More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
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Our breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
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“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
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Additionally, each book published by IntechOpen contains original content and research findings.
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We are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
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Simba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
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IntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
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Since the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
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More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\n
Our breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n
“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\n
Additionally, each book published by IntechOpen contains original content and research findings.
\n\n
We are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
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\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"6047",leadTitle:null,fullTitle:"New Perspectives in Breast Imaging",title:"Breast Imaging",subtitle:"New Perspectives in",reviewType:"peer-reviewed",abstract:"This book watches out for the issues on making moves for chest radiology in carcinoma of the chest. It focuses on all parts of radiological approaches to manage the breast illness, be it light (optical), sound (ultrasound), interest, microwave, electrical impedance, blend of these modalities, and a section of the incredibly intense issues on computer-aided detection. The dedication of the eminent analysts in this book has incorporated a lot of energy for the people who are adequately drawn in with the clinical organization of this ailment and also for the students of radiology and surgery alike. This book will definitely be appreciated and well taken by the surgeons, radiologists, and other professionals involved in this field. The contributions are excellent in terms of diagnostic approach by radiological means and would certainly be a step forward in making it possible to reach to a conclusive diagnosis of breast cancer much before it becomes inoperable. The chapters included will further our knowledge and to the best of my belief will make things easier and definable in terms of diagnosis of breast cancer.",isbn:"978-953-51-3558-6",printIsbn:"978-953-51-3557-9",pdfIsbn:"978-953-51-4631-5",doi:"10.5772/67606",price:119,priceEur:129,priceUsd:155,slug:"new-perspectives-in-breast-imaging",numberOfPages:184,isOpenForSubmission:!1,isInWos:1,isInBkci:!1,hash:"2b3268435a9bd92c63ad53721f0c0262",bookSignature:"Arshad M. Malik",publishedDate:"October 4th 2017",coverURL:"https://cdn.intechopen.com/books/images_new/6047.jpg",numberOfDownloads:13536,numberOfWosCitations:14,numberOfCrossrefCitations:27,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:40,numberOfDimensionsCitationsByBook:1,hasAltmetrics:1,numberOfTotalCitations:81,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"October 31st 2016",dateEndSecondStepPublish:"November 21st 2016",dateEndThirdStepPublish:"March 17th 2017",dateEndFourthStepPublish:"May 18th 2017",dateEndFifthStepPublish:"August 18th 2017",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"63407",title:"Dr.",name:"Arshad",middleName:null,surname:"Malik",slug:"arshad-malik",fullName:"Arshad Malik",profilePictureURL:"https://mts.intechopen.com/storage/users/63407/images/system/63407.jpeg",biography:'Dr. Arshad Malik completed his fellowship in 1997 and has worked in different positions. Presently, he is working as a professor of surgery at the Karachi Institute of Medical Sciences. He is the author of 48 publications, with 5 chapters in different books, and editor of 5 books. His chapter on "Early Appendicectomy in Appendicular Mass" has been downloaded 30,000 times throughout the world. He has also presented scientific papers at podium presentations of different high-ranked clinical meetings in more than 20 countries.',institutionString:"Qassim University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"4",totalChapterViews:"0",totalEditedBooks:"4",institution:{name:"Qassim University",institutionURL:null,country:{name:"Saudi Arabia"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1008",title:"Radiology Diagnosis",slug:"radiology-diagnosis"}],chapters:[{id:"55957",title:"A Case of an Invasive Lobular Carcinoma with Extracellular Mucin: Radio-Pathological Correlation",doi:"10.5772/intechopen.69389",slug:"a-case-of-an-invasive-lobular-carcinoma-with-extracellular-mucin-radio-pathological-correlation",totalDownloads:1427,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"A case of 77-year-old female with an invasive lobular carcinoma with extracellular mucin is presented. She felt palpable mass in her left breast. Then, she came to our hospital for further examination. Mammography of right in full view revealed architectural distortion in left upper portion. And ultrasonography demonstrated low-echoic mass about 2 cm in diameter and invasion of the fat tissue was observed. Hence, malignancy was suspected and magnetic resonance imaging (MRI) was performed. MRI findings showed irregular shaped and margined mass with small T2-high-signal intensity. These findings suggested invasive carcinoma with mucin. Because the cancer lesion was not large, partial mastectomy was performed. Interestingly, pathological diagnosis was invasive lobular carcinoma with extracellular mucin. Extracellular mucinous lesion was concordant with small T2-high-signal intensity. This type of carcinoma was previously reported only in three cases, and rare but important, because the treatment and prognosis might change by histological subtypes. We suggest one of the MRI special features of our case is not only irregular shaped and margined mass but also small T2-high-signal intensity. These MR findings might be one of the valuable findings for the diagnosis and differentiation between this type of carcinoma from other tumors.",signatures:"Shinya Tajima, Keiko Kishimoto, Yoshihide Kanemaki, Ichiro Maeda,\nAkira Endo, Motohiro Chosokabe, Takafumi Ono, Koichiro Tsugawa\nand Masayuki Takagi",downloadPdfUrl:"/chapter/pdf-download/55957",previewPdfUrl:"/chapter/pdf-preview/55957",authors:[{id:"85421",title:"Dr.",name:"Shinya",surname:"Tajima",slug:"shinya-tajima",fullName:"Shinya Tajima"},{id:"381024",title:"Dr.",name:"Keiko",surname:"Kishimoto",slug:"keiko-kishimoto",fullName:"Keiko Kishimoto"},{id:"381025",title:"Dr.",name:"Yoshihide",surname:"Kanemaki",slug:"yoshihide-kanemaki",fullName:"Yoshihide Kanemaki"},{id:"381026",title:"Dr.",name:"Ichiro",surname:"Maeda",slug:"ichiro-maeda",fullName:"Ichiro Maeda"},{id:"381027",title:"Dr.",name:"Akira",surname:"Endo",slug:"akira-endo",fullName:"Akira Endo"},{id:"381028",title:"Dr.",name:"Motohiro",surname:"Chosokabe",slug:"motohiro-chosokabe",fullName:"Motohiro Chosokabe"},{id:"381029",title:"Dr.",name:"Takafumi",surname:"Ono",slug:"takafumi-ono",fullName:"Takafumi Ono"},{id:"381030",title:"Dr.",name:"Koichiro",surname:"Tsugawa",slug:"koichiro-tsugawa",fullName:"Koichiro Tsugawa"},{id:"381031",title:"Dr.",name:"Masayuki",surname:"Takagi",slug:"masayuki-takagi",fullName:"Masayuki Takagi"}],corrections:null},{id:"56220",title:"Near-Field Radar Microwave Imaging as an Add-on Modality to Mammography",doi:"10.5772/intechopen.69726",slug:"near-field-radar-microwave-imaging-as-an-add-on-modality-to-mammography",totalDownloads:1764,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"According to global statistics, there is a high incidence of cancer in western countries; and, due to the limited resources available in most health care systems, it seems like one of the most feasible options to fight against cancer might be strict prevention policies—such as eliminating carcinogens in people’s daily lives. Nevertheless, early cancer detection and effective treatment are still necessary, and understanding their efficacy and limitations are important issues that need to be addressed in order to ultimately enhance patients’ survival rate. In the case of breast cancer, some of the problems faced by conventional mammography have been addressed in the literature; they include high rate of false-positive and false-negative results, as well as the possibility of overdiagnosis. New technologies, such as digital breast tomosynthesis (DBT), have been able to improve the sensitivity and specificity by using 3D imaging. However, the low contrast (1%) existing between tumors and healthy fibroglandular tissue at X-ray frequencies has been identified as one of the main causes of misdiagnosis in both conventional 2D mammography and DBT. Near-field radar imaging (NRI) provides a unique opportunity to overcome this problem, since the contrast existing between the aforementioned tissues is intrinsically higher (10%) at microwave frequencies. Moreover, the low resolution and highly complex scattering patterns of microwave systems can be enhanced by using prior information from other modalities, such as the DBT. Therefore, a multimodal DBT/NRI imaging system is proposed to exploit their individual strengths while minimizing their weaknesses. In this work, the foundation of this idea is reviewed, and a preliminary design and experimental validation of the NRI system, used as a DBT complement, is introduced.",signatures:"Ashkan Ghanbarzadeh Dagheyan, Ali Molaei, Richard Obermeier,\nAida K. Martinez and Jose Martinez Lorenzo",downloadPdfUrl:"/chapter/pdf-download/56220",previewPdfUrl:"/chapter/pdf-preview/56220",authors:[{id:"196074",title:"Ph.D. Student",name:"Ali",surname:"Molaei",slug:"ali-molaei",fullName:"Ali Molaei"},{id:"202140",title:"Ph.D. Student",name:"Ashkan",surname:"Ghanbarzadeh Dagheyan",slug:"ashkan-ghanbarzadeh-dagheyan",fullName:"Ashkan Ghanbarzadeh Dagheyan"},{id:"205828",title:"Prof.",name:"Jose Angel",surname:"Martinez Lorenzo",slug:"jose-angel-martinez-lorenzo",fullName:"Jose Angel Martinez Lorenzo"},{id:"381698",title:"Dr.",name:"Richard",surname:"Obermeier",slug:"richard-obermeier",fullName:"Richard Obermeier"},{id:"381699",title:"Dr.",name:"Aida K.",surname:"Martinez",slug:"aida-k.-martinez",fullName:"Aida K. Martinez"}],corrections:null},{id:"55898",title:"Microwave Imaging for Early Breast Cancer Detection",doi:"10.5772/intechopen.69562",slug:"microwave-imaging-for-early-breast-cancer-detection",totalDownloads:2475,totalCrossrefCites:12,totalDimensionsCites:16,hasAltmetrics:1,abstract:"We overview the research trend on microwave imaging for early breast cancer detection. The technologies have two categories: ultra-wide band (UWB) radar that reconstructs the scattering power distribution in the breast and inverse scattering problem that reconstructs the dielectric properties distribution. We have developed a clinical equipment using UWB radar and carried out clinical test 4 years ago. Through the experiments, we concluded that the UWB radar was insufficient for the clinical equipment, because the UWB radar cannot discriminate cancerous tumor and other lesions. Therefore, we have been studying inverse scattering. It is a challenging task to develop an equipment using inverse scattering technologies. We have proposed a microwave mammography that has four features: (1) sensor with breast fixing by absorption, (2) small sensor with multipolarization, (3) image reconstruction program linking the commercial EM simulator, and (4) hybrid imaging method using UWB radar and inverse scattering.",signatures:"Yoshihiko Kuwahara",downloadPdfUrl:"/chapter/pdf-download/55898",previewPdfUrl:"/chapter/pdf-preview/55898",authors:[{id:"4682",title:"Prof.",name:"Yoshihiko",surname:"Kuwahara",slug:"yoshihiko-kuwahara",fullName:"Yoshihiko Kuwahara"}],corrections:null},{id:"55605",title:"Microwave Breast Imaging Techniques and Measurement Systems",doi:"10.5772/intechopen.69199",slug:"microwave-breast-imaging-techniques-and-measurement-systems",totalDownloads:1722,totalCrossrefCites:2,totalDimensionsCites:3,hasAltmetrics:0,abstract:"Electromagnetic waves at microwave frequencies allow penetration into many optically non-transparent mediums such as biological tissues. Over the past 30 years, researchers have extensively investigated microwave imaging (MI) approaches including imaging algorithms, measurement systems and applications in biomedical fields, such as breast tumor detection, brain stroke detection, heart imaging and bone imaging. Successful clinical trials of MI for breast imaging brought worldwide excitation, and this achievement further confirmed that the MI has potential to become a low-risk and cost-effective alternative to existing medical imaging tools such as X-ray mammography for early breast cancer detection. This chapter offers comprehensive descriptions of the most important MI approaches for early breast cancer detection, including reconstruction procedures and measurement systems as well as apparatus.",signatures:"Lulu Wang, Hu Peng and Jianhua Ma",downloadPdfUrl:"/chapter/pdf-download/55605",previewPdfUrl:"/chapter/pdf-preview/55605",authors:[{id:"206537",title:"Prof.",name:"Hu",surname:"Peng",slug:"hu-peng",fullName:"Hu Peng"},{id:"206538",title:"Prof.",name:"Jianhua",surname:"Ma",slug:"jianhua-ma",fullName:"Jianhua Ma"},{id:"257388",title:"Distinguished Prof.",name:"Lulu",surname:"Wang",slug:"lulu-wang",fullName:"Lulu Wang"}],corrections:null},{id:"56218",title:"Advances in Breast Thermography",doi:"10.5772/intechopen.69198",slug:"advances-in-breast-thermography",totalDownloads:1593,totalCrossrefCites:11,totalDimensionsCites:16,hasAltmetrics:1,abstract:"Thermography‐based breast cancer screening has several advantages as it is non-contact, non-invasive and safe. Many clinical trials have shown its effectiveness to detect cancer earlier than any other modality. Historically, thermography has only been used as an adjunct modality due to the high expertise required for manual interpretation of the thermal images and high false‐positive rates otherwise found in general use. Recent developments in thermal sensors, image capture protocols and computer‐aided software diagnostics are showing great promise in making this modality a mainstream cancer screening method. This chapter describes some of these advances in breast thermography and computer‐aided diagnostics that are poised to improve the quality of cancer care.",signatures:"Siva Teja Kakileti, Geetha Manjunath, Himanshu Madhu and\nHadonahalli Venkataramanappa Ramprakash",downloadPdfUrl:"/chapter/pdf-download/56218",previewPdfUrl:"/chapter/pdf-preview/56218",authors:[{id:"205829",title:"Dr.",name:"Geetha",surname:"Manjunath",slug:"geetha-manjunath",fullName:"Geetha Manjunath"},{id:"207615",title:"Mr.",name:"Siva Teja",surname:"Kakileti",slug:"siva-teja-kakileti",fullName:"Siva Teja Kakileti"},{id:"207616",title:"Mr.",name:"Himanshu",surname:"Madhu",slug:"himanshu-madhu",fullName:"Himanshu Madhu"},{id:"207617",title:"Dr.",name:"Ramprakash",surname:"Hv",slug:"ramprakash-hv",fullName:"Ramprakash Hv"}],corrections:null},{id:"56090",title:"Incorporating Breast Asymmetry Studies into CADx Systems",doi:"10.5772/intechopen.69526",slug:"incorporating-breast-asymmetry-studies-into-cadx-systems",totalDownloads:1080,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Breast cancer is one of the global leading causes of death among women, and an early detection is of uttermost importance to reduce mortality rates. Screening mammograms, in which radiologists rely only on their eyesight, are one of the most used early detection methods. However, characteristics, such as the asymmetry between breasts, a feature that could be very difficult to visually quantize, is key to breast cancer detection. Due to the highly heterogeneous and deformable structure of the breast itself, incorporating asymmetry measurements into an automated detection system is still a challenge. In this study, we proposed the use of a bilateral registration algorithm as an effective way to automatically measure mirror asymmetry. Furthermore, this information was fed to a machine learning algorithm to improve the accuracy of the model. In this study, 449 subjects (197 with calcifications, 207 with masses, and 45 healthy subjects) from a public database were used to train and evaluate the proposed methodology. Using this procedure, we were able to independently identify subjects with calcifications (accuracy = 0.825, AUC = 0.882) and masses (accuracy = 0.698, AUC = 0.807) from healthy subjects.",signatures:"José María Celaya Padilla, Cesar Humberto Guzmán Valdivia, Jorge\nIssac Galván Tejada, Carlos Eric Galván Tejada, Hamurabi Gamboa\nRosales, Juan Rubén Delgado Contreras, Antonio Martinez-Torteya,\nRoberto Olivera Reyna, Jorge Roberto Manjarrez Sánchez, Francisco\nJavier Martinez Ruiz, Idalia Garza-Veloz, Margarita L. Martinez-\nFierro, Victor Treviño and Jose Gerardo Tamez-Peña",downloadPdfUrl:"/chapter/pdf-download/56090",previewPdfUrl:"/chapter/pdf-preview/56090",authors:[{id:"77859",title:"Dr.",name:"Victor",surname:"Trevino",slug:"victor-trevino",fullName:"Victor Trevino"},{id:"189187",title:"Dr.",name:"Jose Maria",surname:"Celaya-Padilla",slug:"jose-maria-celaya-padilla",fullName:"Jose Maria Celaya-Padilla"},{id:"201427",title:"Dr.",name:"Jorge Issac",surname:"Galvan-Tejada",slug:"jorge-issac-galvan-tejada",fullName:"Jorge Issac Galvan-Tejada"},{id:"201428",title:"Dr.",name:"Carlos Eric",surname:"Galvan-Tejada",slug:"carlos-eric-galvan-tejada",fullName:"Carlos Eric Galvan-Tejada"},{id:"201430",title:"Dr.",name:"Cesar Humberto",surname:"Guzman-Valdivia",slug:"cesar-humberto-guzman-valdivia",fullName:"Cesar Humberto Guzman-Valdivia"},{id:"201431",title:"Dr.",name:"Hamurabi",surname:"Gamboa Rosales",slug:"hamurabi-gamboa-rosales",fullName:"Hamurabi Gamboa Rosales"},{id:"201432",title:"MSc.",name:"Juan Ruben",surname:"Delgado-Contreras",slug:"juan-ruben-delgado-contreras",fullName:"Juan Ruben Delgado-Contreras"},{id:"207154",title:"Dr.",name:"Jose Gerardo",surname:"Tamez-Peña",slug:"jose-gerardo-tamez-pena",fullName:"Jose Gerardo Tamez-Peña"},{id:"211714",title:"Dr.",name:"Antonio",surname:"Martinez-Torteya",slug:"antonio-martinez-torteya",fullName:"Antonio Martinez-Torteya"},{id:"211741",title:"Dr.",name:"Roberto",surname:"Olivera Reyna",slug:"roberto-olivera-reyna",fullName:"Roberto Olivera Reyna"},{id:"211742",title:"Dr.",name:"Jorge Roberto",surname:"Manjarrez Sánchez",slug:"jorge-roberto-manjarrez-sanchez",fullName:"Jorge Roberto Manjarrez Sánchez"},{id:"211743",title:"Dr.",name:"Francisco Javier",surname:"Martinez Ruiz",slug:"francisco-javier-martinez-ruiz",fullName:"Francisco Javier Martinez Ruiz"},{id:"211745",title:"Dr.",name:"Idalia",surname:"Garza-Veloz",slug:"idalia-garza-veloz",fullName:"Idalia Garza-Veloz"},{id:"211746",title:"Dr.",name:"Margarita de la Luz",surname:"Martinez-Fierro",slug:"margarita-de-la-luz-martinez-fierro",fullName:"Margarita de la Luz Martinez-Fierro"}],corrections:null},{id:"55825",title:"Initial clinical evaluation of observer performance using a tablet computer with a 4K high-resolution display for detection of breast cancer by digital mammography",doi:"10.5772/intechopen.69074",slug:"initial-clinical-evaluation-of-observer-performance-using-a-tablet-computer-with-a-4k-high-resolutio",totalDownloads:1149,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Purpose:To compare observer performance using medical‐purpose 5‐megapixel liquid crystal display monitors (5‐MP LCDs) and a tablet PC with a 4K high‐resolution display for detection of breast cancer by digital mammography. Materials and methods: Mammograms from 40 patients with primary breast cancer (18 mass, 16 microcalcifications, 3 artificial distortions, and 3 focal asymmetries) and 60 control patients were consecutively collected. Four experienced radiologists assessed 100 mammograms to rate using the BI‐RADS lexicon. The BI‐RADS assessments were subjected to receiver operating characteristic (ROC) curve analysis. Also, the observers assessed the image quality in terms of brightness, contrast, sharpness, and noise using 5‐step Likert scale. Results: The average under the curve (AUC) values for use of the 5‐MP LCDs and 4K monitors were 0.921 and 0.936; the difference between them was small and not significant. In terms of image quality, the 4K was rated better for brightness, contrast, and sharpness. Conclusion: Observer performance for detecting breast cancer on a 4K tablet PC with a high‐resolution display is similar to that using a 5‐MP LCD. This appears adequate for displaying