\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\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:"238",leadTitle:null,fullTitle:"Applied Biomedical Engineering",title:"Applied Biomedical Engineering",subtitle:null,reviewType:"peer-reviewed",abstract:"This book presents a collection of recent and extended academic works in selected topics of biomedical technology, biomedical instrumentations, biomedical signal processing and bio-imaging. 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Gargiulo (IEEE M007) is senior Biomedical Engineer at HEARD Systems, Australia, and research affiliate at The University of Sydney, Australia and 'Federico II” University of Naples, Italy. He received his DPhil from 'Alma Mater” University of Bologna, Italy in 2010. He is currently working on bio-instrumentations applied research at HEARD Systems. His research interests include medical instrumentation, telemedicine, human-computer interfaces and bio-inspired systems. He has authored or co-authored more than 30 papers in these research areas and is an inventor on 3 patents.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Western Sydney University",institutionURL:null,country:{name:"Australia"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"24083",title:"Dr.",name:"Alistair",middleName:null,surname:"McEwan",slug:"alistair-mcewan",fullName:"Alistair McEwan",profilePictureURL:"https://mts.intechopen.com/storage/users/24083/images/1696_n.jpg",biography:"Alistair McEwan (IEEE M9-SM9) is Lecturer of Computer Engineering at The University of Sydney, Australia. He received his DPhil from Oxford University, UK in 2005. He did postdoctoral research at University College London, UK, and then at Philips Research Labs in Germany as a Marie Curie Research Fellow. 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Scarring in the aftermath of burn injury is generally perceived (at least by the media and the general public) to be universally both horribly disfiguring and permanently disabling [1]. In reality, the majority of the outcomes that we achieve as burn surgeons are both functionally and aesthetically excellent. Poor outcomes do occur; however these almost exclusively follow the deepest and most extensive burn injuries. The outcome picture is complicated somewhat because certain burn aetiologies are destined to proffer poorer outcomes. One example is the injuries caused by high-voltage-driven electrical current conduction. Such insult is often associated with major limb amputations, which markedly diminish outcome, and this might be expected [2, 3]. However, even when comparing the scarring outcome from an identical aetiology, such as flame burns, the skin injury sustained in a house fire and affecting a high proportion of the total body surface area often generates significantly poorer outcomes than flame injuries from, for example, localised clothing ignition from being too close to a naked flame. This is despite the skin being damaged to the same depth in both scenarios. It could be surmised that the differences in the environment of the burn injury might result in additional injuries (such as smoke inhalation [4]), which will affect treatment course and even survival. However, if all other parameters are negated, extensive burns are associated with poorer scarring outcomes than small burns of the same depth caused by the same agent [5, 6]. The focus of this chapter is to elucidate why this is the case and to suggest strategies to improve scarring outcome, function and appearance in extensive deep burn injury.
\nBefore discussing burn injuries, the essential tenets of the process of wound healing must be understood by the reader in order to appreciate the strategies employed in managing burn injuries [7]. The essential components of wound healing occur in the dermis. This mesodermal derivative is incapable of regenerating molecular structure and undergoes instead a process of repair driven by the simultaneous deposition of (predominantly) Type III collagen by fibroblasts, and small blood vessel angiogenesis, succeeding an inflammatory response secondary to vascular fluid and protein leakage into the interstitium surrounding the wound and the attraction of circulating polymorphonuclear neutrophils, lymphocytes and monocytes [8]. The dermal repair provides sufficient structure for re-epithelialisation from the approximated wound edges. The epidermis is ectodermal in origin, cellular in composition and capable of regeneration.
\nIn
In
In real terms, there are only two burn ‘depths’ (Figure 1). Most of the burn injuries seen for emergency assessment and treatment are, with optimal support and good wound management, superficial enough to heal spontaneously, quickly and with an excellent functional and cosmetic result. These are burns individually classified as epidermal, superficial partial thickness and mid-dermal, even though the treatment priorities for all are the same—the
Flow chart indicating burn depth: the blue diagonal line represents the boundary between those burns with the ability to heal spontaneously (above the line) and those that will require surgical excision and reconstruction to facilitate healing (below the line) [
For the purposes of this chapter, it is enough to understand that those burns in that spontaneously healing group are sufficiently superficial that there is a volume of good viable residual dermal tissue in the burn bed as well as the survival of multiple nests of epidermal stem cells (keratinocyte progenitor cells) located in the invaginated sheathes of the adnexal structures (hair follicles, sweat glands and sebaceous glands) [14, 15]. These cells can differentiate into keratinocytes, proliferate and migrate across the viable dermis to effect rapid re-epithelialisation. The wound-healing phase of inflammation is thus curtailed (since re-epithelialisation stops further evaporative water loss from the wound surface, signalling that wound healing is complete) and the outcomes excellent, with expedited scar maturation leading to an almost invisible repair after a few months for the majority of patients. Figure 2 is a photograph of a mixed depth arm burn.
\nIllustrating burn depth: D is deep dermal, S/D superficial/deep junction. The S/D areas have a variable healing time that is dependent on patient and operative factors.
However, in common with all wounds, the phenotype of individual patients can proffer a predilection for substandard scarring, despite appropriate initial burn management. Individuals with a history of hypertrophic or keloid scarring, autoimmune or immunocompromised disorders and collagen or healing impairments may progress to suboptimal scarring [16]. It is for this reason that burn services have been an early adopter of the multidisciplinary approach, with an emphasis on scar management by occupational therapists and physiotherapists, once wound healing has been achieved [17]. Scar modulation techniques include pressure garments, topical silicone materials, massage, moisturising and steroid injection and will be further discussed in this chapter.
\nA burn that is significantly deep enough to lack the capacity to heal quickly must undergo prolonged healing by secondary intention and result in pathological scarring [18], determined by a prolonged inflammatory phase and an abnormal proliferative phase. The resultant granulation of the wound bed followed by migration of myofibroblasts and contraction results in unstable scars. The epidermis will only bridge 5 mm across a wound; therefore contraction is inevitable. Unstable and contracted scars are particularly problematic. Contracture across joints will result in reduced movement and function. Contractures of the skin of the head and neck can risk vision (via ectropion and corneal exposure, desiccation and ulceration) and ability to feed (microstomia and lower lip contractures). The microtrauma that consistently causes fissures in the epidermis of the pathological scar can result in recurrent episodes of infection, further inflammation and thus further scarring.
\nSince the natural history of secondary intention healing of deep burns results in suboptimal scarring, the goal of burn surgery is to abort this process in favour of early physiological wound closure and healing, followed by scar management and rehabilitation, in order to achieve the best functional outcome [19]. The traditional mainstay of this process is the split skin graft, harvested from non-burned skin, which may be meshed to different ratios to enable wider wound coverage. Figure 3 shows a meshed SSG on the forearm 6 weeks following excision and grafting.
