Clinical efficacy of omalizumab in randomized controlled trials.
\\n\\n
IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\\n\\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\\n\\nLaunching 2021
\\n\\nArtificial Intelligence, ISSN 2633-1403
\\n\\nVeterinary Medicine and Science, ISSN 2632-0517
\\n\\nBiochemistry, ISSN 2632-0983
\\n\\nBiomedical Engineering, ISSN 2631-5343
\\n\\nInfectious Diseases, ISSN 2631-6188
\\n\\nPhysiology (Coming Soon)
\\n\\nDentistry (Coming Soon)
\\n\\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\\n\\nNote: Edited in October 2021
\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/132"}},components:[{type:"htmlEditorComponent",content:'With the desire to make book publishing more relevant for the digital age and offer innovative Open Access publishing options, we are thrilled to announce the launch of our new publishing format: IntechOpen Book Series.
\n\nDesigned to cover fast-moving research fields in rapidly expanding areas, our Book Series feature a Topic structure allowing us to present the most relevant sub-disciplines. Book Series are headed by Series Editors, and a team of Topic Editors supported by international Editorial Board members. Topics are always open for submissions, with an Annual Volume published each calendar year.
\n\nAfter a robust peer-review process, accepted works are published quickly, thanks to Online First, ensuring research is made available to the scientific community without delay.
\n\nOur innovative Book Series format brings you:
\n\nIntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\n\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\n\nLaunching 2021
\n\nArtificial Intelligence, ISSN 2633-1403
\n\nVeterinary Medicine and Science, ISSN 2632-0517
\n\nBiochemistry, ISSN 2632-0983
\n\nBiomedical Engineering, ISSN 2631-5343
\n\nInfectious Diseases, ISSN 2631-6188
\n\nPhysiology (Coming Soon)
\n\nDentistry (Coming Soon)
\n\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\n\nNote: Edited in October 2021
\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{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"}]},book:{item:{type:"book",id:"7770",leadTitle:null,fullTitle:"Friction, Lubrication and Wear",title:"Friction, Lubrication and Wear",subtitle:null,reviewType:"peer-reviewed",abstract:"Tribology has rapidly expanded in recent years as the demand for improved materials has increased. The good function of numerous electrical, electrochemical, mechanical, and biological systems or components depends on suitable friction, lubrication, and wear as well as tribological values. In this context, the study of friction, wear, and lubrication is of tremendous pragmatic importance. The reduction of friction and loss of materials in relative motion are important challenges to improveing energy efficiency. This book guides the rational design of material for technological application. Chapters cover topics such as the resistance of dry abrasive wear, the role of a brand-new additive in the minimization of friction and wear, the structural-energy model of elastic-plastic deformation, the influence of micro-abrasive wear modes, tribological characteristics of magneto-rheological fluids (MRFs) and magneto-rheological elastomers (MREs), and different treatment technologies to improve tribological properties, among others.",isbn:"978-1-78984-288-3",printIsbn:"978-1-78984-287-6",pdfIsbn:"978-1-83962-346-2",doi:"10.5772/intechopen.77584",price:119,priceEur:129,priceUsd:155,slug:"friction-lubrication-and-wear",numberOfPages:224,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"9811d708b3a24330f50e319ee70c003f",bookSignature:"Mohammad Asaduzzaman Chowdhury",publishedDate:"October 30th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/7770.jpg",numberOfDownloads:9555,numberOfWosCitations:5,numberOfCrossrefCitations:4,numberOfCrossrefCitationsByBook:1,numberOfDimensionsCitations:9,numberOfDimensionsCitationsByBook:2,hasAltmetrics:0,numberOfTotalCitations:18,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"October 9th 2018",dateEndSecondStepPublish:"October 30th 2018",dateEndThirdStepPublish:"December 29th 2018",dateEndFourthStepPublish:"March 19th 2019",dateEndFifthStepPublish:"May 18th 2019",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6,7",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"185329",title:"Prof.",name:"Mohammad Asaduzzaman",middleName:null,surname:"Chowdhury",slug:"mohammad-asaduzzaman-chowdhury",fullName:"Mohammad Asaduzzaman Chowdhury",profilePictureURL:"https://mts.intechopen.com/storage/users/185329/images/system/185329.jpg",biography:"Mohammad Asaduzzaman Chowdhury is a professor of Mechanical Engineering at Dhaka University of Engineering and Technology (DUET), Gazipur, Bangladesh. His research interests are Engineering Tribology, Surface Engineering, Automation and Robotics, Coating Technology, Polymer and Composite Materials, Characterization of Materials. He is working as an Editorial Board Member of large number of International Reputed Journals. Currently, he is working as an editor, reviewer of many ISI and Scopus Indexed International Journals and books. He has also published many research and review papers in refereed International Journals and Conference Proceedings. He is working as a consultant, advisor and expert member of many government and autonomous organizations. His teaching & research experience about 21 years. He is involved himself with different cultural and social activities. He has engaged himself to write the articles, stories, lyrics and poems in different newspapers and relevant media.",institutionString:"Dhaka University of Engineering and Technology",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"3",institution:{name:"Dhaka University of Engineering & Technology",institutionURL:null,country:{name:"Bangladesh"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"157",title:"Fluid Mechanics",slug:"materials-science-fluid-mechanics"}],chapters:[{id:"65374",title:"Abrasive Wear Performance of Fe2B Layers Applied on Steel Substrates",doi:"10.5772/intechopen.83814",slug:"abrasive-wear-performance-of-fe-sub-2-sub-b-layers-applied-on-steel-substrates",totalDownloads:851,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The resistance of dry abrasive wear in Fe2B layer deposited on AISI D2 and 1040 steel substrates, using the powder-pack boriding process, was evaluated. The boriding process was carried out at temperatures of 1220 and 1320 K for a time of 8 h. A Rockwell hardness tester was used to assess the Daimler-Benz adhesion test. The abrasive wear tests were carried out in dry conditions according to the ASTM G65 test standard. The test parameters used were a sand flow of 400 g/min, a nominal rubber wheel constant rotation of 200 rpm, a load of 122 N, and a sliding distance of 716.28 m. The type of abrasive used was steel round grit with a grain size of 260 μm and a hardness of 1100 HV. The total time for each test was 30 min, removing the specimens every 5 min to determine the amount of mass loss using an analytical balance (sensitivity of 0.0001 g). The average value of volume loss and wear rates is reported. Optical microscopy and SEM were carried out in order to identify the wear mechanisms. The wear mechanisms presented in this study were two-body abrasive wear, pitting action, and plastic deformation.",signatures:"Armando Irvin Martínez Pérez, Edgar Ernesto Vera Cárdenas, Manuel Vite Torres, José Luis Bernal Ponce, Karina Alemán Ayala and Marisa Moreno Rios",downloadPdfUrl:"/chapter/pdf-download/65374",previewPdfUrl:"/chapter/pdf-preview/65374",authors:[null],corrections:null},{id:"65805",title:"Experimental Results of the Tribology of Aluminum in the Presence of Polytron Additive",doi:"10.5772/intechopen.84620",slug:"experimental-results-of-the-tribology-of-aluminum-in-the-presence-of-polytron-additive",totalDownloads:843,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Friction is an ever-present obstacle that causes energy loss in mechanical parts. To alleviate this nuisance, we carried out experimental studies on a brand new additive called Polytron to assess its role in the minimization of friction and wear. The wear, the volume wear rate, the wear coefficient, and the coefficient of friction of the aluminum surface were measured at room temperature with pin-on-disk tribometer without and with 10% Polytron in Helix oil. In the base oil Helix, their values were found to be 70 μm, 1.28×10−3mm3/min, 1.27×10−10m2/N, and 0.012, respectively, which with the incorporation of Polytron additive in the Helix oil correspondingly reduced to 20μm, 6.08×10−5mm3/min, 4.22×10−11m2N, and 0.004. The experimental verdict points to an ionic character of the additive in that it impregnates the crystal structure of the metal, thereby prompting a hard surface layer which subsequently curtails wear and friction.",signatures:"Syed Mohammad Hassan Ahmer, Nusratullah Khan, S. Inayat Ali Shah and Lal Said Jan",downloadPdfUrl:"/chapter/pdf-download/65805",previewPdfUrl:"/chapter/pdf-preview/65805",authors:[null],corrections:null},{id:"67338",title:"Structural-Energy Interpretation of the Friction",doi:"10.5772/intechopen.86123",slug:"structural-energy-interpretation-of-the-friction",totalDownloads:820,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The structural-energy model of elastic-plastic deformation is considered as the main mechanism of transformation and dissipation of energy under friction. The equations of friction energy balance are proposed. The energy interpretation of the coefficient of friction is given. A structural-energy diagram of the friction surfaces is proposed. The energy regularities of evolution of tribological contact (elementary tribosystem) are discussed. The idea of the smallest structural element of dissipative friction structures (mechanical (nano) quantum) is discussed. Mechanical quantum is dynamic oscillator of dissipative friction structure. The nano-quantum model of the surfaces damping is proposed. Calculations for some Hertzian heavily loaded contacts of real tribosystems are proposed.",signatures:"Sergey Fedorov",downloadPdfUrl:"/chapter/pdf-download/67338",previewPdfUrl:"/chapter/pdf-preview/67338",authors:[null],corrections:null},{id:"67282",title:"Thin Films: Study of the Influence of the Micro-Abrasive Wear Modes on the Volume of Wear and Coefficient of Friction",doi:"10.5772/intechopen.86459",slug:"thin-films-study-of-the-influence-of-the-micro-abrasive-wear-modes-on-the-volume-of-wear-and-coeffic",totalDownloads:485,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The purpose of this work is to study the influence of the micro-abrasive wear modes on the behaviors of the volume of wear (V) and of the coefficient of friction (μ) of thin films submitted to micro-abrasive wear. Experiments were conducted with thin films of TiN, TiAlN, TiN/TiAlN, TiHfC, ZrN, and TiZrN, using a ball of AISI 52100 steel and abrasive slurries prepared with black silicon carbide (SiC) particles and glycerine. The results show that the abrasive slurry concentration affected the micro-abrasive wear modes (“grooving abrasion” or “rolling abrasion”) and, consequently, the magnitude of the volume of wear and of the coefficient of friction, as described: (i) a low value of abrasive slurry concentration generated “grooving abrasion,” which was related to a relatively low volume of wear and high coefficient of friction, and (ii) a high value of abrasive slurry concentration generated “rolling abrasion,” which was related to a relatively high volume of wear and low coefficient of friction.",signatures:"Ronaldo Câmara Cozza",downloadPdfUrl:"/chapter/pdf-download/67282",previewPdfUrl:"/chapter/pdf-preview/67282",authors:[{id:"283058",title:"Prof.",name:"Ronaldo",surname:"Câmara Cozza",slug:"ronaldo-camara-cozza",fullName:"Ronaldo Câmara Cozza"}],corrections:null},{id:"66257",title:"Novel Predictors for Friction and Wear in Drivetrain Applications",doi:"10.5772/intechopen.85060",slug:"novel-predictors-for-friction-and-wear-in-drivetrain-applications",totalDownloads:820,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Reliability in a drivetrain is given by the life of its constituents, e.g., gears, clutches, and bearings. Lubrication contributes to the life cycle, preventing wear, friction, and environmental impacts. As lubricants and their additives are chemicals with an expected reactivity in a tribological contact, it comes to the question how surface fatigue phenomena due to loading may be influenced by the reactivity of functional additives and how this might be embedded in construction guidelines. A very basic study based on an elementary gear test rig presents the result that pitting life of a gear is substantially influenced by the chemical structure of wear-preventing additives. Even under appropriate loading conditions, the lubricant structure comes as a life-limiting factor. A molecular model shows how the release and the approach of the additives toward a surface is essential and related to the reaction processes that occur during the loading.",signatures:"Walter Holweger",downloadPdfUrl:"/chapter/pdf-download/66257",previewPdfUrl:"/chapter/pdf-preview/66257",authors:[{id:"157019",title:"Dr.",name:"Walter",surname:"Holweger",slug:"walter-holweger",fullName:"Walter Holweger"}],corrections:null},{id:"66131",title:"Tribological and Wear Behavior of Metal Alloys Produced by Laser Powder Bed Fusion (LPBF)",doi:"10.5772/intechopen.85167",slug:"tribological-and-wear-behavior-of-metal-alloys-produced-by-laser-powder-bed-fusion-lpbf-",totalDownloads:703,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Laser powder bed fusion (LPBF) is an additive manufacturing technique for the production of parts with complex geometry, and it is especially appropriate for structural applications in aircraft and automotive industries. Wear is the most important cause of malfunction of mechanical systems. Abrasive wear accounts for 50% of wear in industrial situations, and it is most common in components of machines. LPBF is very attractive due to its extremely high melting and solidification rates that make possible to obtain materials with particular tribological and wear behavior than those by traditional manufacturing routes. The aim of this chapter is to investigate the different behaviors of principal metallic alloys by LPBF.",signatures:"Massimo Lorusso",downloadPdfUrl:"/chapter/pdf-download/66131",previewPdfUrl:"/chapter/pdf-preview/66131",authors:[null],corrections:null},{id:"67417",title:"Tribological Characteristics of Smart Materials (Magneto-Rheological Fluids and Elastomers) and Their Applications",doi:"10.5772/intechopen.86305",slug:"tribological-characteristics-of-smart-materials-magneto-rheological-fluids-and-elastomers-and-their-",totalDownloads:732,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Magneto-rheological fluids (MRFs) and magneto-rheological elastomers (MREs), as smart materials, have been widely studied in various engineering fields to address vibration issues because the mechanical properties are controllable under the strength of a magnetic field. Their tribological characteristics are also important to be evaluated, as applications using MRFs and MREs contain various contact interfaces under reciprocating and rotating working conditions. The performance and durability of these materials are related to their tribological characteristics. Therefore, various working conditions and environmental conditions are taken into consideration, and their tribological characteristics are experimentally examined. In addition, applications using MRFs and MREs are introduced, and the tribological performances of these materials are evaluated.",signatures:"Peng Zhang, Chenglong Lian, Kwang-Hee Lee and Chul-Hee Lee",downloadPdfUrl:"/chapter/pdf-download/67417",previewPdfUrl:"/chapter/pdf-preview/67417",authors:[null],corrections:null},{id:"67139",title:"A Review of Surface Treatments for Sliding Bearings Used at Different Temperature",doi:"10.5772/intechopen.86304",slug:"a-review-of-surface-treatments-for-sliding-bearings-used-at-different-temperature",totalDownloads:1170,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"The boundary lubrication and dry friction of plain bearings at different work temperature are unable to be avoided under the start and stop condition. The poor lubrication is one reason of bearing broken. In order to improve the tribological properties and select the best treatment for different bearings used at different temperature, the studies of different treatment technologies are reviewed in this paper. The review shows that the shortages of bonding fiber woven materials, inlaying solid lubricating materials, electro plating and magnetron sputtering are poor temperature resistance, low load capacity, environment pollution and low production efficiencies respectively. Based on the analyses and summaries, the liquid dope spraying and thermal powder spraying are suggested to deposit coating on the surface of bearing which working temperature is lower than 200 and above 800°C respectively. However, the technology processes, the mechanisms of spraying and self-lubrication materials should be studied further and deeply.",signatures:"Jun Cao, Liang Qin, Aibing Yu, Haibo Huang, Guoping Li, Zhongwei Yin and Huiyu Zhou",downloadPdfUrl:"/chapter/pdf-download/67139",previewPdfUrl:"/chapter/pdf-preview/67139",authors:[null],corrections:null},{id:"66771",title:"Tribology: The Tool to Design Materials for Energy-Efficient and Durable Products and Process",doi:"10.5772/intechopen.85616",slug:"tribology-the-tool-to-design-materials-for-energy-efficient-and-durable-products-and-process",totalDownloads:1495,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:0,abstract:"This chapter describes a summary of the main tribological achievements carried out in TEKNIKER during the last 37 years. It covers the description of commercial and newly developed tribological test benches and case studies for a wide variety of applications. The examples refer to different tribological characterization tools for material selection (e.g., composition, surface treatments, lubricants). It makes emphasis in the failure mechanisms (pitting, scuffing, abrasion, adhesion, thermal fatigue, tribocorrosion, etc.) and friction simulation of a wide range of materials (seals, textiles, steels, cast iron, light alloys, ceramic, composites), tribological systems (mechanical components, biomaterials, tribolubrication), and environments (vacuum, ultrahigh vacuum, low or high temperature, and corrosive). A huge range of new testing equipment and protocols have been developed to simulate the mentioned failure mechanisms and working environments. This knowledge will make possible, in the future, to simulate at laboratory a still wider list of tribological systems and develop new standards. Tribology will help to implement materials solutions into energy and resource efficient products and process, to reduce carbon footprint.",signatures:"Amaya Igartua, Raquel Bayon, Ana Aranzabe and Javier Laucirica",downloadPdfUrl:"/chapter/pdf-download/66771",previewPdfUrl:"/chapter/pdf-preview/66771",authors:[null],corrections:null},{id:"66957",title:"High-Temperature Self-Lubricating Metal Nitride-Based Nanostructure Composite Films",doi:"10.5772/intechopen.86124",slug:"high-temperature-self-lubricating-metal-nitride-based-nanostructure-composite-films",totalDownloads:827,totalCrossrefCites:1,totalDimensionsCites:3,hasAltmetrics:0,abstract:"The film technology is one of the most efficient methods of modifying the surface properties of materials. The focus of recent attention in the solid lubricating materials is on the hard transition metal nitride films’ excellent high-temperature tribological properties applied in powertrains and cutting tools. This chapter reviewed the formation mechanism of Magnéli phases and the influence of Magnéli phases on the high-temperature tribological properties of hard transition metal nitride films synthesized using magnetron sputtering. The self-lubricating behavior and wear mechanism of the Magnéli phases are discussed from the point of view of crystallography. Some methods to enhance the wear resistance property of the metal nitride film are also discussed.",signatures:"Hongbo Ju",downloadPdfUrl:"/chapter/pdf-download/66957",previewPdfUrl:"/chapter/pdf-preview/66957",authors:[null],corrections:null},{id:"65923",title:"Testing of the Resistance to Scuffing of Spiral Bevel Gears: Test Rig, Method, and Results of Verification Testing",doi:"10.5772/intechopen.84848",slug:"testing-of-the-resistance-to-scuffing-of-spiral-bevel-gears-test-rig-method-and-results-of-verificat",totalDownloads:809,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"In spite of long-term development of the technology of bevel gear production, the automotive industry reports various operational demands such as the need of the size and mass reduction of gears without lowering their durability and reduction of friction leading to a decrease in the energy losses and a decrease of the tendency to scuffing. What is more expected, EU regulations may impose the use of new generation gear oils (ecological-friendly) providing the proper operational properties