mammograms of diagnostic quality and could be useful for patient consultations, clinical demonstrations, or educational and teaching purposes.",signatures:"Ryusuke Murakami, Nachiko Uchiyama, Hitomi Tani and Shinichiro\nKumita",downloadPdfUrl:"/chapter/pdf-download/55825",previewPdfUrl:"/chapter/pdf-preview/55825",authors:[{id:"82546",title:"Dr.",name:"Nachiko",surname:"Uchiyama",slug:"nachiko-uchiyama",fullName:"Nachiko Uchiyama"},{id:"200712",title:"Dr.",name:"Ryusuke",surname:"Murakami",slug:"ryusuke-murakami",fullName:"Ryusuke Murakami"},{id:"201368",title:"Dr.",name:"Hitomi",surname:"Tani",slug:"hitomi-tani",fullName:"Hitomi Tani"},{id:"201369",title:"Prof.",name:"Shinichiro",surname:"Kumita",slug:"shinichiro-kumita",fullName:"Shinichiro Kumita"}],corrections:null},{id:"55910",title:"Diagnostic System in Electrical Impedance Mammography: Background",doi:"10.5772/intechopen.69195",slug:"diagnostic-system-in-electrical-impedance-mammography-background",totalDownloads:1157,totalCrossrefCites:1,totalDimensionsCites:3,hasAltmetrics:0,abstract:"Electrical impedance mammography (EIM) belongs to nonlocal techniques of image creation. It is based on a number of data collection methods, including the cross-sectional approach, the back-projection method with the weight function applied horizontally and vertically, and the static image method. The analysis of data acquired by applying the above methods enabled to work out the EIM diagnostic system. It involves the following diagnostic categories: structural percentile limits and the mammary gland structure, age-related percentile limits and age-related electric conductivity, outlying values statistics and early diagnostics of breast cancer, D-statistics and distortion of the mammographic scheme in the presence of breast cancer, diagnostic table, and the assessment of the electrical impedance image.",signatures:"Alexander Karpov, Andrey Kolobanov and Marina Korotkova",downloadPdfUrl:"/chapter/pdf-download/55910",previewPdfUrl:"/chapter/pdf-preview/55910",authors:[{id:"201936",title:"Mr.",name:"Alexander",surname:"Karpov",slug:"alexander-karpov",fullName:"Alexander Karpov"},{id:"380898",title:"Dr.",name:"Andrey",surname:"Kolobanov",slug:"andrey-kolobanov",fullName:"Andrey Kolobanov"},{id:"380899",title:"Dr.",name:"Marina",surname:"Korotkova",slug:"marina-korotkova",fullName:"Marina Korotkova"}],corrections:null},{id:"56836",title:"An Innovative Concept of 3D X-Ray Imaging Systems for Painless Breast Cancer Detection",doi:"10.5772/intechopen.70385",slug:"an-innovative-concept-of-3d-x-ray-imaging-systems-for-painless-breast-cancer-detection",totalDownloads:1170,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Breast cancer is a life-threatening disease and considered one of the most common forms of cancer among women worldwide. Early and accurate detection with mass screening programmes helps improve a woman’s chances for successful treatment. The current and the most effective technique used for screening and diagnosis of breast cancer is the X-ray mammography. The photon transport detection of such technique is mostly based on a forward scattering mechanism as well as makes use of attenuation and penetration coefficients. The painful compression and the double X-ray exposure of both patients’ breasts carried out during the imaging process remain unavoidable. In addition, the conventional 2D mammography has two major limitations: sensitivity in detecting breast cancers (~ <80%) and the high recall rate (~10%). It suffers from certain limitations, most important of which is tissue overlap and false diagnoses arising thereof. To overcome this and as an alternative, a new 3D imaging method for breast cancer screening and diagnosis, namely, tomosynthesis, has recently been used. In such method, a limited number of low-dose 2D projection images of a patient are used to reconstruct the 3D tissue information. Tomosynthesis systems incorporate an X-ray source that moves over a certain angle to acquire images. This tube motion is a major limitation because it degrades image quality, increases the scan time and causes prolonged patient discomfort. Therefore, the goal of this work was to overcome all of the above limitations by developing an innovative proof of concept for painless 3D X-ray mammography to be hopefully used as a screening and as diagnostic methods for breast cancer detection by utilizing the scattered X-ray photon information. Most imaging modalities required a wide spectrum of capabilities, which span biomedical sciences, physical sciences and clinical medicine; thus, the ongoing methodology aims to establish a collaborative cross-disciplinary research engaging together with scientists in universities and clinicians in hospitals. Consequently, we hope that this work provides the potential to score some successes in clinical imaging science. In order to do this and since it is generally not possible or feasible to use real components to build and optimize a system repeatedly, a Monte Carlo simulation was used. The first phase focused on realistic computer simulation of the proposed imaging system to find the optimum setup as well as to aid in the analysis of the effect of various factors on the system performance. Thus, the main focus was on 3D mammography imaging simulation setup. Five main steps have been carefully checked and successfully produced: (a) the production of X-ray radiation or source after careful and detailed physics check. This includes the interaction between the X-ray photons and the object (the 3D breast phantom) that is used on scan as well as the detector system and its associated electronics modelled. (b) Next is the realistic modelling of anthropomorphic breast phantoms to check if the effectiveness of prediction of the simulation is successfully achieved. A computer simulation model is developed to estimate the radiation dose to the breast that would be incurred using mammography. Mono-energetic normalized glandular dose coefficients, DgN(E), were computed for energies 11–120 keV using breast phantoms of various sizes and compositions.",signatures:"Mohammed Ali Alnafea",downloadPdfUrl:"/chapter/pdf-download/56836",previewPdfUrl:"/chapter/pdf-preview/56836",authors:[{id:"200841",title:"Dr.",name:"Mohammed",surname:"Alnafea",slug:"mohammed-alnafea",fullName:"Mohammed Alnafea"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"714",title:"Advances in Laparoscopic Surgery",subtitle:null,isOpenForSubmission:!1,hash:"2e517c04d6d192c2f823eadc2998ac58",slug:"advances-in-laparoscopic-surgery",bookSignature:"Arshad M. 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\r\n\tCurrently, numerous biomaterials-based studies are being conducted, including research into chitin and chitosan, the second most abundant polysaccharide after cellulose. Chitin is obtained at an industrial scale from a variety of natural sources including, crustacean and insect exoskeletons, fungi cell walls, squid pen, etc. Chitosan is biodegradable, biocompatible, non-toxic, water-soluble under acidic conditions, and linear cationic amino polysaccharide derived from the deacetylation of chitin. It contains free amino and hydroxyl groups that can be functionalized by binding with the cationic and anionic groups. It has numerous applications, especially in the environmental remediation, biomedical, pharmaceutical, agriculture, and food industries.
\r\n
\r\n\tThis book will present an update of articles addressing isolation, properties, and certain applications of chitin and chitosan, including films, fibers, nanoparticles, composite materials, hydrogels, polymeric complexes, water purification, antimicrobials, textile, cosmetics, biosensors, nanoporous scaffolds, and membranes. We invite world-class researchers from around the world, industry, academia, government, and private research institutions are encouraged to publish research or review articles on chitin and chitosan.
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His research interest is in the development of sustainable and eco-friendly techniques for (a) nanoparticles synthesis and their applications for environmental remediation, (b) active films of organic solar cells, (c) nanomedicine, (d) sensors, (e) natural product extraction, purification, and analysis,(f) natural polymers, (g) peptide chemistry, (h) microwave and ultrasound-assisted organic synthesis and (i) organic synthesis. Dr. Brajesh Kumar has been credited for different national and international fellowships and he has also worked as a faculty member in various universities of India, Ecuador, and South Korea. He has also published numerous SCI/ SCIE/ Scopus research articles (h index = 28, Citations 2690) and is also an active reviewer of more than 50 Journals. 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\n
1. Introduction
\n
Epilepsy is one of the most common neurological diseases. It is estimated that approximately 50 million people worldwide suffer from epilepsy. The most common treatment of epilepsy is based on long-term use of antiepileptic drugs (AEDs).
\n
AEDs are a very heterogeneous group and exhibit different mechanisms of action. It is divided broadly into two generations: older and newer AEDs. It is believed that the new AEDs are characterized by greater specificity of the mechanism of action, a proper clinical assessment of the first trial and less side effects. New generation (NG) drugs are also rarely caused interactions with other drugs and lesser extent affect mood and cognitive function. On the other hand, the old AEDs should be applied carefully with consideration of drug interactions and potential side effects, e.g., increase homocysteine (Hcy) level [1].
\n
Currently, many studies on hyperhomocysteinemia (HHcy) in epileptic patients treated with AEDs have been performed. The literature indicates that carbamazepine (CBZ) therapy in epileptics leads to an increase of Hcy [2–5]. Treatment with valproic acid (VPA), however, has variable effects; in some cases, Hcy is decreased [6], in others, it is increased [2–4, 7, 8], and in yet others, VPA has no effect on Hcy levels [9–11]. However, lamotrigine (LTG) treatment of epileptic patients has not been shown to lead to an increase in Hcy [6, 12].
\n
It is believed that AEDs increase Hcy level by lowering the level of folate (FA), cofactor remethylation of Hcy to methionine, as a result of impaired the intestinal absorption, increased demand of FA for the hydroxylation processes of AEDs, the activation of hepatic enzymes leading to a final reduction of the FA level or AEDs direct effect on the metabolism of Hcy and renal function [13]. It is believed that only CBZ, phenytoin (PHT), phenobarbital (PB) and primidone reduce the level of FA by an increased activity of liver enzymes [3, 10]. However, VPA does not induce hepatic microsomal enzyme, but may lead to a decrease [2], as well as an increase [3] in the FA level. The VPA may reduce the FA level by inhibiting the enzyme intermediate in biosynthesis of FA and its derivatives. It has been shown that VPA is indeed associated with a lower risk of deficit of FA.
\n
Elevated concentrations of Hcy in epileptic patients treated with AEDs may be associated with a number of clinical complications. It has been shown that increased Hcy level may lead to vascular disease [14], neuropsychiatric [13] and is considered to be a risk factor for seizure and resistance to treatment with AEDs [15].
\n
Literature data have shown that there is a link between HHcy and asymmetric dimethylarginine (ADMA) level in epilepsy [16, 17]. ADMA is considered to be a risk factor for cardiovascular disease [18]. It has been shown that ADMA may mediate atherogenic action of Hcy [14]. ADMA levels in the plasma of patients with atherosclerosis correlate with both endothelial dysfunction and the progression of atherosclerosis [19, 20]. ADMA is a known marker of atherosclerosis [21, 22].
\n
Recent data have also shown that epilepsy patient treated with AEDs may exhibit increased risk of the myocardial infarction, stroke and cardiovascular death [23, 24]. This may be triggered by influencing the serum Hcy and ADMA concentration [16], the serum lipid levels [25], C-reactive protein (CRP), body weight, as well as other atherosclerotic factors by AEDs [1].
\n
\n
\n
2. Epilepsy and antiepileptic drugs
\n
Epilepsy is not a disease in itself but rather a collection of somatic, vegetative or mental symptoms, which may be the result of a morphological or metabolic change in the brain. The etiology of the disease is varied, and among the most common causes are genetic factors, head trauma, tumors, as well as vascular, degenerative, demyelinating, inflammatory and toxic brain diseases. However, in 60% of the patients the causes of the illness remain still unknown. Traditionally, the patient could have been diagnosed of epilepsy after at least two unprovoked seizures occurring greater than 24 h apart. It has changed recently when the International League Against Epilepsy (ILAE) established the new operational (practical) clinical definition. In some cases these new criteria enable the doctors to speed up the diagnosis and apply the AEDs even after first seizure, when there is a high probability of having another attack [26].
\n
AEDs are among the most common medications used in neurology. Nevertheless, treatment of epilepsy despite over 20 antiseizure drugs is still a challenge, even for an experienced neurologist/epileptologist. Unfortunately, the seizure control in almost 20–40% of the patients remains unsatisfactory. The reasons for refractory epilepsy are not fully clear, however, some literature data have shown that polymorphisms of a few genes, e.g., ABCB1/MDR1 may influence the good or poor therapeutic response [27, 28].
\n
The older generation of AEDs consists of CBZ, VPA, PHT, PB, ethosuximide (ESM) and benzodiazepines (BZDs). The new generation (NG) include LTG, topiramate (TPM), gabapentin (GBP), oxcarbazepine (OXCBZ), levetiracetam (LEV), pregabalin (PGB), tiagabine (TGB), vigabatrin (VGB), lacosamide (LCM), and perampanel (PMP). Very important characteristic of AEDs is their ability to induce liver cytochrome P450 (CBZ, PHT, PB) or to block its activity (VPA), which plays an essential role in drug interactions [16, 29]. AEDs act against different targets and have distinguishing pharmacokinetics, efficacy, tolerability and side effects [30]. Although for some AEDs the precise mechanism of action remains still unknown and most of them seem to exhibit more than one mechanism, especially VPA, TPM, and PB, they may be categorized by their principal goal. CBZ, PHE, LTG, OXCBZ, and ZNS act by blocking the activity of voltage-gated sodium channels, while ESM, GBP and PG modulate calcium ones [31]. Increase in gamma-aminobutyric (GABA)ergic transmission by affecting GABAA receptors, GABA synthesis reuptake or degradation is known for VGB, TGB and BDP. Inhibition of glutamatergic excitation is distinctive for one of the newest drug—PMP [32]. Another mechanism of action is selectively enhancing slow inactivation of voltage-gated sodium channels which has been proved for LCM. Finally, LEV and BRV have an ability to bind to synaptic vesicle SV2A protein [33].
\n
It is known that the use of AEDs, especially for many years induces many adverse effects. The most common side effects of AEDs are sedation, dizziness, ataxia, headache, joint pain, fever, vomiting, eating disorders, clotting disorders, hair loss, gingival hyperplasia, and allergic reactions [29]. It is believed that the AEDs in pregnant women with epilepsy are the most common causes of fetal defects [34, 35].
\n
\n
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3. Polymorphism of the ABCB1/MDR1 genes and antiepileptic drugs
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The ABCB1/MDR1 gene encodes the P-glycoprotein (P-gp), a transmembrane transporter located at the endothelial cells of the blood-brain barrier (BBB). It is known that overexpression of P-gp by reducing concentration of AEDs in affected brain regions is associated with epilepsy pharmacoresistance. The ABCB1/MDR1 gene is highly polymorphic therefore it has great variability in the level of P-gp expression and activity among epileptic patients [36]. It is postulated that one of the causes of losing effectiveness of epilepsy treatment may be just polymorphisms of this gene, which has been mostly studied in the context of drug resistant in human cancer cells. There have been described three single nucleotide polymorphisms in the ABCB1/MDR1 gene C3435T, C1236T and G2677 (A/T) related to epilepsy.
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The first, ABCB1/MDR1 C3435T is located in exon 26. It has been showed that patients with drug-resistant epilepsy were more likely to have the CC than the TT genotype and it is associated with increased expression of the protein that influences the response to AED treatment [37]. These results have not been confirmed by other studies conducted in Indian population [38].
\n
Moreover, the literature data indicate that there is an association between C3435T polymorphism and CBZ doses. The study of Sterjev et al. [39] indicated that patients with the TT genotype require a higher dose of CBZ in comparison with patients with the CT and CC genotypes. No differences in allele frequency and genotype distribution between patient resistance and response on CBZ were observed. Nevertheless, the authors suggest that the genetic variant is not the major responsiveness factor to CBZ treatment. However, in the case of the other hepatic enzyme-inducing AEDs, PB, Basic et al. [40] showed that epileptic patients with CC homozygote had a significantly lower concentration of PB in the cerebrospinal fluid (CSF) than CT heterozygotes and TT homozygotes and they have had also reduced penetration of PB into the brain. Moreover, these patients had a higher seizure frequency than the others.
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The other polymorphisms of ABCB1/MDR1 C1236T and G2677 (A/T) are located in 12 and 21 exons, respectively. It has been showed that both and C3435T polymorphisms have an influence on the AEDs treatment and may be useful in predicting drug-resistant epilepsy [41]. However, the study of Haerian et al. [42] did not demonstrate association between C1236T, C3435T, and G2677 (A/T) and response to VPA treatment in patient with epilepsy. It was found that there were no differences regarding G2677 (A/T) genotype in CSF concentration of PB [40]. It was also showed that there was no correlation with seizure frequency [27].
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The literature data did not indicate an important role of ABCB1/MDR1 gene polymorphisms in epilepsy treatment. There is still not clear influence on P-gp expression and function in response to AED therapy. It seems that more precise knowledge of the frequency of ABCB1/MDR1 polymorphisms may contribute to a better understanding of disease pathomechanism and its implications for the effective treatment.
\n
\n
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4. Genes important for homocysteine and ADMA metabolism and antiepileptic drug therapy in epilepsy
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The polymorphisms in genes MTHFR, MTR, MTHFD1, and CBS involved in Hcy metabolism, as shown in Figure 1, are not unique to epilepsy and are also involved in heart diseases, neural tube defects, migraine, stroke, Parkinson’s and Alzheimer’s diseases, schizophrenia, and a few other disorders [43–45].
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Figure 1.
Genes associated with homocysteine (Hcy) and asymmetric dimethylarginine (ADMA) metabolism.
\n
\nMTHFR gene encodes methylenetetrahydrofolate reductase, MTHFR enzyme. The most common polymorphisms of this gene, C677T and A1298C, are associated with this enzyme deficiency. The MTHFR C677T polymorphism leads to the substitution of alanine for valine within the N-terminal catalytic domain of the enzyme. The mean activity of MTHFR enzyme in individuals carrying the CT genotype is 65%, while in TT variant carriers it reaches only 30%, both in comparison to the CC genotype. The MTHFR C677T TT is a cause of HHcy [46, 47]. Recent meta-analysis has shown that MTHFR C677T polymorphism is a risk factor for epilepsy [45]. The relation between C677T variants and HHcy in patients with epilepsy treated with AEDs was widely studied, but the results are ambiguous. The elevated Hcy level was observed among adult patients with CT and TT genotype [16, 48]. Moreover, it has been shown that children and young adults with TT genotype treated with AEDs have higher Hcy level and lower IQ score compared to those with CC genotype [49]. No contribution in HHcy was found in children treated with CBZ or VPA [50].