\nMeshed split skin graft to forearm 6 weeks post-grafting and demonstrating good healing.
If early physiological closure is our goal, the importance of early and accurate assessment of burn depth is vital. Identification of deeper burn and initiation of early surgical intervention significantly improve function, aesthetic appearance and return for the patient to normal daily activity.
\nInformation regarding burn depth is complimented by knowledge of the size (surface area) of the burn. This is estimated as a percentage of the total body surface area injured (%TBSA) and is an essential factor in determining scar outcome. A small area of full-thickness burn can be reliably treated with early excision and immediate skin grafting. The inflammatory reaction to the burn is localised to the affected area; donor site for the split skin graft can be reliably taken from a non-cosmetic area. Large donor site availability even gives us options for better ‘colour-matching’ our skin graft! Early scar therapy can begin once the graft has taken and is robust.
\nHowever, as burn size increases, the challenges of treatment increase accordingly. Three burn-area percentages are considered important for burn surgeons: 20, 50 and 80% TBSA. At 20% TBSA, intravenous fluid resuscitation is routinely initiated, and the effect of the burn inflammatory response ceases to be localised to the burn area and has systemic consequences. The resultant fluid shifts and loss from the circulation are thus markedly more significant and, if untreated, result in burn shock with cardiac and renal consequences [20, 21]. At 50% TBSA, the burn area usually exceeds the available donor site area (since we do not harvest grafts from the unburned face, neck, palms of hands or soles of feet). Strategies for wound closure become important. At burn sizes just in excess of 50% TBSA, this might merely involve skin graft meshing at a higher ratio (say 1:3, rather than 1:1.5). At greater burn sizes, serial grafting may be necessary and should be planned to heal pivotal areas first (hands, face, neck, major joints, etc.). Additionally, dermal temporising materials are purchased (at great financial cost), and cultured skin equivalents (usually simply epidermal cells, keratinocytes; but occasionally composite cultured tissues) are prepared by those services capable of such technology. Basically, to facilitate skin closure for burns above 50% TBSA, almost all of the unburned skin must be harvested, often repeatedly. Since the dermal component of the skin graft donor site cannot undergo regeneration (and donor sites therefore being progressively ‘thinner’ after each graft), we tend to take thinner split skin grafts (i.e. with less dermal component) to allow a greater number of graft harvests. The combination of being thinner and more widely meshed reduces functional and aesthetic outcome because such grafts contract more, and more rapidly, than thicker, less/unmeshed graft. Thus, the techniques involved guarantee that the patient with the biggest burn who really needs the best possible outcome to regain important components of their pre-injury existence survives with the poorest functional, aesthetic and symptomatic outcome possible and illustrates why skin burns of the same depth demonstrate poorer scarring outcomes as burn surface area increases. This is further complicated by the fact that these patients are at higher risk of multi-organ dysfunction [21].
\nFinally, full-thickness burns ≥80% TBSA in adults often prove fatal. These overwhelming skin injuries leave very little or no unburned areas to allow even serial wound repair and are frequently accompanied by smoke inhalation and other co-injuries. Such injuries are classified as unsurvivable in the majority of burn units [22, 23, 24], receiving palliative, comfort care only prior to death. For patients who do survive these devastating injuries, long-term scarring issues are daunting, and return to useful function is extremely challenging.
\nIn addition to burn depth and size, burns (and subsequently scarring) to certain ‘special’ areas of the body have the potential to be not only functionally disabling but also psychosocially disastrous, requiring immediate or early reconstruction.
\nThe face, neck and hands are areas of extreme functional and aesthetic importance. If reconstruction requires grafting, the best functional and cosmetic outcomes are generated by thicker, unmeshed (sheet) split skin grafts. In the patient with significant burns, this requires a large proportion of the available donor sites to cover relatively small surface area defects, whilst bigger areas are left un-grafted. Protecting the ocular globes and ensuring oral competence are important, but reconstruction of the eyelids and lips is challenging. In the non-burn, or small isolated burn situation, small full-thickness grafts or flaps are often used for such reconstructions, resources sadly lacking in the major burn patient. It is thus crucial during the management of facial burns to identify those areas capable of healing spontaneously, bearing in mind that the deeper adnexal structures in facial skin often allow even burns which appear deep to heal without intervention. The best course of action is often to allow the face to heal spontaneously as much as possible and then plan appropriate reconstruction for scarred areas [25, 26]. The neck is prioritised for early grafting not only for function but also to allow for tracheostomy placement as severely burned patients may require prolonged ICU stay and ventilation. Full-thickness burns on the dorsal aspect of the hands are grafted to allow early mobilisation and return to function, and early intervention by occupational and physiotherapists will improve outcome [27]. A good result for the hand dorsum is important since these scars are constantly in the field of vision and poor results are associated with post-injury depression. The glabrous skin on the palm and areas of partial thickness burn are routinely allowed a ‘trial of life’ to allow preservation of this highly specialised skin [28].
\nSplit thickness skin graft heal with a variable degree of secondary contraction dependant on their thickness. When a graft is placed over a joint, in particular the elbow and knee, the effect of contracture is reduced range of movement and scar instability. This contracture is much less significant than if the burn had been left to heal by secondary intention, but subsequent scar management requires intensive occupational therapy and physiotherapy to regain and maintain range of motion. Contractures are more likely to occur in the more severe burns, those caused by flame and those in children and females, and burns affecting the neck skin (due to the presence of the platysma) and the upper limb. The prevalence at discharge has been reported as 38–54% [18].
\nBurn healing can result in hypertrophic scarring, with functional disability and debilitating symptoms including dysaethesia, pain and itch. It is estimated that up to 70% of burn patients will have some evidence of scar hypertrophy [29].
\nIn addition to optimal surgical management, scar modulation measures include reducing tension across the scar, the provision of taping, hydration and ultraviolet (UV) protection of early scar tissue. Silicone sheeting, or gel, is universally considered as the first-line prophylactic and treatment option for hypertrophic or keloid scars. The efficacy and safety of this gold-standard, non-invasive therapy have been demonstrated in many clinical studies [30]. Hypertrophy is managed by aggressive scar modulation including pressure garments, silicone therapy and moisturising and massage. These interventions are all proven to be beneficial although the exact mechanisms remain to be elucidated [31]. Pressure garments may be indicated for more widespread scarring associated with burn. Both pressure garments and silicone therapy can be referred to as scar modulation. Massage and moisturising are often described as ‘softening’ scars, most likely due to the reorientation of collagen fibres. An ideal moisturiser should be one that is conducive to scar maturation, is non- or minimally irritant, prevents skin drying, minimises trans-epidermal water loss and has no negative effect on barrier function [32].
