Clinical stages of Spigelian hernia.
\r\n\tThis book aims to cover recent developments and novel components in gasification technologies that suit the requirements related to CO2 reduction, syngas conversion, hydrogen production, renewable usage, and reliability as an economic process. The conventional gasification process is inherently expensive due to the toxicity and explosiveness of syngas in addition to the difficulty of the impurities removal process. Many novel ideas and processes have tried to overcome these inherent limitations. This book hopes to provide more insights on the future of the utility of gasification technologies at this climate-conscious time.
",isbn:"978-1-80356-096-0",printIsbn:"978-1-80356-095-3",pdfIsbn:"978-1-80356-097-7",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,hash:"7049892692b417ba336db79f00549989",bookSignature:"Dr. Yongseung Yun",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11536.jpg",keywords:"Syngas, Gasification, Blue Hydrogen, CO2, Biomass, Gasification, Pyrolysis, Hydrogen, Wastes, Conversion, Purification, Fuel",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"January 26th 2022",dateEndSecondStepPublish:"February 23rd 2022",dateEndThirdStepPublish:"April 24th 2022",dateEndFourthStepPublish:"July 13th 2022",dateEndFifthStepPublish:"September 11th 2022",remainingDaysToSecondStep:"3 months",secondStepPassed:!0,currentStepOfPublishingProcess:4,editedByType:null,kuFlag:!1,biosketch:"Dr. Yongseung Yun is a dedicated researcher and engineer in the gasification process which he has been covering for the past 27 years. Dr. Yun is the vice-president of IAE and is the holder of more than 30 gasification-related patents.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"144925",title:"Dr.",name:"Yongseung",middleName:null,surname:"Yun",slug:"yongseung-yun",fullName:"Yongseung Yun",profilePictureURL:"https://mts.intechopen.com/storage/users/144925/images/system/144925.jpg",biography:"Dr. Yongseung Yun majored in Chemical Engineering and received his Ph.D. degree at the University of Utah, USA, in 1990. He obtained his M.A. from KAIST, Korea, in 1981 and his B.A. from the Yonsei University, Korea, in 1979. He currently works as vice president at the Institute for Advanced Engineering in Korea.\nHe has been working on gasification technology development since 1994, starting from coal gasification to municipal solid wastes gasification, and petroleum coke gasification. He currently heads the 25 ton/day gasification project in Korea to produce blue hydrogen. He has worked as the president of KAWET from 2013 to 2019 and has been the vice president of the Korea DME Association since 2008. 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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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Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"72",title:"Ionic Liquids",subtitle:"Theory, Properties, New Approaches",isOpenForSubmission:!1,hash:"d94ffa3cfa10505e3b1d676d46fcd3f5",slug:"ionic-liquids-theory-properties-new-approaches",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/72.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"52066",title:"Supported Gold Nanoparticles as Promising Catalysts",doi:"10.5772/64394",slug:"supported-gold-nanoparticles-as-promising-catalysts",body:'\nGold (Au) has traditionally been considered to be catalytically inactive, like its other group VIII counterparts, Cu and Ag. The catalytic characteristics of these metals may be determined by the extent of its d-band vacancy [1]; in the cases of Au, Cu, and Ag, is completely occupied. Unlike Au, however, Cu and Ag are characterized by comparatively modest ionization potentials, with the result that Cu and Ag are able to shed electrons, thereby creating d-band holes and, therefore, becoming catalytically active. This means that Cu may, in chemistry applications, be utilized in the synthesis of methanol, while Ag may similarly be utilized in the synthesis of ethylene oxide. Au, on the other hand, is characterized by a comparatively high degree of ionization and, therefore, has low molecular attraction [2]. Early empirical research concerning surface characteristics and associated calculation of density functions shows that, for Au, dissociative adsorption of H2 and O2 does not take place at temperatures lower than 473 K, and so it would not be expected to exhibit catalytic activity in respect of hydrogenation and oxidation reactions [3]. This is why heretofore Au has not been of interest in terms of catalysis. Bond et al. [4], however, found in the late 1979s that alkene and alkyne hydrogenation by means of an Au/SiO2 catalyst delivered results that merited further exploration, which when carried out obtained oxidation utilizing supported Au catalysts. This research suggested for the first time that Au may exhibit enhanced activity when in small (<5 nm) dispersed particulate form. Further research conducted in the 1980s by Hutchings et al. [5] and Haruta et al. [6] yielded two discoveries that significantly changed the opinions of researchers about Au. Such newly discovered characteristics suggest that it may indeed offer good potential in terms of heterogeneous catalytic applications. The specifics of these discoveries concerned the use of Au as a superior catalyst in respect of acetylene hydrochlorination [6], and supported gold nanoparticles (AuNPs) exhibiting enhanced activity in low-temperature CO oxidation conditions [6].
\nThe importance on the usage of gold catalysts is also clearly evidenced from an explosion in the number of academic publications dealing with AuNPs in recent times. In other words, the number of publications appeared in the 1980s is just <100, which is remarkably increased to almost 2000 publications until 2015 (Figure 1). In the year 2016 alone (till March), there have been over 800 publications, which undeniably indicate extreme importance of gold in catalysis. In addition, some books and several comprehensive reviews have also been published on this topic. Besides, patents activity was not much before the 1990s but has increased noticeably since then and is now fairly steady at about 500 patents per annum.
\nFurthermore, conventional knowledge was that Au exhibits the lowest degree of reactivity among other metals, with this opinion, it is acquiring the reputation for being the most “noble” [7]. This very low reactivity arises as a result of its entirely occupied 5d valence shell and its relatively high first ionization potential value. In consequence of this, Au catalysts exhibit poor chemisorption characteristics [8]. Such a conventional perception, however, has not discouraged researchers from further investigating Au in the context of developing new heterogeneous catalysts. Surprisingly, the results achieved from such a research have lately seen exponential growth. The basis for such a recent interest has, however, been largely empirical, centered typically on the oxidation of CO at low temperatures [6]. Consequently, the actual processes that generate the observed effects are a matter of heated debate. To achieve some resolution in this regard, Goodman et al. [9] examined the size of Au clusters in model catalysts, focusing on the influence of quantum size as a means by which the commencement of catalytic activity and the band gap that becomes apparent in the clusters may be explained (Figure 2(a)). Subsequent research indicated that the bilayered morphology of the electron-laden Au cluster enables the dissociation of O2, and that these effects are considered to be determinants of enhanced reactivity [10]. Bokhoven [11] additionally suggested that alteration of the electron structure resulting from Au-Au bond contraction in nanoparticles could also explain the observed enhanced reactivity. Yet more recent research has suggested that correlations may exist between the active site and the low-coordinated Au atoms (Figure 2(b)) [12], particularly at corner sites [13]. Varying reactions produced using Au catalysts have also been explored by Mason [14] and Bond [15]; as a result of this, they postulate that the active site is situated at the Au/support edge junction and that cationic Au is present (Figure 2(c)). Spectroscopic measurements obtained using IR techniques in respect of cationic Au and zerovalent Au0 being present during CO oxidation suggest that the active site is made up of Au0 and Au+ species at the junction outer limit (Figure 2(e)). Additionally, other research suggests that Au nanoparticles lodge themselves within defective areas such as those created by the presence of O2 holes (F centers), the effect of which is to assign electron density to the AuNPs or atoms (Figure 2(d)). The resultant negative charge is said to be responsible for the enhancement of catalytic activity in respect of low-temperature CO oxidation through enabling the adsorption of CO and the dissociation of O2.
\nPublications on gold catalysis in the academic literature (source: SciFinder Scholar).
Models proposed for explaining the catalytic activity of Au/oxide catalysts: (a) cluster size effects, (b) low-coordinated Au atoms, (c) cationic gold, (d) electron transfer from F centers of the support to the Au particle, and (e) ensembles of Au0, Au+, and support-bound OH groups.
The characteristics of Au in terms of its noncorrosive and nonoxidation properties have made it an attractive – perhaps the most attractive – raw material in the production of jewelry. It is known as a “late transition” metal that belongs to group VIII in the periodic table, together with Cu and Ag. Its atomic mass is 196.97 amu, its M.P. is 1064°C, and its density is 19.6 g/cm3. The electronic attraction of Au exceeds that of O2 and the redox potential of the Au+/Au(0) coupling is +1.5 V. Au’s characteristic yellow coloring is the result of optical absorption in the visible portion of the electromagnetic spectrum, which arises as a result of the relatively low band gap apparent between the 5d band and the Fermi level [16]. Au is chemically characterized by a broad variety of oxidation states. Both the +1 and +3 states are usual, although this characteristic differs from other similar metals. Au’s +5 state may also be found in [AuF6]−. There are three monohalides in Au, although fluoride is absent as this ion exhibits electronegativity that is too prominent for stable bonding to take place. The high degree of electronegativity present in Au also produces another feature that is unique to the chemical composition of Au; the presence of the auride anion (Au−) is also known as the compound CsAu since the late 1970s [17], and for this reason Au does not exhibit direct reactions in relation to other electronegative elements such as O2 and sulfur, and may only be dissolved by aquaregia (HCl:HNO3 = 3:1 v/v). AuNPs’ optical characteristics are also strongly dependent upon the dimensions and shape of the Au nanoparticles. An unusual characteristic pertaining to colloidal AuNPs is the concentration of their coloring. In large masses, Au is yellow, an effect resulting from reduced reflectivity of blue light in reflected light conditions, whereas Au in thin-film form appears to be blue in color. This blue coloring progressively changes to orange as the particle size reduces; this effect is caused by changes occurring in what is known as its surface plasmon resonance (SPR). These characteristics in Au are particularly dependent on the overall oscillation that takes place within the conduction electrons in consequence of the influence exerted by electromagnetic radiation – an effect termed surface plasmon resonance, SPR or localized surface plasmon resonance [18].
\nSchematic representation of colloidal AuNPs system stabilization modes.
AuNPs’ stability has become a significant focus of attention during the past 20 years as a result of growing appreciation that AuNPs’ catalytic activity is significantly dependent upon AuNPs’ dimensions. Colloidal nanoparticles are usually thermodynamically unstable, and hence do not possess good long-term stability primarily as a result of agglomeration. This is especially the case with AuNPs due to their inherent particulate attraction, and so establishing and maintaining stability is of particular importance. Long-term agglomeration prevention may be achieved by surface support techniques or through co-ordinating with ligands/anionic species. Two basic approaches are available for achieving stability in colloidal AuNPs through utilization of ligands/anionic species. These are known as steric and electrostatic stabilization [19]. The steric approach is based on the addition of organic moieties to the system to be adsorbed onto the particle surface. It works by ensuring that individual Au nanoparticles are not permitted to come into close proximity. The organic moieties used for this purpose are usually polymers, e.g., polyvinyl alcohol (PVA) [20]. The electrostatic, or charge stabilization, approach makes use of interactivity between anionic species such as halides or polyoxoanions and co-ordinatively unsaturated atoms present at the surface of the metal, the outcome of which is the creation of a scattered dual electrical layer that facilitates coulombic repulsion among the Au nanoparticles. These approaches both have individual advantages and drawbacks: the steric approach is relatively straightforward, requiring the sole addition of polymeric stabilizers; however, in some scenarios stabilizers can be problematic as they exert influence on the dimensions and shape of the created colloidal MNPs. Additionally, the presence of stabilizers may passivate the surfaces of the nanoparticles, thereby engendering serious and sudden catalytic inactivity. The electrostatic approach is advantageous in that it can achieve stabilization through simple adjustment of the extent to which ions are concentrated – a technique which is both reversible and economical. The contrasting interactivity achieved by these approaches is illustrated in Figure 3.
\nAuNPs may be defined according to two broad classifications, known as unsupported particles and supported particles as are illustrated in Figure 4. Some selected approaches are explained in detail in the following paragraphs.
\nPreparation techniques for unsupported and supported gold nanoparticles.
