American Diabetes Association (ADA) 2016 criteria for diagnosing T2DM.
\r\n\t
",isbn:"978-1-83881-111-2",printIsbn:"978-1-83880-992-8",pdfIsbn:"978-1-83881-112-9",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"acb2875b3bfc189c9881a9b44b6a5184",bookSignature:"Dr. Abdo Abou Jaoudé",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11865.jpg",keywords:"Linear Operators, Normal Operators, Spectral Theorem, Applications, Differential Operators, Integral Operators, Functional Calculus, Complex Variables, Complex Analysis, Theory, Recent Advances, Latest Trends",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 13th 2022",dateEndSecondStepPublish:"June 21st 2022",dateEndThirdStepPublish:"August 20th 2022",dateEndFourthStepPublish:"November 8th 2022",dateEndFifthStepPublish:"January 7th 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"2 months",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Abdo Abou Jaoudé is a pioneering Associate Professor of Mathematics and Statistics at Notre Dame University-Louaizé. He holds two PhDs in Mathematics and Prognostics from the Lebanese University and Aix-Marseille University. His research interests are in the field of mathematics.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"248271",title:"Dr.",name:"Abdo",middleName:null,surname:"Abou Jaoudé",slug:"abdo-abou-jaoude",fullName:"Abdo Abou Jaoudé",profilePictureURL:"https://mts.intechopen.com/storage/users/248271/images/system/248271.jpg",biography:"Abdo Abou Jaoudé has been teaching for many years and has a passion for researching and teaching mathematics. He is currently an Associate Professor of Mathematics and Statistics at Notre Dame University-Louaizé (NDU), Lebanon. He holds a BSc and an MSc in Computer Science from NDU, and three PhDs in Applied Mathematics, Computer Science, and Applied Statistics and Probability, all from Bircham International University through a distance learning program. He also holds two PhDs in Mathematics and Prognostics from the Lebanese University, Lebanon, and Aix-Marseille University, France. Dr. Abou Jaoudé's broad research interests are in the field of applied mathematics. 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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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To satisfy the need for energy we have various sources, some of which are wind energy, solar energy, fossil fuel, nuclear energy, and so much more. For all of these, storage of energy in a device is an important part for which we have several kinds depending on the usage and need. Examples include capacitors, supercapacitors, batteries, fuel cells, flywheel, etc. A battery consists of one or more electrochemical cells and is connected externally to provide power to different appliances such as smartphones, electric car, laptop, etc. the electrochemical cell provides with electrical energy from a chemical reaction [1]. Now, batteries have two main types depending on the fact of rechargeable and non-rechargeable as illustrated in Figure 1. Primary batteries are nonrechargeable and provide electricity as soon as the connection is made with an electrical device’s electrodes. Primary cell can only be used one time, and once they are discharged, they cannot be charged again and are discarded. Some of the examples of primary batteries are Daniel cell, dry cell, zinc air battery, mercury battery, etc. The usage of primary cell includes a wide range of devices like remote controls, pacemakers, toys, and clocks [1], whereas secondary battery is rechargeable and needs to be charged first for providence of energy. Secondary batteries can be used for longer time than primary cells, due to their recharging capability as they can go from 100 to 1000 cycles of charge and discharge. There are numerous examples of secondary batteries, which are magnesium ion battery, nickel zinc battery, sodium ion battery, lithium ion battery, etc. [2]. Lithium ion battery has a higher amount of importance in the industry for a number of reasons. The light weight of Li element, that is, density = 0.53 g/cm3 and the highest electropositive nature in the periodic table has helped in the arranging of battery with high energy density. Still, there are many issues to be addressed for improving the performance [3, 4].
Illustration of (a) alkaline battery as an example of primary battery [
Lithium-ion battery (LIB) is a type of rechargeable battery in which Li ion moves during discharge from the negative electrode (cathode) to the positive electrode (anode) and then during charging Li ions move back from the anode to the cathode. There are four important components: anode, cathode, electrolyte, and separator [3, 4, 7]. Separator has the main role of keeping the electrodes apart, and, to allow the transport of only the charge carriers which in this case are lithium ions [8, 9]. Electrolyte has an important role in the transport as well and is usually made of lithium salts. Whereas, cathodes are made of lithium compounds like lithium cobaltates and lithium phosphates, and anode materials are usually made of 2D materials and their respective compounds. Figure 2 shows a schematic representation of LIBs. When a source is supplied for charging of LIB, Li ions travel from the cathode through the electrolyte and separator to the anode and are intercalated into the 2D material. After fully charged, the source can be removed and the discharging starts in which the Li ions are desorbed from the anode and are transported back to the cathode [10]. The 2D materials that are preferred are graphene and carbon-based compounds because of their high conductivity and Li storage capability, not only on defect-free sites but defective as well [9, 11].
A schematic reperesentation of lithium ion battery [
For a long time, the development and creation of new materials have been due to the experimental procedures, which were based entirely upon the intuition and judgment of the experimental researchers, depending upon the facilities as well as the availability of compounds and materials needed for conduction of an experiment. With the passing of time, we have developed computational techniques and codes for investigation of different aspects of a material and how to improve those materials. While the experimental methods are a complete hit in a dark room and waiting for the results to turn out for the best, we can simulate different structures, materials and compounds and alter them to our requirements and desire and then work on how to perform an experiment to get those results. Another way to think is that, when an experiment goes a specific way and we are unable to comprehend the reason, the theoretical calculations and modeling can help us understand on nano and atomic level about the hows and whys. Regarding the lithium ion batteries, there has been a lot of work done to improve its working by studying different materials to be used as a cathode along with studies for improvement of the anode and electrolyte. In this chapter, a brief review of studies made theoretically on nanocarbons for lithium-ion batteries is discussed.
For the analysis of nanostructures, first, a brief general idea of the computational methods is necessary. There are several computational codes and different theoretical backgrounds that are used for these studies. The two main theories are potential-based methods and density functional theory. Here, we will focus on the DFT-based studies and the understanding of the electronic structure. Density functional theory (DFT) is a quantum mechanical approach to the study of the properties of matter on a microscopic basis that is most prevalent and effective [12]. The fundamental principle of DFT is that the total energy of the system is an exclusive functional of the electron density as given by Kohn-Sham equations [13]. The exchange-correlation potential that is introduced into a system helps to calculate the values accurately for which there are several formalisms, like local spin density approximation (LSDA) and generalized gradient approximation (GGA) [14, 15]. Moreover, including the Hubbard potential increases the accuracy of the system as it accounts for the columbic repulsions of the system [16].
The most important part is the simulation of a structure that will complement the experimental procedures. Then, we proceed to see the movement of electrons in these structures and analyze some of the important characteristics, like voltage profile, formation energy, density of states, and diffusion of lithium ion. Here, our focus is on carbon-based compounds, which are mainly used as anodes in LIBs, more specifically graphene structures. Following this the doping, adsorption, heterostructures, cluster systems, composites, and other such possibilities used for enhancement of anode materials are conversed.
One of the important ways to improve the performance of a material is the doping process. Graphene and carbon nanostructures have been doped through various procedures with different elements and studied for use in LIBs. For instance, Yang et al. have done a study on doping of germanium in graphene sheets, resulting in germagraphene and proceeded with observing the adsorption of lithium on different sites. The amount of Li adsorption is shown to be enhanced by doping germanium [17].
Ullah et al. have reported a large capacity anode material for LIBs by doping Be onto the graphene structure and studying the adsorption properties using the SIESTA code [18]. They have simulated single vacancy beryllium doped and double vacancy Be doped graphene structures and then proceeded to study the adsorption of different amounts of Li atoms on top side of the surface as well as bottom side of the surface (Figure 3). The doping of Beryllium makes it an electron-deficient system and the adsorption energy goes to −2.53 eV/Li atom and the rise in the capacity up to 2303.295 mAh/g for the Li8BeC7 structure. The reason for the huge capacitance is that in mono vacancy structure and divacancy structure the Li atoms get attached easily as the doping of Beryllium reduces the electrons and for divacancy the Li adsorption amount is more than mono vacancy.
Li adsorption on Be-doped graphene (top view on left and side view on right): (a) 2 Li atoms with up orientation and (b) 2 Li atoms with down orientation [
Proceeding with Be doping, Ullah et al. have done the dual doping of graphene by modeling boron and beryllium, N and Be, and O and Be co-doped structures [19]. Doping of N and O increases the n-type characteristic while doping of B is for p-type characteristic. As Li is adsorbed onto the structures, it is indicated that the BeB doped structure shows good adsorption as the adsorption is ~3.1 times increased. The specification is that B addition increases the p-type nature of the compound that already contains Be and C and hence the Li ion is adsorbed to the dual doped graphene sheet.
A different morphology-based structure was studied recently, in which graphene nanoribbons doped by B and undoped structures were simulated. The adsorption of Li on both the structures was observed which indicated that the capacity increases from 52 to 783 mAh/g when doped with B. The significance of this study is the fact that boron doping in graphene nanoribbons is more effective than the doping into pristine graphene structures [20].
The adsorption of lithium on undoped graphene and N or B doped graphene was studied indicating that the energy of adsorption is highest for Boron-doped graphene and lowest for Nitrogen-doped graphene [21]. The study was performed using the nudged elastic band method and the concentration for doping of both N and B was 12.5 at%, respectively, as shown in Figure 4. The conclusion was that N-doped graphene has better diffusion and desorption qualities than that of pristine graphene and boron doped graphene.
Doped graphene structure (gray color atoms = C and blue color atoms = B or N) [
The doping of pyridinic and graphitic nitrogen in a double vacancy graphene structure, that is, 5-8-5 graphene vacancy is studied and the different structures are illustrated in Figure 5 [22]. The potential surfaces, adsorption of 1 Li, adsorption of more than one lithium, and the diffusion of Li across the structure are investigated. Kong et al. have suggested that 4 pyridinic N doped graphene has good adsorption characteristic for Li as well as the diffusion, and hence it will be useful to synthesize for use as anode in LIBs.
(a) Pure graphene, (b) top view of 5-8-5 divacancy graphene, (c) side view of 5-8-5 divacancy graphene, (d) single graphitic N doped graphene, (e) 3 graphitic N doped graphene, (f) 1 pyridinic N doped graphene, (g) 3 pyridinic N doped graphene, and (h) 4 pyridinic N doped graphene [
Another point of importance is the amount of nitrogen doping that will be sufficient and what kind of doping will be useful, that is, the sites that are occupied by nitrogen. Yang has studied the nitrogen doping extensively along with the presence of defects and the adsorption of lithium on different structure shown in Figure 6 [23]. The structures include pristine graphene, single N doping, two nitrogen doped at different sites, single nitrogen with single vacancy, and pyridinic structure with single and double vacancy and pyrrolic structure with single and double vacancy. On all these structures the electrical, magnetic, and adsorption properties are studied. The adsorption energy is more for the pristine graphene and single N doped structure while the energy is in negative for all the structures containing vacancies. Furthermore, the magnetic moment is shown to decrease with the adsorption of Li atom by the formation of a bond between free electrons with the electron in Li. Insert figure of structure.
