Characteristics of the three selected case reports.
\r\n\t
",isbn:"978-1-80356-702-0",printIsbn:"978-1-80356-701-3",pdfIsbn:"978-1-80356-703-7",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,hash:"2c5535e66fed5abd8f80ee521b51b2d3",bookSignature:"Dr. Prashant Kaushik",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11619.jpg",keywords:"Morphological, DNA, Biochemical, Diversity, Carotenoids, Metabolic Engineering, Genetics, Genomics, Breeding, Crossing, Root, Biochemical Potential",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"March 23rd 2022",dateEndSecondStepPublish:"April 20th 2022",dateEndThirdStepPublish:"June 19th 2022",dateEndFourthStepPublish:"September 7th 2022",dateEndFifthStepPublish:"November 6th 2022",remainingDaysToSecondStep:"a month",secondStepPassed:!0,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Dr. Prashant Kaushik is currently working as Adjunct Faculty with 3 academic institutions and is experienced in vegetable crops improvement.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"311935",title:"Dr.",name:"Prashant",middleName:null,surname:"Kaushik",slug:"prashant-kaushik",fullName:"Prashant Kaushik",profilePictureURL:"https://mts.intechopen.com/storage/users/311935/images/system/311935.jpg",biography:"Prashant Kaushik has obtained several degrees and qualifications such as B.Sc (Hons.) in Agriculture, Post Graduate Diploma in Floriculture and Landscaping, M.Sc. in Vegetable Science, MBA in Production and Operation Management, PhD in Biotechnology from Spain and Post Doctorate from Japan. He has worked as a bioinformatician and researcher with universities and vegetable seed companies. He has published close to 100 scientific publications in peer-reviewed journals. He has been on the editorial boards of several journals like Plants, Sustainability, Genetic Resources, etc. and reviewer/referee for around 50 journals. His research applies conventional, biotechnological, and genomics approaches for crop improvement concerning aspects like climate change, nutritional quality, biotic and abiotic stress tolerance, etc. He is also interested in studying the effects of boinoculants (AMF, PSB, etc.). 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From chapter submission and review, to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. 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TE energy converters are devices that can harvest renewable energy for power generation and thermal sensing application [1, 2, 3]. The efficiency of TE materials is evaluated based on the dimensionless figure of merit
Due to the nanometer scale effect, it is believed that in NWs comprising TE materials, such as PbTe, the value of
In order to unveil the size effect on the intrinsic physical properties of TE materials, the measurement of nanowire without interference from either the matrix or external contacts is imperative. Furthermore, the TE properties measurement as well as structural characterization on single nanowire is also crucial in terms of the accuracy and reliability of the resulting
In this chapter, the synthesis and structural characterization of PbTe NWs as well as the preparation of newly design NW’s microchip to resolve the above mentioned problem will be described in the first section. For synthesizing the NW, an alternative free-catalyst technique, the stress-induced growth method will be introduced. In the second section, we will discuss about their TE properties (
Type of TE NW used in this chapter was single-crystalline PbTe NW. PbTe is a semiconductor with an energy band gap of 0.31 eV at 300 K [11, 12, 13, 14]. In recent years, it has been found that PbTe is one of the superior TE materials in the temperature range of 400–900 K. This material has a large Seebeck coefficient, a very low
In this work, the synthesis of single-crystalline PbTe NWs via a stress-induced method is described elsewhere [27], in a way similar to the on-film formation (ON–OFF) growth of other semiconductor NWs. [29] Briefly, the PbTe was made by mixing elemental Pb (Alfa Aesar, −200 mesh, 99.9%) and Te (Alfa Aesar, −325 mesh, 99.999%) inside a carbon-coated silica tube. After that, the resulting mixtures inside the tube was vacuumed up to 10−6 Torr, sealed, and slowly heated to 1000°C over a period of 12 hours. On the top of the heating process, the temperature was held for 4 hours, and then cooled down to room temperature. The resulted ingot was then cut by a diamond saw into a disc shape with a diameter of 10 mm. Before fabricating the PbTe films, the disc target and substrates were both ultrasonically cleaned in acetone, isopropanol, and then rinsed with deionized water. The PbTe films were prepared by depositing the synthesized PbTe ingot on single-crystal SiO2/Si (100) substrates in a pulsed laser deposition (PLD) system (LPX Pro 210). The base pressure of the vacuum system was 5.0×10−7 Torr. The excimer laser was applied for 15 min at room temperature with energy and frequency of 140 mJ and 10 Hz, respectively. The substrate rotation speed was approximately 10 rpm. With the all mentioned set up, the total thickness of the PbTe films was about 20 nm. To synthesis PbTe NWs, the PbTe films were sealed in a vacuumed quartz tube below 5×10−6 Torr, annealed at 450°C for 5 days, and then cooled slowly to room temperature. During the annealing process, the NWs grew from the film to release the compressive stress caused by the difference in thermal expansion coefficients between the PbTe film (19.8×10−6/°C) and the SiO2/Si substrate (0.5×10−6/°C)/(2.4×10−6/°C).
As mentioned above, the challenge in working with TE NW was the measurement of thermoelectric properties as well as structural analysis on specific single-crystalline nanowire, to get a high accuracy of
Schematic Si3N4 membrane template preparation: (a) the silicon wafer with Si3N4 on the both sides, (b) substrate is spin coated with photoresist, (c) Photoresist is exposed to a rectangular pattern with ultraviolet light, (d) soluble photoresist can be developed by the developer, (e) removing Si3N4 layer by reactive ion etching system (RIE), (f) dip the wafer into a bath of KOH for wet etching to create a cavity and leave a suspended Si3N4 membrane, and (g) strip the photoresist.
The standard photolithography processes were used to define the contact pads of the measurement platform. As shown in Figure 2, first, Si wafer with Si3N4 membrane is covered with photoresist material by spin coating, followed by exposure, evaporation, and lift-off process. The developed primary measurement platform is then ready to be used.
Schematic of depositing outer electrodes of the template: (a) silicon wafer with Si3N4 membrane, (b) substrate is spin coated with photoresist, (c) photoresist can be exposed to a pattern by ultraviolet light, (d) soluble photoresist will be developed by the developer, (e) the Cr/Au electrodes are deposited by thermal evaporator, (f) lift-off the photoresist by acetone, and (g) measurement platform is ready to be used.
The flow chart of the suspending process of a nanowire on the measurement platform (microchip) was shown in Figure 3. Resistance temperature detectors (RTDs) and current leads were fabricated on the primary measurement platform by electron beam lithography [E-Beam Writer System, Model: Elionix ELS-7000 (100 keV)]. The Si3N4 membrane was removed by inductively coupled plasma etching system (ICP, Model: Elionix EIS-700) to open the window. After that, the single nanowire from the PbTe thin film was picked up by a tungsten needle (dw = 100 nm) under a binocular optical microscope and placed across on two RTDs of a Si3N4 microchip, where both ends of the nanowire attached to the current leads. In order to improve thermal and electrical contacts between the nanowire and the contact pads, the contacts of the nanowire on thermometers and current leads were covered with a thin layer of Platinum (Pt) using a focused ion beam (FIB) [DBFIB-SEM, FEI NOVA-600].
Flow charts of the suspending process of a nanowire on the measurement platform.
To examine how good the prepared contact, the contact resistance of all four points (point 1, 2, 3, and 4) as depicted in Figure 4 were measured. First, the known direct current (DC) was applied between contacts 1 and 4 (4 probes) and then the voltage drop across contact 2 and 3 (2 probes, see Figure 4) was measured. The total resistance of two-point probe configuration is expressed as R2point = Rlead + 2Rcontact + Rnw. Wherein, R2point, Rlead, Rcontact, and Rnw represents resistance between point 2 and 3, resistance of Cr/Au electrodes, resistance of contacted NW to electrode, and NW resistance, respectively. The resistance of R2point and Rnw were measured by two and four-point probes. Whilst, in order to obtain the contact resistance as Rcont = (R2point - Rnw)/2, Rlead (~10 Ω) was neglected. The measurement result of R2point was about 6‒7% from Rnw value. Since the power dissipation at the contacts is much smaller than the minimum power for 3ω signal, the resultant contact resistance supposedly does not affect the third harmonic signal. Furthermore, the contact metal pads act as large thermal reservoirs where the temperature is kept constant at the initial temperature during the experiment.
A schematic setup of four-point probe for measurement of electrical resistance (
In addition, the prepared nanowire exhibited a linear current–voltage (I-V) curve wherein indicated the Ohmic contact response; the current range within 0 to 100 μA indicating the resistivity of NW follows the Ohm’s law. An Ohmic contact is an electrical junction between two conductors which has a linear current–voltage (I-V) curve following the Ohm’s law. Low resistance Ohmic contacts are applied to facilitate the flow of charge in both directions between the two conductors, without blocking from the excess power dissipation due to voltage thresholds. The contact quality has a contribution to both an electrical and a thermal effect, such as, if the electrical contact resistance is too high, the third harmonics measurement will be influenced by the heat dissipation occurred at the contacts due to Joule heating. Furthermore, incorrect selection of a working frequency will develop an error experiment results. Therefore, the AC impedance measurements with no electrical artifacts involved were utilized to choose a correct working frequency.
The size and crystalline structure of PbTe NWs were characterized by scanning electron microscope (SEM) and transmission electron microscope (TEM). The SEM image of grew PbTe NWs on the substrate (Figure 5a) reveals that the length and the diameter of NWs were ranging from 5 to 70 µm and 50 to 300 nm, respectively. The NWs with length about 70 µm was picked up, placed, and contacted on the microchip as shown in Figure 5b. The prepared contacts have a resistance about 425–430 Ω, wherein showed nearly Ohmic contacts. The microchip consisting of PbTe NW displayed in Figure 5b was used for complete structural analysis and TE properties measurements. The representative TEM image showed that the employed PbTe NWs has a diameter of 75 nm (Figure 5c) and this size was further convinced by the scanning transmission electron microscope (STEM) result (Figure 6a). In addition, the TEM image and a corresponding selected-area electron diffraction (SAED) pattern (inset of the top left of Figure 5c) revealed that the PbTe NWs were high-quality single crystals with a growth along the [100] direction. While, the lattice fringes of the smooth PbTe were separated by 0.33 nm (inset of the bottom right of Figure 5c). This is consistent with a periodicity along the [200] direction with lattice constants of approximately 6.549 Å, which are approximately 1.2% higher than the bulk counterpart (a = 6.47 Å).
(a) SEM image of PbTe NWs grew on the surface of the PbTe thin film, (b) SEM images of a PbTe NW suspended on a Si3N4 template, inset: the Pt/C thermal contact between the PbTe NW and 10-nm Cr/50-nm Au electrodes on a Si3N4 microchip, (c) low-magnification TEM images of a PbTe NW, inset of the top left of figure: the SAED pattern (at the [001] zone axis), inset of the bottom right of figure: a high-resolution TEM image of a PbTe NW.
(a) STEM images of a PbTe NW. The line profiles show that the Pb (blue line) and Te (red line) are homogeneously distributed throughout the NW, (b) and (c) elemental mapping showing the uniform distribution of Pb and Te along the NW, respectively.
The chemical composition of the PbTe NWs was studied by using energy dispersive X-ray spectroscopy (EDS). The EDS line scan profile, shown in Figure 6a, revealed the uniform spatial distribution of the Pb and Te elements throughout the NW. This was further confirmed by using a STEM to map elements across the NW [Figure 6b and c]. The EDS point scanning experiments of the NWs quantitatively confirmed that Pb and Te are present in an average atomic ratio of 54.19 and 45.81% (Table in Figure 6), respectively. In addition, the EDS data also revealed that the atomic ratio of Pb/Te ≈ 1.18, with no impurities. As a result, the stoichiometric composition of the individual NW was Pb1.08Te0.92.
As mentioned before that the microchip with a rectangular window which shown in Figure 5b was employed to measure the TE properties of NW, i.e. electrical resistivity (ρ) and Seebeck coefficient (S). In this experiment, the PbTe NW was placed across two resistance thermometers, hot side thermometer Th (a gold wire parallel line to the heater between contact electrodes 7 and 8 which is marked as red arrows in Figure 5b) and cold side thermometer Tc (a gold wire between the contact electrode 9 and 10, Figure 5b) with both ends of the NW attach to the current leads (electrode 1 and 2, Figure 5b). To measure the V1ω and V3ω signal, electrodes 3 and 4 (voltage leads) were connected to lock-in amplifier. The thermal conduction from NW to the microchip substrate that affects the S and ρ measurement was assured zero. Furthermore, in order to eliminate convectional heat loss, all measurements were carried out in a high vacuum of at least lower than 2×10−6 Torr.
Four-point probe method was applied for ρ measurement. In this work, an AC current flowed to the NW via electrode 1. The voltage (V) and current (I) difference between electrode 1 and 2 was measured through the voltage leads. A pair of current leads into the NW to determine the root mean square of the voltage difference of a pair of voltage leads. By substituting the obtained V and I value to the V = I•R formula, the resistance (R) value is obtained. We get the R of NW, the ρ value could be attained by applying the formula of ρ = R•A / L where A and L are cross-section area of the wire and length between a pair of voltage leads, respectively. Figure 7a showed the measurement results of NW resistivity ρ at temperatures range 300–350 K. This figure demonstrated that the resistivity ρ of a 75-nm PbTe NW was temperature dependence which indicated a semiconducting behavior. The resistivity of a PbTe NW at near room temperature was 6.55 × 10−4 Ω m, which 43 times greater than the bulk counterpart (1.52 × 10−5 Ω m) [14]. This is probably due to the surface scattering of charge carriers [30].
Temperature dependence of (a) electrical resistivity, (b) Seebeck coefficient, and (c) power factor of a 75 nm PbTe NW.
