\r\n\t
\r\n\tThis book aims to present the basic concepts about the cobalt based alloys, mechanisms of their formation, and applications in various fields. This will be interesting for the research students, scientists, engineers, and material scientists.
",isbn:null,printIsbn:"979-953-307-X-X",pdfIsbn:null,doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"84cb653992ef09e5920cda1d8b854fd6",bookSignature:"Dr. Maaz Khan",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/10139.jpg",keywords:"Cobalt Super Alloys, Properties, Magnetic Alloys, Fabrication, Medical Implantation, Wear-resistant, Corrosion Resistance, Industrial Application, Controlled Expansion, Structural Products, Optical Systems, Specific Stiffness",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"November 12th 2019",dateEndSecondStepPublish:"March 9th 2020",dateEndThirdStepPublish:"May 8th 2020",dateEndFourthStepPublish:"July 27th 2020",dateEndFifthStepPublish:"September 25th 2020",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"2 years",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:5,editedByType:null,kuFlag:!1,biosketch:null,coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"107765",title:"Dr.",name:"Maaz",middleName:null,surname:"Khan",slug:"maaz-khan",fullName:"Maaz Khan",profilePictureURL:"https://mts.intechopen.com/storage/users/107765/images/system/107765.png",biography:"Dr. Maaz Khan is working as Deputy Chief Scientist (Professor) at PINSTECH, Pakistan. He has done Ph.D. and post doctorate in the field of Material Science (Nanoscience). His research interests include fabrication of nanomaterials and their structural, optical, magnetic, and electrical characterizations. He has authored more than 100 research articles and published 10 books. Presently, he is the Editor-in-Chief of ‘Journal of Materials, Processing and Design\\' and \\'The Nucleus\\'. He is also the Executive Editor of \\'International Journal of Nano Studies and Technology\\'. 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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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Sglavo",coverURL:"https://cdn.intechopen.com/books/images_new/6320.jpg",editedByType:"Edited by",editors:[{id:"17426",title:"Prof.",name:"Vincenzo Maria",surname:"Sglavo",slug:"vincenzo-maria-sglavo",fullName:"Vincenzo Maria Sglavo"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"69263",title:"Rice Grain Quality: Current Developments and Future Prospects",doi:"10.5772/intechopen.89367",slug:"rice-grain-quality-current-developments-and-future-prospects",body:'1. Introduction
Rice is the staple food of half of human population globally and fulfills over 21% calorific requirement of world population. About 90% of the rice is produced and consumed in Asia. During 1960s to 1970 when the major rice producing countries relied on rice as a subsistence crop, the major emphasis was on high yield. As these countries attained food security and standard of living of the rice eating population improved, consumers became conscious about grain quality. Their potential as exporters of surplus rice produced, gave a further impetus to grain quality research. The world population is expected to reach 9.8 billion from the current 7.6 billion by 2050 (The World Population Prospects: The 2017 Revision, published by the UN Department of Economic and Social Affairs). The current challenge to rice improvement programs is to feed the ever-growing population with diminishing natural resources and environmental fluctuations on one-hand and varieties that have grain quality that the consumer demands, on the other. The economic value and the consumer acceptance/preference of a rice variety depend on rice grain quality [1, 2, 3]. Rice grain quality is a complex trait and is therefore difficult to define comprehensively. Rice quality comes from a polygenic group of traits that are affected by environmental factors, crop management and the resulting interactions among these. It involves the physical appearance, milling quality, cooking, sensory and nutritional value. The emphasis laid on each of these traits depends on regional consumer preference, market demand, and intended functional use. For instance, consumers in North Asia prefer short and bold rice grains with low amylose, whereas in several states of India, most parts of Pakistan and Iran prefer long, slender grains having intermediate amylose content [4]. One of the major challenges facing the rice improvement programs is to have simple, robust, high throughput methods for assessing various quality traits that can reflect consumer preference. We review here the key grain quality traits and the classical and modern methods used in rice improvement programs to evaluate them. A comprehensive list of quality evaluation methods for different parameters is given in Table 1.
S. No. | Quality parameter | Recent quality evaluation method(s) |
---|
Cooking and eating quality |
1. | Apparent amylose content | HPLC-SEC [5] DSC [6] NIRS [7, 8] |
2. | Cooking time | Measured indirectly by estimating gelatinization temperature using DSC [6] |
3. | Kernel elongation | None |
4. | Grain volume expansion | None |
5. | Gelatinization temperature | Measurement of starch gelatinization by DSC, photometric method, alkali photometry, or RVA pasting curve [9] |
6. | Pasting properties | Brabender visco-amylograph, micro Visco-analyzer [10, 11] |
Textural and sensory quality |
7. | Gel consistency | None |
8. | Texture profiling | Instron hardness testing. Parallel plate plastometer, consistometer, texturometer, hardness tester, viscoelastograph, tensipresser, surface tensiometer, Kramer shear or texture press, extrusion and back extrusion, puncture test |
9. | Sensory evaluation | None |
10. | Aroma profiling | Detection and quantification of 2-acetyl-1-pyrroline by GC-MS [3] Detection of total volatile metabolome by GC-MS |
11. | Rancidity test | Detection of free fatty acids by titration or colorimetry [12] |
Nutritional quality |
12. | Protein content | NIRS [13] |
13. | Lipid content | Metabolomics approach using LC-MS [14] or GC-MS |
14. | Resistant starch content | None |
15. | Nonstarch polysaccharide content and dietary fiber content | CE [15], HPLC coupled with mass spec detector |
16. | Micronutrients | AAS, ICP-OES, ICP-MS [16, 17], XRF |
17. | Digestibility | Time-resolved NMR [18] |
Table 1.
Summary of evaluation methods used for determining rice quality.
2. Rice quality traits
2.1 Appearance quality
Major factors determining market value are immediately discernible by the consumers and include physical properties like, whiteness, translucence, uniform shape and yield of edible polished grain. Visual characters of rice grains like grain dimensions, chalk, color and whole grain recovery are important attributes that affect the choice of consumers’ and millers. Therefore, these are among some of the first selection criteria in varietal improvement programs [19, 20, 21]. Grain size depends on the length of the grain in its greatest dimension, while grain shape is based on length-to-breadth ratio [20]. The classification of rice samples based on size and shape is not standardized across different countries and different marketing areas [22, 23]. The routine classification system used by the International Rice Research Institute (IRRI) breeding programs for grain size is as follows: short (≤5.50 mm), medium/intermediate (5.51–6.60 mm), long (6.61–7.50 mm), and very long (>7.50 mm). Similarly, the grain shapes of rice can be described based on the length-to breadth ratio values, and the classification used in IRRI is: bold (≤2.0), medium (2.1–3.0), and slender (>3.0) [23]. Chalky areas in rice grains present on the dorsal (white belly), ventral side (white back) or in the center are opaque white parts of the endosperm and generally, associated with poor quality in many rice markets thus these grains have lower market acceptability [24]. Classification of the grains is based on the proportion of the grain that is chalky: none (0%), small (<10%), medium (10–20%), and large (>20%) [23, 25, 26]. The starch granules in the chalky areas of the grain have air spaces between them, are small and less compact compared to bigger and tightly packed granules in translucent areas and hence are more prone to breakage during milling [27, 28]. Chalk thus affects both the esthetic value and head rice yield decreasing the marketability of rice. Chalk is caused by both environment and genetic factors. Increase in nighttime air temperatures during grain filling stage can increase chalk and reduce head rice yields [29, 30]. Rice grain dimensions are conventionally measured using transparent rulers, vernier calipers and photographic enlargers [31], while the proportion of grain that is chalky is visually scored. Measuring of grain dimensions using manual methods is both labor intensive and time-consuming. Moreover, visual scoring of chalk involves subjectivity. Now-a-days, image analysis methods are being used in advanced laboratories that are very convenient and objective [31, 32, 33].
Yin et al. [34] divided the dimensions of grain shape into grain length, grain width, length-to-width ratio, grain area, grain circumference, grain diameter, and grain roundness. Several important genes have been characterized in previous studies that control grain shape traits, e.g., GS3 [35] affecting grain length, qSW5/GW5/GSE5 [14, 36, 37] affecting grain width, GL7/GW7 [38] shaping both grain length and grain width. In various studies across different environments and genetic backgrounds, a major effect quantitative trait loci (QTL) for grain length, GS3 was identified near the centromeric region of chromosome 3 [12, 35, 39, 40]. However, a functional marker in the second exon of GS3 was identified that explains 80–90% of the kernel length variation [41]. Bai et al. [42] identified four QTLs for grain length on chromosomes 3 and 7; and 10 QTLs for grain width and 9 QTLs for grain thickness on chromosomes 2, 3, 5, 7, 9 and 10, respectively. A total of 28 QTLs were detected, of which numerous were reported for the first time. Four major and six minor QTLs for grain shape were also identified in their study. Later on, qGL7 was narrowed down to an interval covering a 258 kb region in the Nipponbare genome between InDel marker RID711 and SSR marker RM6389, and co-segregated with InDel markers RID710 and RID76. The dimensions of grain shape were dissected by Yin et al. [34] into grain length, grain width, length-to-width ratio, grain area, grain circumference, grain diameter, and grain roundness. By contrast, a few QTLs for grain chalkiness have been finely mapped and characterized functionally. Chalk5 was the first cloned and functionally characterized gene that controls rice grain chalkiness which encodes a vacuolar H+-translocating pyrophosphatase [43]. Two methods are commonly applied for genetic dissection of these complex traits: QTL mapping in bi-parental recombinant populations and genome-wide association studies (GWAS) using diverse varieties. In general, genetic diversity and mapping resolution are limitations in the bi-parental linkage approach, while conventional GWAS is often mystified by complicated population structure and low power to map the low-frequency alleles [44, 45]. Genome-wide high-resolution mapping for the traits of grain shape and grain chalkiness was performed by Gong et al. [46] in hybrid rice using multiple collaborative populations for joint analyses.
2.2 Milling quality
Milling yield is an important quality character especially from the commercial standpoint [47]. It includes milled rice yield and head rice yield. Milling yield is the estimate of the quantity of total milled rice obtained from a unit of rough rice (paddy) and produced by removing the hulls, germ, and most of the bran. It includes intact and broken kernels and generally expressed as percentage [48]. Head rice is the intact or “whole” kernels and includes milled kernels having equal to or more than three-fourth length. The economic value of broken kernels is only 50–60% that of head rice, supporting the immense impact it has on marketability. Bran consists of several layers of outer covering of the endosperm. These layers include the pericarp, testa (seed coat), the nucellus and the aleurone, including the germ, are collectively called bran. Both, the degree of milling, which is an estimate of the degree to which the bran layers are removed from the endosperm, and fissuring of grains contribute to the percentage of broken kernels and hence, determine the overall milling quality [49]. Fissures or cracks in the grains weaken the strength of the grain and predispose them to break when exposed to mechanical forces during milling process [50]. Post-harvest drying of rice is one of the greatest factors that affect the percentage of broken kernels. Alternate wetting and drying of grains, drying at high temperatures and non-equilibrated grains before polishing lead to a decrease in head rice recovery [51, 52, 53, 54, 55]. Milling quality is determined with the help of laboratory-sized mills. They include dehuskers that remove husk, polishers or Test Rice Whitening Machine and graders, indent cylinders and shaker tables to segregate broken kernels from milled rice. Lam and Proctor [56] determined that linoleic and oleic acids were the main fatty acids released during milled rice surface lipids hydrolysis. Limited number of QTLs has been identified for milling quality. Two have been fine mapped but none has been cloned so far [57].
2.3 Cooking and sensory quality
Rice is mainly consumed as polished grain in contrast to other staple cereals like wheat and maize that are consumed after the grain is ground to flour. Therefore, the quality characters of rice grain assume greater importance. The chief component of milled rice grain is starch which constitutes approximately 78% (14% moisture) or 90% (dry weight) of the endosperm [58]. Thus, the properties of starch mainly determine the cooking and eating quality of rice grains. Three important traits of starch that determine the cooking and organoleptic properties of rice grain are: apparent amylose content (AAC), gelatinization temperature (GT) and gel consistency.
The amylose fraction, essentially the linear polymer of glucose, forms only a small component of starch. The other major form of starch is the highly branched amylopectin molecule. Amylose is an important quality trait of rice and is considered as an indirect predictor of cooking and sensory quality [59, 60, 61]. Iodine-binding assay, generally used for measuring amylose content, also detects long-chain amylopectin in addition to ‘true’ amylose [62]. Hence, amylose is referred to as apparent amylose content (AAC). AAC of starch ranges from 0.8 to 1.3% in waxy rice, whereas it constitutes 8–37% [58] in non-waxy rice, the rest being amylopectin. AAC is directly proportional to water absorption, volume expansion, fluffiness, hardness and inversely proportional to cohesiveness, tenderness, stickiness and glossiness of cooked rice. Based on AAC, rice can be classified as: waxy (0–2%), very low (3–9%), low (10–19%), intermediate (20–25%), and high (>25%) [10]. Despite overestimating the actual amylose content and other limitations, iodine—binding assay that produces blue iodine—amylose complex when iodine binds to gelatinized rice flour which is quantified using a spectrophotometer, remains the method of choice for determining AAC. The two methods approved for the estimation of amylose content in milled rice are: the AACCI Method61-03.01 and ISO Method 6647-1:2015 [63, 64]. Auto-analyzers are also being used for routine amylose estimations in several rice improvement programs [65].
In general, the AAC is related to sensory quality of cooked rice however, there are varieties that have the same AAC but differ in their cooked rice hardness [66]. To account for such differences, a complementary test called gel consistency (GC) is routinely used [32]. It measures the length moved by rice flour gel, before it sets. Rice is classified into three GC groups based on gel length: hard and very flaky (≤40 mm), medium and flaky (41–60 mm), and soft (>61 mm). The differences in GC groups are explained on the basis of the proportion of hot water soluble amylose compared to that of insoluble amylose. The varieties with higher proportion of hot water insoluble amylose exhibit hard GC [67, 68]. Studies have indicated that long-chain amylopectin that remains in the gelatinized starch granule is probably the hot water insoluble amylose [69, 70]. According to Matsue et al. [71], amylose and protein content, amylographic characteristics, and even palatability showed significant difference depending on the position of spikelets in a panicle.