of the transmission. In view of these demands, a new, bevel gear test rig and scuffing test method have been developed at ITeE-PIB. The idea resulted from a necessity to improve reliability of tests—popular gear tests are run mostly on spur gears having the tooth geometry significantly different than bevel gears. The test rig, test method, and results of verification testing are presented. The effect of various gear oils and the deposition of a low-friction coating on the resistance to scuffing were investigated. It is shown that the new test rig fulfils the research requirements and that the new test method has a good resolution.",signatures:"Waldemar Tuszynski, Marek Kalbarczyk, Bartosz Kiser, Michal Michalak, Remigiusz Michalczewski, Jerzy Mydlarz, Witold Piekoszewski, Marian Szczerek and Jan Wulczynski",downloadPdfUrl:"/chapter/pdf-download/65923",previewPdfUrl:"/chapter/pdf-preview/65923",authors:[null],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"7471",title:"Advanced Surface Engineering Research",subtitle:null,isOpenForSubmission:!1,hash:"4c1a23accacc46fd18b49f2e5c6d303e",slug:"advanced-surface-engineering-research",bookSignature:"Mohammad Asaduzzaman Chowdhury",coverURL:"https://cdn.intechopen.com/books/images_new/7471.jpg",editedByType:"Edited by",editors:[{id:"185329",title:"Prof.",name:"Mohammad Asaduzzaman",surname:"Chowdhury",slug:"mohammad-asaduzzaman-chowdhury",fullName:"Mohammad Asaduzzaman Chowdhury"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9867",title:"Composite Materials",subtitle:null,isOpenForSubmission:!1,hash:"30cffe429a772008121d9ec81db6224a",slug:"composite-materials",bookSignature:"Mohammad Asaduzzaman Chowdhury, José Luis Rivera Armenta, Mohammed Muzibur Rahman, Abdullah Asiri and Inamuddin",coverURL:"https://cdn.intechopen.com/books/images_new/9867.jpg",editedByType:"Edited by",editors:[{id:"185329",title:"Prof.",name:"Mohammad Asaduzzaman",surname:"Chowdhury",slug:"mohammad-asaduzzaman-chowdhury",fullName:"Mohammad Asaduzzaman Chowdhury"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7429",title:"Wettability and Interfacial Phenomena",subtitle:"Implications for Material Processing",isOpenForSubmission:!1,hash:"f3f8fbe45909c45a116f978587db61ae",slug:"wettability-and-interfacial-phenomena-implications-for-material-processing",bookSignature:"Rita Khanna",coverURL:"https://cdn.intechopen.com/books/images_new/7429.jpg",editedByType:"Edited by",editors:[{id:"19010",title:"Associate Prof.",name:"Rita",surname:"Khanna",slug:"rita-khanna",fullName:"Rita Khanna"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6175",title:"Porosity",subtitle:"Process, Technologies and Applications",isOpenForSubmission:!1,hash:"c4cfd280dbc5716589a1062c5a20fcf9",slug:"porosity-process-technologies-and-applications",bookSignature:"Taher Hcine Ghrib",coverURL:"https://cdn.intechopen.com/books/images_new/6175.jpg",editedByType:"Edited by",editors:[{id:"21004",title:"Dr.",name:"Taher",surname:"Ghrib",slug:"taher-ghrib",fullName:"Taher Ghrib"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7774",title:"Nanofluid Flow in Porous Media",subtitle:null,isOpenForSubmission:!1,hash:"694361f15eb61a1b21ff01c6cd96f59a",slug:"nanofluid-flow-in-porous-media",bookSignature:"Mohsen Sheikholeslami Kandelousi, Sadia Ameen, M. Shaheer Akhtar and Hyung-Shik Shin",coverURL:"https://cdn.intechopen.com/books/images_new/7774.jpg",editedByType:"Edited by",editors:[{id:"185811",title:"Dr.",name:"Mohsen",surname:"Sheikholeslami Kandelousi",slug:"mohsen-sheikholeslami-kandelousi",fullName:"Mohsen Sheikholeslami Kandelousi"}],equalEditorOne:{id:"52613",title:"Dr.",name:"Sadia",middleName:null,surname:"Ameen",slug:"sadia-ameen",fullName:"Sadia Ameen",profilePictureURL:"https://mts.intechopen.com/storage/users/52613/images/system/52613.jpg",biography:"Professor Sadia Ameen obtained a Ph.D. in Chemistry in 2008. She is currently an associate professor in the Department of Bio-Convergence Science, Jeonbuk National University, South Korea. Her current research focuses on dye-sensitized solar cells, perovskite solar cells, organic solar cells, sensors, catalysts, and optoelectronic devices. She specializes in the synthesis and application of clean energy materials. She was awarded a gold medal for academic achievement and several scientific honors, including the Excellence in Research Award, Outstanding Scientist Award, Asia’s Top-50 Scientist Award, Certificate of Excellence, and Best Researcher Award. She is also listed as one of the world’s top 2% of scientists by Stanford University, USA. She has authored or co-authored more than 130 peer-reviewed papers on solar cells, catalysts, and sensors, as well as written book chapters and edited several books.",institutionString:"Jeonbuk National University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"6",totalChapterViews:"0",totalEditedBooks:"4",institution:{name:"Jeonbuk National University",institutionURL:null,country:{name:"Korea, South"}}},equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"8887",title:"Thermophysical Properties of Complex Materials",subtitle:null,isOpenForSubmission:!1,hash:"e8101f57488f86e3fbfa4e3a4279a4c7",slug:"thermophysical-properties-of-complex-materials",bookSignature:"Aamir Shahzad",coverURL:"https://cdn.intechopen.com/books/images_new/8887.jpg",editedByType:"Edited by",editors:[{id:"288354",title:"Dr.",name:"Aamir",surname:"Shahzad",slug:"aamir-shahzad",fullName:"Aamir Shahzad"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10284",title:"Porous Fluids",subtitle:"Advances in Fluid Flow and Transport Phenomena in Porous Media",isOpenForSubmission:!1,hash:"df79c29efe12a76f9250f23370bb8e37",slug:"porous-fluids-advances-in-fluid-flow-and-transport-phenomena-in-porous-media",bookSignature:"Vallampati Ramachandra Prasad",coverURL:"https://cdn.intechopen.com/books/images_new/10284.jpg",editedByType:"Edited by",editors:[{id:"146601",title:"Dr.",name:"Vallampati",surname:"Ramachandra Prasad",slug:"vallampati-ramachandra-prasad",fullName:"Vallampati Ramachandra Prasad"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10374",title:"Advances in Microfluidics and Nanofluids",subtitle:null,isOpenForSubmission:!1,hash:"b7ba9cab862a9bca2fc9f9ee72ba5eec",slug:"advances-in-microfluidics-and-nanofluids",bookSignature:"S. M. Sohel Murshed",coverURL:"https://cdn.intechopen.com/books/images_new/10374.jpg",editedByType:"Edited by",editors:[{id:"24904",title:"Prof.",name:"S. M. Sohel",surname:"Murshed",slug:"s.-m.-sohel-murshed",fullName:"S. M. Sohel Murshed"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],ofsBooks:[]},correction:{item:{id:"79356",slug:"erratum-public-perceptions-of-values-associated-with-wildfire-protection-at-the-wildland-urban-inter",title:"Erratum - Public Perceptions of Values Associated with Wildfire Protection at the Wildland-Urban Interface: A Synthesis of National Findings",doi:null,correctionPDFUrl:"https://cdn.intechopen.com/pdfs/68989.pdf",downloadPdfUrl:"/chapter/pdf-download/68989",previewPdfUrl:"/chapter/pdf-preview/68989",totalDownloads:null,totalCrossrefCites:null,bibtexUrl:"/chapter/bibtex/68989",risUrl:"/chapter/ris/68989",chapter:{id:"65057",slug:"public-perceptions-of-values-associated-with-wildfire-protection-at-the-wildland-urban-interface-a-s",signatures:"Jason Gordon, Adam S. Willcox, A.E. Luloff, James C. Finley and Donald G. Hodges",dateSubmitted:"June 21st 2018",dateReviewed:"October 22nd 2018",datePrePublished:"December 31st 2018",datePublished:"February 19th 2020",book:{id:"8295",title:"Landscape Reclamation",subtitle:"Rising From What's Left",fullTitle:"Landscape Reclamation - Rising From What's Left",slug:"landscape-reclamation-rising-from-what-s-left",publishedDate:"February 19th 2020",bookSignature:"Luis Loures",coverURL:"https://cdn.intechopen.com/books/images_new/8295.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"108118",title:"Dr.",name:"Luis",middleName:null,surname:"Loures",slug:"luis-loures",fullName:"Luis Loures"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"264298",title:"Dr.",name:"Jason",middleName:null,surname:"Gordon",fullName:"Jason Gordon",slug:"jason-gordon",email:"jason.gordon@uga.edu",position:null,institution:{name:"University of Georgia",institutionURL:null,country:{name:"United States of America"}}}]}},chapter:{id:"65057",slug:"public-perceptions-of-values-associated-with-wildfire-protection-at-the-wildland-urban-interface-a-s",signatures:"Jason Gordon, Adam S. Willcox, A.E. Luloff, James C. Finley and Donald G. Hodges",dateSubmitted:"June 21st 2018",dateReviewed:"October 22nd 2018",datePrePublished:"December 31st 2018",datePublished:"February 19th 2020",book:{id:"8295",title:"Landscape Reclamation",subtitle:"Rising From What's Left",fullTitle:"Landscape Reclamation - Rising From What's Left",slug:"landscape-reclamation-rising-from-what-s-left",publishedDate:"February 19th 2020",bookSignature:"Luis Loures",coverURL:"https://cdn.intechopen.com/books/images_new/8295.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"108118",title:"Dr.",name:"Luis",middleName:null,surname:"Loures",slug:"luis-loures",fullName:"Luis Loures"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"264298",title:"Dr.",name:"Jason",middleName:null,surname:"Gordon",fullName:"Jason Gordon",slug:"jason-gordon",email:"jason.gordon@uga.edu",position:null,institution:{name:"University of Georgia",institutionURL:null,country:{name:"United States of America"}}}]},book:{id:"8295",title:"Landscape Reclamation",subtitle:"Rising From What's Left",fullTitle:"Landscape Reclamation - Rising From What's Left",slug:"landscape-reclamation-rising-from-what-s-left",publishedDate:"February 19th 2020",bookSignature:"Luis Loures",coverURL:"https://cdn.intechopen.com/books/images_new/8295.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"108118",title:"Dr.",name:"Luis",middleName:null,surname:"Loures",slug:"luis-loures",fullName:"Luis Loures"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}}},ofsBook:{item:{type:"book",id:"10007",leadTitle:null,title:"Propulsion",subtitle:"New Perspectives and Applications",reviewType:"peer-reviewed",abstract:"Almost all animals move around frequently in space. Their aim is to walk and fly in search of food or to propagate their species. Thus, changing positions is important for creatures’ survival and maintaining the environment. As such, this book examines movement with a focus on force and propulsion. Chapters cover topics including rocket engines, electric propulsion, mechanisms of force, and more.",isbn:"978-1-83968-835-5",printIsbn:"978-1-83968-834-8",pdfIsbn:"978-1-83968-836-2",doi:"10.5772/intechopen.87830",price:119,priceEur:129,priceUsd:155,slug:"propulsion-new-perspectives-and-applications",numberOfPages:102,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"042ab0c0a8270b1bacf6a8e385601863",bookSignature:"Kazuo Matsuuchi and Hiroaki Hasegawa",publishedDate:"December 15th 2021",coverURL:"https://cdn.intechopen.com/books/images_new/10007.jpg",keywords:null,numberOfDownloads:1417,numberOfWosCitations:0,numberOfCrossrefCitations:2,numberOfDimensionsCitations:4,numberOfTotalCitations:6,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"September 16th 2020",dateEndSecondStepPublish:"October 14th 2020",dateEndThirdStepPublish:"December 13th 2020",dateEndFourthStepPublish:"March 3rd 2021",dateEndFifthStepPublish:"May 2nd 2021",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"2 years",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:5,editedByType:"Edited by",kuFlag:!1,biosketch:"Obtained his Ph.D. in Engineering from Osaka University and most of his career spent at the University of Tsukuba where he finally earned his Professor Emeritus title.",coeditorOneBiosketch:"Prof. Hasegawa worked for the Japan Defense Agency for ten years and obtained his Ph.D. in Engineering from the University of Tsukuba in 1999, his research interests lie in the application of fluid mechanics in the fields of aviation, outer space, medicine, and sports.",coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"42387",title:"Prof.",name:"Kazuo",middleName:null,surname:"Matsuuchi",slug:"kazuo-matsuuchi",fullName:"Kazuo Matsuuchi",profilePictureURL:"https://mts.intechopen.com/storage/users/42387/images/system/42387.jpg",biography:"Dr. Kazuo Matsuuchi obtained his Ph.D. in Engineering from Osaka University, Japan, in 1976. In 1977, he served as a research assistant at the Institute of Structural Engineering, University of Tsukuba, Japan. He became a full professor at the same university in 1995. In 2012 he earned the title of Professor Emeritus and he is still active at the University of Tsukuba. Dr. Matsuuchi was a visiting professor at Khon Kaen University, Thailand, and a specially appointed professor at the Oguz Khan Engineering and Technology University of Turkmenistan.",institutionString:"University of Tsukuba",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"University of Tsukuba",institutionURL:null,country:{name:"Japan"}}}],coeditorOne:{id:"321873",title:"Dr.",name:"Hiroaki",middleName:null,surname:"Hasegawa",slug:"hiroaki-hasegawa",fullName:"Hiroaki Hasegawa",profilePictureURL:"https://mts.intechopen.com/storage/users/321873/images/system/321873.png",biography:"In 1989, Dr. Hiroaki Hasegawa started as a research engineer working on research and development of ramjet and jet engines at the Japan Defense Agency. In 1998, he earned the title of senior research engineer at the same agency. He obtained a Ph.D. in Engineering from the University of Tsukuba, Japan, in 1999. Dr. Hasegawa was appointed a lecturer in the Department of Mechanical Engineering, Akita University, Japan, in 2002. He is currently a professor in the Department of Mechanical and Intelligent Engineering, Utsunomiya University, Japan.",institutionString:"Utsunomiya University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Utsunomiya University",institutionURL:null,country:{name:"Japan"}}},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"124",title:"Vehicle Engineering",slug:"vehicle-engineering"}],chapters:[{id:"79180",title:"Introductory Chapter: Propulsion and Movement",slug:"introductory-chapter-propulsion-and-movement",totalDownloads:102,totalCrossrefCites:0,authors:[{id:"42387",title:"Prof.",name:"Kazuo",surname:"Matsuuchi",slug:"kazuo-matsuuchi",fullName:"Kazuo Matsuuchi"}]},{id:"76789",title:"Hybrid Propulsion System: Novel Propellant Design for Mars Ascent Vehicles",slug:"hybrid-propulsion-system-novel-propellant-design-for-mars-ascent-vehicles",totalDownloads:260,totalCrossrefCites:0,authors:[{id:"332637",title:"Dr.",name:"Ozan",surname:"Kara",slug:"ozan-kara",fullName:"Ozan Kara"}]},{id:"74791",title:"Keeping the Dream Alive: Is Propellant-less Propulsion Possible?",slug:"keeping-the-dream-alive-is-propellant-less-propulsion-possible-",totalDownloads:436,totalCrossrefCites:1,authors:[{id:"335130",title:"Emeritus Prof.",name:"James F.",surname:"Woodward",slug:"james-f.-woodward",fullName:"James F. Woodward"}]},{id:"75849",title:"Introduction to Plasma Based Propulsion System: Hall Thrusters",slug:"introduction-to-plasma-based-propulsion-system-hall-thrusters",totalDownloads:333,totalCrossrefCites:1,authors:[{id:"282807",title:"Dr.",name:"Sukhmander",surname:"Singh",slug:"sukhmander-singh",fullName:"Sukhmander Singh"}]},{id:"76364",title:"Estimation of Cumulative Noise Reduction at Certification Points for Supersonic Civil Aeroplane Using the Programmed Thrust Management at Take-off and Approach",slug:"estimation-of-cumulative-noise-reduction-at-certification-points-for-supersonic-civil-aeroplane-usin",totalDownloads:165,totalCrossrefCites:0,authors:[{id:"335693",title:"Dr.",name:"Artur",surname:"Mirzoyan",slug:"artur-mirzoyan",fullName:"Artur Mirzoyan"},{id:"345912",title:"Dr.",name:"Iurii",surname:"Khaletskii",slug:"iurii-khaletskii",fullName:"Iurii Khaletskii"}]},{id:"79119",title:"Thrust Force Generated by Heaving Motion of a Plate: The Role of Vortex-Induced Force",slug:"thrust-force-generated-by-heaving-motion-of-a-plate-the-role-of-vortex-induced-force",totalDownloads:122,totalCrossrefCites:0,authors:[{id:"42387",title:"Prof.",name:"Kazuo",surname:"Matsuuchi",slug:"kazuo-matsuuchi",fullName:"Kazuo Matsuuchi"}]}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"301331",firstName:"Mia",lastName:"Vulovic",middleName:null,title:"Mrs.",imageUrl:"https://mts.intechopen.com/storage/users/301331/images/8498_n.jpg",email:"mia.v@intechopen.com",biography:"As an Author Service Manager, my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. Whether that be identifying an exceptional author and proposing an editorship collaboration, or contacting researchers who would like the opportunity to work with IntechOpen, I establish and help manage author and editor acquisition and contact."}},relatedBooks:[{type:"book",id:"7198",title:"Propulsion Systems",subtitle:null,isOpenForSubmission:!1,hash:"fd56f1620b0b201a3de0cd3f7e04d15c",slug:"propulsion-systems",bookSignature:"Alessandro Serpi and Mario Porru",coverURL:"https://cdn.intechopen.com/books/images_new/7198.jpg",editedByType:"Edited by",editors:[{id:"217145",title:"Dr.",name:"Alessandro",surname:"Serpi",slug:"alessandro-serpi",fullName:"Alessandro Serpi"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10810",title:"Modern Ship Engineering, Design and Operations",subtitle:null,isOpenForSubmission:!1,hash:"579a9da63aca2172c0f0584328ae91c1",slug:"modern-ship-engineering-design-and-operations",bookSignature:"Carlos Reusser",coverURL:"https://cdn.intechopen.com/books/images_new/10810.jpg",editedByType:"Edited by",editors:[{id:"209816",title:"Dr.",name:"Carlos",surname:"Reusser",slug:"carlos-reusser",fullName:"Carlos Reusser"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"72",title:"Ionic Liquids",subtitle:"Theory, Properties, New Approaches",isOpenForSubmission:!1,hash:"d94ffa3cfa10505e3b1d676d46fcd3f5",slug:"ionic-liquids-theory-properties-new-approaches",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/72.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"2270",title:"Fourier Transform",subtitle:"Materials Analysis",isOpenForSubmission:!1,hash:"5e094b066da527193e878e160b4772af",slug:"fourier-transform-materials-analysis",bookSignature:"Salih Mohammed Salih",coverURL:"https://cdn.intechopen.com/books/images_new/2270.jpg",editedByType:"Edited by",editors:[{id:"111691",title:"Dr.Ing.",name:"Salih",surname:"Salih",slug:"salih-salih",fullName:"Salih Salih"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"117",title:"Artificial Neural Networks",subtitle:"Methodological Advances and Biomedical Applications",isOpenForSubmission:!1,hash:null,slug:"artificial-neural-networks-methodological-advances-and-biomedical-applications",bookSignature:"Kenji Suzuki",coverURL:"https://cdn.intechopen.com/books/images_new/117.jpg",editedByType:"Edited by",editors:[{id:"3095",title:"Prof.",name:"Kenji",surname:"Suzuki",slug:"kenji-suzuki",fullName:"Kenji Suzuki"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3828",title:"Application of Nanotechnology in Drug Delivery",subtitle:null,isOpenForSubmission:!1,hash:"51a27e7adbfafcfedb6e9683f209cba4",slug:"application-of-nanotechnology-in-drug-delivery",bookSignature:"Ali Demir Sezer",coverURL:"https://cdn.intechopen.com/books/images_new/3828.jpg",editedByType:"Edited by",editors:[{id:"62389",title:"PhD.",name:"Ali Demir",surname:"Sezer",slug:"ali-demir-sezer",fullName:"Ali Demir Sezer"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"76128",title:"The Use of Omalizumab in Chronic Urticaria: Available Data and Future Aspects of Anti-IgE Treatment",doi:"10.5772/intechopen.97226",slug:"the-use-of-omalizumab-in-chronic-urticaria-available-data-and-future-aspects-of-anti-ige-treatment",body:'Symptomatic management to relieve itchy wheals has been recognized as the standard of care for chronic urticaria. However, around a half of patients with CU are refractory to recommended doses neither an increased doses of antihistamine. In these patients whose urticaria are not controlled with non-sedative antihistamines, more significantly impaired quality of life has been observed. Management guidelines for CU in past included omalizumab, cyclosporine, dapsone, hydroxychloroquine, methotrexate, montelukast, colchine, and phototherapy as alternative treatment for antihistamine-refractory CU [1, 2]. However, most of recent guidelines recommend omalizumab for the first of choice among various immunomodulating agents based on lots of study results [3, 4].
Omalizumab is the only biologics, approved for management of chronic spontaneous urticaria (CSU) in patients at age 12 years or older by Food and Drug Administration (FDA). It a recombinant humanized IgG1, monoclonal anti-IgE antibody. Although the pathophysiology of CU is not completely established, it is clear that mast cell activation is the key feature of CU. Omalizumab binds to free IgE at the Fc region and prohibits IgE from interacting with high-affinity receptor for Fc region of IgE (FcɛRI) on mast cells, basophils and eosinophils [5, 6]. It has been shown to downregulate the expression of FcɛRI on both mast cells and basophils [7]. This chapter reviews the current evidence of the efficacy, safety, and treatment response to biologics targeting IgE, including omalizumab, ligelizumab and quilizumab in CU patients.