The production of AuNPs by means of chemical processes involves the reduction of gold ions either by the use of chemical reductants or by the use of externally sourced energy. Turkevich [21] first succeeded in achieving Au suspension through a single-step reduction process of [AuCl4−] with sodium citrate being used as the reducing agent [22]. It is also possible to use more than one reductant whenever necessary. Other examples of chemical reductants include molecular hydrogen, ascorbic acid, various forms of alcohol, tannic acid, hydrazine, citrate, and so on. Externally sourced energy may be in the forms of photoenergy such as ultraviolet and visible light, electricity, and heat or sonochemical energy. Using these approaches, nanoparticles with closely similar dimensions may be produced and colloidal dispersions may be achieved. However, it is necessary to use a stabilizer, and this is particularly crucial in the case of Au. There are a number of advantages of using chemical reduction techniques to synthesize AuNPs. Some of the most important advantages are as follows.
Simplicity of process.
Easy to produce metal colloids that are stable and may be easily isolated in dry powder form.
The nanoparticles created are of closely similar dimensions.
Readily applicable to multigram synthesis and scaling-up while delivering reproducible results.
This technique bears comparison with the chemical reduction technique, although this coreduction technique is primarily applicable to the production of bimetallic nanoparticles. Colloidal dispersion of bimetallic nanoparticles partially constituted of Au may be achieved by chemical means [23]. By these means, metal ions consisting of more than one metal are typically reduced using a reductant, for instance, citrate [24], with the dimensions of the bimetallic nanoparticles produced however depend upon the composition of the metal. In general, coreduction is the most straightforward means of producing bimetallic nanoparticles.
\nImpregnation is a widely used preparation method for the synthesis of heterogeneous bimetallic catalysts. The impregnation methodology, where the support is contacted with an aqueous metallic solution (one or more metals), which is then oven dried and calcined under suitable thermal conditions. Two types of impregnation methods can be used: (i) based on the volume of metallic solution with respect to the pore volume of support, namely incipient wetness and (ii) wet impregnation method using excess solvent. In the case of incipient wetness, the active component solution volume is equal to the total pore volume of the support and in the case of the wet impregnation methodology the volume of solution can be much higher than the total pore volume of the support [25]. Temperature, time of heating, calcination temperature, and supporting material are some of the crucial conditions that control the characteristics of the final catalyst. Chemical reaction between the precursor solution and the metal support may occur during the calcination phase of the period, under particular conditions causing various active phase-support interactions. The advantage of this method is that highly dispersed metal particles loaded on the surface of metal oxides (as supports) can be obtained.
\nDeposition-precipitation (DP) technique is one of the most successfully used methods to obtain high dispersion and homogeneous deposition of bimetallic particles on the surface of support. The DP method is used where the solution creates an insoluble form of supported active phase, and this in turn accumulates on the solution connected to the support. Strong precursor-support interactions are expected using this method which enhances the catalyst efficiency and stability of the catalyst. In this method the metal salt precursors are typically carried out of solution in the presence of a suspension of the support by increasing the pH value to obtain immediate precipitation of different metals. For instance, this method is a widely used methodology for creating precursors of highly active supported gold catalysts [26]. Hydroxides or carbonates are created using this methodology and they accumulate on the support [27].
\nGenerally metal ions are soluble in acidified aqueous solution and they precipitate as their hydroxides, oxyhydroxides, which upon calcination leads to the formation of suitable metal oxide phases. A mixed oxide in solid-solution form is generated by the coprecipitation of base metal cations. Coprecipitation of bivalent cations in the form of hydroxycarbonate, hydroxyl-chloride, or hydroxyl nitrate is generated by precipitating hydrotalcite of bivalent cations [28]. This process usually produces contamination of the precipitate in the final product and this is restricted through a complex process of washing.
\nThis method is the most ancient but widely used chemical method for the synthesis of nanoparticles by the reduction of bimetallic ions in solution. In this method, bimetallic ions are reduced by providing some extra energy and using the different type of chemical reductants. The provided energy is used to decompose the material, and usually, photoenergy, electricity, or thermal energy used. It is most frequent chemical method used for the production of stable bimetallic nanoparticles. The advantage of this method is the ability of controlling the size of the bimetallic nanoparticles. This process is normally operated at low temperature, automatically reducing the production costs of large amounts of bimetallic catalysts [29]. For instance, the synthesis of the colloidal bimetallic nanoparticles containing gold can be achieved using this method. For instances, metal ions of bi- or trimetals can be reduced by a suitable reductant, e.g., citrate.
\nA comprehensive knowledge of the chemical and physical properties of supported AuNPs as heterogeneous catalysts is needed to understand the nature of active sites, which in turn can help to find and tune the performance. It is essential to realize the catalytic behavior of these materials including deactivation phenomena in such a way that their performance can be further improved. More profound insights on the metal particle structure, size, shape, and catalytic properties of the materials can be gained through a range of methodologies that can be used to categorize them. A range of characterization techniques for identification and characterization of the gold catalysts are illustrated in Figure 5. These techniques can be used either individually or collectively applied to understand and analyze the properties of supported AuNPs. The data outlining the structural properties can be given by a range of methods such as X-ray diffraction, UV-vis and vibrational spectroscopies, and neutron and electron diffraction methods. The list of characterization methods and the information that can be obtained from these techniques is illustrated in Figure 5. X-ray fluorescence [XRF], atomic absorption spectroscopy [AAS], inductively coupled plasma [ICP], and energy-dispersive X-ray [EDX] are some of the other methods that can provide the elemental composition. The magnitude and morphology of the bimetallic catalysts can be better understood by utilizing a range of different kinds of microscopic methods [e.g., TEM and SEM]. The surface structure and composition of bimetallic catalysts can be achieved using spectroscopic methods [e.g., X-ray photoelectron [XPS], Raman spectroscopy.
\nSome selected characterization methods of supported AuNPs’ catalysts.
Particle size and shape, structure, composition, surface area, and porosity are found to be among the most important factors that affect the catalytic properties of supported AuNPs in different reactions. Figure 6 represents the summary of these factors on the catalytic properties. Additionally, the effects of some other selected factors are also discussed in the following section.
\nRelation between the size of AuNPs with their surface area (a) and catalytic activity (b).
An increase in the catalytic performance using metallic catalysts can be obtained by tuning the size of the metal particles. The effect of particle size on the catalytic activity and selectivity of supported metal nanoparticles were investigated extensively by Toshima et al. [30]. The surface area will normally increase with decreasing size of metal particles as the total surface area of metal particles is contrariwise proportional to the square of the diameter of nanoparticles. As shown in Figure 7, with decreasing size of particles there is an increase in catalytic activity [31]. Slower reactions are caused by continuously decreasing the size of the nanocatalysts whereas increasing the size of the catalyst will decrease the rate of reaction. There is a critical size of metal particle (usually 3 nm) in photochemical hydrogen generation using nanocatalysts of Pt and any size above or below will slow down the chemical reaction [32]. Lopez et al. discovered that particle size is a determining factor of catalyst performance [33].
\nFactors affect the catalytic properties of bimetallic catalysts in different reactions.
Existing research, for example [34], illustrates how the preparation method is influential in terms of the characteristics of supported Au catalysts. This is consequently influential on catalytic activity. A number of approaches [35] concerned with the preparation of Au catalysts have been described elsewhere in this thesis, a most widely used example being impregnation [36]. Impregnation involves the reduction of HAuCl4 to AuNPs, after which it is impregnated onto the support. This approach is capable of delivering an Au average nanoparticle diameter in the order of 1–2 nm. This approach has a significant shortcoming in that chloride ions are apparent, having their origin at the Au precursor, for example, HAuCl4. To prevent the chloride ions from becoming contaminated, a gas phase grafting approach that makes use of monodispersed colloidal AuNPs that have been subjected to stabilization by an appropriate polymer may be used [37]. This, however, results in the dimensions of the AuNPs becoming larger than is desirable – something in the order of 10 nm. There are other means of preparing Au catalysts that are characterized by high levels of activity, for instance, deposition-precipitation and coprecipitation being the examples of such a type. In these precipitation techniques, specifying an appropriate pH level is crucial. Au nanoparticle diameters of the order of 1–2 nm may be produced by these means. Whichever approach is adopted for preparing Au catalysts, the application of heat is of significance in respect of catalytic activity [38]. Existing research suggests that Au catalysts are typically calcined at moderate temperatures of 100–200°C (e.g., Au/TiO2 [39] and Au/Fe2O3 [40], to preclude the occurrence of sintering and thereby enhance the performance of these catalysts with respect to those subjected to higher temperature calcination.
\nSupport enhances the thermal stability of the catalyst, reducing costs, and provides improved surface area characteristics, high dispersion of active component, etc. All these factors are necessary in the production of catalysts that are characterized by high activity and selectivity. Previous research also indicates that the nature of support and AuNPs’ interactivity is influential on catalytic activity [41]. By way of illustration, CO oxidation by means of pure Au particles or pure titania exhibited no catalytic activity at 227°C. When Au nanoparticles are dispersed on a titania support, acceptably high catalytic activity was evident at temperatures as low as 25°C. This fact shows that the support is clearly beneficial [42]. It is also important to note that the type of support used is influential in the nature of reactivity in Au nanoparticle catalyzing reactions. By way of illustration, oxidation of CO may be accomplished using AuNPs in combination with various supports such as TiO2 and CaO, although acidic supports such as Al2O3 and activated carbon do not produce similar results. Research shows that in the cases of CO oxidation, Mg(OH)2 is optimal support for Au at sub-ambient temperatures [43]; however, this undergoes deactivation after 3 months. The influence of the support in this instance is explained in terms of the structure of the modified catalyst.
\nAs mentioned elsewhere, support is highly influential on the catalytic activity/selectivity of AuNPs. It is important for the support to exhibit strong metal-support interaction (SMSI), an enhanced surface area, good thermal stability, and high dispersion of active sites that are able to effectively perform their reactive role [44]. This section examines the ways in which supported AuNPs may be used in cyclohexane (CH) to adipic acid (AA) oxidation, and benzyl alcohol (BA) to benzaldehyde (BAl) oxidation, respectively. The success of these reactions may be appraised by situating AuNPs on different types of metal oxide supports. Such supports are designed to deliver beneficial metal surface areas in addition to stabilizing the small AuNPs that have inherently high dispersion degree values [45]. The support material features, type of catalyst preparation, metal loading, and particle size are also important for obtaining enhanced catalytic performance. As a result of this, supported noble metals, for instance gold will exhibit catalytic characteristics that are significantly influenced by the support used [45]. In comparison with the performance of basic supports, acidic ones add to electron shortfalls in noble metals, and good SMSI performance is evident in metals with reducible oxide supports, such as TiO2 and CeO2 [44]. When interactivity between metallic components is vigorous, significantly enhanced catalytic activity is exhibited with respect to those catalysts consisting of just one type of metal, contrasting with the situation apparent in relatively inert irreducible oxides such as Al2O3 and SiO2. This section considers five different kinds of supports, bearing in mind benefits resulting from the use of metal oxide supports. Each of these types of support has varying characteristics that include particle size, dispersion, and performance. In the course of these examinations, benzyl alcohol and cyclohexane oxidation were carried out using five different supports. It should be noted that these reactions were tested in the liquid phase. The results emergent from these tests are set forth in the following paragraphs.
\nOxidation of benzyl alcohol with O2 using supported AuNPs’ catalysts. Reaction conditions: 30 mL BA, 0.15 g catalyst, 140°C, 5 bar O2, 4 h.