Conventional genetic studies have revealed that AAC is under the control of one major gene with several modifiers [56]. Among non-waxy parents, high amylose is completely dominant over low or intermediate amylose, and intermediate is dominant over low [72]. With the advent of molecular marker technology, it is now easy to apprehend complex quantitative traits [73]. Amylose content is reported to be mainly controlled by the waxy gene locus (Wx) present on chromosome 6, which encodes the granule-bound starch synthase (GBSS) [74].This enzyme is required for amylose synthesis, and several alleles are encoded by the Wx locus [75, 76]. Three alleles of the waxy gene—Wx, Wxa and Wxb are known, which exist in waxy (sticky) rice, indica and japonica sub-species, respectively. The activity of the encoded protein, GBSS differs in different genetic backgrounds [77]. A single nucleotide polymorphism (SNP) at the splice site of intron 1 differentiates low amylose varieties from intermediate and high varieties. This SNP defines the Wxa and Wxb alleles for high and low amylose, respectively [78]. In the Wxin allele [76] it was identified that an SNP in exon 6, results in an amino acid substitution from serine to tyrosine that distinguishes high and intermediate amylose varieties [75].
Gelatinization temperature (GT) is another important physicochemical parameter that ranges from 55 to 80°C and provides information regarding the cooking time of rice and its texture [79]. The temperature at which the semi-crystalline structure of starch begins to melt in hot water with loss of birefringence is termed GT [1]. GT is classified into three classes: low (55–69°C), intermediate (70–74°C) or high (75–79°C) [27]. GT is dependent on the amylopectin fine structure of starch with higher proportion of short chains (DP 6–12) decreasing the GT [80, 81]. Consumer preferences are varied throughout the world but varieties with intermediate GT are mostly preferred [82]. The two most commonly used methods for GT determination are: alkali spreading value (ASV) and Differential Scanning Calorimetry (DSC). ASV is based on the disintegration of starch granules present in milled rice grains in dilute KOH. The extent of disintegration is numerically scored on a scale of 1–7 [31, 68]. Though ASV is a high throughput method for the determination of GT, it is an indirect and subjective test. In contrast, DSC is an instrumental method based on measuring in real time, the first peak of the endotherm as the starch granules gelatinize [6, 83, 84]. DSC is a precise but an expensive method for measuring GT and cannot be routinely used to screen thousands of breeding lines in rice improvement programs. GT is also determined by an amylograph method [85] which tracks the viscosity changes that take place when rice flour-water slurry is heated with continuous stirring and was approved as the AACCI Method 61-01.01. The temperature at which the viscosity of 20% slurry begins to rise, determines the GT. The instrument used extensively in advanced rice quality labs is Rapid Viscoamylograph (RVA) [1]. It determines the viscosity changes during the heating and cooling of relatively small rice flour samples (6 g) AACCI Method 61-02.01.
A QTL corresponding to the alk locus was identified by Fan et al. [35], having a major effect on alkali spreading value. Alk/alk codes for starch synthase IIa (SSIIa) which is responsible for the vital differences in amylopectin chain length distribution [81]. Specifically, four haplotypes are able to distinguish between low and high GT. But a marker which is able to identify genotypes with the intermediate class of GT has yet to be discovered. GT is classified into two groups by allelic variation in SSlla [81, 86]. The SNPs in SSlla define four haplotypes [87, 88] and two haplotypes associate with high and two with low GT. Varieties having intermediate GT are found in all haplotype groups [89], thereby suggesting that another locus interacts with SSlla to produce the intermediate phenotype. SNP mutations in the rice alk gene have been shown to alter the amylose content in grains [88]. Although several alleles of Waxy/waxy and Alk/alk genes linked with different forms of starch have been identified [87], other starch biosynthesis genes in addition to Waxy/waxy and Alk/alk also affect rice cooking and eating quality. However, starch structure does not clarify all the variation in rice grain quality parameters present in all rice germplasm [90].
Aroma is a prized sensory trait of cooked rice that increases its market value. Among more than 100 identified volatile compounds, 2-acetyl-1-pyrroline (2-AP) is the major chemical compound contributing to the fragrance of Basmati rice, Jasmine rice and Pandanus leaves [91, 92, 93, 94]. Aroma is traditionally detected by smelling after reaction with 0.1 M KOH. However, this method is subjective and is also harmful to the nasal cavity of the analyst upon continuous and prolonged exposure. To solve this problem, gas chromatography coupled with flame ionization detector (GC-FID) or mass spectrometry (GC-MS) is being used in advanced rice breeding facilities. However, these methods are expensive and involve high running and maintenance costs. Therefore, molecular markers related to 2-AP are routinely used in rice breeding programs working on aroma.
Genetics studies of aroma have been an attractive research topic and many researchers studied it by employing various sensory tests. A few scientists like Reddy and Reddy [95] described two to three recessive or dominant genes that determine the fragrance, but most researchers believe that Basmati fragrance is under the control of a single recessive gene [96, 97]. Almost two decades of attempts to know the genetics of aroma at molecular level concluded in mapping of a single locus (fgr) on chromosome 8. QTL mapping [98, 99] followed by fine mapping [94], sequence analysis and complementation test [100] have helped to determine that Betaine Aldehyde Dehydrogenase (BADH2) gene possessing 15 exons and 14 introns is the fragrance causing gene (fgr). Several studies have suggested that a recessive allele of BADH2 carrying fragment deletions, badh2 includes 7 bp deletion in 2nd exon, an 8 bp deletion in 7th exon and an 803 bp deletion between exons 4 and 5 [101, 102]. This characterization of fragrant and non-aromatic rice varieties suggested that these events might have occurred after the divergence of aromatic and non-aromatic varieties from the common ancestor. On the other hand, the functional BADH2 converts AB-ald (presumed 2-AP precursor) into GABA (4-aminobutyraldehyde) in non-fragrant rice and the non-functional BADH2 causes accumulation of AB-ald and thereby enhances 2-AP biosynthesis in fragrant rice [100]. A study by Kovach et al [103] suggested that Basmati cultivars were nearly identical to the ancestral japonica haplotype across 5.3 Mb region flanking BADH2 thereby, demonstrating the close evolutionary relationship of Basmati cultivars with japonica varietal group. Due to instability in expression of Badh2 gene and complexity in fragrance determination, marker assisted selection (MAS) is considered to be a useful tool for screening this trait.
Detailed studies were done by Sood and Siddiq [104] on the geological distribution of kernel elongation gene(s) in rice and reported that varieties showing high kernel elongation on cooking were known to be traditionally cultivated in the northwest part of undivided India. Kernel elongation upon cooking is an endosperm character significantly influenced by factors like environment, aging, etc. Basmati rices are characterized by doubling of kernel length upon cooking. Despite being an important trait, not many reports are available on the inheritance of kernel elongation on cooking. Among the limited number of studies on this trait, one study had reported identification of a QTL between two RFLP markers viz., RZ323 and RZ562 and mapped it at a distance of 14.6 cM on chromosome 8 [105].
2.4 Nutritional quality
Rice is consumed as a staple for providing sustenance to its consumers’. With improving purchasing power of the rice consumers’ post green revolution, nutritional quality of rice gained importance. As starch is the main constituent of milled rice grain, it is the major source of energy and affects its nutritional quality. It has been reported that starch is digested at different rates in human gastro-intestinal tract [106]. The digestibility of starch is measured by estimating the rise in blood glucose level of humans upon consumption of a food containing 50 g available carbohydrates compared to a standard solution containing 50 g glucose [107, 108, 109]. This glycemic response is reported as glycemic index (GI). However, estimation of GI involves low-throughput and expensive clinical assays, therefore, it is not routinely used in screening for low GI rices [110]. In vitro estimation of nutritional fractions of starch can be carried out by estimating the content of total sugars, total starch, rapidly digestible starch, slowly digestible starch and resistant starch [111, 112]. Apart from starch, the other major macronutrients present in milled rice grain are: storage proteins (7%), storage lipids (<1%) and non-starch polysaccharides (NSPs, trace amounts). These macronutrients significantly affect the nutritional quality, textural and sensory traits, and functional properties [113] even though they constitute minor components of milled rice grain. Storage proteins are major source of proteins in developing countries, are hypoallergenic and possess superior amino acid composition [114]. The Kjeldahl method with modifications to accommodate smaller sample sizes (AACCI Method 46-13.01) [63] is widely used method for the estimation of total proteins. Individual amino acids can be quantified after acid hydrolysis using pre-column derivatization with a fluorescent derivatizing reagent followed by HPLC separation [115, 116]. Rice lipids serve nutritional and functional role. They provide protection against cardiovascular diseases and cancer [117] and also affect the pasting properties. Crude fat in rice grains is routinely analyzed using a standard method (AACCI Method 30-10.01). The fatty acid composition of the bran layer can also be analyzed using gas-liquid chromatography (GLC) [118]. NSPs are concentrated in the bran layer and only trace amounts are detected in the milled rice grains but have nutritional importance because of their unique composition compared to other cereals [109].
Nutritional components such as minerals, vitamins and phytochemicals are concentrated in the bran layer and are either absent or present at low levels in milled grains. The iron and zinc content are generally low and some of which is lost during milling. So a modest increase in these levels in rice would provide a significant nutritional boost to the hundreds of millions of people who depend on it. Hence there is an imperative need for a shift in emphasis toward development of nutritionally high quality rice. This is achieved by evaluating the available germplasm lines for micro nutrient content and by generation of knowledge regarding their inheritance pattern to use in future breeding programs. Micronutrients are being quantified by using atomic absorption spectroscopy (AAS), X-ray fluorescence spectrometry (XRF), inductively coupled plasma-mass spectrometry (ICP-MS), laser-induced breakdown spectroscopy (LIBS), and inductively coupled plasma-optical emission spectrometry (ICP-OES) [16, 17].
Integration of marker assisted breeding with conventional breeding creates a possibility to track the introgression of nutritional quality associated QTLs and genes into a popular/elite cultivar from various germplasm sources [119]. Two consistent QTLs for protein content in milled rice were reported by Zhong et al. [120] as qPr1 and qPr7 and located in the marker interval of RM493-RM562 and RM445-RM418 on chromosome 1 and 7, respectively. Gande et al. [121] identified 24 candidate genes namely OsNAC, OsZIP8a, OsZIP8c and OsZIP4b showed significant phenotypic variance of 4.5, 19.0, 5.1 and 10.2%, respectively. The QTL associated with increased grain protein content has been cloned and designated as Gpc-B1 [122].
3. Future prospects
Rice quantity and quality are directly or indirectly influenced by decrease in suitable arable land due to increase in urbanization, urban migration, soil deterioration and problems relating to climate fluctuations. Rice eating and cooking quality traits appear to be simple but the genetic machinery is too complex and needs to be deciphered. Rice appearance quality is a complex trait and involves interaction between quality and yield and also between quality and environment. Grain chalkiness is of primary concern since it affects milling, appearance, eating and cooking qualities [123]. To reduce chalkiness, genotypes with low chalk formation at high temperature after heading can be identified and utilized through MAS. Biochemical, physiological and molecular mechanisms have to be worked out by identifying and cloning chalkiness functional genes. The most challenging issue facing milling industry is to obtain high head rice recovery, since it is directly related to profitability to both the farmers and millers. Genetic understanding of milling quality is still limited [57]. Improvement of milling quality requires (i) search for QTLs with large effect (ii) robust and accurate analytical tools to measure the trait (iii) improvement in postharvest handling and storage techniques (iv) Breeding efforts through MAS. With the expeditious progress in functional genomics and development of high throughput genotyping technologies, more number of rice functional genes will be cloned in the future.
Increased awareness among the rice consuming population toward sensory and nutritional traits makes it necessary to develop evaluation techniques that can directly correlate with the consumer perception. To improve eating and sensory quality of rice it is important to integrate methods in textural analysis and rheology with taste and flavor metabolomics. Nutritional quality of rice is another trait that needs to be included in rice improvement programs. Rice has an important role to play to mitigate the impact of non-communicable diseases like diabetes. Since starch forms about 90% of milled rice grain weight, its structure (amylose content, branching pattern) and digestibility (resistant starch) affect its nutritional quality. Clinical evaluation of rice digestibility is difficult, therefore, methods for accurate in vitro estimations should be developed and validated in vivo. Available germplasm can be screened for resistant starch, amylose content, digestibility, and other health-promoting properties [110]. Cooking and processing methods have a major impact on digestibility and eating quality [33]. Further research is needed to assess how these cooking and processing techniques affect the structural, physical-chemical, and mechanical properties of rice. Robust and innovative modeling approaches that link the physical-chemical changes that occur during cooking (amylose leaching, gelatinization, water absorption) with rice grain digestibility and nutritional value and consumer demands could help in identifying the key determinants of rice grain cooking and sensory quality.
