/CNT system, the surface anchoring orientation correlation length must be larger than the ˆn correlation length of the LC, likely parallel to the CNT long axis with essentially no distortion (elastic strain) of ˆn further away from the strand surface. This would yield a quenched locally nonrandom field that spans more than one nematic domain, while still possessing a global (macroscopic) random distribution. This is consistent with the observed ECE in 9OO4/CNT and not in 8CB/CNT [46, 47], which would also account for the suppression of smectic order in the 8CB/CNT system as the pinned surface para-nematic layer would further disorder any positional ordering. In 9OO4/CNT, the local field spans multiple nematic domains and would actually suppress director fluctuations and so promote smectic ordering.
\nHowever, the observed enhancement of the higher order smectic phases as well as the crystal phase implies that the uniform surface orientational anchoring is not accompanied by positional pinning along the CNT for the 9OO4 molecule. This degree of freedom of the LC molecule to essentially slide along the surface and each other parallel to the CNT long-axis is needed to accommodate all the higher positional ordering (broken symmetries) in pure 9OO4, yielding the observed bulk-like behavior and phase boundary enhancement in this work. The origin of these two different behaviors between 9OO4 and 8CB with CNT is not immediately known but may be due to either the negative dielectric anisotropy of 9OO4 as opposed to that in 8CB or the different commensurate surface packing of the phenyl rings onto the graphene surface by these two LCs.
\nWe have presented a detailed calorimetric study on the effect of carbon nanotubes on phase transitions of the 9OO4/CNT nanocomposites as a function of CNT concentration. The complex specific heat was measured over a wide range of temperature for negative dielectric anisotropy alkoxyphenylbenzoate liquid crystal (9OO4)/carbon nanotube (CNT) composites as a function of CNT concentration. The thermal scans were performed between 25 and 95°C, first cooling followed by heating scans, as the function of CNT concentration ranging from 0 to 0.2 wt%. All mesophases have transition temperatures 1 K higher and a crystallization temperature 4 K higher than that of the pure 9OO4. The crystal phase superheats until a strongly first-order specific heat feature is observed, indicating melting 0.5 K higher than in the pure 9OO4. The enthalpy change associated with I-N and N-SmA phase transitions is only slightly changed with increasing ϕw but are generally lower than pure 9OO4. The total transition enthalpy associated with the all transitions is independent on the CNT concentration and thermal treatment. The bulk or pure-like behavior of the phase transitions is supported by the bulk-like 9OO4 ECE behavior of the SmA-SmC for the 0.05 wt% sample. We interpret that these results as arising from the LC-CNT surface interaction breaking orientational symmetry uniformly over a distance along the CNT greater than the nematic correlation length but allowing the LC to slide essentially freely on the CNT surface to accommodate various translational symmetries, leading to a net ordering effect for all transitions. These results suggest that the interactions between molecular structure, dipole moment of liquid crystal, and graphene-like surface can allow a random dispersion of CNT to promote both orientational and positional order depending on the length scale of the local order and the degree of surface freedom. The observed effects are incorporating CNTs with LC likely due to elastic coupling between CNT and LC and this leads to change in the elastic properties of composites. Continued experimental efforts probing the homogeneity of the sample, frequency-dependent dynamics, smectic structures via X-ray scattering, and elastic behavior via light scattering of the homogeneous sample as a function of CNT concentration and temperature would be particularly important and interesting.
\nThe authors are grateful to Robert P. Lemieux for providing the 9OO4 liquid crystal. This work was supported at WPI by the Department of Physics and a grant from the NSF award DMR-0821292(MRI). At CWRU, this work was supported by the National Science Foundation’s Condensed Matter Physics and Solid State and Materials Chemistry Programs under grant DMR-1065491.
\nOrthodontic developments, especially during the last years, have been accompanied by a significant increase in the esthetic demands of the patients [1]. With the significant recent improvements in computer-aided design/computer-aid-ed manufacturing (CAD/CAM) and dental materials, there has been an increase in the demand for plastic systems [2]. Clear aligners provide an esthetic and comfortable treatment experience, facilitate oral hygiene, cause less pain as compared to fixed orthodontic appliances, and reduce the number and duration of appointments [3, 4, 5]. The aligner therapy also involves a lower incidence of demineralization, enamel abrasion, periodontal lesions, and mucosal irritations [6].
The concept of clear aligners was introduced by Kesling in 1946 with a tooth positioner fabricated by thermoplastic material molding technology and designed for minor tooth movements during the finishing stages of orthodontic treatment. In 1993, Sheridan and colleagues developed a technique of giving new clear retainers to the patient at each visit, incorporating interproximal reduction to provide the necessary space for tooth movement [3, 7]. With further advancement in orthodontic technology, Align Technology introduce the clear aligner treatment (CAT) rendering Kesling’s concept a feasible orthodontic treatment option [8]. A series of removable polyurethane aligners were introduced as an esthetic alternative to fixed labial appliances. Scanned images are converted to physical models by using different stereolithography (STL) techniques to fabricate a series of aligners that sequentially reposition the teeth. Each aligner is programmed to move a tooth or a small group of teeth 0.25–0.33 mm every 14 days [9, 10]. Align Technology provides orthodontists with ClinCheck (Align Technology Inc., Santa Clara, Calif) models, which reflect the treatment outcomes. The aligners incrementally shift the teeth into place based on the outcome the orthodontist expects to achieve [11].
The primary focus of the clear aligner system was initially to solve cases of low and moderate crowding and to close small spaces [1]. However, it has continually evolved through the development of new aligner materials, attachments on teeth, as well as new auxiliaries, such as “Precision Cuts” and “Power Ridges” to address a wider range of malocclusions and to enable additional treatment biomechanics [2, 5, 12].