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The MTHFR A1298C polymorphism leads to the substitution of glutamate for alanine within the C-terminal regulatory domain of the MTHFR enzyme. The mean activity of MTHFR protein in subjects with AC genotype is 70%. Furthermore, double heterozygotes of mentioned polymorphism in MTHFR (CT and AC) have an additional loss of activity [43]. Also the frequency of diplotype CT677/AC1298 was higher in epileptic patients than in controls and could be a risk factor for HHcy [51]. The effect of only A1298C polymorphism on Hcy level is minimal [43, 52]. According to meta-analysis the influence of MTHFR A1298C polymorphism on epilepsy remains inconsistent [45].
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\nMTR gene encodes methionine synthase, MTR enzyme, while MTRR encodes methionine synthase reductase, MTRR enzyme. MTRR protein catalyzes the conversion of inactive form of MTR into active. Both enzymes, MTR and MTRR, are essential for Hcy remethylation to methionine. MTR A2756G polymorphism converts aspartic acid to glycine and in MTRR A66G methionine replaces isoleucine. It was observed that MTR A2756G and MTRR A66G polymorphisms are associated with increased Hcy level due to reduction in enzyme activity and may be risk factors for HHcy [53, 54]. On the other hand, other studies deny the influence of G allele of MTR A2756G on Hcy level, also in epileptic patients [16, 55]. The G allele of this polymorphism occurred more frequent in epileptics than in controls [16].
\n
\nMTHFD1 gene encodes three-functional enzyme methylenetetrahydrofolate dehydrogenase/methyltetrahydrofolate cyclohydrolase/formyltetrahydrofolate synthetase, MTHFD1 that regulates the Hcy circulation. MTHFD1 G1958A polymorphism results in the substitution of an arginine by a glutamine. According to Sniezawska et al. [16], the AA genotype was more frequent in epileptic patients than in controls, but only wild-type genotype was associated with increased Hcy level in AED-treated patients.
\n
\nCBS gene encodes cystathionine beta-synthase, CBS, an enzyme responsible for Hcy degradation to cystathionine. Missense mutation in CBS gene leads to its deficiency and homocystinuria. Reversible cerebral white matter lesions were found in MRI among patients with CBS deficiency [56]. CBS T833C polymorphism results in substitution of threonine for isoleucine. Another widely studied polymorphism is 844ins68. The T833C/844ins68 polymorphism is associated with mild HHcy [57]. However, CBS T833C polymorphism increases the risk of HHcy in patients treated with AEDs. Moreover, among 20% of patients with TC genotype and increased level of Hcy, the seizures were observed [13].
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What is interesting, polymorphisms in Hcy metabolism genes also influence the ADMA level. It was demonstrated that epileptic patients treated with AEDs with gene polymorphisms MTHFR (C677T), MTR (A2756G), and MTHFD1 (G1958A) had increased level of ADMA [16].
\n
\nDDAH1 gene encodes dimethylarginine dimethylaminohydrolase, DDAH enzyme that degrades ADMA, as shown in Figure 1. Isoform 1 of DDAH is highly expressed in brain. Lind et al. [58] showed that several polymorphisms in DDAH1 gene are related to ADMA level, but not to endothelium-dependent vasodilatation. Another group identified 4-nucleotide deletion/insertion variant in the promoter region that leads to reduction of DDAH1 transcription activity and mRNA level, which increase the ADMA concentration and is a risk factor for thrombosis stroke and coronary heart disease [59]. Polymorphisms in DDAH1 gene have not been studied in epilepsy yet.
\n
\neNOS gene encodes endothelial isoform of nitric oxide synthase, an enzyme that can be inhibited by ADMA. It was observed that polymorphisms in eNOS can influence the ADMA level. Studies performed on rats with pilocarpine-induced status epileptics indicated that increased eNOS are related with DDAH1 overexpression via augmented ADMA inhibition [60]. Overexpression of DDAH1 protects against HHcy-induced cerebral vascular dysfunction [61]. The possible role for ADMA-DDAH pathway in neuronal activity modulation was proposed due to increased ADMA concentration and DDAH1 expression in brain and spinal cord [62].
\n
\n
\n
5. Antiepileptic drugs and other risk factors of vascular diseases
\n
In the literature, there have been many publications indicating an increase in the plasma Hcy level in patients with epilepsy treated with AEDs [16, 63]. It has been showed that elevated level of Hcy above 15 μM (HHcy) in epileptic patients treated with AEDs may be associated with a number of clinical complications. Older publications indicate that HHcy may lead to three times increase the risk of myocardial infarction and twice increase the risk of stenosis of the coronary artery [64] and development of vascular disease [65, 66], neuropsychiatric [13] and considered a risk factor in seizure resistance and resistance to AEDs treatment [15].
\n
Currently, it is believed that the impact of the AED risk of vascular disease depends on the type of drug used in patients with epilepsy. AEDs can be divided into two groups: hepatic enzyme-inducing AEDs (CBZ, PB, PHT) leading to an increase in cholesterol, low-density lipoprotein (LDL), total cholesterol, triglycerides, C-reactive protein (CRP), and Hcy level and hepatic enzyme-inhibiting AEDs (VPA) whose impact on the level of Hcy is not clear [16, 24, 67]. It is believed that the action of liver cytochrome P450-inducing AEDs leads to metabolic changes of macromolecular compounds, in particular lipids [68]. On the other hand, the liver cytochrome P450 inhibition of AEDs is not associated with metabolic changes but exhibits a proatherogenic effect by the impact on insulin resistance, body weight gain, and elevated oxidative stress [69]. At the same time, the share of inducing- and inhibiting AEDs in the pathogenesis of ischemic stroke and myocardial infarction is diverse.
\n
Although, the study on a cohort of 252,407 patients aged above 18 years of age using inducing and inhibiting liver enzyme AEDs has shown that inducing AEDs do not lead to an increased risk of ischemic stroke and cause a small increase in myocardial infarction. While inhibiting AEDs also do not lead to an increased risk of ischemic stroke and lead to a reduction in the risk of myocardial infarction [24]. Moreover, according to Renoux et al. [24], only prolonged use of inducing AEDs led to an increase in the risk of myocardial infarction.
\n
So far there is no effective therapy leading to a reduction in the level of Hcy and/or ADMA and other risk factors for vascular lesions, e.g., lipids and proteins following the AEDs used in epilepsy treatment. These issues require further study.
\n
\n
\n
6. Summary
\n
AEDs especially the older generation, including CBZ, PB, and PHT may lead to increased plasma Hcy concentrations and changes in the level of plasma ADMA in patients with epilepsy, as shown in Figure 2. It is believed that CBZ, PB, and PHT lead to elevated levels of plasma Hcy and/or ADMA by inducing liver enzyme. On the other hand, VPA does not lead to activation of liver enzymes, and its effect on plasma levels of Hcy and/or ADMA is varied.
\n\n
Longer duration of the use of AEDs associated with impaired intestinal absorption of FA (CBZ, PB, and PHT) leads to an increase in incidents of myocardial infarction involving elevated levels of Hcy and/or ADMA or by other mechanisms of vascular lesions. However, VPA does not lead to an increase in incidents of ischemic stroke and leads to a decrease of myocardial infarction. It seems that the toxic effect of AEDs not only involves production of neurotoxic Hcy but also involves induction of apoptosis.
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Figure 2.
Antiepileptic drugs (AEDs) and risk factors of vascular diseases in epilepsy. Enzymes associated with Hcy-homocysteine metabolism, MTHFR, MTR, MTHFD1. ADMA, asymmetric dimethylarginine; CBZ, carbamazepine; VPA, valproic acid; PHT, phenytoin; PB, phenobarbital; ↑, increase; ↓, decrease level.
\n
Supplementation with B-group vitamins and FA, and arginine may improve the effectiveness of AED therapy in patients with epilepsy.
\n
\n
Acknowledgments
\n
This study was supported by the Poznan University of Medical Sciences grant, no. 502-01-11111-45-07-467.
\n
\n',keywords:"AEDs, side effects, epilepsy",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/52327.pdf",chapterXML:"https://mts.intechopen.com/source/xml/52327.xml",downloadPdfUrl:"/chapter/pdf-download/52327",previewPdfUrl:"/chapter/pdf-preview/52327",totalDownloads:2044,totalViews:187,totalCrossrefCites:0,totalDimensionsCites:1,totalAltmetricsMentions:0,impactScore:1,impactScorePercentile:65,impactScoreQuartile:3,hasAltmetrics:0,dateSubmitted:"October 22nd 2015",dateReviewed:"May 31st 2016",datePrePublished:null,datePublished:"October 12th 2016",dateFinished:"September 4th 2016",readingETA:"0",abstract:"Epilepsy is one of the most common neurological diseases, affecting approximately 1% of the population. It is a chronic disease and increased incidence falls in the period up to 1 year and 65 years of age. Most patients require long-term antiepileptic drugs (AEDs) therapy. In addition, approximately 30% of patients with epilepsy do not obtain satisfactory seizure control, which is defined as drug-resistant epilepsy. It is postulated that one of the causes of drug resistance can be polymorphisms of ABCB1/MDR1 gene, tested particularly in tumors. It is believed that the old generation of AEDs, e.g. CBZ, VPA, may change plasma Hcy, asymmetric dimethylarginine (ADMA) levels, disturb lipid levels, C-reactive protein, vitamins, markers of oxidative stress, which are risk factors for vascular and neurodegenerative diseases. Changes in the level of risk factors for vascular disease caused by enzymes inducing AEDs, CBZ, PB, and PHT lead to a small increase in the risk of myocardial infarction. Alteration of Hcy and ADMA levels are also linked to genetic factors, e.g. genetic variants of MTHFR, MTR, MTHFD1, CBS, DDAH1, eNOS genes. Individualization of treatment with AEDs and prevention against cardiovascular disease in patients with epilepsy may bring the best therapeutic effects in these patients.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/52327",risUrl:"/chapter/ris/52327",book:{id:"5152",slug:"epileptology-the-modern-state-of-science"},signatures:"Jolanta Dorszewska, Urszula Lagan-Jedrzejczyk, Marta Kowalska,\nKatarzyna Wize and Wojciech Kozubski",authors:[{id:"31962",title:"Dr.",name:"Jolanta",middleName:null,surname:"Dorszewska",fullName:"Jolanta Dorszewska",slug:"jolanta-dorszewska",email:"dorszewskaj@yahoo.com",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/31962/images/4731_n.jpg",institution:{name:"Poznan University of Medical Sciences",institutionURL:null,country:{name:"Poland"}}},{id:"83372",title:"Prof.",name:"Wojciech",middleName:null,surname:"Kozubski",fullName:"Wojciech Kozubski",slug:"wojciech-kozubski",email:"wkozubski@ump.edu.pl",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/83372/images/system/83372.jpg",institution:{name:"Poznan University of Medical Sciences",institutionURL:null,country:{name:"Poland"}}},{id:"186528",title:"MSc.",name:"Marta",middleName:null,surname:"Kowalska",fullName:"Marta Kowalska",slug:"marta-kowalska",email:"martak_89@o2.pl",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"190028",title:"Dr.",name:"Urszula",middleName:null,surname:"Lagan-Jedrzejczyk",fullName:"Urszula Lagan-Jedrzejczyk",slug:"urszula-lagan-jedrzejczyk",email:"laganula@yahoo.pl",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"190030",title:"Ms.",name:"Katarzyna",middleName:null,surname:"Wize",fullName:"Katarzyna Wize",slug:"katarzyna-wize",email:"katarzynaw93@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Epilepsy and antiepileptic drugs",level:"1"},{id:"sec_3",title:"3. Polymorphism of the ABCB1/MDR1 genes and antiepileptic drugs",level:"1"},{id:"sec_4",title:"4. Genes important for homocysteine and ADMA metabolism and antiepileptic drug therapy in epilepsy",level:"1"},{id:"sec_5",title:"5. Antiepileptic drugs and other risk factors of vascular diseases",level:"1"},{id:"sec_6",title:"6. Summary",level:"1"},{id:"sec_7",title:"Acknowledgments",level:"1"}],chapterReferences:[{id:"B1",body:'\nLagan-Jedrzejczyk U, Lianeri M, Kozubski W, Dorszewska J. Homocysteine and apoptotic factors in epileptic patients treated with antiepileptic drugs. In: Kilmer McCully, editor. Homocysteine: structure, biosynthesis and health implications. NOVA Sciences Publishers, Inc., NY, USA; 2014, p. 83–111.\n'},{id:"B2",body:'\nKarabiber H, Sonmezgoz E, Ozerol E, Yakinci C, Otlu B, Yologlu S. Effects of valproate and carbamazepine on serum levels of homocysteine, vitamin B12, and folic acid. Brain and Development; 2003, 25:113–115. DOI: 10.1016/S0387-7604(02)00163-8.\n'},{id:"B3",body:'\nAttilakos A, Papakonstantinou E, Schulpis K, Voudris K, Katsarou E, Mastroyianni S, Garoufi A. Early effect of sodium valproate and carbamazepine monotherapy on homocysteine metabolism in children with epilepsy. Epilepsy Research; 2006, 71:229–232. DOI: 10.1016/j.eplepsyres.2006.06.015.\n'},{id:"B4",body:'\nHamed SA, Hamed EA, Hamdy R, Nabeshima T. Vascular risk factors and oxidative stress as independent predictors of asymptomatic atherosclerosis in adult patients with epilepsy. Epilepsy Research; 2007, 74:183–192. DOI: 10.1016/j.eplepsyres.2007.03.010.\n'},{id:"B5",body:'\nBadiou S, Breton H, Peyriere H, Charasson V, Crespel A, Gelisse P, Cristol JP, Hillaire-Buys D. Comparison of carbamazepine and oxcarbazepine effects on aminothiol levels. 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ILAE official report: a practical clinical definition of epilepsy. Epilepsia; 2014, 55:475–482. DOI: 10.1111/epi.12550.\n'},{id:"B27",body:'\nLagan-Jedrzejczyk U, Oczkowska A, Florczak A, Florczak-Wyspianska J, Karczewski J, Swiejkowska A, Wiktorowicz K, Przedpelska-Ober E, Kozubski W, Dorszewska J. ABCB1/MDR1 gene polymorphisms and the level of apoptotic factors in epilepsy patients treated with antiepileptic drugs. European Journal of Neurology. 2015, 22:Suppl 1, 341.\n'},{id:"B28",body:'\nStriano P, Vari MS, Mazzocchetti C, Verrotti A, Zara F. Management of genetic epilepsies: from empirical treatment to precision medicine. Pharmacological Research; 2016, 11:426–429. DOI: 10.1016/j.phrs.2016.04.006.\n'},{id:"B29",body:'\nFlorczak A, Florczak J, Dorszewska J. Antiepileptic drugs and apoptosis. Farmakoterapia w Psychiatrii Neurologii; 2010, 26:145–152 (in Polish).\n'},{id:"B30",body:'\nSantulli L, Coppola A, Balestrini S, Striano S. The challenges of treating epilepsy with 25 antiepileptic drugs. Pharmacological Research; 2016, 107:211–219. DOI: 10.1016/j.phrs.2016.03.016.\n'},{id:"B31",body:'\nFoldvary-Schaefer N, Fong JS, Morrison S, Wang L, Bena J. Lacosamide tolerability in adult patients with partial-onset seizures: impact of planned reduction and mechanism of action of concomitant antiepileptic drugs. Epilepsy Behavior; 2016, 57:155–160. DOI: 10.1016/j.yebeh.2016.02.007.\n'},{id:"B32",body:'\nPack AM. Perampanel: another choice for patients with idiopathic generalized epilepsy who have tonic-clonic seizures. Epilepsy Currents; 2016, 16:27–28. DOI: 10.5698/1535-7597-16.1.27.\n'},{id:"B33",body:'\nLynch BA, Lambeng N, Nocka K, Kensel-Hammes P, Bajjalieh SM, Matagne A, Fuks B. The synaptic vesicle protein SV2A is the binding site for the antiepileptic drug levetiracetam. Proceedings of the National Academy of Science of United States of America. 2004, 101:9861–9866. DOI: 10.1073/pnas.0308208101.\n'},{id:"B34",body:'\nStrickler SM, Dansky LV, Miller MA, Seni MH, Andermann E, Spielberg SP. Genetic predisposition to phenytoin-induced birth defects. Lancet; 1985, 2:746–749. DOI: 10.1016/S0140-6736(85)90629-4.\n'},{id:"B35",body:'\nHolmes LB, Harvey EA, Coull BA, Huntington KB, Khoshbin S, Hayes AM, Ryan LM. The teratogenicity of anticonvulsant drugs. New England Journal of Medicine; 2001, 344:1132–1138. DOI: 10.1056/NEJM200104123441504.\n'},{id:"B36",body:'\nGidal BE. P-glycoprotein expression and pharmacoresistant epilepsy: cause or consequence? Epilepsy Currents; 2014, 14:136–138. DOI: 10.5698/1535-7597-14.3.136.\n'},{id:"B37",body:'\nSiddiqui A, Kerb R, Weale ME, Brinkmann U, Smith A, Goldstein DB, Wood NW, Sisodiya SM. Association of multidrug resistance in epilepsy with a polymorphism in the drug-transporter gene ABCB1. New England Journal of Medicine; 2003, 348:1442–1448. 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Molecular Genetics and Metabolism; 1998, 64:169–172.\n'},{id:"B44",body:'\nCasas JP, Bautista LE, Smeeth L, Sharma P, Hingorani AD. Homocysteine and stroke: evidence on a causal link from Mendelian randomisation. Lancet; 2005, 365:224–232. DOI: 10.1016/S0140-6736(05)17742-3.\n'},{id:"B45",body:'\nWu YL, Yang HY, Ding XX, Zhao X, Chen J, Bi P, Sun YH. Association between methylenetetrahydrofolate reductase C677T polymorphism and epilepsy susceptibility: a meta-analysis. Seizure; 2014, 23:411–416. DOI: 10.1016/j.seizure.2014.01.018.\n'},{id:"B46",body:'\nLiu A, Menon S, Colson NJ, Quinlan S, Cox H, Peterson M, Tiang T, Haupt LM, Lea RA, Griffiths LR. Analysis of the MHTFR C677T variant with migraine phenotypes. BMC Research Notes; 2010, 3:213–218. DOI: 10.1186/1756-0500-3-213.\n'},{id:"B47",body:'\nSchürks MM, Rist PM, Kurth T. MTHFR 677C>T and ACE D/I polymorphisms in migraine: a systematic review and meta-analysis. Headache; 2010, 50:588–599. DOI: 10.1111/j.1526-4610.2009.01570.x.\n'},{id:"B48",body:'\nBelcastro V, Striano P, Gorgone G, Costa C, Ciampa C, Caccamo D, Pisani LR, Oteri G, Marciani MG, Aguglia U, Striano S, Ientile R, Calabresi P, Pisani F. Hyperhomocysteinemia in epileptic patients on new antiepileptic drugs. Epilepsia 2010;51:274–279. DOI: 10.1111/j.1528-1167.2009.02303.x.\n'},{id:"B49",body:'\nDi Rosa G, Lenzo P, Parisi E, Neri M, Guerrera S, Nicotera A, Alibrandi A, Germanò E, Caccamo D, Spanò M, Tortorella G. Role of plasma homocysteine levels and MTHFR polymorphisms on IQ scores in children and young adults with epilepsy treated with antiepileptic drugs. Epilepsy Behavior; 2013, 29:548–551. DOI: 10.1016/j.yebeh.2013.09.034.\n'},{id:"B50",body:'\nVurucu S, Demirkaya E, Kul M, Unay B, Gul D, Akin R, Gokçay E. Evaluation of the relationship between C677T variants of methylenetetrahydrofolate reductase gene and hyperhomocysteinemia in children receiving antiepileptic drug therapy. Progress in Neuro-Psychopharmacology & Biological Psychiatry; 2008, 32:844–848. DOI: 10.1016/j.pnpbp.2007.12.018.