\n',keywords:"rice, cooking traits, sensory quality, appearance quality, genetic basis, nutritional quality",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/69263.pdf",chapterXML:"https://mts.intechopen.com/source/xml/69263.xml",downloadPdfUrl:"/chapter/pdf-download/69263",previewPdfUrl:"/chapter/pdf-preview/69263",totalDownloads:1059,totalViews:0,totalCrossrefCites:7,totalDimensionsCites:9,totalAltmetricsMentions:0,impactScore:3,impactScorePercentile:84,impactScoreQuartile:4,hasAltmetrics:0,dateSubmitted:"February 12th 2019",dateReviewed:"August 27th 2019",datePrePublished:"November 27th 2019",datePublished:"February 26th 2020",dateFinished:"September 26th 2019",readingETA:"0",abstract:"Grain quality of rice is more complex than other cereals, since it is mostly consumed as whole grain in countries where it serves as a staple food. Quality characteristics are major determinants of market price and include milling, physical appearance, cooking, sensory, palatability, and nutritional value. A better understanding of the factors that control these quality characteristics will be useful for developing new breeding strategies. In this chapter, we will review the progress made toward improvement of important grain quality traits along with their genetic basis. This chapter will also give innovative insights into the knowledge gained through new tools that integrate grain quality with high yield in the present scenario of diminishing natural resources and environmental fluctuations.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/69263",risUrl:"/chapter/ris/69263",book:{id:"8168",slug:"recent-advances-in-grain-crops-research"},signatures:"Neerja Sharma and Renu Khanna",authors:[{id:"295220",title:"Dr.",name:"Neerja",middleName:null,surname:"Sharma",fullName:"Neerja Sharma",slug:"neerja-sharma",email:"neerjasharma@pau.edu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"295960",title:"Dr.",name:"Renu",middleName:null,surname:"Khanna",fullName:"Renu Khanna",slug:"renu-khanna",email:"renukhanna-pbg@pau.edu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Rice quality traits",level:"1"},{id:"sec_2_2",title:"2.1 Appearance quality",level:"2"},{id:"sec_3_2",title:"2.2 Milling quality",level:"2"},{id:"sec_4_2",title:"2.3 Cooking and sensory quality",level:"2"},{id:"sec_5_2",title:"2.4 Nutritional quality",level:"2"},{id:"sec_7",title:"3. Future prospects",level:"1"}],chapterReferences:[{id:"B1",body:'[Champagne ET, Bett KL, Vinyard BT, McClung AM, Barton FE, Moldenhauer KA, et al. Correlation between cooked rice texture and Rapid Visco Analyser measurements. Cereal Chemistry. 1999;76:764-771]'},{id:"B2",body:'[Juliano BO. Rice Chemistry and Quality. Manila, Philippines: Phil Rice; 2003. pp. 199-251]'},{id:"B3",body:'[Fitzgerald MA, Hamilton NRS, Calingacion MN, Verhoeven HA, Butardo VM. Is there a second fragrance gene in rice? Plant Biotechnology Journal. 2008;6:416-423]'},{id:"B4",body:'[Calingacion M, Laborte A, Nelson A, Resurreccion A, Concepcion JC, et al. 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Genetic and biochemical basis of scent in rice (Oryza sativa L.). Theoretical and Applied Genetics. 1987;73:699-700]'},{id:"B96",body:'[Sood BC, Siddiq EA. A rapid technique for scent determination in rice. Indian Journal of Genetics and Plant Breeding. 1978;38:268-271]'},{id:"B97",body:'[Jin QS, Waters D, Cordeiro GM, Henry RJ, Reinke RF. A single nucleotide polymorphism (SNP) marker linked to the fragrance gene in rice (Oryza sativa L.). Plant Science. 2003;165:359-364]'},{id:"B98",body:'[Ahn SN, Bollich CN, Tanksley SD. RFLP tagging of a gene for aroma in rice. Theoretical and Applied Genetics. 1992;84:825-828]'},{id:"B99",body:'[Lorieux M, Petrov M, Huang N, Guiderdoni E, Ghesquière A. Aroma in rice: Genetic analysis of a quantitative trait. Theoretical and Applied Genetics. 1996;93:1145-1151]'},{id:"B100",body:'[Chen S, Yang Y, Shi W, Ji Q , He F, Zhang Z, et al. 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African Journal of Biotechnology. 2014;13:657-663]'},{id:"B122",body:'[Uauy C, Brevis J, Dubcovsky J. The high grain protein content gene Gpc-B1 accelerates senescence and has pleiotropic effects on protein content in wheat. Journal of Experimental Botany. 2006;57:2785]'},{id:"B123",body:'[Siebenmorgen TJ, Grigg BC, Lanning SB. Impacts of pre-harvest factors during kernel development on rice quality and functionality. Annual Review of Food Science and Technology. 2013;4:101-115]'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Neerja Sharma",address:"neerjasharma@pau.edu",affiliation:'- Department of Plant Breeding and Genetics, Punjab Agricultural University, Ludhiana, Punjab, India
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Introduction
Ketamine is a potent noncompetitive NMDA receptor antagonist. It is primarily marketed as a general anesthetic, but it also shows analgesic properties at lower, subanesthetic doses [1]. It is used as a chlorhydrate in a slightly acid aqueous solution. It is a racemic mixture of two enantiomers of equal quantity of which only the S (+) enantiomer is active and is two times stronger than the racemic mixture and four times stronger than the R (−) enantiomer. In equianalgesic doses, the S-enantiomer is associated with lower levels of undesirable effects.
Ketamine metabolism is characterized by low binding to plasma proteins, about 10–30%. It is highly liposoluble and has therefore an extensive distribution. The central compartment volume is 70 liters and the distribution volume at steady state is around 200 liters. Oxidation is the primary process in the metabolism of ketamine, resulting in norketamine (80%), which is an active metabolite that itself is principally hydroxylated in 6-hydroxy-norketamine and finally excreted in bile and urine after glucuronoconjugation. Ketamine elimination clearance is dependent on the liver blood flow, half time is 2–3 hours, and it may be 20% higher in women than men [2].
Ketamine is commonly administered via the intravenous, intramuscular, subcutaneous, or oral route. The subcutaneous route appears to be very practical because it avoids potential delays in treatment caused by the inability to establish intravenous access, has a rapid onset of action, and can be used by less skilled personnel, too [3].
The oral route availability of ketamine is incomplete and erratic. Only about 16–20% of an oral dose reaches systemic circulation due to extensive hepatic first-pass elimination. The bioavailability of intranasal ketamine was found to be 50%. Peak plasma concentrations are being reported within 30 minutes of oral administration. Norketamine as an active metabolite reaches 2- or 3-times higher levels when ketamine is administered orally than parenterally and the duration of action of oral ketamine is longer. To achieve a good analgesic effect, doses of oral ketamine can be one-third of the parenteral one, due to the active effect of norketamine [3]. In chronic use, norketamine may be the main analgesic agent. Because of norketamine accumulation the need for ketamine when given for a longer period of time, decreases over time. Norketamine is 33% as potent as the parent compound [4].
In palliative care patients often exhibit a variety of symptoms. They float between the desire to keep autonomy for as long as possible and the wish to avoid the unnecessary suffering, caused by poorly relieving symptoms. Many patients are afraid of opioids, especially morphine, and are reluctant to use them. Some physicians still believe that morphine accelerates death, and they would only use it when patients already entered the dying phase. Ketamine with its analgesic properties may be a good option to keep the opioid levels low as long as possible.
Ketamine has not yet been widely used in palliative care probably because it has always been marketed as an anesthetic drug and therefore reserved for use in the operating theaters. Even its use has not been very prominent due to the psychomimetic side effects when used in anesthetic dosage. Its domains of use expanded in pain medicine, where the doses can be lower, but it was used parenterally, therefore intravenous or subcutaneous access was needed. Longer subcutaneous use often resulted in necrosis of subcutaneous tissue and reduced flow from elastomeric pumps.
Oral and nasal use of ketamine has not been officially licensed although several papers have already been published which suggest that both routes are safe and feasible. These two routes seem to offer advantages over the intravenous and subcutaneous approaches as they allow the patient to be self-sufficient and autonomous in drug administration.
Some pharmacokinetics data are summarized in Table 1.
| Bioavailability (%) | Onset of action (min) | Duration of action (h) | Elimination half time (h) |
---|
Parenteral route | 100 | 0.5 | 0.5–2 | 2 |
Oral route | 17–25 | 30 | 4–6 | |
Nasal route | 50 | 20 | Up to 3 | 2 |
Table 1.
Pharmacokinetics of ketamine.
Palliative care may expand over the whole trajectory of the incurable disease. Ketamine is used as a co-analgesic in poorly controlled pain, especially neuropathic pain, to reduce the dose of opioids, to relieve anxiety and depression, severe epileptic seizures, and as bronchodilator. The long-term use of ketamine has not been studied extensively. In palliative care, the studies are limited because symptoms accumulate in the course of the disease and that makes the observation of side effects more difficult.
This chapter focuses on the oral/nasal route of ketamine administration in patients with palliative diseases, its useful properties in clinical practice, and its side-effects. Some suggestions are given about the formulation of the drug and the dosage regimens.
2. Clinical uses of ketamine
Ketamine is approved as a general anesthetic agent. At subanesthetic doses, it can be considered for use in a palliative care setting for pain refractory to opioids and as an adjuvant analgesic. Ketamine was approved by FDA for antidepressant use in 2019 as a nasal spray. Ketamine has no reversal agent [5].
Ketamine can be used in the intensive care units as a sedative and analgesic drug. It can be safely used in patients with traumatic brain injury as it does not raise the intracranial blood pressure, caution is needed when used with raised intraocular pressure. When used as an analgesic drug, it may reduce pain scores, opioid consumption, and postoperative nausea and vomiting.
In chronic, non-cancer pain, ketamine can be used as add-on therapy when other therapeutic options have failed. The long-term effects remain controversial.
In cancer pain, ketamine is considered an essential adjuvant drug but the evidence for its efficiency is low [6, 7].
Ketamine has proven to be efficient in treating major depression, bipolar disorders, and suicidal behavior. It acts very fast, and relieves depression in less than 2 hours. In the approved nasal spray only the S (+) enantiomer is used [8, 9].
Other uses of ketamine with the low level of evidence are alcohol withdrawal, status epilepticus, and persistent bronchospasm in critical care settings [8].
Suggested mechanisms of ketamine action are summarized in Table 2.
Symptom | Suggested mechanism |
---|
Pain control | Antagonism at NMDA receptor complex – inhibition of ‘wind-up’ pain and hyperalgesia Reduction of opioid tolerance Enhancement of endogenous pain inhibition Antiinflammatory effects Central plasticity |
Anxiety and depression | Antagonism at NMDA receptor complex Interaction with calcium and sodium channels Cholinergic transmission Noradrenergic and serotonergic reuptake inhibition Glutamate transmission Synapse formation |
Bronchodilatation | inhibition of inflammatory cascade reduction in markers of inflammation |
Epileptic status | reduces the NMDA receptor-induced neurotoxicity |
Table 2.
Suggested useful mechanisms of ketamine action.
3. Oral formulations
Ketamine is not licensed for oral use. Physicians should properly inform the patients about the advantages and possible side-effects of the drug and the route of administration.
A parenteral formulation is utilized for oral formulations of ketamine. Use generic ketamine 50 mg/ml 10 ml vials and purified water. Alternatively, one can use flavored syrup instead of water, but most patients find it too sweet.
To prepare 100 ml of oral solution with a concentration of 50 mg/ 5 ml use two 10 ml vials of ketamine 50 mg/ml for injections and 80 ml of purified water. The solution can be refrigerated with an expiry date of 1 week from manufacture [1].
It is useful to provide the patient with a syringe to ease the administration of ketamine.
4. Nasal route
Ketamine is not licensed for nasal use. Physicians should properly inform the patients about the advantages and possible side-effects of the drug and the route of administration.
The nasal route appears very promising as it allows the patient to self-administer the drug when needed due to the rapid onset of action which is similar to intramuscular injection. As the capacity of the human nostrils is 0.2 ml, a greater volume may be swallowed or may run out of the nose. Ketamine may be administered via MAD which delivers a mist of atomized medication or via metered-dose nasal spray. The concentration of ketamine, commercially available is 100 mg per ml or 10 m per ml. Up to 40 mg can be reliably delivered intranasally. Higher doses are ingested [10].
Patients can be prescribed oral ketamine basal treatment and use nasal formulation for treating breakthrough pain.
5. Regimens for switching from parenteral to oral administration
Ketamine has been predominantly used parenterally as a co-analgesic in addition to opioids and co-adjuvant drugs. Oral use has obvious advantages: it is not necessary to carry the pump around, which needs frequent refilling and it avoids inflammation on the site of subcutaneous administration. It has been proven in studies that a 1:1 dose ratio is safe and effective in switching from parenteral to oral administration [11]. Another report suggested switching to one-third of the parenteral dose as a result of the effect of norketamine. Oral ketamine may in fact be a more potent analgesic and produce adverse effects less frequently than parenteral ketamine. After oral administration of 0.5 mg/kg ketamine approximately 20% is absorbed and its analgesic action seems to be mediated by its first metabolite norketamine, which has a half-life of 12 hours [12].
A good therapeutic response to parenteral ketamine suggests a greater likelihood of benefit from oral dosing. Patients who could benefit from switching to oral use of ketamine are those whose pain has been stable for 48 hours after subcutaneous infusion of ketamine, patients who wanted to be discharged home and had good pain control with ketamine, patients with a life expectancy longer than 2 weeks, and patients who could swallow or had a possibility to be tube fed.
When switching from parenteral to the oral route, benzodiazepines are discontinued [12].
The usual starting dose is 10–25 mg three or four times daily plus when needed. The dose can be increased in steps of 10–25 mg up to 100 mg three times daily [13].
Authors of the so far published studies differ in their recommendations about oral ketamine initiation. Some recommend one should always begin first with parenteral application and then switch to oral ketamine. The parenteral route could be either intravenous or subcutaneous. When used as an adjuvant to oral morphine, patients begin as well with oral ketamine [14, 15]. For the patient, who are, due to advanced disease, unable to swallow, the nasal route is more suitable [10].
6. Useful properties in the palliative care setting
6.1 Analgesic properties
Ketamine is considered one of the World Health Organization’s essential drugs for the management of refractory pain and is associated with reduced opioid consumption and reduced opioid tolerance. It can be used in the treatment of acute and chronic pain as a co-analgesic and for alleviating the breakthrough pain episodes. Prescribing subanesthetic doses of ketamine can reduce postoperative morphine necessity and so diminish the side-effects of morphine.
