Measured photocurrent ratios for diode pairs comprising diodes with different cap-contact radii and the determined diffusion-length values
\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"7798",leadTitle:null,fullTitle:"Neuroethics in Principle and Praxis - Conceptual Foundations",title:"Neuroethics in Principle and Praxis",subtitle:"Conceptual Foundations",reviewType:"peer-reviewed",abstract:"With the conclusion of the Decade of the Brain and Decade of the Mind, neuroscience has advanced well beyond single neuron functions, and begun to investigate global properties that emerge from central nervous system operation. Core ethical issues for neural intervention, in consequence, now touch on concerns over how the individual as a whole may be affected. Central to these concerns is the fundamental value of the human being, which lends normative weight to questions, interventions, and practices influencing him or her. Yet, despite wide recognition of the crucial relevance of human value, the derivation of metaethical principles that underwrite this value is by no means uniformly agreed to. Why and how the human being is normatively privileged, accordingly, emerge as core questions that frame issues of ethical praxis. This book tackles this dissonance, and exposes the philosophical foundations that are rooting contemporary divisions in ethical approaches to intervention in the nervous system.",isbn:"978-1-78984-760-4",printIsbn:"978-1-83962-644-9",pdfIsbn:"978-1-78984-761-1",doi:"10.5772/intechopen.77614",price:119,priceEur:129,priceUsd:155,slug:"neuroethics-in-principle-and-praxis-conceptual-foundations",numberOfPages:104,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"c331b07083fed290d6be2ccf32f1118f",bookSignature:"Denis Larrivee",publishedDate:"September 4th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/7798.jpg",numberOfDownloads:4870,numberOfWosCitations:0,numberOfCrossrefCitations:1,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:3,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:4,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 22nd 2018",dateEndSecondStepPublish:"December 3rd 2018",dateEndThirdStepPublish:"February 1st 2019",dateEndFourthStepPublish:"April 22nd 2019",dateEndFifthStepPublish:"June 21st 2019",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"206412",title:"Prof.",name:"Denis",middleName:null,surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee",profilePictureURL:"https://mts.intechopen.com/storage/users/206412/images/system/206412.jpeg",biography:"Dr. Denis Larrivee is a visiting scholar at the Mind and Brain Institute, Las Vegas; University of Navarra Medical School, Spain; and Loyola University Chicago. He has held professorships at Weill Cornell University Medical College, NYC, and Purdue University, Indiana. A former fellow at Yale University\\'s Medical School Dr. Larrivee received the Association for Research in Vision and Ophthalmology\\'s first-place award for studies on photoreceptor degenerative and developmental mechanisms. He is the chief editor of several medical and scientific texts, including topics on brain- computer interfacing, Alzheimer’s disease, neuromodulation and neurostimulation procedures, neuroethics, and sleep pharmacotherapies. He is an editorial board member of the journals Annals of Neurology and Neurological Sciences and EC Neurology. An International Neuroethics Society Expert he is the author of more than ninety papers and book chapters in such varied journals/venues as Neurology and Neurological Sciences, Journal of Neuroscience, Journal of Religion and Mental Health, and IEEE Explore. In 2018 he was a finalist in the international Joseph Ratzinger Expanded Reason Award sponsored by the Francis Vittorio University of Madrid.",institutionString:"Loyola University Chicago",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"6",totalChapterViews:"0",totalEditedBooks:"5",institution:{name:"Loyola University Chicago",institutionURL:null,country:{name:"United States of America"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"167",title:"Bioethics",slug:"medicine-bioethics"}],chapters:[{id:"65399",title:"Introductory Chapter: Reconciling Neurobioethics through Nature’s Lens - Metaphysical Determinants of Subjectivity",doi:"10.5772/intechopen.83502",slug:"introductory-chapter-reconciling-neurobioethics-through-nature-s-lens-metaphysical-determinants-of-s",totalDownloads:802,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Denis Larrivee",downloadPdfUrl:"/chapter/pdf-download/65399",previewPdfUrl:"/chapter/pdf-preview/65399",authors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],corrections:null},{id:"64961",title:"Doing and Being: A