The first successful use of omalizumab for CU was reported by Boyce in 2006 [8]. The 3 essential phase III multicenter, randomized, double-blinded studies that led to the FDA indication for CSU were the ASTERIA I [9] and II [10], and GLACIAL [11] trials. These trials included a total of 733 patients on omalizumab 75, 150, or 300 mg at 4-week intervals and 242 patients were allocated in the placebo groups. Clinical efficacy of omalizumab in randomized controlled trials including these 3 pivotal trials are summarized in Table 1.
Trial name, Author, Year, Reference No. | Population | Study design | Intervention | Mean change from baseline in UAS7 (mean, 95% CI or SD) | No. of complete responders (% of UAS7 = 0) |
---|---|---|---|---|---|
MYSTIQUE Saini 2011 [12] | Patients aged 12–75 years with CU refractory to antihistamines. | Multicenter RDBPCT (N = 90; OMA75 = 23, OMA300 = 25, OMA600 = 21, placebo = 21) | Omalizumab 75, 300, 600 mg Single dose | Placebo: −6.9 (−11.5, 0.96) 75 mg: −9.8 (−17.77, −4.85) 300 mg: −19.9 (−25.4, −12.0) 600 mg: −14.6 (−22.5, −7.0) at 4 W | Placebo: 0% 75 mg: 4.4% 300 mg: 36.0% 600 mg: 28.6% at 4 W |
XCUISITE Maurer 2011 [13] | Patients aged 18–70 years with a clinical diagnosis of moderate-to-severe CU. | Multicenter RDBPCT (N = 49; OMA = 27, placebo = 22) | Omalizumab 75 ~ 375 mg Q2W or Q4W based on the asthma dosing | Placebo: −7.9 300 mg: −17.8 at 24 W | Placebo: 4.5% 300 mg: 59.3% at 24 W |
ASTERIA I Maurer 2013 [9] | Patients aged 12–75 years with moderate-to-severe CU who remained symptomatic despite H1AH. | Multicenter RDBPCT (N = 322; OMA75 = 82, OMA150 = 82, OMA300 = 79, placebo = 79) | Omalizumab 75, 150, 300 mg Q4W for 12 weeks | Placebo: −5.1 ± 5.6 75 mg: −5.9 ± 6.5 150 mg: −8.1 ± 6.4 300 mg: −9.8 ± 6.0 at 12 W | Placebo: 5% 75 mg: 16% 150 mg: 22% 300 mg: 53% at 12 W |
ASTERIA II Saini 2015 [10] | Patients aged 12–75 years with a CU that remained symptomatic despite H1AH. | Multicenter RDBPCT (N = 318; OMA75 = 77, OMA150 = 80, OMA300 = 81, placebo = 80) | Omalizumab 75, 150, 300 mg Q4W for 24 weeks | Placebo: −8.01 ± 5.22 75 mg: −6.46 ± 6.14 150 mg: −6.66 ± 6.28 300 mg: −9.40 ± 5.73 at 12 W | Placebo: 8.8% 75 mg: 11.7% 150 mg: 15.0% 300 mg: 35.8% at 12 W |
GLACIAL Kaplan 2013 [11] | Patients aged 12–75 years with a CU that remained symptomatic despite H1AH plus H2AH and/or LTRA. | Multicenter RDBPCT (post hoc analysis) (N = 336; OMA300 = 252, placebo = 84) | Omalizumab 300 mg Q4W for 24 weeks | Placebo: −8.5 (−11.1, −5.9) 300 mg: −19.0 (−20.6, −17.4) at 12 W Mean difference to placebo: −4.5 (−6.1, −3.0) at 24 W | 34% vs. 5% at 12 W |
X-ACT Staubach 2016 [14] | Patients aged 18–75 years with CSU and ≥ 4 episodes of angioedema who were symptomatic despite H1AH. | Multicenter RDBPCT (N = 91; OMA300 = 44, placebo = 47) | Omalizumab 300 mg Q4W for 24 weeks | Placebo: −6.5 ± 13.4 300 mg: −16.8 ± 14.8 Mean difference to placebo: −10.3 (−16.2, −3.9) at 28 W | 50% vs. 10.6% at 28 W |
MoA Metz 2017 [15] | Patients aged 18–75 years with CU refractory to antihistamines. | Multicenter RDBPCT (N = 30; OMA300 = 20, placebo = 10) | Omalizumab 300 mg Q4W for 12 weeks | Placebo: −3.8 ± 6.63 300 mg: −11.4 ± 6.53 Mean difference to placebo: −14.82 at 12 W | NA |
Jörg 2018 [17] | Patients aged 18–70 years with CSU refractory to H1AH. | Monocenteric RDBPCT Post hoc analysis (N = 30; OMA300 = 20, placebo = 10) | Omalizumab 300 mg Q4W for 16 weeks | NA | 47.1% vs. 0% at 12 W 23.5% vs. 12.5% at 20 W |
POLARIS Hide 2017 [19] | Japanese and Korean patients aged 12–75 years with CSU refractory to conventional H1AH at the randomization. | Multicenter RDBPCT (N = 218; OMA150 = 71, OMA300 = 73, placebo = 74) | Omalizumab 150, 300 mg Q4W for 12 weeks | Placebo: −13.9 150 mg: −18.8 300 mg: −22.4 at 12 W | Placebo: 4.1% 150 mg: 18.6% 300 mg: 35.6% at 12 W |
XTEND-CIU Maurer 2018 [16] Casale 2019 [18] | Patients aged 12–75 years who remain symptomatic despite optimized H1AH treatment. | Multicenter RDBPCT (N = 134; OMA300 = 81, placebo = 53) | Omalizumab 300 mg Q4W for the 1st 24 W, and then randomized to OMA300 or placebo for additional 24 W | NA | 36.8% at 12 W 52.0% at 24 W |
Clinical efficacy of omalizumab in randomized controlled trials.
ASTERIA I was a 40-week trial included patients receiving either omalizumab 75 mg, omalizumab 150 mg, omalizumab 300 mg, or placebo given in 4-week intervals for a 24-week treatment period with 16 weeks of follow-up [9]. The patients who had failed H1 antihistamine treatment at licenced doses were enrolled. All 3 doses of omalizumab met their primary efficacy endpoint of a reduction in weekly itch severity score (ISS) at 12 weeks compared with baseline (−6.46 with omalizumab 75 mg, −6.66 with omalizumab 150 mg, and − 9.40 with omalizumab 300 mg). The omalizumab 300 mg group achieved the minimally important difference in weekly ISS at a significantly shorter duration compared with the other omalizumab doses. However, urticaria symptoms returned to placebo levels after omalizumab was discontinued in all treatment groups during the follow-up period.
ASTERIA II was a 28-week trial that included 12 weeks of therapy with either omalizumab 75 mg, 150 mg, or 300 mg, or placebo in 4-week intervals with a 16-week follow-up period [10]. The patients having already failed treatment with approved doses of H1 antihistamines were included. The group of omalizumab 75 mg was failed to show significant difference in weekly ISS at 12 weeks compared with the placebo group. The omalizumab 150 mg and 300 mg groups reached significance for their primary end point of a mean change from baseline in weekly ISS at 12 weeks (−8.1 with omalizumab 150 mg and − 9.8 with omalizumab 300 mg), as compared with placebo. The proportion of patients who had complete symptom control was 16%, 22%, 44%, and 5% for omalizumab 75 mg, 150 mg, 300 mg, and placebo groups, respectively. During the 16-week follow-up period, the ISS for all omalizumab doses increased to levels similar to those of the placebo group.
GLACIAL trial included patients who had failed H1 antihistamines at up to 4 times the approved doses in addition to approved doses of leukotriene receptor antagonists or H2 antihistamines [11]. These patients were given either omalizumab 300 mg or placebo every 4 weeks for 24 weeks followed by a 16-week observation period. The weekly ISS at week 12 compared with baseline was significantly improved in the omalizumab 300 mg group compared with placebo (−8.6 with omalizumab 300 mg). All the other secondary efficacy end points also met significance for the omalizumab group including change in weekly urticaria activity score (UAS7), Dermatology Life Qualirty Index, and proportion of patients who were itch and hive free. As with both ASTERIA trials, the effects of omalizumab appeared not to be permanent, and weekly ISS increased to placebo levels after discontinuing omalizumab treatment.
Recently, several systematic analyses based on various randomized controlled trials [9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19] to evaluate the effects of omalizumab for patients with CSU have been reported [3, 20, 21, 22]. These systematic reviews have provided high-quality of evidence on that omalizumab is effective in the treatment of antihistamine-refractory CSU independent of monthly dose [3, 22]. The dosage of 300 mg every 4 weeks is found to achieve better results in reductions of disease activity scores and in improvement of disease-specific quality of life. However, a recent meta-analysis analyzed minimal important differences in urticaria outcome measures, such as UAS7, ISS7, and quality of life demonstrated that omalizumab 300 mg resulted in clinically meaningful improvement of all the outcome measures, whereas omalizumab 150 mg failed to prove clinically meaningful improvement in any of them as compared with standard of care [20].
In patients with allergic asthma, optimal dose of omalizumab is determined by serum total IgE levels and body weight of the patients. Unlike for allergic asthma, the FDA approved omalizumab for the management of CSU at doses independent of serum IgE levels or body weight. Based on the 3 pivotal trials, [9, 10, 11] the approved doses of omalizumab is 150 mg or 300 mg every 4 weeks. Doses lower than 150 mg did not consistently show a significant improvement in efficacy compared with placebo, and the higher dose of 300 mg dependably showed faster and more robust efficacy. Interestingly, higher doses of omalizumab at 600 mg were explored in the dose-ranging single omalizumab dose phase II MYSTIQUE trial [23, 24]. Although no significant difference in changes of UAS7 at week 4 from baseline between the omalizumab 600 mg and 300 mg groups, there was also no increase in adverse events [25, 26, 27]. Cases of patients requiring higher than approved doses, up to 600 mg, to reach complete remission have been reported [25, 27].
As shown in all phase III trials, cessation of omalizumab resulted in an increase in weekly itch and wheal scores and returning to placebo levels within 16 weeks [9, 10, 11]. These results indicate that omalizumab is effective in controlling symptoms, but they do not provide evidence that omalizumab induces remission from CSU. Therefore, longer durations of treatment may be required for some patients. Omalizumab shows very good safety efficacious at therapeutic durations of more than 1 year [23, 24]. As soon as patients achieved complete control, antihistamines can be tapered off [4].
Several strategies have been proposed for weaning including reduction monthly doses or lengthening the time between doses [28]. A patient-tailored tapering protocol on the basis of a patient’s UAS7 scores while on omalizumab treatment is needed. Increase the injection interval by 1-week intervals can be recommended when the patient achieved a complete response to omalizumab after 6 months of treatment [29]. If a patient can tolerate every 8-week injections over a 4-month period without increased activity, these patients can often have omalizumab discontinued. Fortunately, most of patients who have experienced relapsed urticaria after stopping omalizumab treatment, respond well to retreatment of omalizumab with previously effective dose and interval [30, 31].
In patients with CU, omalizumab is not a disease-modifying or curative treatment. The treatment response to omalizumab in patients with CU is classified according to the onset and extent of the response. Fast or early response is defined when the onset of therapeutic response to omalizumab in CU patients starts within the first 4 weeks. On the other hand, the response appearing gradually by weeks 12–16 weeks is defined as slow or late response. The extent of therapeutic response to omalizumab is based on the UAS7. Complete response includes the patients who achieve UAS7 = 0, no itch and wheal or UAS7 ≤ 6, well-controlled urticaria or have a significant improvement in UAS7 reduction from baseline (> 90%). Partial response is defined as UAS7 reduction between 30% and 90%. No response means that UAS7 reduction is less than 30% from baseline or the exacerbation of itchy wheals during omalizumab treatment [32, 33].
Around 70% of patients with CSU who benefit from omalizumab respond within the first week of treatment. From the results of 3 pivotal phase III trials, at week 4, well-controlled urticaria (UAS7 ≤ 6) was reported by 2 ~ 5%, 12 ~ 15%, 21 ~ 28%, and 37 ~ 51% of patients receiving placebo, 75, 150, 300 mg of omalizumab, respectively. And early response is linked to type I autoimmunity or IgE autoantibodies, such as IgE to thyroid persoxidase [13]. The proportion of well-controlled urticaria and complete responders during the 12-week of active treatment increased continuously. With continuous dosing of omalizumab 300 mg from 12 weeks to 24 weeks in ASTERIA I [9] and GLACIAL, [11] around a half of patients who did not respond at week 12 achieved complete response at week 24. The median time to complete response was also dependent on the dose of omalizumab. It was noted between 8 and 10 weeks for 300 mg of omalizumab, whereas fewer than 50% of patients in the 75 mg or 150 mg of omalizumab groups achieved complete response within the 12-week of treatment. However, around 40 ~ 50% of patients had partly or uncontrolled urticaria even with an active treatment of omalizumab for 24 weeks. Thus, before determining non-responders to omalizumab treatment and considering other therapeutics, use of omalizumab for at least 6 months is needed.
There are no markers to predict when their CSU will go into remission. Despite older and higher disease activity at onset, being female, and hypersensitivity to nonsteroidal anti-inflammatory drugs, comorbid CIndU, presence of angioedema, and thyroid disease were all reported to be associated with longer urticaria duration in CSU patients, [29] however, none on these markers guides to decide when to discontinue omalizumab.
Lower levels of serum total IgE at baseline (< 40 IU/mL) and decreased ratio of IgE levels at 4 weeks by baseline levels (<2.0) have been associated with higher risk of non-responder to omalizumab treatment in CSU patients [34]. Positive response to diagnostic tests for type IIb autoimmunity including basophil histamine releasibility assay, autologous serum skin test, and anti-FcεRI autoantibody in the sera from CSU patients are regarded as indicators for slow or poor response to omalizumab [34, 35].
Studies evaluating the efficacy of up-dosing of omalizumab to 450 mg or 600 mg in a month revealed a comparable benefit for CSU patients with partial or non-response to 300 mg of omalizumab [26, 27, 36]. There also reports that shortening the injection interval can lead to complete response inpatients with partial or no response to omalizumab 300 mg every 4 weeks. The most recent guidelines recommend cyclosporine add-on as a fourth-line treatment in CSU patients whose urticaria is not controlled with omalizumab treatment [3, 4, 37].
As chronic inducible urticaria (CIndU), induced by common physical stimuli including exposure to cold or heat, skin friction or pressure, sunlight, and exercise, with longer duration, difficult to avoid the offending trigger, CIndU affects severely patients’ quality of life. A recent study reported that up to 76% of CSU patients were found to have a concurrent CIndU and these patients have more severe urticaria [38]. While omalizumab has been used to successfully treat CSU on the basis of strong evidence from randomized controlled trials, real-life studies, and meta-analyses, omalizumab is not yet licensed for CIndU.
A meta-analysis reported recently that omalizumab has substantial benefits in patients with various CIndUs [16]. Variation of omalizumab use was seen between the CIndU subtypes, with the strongest evidence available in patients with symptomatic dermographism (complete or partial response in 38/54 patients), cold urticaria (complete/partial response in 41/51 patients), and solar urticaria (complete/partial response in 28/36 patients). Little or no evidence was available on vibratory, aquagenic and contact urticaria.
A randomized, placebo-controlled trial involving 55 patients with symptomatic dermographism revealed that significant improvement in critical friction thresholds after 10 weeks of treatment with omalizumab 150 mg and 300 mg, compared with the placebo group [39]. No significant difference in efficacy was observed between omalizumab 150 mg and 300 mg groups. After 10 weeks of treatment, 6 (33%) of 18 receiving 150 mg of omalizumab and 8 (42%) of 19 patients receiving 300 mg of omalizumab did not respond at all compared with 15 (83%) of 18 in the placebo group. A retrospective observational study showed 86% of patients achieved a complete response [32].
Cold urticaria is the second most prevalent physical urticaria. A randomized, placebo-controlled trial including 31 patients with cold urticaria demonstrated significant clinical superiority of omalizumab versus placebo [40]. Mean changes in critical temperature threshold after 10 weeks of treatment were significantly higher in the omalizumab 150 mg and 300 mg groups compared with the placebo group. Improvements were seen by week 4. No significant dose-dependent response between the omalizumab 150 mg and 300 mg groups. After 10 weeks of treatment, 10% of 10 patients receiving omalizumab 150 mg and 22% of 9 patietns receiving 300 mg of omalizumab were non-responders compared with 75% of 12 patients in the placebo group.
Due to a longer symptomatic episode and a subtype of frequently accompanied in patients with CSU, delayed pressure urticaria was reported to result in a significant impairment of quality of life than other types of CIndU [41]. Furthermore, it is difficult to control delayed pressure urticatia with up-dosing of antihistamine treatment [16]. In a meta-analysis that found 11 publications of omalizumab treatment for patients with delayed pressure urticaria, favorable results were obtained [16]. Starting with 150 mg of omalizumab, 60% ~ 88% of patients with delayed pressure urticatia achieved complete control within 2 days.
There is sparse data on the efficacy of omalizumab for patients with cholinergic urticaria. Among retrospective analyses, one from the Germany [32] reported 62% of complete response and 25% of no response assessed by provocation test, whereas another study reported from Korean populations [42] showed relatively lower complete responders (4.8%, 1 of 21 patients).
Taken together, although evidence of the efficacy of omalizumab in CIndU has been accumulating, more data from randomized controlled trials are needed to establish the dose, injection interval, and treatment duration according to the type of CIndU. To date, while many studies proved a lower dose of 150 mg was enough to reach a good response, however as like in CSU patients, increasing dose of omalizumab in some patients with CIndU had better response. Most of studies found that CIndU patients achieved complete symptom control after the first injection of omalizumab, however, once discontinued, all patients got worse within 8 weeks after the last injection to need retreatment of omalizumab because antihistamines did not work for these patients [16].
In X-ACT (Xolair Effects on Angioedema in Chronic Spontaneous Urticaria Treatment) study, a phase III, randomized, double-blind study involving selectively CSU patients with angioedema and wheals, omalizumab was superior to placebo in improving CU-Q2oL scores and reduction in angioedema-burdened days by three times during the 28-week of treatment [14, 43]. Angioedema was a prevalent symptom in patients with CSU in the three pivotal phase 3 studies of omalizumab and occurred in 44–53% of patients at baseline [9, 10, 11]. Treatment with 300 mg of omalizumab was efficacious in reducing patient-reported angioedema in patients with CIU/CSU who were symptomatic despite a variety of treatments [44]. Urgert et al. evaluated systematically the efficacy of omalizumab in CSU patients accompanying angioedema using 5 studies [21]. They provided high quality evidence of that the proportion of angioedema-free days were higher in the omalizumab group compared with placebo as well as use of rescue medications from baseline was significantly reduced in the omalizumab 300 mg group.
Although ASTERIA II [10] and GLACIAL [11] did include patients with 12 years and older, none of these larger trials addressed the use of omalizumab in the pediatric population below this age. Although significantly less common in the pediatric population, CU affects 0.1% to 0.3% of children with a similar morbidity profile as the adult population. A case series of the use of omalizumab for CU in the 4 patients in age from 4 to 16 years found that all 4 patients obtained complete response to omalizumab 150 mg monthly for the younger ones (age 4 and 5 years) and 300 mg monthly for the older patients at 10 and 16 years without any reported adverse events [45].
The EXPECT study evaluated the use of omalizumab during pregnancy [46]. In total, 191 pregnant women were included who had moderate to severe asthma and received at least 1 dose of omalizumab 8 weeks before conception or at any time during pregnancy. Based on the known outcomes of 169 pregnancies, there was no significant difference in spontaneous abortion, major congenital anomalies, prematurity, or low birth weight compared with a similar asthma population reported in previous studies [47, 48]. Because of the small number of patients in the study, it is difficult to draw any conclusions of safety on the use of omalizumab during pregnancy for CU [28]. Further studies are needed with larger sample sizes.
Safety was closely evaluated in all the randomized phase III trials [9, 10, 11]. ASTERIA II reported more headaches in the omalizumab 150 mg group compared with placebo but otherwise had no significant differences in adverse events. The GLACIAL study [11] showed no significant difference in adverse events between omalizumab group and placebo but did have some system-specific differences. In ASTERIA I, [9] headaches, arthralgia, and injection-site reactions were more common in the omalizumab groups but there was no significant difference in serious adverse events. No deaths, malignancies, or anaphylactic episodes were reported in these trials due to omalizumab.
