The chemical composition and mechanical properties of the three alloys.
\\n\\n
IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\\n\\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\\n\\nLaunching 2021
\\n\\nArtificial Intelligence, ISSN 2633-1403
\\n\\nVeterinary Medicine and Science, ISSN 2632-0517
\\n\\nBiochemistry, ISSN 2632-0983
\\n\\nBiomedical Engineering, ISSN 2631-5343
\\n\\nInfectious Diseases, ISSN 2631-6188
\\n\\nPhysiology (Coming Soon)
\\n\\nDentistry (Coming Soon)
\\n\\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\\n\\nNote: Edited in October 2021
\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/132"}},components:[{type:"htmlEditorComponent",content:'With the desire to make book publishing more relevant for the digital age and offer innovative Open Access publishing options, we are thrilled to announce the launch of our new publishing format: IntechOpen Book Series.
\n\nDesigned to cover fast-moving research fields in rapidly expanding areas, our Book Series feature a Topic structure allowing us to present the most relevant sub-disciplines. Book Series are headed by Series Editors, and a team of Topic Editors supported by international Editorial Board members. Topics are always open for submissions, with an Annual Volume published each calendar year.
\n\nAfter a robust peer-review process, accepted works are published quickly, thanks to Online First, ensuring research is made available to the scientific community without delay.
\n\nOur innovative Book Series format brings you:
\n\nIntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\n\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\n\nLaunching 2021
\n\nArtificial Intelligence, ISSN 2633-1403
\n\nVeterinary Medicine and Science, ISSN 2632-0517
\n\nBiochemistry, ISSN 2632-0983
\n\nBiomedical Engineering, ISSN 2631-5343
\n\nInfectious Diseases, ISSN 2631-6188
\n\nPhysiology (Coming Soon)
\n\nDentistry (Coming Soon)
\n\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\n\nNote: Edited in October 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"6634",leadTitle:null,fullTitle:"Homeostasis - An Integrated Vision",title:"Homeostasis",subtitle:"An Integrated Vision",reviewType:"peer-reviewed",abstract:"The human body is composed of several systems and organs, consisting of millions of cells that need relatively stable conditions to function and contribute to the survival of the body as a whole. The maintenance of stable conditions for the cells against the variations of the external environment is an essential function of the body and is called homeostasis. As a consequence of the loss of homeostasis, a disease is manifested. This book aims to provide the reader with an up-to-date view of the self-regulatory mechanisms that are activated to achieve homeostasis, the pathways that are altered during the disease process, and how medicine can intervene to restore balance in critical patients.",isbn:"978-1-78985-078-9",printIsbn:"978-1-78985-077-2",pdfIsbn:"978-1-83881-606-3",doi:"10.5772/intechopen.71740",price:119,priceEur:129,priceUsd:155,slug:"homeostasis-an-integrated-vision",numberOfPages:172,isOpenForSubmission:!1,isInWos:1,isInBkci:!1,hash:"3731dfa513781db054545963a4394938",bookSignature:"Fernanda Lasakosvitsch and Sergio Dos Anjos Garnes",publishedDate:"January 30th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/6634.jpg",numberOfDownloads:10531,numberOfWosCitations:8,numberOfCrossrefCitations:8,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:16,numberOfDimensionsCitationsByBook:0,hasAltmetrics:0,numberOfTotalCitations:32,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"November 8th 2017",dateEndSecondStepPublish:"November 29th 2017",dateEndThirdStepPublish:"January 28th 2018",dateEndFourthStepPublish:"April 18th 2018",dateEndFifthStepPublish:"June 17th 2018",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"117630",title:"Dr.",name:"Fernanda",middleName:null,surname:"Lasakosvitsch Castanho",slug:"fernanda-lasakosvitsch-castanho",fullName:"Fernanda Lasakosvitsch Castanho",profilePictureURL:"https://mts.intechopen.com/storage/users/117630/images/6126_n.jpg",biography:"Dr. Lasakosvitsch has a degree in Biological Sciences and a PhD in Sciences from the Department of Microbiology, Immunology and Parasitology with emphasis in molecular biology at the Universidade Federal de São Paulo. She has a postdoctoral in molecular biology from the Universidade de São Paulo. Nowadays she is working as a researcher and scientific producer of the Funzionali nutrology group, developing studies in enteral nutrition, parenteral nutrition and metabolism in critically ill hospitalized patients.",institutionString:"Universidade Federal de Sao Paulo",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Federal University of Sao Paulo",institutionURL:null,country:{name:"Brazil"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"223576",title:"Dr.",name:"Sergio Dos Anjos",middleName:null,surname:"Garnes",slug:"sergio-dos-anjos-garnes",fullName:"Sergio Dos Anjos Garnes",profilePictureURL:"https://mts.intechopen.com/storage/users/223576/images/6136_n.png",biography:"Sergio dos Anjos Garnes graduated in medicine from the Federal University of Mato Grosso do Sul, post graduate in clinical nutrition, specialist in nutrology with area of performance in parenteral and enteral nutrition, coordinator of the multi-professional therapy group at the german hospital Oswaldo Cruz in São Paulo, medical director of Funzionali nutrology group -Brazil.",institutionString:"Universidade Federal de Sao Paulo",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:null},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"183",title:"Hematology",slug:"hematology"}],chapters:[{id:"63613",title:"Introductory Chapter: Homeostasis",doi:"10.5772/intechopen.81130",slug:"introductory-chapter-homeostasis",totalDownloads:1277,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Fernanda Lasakosvitsch",downloadPdfUrl:"/chapter/pdf-download/63613",previewPdfUrl:"/chapter/pdf-preview/63613",authors:[{id:"117630",title:"Dr.",name:"Fernanda",surname:"Lasakosvitsch Castanho",slug:"fernanda-lasakosvitsch-castanho",fullName:"Fernanda Lasakosvitsch Castanho"}],corrections:null},{id:"60867",title:"Circadian Body Temperature Rhythm and the Interaction with Energy State",doi:"10.5772/intechopen.76229",slug:"circadian-body-temperature-rhythm-and-the-interaction-with-energy-state",totalDownloads:1196,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"We have revealed that circadian body temperature (Tb) rhythm is significantly influenced by fasting/fasting-related hormones. The effect of circadian mechanism and fasting/fasting-related hormones on thermoregulation was examined. Fasting decreases Tb during the light phase in rodents. For the regulation, the suprachiasmatic nucleus (SCN) and clock genes, such as Cry and Clock, are necessary. In addition, ghrelin and several hypothalamic nuclei, that is, the medial preoptic area, paraventricular nucleus (PVN), and arcuate nucleus (ARC), play a key role in the Tb rhythm. During the light phase, fasting and ghrelin affect the hypothalamic areas. The activity of the SCN increases and that of the ARC decreases. The SCN sends inhibitory signals to the PVN, which may result in a lower heat production in the interscapular brown adipose tissue (iBAT) and Tb. By contrast, during the dark phase, the activity of the SCN decreases and that of the ARC increases. The inhibitory signal from the SCN is less, and the PVN is activated. Heat production of the iBAT increases and Tb is maintained. There are functional and anatomical connections between the circadian and thermoregulation systems. The circadian system modulates thermoregulatory response to hypothermia and/or cold depending on time and feeding condition.",signatures:"Kei Nagashima, Ken Tokizawa, Shuri Marui and Yuki Uchida",downloadPdfUrl:"/chapter/pdf-download/60867",previewPdfUrl:"/chapter/pdf-preview/60867",authors:[{id:"234423",title:"Prof.",name:"Kei",surname:"Nagashima",slug:"kei-nagashima",fullName:"Kei Nagashima"},{id:"244852",title:"Dr.",name:"Ken",surname:"Tokizawa",slug:"ken-tokizawa",fullName:"Ken Tokizawa"},{id:"244855",title:"Dr.",name:"Shuri",surname:"Marui",slug:"shuri-marui",fullName:"Shuri Marui"},{id:"244857",title:"Dr.",name:"Yuki",surname:"Uchida",slug:"yuki-uchida",fullName:"Yuki Uchida"}],corrections:null},{id:"60534",title:"Sex and Sex Hormones in Tissue Homeostasis",doi:"10.5772/intechopen.76177",slug:"sex-and-sex-hormones-in-tissue-homeostasis",totalDownloads:1047,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Women are not small men. Sex-specific differences do not only affect the classical target organs of sexual differentiation and reproduction, but have been found to involve most, if not all the organs and tissues in the body. One of the consequences of this dimorphism is that diseases manifest in a sex- and gender-specific way. Key to maintenance of a healthy state is functioning tissue able to cope with insults. Regulated death of damaged cells and replacement with new cells by proliferation is a prerequisite for maintaining tissue function taking place at different pace in the different organs. The intent of this chapter is to review current evidence for sex-specific differences in tissue homeostasis focusing on the variability of hormone exposure characteristic for the female reproductive life stages.",signatures:"Judith Lechner and Gerhard Gstraunthaler",downloadPdfUrl:"/chapter/pdf-download/60534",previewPdfUrl:"/chapter/pdf-preview/60534",authors:[{id:"233105",title:"Associate Prof.",name:"Judith",surname:"Lechner",slug:"judith-lechner",fullName:"Judith Lechner"},{id:"248280",title:"Prof.",name:"Gerhard",surname:"Gstraunthaler",slug:"gerhard-gstraunthaler",fullName:"Gerhard Gstraunthaler"}],corrections:null},{id:"61304",title:"Gateway Reflex: A Neuro-Immune Crosstalk for Organ-Specific Disease Development",doi:"10.5772/intechopen.77112",slug:"gateway-reflex-a-neuro-immune-crosstalk-for-organ-specific-disease-development",totalDownloads:1141,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Homeostasis of the central nervous system (CNS) is strictly regulated by a unique structure of blood vessels, the blood-brain barrier (BBB). Experimental and clinical evidence has revealed that abnormalities in the BBB in chronic inflammatory diseases such as multiple sclerosis (MS). By using an animal model of MS, we identified novel neuro-immune crosstalk to explain how pathogenic immune cells enter the CNS to disrupt its homeostasis, a phenomenon we named the gateway reflex. Regional neural inputs such as gravity, electricity, pain or chronic stress cause specific neural activation to create a gateway of immune cells, particularly pathogenic ones, at specific blood vessels. Moreover, the recently discovered stress-induced gateway