Top and side view of Li adsorbed structures: (a) pristine graphene, (b) single N doped graphene, (c–e) double N doped graphene with diffent sites, (f) single N doped structure with single vacancy, (g–i) three nitrogen doped and single vacancy graphene, (j) double N doped divacancy graphene, and (j) 4 N doped and single vacancy structure [
Moreover, Watanabe et al. studied the upper limit for the nitrogen in carbon materials both theoretically and experimentally [24]. In the experimental study, they have concluded that with any increase in the carbonization temperature, the limit for nitrogen content in N doped carbon structures is decreasing. Moreover, the upper limits of N were found to be 14.32 and 21.66 wt% at 1000 and 900, respectively (Figure 7). Then they proceeded with studying the energetically favored structures at 1000 by doping N into C structure. The results they found were in close agreement with their experiment indicating that the existence of doped N in these structures is graphitic.
Graphene structure with varying N/C ratio [
Agrawal et al. studied nanocarbon balls and microcarbon balls with and without nitrogen doping, both experimentally and theoretically [25]. Nitrogen doped porous carbon balls had been synthesized in the micro and nano range using the hydrothermal synthesis. According to their work, the nitrogen doped compounds had more electrical conductivity then undoped compounds. Their experimental results showed a similar situation as the charging capacity of N doped structures is more than the undoped micro and nano carbon balls. More recently, N and S co-doped graphene structures were studied theoretically using VASP code [26]. 3N doped graphene, 2N and 1S doped graphene, 1 N and 2 S doped graphene, and 3 S doped graphene structure were simulated with single vacancy site near the doped atoms as shown in Figure 8. It was concluded that the bandgap goes from 0.4473 to 0.255 eV for 3N doped structure and 3S doped structure and that the N on the sited has a negative nature compared to s-doped structure which has a positive structure. With the increasing amount of S atoms, the charge on s decreases and we can tune the properties of graphene from this co-doping for electronic devices like Li-ion batteries.
Single vacancy graphene structures with (a) 3 N, (b) 2 N and 1 S, (c) 2 S and 1 N, and (d) 3 S doping [
The theoretical study of Yun et al. on doping of sulfur in graphene nanosheets is a good example of connecting the experiment with calculations and simulations to understand the possibility of sites that are being occupied by a dopant [27]. They have simulated three structures for doping of sulfur in graphene nanosheets as demonstrated in Figure 9. Figure 9a is the adsorption of sulfur on the graphene nanosheet, (Figure 9b) is the substitution of sulfur in the graphene nanosheet, that is, replacing a carbon, and (Figure 9c) is the placement of S2 in a divacancy defect graphene nanosheet. The binding energies for adsorbed sulphur, substitutional sulfur, and S2 divacancy sulfur are 0.85, 7.25, and 4.89 eV, respectively, whereas the bulk sulfur cohesive energy is 2.45 eV. They suggest that substitutional sulfur-doped structure is most likely possibility and that the doping of sulfur contributes to the increase of conductivity in sulfur-doped graphene nanosheet.
Structure of (a) adsorbed S on graphene, (b) substitution of S in graphene, and (c) dimer S2 on divacancy graphene.
Besides the other properties of graphene and carbon nanostructure, it is important for LIBs that the extraction and reinsertion of lithium ion happen smoothly and the resultant is a long-lasting battery. The ionic mobility is an important characteristic; as the material capacitance and other properties improve, for the use of a material as an anode, it is necessary to see the mechanism that is happening in the structure. Adsorption plays an important role along with the doping of the structure.
Zheng et al. provide insight, which shows that in interaction between positive Li ion and graphene, Li ion favors the center of ring position [28]. Their study is based on VASP code and GGA functional. Vacancy-induced structure is also discussed, showing that the vacancy defects decrease the diffusion of positive lithium ion on the surface of the structure. Furthermore, the mechanism of lithiation in pristine graphene and defective graphene was studied by Vivek et al. [29]. They had concluded that the adsorption of Li onto the pristine graphene surface is highly unlikely whereas as the presence of the divacancy and Stone-Wales defects increases the chances of lithiation. As the defects are created, the potential around the defective zone increases which in turn increases the capability of adsorption of Li onto the surface as an adatom. The highest capacity (1675 mAh/g) is seen for the 25% divacancy defect, whereas the highest possibility for Stone-Wales defect at 100% ~1100 mAh/g where the defective structures are shown in Figure 10. A further insight is provided by Zhou et al. who claim that the divacancy defect is more attractive to the Li than the SW defect [30].
(a) Divacancy defect graohene structure and (b) Stone-Wales defect graphene structure [
The effect of defects generated in graphene on Li adsorption has been studied in detail with different structure simulations [11, 31]. The formation of lithium clusters on the single vacancy and divacancy defective site was studied by Chen et al. [32]. They have shown the high amount of lithium storage in these defective sites. Mukherjee et al. studied the defective graphene experimentally and theoretically by synthesizing the porous graphene network and simulating it in different divacancy defect percentages [33]. They found their studies to be in agreement and that the Li adsorption had increased around the divacancy defect sites as well as the increasing divacancy defect percentage resulting in increasing lithium storage capacity [33].
The formation of lithium clusters on the (0 0 1) terminated surface suggested that the binding energy is less than that of Li on Li metal [34]. Fan et al. also studied the adsorption of single Li on to the pristine graphene structure and the different possibilities when more than one Li was adsorbed onto the surface that results into a cluster formation. The Li4 is the most stable configuration; as the atoms were placed farther apart, the energy also increases, which is unfavorable. Figure 11 shows the four possible configurations in which Figure 8a is the visualization of the stable state.
Structure of Li adsorbed on graphene (a) Li4 adsorption, (b) single Li at short distance, (c) single Li at slightly more distance, and (d) single Li at the corners of the structure [
Modification of graphene to form zigzag edges is explored, which shows that the zigzag edges offer sites for the adsorption of Li and increases the adsorption as compared to pristine graphene or graphite [35, 36]. Furthermore, termination group adsorption onto edge modified graphene and graphite structure was simulated and then the diffusion of Li across these structures had been studied [37]. The termination groups included –O, –H and –OH. Figure 9 shows the charge distribution on the edge modified graphene structure along with the presence of the termination groups on the edge-modified structure. The edge-modification increases the diffusion of lithium across the structure as compared to the pristine graphene. In the terminated structures, the –OH and –H termination decreases the diffusion as compared to the oxygen terminated structure, and from Figure 12 we can see that oxygen has the highest charge contribution.
Charge distribution in edge modified structure: (a) graphene, (b) –H terminations, (c) -OH terminations, and (d) –O terminations [
Recently, Si clusters have gained the attention of both experimental and theoretical researchers for different applications. The capability of Si for high Li adsorption when combined with the stability of the graphene or carbon-based materials increases the overall performance of silicon graphene composites [38, 39]. Hu et al. studied the adsorption of Li on a defective graphene surface with silicon cluster already adsorbed [40]. They had simulated various N-doped structures including graphitic graphene, pyridinic graphene, and pyrrolic graphene. After that they proceeded with the different possible configurations of Si adsorptions as shown in Figure 13. Then, Si6 adsorbed structure were observed with Li adsorption, where Li forms bond with Si as along with C. Their study gives a detailed insight about the adsorption of structures where the N-doped defective sites have an important role. Si clusters move towards the defective site, where the volume expansion was decreased because of the defects and makes the adsorption of Li easier.
(a) Si2 cluster adorption on graphitic graphene, (b) Si3 cluster adsorption on graphitic graphene, and (c) Si6 cluster adorption on graphitic graphene [
Liou et al. studied the different configurations for adsorption of lithium into a silicon graphene composite and concluded that in graphene silicon composite, intercalation of lithium happening in the interlayer of these two is more stable than the outside [41]. Furthermore, they proceeded with increasing the concentration of graphene layers and silicon percentage and observed that the structures are more stable with the increased concentration of Si [42]. This provides a good insight into the use of Si-incorporated graphitic structures to be used as anodes in LIBs.
2D planar carbon known as popgraphene which is composed of a network of 5-8-5 C rings was shown to be a low energy structure by the bottom-up design [43]. It was reported as an excellent material based on its high adsorption capacity, low diffusion barriers, and its metallic structure because of the attachment of CNTs. Figure 14 shows the adsorption of 12 Li atoms on the popgraphene structure.
Top and side view of pop graphene sheet with Li adsorption (purple = Li atom and gray = C atom) [
The formation of heterostructures between carbon-based 2D material graphene and other 2D materials has also been studied for anode applications specifically in the LIB industry. 2D molybdenum oxide MoO2 and graphene heterostructure were studied using the VASP code with GGA [44]. It shows a high theoretical capacity ~1400 mAh/g and high energy density for lithiation and fast charge and discharge rate. Rao et al. studied in detail the monolayer of C2N and the bilayer heterostructure of C2N/graphene [45]. Their results show that the diffusion coefficient for the heterostructure was better than the monolayer after the diffusion of lithium, whereas the capacity of monolayer was 220% the bilayered heterostructure.
The heterostructure of phosphorene and graphene was studied by Wang et al. and showed that the Li intercalation into the phosphorene/graphene heterostructure is better than the pristine phosphorene and pristine graphene [46]. However, there is a small band gap, which indicates the semimetal nature of the phosphorene/graphene heterostructure. Blue phosphorene and graphene heterostructure also shows a similar behavior and high theoretical capacity for lithium intercalation [47]. A bilayer hybrid structure of molybdenum sulfide 2D material with graphene was studied by experimentation as well as simulation [48]. Their purpose was to present a hybrid of these two compounds for lithium storage and concluded that their experimentation is in agreement with the simulation.
A new two-dimensional family of transition metal compounds called MXene and graphene heterostructure were simulated for lithium battery applications [49]. The study includes the intercalation of lithium into many different compounds of MXene as well as MXene and graphene heterostructure in the presence of the functional groups which are –O and –OH terminations attached to MXene as shown in Figure 15. They have established that the stability of the compound is maintained as the lattice parameter and interlayer separation remain almost the same after the intercalation of Li.
(a) and (b) Bi-layer MXene Ti2CTx with intercalated lithium adsorbed (c) and (d) MXene Ti2CTx and graphene with intercalated lithium [
Mainly for cathode in LIBs, the compounds used are lithium-based salts, phosphates, etc. Wang et al. have done an extensive study based on simulations as well as experimentations and have proposed structures containing LiFePO4 (LFP) and carbon nanotubes (CNTs) [50]. Their DFT calculations provide a profound understanding of the electrochemical processes. For the DFT study, the structure of CNTs is attached at the (010) interface of LFP and the valence electron cloud charge for the structure is shown in Figure 16. Pure LFP structure has less density of states compared to the structure with CNTs, showing that the electrochemical activity of LFP was enhanced by the attachment of CNTs.
(a) Front-view, (b) side-view, and (c) top-view, for compound interface of LFP and CNTs showing the valence electron cloud distribution [
Jiang et al. studied the composite of vanadium oxide with vertically aligned CNT by the synthesis and characterization and then for the mechanism at atomic level the structures were simulated as well [51]. They have simulated CNT, pure vanadium oxide, and then the combination of these two with possible Li adsorption sites as shown in Figure 17. They have concluded that the vanadium oxide inclusion onto the vertically aligned CNT decreases the path for diffusion of Li and aids the adsorption of Li.