For the Seebeck effect measurement, the characterization was based on the voltage and temperature difference generated between electrodes 3 and 4 (Figure 5b). To generate the temperature gradient between those two electrodes, the heater with frequency 1ω and magnitude equals to
The experiment results of Seebeck effect of a 75-nm PbTe NW shown in Figure 7b revealed that the S value was temperature dependence. The S value increased with increasing the temperature. In addition, as depicted in Figure 7b that the S of PbTe NWs at various temperature measurements has a negative sign which indicated for n-type semiconductor material. Those negative sign appears because their electrons have a much higher μ than holes and dominate the electronic transport properties [31, 32]. At temperature of 300 K, the S value for the 75-nm NW was −54.76 μV K−1, which is about 69% lower compare to the bulk counterpart [14]. This result may due to the consequences of structural imperfections, such as antisite defects inside PbTe NW (i.e., the creation of one vacancy at the tellurium site) [14, 33].
Theoretically, for almost all materials, the trend of ρ was closely correlated with the S. It was consistent with our experimental resultts (Figure 7a and b) which showed that the smaller ρ had a higher S value. Conversely, due to s = 1/ρ, thus s value increases when S is increased. The PF (S2σ) calculation results of PbTe NWs as a function of temperature are plotted in Figure 7c. The PF increased gradually when the temperature increased, and this result was mainly due to the influence of ρ trends. At the temperature about 300 K the S2σ values were 4.58 μW m−1 K−2.
Comparing the S value as a function of carrier density of various PbTe bulk obtained by Harman et al., Figure 8 show that the S was closely correlated with the carrier concentration (n), Our results was consistent with the other previous experiments [14, 34] in which a smaller n had a higher S value.
Absolute value of the thermoelectric power or Seebeck coefficient (S) of various PbTe samples [
The thermal conductivity of the 75 nm PbTe nanowire was measured by the self-heating 3ω method [35] in the temperature range of 300–350 K. In the experiment, the V3ω as a function of frequency will be attained. As shown in Figure 9a, the V3ω was dependent on the frequency. The V3ω reduce significantly by increasing the frequency, however, the reduction become slightly at a frequency above 10 Hz. The relation between thermal conductivity, V3ω and frequency is described in the Eq. (1).
(a) Frequency dependence of V3ω at 300–350 K for 75 nm PbTe NW and (b) the solid line is predicted relation V3ω α 1/√(1 + (2ωγ)2) at 300 K for a 75 nm PbTe NW.
which simplified as:
where
Figure 9b shows the fitting result of V3ω to frequency of a 75 nm PbTe NW at 300 K. The thermal conductivity κ of the nanowire can be derived from the intercept of the fitting value at a certain temperature V3ω = (4
The 3rd harmonic voltage signal V3ω as function of the extraction current amplitude I0 for a 75 nm PbTe NW at 300 K. Red solid line represents the cubic relationship of V3ω and I0.
By substituting all acquired data from self-heating 3ω experiment to Eq. (1), the thermal conductivity, κ of a 75 nm PbTe NW at range temperature of 300–350 K were 0.96–0.72 Wm−1 K−1 (Figure 11a and b), which is approximately 2.40–3.19 times lower than the bulk counterpart (κ = 2.3 W m−1 K−1). Likewise, the κ value at room temperature was 0.96 W m−1 K−1, which is approximately 58% lower than the typical reported value of κ = 2.3 W m−1 K−1 for bulk PbTe. This decline mainly due to the carrier concentration difference or size effect. [36]
(a) Measured thermal conductivity κ(
For the purpose of calculating the κl value, the electron thermal conductivity κe need to be determined. The κe value is calculated by using Eq. (3) (Wiederman-Franz law, where the Lorenz number L = 2.44 × 10−8 W.Ω.K−2), while the κl is gained from subtracting the κ with κe value. The values of κl of a 75 nm PbTe NW at 300 K was 0.95 W m−1 K−1, which is 57% lower than the PbTe bulk (κl = 2.2 W m−1 K−1). [16] As reference, the lattice contribution (κl) of superlattice thin films PbSe0.98Te0.02/PbTe at room temperature was 0.35 W m−1 K−1 [28].
The lattice thermal conductivity has a lower limit wherein the phonon mean free path becomes comparable to the lattice spacing of the atoms [37]. Alternatively, the lattice thermal conductivity of a material can be determined by using Eq. (4), where C, ν, andι represent the heat capacity per unit volume, the speed of sound in the material, and the mean free path of the phonons, respectively. By applying the atom spacing of PbTe as the minimum ι and substituting the values of the ν and C to Eq. (4), the κl of PbTe is around 0.2 W m−1 K−1. Repeating this calculation for a variety of compounds, the lowest possible value of κl are in the range of 0.1–0.2 W m−1 K−1 [38].
As the size of the nanowire approaches the ι (the median phonon free path in PbTe is about 42 nm) [39], the κ value will drop due to the increased phonon scattering. According to the reported κ of individual PbTe NW with various diameters (d = 182, 277, and 436 nm) [19] including our recent work (d = 75 nm) which were plotted in Figure 11b, the κ value decreases gradually as its diameter shrinks. The enhanced phonon boundary scattering has a considerable effect in reducing the κ value of NW. Hence, it is suggested to have an effect on suppressing the phonon transport through the NWs as well [40, 41]. Theoretically, those phenomena would cause the
Figure of merit
In summary, we have demonstrated a new technique for structural characterization and TE properties measurement of individual single-crystalline PbTe NW by using a novel design of microchip. In this work, the single PbTe NW grown by the stress-induced method was employed for four different type of characterization simultaneously: structural characterization, Seebeck coefficient, electrical conductivity, and thermal conductivity. The structural characterization revealed that the synthesized PbTe NWs were single crystals with a growth along the [100] direction. While the TE properties (S, σ, and κ) of a 75 nm single-crystalline PbTe NW at room temperature are −54.76 μV K−1, 1526.19 S m−1, and 0.96 W m−1 K−1, respectively. Based on those results, the experimental calculation of
Technical support was provided by the Core Facilities for Nanoscience and Nanotechnology at the Institute of Physics of the Academia Sinica in Taiwan. This study was funded by the National Science Council of Taiwan (grant NSC 100-2112-M-001-019-MY3).
The authors declare no competing conflict of interests.
Head and Neck Cancer (HNC) is the seventh most common type of cancer worldwide [1]. The regions of HNC include cancers of the nasal cavity, oral cavity, nasopharynx, oropharynx, hypopharynx, larynx, and paranasal sinuses (see Figure 1). Risk factors are tobacco use, alcohol consumption [2], and viral infections with the Human Papilloma Virus (HPV) (for oropharyngeal cancers) [3] and Epstein-Barr Virus (EPV) (for nasopharyngeal cancers) [4].
Regions of head and neck cancer, source:
HNC tumors can be classified using the TNM stage classification published by the American Joint Committee on Cancer and International Union for Cancer Committee (AJCC/UICC) [5]. This classification is based on the anatomic tumor extent and includes three different aspects. Firstly, the size of the primary tumor (T), secondly the presence or absence and extent of involved regional lymph nodes (N), and lastly the presence or absence of distant metastasis (M). With the TNM classification, it is possible to give an estimate on cancer prognosis and it is helpful for treatment selection and proper communication. An example of a TNM classified advanced oropharynx carcinoma with one lymph node involved and diagnosed with no distant metastasis is T3N1M0.
Patients with HNC can be treated with (a combination of) surgery, radiotherapy, chemotherapy, proton therapy, immunotherapy, or photodynamic therapy (PDT). The choice of treatment depends on the location and the size of the tumor (TNM classification). Despite improved radiotherapy techniques, the anatomical structures, including muscles and tissue around the primary tumor, can still be damaged by the tumor itself or the treatment [6, 7, 8]. Well-known (negative) side effects of the HNC treatment are xerostomia, sticky saliva, mucositis, altered taste, weight loss, pain, trismus and tissue loss due to fibrosis. Long-term functional problems such as swallowing problems (dysphagia), voice or speech problems, and trismus can harm patients’ quality of life [9].
One of the most critical and potentially life-threatening functional problems in patients who are treated for advanced HNC is acute and chronic dysphagia. One of the causes of dysphagia after HNC treatment might be a reduced tongue strength, insufficient contact between the base of tongue and pharyngeal wall, reduced hyolaryngeal elevation, and reduced opening of the upper esophageal sphincter. Due to this altered physiology, the food bolus is swallowed less powerfully, leading to stagnation of food (‘residue’), with a high risk of laryngeal penetration or even (silent) laryngeal aspiration of the residue into the trachea. The swallowing problems may worsen when the swallowing musculature is no longer actively used, and the so-called ‘non-use’ atrophy occurs, causing further deterioration of the swallowing function [10]. Dysphagia (chronic) can lead to reduced body weight, long-term and even lifelong feeding tube dependency, depression, reduced quality of life, aspiration pneumonia and can even lead to death [6, 11, 12].
In the next paragraph, the treatment options of HNC-related dysphagia will be described. Firstly, the importance of interdisciplinary head and neck rehabilitation will be described, secondly (preventive) swallowing protocols and finally, surgical options.
The treatment of dysphagia, and the treatment of HNC patients in general, involves a high level of variety and complexity of problems. Therefore, it is recommended to have a specialized multidisciplinary team of medical specialists and allied health professionals, specialized in head and neck oncology [13]. Rehabilitative care aims primarily at reducing and/or preventing negative effects of head and neck cancer treatment, and thereby improving daily functioning. The effectiveness of head and neck rehabilitation program have been proven [13, 14].
Over the last years, the prevention of dysphagia has become a major focus point in HNC research. The assumed disadvantages of (prophylactic) feeding tube placement to prevent weight loss and with that effectively immobilizing the swallowing musculature, have led to the so-called ‘eat or exercise’ principle [10]. This means that oral intake should be maintained as long as possible, and that preventive swallowing rehabilitation programs should keep the swallowing musculature ‘active’ as much as possible before and during treatment. Studies on preventive rehabilitation in the Netherlands and elsewhere have shown that preventive swallowing protocols (in particular in the short-term) are associated with better post-treatment functional outcomes and quality of life, and are cost-effective, compared to standard care [10, 15, 16, 17, 18, 19, 20, 21, 22].
There are several (swallowing) exercises that have proven their value in the treatment of dysphagia. Those exercises are used in standard swallowing protocols, but also within preventive rehabilitation protocols. Most frequently used exercises include a range of motion or resistance exercises (with or without medical devices such as the TheraBite® device), compensatory techniques (postural changes, diet/bolus modifications), behavioral swallow exercises such as the (super-)supraglottic swallow [23, 24], the effortful swallow [25], the Mendelsohn maneuver [26], and the Masako (tongue-holding) maneuver [27], and non-swallow exercises such as the Shaker (head-raising) exercise [28]. Also, devices, such as the Swallow Exercise Aid (SEA) have been developed to be able to perform multiple exercises more efficiently. The SEA device allows adaptation to individual subjects’ capacity, and thus the application of progressive overload during the training program, and has shown to activate important swallowing structures [29, 30, 31]. Nevertheless, in some cases severe, therapy-refractory dysphagia may still exist.
Surgical treatment of functional impairment may be considered when rehabilitative measures, such as those described above, are insufficient to help ensure safe and efficient oral intake. The primary goals of surgery are to reduce the risk of aspiration, improve bolus transfer, and prevent malnutrition and/or dehydration. What the best surgical technique will depend on the etiology of the dysphagia. If there is less relaxation of the upper esophageal sphincter this can result in a less efficient movement of the bolus into the esophagus. This impaired relaxation can sometimes be remedied by reducing the tonus of the musculature of the pharynx. Cricopharyngeal myotomy, either endoscopically using a CO2 laser or by an open surgical procedure, can be helpful [32, 33]. Myotomy of the cricopharyngeal muscle results in lower resistance of the upper esophageal sphincter. Due to this lower resistance, the bolus can be more easily be transported through the upper esophageal sphincter and enter the esophagus.
Other surgical techniques that can widen the cricopharyngeal muscle are dilatation (in case of fibrosis) or botulinum toxin (botox) injection in case of spasm. Several studies have reported promising results in patients with upper esophageal sphincter dysfunction caused by muscle spasm or hypertonicity [34, 35].
If dysphagia is caused by a serious limitation in laryngeal elevation, an invasive surgical technique called hyolaryngeal suspension can be performed. In this procedure, the hyoid bone is suspended and the thyroid-cricoid complex is fixated to the anterior mandible. This results in a permanent more cranial position of the larynx [36]. This procedure can be very effective in the restore a full oral intake without aspiration. However, it is also reported that previous treatment with (chemo) radiotherapy will negatively influence the outcome [37].
Finally, in some cases, none of the abovementioned treatment options are suitable or effective. If the larynx has severe functional impairments and there is no reasonable likelihood of functional recovery as a ‘last refuge’, a functional total laryngectomy can be considered. In the case of a total laryngectomy, the airway is surgically separated from the digestive tract by sacrificing the larynx.
Surgery procedures as described above, however, can have serious complication risks. Myotomy (especially open) can cause infections and even pharyngocutaneous fistulas or (retropharyngeal) infection [34, 37]. Besides, studies have shown that the improvement rate is much higher for neurologic dysphagia and idiopathic dysfunction than in patients with swallowing problems due to HNC treatment [32].
Since 2013, the Netherlands Cancer Institute has been using lipofilling as an alternative treatment option. Lipofilling has the advantage of being less radical, less invasive and presenting less of a burden for the patients [38].
