\\n\\n
Released this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\\n\\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\\n"}]',published:!0,mainMedia:{caption:"Highly Cited",originalUrl:"/media/original/117"}},components:[{type:"htmlEditorComponent",content:'IntechOpen is proud to announce that 191 of our authors have made the Clarivate™ Highly Cited Researchers List for 2020, ranking them among the top 1% most-cited.
\n\nThroughout the years, the list has named a total of 261 IntechOpen authors as Highly Cited. Of those researchers, 69 have been featured on the list multiple times.
\n\n\n\nReleased this past November, the list is based on data collected from the Web of Science and highlights some of the world’s most influential scientific minds by naming the researchers whose publications over the previous decade have included a high number of Highly Cited Papers placing them among the top 1% most-cited.
\n\nWe wish to congratulate all of the researchers named and especially our authors on this amazing accomplishment! We are happy and proud to share in their success!
Note: Edited in March 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"6583",leadTitle:null,fullTitle:"Marketing",title:"Marketing",subtitle:null,reviewType:"peer-reviewed",abstract:"This book on marketing continues to reflect our firm belief that the Wheel of Consumer Analysis is a powerful tool not only for organizing consumer behaviour knowledge but also for understanding consumers and for guiding the development of successful marketing strategies. In fact, it has been used by marketing consultants and practitioners to do so. The various chapters presented here follow several approaches, which researchers can explore in different contexts. This book intends to contribute to a better understanding of the application areas of marketing strategies and shows how these business practices in social sciences can stimulate various topics.",isbn:"978-1-78923-437-4",printIsbn:"978-1-78923-436-7",pdfIsbn:"978-1-83881-569-1",doi:"10.5772/intechopen.71388",price:119,priceEur:129,priceUsd:155,slug:"marketing",numberOfPages:160,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"8ff1f842b67cc0b3301ea477c31d934b",bookSignature:"Sonyel Oflazo?lu",publishedDate:"July 25th 2018",coverURL:"https://cdn.intechopen.com/books/images_new/6583.jpg",numberOfDownloads:14713,numberOfWosCitations:6,numberOfCrossrefCitations:11,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:15,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:32,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"October 10th 2017",dateEndSecondStepPublish:"October 31st 2017",dateEndThirdStepPublish:"January 5th 2018",dateEndFourthStepPublish:"March 20th 2018",dateEndFifthStepPublish:"May 19th 2018",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"187211",title:"Dr.",name:"Sonyel",middleName:null,surname:"Oflazoglu",slug:"sonyel-oflazoglu",fullName:"Sonyel Oflazoglu",profilePictureURL:"https://mts.intechopen.com/storage/users/187211/images/5783_n.jpg",biography:"Sonyel Oflazoğlu is an assistant professor of Entrepreneurship and Marketing at the Department of Marketing, Mustafa Kemal University, Turkey. She got her MS degree from Mustafa Kemal University, Institute of Social Sciences, Business Administration, and then she worked as a research assistant at Ankara University, Faculty of Political Sciences, in 2003. In 2008, she got a fellowship from the European Union to study PhD candidate student as a visiting researcher at Bucks New University, England; she received her PhD degree in 2010. Her research focuses on business networks, qualitative and quantitative research methods, consumer behaviour and entrepreneurship and innovation. She has authored several journal articles and book chapters, which were published through international publishers. Currently Dr. Oflazoğlu is involved in several research projects on social sciences.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Mustafa Kemal University",institutionURL:null,country:{name:"Turkey"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"74",title:"Marketing",slug:"marketing"}],chapters:[{id:"59337",title:"Innovation Inside",doi:"10.5772/intechopen.74090",slug:"innovation-inside",totalDownloads:1197,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"When it comes to successful product and service innovation, the marketing team might have done a good job in developing a winning proposition, but unless they pay as much attention to organizational innovation to enable delivery, they may not get it off the ground.",signatures:"Tim Westall",downloadPdfUrl:"/chapter/pdf-download/59337",previewPdfUrl:"/chapter/pdf-preview/59337",authors:[{id:"231464",title:"Mr.",name:"Tim",surname:"Westall",slug:"tim-westall",fullName:"Tim Westall"}],corrections:null},{id:"61759",title:"Marketing Platform Strategy",doi:"10.5772/intechopen.77947",slug:"marketing-platform-strategy",totalDownloads:1700,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Platforms have revolutionized the way we think about marketing and strategy. Further, the platform strategy is a growing area that has provided the business firms with multiple opportunities for generating value. Many firms are employing noticeably different tactics depending on whether they see a platform as a way to improve performance (by focusing on what they do best), grow their footprint (by leveraging capabilities that in the past they would have had to own), innovate (drawing on that vast majority of smart people who aren’t strictly in their employ), or capture more value. Platform thinking has thus revolutionized the way value is created and transferred. The business, which will survive in the modern era, should place a platform strategy as one of the key priority areas. It is not just enough to prioritize the platforms, but understanding that they can be integrated within a marketing strategy is very essential. Even though the study on platform strategy only focuses on digital platforms, this chapter provides a comprehensive overview of both digital and non-digital platforms and the strategic implications of both.",signatures:"Emmanuel Chao",downloadPdfUrl:"/chapter/pdf-download/61759",previewPdfUrl:"/chapter/pdf-preview/61759",authors:[{id:"229817",title:"Dr.",name:"Emmanuel",surname:"Chao",slug:"emmanuel-chao",fullName:"Emmanuel Chao"}],corrections:null},{id:"60706",title:"Reimagining m-Commerce App Design: The Development of Seductive Marketing through UX",doi:"10.5772/intechopen.75749",slug:"reimagining-m-commerce-app-design-the-development-of-seductive-marketing-through-ux",totalDownloads:1300,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"To increase the market share of m-Commerce in the retail sector, new user interaction paradigms must be sought to break out of the current saturation of ideas. While the global fashion industry is worth over $2.7 Trillion, less than 15% of sales derive from online transactions. Growth in the m-Commerce platform is slow and unlikely to recapture the monumental shift of the early Web 2.0 era without further innovation. Such change needs to address the overwhelming approach by m-Commerce apps to sell to customers through presenting a stream of products rather than develop an experiential marketing platform. This chapter re-imagines the customer experience of m-Commerce fashion apps to encapsulate seductive and powerful marketing experiences. These experiences are alongside the media traditionally used to make sales within apps. We present a conceptual app framework, grounded in contemporary research in marketing and UX design, inspiring designers and marketers alike in their future developments.",signatures:"Christopher Parker",downloadPdfUrl:"/chapter/pdf-download/60706",previewPdfUrl:"/chapter/pdf-preview/60706",authors:[{id:"226255",title:"Dr.",name:"Christopher",surname:"Parker",slug:"christopher-parker",fullName:"Christopher Parker"}],corrections:null},{id:"59751",title:"Theory of New Product Development and Its Applications",doi:"10.5772/intechopen.74527",slug:"theory-of-new-product-development-and-its-applications",totalDownloads:5434,totalCrossrefCites:6,totalDimensionsCites:9,hasAltmetrics:1,abstract:"A product which can be a physical object or a service should be functional and emotional to satisfy the customer’s need, and to offer value, be delivered as the way customer demanded. Also, it has to include other specific elements like providing customer