\nThe symptomatic manifestations of suboptimal scarring are particularly difficult to manage, particularly pain and itch, which are often interlinked and not uncommon [33]. Intractable itch is challenging as the symptoms are subjective and the treatment is multimodal with no ‘magic bullet’ to prevent or ameliorate it.
\nPain control and analgesia is vitally important, particularly during dressing changes, and pharmacological management facilitated by experts in pain medicine is essential. Pain control is also essential in order to deliver effective rehabilitation.
\nNewer therapies, such as music therapy and virtual reality distraction, are useful adjuncts to clinical psychology input which provides insight into a patient’s reaction to and ability to cope with pain [34, 35].
\nThe case for early total excision has been demonstrated in the literature [36, 37], and temporary wound closure is necessary due to lack of donor sites; it is in this area that skin substitutes have been developed to facilitate wound coverage. Cadaver allograft skin has been used extensively as a ‘passive’ temporiser (holding the wound bed without improving its quality), but access to, and availability of, this resource are highly variable [38].
\nThe dermal matrix strategy sought to redress some of these issues [39]. Scaffolds of varying composition have been employed as ‘active’ temporisers, allowing autologous tissue ingrowth to form a ‘neo-dermis’ which improves the wound bed for subsequent definitive closure. Such dermal matrices have historically been a combination of synthetic and biological materials (e.g. Integra® Dermal Regeneration Template consists of a network of cross-linked, bovine Type I collagen supported by shark fin-derived chondroitin-6-sulphate glycosaminoglycan (GAG), physiologically closed with a bonded silicone pseudo-epidermis) [40]. The biological aspect can cause issues as burn patients are frequently immunocompromised and rapidly become bacterially colonised, and these biological components have neither intrinsic antimicrobial properties nor are sufficiently rapidly neovascularised to be afforded the innate immune protection provided by a blood supply. As a result, they may be susceptible to infection [41]. The production of these materials is also complex and time-consuming, making such materials costly. However, the use of Integra® and similar materials has been pivotal in saving life and improving outcome over several decades [40].
\nSince the scaffold supports ingrowth into the spaces within it, it can be argued that it can be composed of any biodegradable material as long as it is biocompatible, bio-tolerated and safe (not cytotoxic, carcinogenic or teratogenic). The development of a completely synthetic biodegradable temporising matrix (BTM) developed from a biodegradable polyurethane is proof in point. BTM is implanted into the wound created after burn excision and integrates by facilitating fibroblast invasion, collagen deposition and neovascular ingrowth to also form a neo-dermal analogue [42, 43, 44, 45]. This takes between 3 and 9 weeks, dependant on the quality of the wound bed. The bonded, non-biodegradable polyurethane outer ‘seal’ (or pseudo-epidermis, since it prevents evaporative water loss) ensures the wound is physiologically ‘closed’.
\nThe integration period allows for initial stabilisation and improvement in physiological status prior to administering insults such as skin graft harvesting. In all cases, the patient is off the ICU before skin grafting commences. The improved neo-dermal wound bed receives graft more readily, with negligible graft loss, and with a significantly reduced mesh pattern where meshed graft has been employed [46, 47, 48]. This phenomenon has also been observed with collagen-based matrices [40].
\nThe aim of burn reconstruction, in common with all aspects of plastic surgery, is to replace ‘like with like’, and, as such, the standard treatment of excised burns has been the split skin graft (despite the fact that the autograft is a long way from replacing what has been lost!). The major hindrance to this approach is the lack of donor site, the necessity to serially re-harvest donor sites and the resultant suboptimal scarring from using thin, widely meshed autograft. The future of burn surgery lies in creating composite tissue from the patients’ own skin cells, or stem cell progenitors, as a means to abolish the need for extensive donor sites [49]. The preparation of composite tissues takes several weeks, and thus the use of ‘active’ temporising skin substitutes is a fundamental first step.
\nCultured skin, like autograft, has the advantage of being ‘self’ and thus accepted immunologically by the patient, as long as the carrier for the cell culture is immunologically inert [50].
\nScars can take up to 24 months to mature fully. This is a window during which scar modulation can be effective and should persist in some form throughout this period. However, if a scar is significantly problematic (in terms of function, aesthetics or intolerable symptoms), early surgical scar revision may be necessary.
\nScar revision can be broadly divided into three groups: scar resurfacing, scar excision or scar lengthening/reorientation. Scar resurfacing modalities include dermabrasion, microneedling and laser therapy. Depending on scar size, its excision can be followed by direct closure, split or full-thickness skin grafting, local flaps, free tissue transfer or a combination of dermal matrix and graft. Scar lengthening often involves incising the scar and reorientating the scar banding, usually by geometrically designed local flaps. The main reasons for performing scar revision are to resurface unstable scarring, improve movement at joints or to improve cosmesis [51].
\nHowever, it is the senior author’s opinion that the requirement for secondary scar revision is lessened if the appropriate primary reconstruction is performed in a timely manner combined with early adjunctive scar management therapy.
\nIn summary, the important tenets for the optimal management of burn scarring include:
Accurate burn depth and burn size assessment
Immediate/early burn eschar excision and rapid wound closure with either immediate skin grafting or staged with temporising skin substitutes plus skin grafting and/or cultured skin
Peculiar consideration for burns affecting the special areas: face and neck, hands and joints
Immediate scar management and mobilisation utilising therapists
Later scar management including resurfacing and excision.
Professor John Greenwood would like to disclose that he holds shares in PolyNovo Biomaterials Pty Ltd. (the manufacturer of the NovoSorb™ foam and BTM™ device).
Dr. Lindsay Damkat-Thomas has no conflict of interest to declare.
Optical interferometry constitutes an important technique used in a high number of measurement processes for multiple physical magnitudes and quantitative phenomenon [1]. Particularly, fiber-optic waveguides can act as very useful and efficient transmission medium for light guidance in a large group of interferometry-based sensor devices. On the other hand, the study of subject of interferometer fiber-optic sensors has received an extensive treatment in the literature [2, 3]. In this article, a wide analysis of optical phase-modulation is made focused on the optical gyroscopes as the main referenced application. A simple open-loop configuration of interferometric fiber-optic gyroscope based on the Sagnac effect is shown in Figure 1. This kind of gyro is based on the Sagnac-effect within an open optical path realized by a N-turn fiber-optic coil when two independent counter-propagating light modes are externally introduced from a broadband laser source through its two ends, respectively. This causes that an interference pattern between the CW and CCW light beams to be collected in a photo-detector with a phase shift given by the following equation, Ref. [4]:
Basic structure of the IFOG.
where
being
Figure 2 represents the variation of light intensity along a single interference fringe as a function of
Two-beam interference response curve as a function of
However, the simple and raw gyro configuration (laser-source, beam-splitter, fiber-coil sensor and photo-detector) showed in Figure 1 is not effective in practice mainly due to its inability to reduce phase errors. Thus, the decrease in phase error can be effectively achieved by a phase-modulation process of CW and CCW optical waves by adding an optical phase-modulator in the path of the waves entering the optical fiber sensing coil as it is shown in the arrangement of Figure 3. Phase error decreasing is mainly achieved by electronic filtering within phase-sensitive demodulation circuits (PSD).