Despite the available body of literature pertaining to aligner technology, only a few investigations have focused on the efficacy of clear aligner therapy in controlling orthodontic tooth movement. Furthermore, the stability after treatment has not been thoroughly investigated.
The purpose of this chapter was to update the knowledge of the available evidence about effectiveness and stability of clear aligners and to answer the following clinical research question: “Are clear aligners effective in controlling the orthodontic movement in non-growing subjects and what about stability of this treatment modality?”
A systematic search in the medical literature produced between January 2015 and January 2021 was performed to identify all peer-reviewed articles potentially relevant to the review’s question.
The following databases have been used: CENTRAL, MEDLINE, MEDLINE in Process, Embase and Cochrane Library databases.
The search strategy comprised use of the following terms: (invisalign OR clear aligners OR aligners OR transparent aligners) AND (effectiveness OR efficacy) AND (dental changes OR treatment outcome) AND (stability).
Additionally, a manual search was conducted in orthodontic journals of interest, such as The Angle Orthodontist, the American Journal of Orthodontics and the European Journal of Orthodontics. Title and abstract screening was performed to select articles for full text retrieval.
The following inclusion and exclusion criteria were used:
Study design: meta-analysis, systematic reviews, randomized and non-randomized clinical trials, prospective and retrospective studies were included.
Participants: non growing patients.
Intervention: articles that studied dental movement of cases treated with clear aligners.
Results: the efficacy of clear aligners in performing dental movements and the stability of treatment, superimposing virtual models or radiographs.
We excluded for our study articles older than 6 years, samples with growing patients, articles written in a language other than English, in-vitro studies, author opinions, letters to the editor, isolated cases, series of cases, surgical cases, or reports of patients with syndromes.
The grading system described by the Swedish Council on Technology Assessment in Health Care (SBU) [13] was used to assess the methodological quality and the level of evidence of the articles (Tables 1 and 2).
Grade A—high value of evidence |
All criteria should be met: |
Randomized clinical study or a prospective study with a well-defined control group |
Defined diagnosis and endpoints |
Diagnostic reliability tests and reproducibility tests described |
Blinded outcome assessment |
Grade B—moderate value of evidence |
All criteria should be met: |
Cohort study or retrospective case series with defined control or reference group |
Defined diagnosis and endpoints |
Diagnostic reliability tests and reproducibility tests described |
Grade C—low value of evidence |
One or more of the conditions below: |
Large attrition |
Unclear diagnosis and endpoints |
Poorly defined patient material |
Swedish Council on Technology Assessment in Health Care (SBU) criteria for grading assessed studies.
Level | Evidence | Definition |
---|---|---|
1 | Strong | At least two studies assessed with level “A” |
2 | Moderate | One study with level “A” and at least two studies with level “B” |
3 | Limited | At least two studies with level “B” |
4 | Inconclusive | Fewer than two studies with level “B” |
Definitions of evidence level.
The selection of articles included in this review is shown in the PRISMA flow chart (Figure 1). Study selection procedure was comprised of title-reading, abstract-reading, and full-text-reading stages. After exclusion of not eligible studies, the full report of publications considered eligible for inclusion by the authors was assessed. Eleven studies were included in the qualitative synthesis.
Flow chart according to the PRISMA statement.
Of the eleven included articles, there were five retrospective studies [6, 14, 15, 16, 17], two prospective studies [7, 11], two randomized controlled trials (RCT) [18, 19], two systematic reviews [2, 20] and one meta-analysis [20]. Most of the included studies evaluated mild to moderate malocclusions except for one [17] that involved first premolar extraction cases. The majority of studies used the Invisalign® system except two studies that used Nuvola® system [15] and F22 aligners [14].
Data collected from each of the included articles are described in Tables 3 and 4. Nine of the covered studies assessed predictability of tooth movements comparing post-treatment patient models to the predicted digital planned tooth movement models [2, 6, 7, 11, 14, 15, 16, 17, 18]. Two studies assessed the stability of the clear aligner therapy [19, 20].
Study | Study design | Participants | Intervention | Results |
---|---|---|---|---|
Buschang et al. 2015 [11] | Prospective clinical trial | 27pts |
|
|
Lombardo et al. 2017 [14] | Retrospective case series | 16 pts. F22 aligners |
|
|
Tepedino et al. 2018 [15] | Retrospective case series | 39 pts. First phase of treatment made of 12 aligners by Nuvola® aligner system |
|
|
Charalampakis et al. 2018 [16] | Retrospective case series | 20 pts. Class I patients treated with Invisalign and needed refinement |
|
|
Lopez et al. 2019 [2] | Systematic review | 20 studies |
|
|
Dai et al. 2019 [17] | Retrospective case series | 30 pts. First premolar extraction treatment with Invisalign |
|
|
Zhou et al. 2020 [7] | Prospective clinical trial | 20 pts. arch expansion with Invisalign aligners |
|
|
Al-Nadawi et al. 2020 [18] | Randomized clinical trial | 80 pts. three aligner wear protocols: 7 day, 10 day, and 14 day. |
|
|
Riede et al. 2021 [6] | Retrospective case series | 30 pts. Aligner treatment (Invisalign®) with the current material (SmartTrack®) |
|
|
Design, participants, type of intervention, and results of studies included in the qualitative analysis.
pts, patients; OGS, Objective Grading System; IPR, interproximal reduction; CBCT, Cone beam computed tomography.
Study | Study design | Participants | Intervention | Results |
---|---|---|---|---|
Zheng et al. 2017 [20] | Systematic review and meta-analysis |
| Scientific evidence |
|
Graf et al. 2021 [19] | Double-center trial | 33pts |
|
|
Studies assessing treatment stability of clear aligners.
pts, patients.