The use of ketamine in the treatment of pain as an adjuvant analgesic is not licensed but the evidence for its efficiency is considerable. Its use has been recommended in the Scottish Palliative Care Guidelines and the Palliative Care Formulary. When used, a prescribing physician should notify the patient.
Ketamine is indicated for the treatment of neuropathic pain which has not responded to other medications, including strong opioids, anticonvulsants (gabapentin), and tricyclic antidepressants, including a trial of high dose dexamethasone.
Experimental data provide evidence that norketamine is effective in preventing central sensitization and in reversing an established hyperalgesia.
Although clinical evidence has been adding up, there are just a few comparative studies, and the majority of evidence is in the form of case reports [16, 17, 18].
A usual starting dose of oral ketamine is 10 mg four times daily initially, increasing to a maximum of 100 mg four times daily according to the response. Frail patients may be started at a lower oral dose: 25–30 mg over 24 hours. The maximum reported dose is 200 mg three times daily. It is possible to withdraw ketamine for several weeks after good pain control is achieved and restart the regimen when the pain returns.
Occasionally oral ketamine or sublingual/buccal ketamine is used as required. Usual dose is 2.5–5 mg (using 50 mg/5 ml solution). This dose is an individual decision.
There is no time limit to the treatment, but the success of pain relief should be regularly assessed, and the dose adjusted when needed [19, 20, 21].
6.2 Antidepressant and anxiolytic actions
Ketamine can produce rapid relief of major depression, bipolar disorders, and suicidal ideation. The mechanism for this effect is not yet fully understood but the major depressive disorder is associated with synaptic downregulation in the prefrontal cortex and hippocampus and it is believed that ketamine causes a glutamate surge that leads to a series of events resulting in synaptogenesis and reversal of the negative effect of depression and chronic stress. It appears that ketamine normalizes depression-related prefrontal dysconnectivity.
The rapid effect of ketamine on stress, anxiety, and depression may be of huge importance for the treatment of psychiatric conditions of patients in palliative care. Anxiety and depression are related to lower quality of life [22, 23, 24].
The positive psychological effect of ketamine is attributed to an induction of neuroplasticity which reverses the negative effect of stress and depression on neural cells and synapses [25].
There are various dosage regimens described in studies, in one case report patients received a bolus of one single dose of ketamine racemate (0.5 mg/kg). The reduction in anxiety was more pronounced in the first 4 days. After daily oral administration over 28 days of ketamine racemate, a significant effect was sustained with a large effect size for anxiety and depression. There was a significant response after the first 3 days [25, 26].
FDA-approved nasal spray formulation for the treatment of anxiety and depression [27, 28].
6.3 Bronchodilatatory effects
Ketamine produces bronchodilation, allowing secure induction of anesthesia in a patient with a life-threatening asthma and intense acute bronchial constriction. It is reported that ketamine doses of 0.1–0.2 mg/kg followed by 0.15–2.5 mg/kg/h can be used in patients with refractory bronchospasm and intensive status of asthma. The proposed mechanism of action is inhibition of inflammatory cascade and reduction in markers of inflammation and bronchodilation [29].
6.4 Topical ketamine in the treatment of mucositis pain
Ketamine oral rinse significantly reduced radiation-induced mucositis pain and hyperalgesia in a patient with head and neck cancer and so preserved the possibility of oral intake. It is speculated that the analgesia could be produced locally and systemically due to the absorption across the oral mucosa. The possibility of systemic absorption may result in psychomimetic and sedative effects. In the published paper the dose of 20 mg was arbitrarily chosen, being twice as the usual empiric starting dose for sublingual administration. As the literature is scarce on data for the topical use of ketamine further studies are needed before its use can be routinely recommended [30].
6.5 Refractory status epilepticus
Evidence suggests that the activity as well as the number of NMDA receptors is increased in refractory status epilepticus. Ketamine reduces the NMDA receptor-induced neurotoxicity and also has a neuroprotective role. On the other hand, evidence also shows that ketamine, at usual doses, has an epileptogenic potential and should be avoided in patients with epilepsy. From the so far published studies, no conclusive results can be drawn and further clinical trials are needed to assess the safety and efficiency of ketamine in both adult and pediatric populations [31].
7. Side effects of ketamine use
Side effects of ketamine use are dose-dependent. They are more common when ketamine is used as an anesthetic. Very common side effects are vivid dreams, hallucinations, dysphoria, and sedation. Incidence of psychotic effects can be reduced by using haloperidol or benzodiazepines. Sometimes can be enough just to reduce the dose of ketamine. Among less common side effects are cardiovascular side effects which are normally not serious. An increase in blood pressure and heart rate may occur. There are several reports about urinary tract symptoms that might require discontinuation of ketamine infusion. The bladder is most severely affected. There is a strong correlation between higher age (older than 30 yrs), longer duration of use (more than 24 months), and co-use of illicit drugs.
Other side effects include increased muscle tone, involuntary movements, dizziness and nausea, liver toxicity, and neuropsychiatric toxicities [32, 33].
8. Recommendations for use of ketamine in palliative care
Palliative care aims to relieve symptoms of the advanced incurable disease and improve the quality of life throughout illness and in the bereavement period so that the patients and families can realize their full potential to live even the life is approaching its end.
Patients in palliative care may report a variety of symptoms among which poor pain control merits full attention. The concept of total pain is applicable as pain may occur on a physical, psychological, social, and spiritual level. Physical pain and psychological distress are connected. About two-thirds of patients with advanced cancer suffer from pain and more than half of those experience moderate to severe pain. Following the WHO cancer pain relief guidelines, one can achieve acceptable pain relief in over 50% of treated patients. About 50% of the patient may have poor pain control.
Many of the symptoms in palliative care require a pharmacological approach and drug prescription. Most strong analgesics have a strong sedative effect and therefore impact patients’ cognition. Many patients, who list as their value being able to think clearly, are reluctant to use them. Some are also afraid of the addiction potential of these drugs.
Having in mind that many patients in palliative care have psychiatric symptoms and sometimes they cannot wait for the classic antidepressant drugs to act, ketamine is promising due to its rapid action. Up to 42% of hospice patients have symptoms of depression and up to 70% have symptoms of anxiety. Untreated psychiatric symptoms are associated with significant morbidity and mortality, when left untreated, these symptoms can also interfere with their ability to make decisions and make realistic goals.
Oral ketamine may prove particularly useful for hospice patients who wish to remain home instead of receiving treatment in the hospital. To fasten the onset of oral ketamine, it was suggested to start patients on parenteral dosing before switching to oral administration. Another alternative to oral ketamine is an intranasal spray, which has been approved for the treatment of depression, but it might be more difficult to use [33, 34, 35, 36].
9. Summary
Although ketamine has been in clinical practice for many years, it has been predominantly used as an anesthetic drug. Newer insight into its action shows its effectiveness in treating pain, anxiety, depression, bronchial spasm, refractory status epilepticus, and radio-induced mucositis.
This is especially important in the palliative setting, where patients commonly have pain combined with some other symptoms. They usually become refractors to high doses of opioids, with a detrimental quality of life.
Ketamine has a sparing effect on opioid consumption which may prolong their analgesic effect, reduce their dose and make pain treatment effective again. It can be used as an adjuvant as a baseline treatment or/and s a breakthrough medication.
Besides it, rapid relief of anxiety with just a single dose of ketamine is promising as well as the fact that the effect is sustainable.
Oral and nasal routes appear to be a good alternative for patients who are not institutionalized and who wish to avoid painful injections. Further studies are needed to define a suitable dosing protocol for ketamine.
\n',keywords:"oral ketamine, neuropathic pain, opioids, symptom control, palliative care",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/81857.pdf",chapterXML:"https://mts.intechopen.com/source/xml/81857.xml",downloadPdfUrl:"/chapter/pdf-download/81857",previewPdfUrl:"/chapter/pdf-preview/81857",totalDownloads:11,totalViews:0,totalCrossrefCites:0,dateSubmitted:"March 11th 2022",dateReviewed:"April 11th 2022",datePrePublished:"May 18th 2022",datePublished:null,dateFinished:"May 18th 2022",readingETA:"0",abstract:"Ketamine, an N-methyl-D-Aspartate receptor antagonist, has been used for more than 50 years. From its initial potential as an anesthetic drug, its use has increased in the fields of pain medicine, psychiatry, and palliative care. It is available in different formulations, of which oral use is promising due to its active metabolite, norketamine which reaches 2–3 times higher levels when administered orally in comparison with parenteral use. Oral use is also more feasible and easier to use in settings, where medical staff is not that present, such as home care or hospices. Oral solution of ketamine has not yet been officially licensed for use although there have been several reports which recommend its use in neuropathic pain, severe depression, airway obstruction, and anxiety. Palliative care is defined as total care for patients whose diseases do not respond to curative treatment. It encompasses good control of physical symptoms, and psychological, social and spiritual problems. Patients often experience pain, despite high doses of opioids, depression and anxiety, and dyspnea. Oral ketamine does not have the side effects of opioids therefore it represents a good alternative. 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Summary",level:"1"}],chapterReferences:[{id:"B1",body:'[Quibell R, Prommer E, Mihalyo E, Twycross R, Wilcock A. Therapeutic reviews ketamine. Journal of Pain and Symptom Management. 2011;41(3):640-649]'},{id:"B2",body:'[Mion G, Villevieille T. Ketamine pharmacology: An update (pharmacodynamics and molecular aspects, recent findings). CNS Neuroscience and Therapeutics. 2013;19:370-380]'},{id:"B3",body:'[Legge J, Ball N, Elliott DP. The potential role of ketamine in hospice analgesia: A literature review. The Consultant Pharmacist. 2006;21(1):51-57]'},{id:"B4",body:'[Mion G, Villevieille T. Ketamine pharmacology. An Update (Pharmacodynamics and Molecular aspects, recent finding). CNS Neuroscience & Therapeutics. 2013;19:370-380]'},{id:"B5",body:'[Dulin JD, Hardcopf J, Coyne PJ. Iatrogenice oral ketamine overdose in palliative care. Journal of Palliative Care. 2020;20:1-3]'},{id:"B6",body:'[Kumar A, Kohli A. Comeback of ketamine: Resurfacing facts and dispelling myths. Korean Journal of Anaesthesiology. 2021;74(2):103-114]'},{id:"B7",body:'[Bell RF, Eccleston C, Klasso EA. Ketamine as an adjuvant to opioids for cancer pain. Cochrane Database of Systematic Reviews. 2012;11:CD003351]'},{id:"B8",body:'[Abdollahpour A, Saffarieh E, Zoroufchi BH. A review on the recent application of ketamine in the management of anesthesia, pain and health care. 2020;9:1317-1324]'},{id:"B9",body:'[Hashimoto K. Rapid acting antidepressant ketamine: Its metabolites and other candidate. A historical overiew and future perspective. Psychiatry and Clinical Neurosciences. 2019;73:613-627]'},{id:"B10",body:'[Singh V, Gillespie TW, Harvey D. Intranasal ketamine and its potential role in cancer related pain. Pharmacotherapy. 2018;38(3):390-340]'},{id:"B11",body:'[Benitez-Rosario M, Salinas-Martin A, Gonzales-Guillermo T, Feria M. A strategy for conversion from subcutaneous to oral ketamine in cancer pain patients: Effects of a 1:1 ratio. Journal of Pain and Symptom Management. 2011;41(6):1098-1104]'},{id:"B12",body:'[Soto E, Stewart DR, Mannes AJ, Ruppert SL, Baker K, Zlotte D, et al. Oral ketamine in palliative care setting; a review of the literature and case report of a patient with neurofibromatosis type 1 and glomus tumor associated complex regional pain syndrome. The American Journal of Hospice & Palliative Care. 2012;29(4):308-317]'},{id:"B13",body:'[Shared Care Guideline for the Use of Ketamine in Palliative Care Initiated by Palliative Care Specialists. 2020. Available from: http://www.northoftyneapc.nhs.uk/wp-content/uploads/sites/6/2020/07/Ketamine-in-Palliative-Care-pain-2020]'},{id:"B14",body:'[Kannan TR, Saxena A, Bhatnagar S, Barry A. Oral ketamine as an adjuvant to oral morphine or neuropathic pain in cancer patients. Journal of Pain and Symptom Management. 2002;23(1):60-65]'},{id:"B15",body:'[Grant IS, Nimmo WS, Clements JA. Pharmacokinetics and analgesic effects of IM and oral ketamine. British Journal of Anaesthesia. 1981;53:805-810]'},{id:"B16",body:'[Culp C, Hee Kee K, Abdi S. Ketamine use for cancer and chronic pain management. Frontiers in Pharmacology. 2021;11:599721]'},{id:"B17",body:'[Hocking G, Cousins MJ. Ketamine in chronic pain management: An evidence-based review. Anesthesia and Analgesia. 2003;97:1730-1739]'},{id:"B18",body:'[Fitzgibbon EJ, Hall P, Schroder C, et al. Low dose ketamine as an analgesic adjuvant in difficult pain syndromes: A strategy for conversion from parenteral to oral ketamine. Journal of Pain and Symptom Management. 2002;23:165-175]'},{id:"B19",body:'[Benitez-Rosario MA, Feria M, Salinas-Martin A, Martinez-Castillo LP, Martin-Ortega JJ. A retrospective comparison of the dose ration between subcutaneous and oral ketamine. Journal of Pain and Symptom Management. 2003;25:400-402]'},{id:"B20",body:'[Prommer E. Ketamine to control pain. Journal of Palliative Medicine. 2003;6:443-446]'},{id:"B21",body:'[Fine PG. Low-dose ketamine in the management of opioid nonresponsive terminal cancer pain. Journal of Pain and Symptom Management. 1999;17:296-300]'},{id:"B22",body:'[Irwin SA, Iglewicz A. Oral ketamine for the rapid treatment of depression and anxiety in patients receiving hospice care. Journal of Palliative Medicine. 2010;13:903-908]'},{id:"B23",body:'[Irwin SA, Iglewicz A, Nelesen R, Lo JY, Carr CH, Romero SD, et al. Daily oral ketamine for the treatment of depression and anxiety in patients receiving hospice care: A 28-day open -label proof-of -concept trial. Journal of Palliative Medicine. 