reflex uncovered a stress-induced neural link between the brain, gastrointestine, and heart. Thus, the gateway reflex is critical for the homeostasis of various organs, and aberrant activation of neural pathways by the gateway reflex disrupts normal organ homeostasis. The inflammatory reflex is another mechanism for local neuro-immune interactions. It potently exerts a cholinergic anti-inflammatory effect on various disease conditions. In this section, we discuss emerging roles for local neuro-immune interactions, with a special focus on the gateway reflex.",signatures:"Daisuke Kamimura, Yuki Tanaka, Takuto Ohki and Masaaki\nMurakami",downloadPdfUrl:"/chapter/pdf-download/61304",previewPdfUrl:"/chapter/pdf-preview/61304",authors:[{id:"178981",title:"Prof.",name:"Masaaki",surname:"Murakami",slug:"masaaki-murakami",fullName:"Masaaki Murakami"},{id:"179235",title:"Dr.",name:"Daisuke",surname:"Kamimura",slug:"daisuke-kamimura",fullName:"Daisuke Kamimura"},{id:"179241",title:"Mr.",name:"Takuto",surname:"Ohki",slug:"takuto-ohki",fullName:"Takuto Ohki"},{id:"252780",title:"Dr.",name:"Yuki",surname:"Tanaka",slug:"yuki-tanaka",fullName:"Yuki Tanaka"}],corrections:null},{id:"64989",title:"Platelets: From Formation to Function",doi:"10.5772/intechopen.80924",slug:"platelets-from-formation-to-function",totalDownloads:2134,totalCrossrefCites:0,totalDimensionsCites:3,hasAltmetrics:0,abstract:"Platelets are small, anucleate cells that travel as resting discoid fragments in the circulation. Their average circulating life span is 8–9 days, and their formation is an elegant and finely orchestrated series of cellular processes known as megakaryocytopoiesis and thrombopoiesis. This involves the commitment of haematopoietic stem cells, proliferation, terminal differentiation of megakaryocytic progenitors and maturation of megakaryocytes to produce functional platelets. This complex process occurs in specialised endosteal and vascular niches in the bone marrow where megakaryocytes form proplatelet projections, releasing platelets into the circulation. Upon contact with an injured blood vessel, they prevent blood loss through processes of adhesion, activation and aggregation. Platelets play a central role in cardiovascular disease (CVD), both in the development of atherosclerosis and as the cellular mediator in the development of thrombosis. Platelets have diverse roles not limited to thrombosis/haemostasis, also being involved in many vascular inflammatory conditions. Depending on the physiological context, platelet functions may be protective or contribute to adverse thrombotic and inflammatory outcomes. In this chapter, we will discuss platelets in context of their formation and function. Because of their multifaceted role in maintaining physiological homeostasis, current and development of platelet function testing platforms will be discussed.",signatures:"Laura Twomey, Robert G. Wallace, Philip M. Cummins, Bernard\nDegryse, Sinead Sheridan, Michael Harrison, Niall Moyna,\nGerardene Meade-Murphy, Nastassia Navasiolava, Marc-Antoine\nCustaud and Ronan P. Murphy",downloadPdfUrl:"/chapter/pdf-download/64989",previewPdfUrl:"/chapter/pdf-preview/64989",authors:[{id:"237585",title:"Dr.",name:"Ronan",surname:"Murphy",slug:"ronan-murphy",fullName:"Ronan Murphy"},{id:"260576",title:"Mr.",name:"Robert",surname:"Wallace",slug:"robert-wallace",fullName:"Robert Wallace"},{id:"260578",title:"Dr.",name:"Michael",surname:"Harrison",slug:"michael-harrison",fullName:"Michael Harrison"},{id:"260579",title:"Dr.",name:"Niall",surname:"Moyna",slug:"niall-moyna",fullName:"Niall Moyna"},{id:"260580",title:"Dr.",name:"Gerardene",surname:"Meade-Murphy",slug:"gerardene-meade-murphy",fullName:"Gerardene Meade-Murphy"},{id:"260581",title:"Dr.",name:"Bernard",surname:"Degryse",slug:"bernard-degryse",fullName:"Bernard Degryse"},{id:"260582",title:"Dr.",name:"Sinead",surname:"Sheridan",slug:"sinead-sheridan",fullName:"Sinead Sheridan"},{id:"260583",title:"Prof.",name:"Marc-Antoine",surname:"Custaud",slug:"marc-antoine-custaud",fullName:"Marc-Antoine Custaud"},{id:"260584",title:"Dr.",name:"Nastassia",surname:"Navasiolava",slug:"nastassia-navasiolava",fullName:"Nastassia Navasiolava"},{id:"260585",title:"Dr.",name:"Laura",surname:"Twomey",slug:"laura-twomey",fullName:"Laura Twomey"}],corrections:null},{id:"64994",title:"Platelets: Functional Biomarkers of Epigenetic Drift",doi:"10.5772/intechopen.83447",slug:"platelets-functional-biomarkers-of-epigenetic-drift",totalDownloads:1178,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Cardiovascular disease (CVD) risk factors can be classed as modifiable or non-modifiable. Physical inactivity and obesity represent major behavioural risk factors for the initiation, development and progression of CVD. Platelet dysfunction is pivotal to the aetiology of CVD, a chronic vascular inflammatory condition, which is characterised by a lag time between onset and clinical manifestation. This indicates the role of epigenetic drift, defined by stochastic patterns of gene expression not dependent on dynamic changes in coding DNA. The epigenome, a collection of chemical marks on DNA and histones, is established during embryogenesis and modified by age and lifestyle. Biogenesis and effector function of non-coding RNA, such as microRNA, play a regulatory role in gene expression and thus the epigenetic mechanism. In this chapter, we will focus on the effect of the modifiable risk factors of physical activity/inactivity and overweight/obesity on platelet function, via epigenetic changes in both megakaryocytopoiesis and thrombopoiesis. We will also discuss the role of acute exercise on platelet function and the impact of cardiorespiratory fitness (CRF) on platelet responses to acute exercise. This chapter will highlight the potential role of platelets as circulating functional biomarkers of epigenetic drift to implement, optimise and monitor CVD preventive management strategies.",signatures:"Laura Twomey, Robert G. Wallace, Marco Mangone, Bernard\nDegryse, Sinead Sheridan, Michael Harrison, Niall Moyna,\nGerardene Meade-Murphy, Nastassia Navasiolava, Marc-Antoine\nCustaud and Ronan P. Murphy",downloadPdfUrl:"/chapter/pdf-download/64994",previewPdfUrl:"/chapter/pdf-preview/64994",authors:[{id:"237585",title:"Dr.",name:"Ronan",surname:"Murphy",slug:"ronan-murphy",fullName:"Ronan Murphy"},{id:"260576",title:"Mr.",name:"Robert",surname:"Wallace",slug:"robert-wallace",fullName:"Robert Wallace"},{id:"260578",title:"Dr.",name:"Michael",surname:"Harrison",slug:"michael-harrison",fullName:"Michael Harrison"},{id:"260579",title:"Dr.",name:"Niall",surname:"Moyna",slug:"niall-moyna",fullName:"Niall Moyna"},{id:"260580",title:"Dr.",name:"Gerardene",surname:"Meade-Murphy",slug:"gerardene-meade-murphy",fullName:"Gerardene Meade-Murphy"},{id:"260581",title:"Dr.",name:"Bernard",surname:"Degryse",slug:"bernard-degryse",fullName:"Bernard Degryse"},{id:"260582",title:"Dr.",name:"Sinead",surname:"Sheridan",slug:"sinead-sheridan",fullName:"Sinead Sheridan"},{id:"260583",title:"Prof.",name:"Marc-Antoine",surname:"Custaud",slug:"marc-antoine-custaud",fullName:"Marc-Antoine Custaud"},{id:"260584",title:"Dr.",name:"Nastassia",surname:"Navasiolava",slug:"nastassia-navasiolava",fullName:"Nastassia Navasiolava"},{id:"260585",title:"Dr.",name:"Laura",surname:"Twomey",slug:"laura-twomey",fullName:"Laura Twomey"},{id:"287255",title:"Prof.",name:"Marco",surname:"Mangone",slug:"marco-mangone",fullName:"Marco Mangone"}],corrections:null},{id:"63195",title:"Reactive Oxygen Species, Cellular Redox Homeostasis and Cancer",doi:"10.5772/intechopen.76096",slug:"reactive-oxygen-species-cellular-redox-homeostasis-and-cancer",totalDownloads:1358,totalCrossrefCites:7,totalDimensionsCites:8,hasAltmetrics:0,abstract:"Redox homeostasis is attained by the cautious regulation of both reactive oxygen species (ROS) formation and removal from the body system. A shift in ROS balance promotes oxidative injury and tumour development by inflicting damage to DNA and inducing inconsistencies in the genome. The sources of endogenous ROS in a cell include mETC, NOX, LOX, cytochrome P450 and XO. The exogenous risk factors of ROS are pollutants, chemicals/drugs, radiation and heavy metals. Oxidative phosphorylation in the mitochondria produces ROS with unpaired electrons. Superoxide anion is the major ROS produced in the human mitochondria. Bulk of the ROS generation in the mitochondria occurs at the electron transport chain as derivatives of respiration. Cancer cells sustain ROS production by suppressing the antioxidant-generation system. Balance between ROS production and subsequent detoxification is regulated by scavenging enzymes and antioxidant agents. Failure in sirtuin-3 (SIRT3), ATM and p53 activities elevates the intracellular levels of ROS. PKCα induces the expression of NOX (DUOX) during cancer development and the consequent increase in ROS production. The PI3K/AKT signalling pathway activates NOX with consequent ROS production and subsequent induction of instability in the genome, leading to cancer. In conclusion, the interruption of the redox pathways that regulate ROS and its redox signalling activities affects cell physiology and can ultimately result in abnormal signalling, uncontrolled oxidative impairment and tumorigenesis.",signatures:"Rabiatul Basria S.M.N. Mydin and Simon I. Okekpa",downloadPdfUrl:"/chapter/pdf-download/63195",previewPdfUrl:"/chapter/pdf-preview/63195",authors:[{id:"216721",title:"Dr.",name:"Rabiatul Basria",surname:"S M N Mydin",slug:"rabiatul-basria-s-m-n-mydin",fullName:"Rabiatul Basria S M N Mydin"},{id:"246654",title:"Dr.",name:"Simon",surname:"Okekpa",slug:"simon-okekpa",fullName:"Simon Okekpa"}],corrections:null},{id:"60626",title:"S6 Kinase: A Compelling Prospect for Therapeutic Interventions",doi:"10.5772/intechopen.75209",slug:"s6-kinase-a-compelling-prospect-for-therapeutic-interventions",totalDownloads:1204,totalCrossrefCites:1,totalDimensionsCites:3,hasAltmetrics:0,abstract:"S6 kinase, a member of AGC family of protein kinases and a downstream effector of mTORC1 pathway has over the years found much relevance in maintaining a normal cellular state by virtue of its established role in regulation of cell growth and proliferation. S6 kinase activity has been linked to different cellular processes like glucose homeostasis, translational and transcriptional regulation. Hence any dysregulation in S6K1 leads to the emergence of various pathological conditions like diabetes, cancer and obesity. It is as such S6 kinase has emerged as a potential target for therapeutic interventions employed in curing such diseases. 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The fracture of a metallic frame usually happens in an area of minimum resistance. This type of damage could not be repaired 15–20 years ago, using welding systems available at that time.