According to the SBU tool (Tables 1 and 2), among the selected studies, the methodological quality was low for four studies [6, 11, 16, 17], moderate for four others [7, 14, 15, 19] and high for one study [18] (Table 5). Thus, conclusions with a moderate level of evidence could be drawn from the review process.
Study (first author, year) | Evidence level |
---|---|
Buschang, 2015 [11] | C |
Lombardo, 2017 [14] | B |
Tepedino, 2018 [15] | B |
Charalampakis, 2018 [16] | C |
Dai, 2019 [17] | C |
Zhou, 2020 [7] | B |
Al-Nadawi, 2020 [18] | A |
Riede, 2021 [6] | C |
Graf, 2021 [19] | B |
Evidence grade according to Swedish Council on Technology Assessment in Health Care.
In this review, we aimed to provide data on the effectiveness and stability of treatment with clear aligners. The level of evidence was moderate as we identified one study with level «A» and four studies with level «B».
The effectiveness of clear aligners was judged by the predictability of tooth movement which varies with the type of tooth and the type of movement. Lopez et al. [2] found that the expression of the programmed movement was not fully accomplished with Invisalign®.
Concerning
Many studies showed that intrusion was the most unpredictable movement especially for the maxillary central and lateral incisors [16, 21]. Invisalign has a bite-block effect, because 2 aligners of 0.38-mm width are interposed between posterior teeth throughout treatment. Unexpected intrusion of the molars would cause the incisors to appear extruded on the posttreatment models after superimposition [16]. In fact, according to Grunheid et al. [22], mandibular incisors tend to be positioned more occlusally than predicted. The bite-block effect may make open bites easier to treat with Invisalign [16].
Concerning
Molar distalization was recorded as the highest accuracy with no need for attachments. Simon et al. [25] also reported a high accuracy (88%) of the bodily movement of upper molars when a distalization movement of at least 1.5 mm was prescribed.
Several studies agreed that derotation of rounded teeth especially canines was difficult to achieve with aligners [16, 22, 26]. An amount of rotation greater than 15° has been identified as a risk factor for decreased accuracy for rotational prediction [25]. Interproximal contacts of rotated canines might also be considered a significant predictor for the diminished efficacy of tooth movement, especially in the absence of interproximal reduction of the enamel (IPR) [26]. The direction of derotation has been also documented to influence the accuracy of the maxillary canine, with distal movement demonstrating less accuracy than mesial [21]. This is possibly due to the actual contact area between canine and premolar and the potential challenges of providing enamel reduction in this area.
It has been recommended to plan overcorrections, especially if rotations exceed 15°, to use attachments, and to reduce staging to less than 1.5° per aligner [8, 16, 25]. However, although various types or shapes of attachment grips or practices of interproximal enamel reduction have been reported as potential prognostic factors for better efficacy of rotational tooth movement, this does not necessarily translate into an identified substantial effect in practice [26].
Concerning
According to Lopez and al. [2], Invisalign® was also able to alter intercanine, interpremolar, and intermolar width in the presence of crowding. Kravitz et al. [23] recommended to treat cases with severe lower crowding mostly by interproximal reduction (IPR) instead of dentoalveolar expansion. This recommendation comes from the finding that retraction is more accurate than dentoalveolar expansion of the lower anterior teeth. The expansion of the mandibular intercanine width also poses the greatest risk of relapse following treatment [29].
Concerning the effectiveness of the occlusal contacts with clear aligners, the study by Izhar et al. [10] found that the software models do not accurately reflect the patient’s final occlusion immediately at the end of active treatment. Kassas et al. [30] also stated that clear aligners were not sufficient for providing ideal occlusal contacts. The deterioration in occlusal contacts was caused by the thickness of aligners, which interferes with the settling of the occlusal plane.
As far as the malocclusion type is concerned, the study by Graf et al. [19] showed that Invisalign® treatments are able to significantly reduce malocclusions in adult patients. The study found that all types of sagittal malocclusion (class I, class II, and class III) were ‘greatly improved’ with a rate of 77.44%. Graf and al. [19] also concluded that conventional attachments and the combination with optimized attachments equally led to treatment effectiveness regarding the total PAR score reduction with equally achieved effectiveness in mild, moderate, and rather severe cases. However, for Class II malocclusion, Patterson et al. [31] reported that there was no significant Class II correction or overjet reduction with elastics for an average of 7-month duration in the adult population. Additional refinements may be necessary to address problems created during treatment mainly posterior open bite.
One study of our review by Dai et al. [17] assessed the effectiveness of Invisalign in first premolar extraction treatment. According to this study, first molar anchorage control and central incisor retraction were not fully achieved as predicted. Only medium anchorage control was achieved as the first molars actually moved mesially. The G6-optimized attachment showed similar control in first molar angulation and mesiodistal translation as did 3- and 5-mm horizontal rectangular attachments. On the other hand, setting a distal tipping of 6.6 mm on the first molars might help clinically maintain the tooth angulation, leading to bodily tooth movement. According to the same study [17], the incisors inclined lingually under the retraction force. Accordingly, the use of power ridges or attachments as well as overcorrection by setting greater buccal crown inclination during the virtual setup should be considered to achieve optimal incisor torque control.
Current evidence does not support the clinical use of aligners as a treatment modality that is equally effective to the gold standard of braces [32]. However, clear aligners have advantage in segmented movement of teeth and shortened treatment duration, but are not as effective as braces in producing adequate occlusal contacts, controlling teeth torque, and retention [5, 33].