2013;16:958-965]'},{id:"B24",body:'[Duman RS, Li N, Liu R-J, Durc V, Aghajanien G. Signaling pathways underlying the rapid antidepressant actions of ketamine. Neuropharmacology. 2012;102:72-79]'},{id:"B25",body:'[Falk E, Schlieper D, Van Caster P, Lutterbeck MJ, Schwartz J, Cordes J, et al. A rapid positive influence of S-ketamine in anxiety of patients in palliative care: A retrospective pilot study. BMC Palliative Care. 2020;19:1]'},{id:"B26",body:'[Delgado-Guay M, Parsons HA, Li Z, Palmer JL, Bruera E. Symptom distress in advanced cancer patient with anxiety and depression in the palliative care setting. Support Care Cancer. 2009;17(5):573-579]'},{id:"B27",body:'[Iqbal SZ, Mathew SJ. Ketamine for depression clinical issues. Advances in Pharmacology. 2020;89:131-162]'},{id:"B28",body:'[Kurdi MS, Theerth KA, Deva RS. Ketamine. Current applications in anesthesia, pain and critical care. Anesthesia, Essays and Researches. 2014;8:283-290]'},{id:"B29",body:'[Natoli S. The multiple faces of ketamine in anesthesia and analgesia. Drugs. Context. 2021;10 2020-2112-8]'},{id:"B30",body:'[Slatkin NE, Hiner M. Topical ketamine in the treatment of mucositis pain. Case report. Pain Medicine. 2003;4(3):298-303]'},{id:"B31",body:'[Rosati A, De Masi S, Guerrini R. Ketamine for refractory status epilepticus: A systematic eeview. CNS Drugs. 2018;32(11):997-1009]'},{id:"B32",body:'[Bell RF, Kalso EA. Ketamine for pain management. Pain Report. 2018;3:e674]'},{id:"B33",body:'[Storr TM, Quibell R. Can ketamine be prescribed for pain cause damage to urinary tract? Palliative Medicine. 2009;23:670-672]'},{id:"B34",body:'[Dulin DJ, Hardcopf J, Coyne PJ. Iatrogenic oral ketamine overdose in palliative care. Journal of Palliative Medicine. 2021;24(1):148-151]'},{id:"B35",body:'[Baumrucker SJ. Ketamine and problems with advanced palliative care in the community setting. American Journal of Hospice and Palliative Care. 2000;17:369-370]'},{id:"B36",body:'[Goldman N, Frankenthaler M, Klepacz L. The efficacy of ketamine in the palliative care setting: A comprehensive review of the literature. Journal of Palliative Medicine. 2019;22:1154-1161]'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Mateja Lopuh",address:"mateja.lopuh@gmail.com",affiliation:'- Center for Interdisciplinary Pain Treatment and Palliative Care, Mobile Palliative Care Unit, General Hospital Jesenice, Slovenia
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It has strong background experience in many fields related to the characterization of advanced materials. Since his doctoral degree from the University of São Paulo (USP) in 2004 and after a period as a postdoc at the Massachusetts Institute of Technology (MIT) from 2007 to 2008, he has been working with carbon allotropes, conducting polymers, and conducting polymer-clay nanocomposites. Nowadays, his research focus is on molecular characterization of chemically modified carbon nanostructured materials with molecular magnets and organic chalcogenide compounds by using FT-Raman, Resonance Raman, SERS (surface-enhanced Raman spectroscopy), resonance Raman Imaging and X-ray absorption techniques at National Synchrotron Light Laboratory.",institutionString:"Universidade Federal do ABC",profilePictureURL:"https://mts.intechopen.com/storage/users/7153/images/system/7153.jpg",totalCites:0,totalChapterViews:"0",outsideEditionCount:0,totalAuthoredChapters:"7",totalEditedBooks:"4",personalWebsiteURL:null,twitterURL:null,linkedinURL:null,institution:{name:"Universidade Federal do ABC",institutionURL:null,country:{name:"Brazil"}}},booksEdited:[{id:"10949",type:"book",slug:"clay-and-clay-minerals",title:"Clay and Clay Minerals",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/10949.jpg",abstract:"New two-dimensional materials based on clays and clay minerals are attracting attention for their outstanding properties that make them useful as hosts or supporting matrixes in applications such as pharmaceuticals, tissue engineering, environmental remediation, biosensors, filtration, wound dressings, drug delivery, and more. This book is a comprehensive overview of clay science and technology, focusing on synthesis, characterization, simulation, and applications. Chapters cover such topics as polymer–clay nanocomposites, the structure and properties of different clays, the use of clays for environmental remediation, and much more.",editors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",fullName:"Gustavo Morari Do Nascimento"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",title:"Edited Volume"}},{id:"9313",type:"book",slug:"clay-science-and-technology",title:"Clay Science and Technology",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/9313.jpg",abstract:"This book presents the state-of-the-art results of synthesis, characterization, modification, and technological applications of clays, clay minerals, and materials based on clay minerals, such as polymer–clay nanocomposites and clay hybrids. It also presents some important results obtained in the broad area of clays and clay materials characterization. Moreover, this book provides a comprehensive account of polymer and biopolymer–clay nanocomposites, the use of clay as adsorption materials of industrial pollutants, the ceramic industry, and the physical–chemical aspects of aqueous dispersions of clay and clay minerals. This book is beneficial for students, teachers, and researchers who are interested in expanding their knowledge about the use of clays in a diverse range of fields, including nanotechnology, biotechnology, environmental science, industrial remediation, pharmaceuticals, and so on.",editors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",fullName:"Gustavo Morari Do Nascimento"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",title:"Edited Volume"}},{id:"6257",type:"book",slug:"raman-spectroscopy",title:"Raman Spectroscopy",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6257.jpg",abstract:"This book gives a wide overview of the state-of-the-art applications of Raman spectroscopy in characterization of materials and biomaterials. The Raman signal is intrinsically smaller than other vibrational techniques; however, mainly through intensification processes, such as resonance Raman (RR) and surface-enhanced Raman spectroscopy (SERS), the Raman cross section can be strongly amplified. Thoroughly in these signal amplifications, the study of a diversity of chemical systems and the use of Raman technique for in situ and in vivo measurements is possible. The main goal of this book is to open up to an extended audience the possibilities of uses of Raman spectroscopy. In fact, this collective work will be beneficial to students, teachers, and researchers of many areas who are interested to expand their knowledge about Raman spectroscopy applied to nanotechnology, biotechnology, environmental science, inorganic chemistry, and health sciences.",editors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",fullName:"Gustavo Morari Do Nascimento"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",title:"Edited Volume"}},{id:"5073",type:"book",slug:"clays-clay-minerals-and-ceramic-materials-based-on-clay-minerals",title:"Clays, Clay Minerals and Ceramic Materials Based on Clay Minerals",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/5073.jpg",abstract:"This book presents the state-of-the-art results of characterization of clays, clay minerals and ceramic materials based on clay minerals. The main goal of this work is to contribute to the rationalization of some important results obtained in the open area of clays and clay materials characterization. Moreover, this book also provides a comprehensive account on polymer and biopolymer-clay nanocomposites, use of clay as adsorption materials for industrial pollutants, ceramic materials in cultural heritage and physical-chemistry aspects of clay and clay minerals aqueous dispersions. This book will be beneficial for students, teachers and researchers of many areas who are interested to expand their knowledge about clays and its derivates in the fields of Nanotechnology, Biotechnology, Environmental Science, Industrial Remediation, Cultural Heritage, etc.",editors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",fullName:"Gustavo Morari Do Nascimento"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",title:"Edited Volume"}}],chaptersAuthored:[{id:"8652",title:"Spectroscopy of Polyaniline Nanofibers",slug:"spectroscopy-of-polyaniline-nanofibers",abstract:null,signatures:"Gustavo M. Do Nascimento",authors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",fullName:"Gustavo Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",email:"gustavo.morari@ufabc.edu.br"}],book:{id:"3200",title:"Nanofibers",slug:"nanofibers",productType:{id:"1",title:"Edited Volume"}}},{id:"49623",title:"Structure of Clays and Polymer–Clay Composites Studied by X-ray Absorption Spectroscopies",slug:"structure-of-clays-and-polymer-clay-composites-studied-by-x-ray-absorption-spectroscopies",abstract:"A wide range of spectroscopic techniques employ higher-energy electromagnetic radiation, ranging from vacuum UV (≈10−40 eV, 125−31 nm), including soft X-rays (40−1500 eV, 31−0.8 nm), and going to hard X-rays (1500−105 eV, 0.8−0.01 nm) for elucidating molecular structures of chemical and biological interest. A typical X-ray absorption (XAS) spectrum has a large absorption near the edge followed by serial oscillations that gradually fade away. This set of oscillations extends over a wide energy range and can be divided into two regions: the absorption near the edge is called XANES (X-ray absorption near-edge structure) and the second region is the so-called EXAFS (extended X-ray absorption fine structure). The XAS data enables the determination of crystallographic parameters and also the signal intensity contains information of the oxidation state and the chemical bond in the solid. For instance, theoretical calculations were essential to verify the differences between the oxygen and silicon sites in clays. Experimental and theoretical EXAFS studies of clays with Cu(II) show that Cu(II) has interchangeable octahedral, tetragonal, and square planar coordinations in the clay interlayer, depending on Cu(II) loading and degree of hydration. XANES data of intercalated poly(aniline) show new bands at 398.8 eV and 405−406 eV, which were assigned to new chromophoric segments formed within the galleries of the Montmorillonite clay. Hence, in this chapter, this amazing new area will be reviewed concerning the state-of-the-art results of characterization of their structural features. Previous and new results of the X-ray absorption spectroscopy of clays and polymer–clay materials obtained by our group will be considered. The main goal of this work is to contribute to the rationalization of some important results obtained in the open area of clays and clay materials characterization.",signatures:"Gustavo M. Do Nascimento",authors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",fullName:"Gustavo Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",email:"gustavo.morari@ufabc.edu.br"}],book:{id:"5073",title:"Clays, Clay Minerals and Ceramic Materials Based on Clay Minerals",slug:"clays-clay-minerals-and-ceramic-materials-based-on-clay-minerals",productType:{id:"1",title:"Edited Volume"}}},{id:"60250",title:"Introductory Chapter: The Multiple Applications of Raman Spectroscopy",slug:"introductory-chapter-the-multiple-applications-of-raman-spectroscopy",abstract:null,signatures:"Gustavo M. 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In this chapter, the potentialities of Raman technique will be exemplified in some examples obtained in our group about the characterization of carbon nanotubes and graphene. For instance, the doping process of nanotubes, carbon tube interactions with molecular magnets, and inhomogeneity of graphene samples will be discussed.",signatures:"Gustavo Morari do Nascimento",authors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",fullName:"Gustavo Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",email:"gustavo.morari@ufabc.edu.br"}],book:{id:"7674",title:"Modern Spectroscopic Techniques and Applications",slug:"modern-spectroscopic-techniques-and-applications",productType:{id:"1",title:"Edited Volume"}}},{id:"75040",title:"Two Spectroscopies as Main Source for Investigation of Polymer-Clay Materials",slug:"two-spectroscopies-as-main-source-for-investigation-of-polymer-clay-materials",abstract:"In the recent years the synthesis and characterization of nanomaterials has been one of the most efficacious way to produce new materials with improved or completely new properties. The polymer-clay nanocomposites are one of the most interesting nanomaterials with the possibility to create a myriad of new materials with many applications. Lamellar materials are classified as two-dimensional (2D), because there are formed by platelets piled up in one crystallographic direction, as the graphite and clays. The synthesis of controlled dimensional nanostructures as well as the characterization of the intrinsic and potentially peculiar properties of these nanostructures are central themes in nanoscience. The study of different nanostructures has great potential to test and understand fundamental concepts about the role of particle dimensionality on their physicochemical properties. Among the various materials studied in the literature, undoubtedly, polymer-clay materials, especially conducting polymers with smectite clays, such as montmorillonites (MMT) are of particular note. Our group have paid many efforts in the characterization of nanomaterials by using powerful spectroscopic techniques to study both the guest and host in case of inclusion compounds, nanofibers, carbon allotropes or many phases present in polymer-clay nanocomposites. There are two central questions that it was possible to address in this study: (i) the molecular structure of the polymer is drastically changed inside the interlayer cavity of clay and (ii) by using the appropriate synthetic or heating route is possible to change the molecular structure of the confined polymer. In the follow lines, it is briefly told the main aspects of resonance Raman and X-ray absorption spectroscopies in the study of polymer-clay nanocomposites.",signatures:"Gustavo Morari do Nascimento",authors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",fullName:"Gustavo Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",email:"gustavo.morari@ufabc.edu.br"}],book:{id:"9313",title:"Clay Science and Technology",slug:"clay-science-and-technology",productType:{id:"1",title:"Edited Volume"}}},{id:"79431",title:"Introductory Chapter: Polymers and Clays - A Fruitful Combination",slug:"introductory-chapter-polymers-and-clays-a-fruitful-combination",abstract:null,signatures:"Gustavo Morari do Nascimento",authors:[{id:"7153",title:"Prof.",name:"Gustavo",surname:"Morari Do Nascimento",fullName:"Gustavo Morari Do Nascimento",slug:"gustavo-morari-do-nascimento",email:"gustavo.morari@ufabc.edu.br"}],book:{id:"10949",title:"Clay and Clay Minerals",slug:"clay-and-clay-minerals",productType:{id:"1",title:"Edited Volume"}}}],collaborators:[{id:"7179",title:"Associate Professor",name:"Jorge J.",surname:"Santiago-Aviles",slug:"jorge-j.