\n'},{id:"B51",body:'\nCaccamo D, Condello S, Gorgone G, Crisafulli G, Belcastro V, Gennaro S, Striano P, Pisani F, Ientile R. Screening for C677T and A1298C MTHFR polymorphisms in patients with epilepsy and risk of hyperhomocysteinemia. Neuromolecular Medicine; 2004, 6: 117–126.\n'},{id:"B52",body:'\nMeisel C, Cascorbi I, Gerloff T, Stangl V, Laule M, Müller JM, Wernecke KD, Baumann G, Roots I, Stangl K. Identification of six methylenetetrahydrofolate reductase (MTHFR) genotypes resulting from common polymorphisms: impact on plasma homocysteine levels and development of coronary artery disease. Atherosclerosis; 2001, 154:651–658. DOI: 10.1016/S0021-9150(00)00679-1.\n'},{id:"B53",body:'\nLaraqui A, Allami A, Carrié A, Coiffard AS, Benkouka F, Benjouad A, Bendriss A, Kadiri N, Bennouar N, Benomar A, Guedira A, Raisonnier A, Fellati S, Srairi JE, Benomar M. Influence of methionine synthase (A2756G) and methionine synthase reductase (A66G) polymorphisms on plasma homocysteine levels and relation to risk of coronary artery disease. Acta Cardiologica; 2006, 61:51–61. DOI: 10.2143/AC.61.1.2005140.\n'},{id:"B54",body:'\nKluijtmans LA, Young IS, Boreham CA, Murray L, McMaster D, McNulty H, Strain JJ, McPartlin J, Scott JM, Whitehead AS. Genetic and nutritional factors contributing to hyperhomocysteinemia in young adults. Blood; 2003, 101:2483–2488.\n'},{id:"B55",body:'\nKlerk M, Lievers KJ, Kluijtmans LA, Blom HJ, den Heijer M, Schouten EG, Kok FJ, Verhoef P. The 2756A>G variant in the gene encoding methionine synthase: its relation with plasma homocysteine levels and risk of coronary heart disease in a Dutch case–control study. Thrombosis Research; 2003, 110:87–91. DOI: 10.1016/S0049-3848(03)00341-4.\n'},{id:"B56",body:'\nSasai H, Shimozawa N, Asano T, Kawamoto N, Yamamoto T, Kimura T, Kawamoto M, Matsui E, Fukao T. Successive MRI findings of reversible cerebral white matter lesions in a patient with cystathionine β-synthase deficiency. Tohoku Journal of Experimental Medicine; 2015, 237:323–327. DOI: 10.1620/tjem.237.323.\n'},{id:"B57",body:'\nGaustadnes M, Ingerslev J, Rütiger N. Prevalence of congenital homocystinuria in Denmark. New England Journal of Medicine; 1999, 340:1513. DOI: 10.1056/NEJM199905133401915.\n'},{id:"B58",body:'\nLind L, Ingelsson E, Kumar J, Syvänen AC, Axelsson T, Teerlink T. Genetic variation in the dimethylarginine dimethylaminohydrolase 1 gene (DDAH1) is related to asymmetric dimethylarginine (ADMA) levels, but not to endothelium-dependent vasodilation. Vascular Medicine; 2013, 18:192–199. DOI: 10.1177/1358863X13496488.\n'},{id:"B59",body:'\nDing H, Wu B, Wang H, Lu Z, Yan J, Wang X, Shaffer JR, Hui R, Wang DW. A novel loss-of-function DDAH1 promoter polymorphism is associated with increased susceptibility to thrombosis stroke and coronary heart disease. Circulation Research; 2010, 106:1145–1152. DOI: 10.1161/CIRCRESAHA.109.215616.\n'},{id:"B60",body:'\nHirotsu C, Matos G, Tufik S, Andersen ML. Changes in gene expression in the frontal cortex of rats with pilocarpine-induced status epilepticus after sleep deprivation. Epilepsy Behavior; 2013, 27:378–384. DOI: 10.1016/j.yebeh.2013.02.024.\n'},{id:"B61",body:'\nRodionov RN, Dayoub H, Lynch CM, Wilson KM, Stevens JW, Murry DJ, Kimoto M, Arning E, Bottiglieri T, Cooke JP, Baumbach GL, Faraci FM, Lentz SR. Overexpression of dimethylarginine dimethylaminohydrolase protects against cerebral vascular effects of hyperhomocysteinemia. Circulation Research; 2010, 106:551–558. DOI: 10.1161/CIRCRESAHA.109.200360.\n'},{id:"B62",body:'\nGreco R, Ferrigno A, Demartini C, Zanaboni A, Mangione AS, Blandini F, Nappi G, Vairetti M, Tassorelli C. Evaluation of ADMA-DDAH-NOS axis in specific brain areas following nitroglycerin administration: study in an animal model of migraine. Journal of Headache Pain; 2015, 16:560. DOI: 10.1186/s10194-015-0560-2.\n'},{id:"B63",body:'\nBochyńska A, Lipczyńska-Łojkowska W, Gugała-Iwaniuk M, Lechowicz W, Restel M, Graban A, Lipska B, Ryglewicz D. The effect of vitamin B supplementation on homocysteine metabolism and clinical state of patients with chronic epilepsy treated with carbamazepine and valproic acid. Seizure; 2012, 21:276–281. DOI: 10.1016/j.seizure.2012.01.013.\n'},{id:"B64",body:'\nSelhub J, Jacques PF, Bostom AG, D\'Agostino RB, Wilson PW, Belanger AJ, O\'Leary DH, Wolf PA, Schaefer EJ, Rosenberg IH. Association between plasma homocysteine concentrations and extracranial carotid-artery stenosis. New England Journal of Medicine; 1995, 332:286–291. DOI: 10.1056/NEJM199502023320502.\n'},{id:"B65",body:'\nVerrotti A, Domizio S, Angelozzi B, Sabatino G, Morgese G, Chiarelli F. Changes in serum lipids and lipoproteins in epileptic children treated with anticonvulsants. Journal of Paediatrics and Child Health; 1997, 33:242–245. DOI: 10.1111/j.1440-1754.1997.tb01588.x.\n'},{id:"B66",body:'\nTan TY, Lu CH, Chuang HY, Lin TK, Liou CW, Chang WN, Chuang YC. Long-term antiepileptic drug therapy contributes to the acceleration of atherosclerosis. Epilepsia; 2009, 50:1579–1586. DOI: 10.1111/j.1528-1167.2009.02024.x.\n'},{id:"B67",body:'\nKatsiki N, Mikhailidis DP, Nair DR. The effects of antiepileptic drugs on vascular risk factors: a narrative review. Seizure; 2014, 23:677–684. DOI: 10.1016/j.seizure.2014.05.011.\n'},{id:"B68",body:'\nMintzer S. Metabolic consequences of antiepileptic drugs. Current Opinion in Neurology; 2010, 23:164–169. DOI: 10.1097/WCO.0b013e32833735e7.\n'},{id:"B69",body:'\nVerrotti A, Scardapane A, Franzoni E, Manco R, Chiarelli F. Increased oxidative stress in epileptic children treated with valproic acid. Epilepsy Research; 2008, 78:171–177. DOI: 10.1016/j.eplepsyres.2007.11.005.\n'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Jolanta Dorszewska",address:"dorszewskaj@yahoo.com",affiliation:'
Laboratory of Neurobiology, Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland
Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland
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1. Introduction
Medicinal plants serve as the mainstay of various traditional disease management strategies since time immemorial [1]. These practices are passed onto many generations and some have even led to great discoveries providing instant cure and eradication of various diseases. Despite the growth in the pharmaceutical industry, modern health care system and drugs are still impractical and inaccessible for the less privileged communities [2]. According to World Health Organization (WHO), about 90% of the people in developing countries still use traditional medicines as their primary health care system, while in some parts in combination with modern drugs [3]. Due to high reliance on traditional medicines, WHO has laid down strategies for the improvement of health care system in developing countries particularly for the economically deprived communities. The strategies aim to frame policy, enhance safety, efficacy, quality, ensure access and to promote balanced use of traditional medicines. Through these strategies, traditional medicines are projected to be integrated into disease management programs in Primary Health Centers (PHC), thereby increasing recognition and support from the Government [4]. International organizations and policy makers believe that primary health care system PHCs are still the best to meet the needs of the people in villages and are assumed to be the universal solution for improving human health [5].
The practice of traditional healing in Indian culture has been assumed to be as old as civilization. Traditional healing by various medicinal plants has been trusted and has gained much acceptance among many cultures as the proportion of cure is believed to be high and significant [6]. This may perhaps be related to the rich biodiversity where plants having medicinal values can be obtained from the forest at any disposal. Poor economy background of deprived communities may as well play an important role in the high reliance on forest resources for medicinal purpose and nutraceuticals [7].
Mizoram, one of the 7 sister states of Northeast India is inhabited mainly by the Mizo tribe (Figure 1). It shares an international boundary with Bangladesh in the south western part and with Myanmar in the south eastern side. It also shares the national boundary with the state of Assam in the north; Manipur in the north east and Tripura in the west. It is located between 21°56′N to 24°31′N, and 92°16′E to 93°26′E. The climate of Mizoram is relatively mild. It is never too hot nor too cold during summer and winter [8]. The state lies in the Indo-Myanmar sub-tropical forest region and is a biodiversity hot-spot with many endemic species. The rich biodiversity provides immense treasure and sustainable supply of medicinal plants and hence leads to frequent use of plants as medicine [9]. The knowledge and practices are passed down the generations which are still in practice while some are kept in secrecy by villagers [10]. Medicinal plants are the immediate rescue for various ailments especially in remote areas where modern medical facilities are far from being attained [11]. The practices are quite similar in most parts of the state but the parts of the plant, type of preparation and consumption vary slightly from place to place. In most cases, decoction of the different parts of the plants is consumed orally without meticulous proper dosage [12]. Consumption of decoction of leaves is the most common form of use other than raw, aqueous extract, powdered, crushed, drooping or homogenized in water. The parts of the plant mainly used as medicine are leaves, roots, seeds and stem bark, among which leaves constitute the highest percentage. Besides, various ingredients such as sugar, oil, water, honey, and citrus juice are added to enhance the taste, aid consumption and to conceal the smell [13]. These medicines are usually prepared at home (Figure 2). The medicinal plant parts are also usually processed at home (Figure 3).
Figure 1.
A traditional Mizo couple.
Figure 2.
A traditional healer preparing medicine.
Figure 3.
Turmeric being dried for use as medicine.
Traditional knowledge and practices serve as the basic framework for scientific studies including chemical analysis and biological activity studies. Different varieties of plants have been used as medicine among which some of them are still in use today (Table 1). The various plants used for treatment of various common diseases are discussed in this study.
Commonly used medicinal plant by the Mizos of Mizoram.
2. Medicinal plants used in the traditional medicine system
2.1 Parasitic infections
Different varieties of plants have been used traditionally for the treatment and elimination of parasites in human and livestock. In Mizoram, the fruits of Euphoria longan (Lour.) Steud (theifeihmung), bark of Morus alba L. (thingtheihmu), and the juice of the fruit and bark of Punica granatum L. (theibuhfai) have been reported to have antiparasitic activities [14]. The bark extract of Schima wallichi (khiang), crushed leaves of Eupatorium odoratum Linn. (tlangsam) [15], juice of Annona squamosa L. leaves (theiarbawm), decoction of the leaves of Artemisia nilagirika Clarke (sai), root mixed with powdered fruits of Lagerstroemia speciosa ZL. (chawnpui), seeds of Benincasa hispida (maipawl), seeds of Carica papaya L. (thingfanghma), decoction of the tubers of Dioscorea bulbifera L. (ram-bahra), leaf juice of Michelia champaca L. (ngiau) mixed with honey, decoction of Piper longum L. (voko-hrui), and the fruits of Trichosanthes anguina L. (berul) have also been reported to be used frequently for the elimination of parasites [13]. Also, Chenopodium ambrosioides L., Gossypium (la) species and Dalbergia pinnata (Lour.) (Hruitengtere) have been reported to possess anthelmintic efficacy [16, 17]. In addition, the roots of Ziziphus oenoplia (L.) Mill. (muvanlai hling) are also consumed as an anthelminthic [18].
Acacia oxyphylla, locally known as Khang-ngo has been reported for its use as a deworming agent. Its alcohol extract has exhibited significant nematocidal activity at 5, 10 & 20 mg/ml concentrations against the fowl nematode Ascaridia galli [19] and anticestodal activity against the fowl cestode Raillietina echinobothrida [20]. The root peels of Milletia pachycarpa, locally known as Ru-lei showed a concentration dependent activity against R. echinobothrida and A. galli [21, 22]. Also, the extract of Acacia caesia stem bark (20 mg/ml) has been found to possess distinct anthelmintic activity against the tapeworm Raillietina tetragona [23]. The methanol extract of Millettia taiwaniana roots are also known to possess significant anthelmintic activity at 20 mg/ml against intestinal tapeworms Taenia tetragona and Raillietina galli [24, 25]. Likewise, the chloroform extract of Imperata cylindrica roots have exhibited anthelmintic activity against R. tetragona and A. galli [26]. Ilex khasiana, locally known as KZ thing also showed activities in which the methanol extract of leaves exhibited a concentration dependent increase in anthelmintic activity against R. tetragona [27]. The hexane, chloroform and methanol extracts of Acmella oleracea, locally known as ansapui or ankasa in Mizo, showed distinct anthelmintic activity against R. echinobothrida and A. galli [28, 29]. Likewise, the alcohol extract of Callicarpa arborea, locally known as hnahkiah is known to possess anticestodal activity against R. echinobothrida [30].
2.2 Diarrhea
Certain plants from Mizoram have been reported for their capacity to ameliorate diarrhea. The juice of the fruits of Catunaregam spinosa (Thunb.) (Sazukthei), bark of Chrysophyllum lanceolatum Casar. (Theipabuan), Aegle marmelos (Correa) Linn. (Belthei), Ziziphus mauritiana Lam. (Borai/Kawrsunhlu), Tamarindus indica L. (Tengtere), decoction of the bark of Spondias pinnata (L.f.) Kurz. (Tawitaw), fruits of Rhus semialata Murray (Khawmhma), fruits of Garcinia morella (Gaertn.) Desr. (Kawrvawmba), boiled leaves of Garcinia cowa Roxb. ex Choisy. (Chengkek), fruits of Ficus racemosa L. (Thei-chek/Chho), crushed bark juice of Emblica officinalis Gaertn. (Sunhlu), decoction of the bark of Dillenia indica L. (Kawrthindeng), fruits of Bruinsmia polysperma (C. B. Clarke) Steenis. (Theipaling/Kawh/Theirelchhin/Theichhinkhup), and the inner coat of the bark of Artocarpus chama Buch. Ham. (Tatkawng) were described to be effective against diarrhea [14]. The fruits or young shoots of Parkia roxburghii G. Don (zawngtah), boiled leaves of Mikania micrantha (Japan hlo), and Melastoma malabathricum Linn. (Builukham) are often used for the treatment of diarrhea [15]. Also, the infusion of the leaves of Rourea minor (Gaertn.) Alston (chingpirinu thei/pho arh) and the flowers of Rhododendron arboretum Sm. (chhawkhleiparsen) are used for treating diarrhea and dysentery. Galls produced from the tree of Quercus serrata (sasua/sasaw thing), fruits of Quercus oblongata D. Don (then), young fruits of P. granatum Linn. (theibuhfai/Darjeeling/manding), bark and young leaves of Psidium guajava Linn. (kawlthei/kawiam/charthei), Pogostemon cablin (Blanco) Benth. (Patchouli), and the infusion of the bitter bark of Picrasma javanica Blume (thing damdawi/khawsik damdawi thing) are also known to be used to treat dysentery. In addition, the decoction of the bark, leaves and roots of Phyllodium pulchellum (L.) Desv., decoction of the roots of Osbeckia chinensis Linn. (builukham), and a decoction of bark and leaves of Acer oblongum Wall. Ex DC. (thing phingphihlip) are also used for treating diarrhea [18].
The activities of certain traditionally acclaimed antidiarrheal plants on different microorganisms have been evaluated. The methanol extracts of 12 plants namely, Albizia lebbeck, Bombax ceiba, Abroma augusta, Actinida chinensis, Careya arborea, Chonemorpha fragrans, Clerodendrum colebrookianum, Costus speciosus, D. indica, Gynura conyza, Hibiscus sabdariffa, and Momordica charantia showed distinct inhibition zones against gram positive bacteria (Staphylococcus aureus), gram negative bacteria (Escherichia coli, Pseudomonas aeruginosa), and yeast (Candida albicans) with Minimum Inhibitory Concentration (MIC) ranging from 1.635 to 7.972 mg/ml [31]. Likewise, A. chinensis, C. arborea, Mussaenda macrophylla and Stereospermum tetragonum extracts were also reported to have inhibition activity against 4 microorganisms namely Fusarium graminarum, S. aureus, Escherichia coli and Fusarium oxysoporum f. sp. ciceri [32]. The alcohol extracts of C. colebrookianum Walp., exhibited antimicrobial activity against bacteria such as E. coli (MTCC DH5α), Serratia marcescens (MTCC 7103) and S. aureus (MTCC 4301) [33]. The alcohol extracts of Blumea lanceolaria root, stem and leaf showed antibacterial activity against three bacteria namely E. coli, S. aureus and Pseudomonas aeruginosa [34].
2.3 Skin diseases
For the treatment of various skin diseases, the crushed leaves of Achyranthes aspera L. (buchhawl) and Albizia chinensis (Osb.) Merr. (vang), juice of the crushed bark of Artocarpus lakiicha Roxb. (theitat) and Jatropa curcus L. (thingthau), pounded poultice of Arisaema tortuosum (Wall.) Schott. (mithi vaimim), crushed leaf juice of Artemisia indica Willd. (sai), Chenopodium ambrosioides (buarchhimtir), C. viscosum Vent. (phuihnamchhia) and Elsholtzia blanda Benth. (nauhri), powdered flower pastes of Buddleja asiatica Lour. (serial), infusion of Centella asiatica (L.) Urban (lambak), and Lantana camara var. aculeate (L.) Mold. (hling pangpar) have been reported to be effective against various skin diseases [35]. The bark infusion of A. chinensis Merr. (vang) was also found to be effective against skin disorders [13]. Plants such as Eryngium foetidum L. (bahkhawr/bachikhawm), Mimosa pudica L. (hlo nuar/hlo zak), Polygonum plebeium, and Prunus cerasoides D. Don are often used for the treatment of various diseases of the skin [36]. Buddleia asiatica Lour (Se rial/Sial rial), paste of bark of Erythrina stricta Roxb. (Fartuahpui), and the root paste of Tinospora cordifolia (DC.) Miers. ex. Hook. (Theisawntlung) have also been reported for their healing properties of skin diseases [17, 37]. The juice of the stem, bark and leaves of Psychotria calocarpa Kurz (kawr pelh), and an infusion of the bark of A. chinensis (Osb) Merr. (Vang) is commonly used as a lotion for scabies and various skin diseases [18].
