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Basheer Al-Naib",coverURL:"https://cdn.intechopen.com/books/images_new/6084.jpg",editedByType:"Edited by",editors:[{id:"182041",title:null,name:"Uday",surname:"Basheer",slug:"uday-basheer",fullName:"Uday Basheer"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7449",title:"Ceramic Materials",subtitle:"Synthesis, Characterization, Applications and Recycling",isOpenForSubmission:!1,hash:"ec6a7353676eab0c75ad96e44512952f",slug:"ceramic-materials-synthesis-characterization-applications-and-recycling",bookSignature:"Dolores Eliche Quesada, Luis Perez Villarejo and Pedro Sánchez Soto",coverURL:"https://cdn.intechopen.com/books/images_new/7449.jpg",editedByType:"Edited by",editors:[{id:"225122",title:"Prof.",name:"Dolores",surname:"Eliche Quesada",slug:"dolores-eliche-quesada",fullName:"Dolores Eliche Quesada"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],publishedBooksByAuthor:[{type:"book",id:"588",title:"Ceramic Coatings",subtitle:"Applications in Engineering",isOpenForSubmission:!1,hash:"87d35270dc765ca2c5fa7fd7063c7f60",slug:"ceramic-coatings-applications-in-engineering",bookSignature:"Feng Shi",coverURL:"https://cdn.intechopen.com/books/images_new/588.jpg",editedByType:"Edited by",editors:[{id:"24821",title:"Dr.",name:"Feng",surname:"Shi",slug:"feng-shi",fullName:"Feng Shi"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},onlineFirst:{chapter:{type:"chapter",id:"77889",title:"Emergency Treatment of Transverse Colon Cancer",doi:"10.5772/intechopen.99560",slug:"emergency-treatment-of-transverse-colon-cancer",body:'The incidence of transverse colon cancer in an emergency setting is approximately 77–80%. Five percent of all colon cancer are located at the level of transverse colon, hepatic flexure cancer represents 3% whilst splenic flexure represents 2% [1, 2]. The complications associated with transverse colon cancer are represented by large bowel obstruction, tumor perforation, or more commonly diastatic perforation and hemorrhagic syndrome [3].
Based on embryological and anatomical considerations, the colonic frame can be divided into the proximal (“right”) colon represented by the cecum, the ascending colon and the proximal or right 2/3 of the transverse colon, and the distal (“left”) colon represented by the distal 1/3 of the transverse colon, the descending colon, the sigmoid colon, the rectum and the proximal 2/3 of the anal canal [4, 5, 6, 7].
Since the proximal colon is derived from the midgut the incidence of transverse colon cancer is higher in females. Thus, mucinous tumors are more common, which present an increased risk of genetic mutations ↑ CIMP, ↑ BRAF, ↑ MSI, ↑ CMS1, ↑ CMS3, ↑ KRAS, and where survival has a limited prognosis compared to distal colon cancers [8, 9, 10].
The recommended surgical technical principles for proximal colon cancer complications are simple and are represented by resection and anastomosis in the first intent in most scenarios, while in the case of distal colon cancer complications, surgeons perform resections and colostomies (terminal or loop colostomy) or in rare cases of hemodynamically stable patients, per-primam anastomoses.
The majority of transverse colon tumors and their complications follow the general characteristics of colorectal cancers. Thus, in an emergency setting, patients have already developed complications the disease is generally found in advanced stages (T3-T4) [11]. Due to the presence of complications at the time of diagnostic, radical intent surgery is most of the time impossible; surgeons cannot perform a radical D2 or D3 lymphadenectomy, due to local cancer spread and the technical impossibility to remove the tumor together with the anterior and posterior sheets of the visceral peritoneum. To follow Hohenberger principles introduced in 2009 [12] to completely resect the mesocolon and perform high vascular ligature, in the case of complicated transverse colon cancer becomes impossible in most cases [12, 13].
Embryologically, the small intestine starting from D3, the cecum, the ascending colon, and the proximal or right 2/3 of the transverse colon derive from the midgut. The vascular supply is represented by ileocolic vessels, right colic artery, and middle colic artery, all derivative from superior mesenteric vessels. The parasympathetic innervation of these segments of the intestine is represented by the vagus nerve.
For the distal third (or left third), the descending colon, sigmoid, rectum, and the proximal 2/3 of the anal canal the embryological origin are represented by the hindgut and the vascular supply by the left colic branches of the inferior mesenteric vessels. The parasympathetic innervation is represented by the pelvic splanchnic nerves S2-S4. The transition zone from the parasympathetic vagal to the sacred is called the Cannon-Bohm point [14]. This corresponds to Griffith’s point where Drummond’s marginal arch anastomoses with the ascending branch of the middle colic artery [15].
The proximal colon is anatomically the most dilated segment in the colonic frame, having the largest diameter at the level of the cecum (8 cm), while the ascending colon being is 6 cm in diameter and the transverse colon 5 cm. The transverse colon is the longest segment of the colic frame, having a length of about 50 cm as well as being the most mobile segment of the colon [16].