Complete bulk-optics fiber-optic gyro open-loop configuration.
In this scheme, the immediate consequence of the application of a phase modulation to CW and CCW waves is the need to have an electronic demodulation system for the optical phase (commonly called PSD). This electronic phase-sensitive demodulation system must be located at the electric output of photo-detector. This way, by a demodulation process of electrical output signal of photo-detector, the Sagnac phase shift can be retrieved as calculated from Eq. (1) when a rotation-rate Ω is applied to the whole system. Also, as showed in Figure 3, other elements like a second beam splitter, a polarizer and an optical filter are needed to complete the system. The main function of the electro-optical phase modulator is to provide a controlled phase shift which will be added to Sagnac phase shift produced by the rotation onto the system. This way, the signal detected by photo-detector can be demodulated with some ease to recover by electronic means the Ω rotation-rate value which affects the whole system.
A more advanced design is achieved by closing the measurement loop by means of a feedback signal becoming into the scheme so-called IFOG closed loop configuration. The general scheme of a closed loop IFOG is depicted on Figure 4. In this scheme, the output signal of demodulator circuit passes through a servo amplifier which drives a phase transducer placed in the interferometer path. Then, the whole system works under the phase-nulling principle. This means that the total phase shift becomes equal to zero because the phase transducer introduces a non-reciprocal phase shift that is equal, by in the opposite sign, to that generated by Sagnac phase shift induced by rotation. The output of the system is then the output of the phase transducer.
Typical closed-loop IFOG configuration.
The main advantage of this configuration is the insensitivity to the laser source amplitude variations and the electronic circuitry gain because the system is always operated at zero total phase shift. Other design alternatives are possible, and so instead of using a fiber optic coil as a sensor it can be used a ring resonator integrated in a silicon waveguide, Ref. [17].
For open-loop configuration square-wave bias and sinusoidal phase modulation are usually applied while for closed-loop configuration, sinusoidal or square-wave bias and serrodyne feedback phase modulations are frequently used. In the following, a particular study of all these types of optical phase modulation will be made.
One of the first attempts to apply the principle of phase modulation to CW-CCW optical waves in an optical gyroscope can be seen in Ref. [18]. In this case, a sinusoidal-wave phase modulation is applied mainly due first to the ease of finding fast bulk phase modulators in lithium niobate (LiNbO3), Ref. [19], and also reliable electronic sine wave oscillators. However, square-wave is frequently used as bias phase modulation because it allows periodically shift the working point of the gyro to each one of ±π/2 constant values, respectively. This last is due that when the central working point of the gyro is either +π/2 or −π/2, its sensitivity reach a maximum value, as it can be seen on Figure 5. Then, when the system is not subjected to rotation (Ω = 0), the output response is a pectinate-shaped curve with a constant value. But, when the system is subjected to a non-zero rotation rate, the interferometric response output curve is also a Square-Wave whose peak-to-peak amplitude is proportional to the value of the rotation speed. The latter can also be also checked by observing in detail the Figure 6. In this figure,
Analysis of the interference response of the gyro with square-wave phase modulation (solid blue curve: zero rotation, dotted red curve: non-zero rotation).
Closed-loop IFOG scheme with square-wave BIAS and serrodyne FEEDBACK phase modulations (below, in the inset, the block-diagram definition).
For this purpose, one phase modulator is located at the end of fiber coil, as represented in the scheme of Figure 4. Thus, the calculation of effective phase shift induced by the phase modulation process between CW and CCW optical waves at the output of fiber coil after their respective roundtrip can be expressed as follows:
In Eq. (3),
here,
where the approximation can be justified because the value of the sine-function can be approximated by its argument when it is less than π/6 in absolute value.
Figure 6 shows a closed-loop block-diagram scheme of an IFOG model with square-wave BIAS and serrodyne FEEDBACK phase modulations. In this case it is necessary to use two different phase modulators, first one to apply the square wave BIAS and second one for the serrodyne FEEDBACK phase modulation. See the complete description of this block-diagram on Ref. [20].
Gyro designs with square-wave kind of phase modulation can be seen in Refs. [21, 22, 23, 24]. Last three engineered by Chinese authors utilize square waves staggered by sections (four-, five- or six-points phase modulation, respectively) and their main advantage is that all these schemes allow to improve the accuracy and scale factor of the gyro.
The basic idea to apply the sinusoidal bias phase modulation to an IFOG configuration is that the amplitude of the first harmonic component of interferometer output signal contains information of the
The phase difference between CW and CCW waves induced by this bias phase modulation will be:
here
referred as proper frequency of the system, here
Therefore, the interference signal can be obtained by the following calculation:
here
Figure 7 represents the analytic sinusoidal phase modulation process. As it can be seen, when no rotation is applied, the interference signal (solid, blue curve) also contains even harmonics since the
Analysis of the interference response of the gyro with sinusoidal phase modulation (solid blue curve: zero rotation, dotted red curve: non-zero rotation).
Figure 8 represents the block-diagram of a closed-loop IFOG configuration with sinusoidal BIAS and serrodyne FEED-BACK phase modulations, see Ref. [25]. The main novelty of this design is the structure of phase modulation feedback chain. In this case, one FET transistor (2N3848) is added on feedback branch of integrator OPAMP (block #7 on Figure 8). This block generates a linear ramp voltage Vγ on its output, and this ramp resets each one time-period driving by Vgate voltage. In this way, a resultant serrodyne-wave voltage is easily generated at the output of integrator circuit, obtaining finally the same intended sawtooth-wave voltage on feedback phase modulation chain as reported on previous designs. The output signal of the photodetector, in photocurrent form, is proportional to the light intensity at its optical input. This photocurrent signal is converted to voltage with a trans-impedance amplifier that is placed at the input of demodulation circuit. The demodulation circuit (PSD) takes the task of extracting the information of the
Closed-loop IFOG scheme with sinusoidal BIAS and serrodyne FEEDBACK phase modulations, see Ref. [
This way, the time variation of
Therefore, the output signal of the phase modulator will be the sum of the phase-difference signals associated with the
Sinusoidal phase modulation has been used on either open-loop (Refs. [18, 26, 27]) or closed-loop (Refs. [25, 28, 29, 30]) IFOG configurations. In both cases, the PSD block (phase-sensitive-demodulation) must contain two selectively adjusted filtering circuits. First one is a low-pass filter with high enough cut-off frequency to filter the first harmonic component. Second one is a selective band-pass-filter to filter the component of first harmonic of interference signal, see also Ref. [25].