-santiago-aviles",fullName:"Jorge J. 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Pierre and Lu Lu",coverURL:"https://cdn.intechopen.com/books/images_new/10549.jpg",editedByType:"Edited by",editors:[{id:"231585",title:"Associate Prof.",name:"Enkhsaikhan",middleName:null,surname:"Purevjav",slug:"enkhsaikhan-purevjav",fullName:"Enkhsaikhan Purevjav"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7728",title:"Synthetic Biology",subtitle:"New Interdisciplinary Science",isOpenForSubmission:!1,hash:"cc50b31cb749d94a5aa38999a712ae2f",slug:"synthetic-biology-new-interdisciplinary-science",bookSignature:"Madan L. Nagpal, Oana-Maria Boldura, Cornel Baltă and Shymaa Enany",coverURL:"https://cdn.intechopen.com/books/images_new/7728.jpg",editedByType:"Edited by",editors:[{id:"182681",title:"Dr.",name:"Madan L.",middleName:null,surname:"Nagpal",slug:"madan-l.-nagpal",fullName:"Madan L. Nagpal"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:2,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"67558",doi:"10.5772/intechopen.86491",title:"Polymerase Chain Reaction (PCR): Principle and Applications",slug:"polymerase-chain-reaction-pcr-principle-and-applications",totalDownloads:10519,totalCrossrefCites:7,totalDimensionsCites:15,abstract:"The characterization of the diversity of species living within ecosystems is of major scientific interest to understand the functioning of these ecosystems. It is also becoming a societal issue since it is necessary to implement the conservation or even the restoration of biodiversity. Historically, species have been described and characterized on the basis of morphological criteria, which are closely linked by environmental conditions or which find their limits especially in groups where they are difficult to access, as is the case for many species of microorganisms. The need to understand the molecular mechanisms in species has made the PCR an indispensable tool for understanding the functioning of these biological systems. A number of markers are now available to detect nuclear DNA polymorphisms. In genetic diversity studies, the most frequently used markers are microsatellites. The study of biological complexity is a new frontier that requires high-throughput molecular technology, high speed computer memory, new approaches to data analysis, and the integration of interdisciplinary skills.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Karim Kadri",authors:[{id:"290766",title:"Dr.",name:"Kadri",middleName:null,surname:"Karim",slug:"kadri-karim",fullName:"Kadri Karim"}]},{id:"66117",doi:"10.5772/intechopen.84532",title:"Real-Time Quantitative PCR as a Tool for Monitoring Microbiological Quality of Food",slug:"real-time-quantitative-pcr-as-a-tool-for-monitoring-microbiological-quality-of-food",totalDownloads:979,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Microbiological parameters of food provide quality information regarding the processing, storage, and distribution conditions, shelf life, as well as whether the food poses a health risk to the population. In this context, the concern with food safety is a competitive advantage, as the pressure of consumers, who are increasingly interested and concerned about what they are consuming, directs the trade to reach the quality of products and services offered. With regard to microbiological analyses, researchers have been developing sensitive techniques to produce rapid results, since traditional methods of microbiological culture are time-consuming and very laborious. Thus, the real-time quantitative PCR technique (qPCR) offers the possibility of quantifying the total bacterial DNA in a food sample without the need of the microbial growth step. That is, the result can be expressed on the same day, and it is possible to perform a simultaneous quantification of more than one pathogen in a single assay. Therefore, it can be a useful tool for monitoring microbiological quality in food industries. In this chapter, we will present the advantages and disadvantages of this methodology for food microbiology emphasizing the challenge of differentiating viable cells from nonviable cells.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Amanda Teixeira Sampaio Lopes and Bianca Mendes Maciel",authors:[{id:"284957",title:"Prof.",name:"Bianca",middleName:null,surname:"Mendes Maciel",slug:"bianca-mendes-maciel",fullName:"Bianca Mendes Maciel"},{id:"284958",title:"MSc.",name:"Amanda",middleName:null,surname:"Teixeira Sampaio Lopes",slug:"amanda-teixeira-sampaio-lopes",fullName:"Amanda Teixeira Sampaio Lopes"}]},{id:"67662",doi:"10.5772/intechopen.86976",title:"Molecular Cloning of Genic Male-Sterility Genes and Their Applications for Plant Heterosis via Biotechnology-based Male-sterility Systems",slug:"molecular-cloning-of-genic-male-sterility-genes-and-their-applications-for-plant-heterosis-via-biote",totalDownloads:1053,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"In this chapter, we summarize the strategies about molecular cloning and functional confirmation of plant genic male-sterility (GMS) genes and their applications for hybrid breeding and seed production via biotechnology-based male-sterility (BMS) systems in crop plants. The main content includes four sections: (1) GMS gene cloning strategies, including forward genetic approaches (e.g., map-based cloning, T-DNA or transposon tagging, and MutMap method) and reverse genetic approaches (e.g., homology-based cloning, anther-specific expression gene screening, and other reverse genetic methods); (2) functional confirmation methods of GMS genes, including transgenic complementation, targeted mutagenesis, allelic mutant test and sequencing, anther spatiotemporal expression analysis, and cytological observation; (3) application value assessment of GMS genes and mutants, such as genetic stability analysis of male sterility controlled by GMS genes under different genetic backgrounds and multiple environments, and genetic effects driven by GMS genes on plant heterosis and analysis of potential linkage with bad traits; (4) development and application of BMS systems based on GMS genes and/or their mutants, including transgenic construct-driven non-transgenic seed systems (e.g., seed production technology (SPT) and multi-control sterility (MCS)), and transgenic male-sterility systems (e.g., roundup hybridization systems (RHS1 and RHS2) and Barnase/Barstar system). Finally, we summarize and provide our perspectives on the studies of GMS genes and development of cost-effective and environment-friendly BMS systems in crop plants.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Xiangyuan Wan and Suowei Wu",authors:[{id:"299083",title:"Prof.",name:"Xiangyuan",middleName:null,surname:"Wan",slug:"xiangyuan-wan",fullName:"Xiangyuan Wan"},{id:"299450",title:"Dr.",name:"Suowei",middleName:null,surname:"Wu",slug:"suowei-wu",fullName:"Suowei Wu"}]},{id:"75476",doi:"10.5772/intechopen.96601",title:"An Overview of Age-Related Macular Degeneration: Clinical, Pre-Clinical Animal Models and Bidirectional Translation",slug:"an-overview-of-age-related-macular-degeneration-clinical-pre-clinical-animal-models-and-bidirectiona",totalDownloads:332,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Age-related macular degeneration (AMD) is a multifactorial disease that results from a complex and unknown interplay among environmental, genetic, and epidemiologic factors. Risk factors include aging, family history, obesity, hypercholesterolemia, and hypertension, along with cigarette smoking, which is the most influential modifiable risk factor. Single nucleotide polymorphisms (SNPs) in numerous genes such as complement factor H (CFH) pose some of the known genetic risks. The pathophysiology in AMD is incompletely understood, but is known to involve oxidative stress, inflammation, dysregulated antioxidants, lipid metabolism, and angiogenesis. Animal models have been integral in expanding our knowledge of AMD pathology. AMD is classified as non-exudative or exudative. Because there is no perfect animal model that recapitulates all aspects of the human disease, rodents, rabbits, and non-human primates offer different advantages and disadvantages to serve as models for various aspects of the disease. Scientific advances have also allowed for the creation of polygenic pre-clinical models that may better represent the complexity of AMD, which will likely expand our knowledge of disease mechanisms and serve as platforms for testing new therapeutics. There have been, and there continues to be, many drugs in the pipeline to treat both exudative and non-exudative AMD. However, Food and Drug Administration (FDA)-approved therapies for exudative AMD that mainly target angiogenic growth factors are the only therapeutics currently being used in the clinics. There remains no FDA-approved therapy for the non-exudative form of this disease. This chapter contains a basic overview and classification of AMD and multiple animal models of AMD are highlighted. We include an overview of both current FDA-approved treatments and those in development. Lastly, we conclude with a summary of the important role of pre-clinical studies in the development of therapeutics for this highly prevalent disease.",book:{id:"10549",slug:"preclinical-animal-modeling-in-medicine",title:"Preclinical Animal Modeling in Medicine",fullTitle:"Preclinical Animal Modeling in Medicine"},signatures:"Jonathan Rho, Paul Percelay, Sophie Pilkinton, T.J. Hollingsworth, Ilyse Kornblau and Monica M. Jablonski",authors:[{id:"342969",title:"Prof.",name:"Monica M.",middleName:"M.",surname:"Jablonski",slug:"monica-m.-jablonski",fullName:"Monica M. Jablonski"},{id:"342970",title:"Ms.",name:"Sophie",middleName:null,surname:"Pilkinton",slug:"sophie-pilkinton",fullName:"Sophie Pilkinton"},{id:"342971",title:"Mr.",name:"Jonathan",middleName:null,surname:"Rho",slug:"jonathan-rho",fullName:"Jonathan Rho"},{id:"346685",title:"Mr.",name:"Paul",middleName:null,surname:"Percelay",slug:"paul-percelay",fullName:"Paul Percelay"},{id:"346686",title:"Dr.",name:"T.J.",middleName:null,surname:"Hollingsworth",slug:"t.j.-hollingsworth",fullName:"T.J. Hollingsworth"},{id:"346687",title:"Dr.",name:"Ilyse",middleName:null,surname:"Kornblau",slug:"ilyse-kornblau",fullName:"Ilyse Kornblau"}]},{id:"75702",doi:"10.5772/intechopen.96738",title:"Duchenne Muscular Dystrophy Animal Models",slug:"duchenne-muscular-dystrophy-animal-models",totalDownloads:236,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Duchenne muscular dystrophy is a complex and severe orphan disease. It develops when the organism lacks the expression of dystrophin - a large structural protein. Dystrophin is transcribed from the largest gene in the human genome. At the moment, there is no cure available. Dozens of groups all over the world search for cure. Animal models are an important component of both the fundamental research and therapy development. Many animal models reproducing the features of disease were created and actively used since the late 80’s until present. The species diversity spans from invertebrates to primates and the genetic diversity of these models spans from single mutations to full gene deletions. The models are often non-interchangeable; while one model may be used for particular drug design it may be useless for another. Here we describe existing models, discuss their advantages and disadvantages and potential applications for research and therapy development.",book:{id:"10549",slug:"preclinical-animal-modeling-in-medicine",title:"Preclinical Animal Modeling in Medicine",fullTitle:"Preclinical Animal Modeling in Medicine"},signatures:"Tatiana V. Egorova, Ivan I. Galkin, Yulia V. Ivanova and Anna V. Polikarpova",authors:[{id:"340316",title:"M.Sc.",name:"Tatiana V.",middleName:null,surname:"Egorova",slug:"tatiana-v.-egorova",fullName:"Tatiana V. Egorova"},{id:"340335",title:"Dr.",name:"Anna V.",middleName:null,surname:"Polikarpova",slug:"anna-v.-polikarpova",fullName:"Anna V. Polikarpova"},{id:"340337",title:"Dr.",name:"Ivan I.",middleName:null,surname:"Galkin",slug:"ivan-i.-galkin",fullName:"Ivan I. Galkin"},{id:"346667",title:"MSc.",name:"Yulia V.",middleName:null,surname:"Ivanova",slug:"yulia-v.-ivanova",fullName:"Yulia V. Ivanova"}]}],mostDownloadedChaptersLast30Days:[{id:"67558",title:"Polymerase Chain Reaction (PCR): Principle and Applications",slug:"polymerase-chain-reaction-pcr-principle-and-applications",totalDownloads:10519,totalCrossrefCites:7,totalDimensionsCites:15,abstract:"The characterization of the diversity of species living within ecosystems is of major scientific interest to understand the functioning of these ecosystems. It is also becoming a societal issue since it is necessary to implement the conservation or even the restoration of biodiversity. Historically, species have been described and characterized on the basis of morphological criteria, which are closely linked by environmental conditions or which find their limits especially in groups where they are difficult to access, as is the case for many species of microorganisms. The need to understand the molecular mechanisms in species has made the PCR an indispensable tool for understanding the functioning of these biological systems. A number of markers are now available to detect nuclear DNA polymorphisms. In genetic diversity studies, the most frequently used markers are microsatellites. The study of biological complexity is a new frontier that requires high-throughput molecular technology, high speed computer memory, new approaches to data analysis, and the integration of interdisciplinary skills.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Karim Kadri",authors:[{id:"290766",title:"Dr.",name:"Kadri",middleName:null,surname:"Karim",slug:"kadri-karim",fullName:"Kadri Karim"}]},{id:"66513",title:"Annealing Temperature of 55°C and Specificity of Primer Binding in PCR Reactions",slug:"annealing-temperature-of-55-c-and-specificity-of-primer-binding-in-pcr-reactions",totalDownloads:1489,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"In our study, we used PCR to clone papA, papEF, papG and F17G genes of Escherichia coli isolated from faecal samples of dogs with diarrhoea. Annealing temperature of 55°C was used in the PCR. Nucleotide sequence analysis of 26 cloned PCR products showed that in PCRs with papA primers, six out of eight obtained PCR products were false due to non-specific binding of the forward primer on both DNA strands; in PCRs with the papEF primers, all seven obtained PCR products originated from specific binding of the forward primer on the 3′ → 5′ DNA strand and non-specific binding of the forward primed on the 5′ → 3′ DNA strand; and in PCRs with the F17G primers, four out of eight obtained PCR products were false due to non-specific binding of forward and reverse primer. The anticipated annealing sites for non-specific primer binding in analysed nucleotide sequences are presented. In the case of PCR products obtained with papG-specific primers, all PCR products were amplifications of the papG sequence. When the annealing temperature of papA PCRs was raised to 60°C, all obtained PCR products were amplifications of the correct DNA sequences.