services. New product is the result of a creative and unique idea that is able to make consumers satisfied. In the process of new product development, it should not be thought that the change will only be on product physically but also on every aspect of the product. The difference between ideas increases production of different goods. The different kind of goods can positively affect the customers’ opinion about a business. When a new business starts to produce a product which satisfies customer’s need, then the demand of competitor’s product which was already in the market may be decreased. Establishment of new product development (NPD) departments and their direct influence in the production process is crucial for businesses. They can determine demand and needs of consumers by applying different theories. These theories can be classified as (i) product-service systems, (ii) the Kano model, (iii) conjoint analysis, (iv) the product value matrix and (v) quality function deployment.",signatures:"Esen Gurbuz",downloadPdfUrl:"/chapter/pdf-download/59751",previewPdfUrl:"/chapter/pdf-preview/59751",authors:[{id:"227728",title:"Dr.",name:"Esen",surname:"Gurbuz",slug:"esen-gurbuz",fullName:"Esen Gurbuz"}],corrections:null},{id:"60900",title:"The Progress of the United Nations in Empowerment and Equality for Women",doi:"10.5772/intechopen.76302",slug:"the-progress-of-the-united-nations-in-empowerment-and-equality-for-women",totalDownloads:981,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"In this chapter, the authors examine the work done by the United Nations to improve the status of women from its origin until 1995, when the fourth and final United Nations World Conference on Women took place. The study shall be divided into three periods. The first spans the era of legal defence of women’s rights. The second period begins with the turn of events spurred by the Programme of Concerted International Action for the Advancement of Women in 1970 and continues with the proclamation of the United Nations’ International Women’s Year in 1975 and the United Nations Decade for the Advancement of Women (1975–1985). Over this 10-year period, three conferences were held: the one that took place in Mexico (1975), the one in Copenhagen (1980) and finally the one in Nairobi (1985). The third period takes a look at the Beijing Conference (1995) and the unprecedented advances it brought about in terms of equality. While the work done by the United Nations was undeniably valuable, as shown in this study, its efforts were not accompanied by marketing work that would have enabled it to make a greater impact on the international public opinion.",signatures:"Pilar Gimenez, Carmen De La Calle Maldonado and Sonia M. Gonzalez-Iglesias",downloadPdfUrl:"/chapter/pdf-download/60900",previewPdfUrl:"/chapter/pdf-preview/60900",authors:[{id:"238592",title:"Dr.",name:"Pilar",surname:"Gimenez",slug:"pilar-gimenez",fullName:"Pilar Gimenez"},{id:"240775",title:"Dr.",name:"Carmen",surname:"De La Calle Maldonado",slug:"carmen-de-la-calle-maldonado",fullName:"Carmen De La Calle Maldonado"},{id:"240777",title:"Dr.",name:"Sonia M.",surname:"Gonzalez-Iglesias",slug:"sonia-m.-gonzalez-iglesias",fullName:"Sonia M. Gonzalez-Iglesias"}],corrections:null},{id:"59591",title:"Antecedents of Satisfaction with Financial Services: Role of Perceived Benefits",doi:"10.5772/intechopen.74653",slug:"antecedents-of-satisfaction-with-financial-services-role-of-perceived-benefits",totalDownloads:1225,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"This study seeks to confirm whether favourable affective evaluation of financial services can be a significant antecedent of perception of functional, hedonic, and symbolic benefits, and to show whether these benefits can influence customer satisfaction. The relationships were confirmed through confirmatory factor analysis (CFA), applied to a survey of 786 people, using nonprobabilistic quota sampling. The environment characterized by rational decision-making, the customer’s affective evaluation, is an explanatory factor of satisfaction. The functional, hedonic, and symbolic benefits play an important amplifying role connecting affective evaluation and customer satisfaction. Given the little attention paid by the specialized literature to the link between affective evaluation-benefits and satisfaction, it may be premature to offer final conclusions. The academic sector is provided with some bases to analyse the effect that the perception of the benefits may have on the relationship between the affective evaluation and the satisfaction of the client. For managers in the financial service sector, it provided some analytical instruments oriented to caring for the tangible and intangible characteristics that intervene in providing financial services to their customers. The originality of this study is that the perceived benefits act as antecedents to satisfaction and as a consequence of the affective evaluation.",signatures:"Enrique Marinao",downloadPdfUrl:"/chapter/pdf-download/59591",previewPdfUrl:"/chapter/pdf-preview/59591",authors:[{id:"207589",title:"Dr.",name:"Enrique",surname:"Marinao",slug:"enrique-marinao",fullName:"Enrique Marinao"}],corrections:null},{id:"59152",title:"Marketing Strategies for the Social Good",doi:"10.5772/intechopen.73683",slug:"marketing-strategies-for-the-social-good",totalDownloads:1593,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Social network sites (SNS) have proven to be a good environment to promote and sell goods and services, but marketing is more than creating commercial strategies. Social marketing strategies can also be used to promote behavioral change and help individuals transform their lives, achieve well-being, and adopt prosocial behaviors. In this chapter, we seek to analyze with a netnographic study, how SNS are being employed by nonprofits and nongovernment organizations (NGOs) to enable citizens and consumers to participate in different programs and activities that promote social transformation and well-being. A particular interest is to identify how organizations are using behavioral economic tactics to nudge individuals and motivate them to engage in prosocial actions. By providing an understanding on how SNS can provide an adequate environment for the design of social marketing strategies, we believe our work has practical implications both for academicians and marketers who want to contribute in the transformation of consumer behavior and the achievement of well-being and social change.",signatures:"Alicia De La Pena",downloadPdfUrl:"/chapter/pdf-download/59152",previewPdfUrl:"/chapter/pdf-preview/59152",authors:[{id:"196878",title:"Dr.",name:"Alicia",surname:"De La Pena",slug:"alicia-de-la-pena",fullName:"Alicia De La Pena"}],corrections:null},{id:"59386",title:"Community Pharmacy Marketing in the New Era: A Global Picture of Extended Community Pharmacy Services",doi:"10.5772/intechopen.74326",slug:"community-pharmacy-marketing-in-the-new-era-a-global-picture-of-extended-community-pharmacy-services",totalDownloads:1286,totalCrossrefCites:2,totalDimensionsCites:2,hasAltmetrics:0,abstract:"The community pharmacists (CPs) are legally responsible to hand out a wide range of ready-made prescription medications to patients. Additionally, CPs are also involving in advocating customers who determine to self-medicate. Interestingly, it is also noted that CPs in developed countries like the United Kingdom, Germany, and Canada have performed more than these services. What are the extended community pharmacy services available? What are the barriers and perceptions of these extended services? It is rationale to explore such issues globally since it might have potential to give some possible course of action to CPs to incorporate more values to the contemporary services.",signatures:"Mohamed Azmi Hassali, Nazri Nordin, Azmi Sarriff and Fahad\nSaleem",downloadPdfUrl:"/chapter/pdf-download/59386",previewPdfUrl:"/chapter/pdf-preview/59386",authors:[{id:"213739",title:"Prof.",name:"Mohamed Azmi",surname:"Ahmad Hassali",slug:"mohamed-azmi-ahmad-hassali",fullName:"Mohamed Azmi Ahmad Hassali"},{id:"229101",title:"Dr.",name:"Nazri",surname:"Nordin",slug:"nazri-nordin",fullName:"Nazri Nordin"},{id:"229102",title:"Prof.",name:"Azmi",surname:"Sarriff",slug:"azmi-sarriff",fullName:"Azmi Sarriff"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"5859",title:"Qualitative versus Quantitative 