Overall, omalizumab is very well tolerated and adverse reactions occurred in patients taking omalizumab were compatible with those on placebo in prospective, randomized trials for CU [3, 20, 49, 50, 51]. The most seriously considered adverse reaction is anaphylaxis-related to omalizumab that is defined as a combination of angioedema of the throat or tongue, bronchospasm, hypotension, syncope, and/or urticaria [52]. Omalizumab joint task force reviewed clinical trials and postmarketing surveillance data on omalizumab-induced anaphylaxis or anaphylactoid reactions [53]. They found a total of 35 patients with 42 episodes of anaphylaxis-related to omalizumab injection. Considering a total of 39510 patients who had exposed once to omalizumab, they estimated an anaphylaxis-reporting rate of 0.09% of patients [53]. The risk of anaphylaxis in patients with CU appears to be less than in those treated for asthma. In addition, there does not seem to be a dose-related effect on adverse events.
Ligelizumab (QGE031) is a new promising humanizaed monoclonal anti-IgE antibody under development for the treatment of CSU patients. It has a 40-fold to 50-fold greater affinity to IgE compared with omalizumab [54]. In a phase 2b multicenter randomized placebo controlled trial, patients with antihistamine-refractory CSU were randomized to placebo, 300 mg of omalizumab, or 24, 72, or 240 mg of ligelizumab administered by subcutaneous injection with 4-week interval for 20 weeks [55]. Ligelizumab demonstrated rapid onset of action, dose-dependent efficacy, and superiority to omalizumab. At 12 week, a total of 30%, 51%, and 42% of the patients treated with 24 mg, 72 mg, and 240 mg of ligelizumab, respectivity, had complete control of urticaria, as compared with 26% of the patients receiving omalizumab 300 mg and none in the placebo group. More than 50% of patients taking 240 mg of ligelizumab were complete responders, a response rate twice than that seen in the omalizumab group. Furthermore, the mean time to relapse after the last injection was 4 weeks for omalizumab vs. 10 weeks for ligelizumab. Except higher rates of mild injection site reactions in the 240 mg of ligelizumab group, no difference in safety profiles of placebo, omalizumab, and ligelizumab was observed. The most frequently reported adverse events were viral upper respiratory tract infection and headache. No deaths or anaphylaxis events were reported in any of the trial groups. On the basis of favorable response of ligelizumab with a rapid onset of action, improved and sustained efficacy in antihistamine-refractory CSU patients over 300 mg of omalizumab treatment, now two phase III, multi-center, randomized, double-blind, active- and placebo-controlled, parallel-group studies (PEARL 1 and 2) are running. The primary outcome of these two trials will measure absolute change from baseline in UAS7 at Week 12 [56].
Quilizumab, a humanized, afucosylated, monoclonal IgG1 antibody, binds membrane IgE at the M1-prime segment, which is absent in soluble IgE. In animal studies, quilizumab bound membrane IgE on IgE-switched B cells and plasmablasts and depleted them through apoptosis and antibody-dependent cell-mediated cytotoxicity [57]. In clinical trials, quilizumab reduced serum total and specific IgE levels in healthy volunteers and in patients with allergic rhinitis or mild asthma [58]. However, because quilizumab did not provide a significant differences in the clinical endpoints compared with placebo, it was indicated that ongoing IgE switching and stimulation of B-cell memory may not be key disease drivers [59].
Therapeutics modulating IgE levels and activities provide an efficient and very tolerable add-on treatment for patients with antihistamine-refractory CU. With a strong evidence of the efficacy and safety, omalizumab is recommended as the first choice of treatment for CSU patients who still suffered from urticaria with up-dosing antihistamine treatment in recent international guidelines. However, as it is not disease-modifying agent, there is a subpopulation of CSU patients responding incompletely or never to omalizumab. Moreover, clinical evidence on chronic inducible urticaria (CIndU) and special populations, such as children and older patients is still not enough. Thus, a new anti-IgE treatment, ligelizumab is actively evaluated in the efficacy compared with both placebo and omalizumab. Further understandings on the pathogenesis of CU can lead to the development of new mechanism-based therapeutics for CU patients.
This work was supported by a grant from the National Research Foundation of Korea (NRF) funded by the Korea government (MSIP) (NRF-2018R1A2B6006199) and a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (HI16C0992).
The authors declare no conflict of interest.
Expeditious expansion and industrial development near the rivers have led to more stress on the river, and with increased stress, the water becomes polluted, and worsening environmental health is observed [1]. The water-soil interface and the water-atmosphere interface are the medium through which the heavy metals travel [2, 3]. Both anthropogenic activities and geochemical processes are responsible for heavy metal contamination in ecosystems [4]. Elements that have high density and are less noxious are known as heavy metals. Examples of heavy metals are lead, iron, mercury, cadmium, zinc, arsenic, copper, and chromium and the actual volume of these heavy metals is more than 6 g/m3 [5]. Heavy metals have the property of environmental persistence and bioaccumulation, and these heavy metals enter the aquatic system through various routes. These heavy metals not only impair the quality of the aquatic ecosystem but also human health [6, 7]. These heavy metals can be found on the layer of earth in their regular form. These heavy metals are so dangerous that they cannot be degraded or decomposed and they have the arability to bioaccumulate [8]. These heavy metals once get into the ecosystem through the air, via drinkable water, or multiple chemicals and products that are manmade. The route of administration of these heavy metals is via inhalation, ingestion, and skin absorption. These heavy metals get into the biosphere via human activities, which include industrial production, mining, agriculture, and transportation [9]. Some methods are fossil fuel burning, smelting of different, waste from the municipality, fertilizers, pesticides, and sewage these all are considered to be the primary sources of metal pollution [10, 11, 12, 13]. The toxicity of these heavy metals in the human body reduces energy levels; disrupts brain functioning; disturbs the functioning of various other organs such as the brain, lungs, liver, and kidney; and also hinders blood composition. If the contact with heavy metals continues, then it can hinder the physical, neurological, and muscular functioning. And due to these diseases like multiple sclerosis, Parkinson’s disease and muscular dystrophy, and Alzheimer’s disease. Chronic exposure to some of the heavy metals and their compounds may even cause cancer [14]. Pollution of these heavy metals into the river may cause distressing effects on the ecological balance of the aquatic environment, and with the extent of contamination, the diversity of aquatic organisms becomes limited [15]. The fish in the aquatic ecosystem can be used for examining the well-being of biota. Due to pollutants in the food chain of organisms, harmful effects can be seen and the aquaculture can become dead [16]. These heavy metals are neurotoxins for the fish living in the aquatic environment. When these heavy metals enter the fish body, they interact with them to generate biochemical reaction inside the fish, which makes it difficult for fish to communicate with their surroundings [17]. The presence of these heavy metals leads to diseases like Minamata, which is organic mercury poisoning. When these heavy metals get bioaccumulated, they become a threat to both the human population and animals who uses that water [18]. Modeling of risk assessment is divided into four stages, i.e., exposure assessment, toxicity (dose-response) assessment, hazard identification, and risk characterization. There are three pathways through which humans get exposed to traced metals, which include directly ingesting, inhaling through the mouth or nose, and via skin absorption when it gets exposed. From the water, the heavy metals usually enter through ingestion and dermal absorption. To assess exposure, the average daily dose is measured for pollutants through different identified paths. In a dose-response assessment for no carcinogens, reference doses (RfD) are calculated, and for carcinogens, slope factors (SF) are obtained by the United States Environment Protection Agency (USEPA) Integrated Risk Information System (IRIS) database. With the help of the facts which are discussed above, there was a study done with an aim to evaluate the water quality of the Subarnarekha River relating to metals, their temporal classification, source of identification, and assessment of human health risk when that water was ingested or the contaminate when absorbed through the skin. Through this, it is possible to know the contamination level and accordingly, the strategies were planned (Table 1) [19, 20].
Heavy metal ions | WHO’s permissible limit (mg L−1) |
---|---|
Se | 0.02 |
Hg | 0.001 |
Mn | 0.02 |
Ag | 0.1 |
Cd | 0.05 |
Cr | 0.003 |
Pb | 0.01 |
Zn | 3.00 |
Fe | 0.30 |
Cu | 0.02 |
As | 0.01 |
Permissible limit of heavy metal ions in water [21].
The presence of these heavy metals on the surface of the water can be due to natural or anthropogenic activities. In natural activities, weathering of rocks that contain metals, an eruption from volcanos, fires in the forest, and naturally occurring processes of weathering can be included. From these activities, metal enters the different sections of the environment. Heavy metals can be found in the forms of sulfates, hydroxides, oxides, sulfides, phosphates, and silicates [12, 22]. A huge amount of accumulation of heavy metals into the water is mainly due to anthropogenic and natural activities. Some more examples of natural source through which heavy metals contaminates water are, wet and dry deposition of atmospheric salts, water-rock interaction, or water interaction with the soil. While the sudden increase in urbanization and industrialization are an example of anthropogenic sources through which water get contaminated (Table 2; Figure 1) [23].
Heavy metal ion | Common sources |
---|---|
Copper (Cu) | Fertilizers, tanning, and photovoltaic cells |
Zinc (Zn) | Soldering, cosmetics, and pigments |
Silver (Ag) | Refining of copper, gold, nickel, zinc, jewelry, and electroplating industries |
Chromium (Cr) | Leather industry, tanning, and chrome plating industries |
Arsenic (As) | Wooden electricity poles that are treated with arsenic-based preservatives, pesticides, fertilizers, the release of untreated effluents, oxidation of pyrite (FeS) and arsenopyrite (FeAsS) |
Mercury (Hg) | Combustion of coal, municipal solid waste incineration, and volcanic emissions |
Cadmium (Cd) | Paints, pigments, electroplated parts, batteries, plastics, synthetic rubber, photographic and engraving process, photoconductors, and photovoltaic cells |
Lead (Pb) | PVC pipes in sanitation, agriculture, recycled PVC lead paints, jewelry, lead batteries, lunch boxes, etc. |
Major sources of some heavy metal ions in water [24].
Contamination of water through different sources.
Trace metals are found in excess levels in the environment, they are formed by geographical processes such as volcanic eruptions, weathering of rocks, and leaching into rivers, lakes, and oceans due to the action of water [25]. The presence of heavy metals in water depends on the local geology, hydrogeology, and geochemical characteristics of the aquifer [26]. One of the main sources of pollution is weathering. The weathering of the sedimentary rocks such as limestone or dolomite or shale makes the water contaminated or polluted. When there is an interaction of water with rock element, it also leads addition of these elements into the water; thus, contamination occurs. Examples of such elements are granite, syenite, basalt, gabbro, nepheline, and andesite. Due to the particular ore or the minerals, the element level increases. Elements examples are magnetite, hematite, goethite, siderite, calcite, cuprite, malachite, azurite, chromite, kaolinite, montmorillonite, arsenic trioxide, orpiment, arsenopyrite, calamine, smithsonite, pyrolusite, and rhodochrosite [27, 28, 29, 30]. The sulfide deposition also increases as it is associated with the mineralization of the gold and hydrous iron oxide ores [31].
Anthropogenic events, in which human settlement replaced the natural forest and agricultural activities have increased the environmental impacts. Such activities have contaminated the aquatic ecosystems, which include spring waters from the river like the Amala and Nyangores, tributaries of Mara River, Indonesia in Mau Complex. The maximum of forest land is converted into human settlement and agriculture. People who live near the Mara River Basin use that spring water for the purpose of animal and agricultural purposes [21]. The water carrying capacity has decreased with the rapid increase in industrialization and urbanization. Hg concentration in water has increased with agriculture activities and human activities. Activities like domestic sewage into the water, solid waste burning, coal and oil combustions, and pyrometallurgical processes and mining are the main reason for this. Water, by either snow or rain, brings the contaminated soil with Hg into the adjacent water areas [32, 33]. The source of Ni is the corroded metal pipes and containers [34]. The major source of lead in water majorly comes from additives of paints and petrol and aerosol precipitation, which is formed due to the high temperature used in industrial processes for the purpose of coal combustion, smelting, and cement production [35], and chloralkali, batteries, fluorescent lamps, thermometers, and electronic switches production. Chemical industries are some industrial activities through which Hg pollutes the water system and these activities are the largest contributor to Hg contamination in the environment [36].
Huge amount of untreated sewage from domestic is thrown into the river. This untreated waste from domestic has the presence of toxins. These toxins are due to the presence of solid waste or from the litter of plastic, or the contamination of bacteria due to the presence of these the water can get polluted. Domestic untreated water is thrown directly into the water resource and this majorly causes pollution inside the water and harms the ecosystem [37]. These pollutants majorly depend upon what kind of industry has thrown those pollutants. When these toxic metals get inside the water, they decrease the quality of the water [38]. Around 25% of pollution inside the water is caused only by these industries [39]. When the water gets contaminated, the water gets enriched by the nitrogen and phosphorous elements. With the presence of these nutrients, the growth rate of algae gets multiplied, and then it competed with the surrounding aquatic biota for the dissolved oxygen in water [40]. The presence of nitrite and nitrate anions leads to a major threat to the exposed organisms; examples of such threats are methemoglobinemia. It is more common in small children, and the symptoms caused by this are cyanotic color in the skin due to blood alterations [41]. Water sources that get deposited by this sewage also become anions rich, due to the presence of chlorine in urine, and NaCl is used in the human diet. On the side of the sea, there is the presence of chloride in high concentrations due to the leakage of salt into the sewerage system. It also may be increased by industrial processes [42].
Contamination of heavy metals in the aquatic environment is very harmful since these elements cannot be degraded and they get accumulated inside the living organisms [43]. Residue from the industry is the major source through which these heavy metals get into the aquatic ecosystems, and their accumulation in water varies with the type of wastewater treatment used [44]. Effects known as deleterious can be observed when the metal particles are introduced into the water system [45, 46]. Different metals from the Amazon River (Brazil) and the Yukon River (Alaska) were analyzed in the solid-state only. Plants have the presence of these metals in water. In tissue, the concentration of several metals is slow, and their concentration should be kept in less range only as more concentration can be harmful to the biological development of the pant [47]. Through the food chain, fish contaminants can reach man [48]. Effluent from industries, water tank leakages, dumping beside marines, and due to radioactive waste and atmospheric deposition, are some sources of water contamination. Disposed of heavy metals and waste from industries they get accumulated in rivers and lakes thus causing harmful impacts on animals and humans. For suppression of the immune, reproductive failure and acute poisoning toxins are responsible [49]. Then there is direct damage to plant or animal nutrition at that time human health is affected. The pollutants that are polluting the water are killing marine organisms such as mollusks, marine birds, fishes, and other organisms that live in the sea [50].
With an increase in the population has created many issues and one of the issues is the pollution of water [38]. An increase in the population leads automatically leads to more generations of solid waste [51]. Both solid waste and liquid waste are deposited into the water without any treatment. Human excreta also contaminate the water. Thus, contaminated water leads to a generation of a large number of bacteria, which is a threat to human well-being [39]. Government is unable to supply vital requirements to the People because of the increase in the number of people. Facility for sanitization is more in urban areas as compared to rural areas. Plastic bag and waste are a major contribution to pollution. People throw the waste in plastic bags into water sources [24]. From the research, it was found that around three crore people of the population defecate in the open, while 77% population use flush and around 8% use the pit latrines. Urbanization can cause many infectious diseases. Overpopulation, unhealthy conditions, and dangerous drinkable water are these major health problems in urban areas. One-third of urban people are vulnerable to disease [37].
The population in rural areas is less but the use of fertilizers, pesticides, and eroded soil contaminates the water. When it rains the water from the surface runoff and that rainwater enters the nearby water resource and thus pollutes the existing water [52]. Agricultural runoff cases freshwater bodies’ eutrophication. Half of the lakes in the US are eutrophic. Phosphate has one of the major contributions to eutrophication. And the high concentration of phosphates promotes cyanobacteria and algae growth, which leads to the excessive use of the biologically dissolved oxygen inside the water [53]. Fertilizers that are too enriched with nitrogen decrease the dissolved oxygen in rivers and coastal zones thus bringing hazardous effects to the biota. Since 2006, the nitrogen in fertilizers is being controlled in America and Northwest Europe [54]. Like pesticides, which are used as pest control, these pesticides leach into groundwater, thus polluting groundwater. The pesticides that are water-soluble leach more and the sandy soil favors the process of leaching [55].
Small pollutants particles which are present in the air, get into the water stream through the rain, when it rains these particles come down and then with the flow of water enters into the sea, thus polluting the water there. These pollutants that are present in the air usually get from the burning of fossil fuels e.g. is CO2, which combines with water and produces sulfuric acid. Sulfur dioxide, which is formed via volcanic eruption and from industries, also gets attached to a water molecule to form the sulfuric acid. When coal is combusted then also sulfuric dioxide is produced and it is also produced from petroleum products. Just like this nitrogen dioxide also combines with the water and forms the nitric acid. And with the help of rainwater, they enter the water resources (Figure 2) [52, 56, 57, 58, 59].
Circulation of contaminants between environmental sources under the effect of atmospheric sources.
Heavy metals are present on the earth and thus they can enter the water system through various pathways and one of them is through mining sources. When it rains or through flowing water, it leaches heavy metals out from their geological formation. These processes get disturbed when manmade economic activities such as mining are done. Through these processes, the area that is already mined out gets exposed to water and air and this leads to the acid mine drainage (AMD). The low pH conditions associated with AMD mobilize heavy metals, including radionuclides where these are present [60].
Soil gets polluted with the presence of heavy metal on surface and underground water and the pollution rises when mined ores are discarded on the ground surface for manual dressing [61]. Due to the dumping over the surface, the metals get exposed to air and rain thereby generating huge AMD. If soil is polluted at that time, it gets into the plant tissue and gets accumulated there. And when those plants are grazed by animals and water is used for the drink from polluted waters, through there these heavy metals enter the body. Also, marine lives, which reproduce in contaminated water, also have the presence of heavy metals inside their body tissues, if they are lactating then inside their milk. As an overview, all organisms within a given ecosystem are contaminated via these pollutants through their food chains [62]. When nutrition from these contaminated vegetables is taken, the presence of heavy metals in those vegetables can lead to different chronic diseases. Toxic effects due to these heavy metals usually depend on the amount of concentration and the oxidative state of the particular heavy metals [63]. Heavy metals have a very dangerous impact as they are non-biodegradable in nature, have long biological half-lives, and have the potential to accumulate inside the body. Also, there are some heavy metals that are extremely toxic only because of their solubility. Fewer concentrations of heavy metals inside the food chain also show severe effects as there is no particular procedure through which these heavy metals pollutants can be extracted from the body of an organism. Nowadays presence of these toxic heavy metals is everywhere because of their extreme use in industries. In case of the wastewater, it contains a huge concentration of heavy metals, which create various health-related problems [64, 65].