The ethanolic extract of M. pudica (hlo nuar) was found to heal wound in a concentration dependent manner [38]. The ethanolic extract gel of Oroxylum indicum (archangkawm) (10%) was found to enhance wound contraction which led to reduction of mean healing time in mice [39]. The dried seed extract of Nigella sativa has been known to accelerate collagen synthesis thereby reducing wound healing time [40].
2.4 Diabetes
Antidiabetic properties of certain plants have been reported from different parts of Mizoram. Decoction of the bark of Dillenia pentagyna Roxb. (Kaihzawl), decoction of the roots of Casearia tomentosa Roxb. (Vakithei) [14], juice of Abrus precatorius L. (sentet) leaves mixed with milk [13], fruits of Averrhoa carambola L. (theiherawt), bark of Lagerstroemia speciosa (L.) Pers. (thla do/chawnpui), decoction of the aerial parts of Phyllanthus fraternus Webster. (Mithi sunhlu) and decoction of the stem of Tinospora cordifolia (DC.) Miers. ex. (hrui vankai/hrui vankai hnah mam) are commonly used to treat diabetes [37]. Antidiabetic activity of plants such as Aloe barbadensis (L.) Burm.f. (awle lei), Artocarpus heterophyllus (Lam.) (lamkhuang/la ui), Curcuma longa (L.) (aieng), E. officinalis (L.) (sunhlu), M. indica (L.) (theihai), and M. pudica (L.) (hlo nuar) have also been reported [31]. Albizia procera Roxb. (kang tek), A. marmelos (L). Corr (bel thei), Allium cepa Linn. (purun sen), Alstonia scholaris (thuamriat), Allium sativum Linn, (Linn.) R. Br (purun var), and C. colebrookianum Walp. (phuihnam) are frequently used for the treatment of diabetes [41, 42]. A decoction of the whole plant of Plantago major Linn. (kel ba an), fruits, stem and leaves of Physalis angulata L. Var. angulata L. (Kelasawirawphit/chalpang puak), tea made from leaves of Passiflora quadrangularis L. (sapthei lian chi) and fruits of A. marmelos (L.) Correa (bel thei) have been reported for their use as an antidiabetic remedy [18].
The ethanolic extract of Scurrula parasitica (thlilthli ek bawm) at concentrations of 100 and 200 mg/kg has been known to possess significant hypolopidemic and antihyperglycemic activity in albino rats [43]. The methanolic extract of Mallotus roxburghianus (zawngte nawhlung) leaves have shown to possess antidiabetic properties on streptozocin induced diabetic models of experimental animals. However, the activity may not be dose dependent, as the two different doses of extract (200 mg/kg and 400 mg/kg) did not show any significant variation in the results [44].
2.5 Cancer
Increase in cancer cases in recent years has led to the exploration of certain anticancer plants for immediate remedy. The juice of Aglaia edulis (Roxb.) Wallich (raithei) fruits, crushed fruits of Prunus domestica L. (Japan theite), fruits of Ficus hirta Vahl. (sazutheipui) and the decoction of the bark of D. pentagyna Roxb. (kaihzawl) are known to be effective against certain types of cancer [14]. The anticancer activity of the roots of Ageratum conyzoides (Linn.,) (vaihlenhlo), leaves of B. lanceolaria Linn. (buar ze), stem and bark of D. pentagyna Roxb. (kaihzawl), Aloe barbadensis (L.) (awle lei), Artocarpus heterophyllus (Lam.) (lamkhuang), Azadirachta indica (A. Juss) (nim thing), C. papaya (L.) (thing fanghma), C. colebrookianum (Walp.) (phuihnam), C. longa (L.) (aieng), E. officinalis (L.) (sunhlu), Mimosa indica (L.) (hlo nuar) and M. charantia (L.) (changkha/changkha rek) have also been reported [31]. Roots of Ageratum conizoides Linn. (vaihlenhlo), leaves of B. lanceolaria Linn. (buar ze) and G. conyza sp., stem bark of D. pentagyna Roxb (kaihzawl), and D. indica Linn. (kawrthindeng) were also found to possess anticancer property [45]. The decoction of the whole plant of Scurrula parasitica L. (thlikthliekbawm) and the decoction of the leaves of Rhynchotechum ellipticum (Wall. Ex D. Dietr.) A. DC. (tiarrep) are recommended for the treatment of cancer [18].
A study also suggested that D. pentagyna (kaihzawl) used in the traditional medicine of the Mizos, has antitumor activity against murine ascites Dalton’s lymphoma [46]. In another study, the ethanolic extract of A. marmelos (L.) Correa (bel thei) showed protection against cardiotoxicity [47]. Allium hookeri (mizo purun), Eryngium foetidium (bahkhawr/bachikhawm), Mikania micrantha (japan hlo), and Alpinia galanga (ai chal) were found to exhibit cytotoxicity against HeLa cells in a dose dependent manner. The IC50 were found to be 138.5, 199.7, 49.02, and 209.4 μg/mL, respectively [48]. The root extract of A. conyzoides (vaihlenhlo), stem bark of D. pentagyna (kaihzawl), fruit of Solanum khasianum and leaves of Lonicera macrantha (leihruisen), Senecio scandens (saiek hlo), Croton caudatus (ran lung damdawi/kam sa hulh/vawkze), Mussaenda macrophylla (vakep) and B. lanceolaria (buarze) were found to have anticancer activity against cancer cells such as MCF-7, HeLa, and Dalton’s lymphoma cells. Out of these, extracts of D. pentagyna and S. khasianum were found to be a potent source of anticancer compound [49]. The methanolic extracts of the leaves of Callicarpa arborea Roxb. (hnahkiah) and Byttneria aspera Colebr. (zawng luang hrui/zawng hnuang hrui) were found to have anticancer activity against human cancer cell lines such as colon cancer cell lines (HT-29), breast cancer cell line (MCF-7), cervical cancer cell line (HeLa), leukemia cell line (MOLT-4) and ovarian cancer cell line (OVCAR-3) [50]. The aqueous extract of C. caudatus Geisel (ran lung damdawi/kam sa hulh/vawkze) was found to have in vivo anticancer activity against Dalton’s lymphoma (% increase in life span 92.5%) and an in vitro anticancer activity with IC50 of 28.36 μg/ml [49]. The chloroform extract of C. arborea (hnahkiah) showed promising anti-proliferative and cytotoxic activity against A549, Type II human adenocarcinoma cell line [51]. The leaf, bark and fruit extract of Rhus javanica L., were also found to possess anticancer activity against HeLa cell line [52].
2.6 Malaria
Different varieties of plants are used for treating malaria based on traditional practices. The leaf infusion of Acacia concina DC (khangthur), Andrographis paniculata Nees. (hnahkhapui), decoction of the leaves and roots of Adhatoda vasica Nees. (kawldawi), decoction of the bark of Alstonia scholaris R.Br. (thuamriat), and decoction of the leaves of Artemisia nilagirika Clarke (sai) have been reported for their use as an antimalarial agent [13]. Also, Clerodendrum serratum (L.) Moon (Ram phuihnam) [17], Acacia concinna (Willd.) DC. (Khang-thur), Acer oblongum Wall. ex DC. (Thing-phing-phi-hlip), crushed juice or decoction of the stem bark of Alstonia scholaris L. R. Br. (thuamriat), decoction of the aerial parts of A. paniculata (Burm. f.) Wall. ex Nees (hnah-kha-pui), decoction of the bark of Anogeissus acuminata Roxb. ex DC. Guill. (zai-rum), decoction of the roots or leaves of Artemisia vulgaris L. (sai), decoction of the rhizome of Begonia inflata C.B. Clarke (se-khup-thur), decoction of the leaves of Borginia ciliate (Haw.) Sternb. (kham- dam-dawi), infusion of the leaves or powdered roots of Canna indica L. (kung-pui-mu-thi), decoction of the roots of Cassia fistula L. (ngai-ngaw/phung-ril), decoction of the leaves and bark of Chickrassia tabularis Andr. Juss. (zawngtei), decoction of leaves or roots of Dichroa febrifuga Lour. (khaw-sik-dam-dawi or ui-te-pangang-hlo), leaf juice of Eryngium foetidum L. (bahkhawr), decoction of the roots of Kyllinga monocephala Rottb. (artelubawk), decoction of the leaves of Lantana camara L. (Shilong tlang-sam or til-duh-par), juice of the leaves of Mikania micrantha H.B.K. (Japan-hlo), decoction of the leaves of Musa paradisiaca L. var., Sylvestris sp. (changel), decoction of the roots of Passiflora nepalensis Wall. (nau-awi-mu-hrui), decoction of the whole plant of Phyllanthus fraternus Web. (mitthi-sun-hlu), decoction of the bark of Picrasma javantica Bl. (thing-dam-dawi or khaw-sik- dam-dawi-thing), leaf juice of Piper betle L. (panruang), decoction of the fruits of Piper longum L. (vako-hrui), decoction of the leaves, seed and roots of P. major L. (kelba-an), decoction of the bark of Prunus cerasoides D. Don. (tlaizawng), decoction of the roots, stem and leaves of Rotheca serrate L. Steane & Mabb. (lei-dam-suak), decoction of the flower, leaves and bark of Spathodea stipulata Wall. (zih-haw), Stereosrermum personatum (Hassk.) De. Chatt. (zihnghal), and a decoction of the young stem, bark and leaves of Vitex peduncularis Wall. (thing-khawi-lu-pa) [53] are used to treat malaria. In addition, the roots of Garcinia cowa (dang kha) [54], the decoction of the whole plant of P. major Linn. (kel ba an), bark of Pittosporum napaulense (DC.) Rehder & Wilson (thing pho arh) and the decoction of the roots of Passiflora nepalensis Wallich (Nauawimu hrui) are commonly used for the treatment of malaria [18].
2.7 Fungal infections
The juice of the fruits of Ficus auriculata Lour. (theibal), root of Gelsemium elegans Benth. (hnamtur), and Alocasia indica (saidawl/vandaw) have been reported for their use in the traditional medicine of the Mizos as an antifungal agent [14, 46, 55]. The leaf extract of Chickrassia tabularis Andr. Juss. (zawngtei), P. betle L. (panruang) and the paste of the leaves and bark of Spathodea stipulata Wall. (zih-haw) are well known antifungal agents [53]. The decoction of the roots of Asparagus racemosus Willd. (arkebawk) is often consumed for treating fungal infection [16].
The essential oil of Homalomena aromatica (anchiri) was found to be effective against three pathogenic fungi namely, Epidermophyton floccosum, Microsporum gypseum, and Trichophyton rubrum with Minimum Cidal Concentration (MCC) between 1.2 to 1.8 μl/ml [56]. The essential oil of C. longa (aieng) was found to exhibit antifungal activity against pathogenic fungi Trichophyton rubrum and T. mentagrophytes with Minimum Inhibitory Concentration (MIC) of 2.1 mg/ml and 1.9 mg/ml respectively [57]. The essential oil extracted from the mature seeds of Trachyspermum ammi L. showed inhibition against Candida albicans and Aspergillus flavus with MIC of 0.086 mg/ml and 0.202 mg/ml respectively [58]. The ethanol and aqueous extracts of Callicarpa macrophylla Vahl. stem was found to have antifungal activity against six pathogenic fungi namely, Rhizopus oligosporus, Gibberella fujikoroi, C. albicans, Myrothecium verrucaria, Cryptococcus neoformans, A. niger, and Neurospora crassa [59]. Also, the methanol extract of the leaves of Bidens pilosa was also found to have inhibition activity against C. albicans at concentration of 10 mg/ml with 9.1 mm zone of growth inhibition [60].
2.8 Measles
The boiled leaves of Securinega virosa Roxb. (saisiak), Adhatoda vasica Nees. (kawldai) and the decoction of the leaves of Azadirachta indica used in the Mizo traditional medicine are reported to be effective against measles [61]. The decoction of the rhizome of Amomum subulatum Roxb. (ailaidum) [13] and Cucurma caesia (ailaidum) are often used for the treatment of measles [55]. The boiled leaves of Anacolosa crassipes Kurz (lushai nautur) and S. virosa (Roxb. ex Willd.) Baill. are used while bathing while the leaf juice of Phyllanthus airy-shawii Brunel & J.P.Roux. (mawsai) are applied on the infected skin [16]. Also, the fresh juice of Homalomena aromatica (anchiri) roots [35], paste of the leaves of Anogeissus acuminata Roxb. ex DC. Guill. (zairum), leaves of Lantana camara L. (shillong tlangsam) [53] and the decoction of the leaves of Rhus javanica L. (khawmhma) have been reported for their efficacy against measles [52].
2.9 Chicken pox
The boiled leaves of Securinega virosa Roxb. (saisiak) is often used while bathing to cure chicken pox, while the boiled leaves of Adhatoda vasica Nees. (kawldawi) and the raw fruits of Rhus semialata (khawmhma) are consumed for the treatment of chicken pox [61]. A decoction of the leaves of Embelia nagushia D. Don (thing) [13], paste of the leaves of Anogeissus acuminata Roxb. ex DC. Guill. (zairum), paste of the leaves of A. carambola L. (theiherawt) [53] and a decoction of the leaves of Embelia vestita Roxb. (tling) are also often used [14].
2.10 Jaundice
The fruit, leaves and roots of Chonemorpha fragrans (Moon.) (phungtheikelki) are taken raw or boiled to treat jaundice [61]. Also, the fruit juice of E. officinalis Gaertn. (sunhlu) [15], Jatropha curcas L. (kang damdawi/thing thau), M. charantia L. (changkha/vhangkha rek), O. indicum vent. (archangkawm), Terminalia chebula (re raw), Zingiber officinale Roscoe (sawhthing), D. pentagyna Roxb. (kaihzawl), C. colebrookianum Walp. (phuihnam), Catharanthus roseus L. (kumtluang), Cassia fistula L. (ngaingaw/phungril), Carica papaya L. (thingfanghma), Capsicum frutescens L. (hmarcha pui), Aeschynanthus sikkimensis Stapf, Adhatoda zeylanica Nees and Adhatoda vasica Nees (kawldawi) are used commonly for the treatment of jaundice [62]. The roots of Homalomena aromatica (anchiri) [56], the inner portion of the fruit of Passiflora spp (sapthei), infusion of the leaves of Acacia concina DC. (khangthur), decoction of the leaves of Amomum subulatum Roxb. (ailaidum), decoction of the leaves of G. conyza Cass. (buarze), root decoction of Lagerstroemia speciosa ŽL. Pers. (chawn-pui or thlado), root decoction of Laportea crenulata Gaud. (thakpui), juice of the leaves of M. charantia L. (changkha), and the stem juice of Musa superba Roxb. (tumbu or changel) have been reported to be effective against jaundice [13]. Also, Alocasia indica (Saidawl/Vandawl), C. papaya (thingfanghma), Cucurma caesia (ailaidum) and Passiflora edulis (sapthei) are frequently used for the treatment of jaundice [55]. The use of the whole plant of Andrographis paniculata (Burm.f.) Wall. ex. Nees (hnahkhapui), boiled juice of Ardisia paniculata Roxb. (naunuar), fruits of Averrhoa sp. (theiherawt), boiled roots of Dendrocnide sinuata (Blume) Chew (thakpui), boiled fruit juice of D. indica L. (kawrthindeng), fruit of Hibiscus rosa-sinensis L. (midum pangpar/bangla par), crushed leaves of Inula cappa (Buch.-Ham. ex D. Don) DC. (buarthau), and the aerial parts and roots of Lagerstroemia speciosa (L.) Pers. (chawnpui/thlado) have also been reported to possess efficacy against jaundice [16]. In addition, the twigs of Mallotus roxburghianus Muell. (zawngtenawhlung), juice of the whole plant of Phyllanthus fraternus Webster. (mithisunhlu) [63], decoction of the leaves of Ficus semicordata var. conglomerate (Roxb.) Kurz. (theipui), Hedyotes scandens D. Don, (kelhnamtur/laikingtuibur), and a decoction of the whole plant of Phyllanthus fraternus Webs (mithisunhlu) have been described to be effective against jaundice [35]. The leaves of M. pudica (hlonuar) [38], boiled roots of Bridelia monoica (Lour.) Merr. (phaktel), decoction of the leaves of Ficus semicordata Buch. Ham. ex Sm. (theipui) [14], crushed leaves of Benicasia hisipida (Thumb.) Cogn. (maipawl), decoction of the troot stock of C. longa L. (aieng), decoction of the roots of Dendrocnida sinuate (Blume) (thanpui), decoction of the leaves of Euphorbia royleana Boiss. (chawng), juice of the tender shoot of Musa sp. (changel) and juice of the stem of Saccharum officinarum L. (fu) are also used for the treatment of jaundice [37]. Also, the leaves of Garcinia cowa (dang kha), decoction of the whole plant of M. pudica L. (hlonuar), infusion of the bark and leaves of V. peduncularis wall. Ex Schauer are used to treat jaundice [54, 64]. The decoction of the stem, leaves and roots of Rubus rosifolius Sm. Ex Baker (hmubelbing/chultheihmu) and the young fruits of P. granatum Linn. (theibuhfai/Darjeeling/manding) are also commonly used to cure jaundice [18].