Metaphysic of Persons from an Ontology of Action",doi:"10.5772/intechopen.82837",slug:"doing-and-being-a-metaphysic-of-persons-from-an-ontology-of-action",totalDownloads:773,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"A significant and worrying lacuna lies at the heart of neuroethics: viz., a coherent conception of personal identity. Philosophically, the consequences are serious; morally, they are disastrous. The entire discourse is constrained by a narrow empiricism, oblivious to its own metaphysical and epistemological presuppositions; worse still, it remains hostage to a latent Cartesianism, which logically and ontologically isolates neuroethicists from their subjects. Little wonder neuroethics lacks an anchor for its normative judgements. This chapter aims to supply that anchor. The key lies in action: action as essentially personal; acts owned; acts intended; and acts that embody those intentions that embody meaning. Such acts are the primary manifestation of ‘personhood’; they are also socially oriented, therefore morally interesting. Action locates persons in a world of objects and, most importantly, others. Crucially, relocating neuroethics within this context of personal activity supplies the logical and ontological foundations for both its judgements and its participants.",signatures:"Simon Smith",downloadPdfUrl:"/chapter/pdf-download/64961",previewPdfUrl:"/chapter/pdf-preview/64961",authors:[{id:"266039",title:"Dr.",name:"Simon",surname:"Smith",slug:"simon-smith",fullName:"Simon Smith"}],corrections:null},{id:"64245",title:"Naturalizing Neuroethics? A Syncretic Approach",doi:"10.5772/intechopen.81829",slug:"naturalizing-neuroethics-a-syncretic-approach",totalDownloads:752,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Neuroethics is uniquely situated to socially interpret what brain sciences are learning about social and moral cognition while helping society hold neuroscientific research and neurotechnological applications to firm moral standards. Both tasks, if they are to be pursued successfully, must find ways to closely relate the “neuro” with the “ethical.” Keeping them apart has been the objective of nonnaturalist worldviews worried about scientism and reductionism, and now they complain about “neuroessentialism” and similar labels for dissolutions of agency and responsibility into mere brain activity. A nonnaturalistic neuroethics, on whatever metaphysical basis, insists that the biology of brains could not explain moral decisions or ground moral norms. We agree on that much, since the methodology of brain sciences presumes, and cannot replace, behavioral and psychological attributions of moral capacity and conduct. But the social and the neurological are always related through the anthropological; and that common basis is, not coincidentally, also where the ethical is grounded, as humanity upholds persons as bearers of moral worth and moral capacity. Neuroethics, by focusing on persons, need never resort to nonnaturalism to uphold what ultimately matters for ethics, and “naturalizing” neuroethics is also unnecessary for a humanity-centered neurobioethics.",signatures:"John R. Shook and James Giordano",downloadPdfUrl:"/chapter/pdf-download/64245",previewPdfUrl:"/chapter/pdf-preview/64245",authors:[{id:"263029",title:"Dr.",name:"James",surname:"Giordano",slug:"james-giordano",fullName:"James Giordano"},{id:"263110",title:"Dr.",name:"John",surname:"Shook",slug:"john-shook",fullName:"John Shook"}],corrections:null},{id:"66920",title:"Terminality Advance Directives and Nursing Practice in Brazil: Bioethical Issues",doi:"10.5772/intechopen.85914",slug:"terminality-advance-directives-and-nursing-practice-in-brazil-bioethical-issues",totalDownloads:714,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:"Advance directives (ADs) are understood as the act of deciding what care the patient wants to receive in the period before death. Preserving the patient’s autonomy by choosing his care guarantees human dignity during the process of dying. In Brazil, life expectancy and supportive technologies have increased, leading to growth of the number of terminally ill patients. However, there is still no legislation regulating ADs causing legal uncertainty in health professionals. Nursing professionals have the support of the Federal Nursing Council to respect the ADs, but, because it is an issue little explored, nursing professionals do not feel safe in the use of ADs, and changes in the curricula of the undergraduate courses in nursing are extremely needed, ensuring that patients have their wishes met during the dying process. Thus, this chapter deals with bioethical and legal issues involving ADs and nursing in the Brazilian