As announced at the beginning of this work, serrodyne-wave optical phase modulation is frequently used in closed loop IFOG schemes to configure one feedback signal which is able to cancel the
Serrodyne-wave phase modulation: (a) serrodyne-wave applied to PM with amplitude
For a proper operation of feedback circuit, it is essential that the falling edge (reset time) of sawtooth-wave be as fast as possible (ideally instantaneous), Ref. [31]. Since that serrodyne- (or sawtooth-) referred waveform is a periodic waveform that accomplishes Dirichlet conditions in the (0,
This result shows that the series only contains sine terms because it refers to an odd function. On the other hand that result is very useful for filtering design purposes as it can be seen on simulated plots represented in Figure 10. Here, a successive sums containing the harmonics: first one (red-curve), the first and second ones (green-curve), the first, second and third ones (blue-curve), the first, second, third and fourth ones (cyan-curve) and finally the first, second, third, fourth and fifth ones (black-curve) are represented. The more terms are taken from the sum series, the better the approximation will be to the perfect sawtooth waveform.
Fourier series development (Ref. [
In order to realize the serrodyne-wave phase modulation an Voltage-Controlled-Oscillator (VCO) circuit must be designed. The condition that this circuit must comply is:
so that the frequency
Serrodyne-wave VCO (voltage-controlled-oscillator) circuit with 555 IC (in the inset, 35.84 kHz linear ramp waveform generated), Ref. [
Although the serrodyne wave is the one that produces the best results for the feed-back phase modulation purpose, other similar waves have been also proposed. For example, symmetric triangular-wave represented in Figure 12 can also perform the same function. Since it is an odd function, its development in Fourier series only contains the odd harmonics, then, it can be expressed in the following way:
Symmetric triangular-wave with its 1st, 2nd and 3th harmonics, Ref. [
Figure 13 represents the three first harmonic sums (red, green, blue) of symmetric triangular-wave (black). So that taking
Symmetric triangular wave (in black) with its first three harmonic Fourier sums (red, green, blue), Ref. [
This way, the first three harmonic Fourier sums can be expressed, respectively, as:
Then, the conclusion is that when the approximation of first three harmonic Fourier sum of symmetrical triangular-wave is taken in gyro phase modulation (blue and green curves in Figure 14), its effective phase-difference (red curve in Figure 14) can be computed. In this case, one switching circuit is needed.
Effective phase-difference modulation of symmetric triangular wave (red-curve) related with its first three harmonic Fourier sums (blue, green) of CCW and CW optical waves, Ref [
Square, sinusoidal, serrodyne and symmetric triangular waveforms can be used in phase modulation processes for optical Sagnac interferometer gyros. For open-loop gyro schemes only one square-wave or sinusoid$$PM) to retrieve the Sagnac phase shift induced by rotation. However, for closed-loop scheme gyros two waveforms are needed, the first one (square-wave or sinusoidal-wave) for the bias phase modulation and the second one (serrodyne-wave or triangular-wave) for the feed-back phase modulation aiming the phase cancellation (phase-nulling). In the closed-loop scheme, the output signal of the phase-sensitive-demodulator (PSD) circuit passes through a servo-amplifier which drives a phase-shifter transducer placed in the interferometer path. Then, the phase transducer introduces a non-reciprocal phase shift that is equal, by in the opposite sign, to Sagnac phase shift induced by rotation. Thus, the output of the system is the output of the phase transducer. Closed-loop gyro configuration is advantageous with regard the open-loop one because a better accuracy (sensitivity) and scale-factor stability of the gyro are achieved.
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Important species in Chilean aquaculture include salmonids, algae, mollusks, and turbot. Salmonids are the dominant species in Chilean aquaculture for both harvest volume and export value, their production reaching greater than 800-thousand tons in 2015. However, this growth has been accompanied by an increase in disease presence, requiring greater drug use to control. This increase in drug use is an environmental and public health concern for the authorities, the salmon industry itself, and the destination markets. In this chapter, we review the literature on drug use, antibiotic resistance, regulatory framework, and alternatives, with focus on Chile.",book:{id:"6179",slug:"antibiotic-use-in-animals",title:"Antibiotic Use in Animals",fullTitle:"Antibiotic Use in Animals"},signatures:"Ivonne Lozano, Nelson F. Díaz, Susana Muñoz and Carlos Riquelme",authors:[{id:"208847",title:"Dr.",name:"Ivonne",middleName:null,surname:"Lozano",slug:"ivonne-lozano",fullName:"Ivonne Lozano"},{id:"208895",title:"Dr.",name:"Nelson F.",middleName:null,surname:"Díaz",slug:"nelson-f.-diaz",fullName:"Nelson F. Díaz"},{id:"208897",title:"Dr.",name:"Carlos",middleName:null,surname:"Riquelme",slug:"carlos-riquelme",fullName:"Carlos Riquelme"},{id:"208898",title:"MSc.",name:"Susana",middleName:null,surname:"Muñoz",slug:"susana-munoz",fullName:"Susana Muñoz"}]}],mostDownloadedChaptersLast30Days:[{id:"56612",title:"Reproduction in Goats",slug:"reproduction-in-goats",totalDownloads:2892,totalCrossrefCites:3,totalDimensionsCites:4,abstract:"Reproductive activity of the goat begins when the females reach puberty, which happens at 5 months of age. The ovarian or estrous cycle is the period between two consecutive estrus. It is also the time that lasts the development of the follicle in the ovary, until rupture occurs and ovulation takes place, which coincides with the appearance of estrus. This chapter will describe the physiological and endocrinological bases of estrus in the goat. Likewise, factors affecting the presence of estrus and ovulation will be described. At another point, synchronization of estrus and ovulation, factors affecting the presence of estrus and external symptoms of estrus, will be described. To achieve synchronization of estrus or induction of ovulation within or outside the breeding season, it may be necessary to manage light hours, male effect, and/or use of hormones. The importance of artificial insemination is described, as well as the current situation of this technique worldwide. Currently, the techniques of artificial insemination in goats have been limited worldwide, due to the lack of resources of producers and trained technicians. The techniques of artificial insemination with estrous synchronization programs and ovulation with current research results will be described.",book:{id:"5987",slug:"goat-science",title:"Goat Science",fullTitle:"Goat Science"},signatures:"Fernando Sánchez Dávila, Alejandro Sergio del Bosque González\nand Hugo Bernal Barragán",authors:[{id:"201830",title:"Dr.",name:"Fernando",middleName:"Sanchez",surname:"Davila",slug:"fernando-davila",fullName:"Fernando Davila"},{id:"206127",title:"Dr.",name:"Alejandro