Many variables influence the accuracy of dental movements, but very few studies have analyzed these parameters in treatments with clear aligners. According to Tepedino et al. [15], several factors determine successful tooth movement such as the attachment’s shape and position, the aligner’s material and thickness, the amount of activation present in each aligner, and the techniques used for the production of the aligners. Treatment outcomes depend also on the patient’s characteristics, bone density and morphology, crown and root morphology of the teeth, as well as on factors related to the clinician. Orthodontists have to incorporate their expert knowledge in determining proper sequencing of tooth movements, tooth attachment design and placement, and prescribing overcorrection when needed for difficult tooth movements to increase efficiency and achieve better treatment outcomes [22, 34]. Patient compliance is also mandatory to achieve good results by wearing the aligners 22 hours a day or more [28].
One study from this review with a high level of evidence [18] evaluated the impact of wear protocol on the accuracy of clear aligners. It has concluded that fourteen-day changes were statistically significantly more accurate in some posterior movements mainly maxillary intrusion, distal-crown tip and buccal-crown torque, and in mandibular intrusion and extrusion.
As in all types of orthodontic treatment, stability is one of the most important issues to discuss regarding clear aligners. According to the systematic review by Zheng et al. [20], only one study compared the post-retention dental changes between patients treated with Invisalign and those treated with conventional fixed appliances. They found that the change in the total alignment score in the Invisalign group was significantly larger than that for the Braces group. There were significantly larger changes in maxillary anterior alignment in the Invisalign group than in the conventional bracket group. Tamer et al. [5] also reported that maxillary anterior leveling relapsed in the Invisalign group. On average, the posttreatment models lost twice as many points for alignment than the respective ClinCheck models. In other words, a full finishing phase of treatment may be needed to achieve the results indicated in the ClinCheck model [11].
The type and degree of tooth movement, the duration of active treatment and the retention protocol are among major influencing factors of posttreatment stability and relapse. The study by Graf et al. [19] is the first one to assess the stability of clear aligners outcome throughout a retention period of 10 months. The retention protocol involved a mandibular multistrand fixed retainer (0.0155 inch; stainless steel, 24 K gold plated) bonded on each lingual surface from canine to canine and a removable modified Hawley retainer for the upper arch (with mandatory Adams clasps on first molars). The study showed that the treatment outcome can be stable throughout this retention protocol. It has also concluded that treating patients with respect to their physiological boundaries and maintaining their original arch form would be key to treatment stability. Overexpansion of the dental arch, especially in the lower arch and in adult patients, is a potential risk for stable results.
There is current evidence with a moderate level of certainty regarding the effectiveness of clear aligner therapy for certain tooth movements. Clear aligners can safely straighten dental arches in terms of leveling and derotating the teeth, except for canines and premolars. The crown tipping can be easily performed. However, important limitations include arch expansion through bodily tooth movements, extraction space closure, corrections of occlusal contacts, and larger antero-posterior and vertical discrepancies. The use of additional attachments might be more effective for various types of movement, such as bodily expansion of the maxillary posterior teeth, canine and premolar rotational movements, incisors torque control and extrusion of maxillary incisors. Overcorrections might also improve the effectiveness of orthodontic movement. However, overcorrections are not as simple for all movements and need to be made on a case-by-case basis depending on the goal of treatment.
Studies on effectiveness of clear aligners had methodological heterogeneity as they assessed predictability of different types of tooth movements for different teeth by using different materials like Invisalign, F22 aligner and Nuvola system. Retention and stability studies regarding aligners also remain limited in the literature. Therefore, further well-designed and reported researches are required on this subject.
Special thanks to the department of Orthodontics of the Faculty of the dentistry of the University Hassan II of Casablanca. We would also like to acknowledge the support of Professor Farid Bourzgui for the realization of this work and for sharing and discussing the initial idea of the project.
The authors declare no conflict of interest.
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The effects of these two types of factors overlap for the most part. The combined effects of these two aging processes also affect dermal matrix alterations. The main clinical signs of skin aging include wrinkling and irregular pigmentation, which are influenced by a combination of intrinsic and extrinsic (e.g., UV radiation, heat, smoking, and pollutants) factors. Histologically, collagen decreases, and the dermis is replaced by abnormal elastic fibers as a cause of wrinkle formation through the loss of skin elasticity. There have been numerous studies of skin aging performed to elucidate the underlying molecular mechanisms and to develop various antiaging therapeutics and preventive strategies. We summarized the molecular mechanisms and treatments of skin aging. Mainly UV radiation induces ROS formation and DNA damage, leading to increased production of MMPs and decreased production of collagen in keratinocytes and fibroblasts, which reflect the central aspects of skin aging. Besides UV radiation exposure, extrinsic factors including tobacco smoking, exposure to environmental pollutants, infrared radiation, and heat contribute to premature skin aging. Like UV radiation, these factors cause ROS formation and increase expression of MMPs, thus accelerating skin aging by inducing extracellular matrix (ECM) degradation. Accumulated collagen fibrils inhibit the new collagen synthesis and account for the further degradation of the ECM through this positive feedback loop. 