context, proposing to deepen reflection and criticism on the issue and subsidies for decision-making.",signatures:"Jacqueline Resende Boaventura, Juliana Dias Reis Pessalacia, Luciana Ferreira Da Silva, Ana Paula Da Silva, Larissa Da Silva Barcelos, Carlos Eduardo Pereira Furlani and Adriano Menis Ferreira",downloadPdfUrl:"/chapter/pdf-download/66920",previewPdfUrl:"/chapter/pdf-preview/66920",authors:[{id:"224763",title:"Dr.",name:"Juliana",surname:"Dias Reis Pessalacia",slug:"juliana-dias-reis-pessalacia",fullName:"Juliana Dias Reis Pessalacia"},{id:"290311",title:"Prof.",name:"Adriano",surname:"Menis Ferreira",slug:"adriano-menis-ferreira",fullName:"Adriano Menis Ferreira"},{id:"290312",title:"BSc.",name:"Ana Paula",surname:"Da Silva",slug:"ana-paula-da-silva",fullName:"Ana Paula Da Silva"},{id:"290313",title:"BSc.",name:"Jacqueline",surname:"Resende Boaventura",slug:"jacqueline-resende-boaventura",fullName:"Jacqueline Resende Boaventura"},{id:"290315",title:"BSc.",name:"Luciana",surname:"Ferreira Da Silva",slug:"luciana-ferreira-da-silva",fullName:"Luciana Ferreira Da Silva"},{id:"293517",title:"BSc.",name:"Larissa",surname:"Da Silva Barcelos",slug:"larissa-da-silva-barcelos",fullName:"Larissa Da Silva Barcelos"},{id:"293518",title:"BSc.",name:"Carlos Eduardo",surname:"Pereira Furlani",slug:"carlos-eduardo-pereira-furlani",fullName:"Carlos Eduardo Pereira Furlani"}],corrections:null},{id:"68299",title:"Values-Based Medicine (VsBM) and Evidence-Based Medicine (EBM)",doi:"10.5772/intechopen.88393",slug:"values-based-medicine-vsbm-and-evidence-based-medicine-ebm-",totalDownloads:739,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:1,abstract:"Medical care is a dynamic process to implement and use the most recent technologies, skills, and knowledge to either maintain the good health of people or to treat sick patients. Patients have the right to receive the best possible available treatment. During the course of treatment, the patient’s dignity and rights should be respected and never be compromised. A patient’s right to be properly treated is one of the fundamental human rights. The healthcare system is responsible for providing efficient and sufficient healthcare facilities and training and continuously educating able medical and paramedical teams. Evidence-based medicine has been popularized in the last 40–50 years in order to raise the standard of medical practice. Medical ethics and values have been associated with medical practice for thousands of years since patients felt the need for treatment. There is no conflict between evidence-based medicine and values-based medicine, as the medical practice should be always preformed within a frame of ethics and respect of patient’s values. Observing the principles of values-based medicine became very relevant as multicultural societies are dominant in some countries and hospitals in different corners of the world.",signatures:"Ahmed Ammar",downloadPdfUrl:"/chapter/pdf-download/68299",previewPdfUrl:"/chapter/pdf-preview/68299",authors:[{id:"263426",title:"Prof.",name:"Ahmed",surname:"Ammar",slug:"ahmed-ammar",fullName:"Ahmed Ammar"}],corrections:null},{id:"63761",title:"Dynamic and Static Models of Body-Mind Approaches from Neurobiological Perspectives",doi:"10.5772/intechopen.81397",slug:"dynamic-and-static-models-of-body-mind-approaches-from-neurobiological-perspectives",totalDownloads:1090,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:1,abstract:"Body-mind approaches (e.g., yoga, mindfulness meditation, Pilates method, and cognitive behavior therapy) are commonly used by the public today. However, the comprehensive neurobiological framework of effects of body-mind approaches is unknown. To begin, we discuss the dynamic and static models of each body-mind approaches from neurobiological perspectives, as well as from the standpoint of practical issues. By the dynamic components of body-mind approaches, people enhances meta-cognitive function, and it lead to decreases in avoidance behavior in social aversive context are suggested. On the other hand, it is assumed that static components of body-mind approaches enhance non-reactive monitoring function for baseline of self. Therefore, we discuss the implications of these findings for practitioners and for future research on body-mind researchers. Additionally, this chapter covers the essential ethical guidelines of body-mind approaches within the domain of medical or educational fields.",signatures:"Shoichi Shiota and Michio Nomura",downloadPdfUrl:"/chapter/pdf-download/63761",previewPdfUrl:"/chapter/pdf-preview/63761",authors:[{id:"265358",title:"Dr.",name:"Michio",surname:"Nomura",slug:"michio-nomura",fullName:"Michio Nomura"},{id:"265378",title:"Dr.",name:"Shoichi",surname:"Shiota",slug:"shoichi-shiota",fullName:"Shoichi Shiota"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"6610",title:"Evolving BCI Therapy",subtitle:"Engaging Brain State Dynamics",isOpenForSubmission:!1,hash:"81a5621637cfaad35284f268db29bb60",slug:"evolving-bci-therapy-engaging-brain-state-dynamics",bookSignature:"Denis Larrivee",coverURL:"https://cdn.intechopen.com/books/images_new/6610.