The principles of “green” chemistry put great store by oxidation as the correct means by which chemical intermediates and fine chemicals characterized by enhanced selectivity are to be produced [46]. This is applicable in the context of this research to the oxidation of benzyl alcohol (BA) to produce benzaldehyde (BAl) (Scheme 1). The solution produced by this process is often found in pharmaceutical, agrochemical, and perfume-manufacturing applications. The reaction of benzyl alcohol and excessive ammonium permanganate or potassium in aqueous acidic medium may be used to form benzaldehyde (BAl). This process, however, produces appreciable quantities of toxic by-products, and so is problematic in terms of the environment. There have been attempts made to improve the process through the oxidation of benzyl alcohol with a green oxidant (e.g., H2O2 or O2) and an organic solvent, and then applying catalysts such as Pd/C, Pd(II) hydrotalcite, Pd-Ag/pumice, Ru-Co-Al hydrotalcite, and Ni-containing hydrotalcite [47], but all these alternatives still involve the use of solvent, and hence their use is environmentally problematic. It is possible to perform solvent-free oxidation using tert-Butylhydroperoxide (TBHP) over MnO42− exchanged hydrotalcite and a transition metal containing layered double hydroxides and/or mixed hydroxides, although this itself is not environmentally friendly as TBHP generates tert-butanol. If the process is to be clean and environmentally friendly, solvent use must be expunged from it and clean and economical molecular oxygen should be used as the oxidant. A process that uses Au/C catalysts to selectively oxidize alcohols and polyols has been developed by Prati et al. [48]. Rossi et al. claimed that gas-phase oxidation of volatile alcohols into aldehydes and ketones may be accomplished by the use of Au catalysts [49, 50]. Schuchardt et al. [51] developed a process that bears comparison with that of Rossi et al. [49] that succeeded in oxidizing glycerol to glyceric acid by the use of Au/graphite catalysts; this was accepted as a viable means that was fully selective in terms of the target output. The precise selectivity of Au/CeO2 was also confirmed by Abad et al. [47], where benzyl alcohol is to be oxidized to produce benzaldehyde, Prati et al. [48] made use of supported Au on a TiO2 catalyst [48]. Enache et al. [48] also explored selective oxidation performed by means of Au-Pd alloy particles supported on TiO2. Ultimately, benzyl alcohol may be oxidized to benzaldehyde in an environmentally friendly and efficient way using molecular oxygen. This process additionally makes use of separable and recyclable supported gold nanoparticles over a variety of metal oxide supports to contribute enhanced end-product selectivity.
\nInfluence of support on oxidation of benzyl alcohol to benzaldehyde over 1% Au/M catalysts (M = MgO, CaO, ZrO2, TiO2, Al2O3). Reaction conditions: 30 mL BA, 0.15 g catalyst, 140°C, 5 bar O2, 4 h (X = conversion; Y = yield; S = selectivity).
Recent research has focused on the oxidation of benzyl alcohol in respect of its reactions to a variety of supported MNPs such as Au nanoparticles on a variety of metal oxide carriers [49]. For this purpose, different oxide supports (MgO, CaO, ZrO2, TiO2, Al2O3) were used for AuNPs that were prepared using impregnation method [49]. A number of spectroscopic and microscopic methods were used to characterize these catalysts and acquire information concerning their individual characteristics. The catalytic performance of supported AuNPs was appraised using solvent-free oxidation of benzyl alcohol using oxygen (5 bar) as an oxidant in a Parr autoclave reactor set to a reaction temperature of 140°C. It was shown that Au catalyst performance is found to depend significantly on the type of support used, as shown in Figure 8. While BAl is the principal product to emerge from this process, at the same time, some by-products were also formed. However, they are estimated to be in small quantities, e.g., benzyl benzoate, benzoic acid, and acetal. The production of benzyl benzoate was the result of additional esterification reactions arising from the presence of benzoic acid and benzyl alcohol. Benzoic acid production is a natural consequence of benzaldehyde overoxidation, and acetal production is a consequence of benzyl alcohol nonreaction and resultant formation as hemiacetal, which ultimately forms acetal by protonation and deprotonation reactions. The production of acetal in this instance was very small or negligible. In this research the most active catalyst was TiO2-supported AuNPs (at X-BA = 81%), and the least active catalyst was MgO-supported AuNPs (at X-BA = 16% and S-BAl = 17%) as shown in Figure 8. The superior performance of the former is the result of a number of factors including the high dispersion of Au, smaller Au size, and a relatively high surface enrichment of Au. These results were wholly negated in the instance of an inferior catalyst. These results have been subjected to validation by TEM and XPS.
\nSummary of the different pathways for AA production.
The synthesis of dicarboxylic acids from cycloaliphatic hydrocarbons has many applications in industry that include the generation of adipic acid (AA) from cyclohexane (CH) (Scheme 2). The production of polyamides, for example, nylon, and others include plasticizers, for example, PVS, and carpets, polyurethane and polyester of various types also make use of this process. It also finds application in the production of agrochemical pest controls [50], the pharmaceutical industry, medicine manufacture, and others. Producing AA commercially is accomplished by means of two stages. The first step involves oxidizing CH to produce cyclohexanone (−One) and cyclohexanol (−Ol), which is achieved by a process using ketone and alcohol, known as “KA-oil”, which operationalizes a cobalt or manganese catalyst at a pressure between 10 and 20 bar at a temperature of approximately 150°C. The second stage produces AA from the KA-oil of the first stage by the application of nitric acid, as an oxidant [51]. This is the most generally favored means of manufacturing AA commercially, although it involves recycling in excess of 90% of the unreacted cyclohexane. This process operates at low conversion rate of only between 5 and 10%. This conversion rate is kept low to achieve enhanced KA product selectivity of around 70–85%. The aforementioned recycling is expensive and raises questions of environmental unfriendliness with regards to the second stage use of nitric acid and the consequent production of NOx, which is instrumental in respect of undesirable environmental effects that include smog, acid rain, and damage to the atmosphere’s ozone layer. Hence there is a real need for research into environmentally friendly way of AA production. An important aspect of this research concerns the discovery of environmentally friendly means of using AuNP catalysts. Keeping this aspect in view, some options are presented here (Scheme 2). While a number of potential options are available, the direct, single-stage synthesis of CH to produce AA using O2 is the desired solution from the perspectives of both the environmental and commercial viability.
\nThis research considers the oxidation of AA from cyclohexane, together with the resultant catalytic activity, as well as the oxidation of benzaldehyde from benzyl alcohol using supported AuNPs. The catalysts used in this process are considered in the following section. Before carrying out the catalytic tests, a number of blank tests were performed under similar conditions to establish whether CH oxidation will take place without a catalyst or TBHP being present, especially in respect of a radical mechanism. These blank tests, conducted without a catalyst but with TBHP, and also without both (a catalyst and TBHP), exhibited negligible instances of CH conversion (merely ~2% after 4 h of reaction) and no AA was discernible within the product output. This outcome shows that (i) no significant reaction occurs in these conditions and (ii) the type of catalyst is significantly influential in terms of performance [50]. Support influence in respect of AuNPs’ catalytic performance was initially appraised; Figure 9 shows the results obtained. These results demonstrate that the type of support used is indeed a key performance indicator in achieving acceptably high CH conversion and product selectivity. It should be noted that small amounts of some by-products such as cyclohexylhydroperoxide, CO and CO2, glutaric acid, succinic acid were also formed. It was found that from all of the tests performed, AuNPs supported on TiO2 delivered the best performance in respect of CH conversion and AA production. This was due to the presence of the smallest AuNPs and their enhanced dispersion over this support. In consequence of this result, it is possible to reaffirm the need for small AuNPs and their important influence on AuNPs’ catalyst performance. CH conversion and AA selectivity achieved using a TiO2 supported catalyst were 16.4 and 21.6%, respectively. The resultant by-products from this reaction are cyclohexanone and cyclohexanol, and their overall selectivity varies between 45 and 70%. This selectivity is, however, contingent upon the reaction conditions and the type of catalyst support used. Among all of the catalysts, the MgO and CaO supported solids have shown the poor performance, and the largest quantities of unwanted by-products including CO and CO2 (total selectivity of up to 35%) were found over these supports. On this basis, MgO and CaO may be considered as inappropriate supports for this reaction. Concerning AA selectivity, performances obtained in decreasing order are as follows: TiO2 > Al2O3 > ZrO2 > MgO > CaO.
\nEffect of different oxide support on the oxidation of cyclohexane over Au/X catalysts (X = MgO, CaO, ZrO2, TiO2, Al2O3). Reaction conditions: (10 ml CH, 20 ml solvent, 0.3 g catalyst, 0.1 g TBHP, pO2 = 10 bar,
The influence of reaction temperature on catalytic performance was examined in this research, and the results are depicted in Figure 10. This shows that temperature is positively influential in CH conversion, with an enhancement from 2.4 to 28% as the temperature is increased from 100°C to 170°C. AA selectivity also increased from 6 to 26% as the temperature was increased to 150°C. This then remained mostly constant even when the reaction temperature was further increased to 170°C. Cyclohexanol constituted the primary product at low reaction temperatures (S-Ol = 66.5% at 100°C), suggesting that “-Ol” was the primary reaction product. As the temperature was increased, however, the oxidation process rate increased, which consequently increased the conversion of “-Ol” to “-One” and then to AA. As a result, AA selectivity improved as the temperature rose to 150°C. Increasing the temperature to 170°C caused decline in the production of desired products and enhanced the production of the undesirable ones – primarily those resulting from total oxidation – so it is evident that 150°C is the temperature at which the optimal balance of desired product selectivity and efficient conversion is achieved. In consequence of this, 150°C has been selected as the temperature for further research. In respect of other influences on the reaction including, catalyst amount, reaction time, stirring speed, and reaction pressure, these were appraised and the resultant findings have been reported elsewhere [50].
\nEffect of the reaction temperature on the oxidation of cyclohexane over Au/TiO2 catalyst; reaction conditions are similar to the ones given in
Effect of catalyst amount on the oxidation of cyclohexane over Au/TiO2 catalyst; reaction conditions are the same as given in
Recycling results of Au/TiO2 catalyst for the oxidation reaction of cyclohexane; reaction conditions are the same as given in
Correlation between cyclohexane conversion (X-CH), selectivity to adipic acid (S-AA) and to KA oil (S-KA) and catalyst properties of supported AuNPs.
This outcome shows that AA production results from cyclohexanone overoxidation. Additionally, “-Ol” selectivity changes between 46 and 58% as the catalyst quantity is increased from 200 to 400 mg (Figure 11). Amount of catalyst used has also shown significant influence on the catalytic performance. Usage of relatively high amount of catalyst (500 mg) results in a decrease of “-Ol” selectivity and an increase in “-One” selectivity. “-Ol” oxidation, therefore, produces “-One” by means of a simple oxidation process. It is, however, evident that this relatively high catalyst quantity produced deleterious influence in terms of performance, leading to consequent deterioration in selectivity for the desired products and increased selectivity in respect of unwanted by-products. This research indicates that a catalyst quantity of 400 mg achieves optimal performance.
\nTo establish how stable and reusable the catalyst was, a number of recycling and catalyst washing experiments were conducted using the best catalyst identified from previous tests (i.e., 1% Au/TiO2). The results of these experiments are shown in Figure 12. After the initial experiment, the catalyst was filtered, washed, and dried at 120°C and then a second experiment was conducted using the same reaction conditions. This process was repeated until a total of four such experiments had been completed. A small deterioration in CH conversion was noted for the catalyst that had been subjected to the whole experiment process. It is notable that “-Ol” selectivity decreased for catalyst tested between the first and second experiments; thereafter its performance was more or less constant. In summary, the catalyst’s effectiveness deteriorated somewhat as a result of the four experimental cycles, which could be the result of leaching, deactivation, or marginal loss of catalyst arising due to work up process. Between experiments a small loss of catalyst weight was also observed. Analysis by XPS of the pre- and post-experiment cycle catalyst revealed a degree of Au loss, which is believed to be due to leaching. Also, TEM analysis of the post-experiment cycle catalyst suggested that agglomeration had taken place and that the AuNPs’ dimensions were inconsistent.
\nThis research also examined whether the superior performance of the TiO2-supported catalyst could be correlated to that of other materials. Interestingly good correlations were found between AuNPs’ dimensions (from TEM), surface Au-to-support atomic ratio (Au/SU) obtained from XPS and catalytic performance, which is illustrated in Figure 13. The results obtained correlate significantly with AuNPs’ size, and hence CH conversion and AA selectivity vary largely according to AuNPs’ dimensions. As expected, the small AuNPs performed better than the larger ones. CH conversion decreased from 26% on TiO2 supported AuNPs to 9% on CaO-supported AuNPs, while the AuNPs’ diameter increased from ca. 2 nm (TiO2) to 6–8 nm (CaO). The XPS results also indicated that performance is enhanced as Au is enriched at the near-surface area. TiO2-supported AuNPs exhibited the comparatively highest surface Au/SU atomic ratios (SU = different supports) and therefore exhibited the most superior performance. Also, the superior qualities of TiO2 are indicated by high Au dispersion and a highly active Au metal area. It is, therefore, clearly indicated that the TiO2 superior performance is undoubtedly dependent upon small AuNPs’ dimensions, high Au enrichment in the near-surface-region, high dispersion, and a higher active metal area. Other influences including, inter alia, surface acidity and reducibility cannot be disregarded. Further research needs to be done yet to ascertain the effect of these influences in a more precise way.