Water from estuaries and freshwater is not polluted till now to some extent, but that water is also at threat of being polluted in the long term due to metal deposition because of human past activities [66]. The water in the river and lakes can be highly polluted depending on the volume of flow and proximity to the point sources. Due to the human civilization, the element content in water is raised. Such elements are cadmium, lead, mercury, zinc, and chromium. Unlike organic chemicals, there are some metals that cannot be converted into compounds with lesser toxicity, and one of its characteristics is the loss of biodegradability. Once the heavy metals enter the water system it gets redistributed throughout the column and gets accumulated in the sediments [67]. The sediments constitute a partial contribution to polluting the natural phenomena due to their activity and metal remobilization processes. Metal residues that are present in the contaminated surroundings have the flexibility to get bioaccumulated into the aquatic environment [68]. Growth in fish larvae and juveniles is rapid. But when these heavy metals enter they might inhibit the growth rate. The fish grows in length and bulk when given the right conditions, such as a specific temperature and an acceptable amount of food. Fish growth, on the other hand, may be impeded in water contaminated with toxicants, such as heavy metals. One of the most noticeable signs of metal toxicity in fish larvae is growth inhibition. As a result, the length and bulk of fish are indications of environmental conditions [69]. Heavy metals are introduced in liquid form and surface water constituents (carbonate, sulfate, organic substances humic, fulvic, and amino acids) cause the formation of non-soluble salts or complexes. Aquatic species are not expected to be harmed by these salts and compounds. Some of them sink and collect in the sediments at the bottom. A decrease in pH of water either due to acid rain or any other acidic incidents, due to the heavy metal’s deposition into the water column, causes aquatic biota to become poisonous. Low levels of heavy metals can also make chronic stress, through fish might not get dead but can cause them to lose weight and become smaller, reducing their capacity to compete for food and habitat [70]. Pollution poses a hazard to both freshwater and marine habitats. Heavy metal poisoning of water is a significant environmental hazard that has detrimental consequences for organisms who are exposed to it be that plant-animal or humans. Fish from freshwater are majorly exposed to various heavy metals, which are added into the water bodies through the different-different sources. Contamination of these heavy metals into aquaculture has intensified global issues because it shows a risk to fish and has harmful impacts on fish buyers [71]. There are three different modes through which heavy metals enter the fish. These methods are either through the gills of fish, by the body of the fish, or by the digestive tract of the fish. Heavy metals immediately enter the fish body through the gills, while the body surface takes time for uptaking of these heavy metals through this mode [72]. Mostly the metals get accumulated in the liver, kidney, and gills. In fishes, the muscles have most of the metals present there as compared to the other body parts of the fish. Too much accumulation of these heavy metals inside the fish organ can cause lesions and operative disturbances [73]. These heavy metals also interfered with the embryo’s shape and the metabolic processes of the fishes. Structural and functional defects throughout the development of the embryo resulted in fewer larvae hatching. Several freshly born larvae die shortly after hatching owing to lead and copper absorption [74, 75]. Heavy metals get into the fish through three routes: the first is via the fish gills, the second is through the digestive tract of the fish and the last one is through the body of the fish. The gills of fish are the area that is known for the primary metal intake from the contaminated water. On the fish gills, zinc accumulates. It suggests a depressing influence on tissue respiration, which leads to hypoxia and mortality. Zinc pollution also causes alterations in the structure of the lungs and heart [76]. Humans and fish are both affected by mercury. Brain damage, with postnatal and fetal problems, leads to abortions, congenital deformity, and development differences in young fry due to Monomethyl. Minamata illness and Hg poisoning (via methyl Hg) both showed considerable neurotoxicity [77]. Nickel is necessary for tiny amounts for the formation of RBC, but when its concentration gets increased, at that time, it becomes harmful or poisonous. Cd has been linked to an increase in blood pressure and cardiac illness in fish. Blood vessels damage, hemorrhages, and depletion of blood cell count of a fish are induced by Hg, from previous research. Anemia, eosinophilia, lymphocytosis, bronchial, and renal injuries can affect chromium levels in the blood [18]. Malformations in fish are caused by cadmium, nickel, mercury, chromium, lead, and arsenic. The accumulation of these heavy metals in excessive amounts causes a variety of physiological effects. Fin loss, gill underdevelopment, liver dysfunction, and fin function in fingerlings were all prevalent findings in the studies [78]. The harmful effects of heavy metals have the greatest impact on the death rate, reproduction, individual development rates, and physiological capacity of fish. There have been effects on physical functioning and chemical parameters in the tissues and blood of fish living in water that is polluted via metals. It has been reported that fish exposed to metals developed immune system defects, making them more susceptible to infectious infections and increasing their chances of dying (Figure 3) [79].
Harmful effects on the aquatic environment.
For the growth of plants, few HMs like As, Cd, Hg, Pb, and Se are not important as they do not perform any known physiological function in them. Others, such as Co, Cu, Fe, Mn, Mo, Ni, and Zn, are key elements that are required for regular plant development and metabolism, but their amounts can quickly exceed the appropriate levels, resulting in poisoning [80, 81]. Heavy metal concentrations in plants vary by plant species, and the efficiency with which various plants absorb metals is measured by plant absorption or metal transfer factors from soil to plant. An increased amount of Pb in agricultural soil decreases the productivity rate of the soil, and a less lead amount may hinder some important processes of plant, dark green leaves, withering of older leaves, stunted foliage, and brown short roots are poisonous indicators of photosynthesis, mitosis, and water absorption [82]. Heavy metals are poisonous and phytotoxic to plants, resulting in diseases such as chlorosis, poor plant development, and yield depression, as well as decreased nutrient absorption, plant metabolic problems, and a reduced capacity to fix molecular nitrogen in leguminous plants. Seed germination was gradually reduced in the presence of increasing levels of lead, it may be due to exposure to lead for a longer duration, some methods, such as leaching, chelation, metal binding, or microbe accumulation, have resulted in the neutralization of lead’s harmful effects [83]. Heavy metals such as Cd, Pb, and Ni even their small concentration in plants can be hazardous to them. Poisoning due to this heavy metal will result in the complex interplay between the primary unpleasant ions and additional necessary or non-essential ions. Metals affect the activity of enzymes by swapping metal ions from metal enzymes, as well as preventing plant growth [84]. Some exceptional metals are vital for plants, as they reveal their roles in the catabolism of plants and biosynthesis, together as cofactors for enzymes and as metabolic yields. For example, Zn, Fe, Cu, Cr, and Co are the important nutrients but when their amounts are increased, they become toxic. Comparatively, Pb and Cd have no effect, which is favorable to the plant and is solely lethal [85]. The most abundant hazardous elements in the soil are lead. Pb poisoning in the soil is caused by municipal sewage sludge discharge, mining and smelting operations, Pb-containing paints, paper and pulp, gasoline, and explosives. They do not have any role in the shape of the plant or their growth and photosynthetic process of the plant. Pb poisoning also inhibits enzyme action, creates an imbalance of the water, alters membrane permeability, and disrupts mineral feeding [86].
One of the main sources of contamination of the water is heavy metals, as it overwhelms the important species indirectly through biological chains or directly via chemical modifications in water. Three potential ways are there, through which heavy metals get into the fish body: though fish gills, through the body of the fish, and through the fish digestive tract. Gills are responsible for the immediate absorption of metals from the water, whereas the body surface is thought to have a smaller role in the intake of these elements in fish [87]. By altering the normal activities of numerous enzymes and metabolites, the accumulation of these heavy metals in the tissues causes significant biochemical, physiological, and histological changes in fish and other freshwater fauna. Fish are one of the most widely dispersed creatures in the aquatic ecosystem, and their susceptibility to metal poisoning may indicate the extent of metal pollution’s biological impact [88]. Heavy metals, such as As, Cd, Cu, Cr, Fe, Pb, Mn, Hg, Ni, Zn, and tin (Sn), are major contaminants that cause serious toxicity in fish. Due to the heavy metals, the physiological and biochemical functions both in tissues and in blood Carpi can be altered. The compounds of As and inorganic As, Cd, Ni, silica in its crystal form, beryllium, and its compounds are considered to be chemical carcinogens, which results in the development of cancer inside the fishes. The drop in hematological parameters indicated that the exposed fishes had become anemic as a result of Cr exposure. This dangerous heavy metal was released into the aquatic ecosystem via trash, causing severe anemia and changes in hematological parameters in the
Water pollution is a global problem, and the world’s population is suffering the consequences of tainted water. Living organisms are also affected by the polluted water very much and it is very harmful to the environment. Acute and choric illnesses are caused by heavy metal concentrations in drinking water that exceed the permissible limits set by several national and international organizations. These can range from nonfatal, such as muscle and physical weakness, to fatal, such as brain, nervous system, and even cancer. Water quality testing is necessary for the protection of human health and the environment.
IntechOpen - where academia and industry create content with global impact
",metaTitle:"Team",metaDescription:"Advancing discovery in Open Access for the scientists by the scientist",metaKeywords:null,canonicalURL:"page/team",contentRaw:'[{"type":"htmlEditorComponent","content":"Our business values are based on those any scientist applies to their research. We have created a culture of respect and collaboration within a relaxed, friendly and progressive atmosphere, while maintaining academic rigour.
\\n\\nCo-founded by Alex Lazinica and Vedran Kordic: “We are passionate about the advancement of science. As Ph.D. researchers in Vienna, we found it difficult to access the scholarly research we needed. We created IntechOpen with the specific aim of putting the academic needs of the global research community before the business interests of publishers. Our Team is now a global one and includes highly-renowned scientists and publishers, as well as experts in disseminating your research.”
\\n\\nBut, one thing we have in common is -- we are all scientists at heart!
\\n\\nSara Uhac, COO
\\n\\nSara Uhac was appointed Managing Director of IntechOpen at the beginning of 2014. She directs and controls the company’s operations. Sara joined IntechOpen in 2010 as Head of Journal Publishing, a new strategically underdeveloped department at that time. After obtaining a Master's degree in Media Management, she completed her Ph.D. at the University of Lugano, Switzerland. She holds a BA in Financial Market Management from the Bocconi University in Milan, Italy, where she started her career in the American publishing house Condé Nast and further collaborated with the UK-based publishing company Time Out. Sara was awarded a professional degree in Publishing from Yale University (2012). She is a member of the professional branch association of "Publishers, Designers and Graphic Artists" at the Croatian Chamber of Commerce.
\\n\\nAdrian Assad De Marco
\\n\\nAdrian Assad De Marco joined the company as a Director in 2017. With his extensive experience in management, acquired while working for regional and global leaders, he took over direction and control of all the company's publishing processes. Adrian holds a degree in Economy and Management from the University of Zagreb, School of Economics, Croatia. A former sportsman, he continually strives to develop his skills through professional courses and specializations such as NLP (Neuro-linguistic programming).
\\n\\nDr Alex Lazinica
\\n\\nAlex Lazinica is co-founder and Board member of IntechOpen. After obtaining a Master's degree in Mechanical Engineering, he continued his Ph.D. in Robotics at the Vienna University of Technology. There, he worked as a robotics researcher with the university's Intelligent Manufacturing Systems Group, as well as a guest researcher at various European universities, including the Swiss Federal Institute of Technology Lausanne (EPFL). During this time he published more than 20 scientific papers, gave presentations, served as a reviewer for major robotic journals and conferences and, most importantly, co-founded and built the International Journal of Advanced Robotic Systems, the world's first Open Access journal in the field of robotics. Starting this journal was a pivotal point in his career since it proved to be the pathway to the foundation of IntechOpen with its focus on addressing academic researchers’ needs. Alex personifies many of IntechOpen´s key values, including the commitment to developing mutual trust, openness, and a spirit of entrepreneurialism. Today, his focus is on defining the growth and development strategy for the company.
\\n"}]'},components:[{type:"htmlEditorComponent",content:"Our business values are based on those any scientist applies to their research. We have created a culture of respect and collaboration within a relaxed, friendly and progressive atmosphere, while maintaining academic rigour.
\n\nCo-founded by Alex Lazinica and Vedran Kordic: “We are passionate about the advancement of science. As Ph.D. researchers in Vienna, we found it difficult to access the scholarly research we needed. We created IntechOpen with the specific aim of putting the academic needs of the global research community before the business interests of publishers. Our Team is now a global one and includes highly-renowned scientists and publishers, as well as experts in disseminating your research.”
\n\nBut, one thing we have in common is -- we are all scientists at heart!
\n\nSara Uhac, COO
\n\nSara Uhac was appointed Managing Director of IntechOpen at the beginning of 2014. She directs and controls the company’s operations. Sara joined IntechOpen in 2010 as Head of Journal Publishing, a new strategically underdeveloped department at that time. After obtaining a Master's degree in Media Management, she completed her Ph.D. at the University of Lugano, Switzerland. She holds a BA in Financial Market Management from the Bocconi University in Milan, Italy, where she started her career in the American publishing house Condé Nast and further collaborated with the UK-based publishing company Time Out. Sara was awarded a professional degree in Publishing from Yale University (2012). She is a member of the professional branch association of "Publishers, Designers and Graphic Artists" at the Croatian Chamber of Commerce.
\n\nAdrian Assad De Marco
\n\nAdrian Assad De Marco joined the company as a Director in 2017. With his extensive experience in management, acquired while working for regional and global leaders, he took over direction and control of all the company's publishing processes. Adrian holds a degree in Economy and Management from the University of Zagreb, School of Economics, Croatia. A former sportsman, he continually strives to develop his skills through professional courses and specializations such as NLP (Neuro-linguistic programming).
\n\nDr Alex Lazinica
\n\nAlex Lazinica is co-founder and Board member of IntechOpen. After obtaining a Master's degree in Mechanical Engineering, he continued his Ph.D. in Robotics at the Vienna University of Technology. There, he worked as a robotics researcher with the university's Intelligent Manufacturing Systems Group, as well as a guest researcher at various European universities, including the Swiss Federal Institute of Technology Lausanne (EPFL). During this time he published more than 20 scientific papers, gave presentations, served as a reviewer for major robotic journals and conferences and, most importantly, co-founded and built the International Journal of Advanced Robotic Systems, the world's first Open Access journal in the field of robotics. Starting this journal was a pivotal point in his career since it proved to be the pathway to the foundation of IntechOpen with its focus on addressing academic researchers’ needs. Alex personifies many of IntechOpen´s key values, including the commitment to developing mutual trust, openness, and a spirit of entrepreneurialism. Today, his focus is on defining the growth and development strategy for the company.
\n"}]},successStories:{items:[]},authorsAndEditors:{filterParams:{},profiles:[{id:"396",title:"Dr.",name:"Vedran",middleName:null,surname:"Kordic",slug:"vedran-kordic",fullName:"Vedran Kordic",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/396/images/7281_n.png",biography:"After obtaining his Master's degree in Mechanical Engineering he continued his education at the Vienna University of Technology where he obtained his PhD degree in 2004. He worked as a researcher at the Automation and Control Institute, Faculty of Electrical Engineering, Vienna University of Technology until 2008. His studies in robotics lead him not only to a PhD degree but also inspired him to co-found and build the International Journal of Advanced Robotic Systems - world's first Open Access journal in the field of robotics.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"441",title:"Ph.D.",name:"Jaekyu",middleName:null,surname:"Park",slug:"jaekyu-park",fullName:"Jaekyu Park",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/441/images/1881_n.jpg",biography:null,institutionString:null,institution:{name:"LG Corporation (South Korea)",country:{name:"Korea, South"}}},{id:"465",title:"Dr.",name:"Christian",middleName:null,surname:"Martens",slug:"christian-martens",fullName:"Christian Martens",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Rheinmetall (Germany)",country:{name:"Germany"}}},{id:"479",title:"Dr.",name:"Valentina",middleName:null,surname:"Colla",slug:"valentina-colla",fullName:"Valentina Colla",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/479/images/358_n.jpg",biography:null,institutionString:null,institution:{name:"Sant'Anna School of Advanced Studies",country:{name:"Italy"}}},{id:"494",title:"PhD",name:"Loris",middleName:null,surname:"Nanni",slug:"loris-nanni",fullName:"Loris Nanni",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/494/images/system/494.jpg",biography:"Loris Nanni received his Master Degree cum laude on June-2002 from the University of Bologna, and the April 26th 2006 he received his Ph.D. in Computer Engineering at DEIS, University of Bologna. On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. His research interests include pattern recognition, bioinformatics, and biometric systems (fingerprint classification and recognition, signature verification, face recognition).",institutionString:null,institution:null},{id:"496",title:"Dr.",name:"Carlos",middleName:null,surname:"Leon",slug:"carlos-leon",fullName:"Carlos Leon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Seville",country:{name:"Spain"}}},{id:"512",title:"Dr.",name:"Dayang",middleName:null,surname:"Jawawi",slug:"dayang-jawawi",fullName:"Dayang Jawawi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Technology Malaysia",country:{name:"Malaysia"}}},{id:"528",title:"Dr.",name:"Kresimir",middleName:null,surname:"Delac",slug:"kresimir-delac",fullName:"Kresimir Delac",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/528/images/system/528.jpg",biography:"K. Delac received his B.Sc.E.E. degree in 2003 and is currentlypursuing a Ph.D. degree at the University of Zagreb, Faculty of Electrical Engineering andComputing. His current research interests are digital image analysis, pattern recognition andbiometrics.",institutionString:null,institution:{name:"University of Zagreb",country:{name:"Croatia"}}},{id:"557",title:"Dr.",name:"Andon",middleName:"Venelinov",surname:"Topalov",slug:"andon-topalov",fullName:"Andon Topalov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/557/images/1927_n.jpg",biography:"Dr. Andon V. Topalov received the MSc degree in Control Engineering from the Faculty of Information Systems, Technologies, and Automation at Moscow State University of Civil Engineering (MGGU) in 1979. He then received his PhD degree in Control Engineering from the Department of Automation and Remote Control at Moscow State Mining University (MGSU), Moscow, in 1984. From 1985 to 1986, he was a Research Fellow in the Research Institute for Electronic Equipment, ZZU AD, Plovdiv, Bulgaria. In 1986, he joined the Department of Control Systems, Technical University of Sofia at the Plovdiv campus, where he is presently a Full Professor. He has held long-term visiting Professor/Scholar positions at various institutions in South Korea, Turkey, Mexico, Greece, Belgium, UK, and Germany. And he has coauthored one book and authored or coauthored more than 80 research papers in conference proceedings and journals. His current research interests are in the fields of intelligent control and robotics.",institutionString:null,institution:{name:"Technical University of Sofia",country:{name:"Bulgaria"}}},{id:"585",title:"Prof.",name:"Munir",middleName:null,surname:"Merdan",slug:"munir-merdan",fullName:"Munir Merdan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/585/images/system/585.jpg",biography:"Munir Merdan received the M.Sc. degree in mechanical engineering from the Technical University of Sarajevo, Bosnia and Herzegovina, in 2001, and the Ph.D. degree in electrical engineering from the Vienna University of Technology, Vienna, Austria, in 2009.Since 2005, he has been at the Automation and Control Institute, Vienna University of Technology, where he is currently a Senior Researcher. His research interests include the application of agent technology for achieving agile control in the manufacturing environment.",institutionString:null,institution:null},{id:"605",title:"Prof",name:"Dil",middleName:null,surname:"Hussain",slug:"dil-hussain",fullName:"Dil Hussain",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/605/images/system/605.jpg",biography:"Dr. Dil Muhammad Akbar Hussain is a professor of Electronics Engineering & Computer Science at the Department of Energy Technology, Aalborg University Denmark. Professor Akbar has a Master degree in Digital Electronics from Govt. College University, Lahore Pakistan and a P-hD degree in Control Engineering from the School of Engineering and Applied Sciences, University of Sussex United Kingdom. Aalborg University has Two Satellite Campuses, one in Copenhagen (Aalborg University Copenhagen) and the other in Esbjerg (Aalborg University Esbjerg).