The arterial sources of the ascending colon are represented by the branches of the superior mesenteric artery. They are the ileocolic artery, the right colic artery which may be inconsistent, the middle colic artery with the right and left branches, the left colic artery with the ascending branch which has its origin in the inferior mesenteric artery. In addition to these arterial sources for each segment, some anastomoses from the marginal artery of Drummond (MA) – the marginalis colic artery (arteria marginalis coli), the anastomotic source between the superior and inferior mesenteric artery [14, 17]. Another important anastomotic arterial source, also the anastomosis between the two important arterial sources, is represented by Riolan’s arch, also called Moskowitz’s arch or meandering mesenteric artery. An important aspect of this marginal arch is present in the splenic flexion, the so-called Griffith area in which there is the possibility to interrupt this arterial anastomosis, thus having direct implications in resections of the transverse colon or splenic flexure [14].
Thus, colon resections regardless of the region are segmental resections. This principle was introduced and accomplished with the sigmoid colon segment by Jean-Francois Reybard in 1833. Later this type of resection extended to the transverse colon, becoming a transversectomy. Also related to the name of this surgeon, Reybard is also linked with the first right hemicolectomy, performed in 1832.
Colic frame lymph nodes are present according to the Japanese Society for Cancer of the Colon and Rectum (JSCCR) in four areas:
D1 or N1 lymphatic centers – epicolic/paracolic
D2 or N2 lymphatic centers – intermediates
D3 or N3 lymphatic centers – central
D4 or N4 lymphatic centers – located on the anterior face of the large retroperitoneal vessels [18].
Thus, segmental, limited, or extensive resections for transverse colon cancers follow Hohenberger’s recommendations for mesocolon excision and central vascular ligation [19, 20].
There are several comparative studies between D2 or D3 lymphadenectomy recommendations for locally advanced cancers, that often present themselves in the emergency department. They do not show a clear advantage of D3 over D2 but recommend performing D3 lymphadenectomy to obtain a radial resection margin and a larger number of lymph nodes necessary for accurate staging [21, 22, 23]. The minimum number of lymph nodes required for an accurate staging is 12 [2, 24, 25].
Transverse colon cancer frequently metastasizes to the lymph nodes of the infrapyloric lymph nodes, pancreatic cephalic nodules, and gastro-colic ligaments [26].
Another aspect used in surgical resections of transverse colon cancers is resection of the hepatic or splenic flexures. It is, therefore, necessary to define this flexure, anatomically. There is no general surgical concept but the most common limit is represented by a portion of 10 cm belonging to the ascending or descending colon, respectively 1/3 corresponding to the transverse colon. The splenic flexure is always located higher, and more angled, often creating an additional obstacle [14].
Large bowel obstruction – is the most common complication of colorectal/rectal colon and transverse colon, representing about 77% of the entire volume of complications [27, 28]. The most common symptom is the lack of bowel movement in a patient with intestinal transit disorders. Due to the relatively large diameter of the proximal colon, ascending and transverse, the tumors become palpable, giant even, a long time before producing mechanical occlusion [29].
In this situation, the technical principle is segmental resection (Figure 1) represented by the right hemicolectomy, detailed by Kohler and Mikulicz or extended to the right, towards the left of the middle colic vessels followed by an ileocolic anastomosis or the segmental resection (transversectomy) followed by end-to-end anastomosis. There are divergent views and, in this regard, many articles and studies show that limited resections, such as transversectomy are more effective [24, 30].
Surgical approach of the colon.
If the location of the tumor is at the level of the hepatic flexure, then the common surgical procedure is a standard right hemicolectomy, with right omentectomy and ligation at the origin of the ileocolic vessels, right colic, and of the right branch of the middle colic vessels, followed by an ileo-colic end to end anastomosis (Figure 2).
D2/3 extended right hemicolectomy.
If the obstructive tumor is located at the middle of the transverse colon, then you can opt for a transversectomy with omentectomy and resection of the mesocolon (Figure 3), and high ligation at the origin of the middle colic vessels. If the local anatomy is favorable, namely after an adequate mobilization of both the hepatic and the splenic flexure if we can obtain a resection margin of about 10 cm, then we can opt for a tension-free anastomosis. If the local anatomy is not favorable, it is recommended to perform an extended right hemicolectomy with omentectomy and high ligation of the vascular pedicles followed by an ileocolic anastomosis. This type of anastomosis is classified with the lowest fistula rate [24, 30, 31, 32].
D2/3 transverse colectomy.
If the occlusive tumor is located at the left third of the transverse colon, then an extended right hemicolectomy is recommended as long as we obtain an adequate distance resection margin as well as an adequate radial resection margin – all by maintaining the integrity of the visceral peritoneum sheets.
Location of the tumor at the level of the splenic flexure may be followed by segmental resection of the splenic angle, left omentectomy, resection of the mesocolon and ascending branches of the left colic vessels, extended gastrocolic lymphadenectomy and colo colic anastomosis TT, or extended right hemicolectomy with omentectomy, mesocolon excision and extended gastro-colic lymphadenectomy, prepancreatic lymphadenectomy followed by an ileocolic end to end anastomosis (Figure 4) [28, 29].