\nLaser welding of a fractured clasp and frame.
Nowadays, two types of welding are suitable for use in dental technique: laser and micro pulse [1].
\nAfter Nd:YAG lasers appeared in Europe, in 1990, laser welding has been extended to dental technique and permits joining various types of pieces, which might have been difficult or even impossible to do with other techniques.
\nIt permits joining similar or different alloys, as titanium-based alloys, CoCr alloys, and even AuPd or CrNi stainless steel alloys (Figure 2).
\nWelded CrNi stainless steel orthodontic ring and wire.
In laser welding, heating and melting are limited to a small area, which prevents damaging the components of the denture pieces which might deteriorate when heated (resins, ceramics) (Figure 3). It permits the welding of elements situated in places difficult to reach, such as the inner parts or extremely small, delicate, and sensible elements. It is very efficient in repairing the framework of removable partial dentures, being fast, economic, and very accurate [2].
\nWelding of a fractured clasp in close proximity to the saddle made of an acrylic resin.
It may also be used for manufacturing removable partial dentures, by joining pieces which might be difficult to cast in one piece, due to various reasons, such as high contraction at casting. One of the main advantages of the method is that of “cold” welding, on a model or even in hand. Nowadays even “in-mouth welding” is possible [3].
\nAll laser welding devices used in dental technique are equipped with an optic enlarging system which permits perfect visualization of the fragments to be welded (Figure 4), the space between them, and the position of the filler metal, when used. The filler metal (special wire for laser welding) is the same type as the base material and has to be used when there is some space between the two pieces to be welded. Welding without a filler material may be carried out when the distance between the two pieces to be welded is almost imperceptible [4].
\nXXS laser welder for dentistry (Orotig) and its enlargement system.
Laser welding in dental technique often uses a protected environment, argon 4.6 with a purity of 99.996% or argon 5.0 with a purity of 99.999%, in order to prevent the oxidation of the alloys [4].
\nLaser welding may be done in continuous or pulsed mode. The parameters which may be modified in case of welding with a Nd:YAG laser, in a continuous emission mode, are the radiation power, the welding speed, and the diameter of the laser beam. The radiation power variation is limited by the manufacturer and does not have a great influence on the welding depth. The diameter variation of the laser beam is also limited, in order to obtain the minimum density of the energetic wave; consequently, the only parameter which may significantly influence the morphology of the welding is the welding speed. A low welding speed does not necessarily imply a greater welding depth. In case of noble alloys, optimal welding speed is considered to be 10.1 cm/min, and it doubles in the case of base metal alloys: 20–25 cm/min. These parameters permit a welding depth of 0.8 mm for noble alloys and up to 2.0 mm for base metal alloys. Variations by 20% of these parameters may lead to incomplete welding (too high speed) or uncontrolled melting, which may compromise the entire piece [4].
\nIn case of Nd:YAG laser welding pulsed mode, the density of the energetic flux is at least 10 billion times greater than when using the continuous mode. The exposure time is very short, so the thermal conductivity of the alloy is of less importance. In this case, the morphology of the welding is influenced by the impulse energy, length, and frequency. In case of high energy density, the side effects which appear in the welded structure may not be generalized [4].
\nThe action of the laser beam that leads to the formation of the welding cord can be described as follows (Figure 5):
The material is first heated by conduction.
The absorbed energy superficially penetrates the alloy, melting the impact surface.
A metallic vapor develops in the center of the impact point. The material partly absorbs and diffuses the energy of the beam.
The vapor pressure increases and dispels the melting alloy to the periphery of the beam and upward. This results in creating a narrow (capillary) shaft which propagates through the material. This shaft, with a diameter barely greater than the beam, is physically filled by metallic vapor plasma. Its walls are coated with a film of melting metal maintained by capillarity.
The melting metal is finally sent backward and closes the welding cord (Figure 6) [5, 6].
Stages of the welding cord formation.
(a) Image of the welding cord. (b) Microscopic image of the welding points.
The quality of micro pulse welding is comparable to that of laser welding. It has the advantage of a lower initial investment, but it uses electrodes that are consumed in time and have to be replaced. When compared to laser welding, micro pulse welding appears to be more visible and embossed (Figures 7 and 8). The probability of developing pores is higher, compared to laser welding, which is much more compact [7].
\nMicro pulse welded piece.
Appearance of micro pulse welding (a) compared to laser welding (b).
Welding in dental laboratories is made by melting small surfaces of the metallic piece. Each time, a welding cord with overlapped spots will be obtained (Figure 6). The area in close proximity, named thermally affected area (TAA), is very sensitive to thermal variations after welding, as sudden cooling of the material, which might lead to cracks. The TAA is usually tougher than the base material (BAA), from which the welded piece is manufactured.
\nThe quality of the welding depends on the alloy’s nature, the welding mode, and the laser’s parameters [4].
\nThe quality of laser welded joints for different dental alloys may be evaluated by different invasive methods, metallographic analyses and microhardness testing, and noninvasive methods, dye staining, X-ray, and microscopy [8, 9].
\nThe TA6V4 alloy is a titanium-based alloy containing 6% aluminum and 4% vanadium, mainly used in manufacturing ready-made pieces for implantology.
\nThe alloy is biphased Tiα + Tiβ, at room temperature, with a slight phase percentage for Tiβ, as shown in the pseudo-binary phase diagram (Figure 9). The existence of the two phases Tiα and Tiβ, at room temperature, enables creating an alloy with a high mechanical resistance, due to the mutual interaction of the two phases. The alloy has an elasticity limit of 875 MPa.
\nSchematic pseudo-binary phase diagram of TA6V4 alloy.
During heating, the Tiα turns into Tiβ at approximately 980°C. During fast cooling, the Tiβ phase undergoes a so-called martensitic transformation forming a complex lamellar structure inducing significantly altered mechanical properties. These mechanical properties will be recovered by a low-temperature thermal treatment.
\nThis alloy welds mainly to itself or to other alloys by laser welding. Metallurgic analysis, by metallography and scanning electron microscope (SEM) observation, after a single impulse laser impact, of the sample is characterized (Figures 10 and 11) in the following way: after cooling, there is a melting area (MA), a thermally affected area (TAA), and an area corresponding to the base alloy (BAA) [10].
\nSchematic description of the cord during welding.
SEM observation of the TA6V4 cord sample after a single impulse laser impact.
The MA is mainly formed of Tiα turned by martensitic transformation into Tiα’.
\nThe TAA is mainly composed of two sublayers developed in the proximity of MA, formed of a Ti″ structure and, deeper down, of a complex Tiα + Tiα + Tiα’ structure.
\nThe BAA consists of the Tiα + Tiβ structure.
\nThe AuPd alloy welded by laser technique is the standard Qualibond 2 (PX Dental/Qualident) alloy for the metallo-ceramic technique, containing 51.2% Au, 38.6% Pd, indium, gallium, and ruthenium as additional elements.
\nFor the AuPd alloy for the metallo-ceramic technique, Figure 12 shows the successive impacts leading to the welding of the two pieces. Like in the case of a titanium-based alloy, there is a very perturbed TAA (Figure 13) and a lamellar structure of the MA (Figure 14).
\nWelded area (SEM).
MA, TAA, BAA areas (metallography).
MA area (metallography).
In case of TA6V4 alloy, the cooling speed plays an important role on the mechanical characteristics due to its influence on the phase transformation structures into a solid state. The elasticity limit during high temperatures decreases, and the resistance to wear is rather unaffected by laser welding due to the fact that the cord has no porosities or other defects (cracks, snaps) [11].
\nIn case of the AuPd alloy for the metallo-ceramic technique, it appears the fracture toughness of the laser welded area is higher than in the case of brazing. On the other hand, the wear resistance of the laser welding is lower than in the case of brazing (Figure 15).
\n(a) Fracture toughness (MPa). (b) Resistance to wear (MPa).
The quality of the welding is mechanically satisfactory. In order to avoid problems, initially, both parts of the joined piece should be subjected to low-level energy impacts, followed by greater energy for filling. The success of the welding procedure also depends on the operator’s dexterity and the choice of the welding parameters [12].
\nThree different CoCr alloys, frequently used for manufacturing metallic frameworks of removable partial dentures, were tested: Heraenium CE (Heraeus Kulzer), Wironit Extra-Hard (Bego), and “C” alloy (Vaskut Kohàszati Kft). The chemical composition and mechanical properties of the alloys are shown in Table 1.
\nTested alloys | \nCo | \nCr | \nMo | \nSi | \nMn | \nTensile strength Rm | \nVickers hardness | \n|
---|---|---|---|---|---|---|---|---|
Heraenium CE | \n63.5 | \n27.8 | \n6.6 | \n1.0 | \n0.6 | \n— | \n890 N/mm2 | \n380 HV | \n
Wironit Extra-Hard | \n63.0 | \n30.0 | \n5.0 | \n1.0 | \n1.0 | \n<1.0 | \n910 N/mm2 | \n385 HV | \n
”C″ alloy | \n65.0 | \n29.0 | \n5.0 | \n0.35 | \n5.0 | \n0.4 | \n760 N/mm2 | \n380 HV | \n
The chemical composition and mechanical properties of the three alloys.
The alloys were analyzed both in the form of metallic frameworks of removable partial dentures (Figure 16) and as metallic casted plates with dimensions 10x20mm and thickness of 0.4 mm (Figure 17). For improving the structure of the alloy plates, heat treatments at different temperatures were applied.
\nSome fractured metallic frameworks of removable partial dentures, before and after welding.
(a) The casted plates. (b) Plates after welding.
In some cases, the use of a filler metal, special 0.5 mm diameter CoCr Finalloy filler (Fino), was needed (Figures 18 and 19).
\nLaser welding without filler metal.
Laser welding with filler metal.
The equipment used for welding consisted of Welder micro pulse (Schütz Dental) and Laser 65 L-Titec (Figure 20).