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10350",title:"Sleep Medicine and the Evolution of Contemporary Sleep Pharmacotherapy",subtitle:null,isOpenForSubmission:!1,hash:"65adb695b7195972208b5da128f531ba",slug:"sleep-medicine-and-the-evolution-of-contemporary-sleep-pharmacotherapy",bookSignature:"Denis Larrivee",coverURL:"https://cdn.intechopen.com/books/images_new/10350.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"8059",title:"Neurostimulation and Neuromodulation in Contemporary Therapeutic Practice",subtitle:null,isOpenForSubmission:!1,hash:"8cc2c649900edf37ff3374fdc96a1586",slug:"neurostimulation-and-neuromodulation-in-contemporary-therapeutic-practice",bookSignature:"Denis Larrivee and Seyed Mansoor Rayegani",coverURL:"https://cdn.intechopen.com/books/images_new/8059.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7868",title:"Redirecting Alzheimer Strategy",subtitle:"Tracing Memory Loss to Self Pathology",isOpenForSubmission:!1,hash:"57b9b4f3a8d378e6ce3b7444d134fbd1",slug:"redirecting-alzheimer-strategy-tracing-memory-loss-to-self-pathology",bookSignature:"Denis Larrivee",coverURL:"https://cdn.intechopen.com/books/images_new/7868.jpg",editedByType:"Edited by",editors:[{id:"206412",title:"Prof.",name:"Denis",surname:"Larrivee",slug:"denis-larrivee",fullName:"Denis Larrivee"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6615",title:"Nursing",subtitle:null,isOpenForSubmission:!1,hash:"ec518aff724f10de937340ca865b5e94",slug:"nursing",bookSignature:"Nilgun Ulutasdemir",coverURL:"https://cdn.intechopen.com/books/images_new/6615.jpg",editedByType:"Edited by",editors:[{id:"191796",title:"Associate Prof.",name:"Nilgun",surname:"Ulutasdemir",slug:"nilgun-ulutasdemir",fullName:"Nilgun Ulutasdemir"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6568",title:"Reflections on Bioethics",subtitle:null,isOpenForSubmission:!1,hash:"8da3f5e7819e769f07a77dc3f0f357c2",slug:"reflections-on-bioethics",bookSignature:"José Antonio Morales-González and María Eugenia Aguilar Nájera",coverURL:"https://cdn.intechopen.com/books/images_new/6568.jpg",editedByType:"Edited by",editors:[{id:"109774",title:"Dr.",name:"Jose Antonio",surname:"Morales-Gonzalez",slug:"jose-antonio-morales-gonzalez",fullName:"Jose Antonio Morales-Gonzalez"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9566",title:"Bioethics in Medicine and Society",subtitle:null,isOpenForSubmission:!1,hash:"16f1f01dc302bf4f0042445f11965fa1",slug:"bioethics-in-medicine-and-society",bookSignature:"Thomas F. 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Signaling Mechanisms and Targeted Therapy",slug:"physiologic-and-pathologic-angiogenesis-signaling-mechanisms-and-targeted-therapy",publishedDate:"April 5th 2017",bookSignature:"Dan Simionescu and Agneta Simionescu",coverURL:"https://cdn.intechopen.com/books/images_new/5682.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"66196",title:"Dr.",name:"Dan",middleName:"T.",surname:"Simionescu",slug:"dan-simionescu",fullName:"Dan Simionescu"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"195461",title:"Dr.",name:"Lamia",middleName:null,surname:"Heikal",fullName:"Lamia Heikal",slug:"lamia-heikal",email:"l.heikal@bsms.ac.uk",position:null,institution:null},{id:"199995",title:"Prof.",name:"Gordon",middleName:null,surname:"Ferns",fullName:"Gordon Ferns",slug:"gordon-ferns",email:"g.ferns@bsms.ac.uk",position:null,institution:null}]}},chapter:{id:"53523",slug:"hypoxia-angiogenesis-and-atherogenesis",signatures:"Lamia Heikal and Gordon Ferns",dateSubmitted:"September 6th 2016",dateReviewed:"November 3rd 2016",datePrePublished:null,datePublished:"April 5th 2017",book:{id:"5682",title:"Physiologic and Pathologic Angiogenesis",subtitle:"Signaling Mechanisms and Targeted Therapy",fullTitle:"Physiologic and Pathologic Angiogenesis - Signaling Mechanisms and Targeted Therapy",slug:"physiologic-and-pathologic-angiogenesis-signaling-mechanisms-and-targeted-therapy",publishedDate:"April 5th 2017",bookSignature:"Dan Simionescu and Agneta Simionescu",coverURL:"https://cdn.intechopen.com/books/images_new/5682.