\n· He is a member of prestigious IEEE (Institute of Electrical and Electronics Engineers), and IAENG (International Association of Engineers) organizations. \n· He is the chief Editor of the Journal of Software Engineering.\n· He is the member of the Editorial Board of International Journal of Computer Science and Software Technology (IJCSST) and International Journal of Computer Engineering and Information Technology. \n· He is also the Editor of Communication in Computer and Information Science CCIS-20 by Springer.\n· Reviewer For Many Conferences\nHe is the lead person in making collaboration agreements between Aalborg University and many universities of Pakistan, for which the MOU’s (Memorandum of Understanding) have been signed.\nProfessor Akbar is working in Academia since 1990, he started his career as a Lab demonstrator/TA at the University of Sussex. After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. He has contributed in stochastic estimation of control area especially, in the Multiple Target Tracking and Interactive Multiple Model (IMM) research, Ball & Beam Control Problem, Robotics, Levitation Control. He has contributed in developing Algorithms for Fingerprint Matching, Computer Vision and Face Recognition. He has been supervising Pattern Recognition, Formal Languages and Distributed Processing projects for several years. He has reviewed many books on Management, Computer Science. Currently, he is an active and permanent reviewer for many international conferences and symposia and the program committee member for many international conferences.\nIn teaching he has taught the core computer science subjects like, Digital Design, Real Time Embedded System Programming, Operating Systems, Software Engineering, Data Structures, Databases, Compiler Construction. In the Engineering side, Digital Signal Processing, Computer Architecture, Electronics Devices, Digital Filtering and Engineering Management.\nApart from his Academic Interest and activities he loves sport especially, Cricket, Football, Snooker and Squash. He plays cricket for Esbjerg city in the second division team as an opener wicket keeper batsman. He is a very good player of squash but has not played squash since his arrival in Denmark.",institutionString:null,institution:null},{id:"611",title:"Prof.",name:"T",middleName:null,surname:"Nagarajan",slug:"t-nagarajan",fullName:"T Nagarajan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Universiti Teknologi Petronas",country:{name:"Malaysia"}}}],filtersByRegion:[{group:"region",caption:"North America",value:1,count:13389},{group:"region",caption:"Middle and South America",value:2,count:11658},{group:"region",caption:"Africa",value:3,count:4168},{group:"region",caption:"Asia",value:4,count:22334},{group:"region",caption:"Australia and Oceania",value:5,count:2019},{group:"region",caption:"Europe",value:6,count:33642}],offset:12,limit:12,total:135272},chapterEmbeded:{data:{}},editorApplication:{success:null,errors:{}},ofsBooks:{filterParams:{hasNoEditors:"0",sort:"dateEndThirdStepPublish",topicId:"5,6,12,13,18"},books:[{type:"book",id:"11369",title:"RNA Viruses Infection",subtitle:null,isOpenForSubmission:!0,hash:"52f8a3a1486912beae40b34ac557fed3",slug:null,bookSignature:"Ph.D. Yogendra Shah",coverURL:"https://cdn.intechopen.com/books/images_new/11369.jpg",editedByType:null,editors:[{id:"278914",title:"Ph.D.",name:"Yogendra",surname:"Shah",slug:"yogendra-shah",fullName:"Yogendra Shah"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11610",title:"New Insights in Herbicide Science",subtitle:null,isOpenForSubmission:!0,hash:"eb3830b8176caf3d1fd52c32313c5168",slug:null,bookSignature:"Ph.D. Kassio Ferreira Mendes",coverURL:"https://cdn.intechopen.com/books/images_new/11610.jpg",editedByType:null,editors:[{id:"197720",title:"Ph.D.",name:"Kassio",surname:"Ferreira Mendes",slug:"kassio-ferreira-mendes",fullName:"Kassio Ferreira Mendes"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11608",title:"Candida and Candidiasis",subtitle:null,isOpenForSubmission:!0,hash:"862074d07a4355fe3035ae1d14f3e2e6",slug:null,bookSignature:"Dr. Tulin Askun",coverURL:"https://cdn.intechopen.com/books/images_new/11608.jpg",editedByType:null,editors:[{id:"89795",title:"Dr.",name:"Tulin",surname:"Askun",slug:"tulin-askun",fullName:"Tulin Askun"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11630",title:"Life in Extreme Environments - Diversity, Adaptability and Valuable Resources of Bioactive Molecules",subtitle:null,isOpenForSubmission:!0,hash:"9c39aa5fd22296ba53d87df6d761a5fc",slug:null,bookSignature:"Dr. Afef Najjari",coverURL:"https://cdn.intechopen.com/books/images_new/11630.jpg",editedByType:null,editors:[{id:"196823",title:"Dr.",name:"Afef",surname:"Najjari",slug:"afef-najjari",fullName:"Afef Najjari"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11804",title:"CRISPR Technology",subtitle:null,isOpenForSubmission:!0,hash:"4051570f538bd3315e051267180abe37",slug:null,bookSignature:"Dr. Yuan-Chuan Chen",coverURL:"https://cdn.intechopen.com/books/images_new/11804.jpg",editedByType:null,editors:[{id:"185559",title:"Dr.",name:"Yuan-Chuan",surname:"Chen",slug:"yuan-chuan-chen",fullName:"Yuan-Chuan Chen"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11793",title:"Production, Nutritional and Industrial Perspectives of Barley",subtitle:null,isOpenForSubmission:!0,hash:"996125d4599193b3b6b749f5d8aa3cb2",slug:null,bookSignature:"Dr. Farhan Saeed and Dr. Muhammad Afzaal",coverURL:"https://cdn.intechopen.com/books/images_new/11793.jpg",editedByType:null,editors:[{id:"192244",title:"Dr.",name:"Farhan",surname:"Saeed",slug:"farhan-saeed",fullName:"Farhan Saeed"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11810",title:"Animal Behavior - New Insights",subtitle:null,isOpenForSubmission:!0,hash:"db1dacc9284b2fc73f38fa985a586e15",slug:null,bookSignature:"Associate Prof. Volkan Gelen and Dr. Abdulsamed Kükürt",coverURL:"https://cdn.intechopen.com/books/images_new/11810.jpg",editedByType:null,editors:[{id:"178366",title:"Dr.",name:"Volkan",surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"12157",title:"Rice Crops - Productivity, Quality and Sustainability",subtitle:null,isOpenForSubmission:!0,hash:"2a38bb2448f4516740db05ce746f08e3",slug:null,bookSignature:"Dr. Min Huang, Dr. Jiana Chen, Dr. Xiaowu Pan and Dr. Haiming Tang",coverURL:"https://cdn.intechopen.com/books/images_new/12157.jpg",editedByType:null,editors:[{id:"189829",title:"Dr.",name:"Min",surname:"Huang",slug:"min-huang",fullName:"Min Huang"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11637",title:"Neuropsychology of Dementia",subtitle:null,isOpenForSubmission:!0,hash:"d40f707b9ef020bb202be89404f77a1e",slug:null,bookSignature:"Dr. Devendra Kumar, Prof. Sushil Kumar Singh and Dr. Ankit Ganeshpurkar",coverURL:"https://cdn.intechopen.com/books/images_new/11637.jpg",editedByType:null,editors:[{id:"454030",title:"Dr.",name:"Devendra",surname:"Kumar",slug:"devendra-kumar",fullName:"Devendra Kumar"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11624",title:"Agricultural Waste - New Insights",subtitle:null,isOpenForSubmission:!0,hash:"f86a9f720cc3ac0f1c385d0367ea89b9",slug:null,bookSignature:"Dr. Fiaz Ahmad and Prof. Muhammad Sultan",coverURL:"https://cdn.intechopen.com/books/images_new/11624.jpg",editedByType:null,editors:[{id:"338219",title:"Dr.",name:"Fiaz",surname:"Ahmad",slug:"fiaz-ahmad",fullName:"Fiaz Ahmad"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11788",title:"Plant Stress Responses and Defense Mechanisms",subtitle:null,isOpenForSubmission:!0,hash:"fd76ac80924e5a4d530ad0a1b54ca1f4",slug:null,bookSignature:"Dr. Saddam Hussain, Dr. Tahir Hussain Awan, Dr. Ejaz Waraich and Dr. Masood Iqbal Awan",coverURL:"https://cdn.intechopen.com/books/images_new/11788.jpg",editedByType:null,editors:[{id:"247858",title:"Dr.",name:"Saddam",surname:"Hussain",slug:"saddam-hussain",fullName:"Saddam Hussain"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11643",title:"Genetic Diversity - Recent Advances and Applications",subtitle:null,isOpenForSubmission:!0,hash:"0b1e679fcacdec2448603a66df71ccc7",slug:null,bookSignature:"Prof. Mahmut Çalışkan and Dr. Sevcan Aydin",coverURL:"https://cdn.intechopen.com/books/images_new/11643.jpg",editedByType:null,editors:[{id:"51528",title:"Prof.",name:"Mahmut",surname:"Çalışkan",slug:"mahmut-caliskan",fullName:"Mahmut Çalışkan"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],filtersByTopic:[{group:"topic",caption:"Agricultural and Biological Sciences",value:5,count:28},{group:"topic",caption:"Biochemistry, Genetics and Molecular Biology",value:6,count:8},{group:"topic",caption:"Business, Management and Economics",value:7,count:4},{group:"topic",caption:"Chemistry",value:8,count:16},{group:"topic",caption:"Computer and Information Science",value:9,count:18},{group:"topic",caption:"Earth and Planetary Sciences",value:10,count:8},{group:"topic",caption:"Engineering",value:11,count:43},{group:"topic",caption:"Environmental Sciences",value:12,count:5},{group:"topic",caption:"Immunology and Microbiology",value:13,count:9},{group:"topic",caption:"Materials Science",value:14,count:17},{group:"topic",caption:"Mathematics",value:15,count:9},{group:"topic",caption:"Medicine",value:16,count:69},{group:"topic",caption:"Nanotechnology and Nanomaterials",value:17,count:3},{group:"topic",caption:"Neuroscience",value:18,count:3},{group:"topic",caption:"Pharmacology, Toxicology and Pharmaceutical Science",value:19,count:6},{group:"topic",caption:"Physics",value:20,count:6},{group:"topic",caption:"Psychology",value:21,count:5},{group:"topic",caption:"Robotics",value:22,count:2},{group:"topic",caption:"Social Sciences",value:23,count:7},{group:"topic",caption:"Veterinary Medicine and Science",value:25,count:2}],offset:12,limit:12,total:53},popularBooks:{featuredBooks:[{type:"book",id:"7827",title:"Interpersonal Relationships",subtitle:null,isOpenForSubmission:!1,hash:"ebf41f4d17c75010eb3294cc8cac3d47",slug:"interpersonal-relationships",bookSignature:"Martha Peaslee Levine",coverURL:"https://cdn.intechopen.com/books/images_new/7827.jpg",editors:[{id:"186919",title:"Dr.",name:"Martha",middleName:null,surname:"Peaslee Levine",slug:"martha-peaslee-levine",fullName:"Martha Peaslee Levine"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10808",title:"Current Concepts in Dental Implantology",subtitle:"From Science to Clinical Research",isOpenForSubmission:!1,hash:"4af8830e463f89c57515c2da2b9777b0",slug:"current-concepts-in-dental-implantology-from-science-to-clinical-research",bookSignature:"Dragana Gabrić and Marko Vuletić",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg",editors:[{id:"26946",title:"Prof.",name:"Dragana",middleName:null,surname:"Gabrić",slug:"dragana-gabric",fullName:"Dragana Gabrić"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10908",title:"Advances in Decision Making",subtitle:null,isOpenForSubmission:!1,hash:"126486f7f91e18e2e3539a32c38be7b1",slug:"advances-in-decision-making",bookSignature:"Fausto Pedro García Márquez",coverURL:"https://cdn.intechopen.com/books/images_new/10908.jpg",editors:[{id:"22844",title:"Prof.",name:"Fausto Pedro",middleName:null,surname:"García Márquez",slug:"fausto-pedro-garcia-marquez",fullName:"Fausto Pedro García Márquez"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10796",title:"Extracellular Vesicles",subtitle:"Role in Diseases, Pathogenesis and Therapy",isOpenForSubmission:!1,hash:"eb5407fcf93baff7bca3fae5640153a2",slug:"extracellular-vesicles-role-in-diseases-pathogenesis-and-therapy",bookSignature:"Manash K. Paul",coverURL:"https://cdn.intechopen.com/books/images_new/10796.jpg",editors:[{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"11263",title:"Supply Chain",subtitle:"Recent Advances and New Perspectives in the Industry 4.0 Era",isOpenForSubmission:!1,hash:"aab634c9c1f9a692c1e9881d18e9c9b7",slug:"supply-chain-recent-advances-and-new-perspectives-in-the-industry-4-0-era",bookSignature:"Tamás Bányai, Ágota Bányai and Ireneusz Kaczmar",coverURL:"https://cdn.intechopen.com/books/images_new/11263.jpg",editors:[{id:"201248",title:"Dr.",name:"Tamás",middleName:null,surname:"Bányai",slug:"tamas-banyai",fullName:"Tamás Bányai"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10739",title:"Global Decline of Insects",subtitle:null,isOpenForSubmission:!1,hash:"543783652b9092962a8fa4bed38eeb17",slug:"global-decline-of-insects",bookSignature:"Hamadttu Abdel Farag El-Shafie",coverURL:"https://cdn.intechopen.com/books/images_new/10739.jpg",editors:[{id:"192142",title:"Dr.",name:"Hamadttu",middleName:null,surname:"Abdel Farag El-Shafie",slug:"hamadttu-abdel-farag-el-shafie",fullName:"Hamadttu Abdel Farag El-Shafie"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10911",title:"Higher Education",subtitle:"New Approaches to Accreditation, Digitalization, and Globalization in the Age of Covid",isOpenForSubmission:!1,hash:"223a02337498e535e967174c1f648fbc",slug:"higher-education-new-approaches-to-accreditation-digitalization-and-globalization-in-the-age-of-covid",bookSignature:"Lee Waller and Sharon Waller",coverURL:"https://cdn.intechopen.com/books/images_new/10911.jpg",editors:[{id:"263301",title:"Dr.",name:"Lee",middleName:null,surname:"Waller",slug:"lee-waller",fullName:"Lee Waller"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10669",title:"Corrosion",subtitle:"Fundamentals and Protection Mechanisms",isOpenForSubmission:!1,hash:"4a76d54f8a40fc2e7002a8d13fd617c1",slug:"corrosion-fundamentals-and-protection-mechanisms",bookSignature:"Fahmina Zafar, Anujit Ghosal and Eram Sharmin",coverURL:"https://cdn.intechopen.com/books/images_new/10669.jpg",editors:[{id:"89672",title:"Dr.",name:"Fahmina",middleName:null,surname:"Zafar",slug:"fahmina-zafar",fullName:"Fahmina Zafar"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"95",title:"Applications and Experiences of Quality Control",subtitle:null,isOpenForSubmission:!1,hash:"4bcb22b1eee68210a977a97d5a0f363a",slug:"applications-and-experiences-of-quality-control",bookSignature:"Ognyan Ivanov",coverURL:"https://cdn.intechopen.com/books/images_new/95.jpg",editors:[{id:"22230",title:"Prof.",name:"Ognyan",middleName:null,surname:"Ivanov",slug:"ognyan-ivanov",fullName:"Ognyan Ivanov"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"2160",title:"MATLAB",subtitle:"A Fundamental Tool for Scientific Computing and Engineering Applications - Volume 1",isOpenForSubmission:!1,hash:"dd9c658341fbd264ed4f8d9e6aa8ca29",slug:"matlab-a-fundamental-tool-for-scientific-computing-and-engineering-applications-volume-1",bookSignature:"Vasilios N. Katsikis",coverURL:"https://cdn.intechopen.com/books/images_new/2160.jpg",editors:[{id:"12289",title:"Prof.",name:"Vasilios",middleName:"N.",surname:"Katsikis",slug:"vasilios-katsikis",fullName:"Vasilios Katsikis"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"3560",title:"Advances in Landscape Architecture",subtitle:null,isOpenForSubmission:!1,hash:"a20614517ec5f7e91188fe8e42832138",slug:"advances-in-landscape-architecture",bookSignature:"Murat Özyavuz",coverURL:"https://cdn.intechopen.com/books/images_new/3560.jpg",editors:[{id:"93073",title:"Dr.",name:"Murat",middleName:null,surname:"Ozyavuz",slug:"murat-ozyavuz",fullName:"Murat Ozyavuz"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"3568",title:"Recent Advances in Plant in vitro Culture",subtitle:null,isOpenForSubmission:!1,hash:"830bbb601742c85a3fb0eeafe1454c43",slug:"recent-advances-in-plant-in-vitro-culture",bookSignature:"Annarita Leva and Laura M. R. Rinaldi",coverURL:"https://cdn.intechopen.com/books/images_new/3568.jpg",editors:[{id:"142145",title:"Dr.",name:"Annarita",middleName:null,surname:"Leva",slug:"annarita-leva",fullName:"Annarita Leva"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}}],offset:12,limit:12,total:4805},hotBookTopics:{hotBooks:[],offset:0,limit:12,total:null},publish:{},publishingProposal:{success:null,errors:{}},books:{featuredBooks:[{type:"book",id:"7827",title:"Interpersonal Relationships",subtitle:null,isOpenForSubmission:!1,hash:"ebf41f4d17c75010eb3294cc8cac3d47",slug:"interpersonal-relationships",bookSignature:"Martha Peaslee Levine",coverURL:"https://cdn.intechopen.com/books/images_new/7827.jpg",publishedDate:"July 27th 2022",numberOfDownloads:7107,editors:[{id:"186919",title:"Dr.",name:"Martha",middleName:null,surname:"Peaslee Levine",slug:"martha-peaslee-levine",fullName:"Martha Peaslee Levine"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10808",title:"Current Concepts in Dental Implantology",subtitle:"From Science to Clinical Research",isOpenForSubmission:!1,hash:"4af8830e463f89c57515c2da2b9777b0",slug:"current-concepts-in-dental-implantology-from-science-to-clinical-research",bookSignature:"Dragana Gabrić and Marko Vuletić",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg",publishedDate:"July 27th 2022",numberOfDownloads:1955,editors:[{id:"26946",title:"Prof.",name:"Dragana",middleName:null,surname:"Gabrić",slug:"dragana-gabric",fullName:"Dragana Gabrić"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10908",title:"Advances in Decision Making",subtitle:null,isOpenForSubmission:!1,hash:"126486f7f91e18e2e3539a32c38be7b1",slug:"advances-in-decision-making",bookSignature:"Fausto Pedro García Márquez",coverURL:"https://cdn.intechopen.com/books/images_new/10908.jpg",publishedDate:"July 27th 2022",numberOfDownloads:1452,editors:[{id:"22844",title:"Prof.",name:"Fausto Pedro",middleName:null,surname:"García Márquez",slug:"fausto-pedro-garcia-marquez",fullName:"Fausto Pedro García Márquez"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10796",title:"Extracellular Vesicles",subtitle:"Role in Diseases, Pathogenesis and Therapy",isOpenForSubmission:!1,hash:"eb5407fcf93baff7bca3fae5640153a2",slug:"extracellular-vesicles-role-in-diseases-pathogenesis-and-therapy",bookSignature:"Manash K. Paul",coverURL:"https://cdn.intechopen.com/books/images_new/10796.jpg",publishedDate:"July 20th 2022",numberOfDownloads:2289,editors:[{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"11263",title:"Supply Chain",subtitle:"Recent Advances and New Perspectives in the Industry 4.0 Era",isOpenForSubmission:!1,hash:"aab634c9c1f9a692c1e9881d18e9c9b7",slug:"supply-chain-recent-advances-and-new-perspectives-in-the-industry-4-0-era",bookSignature:"Tamás Bányai, Ágota Bányai and Ireneusz Kaczmar",coverURL:"https://cdn.intechopen.com/books/images_new/11263.jpg",publishedDate:"July 27th 2022",numberOfDownloads:888,editors:[{id:"201248",title:"Dr.",name:"Tamás",middleName:null,surname:"Bányai",slug:"tamas-banyai",fullName:"Tamás Bányai"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10739",title:"Global Decline of Insects",subtitle:null,isOpenForSubmission:!1,hash:"543783652b9092962a8fa4bed38eeb17",slug:"global-decline-of-insects",bookSignature:"Hamadttu Abdel Farag El-Shafie",coverURL:"https://cdn.intechopen.com/books/images_new/10739.jpg",publishedDate:"July 20th 2022",numberOfDownloads:1566,editors:[{id:"192142",title:"Dr.",name:"Hamadttu",middleName:null,surname:"Abdel Farag El-Shafie",slug:"hamadttu-abdel-farag-el-shafie",fullName:"Hamadttu Abdel Farag El-Shafie"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10911",title:"Higher Education",subtitle:"New Approaches to Accreditation, Digitalization, and Globalization in the Age of Covid",isOpenForSubmission:!1,hash:"223a02337498e535e967174c1f648fbc",slug:"higher-education-new-approaches-to-accreditation-digitalization-and-globalization-in-the-age-of-covid",bookSignature:"Lee Waller and Sharon Waller",coverURL:"https://cdn.intechopen.com/books/images_new/10911.jpg",publishedDate:"July 13th 2022",numberOfDownloads:2054,editors:[{id:"263301",title:"Dr.",name:"Lee",middleName:null,surname:"Waller",slug:"lee-waller",fullName:"Lee Waller"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"10669",title:"Corrosion",subtitle:"Fundamentals and Protection Mechanisms",isOpenForSubmission:!1,hash:"4a76d54f8a40fc2e7002a8d13fd617c1",slug:"corrosion-fundamentals-and-protection-mechanisms",bookSignature:"Fahmina Zafar, Anujit Ghosal and Eram Sharmin",coverURL:"https://cdn.intechopen.com/books/images_new/10669.jpg",publishedDate:"July 27th 2022",numberOfDownloads:780,editors:[{id:"89672",title:"Dr.",name:"Fahmina",middleName:null,surname:"Zafar",slug:"fahmina-zafar",fullName:"Fahmina Zafar"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"95",title:"Applications and Experiences of Quality Control",subtitle:null,isOpenForSubmission:!1,hash:"4bcb22b1eee68210a977a97d5a0f363a",slug:"applications-and-experiences-of-quality-control",bookSignature:"Ognyan Ivanov",coverURL:"https://cdn.intechopen.com/books/images_new/95.jpg",publishedDate:"April 26th 2011",numberOfDownloads:318480,editors:[{id:"22230",title:"Prof.",name:"Ognyan",middleName:null,surname:"Ivanov",slug:"ognyan-ivanov",fullName:"Ognyan Ivanov"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}},{type:"book",id:"2160",title:"MATLAB",subtitle:"A Fundamental Tool for Scientific Computing and Engineering Applications - Volume 1",isOpenForSubmission:!1,hash:"dd9c658341fbd264ed4f8d9e6aa8ca29",slug:"matlab-a-fundamental-tool-for-scientific-computing-and-engineering-applications-volume-1",bookSignature:"Vasilios N. Katsikis",coverURL:"https://cdn.intechopen.com/books/images_new/2160.jpg",publishedDate:"September 26th 2012",numberOfDownloads:271760,editors:[{id:"12289",title:"Prof.",name:"Vasilios",middleName:"N.",surname:"Katsikis",slug:"vasilios-katsikis",fullName:"Vasilios Katsikis"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter"}}],latestBooks:[{type:"book",id:"10808",title:"Current Concepts in Dental Implantology",subtitle:"From Science to Clinical Research",isOpenForSubmission:!1,hash:"4af8830e463f89c57515c2da2b9777b0",slug:"current-concepts-in-dental-implantology-from-science-to-clinical-research",bookSignature:"Dragana Gabrić and Marko Vuletić",coverURL:"https://cdn.intechopen.com/books/images_new/10808.