\nThe micro pulse welding device Welder (Schütz dental) and laser 65 L-Titec with welding parameters.
Welded joint quality was tested by radiographic, microscopic, metallographic, and microhardness tests [13].
\nIn order to assess the quality of the welded joints and visualize possible structural defects as cracks in the base materials, X-rays and microhardness tests were carried out. The inverted metallurgical microscope and the stereomicroscope enabled the observation of different processing aspects of the metallic components, relevant for the welding procedure.
\nMicrohardness analysis was carried out using a 100 g charge, five to six impressions for each area of the welded joint being made, and shows a small increase of the hardness in TAA and MA. The hardness in the MA shows values between those of the BAA and TAA. Microhardness values of the welded joints are up to 15% lower in the TAA for Wironit Extra-Hard (Bego), with no heat treatment, and higher up to 16% if heat treatment was made.
\nIn case of Heraenium CE (Heraeus Kulzer) microhardness, part of the samples without heat treatment shows no changes in the MA and TAA; part of the samples shows decreased values up to 25%. Samples which had undergone heat treatment show no changes.
\nIn case of “C” alloy (Vaskut Kohàszati Kft), part of the samples shows no microhardness changes; part of the samples shows decreased values up to 33%.
\nThese values are of no great importance as microhardness variations may appear due to lack of homogeneity of the casted base alloy [14].
\nX-rays show casting defects, such as lack of material and cracks within the base material (BAA). A radiotransparency on the welding line and some imperfections in the clasps welding area may be observed (Figure 21).
\nRadiographic images: (a) Metallic framework. (b) Welded plates.
For the “C” alloy (Vaskut Kohàszati Kft), the welding area, dyed in yellow, shows no fissures in the immediate vicinity of the welding, in the TAA, because the laser was used at very low temperatures and there are no contractions in the analyzed material. However, X-rays show radiotransparency in the MA, which indicates a superficial fusion which does not cover the entire thickness of the plate. (Figure 22) Despite the fact that the plates used are not very thick, welding does not cover the whole depth. This results in the fragility of the welding [11, 13].
\nAssessment of the welded “C” alloy (Vaskut Kohàszati Kft) area: (a) Basic fuchsin dye staining. (b) X-ray pseudo-chromatization.
Microstructural analysis presents the relative homogeneous dendritic structure specific for casted alloys, nonmetallic inclusions, and some chemical compounds. Intergranular precipitations and spherical shape compounds, consisting of alloy’s elements, placed inside the crystalline grains with well-delimitated boundary limits, which are characteristic to the solidification process, appear in case of some welded joints (Figures 23, 24, and 25). This may often lead to alloy durification and fragile structure.
\nMicrocracks in the BAA dendritic structure spread along the fragile compound precipitations, in case of fast cooling of the welded alloy.
(a) Nonuniform dendritic structure with interdendritic cracks and microporosities. (b) Microstructural aspect of the welding cord in case of “C” alloy (Vaskut Kohàszati Kft), with cracks due to laser exposure, spreading from surface to center.
Wironit extra-hard (Bego) sample. (a) Welded on both sides, with nonuniform dendritic structure. (b) With thermal treatment, with nonuniform fine dendritic structure and carbide inclusions.
Metallographic analysis of the laser welded joints is shown in Figures 26, 27, and 28.
\nMicrostructural aspect of Heraenium CE (Heraeus Kulzer). (a) Laser welded samples MA and TAA, microhardness values unchanged. (b) Laser welded samples without thermic treatment, MA microhardness values decreased up to 25%. (c) Micro pulse welded samples, heat treated, no microhardness changes in the TAA.
Microstructural aspect of Wironit extra-hard (Bego) laser welded samples. (a) TAA microhardness values lower up to 15%. (b) Samples with heat treatment, TAA microhardness values higher up to 16%.
Microstructural aspect of “C” alloy (Vaskut Kohàszati Kft) laser welded samples. (a) TAA microhardness values lower up to 30%. (b) TAA microhardness values unchanged.
Figure 29 shows pellicular intergrain precipitations and spherical shape compounds, placed inside the crystalline grains.
\nMetallographic aspects of pellicular intergrain precipitations, spherical shape compounds.
Metallographic analysis indicates that welded CoCr alloys exhibit rather large microstructural defects, including interdendritic carbide precipitations, segregation, relatively large grains, and porosity, mainly in the BAA area. These microstructural defects may lead to crack initiation. The welded joints themselves (MA) show a rather good quality.
\nNoninvasive analysis points out the structural defects of the three casted alloys, showing cracks which grow proportionally with the thickness of the alloy, within the BAA. These may be caused by casting, improper processing, and rapid cooling after welding [15, 16].
\nThe welding defects (cracks) appear to be in connection with the laser beam size and laser power. Most of the cracks appear at big spot/ high power association, during the welding smoothing (Figures 30 and 31) [17].
\nMicroscopic aspects of Wironit extra-hard (Bego) alloy for different laser beam sizes: (a) small, (b) medium, (c) large.
Microscopic aspects of “C” alloy (Vaskut Kohàszati Kft) for different laser beam sizes: (a) small, (b) medium, (c) large.
Welding experiments on complex CoCrMoTi(Zr) alloys, CoCrMoZrTi alloy, CoCrMoTi4 alloy, and CoCrMoTi5.5 alloy [18, 19, 20, 21, 22, 23, 24], were performed by selecting three categories of parameters, a selection which was made following previous tests on cobalt alloys. For this purpose, the welding parameters were chosen, with three values of the laser spot power, namely, low power (1.9 W), average power (2.0 W), and higher power (2.3 W); the times of application of the spot, namely, short (1.1 s) or long (1.3 s); and the frequency of the spot application at two levels, respectively, 2.0 Hz and 3.0 Hz. (Table 2).
\nParameter | \nPower | \nTime | \nFrequency | \n
---|---|---|---|
Set 1 | \n2.0 W | \n1.1 s | \n2.0 Hz | \n
Set 2 | \n1.9 W | \n1.3 s | \n3.0 Hz | \n
Set 3 | \n2.3 W | \n1.3 s | \n2.0 Hz | \n
Sets of parameters used for welding CoCrMoTi(Zr) alloys.
The macrostructural analysis carried out on the welded surfaces of the complex CoCrMoTi(Zr) alloys is shown in Figures 32–34. This analysis proved to be decisive in the selection of welding parameters as it allowed to highlight these parameters correlated with the macrostructural aspect. Thus, in the case of the first set of welding parameter values, all alloys presented similar macrostructural aspects, consisting of non-cracked welded cords. The second set of values resulted in partially satisfactory results, with all alloys presenting a nonconforming welded surface. Regarding the third set of welding values, it led to the most inappropriate results. Thus, in all alloys, the high value of the welding spot power generated the subsequent melting of the welding cord, due to the generation of sprays from the next step. It can be said that the welding performed with the parameters corresponding to the first set of values generates the best quality welding cord, without the presence of cracks. The microstructural analysis (Figures 35–37) confirms the macrostructural one. In the case of the first set of welding parameters, no cracks were observed either in the welding cord or TAA in all alloys, irrespective of the thermal treatment state (Figure 35a, 36a, and 37a). In the case of the second set of values, the presence of cracks generated either on the welding cord and developed in the TAA (as for the CoCrMoZrTi alloy), or strong cracks in the center of the welding cord (CoCrMoTi4 alloy, CoCrMoTi5.5) are present. Similar observations were also recorded on samples welded using the third set of parameters, the difference being the dimensions and the crack propagation. Thus, in the case of the third set of welding parameters, larger cracks with transgranular propagation may be noticed in almost all situations.
\nMacroscopic aspect of the welded CoCrMoZrTi alloy using different parameter values: (a) first set, (b) second set, (c) third set.
Macroscopic aspect of the welded CoCrMoTi4 alloy using different parameter values: (a) first set, (b) second set, (c) third set.
Macroscopic aspect of the welded CoCrMoT5.5 alloy using different parameter values: (a) first set, (b) second set, (c) third set.
Microscopic aspect of the welded CoCrMoZrTi alloy using different parameter values: (a) first set, (b) second set, (c) third set.
Microscopic aspect of the welded CoCrMoTi4 alloy using different parameter values: (a) first set, (b) second set, (c) third set.
Microscopic aspect of the welded CoCrMoT5.5 alloy using different parameter values: (a) first set, (b) second set, (c) third set.
Laser and micro pulse welding is mainly used in dentistry for repairing damaged metallic parts of partial dentures or orthodontic appliances [25].
\nIf welding is used for repairing or completing damaged areas of prosthetic pieces, structural modifications are expected, especially in TAA, regardless of the welding type. In this area, due to overheating and fast cooling, precipitates of certain alloy chemical compounds may appear. These precipitates increase the hardness of the welded metal and lead to fragile areas, which could crack during functional loads. Cracks may appear not only because of the mechanical stress to which the dentures are exposed but also during manufacturing stages and may lead to fracture. Thermal treatments improve the structure and quality of the casted and welded alloys [4].
\nIn order to obtain dentures with good resistance, it is very important to assess the quality and potential structural defects of the welded parts.
\nThe success of the welding procedure depends on the operator’s dexterity and the choice of the welding parameters. Selecting the best combination of pulse energy, pulse duration, and peak power for each welding step is decisive [20, 24].
\nLaser welding is best suitable to weld titanium and its alloys because they have higher rates of laser beam absorption and lower thermal conductivity compared to other dental casting alloys such as gold or CoCr alloys; however, due to the strong reactivity of molten titanium with oxygen in ambient air, the incorporation of oxygen during laser welding may affect the joint strength.
\nThe initial welding is carried out by using a small laser beam (which better penetrates the alloy); afterward, a large beam is used for surface smoothening. Optional welding may be carried out in argon protective environment. The pulsed mode is preferred.
\nIn the case of base metal alloys, the beam diameter must not be smaller than 1.5 mm, a 0.8 mm depth being considered enough to obtain a good breaking resistance. In case of heavy loads, both sides of the defect are welded.
\nWelding without filler metal is very scrupulous and implies a perfect surface processing and a uniform proximity of maximum 0.1 mm (which enables a good welding resistance), which is difficult to obtain in daily practice. Furthermore, the penetration depth and the metallographic changes in the TAA are difficult to manage. From this point of view, welding with filler metal is better, because the breaking resistance is reproducible, welding being carried out by conducting heat along the interfaces.
\nWelded alloys without carbon act better than those which have carbon in their composition. During welding, excess carbide precipitations may occur, which leads to hardening (fragilization) of the TAA and possible cracks.
\nIn case of repairs, an important element is determining the initial cause of the fracture. If it’s the consequence of a casting or conception mistake, the welding will not last for long.