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"66196",title:"Dr.",name:"Dan",middleName:"T.",surname:"Simionescu",slug:"dan-simionescu",fullName:"Dan Simionescu"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"195461",title:"Dr.",name:"Lamia",middleName:null,surname:"Heikal",fullName:"Lamia Heikal",slug:"lamia-heikal",email:"l.heikal@bsms.ac.uk",position:null,institution:null},{id:"199995",title:"Prof.",name:"Gordon",middleName:null,surname:"Ferns",fullName:"Gordon Ferns",slug:"gordon-ferns",email:"g.ferns@bsms.ac.uk",position:null,institution:null}]},book:{id:"5682",title:"Physiologic and Pathologic Angiogenesis",subtitle:"Signaling Mechanisms and Targeted Therapy",fullTitle:"Physiologic and Pathologic Angiogenesis - Signaling Mechanisms and Targeted Therapy",slug:"physiologic-and-pathologic-angiogenesis-signaling-mechanisms-and-targeted-therapy",publishedDate:"April 5th 2017",bookSignature:"Dan Simionescu and Agneta Simionescu",coverURL:"https://cdn.intechopen.com/books/images_new/5682.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",editors:[{id:"66196",title:"Dr.",name:"Dan",middleName:"T.",surname:"Simionescu",slug:"dan-simionescu",fullName:"Dan Simionescu"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}}},ofsBook:{item:{type:"book",id:"11839",leadTitle:null,title:"Assisted Reproductive Technologies - Current Practices and New Perspectives",subtitle:null,reviewType:"peer-reviewed",abstract:"
\r\n\tThis book is intended for professionals dealing with diagnostics and treatment of infertility and aims to provide comprehensive information on the current state of assisted reproductive technologies and their directions of development.
\r\n\tAssisted Reproductive Technologies (ART) is a key technology for treating infertility, which occurs in 10-15% of the general population in reproductive age. This has been one of the most tumultuously developing interdisciplinary technologies in medicine in recent decades. Thanks to in vitro methods, more than 5 million children were born in the whole world. For 40 years, the success rates of this treatment have increased many times, respectively in the first years from less than 10% to more than 50% in present days (in some groups of patients). The reason for this rapid increase is the introduction of new drugs and stimulation protocols, improvement of embryo culture media, and the use of new types of laboratory equipment that improve the conditions for embryo development. Last but not least, the introduction of modern genetic methods, as well as new gamete and tissue freezing techniques, has improved the methods' diagnostic and therapeutic capabilities.
In infrared (IR) imaging and detection, cooled hybrid mercury-cadmium-tellurium (MCT) photovoltaic IR focal plane array (FPA) detectors have found widespread use [1, 2]. Collection of photogenerated charge carriers by FPA diodes in the photodiode arrays of such detectors is a process essentially mediated by the diffusion of minority carriers in the MCT film. That is why the performance characteristics of MCT IR FPA detectors and their figures of merit depend on the distances the excess carriers diffuse over in the photosensitive film (PF) of such detectors [3, 4]. Among the parameters that govern the diffusion process, of primary interest is the bulk diffusion length of minority charge carriers
In view of the aforesaid, of considerable interest are new experimental techniques and analysis methods that can be used for determining the length
In the present chapter, we describe two new photoelectric-measurement-based methods that can be used for characterization of the diffusion process of charge carriers either in MCT films intended for fabrication of IR FPA detectors or in the absorber layers of ready MCT-based photovoltaic IR FPA detectors. Both methods permit the determination of the bulk diffusion length of minority charge carriers
First-type photoelectric measurements can be performed on special test structures involving round photodiodes of radius
Second-type measurements are spot-scan measurements of MCT photovoltaic 2D IR FPA detectors traditionally used for measuring the crosstalk value of such detectors, yet implemented at low levels of registered diode photocurrents
The method for determining the diffusion length of minority carriers in MCT films
Methods for determining the lateral optical collection length of charge carriers
In [12], we have proposed another method for determining the length
Schematic of a photodiode provided with a coaxial light-shielding cap contact. 1 –
The photocurrent produced by a
In Eq. (1), the
Here,
Computational domain.
In solving the continuity equation, the following boundary conditions were adopted [15]:
With regard to the data of [16], the electron mobility value
For experimental implementation of the method, a test photodiode structure whose fragment is shown in Fig. 3 was fabricated.