Li adsorption on (a) CNT, (b) vanadium oxide, (c) and (d) composite of vanadium oxide on vertically aligned CNT [
Cui et al. presented the composite of orthorhombic MoO3 and graphene as a cathode in LIBs with higher conductivity and adsorption of lithium. They studied the structure in bulk form as well as the monolayer structure. They have established that the Li charge and discharge rate have increased in the composite structure along with the capacity of lithium [52].
In conclusion, we can say that the carbon nanostructures are of great importance for use in the LIBs especially as anodes. Nitrogen doping and the various ways in which that is achieved showed very good results. The doping of C-based structures with beryllium, boron, and the co-doping of nitrogen and sulfur gave a different view on the possibilities. The adsorption mechanism of lithium was discussed which gave us a theoretical viewpoint of the procedures that goes on inside the LIBs. Also, the effect of defective sites in graphene structures as well as doped graphene structures on Li adsorption shows that these enhance the lithiation and de-lithiation of Li ion. The heterostructures of graphene with other 2D materials show the many possibilities for experimentation to improve the anode materials.
The authors are thankful to Higher Education Commission (HEC) of Pakistan for providing research funding under the Project No.: 6040/Federal/NRPU/R&D/HEC/2016 and HEC/USAID for financial support under the Project No.: HEC/R&D/PAKUS/2017/783. The author also thanks School of Natural Sciences (SNS) at National University of Science & Technology (NUST), Islamabad, Pakistan for research support.
There are no conflicts of interest.
LIB | lithium ion battery |
DFT | density functional theory |
GGA | generalized gradient approximation |
LSDA | local spin density approximation |
SIESTA | Spanish Initiative for Electronic Simulations with Thousands of Atoms |
VASP | Vienna ab initio simulation package |
SW | Stone-Wales |
CNT | carbon nanotube |
The term Diabetes Mellitus describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia accompanied by distressed metabolism of carbohydrates, fats and proteins resulting from defects in insulin secretion, insulin action or both [1]. Diabetes Mellitus (T2DM), is a non-communicable, chronic disorder and progresses slowly because of multifactorial etiology and is a leading cause of premature deaths worldwide, also, its exceptional upsurge poses a severe threat on human society and imposes a huge economic burden worldwide [2]. As per recent reports of World Health Organization (WHO), 422 million people globally are affected from the diabetes mellitus with a prevalence rate of 8.5% and 46.3% still remains undiagnosed and number is projected to rise 552 million in 2030 [3]. Furthermore, highly effected population are living in developing countries and comprises of 40–60 age group. In 2017, studies reported that India alone has 72 million people affected with T2DM and is projected to rise 101.2 million in 2030 [3, 4]. The risk factors of T2DM are suggestively increased with changing lifestyle, blood pressure, central obesity, inadequate physical activity and unhealthy diet [5] Blood glucose fasting (FBG), Two-hour post prandial blood glucose (Two-hour-PP) and glycated hemoglobin (HbA1c) levels are most widely used as glycemic control markers which indicates progression of the disease and development of its complications. Studies reported diabetes mellitus are T2DM linked with lipid and lipoprotein irregularities, including reduced HDL cholesterol and raised triglycerides [6, 7, 8, 9, 10].
Recent decade the diabetes mellitus, witnessed transformation from the epidemic to pandemic at global level. The global projections revealed that diabetes is affecting nearly 10% of the world’s population [11]. As per reports of World Health Organization (WHO), the prevalence of diabetes mellitus is likely to increase by 35% by the year 2030-45 [11]. It is the most common form of the disease, accounting for about 90 to 95% of all diagnosed cases of diabetes. T2DM is a group of genetically determined diseases which may be controlled by diet and/or hypoglycemic agents and/or exogenous insulin [12]. Although, it is mainly characterized by insulin resistance, but impairment in insulin secretion also occurs later in type 2 diabetes mellitus [13]. It occurs usually in individuals over 30 years of age and dramatically increases as a result of changes in human behavior and increased body mass index [14]. The global rise in diabetes mellitus is referred to population growth, aging, increasing trends towards an unhealthy diet, obesity and modern lifestyles [15]. Inflammation can be classified as acute, high-grade, or chronic low-grade inflammation [16]. Acute inflammation is essential for survival, because it initiates pathogen killing, initiates tissue repair processes, and helps to restore homeostasis after infection or tissue damage [16]. In general, acute inflammatory responses are short-term responses [16]. When clinical manifestations are minimal or absent, it is classified as low-grade inflammation [16]. Low-grade inflammation is characterized by slightly elevated blood concentrations of acute-phase proteins, cytokines, and mediators with endothelial activation capacity that are involved in acute inflammation as well [16]. It is likely that dysfunction of adipose tissue is a major contributor to chronic low-grade inflammation [16]. Adipose tissue dysfunction, is characterized by a reduced capacity to store dietary lipids and an impaired endogenous lipolysis, leading to lipid overflow and ectopic fat accumulation, which has been related to the development of insulin resistance. Adipose tissue has a dual function, in addition to acting as a storage repository of the body system has role in endocrine function system, secretes the inflammatory markers. Thus, any sort of imbalance in the secretion leads to low grade inflammation. The matured adipocytes, as observed in individuals with overweight, relate among others to an higher secretion of the pro-inflammatory cytokines tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) and a lower secretion of the anti-inflammatory cytokine, adipokine, adiponectin like IL-10. Besides secretion of cytokines by the adipocytes themselves, macrophages that infiltrate the obese adipose tissue can also secrete cytokines [17]. Being secreted, these pro-inflammatory cytokines can have autocrine and paracrine effects at the site of the adipose tissue [18]. Furthermore, these cytokines can be transported via the blood stream to act on distant targets, like the skeletal muscle and liver [18]. Besides adipose tissue, hyperglycemia itself can contribute to chronic-low grade inflammation. Hyperglycemia can stimulate the production of reactive oxygen species, which, in turn, stimulate production of pro-inflammatory cytokines, like TNF-α and IL-6 [19]. Insulin, however, could counterbalance the pro-inflammatory effect of glucose by suppressing the production of the pro-inflammatory cytokines and by activating the production of anti-inflammatory cytokines, like interleukin-4 and interleukin-10 [20]. Thus imbalance in cytokine expression can contribute to insulin resistance. TNF-α expression can affect the insulin signaling cascade by phosphorylation of the insulin receptor, insulin receptor substrate, and glucose transporter, can suppress expression of genes encoding for adiponectin, and can increase the expression of genes encoding for IL-6 [16, 20]. TNF-α and IL-6 also enhance oxidative stress by stimulation NF-kB or NADPH oxidase [19]. NF-kB causes a transcriptional response of genes involved in inflammatory processes. A high concentration of IL-6 stimulates the production of acute-phase protein C-reactive protein (CRP) in the liver [21]. CRP is a non-specific inflammation marker that may contribute to insulin resistance by increasing phosphorylation of IRS and by increasing the synthesis of cytokines like TNF-α and IL-6 [22]. In line with the proposed mechanisms, several prospective studies observed associations between slightly elevated concentrations of the inflammation markers CRP, TNF-α, and IL-6 and type 2 diabetes mellitus in different populations of world [23, 24, 25]. Weiyi et al. reported that circulating antibodies in plasma against inflammatory cytokines are associated with type 2 diabetes mellitus. Furthermore, some prospective cohort studies showed that participants with higher CRP, TNF-α, or IL-6 concentration had a higher risk of type 2 diabetes [26, 27].
Inclination of T2DM from metabolic disorder to inflammation is changed due to variations in pro and anti- inflammatory cytokines like tumor necrosis factor alpha-α (TNF-α), interleukin-6 (IL-6) and C-reactive protein (CRP) [26]. It has been reported in insulin signaling pathways, cross linking and ultimately developing insulin resistance in β-cells of pancreas which further risks to T2DM [28, 29]. Steadiness among these pro and anti-inflammatory cytokines is compulsory to make β-cells immune to any infection which may lead to T2DM [30].
This chapter will focus on the studies about the role of, proinflammatory cytokine in diabetes mellitus.
Numerous studies demonstrated that, the various inflammatory mediators in type 2 diabetes mellitus (T2DM), has been found abnormally high levels of cytokines, plasminogen activator inhibitor, chemokines, acute phase proteins (such as CRP) [24, 31]. The elevated concentrations of pro-inflammatory cytokines (TNF-α, IL-6 and CRP) initiates the activation of innate immune system in type 2 diabetic patients due to over-nutrition. Nutrients comprises of elements necessary for body functioning and development are minerals, vitamins, fats, carbohydrates, and proteins. Inflammatory mediators and CRPs, are considered to vary from individual to individual and tissue to tissue. In patients with T2DM, increased circulating levels of various proinflammatory cytokines and chemokines have been detected [32]. Consequently, one may not predict the degree and extent of inflammation in specific tissue by only observing the circulating levels of these pro-inflammatory mediators, which eradicates β-cells themselves leading to β-cell dysfunction.
The cytokines coined from two Greek words, “
The term tumor-necrosis factor, which is abbreviated as TNF. TNF, is primarily produced as a 233-amino acid long type II transmembrane protein arranged in stable homotrimers. The TNF-α gene is present as a single copy gene on human chromosome 6 located on position (6p21.33). The gene consists of four exons and three introns. Interestingly, more than 80% of the mature TNF-α sequence is encoded in the fourth exon. Tumor necrosis factor (TNF-α) was initially identified in the 1970s as an endotoxin-induced serum factor responsible for the necrosis of certain tumours
TNF-α also performs in additional functions linked with lipid metabolism, coagulation, insulin resistance, and endothelial function. TNF-α is the prototypic member of the TNF superfamily of type II trans-membrane proteins that includes 30 receptors and 19 associated ligands with diverse functions in cell differentiation, inflammation, immunity and apoptosis. It is primarily secreted from activated macrophages, although it may also be secreted by other cell types including monocytes, T-cells, mast cells, NK-cells, keratinocytes, fibroblasts and neurons (Tracey et al., 2008). TNF-α is synthesized as a transmembrane precursor protein (m-TNF-α) with a molecular mass of 26 kDa, it is transported
Mechanism of TNF-α receptors and association with other inflammatory cytokines (source: Sujuan et al., 2018. Front. Immunol; 9:784).