\nWith a proper selection of laser parameters for welding, one may obtain very good welded pieces, with no cracks (as showed in our experiments carried on CoCrMoTi(Zr) system alloys).
\nThe advantages of laser welding in dental laboratories may be summarized as follows: it is time-saving; potentially all types of metals may be joined, particularly titanium alloys; welds are made on the model, distortions being avoided; the absence of corrosion, because no soldering alloy is needed; good resistance of the welded area; and the possibility to weld in proximity of resins or ceramic materials without damage.
\nCompared to micro pulse welding, which needs the use of a changeable electrode, laser welding is superior, achieving the welding cord being faster and easier in case of laser welding.
\nNon-allergic rhinitis is a term used for situations where no allergen can be detected as the cause of rhinitis. Non-allergic rhinitis occurs in approximately one third of allergic rhinitis. Affects 22 million people (7% of the population) in the USA [1]. In non-allergic rhinitis; Skin test positivity or specific Ig E response cannot be detected. The pathophysiology of nonallergic rhinitis (NAR) is heterogeneous [2]. The most common type is vasomotor rhinitis, also called idiopathic. In addition, there are many types such as hormonal, gustatory, occupational, atrophic, cold air-induced and systemic diseases [3]. Patients; They present with symptoms such as nasal congestion, runny nose, sneezing, and itching in the nose, the symptoms of the patients do not show a seasonal pattern. There are family stories, but they are not as common as allergic rhinitis (AR). An underlying factor such as infection, sinusitis or polyps cannot be detected in patients. It was determined that the patients showed more neurogenic abnormalities in the pathophysiology. These patients have been shown to be hypersensitive to substances with ingredients such as cold air or capsaicin. The diagnosis is made clinically, the onset of the disease is in adolescence [4].
Non-Allergic rhinitis occurs due to non-IgE mediated mechanisms. Prostaglandins, leukotrienes are found in both the upper and lower airways. These cause mast cell secretion, eosinophils, after exposure to the allergen in rhinitis. Prostaglandins and leukotrienes released from mast cells cause vasodilatation and hypersecretion from the gland, leading to rhinitis symptoms. Although this mechanism is not fully active in non-allergic rhinitis, symptoms occur with a similar effect [5].
Vasomotor rhinitis; It constitutes the most important part of rhinitis in the definition of non-allergic rhinitis. Its other name is known as non-allergic rhinopathy. It occurs as a result of impaired vasomotor balance in the nose. There is a loop in the form of sympathetic/parasympathetic innervation in the nose. This cycle is disrupted due to reasons such as exercise, cold, stress, insufficient thyroid functions, pregnancy, excessive or prolonged use of some blood pressure drugs, birth control pills and decongestant drugs. At the beginning of all these reasons, nasal congestion is temporary and reversible. So if the cause is removed, the disease will improve. In addition, if it lasts long enough, this time the blood vessels will lose their elasticity and the event turns into an irreversible situation. Metabolic (Acromegaly, Pregnancy, Hypothyroidism), Autoimmune (Sjogren’s syndrome SLE Relapsing polychondritis Churg-Straus),Granulomatous diseases (Sarcoidosis and Wegener’s granulomatosis), Other (Cystic fibrosis, Cilia dyskinesia syndromes, Immunodeficiency, Amyloidosis, Chronic fatigue syndrome) are the most common causes of NAR [6].
Typically, it starts after consuming hot or spicy food and alcohol. It starts with a food allergy or an unknown mechanism and continues with profuse rhinorrhea. Ipratropium bromide is used in the treatment [7].
Occupationally allergic and non-allergic can occur. There are four types. The first is an uncomfortable rhinitis without inflammation in the nose caused by smell. The second type is rhinitis that is caused by irritant and causes inflammation in the mucosa. The third type is corrosive rhinitis that occurs due to high concentration of chemicals in the nasal mucosa. Ammonia etc. occurs with inhalation of substances. The fourth type is rhinitis, which causes Ig E due to occupational exposure. Latex allergy in healthcare workers depends on this. Nasal saline irrigation solutions, nasal steroids and antihistamines are used in the treatment of this rhinitis [8] (Table 1).
Drugs | Usage areas | Side effects |
---|---|---|
Antihistaminics | Sneezing, runny nose, itchy nose | Anti-cholinergic side effects such as dryness of mucosal membranes, urinary retention, constipation, tachycardia, decreased visual acuity; Central side effects such as attention deficit and sleep |
Steroids (Oral prednisolone, methylprednisolone, nasal mometasone, fluticasone) | Nasal discharge, itching, sneezing (Due to the systemic side effects of oral steroids, nasal steroids are in common use and are used as the first choice in treatment. | Besides growth retardation in children, metabolism disorders in all cases, glaucoma and cataract formation, immunosuppression, suppression of the growth axis, thinning of the skin, behavioral disorders, osteoporosis |
Leukotriene antagocytes (Montelukast, zileuton etc.) | It is the gold standard in rhinitis that does not respond to antihistamines and nasal steroids. | Agitation aggression, anxiety, hallucination, depression, insomnia, irritability, restlessness, and suicidal thoughts. |
Oral / Nasal decongestants Pseudoephedrine and phenylephrine-oral oxymetazoline, xylometazoline and naphazoline (intranasal) | Nasal congestion | When used orally, irritability, insomnia, irritability, headache, tachycardia, hypertension, increased intraocular pressure, urinary difficulty |
Drugs used in treatment [15].
It is divided into two as gestational rhinitis induced by the menstrual cycle. Gestational rhinitis begins in the second trimester of pregnancy and continues until the second week of postpartum. It is related to pregnancy in another form of hormonal rhinitis. This can start in any week of pregnancy. Nasal saline irrigation is used in the treatment. In addition, they can benefit from the tapes used for the nose wings at night. The benefit of intranasal steroids in these patients has not been determined. The use of pseudoephedrine should be avoided during pregnancy, especially in the 1st trimester [9].
It is a severe nasal congestion caused by the continuous use of agents such as oxymetazoline and phenylephrine, which are sympathomimetic agents. They use oral or topical steroids in treatment and sympathomimetic sprays are discontinued. Drugs such as ACE inhibitors, NSAIDs and Aspirin also have similar effects [10].
Progressive nzal atrophy and Klebsiella ozaenae etc. It occurs due to mucosal colonization with microbial agents. There is a disturbing foul-smelling discharge on the jas. It can also develop after inferior turbinate surgery. Oral antibiotics, salty and oily washing solutions are used for malodorous discharge. Since the disease is very persistent, symptomatic patients should be followed up from time to time [11].
Known as non-allergic rhinitis with eosinophilic syndrome (NARES), the disease usually begins in adulthood; It is a type of non-allergic rhinitis characterized by negative skin test and normal IgE levels. Aspirin sensitivity, asthma and nasal polyps may develop in these patients. Eosinophilia is observed in patients. There is also an increased risk of obstructive sleep apnea syndrome. Another variant is Non-Allergic rhinitis disease with eosinophilia in the blood called BENARES. Although the clinic of the disease is the same as NARES; In this disease, there is eosinophilia in the blood instead of nasal eosinophilia. Intranasal corticosteroids are sufficient in both NARES and BENARES [12].
Infectious rhinitis is a type of rhinitis with acute or chronic runny nose, nasal congestion, frontal headache, smell disorders, post nasal discharge and cough. Most infectious rhinitis in children are viral and resolve with symptomatic treatment. If it is bacterial, antibiotics are used. In addition, nasal solutions, nasal steroids are also effective in treatment [13].
What are the risk factors?
Exposure to smoke, exhaust fumes, or tobacco smoke
Being over 20 years old. (Allergic rhinitis occurs before this age, non-allergic rhinitis occurs after the age of 20)
Continuous use of decongestants: Nasal decongestants, which solve acute nasal congestion, cause congestion when used for a long time and increase congestion with rebaunt effect.
Gender: Being a woman increases non-allergic rhinitis with hormonal effect.
Occupation: Exposure to fumes from building materials, solvents or other chemicals
Chronic diseases: such as hypothyroidism and chronic fatigue syndrome
Stress. Emotional or physical stress increases susceptibility.
In non-allergic rhinitis, the diagnosis is made by exclusion. First of all, allergic rhinitis is ruled out. Sinus problems are then ruled out. So there are no definitive diagnostic criteria. To exclude, respectively.
Prick test: It is done to determine whether the symptoms are caused by an allergen. Allergens are applied to the skin and decided as positive or negative depending on the reaction.
Blood test: IgE levels are checked to measure immune response.
Nasal endoscopy: Pathologies such as nasal polyps and acute sinusitis are ruled out in endoscopy.
CT Imaging: Detailed imaging is performed for paranasal sinuses.
Non-allergic rhinitis treatment is similar to allergic rhinitis. In treatment;
Antihistamines
Antihistamines are molecules that bind competitively to H1 receptors. They help us treat sneezing, runny nose and itchy nose by reducing the sensation of vascular permeability, smooth muscle contraction and itching.
Although first generation antihistamines are cheap, we know that there is serious central nervous system penetration. For this reason, unfortunately, almost 10–40% of the patients cause severe distraction, sleepiness and concentration impairment. Anti-cholinergic side effects such as dryness in mucosal membranes, urinary retention, constipation, tachycardia, and decreased visual acuity limit the use of these drugs in elderly patients. In addition, the antagonistic effects of these drugs, which require long-term use, related to serotonin receptors, unfortunately, can cause weight gain. Trefenadine and astemizole are the first 2nd generation antihistamines and their central nervous system penetration is less than the old generation; However, they were removed from use in clinical practice due to arrhythmia caused by susceptible patients. Loratadine and cetirizine are generally less sedating new generation drugs. Levocetirizine is an enantiomer of the cetirizine molecule and unfortunately causes sedation at the effective doses. Fexofenadine, terfenadine; deslarotadine are also active metabolites of loratadine; these are sometimes referred to as 3rd generation antihistamines. It is reported that fexofenadine does not cross the blood brain barrier and therefore does not sedate. However, unfortunately, this is not the case in clinical use. Desloratadine is also reported to have more sedation and anti-cholinergic side effects [15].
Recently, anti-inflammatory effects of antihistamines have been mentioned. It is stated that mast cells and basophils stabilize the receptor independently by inhibiting the transmembrane passage of calcium and intracellular cAMP, thus reducing the release of inflammatory mediators such as histamine, tryptase and prostaglandin. However, many antihistamines are unfortunately unable to stabilize these cells at therapeutic doses. Ketotifen, olopatadine, azelastine, bepotastine and alkaftadine are mostly known as both H1 receptor antagonists and dual-acting antihistamines with mast cell stability. It is stated that some antihistamines inhibit NF-B and GATA3 transcription via H1 receptor and thus achieve anti-inflammatory effect.