D2/3 extended left hemicolectomy.
The principle of diversion or the protection of an anastomosis using an ileostomy [28] has lost ground lately, being today only an exceptional indication [33].
In certain particular situations, like in an emergency, it is useful to practice a subtotal colectomy (Figure 5), as radical as possible with ileo sigmoid anastomosis. The second indication for subtotal colectomy is the cecal diastatic perforation with the occlusive tumor in the transverse colon and the third indication for subtotal colectomy is synchronous tumors.
D2/3 subtotal hemicolectomy.
Extended right hemicolectomy is performed, in an emergency in about 73.7% of cases while left hemicolectomy is performed in 20% [2].
Perforation followed by localized or generalized peritonitis is the second most common cause of complications in transverse colon cancer [3, 28].
Due to generalized peritonitis, septic shock, and multiple organ failure (MSOF), the patient becomes hemodynamically and respiratory unstable, leading to postoperative management governed by other principles, namely hydro electrolytic rebalancing and stabilization, exploratory laparotomy, identification of exact perforation site, and rapid surgical gestures.
Perforations in this situation are frequently diastatic and the most frequent localization is in the cecum region. In this situation, subtotal colectomy is required, followed by ileosigmoid anastomosis. In some rare cases, there is the possibility of parietal perforation through tumor necrosis and localized peritonitis, which prolongs the patient’s addressability to the doctor. This situation is more common with the transverse colon or splenic flexure. However as long as the general condition of the patient is stable, a limited resection such as transversectomy can be attempted, but with the establishment of a diversion colostomy or by emptying the colon on the operating table with a first intent digestive anastomosis being recommended especially by Asian authors [28].
The hemorrhagic syndrome represents the 3rd emergency form of transverse colon cancer, the rarest form being an uncompensated hypovolemic shock with hemodynamic instability [28].
The presence of hemorrhage in cancer pathology is common in about 50% of cases [28]. The general form of manifestation, however, is occult hemorrhage, with minimal blood loss that does not suddenly undermine the patient. Thus, exsanguinating shock is rare [3].
If the endoscopic intervention cannot stop the hemorrhage or if embolization is not successful, then resection surgery is required when more than 6 units of blood [31] are transfused, followed by either a double colostomy or an anastomosis depending on the patient’s hemodynamic stability [3, 28].
The localization of the primary tumor in the transverse colon and the type of the emergency: occlusion, peritonitis with diastatic perforation or hemorrhage, as well as hemodynamic and respiratory stability of the patient, severity of hydroelectrolytic imbalance, require as emergency surgical treatment the following surgical therapeutic options (on cases that may benefit from surgical treatment):
In the case of the unstable patient, performing a lateral (loop) or terminal colostomy or ileostomy, possibly associated with a segmental resection for an area of perforation or hemorrhage and the second surgery for curative resection with associated D2/3 lymphadenectomy and anastomosis.
In the case of the stable patient, the intention will be curative surgical treatment and here an intervention with D2/3 lymphadenectomy and mesocolon resection is required according to the rule – CME and CVL imposed by Hohenberger. Depending on the location of the tumor hepatic flexure, standard transverse colon or splenic flexure, the presence of another synchronous tumor formation, vascular abnormalities or anatomical features of the transverse colon, high localization of the splenic flexure, the technical variants that can be achieved are represented by: segmental colectomy of the transverse colon or transversectomy, extended right colectomy, subtotal colectomy with CME and CVL Hohenberger and per-primal anastomosis TT, LL or LT, depending on local factors, technical possibilities – manual or mechanical and experience or preference of the surgeon.