Lipofilling is a technique in which autologous fat is transplanted to a site that lacks volume. In 1893, fat was transplanted for the first time with variable success [39]. Since the 1980s with the advent of modern liposuction, the technique of lipofilling has become a standard modality for esthetic as well as reconstructive purposes; however, it is rarely used in HNC patients.
Of all tissues in the human body, fat possesses the highest percentage of adipose-derived stem cells with more than 5.000 of these per gram of fat. Adipose-derived stem cells are present in the mesenchyme, and are a type of multipotent stem cells. This means that these stem cells can differentiate into multiple cell types including osteoblasts, endothelial cells, myocytes, neuronal type cells, adipocytes and chondrocytes [40, 41].
A microscopic view shows that fat consists of a complex matrix of adipocytes mixed with collagen, endothelial cells, adipose-derived stem cells, and fibroblasts. All these adipocytes play an important role in the physiological processes, such as angiogenesis, metabolism, lipid storage and endocrine functions [40]. There is evidence that stem cells may even contribute to the reduction in fibrosis, and the restoration of tissue vascularization and organ function [42, 43].
Lipofilling might be a suitable treatment option for specific patients with chronic dysphagia after HNC treatment. Patients might benefit from lipofilling when part of the etiology of the dysphagia consists of lack of volume, for instance, of the tongue or pharyngeal wall. There are different examination tools to analyze the severity and etiology of dysphagia. Before considering if lipofilling is suitable for a patient, it is recommended to perform objective assessments such as Fiberoptic Endoscopic Evaluation of Swallowing (FEES) or a Video Fluoroscopic Swallow Study (VFSS) and a Magnetic Resonance Imaging (MRI) assessment.
FEES, in which a flexible endoscope is inserted via the nose and the patient is asked to swallow different consistencies, visualizes directly the anatomy and function of the pharyngeal swallowing phase. Also, the sensory and motor components of swallowing can be assessed [44]. On the other hand, VFSS (also known as Modified Barium Swallow) provides information about the oral and oropharyngeal phases of the swallow, including dynamics of the swallowing process. With VFSS, it is possible to analyze the contact between the tongue base and posterior pharyngeal wall and it is more suitable for diagnosing aspiration during swallowing. VFSS is also more informative for detecting problems below the upper esophageal sphincter [45]. Preferably a VFSS is performed, to select eligible patients, but the choice of examination also depends upon clinical presentation, available instruments and clinician’s preferences.
To visualize the potential injection sites in the oral cavity and pharynx the most crucial examination of the pre-lipofilling work-up is the Magnetic Resonance Imaging (MRI) [38]. Besides, with the MRI it is possible to evaluate the volume of the tongue and pharyngeal wall. In Figure 2, an MRI assessment pre- and post-lipofilling treatment is presented.
MRI assessment pre- and post-lipofilling treatment. On the left side, the loss of tissue in the base of tongue is visible. On the right side, the base of tongue is larger and is filled up with fat.
In addition to the objective assessments, it might also be helpful to explore patient-reported experiences. The MD Anderson Dysphagia Inventory (MDADI) [46] and the Swallowing Quality of Life questionnaire (SWAL-QOL) [47] are often used in HNC patients to analyze patients’ reported swallowing-related quality of life.
Different techniques exist for lipofilling injection [41]. There are many preparation techniques for adipose tissue. There is no universally accepted standard method. The Coleman technique, which was described in the early 1990s, is the most frequently used method. This technique aims to prevent damage to the fragile adipose cells as much as possible during transplantation and thus promote tissue survival [48]. The technique involves three steps and is described by Hsu et al. [41]. The first step consists of the harvest of fatty tissue from the upper abdominal wall or inner thigh using large- or small-volume liposuction (see Figure 3a). The upper abdominal wall or lateral thigh is very useful as donor sites because of the high amount of local fat cells. The donor site can be infiltrated with tumescence fluid (for instance, ringers lactate, adrenaline and lidocaine) just before the liposuction, but this can also be done after the suction. After liposuction, the second step involves the preparation of the adipose tissue. During the preparation phase, the fat sample is transferred in a 10 cc syringe for centrifugation (see Figure 3b). The syringe is centrifuged for 2–3 minutes at 3000 rounds per minute (800 g) to separate out oils, debris, water (including lidocaine or adrenaline, saline and blood) and a layer of cell pellets/residue from the cellular fraction. In the syringe, three layers will be visible: the oil layer at the top, cellular fraction in the middle, and cellular debris and red blood cells at the bottom (see Figure 3c). The segregated cellular fraction, composed of adipocytes and stromal vascular cells, is transferred to a small 1 cc syringe. The third and last step consists of the injection into the predetermined spots in the base of the tongue. Using a needle, the side of the tongue is perforated, and the injection cannula is introduced. The dominant hand is used, or the injection is performed on cannula retraction in a three-dimensional “fan pattern.” The aim is to transfer small aliquots of fat with multiple passes at different depths. The non-dominant fingers can be placed behind the tongue to control the process. It is helpful if the assistant pulls on the tongue (see Figure 3d). The same procedure is usually performed separately on both sides of the tongue. In general, we inject 10–15 cc of fat per session.
The procedure of a lipofilling injection. (a) Fat harvest from the abdomen, (b) fat substance, (c) syringe with fat after centrifugation, (d) injecting fat into the base of tongue.
The lipofilling procedure can be carried out under local anesthesia or general anesthesia. Because 30–50% of the injected fat might be resorbed, and not too much fat can be injected at the same time, it is recommended to repeat the assessments, approximately 2–3 times. Preferably, between every injection procedure there is a period of 3 months to wait for the (positive) effect of the injection.
In the last few years, different studies, primarily case reports, have been published about the use of lipofilling in patients with chronic dysphagia due to HNC (treatment) [38, 49, 50]. Navach et al. [49] reported about a 58-year-old patient with impaired swallowing after treatment for a nasopharyngeal carcinoma. This patient complained about dysphagia, the loss of body weight, aspiration pneumonia, and frequent episodes of bronchitis. A VFSS was conducted where a lack of bolus compression, asymmetry of the lingual movements, stagnation in the valleculae, lack of projection of the base of tongue, and more were visualized. The patient received 7 months of speech and language therapy to improve mobilization and strengthening of the swallowing muscles. The treatment improved the preparation and presentation of the bolus, although it was not sufficient enough. After 6 weeks, another VFSS showed a worsened bolus stagnation in the valleculae and at the base of tongue. This patient received a lipofilling injection in the base of tongue, which was performed following Coleman’s procedure. In total, 5 cc of fat was injected into both sides of the base of tongue. After surgery, the patient experienced an improvement in swallowing, and minimal post-operative swelling was reported. A new VFSS was made 1 month after surgery, showing an improved swallowing mechanism due to greater elevation of the base of tongue, the effective elevation of the larynx, and an improved closure of the larynx. After 3 months, the swallowing function was still stable, and the patient gained body weight.
In our institute, a study was performed by Kraaijenga et al., to investigate the feasibility and potential value of lipofilling in HNC patients with post-treatment oropharyngeal dysfunction [38]. This case series included seven patients. One patient dropped out of the study because of progression and therefore, he chooses a total laryngectomy procedure. Pre-assessment of the six remaining patients included VFSS, MRI, and the SWAL-QOL measurements. VFSS showed penetration and/or aspiration in all but one patient. Reduced or absent contact between the base of the tongue and pharyngeal wall was seen in all six patients. This reduced or absent contact resulted in residue above and below the hyoid bone. MRI showed volume loss or atrophy of the tongue in five patients. Two patients had reduced tissue of the tonsillar in the right tonsillar arch. The lipofilling session was performed using the Coleman technique. Patients received two to three injection sessions at 3-month intervals. In total, 20–35 cc adipose tissue was transplanted in all patients. No complications, such as necrosis, infection, swelling, or edema, were observed. The follow-up took place 1–3 months post-surgery. VFSS showed that four patients had improved swallowing function, and two of them were no longer feeding tube dependent. The MRI showed increased tongue volume with the injected fat spread out at the base of tongue. The SWAL-QOL showed improved quality of life in almost all patients.
Recently, Ottaviani et al. [50] published a case report about a 76-year-old patient with severe chronic dysphagia who had undergone a horizontal supraglottic laryngectomy and adjuvant radiotherapy. FEES showed a mobile right arytenoid and tissue loss in the base of tongue. VFSS demonstrated constant intra-swallowing aspiration and moderate pooling of food at the base of tongue with post-swallowing penetration and aspiration. The patient received 6 months of speech therapy focused on muscle strengthening and postural compensation techniques. The intervention turned out insufficient, and therefore, lipofilling injection was offered as a treatment option. The surgery was performed following the Coleman technique, and 5 cc was injected into the base of tongue. Intraoperatively, FEES was performed and demonstrated an improved swallowing function. However, trace aspiration for liquid textures and minimal residue was seen. After 1 week, FEES demonstrated only aspiration for liquids. After 1 month, the VFSS showed mild to moderate dysphagia. These results were also stable at 6 months post-surgery.
These three studies showed that lipofilling might be an effective treatment for HNC patients with chronic dysphagia. No complications were reported, and therefore, lipofilling seems safe [38, 49, 50]. Many patients showed improved objective and subjective swallowing function after lipofilling. Nevertheless, it remains difficult to predict how much fat will be resorbed and thus how long a therapeutic effect will persist. With the Coleman technique, absorption of fat seems to be reduced to some extent [32, 33]. In general, after 20–30 cc injections (in 2–3 procedures), positive effects are seen. However, sometimes repeated injections might be needed to achieve and hold a therapeutic effect. Hopefully, the injected tissue may also become less fibrotic, and no further injections are needed. Until now, there is no large data available yet, supporting this hypothesis.
To give a better insight into lipofilling and how it can be used in post-treatment swallowing problems in HNC patients, three cases will be described in detail (see Table 1). Patients’ pre lipofilling objective and subjective swallowing function are analyzed and compared with the swallowing function after the last lipofilling (short-term results) and between 2.5 years and 5.8 years after the last lipofilling treatment (long-term results).
A 67-year-old male, had been treated in 1997 for a T3N2c carcinoma of the floor of the mouth. His treatment consisted of local resection, partial mandibulectomy with free fibula reconstruction, and post-operative radiotherapy which resulted in complete remission. In 2013, 16 years after treatment, he visited the outpatient clinic with increasing swallowing difficulties, with particularly solid foods getting stuck in his throat, requiring placement of a PRG feeding tube to maintain adequate nutritional intake.
VFSS assessments showed severe dysphagia with the occurrence of penetration and a high amount of oropharyngeal contrast residue due to insufficient contact between the base of tongue and posterior pharyngeal wall.
An MRI was made to rule out a new tumor. Since standard swallowing exercises for more than 1 year did not improve the persisting swallowing problems, and other surgical options were unlikely to improve the swallowing function. In Figure 3, the pre-lipofilling MRI scan can be found on the right.
This patient underwent three lipofilling sessions (3 times 8–12 cc) into the base of the tongue at 3-months intervals. After the second procedure, the patient noticed an improvement in swallowing function. He resumed oral intake following the third injection and his feeding tube could be removed.
A VFSS assessment showed improved scores for thick liquids (lower penetration and aspiration (PAS), see Table 2). This patient also reported notable improvement in subjective swallowing function, with substantially less effort and less choking. In Figure 3, the short-term post-lipofilling MRI scan is shown in the middle.
Case | Sex | Age | Tumor | Treatment | Lipofilling injections | |||
---|---|---|---|---|---|---|---|---|
Site | TNM | Site | No. | Amount (cc) | ||||
1 | M | 66 | Oral cavity | T3N2c | Surgery + RT (1997) | Base of tongue | 3 | 32.0 |
2 | F | 59 | Base of tongue | T3N2c | CRT (2004) | Base of tongue | 3 | 34.5 |
3 | M | 73 | Hypo-pharynx | T2N1 | CRT (1984) | Base of tongue | 1 | 20.0 |
Characteristics of the three selected case reports.
Abbreviations: M = male, F = female; TNM = classification of Malignant Tumors; RT = radiotherapy; CRT = chemo radiotherapy; No. = number of injections.
Case | Amount (cc) | FOIS | VFSS (PAS) | TL | |||
---|---|---|---|---|---|---|---|
Thin | Thick | Solid | |||||
1 | 32.0 | Pre | 3 | 4 | 4 | 3 | No |
Post short* | 6 | 4 | 2 | 3 | |||
Post long** | 5 | 8 | 1 | 1 | |||
2 | 34.5 | Pre | 1 | NA | NA | NA | No |
Post short* | 6 | 7 | 6 | NA | |||
Post long** | 6 | 8 | 8 | 8 | |||
3 | 20.0 | Pre | 1 | 7 | 5 | NA | Yes |
Post | 1 | X | X | X |
Pre- and post-treatment outcomes after the lipofilling session.
Abbreviations: FOIS = functional oral intake scale: range 1–7, whereas 1 is ‘no oral intake’ and 7 means ‘normal oral intake’; VFSS = video fluoroscopic swallowing study; PAS = penetration aspiration scale: range 1–8, lower scores mean better/safer swallowing function; TL = total laryngectomy; X = missing data; NA = not applicable (i.e., no transport possible); Post short* = 1–3 months after lipofilling treatment; Post long** = up to 4 years after lipofilling treatment.
However, 2.5 years later the SWAL-QOL subscale scores deteriorated (see Table 3). Until 2020, this patient was able to maintain oral intake without a PRG. Swallowing was not easy, but he managed to have a full oral intake with additional diet modifications. He died in 2020 due to urosepsis. In Figure 4, the long-term post-lipofilling MRI scan is shown on the right.
MRI assessment of case 1 over time. On the left, pre-lipofilling injection. In the middle, short-term MRI (1-month post-treatment). On the right, long-term MRI (4 years post-treatment).