Fragment of the test structure. The test structure comprises photodiode sets with different diameters of cap contacts. In the photo, the structure is shown as viewed from the side of the cap contacts, which appear as light round regions.
In the fabricated structure, the radius of the
Composition of MCT material over the film thickness.
Current-voltage characteristics of the diode pairs involving neighbor diodes with different radii of cap contacts were measured, and the photocurrent values were determined from measured data. Results obtained for a diode pair with cap-contact radii
Current-voltage characteristics of a diode pair with cap-contact radii
Evidently, the photocurrents
A bar chart of measured photocurrents for diode pairs comprising photodiodes with cap-contact radii 10 and 70 µm.
The theoretically calculated ratios of the photocurrents produced by a diode with the
\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t\t\n\t\t\t\t | \n\t\t
1 | \n\t\t\t10 | \n\t\t\t1 | \n\t\t\t\n\t\t |
2 | \n\t\t\t17 | \n\t\t\t1.2 | \n\t\t\t22.7±5.3 | \n\t\t
3 | \n\t\t\t24 | \n\t\t\t1.55 | \n\t\t\t20.4±2.1 | \n\t\t
4 | \n\t\t\t40 | \n\t\t\t2.88 | \n\t\t\t20.2±0.9 | \n\t\t
5 | \n\t\t\t70 | \n\t\t\t9.84 | \n\t\t\t20.5±0.8 | \n\t\t
6 | \n\t\t\t100 | \n\t\t\t23.8 | \n\t\t\t22 | \n\t\t
Measured photocurrent ratios for diode pairs comprising diodes with different cap-contact radii and the determined diffusion-length values
Calculated photocurrent ratios
Each of the curves in Fig. 7 has an abruptly descending portion appropriate for determining diffusion-length values in a particular interval of
With reference to the properly chosen curve in Fig. 7, the experimentally measured photocurrent ratio
Application of the largest shield with
To summarize, our measurements of the electron diffusion length in the fabricated test structure performed on the diodes with cap contacts considerably differing in size have yielded an average length value <
Below, we present an analysis of the charge-carrier diffusion process in a photosensing film of MCT 2D IR FPA detectors based on spot-scan measurements of such detectors. The analysis was performed with due consideration given to the fact that the extraction of minority carriers by FPA diodes out of the absorber layer, generally speaking, reduces the lifetime of excess carriers in the photosensitive film of the detector in comparison with the “bare” (without FPA diodes) MCT film, making the diffusion length of those carriers in the film regions with photocurrent suction a shorter
For evaluating the diffusion length of charge carriers in the photosensitive film of FPA detectors, the spot-scan technique was often used [5–9]. In a spot-scan procedure, the charge-carrier diffusion-length value is deduced from spatial diode photoresponses
Scanning of a thin-line illumination spot with an FPA photodiode (
A good strategy toward diminishing the influence of measuring circuits on the distribution of charge carriers in the absorber layer consists in decreasing the level of registered diode photocurrents
In our experiments, two 320x256 Cd
The scanning procedure and the experimental setup used in our experiments are schematically illustrated in Figs. 8 and 9. Different decreased levels of diode photocurrents were implemented by varying the gate-potential value
Experimental setup: 1 – globar, 2 – collimator, 3 – PC-controlled shutter, 4 – monochromator, 5 – deflecting mirror, 6 – focusing lens mounted on a motorized XYZ stage, 7 – cryostat with the mounted FPA detector, 8 – electronic equipment controlling ROIC operation and measuring the photoelectric signals, 9 – personal computer.