\nNanoscience and nanotechnology are driven by the ambition of fabricating new materials with improved properties and their further application in different sectors. Metal nanoparticles in particular have been the subject matter of immense interest in recent times due to their unique and extensive applications in various fields including catalysis. The gold nanoparticles (AuNPs) can be applied either in the form of colloidal gold nanoparticles or supported nanoparticles in the form of powdered solid catalysts. Catalytic properties of AuNPs strongly depend on their size, shape, morphology, etc. A comprehensive investigation on the formation mechanism of gold nanoparticles (AuNPs) in colloidal mixture obtained from the reduction of chloroauric acid (HAuCl4) solution using a single reducing agent (e.g., sodium citrate and tannic acid) or a combination of two reducing agents (e.g., sodium citrate plus tannic acid) is possible. It is also possible to monitor the growth steps of AuNPs at different time intervals during synthesis either through in-situ and/or ex-situ methods. Besides the small particle size, atomic flexibility of metal clusters can also play a vital role on the adsorption and catalysis. The measurement of changes in the surface plasmon band position of colloidal AuNPs, along with dynamic light scattering results provide important information on the particle size, shape, and distribution. Besides, the size and morphological changes at different stages during different processes can also be analyzed by transmission electron microscopy. The Au particles exhibit different shapes (spherical and nanowires) with varying particle size and nanowire diameter that depends strongly on the method of preparation and nature of reducing agent applied. In our study, the combination of two reductants surprisingly led to a drastically reduced size (ca. 3 nm) with spherical morphology compared to their parent solutions with either of single reducing agent. This result clearly indicates that the combination of reductants has a significant influence on the particle size, morphology, and formation mechanism.
\nOn the other hand, highly dispersed metal nanoparticles on various catalyst supports are indeed an important class of heterogeneous catalysts that are being extensively used in various fields related to energy, environmental as well as chemical industries. The catalytic performance of nanoparticles in various catalytic reactions depends strongly on their size, shape, and the metal-support interactions. Dopants and surface modifiers can also play a key role on catalytic performance. Own investigations revealed that the nature of support exhibits strong influence on the catalytic performance. From our results on the direct oxidation of cyclohexane to adipic acid, the TiO2 (anatase) support is found to display the best catalytic performance among other oxide supports applied. The best performance of TiO2 is attributed to the formation of small AuNPs (2–3 nm), high dispersion of nanoparticles on its surface, high enrichment of Au in the near-surface-region, and high active metal area of Au over the support compared to others. Nonetheless, fully rational design of catalysts based on an atomic-level understanding of surface processes involved still remains highly challenging in the field of heterogeneous catalysis research. Scientists have to yet adopt and utilize surface science techniques to explore the elementary steps involved in heterogeneous catalysis particularly using gold nanoparticles. Furthermore, the discovery and subsequent research efforts should focus on improving the fundamental understanding on the dynamics of formation mechanism of nanostructured AuNPs and extend their applications into different areas beyond catalysis such as biomedicine, optics, and electronics.
\nHernias penetrating the anterior abdominal wall are considered the ventral hernias, and the majority of these are formed by the inguinal, femoral and umbilical hernia. Rare varieties include the lumbar and Spigelian hernias. The Spigelian hernias, principally acquired, has an incidence ranging from 0.1–2% of all abdominal wall hernias [1, 2]. These hernias occur through a well-defined defect in the Spiegel’s fascia of the anterior abdominal wall adjacent to the semilunar line, which corresponds anatomically to the lateral edge of the rectus abdominis muscle. These hernias, therefore, are also known as the “spontaneous lateral ventral hernia” or “hernia of the semilunar line”. Commonly it occurs at the lower part of the abdomen, below the umbilicus where the posterior rectus sheath is deficient.
The semilunar line, originally named the “linea semilunaris spigelii” (the line of Spiegel), is named after the Flemish anatomist and surgeon, Adrian van der Spiegel (1578–1625) who first described the anatomical and surgical significance of well-known linea semilunaris [1]. He defined it as the line of transition between the muscle and aponeurosis of transversus abdominis muscle, extending from the ninth costal cartilage to the pubic tubercle with a lateral convexity sometimes easily described as the lateral border of the rectus sheath. Although, Spiegel first described the linea semilunaris, it was not until more than hundred years later the Spigelian hernia was first described clinically by another Flemish anatomist and surgeon Josef Thaddaei Klinkosh in the year 1764, setting forth the surgical significance of this line [3]. He described it as a ventral hernia developing at the site of linea spigelii, and distinctively coined the name Spigelian hernia.
The Spigelian line marks the transition from transverse abdominis muscle to aponeurosis. The part of this aponeurosis that lies lateral to the rectus abdominis muscle is called Spigelian fascia/aponeurosis. Hence Spigelian aponeurosis is limited medially by the lateral edge of the rectus muscle and laterally by the semilunar line. Thus, anatomically the Spigelian fascia is the medial part of the transversus aponeurosis between the lateral border of the rectus sheath and semilunar line and stretches from the tip of the 9th costal cartilage until the pubic tubercle. The Spigelian hernia can occur at any point through this fascia.
The crescentic shape and wide variability in the width of Spigelian aponeurosis craniocaudally predispose to the specific site of these hernia formations (Figure 1). The Spigelian line in the cranial part of the abdominal wall lies close to the rectus abdominis muscle, and hence the Spigelian aponeurosis is very narrow in this zone, due to the presence of more muscular three flat muscles of the abdominal wall attaching to the lateral border of the rectus sheath. Thereby the muscular fibres and aponeurosis of the external and internal oblique muscles overlap the narrow Spigelian aponeurosis. This is probably the main reason why these hernias are uncommonly found above the umbilicus. It is also seen that the fibres of the internal oblique and transverse abdominis muscle run at an angle to each other above the umbilicus thereby providing additional strength and preventing hernia formation. More commonly these hernias are located in an approximately 6 cm transverse imaginary zone extending from the interspinal line to 6 cm superior to it. The Spigelian fascia is widest here with the greatest abdominal circumference and highest intra-abdominal pressure. Due to its etiological significance, this belt is aptly known as the Spigelian hernia belt [4].
Schematic diagram showing the Spigelian fascia and Spigelian hernia belt.
The size of the hernia orifices usually ranges from 0.5 to 2 cm in diameter. It has a well-defined, firm edge and is round to oval in shape (Figure 2). This well-defined, fibrous, inelastic edge is believed to increase the risk of incarceration and leads to a condition akin to Richter’s hernia formation [5, 6, 7, 8, 9]. In the beginning, these hernias are usually limited to the Spigelian aponeurosis on the axial plane, but when their size increases, these can dissect the fibres of transverse abdominis muscles laterally as its medial extension is limited by the rectus muscle and sheath, and create a bigger defect in the anterior abdominal wall. Another probable reason for its lateral position is because that the external oblique aponeurosis covers the Spigelian aponeurosis in its whole length and creates a potential space between the muscle layers. This provides enough space for the herniated sac to expand and take the route of least resistance laterally and is thus palpable more lateral than the actual location of the hernia orifice. This usually conforms to a mushroom-shaped appearance of these hernias on palpation.
Schematic diagram showing herniation through the Spigelian hernia. Note the hernial sac is obscured under the external oblique aponeurosis.
In most patients, due to the presence of the tough external oblique aponeurosis, a small Spigelian hernia may go unnoticed. For the Spigelian hernia to be palpable clinically, it needs to penetrate both the transverse abdominis, internal oblique muscles and further glide in between the two oblique muscles. Further, the dissection of the internal oblique is determined by the fact whether the internal oblique muscle ventral to Spigelian aponeurosis is aponeurotic or muscular. In the event the hernial sac encounters an aponeurotic layer in its way, the hernia sac will tend to lie between the transversus abdominis and the internal oblique muscles. Although, the aponeurosis of the internal oblique muscle strengthens the Spigelian fascia, more often than not it is the internal oblique muscle belly rather than the aponeurosis that covers the Spigelian fascia, thereby reducing the reinforcement. In cases when the hernial sac grows and dissects the two innermost muscle layers, the hernia may become palpable clinically. Most commonly these are palpable below the level of the umbilicus as the fibres of the transversus abdominis and internal oblique muscles run parallel to each other in this area, thus reducing the resistance further. Above the umbilicus, these muscle fibres form a criss-cross configuration providing additional support and resistance and thereby decreasing the chance of a Spigelian hernia to be palpable but at the same time increasing the chance for incarceration.
It was usually believed that Spigelian hernias tend to occur through small defects in the transversus abdominis aponeurosis where it was penetrated by the perforating vessels and nerves [10, 11]. These were also thought to occur at the junction of the semilunar line and semicircular line of Douglas as the majority of cases were described below the umbilicus in the region of the line of Douglas. This observation was attributed to the fact that not only Spigelian fascia is broadest here but also the lack of posterior rectus sheath represents the inherent weakness of this zone, and also due to fibres of transversus aponeurosis that runs parallel to the internal oblique. This concept was first challenged by Webber et al., who demonstrated that approximately 45% of Spigelian hernias occurred above the arcuate line [12]. Interestingly, although most of these hernias can occur in the Spigelian hernia belt below the umbilicus for the aforementioned reasons [13, 14], the defect may still lie above the arcuate line. The hernia sac usually consists of the peritoneum, preperitoneal fat and occasionally transversalis fascia. The hernial content can be small bowel or omentum but can include any organ depending on its location. The size of the neck has been reported to vary from as small as 0.5 cm to as large as 6 cm [15].
These hernias can be congenital or acquired. Congenital cases develop through the weak areas in the aponeurosis of the abdominal muscles formed during their development in the mesenchyme of the somatopleure originating from the invading and fusing myotomes of the anterior abdominal wall and are usually associated with cryptorchidism [14, 16]. The congenital variety presents in the younger age, is usually small and mostly remains subclinical. Adult hernias are usually acquired. The perforating vessels were believed to create the area of weakness in the Spigelian fascia which was enhanced by herniation of preperitoneal fat, although this is now considered of minor importance [17]. Spigelian fascia is widest below the umbilicus and potentially weakest. Besides, the abdominal girth is wider below the umbilicus and in accordance with the Laplace’s law, wall tension will be greater. Furthermore, transversus abdominis and internal oblique muscles in the upper part of the abdomen extent medially into the posterior rectus sheath and strengths the Spigelian fascia. The natural progression of the disease ranges from younger patients usually presenting with a smaller fascial defect with preperitoneal tissue being the most common content. However, with increasing age, elderlies are vulnerable to the development of larger defects with peritoneal contents constituting the main sac content [18].
Besides the anatomical factors, hernia formation can be predisposed by stretching of the abdominal wall by factors that increase the intraabdominal pressure such as chronic cough, chronic obstructive pulmonary disease, obesity, ascites, pregnancy. It has also been described as a complication of chronic ambulatory peritoneal dialysis [19, 20].
Besides these, scarring from previous abdominal surgeries, paralysis of the anterior abdominal wall may weaken the Spigelian aponeurosis and create an area of weakness [21].
It has also been reported that the creation of pneumoperitoneum during laparoscopic surgeries can predispose to herniation through a pre-existing weakness in the Spigelian fascia [22].
The true prevalence of Spigelian hernia remains elusive as the majority of these cases are asymptomatic. A recent study showed that on ultrasonographic examination of 785 anterior abdominal wall hernias, only 1.4% of patients had Spigelian hernias indicating the rarity of the condition [23]. In another study, 2% of incidental Spigelian defect was identified during laparoscopic procedure further affirming the uniqueness of this hernia [24]. Spigelian hernias are slightly more common in females, occur mostly on the right side and usually affect people in their fourth to the seventh decades of life [25, 26, 27]. However, the laterality of these hernias is a contentious issue and as in other studies, left side location has shown predominance [28, 29]. Nevertheless, the underlying reasons are unknown and laterality remains inconsequential to its management.