A 59-year-old female, was diagnosed with a T3N2c base of tongue tumor in 2004. Organ-preservation treatment with concurrent chemo radiotherapy resulted in a complete remission. In the post-treatment period, however, the patient developed severe dysphagia and dysarthria due to oropharyngeal scarring and base of tongue atrophy. Despite intensive swallowing rehabilitation with strengthening exercises, several esophageal dilatations, and a customized intraoral prosthesis lowering the hard palate to also improve speech, the patient remained completely feeding tube dependent due to persistent oropharyngeal dysfunction/stagnation of food.
VFSS evaluation demonstrated minimal contact between the base of tongue and the pharyngeal wall during swallowing, with large amounts of a residue located at the piriform sinus, and occurrence of aspiration, even at a 1 cc swallow administered with a pipet to improve bolus transport.
MRI showed an atrophic tongue, sagged posteriorly (see Figure 5). Since intensive swallowing exercises offered no solution, in 2014 the patient opted for lipofilling into the base of tongue.
MRI assessment of case 2 over time. On the left, pre-lipofilling injection. In the middle, short-term (after 3 months) MRI. On the right, long-term MRI (after 4 years).
Three lipofilling sessions were needed at 3-months intervals with 10–12 cc filled per session.
The post-operative MRI showed several fat depositions at the right base of the tongue (see Figure 5), and the patient was able to eat and drink again for the first time in 10 years. However, although the patient was very satisfied with being able to swallow again, the VFSS evaluation still showed aspiration. Four months later the patient presented with aspiration pneumonia, and a nasogastric feeding tube was indicated. However, although being aware of the possible risks, she chose to resume her per oral intake. At 8 months post-lipofilling (short-term results), she remained happy with the procedure resulting in good SWAL-QOL scores.
However, after 4 years of the last lipofilling this patient experienced more swallowing problems. Her subjective swallowing outcomes deteriorated (see Appendix, Table 3 for her long-term SWAL-QOL scores) and she decided to have another lipofilling session. Nevertheless, even with that extra lipofilling (17 cc at the left and 17 cc at the right base of tongue) the SWAL-QOL scores increased meaning worse swallowing-related quality of life (see Table 3 in the Appendix). In addition, the repeated VFSS showed worsening swallowing function (severe dysphagia). Since she was familiar with developing aspiration pneumonias, and weight loss, we decided to place a PRG and stop any oral intake. In Figure 5, the long-term MRI scan can be found on the right.
A 73-year-old male, who had been diagnosed with a T2N1 hypopharynx carcinoma in 1984. He was treated with radiotherapy, which resulted in complete remission. This patient also had a history of esophageal carcinoma in 1964 for which he needed several dilatations in 1990/1991. Since 2009, he suffered from severe swallowing problems (several aspiration pneumonias) caused by a dysfunctional larynx and he needed a PRG.
A VFSS showed a severe swallowing problem. All food consistencies were (silently) aspirated, the epiglottis was rigid, and the laryngeal elevation was limited. This patient started with intensive swallowing rehabilitation since he had had no swallowing exercises before. However, the rehabilitation did not improve the swallowing function enough to increase oral intake or to remove the PRG. In 2017, the patient opted for a lipofilling injection in the base of tongue.
In total 20 cc was injected, 10 cc on the left and 10 cc on the right.
After this first injection, the patient was still not able to swallow anything. He continued to develop pneumonias for which he used antibiotics daily. Because of the serious health risks related to the recurrent pneumonias, and his low swallowing related quality of life as measured by the SWAL-QOL (see Table 3), this patient decided to undergo a functional total laryngectomy in 2018.
In our institute, the Netherlands Cancer Institute, lipofilling is considered as a safe procedure. Therefore, this procedure is embedded as standard care for specific swallowing therapy to refractory patients. When a patient visits the hospital with swallowing complaints, the first step is to start swallowing rehabilitation under the guidance of a specialized speech and language pathologist. If the swallowing exercises do not give a satisfactory result, lipofilling can be considered. Patients are eligible if they have severe dysphagia caused by volume loss or muscle atrophy of the tongue or pharyngeal musculature due to HNC treatment. Patients may be eligible if they have no history of major oral surgery.
In the past 5 years, 20 patients have been treated with lipofilling injections at our institute. The procedure is preferably performed in collaboration with the plastic surgeon and under complete anesthesia. We prefer general anesthesia because, in our experience, especially injecting the fat into the tongue felt uncomfortable. General anesthesia makes the injection less stressful for the patient. In general, we inject 10–15 cc of fat, and on average, two to three sessions are needed. No severe complications have been developed since we started performing this procedure.
This chapter describes the possible role of lipofilling in patients with chronic dysphagia after HNC treatment. Lipofilling is a technique for transplanting fat cells within one individual. This procedure has the potential to increase tissue volume and increase oropharyngeal function. Based on published results, the lipofilling technique seems to be safe and—in selected cases—of potential value for improving swallowing function in therapy-refractory HNC patients. For this reason, lipofilling should be considered as a treatment option for chronic dysphagia after HNC treatment.
We would like to thank S.A.C. (Sophie) Kraaijenga (MD, PhD) for her contribution regarding the collected pretreatment and early post treatment data, and A.F. (Anne) Kornman (SLP, MSc.) for her contribution with regard to updating all collected data.
The authors declare no conflict of interest.
SWAL-QOL | |||||||||
---|---|---|---|---|---|---|---|---|---|
Case 1 | Case 2 | Case 3 | |||||||
Pre | Short | Long | Pre | Short | Long | Pre | Short | Long | |
General burden | 88.0 | 25.0 | 100.0 | 13.0 | 0.0 | 25.0 | 50.0 | 75.0 | X |
Food selection | 75.0 | 38.0 | 75.0 | 13.0 | 0.0 | 0.0 | 50.0 | 50.0 | X |
Eating duration | 88.0 | 88.0 | 100.0 | 50.0 | 0.0 | 25.0 | 50.0 | 50.0 | X |
Eating desire | 50.0 | 25.0 | 100.0 | 42.0 | 17.0 | 17.0 | 50.0 | 50.0 | X |
Fear of eating | 56.0 | 63.0 | 56.0 | 38.0 | 0.0 | 44.0 | 56.0 | 63.0 | X |
Sleep | 25.0 | 25.0 | 13.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | X |
Fatigue | 58.0 | 67.0 | 67.0 | 83.0 | 42.0 | X | 8.0 | 17.0 | X |
Communication | 100.0 | 50.0 | 100.0 | 25.0 | 0.0 | 25.0 | 75.0 | 75.0 | X |
Mental health | 45.0 | 35.0 | 30.0 | 40.0 | 0.0 | X | 50.0 | 50.0 | X |
Social function | 55.0 | 55.0 | 75.0 | 30.0 | 20.0 | X | 35.0 | 60.0 | X |
Symptom scale | 61.0 | 48.0 | 57.0 | 52.0 | 11.0 | X | 39.0 | 46.0 | X |
SWAL-QOL scores pre and post (last) lipofilling of the three selected case reports.
Abbreviations: SWAL-QOL = swallowing quality of life questionnaire: range 0–100; lower scores mean better subjective swallowing function. A difference score of 12 points or more was used to demonstrate improvement (+), deterioration (−), or equality (=). X = missing data.
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\n\n\n\nCorresponding authors will receive a 25% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters. A 20% discount for publishing a long-form monographs, 25% for compacts and 23% for short-form monographs.
\n\nCSIC affiliated authors can also take advantage of a central Open Access fund (amounting to 10,000 EUR) to cover up to 50% of the rest of the OAPF until it expires. Effective for chapters accepted from January 1, 2020.
\n\nCorresponding authors will receive a 25% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters. A 20% discount for publishing a long-form monographs, 25% for compacts and 23% for short-form monographs.
\n\nCorresponding authors will receive a 25% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters. A 20% discount for publishing a long-form monographs, 25% for compacts and 23% for short-form monographs.
\n\n\n\nCorresponding authors will receive a 25% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters. A 20% discount for publishing a long-form monographs, 25% for compacts and 23% for short-form monographs.
\n\nBook Chapters and Monographs
\n\nBook Chapters and Monographs
\n\nBook Chapters and Monographs
\n\n\n\nBook Chapters and Monographs
\n\nThe Claremont Colleges are pledging funds via the Knowledge Unlatched program to ensure academics can publish Open Access content more easily.
\n\nCorresponding authors will receive a 15% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters or monograph publications. To use the discount you will need to verify your institutional email address. These discounts are valid from 2020 to 2022.
\n\nThe University of Massachusetts, Amherst is pledging funds via the Knowledge Unlatched program to ensure academics can publish Open Access content more easily.
\n\nCorresponding authors will receive a 10% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters or monograph publications. To use the discount you will need to verify your institutional email address. These discounts are valid from 2020 to 2022.
\n\nThe University of Surrey is pledging funds via the Knowledge Unlatched program to ensure academics can publish Open Access content more easily.
\n\nCorresponding authors will receive a 10% discount on their Open Access Publication Fees (OAPF) for Open Access book chapters or monograph publications. To use the discount you will need to verify your institutional email address. These discounts are valid from 2020 to 2022.
\n\nMonographs Only
\n\n\n\nImportant: You must be a member or grantee of the above listed institutions in order to apply for their Open Access publication funds.
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Leaching is the vertical downward displacement of pesticides through the soil profile and the unsaturated zone, and finally to groundwater, which is vulnerable to pollution. Pesticides are frequently leached through the soil by the effect of rain or irrigation water. Pesticide leaching is highest for weakly sorbing and/or persistent compounds, climates with high precipitation and low temperatures, and soils with low organic matter and sandy texture. On the contrary, for pesticides with a low persistence that disappear quickly, the risk of groundwater pollution considerably decreases. Different and varied factors such as physical-chemical properties of the pesticide, a permeability of the soil, texture and organic matter content of the soil, volatilization, crop-root uptake, and method and dose of pesticide application are responsible for the leaching rate of the pesticides. Soils that are high in clays and organic matter will slow the movement of water, attach easily to many pesticides, and generally have a higher diversity and population of soil organisms that can metabolize the pesticides.",book:{id:"8533",slug:"pesticides-use-and-misuse-and-their-impact-in-the-environment",title:"Pesticides",fullTitle:"Pesticides - Use and Misuse and Their Impact in the Environment"},signatures:"Gabriel Pérez-Lucas, Nuria Vela, Abderrazak El Aatik and Simón Navarro",authors:[{id:"202983",title:"Dr.",name:"Simón",middleName:null,surname:"Navarro",slug:"simon-navarro",fullName:"Simón Navarro"},{id:"202988",title:"Dr.",name:"Nuria",middleName:null,surname:"Vela",slug:"nuria-vela",fullName:"Nuria Vela"},{id:"206059",title:"Dr.",name:"Gabriel",middleName:null,surname:"Pérez-Lucas",slug:"gabriel-perez-lucas",fullName:"Gabriel Pérez-Lucas"},{id:"283154",title:"Mr.",name:"Abderrazak",middleName:null,surname:"El Aatik",slug:"abderrazak-el-aatik",fullName:"Abderrazak El Aatik"}]},{id:"48594",doi:"10.5772/60911",title:"Environmental Exposure and Health Effects Associated with Malathion Toxicity",slug:"environmental-exposure-and-health-effects-associated-with-malathion-toxicity",totalDownloads:2672,totalCrossrefCites:16,totalDimensionsCites:32,abstract:"Malathion (O,O-dimethyl-S-1,2-bis ethoxy carbonyl ethyl phosphorodithionate) is a non-systemic, wide-spectrum pesticide. It is widely used throughout the world for agricultural, residential, and public health purposes, mainly to enhance food production and to provide protection from disease vectors. Malathion preference over other organophosphate pesticides relates to its low persistence in the environment as it is highly susceptible to hydrolysis, photolysis, and biodegradation. However, numerous malathion poisoning incidents including acute and chronic cases have been reported among pesticide workers and small children through accidental exposure. Malathion toxicity is compounded by its reactive metabolites and also depends upon the product purity, route of exposure, nutritional status, and gender of exposed individuals. Its metabolic oxidation in mammals, insects, and plants leads to the formation of malaoxon which appears to be several times more acutely toxic and represents the primary cause of malathion’s toxicity. Depending on the level of exposure, several signs and symptoms of toxicity including numbness, tingling sensation, headache, dizziness, difficulty breathing, weakness, irritation of skin, exacerbation of asthma, abdominal cramps, and death have been reported. Similar to other organophosphate pesticides, malathion exerts it toxic action by binding to acetylcholinesterase enzyme and inhibiting its activity, leading to accumulation of acetylcholine in synaptic junctions, which in turn results in overstimulation of cholinergic, muscarinic, and nicotinic receptors, and subsequent induction of adverse biologic effects. 