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The knowledge presented in this chapter may provide tips and inspiration for some other game projects, and practical and useful notes on the advantages or disadvantages of some systems will be interesting and useful.",book:{id:"11192",title:"Computer Game Development",coverURL:"https://cdn.intechopen.com/books/images_new/11192.jpg"},signatures:"Branislav Sobota, Marián Hudák and Emília Pietriková"},{id:"82031",title:"Serious Games Development and Impact for Business Education",slug:"serious-games-development-and-impact-for-business-education",totalDownloads:18,totalDimensionsCites:0,doi:"10.5772/intechopen.103085",abstract:"Learning methodologies and experiences have changed over the recent years thanks to the incorporation of digital technology, among many of these technologies are Serious Games, that has a better opportunity to be used during recent pandemic times, the process of designing and incorporating games technologies is not easy and there are very few available development tools, this paper focus on basic guidelines and a practical experience. Review the process of developing a serious game and address some of the challenges of making a serious game from scratch. The objective is also to understand the challenges of developing and implementing gaming mechanics in Serious Games and the impact and results of the experience of using it with students’ samples from Latin America and Europe. The results of this study is that gamming has a very positive impact in the learning process of higher educations students, whom value the use of this technologies in their education, however in general these technologies are not being use in higher education, there is more simulation type implementations, especially in marketing and logistic areas. 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Conversely, dismissive attitude by decision-makers towards architectural practice and education, even among architects, in recognizing architecture as data-driven and source of data deserve rethink. Here the chapter demonstrates architects as data scientists and the symbiotic relationship that exist between architecture and 3D computer graphics while highlighting emerging data sciences opportunities and threats. The chapter adopted principally reviews of scholarly literatures, draws from authors’ 20-years personal experiences, and industry leaders’ views. The language is accessible yet academically concise. The chapter concluded with recommendations, including highlights of big data technologies potential transformation of 3D computer graphics. 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In a series of four studies, we collected data and compared results from the performance in a COTS game to scores on a traditional multiple-choice assessment written for the purposes of each study. Each assessment was written to evaluate the same content presented in the game for each respective study. Three of the four studies demonstrated a significant correlation between the COTS game and the traditional multiple choice assessment scores. The non-significant value in Study 4 was likely due to a small sample size (n < 100). The results of these studies support our hypothesis and demonstrate that COTS games may be a useful educational tool for training or assessment purposes. We recommend that future research focuses on specific applications of COTS games to explore further opportunities for utilizing COTS in education and assessment.",book:{id:"11192",title:"Computer Game Development",coverURL:"https://cdn.intechopen.com/books/images_new/11192.jpg"},signatures:"Diana R. 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An overview of the DIBR approach and frequently encountered challenges (disocclusion and ghosting artifacts, multi-view blending, handling of non-Lambertian objects) are described. Such technology finds applications in VR immersive displays and holography. Finally, a comprehensive manual of the Reference View Synthesis software (RVS), an open-source tool tested on open datasets and recognized by the MPEG-I standardization activities (where “I” refers to “immersive”) is described for hands-on practicing.",book:{id:"11192",title:"Computer Game Development",coverURL:"https://cdn.intechopen.com/books/images_new/11192.jpg"},signatures:"Sarah Fachada, Daniele Bonatto, Mehrdad Teratani and Gauthier Lafruit"}],onlineFirstChaptersTotal:8},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:90,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:330,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:9,numberOfPublishedChapters:140,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:123,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:112,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:22,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:11,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). 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He has an excellent track record in the herpesvirus field, and his group is engaged in clinical research in the field of Epstein-Barr virus diseases. He is the editor of the online Encyclopedia of Environment and he coordinates the Universal Health Coverage education program for the BioHealth Computing Schools of the European Institute of Science.",institutionString:null,institution:{name:"Grenoble Alpes University",country:{name:"France"}}},{id:"131400",title:"Prof.",name:"Alfonso J.",middleName:null,surname:"Rodriguez-Morales",slug:"alfonso-j.