The majority of these hernias are asymptomatic and accordingly the diagnosis is difficult, especially when these are of smaller size. The intraparietal location with overlying tough external oblique aponeurosis and thick subcutaneous fat mask their detection during a clinical examination. However, in patients who present with symptoms, these may range from nonspecific abdominal pain to a palpable lump or a visible mass in the abdominal wall to dangerous features of incarceration with or without features of strangulation. The characteristic of pain depends on the size and contents of the hernia. This may be a dull, sharp, or even burning type. However, one symptom is usually constant, and the pain is aggravated with increased intraabdominal pressure and often after a heavy meal, exercise, walking and running, and is relieved with rest and lying down. Nonetheless, the occult nature of these hernias predisposes them to incarceration and the risk of strangulation requiring emergency laparotomy is up to 24% [30, 31, 32] which is way above the 5-year strangulation risk of umbilical hernia (4%) and inguinal hernia (2.5%) [33, 34].
In cases of a visible lump, it is delineated when the anterior abdominal wall is made taut and the patient is in the upright position, but disappears when the patient lies down. With the increase in size, the lump tends to expand laterally and caudally between the layers of two oblique muscles. Therefore, at times, the patient may present with a non-specific bulge without a definite well-demarcated palpable lump which may be due to a typical T-shaped hernial sac causing elevation of the intact external oblique aponeurosis. The diagnosis of hernia can be affirmed if the swelling can be reduced, but reappears in the upright position and especially with the manoeuvres that increase intraabdominal pressure such as coughing, straining or a Valsalva manoeuvre, and disappears on lying down.
Palpation of the hernia defect in most cases is difficult as these defects are small and are masked by the tough external oblique aponeurosis and subcutaneous fat. However, an attempt should be made to palpate the abdominal wall after making the musculature taut to identify any local tenderness indicating the point of the hernial orifice, which may be the only sign in case of occult or a subclinical Spigelian hernia. This may be attributed to the fact that reinforcing manoeuvres that increase intraabdominal pressure pushes out the preperitoneal fat or a hernial sac through the defect. Palpation of these structures against the inelastic margin of the hernial orifice and stimulation of stretch receptors located in the parietal peritoneum produce distinct point tenderness which is more of somatic pain in nature and hence is easily localised [35]. Although, not pathognomonic, this examination has high sensitivity and can help in screening patients with occult herniation. Sometimes, patients report extreme tactile hyperesthesia which is located just medial to the hernia defect. This is generally believed to be caused by mechanical irritation of the perforating branch of the corresponding intercostal nerve (Valleix phenomena) and this sign can aid in clinical diagnosis of a subclinical herniation [36]. For patients presenting with abdominal pain but no visible lump, radiological investigations like ultrasonogram and/or CT-scan of the abdomen can be of foremost importance. Furthermore, in cases where the diagnosis remains elusive even after radiological investigations, a diagnostic laparoscopy may be of help [28].
These hernias are most commonly located in the interparietal plane with no visible or palpable mass as discussed above, and only 50% of cases could be diagnosed clinically before any surgical intervention [17]. Their tendency to masquerade other clinical conditions presenting with abdominal pain requires a high index of clinical suspicion.
The most common symptoms are mild pain aggravated by coughing, straining, exercising and being relieved by lying down. Although, occasionally a lump may be noted, the diagnosis is often missed unless the patient presents with partial bowel obstruction. The clinical examination alone is believed to be 100% sensitive with a PPV of 36% when compared with operative findings [35].
The diagnostic imaging mainly aims at identifying the hernia defect, sac and its content.
It is a poor modality for diagnosing these hernias. It can neither aid in demonstrating the defect nor the content, especially the omentum or preperitoneal fat. However, in cases in which the sac contains a portion of the small or large bowel, barium studies can be of help. Besides, for diagnosing the complications of these hernias such as intestinal obstruction, a conventional x-ray can be used.
It is considered the investigation of choice and is usually the first-line imaging modality often used. It should be performed in patients presenting with obscure pain in the abdomen with or without a lump and is helpful both in clinical and subclinical hernias. It helps in the identification of a hernia defect, sac, and its content. It has the additional advantage of providing real-time scanning images by changing the patient’s position and performing manoeuvres that increase the intraabdominal pressure and precipitates any fascial defects or herniation of fat or viscus.
Using a 3.5 MHz transducer, the examination is first performed with the patient in the supine position and the abdominal wall relaxed. A screening USG is performed for intraabdominal viscera to rule out any potential intraabdominal pathology as a cause of pain. Next a higher denomination transducer, typically 5 MHz is used for the parietal wall structures. Scanning is begun at the lateral end of the rectus muscle with parasagittal sweeps. This helps in visualising the rectus muscle. In longitudinal scans, echogenic strips can be visualised, the deepest of which is the parietal layer, more superficial are the layers of the ventral wall. The hernia defect is seen as a disruption of these echogenic strips (Figure 3). The visualisation of the defect and the interparietal location of the sac represent the typical Spigelian hernia with omentum as its content. In difficult cases, the patient may be instructed to increase intraabdominal pressure through Valsalva manoeuvre, which may demonstrate the fascial disruption, and herniation of preperitoneal fat or abdominal viscus. In correlation with the operative findings, a real-time USG scan is believed to have a sensitivity of 90% and PPV of 100% [35].
Dynamic USG of the abdominal wall showing a Spigelian hernial sac (1.6 cm) penetrating through the Spigelian fascia, seen here as a broken line in the muscle-fascial plane. The right rectus muscle is marked as “R” in yellow.
It is considered as effective as the USG for demonstration of the hernial orifice. Additionally, it provides better information of abdominal wall resistance. Overall, the CT scan has a sensitivity and PPV of 100% each when compared with operative findings [35]. But, the USG is easier to perform, is a clinic procedure, is less expensive and can help in the dynamic analysis of the patient for which it is an excellent screening tool for the lesion. In cases where USG gives inadequate or equivocal information, a CT scan should be added.
On many occasions, the preoperative diagnosis may remain obscure until surgical exploration is performed. In a study by Weiss et al., approximately 50 percent of cases are diagnosed on exploration [37].
Therefore, for diagnosing Spigelian hernias, a dynamic USG and CT scan are useful when used in tandem with the clinical examination. In cases of uncertainty, diagnostic laparoscopy can be used in a symptomatic patient.
Depending on its location, a Spigelian hernia may mimic intra-abdominal pathologies which can present with pain such as acute appendicitis, twisted ovarian cyst, tubo-ovarian pathologies, mesenteric lymphadenitis, biliary colic, peptic ulcer pain, pancreatic pain or mesenteric ischemia [35]. Many times one may confuse it with any other disease entity of the abdominal parietal wall too. If the hernia is palpable at the location of pain and if it is reducible, the diagnosis is easy. In instances when the lump is palpable in a typical location but not reducible, the differential diagnoses include hematoma of rectus abdominis muscle, lipoma, chronic abscess, lymphadenopathy, other ventral hernias, solid tumours of the abdominal wall such as a desmoid tumour [35]. In cases where it is not palpable and the patient presents with non-specific pain or if a mass is present in the ventral wall, which is irreducible, the first step is directed towards identifying the nature of the swelling by a dynamic USG. If a Spigelian hernia is suspected, the attempt should be made to localise the hernial orifice. USG can help in differentiating hematoma, abscess, lipoma or seroma. Myotendinitis of rectus abdominis or external oblique muscle can mimic the tenderness present in subclinical cases. In cases where the defect is not found, and diagnosis is obscured, patients should be worked up and investigated for gastrointestinal and genitourinary disorders. An abdominal CT scan reinforces the diagnosis or helps in excluding the differential diagnoses, particularly whether the pain arises from the intra-abdominal pathologies or from the parietal abdominal wall. It is important to keep in mind that in a difficult clinical situation where the diagnosis is elusive or when a subclinical Spigelian hernia is suspected, every effort should be made to rule out an intra-abdominal pathology first. In the pursuit of diagnosing a suspected Spigelian hernia, an important intra-abdominal pathology should not be missed.
Spigelian hernias are the subgroup of primary ventral hernias and the European Hernia Society (EHS) classification system is most commonly used for their classification [38]. However, Webber et al. (2017) have described three clinical stages which reflect the natural history of the condition and provide universality for their management (Table 1) [12].
Stages | Anatomy | Clinical Feature | Treatment |
---|---|---|---|
I | Defect: <2 cm Content: interstitial fat only with no peritoneal component | Intermittent, well-localised pain but no palpable swelling | Open surgery: they are not visible laparoscopically |
II | Defect: 2–5 cm Content: peritoneal component present | Palpable swelling | Laparoscopy/Open repair |
III | Defect: >5 cm | Large hernia with distortion the of abdominal wall | Open repair |
Clinical stages of Spigelian hernia.
Operative management of these hernias is advisable as the risk of strangulation or incarceration has been reported up to 25% [39]. Initially open anterior approach with primary closure of the defect or mesh placement in cases where primary closure was not possible was advised. With the technical progress of laparoscopy, its use in the diagnosis and repair of Spigelian hernias has made it the method of choice [40]. It provides the benefits of minimally invasive surgery like reduced post-operative pain, less chance of infection, shorter hospital stays, reduction in morbidity and better cosmesis. However, according to the recent EHS guidelines, it is suggested that Spigelian hernia should be repaired with mesh. The approach, either open or laparoscopic may depend on the surgeon’s expertise, because the strength of recommendation is weak as limited comparative data is available [41]. A randomised trial comparing 11 conventional and 11 laparoscopic repairs in elective Spigelian hernia surgery revealed significant advantages for laparoscopic repair in terms of morbidity (wound complications) and hospital stay [42].
The most popular laparoscopic repairs are the Intraperitoneal Onlay Mesh (IPOM) technique (35%), Total Extraperitoneal Patch (TEP) approach (30%), Transabdominal Preperitoneal (TAPP) approach (22%), and laparoscopic suturing techniques [43, 44]. The TEP repair of Spigelian hernia offers the advantage of avoiding breach in the peritoneal layer as it accesses only through the preperitoneal space. Although, studies have failed to demonstrate the superiority of the extraperitoneal approach over intraperitoneal repair, the intraperitoneal laparoscopic Spigelian hernia repair is considered the gold standard because of its technical advantages [45].
A transverse incision is placed over the lump and the external oblique is incised in its direction to expose the peritoneal sac which can simply be inverted (Figure 4). The hernia defect can be closed with sutures but in cases of larger defect, a mesh should be used which is placed either in preperitoneal space or above the fascia.
Open surgical repair of a subclinical Spigelian hernia containing protrusion of preperitoneal fat only (sacless).
Once the hernial sac contents are reduced, the preperitoneal flap is raised and dissected for 5 cm around the hernial defect. The mesh is placed in the extraperitoneal space and the peritoneal flap is closed. The TAPP provides the opportunity to explore the abdominal cavity, although a potential drawback may be the possibility of intraperitoneal adhesions after the surgery, the chances of which, however, are almost similar to that of other laparoscopic surgery. At times, difficulty in the closure of the peritoneal flap may be encountered because of the thin and fragile peritoneum in this location [45].
The extraperitoneal space is created by open access and a balloon is used to create and enlarge the working space. The hernial sac is identified and closed. A large mesh is used to cover the hernia defect and is fixed to the abdominal wall. Although, this approach prevents access to the intraperitoneal cavity for inspection of any concomitant pathology, it reduces the risk of adhesions [46] besides possible benefit to explore and treat the concomitant direct inguinal hernia [47]. TEP repair is expensive due to the price of balloon dissector, technically challenging with a longer learning curve [48] and can be used only if the hernia is located below the arcuate line [49].
Intraperitoneal access is gained using either closed or open techniques. The hernial site is identified and port placement is done in the form of an arc or a circle with the centre at the defect site which should be at least 10 cm away. The contents are reduced and a coated mesh is fixed to obtain an overlap of at least 5 cm around the defect. It provides the opportunity to explore the abdominal cavity and therefore is helpful in emergency conditions with the incarcerated hernia [50, 51]. It is also believed to be the easiest to learn and safe to perform [52]. Nonetheless, the main limitation to this technique is the risk of hematoma formation and nerve entrapment after tack or stapler application. The use of fibrin sealant in place of tacks provides the solution [53].