Corticosteroids
Corticosteroids are the first-line anti-inflammatory drugs we know best for the treatment of many inflammatory diseases. Although corticosteroids have well-known side effects, we see that they are still one of the most important pharmacological agents. In addition to growth retardation in children, side effects such as metabolism disorders, glaucoma and cataract formation, immunosuppression, suppression of the HPA axis, thinning of the skin, behavioral disorders and osteoporosis are the most common ones in all cases. Due to these restrictions arising in systemic use, it is mostly used intranasally in AR. Among the intranasal preparations, they are currently the most used pharmacological products in primary care. Although the anti-inflammatory mechanisms of corticosteroids are not very clear, the most important effects are seen as cytokine and chemokine inhibition. They bind to glucocorticoid receptors (GR) in the cytoplasm, dimerize and pass into the nucleus; they then associate with the glucocorticoid response element (GRE) and consequently increase the transcription of the gene codes of anti-inflammatory proteins such as lipocortin-1, IL-10, IL-1 receptor antagonist and neutral endopeptidase.
Glucocorticoids also cause a considerable reduction in the number of inflammatory cells in nasal lavage fluid. Especially, they cause a significant decrease in eosinophil numbers. This is due to their inhibitory functions on both IL-5 and GM-CSF. Currently, beclamethasone monohydrate, budesonide, flunisolide, triamcinolone acetonide, fluticasone (propionate and furoate), mometasone furoate, and ciclesonide are commercially available nasal topical corticosteroids. There are no significant differences in clinical efficacy between these preparations.
Local burning and stinging sensation, irritation, dryness and sometimes nosebleeds can be encountered as topical side effects with these preparations [15].
Leukotriene antagocytes
Leukotrienes are inflammatory lipid mediators synthesized from arachidonic acid that can be produced by mast cells, eosinophils, basophils and macrophages. The adventure of arachidonic acid cleavage that started with the posfolipase A2 enzyme from the nuclear membrane continues with leukotriene synthesis. Arachidonic acid is metabolized to LTA4 via the 5-lipoxygenase (5-LO) enzyme. LTC4, LTD4 and LTE4 are then formed through different convertases. We call these leukotrienes “cysteinyl leukotrienes (CsyLTs)”. CsyLTs has serious bronchial smooth muscle contraction, mucus production, edema and vascular permeability enhancing effects. LTD4 enhances the P-selectin pathway, increasing leukocyte adhesion and leukocyte aggregation to the inflammation site. It also plays an important role in eosinophil adhesion by increasing β2-integrins. As a result of nasal provocation with LD4 in normal humans, it was observed that nasal mucosal blood flow accelerated and airway resistance increased.
Leukotrienes can be physiologically antagonized by blocking their synthesis or receptors. Zileuton is a 5-LO synthesis inhibitor and it is a pharmacological product that can block nasal congestion in patients with AR after allergen provocation. For now, only montelukast, which is a Cys LT1 receptor antagonist, has been approved for AR and is a commercial product. Montelukast is observed to improve congestion during the day and at night, nasal discharge, nasal itching and sneezing, difficulty falling asleep, and sleeping at night. It is thought to reduce the number of peripheral eosinophils and thus create an anti-inflammatory effect. However, despite all these, there are many publications showing that it is much less effective than intranasal corticosteroids in terms of these effects. Although it looks like a safe preparation in general; Some psychiatric side effects such as agitation, aggression, anxiety, hallucination, depression, insomnia, irritability, restlessness and suicidal thoughts are mentioned [15].
Nasal decongestants
These drugs slow down nasal blood flow by antagonizing α1 and α2 adrenergic receptors in nasal capacitance vessel endothelium. In this way, they reduce nasal mucosal congestion and swelling. Better results can be obtained when combined with an antihistamine. Pseudoephedrine and phenylephrine, which are catecholamines, have oral forms. Although a runny nose can improve symptoms, it has no effect on itching, sneezing and eye symptoms in the nose. The imidazoline derivatives oxymetazoline, xylometazoline and naphazoline are suitable for intranasal use. Although they are fast intranasal decongestants and have fewer side effects, severe rebound congestion effects occur when the drug is discontinued. In some publications, it is mentioned that oxymetazoline inhibits T cells and cytokines such as IL-1β, TNF-α, IL-6 and IL-8. Some local nasal side related to these preparations.
Omaluzimab is a humanized, recombinant, monoclonal antibody that blocks the binding of circulating IgE antibodies to the high affinity receptors in cells such as mast cells and basophil by complexing with the Ce3 region. There are many publications showing that patients with AR provide a very serious clinical benefit by significantly decreasing circulating IgE levels. In addition, it reduces FcR1 expressions on mast cells in both blood and tissue. It improves the nasal symptoms and increases the quality of life. It is an antibody that is well tolerated and has a very low risk of anaphylaxis (0.9/1000 applications). There are studies showing that SIT treatment applied together with omalizumab is more effective in single applications. The most important handicap is that it is currently an expensive treatment model [15].
Capsaicin is bound to vanilloid resertors expressed in nasal C-fibers. It has been observed that repeated applications to the skin or intranasally cause desensitization in the peripheral nerve endings. It works well in vasomotor rhinitis in which neurotransmitters play an important role. It has been observed that it reduces symptoms such as nasal congestion, runny nose, and sneezing in AR. However, there are also publications showing that it has no clinical efficacy, especially in patients with house dust mite-sensitive PAR patients.
Nasal irrigation or irrigation with saline is a complementary treatment model in AR. In this form of treatment, it is ensured that the contact of the sinuses and pharynx with allergens and mucus is reduced. At the same time, edema in the nose is reduced. It has been shown that nasal saline application reduces the need for topical corticosteroids in children with AR.
It has been shown that exposure to microbes in children increases the expression of IL-10 and TGF-β inhibitory cytokines as well as the development of Th1-type immune response. There is evidence that beneficial microorganisms do this through toll-like respectors. Especially bifidobacteria and lactobacilli have such effects. There are studies showing that such probiotics can be effective in AR.
There is no sufficient and scientific evidence that acupuncture is effective in AR.
It has been stated that UV-A and UV-B are used, and that the patients are not able to use drugs or get sufficient response in a few small series. In only one study on AR, infrared radiation therapy (FIR) has been tried. It has been stated that the application of the oven affects the thermo-receptors due to the heat it emits and can be effective by increasing the microcirculation.
Surgical intervention may be beneficial for sinusitis, nasal polyps, enlarged turbinates, or nasal septal deviation, if any, that do not respond to medical treatment [15].
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I received a B.Eng. degree in Computer Engineering with First Class Honors in 2008 from Prince of Songkla University, Songkhla, Thailand, where I received a Ph.D. degree in Electrical Engineering. My research interests are primarily in the area of biomedical signal processing and classification notably EMG (electromyography signal), EOG (electrooculography signal), and EEG (electroencephalography signal), image analysis notably breast cancer analysis and optical coherence tomography, and rehabilitation engineering. I became a student member of IEEE in 2008. During October 2011-March 2012, I had worked at School of Computer Science and Electronic Engineering, University of Essex, Colchester, Essex, United Kingdom. In addition, during a B.Eng. I had been a visiting research student at Faculty of Computer Science, University of Murcia, Murcia, Spain for three months.\n\nI have published over 40 papers during 5 years in refereed journals, books, and conference proceedings in the areas of electro-physiological signals processing and classification, notably EMG and EOG signals, fractal analysis, wavelet analysis, texture analysis, feature extraction and machine learning algorithms, and assistive and rehabilitative devices. I have several computer programming language certificates, i.e. Sun Certified Programmer for the Java 2 Platform 1.4 (SCJP), Microsoft Certified Professional Developer, Web Developer (MCPD), Microsoft Certified Technology Specialist, .NET Framework 2.0 Web (MCTS). I am a Reviewer for several refereed journals and international conferences, such as IEEE Transactions on Biomedical Engineering, IEEE Transactions on Industrial Electronics, Optic Letters, Measurement Science Review, and also a member of the International Advisory Committee for 2012 IEEE Business Engineering and Industrial Applications and 2012 IEEE Symposium on Business, Engineering and Industrial Applications.",institutionString:null,institution:{name:"Joseph Fourier University",country:{name:"France"}}},{id:"55578",title:"Dr.",name:"Antonio",middleName:null,surname:"Jurado-Navas",slug:"antonio-jurado-navas",fullName:"Antonio Jurado-Navas",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",biography:"Antonio Jurado-Navas received the M.S. degree (2002) and the Ph.D. degree (2009) in Telecommunication Engineering, both from the University of Málaga (Spain). He first worked as a consultant at Vodafone-Spain. From 2004 to 2011, he was a Research Assistant with the Communications Engineering Department at the University of Málaga. In 2011, he became an Assistant Professor in the same department. From 2012 to 2015, he was with Ericsson Spain, where he was working on geo-location\ntools for third generation mobile networks. Since 2015, he is a Marie-Curie fellow at the Denmark Technical University. 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He is currently a full professor in\nthe Department of Automation and Applied Informatics at the\nsame university. Dr. Voloşencu is the author of ten books, seven\nbook chapters, and more than 160 papers published in journals\nand conference proceedings. He has also edited twelve books and\nhas twenty-seven patents to his name. He is a manager of research grants, editor in\nchief and member of international journal editorial boards, a former plenary speaker, a member of scientific committees, and chair at international conferences. His\nresearch is in the fields of control systems, control of electric drives, fuzzy control\nsystems, neural network applications, fault detection and diagnosis, sensor network\napplications, monitoring of distributed parameter systems, and power ultrasound\napplications. 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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:"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:"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://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRNVJQA4/Profile_Picture_2022-03-07T13:23:04.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. His research interests include biochemistry, oxidative stress, reactive species, antioxidants, lipid peroxidation, inflammation, reproductive hormones, phenolic compounds, female infertility.