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I have not been able to find or use an appropriate textbook for students whose background is not biomedical engineering. It should be noted that there are many outstanding books on biomechanics; however, they are usually not very introductory or the topics covered are too detailed, which makes it impossible for those audiences to make effective use of the book. The present book is an attempt to fill this gap. No previous familiarity of anatomy, biology, or physiology is expected, and in fact every chapter begins with a review of the relevant necessary background. Each chapter then highlights identification and explanation of the indispensable aspects of the associated biomechanics issues.",isbn:"978-1-78985-122-9",printIsbn:"978-1-78985-121-2",pdfIsbn:"978-1-83881-733-6",doi:"10.5772/intechopen.73352",price:119,priceEur:129,priceUsd:155,slug:"biomechanics",numberOfPages:112,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"85132976010be1d7f3dbd88662b785e5",bookSignature:"Hadi Mohammadi",publishedDate:"January 30th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/6843.jpg",keywords:null,numberOfDownloads:6693,numberOfWosCitations:4,numberOfCrossrefCitations:7,numberOfDimensionsCitations:8,numberOfTotalCitations:19,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 12th 2018",dateEndSecondStepPublish:"May 3rd 2018",dateEndThirdStepPublish:"July 2nd 2018",dateEndFourthStepPublish:"September 20th 2018",dateEndFifthStepPublish:"November 19th 2018",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"4 years",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:5,editedByType:"Edited by",kuFlag:!1,biosketch:null,coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"4",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"University of British Columbia",institutionURL:null,country:{name:"Canada"}}}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1117",title:"Biomechanics",slug:"physical-medicine-and-rehabilitation-biomechanics"}],chapters:[{id:"64237",title:"Introductory Chapter: Biomechanics",slug:"introductory-chapter-biomechanics",totalDownloads:1003,totalCrossrefCites:0,authors:[{id:"212432",title:"Prof.",name:"Hadi",surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi"}]},{id:"64383",title:"Biomechanics of Human Blood",slug:"biomechanics-of-human-blood",totalDownloads:1182,totalCrossrefCites:0,authors:[{id:"212432",title:"Prof.",name:"Hadi",surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi"},{id:"254614",title:"MSc.",name:"Emily",surname:"Earl",slug:"emily-earl",fullName:"Emily Earl"}]},{id:"64244",title:"An Introduction to Survival Analytics, Types, and Its Applications",slug:"an-introduction-to-survival-analytics-types-and-its-applications",totalDownloads:1151,totalCrossrefCites:5,authors:[{id:"254473",title:"Prof.",name:"Sheik Abdullah",surname:"A",slug:"sheik-abdullah-a",fullName:"Sheik Abdullah A"},{id:"269251",title:"Prof.",name:"Selvakumar",surname:"S",slug:"selvakumar-s",fullName:"Selvakumar S"},{id:"269252",title:"Prof.",name:"Parkavi",surname:"R",slug:"parkavi-r",fullName:"Parkavi R"},{id:"269253",title:"Prof.",name:"Suganya",surname:"S",slug:"suganya-s",fullName:"Suganya S"}]},{id:"63146",title:"Biomechanics of Eye Globe and Methods of Its Study",slug:"biomechanics-of-eye-globe-and-methods-of-its-study",totalDownloads:936,totalCrossrefCites:0,authors:[{id:"256707",title:"Ph.D.",name:"Irina",surname:"Bubnova",slug:"irina-bubnova",fullName:"Irina Bubnova"}]},{id:"63717",title:"Multi-Scale Biomechanics of Osteoporotic Spine Fracture",slug:"multi-scale-biomechanics-of-osteoporotic-spine-fracture",totalDownloads:1202,totalCrossrefCites:1,authors:[{id:"254463",title:"Prof.",name:"Haisheng",surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang"}]},{id:"64361",title:"Trapeziometacarpal Joint: A Mechanical Explanation of Total Prosthesis Failures",slug:"trapeziometacarpal-joint-a-mechanical-explanation-of-total-prosthesis-failures",totalDownloads:1220,totalCrossrefCites:1,authors:[{id:"256419",title:"Dr.",name:"Victoria",surname:"Spartacus",slug:"victoria-spartacus",fullName:"Victoria Spartacus"}]}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"194667",firstName:"Marijana",lastName:"Francetic",middleName:null,title:"Ms.",imageUrl:"https://mts.intechopen.com/storage/users/194667/images/4752_n.jpg",email:"marijana@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. 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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Due to the appearance of drug resistance bacterial strains, there is an escalating need for the development of novel antibiotics to treat the resistant bacteria stain. Diverse set of biological activities of quinazolinones (fused heterocyclic system) such as anti-inflammatory, anticonvulsant, anticancer, antibacterial, antifungal, anti-HIV and anti-analgesic [5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16], have encouraged to abundant of medicinal chemists to investigate this fused heterocycles as a novel drug molecules. Several research groups have successfully investigated and reported the promising antimicrobial properties and structure-activity relationships (SAR) of various quinazolinone derivatives.
\nQuinazolines and quinazolinones emerged as a privileged class of nitrogen containing heterocyclic scaffolds; exhibits a broad spectrum of pharmacological activities, viz. anti-inflammatory, antitubercular, and antiviral activities [17]. Number of quinazoline derived compound have been approved as a drug; for example prazosin and doxazosine are used to treat benign prostatic hyperplasia and post-traumatic stress disorder [18], and erlotinib and gefitinib both are used for the curing of lung and pancreatic cancers (\nFigure 1\n) [19].
\nQuinazoline and quinazolinone-based drugs.
Several quinazolinone-based drugs including idelalisib and fenquizone have been shown to exhibit a broad spectrum of antimicrobial, antitumor, antifungal, and cytotoxic activities [20]. Lapatinib has been displayed to be effective in combination therapy for breast cancer [21]. In the recent years, various synthetic strategies for the synthesis of quinazolines and quinazolinones derivatives have been developed to accomplish the budding requirements of medicinal chemist [22]. Many research groups have successfully utilized copper catalyzed Ullmann-type coupling procedures of aryl bromides and benzamidines for the synthesis of quinazoline derivatives [23].
\n\n
Synthesis of 4(3H)-quinazolinone using anthranilic acid or formyl anthranilamide [24].
\n\n
Via condensation reaction of 4-chloroanthranilic acid amide with triethyl orthoformate, the 7-chloro-substituted derivative has been prepared [25].
\n\n
Quinazolin-4(3H)-one was synthesized by the reaction of anthranilic acid with excess formamide at 120°C in an open air. This is also known as Niementowski reaction [26].
\n\n
2-styryl-4(3H)-quinazolinone derivatives were prepared using starting substrate 2-aminobenzonitrile with 3-phenyl cinnamoyl chloride. Under alkaline conditions, intramolecular cyclization of cinnamamide derivative was carried out to afford 2-styryl-4(3H)-quinazolinone. This procedure was tolerated to a wide range of different substituted benzene rings [27].
\n\n
Reaction of anthranilic acid with ammonium acetate, followed by formamide under microwave at 200 W yields the desired 2-substituted-4(3H)-quinazolinones products [28].
\n\n
Reaction of anthranilamide with substituted aldehydes or ketones in 2,2,2-trifluoroethanol under reflux condition led to the formation of 2-substituted-2,3-dihydro-4(1H)-quinazolinones in excellent yields [27].
\n\n
The amino-quinazolin-4(3H)-one was synthesized by means of the reaction of the corresponding methyl anthranilate with an excess amount of guanidine in ethyl alcohol containing sodium ethoxide in moderate yield [29].
\n\n
4-Arylaminoquinazolines has vast biological potential as anticancer agents, thus there has been great interest in their syntheses. Through the reaction of 2-aminobenzonitrile with different substituted anilines and anhydrous aluminum chloride, amidines were readily produced. Highest yield of the amidine intermediates was obtained, when excess amounts of suitable aniline and aluminum chloride were used [30].
\n\n
2,3-disubstituted-4(3H)-quinazolinone derivatives were prepared through the treatment of N-acylanthranilic acid with the appropriate aryl amines in the presence of phosphorous oxychloride [31].