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Moore",authors:[{id:"113353",title:"Prof.",name:"Paul",middleName:null,surname:"Tchounwou",slug:"paul-tchounwou",fullName:"Paul Tchounwou"}]},{id:"48553",doi:"10.5772/60767",title:"Ecotoxicology of Glyphosate and Glyphosate-Based Herbicides — Toxicity to Wildlife and Humans",slug:"ecotoxicology-of-glyphosate-and-glyphosate-based-herbicides-toxicity-to-wildlife-and-humans",totalDownloads:2581,totalCrossrefCites:10,totalDimensionsCites:19,abstract:"The use of agrochemicals, especially herbicides, is necessary to control pests in order to produce adequate food for the global population (estimated at 7 billion). Glyphosate and glyphosate-based herbicides have been used extensively for this purpose but recent studies have reported these chemical substances to be found in aquatic ecosystems, wildlife and humans in various quantities. In this chapter, we reviewed the impacts of glyphosate and glyphosate-based herbicides on wildlife and humans using measured endpoint effects caused by genotoxicity, cytotoxicity and reproductive toxicity. We used findings from different current investigations to demonstrate adverse effects, or otherwise, of glyphosate exposure to wildlife and humans. Our review reveals that glyphosate and its formulations may not only be considered as having genotoxic, cytotoxic or endocrine disrupting properties but they may also be causative agents of reproduction abnormalities in both wildlife and humans. Furthermore, the extensive use of glyphosate-based herbicides in genetically modified glyphosate-resistant plants grown for food and feed should be of grave concern since they can be sources of genotoxicity, cytotoxicity, and reproductive toxicity in wildlife and humans.",book:{id:"4637",slug:"toxicity-and-hazard-of-agrochemicals",title:"Toxicity and Hazard of Agrochemicals",fullTitle:"Toxicity and Hazard of Agrochemicals"},signatures:"Paul K. Mensah, Carolyn G. Palmer and Oghenekaro N. Odume",authors:[{id:"169135",title:"Dr.",name:"Paul",middleName:null,surname:"Mensah",slug:"paul-mensah",fullName:"Paul Mensah"},{id:"173888",title:"Prof.",name:"Carolyn",middleName:null,surname:"Palmer",slug:"carolyn-palmer",fullName:"Carolyn Palmer"},{id:"175580",title:"Dr.",name:"Oghenekaro Nelson",middleName:null,surname:"Odume",slug:"oghenekaro-nelson-odume",fullName:"Oghenekaro Nelson Odume"}]},{id:"65766",doi:"10.5772/intechopen.84161",title:"Pesticides, Anthropogenic Activities, and the Health of Our Environment Safety",slug:"pesticides-anthropogenic-activities-and-the-health-of-our-environment-safety",totalDownloads:1438,totalCrossrefCites:7,totalDimensionsCites:16,abstract:"Mankind depends on agricultural products for food consumption. Increasing population (more than 7 billion) requires significant growth in crop yield to meet essential demand. This aim was achieved through the use of pesticides to protect crops from diseases. Pesticides are toxic by design for organisms that can threaten food products. Their mode of action is by targeting systems or enzymes in the pests that may be similar to human system and therefore pose risks to human health and the environment as well. The WHO recommended classifying pesticides according to their toxicity and chemicals according to their chronic health and environmental hazards.",book:{id:"8533",slug:"pesticides-use-and-misuse-and-their-impact-in-the-environment",title:"Pesticides",fullTitle:"Pesticides - Use and Misuse and Their Impact in the Environment"},signatures:"Mona Saud AL-Ahmadi",authors:[{id:"276726",title:"Ph.D.",name:"Mona",middleName:null,surname:"AL-Ahmadi",slug:"mona-al-ahmadi",fullName:"Mona AL-Ahmadi"}]},{id:"48545",doi:"10.5772/60739",title:"Environmental Risk Assessment of Agrochemicals — A Critical Appraisal of Current Approaches",slug:"environmental-risk-assessment-of-agrochemicals-a-critical-appraisal-of-current-approaches",totalDownloads:2530,totalCrossrefCites:9,totalDimensionsCites:13,abstract:"This chapter provides insights into the difficulties and challenges of performing risk evaluations of agrochemicals. It is a critical review of the current methodologies used in ecological risk assessment of these chemicals, not their risks to humans. After an introduction to the topic, the current framework for ecological risk assessment is outlined. Two types of assessments are typically carried out depending on the purpose: i) regulatory assessments for registration of a chemical product; and ii) ecological assessments, for the protection of both terrestrial and aquatic ecosystems, which are usually site-specific. Although the general framework is well established, the methodologies used in each of the steps of the assessment are fraught with a number of shortcomings. Notwithstanding the subjectivity implicit in the evaluation of risks, there is scepticism in scientific circles about the appropriateness of the current methodologies because, after so many years of evaluations, we are still incapable of foreseeing the negative consequences that some agrochemicals have in the environment. A critical appraisal of such methodologies is imperative if we are to improve the current assessment process and fix the problems we face today. The chapter reviews first the toxicity assessment methods, pointing to the gaps in knowledge about this essential part of the process and suggesting avenues for further improvement. Deficiencies in the current regulations regarding toxicity testing are discussed, in particular the effect of the time factor on toxicity and the issue of complex mixtures. Other matters of concern are the extrapolation of toxicity data from the individual to the population and community levels, and the sub-lethal effects. The exposure assessment methods are dealt with in a second place. These rely on modelling and actual measurements of chemical residues in the environment. Various techniques employed to determine to exposure and bioavailability of agrochemicals to the various organisms in both aquatic and terrestrial ecosystems are reviewed. Again, the shortcomings and gaps in knowledge are addressed and suggestions for improvement are pointed out. Then, the process of putting together the information from the toxicity and exposure assessments to evaluate risks is discussed. Tiers I and II of the risk assessment are reviewed. The challenge here is to keep objectivity in the evaluations; this may require the introduction of new methods of risk assessment. Finally, the risk assessment implies establishing a management strategy that aims at reducing or minimising the impacts of agrochemicals under normal agricultural scenarios. Recommendations are often case-specific and need to be based on sound science as well as common sense principles. The chapter concludes with a summary of issues that need to be considered for improving risk assessments of agrochemicals.",book:{id:"4637",slug:"toxicity-and-hazard-of-agrochemicals",title:"Toxicity and Hazard of Agrochemicals",fullTitle:"Toxicity and Hazard of Agrochemicals"},signatures:"Francisco Sánchez-Bayo and Henk A. Tennekes",authors:[{id:"74970",title:"Dr.",name:"Francisco",middleName:null,surname:"Sánchez-Bayo",slug:"francisco-sanchez-bayo",fullName:"Francisco Sánchez-Bayo"},{id:"173845",title:"Dr.",name:"Henk",middleName:null,surname:"Tennekes",slug:"henk-tennekes",fullName:"Henk Tennekes"}]}],mostDownloadedChaptersLast30Days:[{id:"78542",title:"Mitigation of Climate Change by Nitrogen Managements in Agriculture",slug:"mitigation-of-climate-change-by-nitrogen-managements-in-agriculture",totalDownloads:274,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Soil is one of the important sources of nitrous oxide (N2O), which is generally producing through soil microbial processes, such as nitrification and denitrification. Agricultural soils receive chemical and organic fertilizers to maintain or increase crop yield and soil fertility, but several factors are influencing N2O emissions, such as types and conditions of soil and fertilizer, and rate, form, and timing of application. Mitigation of N2O is a challenging topic for future earth by using inhibitors, controlled-release fertilizers, and other amendments, but the cost and side effects should be considered for feasibility.",book:{id:"10360",slug:"nitrogen-in-agriculture-physiological-agricultural-and-ecological-aspects",title:"Nitrogen in Agriculture",fullTitle:"Nitrogen in Agriculture - Physiological, Agricultural and Ecological Aspects"},signatures:"Kazuyuki Inubushi and Miwa Yashima",authors:[{id:"108366",title:"Dr.",name:"Kazuyuki",middleName:null,surname:"Inubushi",slug:"kazuyuki-inubushi",fullName:"Kazuyuki Inubushi"},{id:"429712",title:"Dr.",name:"Miwa",middleName:null,surname:"Yashima",slug:"miwa-yashima",fullName:"Miwa Yashima"}]},{id:"48594",title:"Environmental Exposure and Health Effects Associated with Malathion Toxicity",slug:"environmental-exposure-and-health-effects-associated-with-malathion-toxicity",totalDownloads:2672,totalCrossrefCites:16,totalDimensionsCites:31,abstract:"Malathion (O,O-dimethyl-S-1,2-bis ethoxy carbonyl ethyl phosphorodithionate) is a non-systemic, wide-spectrum pesticide. It is widely used throughout the world for agricultural, residential, and public health purposes, mainly to enhance food production and to provide protection from disease vectors. Malathion preference over other organophosphate pesticides relates to its low persistence in the environment as it is highly susceptible to hydrolysis, photolysis, and biodegradation. However, numerous malathion poisoning incidents including acute and chronic cases have been reported among pesticide workers and small children through accidental exposure. Malathion toxicity is compounded by its reactive metabolites and also depends upon the product purity, route of exposure, nutritional status, and gender of exposed individuals. Its metabolic oxidation in mammals, insects, and plants leads to the formation of malaoxon which appears to be several times more acutely toxic and represents the primary cause of malathion’s toxicity. Depending on the level of exposure, several signs and symptoms of toxicity including numbness, tingling sensation, headache, dizziness, difficulty breathing, weakness, irritation of skin, exacerbation of asthma, abdominal cramps, and death have been reported. Similar to other organophosphate pesticides, malathion exerts it toxic action by binding to acetylcholinesterase enzyme and inhibiting its activity, leading to accumulation of acetylcholine in synaptic junctions, which in turn results in overstimulation of cholinergic, muscarinic, and nicotinic receptors, and subsequent induction of adverse biologic effects. This chapter provides an update and analysis of the production and use, environmental occurrence, molecular mechanisms of toxicity, genotoxicity and carcinogenicity, and adverse human health effects associated with malathion exposure.",book:{id:"4637",slug:"toxicity-and-hazard-of-agrochemicals",title:"Toxicity and Hazard of Agrochemicals",fullTitle:"Toxicity and Hazard of Agrochemicals"},signatures:"Paul B. Tchounwou, Anita K. Patlolla, Clement G. Yedjou and\nPamela D. Moore",authors:[{id:"113353",title:"Prof.",name:"Paul",middleName:null,surname:"Tchounwou",slug:"paul-tchounwou",fullName:"Paul Tchounwou"}]},{id:"64602",title:"Environmental Risk of Groundwater Pollution by Pesticide Leaching through the Soil Profile",slug:"environmental-risk-of-groundwater-pollution-by-pesticide-leaching-through-the-soil-profile",totalDownloads:3016,totalCrossrefCites:21,totalDimensionsCites:60,abstract:"Adsorption, degradation, and movement are the key processes conditioning the behavior and fate of pesticides in the soil. Six processes that can move pesticides are leaching, diffusion, volatilization, erosion and run-off, assimilation by microorganisms, and plant uptake. Leaching is the vertical downward displacement of pesticides through the soil profile and the unsaturated zone, and finally to groundwater, which is vulnerable to pollution. Pesticides are frequently leached through the soil by the effect of rain or irrigation water. Pesticide leaching is highest for weakly sorbing and/or persistent compounds, climates with high precipitation and low temperatures, and soils with low organic matter and sandy texture. On the contrary, for pesticides with a low persistence that disappear quickly, the risk of groundwater pollution considerably decreases. Different and varied factors such as physical-chemical properties of the pesticide, a permeability of the soil, texture and organic matter content of the soil, volatilization, crop-root uptake, and method and dose of pesticide application are responsible for the leaching rate of the pesticides. Soils that are high in clays and organic matter will slow the movement of water, attach easily to many pesticides, and generally have a higher diversity and population of soil organisms that can metabolize the pesticides.",book:{id:"8533",slug:"pesticides-use-and-misuse-and-their-impact-in-the-environment",title:"Pesticides",fullTitle:"Pesticides - Use and Misuse and Their Impact in the Environment"},signatures:"Gabriel Pérez-Lucas, Nuria Vela, Abderrazak El Aatik and Simón Navarro",authors:[{id:"202983",title:"Dr.",name:"Simón",middleName:null,surname:"Navarro",slug:"simon-navarro",fullName:"Simón Navarro"},{id:"202988",title:"Dr.",name:"Nuria",middleName:null,surname:"Vela",slug:"nuria-vela",fullName:"Nuria Vela"},{id:"206059",title:"Dr.",name:"Gabriel",middleName:null,surname:"Pérez-Lucas",slug:"gabriel-perez-lucas",fullName:"Gabriel Pérez-Lucas"},{id:"283154",title:"Mr.",name:"Abderrazak",middleName:null,surname:"El Aatik",slug:"abderrazak-el-aatik",fullName:"Abderrazak El Aatik"}]},{id:"77770",title:"Mycorrhizal Fungi and Sustainable Agriculture",slug:"mycorrhizal-fungi-and-sustainable-agriculture",totalDownloads:284,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"The 20thcentury witnessed an augmentation in agricultural production, mainly through the progress and use of pesticides, fertilizers containing nitrogen and phosphorus, and developments in plant breeding and genetic skills. In the naturally existing ecology, rhizospheric soils have innumerable biological living beings to favor the plant development, nutrient assimilation, stress tolerance, disease deterrence, carbon seizing and others. These organisms include mycorrhizal fungi, bacteria, actinomycetes, etc. which solubilize nutrients and assist the plants in up taking by roots. Amongst them, arbuscular mycorrhizal (AM) fungi have key importance in natural ecosystem, but high rate of chemical fertilizer in agricultural fields is diminishing its importance. The majority of the terrestrial plants form association with Vesicular Arbuscular Mycorrhiza (VAM) or Arbuscular Mycorrhizal fungi (AMF). This symbiosis confers benefits directly to the host plant’s growth and development through the acquisition of Phosphorus (P) and other mineral nutrients from the soil by the AMF. They may also enhance the protection of plants against pathogens and increases the plant diversity. This is achieved by the growth of AMF mycelium within the host root (intra radical) and out into the soil (extra radical) beyond. Proper management of Arbuscular Mycorrhizal fungi has the potential to improve the profitability and sustainability of agricultural systems. AM fungi are especially important for sustainable farming systems because AM fungi are efficient when nutrient availability is low and when nutrients are bound to organic matter and soil particles.",book:{id:"10360",slug:"nitrogen-in-agriculture-physiological-agricultural-and-ecological-aspects",title:"Nitrogen in Agriculture",fullTitle:"Nitrogen in Agriculture - Physiological, Agricultural and Ecological Aspects"},signatures:"Soibam Helena Devi, Ingudam Bhupenchandra, Soibam Sinyorita, S.K. Chongtham and E. Lamalakshmi Devi",authors:[{id:"301167",title:"Dr.",name:"E. Lamalakshmi",middleName:null,surname:"Devi",slug:"e.-lamalakshmi-devi",fullName:"E. Lamalakshmi Devi"},{id:"311911",title:"Dr.",name:"S.K.",middleName:null,surname:"Chongtham",slug:"s.k.