-rodriguez-morales",fullName:"Alfonso J. Rodriguez-Morales",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/131400/images/system/131400.png",biography:"Dr. Rodriguez-Morales is an expert in tropical and emerging diseases, particularly zoonotic and vector-borne diseases (especially arboviral diseases). He is the president of the Travel Medicine Committee of the Pan-American Infectious Diseases Association (API), as well as the president of the Colombian Association of Infectious Diseases (ACIN). He is a member of the Committee on Tropical Medicine, Zoonoses, and Travel Medicine of ACIN. He is a vice-president of the Latin American Society for Travel Medicine (SLAMVI) and a Member of the Council of the International Society for Infectious Diseases (ISID). Since 2014, he has been recognized as a Senior Researcher, at the Ministry of Science of Colombia. He is a professor at the Faculty of Medicine of the Fundacion Universitaria Autonoma de las Americas, in Pereira, Risaralda, Colombia. He is an External Professor, Master in Research on Tropical Medicine and International Health, Universitat de Barcelona, Spain. He is also a professor at the Master in Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima, Peru. In 2021 he has been awarded the “Raul Isturiz Award” Medal of the API. Also, in 2021, he was awarded with the “Jose Felix Patiño” Asclepius Staff Medal of the Colombian Medical College, due to his scientific contributions to COVID-19 during the pandemic. He is currently the Editor in Chief of the journal Travel Medicine and Infectious Diseases. His Scopus H index is 47 (Google Scholar H index, 68).",institutionString:"Institución Universitaria Visión de las Américas, Colombia",institution:null},{id:"332819",title:"Dr.",name:"Chukwudi Michael",middleName:"Michael",surname:"Egbuche",slug:"chukwudi-michael-egbuche",fullName:"Chukwudi Michael Egbuche",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/332819/images/14624_n.jpg",biography:"I an Dr. Chukwudi Michael Egbuche. I am a Senior Lecturer in the Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka.",institutionString:null,institution:{name:"Nnamdi Azikiwe University",country:{name:"Nigeria"}}},{id:"284232",title:"Mr.",name:"Nikunj",middleName:"U",surname:"Tandel",slug:"nikunj-tandel",fullName:"Nikunj Tandel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284232/images/8275_n.jpg",biography:'Mr. Nikunj Tandel has completed his Master\'s degree in Biotechnology from VIT University, India in the year of 2012. He is having 8 years of research experience especially in the field of malaria epidemiology, immunology, and nanoparticle-based drug delivery system against the infectious diseases, autoimmune disorders and cancer. He has worked for the NIH funded-International Center of Excellence in Malaria Research project "Center for the study of complex malaria in India (CSCMi)" in collaboration with New York University. The preliminary objectives of the study are to understand and develop the evidence-based tools and interventions for the control and prevention of malaria in different sites of the INDIA. Alongside, with the help of next-generation genomics study, the team has studied the antimalarial drug resistance in India. Further, he has extended his research in the development of Humanized mice for the study of liver-stage malaria and identification of molecular marker(s) for the Artemisinin resistance. At present, his research focuses on understanding the role of B cells in the activation of CD8+ T cells in malaria. Received the CSIR-SRF (Senior Research Fellow) award-2018, FIMSA (Federation of Immunological Societies of Asia-Oceania) Travel Bursary award to attend the IUIS-IIS-FIMSA Immunology course-2019',institutionString:"Nirma University",institution:{name:"Nirma University",country:{name:"India"}}},{id:"334383",title:"Ph.D.",name:"Simone",middleName:"Ulrich",surname:"Ulrich Picoli",slug:"simone-ulrich-picoli",fullName:"Simone Ulrich Picoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334383/images/15919_n.jpg",biography:"Graduated in Pharmacy from Universidade Luterana do Brasil (1999), Master in Agricultural and Environmental Microbiology from Federal University of Rio Grande do Sul (2002), Specialization in Clinical Microbiology from Universidade de São Paulo, USP (2007) and PhD in Sciences in Gastroenterology and Hepatology (2012). She is currently an Adjunct Professor at Feevale University in Medicine and Biomedicine courses and a permanent professor of the Academic Master\\'s Degree in Virology. She has experience in the field of Microbiology, with an emphasis on Bacteriology, working mainly on the following topics: bacteriophages, bacterial resistance, clinical microbiology and food microbiology.",institutionString:null,institution:{name:"Universidade Feevale",country:{name:"Brazil"}}},{id:"229220",title:"Dr.",name:"Amjad",middleName:"Islam",surname:"Aqib",slug:"amjad-aqib",fullName:"Amjad Aqib",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229220/images/system/229220.png",biography:"Dr. Amjad Islam Aqib obtained a DVM and MSc (Hons) from University of Agriculture Faisalabad (UAF), Pakistan, and a PhD from the University of Veterinary and Animal Sciences Lahore, Pakistan. Dr. Aqib joined the Department of Clinical Medicine and Surgery at UAF for one year as an assistant professor where he developed a research laboratory designated for pathogenic bacteria. Since 2018, he has been Assistant Professor/Officer in-charge, Department of Medicine, Manager Research Operations and Development-ORIC, and President One Health Club at Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan. He has nearly 100 publications to his credit. His research interests include epidemiological patterns and molecular analysis of antimicrobial resistance and modulation and vaccine development against animal pathogens of public health concern.",institutionString:"Cholistan University of Veterinary and Animal Sciences",institution:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{id:"333753",title:"Dr.",name:"Rais",middleName:null,surname:"Ahmed",slug:"rais-ahmed",fullName:"Rais Ahmed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333753/images/20168_n.jpg",biography:null,institutionString:null,institution:{name:"University of Agriculture Faisalabad",country:{name:"Pakistan"}}},{id:"62900",title:"Prof.",name:"Fethi",middleName:null,surname:"Derbel",slug:"fethi-derbel",fullName:"Fethi Derbel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/62900/images/system/62900.jpeg",biography:"Professor Fethi Derbel was born in 1960 in Tunisia. He received his medical degree from the Sousse Faculty of Medicine at Sousse, University of Sousse, Tunisia. He completed his surgical residency in General Surgery at the University Hospital Farhat Hached of Sousse and was a member of the Unit of Liver Transplantation