2.11 Gastritis/stomach problem/ulcer
Certain medicinal plants are recommended and used for the treatment and alleviation of gastric problems. Aerial raw parts of Aloe barbadensis var. chinensis Haw. (Aloe vera), decoction of the bark of Aporosa octandra (Buch. Ham. ex D. Don) (chhawntual), Erythrina stricta Roxb. (fartuahpui), Lagerstroemia speciosa (L.) Pers. (thlado/chawnpui), decoction of the leaves of Artemisia indica Willd. (sai), and the bark of Baccaurea ramniflora Lour. (pangkai) are consumed half an hour before food to treat gastritis. The decoction of the bark of Berberis nepalensis (DC.) Spreng. (pualleng), D. pentagyna Roxb. (kaihzawl), Elaegnus caudate Schlecht. ex Momiyama (kel), Erythrina alba Cogn. & Marchal (fartuah par var) and Callicarpa arborea Roxb. (hnahkiah), raw leaves of B. lanceolaria Roxb. (buarze), juice of the pounded leaves of C. papaya L. (thingfanghma), and the juice of Citrus aurantifolia Christm. (nimbu) fruits are consumed in the morning, whereas, a decoction of the root stock of C. longa L. (aieng), root stocks of slices of Curcumorpha longiflora Wall. (ailaidum), decoction of the bark and leaves of Helicia robusta (Roxb.) R. Br. Ex Blume (pasaltakaza), Mallotus philippensis (Lam.) Muell. Arg. (thingkhei), crushed leaves of Lobelia angulate Forst. (choakthi), aerial parts of Mentha arvensis L. (pudina), juice of tender shoots of Musa sp. (changel), decoction of the roots of Osbeckia sikkimensis Craib. (builukham pa), decoction of the stem of Tinospora cordifolia (DC.) Miers. ex. Hook. (theisawntlung), and water poured into the fruit cavity of Zanonia indica L. (lalruanga dawi bur) are commonly used for treating gastric problems and ulcer [37]. The pounded tuberous roots of Smilax glabra Roxb. (tluangngil) is used for stomachache and the decoction of the leaves of Senecio scandens Buch.-Ham ex D. Don (saiekhlo), juice of the pounded leaves, roots and stem of Scoparia dulcis L. (perhpawng chaw/thlum dem dem) and the leaves of Saprosma ternatum (Wall.) Hook.f. (pelhvawm/thinglawhleng) are used for pain relief. The juice of the leaves of Prismatomeris tetrandra (Roxb.) K. Schum. (telenga mai suak), decoction of the whole plant of Picria felterrae Lour. (khatual), and a decoction of the bark and leaves of Picrasma quassiooides (thing damdawi/khawsik damdawi thing/thingpil kha) are consumed for treating stomach ulcer. Powdered adry fruits of Picrasma javanica Blume (thing damdawi/khawsik damdawi thing) is commonly used to treat stomach ache and the decoction of the bark and leaves of Acer oblongum Wall. Ex DC. (thing phingphihlip) and a decoction of the fruits of Aganope thyrsiflora (Benth.) (hulhu) are commonly used for various stomach problems [18].
2.12 Food poisoning/allergy
For food poisoning and allergies, different parts of plants such as roasted root stock of Zingiber officinale Rosc. (sawhthing) and the bark of Parkia roxburghii Roxb. (zawngtah) are chewed while the juice of the leaves of C. papaya L. (thingfanghma) is used to treat meat allergy [37]. Also, the leaves of Trachyspermum roxburghianum (DC) H Wolff (pardi) are consumed as a remedy for food allergy and the pounded fruits of Phyllanthus emblica L. (sunhlu), young leaves and seeds of Parkia timoriana (DC.) Merr. (zawngtah), and a decoction of the bark and leaves of Acer oblongum Wall. Ex DC. (thing phingphihlip) are used to treat food poisoning and allergies [18].
2.13 Cough
A decoction of the bark of Occimum tenuiflorum Linn. (keifang) and roasted root stock of Zingiber officinale Rosc. (sawhthing) are consumed to treat cough [37]. The whole plant of Drymaria cordata (L.) Willd. (changkalrit) is boiled and the steam is inhaled to treat sinusitis and cough [16]. Likewise, the bark of Terminalia crenulate Roth (tuairam), the roots of Sonchus arvensis L. (khuanglawi), and the leaves of Solanum tuberosum Linn. (alu) are used to treat chronic cough. Similarly, Senna occidentalis (L.) Link (rengan), tubers of Pueraria tuberosa (Willd.) DC. (zawng tur/thingba/bul ei) and juice of the pounded leaves of Achyranthes aspera Linn. (bu chhawl/ui hlo) are used to treat cough [18].
2.14 Sore throat
A decoction of the young leaves or root bark of Uncaria sessilifructus Roxb. (ralsamkuai), whole plant of Tithonia diversifolia (Hemsl.) A. Gray (bawngpupar), seed of Syzygium cumini (L.) Skeels (hmuipui/lenhmui), juice of Sonerila maculata Roxb. (thaksenhlo), and an infusion of the fruit pulp of Sapindus mukorossi Gaertn. (hlingsi) are consumed to treat sore throat [18]. Also, the roasted root stock of Zingiber officinale Rosc. (sawhthing), decoction of the bark of O. tenuiflorum Linn. (keifang) [37] and the fruit of Terminalia chebula Retz. (reraw) are consumed to get relief from cough [63].
2.15 Typhoid
The decoction of the leaves of V. peduncularis Wall. ex. Schauer. (thingkhawilu), O. tenuiflorum Linn. (tulsi) and Adina cordifolia Roxb. (lungkhup) are used as medication for typhoid [37].
2.16 Tonsilitis
The tender leaves of Uncaria sessilifructus Roxb. (ralsamkuai) are chewed in case of infection of the tonsils [37]. Also, an infusion of the flowers of Aeschynanthus sikkimensis (C.B. Clarke) Stapf. (bawltehlantai) and water from the boiled leaves of Costus speciosus (Koeing) Smith. (sumbul) is consumed for relief from tonsilitis [63]. In addition, a decoction of the bark of Sterculia villosa Roxb. (khaupui) and decoction of the leaves of Smilax glabra Roxb. (tluangngil) are also used. The decoction of the leaves of Sarcococca pruniformis Lindl. (pawhrual), infusion of the fruit pulp of Sapindus mukorossi Gaertn. (hlingsi) and the seeds of Abelmoschus manihot (L.) Medik. Var. pungens (uichhu me/uichhu hlo) are commonly eaten as a remedy [18].
2.17 Blood pressure
The fruits of Amomum dealbatum Roxb. (aidu), Aporosa octandra (Buch. Ham. ex D. Don) (Chhawntual) and juice of the leaf stalk of Semecarpus anacardium Linn. F. (vawmbal-pui) are consumed to control and lower blood pressure [14]. Also, the raw leaves of Catharanthus roseus Linn. (kumtluang) are often used as a remedy for high blood pressure (63). The flower bud of Trachycarpus martianus(Wall. Ex. Mart.) H. Wendl. (buarpui), bark and leaves of Terminalia arjuna (Roxb. Ex. DC) (changkurmam), the fruits of Solanum incanum Linn. (samtawk), Senna occidentalis (L.) Link (rengan), leaves of Senecio scandens Buch.-Ham ex D. Don (saiekhlo), roots of Rauvolfia serpentine (L.) Benth. Ex Kurz (thisensang damdawi/thingzungkha), decoction of the bark and leaves of Picrasma quassiooides (thing damdawi/khawsik damdawi thing/thingpil kha), infusion of the bitter bark of P. javanica Blume (thing damdawi/khawsik damdawi thing) and tea made from leaves of Passiflora quadrangularis L. (sapthei lian chi) are also commonly consumed to lower high blood pressure [18].
2.18 Antiemetic
The fruits of Annona squamosa L. (Theiarbawm) [14] and the crushed leaf juice of Pratia begonifolia Lindl. (choak thi) are used as a remedy for vomiting [63]. The fruit and leaves of Trichosanthes anguina L. (berul), seeds of Trachyspermum roxburghianum (DC) H Wolff (pardi), Pogostemon cablin (Blanco) Benth. (Patchouli) and the roots and stem of Alangium chinense (Lour.) Harms (arsa rim nam) are often consumed as medication to prevent vomiting [18].
2.19 Antivenin
For venomous snake bites, mature leaves of Antidesma bunius (L.) Spreng. (tuaitit) and the crushed roots of Phyllanthus acidus (L.) Skeels. (kawlsunhlu) are frequently used [14]. T. indica L. (tengtere) seeds are attached to the biting area, while crushed juice of the leaves of Benicasia hisipida (Thumb.) Cogn. (maipawl) and juice of the tender shoots of Musa sp. (changel) are applied on the bitten area [37]. Also, the bark of stem and roots of Wrightia arborea (Dennst) Mabb. (hleng) and the stem of Pogostemon cablin (Blanco) Benth. (Patchouli) are given as an antidote to snake bite. In addition, a decoction of the root, stem and leaves of Tinospora crispa (L.) Hook. F. & Thomson (hruivankai), flowers of Tagetes erecta L. (derhken), fruits of Solanum incanum Linn. (samtawk), crushed fruits of Solanum anguivi Lam. (samtawkte), juice of the leaves of S. dulcis L. (perhpawng chaw/thlum dem dem), roots of Rauvolfia serpentine (L.) Benth. Ex Kurz (thisensang damdawi/thingzungkha), stems of Pothos scandens Linn. (laiking tai rua), decoction of the tender leaves of Acacia pennata (L.) Willd. (khanghu) and leaves of A. pruinescens Kurz (khangpawl) have also been reported to be effective upon external application [18].
2.20 Toothache
For instant relief from toothache, certain plant parts and their fumes are used. Solanum sp. (bawngek hling) fruits are smoked, whereas, the stem of Paedaria foetida L. (vawihuihhrui), aerial parts of Centella asiatica (L.) Urb. (lambak) and the flower of Dendrobium sp. (nauban) are chewed to treat toothache [37]. Also, the whole plant of Solanum incanum Linn. (samtawk/bawkbawnkha) [18], leaves of Lepidagathis rigida Dalz. (vangvat tur) and infusion of the roots of Millettia pachycarpa Benth. (rulei) are used to treat tooth decay while the whole plant of Cynodon dactylon (Linn.) Pers. (phaitual) is inhaled [63]. Likewise, the leaves and flowers of Acmella paniculata (ankasate) are eaten raw to cure toothache [64]. The root bark of Tabernaemontana divaricate (L) R. Br. Ex Roem. & Schult. (pararsi/kelte bengbeh), seeds of Solanum viarum Dunal (at hlo hling/rulpuk), fruit of Solanum incanum Linn. (samtawk), juice of pounded leaves, roots and stem of S. dulcis L. (perhpawng chaw/thlum dem dem), paste of the bark of Psidium guajava Linn. (kawlthei/kawiam/charthei) are applied on the area of toothache. Also, warm water of the cooked leaves of P. major Linn. (kel ba an/tuikuk antam) is retained in the mouth to cure toothache. The fruit, stem and leaves of Physalis angulata L. var. angulata L. (kelasawirawphit/chalpang puak), decoction of the leaves of Osbeckia stellate Buch.-Ham.ex Ker Gawl. (builukham pa), decoction of the roots of Osbeckia crinite Benth. Ex C.B. Clarke (builukham) and the whole plant or flower head of A. oleracea (ansapui/ankasa kir) are chewed to cure toothache [18].
2.21 Kidney problems
A decoction of the aerial parts of Solanum nigrum L. (anhling), S. dulcis L. (perhpawngchaw), decoction of the bark of Saraca asoca Roxb. (mualhawih), leaves of Citrus sinensis (L.) Osbeck (serthlum), roots of Saccharum arundinaceum Retz. (rairuang) and Achyranthes bidentata Blume (vangvat tur/vangvat hlo) are used as a diuretic and to ease urination. A decoction of the roots of O. sikkimensis Craib. (builukham pa), aerial parts of Hedychium spicatum Koenig (kelhnamtur), Jasminum nervosum Lour., (maufimhlo), roots of Oryza sativa L. (buh) and roots of Smilax ovalifolia Roxb. Ex. D. Don (kaihapui) are used to treat urinary complaints and urinary tract infections. For the removal of kidney stones, a decoction of the aerial parts of Costus speciosus (Koenig) J.E. Sm (sumbul), infusion of the bark and leaves of V. peduncularis wall. Ex Schauer (thingkhawilu pa), water from boiled leaves of Solanum nigrum Linn. (anhling), and the juice of the pounded leaves, roots and stem of S. dulcis L. (perhpawng chaw/thlum dem dem) are commonly used. The root of Rotula aquatic Lour. (tuipuisuthlah/tuipuisuthlah) is also used for the removal of bladder stones [37, 18]. An infusion of the whole plant of Begonia inflata Cl. (sekhupthur hmul), decoction of the root and leaf of Desmos chinensis (Lour.) (zunin damdawi) and decoction of the root of O. crinite Benth. Ex C.B. Clarke (builukham) are used to treat painful urination [63].
Similarly, Ardisia macrocarpa Wall. (vahrit thei), bark of Myrica esculenta Buch. Ham. ex D. Don. (keifang), decoction of the leaves of Embelia vestita Roxb. (tling), fruits of Ardisia macrocarpa Wall. (vahrit thei) [14], raw aerial parts of C. asiatica (L.) Urb. (lambak), decoction of the bark of O. tenuiflorum Linn. (keifang) [37], steamed root extract of O. sikkimensis Craib. (builukham pa), infusion of the whole plant of Phyllanthus fraternus Webster. (mithi sunhlu), crushed leaves of Ricinus communis Linn. (mutih), crushed root of Sida acuta Burm. F. (khingkhih), decoction of the roots, stem and leaves of Cissus discolor Blume (sangharhmai), boiled whole plant of Hedyotes scandens Roxb. (laiking tuibur) [63], decoction of the whole plant of M. pudica L. (hlonuar), decoction of the bark of H. robusta (Roxb.) R. Br. Ex Blume. (pasaltakaza), decoction of the whole plant of Plantago asiatica L. (kelbaan) [63], decoction of the roots of Xanthium strumarium L (chabet), leaves of Tagetes erecta L. (derhken), seeds of Syzygium cumini (L.) Skeels (hmuipui/lenhmui), leaves of Stevia rebaudiana (Bertoni) Hemsl. (hnahthlum), Siegesbeckia orientalis Linn. (ansapui suak), roots of S. acuta Burm.f. (khingkhih/valatha), leaves of Pseudognaphalium luteoalbum (L.) (kawhte mei bu), fruits of Actephila excelsa (Dolz) Mull.-Arg. (Telenga mai/pem hlek damdawi), and the leaves of Ageratina adenophora (Spreng.) R. M. King & H. Rob. (Bihar hlo/Nepal tlangsam/tlangsam suak/aieng rim nam) are consumed to cure various kidney and urinary troubles such as urinary insufficiency, and diseases of the urethra [18].
3. Conclusions
Traditional medicine practices continue to thrive in rural India, particularly in the tribal dominant states. Studies that have evaluated their efficacy have revealed positive results, indicating that the traditionally used medicinal plants are capable of healing several ailments. Documenting these traditional practices is the first step towards scientifically evaluating both their efficacy and toxicity. Several medicinal plants that continue to be used in traditional medicine still await their scientific validation. Hence, similar studies to document these practices needs to be executed which will not only prevent an age-old tradition from becoming extinct but could also lead to the discovery of new drugs.
Acknowledgments
The authors acknowledge the support rendered by Dr. K. Lalchhandama, Associate Professor and Head, Department of Zoology, Pachhunga University College in carrying out this study. The authors also wish to thank Dr. B. Lalruatfela, Assistant Professor, Lalbiakngheti Tlau, Lucy Lalawmpuii and Charles Lalnunfela from the Department of Zoology, Pachhunga University College, Aizawl, Mizoram for their support in gathering the information.
Conflict of interest
The authors declare no conflict of interest.