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He previously worked as a post-doctoral fellow at the Ben-Gurion University of Negev, Israel; University of the Free State, South Africa; and Central University of Technology Bloemfontein, South Africa. He obtained his Ph.D. in Organic Chemistry from Nagaoka University of Technology, Japan. He has published more than seventy-four journal articles and attended several national and international conferences as speaker and chair. Dr. Kendrekar has received many international awards. He has several funded projects, namely, anti-malaria drug development, MRSA, and SARS-CoV-2 activity of curcumin and its formulations. He has filed four patents in collaboration with the University of Central Lancashire and Mayo Clinic Infectious Diseases. His present research includes organic synthesis, drug discovery and development, biochemistry, nanoscience, and nanotechnology.",institutionString:"Visiting Scientist at Lipid Nanostructures Laboratory, Centre for Smart Materials, School of Natural Sciences, University of Central Lancashire",institution:null},{id:"428125",title:"Dr.",name:"Vinayak",middleName:null,surname:"Adimule",slug:"vinayak-adimule",fullName:"Vinayak Adimule",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/428125/images/system/428125.jpg",biography:"Dr. Vinayak Adimule, MSc, Ph.D., is a professor and dean of R&D, Angadi Institute of Technology and Management, India. He has 15 years of research experience as a senior research scientist and associate research scientist in R&D organizations. He has published more than fifty research articles as well as several book chapters. He has two Indian patents and two international patents to his credit. Dr. Adimule has attended, chaired, and presented papers at national and international conferences. He is a guest editor for Topics in Catalysis and other journals. He is also an editorial board member, life member, and associate member for many international societies and research institutions. His research interests include nanoelectronics, material chemistry, artificial intelligence, sensors and actuators, bio-nanomaterials, and medicinal chemistry.",institutionString:"Angadi Institute of Technology and Management",institution:null},{id:"284317",title:"Prof.",name:"Kantharaju",middleName:null,surname:"Kamanna",slug:"kantharaju-kamanna",fullName:"Kantharaju Kamanna",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284317/images/21050_n.jpg",biography:"Prof. K. Kantharaju has received Bachelor of science (PCM), master of science (Organic Chemistry) and Doctor of Philosophy in Chemistry from Bangalore University. He worked as a Executive Research & Development @ Cadila Pharmaceuticals Ltd, Ahmedabad. He received DBT-postdoc fellow @ Molecular Biophysics Unit, Indian Institute of Science, Bangalore under the supervision of Prof. P. Balaram, later he moved to NIH-postdoc researcher at Drexel University College of Medicine, Philadelphia, USA, after his return from postdoc joined NITK-Surthakal as a Adhoc faculty at department of chemistry. Since from August 2013 working as a Associate Professor, and in 2016 promoted to Profeesor in the School of Basic Sciences: Department of Chemistry and having 20 years of teaching and research experiences.",institutionString:null,institution:{name:"Rani Channamma University, Belagavi",country:{name:"India"}}},{id:"158492",title:"Prof.",name:"Yusuf",middleName:null,surname:"Tutar",slug:"yusuf-tutar",fullName:"Yusuf Tutar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/158492/images/system/158492.jpeg",biography:"Prof. Dr. Yusuf Tutar conducts his research at the Hamidiye Faculty of Pharmacy, Department of Basic Pharmaceutical Sciences, Division of Biochemistry, University of Health Sciences, Turkey. He is also a faculty member in the Molecular Oncology Program. He obtained his MSc and Ph.D. at Oregon State University and Texas Tech University, respectively. He pursued his postdoctoral studies at Rutgers University Medical School and the National Institutes of Health (NIH/NIDDK), USA. His research focuses on biochemistry, biophysics, genetics, molecular biology, and molecular medicine with specialization in the fields of drug design, protein structure-function, protein folding, prions, microRNA, pseudogenes, molecular cancer, epigenetics, metabolites, proteomics, genomics, protein expression, and characterization by spectroscopic and calorimetric methods.",institutionString:"University of Health Sciences",institution:null},{id:"180528",title:"Dr.",name:"Hiroyuki",middleName:null,surname:"Kagechika",slug:"hiroyuki-kagechika",fullName:"Hiroyuki Kagechika",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/180528/images/system/180528.jpg",biography:"Hiroyuki Kagechika received his bachelor’s degree and Ph.D. in Pharmaceutical Sciences from the University of Tokyo, Japan, where he served as an associate professor until 2004. He is currently a professor at the Institute of Biomaterials and Bioengineering (IBB), Tokyo Medical and Dental University (TMDU). From 2010 to 2012, he was the dean of the Graduate School of Biomedical Science. Since 2012, he has served as the vice dean of the Graduate School of Medical and Dental Sciences. He has been the director of the IBB since 2020. Dr. Kagechika’s major research interests are the medicinal chemistry of retinoids, vitamins D/K, and nuclear receptors. He has developed various compounds including a drug for acute promyelocytic leukemia.",institutionString:"Tokyo Medical and Dental University",institution:{name:"Tokyo Medical and Dental University",country:{name:"Japan"}}},{id:"94311",title:"Prof.",name:"Martins",middleName:"Ochubiojo",surname:"Ochubiojo Emeje",slug:"martins-ochubiojo-emeje",fullName:"Martins Ochubiojo Emeje",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94311/images/system/94311.jpeg",biography:"Martins Emeje obtained a BPharm with distinction from Ahmadu Bello University, Nigeria, and an MPharm and Ph.D. from the University of Nigeria (UNN), where he received the best Ph.D. award and was enlisted as UNN’s “Face of Research.” He established the first nanomedicine center in Nigeria and was the pioneer head of the intellectual property and technology transfer as well as the technology innovation and support center. Prof. Emeje’s several international fellowships include the prestigious Raman fellowship. He has published more than 150 articles and