The use of robotics on ventral wall hernias are easier due to a 360-degree rotation, camera use, surgical forceps and excellent visualisation of the defect. The placement of sutures also makes the procedure easier. The postoperative pain score reported is also lower [54]. Although, robotic-assisted Spigelian hernia surgery provides technical advantage and reliability, further studies with longer follow-ups are required for conclusive analysis [55].
Postoperative complications include seroma and hematoma formation, surgical site infection, abdominal viscera injury, mesh infection, and recurrence. Nerve entrapment during mesh-tacker placement can lead to abdominal pain syndromes [55].
Spigelian aponeurosis extends caudally up to the pubic tubercle and is found medial to the inferior epigastric artery within the Hasselbach’s triangle. Hernias penetrating the fascia transversalis here are conveniently called the low Spigelian hernias. These hernias usually contain preperitoneal fat but occasionally the bladder may also be involved.
Direct inguinal hernias are located at a similar triangle and may therefore cause diagnostic confusion. Differentiating these hernias from the direct inguinal hernia is important because the risk of incarceration is higher. Due to a small but well-defined hernia orifice, hernioplasty is easier to perform with a lesser chance of recurrence. Digital palpation with the little finger in the inguinal canal in standing position and Valsalva manoeuvre touches the first phalanx in case of low Spigelian hernia and the middle one in direct inguinal hernia. This technique has been proposed to distinguish between these two hernias, but can be uncomfortable and even painful for the patient. The diagnosis can be confirmed by radiological investigation and final assessment is best done intraoperatively [56]. Although, very rare, if both the hernias are found it is most likely due to weakness of Spigelian fascia around the insertion of rectus abdominis [45].
The diagnosis of a small Spigelian hernia is extremely challenging, given its rarity combined with nonspecific pain symptoms. Secondly, often due to its intramural location, its detection by palpation can be extremely difficult. Therefore, a great deal of clinical intelligence is invested in its preoperative diagnosis and the ignorance of its existence can cumulate to catastrophic complications of strangulation. Often only a point tenderness corresponding to the site of the defect is the only finding on palpation of the abdominal wall after making the muscles taut [57]. These hernias are small and often may contain only the preperitoneal fat protrusion through the fascial defect (Figure 4), which is something similar to the sacless epigastric hernia. As mentioned previously, only less than half of the cases are detected preoperatively. Therefore, patients presenting with non-specific pain in the abdomen should alert the astute clinician for the possibility of a Spigelian hernia. Once the diagnosis is established, treatment is elementary with surgery being the treatment of choice in symptomatic cases.
Spigelian hernias are notoriously difficult to diagnose. If these are visible and palpable, diagnosis is straight forward. But if the hernia is subclinical, it is difficult to diagnose, and only radiological investigations such as a dynamic USG or CT-scan of the abdomen wall can pick up the lesion. A strong clinical suspicion helps to diagnose the occult variety, which presents as non-specific abdominal pain, otherwise about 50% remain undiagnosed until surgery. Due to the high risk of incarceration and strangulation, these hernias should be operated early. Open conventional surgery has been largely replaced by laparoscopic mesh hernioplasty.
Authors declare no conflict of interest.
Nil.
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\n\n1. RETRACTIONS
\n\nA Retraction of a Chapter will be issued by the Academic Editor, either following an Author’s request to do so or when there is a 3rd party report of scientific misconduct. Upon receipt of a report by a 3rd party, the Academic Editor will investigate any allegations of scientific misconduct, working in cooperation with the Author(s) and their institution(s).
\n\nA formal Retraction will be issued when there is clear and conclusive evidence of any of the following:
\n\nPublishing of a Retraction Notice will adhere to the following guidelines:
\n\n1.2. REMOVALS AND CANCELLATIONS
\n\n2. STATEMENTS OF CONCERN
\n\nA Statement of Concern detailing alleged misconduct will be issued by the Academic Editor or publisher following a 3rd party report of scientific misconduct when:
\n\nIntechOpen believes that the number of occasions on which a Statement of Concern is issued will be very few in number. In all cases when such a decision has been taken by the Academic Editor the decision will be reviewed by another editor to whom the author can make representations.
\n\n3. CORRECTIONS
\n\nA Correction will be issued by the Academic Editor when:
\n\n3.1. ERRATUM
\n\nAn Erratum will be issued by the Academic Editor when it is determined that a mistake in a Chapter originates from the production process handled by the publisher.
\n\nA published Erratum will adhere to the Retraction Notice publishing guidelines outlined above.
\n\n3.2. CORRIGENDUM
\n\nA Corrigendum will be issued by the Academic Editor when it is determined that a mistake in a Chapter is a result of an Author’s miscalculation or oversight. A published Corrigendum will adhere to the Retraction Notice publishing guidelines outlined above.
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\n\nThe general principles set out above apply to Retractions and Corrections issued in all IntechOpen publications.
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Although it has attracted great interests during last decades, it remains a challenging task and falls short of efficiency due to the nature of its data: high dimensionality, large in data size and updating continuously. With the advent of deep learning, new methods have been developed, especially Convolutional Neural Network (CNN) models. In this paper, we present a review of our time series CNN approaches including: (i) a data-level approach based on encoding time series into frequency-domain signals via the Stockwell transform, (ii) an algorithm-level approach based on an adaptive convolutional layer filter that suits the time series in hand, and (iii) another algorithm-level approach adapted to time series classification tasks with limited annotated data, which is a global, fast and light-weight framework based on a transfer learning technique with a source learning task similar or different but related to the target learning task. These approaches are implemented on identifying human activities including normal movements of typical subjects and disorder-related movements such as stereotypical motor movements of autistic subjects. Experimental results show that our approaches improve performance of time series classification.",book:{id:"8362",slug:"time-series-analysis-data-methods-and-applications",title:"Time Series Analysis",fullTitle:"Time Series Analysis - Data, Methods, and Applications"},signatures:"Lamyaa Sadouk",authors:[{id:"257943",title:"Ph.D.",name:"Lamyaa",middleName:null,surname:"Sadouk",slug:"lamyaa-sadouk",fullName:"Lamyaa Sadouk"}]},{id:"59936",doi:"10.5772/intechopen.75007",title:"Application of Principal Component Analysis to Image Compression",slug:"application-of-principal-component-analysis-to-image-compression",totalDownloads:1742,totalCrossrefCites:11,totalDimensionsCites:14,abstract:"In this chapter, an introduction to the basics of principal component analysis (PCA) is given, aimed at presenting PCA applications to image compression. Here, concepts of linear algebra used in PCA are introduced, and PCA theoretical foundations are explained in connection with those concepts. 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Subsequently a case study is also discussed for demonstration of design of experiments for predicting surface roughness in the machining of titanium alloys based on response surface methodology.",book:{id:"5856",slug:"statistical-approaches-with-emphasis-on-design-of-experiments-applied-to-chemical-processes",title:"Statistical Approaches With Emphasis on Design of Experiments Applied to Chemical Processes",fullTitle:"Statistical Approaches With Emphasis on Design of Experiments Applied to Chemical Processes"},signatures:"Neelesh Kumar Sahu and Atul Andhare",authors:[{id:"218948",title:"Prof.",name:"Neelesh",middleName:"Kumar",surname:"Sahu",slug:"neelesh-sahu",fullName:"Neelesh Sahu"},{id:"230858",title:"Dr.",name:"Atul",middleName:null,surname:"Andhare",slug:"atul-andhare",fullName:"Atul Andhare"}]}],mostDownloadedChaptersLast30Days:[{id:"59209",title:"Utilization of Response Surface Methodology in Optimization of Extraction of Plant Materials",slug:"utilization-of-response-surface-methodology-in-optimization-of-extraction-of-plant-materials",totalDownloads:5302,totalCrossrefCites:47,totalDimensionsCites:77,abstract:"Experimental design plays an important role in several areas of science and industry. Experimentation is an application of treatments applied to experimental units and is then part of a scientific method based on the measurement of one or more responses. It is necessary to observe the process and the operation of the system well. For this reason, in order to obtain a final result, an experimenter must plan and design experiments and analyzes the results. One of the most commonly used experimental designs for optimization is the response surface methodology (RSM). Because it allows evaluating the effects of multiple factors and their interactions on one or more response variables it is a useful method. In this section, recent studies have been compiled which aim to extraction of plant material in high yield and quality and determine optimum conditions for this extraction process.",book:{id:"5856",slug:"statistical-approaches-with-emphasis-on-design-of-experiments-applied-to-chemical-processes",title:"Statistical Approaches With Emphasis on Design of Experiments Applied to Chemical Processes",fullTitle:"Statistical Approaches With Emphasis on Design of Experiments Applied to Chemical Processes"},signatures:"Alev Yüksel Aydar",authors:[{id:"218870",title:"Dr.",name:"Alev Yüksel",middleName:null,surname:"Aydar",slug:"alev-yuksel-aydar",fullName:"Alev Yüksel Aydar"}]},{id:"60864",title:"Statistical Methodology for Evaluating Business Cycles with the Conditions of Their Synchronization and Harmonization",slug:"statistical-methodology-for-evaluating-business-cycles-with-the-conditions-of-their-synchronization-",totalDownloads:1288,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"The importance of the topic of business cycle research and their interaction is due to the fact that the cyclical nature of development is a universal feature of the market economy (regardless of the level of development of the country’s economy and the principles of its organization). In all cases, cyclical ups and downs depend not only on internal system cyclical processes and their factors in countries but also on the consequences of intercountry interaction. The ability to measure and predict business cycles, taking into account their mutual influence, is a prerequisite for the development of an adequate business policy of countries and their associations.",book:{id:"6703",slug:"statistics-growing-data-sets-and-growing-demand-for-statistics",title:"Statistics",fullTitle:"Statistics - Growing Data Sets and Growing Demand for Statistics"},signatures:"Elena Zarova",authors:null},{id:"60246",title:"Statistical Research of Investment Appeal of Russian Regions",slug:"statistical-research-of-investment-appeal-of-russian-regions",totalDownloads:956,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"In this chapter, the methodological results directed on realization statistical research of investment appeal of Russian regions are offered. Methodological basis of research is the method of the dynamic standard, index and the coefficient analysis and the method of paired comparisons. The results of the study: (1) the method of the dynamic standard for creation of statistical model of region investment appeal is offered; (2) the normative model of region investment appeal to measure the productivity of the realization of regions investment policy in Russia is created; (3) new factors of region investment appeal are investigated and (4) statistically valid conclusions are drawn and practical recommendations are made. The results of the study are addressed to the Ministry of Economic Development of the Russian Federation in order to justify the amount of federal targeted investment programs financing in Russian regions.",book:{id:"6703",slug:"statistics-growing-data-sets-and-growing-demand-for-statistics",title:"Statistics",fullTitle:"Statistics - Growing Data Sets and Growing Demand for Statistics"},signatures:"Burtseva Tatiana Alexsandrovna",authors:null},{id:"56460",title:"Application of Taguchi-Based Design of Experiments for Industrial Chemical Processes",slug:"application-of-taguchi-based-design-of-experiments-for-industrial-chemical-processes",totalDownloads:3167,totalCrossrefCites:23,totalDimensionsCites:47,abstract:"Design of experiment is the method, which is used at a very large scale to study the experimentations of industrial processes. 