For diminishing the chromatic aberrations in the objective lens, as the secondary source of IR radiation, we used the exit slit of a monochromator through which IR radiation around wavelengths
where
The experimental conditions that were adopted in measuring the diode photoresponse profiles
Distribution of the IR radiation intensity in the vicinity of the illumination spot (curve 1) and spot-scan profiles
Figure 10 shows the wings of the profiles
On the calculation of the distribution of the radiation intensity diffracted in the vicinity of an illumination spot shaped as a strip of width
\n\t\t\t\t | \n\t\t|||||||||||
\n\t\t\t\t V | \n\t\t\t\n\t\t\t\t μs | \n\t\t\t\n\t\t\t\t nA | \n\t\t\t\n\t\t\t\t arb. units | \n\t\t\t\n\t\t\t\t mm | \n\t\t\t\n\t\t\t\t cm | \n\t\t\t\n\t\t\t\t Cm | \n\t\t\t\n\t\t\t\t cm | \n\t\t\t\n\t\t\t\t Μm | \n\t\t\tμm | \n\t | \n\n\t \n | \n
0.82 | \n\t1300 | \n\t0.14 | \n\t1 | \n\t0.1 | \n\t214 | \n\t3.33 | \n\t10 | \n\t4.9 | \n\t17.5 | \n\t0.24 | \n\t≈1 | \n
0.88 | \n\t1300 | \n\t0.2 | \n\t1 | \n\t0.1 | \n\t214 | \n\t3.33 | \n\t10 | \n\t4.9 | \n\t16 | \n\t0.485 | \n\t≈2 | \n
0.96 | \n\t1300 | \n\t0.5 | \n\t1 | \n\t0.1 | \n\t214 | \n\t3.33 | \n\t10 | \n\t4.9 | \n\t13 | \n\t1.25 | \n\t≈7 | \n
1.068 | \n\t1300 | \n\t0.29 | \n\t~0.4 | \n\t0.1 | \n\t214 | \n\t3.33 | \n\t10 | \n\t4.9 | \n\t- | \n\t- | \n\t≈20-40 | \n
\n\t\t | \n|||||||||||
\n\t\t V | \n\t\n\t\t μs | \n\t\n\t\t nA | \n\t\n\t\t arb. units | \n\t\n\t\t mm | \n\t\n\t\t cm | \n\t\n\t\t Cm | \n\t\n\t\t cm | \n\t\n\t\t Μm | \n\tμm | \n\n\t | \n\n\t \n | \n
0.73 | \n\t2000 | \n\t0.00026 | \n\t1 | \n\t0.2 | \n\t274 | \n\t5 | \n\t10 | \n\t7.6 | \n\t24 | \n\t<0.1 | \n\t<0.8 | \n
0.74 | \n\t2000 | \n\t0.0026 | \n\t1 | \n\t0.2 | \n\t274 | \n\t5 | \n\t10 | \n\t7.6 | \n\t22.5 | \n\t0.14 | \n\t≈0.9 | \n
0.85 | \n\t250 | \n\t0.49 | \n\t1 | \n\t0.2 | \n\t274 | \n\t5 | \n\t10 | \n\t7.6 | \n\t20 | \n\t0.44 | \n\t≈2.5 | \n
0.90 | \n\t150 | \n\t1.46 | \n\t1 | \n\t0.2 | \n\t274 | \n\t5 | \n\t10 | \n\t7.6 | \n\t14.5 | \n\t1.74 | \n\t≈9 | \n
0.95 | \n\t150 | \n\t1.68 | \n\t~0.5 | \n\t0.2 | \n\t274 | \n\t5 | \n\t10 | \n\t7.6 | \n\t- | \n\t- | \n\t≈20-40 | \n
Conditions of the spot-scan tests of the D-1 and D-2 detectors and the obtained values of
As the IR radiation intensity reaching the
Relation between the most noisy spot-scan curves measured for the D-2 detector at
The model is based on the following assumptions: (i) the lateral diffusion of the photogenerated charge carriers proceeds in an infinitely thin film; (ii) the photoelectrons are extracted out of the photosensitive film, instead of a discrete diode array, by a large-area electrode continuously covering the entire surface of the film; (iii) the local photocurrent density
which can also be written as
Here,
The curves
“Spatially averaged” effective minority-carrier diffusion length
The curves in Fig. 13 show the dependences
Formula (4) can be derived as follows. Assuming that
Considering now the problem over the scale ~
On substitution of expression (6) into relation (5), for
According to the asymptotic of (4), at low currents
The 1D continuum model described above possesses the following advantageous features: (i) in treating the withdrawal of charge carriers out of the photosensitive film, this model permits leaving aside such things as boundary conditions for the minority carrier concentration
Approximation of the curve
It would also be instructive to correlate the diffusion-length data obtained in the present study with the available minority-carrier lifetime data for Hg-vacancy-doped MCT. According to [27], the lifetime of excess carriers in the
It should be additionally noted here that, as a result of the neglect of the film thickness in the applied approach, our analysis of the profiles
At currents
The 2D distribution of the sheet density of photogenerated charge carriers in the photosensitive film of the IR FPA detectors
In Eq. (7), the discrete structure of the diode array was taken into account via the function
The equation was solved by using the MathCad function
2D plots and contour lines of the sheet density of excess minority carriers
The found values of
Spot-scan profile
The above values of
The main idea behind the spot-scan method consists in examining the spot-scan profiles
Indeed, let us consider an extended (with a characteristic size
The length
Below, we present heuristic considerations that explain why the diffusion model with
Substantiation of the 2D model with
With the aim of evaluating the capability of the 2D model in approximating spot-scan data in the film region under a large-area photodiode, let us consider characteristic distributions
Typical distributions of excess carrier concentration across an MCT film with photocurrent suction in a uniformly illuminated film region (
In a real FPA structure, the film area occupied by the diode array involves regions with suction of charge carriers (under the back-biased diodes) and no-suction regions (in between the diodes). The excess carriers, as they diffusionally spread sideways from the illumination spot, sequentially pass those alternating regions. As a cloud of charge carriers moves, down the gradient of
This consideration substantiates the use of the 2D diffusion model for approximating spot-scan data obtained for an arbitrary level of diode photocurrents and explains why this model yields rather realistic local diffusion-length values for the analyzed MCT IR FPA detectors.