-chongtham",fullName:"S.K. Chongtham"},{id:"345840",title:"Dr.",name:"Ingudam",middleName:null,surname:"Bhupenchandra",slug:"ingudam-bhupenchandra",fullName:"Ingudam Bhupenchandra"},{id:"423173",title:"Mrs.",name:"Soibam",middleName:null,surname:"Helena Devi",slug:"soibam-helena-devi",fullName:"Soibam Helena Devi"},{id:"423177",title:"Dr.",name:"Soibam",middleName:null,surname:"Sinyorita",slug:"soibam-sinyorita",fullName:"Soibam Sinyorita"}]},{id:"77147",title:"Influence of Heavy Metals on the Nitrogen Metabolism in Plants",slug:"influence-of-heavy-metals-on-the-nitrogen-metabolism-in-plants",totalDownloads:263,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"As an essential element, Nitrogen is needed in large quantities for being an important component of cellular constituents and for plant metabolism, and its deficiency is one of the most common limitations for plant development. The study of the toxic effects of metal in plants involves a complex system of reactions that can be better determined once having a large attention of the different backgrounds of occurence to determinate how to proceed. The objective of this review is to add scientific knowledge, addressing the main functionalities and characteristics of this relation heavy metals – nitrogen metabolism in plant. Increasing industrialization and urbanization had anthropogenic contribution of heavy metals in biosphere and had largest availability in ecosystems. This toxicity in plants varies with plant species, specific metal, concentration, soil composition, as many heavy metals are considered to be essential for plant growth. Were provided data and reviews regarding the effect of heavy metals on nitrogen metabolism of plants and the responses of plants and the cross-talk of heavy metals and various stressors factors. Is clear to understand the relation between metals amount and the benefit or harm caused on plants, determining then, which mechanism should be activated to protect your physiological system.",book:{id:"10360",slug:"nitrogen-in-agriculture-physiological-agricultural-and-ecological-aspects",title:"Nitrogen in Agriculture",fullTitle:"Nitrogen in Agriculture - Physiological, Agricultural and Ecological Aspects"},signatures:"Vitor Nascimento, Glauco Nogueira, Gabriel Monteiro, Waldemar Júnior, Joze Melissa Nunes de Freitas and Cândido Neto",authors:[{id:"332095",title:"Dr.",name:"Cândido",middleName:null,surname:"Neto",slug:"candido-neto",fullName:"Cândido Neto"},{id:"332157",title:"Prof.",name:"Joze",middleName:null,surname:"Freitas",slug:"joze-freitas",fullName:"Joze Freitas"}]}],onlineFirstChaptersFilter:{topicId:"28",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:87,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:98,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:27,numberOfPublishedChapters:287,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:9,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:139,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:0,numberOfUpcomingTopics:2,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!1},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:10,numberOfPublishedChapters:103,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:0,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!1},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:11,numberOfOpenTopics:4,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"10",title:"Physiology",doi:"10.5772/intechopen.72796",issn:"2631-8261",scope:"Modern physiology requires a comprehensive understanding of the integration of tissues and organs throughout the mammalian body, including the cooperation between structure and function at the cellular and molecular levels governed by gene and protein expression. While a daunting task, learning is facilitated by identifying common and effective signaling pathways mediated by a variety of factors employed by nature to preserve and sustain homeostatic life. \r\nAs a leading example, the cellular interaction between intracellular concentration of Ca+2 increases, and changes in plasma membrane potential is integral for coordinating blood flow, governing the exocytosis of neurotransmitters, and modulating gene expression and cell effector secretory functions. Furthermore, in this manner, understanding the systemic interaction between the cardiovascular and nervous systems has become more important than ever as human populations' life prolongation, aging and mechanisms of cellular oxidative signaling are utilised for sustaining life. \r\nAltogether, physiological research enables our identification of distinct and precise points of transition from health to the development of multimorbidity throughout the inevitable aging disorders (e.g., diabetes, hypertension, chronic kidney disease, heart failure, peptic ulcer, inflammatory bowel disease, age-related macular degeneration, cancer). With consideration of all organ systems (e.g., brain, heart, lung, gut, skeletal and smooth muscle, liver, pancreas, kidney, eye) and the interactions thereof, this Physiology Series will address the goals of resolving (1) Aging physiology and chronic disease progression (2) Examination of key cellular pathways as they relate to calcium, oxidative stress, and electrical signaling, and (3) how changes in plasma membrane produced by lipid peroxidation products can affect aging physiology, covering new research in the area of cell, human, plant and animal physiology.",coverUrl:"https://cdn.intechopen.com/series/covers/10.jpg",latestPublicationDate:"May 14th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:11,editor:{id:"35854",title:"Prof.",name:"Tomasz",middleName:null,surname:"Brzozowski",slug:"tomasz-brzozowski",fullName:"Tomasz Brzozowski",profilePictureURL:"https://mts.intechopen.com/storage/users/35854/images/system/35854.jpg",biography:"Prof. Dr. Thomas Brzozowski works as a professor of Human Physiology and is currently Chairman at the Department of Physiology and is V-Dean of the Medical Faculty at Jagiellonian University Medical College, Cracow, Poland. His primary area of interest is physiology and pathophysiology of the gastrointestinal (GI) tract, with the major focus on the mechanism of GI mucosal defense, protection, and ulcer healing. He was a postdoctoral NIH fellow at the University of California and the Gastroenterology VA Medical Center, Irvine, Long Beach, CA, USA, and at the Gastroenterology Clinics Erlangen-Nuremberg and Munster in Germany. He has published 290 original articles in some of the most prestigious scientific journals and seven book chapters on the pathophysiology of the GI tract, gastroprotection, ulcer healing, drug therapy of peptic ulcers, hormonal regulation of the gut, and inflammatory bowel disease.",institutionString:null,institution:{name:"Jagiellonian University",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:7,paginationItems:[{id:"10",title:"Animal Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/10.jpg",editor:{id:"202192",title:"Dr.",name:"Catrin",middleName:null,surname:"Rutland",slug:"catrin-rutland",fullName:"Catrin Rutland",profilePictureURL:"https://mts.intechopen.com/storage/users/202192/images/system/202192.png",biography:"Catrin Rutland is an Associate Professor of Anatomy and Developmental Genetics at the University of Nottingham, UK. She obtained a BSc from the University of Derby, England, a master’s degree from Technische Universität München, Germany, and a Ph.D. from the University of Nottingham. She undertook a post-doctoral research fellowship in the School of Medicine before accepting tenure in Veterinary Medicine and Science. Dr. Rutland also obtained an MMedSci (Medical Education) and a Postgraduate Certificate in Higher Education (PGCHE). She is the author of more than sixty peer-reviewed journal articles, twelve books/book chapters, and more than 100 research abstracts in cardiovascular biology and oncology. She is a board member of the European Association of Veterinary Anatomists, Fellow of the Anatomical Society, and Senior Fellow of the Higher Education Academy. Dr. Rutland has also written popular science books for the public. https://orcid.org/0000-0002-2009-4898. www.nottingham.ac.uk/vet/people/catrin.rutland",institutionString:null,institution:{name:"University of Nottingham",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"306970",title:"Mr.",name:"Amin",middleName:null,surname:"Tamadon",slug:"amin-tamadon",fullName:"Amin Tamadon",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002oHR5wQAG/Profile_Picture_1623910304139",institutionString:null,institution:{name:"Bushehr University of Medical Sciences",institutionURL:null,country:{name:"Iran"}}},{id:"251314",title:"Dr.",name:"Juan Carlos",middleName:null,surname:"Gardón",slug:"juan-carlos-gardon",fullName:"Juan Carlos Gardón",profilePictureURL:"https://mts.intechopen.com/storage/users/251314/images/system/251314.jpeg",institutionString:"Catholic University of Valencia San Vicente Mártir, Spain",institution:null},{id:"245306",title:"Dr.",name:"María Luz",middleName:null,surname:"Garcia Pardo",slug:"maria-luz-garcia-pardo",fullName:"María Luz Garcia Pardo",profilePictureURL:"https://mts.intechopen.com/storage/users/245306/images/system/245306.png",institutionString:null,institution:{name:"Miguel Hernandez University",institutionURL:null,country:{name:"Spain"}}},{id:"283315",title:"Prof.",name:"Samir",middleName:null,surname:"El-Gendy",slug:"samir-el-gendy",fullName:"Samir El-Gendy",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRduYQAS/Profile_Picture_1606215849748",institutionString:null,institution:{name:"Alexandria University",institutionURL:null,country:{name:"Egypt"}}}]},{id:"11",title:"Cell Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/11.jpg",editor:{id:"133493",title:"Prof.",name:"Angel",middleName:null,surname:"Catala",slug:"angel-catala",fullName:"Angel Catala",profilePictureURL:"https://mts.intechopen.com/storage/users/133493/images/3091_n.jpg",biography:"Prof. Dr. Angel Catalá \r\nShort Biography Angel Catalá was born in Rodeo (San Juan, Argentina). He studied \r\nchemistry at the Universidad Nacional de La Plata, Argentina, where received aPh.D. degree in chemistry (Biological Branch) in 1965. From\r\n1964 to 1974, he worked as Assistant in Biochemistry at the School of MedicineUniversidad Nacional de La Plata, Argentina. From 1974 to 1976, he was a Fellowof the National Institutes of Health (NIH) at the University of Connecticut, Health Center, USA. From 1985 to 2004, he served as a Full Professor oBiochemistry at the Universidad Nacional de La Plata, Argentina. He is Member ofthe National Research Council (CONICET), Argentina, and Argentine Society foBiochemistry and Molecular Biology (SAIB). His laboratory has been interested for manyears in the lipid peroxidation of biological membranes from various tissues and different species. Professor Catalá has directed twelve doctoral theses, publishedover 100 papers in peer reviewed journals, several chapters in books andtwelve edited books. Angel Catalá received awards at the 40th InternationaConference Biochemistry of Lipids 1999: Dijon (France). W inner of the Bimbo PanAmerican Nutrition, Food Science and Technology Award 2006 and 2012, South AmericaHuman Nutrition, Professional Category. 2006 award in pharmacology, Bernardo\r\nHoussay, in recognition of his meritorious works of research. Angel Catalá belongto the Editorial Board of Journal of lipids, International Review of Biophysical ChemistryFrontiers in Membrane Physiology and Biophysics, World Journal oExperimental Medicine and Biochemistry Research International, W orld Journal oBiological Chemistry, Oxidative Medicine and Cellular Longevity, Diabetes and thePancreas, International Journal of Chronic Diseases & Therapy, International Journal oNutrition, Co-Editor of The Open Biology Journal.",institutionString:null,institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"186048",title:"Prof.",name:"Ines",middleName:null,surname:"Drenjančević",slug:"ines-drenjancevic",fullName:"Ines Drenjančević",profilePictureURL:"https://mts.intechopen.com/storage/users/186048/images/5818_n.jpg",institutionString:null,institution:{name:"University of Osijek",institutionURL:null,country:{name:"Croatia"}}},{id:"187859",title:"Prof.",name:"Kusal",middleName:"K.",surname:"Das",slug:"kusal-das",fullName:"Kusal Das",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSBDeQAO/Profile_Picture_1623411145568",institutionString:"BLDE (Deemed to be University), India",institution:null},{id:"79615",title:"Dr.",name:"Robson",middleName:null,surname:"Faria",slug:"robson-faria",fullName:"Robson Faria",profilePictureURL:"https://mts.intechopen.com/storage/users/79615/images/system/79615.png",institutionString:null,institution:{name:"Oswaldo Cruz Foundation",institutionURL:null,country:{name:"Brazil"}}},{id:"84459",title:"Prof.",name:"Valerie",middleName:null,surname:"Chappe",slug:"valerie-chappe",fullName:"Valerie Chappe",profilePictureURL:"https://mts.intechopen.com/storage/users/84459/images/system/84459.jpg",institutionString:null,institution:{name:"Dalhousie University",institutionURL:null,country:{name:"Canada"}}}]},{id:"12",title:"Human Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/12.jpg",editor:{id:"195829",title:"Prof.",name:"Kunihiro",middleName:null,surname:"Sakuma",slug:"kunihiro-sakuma",fullName:"Kunihiro Sakuma",profilePictureURL:"https://mts.intechopen.com/storage/users/195829/images/system/195829.jpg",biography:"Professor Kunihiro Sakuma, Ph.D., currently works in the Institute for Liberal Arts at the Tokyo Institute of Technology. 