Sergio",middleName:null,surname:"Del Bosque-Gonzalez",slug:"alejandro-sergio-del-bosque-gonzalez",fullName:"Alejandro Sergio Del Bosque-Gonzalez"},{id:"206128",title:"Dr.",name:"Hugo",middleName:null,surname:"Bernal-Barragán",slug:"hugo-bernal-barragan",fullName:"Hugo Bernal-Barragán"}]},{id:"58095",title:"The Innovative Techniques in Animal Husbandry",slug:"the-innovative-techniques-in-animal-husbandry",totalDownloads:3766,totalCrossrefCites:4,totalDimensionsCites:8,abstract:"Technology is developing rapidly. In this development, the transfer of computer systems and software to the application has made an important contribution. Technologic instruments made farmers can work more comfortable and increased animal production efficiency and profitability. Therefore, technologic developments are the main research area for animal productivity and sustainability. Many technologic equipment and tools made animal husbandry easier and comfortable. Especially management decisions and applications are effected highly ratio with this rapid development. In animal husbandry management decisions that need to be done daily are configured according to the correctness of the decisions to be made. At this point, smart systems give many opportunities to farmers. Milking, feeding, environmental control, reproductive performance constitute everyday jobs most affected by correct management decisions. Human errors in this works and decisions made big effect on last product quality and profitability are not able to be risked. This chapter deal with valuable information on the latest challenges and key innovations affecting the animal husbandry. Also, innovative approaches and applications for animal husbandry are tried to be summarized with detail latest research results.",book:{id:"6384",slug:"animal-husbandry-and-nutrition",title:"Animal Husbandry and Nutrition",fullTitle:"Animal Husbandry and Nutrition"},signatures:"Serap Göncü and Cahit Güngör",authors:[{id:"215579",title:"Prof.",name:"Serap",middleName:null,surname:"Goncu",slug:"serap-goncu",fullName:"Serap Goncu"},{id:"218971",title:"Dr.",name:"Cahit",middleName:null,surname:"Güngör",slug:"cahit-gungor",fullName:"Cahit Güngör"}]},{id:"58486",title:"Quality of Chicken Meat",slug:"quality-of-chicken-meat",totalDownloads:3290,totalCrossrefCites:18,totalDimensionsCites:26,abstract:"Chicken meat is considered as an easily available source of high-quality protein and other nutrients that are necessary for proper body functioning. In order to meet the consumers’ growing demands for high-quality protein, the poultry industry focused on selection of fast-growing broilers, which reach a body mass of about 2.5 kg within 6-week-intensive fattening. Relatively low sales prices of chicken meat, in comparison to other types of meat, speak in favor of the increased chicken meat consumption. In addition, chicken meat is known by its nutritional quality, as it contains significant amount of high-quality and easily digestible protein and a low portion of saturated fat. Therefore, chicken meat is recommended for consumption by all age groups. The technological parameters of chicken meat quality are related to various factors (keeping conditions, feeding treatment, feed composition, transport, stress before slaughter, etc.). Composition of chicken meat can be influenced through modification of chicken feed composition (addition of different types of oils, vitamins, microelements and amino acids), to produce meat enriched with functional ingredients (n-3 PUFA, carnosine, selenium and vitamin E). By this way, chicken meat becomes a foodstuff with added value, which, in addition to high-quality nutritional composition, also contains ingredients that are beneficial to human health.",book:{id:"6384",slug:"animal-husbandry-and-nutrition",title:"Animal Husbandry and Nutrition",fullTitle:"Animal Husbandry and Nutrition"},signatures:"Gordana Kralik, Zlata Kralik, Manuela Grčević and Danica Hanžek",authors:[{id:"207236",title:"Dr.",name:"Gordana",middleName:null,surname:"Kralik",slug:"gordana-kralik",fullName:"Gordana Kralik"},{id:"227281",title:"Prof.",name:"Zlata",middleName:null,surname:"Kralik",slug:"zlata-kralik",fullName:"Zlata Kralik"},{id:"227283",title:"Dr.",name:"Manuela",middleName:null,surname:"Grčević",slug:"manuela-grcevic",fullName:"Manuela Grčević"},{id:"227284",title:"BSc.",name:"Danica",middleName:null,surname:"Hanžek",slug:"danica-hanzek",fullName:"Danica Hanžek"}]},{id:"56453",title:"Goat System Productions: Advantages and Disadvantages to the Animal, Environment and Farmer",slug:"goat-system-productions-advantages-and-disadvantages-to-the-animal-environment-and-farmer",totalDownloads:4328,totalCrossrefCites:5,totalDimensionsCites:21,abstract:"Goats have always been considered very useful animals. Goats success is related to its excellent adaptability to the difficult mountain conditions, extreme weather and low value feed acceptance, versatile habits and high production considering their size. These are some reasons because goats are among the first animals to be domesticated. In terms of evolution, goats could be separated by their dispersion area in three large groups: the European, the Asian, and the African. Global goat populations, mainly in Africa and in Asia, have increased for centuries but very strongly in the past decades, well above the world population growth. They are also used for forest grazing, an integrated and alternative production system, very useful to control weed growth reducing fire risk. Despite some exceptions, no large‐scale effort to professionalize this industry has been made so far. There are consumers for goat dairy products and there is enough global production, but misses a professional network between both. Regarding goat meat, the world leadership also stays in Africa and Asia, namely in China, and there is a new phenomenon, the spreading of goat meat tradition through Europe due to migrants from Africa and other places with strong goat meat consumption.",book:{id:"5987",slug:"goat-science",title:"Goat Science",fullTitle:"Goat Science"},signatures:"António Monteiro, José Manuel Costa and Maria João Lima",authors:[{id:"190314",title:"Prof.",name:"António",middleName:"Cardoso",surname:"Monteiro",slug:"antonio-monteiro",fullName:"António Monteiro"},{id:"203680",title:"Prof.",name:"Maria João",middleName:null,surname:"Lima",slug:"maria-joao-lima",fullName:"Maria João Lima"},{id:"203683",title:"MSc.",name:"José Manuel",middleName:null,surname:"Costa",slug:"jose-manuel-costa",fullName:"José Manuel Costa"}]},{id:"70760",title:"Induction and Synchronization of Estrus",slug:"induction-and-synchronization-of-estrus",totalDownloads:1716,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Estrus cycle is a rhythmic change that occur in the reproductive system of females starting from one estrus phase to another. The normal duration of estrus cycle is 21 days in cow, sow, and mare, 17 days in ewe, and 20 days in doe. The species which exhibit a single estrus cycle are known as monstrous and species which come into estrus twice or more are termed polyestrous animals. Among them some species have estrus cycles in a particular season and defined as seasonal polyestrous. It