\n',keywords:"medicinal plants, Mizoram, traditional medicines, traditional practices",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/77290.pdf",chapterXML:"https://mts.intechopen.com/source/xml/77290.xml",downloadPdfUrl:"/chapter/pdf-download/77290",previewPdfUrl:"/chapter/pdf-preview/77290",totalDownloads:220,totalViews:0,totalCrossrefCites:0,dateSubmitted:"January 31st 2021",dateReviewed:"June 4th 2021",datePrePublished:"June 23rd 2021",datePublished:"May 11th 2022",dateFinished:"June 23rd 2021",readingETA:"0",abstract:"Traditional medicine is the sole method of treatment in rural India even today. Several communities practice their traditional method of treatment and are not affected by the advances in modern medicine. The tribal communities prefer to use and consult their own traditional practitioners since these are easily available, accessible and cheap. It is also believed that these are free of side effects and very effective. The Mizos of the north-eastern state of India (Mizoram), use several plants to treat various ailments. Their practices are unique and are usually carried out by elderly persons of the community or traditional healers. Several plants used in their traditional medicine have been scientifically validated for their efficacy and toxicity studies. However, a large number still awaits identification and efficacy validations. This manuscript describes both the studied and untouched medicinal plants used in the traditional medicine system of the Mizos of Mizoram. Although, several other remedies are yet to be discovered, this study has described most of them in current use.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/77290",risUrl:"/chapter/ris/77290",signatures:"Amar Deep Soren and Pawi Bawitlung Lalthanpuii",book:{id:"11752",type:"book",title:"Natural Drugs from Plants",subtitle:null,fullTitle:"Natural Drugs from Plants",slug:"natural-drugs-from-plants",publishedDate:"May 11th 2022",bookSignature:"Hany A. El-Shemy",coverURL:"https://cdn.intechopen.com/books/images_new/11752.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",isbn:"978-1-80356-021-2",printIsbn:"978-1-80356-020-5",pdfIsbn:"978-1-80356-022-9",isAvailableForWebshopOrdering:!0,editors:[{id:"54719",title:"Prof.",name:"Hany",middleName:null,surname:"El-Shemy",slug:"hany-el-shemy",fullName:"Hany El-Shemy"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"343039",title:"Dr.",name:"Amar Deep",middleName:null,surname:"Soren",fullName:"Amar Deep Soren",slug:"amar-deep-soren",email:"amar4deep@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"346740",title:"Dr.",name:"Pawi Bawitlung",middleName:null,surname:"Lalthanpuii",fullName:"Pawi Bawitlung Lalthanpuii",slug:"pawi-bawitlung-lalthanpuii",email:"pbmapuii@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Medicinal plants used in the traditional medicine system",level:"1"},{id:"sec_2_2",title:"2.1 Parasitic infections",level:"2"},{id:"sec_3_2",title:"2.2 Diarrhea",level:"2"},{id:"sec_4_2",title:"2.3 Skin diseases",level:"2"},{id:"sec_5_2",title:"2.4 Diabetes",level:"2"},{id:"sec_6_2",title:"2.5 Cancer",level:"2"},{id:"sec_7_2",title:"2.6 Malaria",level:"2"},{id:"sec_8_2",title:"2.7 Fungal infections",level:"2"},{id:"sec_9_2",title:"2.8 Measles",level:"2"},{id:"sec_10_2",title:"2.9 Chicken pox",level:"2"},{id:"sec_11_2",title:"2.10 Jaundice",level:"2"},{id:"sec_12_2",title:"2.11 Gastritis/stomach problem/ulcer",level:"2"},{id:"sec_13_2",title:"2.12 Food poisoning/allergy",level:"2"},{id:"sec_14_2",title:"2.13 Cough",level:"2"},{id:"sec_15_2",title:"2.14 Sore throat",level:"2"},{id:"sec_16_2",title:"2.15 Typhoid",level:"2"},{id:"sec_17_2",title:"2.16 Tonsilitis",level:"2"},{id:"sec_18_2",title:"2.17 Blood pressure",level:"2"},{id:"sec_19_2",title:"2.18 Antiemetic",level:"2"},{id:"sec_20_2",title:"2.19 Antivenin",level:"2"},{id:"sec_21_2",title:"2.20 Toothache",level:"2"},{id:"sec_22_2",title:"2.21 Kidney problems",level:"2"},{id:"sec_24",title:"3. Conclusions",level:"1"},{id:"sec_25",title:"Acknowledgments",level:"1"},{id:"sec_28",title:"Conflict of interest",level:"1"}],chapterReferences:[{id:"B1",body:'Sofowora A, Ogunbodede E, Onayade A. The role and place of medicinal plants in the strategies for disease prevention. African Journal of Traditional, Complementary and Alternative Medicines. 2013;10(5):210-229. DOI: 10.4314/ajtcam.v10i5.2'},{id:"B2",body:'Taylor D. The pharmaceutical industry and the future of drug development. In: Taylor D editor. Pharmaceuticals in the Environment. 2015. p. 1-33. DOI: 10.1039/9781782622345-00001'},{id:"B3",body:'WHO global report on traditional and complementary medicine [Internet]. 2019. Available from: https://www.who.int/traditional-complementary-integrative medicine/WhoGlobalReportOnTraditionalAndComplementaryMedicine2019.pdf [Accessed 2020-01-1]'},{id:"B4",body:'Fokunang CN, Ndikum V, Tabi OY, Jiofack RB, Ngameni B, Guedje NM, Tembe-Fokunang EA, Tomkins P, Barkwan S, Kechia F, Asongalem E, Ngoupayou J, Torimiro NJ, Gonsu KH, Sielinou V, Ngadjui BT, Angwafor III F, Nkongmeneck A, Abena OM, Ngogang J, Asonganyi T, Colizzi V, Lohoue J, Kamsu-Kom. Traditional medicine: past, present and future research and development prospects and integration in the National Health System of Cameroon. African Journal of Traditional, Complementary and Alternative Medicines. 2011;8(3):284-295. DOI: 10.4314/ajtcam.v8i3.65276'},{id:"B5",body:'Perry B, Gesler W. Physical access to primary health care in Andean Bolivia. Social Science and Medicine. 2000;50(9):1177-1188. DOI: 10.1016/S0277-9536(99)00364-0'},{id:"B6",body:'Pandey MM, Rastogi S, Rawat AKS. Indian traditional ayurvedic system of medicine and nutritional supplementation. Evidence-Based Complementary and Alternative Medicine. 2013; 2013(2): 376327. DOI: 10.1155/2013/376327'},{id:"B7",body:'Nilsson K, Sangster M, Gallis C, Hartig T, De Vries S, Seeland K, Schipperijn J. Forests, trees and human health. Springer; 2010. DOI: 10.1007/978-90-481-9806-1'},{id:"B8",body:'Lalthanzara H, Lalthanpuii PB. Traditional fishing methods in rivers and streams of Mizoram, north-east India. Science vision. 2009;9(4):188-194.'},{id:"B9",body:'Roy A, Das SK, Tripathi AK, Singh NU, Barman HK. Biodiversity in North East India and their conservation. Progressive Agriculture. 2015;15(2):182-189. DOI: 10.5958/0976-4615.2015.00005.8'},{id:"B10",body:'Debbarma M, Pala NA, Kumar M, Bussmann RW. Traditional knowledge of medicinal plants in tribes of Tripura in northeast, India. African Journal of Traditional, Complementary and Alternative Medicines. 2017;14(4):156-168. 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Gharieb"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10903",title:"Genetically Modified Plants and Beyond",subtitle:null,isOpenForSubmission:!1,hash:"4d7ed4faab99c92cd4d676dc86501df9",slug:"genetically-modified-plants-and-beyond",bookSignature:"Idah Sithole Niang",coverURL:"https://cdn.intechopen.com/books/images_new/10903.jpg",editedByType:"Edited by",publishedDate:"May 18th 2022",editors:[{id:"90172",title:"Prof.",name:"Idah",middleName:null,surname:"Sithole-Niang",slug:"idah-sithole-niang",fullName:"Idah Sithole-Niang"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10904",title:"Fusarium",subtitle:"An Overview of the Genus",isOpenForSubmission:!1,hash:"49d9063e43f94bd1517d65fbc58b93c3",slug:"fusarium-an-overview-of-the-genus",bookSignature:"Seyed Mahyar Mirmajlessi",coverURL:"https://cdn.intechopen.com/books/images_new/10904.jpg",editedByType:"Edited by",publishedDate:"May 18th 2022",editors:[{id:"100573",title:"Dr.",name:"Seyed Mahyar",middleName:null,surname:"Mirmajlessi",slug:"seyed-mahyar-mirmajlessi",fullName:"Seyed Mahyar Mirmajlessi"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10654",title:"Brain-Computer Interface",subtitle:null,isOpenForSubmission:!1,hash:"a5308884068cc53ed31c6baba756857f",slug:"brain-computer-interface",bookSignature:"Vahid Asadpour",coverURL:"https://cdn.intechopen.com/books/images_new/10654.jpg",editedByType:"Edited by",publishedDate:"May 18th 2022",editors:[{id:"165328",title:"Dr.",name:"Vahid",middleName:null,surname:"Asadpour",slug:"vahid-asadpour",fullName:"Vahid Asadpour"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10676",title:"Recent Applications in Graph Theory",subtitle:null,isOpenForSubmission:!1,hash:"900c60742d224080732bd16bd25ccba8",slug:"recent-applications-in-graph-theory",bookSignature:"Harun Pirim",coverURL:"https://cdn.intechopen.com/books/images_new/10676.jpg",editedByType:"Edited by",publishedDate:"May 18th 2022",editors:[{id:"146092",title:"Dr.",name:"Harun",middleName:null,surname:"Pirim",slug:"harun-pirim",fullName:"Harun Pirim"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11196",title:"New Updates in E-Learning",subtitle:null,isOpenForSubmission:!1,hash:"6afaadf68e2a0a4b370ac5ceb5ca89c6",slug:"new-updates-in-e-learning",bookSignature:"Eduard Babulak",coverURL:"https://cdn.intechopen.com/books/images_new/11196.jpg",editedByType:"Edited by",publishedDate:"May 18th 2022",editors:[{id:"10086",title:"Prof.",name:"Eduard",middleName:null,surname:"Babulak",slug:"eduard-babulak",fullName:"Eduard Babulak"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9974",title:"E-Learning and Digital Education in the Twenty-First Century",subtitle:null,isOpenForSubmission:!1,hash:"88b58d66e975df20425fc1dfd22d53aa",slug:"e-learning-and-digital-education-in-the-twenty-first-century",bookSignature:"M. Mahruf C. Shohel",coverURL:"https://cdn.intechopen.com/books/images_new/9974.jpg",editedByType:"Edited by",publishedDate:"May 18th 2022",editors:[{id:"94099",title:"Dr.",name:"M. Mahruf C.",middleName:null,surname:"Shohel",slug:"m.-mahruf-c.-shohel",fullName:"M. Mahruf C. Shohel"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},subject:{topic:{id:"1005",title:"Clinical Pathology",slug:"clinical-pathology",parent:{id:"176",title:"Diagnostics",slug:"diagnostics"},numberOfBooks:4,numberOfSeries:0,numberOfAuthorsAndEditors:123,numberOfWosCitations:43,numberOfCrossrefCitations:23,numberOfDimensionsCitations:56,videoUrl:null,fallbackUrl:null,description:null},booksByTopicFilter:{topicId:"1005",sort:"-publishedDate",limit:12,offset:0},booksByTopicCollection:[{type:"book",id:"9046",title:"Amyloidosis",subtitle:"History and Perspectives",isOpenForSubmission:!1,hash:"371a4ad514bb6d6703406741702a19d0",slug:"amyloidosis-history-and-perspectives",bookSignature:"Jonathan S. Harrison",coverURL:"https://cdn.intechopen.com/books/images_new/9046.jpg",editedByType:"Edited by",editors:[{id:"340843",title:"Dr.",name:"Jonathan S.",middleName:"Scott",surname:"Harrison",slug:"jonathan-s.-harrison",fullName:"Jonathan S. Harrison"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10119",title:"Biomarkers and Bioanalysis Overview",subtitle:null,isOpenForSubmission:!1,hash:"dd70071c0bb32eeedab08909509b1312",slug:"biomarkers-and-bioanalysis-overview",bookSignature:"Ane Claudia Fernandes Nunes",coverURL:"https://cdn.intechopen.com/books/images_new/10119.jpg",editedByType:"Edited by",editors:[{id:"55270",title:"Prof.",name:"Ane",middleName:null,surname:"Claudia Fernandes Nunes",slug:"ane-claudia-fernandes-nunes",fullName:"Ane Claudia Fernandes Nunes"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7905",title:"Saliva and Salivary Diagnostics",subtitle:null,isOpenForSubmission:!1,hash:"ae7cd7860043968aa88daae89795a591",slug:"saliva-and-salivary-diagnostics",bookSignature:"Sridharan Gokul",coverURL:"https://cdn.intechopen.com/books/images_new/7905.jpg",editedByType:"Edited by",editors:[{id:"82453",title:"Dr.",name:"Gokul",middleName:null,surname:"Sridharan",slug:"gokul-sridharan",fullName:"Gokul Sridharan"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1959",title:"Biomarker",subtitle:null,isOpenForSubmission:!1,hash:"3fa6155a28277c6ce2e169f338c9bbcf",slug:"biomarker",bookSignature:"Tapan Kumar Khan",coverURL:"https://cdn.intechopen.com/books/images_new/1959.jpg",editedByType:"Edited by",editors:[{id:"113568",title:"Prof.",name:"Tapan",middleName:"Kumar",surname:"Khan",slug:"tapan-khan",fullName:"Tapan Khan"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:4,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"36390",doi:"10.5772/38822",title:"Potential Muscle Biomarkers of Chronic Myalgia in Humans - A Systematic Review of Microdialysis Studies",slug:"potential-muscle-biomarkers-of-chronic-myalgia-in-humans-a-systematic-review-of-microdialysis-studie",totalDownloads:1928,totalCrossrefCites:8,totalDimensionsCites:16,abstract:null,book:{id:"1959",slug:"biomarker",title:"Biomarker",fullTitle:"Biomarker"},signatures:"Björn Gerdle and Britt Larsson",authors:[{id:"119711",title:"Prof.",name:"Bjorn",middleName:null,surname:"Gerdle",slug:"bjorn-gerdle",fullName:"Bjorn Gerdle"},{id:"138423",title:"Prof.",name:"Britt",middleName:null,surname:"Larsson",slug:"britt-larsson",fullName:"Britt Larsson"}]},{id:"36394",doi:"10.5772/36750",title:"8-Nitroguanine, a Potential Biomarker to Evaluate the Risk of Inflammation-Related Carcinogenesis",slug:"8-nitroguanine-a-potential-biomarker-to-evaluate-the-risk-of-inflammation-related-carcinogenesis",totalDownloads:2242,totalCrossrefCites:2,totalDimensionsCites:8,abstract:null,book:{id:"1959",slug:"biomarker",title:"Biomarker",fullTitle:"Biomarker"},signatures:"Ning Ma, Mariko Murata, Shiho Ohnishi, Raynoo Thanan, Yusuke Hiraku and Shosuke Kawanishi",authors:[{id:"71918",title:"Dr.",name:"Yusuke",middleName:null,surname:"Hiraku",slug:"yusuke-hiraku",fullName:"Yusuke Hiraku"},{id:"109629",title:"Prof.",name:"Ning",middleName:null,surname:"Ma",slug:"ning-ma",fullName:"Ning Ma"},{id:"120432",title:"Dr.",name:"Shiho",middleName:null,surname:"Ohnishi",slug:"shiho-ohnishi",fullName:"Shiho Ohnishi"},{id:"120433",title:"Prof.",name:"Mariko",middleName:null,surname:"Murata",slug:"mariko-murata",fullName:"Mariko Murata"},{id:"120434",title:"Prof.",name:"Shosuke",middleName:null,surname:"Kawanishi",slug:"shosuke-kawanishi",fullName:"Shosuke Kawanishi"},{id:"121961",title:"Dr.",name:"Raynoo",middleName:null,surname:"Thanan",slug:"raynoo-thanan",fullName:"Raynoo Thanan"}]},{id:"36386",doi:"10.5772/38754",title:"Epigenetics in Cancer: The Myelodysplastic Syndrome as a Model to Study Epigenetic Alterations as Diagnostic and Prognostic Biomarkers",slug:"epigenetics-in-cancer-the-myelodysplastic-syndrome-as-a-model-to-study-epigenetic-alterations-as-dia",totalDownloads:2463,totalCrossrefCites:0,totalDimensionsCites:4,abstract:null,book:{id:"1959",slug:"biomarker",title:"Biomarker",fullTitle:"Biomarker"},signatures:"Teresa de Souza Fernandez, André Mencalha and Cecília de Souza Fernandez",authors:[{id:"119189",title:"Dr.",name:"Teresa",middleName:null,surname:"De Souza Fernandez",slug:"teresa-de-souza-fernandez",fullName:"Teresa De Souza Fernandez"},{id:"119870",title:"Dr.",name:"André",middleName:null,surname:"Mencalha",slug:"andre-mencalha",fullName:"André Mencalha"},{id:"119871",title:"Prof.",name:"Cecilia",middleName:null,surname:"De Souza Fernandez",slug:"cecilia-de-souza-fernandez",fullName:"Cecilia De Souza Fernandez"}]},{id:"66416",doi:"10.5772/intechopen.84722",title:"Salivary Diagnostics",slug:"salivary-diagnostics-1",totalDownloads:1028,totalCrossrefCites:2,totalDimensionsCites:4,abstract:"Saliva is one of the most ideal diagnostic tools. It is inexpensive, noninvasive, and easy to use. Other advantages like ease of collection and minimal patient discomfort make it more acceptable to the patient as well as the clinician. The most challenging aspect in salivary diagnostics is to identify the biomarker that is linked to a disease. Researches are also ongoing to develop a device that can have reliable and valid clinical applications. This chapter briefly discusses the background and current scope of salivary diagnostics, technologies for the discovery of biomarkers along with a summary of salivary sample collection, and processing methods.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Varsha Pathiyil and Rahul Udayasankar",authors:[{id:"281226",title:"Dr.",name:"Varsha",middleName:null,surname:"Pathiyil",slug:"varsha-pathiyil",fullName:"Varsha Pathiyil"},{id:"290603",title:"Dr.",name:"Rahul",middleName:null,surname:"Udayasankar",slug:"rahul-udayasankar",fullName:"Rahul Udayasankar"}]},{id:"36392",doi:"10.5772/36793",title:"Biomarkers and Therapeutic Drug Monitoring in Psychiatry",slug:"biomarkers-and-therapeutic-drug-monitoring-in-psychiatry",totalDownloads:1947,totalCrossrefCites:1,totalDimensionsCites:4,abstract:null,book:{id:"1959",slug:"biomarker",title:"Biomarker",fullTitle:"Biomarker"},signatures:"R. Lozano, R. Marin, A. Pascual, MJ. Santacruz, A. Lozano and F. Sebastian",authors:[{id:"109838",title:"Dr.",name:"Roberto",middleName:null,surname:"Lozano Ortiz",slug:"roberto-lozano-ortiz",fullName:"Roberto Lozano Ortiz"},{id:"115991",title:"Dr.",name:"Reyes",middleName:null,surname:"Marin",slug:"reyes-marin",fullName:"Reyes Marin"},{id:"115992",title:"Dr.",name:"Asuncion",middleName:null,surname:"Pascual",slug:"asuncion-pascual",fullName:"Asuncion Pascual"},{id:"115993",title:"Ms.",name:"Francisca",middleName:null,surname:"Sebastian",slug:"francisca-sebastian",fullName:"Francisca Sebastian"},{id:"115994",title:"Ms.",name:"Maria Jesus",middleName:null,surname:"Santacruz",slug:"maria-jesus-santacruz",fullName:"Maria Jesus Santacruz"}]}],mostDownloadedChaptersLast30Days:[{id:"72837",title:"The Na/K-ATPase Signaling Regulates Natriuresis in Renal Proximal Tubule",slug:"the-na-k-atpase-signaling-regulates-natriuresis-in-renal-proximal-tubule",totalDownloads:516,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"For decades, the Na/K-ATPase has been proposed and recognized as one of the targets for the regulation of renal salt handling. While direct inhibition of the Na/K-ATPase ion transport activity and sodium reabsorption was the focus, the underlying mechanism is not well understood since decreases in basolateral Na/K-ATPase activity alone do not appear sufficient to decrease net sodium reabsorption across the renal tubular epithelium. The newly appreciated signaling function of Na/K-ATPase, which can be regulated by Na/K-ATPase ligands (cardiotonic steroids (CTS)) and reactive oxygen species (ROS), has been widely confirmed and provides a mechanistic framework for natriuresis regulation in renal proximal tubule (RPT). The focus of this review aims to understand, in renal proximal tubule, how the activation of Na/K-ATPase signaling function, either by CTS or ROS, stimulates a coordinated reduction of cell surface Na/K-ATPase and sodium/hydrogen exchanger isoform 3 (NHE3) that leads to ultimately decreases in net transcellular sodium transport/reabsorption.",book:{id:"10119",slug:"biomarkers-and-bioanalysis-overview",title:"Biomarkers and Bioanalysis Overview",fullTitle:"Biomarkers and Bioanalysis Overview"},signatures:"Jiang Liu, Yanling Yan and Joseph I. Shapiro",authors:[{id:"69199",title:"Dr.",name:"Joseph",middleName:"Isaac",surname:"Shapiro",slug:"joseph-shapiro",fullName:"Joseph Shapiro"},{id:"313470",title:"Associate Prof.",name:"Jiang",middleName:null,surname:"Liu",slug:"jiang-liu",fullName:"Jiang Liu"},{id:"314323",title:"Dr.",name:"Yanling",middleName:null,surname:"Yan",slug:"yanling-yan",fullName:"Yanling Yan"}]},{id:"66233",title:"Functions of Saliva",slug:"functions-of-saliva",totalDownloads:2e3,totalCrossrefCites:2,totalDimensionsCites:3,abstract:"Saliva is produced and secreted by salivary glands. The basic secretary units of salivary glands are clusters of acini cells. It is fluid that contains water, electrolytes, mucus, and enzymes, all of which flow out of the acinus into collecting ducts, certainly one of the most important components and an integral component to oral health. The protective role and benefits including buffering, remineralization in the healthy oral mucosa, immune defense, digestion, lubrication, diagnostic purpose, and proteome analysis are fulfilled by saliva. It aids in maintaining mucosal integrity and indigestion through salivary enzymes. The functions of saliva in maintaining oral health and the main factors that cause alterations in salivary secretion and the importance of saliva in caries development and bacterial plaque formation are discussed, and also its role and functions and organic and inorganic constituents in saliva are discussed. This is of great importance in ruminants, which have non-secretory forestomachs. Diseases of the salivary glands and ducts are not uncommon in animals and man, and excessive salivation is a symptom of almost any lesions in the oral cavity.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Narendra Maddu",authors:[{id:"272889",title:"Dr.",name:"Narendra",middleName:null,surname:"Maddu",slug:"narendra-maddu",fullName:"Narendra Maddu"}]},{id:"67237",title:"Advantages of Salivary DNA in Human Identification",slug:"advantages-of-salivary-dna-in-human-identification",totalDownloads:785,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Since two and a half decades, in human identification, the short tandem repeat (STR) markers represent the “gold standard.” Besides them, haploid markers such as X-STR and Y-STR are also used to complement the autosomal markers. In human identification, DNA from body fluids, especially saliva, represents an important tool. The aim of this chapter is to present the importance of analyzing X-STR markers in a relatedness case between a sister and her presumptive brother, a carbonized victim using body fluids for their DNA identification. Our laboratory had to establish the relatedness between a woman and her presumptive brother (PB), who was the victim of a car accident explosion. In this case, as reference sample we used saliva collected on swabs from the woman and blood sample from the deceased victim. For the DNA extraction, DNA IQ Casework (Promega, USA) was used. DNA quantification was done with PowerQuant System kit (Promega, USA). Furthermore, the DNA samples were amplified with Investigator 24plex QS (Qiagen, Germany) for the STR markers and Investigator Argus 12-X QS kit (Qiagen, Germany) for the X-STR markers. The amplified DNA products were separated by capillary electrophoresis on a 3500 Genetic Analyzer. In this case, full genetic profiles were obtained for the woman and her presumptive brother on both STR and X-STR markers. Thus, we could confirm a full sibling relationship between them. Since the introduction of DNA in human identification, it represents a useful tool in establishing sibling relationship from different biological samples.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Raluca Dumache, Veronica Ciocan, Camelia Muresan, Ramona Parvanescu and Alexandra Enache",authors:[{id:"179199",title:"Dr.",name:"Raluca",middleName:null,surname:"Dumache",slug:"raluca-dumache",fullName:"Raluca Dumache"},{id:"181860",title:"Prof.",name:"Alexandra",middleName:null,surname:"Enache",slug:"alexandra-enache",fullName:"Alexandra Enache"},{id:"195502",title:"Dr.",name:"Veronica",middleName:null,surname:"Ciocan",slug:"veronica-ciocan",fullName:"Veronica Ciocan"},{id:"298285",title:"Dr.",name:"Camelia",middleName:null,surname:"Muresan",slug:"camelia-muresan",fullName:"Camelia Muresan"},{id:"298644",title:"Dr.",name:"Ramona",middleName:null,surname:"Parvanescu",slug:"ramona-parvanescu",fullName:"Ramona Parvanescu"}]},{id:"67299",title:"Salivary Diagnostics in Oral Diseases",slug:"salivary-diagnostics-in-oral-diseases",totalDownloads:1123,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Common oral diseases like dental caries, periodontal diseases and oral cancer have major impact on quality of life. For prevention, treatment and prognosis, it is essential to measure the disease objectively and accurately in a quantitative manner. Quantification of biochemical or molecular specific products of cancers in serum or localized body juices can be one of the current methods of measuring oral diseases objectively. Salivary diagnostics has influenced several researchers and has been verified as an important tool in the diagnosis of many systemic conditions and prognosis of the disease. Developments in the field of molecular biology, salivary genomics and proteomics have directed to the detection of novel molecular markers for oral disease diagnosis, therapeutics and prognosis.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Manohar Bhat and Devikripa Bhat",authors:[{id:"280750",title:"Dr.",name:"Manohara",middleName:null,surname:"Bhat",slug:"manohara-bhat",fullName:"Manohara Bhat"},{id:"296530",title:"Dr.",name:"Devikripa",middleName:null,surname:"Bhat",slug:"devikripa-bhat",fullName:"Devikripa Bhat"}]},{id:"80105",title:"Diagnosis of Amyloidosis: From History to Current Tools",slug:"diagnosis-of-amyloidosis-from-history-to-current-tools",totalDownloads:91,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The term amyloid encompasses a large variety of misfolded proteins with varying amino acids unified by the antiparallel beta-pleated sheet configuration and characteristic Congo red staining. The etiology of these proteins is equally varied, ranging from neoplastic plasma cell disorder, hereditary causes to inflammatory disorders. The protean clinical manifestation makes a high index of clinical suspicion the first crucial step in the diagnosis. A battery of investigations needs to be carried out for a complete diagnosis of amyloidosis and its underlying etiology. Biopsy with Congo red staining constitutes the most important modality for confirmation of amyloid. For further testing, varying modalities with increasing complexity, such as immunohistochemistry, electron microscopy, and mass spectrometry, need to be employed. We discuss, in the course of the current chapter, this fascinating protein from a clinical diagnosis perspective. 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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"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"24",title:"Sustainable Development",doi:"10.5772/intechopen.100361",issn:null,scope:"
\r\n\tTransforming our World: the 2030 Agenda for Sustainable Development endorsed by United Nations and 193 Member States, came into effect on Jan 1, 2016, to guide decision making and actions to the year 2030 and beyond. Central to this Agenda are 17 Goals, 169 associated targets and over 230 indicators that are reviewed annually. The vision envisaged in the implementation of the SDGs is centered on the five Ps: People, Planet, Prosperity, Peace and Partnership. This call for renewed focused efforts ensure we have a safe and healthy planet for current and future generations.