It comprises of four cysteine-rich domains (CRDs), each of which comprises three cysteine-cysteine disulphide bonds, and a pre- ligand binding assembly domain (PLAD) involved in trimerisation of the receptor. Importantly, the receptors differ by the presence of an intracellular death domain (DD) at the carboxyl-end of TNFR1, that is able to drive either apoptosis or inflammation through interaction with associated adaptor molecules (Figure 1). Recruitment of TRADD to TNFR1 is required for both signaling pathways. Subsequently, one of two complexes is formed, either at the cell surface (complex-I) or following internalization (complex-II). The formation of complex-I requires TNFR-associated factor 2 (TRAF2) and receptor- interacting protein (RIP), leading to kinase cascades that trigger pro- inflammatory gene expression. Alternatively, should the first complex fail to signal, Complex II is formed to induce apoptosis. In Complex II, proteolysis and internalization of the receptor results in the recruitment of FADD and pro-caspase-8 to form the death-inducing signaling complex. The distinct cytoplasmic domains could account for the differential signaling of the receptors by sTNFα and mTNFα. It was found that mTNFα was a more potent activator of TNFR2 than sTNFα and induced distinct biological outcomes. Further, activation of TNFR1 was found to stimulate NF-κB expression to a significantly greater extent than TNFR2. Finally, Scatchard analysis of ligand binding to TNFR1 and TNFR2 found that the former had a higher affinity for TNF-α. Thus, TNFR1 is considered to be the more important of the two receptors for the activation of pro- inflammatory signaling pathways (Figure 2).
Mechanism of TNF receptor1 and 2, activating signaling pathways of pro-inflammatory cytokines (source: Ana Falvia et al., 2019. World J Gastrointest Oncol. Apr 15, 2019; 11(4): 281–294).
FBG ≥126 mg/dl. Fasting means no food ingestion for ≥ 8 hours |
2-hr BG ≥200 mg/dl |
HbA1C ≥6.5%. |
Random BG ≥200 mg/dl. |
American Diabetes Association (ADA) 2016 criteria for diagnosing T2DM.
Height (cm) was noted by a scale on wall and Weight (kg) was measured by digital weighing machine. The body mass index (BMI) of subjects was calculated by formulae = weight (Kg) / height (m2). Participants with a BMI ≥30.0 kg/m2 were considered obese as per NCEP ATPIII criteria. “Waist circumference” (WC) was evaluated in the middle, between the lower rib margin and the iliac crest with subjects in upright position.
Glycated hemoglobin (HbA1c) levels and clinical chemistry was evaluated for all cases and healthy controls. The Insulin resistance (IR) of subjects was accepted by calculating the index of HOMA-IR (homeostatic model assessment – insulin resistance) which is as under: “
< 3 = Normal IR b) Between 3 and 5 = Moderate IR c) >5 = Severe IR
Estimation of Pro-inflammatory cytokine (TNF-α) by Enzyme linked Immunoassay (ELISA) Analysis.
Total 320 subjects were included for the study among 160 were cases and 160 were controls (Table 2). The mean ± SD age of cases were (49.9 ± 9.4) Years and that of healthy controls were (46.9 ± 9.9) years which is statistically significant (p = 0.003). In this study, It was observed that BMI was (42.2 ± 8.1) kg/m2 in T2DM cases and in healthy controls was (21.2 ± 2.2) kg/m2 which is statistically significant (p = 0.003). Among 160 cases 81 were males and 79 females and in healthy controls 80 were males and 80 were females, on gender wise comparison difference in patients and controls are significant (p = 0.005).
Variables | T2DM Cases (n = 160) | Controls (n = 160) | p value |
---|---|---|---|
Age (Years) | 49.9 ± 9.4 | 46.9 ± 9.9 | 0.003 |
Gender (M/F) | 81/79 | 80/80 | 0.005 |
BMI (kg/m2) | 42.2 ± 8.1 | 21.2 ± 2.2 | 0.002 |
Anthropometric analysis in study subjects.
In Table 3, biochemical profile of T2DM cases and healthy controls were summarized and it was found that there were increase trend in parameters of lipid profile like serum Triglycerides (TG), total cholesterol (TC), Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL) among T2DM cases as compared to healthy controls and the trend were significantly high (p < 0.05). The glycemic profile (Glucose Fasting and HbA1c) in T2DM cases was higher as compared to healthy controls and are found to be statistically significant (p < 0.05).
Variables | Diabetes mellitus (n = 160) | Controls (n = 160) | p value |
---|---|---|---|
Fasting Glucose (mg/dl) | 168.4 ± 32.7 | 81.9 ± 7.7 | 0.119 |
Post-parandial Glucose (mg/dl) | 316.2 ± 51.6 | 122.1 ± 9.1 | 0.001 |
Total Cholesterol (mg/dl) | 298.5 ± 54.1 | 109.1 ± 27.9 | 0.002 |
Triglycerides (mg/dl) | 319.5 ± 57.1 | 146.1 ± 29.6 | 0.003 |
HDL (mg/dl) | 92.4 ± 22.6 | 52.9 ± 10.1 | 0.024 |
LDL (mg/dl) | 148.3 ± 9.1 | 69.8 ± 29.8 | 0.002 |
HBA1c (%) | 9.9 ± 2.8 | 4.9 ± 0.8 | 0.014 |
Levels of clinical chemistry parameters in study group.
Figure 3, Histogram representing graphical analysis of Insulin and HOMA-IR of study group where there was elevation in the Insulin (μU/ml) levels among T2DM case (32.6 ± 7.5) as compared to healthy controls (7.8 ± 2.1) and it was found that the elevation level among the T2DM cases was significantly (p = 0.001) higher than healthy controls. The HOMA-IR index for insulin sensitivity was calculated by a standard formula in both T2DM cases and healthy controls and was found significantly (p < 0.05) higher in T2DM cases. Table 4, describes the levels of serum inflammatory mediators (TNF-α, and WBC) in T2DM cases and healthy controls; the mean ± SD value of inflammatory markers in T2DM cases was as WBC = 8495 ± 1943, TNF-α = 36.5 ± 7.8 while in healthy controls it was WBC =7389 ± 1504, TNF-α =13.7 ± 4.4 and it was found that in T2DM patients the levels of inflammatory mediators were highly significant (p < 0.05) in comparison with healthy controls.
Histogram representing immunoassay analysis of study group.
Variables | Diabetes mellitus (n = 160) | Controls (n = 160) | p value (<0.05) |
---|---|---|---|
TLC (thousands) | 8495 ± 1943 | 7389 ± 1504 | 0.002 |
TNF-α (pg/ml) | 36.5 ± 7.8 | 13.7 ± 4.4 | 0.002 |
Levels of inflammatory mediators in the study group.
Table 5 shows the comparison of inflammatory mediators within gender groups and it was found that in female cases levels of inflammatory mediators was highly significant (p < 0.05) as compared to male cases while WBC was not statistically significant, which provides us the information that females may be at higher risk to T2DM.
Inflammatory mediators | Male T2DM (n = 81) | Female T2DM (n = 79) | Male controls (n = 80) | Female controls (n = 80) | p-value <0.05 |
---|---|---|---|---|---|
TNF-α (pg/dl) | 8.8 ± 0.8 | 8.7 ± 1.0 | 3.6 ± 0.5 | 3.7 ± 0.4 | 0.001 |
WBC (thousands) | 1974 ± 206 | 1784 ± 184 | 1459 ± 169 | 1385 ± 165 | 0.082 |
Comparison of inflammatory mediators in T2DM male and female patients versus control subjects.
Figures 4–7 shows the correlation of inflammatory mediators in T2DM cases and controls with glycemic profile and insulin sensitivity and was studied by Pearson’s correlation analysis. TNF- α shows positive correlation with glycemic profile (Glucose fasting, HbA1c) and insulin sensitivity (Insulin assay, HOMA-IR) in T2DM cases and were statistically significant (p < 0.05).
Correlation of TNF-α with glycemic profile in controls.
Correlation of TNF-α with glycemic profile in cases.
Correlation of TNF-α with insulin sensitivity in controls.
Correlation of TNF-α with insulin sensitivity in cases.
Table 6, describes the relationship of inflammatory mediators with glycemic profile and the Table 7, depicts the relationship of insulin sensitivity as per gender wise in cases and controls. We observed in Males and Female T2DM cases there was a positive correlation (p = 0.001) of TNF-α with glycemic profile and Insulin sensitivity and other inflammatory mediators show negative and weak correlation. Worldwide people are suffering from T2DM and it is projected to increase from present 415 million people to 642 million by 2040. In all developing countries it was seen that number of T2DM patients is increasing and 75% of people with T2DM are living in these developing countries [33]. In this study, we observed that Socio-Demographic factors like Education, Lifestyle and Smoking has significant association with T2DM except Residence (Urban and rural of same geographical area) which had no substantial influence on the levels of inflammatory mediators of study like, TNF-α, and WBC (32). From the results we infer that there were increased expression of inflammatory markers (TNF-α, and WBC) between cases and controls which supports the findings of Phosat, et al. [34] as they found in their study that there were greater risk of T2DM with higher levels of inflammatory mediators [34]. On comparison between sex wise within case group it was observed that there was an elevation in levels of TNF-α in Female T2DM cases as compared to Male T2DM Cases which are in agreement with the findings of Insha et al., [9, 10, 33, 35]. There are many research studies on this subject which demonstrated that levels of markers of inflammatory reactions increased with the decrease in insulin sensitivity depending on the severity of T2DM [36, 37]. In this study both Male and Female sexes have confirmed the importance of inflammatory mediators in the pathogenesis of T2DM. The levels of TNF-α rise significantly in both sexes compared to control group showing correlation with glycemic profile and Insulin sensitivity thus, being considered an independent predictor of risk of developing T2DM [34].
Inflammatory mediators | Cases | Controls | ||||||
---|---|---|---|---|---|---|---|---|
HBA1c | Fasting glucose | HBA1c | Fasting glucose | |||||
Males n = 81 | Females n = 79 | Males n = 81 | Females n = 79 | Males n = 80 | Females n = 80 | Males n = 80 | Females n = 80 | |
TNF-α | *p = 0.02 *r = 0.89 | p = 0.003 r = 0.883 | p = 0.004 r = 0.459 | p = 0.005 r = 0.546 | *p = 0.035 *r = 0.388 | p = 0.011 r = 0.368 | p = 0.013 r = 0.260 | p = 0.063 r = 0.211 |
Pearson correlation coefficients of inflammatory mediators with glycemic profile, sex-wise.
Inflammatory mediators | Insulin | HOMA-IR | Insulin | HOMA-IR | ||||
---|---|---|---|---|---|---|---|---|
Males n = 81 | Females n = 79 | Males n = 81 | Females n = 79 | Males n = 80 | Females n = 80 | Males n = 80 | Females n = 80 | |
TNF-α | *p = 0.008 *r = 0.478 | p = 0.009 r = 0.368 | p = 0.008 r = 0.374 | p = 0.004 r = 0.388 | *p = 0.012 *r = 0.016 | p = 0.011 r = 0.019 | p = 0.111 r = 0.099 | p = 0.008 r = 0.319 |
Pearson correlation coefficients of inflammatory mediators with insulin sensitivity (sex-wise).
This study experimentally determined that only pro-inflammatory cytokine TNF-α can leads to pathogenesis of T2DM while other inflammatory cytokines shows negative and weak correlation with T2DM. This research study showed vibrant changes in concentrations of pro-inflammatory cytokines, in T2DM. Our findings are in concurrence with the results of [32], which showed serum expression of candidate mediators (TNF-α) are elevated in T2DM cases which are independent of physical activity and other risk factors [38]. It is suggest that TNF-α is an important predictor for the development of T2DM for Male and female, in both rural and urban populations.