patents. He is also the head of R&D at NIPRD and holds a visiting professor position at Nnamdi Azikiwe University, Nigeria. He has a postgraduate certificate in Project Management from Walden University, Minnesota, as well as a professional teaching certificate and a World Bank certification in Public Procurement. Prof. Emeje was a national chairman of academic pharmacists in Nigeria and the 2021 winner of the May & Baker Nigeria Plc–sponsored prize for professional service in research and innovation.",institutionString:"National Institute for Pharmaceutical Research and Development",institution:{name:"National Institute for Pharmaceutical Research and Development",country:{name:"Nigeria"}}},{id:"436430",title:"Associate Prof.",name:"Mesut",middleName:null,surname:"Işık",slug:"mesut-isik",fullName:"Mesut Işık",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/436430/images/19686_n.jpg",biography:null,institutionString:null,institution:{name:"Bilecik University",country:{name:"Turkey"}}},{id:"268659",title:"Ms.",name:"Xianquan",middleName:null,surname:"Zhan",slug:"xianquan-zhan",fullName:"Xianquan Zhan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/268659/images/8143_n.jpg",biography:"Dr. Zhan received his undergraduate and graduate training in the fields of preventive medicine and epidemiology and statistics at the West China University of Medical Sciences in China during 1989 to 1999. He received his post-doctoral training in oncology and cancer proteomics for two years at the Cancer Research Institute of Human Medical University in China. In 2001, he went to the University of Tennessee Health Science Center (UTHSC) in USA, where he was a post-doctoral researcher and focused on mass spectrometry and cancer proteomics. Then, he was appointed as an Assistant Professor of Neurology, UTHSC in 2005. He moved to the Cleveland Clinic in USA as a Project Scientist/Staff in 2006 where he focused on the studies of eye disease proteomics and biomarkers. He returned to UTHSC as an Assistant Professor of Neurology in the end of 2007, engaging in proteomics and biomarker studies of lung diseases and brain tumors, and initiating the studies of predictive, preventive, and personalized medicine (PPPM) in cancer. In 2010, he was promoted to Associate Professor of Neurology, UTHSC. Currently, he is a Professor at Xiangya Hospital of Central South University in China, Fellow of Royal Society of Medicine (FRSM), the European EPMA National Representative in China, Regular Member of American Association for the Advancement of Science (AAAS), European Cooperation of Science and Technology (e-COST) grant evaluator, Associate Editors of BMC Genomics, BMC Medical Genomics, EPMA Journal, and Frontiers in Endocrinology, Executive Editor-in-Chief of Med One. He has\npublished 116 peer-reviewed research articles, 16 book chapters, 2 books, and 2 US patents. His current main research interest focuses on the studies of cancer proteomics and biomarkers, and the use of modern omics techniques and systems biology for PPPM in cancer, and on the development and use of 2DE-LC/MS for the large-scale study of human proteoforms.",institutionString:null,institution:{name:"Xiangya Hospital Central South University",country:{name:"China"}}},{id:"40482",title:null,name:"Rizwan",middleName:null,surname:"Ahmad",slug:"rizwan-ahmad",fullName:"Rizwan Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/40482/images/system/40482.jpeg",biography:"Dr. Rizwan Ahmad is a University Professor and Coordinator, Quality and Development, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia. Previously, he was Associate Professor of Human Function, Oman Medical College, Oman, and SBS University, Dehradun. Dr. Ahmad completed his education at Aligarh Muslim University, Aligarh. He has published several articles in peer-reviewed journals, chapters, and edited books. His area of specialization is free radical biochemistry and autoimmune diseases.",institutionString:"Imam Abdulrahman Bin Faisal University",institution:{name:"Imam Abdulrahman Bin Faisal University",country:{name:"Saudi Arabia"}}},{id:"41865",title:"Prof.",name:"Farid A.",middleName:null,surname:"Badria",slug:"farid-a.-badria",fullName:"Farid A. Badria",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41865/images/system/41865.jpg",biography:"Farid A. Badria, Ph.D., is the recipient of several awards, including The World Academy of Sciences (TWAS) Prize for Public Understanding of Science; the World Intellectual Property Organization (WIPO) Gold Medal for best invention; Outstanding Arab Scholar, Kuwait; and the Khwarizmi International Award, Iran. He has 250 publications, 12 books, 20 patents, and several marketed pharmaceutical products to his credit. He continues to lead research projects on developing new therapies for liver, skin disorders, and cancer. Dr. Badria was listed among the world’s top 2% of scientists in medicinal and biomolecular chemistry in 2019 and 2020. He is a member of the Arab Development Fund, Kuwait; International Cell Research Organization–United Nations Educational, Scientific and Cultural Organization (ICRO–UNESCO), Chile; and UNESCO Biotechnology France",institutionString:"Mansoura University",institution:{name:"Mansoura University",country:{name:"Egypt"}}},{id:"329385",title:"Dr.",name:"Rajesh K.",middleName:"Kumar",surname:"Singh",slug:"rajesh-k.-singh",fullName:"Rajesh K. Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329385/images/system/329385.png",biography:"Dr. Singh received a BPharm (2003) and MPharm (2005) from Panjab University, Chandigarh, India, and a Ph.D. (2013) from Punjab Technical University (PTU), Jalandhar, India. He has more than sixteen years of teaching experience and has supervised numerous postgraduate and Ph.D. students. He has to his credit more than seventy papers in SCI- and SCOPUS-indexed journals, fifty-five conference proceedings, four books, six Best Paper Awards, and five projects from different government agencies. He is currently an editorial board member of eight international journals and a reviewer for more than fifty scientific journals. He received Top Reviewer and Excellent Peer Reviewer Awards from Publons in 2016 and 2017, respectively. He is also on the panel of The International Reviewer for reviewing research proposals for grants from the Royal Society. He also serves as a Publons Academy mentor and Bentham brand ambassador.",institutionString:"Punjab Technical University",institution:{name:"Punjab Technical