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Marjanca Starčič Erjavec",authors:[{id:"58980",title:"Dr.",name:"Marjanca",middleName:null,surname:"Starčič Erjavec",slug:"marjanca-starcic-erjavec",fullName:"Marjanca Starčič Erjavec"}]},{id:"66383",title:"PCR and Infectious Diseases",slug:"pcr-and-infectious-diseases",totalDownloads:1637,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Since the 1950s, the medical community has been faced with infectious diseases, which have brought significant public health and financial challenges. Currently, routine testing for the laboratory diagnosis for infectious agents is based on cell culture, serological, and molecular methods. However, cell culture-based methods are used mainly in research laboratories and are less sensitive methods when compared with serological and molecular methods. The diagnosis of infectious diseases has been revolutionized by the development of molecular techniques, mainly with the applications of polymerase chain reaction (PCR). The high sensitivity, specificity, and ease with which the PCR can be used to detect genetic sequences known have led to your wide application in science. A great number of qualitative and quantitative molecular assays are mostly based on what have been described such as real-time PCR, multiplex PCR, LAMP-PCR, and digital PCR. These assays could identify active infection by detecting infectious agents and nucleic acid in various clinical conditions including arboviruses, sexually transmitted infections, and bacterial infections. Further advancement of molecular technology is needed to improve the capacity to detect infectious agents in order to control the spread of infectious diseases and lead to appropriate actions which help to benefit patients and health-care workers themselves.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Danielle Alves Gomes Zauli",authors:[{id:"282969",title:"Ph.D.",name:"Danielle",middleName:null,surname:"Zauli",slug:"danielle-zauli",fullName:"Danielle Zauli"}]},{id:"76410",title:"Mouse Models of Acute Kidney Injury",slug:"mouse-models-of-acute-kidney-injury",totalDownloads:390,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Acute Kidney Injury (AKI) is a poor prognosis in hospitalized patients that is associated with high degree of mortality. AKI is also a major risk factor for development of chronic kidney disease. Despite these serious complications associated with AKI there has not been a great amount of progress made over the last half-century. Here we have outlined and provided details on variety of mouse models of AKI. Some of the mouse models of AKI are renal pedicle clamping (ischemia reperfusion injury), Cisplatin induced nephrotoxicity, sepsis (LPS, cecal slurry, and cecal ligation and puncture), folic acid, and rhabdomyolysis. In this chapter we describe in detail the protocols that are used in our laboratories.",book:{id:"10549",slug:"preclinical-animal-modeling-in-medicine",title:"Preclinical Animal Modeling in Medicine",fullTitle:"Preclinical Animal Modeling in Medicine"},signatures:"Navjot Pabla, Yogesh Scindia, Joseph Gigliotti and Amandeep Bajwa",authors:[{id:"345349",title:"Associate Prof.",name:"Aman",middleName:null,surname:"Bajwa",slug:"aman-bajwa",fullName:"Aman Bajwa"},{id:"345350",title:"Dr.",name:"Navjot",middleName:null,surname:"Pabla",slug:"navjot-pabla",fullName:"Navjot Pabla"},{id:"345351",title:"Dr.",name:"Yogesh",middleName:null,surname:"Scindia",slug:"yogesh-scindia",fullName:"Yogesh Scindia"},{id:"351420",title:"Dr.",name:"Joseph",middleName:null,surname:"Gigliotti",slug:"joseph-gigliotti",fullName:"Joseph Gigliotti"}]},{id:"65149",title:"Synthetic Biology, Artificial Intelligence, and Quantum Computing",slug:"synthetic-biology-artificial-intelligence-and-quantum-computing",totalDownloads:2096,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"We envisage a world where genetic engineering, artificial intelligence (AI), and quantum computing (QC) will coalesce to bring about a forced speciation of the Homo sapiens. A forced speciation will drastically reduce the emergence time for a new species to a few years compared to Nature’s hundreds of millennia. In this chapter, we explain the basic concepts that would allow a forced speciation of the Homo sapiens to occur and its consequences on life on Earth thereafter. Accelerating speciation mediated by Homo sapiens via domestication, gene splicing, and gene drive mechanisms is now scientifically well understood. Synthetic biology can advance speciation far more rapidly using a combination of clustered regularly interspaced short palindromic repeats (CRISPR) technology, advanced computing technologies, and knowledge creation using AI. The day is perhaps not far off when Homo sapiens itself will initiate its own speciation once it advances synthetic biology to a level where it can safely modify the brain to temper emotion and enhance rational thinking as a means of competing against AI-embedded machines guided by quantum algorithms.",book:{id:"7728",slug:"synthetic-biology-new-interdisciplinary-science",title:"Synthetic Biology",fullTitle:"Synthetic Biology - New Interdisciplinary Science"},signatures:"Rajendra K. Bera",authors:[{id:"77013",title:"Prof.",name:"Rajendra",middleName:null,surname:"Bera",slug:"rajendra-bera",fullName:"Rajendra Bera"}]}],onlineFirstChaptersFilter:{topicId:"694",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:0,limit:8,total:null},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:105,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"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:"6",title:"Infectious Diseases",doi:"10.5772/intechopen.71852",issn:"2631-6188",scope:"This series will provide a comprehensive overview of recent research trends in various Infectious Diseases (as per the most recent Baltimore classification). Topics will include general overviews of infections, immunopathology, diagnosis, treatment, epidemiology, etiology, and current clinical recommendations for managing infectious diseases. Ongoing issues, recent advances, and future diagnostic approaches and therapeutic strategies will also be discussed. This book series will focus on various aspects and properties of infectious diseases whose deep understanding is essential for safeguarding the human race from losing resources and economies due to pathogens.",coverUrl:"https://cdn.intechopen.com/series/covers/6.jpg",latestPublicationDate:"June 25th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:13,editor:{id:"131400",title:"Prof.",name:"Alfonso J.",middleName:null,surname:"Rodriguez-Morales",slug:"alfonso-j.-rodriguez-morales",fullName:"Alfonso J. Rodriguez-Morales",profilePictureURL:"https://mts.intechopen.com/storage/users/131400/images/system/131400.png",biography:"Dr. Rodriguez-Morales is an expert in tropical and emerging diseases, particularly zoonotic and vector-borne diseases (especially arboviral diseases). He is the president of the Travel Medicine Committee of the Pan-American Infectious Diseases Association (API), as well as the president of the Colombian Association of Infectious Diseases (ACIN). He is a member of the Committee on Tropical Medicine, Zoonoses, and Travel Medicine of ACIN. He is a vice-president of the Latin American Society for Travel Medicine (SLAMVI) and a Member of the Council of the International Society for Infectious Diseases (ISID). Since 2014, he has been recognized as a Senior Researcher, at the Ministry of Science of Colombia. He is a professor at the Faculty of Medicine of the Fundacion Universitaria Autonoma de las Americas, in Pereira, Risaralda, Colombia. He is an External Professor, Master in Research on Tropical Medicine and International Health, Universitat de Barcelona, Spain. He is also a professor at the Master in Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima, Peru. In 2021 he has been awarded the “Raul Isturiz Award” Medal of the API. Also, in 2021, he was awarded with the “Jose Felix Patiño” Asclepius Staff Medal of the Colombian Medical College, due to his scientific contributions to COVID-19 during the pandemic. He is currently the Editor in Chief of the journal Travel Medicine and Infectious Diseases. His Scopus H index is 47 (Google Scholar H index, 68).",institutionString:"Institución Universitaria Visión de las Américas, Colombia",institution:null},editorTwo:null,editorThree:null},subseries:{paginationCount:5,paginationItems:[{id:"91",title:"Sustainable Economy and Fair Society",coverUrl:"https://cdn.intechopen.com/series_topics/covers/91.jpg",isOpenForSubmission:!0,editor:{id:"181603",title:"Dr.",name:"Antonella",middleName:null,surname:"Petrillo",slug:"antonella-petrillo",fullName:"Antonella Petrillo",profilePictureURL:"https://mts.intechopen.com/storage/users/181603/images/system/181603.jpg",biography:"Antonella Petrillo is a Professor at the Department of Engineering of the University of Naples “Parthenope”, Italy. She received her Ph.D. in Mechanical Engineering from the University of Cassino. Her research interests include multi-criteria decision analysis, industrial plant, logistics, manufacturing and safety. She serves as an Associate Editor for the International Journal of the Analytic Hierarchy Process. She is a member of AHP Academy and a member of several editorial boards. She has over 160 Scientific Publications in International Journals and Conferences and she is the author of 5 books on Innovation and Decision Making in Industrial Applications and Engineering.",institutionString:null,institution:{name:"Parthenope University of Naples",institutionURL:null,country:{name:"Italy"}}},editorTwo:null,editorThree:null},{id:"92",title:"Health and Wellbeing",coverUrl:"https://cdn.intechopen.com/series_topics/covers/92.jpg",isOpenForSubmission:!0,editor:{id:"348225",title:"Prof.",name:"Ann",middleName:null,surname:"Hemingway",slug:"ann-hemingway",fullName:"Ann Hemingway",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035LZFoQAO/Profile_Picture_2022-04-11T14:55:40.jpg",biography:"Professor Hemingway is a public health researcher, Bournemouth University, undertaking international and UK research focused on reducing inequalities in health outcomes for marginalised and excluded populations and more recently focused on equine assisted interventions.",institutionString:null,institution:{name:"Bournemouth University",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null},{id:"93",title:"Inclusivity and Social Equity",coverUrl:"https://cdn.intechopen.com/series_topics/covers/93.jpg",isOpenForSubmission:!0,editor:{id:"210060",title:"Prof. Dr.",name:"Ebba",middleName:null,surname:"Ossiannilsson",slug:"ebba-ossiannilsson",fullName:"Ebba Ossiannilsson",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6LkBQAU/Profile_Picture_2022-02-28T13:31:48.png",biography:"Professor Dr. Ebba Ossiannilsson is an independent researcher, expert, consultant, quality auditor and influencer in the fields of open, flexible online and distance learning (OFDL) and the 'new normal'. Her focus is on quality, innovation, leadership, and personalised learning. She works primarily at the strategic and policy levels, both nationally and internationally, and with key international organisations. She is committed to promoting and improving OFDL in the context of SDG4 and the future of education. Ossiannilsson has more than 20 years of experience in her current field, but more than 40 years in the education sector. She works as a reviewer and expert for the European Commission and collaborates with the Joint Research Centre for Quality in Open Education. Ossiannilsson also collaborates with ITCILO and ICoBC (International Council on Badges and Credentials). She is a member of the ICDE Board of Directors and has previously served on the boards of EDEN and EUCEN. Ossiannilsson is a quality expert and reviewer for ICDE, EDEN and the EADTU. She chairs the ICDE OER Advocacy Committee and is a member of the ICDE Quality Network. She is regularly invited as a keynote speaker at conferences. She is a guest editor for several special issues and a member of the editorial board of several scientific journals. She has published more than 200 articles and is currently working on book projects in the field of OFDL. Ossiannilsson is a visiting professor at several international universities and was recently appointed Professor and Research Fellow at Victoria University of Wellington, NZ. Ossiannilsson has been awarded the following fellowships: EDEN Fellows, EDEN Council of Fellows, and Open Education Europe. She is a ICDE OER Ambassador, Open Education Europe Ambassador, GIZ Ambassador for Quality in Digital Learning, and part of the Globe-Community of Digital Learning and Champion of SPARC Europe. On a national level, she is a quality developer at the Swedish Institute for Standards (SIS) and for ISO. She is a member of the Digital Skills and Jobs Coalition Sweden and Vice President of the Swedish Association for Distance Education. She is currently working on a government initiative on quality in distance education at the National Council for Higher Education. She holds a Ph.D. from the University of Oulu, Finland.",institutionString:"Swedish Association for Distance Education, Sweden",institution:null},editorTwo:null,editorThree:null},{id:"94",title:"Climate Change and Environmental Sustainability",coverUrl:"https://cdn.intechopen.com/series_topics/covers/94.jpg",isOpenForSubmission:!0,editor:{id:"61855",title:"Dr.",name:"Yixin",middleName:null,surname:"Zhang",slug:"yixin-zhang",fullName:"Yixin Zhang",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYWJgQAO/Profile_Picture_2022-06-09T11:36:35.jpg",biography:"Professor Yixin Zhang is an aquatic ecologist with over 30 years of research and teaching experience in three continents (Asia, Europe, and North America) in Stream Ecology, Riparian Ecology, Urban Ecology, and Ecosystem Restoration and Aquatic Conservation, Human-Nature Interactions and Sustainability, Urbanization Impact on Aquatic Ecosystems. He got his Ph.D. in Animal Ecology at Umeå University in Sweden in 1998. He conducted postdoc research in stream ecology at the University of California at Santa Barbara in the USA. After that, he was a postdoc research fellow at the University of British Columbia in Canada to do research on large-scale stream experimental manipulation and watershed ecological survey in temperate rainforests of BC. He was a faculty member at the University of Hong Kong to run ecological research projects on aquatic insects, fishes, and newts in Tropical Asian streams. He also conducted research in streams, rivers, and caves in Texas, USA, to study the ecology of macroinvertebrates, big-claw river shrimp, fish, turtles, and bats. Current research interests include trophic flows across ecosystems; watershed impacts of land-use change on biodiversity and ecosystem functioning; ecological civilization and water resource management; urban ecology and urban/rural sustainable development.",institutionString:null,institution:{name:"Soochow University",institutionURL:null,country:{name:"China"}}},editorTwo:null,editorThree:null},{id:"95",title:"Urban Planning and Environmental Management",coverUrl:"https://cdn.intechopen.com/series_topics/covers/95.jpg",isOpenForSubmission:!0,editor:{id:"181079",title:"Dr.",name:"Christoph",middleName:null,surname:"Lüthi",slug:"christoph-luthi",fullName:"Christoph Lüthi",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRHSqQAO/Profile_Picture_2022-04-12T15:51:33.png",biography:"Dr. Christoph Lüthi is an urban infrastructure planner with over 25 years of experience