Interestingly, results of our study showed a high degree of correlation between these promising cytokines (TNF, WBC) in T2DM in comparison to healthy controls. The results are statically significant. In this case–control study, we found in our T2DM cases there were significantly higher concentration of TNF-α as compared to those of controls which may be the possible cause of low grade inflammation and predisposes subjects to the T2DM or towards its complications. These assertions aggress with the findings of AL-Shukaili, et al. [39]. Furthermore our experimental finding provides evidence that the pattern and variation of these cytokines (TNF-α, and WBC) are important in the pathogenesis of T2DM [32]. Significant correlation of TNF-α inflammatory mediator in T2DM cases with glycemic profile and insulin sensitivity leads to pathogenesis of diseases in this ethnic population [32]. These findings are in agreement with the fact that inflammatory reactions depends on group of cytokines rather than a single one. The reports of inflammation has a role in pathogenesis of T2DM has been elucidated in several studies in different populations.
The study findings confirms that TNF-α, plays a positive role in the pathogenesis of T2DM and can act as early prediction biomarkers which can prevent T2DM in this population. Further studies on the wider range of inflammatory mediators in association with other biochemical, immunoassay and hematological parameters are needed to establish role of inflammatory markers as early prediction biomarkers which can prevent T2DM.
Inflammation is initiated by trauma or injury, infection, and hence effects cascades of numerous cytokines and white blood cells. The low grade inflammation triggers inflammatory cells like neutrophils, macrophages and monocytes in blood stream and also expresses the pro-inflammatory cytokines like Tumor necrosis factor-alpha, and interleukin-6.
The liver cells synthesize acute-phase proteins under the stimulus of some cytokines, which flow through the bloodstream, reach the site of inflammation, and eradicate the pathogens through opsonization and eliciting the complement pathways.
The variations in the serum concentrations of TNF-α leads to pathogenesis of T2DM.
Diagnostic routine tests are sometimes invasive. To augment the modern diagnostics in patient care, the employment of noninvasive biomarkers are needed.
Molecular biological tools have modernized the field of the biomarkers. For the development of biomarkers, genomics and proteomics, pathophysiology of a disease are needed to understand, the most available technique is correlating serologic markers with clinical parameters.
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More so, the mechanism by which heavy metals cause neurotoxicity, generate free radical which promotes oxidative stress damaging lipids, proteins and DNA molecules and how these free radicals propagate carcinogenesis are discussed. Alongside these mechanisms, the noxious health effects of these heavy metals are discussed.",book:{id:"7111",slug:"poisoning-in-the-modern-world-new-tricks-for-an-old-dog-",title:"Poisoning in the Modern World",fullTitle:"Poisoning in the Modern World - New Tricks for an Old Dog?"},signatures:"Godwill Azeh Engwa, Paschaline Udoka Ferdinand, Friday Nweke Nwalo and Marian N. 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The traditional healer provides health care services based on culture, religious background, knowledge, attitudes, and beliefs that are prevalent in his community. Illness is regarded as having both natural and supernatural causes and thus must be treated by both physical and spiritual means, using divination, incantations, animal sacrifice, exorcism, and herbs. Herbal medicine is the cornerstone of traditional medicine but may include minerals and animal parts. The adjustment is ok, but may be replaced with –‘ Herbal medicine was once termed primitive by western medicine but through scientific investigations there is a better understanding of its therapeutic activities such that many pharmaceuticals have been modeled on phytochemicals derived from it. Major obstacles to the use of African medicinal plants are their poor quality control and safety. Traditional medical practices are still shrouded with much secrecy, with few reports or documentations of adverse reactions. However, the future of African traditional medicine is bright if viewed in the context of service provision, increase of health care coverage, economic potential, and poverty reduction. Formal recognition and integration of traditional medicine into conventional medicine will hold much promise for the future.",book:{id:"6302",slug:"herbal-medicine",title:"Herbal Medicine",fullTitle:"Herbal Medicine"},signatures:"Ezekwesili-Ofili Josephine Ozioma and Okaka Antoinette Nwamaka\nChinwe",authors:[{id:"191264",title:"Prof.",name:"Josephine",middleName:"Ozioma",surname:"Ozioma Ezekwesili-Ofili",slug:"josephine-ozioma-ezekwesili-ofili",fullName:"Josephine Ozioma Ezekwesili-Ofili"},{id:"211585",title:"Prof.",name:"Antoinette",middleName:null,surname:"Okaka",slug:"antoinette-okaka",fullName:"Antoinette Okaka"}]},{id:"76640",title:"Control of Clinical Laboratory Errors by FMEA Model",slug:"control-of-clinical-laboratory-errors-by-fmea-model",totalDownloads:1214,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Patient safety is an aim for clinical applications and is a fundamental principle of healthcare and quality management. The main global health organizations have incorporated patient safety in their review of work practices. The data provided by the medical laboratories have a direct impact on patient safety and a fault in any of processes such as strategic, operational and support, could affect it. To provide appreciate and reliable data to the physicians, it is important to emphasize the need to design risk management plan in the laboratory. Failure Mode and Effect Analysis (FMEA) is an efficient technique for error detection and reduction. Technical Committee of the International Organization for Standardization (ISO) licensed a technical specification for medical laboratories suggesting FMEA as a method for prospective risk analysis of high-risk processes. FMEA model helps to identify quality failures, their effects and risks with their reduction/elimination, which depends on severity, probability and detection. Applying FMEA in clinical approaches can lead to a significant reduction of the risk priority number (RPN).",book:{id:"9808",slug:"contemporary-topics-in-patient-safety-volume-1",title:"Contemporary Topics in Patient Safety",fullTitle:"Contemporary Topics in Patient Safety - Volume 1"},signatures:"Hoda Sabati, Amin Mohsenzadeh and Nooshin Khelghati",authors:[{id:"340486",title:"M.Sc.",name:"Hoda",middleName:null,surname:"Sabati",slug:"hoda-sabati",fullName:"Hoda Sabati"},{id:"348872",title:"M.Sc.",name:"Amin",middleName:null,surname:"Mohsenzadeh",slug:"amin-mohsenzadeh",fullName:"Amin Mohsenzadeh"},{id:"348874",title:"MSc.",name:"Nooshin",middleName:null,surname:"Khelghati",slug:"nooshin-khelghati",fullName:"Nooshin Khelghati"}]},{id:"64762",title:"Mechanism and Health Effects of Heavy Metal Toxicity in Humans",slug:"mechanism-and-health-effects-of-heavy-metal-toxicity-in-humans",totalDownloads:10470,totalCrossrefCites:107,totalDimensionsCites:247,abstract:"Several heavy metals are found naturally in the earth crust and are exploited for various industrial and economic purposes. Among these heavy metals, a few have direct or indirect impact on the human body. Some of these heavy metals such as copper, cobalt, iron, nickel, magnesium, molybdenum, chromium, selenium, manganese and zinc have functional roles which are essential for various diverse physiological and biochemical activities in the body. However, some of these heavy metals in high doses can be harmful to the body while others such as cadmium, mercury, lead, chromium, silver, and arsenic in minute quantities have delirious effects in the body causing acute and chronic toxicities in humans. The focus of this chapter is to describe the various mechanism of intoxication of some selected heavy metals in humans along with their health effects. Therefore it aims to highlight on biochemical mechanisms of heavy metal intoxication which involves binding to proteins and enzymes, altering their activity and causing damage. More so, the mechanism by which heavy metals cause neurotoxicity, generate free radical which promotes oxidative stress damaging lipids, proteins and DNA molecules and how these free radicals propagate carcinogenesis are discussed. Alongside these mechanisms, the noxious health effects of these heavy metals are discussed.",book:{id:"7111",slug:"poisoning-in-the-modern-world-new-tricks-for-an-old-dog-",title:"Poisoning in the Modern World",fullTitle:"Poisoning in the Modern World - New Tricks for an Old Dog?"},signatures:"Godwill Azeh Engwa, Paschaline Udoka Ferdinand, Friday Nweke Nwalo and Marian N. Unachukwu",authors:[{id:"241837",title:"Mr.",name:"Godwill Azeh",middleName:null,surname:"Engwa",slug:"godwill-azeh-engwa",fullName:"Godwill Azeh Engwa"},{id:"274194",title:"BSc.",name:"Paschaline Ferdinand",middleName:null,surname:"Okeke",slug:"paschaline-ferdinand-okeke",fullName:"Paschaline Ferdinand Okeke"},{id:"286975",title:"Dr.",name:"Friday",middleName:null,surname:"Nweke Nwalo",slug:"friday-nweke-nwalo",fullName:"Friday Nweke Nwalo"},{id:"286976",title:"Dr.",name:"Marian",middleName:null,surname:"Unachukwu",slug:"marian-unachukwu",fullName:"Marian Unachukwu"}]},{id:"65467",title:"Anesthesia Management for Large-Volume Liposuction",slug:"anesthesia-management-for-large-volume-liposuction",totalDownloads:6231,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"The apparent easiness with which liposuction is performed favors that patients, young surgeons, and anesthesiologists without experience in this field ignore the many events that occur during this procedure. Liposuction is a procedure to improve the body contour and not a surgery to reduce weight, although recently people who have failed in their plans to lose weight look at liposuction as a means to contour their body figure. Tumescent liposuction of large volumes requires a meticulous selection of each patient; their preoperative evaluation and perioperative management are essential to obtain the expected results. The various techniques of general anesthesia are the most recommended and should be monitored in the usual way, as well as monitoring the total doses of infiltrated local anesthetics to avoid systemic toxicity. The management of intravenous fluids is controversial, but the current trend is the restricted use of hydrosaline solutions. The most feared complications are deep vein thrombosis, pulmonary thromboembolism, fat embolism, lung edema, hypothermia, infections and even death. The adherence to the management guidelines and prophylaxis of venous thrombosis/thromboembolism is mandatory.",book:{id:"6221",slug:"anesthesia-topics-for-plastic-and-reconstructive-surgery",title:"Anesthesia Topics for Plastic and Reconstructive Surgery",fullTitle:"Anesthesia Topics for Plastic and Reconstructive Surgery"},signatures:"Sergio Granados-Tinajero, Carlos Buenrostro-Vásquez, Cecilia\nCárdenas-Maytorena and Marcela Contreras-López",authors:[{id:"273532",title:"Dr.",name:"Sergio Octavio",middleName:null,surname:"Granados Tinajero",slug:"sergio-octavio-granados-tinajero",fullName:"Sergio Octavio Granados Tinajero"}]},{id:"30178",title:"Chest Mobilization Techniques for Improving Ventilation and Gas Exchange in Chronic Lung Disease",slug:"chest-mobilization-techniques-for-improving-ventilation-and-gas-exchange-in-chronic-lung-disease",totalDownloads:31230,totalCrossrefCites:1,totalDimensionsCites:6,abstract:null,book:{id:"648",slug:"chronic-obstructive-pulmonary-disease-current-concepts-and-practice",title:"Chronic Obstructive Pulmonary Disease",fullTitle:"Chronic Obstructive Pulmonary Disease - Current Concepts and Practice"},signatures:"Donrawee Leelarungrayub",authors:[{id:"73709",title:"Associate Prof.",name:"Jirakrit",middleName:null,surname:"Leelarungrayub",slug:"jirakrit-leelarungrayub",fullName:"Jirakrit Leelarungrayub"}]}],onlineFirstChaptersFilter:{topicId:"3",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"83136",title:"Vector Control: Insights Arising from the Post-Genomics Findings on Insects’ Reproductive Biology",slug:"vector-control-insights-arising-from-the-post-genomics-findings-on-insects-reproductive-biology",totalDownloads:1,totalDimensionsCites:0,doi:"10.5772/intechopen.106273",abstract:"The high prevalence of neglected vector-borne diseases, such as Chagas disease and dengue fever, imposes enormous health and financial burdens in developing countries. Historically, and still, to this day, the main effective methods to manage those diseases rely on vector population control. Although early efforts in understanding vector-specific biology resulted in important advancements in the development of strategies for the management of vector-borne diseases, studies regarding the complex physiology of local vector species were weakened by the expanding use of insecticide-based tools, which were, at the time, proven simpler and effective. The rising threat of insecticide resistance and climate change (which can expand endemic areas) has reemphasized the need to rely on thorough species-specific vector biology. One approach to controlling vector populations is to disrupt molecular processes or antagonize the metabolic targets required to produce viable eggs. Here, we discuss new findings arising from post-genomics molecular studies on vector reproductive biology and discuss their potential for the elaboration of new effective vector control interventions.",book:{id:"11227",title:"New Advances in Neglected Tropical Diseases",coverURL:"https://cdn.intechopen.com/books/images_new/11227.jpg"},signatures:"Isabela Ramos and Fabio Gomes"},{id:"83146",title:"Metabarcoding and Digital PCR (dPCR): Application in the Study of Neglected Tropical Diseases",slug:"metabarcoding-and-digital-pcr-dpcr-application-in-the-study-of-neglected-tropical-diseases",totalDownloads:3,totalDimensionsCites:null,doi:"10.5772/intechopen.106272",abstract:"neglected tropical diseases such as Chagas disease, dengue, Zika, chikungunya, and malaria cause millions of deaths each year and they are caused by a variety of pathogens whose diagnosis is very limited or subject to conventional testing, making a treatment less accessible, accurate and timely diagnosis for choosing their treatments. Traditional methods for pathogen detection have not been able to meet the growing need for diagnosis and control. The incorporation of new technologies such as next-generation sequencing (NGS) and digital PCR (dPCR) represent a better diagnostic possibility due to their ability to absolutely quantify pathogens with high selectivity and precision. Our planet is currently experiencing environmental changes of an unprecedented magnitude and rate, including climate change, globalized pollution, biodiversity loss, and land use changes, so neglected diseases require a comprehensive understanding of the ecology of vectors in the different eco-epidemiological contexts, as well as of the transmission cycles of pathogens and their transmission dynamics. In this sense, NGS and dPCR open a new panorama for a better understanding of these diseases with the aim of proposing new programs for their care.",book:{id:"11227",title:"New Advances in Neglected Tropical Diseases",coverURL:"https://cdn.intechopen.com/books/images_new/11227.jpg"},signatures:"María de la Soldedad Lagunes-Castro, Aracely López-Monteon, Daniel Guzmán-Gómez and Angel Ramos-Ligonio"},{id:"82798",title:"Biomarkers in Multiple Sclerosis",slug:"biomarkers-in-multiple-sclerosis",totalDownloads:1,totalDimensionsCites:null,doi:"10.5772/intechopen.106052",abstract:"Clinical, biological, and radiological evidence are currently needed to diagnose MS, but lack of preclinical biomarkers hinders the earliest possible diagnosis and treatment. Conventional biomarkers target immunity, blood-brain barrier disruption, demyelination, and neuronal and axonal damage, as well as mitochondrial activity. An increase of specific brain metabolites with 30–40% is registered before detection of MRI lesions in MS. Potential lipid biomarkers are fatty acids, phospholipids, and oxysterols. The role of proteoforms in the pathogenesis of MS was confirmed. Serum neurofilament light chains (sNfL) are currently being studied as a readily available biomarker for prognosis and response to treatment in MS. The sNfL levels reflect ongoing neuroaxonal damage caused by inflammation, and the sNfL levels predict disease activity over the next few years. The retinal nerve fiber layer (RNFL) thinning is reliable as a biomarker of disability worsening. The neutrophil-to-lymphocyte ratio and CRP are also MS biomarkers. The development of rationally targeted therapeutic agents that allow preventive treatment to stop the disease is also delayed without definite biomarkers.",book:{id:"11312",title:"Multiple Sclerosis - Genetics, Disease Mechanisms and Clinical Developments",coverURL:"https://cdn.intechopen.com/books/images_new/11312.jpg"},signatures:"Valentina Ignatova"},{id:"83129",title:"Airborne Transmission and Control of Influenza and Other Respiratory Pathogens",slug:"airborne-transmission-and-control-of-influenza-and-other-respiratory-pathogens",totalDownloads:1,totalDimensionsCites:null,doi:"10.5772/intechopen.106446",abstract:"Despite uncertainty about the specific transmission risk posed by airborne, spray-borne, and contact modes for influenza, SARS-CoV-2, and other respiratory viruses, there is evidence that airborne transmission via inhalation is important and often predominates. An early study of influenza transmission via airborne challenge quantified infectious doses as low as one influenza virion leading to illness characterized by cough and sore throat. Other studies that challenged via intranasal mucosal exposure observed high doses required for similarly symptomatic respiratory illnesses. Analysis of the Evaluating Modes of Influenza Transmission (EMIT) influenza human-challenge transmission trial—of 52 H3N2 inoculated viral donors and 75 sero-susceptible exposed individuals—quantifies airborne transmission and provides context and insight into methodology related to airborne transmission. Advances in aerosol sampling and epidemiologic studies examining the role of masking, and engineering-based air hygiene strategies provide a foundation for understanding risk and directions for new work.",book:{id:"11570",title:"Influenza - New Approaches",coverURL:"https://cdn.intechopen.com/books/images_new/11570.jpg"},signatures:"Jacob Bueno de Mesquita"},{id:"83150",title:"Perspective Chapter: Tracking Trails of SARS CoV-2 - Variants to Therapy",slug:"perspective-chapter-tracking-trails-of-sars-cov-2-variants-to-therapy",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.106472",abstract:"A virus when replicates itself from one generation to another, tends to change a little bit of its structure. These variations are called mutations. History says that SARS CoV-2 originated from the virus reservoirs of animals, specifically non-human mammals like bats and minks. Since then, there are evolutionary changes in its genome due to recombination in divergent strains of different species. Thus, making the virus more robust and smarter to sustain and evade immune responses in humans. Probably, this has led to the 2019 SARS CoV-2 pandemic. This chapter tracks the evolutionary trails of the virus origin, its pathogenesis in humans, and varying variants with the coming times. Eventually, the chapter overviews the available vaccines and therapies to be followed for SARS CoV-2.",book:{id:"11573",title:"SARS-CoV-2 Variants - Two Years After",coverURL:"https://cdn.intechopen.com/books/images_new/11573.jpg"},signatures:"Ankur Kumar, Manju O Pai, Gaurav Badoni, Arpana Singh, Ankit Agrawal and Balram Ji Omar"},{id:"82831",title:"Survival Fate of Hepatic Stem/Progenitor and Immune Cells in a Liver Fibrosis/Cirrhosis Animal Model and Clinical Implications",slug:"survival-fate-of-hepatic-stem-progenitor-and-immune-cells-in-a-liver-fibrosis-cirrhosis-animal-model",totalDownloads:1,totalDimensionsCites:null,doi:"10.5772/intechopen.106220",abstract:"This chapter provides novel information about the survival features of hepatic resident stem/progenitor cells (NG2+ HSPs) during liver fibrosis/cirrhotic development. A well-defined diethylnitrosamine (DEN)-induced liver fibrosis/cirrhotic/cancer mouse model was developed to evaluate the fate of the HSPs and its clinical implications. This model possess three time-zones during the disease development: fibrosis (3–5 weeks post-DEN), cirrhosis (6–10 weeks post-DEN), and cancers (up to 10 weeks post-DEN). During this process, the model represents histological patterns similar to those described in humans and shows better survival of the HSPs in the fibrotic zone, which was correlated with inflammatory signals, as compared to the cirrhotic zone. It has also been discovered that immune CD8+ T cells in the fibrotic zone are beneficial in liver fibrosis resolution, suggesting that the fibrotic time zone is important for mobilizing endogenous HSPs and cell-based therapy. 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He received his post-doctoral training in oncology and cancer proteomics for two years at the Cancer Research Institute of Human Medical University in China. In 2001, he went to the University of Tennessee Health Science Center (UTHSC) in USA, where he was a post-doctoral researcher and focused on mass spectrometry and cancer proteomics. Then, he was appointed as an Assistant Professor of Neurology, UTHSC in 2005. He moved to the Cleveland Clinic in USA as a Project Scientist/Staff in 2006 where he focused on the studies of eye disease proteomics and biomarkers. He returned to UTHSC as an Assistant Professor of Neurology in the end of 2007, engaging in proteomics and biomarker studies of lung diseases and brain tumors, and initiating the studies of predictive, preventive, and personalized medicine (PPPM) in cancer. In 2010, he was promoted to Associate Professor of Neurology, UTHSC. Currently, he is a Professor at Xiangya Hospital of Central South University in China, Fellow of Royal Society of Medicine (FRSM), the European EPMA National Representative in China, Regular Member of American Association for the Advancement of Science (AAAS), European Cooperation of Science and Technology (e-COST) grant evaluator, Associate Editors of BMC Genomics, BMC Medical Genomics, EPMA Journal, and Frontiers in Endocrinology, Executive Editor-in-Chief of Med One. He has\npublished 116 peer-reviewed research articles, 16 book chapters, 2 books, and 2 US patents. His current main research interest focuses on the studies of cancer proteomics and biomarkers, and the use of modern omics techniques and systems biology for PPPM in cancer, and on the development and use of 2DE-LC/MS for the large-scale study of human proteoforms.",institutionString:null,institution:{name:"Xiangya Hospital Central South University",country:{name:"China"}}},{id:"40482",title:null,name:"Rizwan",middleName:null,surname:"Ahmad",slug:"rizwan-ahmad",fullName:"Rizwan Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/40482/images/system/40482.jpeg",biography:"Dr. Rizwan Ahmad is a University Professor and Coordinator, Quality and Development, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia. Previously, he was Associate Professor of Human Function, Oman Medical College, Oman, and SBS University, Dehradun. Dr. Ahmad completed his education at Aligarh Muslim University, Aligarh. He has published several articles in peer-reviewed journals, chapters, and edited books. His area of specialization is free radical biochemistry and autoimmune diseases.",institutionString:"Imam Abdulrahman Bin Faisal University",institution:{name:"Imam Abdulrahman Bin Faisal University",country:{name:"Saudi Arabia"}}},{id:"41865",title:"Prof.",name:"Farid A.",middleName:null,surname:"Badria",slug:"farid-a.-badria",fullName:"Farid A. Badria",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41865/images/system/41865.jpg",biography:"Farid A. Badria, Ph.D., is the recipient of several awards, including The World Academy of Sciences (TWAS) Prize for Public Understanding of Science; the World Intellectual Property Organization (WIPO) Gold Medal for best invention; Outstanding Arab Scholar, Kuwait; and the Khwarizmi International Award, Iran. He has 250 publications, 12 books, 20 patents, and several marketed pharmaceutical products to his credit. He continues to lead research projects on developing new therapies for liver, skin disorders, and cancer. Dr. Badria was listed among the world’s top 2% of scientists in medicinal and biomolecular chemistry in 2019 and 2020. He is a member of the Arab Development Fund, Kuwait; International Cell Research Organization–United Nations Educational, Scientific and Cultural Organization (ICRO–UNESCO), Chile; and UNESCO Biotechnology France",institutionString:"Mansoura University",institution:{name:"Mansoura University",country:{name:"Egypt"}}},{id:"329385",title:"Dr.",name:"Rajesh K.",middleName:"Kumar",surname:"Singh",slug:"rajesh-k.