includes goats, sheep, and horses. On the other hand, cattle undergo estrus throughout the year. The estrus inducers can grossly be divided into two parts, that is, non-hormonal and hormonal. Non-hormonal treatments include plant-derived heat inducers, mineral supplementation, uterine and ovarian massage, and use of Lugol’s iodine. The hormones that are used in estrus induction are estrogen, progesterone, GnRH, prostaglandin, insulin, and anti-prolactin-based treatment. Synchronization can shorten the breeding period to less than 5 days, instead of females being bred over a 21-day period, depending on the treatment regimen. The combination of GnRH with the prostaglandin F2α (PGF2α)- and progesterone-based synchronization program has shown a novel direction in the estrus synchronization of cattle with the follicular development manipulation.",book:{id:"8545",slug:"animal-reproduction-in-veterinary-medicine",title:"Animal Reproduction in Veterinary Medicine",fullTitle:"Animal Reproduction in Veterinary Medicine"},signatures:"Prasanna Pal and Mohammad Rayees Dar",authors:[{id:"299126",title:"Dr.",name:"Mohammad Rayees",middleName:null,surname:"Dar",slug:"mohammad-rayees-dar",fullName:"Mohammad Rayees Dar"},{id:"311663",title:"Dr.",name:"Prasanna",middleName:null,surname:"Pal",slug:"prasanna-pal",fullName:"Prasanna Pal"}]}],onlineFirstChaptersFilter:{topicId:"25",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"82285",title:"Parvovirus Vectors: The Future of Gene Therapy",slug:"parvovirus-vectors-the-future-of-gene-therapy",totalDownloads:4,totalDimensionsCites:0,doi:"10.5772/intechopen.105085",abstract:"The unique diversity of parvoviral vectors with innate antioncogenic properties, autonomous replication, ease of recombinant vector production and stable transgene expression in target cells makes them an attractive choice as viral vectors for gene therapy protocols. Amongst various parvoviruses that have been identified so far, recombinant vectors originating from adeno-associated virus, minute virus of mice (MVM), LuIII and parvovirus H1 have shown promising results in many preclinical models of human diseases including cancer. The adeno-associated virus (AAV), a non-pathogenic human parvovirus, has gained attention as a potentially useful vector. The improved understanding of the metabolism of vector genomes and the mechanism of transduction by AAV vectors is leading to advancement in the development of more sophisticated AAV vectors. The in-depth studies of AAV vector biology is opening avenues for more robust design of AAV vectors that have potentially increased transduction efficiency, increased specificity in cellular targeting, and an increased payload capacity. This chapter gives an overview of the application of autonomous parvoviral vectors and AAV vectors, based on our current understanding of viral biology and the state of the platform.",book:{id:"11580",title:"Recent Advances in Canine Medicine",coverURL:"https://cdn.intechopen.com/books/images_new/11580.jpg"},signatures:"Megha Gupta"},{id:"81793",title:"Canine parvovirus-2: An Emerging Threat to Young Pets",slug:"canine-parvovirus-2-an-emerging-threat-to-young-pets",totalDownloads:15,totalDimensionsCites:0,doi:"10.5772/intechopen.104846",abstract:"Canine parvovirus-2 (CPV-2) is a highly contagious and key enteropathogen affecting the canine population around the globe by causing canine parvoviral enteritis (CPVE) and vomition. CPVE is one of the the leading causes of morbidity and mortality in puppies and young dogs. Over the years, five distinct antigenic variants of CPV-2, namely CPV-2a, CPV-2b, new CPV-2a, new CPV-2b, and CPV-2c, have emerged throughout the world. CPV-2 infects a diverse range of wild animals, and the newer variants of CPV-2 have expanded their host range to include felines. Despite the availability of highly specific diagnostics and efficacious vaccines, CPV-2 outbreaks have been reported globally due to the emergence of newer antigenic variants, expansion of the viral host range, and vaccination failures. The present chapter describes the latest information pertaining to virus properties and replication, disease manifestations in animals, and an additional recent updates on diagnostic, prevention and control strategies of CPV-2.",book:{id:"11580",title:"Recent Advances in Canine Medicine",coverURL:"https://cdn.intechopen.com/books/images_new/11580.jpg"},signatures:"Mithilesh Singh, Rajendran Manikandan, Ujjwal Kumar De, Vishal Chander, Babul Rudra Paul, Saravanan Ramakrishnan and Darshini Maramreddy"},{id:"81271",title:"The Diversity of Parvovirus Telomeres",slug:"the-diversity-of-parvovirus-telomeres",totalDownloads:38,totalDimensionsCites:0,doi:"10.5772/intechopen.102684",abstract:"Parvoviridae are small viruses composed of a 4–6 kb linear single-stranded DNA protected by an icosahedral capsid. The viral genes coding non-structural (NS), capsid, and accessory proteins are flanked by intriguing sequences, namely the telomeres. Telomeres are essential for parvovirus genome replication, encapsidation, and integration. Similar (homotelomeric) or different (heterotelomeric) at the two ends, they all contain imperfect palindromes that fold into hairpin structures. Up to 550 nucleotides in length, they harbor a wide variety of motifs and structures known to be recognized by host cell factors. Our study aims to comprehensively analyze parvovirus ends to better understand the role of these particular sequences in the virus life cycle. Forty Parvoviridae terminal repeats (TR) were publicly available in databases. The folding and specific DNA secondary structures, such as G4 and triplex, were systematically analyzed. A principal component analysis was carried out from the prediction data to determine variables signing parvovirus groups. A special focus will be put on adeno-associated virus (AAV) inverted terminal repeats (ITR), a member of the genus Dependoparvovirus used as vectors for gene therapy. This chapter highlights the diversity of the Parvoviridae telomeres regarding shape and secondary structures, providing information that could be relevant for virus-host interactions studies.",book:{id:"11580",title:"Recent Advances in Canine Medicine",coverURL:"https://cdn.intechopen.com/books/images_new/11580.jpg"},signatures:"Marianne Laugel, Emilie Lecomte, Eduard Ayuso, Oumeya Adjali, Mathieu Mével and Magalie Penaud-Budloo"},{id:"79209",title:"Virtual Physiology: A Tool for the 21st Century",slug:"virtual-physiology-a-tool-for-the-21st-century",totalDownloads:151,totalDimensionsCites:0,doi:"10.5772/intechopen.99671",abstract:"Veterinary physiology is a basic curricular unit for every course within the veterinary field. It is mandatory to understand how the animal body works, and what to expect of a healthy body, in order to recognize any misfunction, and to be able to treat it. Classic physiology teaching involves wet labs, much equipment, many reagents, some animals, and a lot of time. But times are changing. In the 21st century, it is expected that the teaching and learning process can be more active and attractive, motivating students to learn better. It is necessary to understand what students like, and to introduce