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"26946",title:"Prof.",name:"Dragana",middleName:null,surname:"Gabrić",slug:"dragana-gabric",fullName:"Dragana Gabrić"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11328",title:"Botulinum Toxin",subtitle:"Recent Topics and Applications",isOpenForSubmission:!1,hash:"7dd05a316001cef143e209eda51387a7",slug:"botulinum-toxin-recent-topics-and-applications",bookSignature:"Suna Sabuncuoglu",coverURL:"https://cdn.intechopen.com/books/images_new/11328.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"270856",title:"Associate Prof.",name:"Suna",middleName:null,surname:"Sabuncuoglu",slug:"suna-sabuncuoglu",fullName:"Suna Sabuncuoglu"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11085",title:"Polycystic Ovary Syndrome",subtitle:"Functional Investigation and Clinical Application",isOpenForSubmission:!1,hash:"3066dd3ff29e1fac072fd60b08d4d3e7",slug:"polycystic-ovary-syndrome-functional-investigation-and-clinical-application",bookSignature:"Zhengchao Wang",coverURL:"https://cdn.intechopen.com/books/images_new/11085.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"204883",title:"Dr.",name:"Zhengchao",middleName:null,surname:"Wang",slug:"zhengchao-wang",fullName:"Zhengchao Wang"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10833",title:"Tumor Angiogenesis and Modulators",subtitle:null,isOpenForSubmission:!1,hash:"f29b575c46128b2da061ef7f9bd1070b",slug:"tumor-angiogenesis-and-modulators",bookSignature:"Ke Xu",coverURL:"https://cdn.intechopen.com/books/images_new/10833.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"59529",title:"Dr.",name:"Ke",middleName:null,surname:"Xu",slug:"ke-xu",fullName:"Ke Xu"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11356",title:"Molecular Cloning",subtitle:null,isOpenForSubmission:!1,hash:"671c629dd86e97f0fb467b9e70e92296",slug:"molecular-cloning",bookSignature:"Sadık Dincer, Hatice Aysun Mercimek Takcı and Melis Sumengen Ozdenef",coverURL:"https://cdn.intechopen.com/books/images_new/11356.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"188141",title:"Prof.",name:"Sadik",middleName:null,surname:"Dincer",slug:"sadik-dincer",fullName:"Sadik Dincer"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7827",title:"Interpersonal Relationships",subtitle:null,isOpenForSubmission:!1,hash:"ebf41f4d17c75010eb3294cc8cac3d47",slug:"interpersonal-relationships",bookSignature:"Martha Peaslee Levine",coverURL:"https://cdn.intechopen.com/books/images_new/7827.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"186919",title:"Dr.",name:"Martha",middleName:null,surname:"Peaslee Levine",slug:"martha-peaslee-levine",fullName:"Martha Peaslee Levine"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10908",title:"Advances in Decision Making",subtitle:null,isOpenForSubmission:!1,hash:"126486f7f91e18e2e3539a32c38be7b1",slug:"advances-in-decision-making",bookSignature:"Fausto Pedro García Márquez",coverURL:"https://cdn.intechopen.com/books/images_new/10908.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"22844",title:"Prof.",name:"Fausto Pedro",middleName:null,surname:"García Márquez",slug:"fausto-pedro-garcia-marquez",fullName:"Fausto Pedro García Márquez"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10669",title:"Corrosion",subtitle:"Fundamentals and Protection Mechanisms",isOpenForSubmission:!1,hash:"4a76d54f8a40fc2e7002a8d13fd617c1",slug:"corrosion-fundamentals-and-protection-mechanisms",bookSignature:"Fahmina Zafar, Anujit Ghosal and Eram Sharmin",coverURL:"https://cdn.intechopen.com/books/images_new/10669.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"89672",title:"Dr.",name:"Fahmina",middleName:null,surname:"Zafar",slug:"fahmina-zafar",fullName:"Fahmina Zafar"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10677",title:"Advanced Topics of Topology",subtitle:null,isOpenForSubmission:!1,hash:"bf964c52f9e653fac20a7fcab58070e5",slug:"advanced-topics-of-topology",bookSignature:"Francisco Bulnes",coverURL:"https://cdn.intechopen.com/books/images_new/10677.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"92918",title:"Dr.",name:"Francisco",middleName:null,surname:"Bulnes",slug:"francisco-bulnes",fullName:"Francisco Bulnes"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11195",title:"Recent Advances in Biometrics",subtitle:null,isOpenForSubmission:!1,hash:"2d32e33e0f499cb5241734bb75dd2a83",slug:"recent-advances-in-biometrics",bookSignature:"Muhammad Sarfraz",coverURL:"https://cdn.intechopen.com/books/images_new/11195.jpg",editedByType:"Edited by",publishedDate:"July 27th 2022",editors:[{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},subject:{topic:{id:"202",title:"Surgery",slug:"surgery",parent:{id:"16",title:"Medicine",slug:"medicine"},numberOfBooks:142,numberOfSeries:0,numberOfAuthorsAndEditors:3738,numberOfWosCitations:1281,numberOfCrossrefCitations:1008,numberOfDimensionsCitations:2310,videoUrl:null,fallbackUrl:null,description:null},booksByTopicFilter:{topicId:"202",sort:"-publishedDate",limit:12,offset:0},booksByTopicCollection:[{type:"book",id:"10708",title:"Topics in Regional Anesthesia",subtitle:null,isOpenForSubmission:!1,hash:"264f7f37033b4867cace7912287fccaa",slug:"topics-in-regional-anesthesia",bookSignature:"Víctor M. Whizar-Lugo, José Ramón Saucillo-Osuna and Guillermo Castorena-Arellano",coverURL:"https://cdn.intechopen.com/books/images_new/10708.jpg",editedByType:"Edited by",editors:[{id:"169249",title:"Prof.",name:"Víctor M.",middleName:null,surname:"Whizar-Lugo",slug:"victor-m.-whizar-lugo",fullName:"Víctor M. Whizar-Lugo"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"11238",title:"Hernia Surgery",subtitle:null,isOpenForSubmission:!1,hash:"1663b79cce4c6cddb688a027bd0cd34d",slug:"hernia-surgery",bookSignature:"Selim Sözen and Hasan Erdem",coverURL:"https://cdn.intechopen.com/books/images_new/11238.jpg",editedByType:"Edited by",editors:[{id:"90616",title:"Associate Prof.",name:"Selim",middleName:null,surname:"Sözen",slug:"selim-sozen",fullName:"Selim Sözen"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10351",title:"Enhanced Liposuction",subtitle:"New Perspectives and Techniques",isOpenForSubmission:!1,hash:"f08ed6de16da357614586c5b58ed4dfa",slug:"enhanced-liposuction-new-perspectives-and-techniques",bookSignature:"Diane Irvine Duncan",coverURL:"https://cdn.intechopen.com/books/images_new/10351.jpg",editedByType:"Edited by",editors:[{id:"279869",title:"Dr.",name:"Diane Irvine",middleName:null,surname:"Duncan",slug:"diane-irvine-duncan",fullName:"Diane Irvine Duncan"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10866",title:"Skin Grafts for Successful Wound Closure",subtitle:null,isOpenForSubmission:!1,hash:"7f96063ba4feb9aab82c344a88a8c90c",slug:"skin-grafts-for-successful-wound-closure",bookSignature:"Madhuri Gore",coverURL:"https://cdn.intechopen.com/books/images_new/10866.jpg",editedByType:"Edited by",editors:[{id:"157243",title:"Dr.",name:"Madhuri",middleName:null,surname:"Gore",slug:"madhuri-gore",fullName:"Madhuri Gore"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10711",title:"Arthroscopy",subtitle:null,isOpenForSubmission:!1,hash:"afa83f11ba2442e7612f5b8c6aa3c659",slug:"arthroscopy",bookSignature:"Carlos Suarez-Ahedo",coverURL:"https://cdn.intechopen.com/books/images_new/10711.jpg",editedByType:"Edited by",editors:[{id:"235976",title:"M.D.",name:"Carlos",middleName:null,surname:"Suarez-Ahedo",slug:"carlos-suarez-ahedo",fullName:"Carlos Suarez-Ahedo"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10723",title:"Brachial Plexus Injury",subtitle:"New Techniques and Ideas",isOpenForSubmission:!1,hash:"94c1a38f1ee7a078ee6ec640360c39f2",slug:"brachial-plexus-injury-new-techniques-and-ideas",bookSignature:"Jörg Bahm",coverURL:"https://cdn.intechopen.com/books/images_new/10723.jpg",editedByType:"Edited by",editors:[{id:"78207",title:"Prof.",name:"Jörg",middleName:null,surname:"Bahm",slug:"jorg-bahm",fullName:"Jörg Bahm"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10447",title:"The Art and Science of Abdominal Hernia",subtitle:null,isOpenForSubmission:!1,hash:"d3ace0f00ca1fdef094c105930ad353a",slug:"the-art-and-science-of-abdominal-hernia",bookSignature:"Muhammad Shamim",coverURL:"https://cdn.intechopen.com/books/images_new/10447.jpg",editedByType:"Edited by",editors:[{id:"235128",title:"Dr.",name:"Muhammad",middleName:null,surname:"Shamim",slug:"muhammad-shamim",fullName:"Muhammad Shamim"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10492",title:"Advances in Minimally Invasive Surgery",subtitle:null,isOpenForSubmission:!1,hash:"99d1149818bdb9bfa83675488599529c",slug:"advances-in-minimally-invasive-surgery",bookSignature:"Andrea Sanna",coverURL:"https://cdn.intechopen.com/books/images_new/10492.jpg",editedByType:"Edited by",editors:[{id:"327116",title:"M.D.",name:"Andrea",middleName:null,surname:"Sanna",slug:"andrea-sanna",fullName:"Andrea Sanna"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10302",title:"Aortic Aneurysm",subtitle:"Clinical Findings, Diagnostic, Treatment and Special Situations",isOpenForSubmission:!1,hash:"edb4662797c08616dc42b7796f1d17fe",slug:"aortic-aneurysm-clinical-findings-diagnostic-treatment-and-special-situations",bookSignature:"Ana Terezinha Guillaumon and Daniel Emilio Dalledone Siqueira",coverURL:"https://cdn.intechopen.com/books/images_new/10302.jpg",editedByType:"Edited by",editors:[{id:"251226",title:"Prof.",name:"Ana Terezinha",middleName:null,surname:"Guillaumon",slug:"ana-terezinha-guillaumon",fullName:"Ana Terezinha Guillaumon"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10537",title:"Frontiers in Clinical Neurosurgery",subtitle:null,isOpenForSubmission:!1,hash:"908c7edd9fcb3cbafbf42d30232db9a0",slug:"frontiers-in-clinical-neurosurgery",bookSignature:"Xianli Lv, Guihuai Wang, James Wang and Zhongxue Wu",coverURL:"https://cdn.intechopen.com/books/images_new/10537.jpg",editedByType:"Edited by",editors:[{id:"153155",title:"Dr.",name:"Xianli",middleName:null,surname:"Lv",slug:"xianli-lv",fullName:"Xianli Lv"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9818",title:"Bariatric Surgery",subtitle:"From the Non-Surgical Approach to the Post-Surgery Individual Care",isOpenForSubmission:!1,hash:"6083018185852f95759958b4d9e5e33b",slug:"bariatric-surgery-from-the-non-surgical-approach-to-the-post-surgery-individual-care",bookSignature:"Nieves Saiz-Sapena and Juan Miguel Oviedo",coverURL:"https://cdn.intechopen.com/books/images_new/9818.jpg",editedByType:"Edited by",editors:[{id:"204651",title:"Dr.",name:"Nieves",middleName:null,surname:"Saiz-Sapena",slug:"nieves-saiz-sapena",fullName:"Nieves Saiz-Sapena"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9790",title:"Surgical Management of Head and Neck Pathologies",subtitle:null,isOpenForSubmission:!1,hash:"8ae195fe1164fd55b69b775d596f1e8a",slug:"surgical-management-of-head-and-neck-pathologies",bookSignature:"Ho-Hyun (Brian) Sun",coverURL:"https://cdn.intechopen.com/books/images_new/9790.jpg",editedByType:"Edited by",editors:[{id:"184302",title:"Dr.",name:"H. Brian",middleName:null,surname:"Sun",slug:"h.-brian-sun",fullName:"H. Brian Sun"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:142,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"26862",doi:"10.5772/27413",title:"Titanium as a Biomaterial for Implants",slug:"titanium-as-a-biomaterial-for-implants",totalDownloads:16268,totalCrossrefCites:52,totalDimensionsCites:128,abstract:null,book:{id:"938",slug:"recent-advances-in-arthroplasty",title:"Recent Advances in Arthroplasty",fullTitle:"Recent Advances in Arthroplasty"},signatures:"Carlos Oldani and Alejandro Dominguez",authors:[{id:"70012",title:"Dr.",name:"Carlos",middleName:null,surname:"Oldani",slug:"carlos-oldani",fullName:"Carlos Oldani"},{id:"73445",title:"MSc.",name:"Alejandro",middleName:"Anibal",surname:"Dominguez",slug:"alejandro-dominguez",fullName:"Alejandro Dominguez"}]},{id:"58199",doi:"10.5772/intechopen.71963",title:"Virtual and Augmented Reality in Medical Education",slug:"virtual-and-augmented-reality-in-medical-education",totalDownloads:3099,totalCrossrefCites:21,totalDimensionsCites:41,abstract:"Virtual reality (VR) and augmented reality (AR) are two contemporary simulation models that are currently upgrading medical education. VR provides a 3D and dynamic view of structures and the ability of the user to interact with them. The recent technological advances in haptics, display systems, and motion detection allow the user to have a realistic and interactive experience, enabling VR to be ideal for training in hands-on procedures. Consequently, surgical and other interventional procedures are the main fields of application of VR. AR provides the ability of projecting virtual information and structures over physical objects, thus enhancing or altering the real environment. The integration of AR applications in the understanding of anatomical structures and physiological mechanisms seems to be beneficial. Studies have tried to demonstrate the validity and educational effect of many VR and AR applications, in many different areas, employed via various hardware platforms. Some of them even propose a curriculum that integrates these methods. This chapter provides a brief history of VR and AR in medicine, as well as the principles and standards of their function. Finally, the studies that show the effect of the implementation of these methods in different fields of medical training are summarized and presented.",book:{id:"6211",slug:"medical-and-surgical-education-past-present-and-future",title:"Medical and Surgical Education",fullTitle:"Medical and Surgical Education - Past, Present and Future"},signatures:"Panteleimon Pantelidis, Angeliki Chorti, Ioanna Papagiouvanni,\nGeorgios Paparoidamis, Christos Drosos, Thrasyvoulos\nPanagiotakopoulos, Georgios Lales and Michail Sideris",authors:[{id:"211650",title:"M.D.",name:"Panteleimon",middleName:null,surname:"Pantelidis",slug:"panteleimon-pantelidis",fullName:"Panteleimon Pantelidis"},{id:"211654",title:"Ms.",name:"Angeliki",middleName:null,surname:"Chorti",slug:"angeliki-chorti",fullName:"Angeliki Chorti"},{id:"220557",title:"Ms.",name:"Ioanna",middleName:null,surname:"Papagiouvanni",slug:"ioanna-papagiouvanni",fullName:"Ioanna Papagiouvanni"},{id:"220558",title:"Mr.",name:"Georgios",middleName:null,surname:"Paparoidamis",slug:"georgios-paparoidamis",fullName:"Georgios Paparoidamis"},{id:"220559",title:"Mr.",name:"Georgios",middleName:null,surname:"Lales",slug:"georgios-lales",fullName:"Georgios Lales"},{id:"220560",title:"Mr.",name:"Thrasyvoulos",middleName:null,surname:"Panagiotakopoulos",slug:"thrasyvoulos-panagiotakopoulos",fullName:"Thrasyvoulos Panagiotakopoulos"},{id:"220561",title:"Mr.",name:"Christos",middleName:null,surname:"Drosos",slug:"christos-drosos",fullName:"Christos Drosos"},{id:"220562",title:"Dr.",name:"Michail",middleName:null,surname:"Sideris",slug:"michail-sideris",fullName:"Michail Sideris"}]},{id:"50915",doi:"10.5772/63266",title:"Doped Bioactive Glass Materials in Bone Regeneration",slug:"doped-bioactive-glass-materials-in-bone-regeneration",totalDownloads:3499,totalCrossrefCites:13,totalDimensionsCites:34,abstract:"In the arena of orthopaedic surgery, autograft is considered to be the gold standard for correction of fracture repair or other bone pathologies. But, it has some limitations such as donor site morbidity and shortage of supply, which evolved the use of allograft that also has some disadvantages such as immunogenic response to the host, low osteogenicity as well as possibilities of disease transmission. Despite the benefits of autografts and allografts, the limitations of each have necessitated the pursuit of alternatives biomaterials that has the ability to initiate osteogenesis, and the graft should closely mimic the natural bone along with regeneration of fibroblasts. A variety of artificial materials such as demineralised bone matrix, coralline hydroxyapatite and calcium phosphate-based ceramics such as hydroxyapatite (HA), β-tricalcium phosphate (β-TCP) and bioactive glass have been used over the decades to fill bone defects almost without associated soft tissue development. Most of them were having only the properties of osteointegration and osteoconduction. Only bioactive glass possesses osteogenic property that stimulates proliferation and differentiation of osteoprogenitor cells and in some cases influencing the fibroblastic properties. But, this material has also some disadvantages such as short-term and low mechanical strength along with decreased fracture resistance; but, this was further minimised by ion doping that positively enhanced new bone formation. There are many metal ions such as magnesium (Mg), strontium (Sr), manganese (Mn), iron (Fe), zinc (Zn), silver (Ag) and some rare earths that have been doped successfully into bioactive glass to enhance their mechanical and biological properties. In some of the cases, mesoporous bioactive glass materials with or without such doping have also been employed (with homogeneous distribution of pores in the size ranging between 2 and 50 nm). These biomaterials can be served as scaffold for bone regeneration with adequate mechanical properties to restore bone defects and facilitate healing process by regeneration of soft tissues as well. This chapter encompasses the use of bioactive glass in bulk and mesoporous form with doped therapeutic ions, their role in bone tissue regeneration, use as delivery of growth factors as well as coating material for orthopaedic implants.",book:{id:"5164",slug:"advanced-techniques-in-bone-regeneration",title:"Advanced Techniques in Bone Regeneration",fullTitle:"Advanced Techniques in Bone Regeneration"},signatures:"Samit Kumar Nandi, Arnab Mahato, Biswanath Kundu and Prasenjit\nMukherjee",authors:[{id:"60514",title:"Dr.",name:"Samit",middleName:null,surname:"Nandi",slug:"samit-nandi",fullName:"Samit Nandi"}]},{id:"37120",doi:"10.5772/29607",title:"Trigeminocardiac Reflex in Neurosurgery - Current Knowledge and Prospects",slug:"the-trigeminocardiac-reflex-in-neurosurgery-current-knowledge-and-prospects",totalDownloads:3434,totalCrossrefCites:10,totalDimensionsCites:27,abstract:null,book:{id:"749",slug:"explicative-cases-of-controversial-issues-in-neurosurgery",title:"Explicative Cases of Controversial Issues in Neurosurgery",fullTitle:"Explicative Cases of Controversial Issues in Neurosurgery"},signatures:"Amr Abdulazim, Martin N. Stienen, Pooyan Sadr-Eshkevari, Nora Prochnow, Nora Sandu, Benham Bohluli and Bernhard