\n\n
Benzoxazinone derivatives are the most widespread intermediates in the formation of 2,3-disubstituted quinazolinone derivatives. 2-methyl-4H-benzo[d][1,3]oxazin-4-one was prepared by refluxing mixture of anthranilic acid with acetic anhydride in acetic acid [32].
\n\n
The reaction of 2-aminobenzonitrile with Grignard reagents yields the intermediates. The produced intermediate derivatives were very significant for getting many types of quinazoline derivatives. Upon their cyclization with acid chlorides, anhydrides, and formates, they formed the corresponding quinazoline derivatives in moderate to good yields. This general method for the preparation of various 2,4-disubstituted quinazoline derivatives is highly flexible and useful [33].
\n\n
As shown in the scheme 2-chloromethyl-4-methyl-quinazoline derivatives were synthesized by the reaction 1-(2-amino-phenyl)-ethanone with HCl gas in anhydrous condition in presence of chloro acetonitrile to get 2-chloromethyl-4-methyl-quinazoline. Subsequently treatment of 2-chloromethyl-4-methyl-quinazoline with different amine derivative in presence of base furnished 2-chloromethyl-4-methyl-quinazoline derivatives [34].
\n\n
Subsequently the innovation of quinazoline ring numeral of structural modifications have been made in order to raise the biological activities such as antitubercular, antihistaminic, analgesic, anticonvulsant, antibacterial, antifungal, and anti-inflammatory activity which attracted the interest of medicinal chemists.
\nCancerous augmentation is the main reasons of global human mortality. Numerous antineoplastic drugs are in the market and the majority of the compounds are under clinical trials. Studies make known that these antineoplastic drugs have exhibited the diverse kinds of side effects, as a result researchers around the world are engaged in the designing of more proficient and novel antineoplastic drugs. Recently, quinazoline and its derivatives have been considered as a novel class of neoplastic chemotherapeutic agents to facilitate activity against diverse tumors. Quinazoline is one of the most attractive novel bioactive compounds between all the heterocyclic compounds.
\nQuinazolinone derivatives, the privileged structures in the field of medicinal chemistry not only act as good anticancer agents but also act as good DNA intercalates [1, 2]. A systematic report is depicted herein for quinazoline ring. A number of quinazolinone and quinazoline derivatives (compounds
Anticancer activities of quinazolinone and quinazoline derivatives.
A series of quinazolinone derived Schiff base derivatives were synthesized and evaluated for their in vitro H+/K+-ATPase inhibition. Many quinazolinone derived Schiff base exhibited outstanding potency, compared to the reference drug omeprazole. Especially, hydroxy and methoxy derivatives were the most potent compounds, contributing positively to gastric H+/K+-ATPase inhibition. Preliminary structure-activity relationship revealed that the compounds
\n\n
Quinazolinone derived Schiff base derivatives were also used as novel antioxidants and anti-inflammatory agents. The in vitro antioxidant activities of these compounds were evaluated and compared with commercial antioxidants viz. ascorbic acid (AA), gallic acid (GA), butylated hydroxytoluene (BHT), (DPPH) assay, etc. Data illustrates that quinazolinone derived Schiff base with electron donating moiety (OH, OCH3) were found to be excellent antioxidants and compounds with electron withdrawing moiety (Cl, NO2) were found to be excellent anti-inflammatory agents [58].
\n\n\n
Plausible pathways induced by inhibitors were assessed by evaluating the cytotoxic effect of inhibitors such as 3-(5-chloro-2-hydroxybenzylideneamino)-2-(5-chloro-2-hydroxyphenyl)-2,3-dihydroquinazolin-41(H)-one (
\n\n
Azaisatins derivative containing 4(3H) quinazolinones has been designed and synthesized and were screened for their potential antimicrobial activities, which exhibited some authentic results towards testing organism
\n\n
Quinazolinone derivatives containing 3-acrylamino motifs were screened for antifungal activities against four phytopathogenic fungi by minimum inhibitory concentration (MIC) method. Compounds
\n\n
A series of novel quinazolinone derivatives containing an amino substituted amino moiety were reported for their cytotoxic and antibacterial activities. Among the synthesized compounds
\n\n
Quinazolinone derivatives manipulate mutant p53 proteins and their corresponding cellular response in p53 mutant cancer cells. Compounds
\n\n
2-(4-bromophenyl)-quinazolin-4(3H)-one (
\n\n
RAD51 is an essential component of the homologous recombination DNA repair pathway and is over expressed in drug-resistant cancers, including aggressive triple negative breast cancer (TNBC). Structure activity relationships study of quinazolinone derivatives showed that inhibitor (
\n\n
A series of novel carbazolyloxy phenylquinazoline derivatives have been developed as angiotensin converting enzyme (ACE) inhibitors. Amongst them compounds (
\n\n
Compounds, 3-(5-chloro-2-hydroxybenzylideneamino)-2-(5-chloro-2-hydroxyphenyl)-2,3-dihydroquinazolin-41(H)-one (
\n\n
Substituted quinazolinones derivatives were tested for their antimicrobial activity against Gram-negative bacteria and Gram-positive bacteria. Among the prepared products, 3-benzyl-2-(4-chlorophenyl) quinazolin-4(3H)-one (
Over the past few decades, more effort has been established into searching of better drugs with minimal side effects. Herein number versatile synthetic procedures are discussed for the synthesis of quinazolinone and quinazoline derivatives. In general, quinazolinone and quinazoline derivatives are known to possess wide range of activities. A specific activity depends on the substituent present at an appropriate position of quinazoline. The study of natural and synthetic quinazolinone and quinazoline derivatives identified as potentially promising candidates for developing as novel therapeutic agents. There is possibility for further development as new research into study of medicinal chemistry related field.
\nDepartment of Science and Technology, India (DST-SERB/ECR/2015/000363) to SM.
\nThe author declares no conflict of interest.
Obesity and chronic noncommunicable diseases, such as diabetes and cardiovascular disease, lead to the main causes of disability and premature mortality worldwide. In recent decades, the prevalence of obesity in the world has increased exponentially in children and adolescents, going from 0.7% to 5.6% in boys and from 0.9% to 7.8% in girls, between 1975 and 2016 [1]. Simultaneously, the incidence of type 2 diabetes (T2D) in the youth increased from 9 to 12.5 cases per 100,000 between 2003 and 2012 [2]. Additionally to the increase in obesity and diabetes, the development of unhealthy habits, such as inadequate diet and sedentary lifestyle in young people, have contributed to the development of cardiovascular diseases (CVD) at an early age [3]. Data from the National Health and Nutrition Examination Survey (NHANES) estimated a prevalence of ischemic heart disease of 0.5–0.6% in the United States for the period 2011–2014 in young adults between 20 and 39 years old. This trend is increasing, and it is expected that by 2030, 43.9% of the US adult population will have some type of cardiovascular disease [4].
The attempts to prevent or palliate the current wave of obesity and the following noncommunicable diseases should be funded at the beginning of human life. An interesting hypothesis is proposed: The Developmental Origins of Health and Disease (DOHaD) that is derived from the Barker hypothesis, which proposed that nutrition during the intrauterine period and exposure to infections after birth determine susceptibility to disease and death from coronary artery disease. This hypothesis has evolved, and currently, critical periods have been identified in fetal life and early childhood, which will determine growth, metabolism, neurogenesis, and future disease risk, expanding the hypothesis to other disorders, such as obesity, diabetes, cardiovascular disease, allergies, and neurological alterations, throughout the life. The DOHaD concept is based on epigenetics and explains the possibility of variations in the programming of the fetus and the infant through the modification of environmental factors, such as diet and infections, in these window periods [5].