novelties into the school routine. The use of a game-based learning, using “new” technologies, creating virtual experiences and labs, reducing the costs of reagents, equipment, and especially reducing the use of animals, will be the future for physiology teaching.",book:{id:"10665",title:"Updates on Veterinary Anatomy and Physiology",coverURL:"https://cdn.intechopen.com/books/images_new/10665.jpg"},signatures:"Carmen Nóbrega, Maria Aires Pereira, Catarina Coelho, Isabel Brás, Ana Cristina Mega, Carla Santos, Fernando Esteves, Rita Cruz, Ana I. Faustino-Rocha, Paula A. Oliveira, João Mesquita and Helena Vala"},{id:"78543",title:"Pulmonary Vein: Embryology, Anatomy, Function and Disease",slug:"pulmonary-vein-embryology-anatomy-function-and-disease",totalDownloads:182,totalDimensionsCites:0,doi:"10.5772/intechopen.100051",abstract:"Four pulmonary veins come from respective lung lobes drain oxygen-rich blood back to the left atrium. Failure of incorporation with the left atrium can lead to a condition, called Cor triatriatum sinister, that the left atrium is separated into two chambers by an abortive fibrous tissue. The venous system of lung and whole body communicate with each other in the earlier time and they will be disconnected in the following developmental process. Total or partial anomalous pulmonary venous connection refers to that there is/are some degree of the communication exists after birth, which can occur in different sites. In the veterinary field, retrospective studies and several case reports have been published to describe these rare congenital cardiovascular diseases in several species. More cases are need for better understanding their clinical manifestation, treatment options and outcomes.",book:{id:"10665",title:"Updates on Veterinary Anatomy and Physiology",coverURL:"https://cdn.intechopen.com/books/images_new/10665.jpg"},signatures:"Chan I-Ping and Hsueh Tung"},{id:"78564",title:"Anatomy of the Rhesus Monkey (Macaca mulatta): The Essentials for the Biomedical Researcher",slug:"anatomy-of-the-rhesus-monkey-macaca-mulatta-the-essentials-for-the-biomedical-researcher",totalDownloads:347,totalDimensionsCites:0,doi:"10.5772/intechopen.99067",abstract:"Amongst the non-human primates, the rhesus monkey (Macaca mulatta) is the most commonly investigated species in biomedical research. Its similarity to humans regarding the anatomy and physiology has resulted in an increasing number of studies in which the rhesus monkey serves as a model. This book chapter aims to fulfill the researcher’s need for easily accessible anatomical data on the rhesus monkey by presenting the essentials of its various anatomical systems. The cadavers of several rhesus monkeys of either gender were dissected for gross anatomical study of the muscular, digestive, respiratory and urogenital systems. The circulatory system was studied after injection of latex into the blood vessels. Not only did this technique allow for better visualization of the blood vessels, but it was also valuable during the description of the peripheral nerves. In addition, methyl methacrylate casts were prepared to gain insight into the organization of the arterial system. The arthrology of the rhesus monkey was studied during the maceration of several cadavers, which ultimately revealed the individual bones that were described. From one such cadaver the skeleton was mounted. The results of the dissections are textually described and illustrated by means of numerous figures.",book:{id:"10665",title:"Updates on Veterinary Anatomy and Physiology",coverURL:"https://cdn.intechopen.com/books/images_new/10665.jpg"},signatures:"Christophe Casteleyn and Jaco Bakker"}],onlineFirstChaptersTotal:12},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:0,limit:8,total:null},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:317,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:105,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"23",title:"Education and Human Development",doi:"10.5772/intechopen.100360",issn:null,scope:"
\r\n\tEducation and Human Development is an interdisciplinary research area that aims to shed light on topics related to both learning and development. This Series is intended for researchers, practitioners, and students who are interested in understanding more about these fields and their applications.
",coverUrl:"https://cdn.intechopen.com/series/covers/23.jpg",latestPublicationDate:"June 25th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:0,editor:{id:"280770",title:"Dr.",name:"Katherine K.M.",middleName:null,surname:"Stavropoulos",slug:"katherine-k.m.-stavropoulos",fullName:"Katherine K.M. Stavropoulos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRdFuQAK/Profile_Picture_2022-05-24T09:03:48.jpg",biography:"Katherine Stavropoulos received her BA in Psychology from Trinity College, in Connecticut, USA. Dr. Stavropoulos received her Ph.D. in Experimental Psychology from the University of California, San Diego. She completed her postdoctoral work at the Yale Child Study Center with Dr. James McPartland. Dr. Stavropoulos’ doctoral dissertation explored neural correlates of reward anticipation to social versus nonsocial stimuli in children with and without autism spectrum disorders (ASD). She has been a faculty member at the University of California, Riverside in the School of Education since 2016. Her research focuses on translational studies to explore the reward system in ASD, as well as how anxiety contributes to social challenges in ASD. She also investigates how behavioral interventions affect neural activity, behavior, and school performance in children with ASD. She is also involved in the diagnosis of children with ASD and is a licensed clinical psychologist in California. She is the Assistant Director of the SEARCH Center at UCR and is a Faculty member in the Graduate Program in Neuroscience.",institutionString:null,institution:{name:"University of California, Riverside",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:2,paginationItems:[{id:"89",title:"Education",coverUrl:"https://cdn.intechopen.com/series_topics/covers/89.jpg",isOpenForSubmission:!1,annualVolume:null,editor:{id:"260066",title:"Associate Prof.",name:"Michail",middleName:null,surname:"Kalogiannakis",slug:"michail-kalogiannakis",fullName:"Michail Kalogiannakis",profilePictureURL:"https://mts.intechopen.com/storage/users/260066/images/system/260066.jpg",biography:"Michail Kalogiannakis is an Associate Professor of the Department of Preschool Education, University of Crete, and an Associate Tutor at School of Humanities at the Hellenic Open University. He graduated from the Physics Department of the University of Crete and continued his post-graduate studies at the University Paris 7-Denis Diderot (D.E.A. in Didactic of Physics), University Paris 5-René Descartes-Sorbonne (D.E.A. in Science Education) and received his Ph.D. degree at the University Paris 5-René Descartes-Sorbonne (PhD in Science Education). His research interests include science education in early childhood, science teaching and learning, e-learning, the use of ICT in science education, games simulations, and mobile learning. 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