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Associate Prof.",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. He owns the patent for herbal preparation and producing, and for the supercritical fluid-treated needle. Dr. Hu has published three books, 12 book chapters, and more than 30 papers in reputed journals, besides serving as an editorial board member of repute.",institutionString:"Kaohsiung Chang Gung Memorial Hospital",institution:{name:"Kaohsiung Chang Gung Memorial Hospital",country:{name:"Taiwan"}}},{id:"298472",title:"Prof.",name:"Andrey V.",middleName:null,surname:"Grechko",slug:"andrey-v.-grechko",fullName:"Andrey V. Grechko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/298472/images/system/298472.png",biography:"Andrey Vyacheslavovich Grechko, Ph.D., Professor, is a Corresponding Member of the Russian Academy of Sciences. He graduated from the Semashko Moscow Medical Institute (Semashko National Research Institute of Public Health) with a degree in Medicine (1998), the Clinical Department of Dermatovenerology (2000), and received a second higher education in Psychology (2009). Professor A.V. Grechko held the position of Сhief Physician of the Central Clinical Hospital in Moscow. He worked as a professor at the faculty and was engaged in scientific research at the Medical University. Starting in 2013, he has been the initiator of the creation of the Federal Scientific and Clinical Center for Intensive Care and Rehabilitology, Moscow, Russian Federation, where he also serves as Director since 2015. He has many years of experience in research and teaching in various fields of medicine, is an author/co-author of more than 200 scientific publications, 13 patents, 15 medical books/chapters, including Chapter in Book «Metabolomics», IntechOpen, 2020 «Metabolomic Discovery of Microbiota Dysfunction as the Cause of Pathology».",institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"199461",title:"Prof.",name:"Natalia V.",middleName:null,surname:"Beloborodova",slug:"natalia-v.-beloborodova",fullName:"Natalia V. Beloborodova",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/199461/images/system/199461.jpg",biography:'Natalia Vladimirovna Beloborodova was educated at the Pirogov Russian National Research Medical University, with a degree in pediatrics in 1980, a Ph.D. in 1987, and a specialization in Clinical Microbiology from First Moscow State Medical University in 2004. She has been a Professor since 1996. Currently, she is the Head of the Laboratory of Metabolism, a division of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation. N.V. Beloborodova has many years of clinical experience in the field of intensive care and surgery. She studies infectious complications and sepsis. She initiated a series of interdisciplinary clinical and experimental studies based on the concept of integrating human metabolism and its microbiota. Her scientific achievements are widely known: she is the recipient of the Marie E. Coates Award \\"Best lecturer-scientist\\" Gustafsson Fund, Karolinska Institutes, Stockholm, Sweden, and the International Sepsis Forum Award, Pasteur Institute, Paris, France (2014), etc. Professor N.V. Beloborodova wrote 210 papers, five books, 10 chapters and has edited four books.',institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"354260",title:"Ph.D.",name:"Tércio Elyan",middleName:"Azevedo",surname:"Azevedo Martins",slug:"tercio-elyan-azevedo-martins",fullName:"Tércio Elyan Azevedo Martins",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/354260/images/16241_n.jpg",biography:"Graduated in Pharmacy from the Federal University of Ceará with the modality in Industrial Pharmacy, Specialist in Production and Control of Medicines from the University of São Paulo (USP), Master in Pharmaceuticals and Medicines from the University of São Paulo (USP) and Doctor of Science in the program of Pharmaceuticals and Medicines by the University of São Paulo. Professor at Universidade Paulista (UNIP) in the areas of chemistry, cosmetology and trichology. Assistant Coordinator of the Higher Course in Aesthetic and Cosmetic Technology at Universidade Paulista Campus Chácara Santo Antônio. Experience in the Pharmacy area, with emphasis on Pharmacotechnics, Pharmaceutical Technology, Research and Development of Cosmetics, acting mainly on topics such as cosmetology, antioxidant activity, aesthetics, photoprotection, cyclodextrin and thermal analysis.",institutionString:null,institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"334285",title:"Ph.D. Student",name:"Sameer",middleName:"Kumar",surname:"Jagirdar",slug:"sameer-jagirdar",fullName:"Sameer Jagirdar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334285/images/14691_n.jpg",biography:"I\\'m a graduate student at the center for biosystems science and engineering at the Indian Institute of Science, Bangalore, India. I am interested in studying host-pathogen interactions at the biomaterial interface.",institutionString:null,institution:{name:"Indian Institute of Science Bangalore",country:{name:"India"}}},{id:"329795",title:"Dr.",name:"Mohd Aftab",middleName:"Aftab",surname:"Siddiqui",slug:"mohd-aftab-siddiqui",fullName:"Mohd Aftab Siddiqui",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329795/images/15648_n.jpg",biography:"Dr. Mohd Aftab Siddiqui is currently working as Assistant Professor in the Faculty of Pharmacy, Integral University, Lucknow for the last 6 years. He has completed his Doctor in Philosophy (Pharmacology) in 2020 from Integral University, Lucknow. He completed his Bachelor in Pharmacy in 2013 and Master in Pharmacy (Pharmacology) in 2015 from Integral University, Lucknow. He is the gold medalist in Bachelor and Master degree. He qualified GPAT -2013, GPAT -2014, and GPAT 2015. His area of research is Pharmacological screening of herbal drugs/ natural products in liver and cardiac diseases. He has guided many M. Pharm. research projects. He has many national and international publications.",institutionString:"Integral University",institution:null},{id:"255360",title:"Dr.",name:"Usama",middleName:null,surname:"Ahmad",slug:"usama-ahmad",fullName:"Usama Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255360/images/system/255360.png",biography:"Dr. Usama Ahmad holds a specialization in Pharmaceutics from Amity University, Lucknow, India. He received his Ph.D. degree from Integral University. Currently, he’s working as an Assistant Professor of Pharmaceutics in the Faculty of Pharmacy, Integral University. From 2013 to 2014 he worked on a research project funded by SERB-DST, Government of India. He has a rich publication record with more than 32 original articles published in reputed journals, 3 edited books, 5 book chapters, and a number of scientific articles published in ‘Ingredients South Asia Magazine’ and ‘QualPharma Magazine’. He is a member of the American Association for Cancer Research, International Association for the Study of Lung Cancer, and the British Society for Nanomedicine. Dr. Ahmad’s research focus is on the development of nanoformulations to facilitate the delivery of drugs that aim to provide practical solutions to current healthcare problems.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"30568",title:"Prof.",name:"Madhu",middleName:null,surname:"Khullar",slug:"madhu-khullar",fullName:"Madhu Khullar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/30568/images/system/30568.jpg",biography:"Dr. Madhu Khullar is a Professor of Experimental Medicine and Biotechnology at the Post Graduate Institute of Medical Education and Research, Chandigarh, India. She completed her Post Doctorate in hypertension research at the Henry Ford Hospital, Detroit, USA in 1985. She is an editor and reviewer of several international journals, and a fellow and member of several cardiovascular research societies. Dr. Khullar has a keen research interest in genetics of hypertension, and is currently studying pharmacogenetics of hypertension.",institutionString:"Post Graduate Institute of Medical Education and Research",institution:{name:"Post Graduate Institute of Medical Education and Research",country:{name:"India"}}},{id:"223233",title:"Prof.",name:"Xianquan",middleName:null,surname:"Zhan",slug:"xianquan-zhan",fullName:"Xianquan Zhan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/223233/images/system/223233.png",biography:"Xianquan Zhan received his MD and Ph.D. in Preventive Medicine at West China University of Medical Sciences. He received his post-doctoral training in oncology and cancer proteomics at the Central South University, China, and the University of Tennessee Health Science Center (UTHSC), USA. He worked at UTHSC and the Cleveland Clinic in 2001–2012 and achieved the rank of associate professor at UTHSC. Currently, he is a full professor at Central South University and Shandong First Medical University, and an advisor to MS/PhD students and postdoctoral fellows. He is also a fellow of the Royal Society of Medicine and European Association for Predictive Preventive Personalized Medicine (EPMA), a national representative of EPMA, and a member of the American Society of Clinical Oncology (ASCO) and the American Association for the Advancement of Sciences (AAAS). He is also the editor in chief of International Journal of Chronic Diseases & Therapy, an associate editor of EPMA Journal, Frontiers in Endocrinology, and BMC Medical Genomics, and a guest editor of Mass Spectrometry Reviews, Frontiers in Endocrinology, EPMA Journal, and Oxidative Medicine and Cellular Longevity. He has published more than 148 articles, 28 book chapters, 6 books, and 2 US patents in the field of clinical proteomics and biomarkers.",institutionString:"Shandong First Medical University",institution:{name:"Affiliated Hospital of Shandong Academy of Medical Sciences",country:{name:"China"}}},{id:"297507",title:"Dr.",name:"Charles",middleName:"Elias",surname:"Assmann",slug:"charles-assmann",fullName:"Charles Assmann",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/297507/images/system/297507.jpg",biography:"Charles Elias Assmann is a biologist from Federal University of Santa Maria (UFSM, Brazil), who spent some time abroad at the Ludwig-Maximilians-Universität München (LMU, Germany). He has Masters Degree in Biochemistry (UFSM), and is currently a PhD student at Biochemistry at the Department of Biochemistry and Molecular Biology of the UFSM. His areas of expertise include: Biochemistry, Molecular Biology, Enzymology, Genetics and Toxicology. He is currently working on the following subjects: Aluminium toxicity, Neuroinflammation, Oxidative stress and Purinergic system. Since 2011 he has presented more than 80 abstracts in scientific proceedings of national and international meetings. Since 2014, he has published more than 20 peer reviewed papers (including 4 reviews, 3 in Portuguese) and 2 book chapters. He has also been a reviewer of international journals and ad hoc reviewer of scientific committees from Brazilian Universities.",institutionString:"Universidade Federal de Santa Maria",institution:{name:"Universidade Federal de Santa Maria",country:{name:"Brazil"}}},{id:"217850",title:"Dr.",name:"Margarete Dulce",middleName:null,surname:"Bagatini",slug:"margarete-dulce-bagatini",fullName:"Margarete Dulce Bagatini",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/217850/images/system/217850.jpeg",biography:"Dr. Margarete Dulce Bagatini is an associate professor at the Federal University of Fronteira Sul/Brazil. She has a degree in Pharmacy and a PhD in Biological Sciences: Toxicological Biochemistry. She is a member of the UFFS Research Advisory Committee\nand a member of the Biovitta Research Institute. She is currently:\nthe leader of the research group: Biological and Clinical Studies\nin Human Pathologies, professor of postgraduate program in\nBiochemistry at UFSC and postgraduate program in Science and Food Technology at\nUFFS. She has experience in the area of pharmacy and clinical analysis, acting mainly\non the following topics: oxidative stress, the purinergic system and human pathologies, being a reviewer of several international journals and books.",institutionString:"Universidade Federal da Fronteira Sul",institution:{name:"Universidade Federal da Fronteira Sul",country:{name:"Brazil"}}},{id:"226275",title:"Ph.D.",name:"Metin",middleName:null,surname:"Budak",slug:"metin-budak",fullName:"Metin Budak",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/226275/images/system/226275.jfif",biography:"Metin Budak, MSc, PhD is an Assistant Professor at Trakya University, Faculty of Medicine. He has been Head of the Molecular Research Lab at Prof. Mirko Tos Ear and Hearing Research Center since 2018. His specializations are biophysics, epigenetics, genetics, and methylation mechanisms. He has published around 25 peer-reviewed papers, 2 book chapters, and 28 abstracts. He is a member of the Clinical Research Ethics Committee and Quantification and Consideration Committee of Medicine Faculty. His research area is the role of methylation during gene transcription, chromatin packages DNA within the cell and DNA repair, replication, recombination, and gene transcription. His research focuses on how the cell overcomes chromatin structure and methylation to allow access to the underlying DNA and enable normal cellular function.",institutionString:"Trakya University",institution:{name:"Trakya University",country:{name:"Turkey"}}},{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",slug:"anca-pantea-stoian",fullName:"Anca Pantea Stoian",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",biography:"Anca Pantea Stoian is a specialist in diabetes, nutrition, and metabolic diseases as well as health food hygiene. She also has competency in general ultrasonography.