Another main component involved in the early life stages is the gut microbiota, defined as the microbial ecosystem that colonizes the gastrointestinal tract, depending on perinatal and environmental factors, such as diet. Its balance is associated with health and its imbalance with the presence of various diseases, although the mechanisms involved have not been fully elucidated; and as with the DOHaD theory, window periods have been identified where its modulation is possible, especially in the perinatal period and up to preschool age [5, 6]. Thus, the aim of this chapter is to discuss the role of the perinatal maternal and infant diet and the gut microbiota to explain the development of chronic noncommunicable diseases from the DOHaD perspective, as key factors in the modulation of epigenetic programming mechanisms, to identify the areas of opportunity for preventive purposes in early childhood.
Gut microbiota establishment is determined by several perinatal factors, including gestational pathologies, type of birth, type of feeding, prenatal and perinatal use of antibiotics, complementary feeding, and environmental pollutants [7]. From gestation to the first 2 years of life, these events influence the establishment of the microbiota. Hence, it affects the metabolic and immune response and has a subsequent impact on human health [8].
In the last century, the paradigm dictated that the womb was a sterile environment and that the first microbiota colonized the newborn at the birth time [9]. Even though this is yet a discussion topic, there is evidence pointing toward prenatal exposure to microbes [10]. Despite these, reports of low bacterial abundance and diversity and, in most cases, the lack of culturable bacteria leads to a reasonable doubt about whether it is an established microbiota or only transient exposure to DNA or microbial products that is occurring in the womb [11].
The first major event in microbial colonization for the newborn occurs at birth. Type of birth determines the first gut microbiota composition. Vaginally delivered infant’s fecal microbiota is enriched with
First microbiota evolves to adapt to the biochemical environment and in a dependent way on the nutrient availability in the gut [14]. In this sense, whether the infant is breastfed or not, impacts the gut microbiota composition. Ho
Breastfeeding meets all the infant macro and micronutrient requirements during the first 6 months, besides human milk oligosaccharides have a probiotic effect promoting a healthy gut microbiota. Also, human milk provides bioactive compounds that favor immune development, such as immunoglobulins, leukocytes, and antimicrobial peptides. Moreover, human milk harbors its own microbiota, the genera with potential probiotic use as
Before 6 months of age, microbial metabolic pathways related to carbohydrate metabolism are higher in non-exclusively breastfed infants [15]. Once other foods aside from breast milk are introduced into the infant diet, functional shifts toward polysaccharides and protein metabolism occur in gut microbiota. However, these changes are not noticeable until breastfeeding cessation. Microbiota composition turns to an adult-like profile with a high abundance of
The evidence on prenatal and perinatal factors influencing the composition of the gut microbiota highlights the importance of microbial colonization as a critical process in early human life. Healthy microbiota is indispensable for immune system shaping and development, and its metabolites promote the integrity of the intestinal mucosa.
Maternal diet is key for offspring development and future disease risk, and this is mediated by epigenetic modifications. In the gestational stage, maternal diet influences offspring epigenetics directly, after birth this influence continues through breastfeeding. Breast milk composition contributes to epigenetics directly as well as through the gut microbiota, which also modulates infant health and development.
During pregnancy, maternal nutrition is a determinant for in utero development, birth weight, and future disease risk. This has been confirmed in studies on the Dutch famine (1944–1945), a period of severe shortage of food in the Netherlands, which have shown that maternal undernutrition during gestation had lasting consequences on the offspring’s health. Also, prenatal exposure to the Dutch famine had transgenerational effects highlighting the influence of maternal nutrition over offspring epigenetics [17].
Epigenetic modifications are heritable biochemical markers in the genome that will not change its sequence but will determine gene expression, adapting to diverse environmental factors [18]. There are several epigenetic mechanisms, including DNA methylation, histone modification, and miRNA. DNA methylation is the most studied mechanism, and it relies on one-carbon metabolism. This pathway consists of two cycles, one dependent and one independent of folate. In the first cycle, folate acts as a methyl donor where homocysteine is re-methylated to form methionine. In the second cycle, betaine, and its precursor choline, act as methyl donors. Through this pathway, methionine is turned into S-Adenosylmethionine, the universal methyl donor, which will contribute to DNA methylation [19]. Therefore, DNA methylation depends on methyl donor supply, such as folate, choline, and betaine.
Dietary sources of methyl donors vary according to culture and geographic region. The best sources in Western diets are meat, dairy, and grains; while, in Mediterranean diets, fish, legumes, whole grains, and vegetables are the main sources [20]. According to Taylor
In the gestational stage, offspring’s DNA methylation patterns are formed, and maternal intake of methyl donors contributes to proper development and growth. Pauwels
There are strong interactions between maternal dietary intake and offspring DNA methylation and health. A high maternal betaine status during pregnancy is associated with lower offspring adiposity; in contrast, a low maternal folate status is associated with a future risk of childhood overweight and obesity [25, 26]. These findings highlight the impact of maternal nutrition during gestation on the offspring’s metabolic health.
After birth, the maternal diet continues, influencing DNA methylation through breastfeeding. Therefore, breastfed infants have higher DNA methylation in childhood, compared with formula-fed children [18]. In addition, Briollais
Compounds such as lipids, oligosaccharides, B vitamins, and betaine, are influenced by dietary intake [28]. Changes in breast milk content will have an impact on infant health, growth, and the development of gut microbiota. Fat and energy content in breast milk is associated with adipose tissue gain in breastfed infants [29]. Additionally, the intake of methyl donors through breast milk could have a direct effect on DNA methylation or could modulate epigenetic modifications via the infant gut microbiota. In two different populations, it was found that betaine concentration in breast milk was associated with infant growth in the first years of life, and betaine concentration was related with the abundance of
The development of the gut microbiota occurs in early life, and breast milk has the optimal composition for promoting its proper establishment. For instance, a study that evaluated the fecal microbiota of exclusive breastfed and formula-fed infants found that formula-fed children had a rapid maturation of the gut microbiota, which is associated with future obesity risk [32]. In addition, different types of breastfeeding have an impact on the gut microbiota, breastfed infants with skin-to-skin contact have a healthier microbiota than those fed from a bottle [33].
Many aspects of health are determined by the early gut microbiota, including infant growth. Children with a rapid maturation of the gut microbiota and a high abundance of
The gut microbiota produces a great number of metabolites that participate in epigenetic regulations. Butyrate and propionate produced by
Epigenetics play a big role in determining infant development and health, and from conception to the postnatal stage, the maternal diet is key for supplying nutrients and components that are necessary for epigenetic regulation. During lactation, breast milk influences epigenetics directly or through the gut microbiota. There is a need for more evidence to elucidate the interactions between breast milk composition, infant gut microbiota, and epigenetic modifications; and to emphasize the importance of maternal diet to ensure proper offspring development, health, and minimize future disease risk.
The main physiological effects observed in the host by gut microbiota could be explained by their metabolite production. There are different products identified and the most studied are short-chain fatty acids (SCFA), where acetate, butyrate, and propionate are the most common and with the most known effects [36]. Other metabolites include trimethylamine-N-oxide (TMAO), obtained from compounds containing choline [37, 38]; secondary bile acids [39]; free anthocyanidins and protocatechuic acid, derived from flavonoid anthocyanins [38], and indolepropionic acid, produced from tryptophan [40]. The ones with beneficial effects on host health are SCFA, anthocyanidins, and indole compounds, and we are going to focus on the first ones.