\r\n
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\r\n
\r\n\tThis Series focuses on covering research and applied research involving the five Ps through the following topics:
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\r\n\t1. Sustainable Economy and Fair Society that relates to SDG 1 on No Poverty, SDG 2 on Zero Hunger, SDG 8 on Decent Work and Economic Growth, SDG 10 on Reduced Inequalities, SDG 12 on Responsible Consumption and Production, and SDG 17 Partnership for the Goals
\r\n
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\r\n\t2. Health and Wellbeing focusing on SDG 3 on Good Health and Wellbeing and SDG 6 on Clean Water and Sanitation
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\r\n\t
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\r\n\t3. Inclusivity and Social Equality involving SDG 4 on Quality Education, SDG 5 on Gender Equality, and SDG 16 on Peace, Justice and Strong Institutions
\r\n
\r\n\t
\r\n
\r\n\t4. Climate Change and Environmental Sustainability comprising SDG 13 on Climate Action, SDG 14 on Life Below Water, and SDG 15 on Life on Land
\r\n
\r\n\t
\r\n
\r\n\t5. Urban Planning and Environmental Management embracing SDG 7 on Affordable Clean Energy, SDG 9 on Industry, Innovation and Infrastructure, and SDG 11 on Sustainable Cities and Communities.
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\r\n\tThe series also seeks to support the use of cross cutting SDGs, as many of the goals listed above, targets and indicators are all interconnected to impact our lives and the decisions we make on a daily basis, making them impossible to tie to a single topic.
",coverUrl:"https://cdn.intechopen.com/series/covers/24.jpg",latestPublicationDate:"May 19th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:0,editor:{id:"262440",title:"Prof.",name:"Usha",middleName:null,surname:"Iyer-Raniga",slug:"usha-iyer-raniga",fullName:"Usha Iyer-Raniga",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRYSXQA4/Profile_Picture_2022-02-28T13:55:36.jpeg",biography:"Usha Iyer-Raniga is a professor in the School of Property and Construction Management at RMIT University. Usha co-leads the One Planet Network’s Sustainable Buildings and Construction Programme (SBC), a United Nations 10 Year Framework of Programmes on Sustainable Consumption and Production (UN 10FYP SCP) aligned with Sustainable Development Goal 12. The work also directly impacts SDG 11 on Sustainable Cities and Communities. She completed her undergraduate degree as an architect before obtaining her Masters degree from Canada and her Doctorate in Australia. Usha has been a keynote speaker as well as an invited speaker at national and international conferences, seminars and workshops. Her teaching experience includes teaching in Asian countries. She has advised Austrade, APEC, national, state and local governments. She serves as a reviewer and a member of the scientific committee for national and international refereed journals and refereed conferences. She is on the editorial board for refereed journals and has worked on Special Issues. Usha has served and continues to serve on the Boards of several not-for-profit organisations and she has also served as panel judge for a number of awards including the Premiers Sustainability Award in Victoria and the International Green Gown Awards. Usha has published over 100 publications, including research and consulting reports. Her publications cover a wide range of scientific and technical research publications that include edited books, book chapters, refereed journals, refereed conference papers and reports for local, state and federal government clients. She has also produced podcasts for various organisations and participated in media interviews. She has received state, national and international funding worth over USD $25 million. Usha has been awarded the Quarterly Franklin Membership by London Journals Press (UK). Her biography has been included in the Marquis Who's Who in the World® 2018, 2016 (33rd Edition), along with approximately 55,000 of the most accomplished men and women from around the world, including luminaries as U.N. Secretary-General Ban Ki-moon. 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She serves as an Associate Editor for the International Journal of the Analytic Hierarchy Process. She is a member of AHP Academy and a member of several editorial boards. 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Her focus is on quality, innovation, leadership, and personalised learning. She works primarily at the strategic and policy levels, both nationally and internationally, and with key international organisations. She is committed to promoting and improving OFDL in the context of SDG4 and the future of education. Ossiannilsson has more than 20 years of experience in her current field, but more than 40 years in the education sector. She works as a reviewer and expert for the European Commission and collaborates with the Joint Research Centre for Quality in Open Education. Ossiannilsson also collaborates with ITCILO and ICoBC (International Council on Badges and Credentials). She is a member of the ICDE Board of Directors and has previously served on the boards of EDEN and EUCEN. Ossiannilsson is a quality expert and reviewer for ICDE, EDEN and the EADTU. She chairs the ICDE OER Advocacy Committee and is a member of the ICDE Quality Network. She is regularly invited as a keynote speaker at conferences. She is a guest editor for several special issues and a member of the editorial board of several scientific journals. She has published more than 200 articles and is currently working on book projects in the field of OFDL. Ossiannilsson is a visiting professor at several international universities and was recently appointed Professor and Research Fellow at Victoria University of Wellington, NZ. Ossiannilsson has been awarded the following fellowships: EDEN Fellows, EDEN Council of Fellows, and Open Education Europe. She is a ICDE OER Ambassador, Open Education Europe Ambassador, GIZ Ambassador for Quality in Digital Learning, and part of the Globe-Community of Digital Learning and Champion of SPARC Europe. On a national level, she is a quality developer at the Swedish Institute for Standards (SIS) and for ISO. She is a member of the Digital Skills and Jobs Coalition Sweden and Vice President of the Swedish Association for Distance Education. She is currently working on a government initiative on quality in distance education at the National Council for Higher Education. She holds a Ph.D. from the University of Oulu, Finland.',institutionString:"Swedish Association for Distance Education, Sweden",institution:null},editorTwo:null,editorThree:null},{id:"94",title:"Climate Change and Environmental Sustainability",coverUrl:"https://cdn.intechopen.com/series_topics/covers/94.jpg",isOpenForSubmission:!1,annualVolume:null,editor:null,editorTwo:null,editorThree:null},{id:"95",title:"Urban Planning and Environmental Management",coverUrl:"https://cdn.intechopen.com/series_topics/covers/95.jpg",isOpenForSubmission:!0,annualVolume:11979,editor:{id:"181079",title:"Dr.",name:"Christoph",middleName:null,surname:"Lüthi",slug:"christoph-luthi",fullName:"Christoph Lüthi",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRHSqQAO/Profile_Picture_2022-04-12T15:51:33.png",biography:"Dr. Christoph Lüthi is an urban infrastructure planner with over 25 years of experience in planning and design of urban infrastructure in middle and low-income countries. 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He collaborates with the Environmental Resources Analysis Research Group (ARAM), University of Extremadura (UEx), Spain; VALORIZA - Research Center for the Enhancement of Endogenous Resources, Polytechnic Institute of Portalegre (IPP), Portugal; Centre for Tourism Research, Development and Innovation (CITUR), Madeira, Portugal; and AQUAGEO Research Group, University of Campinas (UNICAMP), Brazil.",institutionString:"University of Johannesburg, South Africa and WSB University, Poland",institution:{name:"University of Johannesburg",institutionURL:null,country:{name:"South Africa"}}},editorThree:null}]},overviewPageOFChapters:{paginationCount:0,paginationItems:[]},overviewPagePublishedBooks:{paginationCount:1,paginationItems:[{type:"book",id:"10843",title:"Persistent Organic Pollutants (POPs)",subtitle:"Monitoring, Impact and Treatment",coverURL:"https://cdn.intechopen.com/books/images_new/10843.jpg",slug:"persistent-organic-pollutants-pops-monitoring-impact-and-treatment",publishedDate:"April 13th 2022",editedByType:"Edited by",bookSignature:"Mohamed Nageeb Rashed",hash:"f5b1589f0a990b6114fef2dadc735dd9",volumeInSeries:1,fullTitle:"Persistent Organic Pollutants (POPs) - Monitoring, Impact and Treatment",editors:[{id:"63465",title:"Prof.",name:"Mohamed Nageeb",middleName:null,surname:"Rashed",slug:"mohamed-nageeb-rashed",fullName:"Mohamed Nageeb Rashed",profilePictureURL:"https://mts.intechopen.com/storage/users/63465/images/system/63465.gif",biography:"Prof. Mohamed Nageeb Rashed is Professor of Analytical and Environmental Chemistry and former vice-dean for environmental affairs, Faculty of Science, Aswan University, Egypt. 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He has published about ninety scientific papers in peer-reviewed international journals and several papers in national and international conferences. He participated as an invited speaker at thirty international conferences. Prof. Rashed is the editor-in-chief and an editorial board member for several international journals in the fields of chemistry and environment. He is a member of several national and international societies. He received the Egyptian State Award for Environmental Research in 2001 and the Aswan University Merit Award for Basic Science in 2020. 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Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. He is the author or co-author of more than seventy papers in peer-reviewed journals and conferences as well as the co-author of several books. He serves as a reviewer for many scientific journals, international conferences, and research foundations. Since 2010, Dr. Placzek has been a reviewer of grants and projects (including EU projects) in the field of information technologies.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"35000",title:"Prof.",name:"Ulrich H.P",middleName:"H.P.",surname:"Fischer",slug:"ulrich-h.p-fischer",fullName:"Ulrich H.P Fischer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/35000/images/3052_n.jpg",biography:"Academic and Professional Background\nUlrich H. P. has Diploma and PhD degrees in Physics from the Free University Berlin, Germany. He has been working on research positions in the Heinrich-Hertz-Institute in Germany. Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University, Kuwait. His research interests include optimization, computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, and intelligent systems. Prof. Sarfraz has been a keynote/invited speaker at various platforms around the globe. He has advised/supervised more than 110 students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He has authored and/or edited around seventy books. Prof. Sarfraz is a member of various professional societies. He is a chair and member of international advisory committees and organizing committees of numerous international conferences. He is also an editor and editor in chief for various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:null},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:"Beijing University of Technology",institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Lakhno Igor Victorovich was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPhD – 1999, Kharkiv National Medical Univesity.\nDSc – 2019, PL Shupik National Academy of Postgraduate Education \nLakhno Igor has been graduated from an international training courses on reproductive medicine and family planning held in Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor of the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s a professor of the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education . He’s an author of about 200 printed works and there are 17 of them in Scopus or Web of Science databases. Lakhno Igor is a rewiever of Journal of Obstetrics and Gynaecology (Taylor and Francis), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for DSc degree \\'Pre-eclampsia: prediction, prevention and treatment”. Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: obstetrics, women’s health, fetal medicine, cardiovascular medicine.",institutionString:"V.N. Karazin Kharkiv National University",institution:{name:"Kharkiv Medical Academy of Postgraduate Education",country:{name:"Ukraine"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"243698",title:"M.D.",name:"Xiaogang",middleName:null,surname:"Wang",slug:"xiaogang-wang",fullName:"Xiaogang Wang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243698/images/system/243698.png",biography:"Dr. Xiaogang Wang, a faculty member of Shanxi Eye Hospital specializing in the treatment of cataract and retinal disease and a tutor for postgraduate students of Shanxi Medical University, worked in the COOL Lab as an international visiting scholar under the supervision of Dr. David Huang and Yali Jia from October 2012 through November 2013. Dr. Wang earned an MD from Shanxi Medical University and a Ph.D. from Shanghai Jiao Tong University. Dr. Wang was awarded two research project grants focused on multimodal optical coherence tomography imaging and deep learning in cataract and retinal disease, from the National Natural Science Foundation of China. He has published around 30 peer-reviewed journal papers and four book chapters and co-edited one book.",institutionString:"Shanxi Eye Hospital",institution:{name:"Shanxi Eye Hospital",country:{name:"China"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRZkkQAG/Profile_Picture_2022-05-09T12:55:18.jpg",biography:null,institutionString:null,institution:null},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. RELACION DE PONENCIAS DE LA SOCIEDAD ESPAÑOLA DE OFTALMOLOGIA. 10/2014.",institutionString:null,institution:null},{id:"265335",title:"Mr.",name:"Stefan",middleName:"Radnev",surname:"Stefanov",slug:"stefan-stefanov",fullName:"Stefan Stefanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/265335/images/7562_n.jpg",biography:null,institutionString:null,institution:null},{id:"318905",title:"Prof.",name:"Elvis",middleName:"Kwason",surname:"Tiburu",slug:"elvis-tiburu",fullName:"Elvis Tiburu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Ghana",country:{name:"Ghana"}}},{id:"336193",title:"Dr.",name:"Abdullah",middleName:null,surname:"Alamoudi",slug:"abdullah-alamoudi",fullName:"Abdullah Alamoudi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"318657",title:"MSc.",name:"Isabell",middleName:null,surname:"Steuding",slug:"isabell-steuding",fullName:"Isabell Steuding",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"318656",title:"BSc.",name:"Peter",middleName:null,surname:"Kußmann",slug:"peter-kussmann",fullName:"Peter Kußmann",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"338222",title:"Mrs.",name:"María José",middleName:null,surname:"Lucía Mudas",slug:"maria-jose-lucia-mudas",fullName:"María José Lucía Mudas",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Carlos III University of Madrid",country:{name:"Spain"}}},{id:"147824",title:"Mr.",name:"Pablo",middleName:null,surname:"Revuelta Sanz",slug:"pablo-revuelta-sanz",fullName:"Pablo Revuelta Sanz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Carlos III University of Madrid",country:{name:"Spain"}}}]}},subseries:{item:{id:"18",type:"subseries",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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Since then, he has been working as an Adjunct Professor in the same Department at the University of Pavia. His research activity during the first years was primarily focused on the purification and structural characterization of enzymes from animal and plant sources. During this period, Prof. Iadarola familiarized himself with the conventional techniques used in column chromatography, spectrophotometry, manual Edman degradation, and electrophoresis). Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. In this context, he has developed and validated new methodologies (e.g., Capillary Electrophoresis coupled to Laser-Induced Fluorescence, CE-LIF) whose application enabled him to determine both the amounts of biochemical markers (Desmosines) in urine/serum of patients affected by Chronic Obstructive Pulmonary Disease (COPD) and the activity of proteolytic enzymes (Human Neutrophil Elastase, Cathepsin G, Pseudomonas aeruginosa elastase) in sputa of these patients. More recently, Prof. Iadarola was involved in developing techniques such as two-dimensional electrophoresis coupled to liquid chromatography/mass spectrometry (2DE-LC/MS) for the proteomic analysis of biological fluids aimed at the identification of potential biomarkers of different lung diseases. He is the author of about 150 publications (According to Scopus: H-Index: 23; Total citations: 1568- According to WOS: H-Index: 20; Total Citations: 1296) of peer-reviewed international journals. He is a Consultant Reviewer for several journals, including the Journal of Chromatography A, Journal of Chromatography B, Plos ONE, Proteomes, International Journal of Molecular Science, Biotech, Electrophoresis, and others. He is also Associate Editor of Biotech.",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",slug:"simona-viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",biography:"Simona Viglio is an Associate Professor of Biochemistry at the Department of Molecular Medicine at the University of Pavia. She has been working since 1995 on the determination of proteolytic enzymes involved in the degradation process of connective tissue matrix and on the identification of biological markers of lung diseases. She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. 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