University",country:{name:"India"}}},{id:"142388",title:"Dr.",name:"Thiago",middleName:"Gomes",surname:"Gomes Heck",slug:"thiago-gomes-heck",fullName:"Thiago Gomes Heck",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/142388/images/7259_n.jpg",biography:null,institutionString:null,institution:{name:"Universidade Regional do Noroeste do Estado do Rio Grande do Sul",country:{name:"Brazil"}}},{id:"336273",title:"Assistant Prof.",name:"Janja",middleName:null,surname:"Zupan",slug:"janja-zupan",fullName:"Janja Zupan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/336273/images/14853_n.jpeg",biography:"Janja Zupan graduated in 2005 at the Department of Clinical Biochemistry (superviser prof. dr. Janja Marc) in the field of genetics of osteoporosis. Since November 2009 she is working as a Teaching Assistant at the Faculty of Pharmacy, Department of Clinical Biochemistry. In 2011 she completed part of her research and PhD work at Institute of Genetics and Molecular Medicine, University of Edinburgh. She finished her PhD entitled The influence of the proinflammatory cytokines on the RANK/RANKL/OPG in bone tissue of osteoporotic and osteoarthritic patients in 2012. From 2014-2016 she worked at the Institute of Biomedical Sciences, University of Aberdeen as a postdoctoral research fellow on UK Arthritis research project where she gained knowledge in mesenchymal stem cells and regenerative medicine. She returned back to University of Ljubljana, Faculty of Pharmacy in 2016. She is currently leading project entitled Mesenchymal stem cells-the keepers of tissue endogenous regenerative capacity facing up to aging of the musculoskeletal system funded by Slovenian Research Agency.",institutionString:null,institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"357453",title:"Dr.",name:"Radheshyam",middleName:null,surname:"Maurya",slug:"radheshyam-maurya",fullName:"Radheshyam Maurya",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/357453/images/16535_n.jpg",biography:null,institutionString:null,institution:{name:"University of Hyderabad",country:{name:"India"}}},{id:"418340",title:"Dr.",name:"Jyotirmoi",middleName:null,surname:"Aich",slug:"jyotirmoi-aich",fullName:"Jyotirmoi Aich",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038Ugi5QAC/Profile_Picture_2022-04-15T07:48:28.png",biography:"Biotechnologist with 15 years of research including 6 years of teaching experience. Demonstrated record of scientific achievements through consistent publication record (H index = 13, with 874 citations) in high impact journals such as Nature Communications, Oncotarget, Annals of Oncology, PNAS, and AJRCCM, etc. Strong research professional with a post-doctorate from ACTREC where I gained experimental oncology experience in clinical settings and a doctorate from IGIB where I gained expertise in asthma pathophysiology. A well-trained biotechnologist with diverse experience on the bench across different research themes ranging from asthma to cancer and other infectious diseases. An individual with a strong commitment and innovative mindset. Have the ability to work on diverse projects such as regenerative and molecular medicine with an overall mindset of improving healthcare.",institutionString:"DY Patil Deemed to Be University",institution:null},{id:"349288",title:"Prof.",name:"Soumya",middleName:null,surname:"Basu",slug:"soumya-basu",fullName:"Soumya Basu",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035QxIDQA0/Profile_Picture_2022-04-15T07:47:01.jpg",biography:"Soumya Basu, Ph.D., is currently working as an Associate Professor at Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India. With 16+ years of trans-disciplinary research experience in Drug Design, development, and pre-clinical validation; 20+ research article publications in journals of repute, 9+ years of teaching experience, trained with cross-disciplinary education, Dr. Basu is a life-long learner and always thrives for new challenges.\r\nHer research area is the design and synthesis of small molecule partial agonists of PPAR-γ in lung cancer. She is also using artificial intelligence and deep learning methods to understand the exosomal miRNA’s role in cancer metastasis. Dr. Basu is the recipient of many awards including the Early Career Research Award from the Department of Science and Technology, Govt. of India. She is a reviewer of many journals like Molecular Biology Reports, Frontiers in Oncology, RSC Advances, PLOS ONE, Journal of Biomolecular Structure & Dynamics, Journal of Molecular Graphics and Modelling, etc. She has edited and authored/co-authored 21 journal papers, 3 book chapters, and 15 abstracts. She is a Board of Studies member at her university. She is a life member of 'The Cytometry Society”-in India and 'All India Cell Biology Society”- in India.",institutionString:"Dr. D.Y. Patil Vidyapeeth, Pune",institution:{name:"Dr. D.Y. Patil Vidyapeeth, Pune",country:{name:"India"}}},{id:"354817",title:"Dr.",name:"Anubhab",middleName:null,surname:"Mukherjee",slug:"anubhab-mukherjee",fullName:"Anubhab Mukherjee",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y0000365PbRQAU/ProfilePicture%202022-04-15%2005%3A11%3A18.480",biography:"A former member of Laboratory of Nanomedicine, Brigham and Women’s Hospital, Harvard University, Boston, USA, Dr. Anubhab Mukherjee is an ardent votary of science who strives to make an impact in the lives of those afflicted with cancer and other chronic/acute ailments. He completed his Ph.D. from CSIR-Indian Institute of Chemical Technology, Hyderabad, India, having been skilled with RNAi, liposomal drug delivery, preclinical cell and animal studies. He pursued post-doctoral research at College of Pharmacy, Health Science Center, Texas A & M University and was involved in another postdoctoral research at Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute, Santa Monica, California. In 2015, he worked in Harvard-MIT Health Sciences & Technology as a visiting scientist. He has substantial experience in nanotechnology-based formulation development and successfully served various Indian organizations to develop pharmaceuticals and nutraceutical products. He is an inventor in many US patents and an author in many peer-reviewed articles, book chapters and books published in various media of international repute. Dr. Mukherjee is currently serving as Principal Scientist, R&D at Esperer Onco Nutrition (EON) Pvt. Ltd. and heads the Hyderabad R&D center of the organization.",institutionString:"Esperer Onco Nutrition Pvt