SCFAs are produced in the bowel lumen by fermentation of dietary fiber [41] by anaerobic bacteria such as
These molecules exercise their effects by direct or indirect pathways [37]. Direct mechanisms include local or systemic effects, where the microbiota-gut-brain axis is the most studied systemic example [42]; and indirect ways include the effects of these metabolites in other microbes that could modify their function [37].
SCFAs are associated with the maintenance of gut epithelium integrity and protection of the intestinal barrier [36, 37]. Their principal mechanism is as an energy source for enterocytes, but also butyrate and indole derivatives have been associated with aryl hydrocarbon receptor (AhR) ligands, a nuclear receptor whose activation is reported to modulate cell proliferation, immune response, gene expression, and epithelial barrier function [43]. This association with a healthy intestinal epithelium had been explained by the “Warburg effect” or “butyrate paradox.” Briefly, fiber-rich diets, associated with an increase in SCFA-producing bacteria, induce normal colonocyte proliferation and apoptosis in neoplastic cells, when metabolism is promoted by glucose [37, 38].
Furthermore, butyrate is important for the maintenance of intestinal barrier integrity because increases the expression of tight junction proteins, such as claudin-1, claudin-7, zonula occludens-1 (ZO-1), and ZO-2 [36, 38, 44]. Also, SCFAs can modulate mucin glycoprotein in the mucus layer [45], induce epithelial cell production of RegIIIγ and β-defensins, antimicrobial peptides [46], and reduce luminal pH [36]. All these functions help to avoid the proliferation of pathogenic bacteria and reduce the translocation of molecules to the systemic circulation.
Besides local effects, microbiota metabolites can travel across the intestinal epithelium to systemic circulation or the central nervous system. This can impact different cells via extracellular receptors previously known as G protein-coupled receptors (GPRs) 43, 41, 81, 109A, and 91 [37]. For instance, propionate has a high affinity to GPR41, now called free fatty acid receptor 3 (Ffar3), which modulates cyclic adenosine monophosphate (cAMP); and to GPR43, now Ffar2, which increases the activity of calcium/protein kinase C (PKC) [36]. Butyrate also has activity on GPR 41 and is the only ligand of GPR109A, now hydrocarboxylic acid receptor 2 (HCA2), which also increases cAMP. Depending on the stimulated cells, effects can be seen in the endocrine, immune, and neurologic systems. For example, activation of the HCA2 receptor in dendritic cells and macrophages is associated with stimulation of T cells into the Treg phenotype [47, 48].
SCFAs also act as inhibitors of histone deacetylases (HDACs). When N-acetyl lysine on DNA histones loses its acetyl group, a more tightly wrapped double chain is formed. HDACs are enzymes that remove this acetyl group, altering DNA transcription by limiting access to transcriptional factors [37]. SCFAs can modify the transcription of a broad range of genes by inhibiting HDACs. Besides, butyrate can act as a ligand of nuclear receptor peroxisome proliferator-activated receptor γ (PPARγ) to modulate the transcription of genes associated with lipolysis and adipogenesis [38, 49]. These different pathways help understand the systemic effects that SCFA can have in several organs, depending on which receptor is activated and the dominant SCFA.
The most beneficial effects of SCFAs are associated with an anti-inflammatory profile. They help to regulate cytokine expression, promoting the production of IL-10, and subsequently, differentiation of Treg cells by the Ffar2 mechanism [36, 37]. Besides, due to their capacity for inhibiting HDACs, SCFAs can impede the activation of nuclear factor-kappa β (NF-κB) [38], a protein complex mainly associated with inflammation. When its RelA/p65 subunit is acetylated, NF-κB can increase gene expression of pro-inflammatory cytokines, such as IL17, IL-1b, IL-6, and IL-12 [50], and enhance transcription of growth factors, adhesion molecules, and immune receptors [36]. Altogether, when the production of pro-inflammatory cytokines is reduced and Treg cells are predominant, the immune response is more regulated, and the risk of inflammatory pathologies is decreased.
SCFAs can suppress the NLRP3 inflammasome and promote an adequate immunologic response by directing T cell differentiation in appropriate phenotypes [36]. For example, reducing systemic inflammation in allergic reactions by modification of T helper type 2 cell numbers [37]. Besides, SCFAs are associated with decreased IL-8 in macrophages and neutrophils, TNF-α in mononuclear cells, and nitric oxide synthase in monocytes [51]. Similarly, butyrate can reduce prostaglandin synthesis by inhibiting COX-2 transcription [50]. All these effects help support the anti-inflammatory profile associated with a fiber-rich diet.
Moreover, SCFAs can influence humoral response. In plasmatic cells, acetate can increase retinoic acid conversion from vitamin A, facilitating response to CD4+ T cell and IgA production [47, 52]. Besides, butyrate and propionate favor antigen affinity inhibiting somatic hypermutation and enhancing class-switch DNA recombination in B cells [53]. SCFAs also influence the proliferation and migration of immune cells, not only as energy sources but through MPAK signal transduction and cascades associated with Ffar2 and Ffar3 receptors [51]. HDACs inhibition activity modulates lymphocyte function, increasing Th1, Th17, and innate lymphoid cells2 (ILC2) and ILC3 [47]. In summary, SCFAs not only allow a more balanced immune response but a more efficient and effective one.
SCFAs have proved to impact immune system development in early life. Exposure to SCFAs during the weaning period is associated with a tolerogenic phenotype and lower risk of inflammatory pathologies later in life, improving CD25+ Treg cells, humoral response, and gut epithelium integrity; confirming microbiota’s role in immune system development [54].
Microbiota and their metabolites participate in the bidirectional communication between gut and brain, called the microbiota-gut-brain axis [42]. When SCFAs translocate from intestinal epithelium, they can travel by system circulation, immune system, or enteric-cerebral nervous pathway to provoke changes in distal organs [37, 49].
In the nervous system, butyrate is associated with an increase in cholinergic neurons in the gastrointestinal tract to facilitate motility, propionate with sympathetic activation to greater energy expenditure, and acetate with satiety by hypothalamic stimulation [55]. Similarly, along the gastrointestinal tract, there are enteroendocrine cells (EECs) that sense luminal content and release hormones in the systemic circulation. SCFAs can increase the release of glucagon-like peptide 1 (GLP-1) and peptide YY (PYY), affecting appetite signals and influencing weight control [49]. Therefore, SCFAs can modify autonomic functions and behavior, separately from CNS influence [56].
Another mechanism by which SCFAs alter neurological functions is by direct communication through the vagus nerve and enteric nervous system. SCFAs can alter the expression of GABA receptors [49], production of endothelial nitric oxide, anti-inflammatory and pro-inflammatory components in cerebral microcirculation [55], and increase neurogenesis [56]. Likewise, microbiota’s metabolites are associated especially with microglia maturation and function, involving Toll-like receptors (TLRs) [49] and blood–brain barrier integrity [55]. These effects on CNS immune cells explain why SCFAs are associated with less risk of neuroinflammatory disorders.
There are still many mechanisms to be elucidated that could explain all the beneficial effects that microbiota’s metabolites in eubiosis could have on host health. However, so far, our diet and early life events are one of the most important interventions to secure a healthy immune and neurologic system, through microbiota modulation.
Throughout life, the structure of the intestinal microbiota can be affected by different factors, such as diet, drugs, the host’s immune system, and even the intestinal mucosa itself. Changes in the microbiota can be transient or long-lasting. However, most of the time, alterations in multiple factors are required to generate changes in the microbiota that become harmful to health. This is because the microbiota has resilience, also known as the ability to adapt, to some extent, to changes in the availability of nutrients or environmental conditions [57]. However, when negative conditions are maintained over time, for example, when breastfeeding is not provided or when there is an inadequate dietary pattern or lifestyle in the early years of life, a persistent imbalance of bacterial communities is generated, known as dysbiosis [58].