in the University of Rennes, France. He then worked in the Department of Surgery at the Sahloul University Hospital in Sousse. Professor Derbel is presently working at the Clinique les Oliviers, Sousse, Tunisia. His hospital activities are mostly concerned with laparoscopic, colorectal, pancreatic, hepatobiliary, and gastric surgery. He is also very interested in hernia surgery and performs ventral hernia repairs and inguinal hernia repairs. He has been a member of the GREPA and Tunisian Hernia Society (THS). During his residency, he managed patients suffering from diabetic foot, and he was very interested in this pathology. For this reason, he decided to coordinate a book project dealing with the diabetic foot. Professor Derbel has published many articles in journals and collaborates intensively with IntechOpen Access Publisher as an editor.",institutionString:"Clinique les Oliviers",institution:null},{id:"300144",title:"Dr.",name:"Meriem",middleName:null,surname:"Braiki",slug:"meriem-braiki",fullName:"Meriem Braiki",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/300144/images/system/300144.jpg",biography:"Dr. Meriem Braiki is a specialist in pediatric surgeon from Tunisia. She was born in 1985. She received her medical degree from the University of Medicine at Sousse, Tunisia. She achieved her surgical residency training periods in Pediatric Surgery departments at University Hospitals in Monastir, Tunis and France.\r\nShe is currently working at the Pediatric surgery department, Sidi Bouzid Hospital, Tunisia. Her hospital activities are mostly concerned with laparoscopic, parietal, urological and digestive surgery. She has published several articles in diffrent journals.",institutionString:"Sidi Bouzid Regional Hospital",institution:null},{id:"229481",title:"Dr.",name:"Erika M.",middleName:"Martins",surname:"de Carvalho",slug:"erika-m.-de-carvalho",fullName:"Erika M. de Carvalho",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229481/images/6397_n.jpg",biography:null,institutionString:null,institution:{name:"Oswaldo Cruz Foundation",country:{name:"Brazil"}}},{id:"186537",title:"Prof.",name:"Tonay",middleName:null,surname:"Inceboz",slug:"tonay-inceboz",fullName:"Tonay Inceboz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/186537/images/system/186537.jfif",biography:"I was graduated from Ege University of Medical Faculty (Turkey) in 1988 and completed his Med. PhD degree in Medical Parasitology at the same university. I became an Associate Professor in 2008 and Professor in 2014. I am currently working as a Professor at the Department of Medical Parasitology at Dokuz Eylul University, Izmir, Turkey.\n\nI have given many lectures, presentations in different academic meetings. I have more than 60 articles in peer-reviewed journals, 18 book chapters, 1 book editorship.\n\nMy research interests are Echinococcus granulosus, Echinococcus multilocularis (diagnosis, life cycle, in vitro and in vivo cultivation), and Trichomonas vaginalis (diagnosis, PCR, and in vitro cultivation).",institutionString:"Dokuz Eylül University",institution:{name:"Dokuz Eylül University",country:{name:"Turkey"}}},{id:"71812",title:"Prof.",name:"Hanem Fathy",middleName:"Fathy",surname:"Khater",slug:"hanem-fathy-khater",fullName:"Hanem Fathy Khater",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/71812/images/1167_n.jpg",biography:"Prof. Khater is a Professor of Parasitology at Benha University, Egypt. She studied for her doctoral degree, at the Department of Entomology, College of Agriculture, Food and Natural Resources, University of Missouri, Columbia, USA. She has completed her Ph.D. degrees in Parasitology in Egypt, from where she got the award for “the best scientific Ph.D. dissertation”. She worked at the School of Biological Sciences, Bristol, England, the UK in controlling insects of medical and veterinary importance as a grant from Newton Mosharafa, the British Council. Her research is focused on searching of pesticides against mosquitoes, house flies, lice, green bottle fly, camel nasal botfly, soft and hard ticks, mites, and the diamondback moth as well as control of several parasites using safe and natural materials to avoid drug resistances and environmental contamination.",institutionString:null,institution:{name:"Banha University",country:{name:"Egypt"}}},{id:"99780",title:"Prof.",name:"Omolade",middleName:"Olayinka",surname:"Okwa",slug:"omolade-okwa",fullName:"Omolade Okwa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/99780/images/system/99780.jpg",biography:"Omolade Olayinka Okwa is presently a Professor of Parasitology at Lagos State University, Nigeria. She has a PhD in Parasitology (1997), an MSc in Cellular Parasitology (1992), and a BSc (Hons) Zoology (1990) all from the University of Ibadan, Nigeria. She teaches parasitology at the undergraduate and postgraduate levels. She was a recipient of a Commonwealth fellowship supported by British Council tenable at the Centre for Entomology and Parasitology (CAEP), Keele University, United Kingdom between 2004 and 2005. She was awarded an Honorary Visiting Research Fellow at the same university from 2005 to 2007. \nShe has been an external examiner to the Department of Veterinary Microbiology and Parasitology, University of Ibadan, MSc programme between 2010 and 2012. She is a member of the Nigerian Society of Experimental Biology (NISEB), Parasitology and Public Health Society of Nigeria (PPSN), Science Association of Nigeria (SAN), Zoological Society of Nigeria (ZSN), and is Vice Chairperson of the Organisation of Women in Science (OWSG), LASU chapter. She served as Head of Department of Zoology and Environmental Biology, Lagos State University from 2007 to 2010 and 2014 to 2016. She is a reviewer for several local and international journals such as Unilag Journal of Science, Libyan Journal of Medicine, Journal of Medicine and Medical Sciences, and Annual Research and Review in Science. \nShe has authored 45 scientific research publications in local and international journals, 8 scientific reviews, 4 books, and 3 book chapters, which includes the books “Malaria Parasites” and “Malaria” which are IntechOpen access publications.",institutionString:"Lagos