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The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}}]},series:{item:{id:"13",title:"Veterinary Medicine and Science",doi:"10.5772/intechopen.73681",issn:"2632-0517",scope:"Paralleling similar advances in the medical field, astounding advances occurred in Veterinary Medicine and Science in recent decades. 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Then take a masters degree in science in Germany (Animal breeding). Take a doctorate in animal science at the UANL.",institutionString:null,institution:{name:"Universidad Autónoma de Nuevo León",country:{name:"Mexico"}}},{id:"309250",title:"Dr.",name:"Miguel",middleName:null,surname:"Quaresma",slug:"miguel-quaresma",fullName:"Miguel Quaresma",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/309250/images/9059_n.jpg",biography:"Miguel Nuno Pinheiro Quaresma was born on May 26, 1974 in Dili, Timor Island. He is married with two children: a boy and a girl, and he is a resident in Vila Real, Portugal. He graduated in Veterinary Medicine in August 1998 and obtained his Ph.D. degree in Veterinary Sciences -Clinical Area in February 2015, both from the University of Trás-os-Montes e Alto Douro. He is currently enrolled in the Alternative Residency of the European College of Animal Reproduction. He works as a Senior Clinician at the Veterinary Teaching Hospital of UTAD (HVUTAD) with a role in clinical activity in the area of livestock and equine species as well as to support teaching and research in related areas. He teaches as an Invited Professor in Reproduction Medicine I and II of the Master\\'s in Veterinary Medicine degree at UTAD. Currently, he holds the position of Chairman of the Portuguese Buiatrics Association. He is a member of the Consultive Group on Production Animals of the OMV. 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(2002), and Ph.D. (2008) degrees in Veterinary Medicine, Animal Pathology and Veterinary Microbiology from College of Veterinary Medicine, Addis Ababa University, Ethiopia; College of Veterinary Medicine, Utrecht University, the Netherlands and Western College of Veterinary Medicine, University of Saskatchewan, Canada respectively. He did his Postdoctoral training in microbial pathogenesis (2009 - 2015) in the Department of Animal Science, the University of Tennessee, Institute of Agriculture, Knoxville, Tennessee. Dr. Kerro Dego’s research focuses on the prevention and control of infectious diseases of farm animals, particularly mastitis, improving dairy food safety, and mitigation of antimicrobial resistance. Dr. Kerro Dego has extensive experience in studying the pathogenesis of bacterial infections, identification of virulence factors, and vaccine development and efficacy testing against major bacterial mastitis pathogens. Dr. Kerro Dego conducted numerous controlled experimental and field vaccine efficacy studies, vaccination, and evaluation of immunological responses in several species of animals, including rodents (mice) and large animals (bovine and ovine).",institutionString:"University of Tennessee at Knoxville",institution:{name:"University of Tennessee at Knoxville",country:{name:"United States of America"}}},{id:"251314",title:"Dr.",name:"Juan Carlos",middleName:null,surname:"Gardón",slug:"juan-carlos-gardon",fullName:"Juan Carlos Gardón",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/251314/images/system/251314.jpeg",biography:"Juan Carlos Gardón Poggi received University degree from the Faculty of Agrarian Science in Argentina, in 1983. Also he received Masters Degree and PhD from Córdoba University, Spain. He is currently a Professor at the Catholic University of Valencia San Vicente Mártir, at the Department of Medicine and Animal Surgery. He teaches diverse courses in the field of Animal Reproduction and he is the Director of the Veterinary Farm. He also participates in academic postgraduate activities at the Veterinary Faculty of Murcia University, Spain. His research areas include animal physiology, physiology and biotechnology of reproduction either in males or females, the study of gametes under in vitro conditions and the use of ultrasound as a complement to physiological studies and development of applied biotechnologies. Routinely, he supervises students preparing their doctoral, master thesis or final degree projects.",institutionString:"Catholic University of Valencia San Vicente Mártir, Spain",institution:null},{id:"125292",title:"Dr.",name:"Katy",middleName:null,surname:"Satué Ambrojo",slug:"katy-satue-ambrojo",fullName:"Katy Satué Ambrojo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/125292/images/system/125292.jpeg",biography:"Katy Satué Ambrojo received her Veterinary Medicine degree, Master degree in Equine Technology and doctorate in Veterinary Medicine from the Faculty of Veterinary, CEU-Cardenal Herrera University in Valencia, Spain. She is a Full Professor at the Department of Medicine and Animal Surgery at the same University. She developed her research activity in the field of Endocrinology, Hematology, Biochemistry and Immunology of horses. She is a scientific reviewer of several international journals : American Journal of Obstetrics and Gynecology, Comparative Clinical Pathology, Veterinary Clinical Pathology, Journal of Equine Veterinary Science, Reproduction in Domestic Animals, Research Veterinary Science, Brazilian Journal of Medical and Biological Research, Livestock Production Science and Theriogenology. Since 2014, she has been the Head of the Clinical Analysis Laboratory of the Hospital Clínico Veterinario from the Faculty of Veterinary, CEU-Cardenal Herrera University.",institutionString:"CEU-Cardenal Herrera University",institution:{name:"CEU Cardinal Herrera University",country:{name:"Spain"}}},{id:"309529",title:"Dr.",name:"Albert",middleName:null,surname:"Rizvanov",slug:"albert-rizvanov",fullName:"Albert Rizvanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/309529/images/9189_n.jpg",biography:'Albert A. Rizvanov is a Professor and Director of the Center for Precision and Regenerative Medicine at the Institute of Fundamental Medicine and Biology, Kazan Federal University (KFU), Russia. He is the Head of the Center of Excellence “Regenerative Medicine” and Vice-Director of Strategic Academic Unit \\"Translational 7P Medicine\\". Albert completed his Ph.D. at the University of Nevada, Reno, USA and Dr.Sci. at KFU. He is a corresponding member of the Tatarstan Academy of Sciences, Russian Federation. Albert is an author of more than 300 peer-reviewed journal articles and 22 patents. He has supervised 11 Ph.D. and 2 Dr.Sci. dissertations. Albert is the Head of the Dissertation Committee on Biochemistry, Microbiology, and Genetics at KFU.\nORCID https://orcid.org/0000-0002-9427-5739\nWebsite https://kpfu.ru/Albert.Rizvanov?p_lang=2',institutionString:"Kazan Federal University",institution:{name:"Kazan Federal University",country:{name:"Russia"}}},{id:"210551",title:"Dr.",name:"Arbab",middleName:null,surname:"Sikandar",slug:"arbab-sikandar",fullName:"Arbab Sikandar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/210551/images/system/210551.jpg",biography:"Dr. Arbab Sikandar, PhD, M. Phil, DVM was born on April 05, 1981. He is currently working at the College of Veterinary & Animal Sciences as an Assistant Professor. He previously worked as a lecturer at the same University. \nHe is a Member/Secretory of Ethics committee (No. CVAS-9377 dated 18-04-18), Member of the QEC committee CVAS, Jhang (Regr/Gen/69/873, dated 26-10-2017), Member, Board of studies of Department of Basic Sciences (No. CVAS. 2851 Dated. 12-04-13, and No. CVAS, 9024 dated 20/11/17), Member of Academic Committee, CVAS, Jhang (No. CVAS/2004, Dated, 25-08-12), Member of the technical committee (No. CVAS/ 4085, dated 20,03, 2010 till 2016).\n\nDr. Arbab Sikandar contributed in five days hands-on-training on Histopathology at the Department of Pathology, UVAS from 12-16 June 2017. He received a Certificate of appreciation for contributions for Popularization of Science and Technology in the Society on 17-11-15. He was the resource person in the lecture series- ‘scientific writing’ at the Department of Anatomy and Histology, UVAS, Lahore on 29th October 2015. He won a full fellowship as a principal candidate for the year 2015 in the field of Agriculture, EICA, Egypt with ref. to the Notification No. 12(11) ACS/Egypt/2014 from 10 July 2015 to 25th September 2015.; he received a grant of Rs. 55000/- as research incentives from Director, Advanced Studies and Research, UVAS, Lahore upon publications of research papers in IF Journals (DR/215, dated 19-5-2014.. He obtained his PhD by winning a HEC Pakistan indigenous Scholarship, ‘Ph.D. fellowship for 5000 scholars – Phase II’ (2av1-147), 17-6/HEC/HRD/IS-II/12, November 15, 2012. \n\nDr. Sikandar is a member of numerous societies: Registered Veterinary Medical Practitioner (life member) and Registered Veterinary Medical Faculty of Pakistan Veterinary Medical Council. The Registration code of PVMC is RVMP/4298 and RVMF/ 0102.; Life member of the University of Veterinary and Animal Sciences, Lahore, Alumni Association with S# 664, dated: 6-4-12. ; Member 'Vets Care Organization Pakistan” with Reference No. VCO-605-149, dated 05-04-06. :Member 'Vet Crescent” (Society of Animal Health and Production), UVAS, Lahore.",institutionString:"University of Veterinary & Animal Science",institution:{name:"University of Veterinary and Animal Sciences",country:{name:"Pakistan"}}},{id:"311663",title:"Dr.",name:"Prasanna",middleName:null,surname:"Pal",slug:"prasanna-pal",fullName:"Prasanna Pal",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311663/images/13261_n.jpg",biography:null,institutionString:null,institution:{name:"National Dairy Research Institute",country:{name:"India"}}},{id:"202192",title:"Dr.",name:"Catrin",middleName:null,surname:"Rutland",slug:"catrin-rutland",fullName:"Catrin Rutland",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/202192/images/system/202192.png",biography:"Catrin Rutland is an Associate Professor of Anatomy and Developmental Genetics at the University of Nottingham, UK. She obtained a BSc from the University of Derby, England, a master’s degree from Technische Universität München, Germany, and a Ph.D. from the University of Nottingham. She undertook a post-doctoral research fellowship in the School of Medicine before accepting tenure in Veterinary Medicine and Science. Dr. Rutland also obtained an MMedSci (Medical Education) and a Postgraduate Certificate in Higher Education (PGCHE). She is the author of more than sixty peer-reviewed journal articles, twelve books/book chapters, and more than 100 research abstracts in cardiovascular biology and oncology. She is a board member of the European Association of Veterinary Anatomists, Fellow of the Anatomical Society, and Senior Fellow of the Higher Education Academy. Dr. Rutland has also written popular science books for the public. https://orcid.org/0000-0002-2009-4898. www.nottingham.ac.uk/vet/people/catrin.rutland",institutionString:null,institution:{name:"University of Nottingham",country:{name:"United Kingdom"}}},{id:"283315",title:"Prof.",name:"Samir",middleName:null,surname:"El-Gendy",slug:"samir-el-gendy",fullName:"Samir El-Gendy",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRduYQAS/Profile_Picture_1606215849748",biography:"Samir El-Gendy is a Professor of anatomy and embryology at the faculty of veterinary medicine, Alexandria University, Egypt. Samir obtained his PhD in veterinary science in 2007 from the faculty of veterinary medicine, Alexandria University and has been a professor since 2017. Samir is an author on 24 articles at Scopus and 12 articles within local journals and 2 books/book chapters. His research focuses on applied anatomy, imaging techniques and computed tomography. Samir worked as a member of different local projects on E-learning and he is a board member of the African Association of Veterinary Anatomists and of anatomy societies and as an associated author at local and international journals. Orcid: https://orcid.org/0000-0002-6180-389X",institutionString:null,institution:{name:"Alexandria University",country:{name:"Egypt"}}},{id:"246149",title:"Dr.",name:"Valentina",middleName:null,surname:"Kubale",slug:"valentina-kubale",fullName:"Valentina Kubale",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246149/images/system/246149.jpg",biography:"Valentina Kubale is Associate Professor of Veterinary Medicine at the Veterinary Faculty, University of Ljubljana, Slovenia. Since graduating from the Veterinary faculty she obtained her PhD in 2007, performed collaboration with the Department of Pharmacology, University of Copenhagen, Denmark. She continued as a post-doctoral fellow at the University of Copenhagen with a Lundbeck foundation fellowship. She is the editor of three books and author/coauthor of 23 articles in peer-reviewed scientific journals, 16 book chapters, and 68 communications at scientific congresses. Since 2008 she has been the Editor Assistant for the Slovenian Veterinary Research journal. She is a member of Slovenian Biochemical Society, The