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He has both an MS and Ph.D. in Biomedical Engineering. He was previously a research scientist at the University of California Los Angeles (UCLA) and visiting professor and researcher at the University of North Dakota. He is currently working in artificial intelligence and its applications in medical signal processing. In addition, he is using digital signal processing in medical imaging and speech processing. Dr. Asadpour has developed brain-computer interfacing algorithms and has published books, book chapters, and several journal and conference papers in this field and other areas of intelligent signal processing. He has also designed medical devices, including a laser Doppler monitoring system.",institutionString:"Kaiser Permanente Southern California",institution:null},{id:"169608",title:"Prof.",name:"Marian",middleName:null,surname:"Găiceanu",slug:"marian-gaiceanu",fullName:"Marian Găiceanu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/169608/images/system/169608.png",biography:"Prof. Dr. Marian Gaiceanu graduated from the Naval and Electrical Engineering Faculty, Dunarea de Jos University of Galati, Romania, in 1997. He received a Ph.D. (Magna Cum Laude) in Electrical Engineering in 2002. Since 2017, Dr. Gaiceanu has been a Ph.D. supervisor for students in Electrical Engineering. He has been employed at Dunarea de Jos University of Galati since 1996, where he is currently a professor. Dr. Gaiceanu is a member of the National Council for Attesting Titles, Diplomas and Certificates, an expert of the Executive Agency for Higher Education, Research Funding, and a member of the Senate of the Dunarea de Jos University of Galati. He has been the head of the Integrated Energy Conversion Systems and Advanced Control of Complex Processes Research Center, Romania, since 2016. He has conducted several projects in power converter systems for electrical drives, power quality, PEM and SOFC fuel cell power converters for utilities, electric vehicles, and marine applications with the Department of Regulation and Control, SIEI S.pA. (2002–2004) and the Polytechnic University of Turin, Italy (2002–2004, 2006–2007). He is a member of the Institute of Electrical and Electronics Engineers (IEEE) and cofounder-member of the IEEE Power Electronics Romanian Chapter. He is a guest editor at Energies and an academic book editor for IntechOpen. He is also a member of the editorial boards of the Journal of Electrical Engineering, Electronics, Control and Computer Science and Sustainability. Dr. Gaiceanu has been General Chairman of the IEEE International Symposium on Electrical and Electronics Engineering in the last six editions.",institutionString:'"Dunarea de Jos" University of Galati',institution:{name:'"Dunarea de Jos" University of Galati',country:{name:"Romania"}}},{id:"4519",title:"Prof.",name:"Jaydip",middleName:null,surname:"Sen",slug:"jaydip-sen",fullName:"Jaydip Sen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/4519/images/system/4519.jpeg",biography:"Jaydip Sen is associated with Praxis Business School, Kolkata, India, as a professor in the Department of Data Science. His research areas include security and privacy issues in computing and communication, intrusion detection systems, machine learning, deep learning, and artificial intelligence in the financial domain. He has more than 200 publications in reputed international journals, refereed conference proceedings, and 20 book chapters in books published by internationally renowned publishing houses, such as Springer, CRC press, IGI Global, etc. Currently, he is serving on the editorial board of the prestigious journal Frontiers in Communications and Networks and in the technical program committees of a number of high-ranked international conferences organized by the IEEE, USA, and the ACM, USA. He has been listed among the top 2% of scientists in the world for the last three consecutive years, 2019 to 2021 as per studies conducted by the Stanford University, USA.",institutionString:"Praxis Business School",institution:null},{id:"320071",title:"Dr.",name:"Sidra",middleName:null,surname:"Mehtab",slug:"sidra-mehtab",fullName:"Sidra Mehtab",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00002v6KHoQAM/Profile_Picture_1584512086360",biography:"Sidra Mehtab has completed her BS with honors in Physics from Calcutta University, India in 2018. She has done MS in Data Science and Analytics from Maulana Abul Kalam Azad University of Technology (MAKAUT), Kolkata, India in 2020. Her research areas include Econometrics, Time Series Analysis, Machine Learning, Deep Learning, Artificial Intelligence, and Computer and Network Security with a particular focus on Cyber Security Analytics. Ms. Mehtab has published seven papers in international conferences and one of her papers has been accepted for publication in a reputable international journal. She has won the best paper awards in two prestigious international conferences – BAICONF 2019, and ICADCML 2021, organized in the Indian Institute of Management, Bangalore, India in December 2019, and SOA University, Bhubaneswar, India in January 2021. Besides, Ms. Mehtab has also published two book chapters in two books. Seven of her book chapters will be published in a volume shortly in 2021 by Cambridge Scholars’ Press, UK. Currently, she is working as the joint editor of two edited volumes on Time Series Analysis and Forecasting to be published in the first half of 2021 by an international house. Currently, she is working as a Data Scientist with an MNC in Delhi, India.",institutionString:"NSHM College of Management and Technology",institution:null},{id:"226240",title:"Dr.",name:"Andri Irfan",middleName:null,surname:"Rifai",slug:"andri-irfan-rifai",fullName:"Andri Irfan Rifai",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/226240/images/7412_n.jpg",biography:"Andri IRFAN is a Senior Lecturer of Civil Engineering and Planning. He completed the PhD at the Universitas Indonesia & Universidade do Minho with Sandwich Program Scholarship from the Directorate General of Higher Education and LPDP scholarship. He has been teaching for more than 19 years and much active to applied his knowledge in the project construction in Indonesia. His research interest ranges from pavement management system to advanced data mining techniques for transportation engineering. He has published more than 50 papers in journals and 2 books.",institutionString:null,institution:{name:"Universitas Internasional Batam",country:{name:"Indonesia"}}},{id:"314576",title:"Dr.",name:"Ibai",middleName:null,surname:"Laña",slug:"ibai-lana",fullName:"Ibai Laña",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314576/images/system/314576.jpg",biography:"Dr. Ibai Laña works at TECNALIA as a data analyst. He received his Ph.D. in Artificial Intelligence from the University of the Basque Country (UPV/EHU), Spain, in 2018. He is currently a senior researcher at TECNALIA. His research interests fall within the intersection of intelligent transportation systems, machine learning, traffic data analysis, and data science. He has dealt with urban traffic forecasting problems, applying machine learning models and evolutionary algorithms. He has experience in origin-destination matrix estimation or point of interest and trajectory detection. Working with large volumes of data has given him a good command of big data processing tools and NoSQL databases. He has also been a visiting scholar at the Knowledge Engineering and Discovery Research Institute, Auckland University of Technology.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"314575",title:"Dr.",name:"Jesus",middleName:null,surname:"L. Lobo",slug:"jesus-l.-lobo",fullName:"Jesus L. Lobo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314575/images/system/314575.png",biography:"Dr. Jesús López is currently based in Bilbao (Spain) working at TECNALIA as Artificial Intelligence Research Scientist. In most cases, a project idea or a new research line needs to be investigated to see if it is good enough to take into production or to focus on it. That is exactly what he does, diving into Machine Learning algorithms and technologies to help TECNALIA to decide whether something is great in theory or will actually impact on the product or processes of its projects. So, he is expert at framing experiments, developing hypotheses, and proving whether they’re true or not, in order to investigate fundamental problems with a longer time horizon. He is also able to design and develop PoCs and system prototypes in simulation. He has participated in several national and internacional R&D projects.\n\nAs another relevant part of his everyday research work, he usually publishes his findings in reputed scientific refereed journals and international conferences, occasionally acting as reviewer and Programme Commitee member. Concretely, since 2018 he has published 9 JCR (8 Q1) journal papers, 9 conference papers (e.g. ECML PKDD 2021), and he has co-edited a book. He is also active in popular science writing data science stories for reputed blogs (KDNuggets, TowardsDataScience, Naukas). Besides, he has recently embarked on mentoring programmes as mentor, and has also worked as data science trainer.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"103779",title:"Prof.",name:"Yalcin",middleName:null,surname:"Isler",slug:"yalcin-isler",fullName:"Yalcin Isler",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRyQ8QAK/Profile_Picture_1628834958734",biography:"Yalcin Isler (1971 - Burdur / Turkey) received the B.Sc. degree in the Department of Electrical and Electronics Engineering from Anadolu University, Eskisehir, Turkey, in 1993, the M.Sc. degree from the Department of Electronics and Communication Engineering, Suleyman Demirel University, Isparta, Turkey, in 1996, the Ph.D. degree from the Department of Electrical and Electronics Engineering, Dokuz Eylul University, Izmir, Turkey, in 2009, and the Competence of Associate Professorship from the Turkish Interuniversity Council in 2019.\n\nHe was Lecturer at Burdur Vocational School in Suleyman Demirel University (1993-2000, Burdur / Turkey), Software Engineer (2000-2002, Izmir / Turkey), Research Assistant in Bulent Ecevit University (2002-2003, Zonguldak / Turkey), Research Assistant in Dokuz Eylul University (2003-2010, Izmir / Turkey), Assistant Professor at the Department of Electrical and Electronics Engineering in Bulent Ecevit University (2010-2012, Zonguldak / Turkey), Assistant Professor at the Department of Biomedical Engineering in Izmir Katip Celebi University (2012-2019, Izmir / Turkey). He is an Associate Professor at the Department of Biomedical Engineering at Izmir Katip Celebi University, Izmir / Turkey, since 2019. In addition to academics, he has also founded Islerya Medical and Information Technologies Company, Izmir / Turkey, since 2017.\n\nHis main research interests cover biomedical signal processing, pattern recognition, medical device design, programming, and embedded systems. He has many scientific papers and participated in several projects in these study fields. He was an IEEE Student Member (2009-2011) and IEEE Member (2011-2014) and has been IEEE Senior Member since 2014.",institutionString:null,institution:{name:"Izmir Kâtip Çelebi University",country:{name:"Turkey"}}},{id:"339677",title:"Dr.",name:"Mrinmoy",middleName:null,surname:"Roy",slug:"mrinmoy-roy",fullName:"Mrinmoy Roy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/339677/images/16768_n.jpg",biography:"An accomplished Sales & Marketing professional with 12 years of cross-functional experience in well-known organisations such as CIPLA, LUPIN, GLENMARK, ASTRAZENECA across different segment of Sales & Marketing, International Business, Institutional Business, Product Management, Strategic Marketing of HIV, Oncology, Derma, Respiratory, Anti-Diabetic, Nutraceutical & Stomatological Product Portfolio and Generic as well as Chronic Critical Care Portfolio. A First Class MBA in International Business & Strategic Marketing, B.Pharm, D.Pharm, Google Certified Digital Marketing Professional. Qualified PhD Candidate in Operations and Management with special focus on Artificial Intelligence and Machine Learning adoption, analysis and use in Healthcare, Hospital & Pharma Domain. Seasoned with diverse therapy area of Pharmaceutical Sales & Marketing ranging from generating revenue through generating prescriptions, launching new products, and making them big brands with continuous strategy execution at the Physician and Patients level. Moved from Sales to Marketing and Business Development for 3.5 years in South East Asian Market operating from Manila, Philippines. Came back to India and handled and developed Brands such as Gluconorm, Lupisulin, Supracal, Absolut Woman, Hemozink, Fabiflu (For COVID 19), and many more. In my previous assignment I used to develop and execute strategies on Sales & Marketing, Commercialization & Business Development for Institution and Corporate Hospital Business portfolio of Oncology Therapy Area for AstraZeneca Pharma India Ltd. Being a Research Scholar and Student of ‘Operations Research & Management: Artificial Intelligence’ I published several pioneer research papers and book chapters on the same in Internationally reputed journals and Books indexed in Scopus, Springer and Ei Compendex, Google Scholar etc. Currently, I am launching PGDM Pharmaceutical Management Program in IIHMR Bangalore and spearheading the course curriculum and structure of the same. I am interested in Collaboration for Healthcare Innovation, Pharma AI Innovation, Future trend in Marketing and Management with incubation on Healthcare, Healthcare IT startups, AI-ML Modelling and Healthcare Algorithm based training module development. I am also an affiliated member of the Institute of Management Consultant of India, looking forward to Healthcare, Healthcare IT and Innovation, Pharma and Hospital Management Consulting works.",institutionString:null,institution:{name:"Lovely Professional University",country:{name:"India"}}},{id:"1063",title:"Prof.",name:"Constantin",middleName:null,surname:"Volosencu",slug:"constantin-volosencu",fullName:"Constantin Volosencu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/1063/images/system/1063.png",biography:"Prof. Dr. Constantin Voloşencu graduated as an engineer from\nPolitehnica University of Timișoara, Romania, where he also\nobtained a doctorate degree. 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. He has developed automation equipment for machine tools, spooling\nmachines, high-power ultrasound processes, and more.",institutionString:"Polytechnic University of Timişoara",institution:{name:"Polytechnic University of Timişoara",country:{name:"Romania"}}},{id:"221364",title:"Dr.",name:"Eneko",middleName:null,surname:"Osaba",slug:"eneko-osaba",fullName:"Eneko Osaba",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/221364/images/system/221364.jpg",biography:"Dr. Eneko Osaba works at TECNALIA as a senior researcher. He obtained his Ph.D. in Artificial Intelligence in 2015. He has participated in more than twenty-five local and European research projects, and in the publication of more than 130 papers. He has performed several stays at universities in the United Kingdom, Italy, and Malta. Dr. Osaba has served as a program committee member in more than forty international conferences and participated in organizing activities in more than ten international conferences. He is a member of the editorial board of the International Journal of Artificial Intelligence, Data in Brief, and Journal of Advanced Transportation. He is also a guest editor for the Journal of Computational Science, Neurocomputing, Swarm, and Evolutionary Computation and IEEE ITS Magazine.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"275829",title:"Dr.",name:"Esther",middleName:null,surname:"Villar-Rodriguez",slug:"esther-villar-rodriguez",fullName:"Esther Villar-Rodriguez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/275829/images/system/275829.jpg",biography:"Dr. Esther Villar obtained a Ph.D. in Information and Communication Technologies from the University of Alcalá, Spain, in 2015. She obtained a degree in Computer Science from the University of Deusto, Spain, in 2010, and an MSc in Computer Languages and Systems from the National University of Distance Education, Spain, in 2012. Her areas of interest and knowledge include natural language processing (NLP), detection of impersonation in social networks, semantic web, and machine learning. Dr. Esther Villar made several contributions at conferences and publishing in various journals in those fields. Currently, she is working within the OPTIMA (Optimization Modeling & Analytics) business of TECNALIA’s ICT Division as a data scientist in projects related to the prediction and optimization of management and industrial processes (resource planning, energy efficiency, etc).",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"49813",title:"Dr.",name:"Javier",middleName:null,surname:"Del Ser",slug:"javier-del-ser",fullName:"Javier Del Ser",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49813/images/system/49813.png",biography:"Prof. Dr. Javier Del Ser received his first PhD in Telecommunication Engineering (Cum Laude) from the University of Navarra, Spain, in 2006, and a second PhD in Computational Intelligence (Summa Cum Laude) from the University of Alcala, Spain, in 2013. He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. He is a Senior Member of the IEEE, and a recipient of the Biscay Talent prize for his academic career.",institutionString:"Tecnalia Research & Innovation",institution:null},{id:"278948",title:"Dr.",name:"Carlos Pedro",middleName:null,surname:"Gonçalves",slug:"carlos-pedro-goncalves",fullName:"Carlos Pedro Gonçalves",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRcmyQAC/Profile_Picture_1564224512145",biography:'Carlos Pedro Gonçalves (PhD) is an Associate Professor at Lusophone University of Humanities and Technologies and a researcher on Complexity Sciences, Quantum Technologies, Artificial Intelligence, Strategic Studies, Studies in Intelligence and Security, FinTech and Financial Risk Modeling. 