State University",institution:{name:"Lagos State University",country:{name:"Nigeria"}}},{id:"273100",title:"Dr.",name:"Vijay",middleName:null,surname:"Gayam",slug:"vijay-gayam",fullName:"Vijay Gayam",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/273100/images/system/273100.jpeg",biography:"Dr. Vijay Bhaskar Reddy Gayam is currently practicing as an internist at Interfaith Medical Center in Brooklyn, New York, USA. He is also a Clinical Assistant Professor at the SUNY Downstate University Hospital and Adjunct Professor of Medicine at the American University of Antigua. He is a holder of an M.B.B.S. degree bestowed to him by Osmania Medical College and received his M.D. at Interfaith Medical Center. His career goals thus far have heavily focused on direct patient care, medical education, and clinical research. He currently serves in two leadership capacities; Assistant Program Director of Medicine at Interfaith Medical Center and as a Councilor for the American\r\nFederation for Medical Research. As a true academician and researcher, he has more than 50 papers indexed in international peer-reviewed journals. He has also presented numerous papers in multiple national and international scientific conferences. His areas of research interest include general internal medicine, gastroenterology and hepatology. He serves as an editor, editorial board member and reviewer for multiple international journals. His research on Hepatitis C has been very successful and has led to multiple research awards, including the 'Equity in Prevention and Treatment Award” from the New York Department of Health Viral Hepatitis Symposium (2018) and the 'Presidential Poster Award” awarded to him by the American College of Gastroenterology (2018). He was also awarded 'Outstanding Clinician in General Medicine” by Venus International Foundation for his extensive research expertise and services, perform over and above the standard expected in the advancement of healthcare, patient safety and quality of care.",institutionString:"Interfaith Medical Center",institution:{name:"Interfaith Medical Center",country:{name:"United States of America"}}},{id:"93517",title:"Dr.",name:"Clement",middleName:"Adebajo",surname:"Meseko",slug:"clement-meseko",fullName:"Clement Meseko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/93517/images/system/93517.jpg",biography:"Dr. Clement Meseko obtained DVM and PhD degree in Veterinary Medicine and Virology respectively. He has worked for over 20 years in both private and public sectors including the academia, contributing to knowledge and control of infectious disease. Through the application of epidemiological skill, classical and molecular virological skills, he investigates viruses of economic and public health importance for the mitigation of the negative impact on people, animal and the environment in the context of Onehealth. \r\nDr. Meseko’s field experience on animal and zoonotic diseases and pathogen dynamics at the human-animal interface over the years shaped his carrier in research and scientific inquiries. He has been part of the investigation of Highly Pathogenic Avian Influenza incursions in sub Saharan Africa and monitors swine Influenza (Pandemic influenza Virus) agro-ecology and potential for interspecies transmission. He has authored and reviewed a number of journal articles and book chapters.",institutionString:"National Veterinary Research Institute",institution:{name:"National Veterinary Research Institute",country:{name:"Nigeria"}}},{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",biography:"Professor Dr. Shailendra K. Saxena is a vice dean and professor at King George's Medical University, Lucknow, India. His research interests involve understanding the molecular mechanisms of host defense during human viral infections and developing new predictive, preventive, and therapeutic strategies for them using Japanese encephalitis virus (JEV), HIV, and emerging viruses as a model via stem cell and cell culture technologies. His research work has been published in various high-impact factor journals (Science, PNAS, Nature Medicine) with a high number of citations. He has received many awards and honors in India and abroad including various Young Scientist Awards, BBSRC India Partnering Award, and Dr. JC Bose National Award of Department of Biotechnology, Min. of Science and Technology, Govt. of India. Dr. Saxena is a fellow of various international societies/academies including the Royal College of Pathologists, United Kingdom; Royal Society of Medicine, London; Royal Society of Biology, United Kingdom; Royal Society of Chemistry, London; and Academy of Translational Medicine Professionals, Austria. He was named a Global Leader in Science by The Scientist. He is also an international opinion leader/expert in vaccination for Japanese encephalitis by IPIC (UK).",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",country:{name:"India"}}},{id:"94928",title:"Dr.",name:"Takuo",middleName:null,surname:"Mizukami",slug:"takuo-mizukami",fullName:"Takuo Mizukami",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94928/images/6402_n.jpg",biography:null,institutionString:null,institution:{name:"National Institute of Infectious Diseases",country:{name:"Japan"}}},{id:"233433",title:"Dr.",name:"Yulia",middleName:null,surname:"Desheva",slug:"yulia-desheva",fullName:"Yulia Desheva",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/233433/images/system/233433.png",biography:"Dr. Yulia Desheva is a leading researcher at the Institute of Experimental Medicine, St. Petersburg, Russia. She is a professor in the Stomatology Faculty, St. Petersburg State University. She has expertise in the development and evaluation of a wide range of live mucosal vaccines against influenza and bacterial complications. Her research interests include immunity against influenza and COVID-19 and the development of immunization schemes for high-risk individuals.",institutionString:'Federal State Budgetary Scientific Institution "Institute of Experimental