-singh",fullName:"Rajesh K. Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329385/images/system/329385.png",biography:"Dr. Singh received a BPharm (2003) and MPharm (2005) from Panjab University, Chandigarh, India, and a Ph.D. (2013) from Punjab Technical University (PTU), Jalandhar, India. He has more than sixteen years of teaching experience and has supervised numerous postgraduate and Ph.D. students. He has to his credit more than seventy papers in SCI- and SCOPUS-indexed journals, fifty-five conference proceedings, four books, six Best Paper Awards, and five projects from different government agencies. He is currently an editorial board member of eight international journals and a reviewer for more than fifty scientific journals. He received Top Reviewer and Excellent Peer Reviewer Awards from Publons in 2016 and 2017, respectively. He is also on the panel of The International Reviewer for reviewing research proposals for grants from the Royal Society. He also serves as a Publons Academy mentor and Bentham brand ambassador.",institutionString:"Punjab Technical University",institution:{name:"Punjab Technical University",country:{name:"India"}}},{id:"142388",title:"Dr.",name:"Thiago",middleName:"Gomes",surname:"Gomes Heck",slug:"thiago-gomes-heck",fullName:"Thiago Gomes Heck",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/142388/images/7259_n.jpg",biography:null,institutionString:null,institution:{name:"Universidade Regional do Noroeste do Estado do Rio Grande do Sul",country:{name:"Brazil"}}},{id:"336273",title:"Assistant Prof.",name:"Janja",middleName:null,surname:"Zupan",slug:"janja-zupan",fullName:"Janja Zupan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/336273/images/14853_n.jpeg",biography:"Janja Zupan graduated in 2005 at the Department of Clinical Biochemistry (superviser prof. dr. Janja Marc) in the field of genetics of osteoporosis. Since November 2009 she is working as a Teaching Assistant at the Faculty of Pharmacy, Department of Clinical Biochemistry. In 2011 she completed part of her research and PhD work at Institute of Genetics and Molecular Medicine, University of Edinburgh. She finished her PhD entitled The influence of the proinflammatory cytokines on the RANK/RANKL/OPG in bone tissue of osteoporotic and osteoarthritic patients in 2012. From 2014-2016 she worked at the Institute of Biomedical Sciences, University of Aberdeen as a postdoctoral research fellow on UK Arthritis research project where she gained knowledge in mesenchymal stem cells and regenerative medicine. She returned back to University of Ljubljana, Faculty of Pharmacy in 2016. She is currently leading project entitled Mesenchymal stem cells-the keepers of tissue endogenous regenerative capacity facing up to aging of the musculoskeletal system funded by Slovenian Research Agency.",institutionString:null,institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"357453",title:"Dr.",name:"Radheshyam",middleName:null,surname:"Maurya",slug:"radheshyam-maurya",fullName:"Radheshyam Maurya",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/357453/images/16535_n.jpg",biography:null,institutionString:null,institution:{name:"University of Hyderabad",country:{name:"India"}}},{id:"418340",title:"Dr.",name:"Jyotirmoi",middleName:null,surname:"Aich",slug:"jyotirmoi-aich",fullName:"Jyotirmoi Aich",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038Ugi5QAC/Profile_Picture_2022-04-15T07:48:28.png",biography:"Biotechnologist with 15 years of research including 6 years of teaching experience. Demonstrated record of scientific achievements through consistent publication record (H index = 13, with 874 citations) in high impact journals such as Nature Communications, Oncotarget, Annals of Oncology, PNAS, and AJRCCM, etc. Strong research professional with a post-doctorate from ACTREC where I gained experimental oncology experience in clinical settings and a doctorate from IGIB where I gained expertise in asthma pathophysiology. A well-trained biotechnologist with diverse experience on the bench across different research themes ranging from asthma to cancer and other infectious diseases. An individual with a strong commitment and innovative mindset. Have the ability to work on diverse projects such as regenerative and molecular medicine with an overall mindset of improving healthcare.",institutionString:"DY Patil Deemed to Be University",institution:null},{id:"349288",title:"Prof.",name:"Soumya",middleName:null,surname:"Basu",slug:"soumya-basu",fullName:"Soumya Basu",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035QxIDQA0/Profile_Picture_2022-04-15T07:47:01.jpg",biography:"Soumya Basu, Ph.D., is currently working as an Associate Professor at Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India. With 16+ years of trans-disciplinary research experience in Drug Design, development, and pre-clinical validation; 20+ research article publications in journals of repute, 9+ years of teaching experience, trained with cross-disciplinary education, Dr. Basu is a life-long learner and always thrives for new challenges.\r\nHer research area is the design and synthesis of small molecule partial agonists of PPAR-γ in lung cancer. She is also using artificial intelligence and deep learning methods to understand the exosomal miRNA’s role in cancer metastasis. Dr. Basu is the recipient of many awards including the Early Career Research Award from the Department of Science and Technology, Govt. of India. She is a reviewer of many journals like Molecular Biology Reports, Frontiers in Oncology, RSC Advances, PLOS ONE, Journal of Biomolecular Structure & Dynamics, Journal of Molecular Graphics and Modelling, etc. She has edited and authored/co-authored 21 journal papers, 3 book chapters, and 15 abstracts. She is a Board of Studies member at her university. She is a life member of 'The Cytometry Society”-in India and 'All India Cell Biology Society”- in India.",institutionString:"Dr. D.Y. Patil Vidyapeeth, Pune",institution:{name:"Dr. D.Y. Patil Vidyapeeth, Pune",country:{name:"India"}}},{id:"354817",title:"Dr.",name:"Anubhab",middleName:null,surname:"Mukherjee",slug:"anubhab-mukherjee",fullName:"Anubhab Mukherjee",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y0000365PbRQAU/ProfilePicture%202022-04-15%2005%3A11%3A18.480",biography:"A former member of Laboratory of Nanomedicine, Brigham and Women’s Hospital, Harvard University, Boston, USA, Dr. Anubhab Mukherjee is an ardent votary of science who strives to make an impact in the lives of those afflicted with cancer and other chronic/acute ailments. He completed his Ph.D. from CSIR-Indian Institute of Chemical Technology, Hyderabad, India, having been skilled with RNAi, liposomal drug delivery, preclinical cell and animal studies. He pursued post-doctoral research at College of Pharmacy, Health Science Center, Texas A & M University and was involved in another postdoctoral research at Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute, Santa Monica, California. In 2015, he worked in Harvard-MIT Health Sciences & Technology as a visiting scientist. He has substantial experience in nanotechnology-based formulation development and successfully served various Indian organizations to develop pharmaceuticals and nutraceutical products. He is an inventor in many US patents and an author in many peer-reviewed articles, book chapters and books published in various media of international repute. Dr. Mukherjee is currently serving as Principal Scientist, R&D at Esperer Onco Nutrition (EON) Pvt. Ltd. and heads the Hyderabad R&D center of the organization.",institutionString:"Esperer Onco Nutrition Pvt Ltd.",institution:null},{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/319365/images/system/319365.png",biography:"Manash K. Paul is a scientist and Principal Investigator at the University of California Los Angeles. He has contributed significantly to the fields of stem cell biology, regenerative medicine, and lung cancer. His research focuses on various signaling processes involved in maintaining stem cell homeostasis during the injury-repair process, deciphering the lung stem cell niche, pulmonary disease modeling, immuno-oncology, and drug discovery. He is currently investigating the role of extracellular vesicles in premalignant lung cell migration and detecting the metastatic phenotype of lung cancer via artificial intelligence-based analyses of exosomal Raman signatures. Dr. Paul also works on spatial multiplex immunofluorescence-based tissue mapping to understand the immune repertoire in lung cancer. Dr. Paul has published in more than sixty-five peer-reviewed international journals and is highly cited. He is the recipient of many awards, including the UCLA Vice Chancellor’s award and the 2022 AAISCR-R Vijayalaxmi Award for Innovative Cancer Research. He is a senior member of the Institute of Electrical and Electronics Engineers (IEEE) and an editorial board member for several international journals.",institutionString:"University of California Los Angeles",institution:{name:"University of California Los Angeles",country:{name:"United States of America"}}},{id:"311457",title:"Dr.",name:"Júlia",middleName:null,surname:"Scherer Santos",slug:"julia-scherer-santos",fullName:"Júlia Scherer Santos",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311457/images/system/311457.jpg",biography:"Dr. Júlia Scherer Santos works in the areas of cosmetology, nanotechnology, pharmaceutical technology, beauty, and aesthetics. Dr. Santos also has experience as a professor of graduate courses. Graduated in Pharmacy, specialization in Cosmetology and Cosmeceuticals applied to aesthetics, specialization in Aesthetic and Cosmetic Health, and a doctorate in Pharmaceutical Nanotechnology. Teaching experience in Pharmacy and Aesthetics and Cosmetics courses. She works mainly on the following subjects: nanotechnology, cosmetology, pharmaceutical technology, aesthetics.",institutionString:"Universidade Federal de Juiz de Fora",institution:{name:"Universidade Federal de Juiz de Fora",country:{name:"Brazil"}}},{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",slug:"abdulsamed-kukurt",fullName:"Abdulsamed Kükürt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",biography:"Dr. Kükürt graduated from Uludağ University in Turkey. He started his academic career as a Research Assistant in the Department of Biochemistry at Kafkas University. In 2019, he completed his Ph.D. program in the Department of Biochemistry at the Institute of Health Sciences. He is currently working at the Department of Biochemistry, Kafkas University. He has 27 published research articles in academic journals, 11 book chapters, and 37 papers. He took part in 10 academic projects. He served as a reviewer for many articles. He still serves as a member of the review board in many academic journals. He is currently working on the protective activity of phenolic compounds in disorders associated with oxidative stress and inflammation.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Dr.",name:"Volkan",middleName:null,surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178366/images/system/178366.jpg",biography:"Volkan Gelen is a Physiology specialist who received his veterinary degree from Kafkas University in 2011. Between 2011-2015, he worked as an assistant at Atatürk University, Faculty of Veterinary Medicine, Department of Physiology. In 2016, he joined Kafkas University, Faculty of Veterinary Medicine, Department of Physiology as an assistant professor. Dr. Gelen has been engaged in various academic activities at Kafkas University since 2016. There he completed 5 projects and has 3 ongoing projects. He has 60 articles published in scientific journals and 20 poster presentations in scientific congresses. His research interests include physiology, endocrine system, cancer, diabetes, cardiovascular system diseases, and isolated organ bath system studies.