Schaller",authors:[{id:"78171",title:"Prof.",name:"Bernhard",middleName:null,surname:"Schaller",slug:"bernhard-schaller",fullName:"Bernhard Schaller"},{id:"78525",title:"Mr.",name:"Amr",middleName:null,surname:"Abdulazim",slug:"amr-abdulazim",fullName:"Amr Abdulazim"},{id:"78530",title:"Dr",name:"Pooyan",middleName:null,surname:"Sadr-Eshkevari",slug:"pooyan-sadr-eshkevari",fullName:"Pooyan Sadr-Eshkevari"},{id:"126039",title:"Dr.",name:"Martin",middleName:"Nikolaus",surname:"Stienen",slug:"martin-stienen",fullName:"Martin Stienen"},{id:"126040",title:"Dr.",name:"Nora",middleName:null,surname:"Prochnow",slug:"nora-prochnow",fullName:"Nora Prochnow"},{id:"126041",title:"Dr.",name:"Benham",middleName:null,surname:"Bohluli",slug:"benham-bohluli",fullName:"Benham Bohluli"}]},{id:"26863",doi:"10.5772/26362",title:"The Bearing Surfaces in Total Hip Arthroplasty – Options, Material Characteristics and Selection",slug:"the-bearing-surfaces-in-total-hip-arthroplasty-options-material-characteristics-and-selection",totalDownloads:9526,totalCrossrefCites:10,totalDimensionsCites:21,abstract:null,book:{id:"938",slug:"recent-advances-in-arthroplasty",title:"Recent Advances in Arthroplasty",fullTitle:"Recent Advances in Arthroplasty"},signatures:"Hamid Reza Seyyed Hosseinzadeh, Alireza Eajazi and Ali Sina Shahi",authors:[{id:"66361",title:"Dr.",name:"Alireza",middleName:null,surname:"Eajazi",slug:"alireza-eajazi",fullName:"Alireza Eajazi"},{id:"74857",title:"Dr.",name:"Hamid Reza",middleName:null,surname:"Seyyed Hosseinzadeh",slug:"hamid-reza-seyyed-hosseinzadeh",fullName:"Hamid Reza Seyyed Hosseinzadeh"},{id:"173207",title:"Dr.",name:"Alisina",middleName:null,surname:"Shahi",slug:"alisina-shahi",fullName:"Alisina Shahi"}]}],mostDownloadedChaptersLast30Days:[{id:"65467",title:"Anesthesia Management for Large-Volume Liposuction",slug:"anesthesia-management-for-large-volume-liposuction",totalDownloads:6203,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"The apparent easiness with which liposuction is performed favors that patients, young surgeons, and anesthesiologists without experience in this field ignore the many events that occur during this procedure. Liposuction is a procedure to improve the body contour and not a surgery to reduce weight, although recently people who have failed in their plans to lose weight look at liposuction as a means to contour their body figure. Tumescent liposuction of large volumes requires a meticulous selection of each patient; their preoperative evaluation and perioperative management are essential to obtain the expected results. The various techniques of general anesthesia are the most recommended and should be monitored in the usual way, as well as monitoring the total doses of infiltrated local anesthetics to avoid systemic toxicity. The management of intravenous fluids is controversial, but the current trend is the restricted use of hydrosaline solutions. The most feared complications are deep vein thrombosis, pulmonary thromboembolism, fat embolism, lung edema, hypothermia, infections and even death. The adherence to the management guidelines and prophylaxis of venous thrombosis/thromboembolism is mandatory.",book:{id:"6221",slug:"anesthesia-topics-for-plastic-and-reconstructive-surgery",title:"Anesthesia Topics for Plastic and Reconstructive Surgery",fullTitle:"Anesthesia Topics for Plastic and Reconstructive Surgery"},signatures:"Sergio Granados-Tinajero, Carlos Buenrostro-Vásquez, Cecilia\nCárdenas-Maytorena and Marcela Contreras-López",authors:[{id:"273532",title:"Dr.",name:"Sergio Octavio",middleName:null,surname:"Granados Tinajero",slug:"sergio-octavio-granados-tinajero",fullName:"Sergio Octavio Granados Tinajero"}]},{id:"42855",title:"Critical Care Issues After Major Hepatic Surgery",slug:"critical-care-issues-after-major-hepatic-surgery",totalDownloads:8935,totalCrossrefCites:2,totalDimensionsCites:2,abstract:null,book:{id:"3164",slug:"hepatic-surgery",title:"Hepatic Surgery",fullTitle:"Hepatic Surgery"},signatures:"Ashok Thorat and Wei-Chen Lee",authors:[{id:"52360",title:"Prof.",name:"Wei-Chen",middleName:null,surname:"Lee",slug:"wei-chen-lee",fullName:"Wei-Chen Lee"},{id:"157213",title:"Dr.",name:"Ashok",middleName:null,surname:"Thorat",slug:"ashok-thorat",fullName:"Ashok Thorat"}]},{id:"72175",title:"Fontan Operation: A Comprehensive Review",slug:"fontan-operation-a-comprehensive-review",totalDownloads:1299,totalCrossrefCites:3,totalDimensionsCites:2,abstract:"Since the first description of the Fontan operation in the early 1970s, a number of modifications have been introduced and currently staged, total cavopulmonary connection with fenestration has become the most commonly used multistage surgery in diverting the vena caval blood flow into the lungs. The existing ventricle, whether it is left or right, is utilized to supply systemic circuit. During Stage I, palliative surgery is performed, usually at presentation in the neonatal period/early infancy, on the basis of pathophysiology of the cardiac defect. During Stage II, a bidirectional Glenn procedure is undertaken in which the superior vena caval flow is diverted into the lungs at an approximate age of 6 months. During Stage IIIA, the blood flow from the inferior vena cava (IVC) is rerouted into the pulmonary arteries, typically by an extra-cardiac conduit along with a fenestration, generally around 2 years of age. During Stage IIIB, the fenestration is closed by transcatheter methodology 6–12 months after Stage IIIA. The evolution of Fontan concepts, the indications for Fontan surgery, and the results of old and current types of Fontan operation form the focus of this review.",book:{id:"9585",slug:"advances-in-complex-valvular-disease",title:"Advances in Complex Valvular Disease",fullTitle:"Advances in Complex Valvular Disease"},signatures:"P. Syamasundar Rao",authors:[{id:"68531",title:"Dr.",name:"P. Syamasundar",middleName:null,surname:"Rao",slug:"p.-syamasundar-rao",fullName:"P. Syamasundar Rao"}]},{id:"45712",title:"Serdev Sutures® in Middle Face",slug:"serdev-sutures-in-middle-face",totalDownloads:4952,totalCrossrefCites:0,totalDimensionsCites:0,abstract:null,book:{id:"2989",slug:"miniinvasive-face-and-body-lifts-closed-suture-lifts-or-barbed-thread-lifts",title:"Miniinvasive Face and Body Lifts",fullTitle:"Miniinvasive Face and Body Lifts - Closed Suture Lifts or Barbed Thread Lifts"},signatures:"Nikolay Serdev",authors:[{id:"32585",title:"Dr.",name:"Nikolay",middleName:null,surname:"Serdev",slug:"nikolay-serdev",fullName:"Nikolay Serdev"}]},{id:"55812",title:"Postural Restoration: A Tri-Planar Asymmetrical Framework for Understanding, Assessing, and Treating Scoliosis and Other Spinal Dysfunctions",slug:"postural-restoration-a-tri-planar-asymmetrical-framework-for-understanding-assessing-and-treating-sc",totalDownloads:7701,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"Current medical practice does not recognize the influence of innate, physiological, human asymmetry on scoliosis and other postural disorders. Interventions meant to correct these conditions are commonly based on symmetrical models of appearance and do not take into account asymmetric organ weight distribution, asymmetries of respiratory mechanics, and dominant movement patterns that are reinforced in daily functional activities. A model of innate, human asymmetry derived from the theoretical framework of the Postural Restoration Institute® (PRI) explicitly describes the physiological, biomechanical, and respiratory components of human asymmetry. This model is important because it gives an accurate baseline for understanding predisposing factors for the development of postural disorders, which, without intervention, will likely progress to structural dysfunction. Clinical tests to evaluate tri-planar musculoskeletal relationships and function, developed by PRI, are based on this asymmetric model. These tests are valuable for assessing patient’s status in the context of human asymmetry and in guiding appropriate exercise prescription and progression. Balancing musculoskeletal asymmetry is the aim of PRI treatment. Restoration of relative balance decreases pain, restores improved alignment, and strengthens appropriate muscle function. It can also halt the progression of dysfunction and improve respiration, quality of life, and appearance. PRI’s extensive body of targeted exercise progressions are highly effective due to their basis in the tri-planar asymmetric human model.",book:{id:"5816",slug:"innovations-in-spinal-deformities-and-postural-disorders",title:"Innovations in Spinal Deformities and Postural Disorders",fullTitle:"Innovations in Spinal Deformities and Postural Disorders"},signatures:"Susan Henning, Lisa C. Mangino and Jean Massé",authors:[{id:"204825",title:"Dr.",name:"Susan",middleName:null,surname:"Henning",slug:"susan-henning",fullName:"Susan Henning"},{id:"206242",title:"Dr.",name:"Lisa C",middleName:null,surname:"Mangino",slug:"lisa-c-mangino",fullName:"Lisa C Mangino"},{id:"206245",title:"Dr.",name:"Jean",middleName:null,surname:"Massé",slug:"jean-masse",fullName:"Jean Massé"}]}],onlineFirstChaptersFilter:{topicId:"202",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"82020",title:"Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Novel Technique and Technology with Case Series",slug:"minimally-invasive-transforaminal-lumbar-interbody-fusion-a-novel-technique-and-technology-with-case",totalDownloads:6,totalDimensionsCites:0,doi:"10.5772/intechopen.105187",abstract:"Minimally invasive spine surgery (MIS) transforaminal lumbar interbody fusion (MI-TLIF) has been utilized to treat a variety of spinal disorders. Like other minimally invasive spine surgery techniques and technology, the MI-TLIF approach has the potential to limit the morbidity associated with larger exposures required for open surgery. The MI-TLIF approach has a number of advantages over many other minimally invasive spine surgery approaches including direct decompression of neural elements, collection of morselized autograph from the surgical site to achieve high fusion rates, restoration of spinal canal diameter, foraminal diameter, disk height, and reduction of spondylolisthesis. In this chapter, we discuss a novel technique for performing MI-TLIF developed by the senior author who is a leading minimally invasive spine surgeon. The technique and technology illustrated in this chapter were developed out of a recognition of a need to reduce the learning curve for performing MI-TLIF, as well as need for a cost-effective method that provides a high fusion rate, excellent clinical outcomes, and low complication rate. The indications, surgical planning, postoperative care, complications, and patient outcomes in a large series will be reviewed using this novel MI-TLIF technique.",book:{id:"10634",title:"Minimally Invasive Spine Surgery - Advances and Innovations",coverURL:"https://cdn.intechopen.com/books/images_new/10634.jpg"},signatures:"Mick Perez-Cruet, Ramiro Pérez de la Torre and Siddharth Ramanathan"},{id:"78335",title:"Safety and Efficiency of Cervical Disc Arthroplasty in Ambulatory Surgery Centers",slug:"safety-and-efficiency-of-cervical-disc-arthroplasty-in-ambulatory-surgery-centers",totalDownloads:5,totalDimensionsCites:0,doi:"10.5772/intechopen.99589",abstract:"Introduction Anterior cervical surgeries have been safely performed in ambulatory surgery centers since 1995 with the first cases being one level anterior cervical discectomies without fusion, then in 1996, one level anterior cervical discectomies with fusion (ACDF). When it is was certain that outpatient fusion was safe, the number of ACDF levels slowly and methodically were increased to the now standard outpatient maximum of four level ACDF. During this evolution, with the introduction of arthroplasty surgery, one level arthroplasties were considered appropriate for outpatient surgery and now two-level outpatient cervical arthroplasties are routine and some three level arthroplasties have been performed with no additional morbidity compared to one level procedures. The author first reported a series of 27 patients in 2010 who underwent cervical disc replacement at an ASC. (Wohns, R. Safety and cost-effectiveness of outpatient cervical disc arthroplasty. Surg. Neurol. Int. 1, 77, 2010). The average operative time was 40 minutes and the patients were observed over a period of three hours prior to discharge. None of the patients had major complications and there were no reports of worsening or persistent pain. The results of a Delphi study in 2018 compared the safety and efficiency of one-level and two-level arthroplasty procedures performed in an ASC and in a hospital setting. (Gornet et al. Safety and Efficiency of Cervical Disc Arthroplasty in Ambulatory Surgery Centers vs Hospital Settings. Int’l J of Spine Surgery. Vol. 12, No.5, 2018, pp. 557-564). The study analyzed outcomes of 145 ASC patients, 348 hospital outpatients and 65 hospital inpatients and the conclusion was that both one and two-level arthroplasties may be performed safely in an ASC. Surgeries in ASCs are of shorter duration and performed with less blood loss without increased AEs. At the present time, there does not appear to be any contra-indication to performing the vast majority of cervical arthroplasties in an ambulatory surgery center (ASC). Furthermore, the cost of an outpatient arthroplasty is commonly 30% to 50% of the cost of hospital-based procedures.",book:{id:"10634",title:"Minimally Invasive Spine Surgery - Advances and Innovations",coverURL:"https://cdn.intechopen.com/books/images_new/10634.jpg"},signatures:"Richard N.W. Wohns"},{id:"82255",title:"Minimally Invasive Laminectomy for Lumbar Stenosis with Case Series of Patients with Multi-level (3 or More Levels) Stenosis",slug:"minimally-invasive-laminectomy-for-lumbar-stenosis-with-case-series-of-patients-with-multi-level-3-o",totalDownloads:28,totalDimensionsCites:0,doi:"10.5772/intechopen.105186",abstract:"Lumbar stenosis is the most common pathology seen and treated by spine surgeons. It is often seen in the elderly population who frequently have multiple medical co-morbidities. Traditional approaches remove the spinous process and detach paraspinous muscles to achieve adequate canal decompression. This approach can damage the posterior tension band leading to permanent muscle damage, scar tissue formation, iatrogenic flatback syndrome, and increase risk of adjacent segment disease requiring reoperation. Performing lumbar laminectomy in a cost-effective manner is critical in effectively treating patients with lumbar stenosis. This chapter reviews a minimally invasive muscle-sparing approach to treating lumbar stenosis. The technique is performed through a tubular retractor. Direct decompression of the spinal stenosis is achieved while preserving the paraspinous muscle attachments and spinous process. This technique has multiple advantages and can potentially reduce load stress on adjacent levels and subsequent adjacent level pathology leading to further surgical intervention. In addition, the procedure shows how facet fusion is performed using the patient’s own locally harvested drilled morselized autograph to achieve bilateral facet fusion. By fusing the facets, we have shown that restenosis at the operative level is less likely to occur. This chapter will review a case series of multilevel lumbar stenosis including clinical outcomes.",book:{id:"10634",title:"Minimally Invasive Spine Surgery - Advances and Innovations",coverURL:"https://cdn.intechopen.com/books/images_new/10634.jpg"},signatures:"Mick Perez-Cruet, Ramiro Pérez de la Torre and Siddharth Ramanathan"},{id:"80705",title:"Cervical Arthroplasty",slug:"cervical-arthroplasty",totalDownloads:37,totalDimensionsCites:0,doi:"10.5772/intechopen.102964",abstract:"Technological advances have allowed spine surgery to follow the trend toward minimally invasive surgery in general. Specifically, we have seen a corresponding rise in the popularity of cervical arthroplasty. For the treatment of cervical disc disease, arthroplasty is a less invasive option than the gold standard of cervical discectomy and arthrodesis, which by nature is more disruptive to surrounding tissues. Arthroplasty preserves the facets, maintains motion, and reduces the rate of adjacent segment breakdown. These factors counteract the negative impacts of fusion while maintaining the benefits. Arthroplasty implants themselves have become more streamlined to implant as well with less native bone destruction, and biomechanics more compatible with the native disc. While initial implants were ball and socket devices with complex fixation and plane-specific movements, later devices incorporated such motions as translation and compression. Viscoelastic components and materials more closely resembling native tissues afford a more biocompatible implant profile. Until cell-based therapies can successfully reproduce native tissue, we will rely on artificial components that closely resemble and assimilate them.",book:{id:"10634",title:"Minimally Invasive Spine Surgery - Advances and Innovations",coverURL:"https://cdn.intechopen.com/books/images_new/10634.jpg"},signatures:"Jason M. Highsmith"},{id:"80605",title:"Minimally Invasive Treatment of Spinal Metastasis",slug:"minimally-invasive-treatment-of-spinal-metastasis",totalDownloads:42,totalDimensionsCites:0,doi:"10.5772/intechopen.102485",abstract:"Advancements in the treatment of systemic cancer have improved life expectancy in cancer patients and consequently the incidence of spinal metastasis. Traditionally, open spinal approaches combined with cEBRT (conventional external beam radiation therapy) allowed for local tumor control as well as stabilization and decompression of the spine and neural elements, but these larger operations can be fraught with one complications and delayed healing as well as additional morbidity. Recently, minimally invasive spine techniques are becoming increasingly popular in the treatment of spinal metastasis for many reasons, including smaller incisions with less perioperative complications and potential for expedited time to radiation therapy. These techniques include kyphoplasty with radiofrequency ablation, percutaneous stabilization, laminectomy, and epidural tumor resection through tubular retractors, as well as minimally invasive corpectomy. These techniques combined with highly conformal stereotactic radiosurgery have led to the advent of separation surgery, which allows for decompression of neural elements while creating space between neural elements and the tumor so adequate radiation may be delivered, improving local tumor control. The versatility of these minimally invasive techniques has significantly improved the modern management of metastatic disease of the spine by protecting and restoring the patient’s quality of life while allowing them to quickly resume radiation and systemic treatment.",book:{id:"10634",title:"Minimally Invasive Spine Surgery - Advances and Innovations",coverURL:"https://cdn.intechopen.com/books/images_new/10634.jpg"},signatures:"Eric R. Mong and Daniel K. Fahim"},{id:"76620",title:"Minimally Invasive Lateral Approach for Anterior Spinal Cord Decompression in Thoracic Myelopathy",slug:"minimally-invasive-lateral-approach-for-anterior-spinal-cord-decompression-in-thoracic-myelopathy",totalDownloads:146,totalDimensionsCites:0,doi:"10.5772/intechopen.97669",abstract:"Myelopathy can result from a thoracic disc herniation (TDH) compressing the anterior spinal cord. Disc calcification and difficulty in accessing the anterior spinal cord pose an operative challenge. A mini-open lateral approach to directly decompress the anterior spinal cord can be performed with or without concomitant interbody fusion depending on pre-existing or iatrogenic spinal instability. Experience using stand-alone expandable spacers to achieve interbody fusion in this setting is limited. Technical advantages, risks and limitations of this technique are discussed. We conducted a retrospective chart review of all patients with thoracic and upper lumbar myelopathy treated with a lateral mini-open lateral approach. Review of the literature identified 6 other case series using similar lateral minimally invasive approaches to treat thoracic or upper lumbar disc herniation showing efficient and safe thoracic disc decompression procedure for myelopathy. This technique can be combined with interbody arthrodesis when instability is suspected.",book:{id:"10634",title:"Minimally Invasive Spine Surgery - Advances and Innovations",coverURL:"https://cdn.intechopen.com/books/images_new/10634.jpg"},signatures:"Edna E. Gouveia, Mansour Mathkour, Erin McCormack, Jonathan Riffle, Olawale A. Sulaiman and Daniel J. Denis"}],onlineFirstChaptersTotal:12},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:90,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:330,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:9,numberOfPublishedChapters:139,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:122,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:112,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:21,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:10,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"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"}}}},{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"}}}}]},series:{item:{id:"24",title:"Sustainable Development",doi:"10.5772/intechopen.100361",issn:"2753-6580",scope:"