In addition, some elements have been identified that can amplify or drive changes in the microbiota, making the imbalance more evident and leading directly to dysbiosis. Among them are an increase in the richness of bacteriophages with lytic action in the intestinal environment [59] and the secretion of bacteriocins as a bacterial competition strategy in the intestinal ecosystem. Both situations are enhanced when there is some type of stress [60]. For example, oxidative stress also leads to dysbiosis by promoting the increase of specific bacterial communities and causing the activation of the immune system, as well as the development of subclinical inflammation [57]. This, together with the local and systemic effects of imbalanced SCFAs, described in Section 4 of this chapter, links dysbiosis with the pathophysiological processes of some noncommunicable metabolic diseases, such as obesity, T2D, and CVD [58], as is shown in Figure 1.
Perinatal determinants of the first microbiota and effects of protective or harmful interventions for child health through life. BMI: Body mass index, SCFA: Short-chain fatty acids, TMAO: Trimethylamine-n-oxide, T2D: Type 2 diabetes, ACVD: Atheroesclerotic cardiovascular disease.
Different studies have confirmed that there is an imbalance in the intestinal microbiota of obese children when compared to healthy children with normal weight. In general, an increase in the Firmicutes/Bacteroidetes (F/B) ratio has been described in some populations [61]; while in others, no differences have been found at the phylum level [62]. In the systematic review by Indiani
The specific mechanisms by which these associations could explain the early development of obesity from the DOHaD perspective are diverse. In the Canadian Healthy Infant Longitudinal Development (CHILD) birth cohort [67], 935 mother-infant dyads were followed from pregnancy through the first 3 years. Their results explain the intergenerational transmission of overweight and obesity, where having an obese mother and being born by cesarean section increases the risk 5 times for obesity at 1 and 3 years. In this model, the abundance of some specific families of Firmicutes, such as Lachnospiraceae, were sequentially associated with the development of obesity. This association increased in children with obese mothers and was even higher in those born by cesarean section.
Bacteria belonging to the phylum Firmicutes are mostly SCFA producers, such as butyrate and acetate. This supports the findings of Riva
In obese Canadian children [70], prebiotic supplementation for 16 weeks was associated with a normalized rate of weight gain, decreased percent body fat, and changes in gut microbiota structure, characterized by the increase of
There is increasing evidence of the role of the microbiota in the development of type 2 diabetes (T2D) in youth. In a murine study [71], it was found that during pregnancy, maternal gut microbiota provides protection against obesity and diabetes, through mechanisms related to the SCFA receptors GRP41 and GRP43, which are part of the FFAR family of receptors. This axis participates in the prenatal development of the metabolic and neural systems, driving the development of enteroendocrine cells and pancreatic beta cells. In this way, the deficiency in the signaling of this pathway caused sympathetic dysfunction, compromising energy metabolism, and inducing hyperglycemia.
As in children with obesity, adult patients with T2D have heterogeneous results regarding the F/B ratio [72, 73]. In a study conducted in China [74], it was found that when separating patients with T2D according to the presence or absence of chronic complications, the group without chronic complications presented a higher F/B ratio than those with complications, at the expense of increased Proteobacteria in the latter. Furthermore, some opportunistic pathogens have been identified as part of the microbiota of T2D patients, such as
Seeking to integrate the previous observations, different mechanisms have been proposed that link the microbiota with the regulation of glycemia. Among them is the production of SCFA due to its effects already described and the increase in the secretion of incretins such as GLP-1 and its role in the differentiation of enteroendocrine cells. In addition, there is evidence regarding their participation in the metabolism of bile acids (BA) and the consequent induction of local and peripheral signals, and the regulation of adipose tissue by promoting white adipose tissue browning and by acting as a trigger for metabolic inflammation [76].
The microbiota and its metabolites also modulate the risk and progression of atherosclerosis. Changes in the microbiota diversity and structure have been described in people with atherosclerotic cardiovascular disease (ACVD). As cardiovascular disease is a complication of obesity as well as diabetes, the identified mechanisms coincide with those we have described for these diseases. For example, in a study with 218 patients with ACVD [77], an increased abundance of Enterobacteriaceae and
Given that both cardiovascular disease and T2D have a pre-pathogenic period that can last for decades, and because overweight development usually begins in childhood, the perinatal period and early childhood represent a window of opportunity for their prevention and risk modulation.
There are different ways to gauge the window of opportunity during pregnancy and lactation periods. Firstly, the mother’s diet and physical activity during the preconceptional and pregnancy periods can induce favorable epigenetic modifications in early life. Second, the delivery way influences the intestinal microbiota composition of the newborn, where the advantage is vaginal delivery, followed by breastfeeding. At this point is quite important the physical contact between mother and child. Exclusive breastfeeding in the first 6 months, depending on the mother’s diet, can stimulate the best epigenetic activity to keep a normal growth rate, avoiding a rapid development by direct action or through the intestinal microbiota functionality. After 6 months, a proper food introduction is essential for promoting present and future child’s health, and for inducing a favorable intestinal microbiota balance.
As previously described, DNA methylation is crucial for processes epigenetically regulated. In the early embryogenic stage, most parental gametic methylation signs are erased before the acquisition of marks at implantation and beyond. Just after conception, the external environment influences early embryonic events, which are crucial for the DOHaD concept [79]. Therefore, the mother’s diet, energy balance, composition as well as her nutritional status, and physical condition are determinant during the periconceptional period [80]. Depending on the nutrient balance and richness of the women’s diet in methyl donor compounds, epigenetics modulation will promote normal growth to prevent accelerated fetal growth.
Dietary recommendations during pregnancy are related to amounts of energy, macro-, and micronutrients, such as vitamins and minerals. Dietary reference intake is 340 extra calories during the 2nd pregnancy trimester and 452 for the third one [81]. Pregnant women require a diverse diet, including fruits, vegetables, legumes, nuts, seeds, grains, and tubers, as well as animal-origin products such as dairy, meat, poultry, fish, and eggs. In contrast, pregnant women should avoid some raw seafood, alcohol, and caffeine.
Often health-related practices of a particular cultural group, based on its beliefs, negatively or positively affect the science-based dietary recommendations. For instance, Western diet patterns can fulfill the extra calories for pregnancy, mainly with animal-based products and supplements of vitamins and minerals. Although animal-origin foods contain enough choline, during pregnancy the folate requirement is 600 ug/d and the fiber recommendation is high (28–30 g/d), so supplements are needed [81]. Plant origin fiber is the best recommendation because fruits and vegetables contain in addition to fiber, some very important compounds with antioxidant activity, as well the methyl donor compounds such as betaine and folates, present in leafy green vegetables, broccoli, beans, and peas.
In addition to a diverse and balanced diet, during pregnancy physical activity is necessary for improving glucose tolerance and insulin activity, preventing excessive weight gain. The mother’s emotional well-being is important for the fetus, and fitness promotes an easier delivery.
The delivery mode defines the structure of the neonatal microbiota with an advantage of vaginal delivery over C-section delivery, and it is a key factor for the right development of the immune system [82]. The vaginal microbiota is the source of bacterial colonization for the neonate, with implications for the neonate and the mother’s health. Before delivery, the vaginal microbiota is mainly dominated by Lactobacillus, and just after delivery, it becomes diverse and similar to the neonatal oral microbiota [83].