in planning and design of urban infrastructure in middle and low-income countries. He holds a Master’s Degree in Urban Development Planning from the University College of London (UCL), and a Ph.D. in Urban Planning & Engineering from TU Berlin. He has conducted applied research on urban planning and infrastructure issues in over 20 countries in Africa and Asia. In 2005 he joined Eawag-Sandec as Leader of the Strategic Environmental Sanitation Planning Group. Since 2015 he heads the research department Sanitation, Water and Solid Waste for Development (Sandec) at the Swiss Federal Institute of Aquatic Research and Technology (Eawag).",institutionString:"Swiss Federal Institute of Aquatic Science and Technology, Switzerland",institution:null},editorTwo:{id:"290571",title:"Dr.",name:"Rui Alexandre",middleName:null,surname:"Castanho",slug:"rui-alexandre-castanho",fullName:"Rui Alexandre Castanho",profilePictureURL:"https://mts.intechopen.com/storage/users/290571/images/system/290571.jpg",biography:"Rui Alexandre Castanho has a master\\'s degree in Planning, Audit, and Control in Urban Green Spaces and an international Ph.D. in Sustainable Planning in Borderlands. Currently, he is a professor at WSB University, Poland, and a visiting professor at the University of Johannesburg, South Africa. Dr. Castanho is a post-doc researcher on the GREAT Project, University of Azores, Ponta Delgada, Portugal. He collaborates with the Environmental Resources Analysis Research Group (ARAM), University of Extremadura (UEx), Spain; VALORIZA - Research Center for the Enhancement of Endogenous Resources, Polytechnic Institute of Portalegre (IPP), Portugal; Centre for Tourism Research, Development and Innovation (CITUR), Madeira, Portugal; and AQUAGEO Research Group, University of Campinas (UNICAMP), Brazil.",institutionString:"University of Johannesburg, South Africa and WSB University, Poland",institution:{name:"University of Johannesburg",institutionURL:null,country:{name:"South Africa"}}},editorThree:null}]},overviewPageOFChapters:{paginationCount:15,paginationItems:[{id:"82427",title:"Our Globalization Era among Success, Obstacles and Doubts",doi:"10.5772/intechopen.105545",signatures:"Arnaldo Canziani, Annalisa Baldissera and Ahmad Kahwaji",slug:"our-globalization-era-among-success-obstacles-and-doubts",totalDownloads:5,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Globalization and Sustainability - Recent Advances, New Perspectives and Emerging Issues",coverURL:"https://cdn.intechopen.com/books/images_new/11476.jpg",subseries:{id:"91",title:"Sustainable Economy and Fair Society"}}},{id:"82248",title:"Sustainability and Excellence: Pillars for Business Survival",doi:"10.5772/intechopen.105420",signatures:"Irina Severin, Maria Cristina Dijmarescu and Mihai Caramihai",slug:"sustainability-and-excellence-pillars-for-business-survival",totalDownloads:5,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Globalization and Sustainability - Recent Advances, New Perspectives and Emerging Issues",coverURL:"https://cdn.intechopen.com/books/images_new/11476.jpg",subseries:{id:"91",title:"Sustainable Economy and Fair Society"}}},{id:"82124",title:"Assessment of Diversity, Growth Characteristics and Aboveground Biomass of Tree Species in Selected Urban Green Areas of Osogbo, Osun State",doi:"10.5772/intechopen.104982",signatures:"Omolara Aremu, Olusola O. Adetoro and Olusegun Awotoye",slug:"assessment-of-diversity-growth-characteristics-and-aboveground-biomass-of-tree-species-in-selected-u",totalDownloads:5,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Forest Degradation Under Global Change",coverURL:"https://cdn.intechopen.com/books/images_new/11457.jpg",subseries:{id:"94",title:"Climate Change and Environmental Sustainability"}}},{id:"81975",title:"Self-Sustained Communities: Food Security in Times of Crisis",doi:"10.5772/intechopen.104425",signatures:"Kriengsak Chareonwongsak",slug:"self-sustained-communities-food-security-in-times-of-crisis",totalDownloads:11,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Food Systems Resilience",coverURL:"https://cdn.intechopen.com/books/images_new/10897.jpg",subseries:{id:"91",title:"Sustainable Economy and Fair Society"}}}]},overviewPagePublishedBooks:{paginationCount:0,paginationItems:[]},openForSubmissionBooks:{paginationCount:1,paginationItems:[{id:"11478",title:"Recent Advances in the Study of Dyslexia",coverURL:"https://cdn.intechopen.com/books/images_new/11478.jpg",hash:"26764a18c6b776698823e0e1c3022d2f",secondStepPassed:!1,currentStepOfPublishingProcess:2,submissionDeadline:"June 30th 2022",isOpenForSubmission:!0,editors:[{id:"294281",title:"Prof.",name:"Jonathan",surname:"Glazzard",slug:"jonathan-glazzard",fullName:"Jonathan Glazzard"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},onlineFirstChapters:{paginationCount:10,paginationItems:[{id:"82380",title:"Evolution of Parasitism and Pathogenic Adaptations in Certain Medically Important Fungi",doi:"10.5772/intechopen.105206",signatures:"Gokul Shankar Sabesan, Ranjit Singh AJA, Ranjith Mehenderkar and Basanta Kumar Mohanty",slug:"evolution-of-parasitism-and-pathogenic-adaptations-in-certain-medically-important-fungi",totalDownloads:4,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Fungal Infectious Diseases - Annual Volume 2022",coverURL:"https://cdn.intechopen.com/books/images_new/11400.jpg",subseries:{id:"4",title:"Fungal Infectious Diseases"}}},{id:"82367",title:"Spatial Variation and Factors Associated with Unsuppressed HIV Viral Load among Women in an HIV Hyperendemic Area of KwaZulu-Natal, South Africa",doi:"10.5772/intechopen.105547",signatures:"Adenike O. Soogun, Ayesha B.M. 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He worked as a post-doctoral fellow at the Public Health Research Institute (PHRI), Newark, NJ for four years before accepting a three-year faculty position at Brigham Young University-Hawaii. Dr. Engohang-Ndong is a tenured faculty member with the academic rank of Full Professor at Kent State University, Ohio, where he teaches a wide range of biological science courses and pursues his research in medical and environmental microbiology. 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He has an excellent track record in the herpesvirus field, and his group is engaged in clinical research in the field of Epstein-Barr virus diseases. He is the editor of the online Encyclopedia of Environment and he coordinates the Universal Health Coverage education program for the BioHealth Computing Schools of the European Institute of Science.",institutionString:null,institution:{name:"Grenoble Alpes University",country:{name:"France"}}},{id:"131400",title:"Prof.",name:"Alfonso J.",middleName:null,surname:"Rodriguez-Morales",slug:"alfonso-j.-rodriguez-morales",fullName:"Alfonso J. Rodriguez-Morales",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/131400/images/system/131400.png",biography:"Dr. Rodriguez-Morales is an expert in tropical and emerging diseases, particularly zoonotic and vector-borne diseases (especially arboviral diseases). He is the president of the Travel Medicine Committee of the Pan-American Infectious Diseases Association (API), as well as the president of the Colombian Association of Infectious Diseases (ACIN). He is a member of the Committee on Tropical Medicine, Zoonoses, and Travel Medicine of ACIN. He is a vice-president of the Latin American Society for Travel Medicine (SLAMVI) and a Member of the Council of the International Society for Infectious Diseases (ISID). Since 2014, he has been recognized as a Senior Researcher, at the Ministry of Science of Colombia. He is a professor at the Faculty of Medicine of the Fundacion Universitaria Autonoma de las Americas, in Pereira, Risaralda, Colombia. He is an External Professor, Master in Research on Tropical Medicine and International Health, Universitat de Barcelona, Spain. He is also a professor at the Master in Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima, Peru. In 2021 he has been awarded the “Raul Isturiz Award” Medal of the API. Also, in 2021, he was awarded with the “Jose Felix Patiño” Asclepius Staff Medal of the Colombian Medical College, due to his scientific contributions to COVID-19 during the pandemic. He is currently the Editor in Chief of the journal Travel Medicine and Infectious Diseases. His Scopus H index is 47 (Google Scholar H index, 68).",institutionString:"Institución Universitaria Visión de las Américas, Colombia",institution:null},{id:"332819",title:"Dr.",name:"Chukwudi Michael",middleName:"Michael",surname:"Egbuche",slug:"chukwudi-michael-egbuche",fullName:"Chukwudi Michael Egbuche",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/332819/images/14624_n.jpg",biography:"I an Dr. Chukwudi Michael Egbuche. I am a Senior Lecturer in the Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka.",institutionString:null,institution:{name:"Nnamdi Azikiwe University",country:{name:"Nigeria"}}},{id:"284232",title:"Mr.",name:"Nikunj",middleName:"U",surname:"Tandel",slug:"nikunj-tandel",fullName:"Nikunj Tandel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284232/images/8275_n.jpg",biography:'Mr. Nikunj Tandel has completed his Master\'s degree in Biotechnology from VIT University, India in the year of 2012. He is having 8 years of research experience especially in the field of malaria epidemiology, immunology, and nanoparticle-based drug delivery system against the infectious diseases, autoimmune disorders and cancer. He has worked for the NIH funded-International Center of Excellence in Malaria Research project "Center for the study of complex malaria in India (CSCMi)" in collaboration with New York University. The preliminary objectives of the study are to understand and develop the evidence-based tools and interventions for the control and prevention of malaria in different sites of the INDIA. Alongside, with the help of next-generation genomics study, the team has studied the antimalarial drug resistance in India. Further, he has extended his research in the development of Humanized mice for the study of liver-stage malaria and identification of molecular marker(s) for the Artemisinin resistance. At present, his research focuses on understanding the role of B cells in the activation of CD8+ T cells in malaria. 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She is currently an Adjunct Professor at Feevale University in Medicine and Biomedicine courses and a permanent professor of the Academic Master\\'s Degree in Virology. She has experience in the field of Microbiology, with an emphasis on Bacteriology, working mainly on the following topics: bacteriophages, bacterial resistance, clinical microbiology and food microbiology.",institutionString:null,institution:{name:"Universidade Feevale",country:{name:"Brazil"}}},{id:"229220",title:"Dr.",name:"Amjad",middleName:"Islam",surname:"Aqib",slug:"amjad-aqib",fullName:"Amjad Aqib",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229220/images/system/229220.png",biography:"Dr. Amjad Islam Aqib obtained a DVM and MSc (Hons) from University of Agriculture Faisalabad (UAF), Pakistan, and a PhD from the University of Veterinary and Animal Sciences Lahore, Pakistan. Dr. Aqib joined the Department of Clinical Medicine and Surgery at UAF for one year as an assistant professor where he developed a research laboratory designated for pathogenic bacteria. Since 2018, he has been Assistant Professor/Officer in-charge, Department of Medicine, Manager Research Operations and Development-ORIC, and President One Health Club at Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan. He has nearly 100 publications to his credit. His research interests include epidemiological patterns and molecular analysis of antimicrobial resistance and modulation and vaccine development against animal pathogens of public health concern.",institutionString:"Cholistan University of Veterinary and Animal Sciences",institution:null},{id:"62900",title:"Prof.",name:"Fethi",middleName:null,surname:"Derbel",slug:"fethi-derbel",fullName:"Fethi Derbel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62900/images/system/62900.jpeg",biography:"Professor Fethi Derbel was born in 1960 in Tunisia. He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. 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She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. 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His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",country:{name:"India"}}},{id:"94928",title:"Dr.",name:"Takuo",middleName:null,surname:"Mizukami",slug:"takuo-mizukami",fullName:"Takuo Mizukami",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94928/images/6402_n.jpg",biography:null,institutionString:null,institution:{name:"National Institute of Infectious Diseases",country:{name:"Japan"}}},{id:"233433",title:"Dr.",name:"Yulia",middleName:null,surname:"Desheva",slug:"yulia-desheva",fullName:"Yulia Desheva",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/233433/images/system/233433.png",biography:"Dr. Yulia Desheva is a leading researcher at the Institute of Experimental Medicine, St. Petersburg, Russia. She is a professor in the Stomatology Faculty, St. Petersburg State University. She has expertise in the development and evaluation of a wide range of live mucosal vaccines against influenza and bacterial complications. Her research interests include immunity against influenza and COVID-19 and the development of immunization schemes for high-risk individuals.",institutionString:'Federal State Budgetary Scientific Institution "Institute of Experimental Medicine"',institution:null},{id:"238958",title:"Mr.",name:"Atamjit",middleName:null,surname:"Singh",slug:"atamjit-singh",fullName:"Atamjit Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/238958/images/6575_n.jpg",biography:null,institutionString:null,institution:null},{id:"333753",title:"Dr.",name:"Rais",middleName:null,surname:"Ahmed",slug:"rais-ahmed",fullName:"Rais Ahmed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333753/images/20168_n.jpg",biography:null,institutionString:null,institution:null},{id:"252058",title:"M.Sc.",name:"Juan",middleName:null,surname:"Sulca",slug:"juan-sulca",fullName:"Juan Sulca",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252058/images/12834_n.jpg",biography:null,institutionString:null,institution:null},{id:"191392",title:"Dr.",name:"Marimuthu",middleName:null,surname:"Govindarajan",slug:"marimuthu-govindarajan",fullName:"Marimuthu Govindarajan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/191392/images/5828_n.jpg",biography:"Dr. M. 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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. 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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. 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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. 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://mts.intechopen.com/storage/users/81926/images/system/81926.png",institutionString:"Suez Canal University",institution:{name:"Suez Canal University",institutionURL:null,country:{name:"Egypt"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"chapter.detail",path:"/chapters/69263",hash:"",query:{},params:{id:"69263"},fullPath:"/chapters/69263",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)}()