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"418963",title:"Dr.",name:"Augustine Ododo",middleName:"Augustine",surname:"Osagie",slug:"augustine-ododo-osagie",fullName:"Augustine Ododo Osagie",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/418963/images/16900_n.jpg",biography:"Born into the family of Osagie, a prince of the Benin Kingdom. I am currently an academic in the Department of Medical Biochemistry, University of Benin. Part of the duties are to teach undergraduate students and conduct academic research.",institutionString:null,institution:{name:"University of Benin",country:{name:"Nigeria"}}},{id:"192992",title:"Prof.",name:"Shagufta",middleName:null,surname:"Perveen",slug:"shagufta-perveen",fullName:"Shagufta Perveen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192992/images/system/192992.png",biography:"Prof. Shagufta Perveen is a Distinguish Professor in the Department of Pharmacognosy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Dr. Perveen has acted as the principal investigator of major research projects funded by the research unit of King Saud University. She has more than ninety original research papers in peer-reviewed journals of international repute to her credit. She is a fellow member of the Royal Society of Chemistry UK and the American Chemical Society of the United States.",institutionString:"King Saud University",institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"49848",title:"Dr.",name:"Wen-Long",middleName:null,surname:"Hu",slug:"wen-long-hu",fullName:"Wen-Long Hu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49848/images/system/49848.jpg",biography:"Wen-Long Hu is Chief of the Division of Acupuncture, Department of Chinese Medicine at Kaohsiung Chang Gung Memorial Hospital, as well as an adjunct associate professor at Fooyin University and Kaohsiung Medical University. Wen-Long is President of Taiwan Traditional Chinese Medicine Medical Association. He has 28 years of experience in clinical practice in laser acupuncture therapy and 34 years in acupuncture. He is an invited speaker for lectures and workshops in laser acupuncture at many symposiums held by medical associations. He owns the patent for herbal preparation and producing, and for the supercritical fluid-treated needle. Dr. Hu has published three books, 12 book chapters, and more than 30 papers in reputed journals, besides serving as an editorial board member of repute.",institutionString:"Kaohsiung Chang Gung Memorial Hospital",institution:{name:"Kaohsiung Chang Gung Memorial Hospital",country:{name:"Taiwan"}}},{id:"298472",title:"Prof.",name:"Andrey V.",middleName:null,surname:"Grechko",slug:"andrey-v.-grechko",fullName:"Andrey V. Grechko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/298472/images/system/298472.png",biography:"Andrey Vyacheslavovich Grechko, Ph.D., Professor, is a Corresponding Member of the Russian Academy of Sciences. He graduated from the Semashko Moscow Medical Institute (Semashko National Research Institute of Public Health) with a degree in Medicine (1998), the Clinical Department of Dermatovenerology (2000), and received a second higher education in Psychology (2009). Professor A.V. Grechko held the position of Сhief Physician of the Central Clinical Hospital in Moscow. He worked as a professor at the faculty and was engaged in scientific research at the Medical University. Starting in 2013, he has been the initiator of the creation of the Federal Scientific and Clinical Center for Intensive Care and Rehabilitology, Moscow, Russian Federation, where he also serves as Director since 2015. He has many years of experience in research and teaching in various fields of medicine, is an author/co-author of more than 200 scientific publications, 13 patents, 15 medical books/chapters, including Chapter in Book «Metabolomics», IntechOpen, 2020 «Metabolomic Discovery of Microbiota Dysfunction as the Cause of Pathology».",institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"199461",title:"Prof.",name:"Natalia V.",middleName:null,surname:"Beloborodova",slug:"natalia-v.-beloborodova",fullName:"Natalia V. Beloborodova",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/199461/images/system/199461.jpg",biography:'Natalia Vladimirovna Beloborodova was educated at the Pirogov Russian National Research Medical University, with a degree in pediatrics in 1980, a Ph.D. in 1987, and a specialization in Clinical Microbiology from First Moscow State Medical University in 2004. She has been a Professor since 1996. Currently, she is the Head of the Laboratory of Metabolism, a division of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation. N.V. Beloborodova has many years of clinical experience in the field of intensive care and surgery. She studies infectious complications and sepsis. She initiated a series of interdisciplinary clinical and experimental studies based on the concept of integrating human metabolism and its microbiota. Her scientific achievements are widely known: she is the recipient of the Marie E. Coates Award \\"Best lecturer-scientist\\" Gustafsson Fund, Karolinska Institutes, Stockholm, Sweden, and the International Sepsis Forum Award, Pasteur Institute, Paris, France (2014), etc. Professor N.V. Beloborodova wrote 210 papers, five books, 10 chapters and has edited four books.',institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"354260",title:"Ph.D.",name:"Tércio Elyan",middleName:"Azevedo",surname:"Azevedo Martins",slug:"tercio-elyan-azevedo-martins",fullName:"Tércio Elyan Azevedo Martins",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/354260/images/16241_n.jpg",biography:"Graduated in Pharmacy from the Federal University of Ceará with the modality in Industrial Pharmacy, Specialist in Production and Control of Medicines from the University of São Paulo (USP), Master in Pharmaceuticals and Medicines from the University of São Paulo (USP) and Doctor of Science in the program of Pharmaceuticals and Medicines by the University of São Paulo. Professor at Universidade Paulista (UNIP) in the areas of chemistry, cosmetology and trichology. Assistant Coordinator of the Higher Course in Aesthetic and Cosmetic Technology at Universidade Paulista Campus Chácara Santo Antônio. Experience in the Pharmacy area, with emphasis on Pharmacotechnics, Pharmaceutical Technology, Research and Development of Cosmetics, acting mainly on topics such as cosmetology, antioxidant activity, aesthetics, photoprotection, cyclodextrin and thermal analysis.",institutionString:null,institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"334285",title:"Ph.D. Student",name:"Sameer",middleName:"Kumar",surname:"Jagirdar",slug:"sameer-jagirdar",fullName:"Sameer Jagirdar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334285/images/14691_n.jpg",biography:"I\\'m a graduate student at the center for biosystems science and engineering at the Indian Institute of Science, Bangalore, India. I am interested in studying host-pathogen interactions at the biomaterial interface.",institutionString:null,institution:{name:"Indian Institute of Science Bangalore",country:{name:"India"}}},{id:"329248",title:"Dr.",name:"Md. Faheem",middleName:null,surname:"Haider",slug:"md.-faheem-haider",fullName:"Md. Faheem Haider",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329248/images/system/329248.jpg",biography:"Dr. Md. Faheem Haider completed his BPharm in 2012 at Integral University, Lucknow, India. In 2014, he completed his MPharm with specialization in Pharmaceutics at Babasaheb Bhimrao Ambedkar University, Lucknow, India. He received his Ph.D. degree from Jamia Hamdard University, New Delhi, India, in 2018. He was selected for the GPAT six times and his best All India Rank was 34. Currently, he is an assistant professor at Integral University. Previously he was an assistant professor at IIMT University, Meerut, India. He has experience teaching DPharm, Pharm.D, BPharm, and MPharm students. He has more than five publications in reputed journals to his credit. Dr. Faheem’s research area is the development and characterization of nanoformulation for the delivery of drugs to various organs.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"329795",title:"Dr.",name:"Mohd Aftab",middleName:"Aftab",surname:"Siddiqui",slug:"mohd-aftab-siddiqui",fullName:"Mohd Aftab Siddiqui",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329795/images/system/329795.png",biography:"Dr. Mohd Aftab Siddiqui is an assistant professor in the Faculty of Pharmacy, Integral University, Lucknow, India, where he obtained a Ph.D. in Pharmacology in 2020. He also obtained a BPharm and MPharm from the same university in 2013 and 2015, respectively. His area of research is the pharmacological screening of herbal drugs/natural products in liver cancer and cardiac diseases. He is a member of many professional bodies and has guided many MPharm and PharmD research projects. Dr. Siddiqui has many national and international publications and one German patent to his credit.",institutionString:"Integral University",institution:null}]}},subseries:{item:{id:"25",type:"subseries",title:"Evolutionary Computation",keywords:"Genetic Algorithms, Genetic Programming, Evolutionary Programming, Evolution Strategies, Hybrid Algorithms, Bioinspired Metaheuristics, Ant Colony Optimization, Evolutionary Learning, Hyperparameter Optimization",scope:"Evolutionary computing is a paradigm that has grown dramatically in recent years. This group of bio-inspired metaheuristics solves multiple optimization problems by applying the metaphor of natural selection. It so far has solved problems such as resource allocation, routing, schedule planning, and engineering design. Moreover, in the field of machine learning, evolutionary computation has carved out a significant niche both in the generation of learning models and in the automatic design and optimization of hyperparameters in deep learning models. This collection aims to include quality volumes on various topics related to evolutionary algorithms and, alternatively, other metaheuristics of interest inspired by nature. For example, some of the issues of interest could be the following: Advances in evolutionary computation (Genetic algorithms, Genetic programming, Bio-inspired metaheuristics, Hybrid metaheuristics, Parallel ECs); Applications of evolutionary algorithms (Machine learning and Data Mining with EAs, Search-Based Software Engineering, Scheduling, and Planning Applications, Smart Transport Applications, Applications to Games, Image Analysis, Signal Processing and Pattern Recognition, Applications to Sustainability).",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",hasOnlineFirst:!1,hasPublishedBooks:!0,annualVolume:11421,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. In the last five years, he has published more than 60 papers in international journals indexed in the JCR (around 70% of them belonging to first quartile journals) and he has edited some Springer books “Supervised Descriptive Pattern Mining” (2018), “Multiple Instance Learning - Foundations and Algorithms” (2016), and “Pattern Mining with Evolutionary Algorithms” (2016). He has also been involved in more than 20 research projects supported by the Spanish and Andalusian governments and the European Union. He currently belongs to the editorial board of PeerJ Computer Science, Information Fusion and Engineering Applications of Artificial Intelligence journals, being also associate editor of Applied Computational Intelligence and Soft Computing and IEEE Transactions on Cybernetics. Finally, he is editor-in-chief of Progress in Artificial Intelligence. He is a Senior Member of the IEEE Computer, the IEEE Computational Intelligence, and the IEEE Systems, Man, and Cybernetics Societies, and the Association of Computing Machinery (ACM). Finally, his main research interests include data science, computational intelligence, and their applications.",institutionString:null,institution:{name:"University of Córdoba",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,series:{id:"14",title:"Artificial Intelligence",doi:"10.5772/intechopen.79920",issn:"2633-1403"},editorialBoard:[{id:"111683",title:"Prof.",name:"Elmer P.",middleName:"P.",surname:"Dadios",slug:"elmer-p.-dadios",fullName:"Elmer P. 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