In some cases, vaginal delivery is not possible, and C-section is done; additionally, because of strong causes, such as illness and drug treatments, feeding is through milk formulas. Apparently, the window of opportunity is lost, but there are other techniques to ensure healthy microbiota, for example, the use of probiotics, prebiotics, synbiotics, and postbiotics (PPSP) either by the mother or by the newborn. Prebiotics are nondigestible components of food that selectively promote the growth of beneficial bacteria in the intestine; while probiotics are live microorganisms that, administered in adequate amounts, confer a health benefit. On the other hand, synbiotics are a combination of prebiotics and probiotics, while postbiotics are an emerging option, which are soluble products or metabolites (such as SCFA) of commensal bacteria or bacterial components that provide benefits to the host [84]. The use of a combination of strains principally
There are still hospitals that pull apart the newborn from the mother if there was a C-section delivery, premature birth, or another reason associated with the mother or newborn’s health. Independently of the delivery mode, skin-to-skin contact between mother and child just after the first hour of life improves the possibility of exclusive breastfeeding in the lactation period. This technique helps to reduce neonatal morbidity due to multiple benefits; for instance, stabilizes cardiopulmonary function, and reduces the risk of hypoglycemia, hypothermia, and infections. After delivery, the effect on the mother is a reduction in anxiety and postpartum bleeding [85]. Everywhere, the neonatal intensive care units should promote family participative care, assisting skin-to-skin contact between the mother and newborn as soon as possible, for the establishment of breastfeeding [86].
Regarding general dietary recommendations during breastfeeding, there are higher requirements for carbohydrates and energy intake of up to 500 extra calories, from the beginning to 6 months of lactation. In addition, choline, dietary fiber, and water intake should be higher during the breastfeeding period than during pregnancy [81]. Besides a balanced diet with animal and vegetable sources, mothers should avoid some raw seafood, alcohol, smoking, and caffeine. It is very important to have the best diet for the mother and child’s well-being. Installation of breastfeeding is mandatory to induce a good balance of the child’s intestinal microbiota, for appropriate immune system development and general child health.
Once and again, microbiota appears in this chapter. It is because the community of different microorganisms in the intestinal tract produces metabolites and cell detritus involved in human metabolic functions. Furthermore, the microbiota influences the immune and central nervous systems; as such, the inhibition of the feeding activity promotes neurons, which ultimately decreases appetite [87]. Therefore, microbiota in dysbiosis could be implicated in metabolic disorders, such as obesity.
A strategy to help the infant to maintain the balance and achieve the stability of its microbiota is to make a correct introduction of solid foods in its diet or complementary feeding. It starts when breast milk or formula composition is not sufficient to accomplish the nutritional requirements of infants, usually from six to 23 months. Breastfeeding can continue at the same time as complementary feeding; the focus is to provide nutrients enough to meet the nutritional requirements of infants. A complementary feeding that is carried out in a staggered manner allows the microbiota to adapt and enrich itself in diversity; thus, it becomes more stable. The problem is that if neglected, complementary feeding has the potential to contribute to childhood overweight and obesity [88].
PPSPs have shown beneficial potential for treating overweight and obesity in children. The proposed mechanism is the modulation of the structure of the microbiota, the profile of microbial metabolites, and the improvement of the intestinal barrier mechanism [84, 89]. In patients with T2D, the use of PPSP decreases fasting blood glucose, total cholesterol, triglycerides, and insulinemia, as demonstrated in the meta-analysis by Bock et al. [90]. However, more studies are still needed to define its role in the prevention and/or treatment of chronic noncommunicable diseases, especially during pregnancy and early childhood.
The task to accomplish a good approach to raising a healthy child across the life course looks so difficult, but any effort pays off with profit. A well-planned pregnancy followed by a balanced and diverse diet, a vaginal delivery with immediate breastfeeding, skin-to-skin contact between mother and newborn, and basic care for the first months is crucial for the metabolic programming of the baby. However, also a carefully complementary feeding from 6 to 24 months, as well as an adequate lifestyle, will help maintain eubiosis, the proper maturation, and functioning of the immune system, and reduce the risk of developing early chronic diseases.
There is evidence that demonstrates the relationship between alterations in the intestinal microbiota and the risk of developing chronic noncommunicable diseases throughout life, such as obesity, T2D, and stroke. The involved mechanisms derive from the local and systemic effect of microbiota products, such as SCFAs, indoles, anthocyanins, TMAOs, and BA, as modulators of the inflammatory response and lipid metabolism, among others. Perinatal and early childhood factors modulate the first microbiota and early metabolic programming by epigenetic mechanisms. Thus, the intestinal microbiota is an additional component to the epigenetic mechanisms that strengthen the DOHaD theory and that should be considered in the establishment of preventive measures in the first 1000 days of life.
The authors declare no conflict of interest.
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The focus has passed from the administrative management tasks to becoming a strategic partner of the overall organization strategy, largely with the strong support of information technologies’ evolution in this field of knowledge area. The extended use of information systems has a deep effect in the way HRM is managed nowadays. It boosted a major transformation of human resources (HR) processes and practices within organizations, namely on how they collect, store, use, and share information. Several HRM processes have become more efficient and the impact of this service level improvement allowed a greater involvement of HR in the business strategy. This new role in business strategy adds significant changes to HR function and to its professionals. Along this chapter, we discuss the effects of information systems in HRM, considering the existing literature on the topic, and describe the benefits and possible limitations of using them. 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Management Functions and Information System Components as an integration model are (1) to explain Management Functions, Information System Components, Goals and Benefit related to Information System and (2) to explain integration process of Management Functions with Information System Component to get goals and benefits as an integrated model. Research method using expert method has done an integration of management function, which includes the cycle of P, O, A, C, E and I, to run management process, must be step by step, and as a cycle. Information components include S, H, F, B, and T and must have minimum requirement. Management of Information System needs goals and benefits that can be calculated clearly and specifically. To get goals and benefits in excellence performance are needed the integrated process to coordinate management functions and information system components, as an Integrated Model with an example in applications of software in Nosocomial Infection Control for Hospital, as the figure below.",book:{id:"6259",slug:"management-of-information-systems",title:"Management of Information Systems",fullTitle:"Management of Information Systems"},signatures:"Boy Subirosa Sabarguna",authors:[{id:"200387",title:"Ph.D.",name:"Boy Subirosa",middleName:null,surname:"Sabarguna",slug:"boy-subirosa-sabarguna",fullName:"Boy Subirosa Sabarguna"}]},{id:"57870",title:"Information and Information Technologies in Conflict Management",slug:"information-and-information-technologies-in-conflict-management",totalDownloads:1234,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"This paper analyzes information and modern information technologies as applied in different organizational environment and considers the content and peculiarities of conflict management process based on implementation of communicative scenarios. Currently, the need for escalated organizational transformations has become imminent, taking into account the intensifying development of the differentiated information society, which requires properly interactive and transparent policy-making. 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Management information system, or MIS for short, is a kind of information system. It is a key factor to facilitate and attain efficient decision-making in an organization. Its performance relates to many other information systems, for instance, DSS or decision support system, SIS or strategic information system, etc. Methods of testing statistical hypotheses concerning the performance of MIS are absolutely essential to support management activities and decision-making.",book:{id:"6259",slug:"management-of-information-systems",title:"Management of Information Systems",fullTitle:"Management of Information Systems"},signatures:"Khu Phi Nguyen and Hong Tuyet Tu",authors:[{id:"150274",title:"Associate Prof.",name:"Khu",middleName:"Phi",surname:"Nguyen",slug:"khu-nguyen",fullName:"Khu Nguyen"}]},{id:"63078",title:"Decision Support Systems",slug:"decision-support-systems",totalDownloads:2346,totalCrossrefCites:7,totalDimensionsCites:13,abstract:"The current decision-making problems is more complex than it was in the past, prompting the need for decision support. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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