\n\nShe is an associate professor in the Diabetes, Nutrition and Metabolic Diseases Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. She has been chief of the Hygiene Department, Faculty of Dentistry, at the same university since 2019. Her interests include micro and macrovascular complications in diabetes and new therapies. Her research activities focus on nutritional intervention in chronic pathology, as well as cardio-renal-metabolic risk assessment, and diabetes in cancer. She is currently engaged in developing new therapies and technological tools for screening, prevention, and patient education in diabetes. \n\nShe is a member of the European Association for the Study of Diabetes, Cardiometabolic Academy, CEDA, Romanian Society of Diabetes, Nutrition and Metabolic Diseases, Romanian Diabetes Federation, and Association for Renal Metabolic and Nutrition studies. She has authored or co-authored 160 papers in national and international peer-reviewed journals.",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",country:{name:"Romania"}}},{id:"279792",title:"Dr.",name:"João",middleName:null,surname:"Cotas",slug:"joao-cotas",fullName:"João Cotas",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/279792/images/system/279792.jpg",biography:"Graduate and master in Biology from the University of Coimbra.\n\nI am a research fellow at the Macroalgae Laboratory Unit, in the MARE-UC – Marine and Environmental Sciences Centre of the University of Coimbra. My principal function is the collection, extraction and purification of macroalgae compounds, chemical and bioactive characterization of the compounds and algae extracts and development of new methodologies in marine biotechnology area. \nI am associated in two projects: one consists on discovery of natural compounds for oncobiology. The other project is the about the natural compounds/products for agricultural area.\n\nPublications:\nCotas, J.; Figueirinha, A.; Pereira, L.; Batista, T. 2018. An analysis of the effects of salinity on Fucus ceranoides (Ochrophyta, Phaeophyceae), in the Mondego River (Portugal). Journal of Oceanology and Limnology. in press. DOI: 10.1007/s00343-019-8111-3",institutionString:"Faculty of Sciences and Technology of University of Coimbra",institution:null},{id:"279788",title:"Dr.",name:"Leonel",middleName:null,surname:"Pereira",slug:"leonel-pereira",fullName:"Leonel Pereira",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/279788/images/system/279788.jpg",biography:"Leonel Pereira has an undergraduate degree in Biology, a Ph.D. in Biology (specialty in Cell Biology), and a Habilitation degree in Biosciences (specialization in Biotechnology) from the Faculty of Science and Technology, University of Coimbra, Portugal, where he is currently a professor. In addition to teaching at this university, he is an integrated researcher at the Marine and Environmental Sciences Center (MARE), Portugal. His interests include marine biodiversity (algae), marine biotechnology (algae bioactive compounds), and marine ecology (environmental assessment). Since 2008, he has been the author and editor of the electronic publication MACOI – Portuguese Seaweeds Website (www.seaweeds.uc.pt). He is also a member of the editorial boards of several scientific journals. Dr. Pereira has edited or authored more than 20 books, 100 journal articles, and 45 book chapters. He has given more than 100 lectures and oral communications at various national and international scientific events. He is the coordinator of several national and international research projects. In 1998, he received the Francisco de Holanda Award (Honorable Mention) and, more recently, the Mar Rei D. Carlos award (18th edition). He is also a winner of the 2016 CHOICE Award for an outstanding academic title for his book Edible Seaweeds of the World. In 2020, Dr. Pereira received an Honorable Mention for the Impact of International Publications from the Web of Science",institutionString:"University of Coimbra",institution:{name:"University of Coimbra",country:{name:"Portugal"}}},{id:"61946",title:"Dr.",name:"Carol",middleName:null,surname:"Bernstein",slug:"carol-bernstein",fullName:"Carol Bernstein",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/61946/images/system/61946.jpg",biography:"Carol Bernstein received her PhD in Genetics from the University of California (Davis). She was a faculty member at the University of Arizona College of Medicine for 43 years, retiring in 2011. Her research interests focus on DNA damage and its underlying role in sex, aging and in the early steps of initiation and progression to cancer. In her research, she had used organisms including bacteriophage T4, Neurospora crassa, Schizosaccharomyces pombe and mice, as well as human cells and tissues. She authored or co-authored more than 140 scientific publications, including articles in major peer reviewed journals, book chapters, invited reviews and one book.",institutionString:"University of Arizona",institution:{name:"University of Arizona",country:{name:"United States of America"}}},{id:"182258",title:"Dr.",name:"Ademar",middleName:"Pereira",surname:"Serra",slug:"ademar-serra",fullName:"Ademar Serra",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/182258/images/system/182258.jpeg",biography:"Dr. Serra studied Agronomy on Universidade Federal de Mato Grosso do Sul (UFMS) (2005). He received master degree in Agronomy, Crop Science (Soil fertility and plant nutrition) (2007) by Universidade Federal da Grande Dourados (UFGD), and PhD in agronomy (Soil fertility and plant nutrition) (2011) from Universidade Federal da Grande Dourados / Escola Superior de Agricultura Luiz de Queiroz (UFGD/ESALQ-USP). Dr. Serra is currently working at Brazilian Agricultural Research Corporation (EMBRAPA). His research focus is on mineral nutrition of plants, crop science and soil science. Dr. Serra\\'s current projects are soil organic matter, soil phosphorus fractions, compositional nutrient diagnosis (CND) and isometric log ratio (ilr) transformation in compositional data analysis.",institutionString:"Brazilian Agricultural Research Corporation",institution:{name:"Brazilian Agricultural Research Corporation",country:{name:"Brazil"}}}]}},subseries:{item:{id:"7",type:"subseries",title:"Bioinformatics and Medical Informatics",keywords:"Biomedical Data, Drug Discovery, Clinical Diagnostics, Decoding Human Genome, AI in Personalized Medicine, Disease-prevention Strategies, Big Data Analysis in Medicine",scope:"Bioinformatics aims to help understand the functioning of the mechanisms of living organisms through the construction and use of quantitative tools. The applications of this research cover many related fields, such as biotechnology and medicine, where, for example, Bioinformatics contributes to faster drug design, DNA analysis in forensics, and DNA sequence analysis in the field of personalized medicine. Personalized medicine is a type of medical care in which treatment is customized individually for each patient. Personalized medicine enables more effective therapy, reduces the costs of therapy and clinical trials, and also minimizes the risk of side effects. Nevertheless, advances in personalized medicine would not have been possible without bioinformatics, which can analyze the human genome and other vast amounts of biomedical data, especially in genetics. The rapid growth of information technology enabled the development of new tools to decode human genomes, large-scale studies of genetic variations and medical informatics. The considerable development of technology, including the computing power of computers, is also conducive to the development of bioinformatics, including personalized medicine. In an era of rapidly growing data volumes and ever lower costs of generating, storing and computing data, personalized medicine holds great promises. Modern computational methods used as bioinformatics tools can integrate multi-scale, multi-modal and longitudinal patient data to create even more effective and safer therapy and disease prevention methods. Main aspects of the topic are: Applying bioinformatics in drug discovery and development; Bioinformatics in clinical diagnostics (genetic variants that act as markers for a condition or a disease); Blockchain and Artificial Intelligence/Machine Learning in personalized medicine; Customize disease-prevention strategies in personalized medicine; Big data analysis in personalized medicine; Translating stratification algorithms into clinical practice of personalized medicine.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/7.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11403,editor:{id:"351533",title:"Dr.",name:"Slawomir",middleName:null,surname:"Wilczynski",slug:"slawomir-wilczynski",fullName:"Slawomir Wilczynski",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035U1loQAC/Profile_Picture_1630074514792",biography:"Professor Sławomir Wilczyński, Head of the Chair of Department of Basic Biomedical Sciences, Faculty of Pharmaceutical Sciences, Medical University of Silesia in Katowice, Poland. His research interests are focused on modern imaging methods used in medicine and pharmacy, including in particular hyperspectral imaging, dynamic thermovision analysis, high-resolution ultrasound, as well as other techniques such as EPR, NMR and hemispheric directional reflectance. Author of over 100 scientific works, patents and industrial designs. Expert of the Polish National Center for Research and Development, Member of the Investment Committee in the Bridge Alfa NCBiR program, expert of the Polish Ministry of Funds and Regional Policy, Polish Medical Research Agency. Editor-in-chief of the journal in the field of aesthetic medicine and dermatology - Aesthetica.",institutionString:null,institution:{name:"Medical University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null,series:{id:"7",title:"Biomedical Engineering",doi:"10.5772/intechopen.71985",issn:"2631-5343"},editorialBoard:[{id:"5886",title:"Dr.",name:"Alexandros",middleName:"T.",surname:"Tzallas",slug:"alexandros-tzallas",fullName:"Alexandros Tzallas",profilePictureURL:"https://mts.intechopen.com/storage/users/5886/images/system/5886.png",institutionString:"University of Ioannina, Greece & Imperial College London",institution:{name:"University of Ioannina",institutionURL:null,country:{name:"Greece"}}},{id:"257388",title:"Distinguished Prof.",name:"Lulu",middleName:null,surname:"Wang",slug:"lulu-wang",fullName:"Lulu Wang",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRX6kQAG/Profile_Picture_1630329584194",institutionString:null,institution:{name:"Shenzhen Technology University",institutionURL:null,country:{name:"China"}}},{id:"225387",title:"Prof.",name:"Reda R.",middleName:"R.",surname:"Gharieb",slug:"reda-r.-gharieb",fullName:"Reda R. 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