Medicine"',institution:null},{id:"238958",title:"Mr.",name:"Atamjit",middleName:null,surname:"Singh",slug:"atamjit-singh",fullName:"Atamjit Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/238958/images/6575_n.jpg",biography:null,institutionString:null,institution:null},{id:"252058",title:"M.Sc.",name:"Juan",middleName:null,surname:"Sulca",slug:"juan-sulca",fullName:"Juan Sulca",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252058/images/12834_n.jpg",biography:null,institutionString:null,institution:null},{id:"191392",title:"Dr.",name:"Marimuthu",middleName:null,surname:"Govindarajan",slug:"marimuthu-govindarajan",fullName:"Marimuthu Govindarajan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/191392/images/5828_n.jpg",biography:"Dr. M. Govindarajan completed his BSc degree in Zoology at Government Arts College (Autonomous), Kumbakonam, and MSc, MPhil, and PhD degrees at Annamalai University, Annamalai Nagar, Tamil Nadu, India. He is serving as an assistant professor at the Department of Zoology, Annamalai University. His research interests include isolation, identification, and characterization of biologically active molecules from plants and microbes. He has identified more than 20 pure compounds with high mosquitocidal activity and also conducted high-quality research on photochemistry and nanosynthesis. He has published more than 150 studies in journals with impact factor and 2 books in Lambert Academic Publishing, Germany. He serves as an editorial board member in various national and international scientific journals.",institutionString:null,institution:null},{id:"274660",title:"Dr.",name:"Damodar",middleName:null,surname:"Paudel",slug:"damodar-paudel",fullName:"Damodar Paudel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274660/images/8176_n.jpg",biography:"I am DrDamodar Paudel,currently working as consultant Physician in Nepal police Hospital.",institutionString:null,institution:null},{id:"241562",title:"Dr.",name:"Melvin",middleName:null,surname:"Sanicas",slug:"melvin-sanicas",fullName:"Melvin Sanicas",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/241562/images/6699_n.jpg",biography:null,institutionString:null,institution:null},{id:"117248",title:"Dr.",name:"Andrew",middleName:null,surname:"Macnab",slug:"andrew-macnab",fullName:"Andrew Macnab",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"322007",title:"Dr.",name:"Maria Elizbeth",middleName:null,surname:"Alvarez-Sánchez",slug:"maria-elizbeth-alvarez-sanchez",fullName:"Maria Elizbeth Alvarez-Sánchez",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Universidad Autónoma de la Ciudad de México",country:{name:"Mexico"}}},{id:"337443",title:"Dr.",name:"Juan",middleName:null,surname:"A. Gonzalez-Sanchez",slug:"juan-a.-gonzalez-sanchez",fullName:"Juan A. Gonzalez-Sanchez",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Puerto Rico System",country:{name:"United States of America"}}},{id:"337446",title:"Dr.",name:"Maria",middleName:null,surname:"Zavala-Colon",slug:"maria-zavala-colon",fullName:"Maria Zavala-Colon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Puerto Rico, Medical Sciences Campus",country:{name:"United States of America"}}}]}},subseries:{item:{id:"18",type:"subseries",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. The Proteomics topic aims to attract contributions on all aspects of MS-based proteomics that, by pushing the boundaries of MS capabilities, may address biological problems that have not been resolved yet.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11414,editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",slug:"paolo-iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",biography:"Paolo Iadarola graduated with a degree in Chemistry from the University of Pavia (Italy) in July 1972. He then worked as an Assistant Professor at the Faculty of Science of the same University until 1984. In 1985, Prof. Iadarola became Associate Professor at the Department of Biology and Biotechnologies of the University of Pavia and retired in October 2017. Since then, he has been working as an Adjunct Professor in the same Department at the University of Pavia. His research activity during the first years was primarily focused on the purification and structural characterization of enzymes from animal and plant sources. During this period, Prof. Iadarola familiarized himself with the conventional techniques used in column chromatography, spectrophotometry, manual Edman degradation, and electrophoresis). Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. In this context, he has developed and validated new methodologies (e.g., Capillary Electrophoresis coupled to Laser-Induced Fluorescence, CE-LIF) whose application enabled him to determine both the amounts of biochemical markers (Desmosines) in urine/serum of patients affected by Chronic Obstructive Pulmonary Disease (COPD) and the activity of proteolytic enzymes (Human Neutrophil Elastase, Cathepsin G, Pseudomonas aeruginosa elastase) in sputa of these patients. More recently, Prof. Iadarola was involved in developing techniques such as two-dimensional electrophoresis coupled to liquid chromatography/mass spectrometry (2DE-LC/MS) for the proteomic analysis of biological fluids aimed at the identification of potential biomarkers of different lung diseases. He is the author of about 150 publications (According to Scopus: H-Index: 23; Total citations: 1568- According to WOS: H-Index: 20; Total Citations: 1296) of peer-reviewed international journals. He is a Consultant Reviewer for several journals, including the Journal of Chromatography A, Journal of Chromatography B, Plos ONE, Proteomes, International Journal of Molecular Science, Biotech, Electrophoresis, and others. He is also Associate Editor of Biotech.",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",slug:"simona-viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",biography:"Simona Viglio is an Associate Professor of Biochemistry at the Department of Molecular Medicine at the University of Pavia. She has been working since 1995 on the determination of proteolytic enzymes involved in the degradation process of connective tissue matrix and on the identification of biological markers of lung diseases. She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. 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