Endocrine Society, European Association of Veterinary Anatomists and Society for Laboratory Animals, where she is board member.",institutionString:"University of Ljubljana",institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"258334",title:"Dr.",name:"Carlos Eduardo",middleName:null,surname:"Fonseca-Alves",slug:"carlos-eduardo-fonseca-alves",fullName:"Carlos Eduardo Fonseca-Alves",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/258334/images/system/258334.jpg",biography:"Dr. Fonseca-Alves earned his DVM from Federal University of Goias – UFG in 2008. He completed an internship in small animal internal medicine at UPIS university in 2011, earned his MSc in 2013 and PhD in 2015 both in Veterinary Medicine at Sao Paulo State University – UNESP. Dr. Fonseca-Alves currently serves as an Assistant Professor at Paulista University – UNIP teaching small animal internal medicine.",institutionString:null,institution:{name:"Universidade Paulista",country:{name:"Brazil"}}},{id:"245306",title:"Dr.",name:"María Luz",middleName:null,surname:"Garcia Pardo",slug:"maria-luz-garcia-pardo",fullName:"María Luz Garcia Pardo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/245306/images/system/245306.png",biography:"María de la Luz García Pardo is an agricultural engineer from Universitat Politècnica de València, Spain. She has a Ph.D. in Animal Genetics. Currently, she is a lecturer at the Agrofood Technology Department of Miguel Hernández University, Spain. Her research is focused on genetics and reproduction in rabbits. The major goal of her research is the genetics of litter size through novel methods such as selection by the environmental sensibility of litter size, with forays into the field of animal welfare by analysing the impact on the susceptibility to diseases and stress of the does. Details of her publications can be found at https://orcid.org/0000-0001-9504-8290.",institutionString:null,institution:{name:"Miguel Hernandez University",country:{name:"Spain"}}},{id:"41319",title:"Prof.",name:"Lung-Kwang",middleName:null,surname:"Pan",slug:"lung-kwang-pan",fullName:"Lung-Kwang Pan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41319/images/84_n.jpg",biography:null,institutionString:null,institution:null},{id:"201721",title:"Dr.",name:"Beatrice",middleName:null,surname:"Funiciello",slug:"beatrice-funiciello",fullName:"Beatrice Funiciello",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/201721/images/11089_n.jpg",biography:"Graduated from the University of Milan in 2011, my post-graduate education included CertAVP modules mainly on equines (dermatology and internal medicine) and a few on small animal (dermatology and anaesthesia) at the University of Liverpool. After a general CertAVP (2015) I gained the designated Certificate in Veterinary Dermatology (2017) after taking the synoptic examination and then applied for the RCVS ADvanced Practitioner status. After that, I completed the Postgraduate Diploma in Veterinary Professional Studies at the University of Liverpool (2018). My main area of work is cross-species veterinary dermatology.",institutionString:null,institution:null},{id:"291226",title:"Dr.",name:"Monica",middleName:null,surname:"Cassel",slug:"monica-cassel",fullName:"Monica Cassel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/291226/images/8232_n.jpg",biography:'Degree in Biological Sciences at the Federal University of Mato Grosso with scholarship for Scientific Initiation by FAPEMAT (2008/1) and CNPq (2008/2-2009/2): Project \\"Histological evidence of reproductive activity in lizards of the Manso region, Chapada dos Guimarães, Mato Grosso, Brazil\\". Master\\\'s degree in Ecology and Biodiversity Conservation at Federal University of Mato Grosso with a scholarship by CAPES/REUNI program: Project \\"Reproductive biology of Melanorivulus punctatus\\". PhD\\\'s degree in Science (Cell and Tissue Biology Area) \n at University of Sao Paulo with scholarship granted by FAPESP; Project \\"Development of morphofunctional changes in ovary of Astyanax altiparanae Garutti & Britski, 2000 (Teleostei, Characidae)\\". She has experience in Reproduction of vertebrates and Morphology, with emphasis in Cellular Biology and Histology. She is currently a teacher in the medium / technical level courses at IFMT-Alta Floresta, as well as in the Bachelor\\\'s degree in Animal Science and in the Bachelor\\\'s degree in Business.',institutionString:null,institution:null},{id:"442807",title:"Dr.",name:"Busani",middleName:null,surname:"Moyo",slug:"busani-moyo",fullName:"Busani Moyo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Gwanda State University",country:{name:"Zimbabwe"}}},{id:"423023",title:"Dr.",name:"Yosra",middleName:null,surname:"Soltan",slug:"yosra-soltan",fullName:"Yosra Soltan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Alexandria University",country:{name:"Egypt"}}},{id:"349788",title:"Dr.",name:"Florencia Nery",middleName:null,surname:"Sompie",slug:"florencia-nery-sompie",fullName:"Florencia Nery Sompie",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Sam Ratulangi University",country:{name:"Indonesia"}}},{id:"345713",title:"Dr.",name:"Csaba",middleName:null,surname:"Szabó",slug:"csaba-szabo",fullName:"Csaba Szabó",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Debrecen",country:{name:"Hungary"}}},{id:"345719",title:"Mrs.",name:"Márta",middleName:null,surname:"Horváth",slug:"marta-horvath",fullName:"Márta Horváth",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Debrecen",country:{name:"Hungary"}}},{id:"420151",title:"Prof.",name:"Novirman",middleName:null,surname:"Jamarun",slug:"novirman-jamarun",fullName:"Novirman Jamarun",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Andalas University",country:{name:"Indonesia"}}},{id:"420149",title:"Dr.",name:"Rusmana",middleName:"Wijaya Setia",surname:"Wijaya Setia Ningrat",slug:"rusmana-wijaya-setia-ningrat",fullName:"Rusmana Wijaya Setia Ningrat",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Andalas University",country:{name:"Indonesia"}}},{id:"339759",title:"Mr.",name:"Abu",middleName:null,surname:"Macavoray",slug:"abu-macavoray",fullName:"Abu Macavoray",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Njala University",country:{name:"Sierra Leone"}}},{id:"339758",title:"Prof.",name:"Benjamin",middleName:null,surname:"Emikpe",slug:"benjamin-emikpe",fullName:"Benjamin Emikpe",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Ibadan",country:{name:"Nigeria"}}},{id:"339760",title:"Mr.",name:"Moinina Nelphson",middleName:null,surname:"Kallon",slug:"moinina-nelphson-kallon",fullName:"Moinina Nelphson Kallon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Njala University",country:{name:"Sierra Leone"}}}]}},subseries:{item:{id:"20",type:"subseries",title:"Animal Nutrition",keywords:"Sustainable Animal Diets, Carbon Footprint, Meta Analyses",scope:"An essential part of animal production is nutrition. Animals need to receive a properly balanced diet. One of the new challenges we are now faced with is sustainable animal diets (STAND) that involve the 3 P’s (People, Planet, and Profitability). We must develop animal feed that does not compete with human food, use antibiotics, and explore new growth promoters options, such as plant extracts or compounds that promote feed efficiency (e.g., monensin, oils, enzymes, probiotics). These new feed options must also be environmentally friendly, reducing the Carbon footprint, CH4, N, and P emissions to the environment, with an adequate formulation of nutrients.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/20.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11416,editor:{id:"175967",title:"Dr.",name:"Manuel",middleName:null,surname:"Gonzalez Ronquillo",slug:"manuel-gonzalez-ronquillo",fullName:"Manuel Gonzalez Ronquillo",profilePictureURL:"https://mts.intechopen.com/storage/users/175967/images/system/175967.png",biography:"Dr. Manuel González Ronquillo obtained his doctorate degree from the University of Zaragoza, Spain, in 2001. He is a research professor at the Faculty of Veterinary Medicine and Animal Husbandry, Autonomous University of the State of Mexico. He is also a level-2 researcher. He received a Fulbright-Garcia Robles fellowship for a postdoctoral stay at the US Dairy Forage Research Center, Madison, Wisconsin, USA in 2008–2009. He received grants from Alianza del Pacifico for a stay at the University of Magallanes, Chile, in 2014, and from Consejo Nacional de Ciencia y Tecnología (CONACyT) to work in the Food and Agriculture Organization’s Animal Production and Health Division (AGA), Rome, Italy, in 2014–2015. He has collaborated with researchers from different countries and published ninety-eight journal articles. He teaches various degree courses in zootechnics, sheep production, and agricultural sciences and natural resources.\n\nDr. Ronquillo’s research focuses on the evaluation of sustainable animal diets (StAnD), using native resources of the region, decreasing carbon footprint, and applying meta-analysis and mathematical models for a better understanding of animal production.",institutionString:null,institution:{name:"Universidad Autónoma del Estado de México",institutionURL:null,country:{name:"Mexico"}}},editorTwo:null,editorThree:null,series:{id:"13",title:"Veterinary Medicine and Science",doi:"10.5772/intechopen.73681",issn:"2632-0517"},editorialBoard:[{id:"175762",title:"Dr.",name:"Alfredo J.",middleName:null,surname:"Escribano",slug:"alfredo-j.-escribano",fullName:"Alfredo J. Escribano",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRGnzQAG/Profile_Picture_1633076636544",institutionString:"Consultant and Independent Researcher in Industry Sector, Spain",institution:null},{id:"310962",title:"Dr.",name:"Amlan",middleName:"Kumar",surname:"Patra",slug:"amlan-patra",fullName:"Amlan Patra",profilePictureURL:"https://mts.intechopen.com/storage/users/310962/images/system/310962.jpg",institutionString:null,institution:{name:"West Bengal University of Animal and Fishery Sciences",institutionURL:null,country:{name:"India"}}},{id:"216995",title:"Prof.",name:"Figen",middleName:null,surname:"Kırkpınar",slug:"figen-kirkpinar",fullName:"Figen Kırkpınar",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRMzxQAG/Profile_Picture_1625722918145",institutionString:null,institution:{name:"Ege University",institutionURL:null,country:{name:"Turkey"}}}]},onlineFirstChapters:{paginationCount:25,paginationItems:[{id:"81796",title:"Apoptosis-Related Diseases and Peroxisomes",doi:"10.5772/intechopen.105052",signatures:"Meimei Wang, Yakun Liu, Ni Chen, Juan Wang and Ye Zhao",slug:"apoptosis-related-diseases-and-peroxisomes",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"The Metabolic Role of Peroxisome in Health and Disease",coverURL:"https://cdn.intechopen.com/books/images_new/10837.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81723",title:"Peroxisomal Modulation as Therapeutic Alternative for Tackling Multiple Cancers",doi:"10.5772/intechopen.104873",signatures:"Shazia Usmani, Shadma Wahab, Abdul Hafeez, Shabana Khatoon and Syed Misbahul Hasan",slug:"peroxisomal-modulation-as-therapeutic-alternative-for-tackling-multiple-cancers",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"The Metabolic Role of Peroxisome in Health and Disease",coverURL:"https://cdn.intechopen.com/books/images_new/10837.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81638",title:"Aging and Neuropsychiatric Disease: A General Overview of Prevalence and Trends",doi:"10.5772/intechopen.103102",signatures:"Jelena Milić",slug:"aging-and-neuropsychiatric-disease-a-general-overview-of-prevalence-and-trends",totalDownloads:14,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Senescence",coverURL:"https://cdn.intechopen.com/books/images_new/10935.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81298",title:"Roles of Extracellular Vesicles in Cancer Metastasis",doi:"10.5772/intechopen.103798",signatures:"Eman Helmy Thabet",slug:"roles-of-extracellular-vesicles-in-cancer-metastasis",totalDownloads:20,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Extracellular Vesicles - Role in Diseases, Pathogenesis and Therapy",coverURL:"https://cdn.intechopen.com/books/images_new/10796.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81290",title:"Musculoskeletal Abnormalities Caused by Cystic Fibrosis",doi:"10.5772/intechopen.104591",signatures:"Mark Lambrechts",slug:"musculoskeletal-abnormalities-caused-by-cystic-fibrosis",totalDownloads:13,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Advances in Skeletal Muscle Health and Disease",coverURL:"https://cdn.intechopen.com/books/images_new/11675.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81226",title:"Computational Methods for the Study of Peroxisomes in Health and Disease",doi:"10.5772/intechopen.103178",signatures:"Naomi van Wijk and Michal Linial",slug:"computational-methods-for-the-study-of-peroxisomes-in-health-and-disease",totalDownloads:19,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"The Metabolic Role of Peroxisome in Health and Disease",coverURL:"https://cdn.intechopen.com/books/images_new/10837.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"80871",title:"Tumor-Derived Exosome and Immune Modulation",doi:"10.5772/intechopen.103718",signatures:"Deepak S. 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