Ltd.",institution:null},{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/319365/images/system/319365.png",biography:"Manash K. Paul is a scientist and Principal Investigator at the University of California Los Angeles. He has contributed significantly to the fields of stem cell biology, regenerative medicine, and lung cancer. His research focuses on various signaling processes involved in maintaining stem cell homeostasis during the injury-repair process, deciphering the lung stem cell niche, pulmonary disease modeling, immuno-oncology, and drug discovery. He is currently investigating the role of extracellular vesicles in premalignant lung cell migration and detecting the metastatic phenotype of lung cancer via artificial intelligence-based analyses of exosomal Raman signatures. Dr. Paul also works on spatial multiplex immunofluorescence-based tissue mapping to understand the immune repertoire in lung cancer. Dr. Paul has published in more than sixty-five peer-reviewed international journals and is highly cited. He is the recipient of many awards, including the UCLA Vice Chancellor’s award and the 2022 AAISCR-R Vijayalaxmi Award for Innovative Cancer Research. He is a senior member of the Institute of Electrical and Electronics Engineers (IEEE) and an editorial board member for several international journals.",institutionString:"University of California Los Angeles",institution:{name:"University of California Los Angeles",country:{name:"United States of America"}}},{id:"311457",title:"Dr.",name:"Júlia",middleName:null,surname:"Scherer Santos",slug:"julia-scherer-santos",fullName:"Júlia Scherer Santos",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311457/images/system/311457.jpg",biography:"Dr. Júlia Scherer Santos works in the areas of cosmetology, nanotechnology, pharmaceutical technology, beauty, and aesthetics. Dr. Santos also has experience as a professor of graduate courses. Graduated in Pharmacy, specialization in Cosmetology and Cosmeceuticals applied to aesthetics, specialization in Aesthetic and Cosmetic Health, and a doctorate in Pharmaceutical Nanotechnology. Teaching experience in Pharmacy and Aesthetics and Cosmetics courses. She works mainly on the following subjects: nanotechnology, cosmetology, pharmaceutical technology, aesthetics.",institutionString:"Universidade Federal de Juiz de Fora",institution:{name:"Universidade Federal de Juiz de Fora",country:{name:"Brazil"}}},{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",slug:"abdulsamed-kukurt",fullName:"Abdulsamed Kükürt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",biography:"Dr. Kükürt graduated from Uludağ University in Turkey. He started his academic career as a Research Assistant in the Department of Biochemistry at Kafkas University. In 2019, he completed his Ph.D. program in the Department of Biochemistry at the Institute of Health Sciences. He is currently working at the Department of Biochemistry, Kafkas University. He has 27 published research articles in academic journals, 11 book chapters, and 37 papers. He took part in 10 academic projects. He served as a reviewer for many articles. He still serves as a member of the review board in many academic journals. He is currently working on the protective activity of phenolic compounds in disorders associated with oxidative stress and inflammation.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Dr.",name:"Volkan",middleName:null,surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178366/images/system/178366.jpg",biography:"Volkan Gelen is a Physiology specialist who received his veterinary degree from Kafkas University in 2011. Between 2011-2015, he worked as an assistant at Atatürk University, Faculty of Veterinary Medicine, Department of Physiology. In 2016, he joined Kafkas University, Faculty of Veterinary Medicine, Department of Physiology as an assistant professor. Dr. Gelen has been engaged in various academic activities at Kafkas University since 2016. There he completed 5 projects and has 3 ongoing projects. He has 60 articles published in scientific journals and 20 poster presentations in scientific congresses. His research interests include physiology, endocrine system, cancer, diabetes, cardiovascular system diseases, and isolated organ bath system studies.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"418963",title:"Dr.",name:"Augustine Ododo",middleName:"Augustine",surname:"Osagie",slug:"augustine-ododo-osagie",fullName:"Augustine Ododo Osagie",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/418963/images/16900_n.jpg",biography:"Born into the family of Osagie, a prince of the Benin Kingdom. I am currently an academic in the Department of Medical Biochemistry, University of Benin. Part of the duties are to teach undergraduate students and conduct academic research.",institutionString:null,institution:{name:"University of Benin",country:{name:"Nigeria"}}},{id:"192992",title:"Prof.",name:"Shagufta",middleName:null,surname:"Perveen",slug:"shagufta-perveen",fullName:"Shagufta Perveen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192992/images/system/192992.png",biography:"Prof. Shagufta Perveen is a Distinguish Professor in the Department of Pharmacognosy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Dr. Perveen has acted as the principal investigator of major research projects funded by the research unit of King Saud University. She has more than ninety original research papers in peer-reviewed journals of international repute to her credit. She is a fellow member of the Royal Society of Chemistry UK and the American Chemical Society of the United States.",institutionString:"King Saud University",institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"49848",title:"Dr.",name:"Wen-Long",middleName:null,surname:"Hu",slug:"wen-long-hu",fullName:"Wen-Long Hu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49848/images/system/49848.jpg",biography:"Wen-Long Hu is Chief of the Division of Acupuncture, Department of Chinese Medicine at Kaohsiung Chang Gung Memorial Hospital, as well as an adjunct associate professor at Fooyin University and Kaohsiung Medical University. Wen-Long is President of Taiwan Traditional Chinese Medicine Medical Association. He has 28 years of experience in clinical practice in laser acupuncture therapy and 34 years in acupuncture. He is an invited speaker for lectures and workshops in laser acupuncture at many symposiums held by medical associations. 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