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Fungal infectious illness prevalence and prognosis are determined by the exposure between fungi and host, host immunological state, fungal virulence, and early and accurate diagnosis and treatment. \r\nPatients with both congenital and acquired immunodeficiency are more likely to be infected with opportunistic mycosis. Fungal infectious disease outbreaks are common during the post- disaster rebuilding era, which is characterised by high population density, migration, and poor health and medical conditions.\r\nSystemic or local fungal infection is mainly associated with the fungi directly inhaled or inoculated in the environment during the disaster. The most common fungal infection pathways are human to human (anthropophilic), animal to human (zoophilic), and environment to human (soilophile). Diseases are common as a result of widespread exposure to pathogenic fungus dispersed into the environment. \r\nFungi that are both common and emerging are intertwined. In Southeast Asia, for example, Talaromyces marneffei is an important pathogenic thermally dimorphic fungus that causes systemic mycosis. Widespread fungal infections with complicated and variable clinical manifestations, such as Candida auris infection resistant to several antifungal medicines, Covid-19 associated with Trichoderma, and terbinafine resistant dermatophytosis in India, are among the most serious disorders. \r\nInappropriate local or systemic use of glucocorticoids, as well as their immunosuppressive effects, may lead to changes in fungal infection spectrum and clinical characteristics. Hematogenous candidiasis is a worrisome issue that affects people all over the world, particularly ICU patients. CARD9 deficiency and fungal infection have been major issues in recent years. Invasive aspergillosis is associated with a significant death rate. Special attention should be given to endemic fungal infections, identification of important clinical fungal infections advanced in yeasts, filamentous fungal infections, skin mycobiome and fungal genomes, and immunity to fungal infections.\r\nIn addition, endemic fungal diseases or uncommon fungal infections caused by Mucor irregularis, dermatophytosis, Malassezia, cryptococcosis, chromoblastomycosis, coccidiosis, blastomycosis, histoplasmosis, sporotrichosis, and other fungi, should be monitored. \r\nThis topic includes the research progress on the etiology and pathogenesis of fungal infections, new methods of isolation and identification, rapid detection, drug sensitivity testing, new antifungal drugs, schemes and case series reports. It will provide significant opportunities and support for scientists, clinical doctors, mycologists, antifungal drug researchers, public health practitioners, and epidemiologists from all over the world to share new research, ideas and solutions to promote the development and progress of medical mycology.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/4.jpg",keywords:"Emerging Fungal Pathogens, Invasive Infections, Epidemiology, Cell Membrane, Fungal Virulence, Diagnosis, Treatment"},{id:"5",title:"Parasitic Infectious Diseases",scope:"Parasitic diseases have evolved alongside their human hosts. In many cases, these diseases have adapted so well that they have developed efficient resilience methods in the human host and can live in the host for years. Others, particularly some blood parasites, can cause very acute diseases and are responsible for millions of deaths yearly. Many parasitic diseases are classified as neglected tropical diseases because they have received minimal funding over recent years and, in many cases, are under-reported despite the critical role they play in morbidity and mortality among human and animal hosts. The current topic, Parasitic Infectious Diseases, in the Infectious Diseases Series aims to publish studies on the systematics, epidemiology, molecular biology, genomics, pathogenesis, genetics, and clinical significance of parasitic diseases from blood borne to intestinal parasites as well as zoonotic parasites. We hope to cover all aspects of parasitic diseases to provide current and relevant research data on these very important diseases. In the current atmosphere of the Coronavirus pandemic, communities around the world, particularly those in different underdeveloped areas, are faced with the growing challenges of the high burden of parasitic diseases. At the same time, they are faced with the Covid-19 pandemic leading to what some authors have called potential syndemics that might worsen the outcome of such infections. Therefore, it is important to conduct studies that examine parasitic infections in the context of the coronavirus pandemic for the benefit of all communities to help foster more informed decisions for the betterment of human and animal health.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/5.jpg",keywords:"Blood Borne Parasites, Intestinal Parasites, Protozoa, Helminths, Arthropods, Water Born Parasites, Epidemiology, Molecular Biology, Systematics, Genomics, Proteomics, Ecology"},{id:"6",title:"Viral Infectious Diseases",scope:"The Viral Infectious Diseases Book Series aims to provide a comprehensive overview of recent research trends and discoveries in various viral infectious diseases emerging around the globe. The emergence of any viral disease is hard to anticipate, which often contributes to death. A viral disease can be defined as an infectious disease that has recently appeared within a population or exists in nature with the rapid expansion of incident or geographic range. This series will focus on various crucial factors related to emerging viral infectious diseases, including epidemiology, pathogenesis, host immune response, clinical manifestations, diagnosis, treatment, and clinical recommendations for managing viral infectious diseases, highlighting the recent issues with future directions for effective therapeutic strategies.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/6.jpg",keywords:"Novel Viruses, Virus Transmission, Virus Evolution, Molecular Virology, Control and Prevention, Virus-host Interaction"}],annualVolumeBook:{},thematicCollection:[],selectedSeries:null,selectedSubseries:null},seriesLanding:{item:{id:"11",title:"Biochemistry",doi:"10.5772/intechopen.72877",issn:"2632-0983",scope:"Biochemistry, the study of chemical transformations occurring within living organisms, impacts all areas of life sciences, from molecular crystallography and genetics to ecology, medicine, and population biology. Biochemistry examines macromolecules - proteins, nucleic acids, carbohydrates, and lipids – and their building blocks, structures, functions, and interactions. Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. This Biochemistry Series will address the current research on biomolecules and the emerging trends with great promise.",coverUrl:"https://cdn.intechopen.com/series/covers/11.jpg",latestPublicationDate:"May 18th, 2022",hasOnlineFirst:!0,numberOfOpenTopics:4,numberOfPublishedChapters:287,numberOfPublishedBooks:27,editor:{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},subseries:[{id:"14",title:"Cell and Molecular Biology",keywords:"Omics (Transcriptomics; Proteomics; Metabolomics), Molecular Biology, Cell Biology, Signal Transduction and Regulation, Cell Growth and Differentiation, Apoptosis, Necroptosis, Ferroptosis, Autophagy, Cell Cycle, Macromolecules and Complexes, Gene Expression",scope:"The Cell and Molecular Biology topic within the IntechOpen Biochemistry Series aims to rapidly publish contributions on all aspects of cell and molecular biology, including aspects related to biochemical and genetic research (not only in humans but all living beings). We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics include, but are not limited to: Advanced techniques of cellular and molecular biology (Molecular methodologies, imaging techniques, and bioinformatics); Biological activities at the molecular level; Biological processes of cell functions, cell division, senescence, maintenance, and cell death; Biomolecules interactions; Cancer; Cell biology; Chemical biology; Computational biology; Cytochemistry; Developmental biology; Disease mechanisms and therapeutics; DNA, and RNA metabolism; Gene functions, genetics, and genomics; Genetics; Immunology; Medical microbiology; Molecular biology; Molecular genetics; Molecular processes of cell and organelle dynamics; Neuroscience; Protein biosynthesis, degradation, and functions; Regulation of molecular interactions in a cell; Signalling networks and system biology; Structural biology; Virology and microbiology.",annualVolume:11410,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"79367",title:"Dr.",name:"Ana Isabel",middleName:null,surname:"Flores",fullName:"Ana Isabel Flores",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRpIOQA0/Profile_Picture_1632418099564",institutionString:null,institution:{name:"Hospital Universitario 12 De Octubre",institutionURL:null,country:{name:"Spain"}}},{id:"328234",title:"Ph.D.",name:"Christian",middleName:null,surname:"Palavecino",fullName:"Christian Palavecino",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000030DhEhQAK/Profile_Picture_1628835318625",institutionString:null,institution:{name:"Central University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"186585",title:"Dr.",name:"Francisco Javier",middleName:null,surname:"Martin-Romero",fullName:"Francisco Javier Martin-Romero",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSB3HQAW/Profile_Picture_1631258137641",institutionString:null,institution:{name:"University of Extremadura",institutionURL:null,country:{name:"Spain"}}}]},{id:"15",title:"Chemical Biology",keywords:"Phenolic Compounds, Essential Oils, Modification of Biomolecules, Glycobiology, Combinatorial Chemistry, Therapeutic peptides, Enzyme Inhibitors",scope:"Chemical biology spans the fields of chemistry and biology involving the application of biological and chemical molecules and techniques. In recent years, the application of chemistry to biological molecules has gained significant interest in medicinal and pharmacological studies. This topic will be devoted to understanding the interplay between biomolecules and chemical compounds, their structure and function, and their potential applications in related fields. Being a part of the biochemistry discipline, the ideas and concepts that have emerged from Chemical Biology have affected other related areas. This topic will closely deal with all emerging trends in this discipline.",annualVolume:11411,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",institutionString:null,institution:{name:"Ondokuz Mayıs University",institutionURL:null,country:{name:"Turkey"}}},editorThree:null,editorialBoard:[{id:"241413",title:"Dr.",name:"Azhar",middleName:null,surname:"Rasul",fullName:"Azhar Rasul",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRT1oQAG/Profile_Picture_1635251978933",institutionString:null,institution:{name:"Government College University, Faisalabad",institutionURL:null,country:{name:"Pakistan"}}},{id:"178316",title:"Ph.D.",name:"Sergey",middleName:null,surname:"Sedykh",fullName:"Sergey Sedykh",profilePictureURL:"https://mts.intechopen.com/storage/users/178316/images/system/178316.jfif",institutionString:null,institution:{name:"Novosibirsk State University",institutionURL:null,country:{name:"Russia"}}}]},{id:"17",title:"Metabolism",keywords:"Biomolecules Metabolism, Energy Metabolism, Metabolic Pathways, Key Metabolic Enzymes, Metabolic Adaptation",scope:"Metabolism is frequently defined in biochemistry textbooks as the overall process that allows living systems to acquire and use the free energy they need for their vital functions or the chemical processes that occur within a living organism to maintain life. Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. Thus all studies on metabolism will be considered for publication.",annualVolume:11413,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/17.jpg",editor:{id:"138626",title:"Dr.",name:"Yannis",middleName:null,surname:"Karamanos",fullName:"Yannis Karamanos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6Jv2QAE/Profile_Picture_1629356660984",institutionString:null,institution:{name:"Artois University",institutionURL:null,country:{name:"France"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",fullName:"Anca Pantea Stoian",profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"203824",title:"Dr.",name:"Attilio",middleName:null,surname:"Rigotti",fullName:"Attilio Rigotti",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institutionString:null,institution:{name:"Pontifical Catholic University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"300470",title:"Dr.",name:"Yanfei (Jacob)",middleName:null,surname:"Qi",fullName:"Yanfei (Jacob) Qi",profilePictureURL:"https://mts.intechopen.com/storage/users/300470/images/system/300470.jpg",institutionString:null,institution:{name:"Centenary Institute of Cancer Medicine and Cell Biology",institutionURL:null,country:{name:"Australia"}}}]},{id:"18",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. The Proteomics topic aims to attract contributions on all aspects of MS-based proteomics that, by pushing the boundaries of MS capabilities, may address biological problems that have not been resolved yet.",annualVolume:11414,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorThree:null,editorialBoard:[{id:"72288",title:"Dr.",name:"Arli Aditya",middleName:null,surname:"Parikesit",fullName:"Arli Aditya Parikesit",profilePictureURL:"https://mts.intechopen.com/storage/users/72288/images/system/72288.jpg",institutionString:null,institution:{name:"Indonesia International Institute for Life Sciences",institutionURL:null,country:{name:"Indonesia"}}},{id:"40928",title:"Dr.",name:"Cesar",middleName:null,surname:"Lopez-Camarillo",fullName:"Cesar Lopez-Camarillo",profilePictureURL:"https://mts.intechopen.com/storage/users/40928/images/3884_n.png",institutionString:null,institution:{name:"Universidad Autónoma de la Ciudad de México",institutionURL:null,country:{name:"Mexico"}}},{id:"81926",title:"Dr.",name:"Shymaa",middleName:null,surname:"Enany",fullName:"Shymaa Enany",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRqB9QAK/Profile_Picture_1626163237970",institutionString:null,institution:{name:"Suez Canal University",institutionURL:null,country:{name:"Egypt"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"chapter.detail",path:"/chapters/61114",hash:"",query:{},params:{id:"61114"},fullPath:"/chapters/61114",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()