With the found values
Comparison of the photocurrent values
Photocurrent components in the vicinity of a diode junction at a high (
Thus, it is the photocurrent
Two novel methods for determining the bulk diffusion length of minority charge carriers in photosensitive MCT films have been proposed.
The first method, suitable for determining the length
The second method, which can be used for determining the length
We believe that the newly proposed methods for determining the diffusion lengths of charge carriers in MCT films will add to the toolkit of characterization means for MCT-based IR FPA detectors.
Optimal thyroid function is necessary for growth and development as well as for reproductive function. Iodine deficiency is the leading cause of thyroid dysfunction. In areas unaffected by iodine deficiency, thyroid dysfunction is due to autoimmunity. Thyroid pathology can be divided into nodular and diffuse pathology. One in 20 Americans will develop a thyroid disorder in their lifetime, with women being seven times more affected than men [1, 2]. In this chapter, we will address diffuse thyroid diseases (DTD) that can be divided into non-autoimmune (subacute thyroiditis, silent thyroiditis) and autoimmune diseases such as Hashimoto thyroiditis (HT) and Graves’ disease (GD) [3].
Hashimoto thyroiditis is also known as chronic autoimmune thyroiditis (CAT) is considered the most common endocrine disorder, and autoimmune pathology, as well as it represents the most common cause of hypothyroidism. HT can be divided into primary and secondary based on its etiology. Primary HT includes classic form, juvenile form [4], fibrous form, painless thyroiditis, Hashitoxicosis, and IgG4-related form [5]. Secondary HT is often iatrogenic, for example, caused by interferon [6] or monoclonal antibodies [7]. The diagnosis is established by correlating the clinical manifestations with the presence of antithyroid peroxidase (ATPO) antibodies and antithyroglobulin (ATG) antibodies correlated with the ultrasound aspect. Symptoms may vary from dysphonia, dysphagia, and dyspnea to systemic symptoms of hypothyroidism or may even be absent. The antibodies listed earlier are found in over 95% of HT cases, thus being an important diagnostic criterion [8]. The ultrasound image usually reveals hypoechogenicity and heterogeneity (Figure 1).
US image of a patient with CAT.
The presence of fibrous septae may explain the pseudolobulated appearance of the parenchyma. Micronodules may also be present. Increased vascularity may be observed using color Doppler. The volume of the thyroid gland is often increased, but can be normal or even decreased, atrophic in the final stages of the disease [9, 10].
Graves’ disease is characterized by the presence of thyrotoxicosis, ophthalmopathy, and goiter, although not all three characteristics are always present. In iodine-sufficient areas, GD accounts for 70–80% of cases of thyrotoxicosis, being more frequent in women over 50 years old. Symptoms of hyperthyroidism include irritability, palpitations, weight loss, shortness of breath, tremor, heat intolerance, sweating, and excessive fatigue. The diagnosis is usually based on anti-TSH-receptor antibodies (TRAB) correlated with the ultrasound appearance [11, 12, 13]. The echogenicity is usually decreased, and the appearance is not homogenous. Increased volume and high blood flow may also suggest the diagnosis [10, 12, 14].
Subacute thyroiditis (SA) is usually caused by a viral infection with symptoms including mild fever, swelling, and pain in the neck area, irradiating to the ear or jaw and fatigability. Thyroid stimulating hormone (TSH) is usually suppressed and inflammatory markers are elevated [15]. The presence of focal or diffuse hypoechoicity together with diminished vascularization may suggest the diagnosis if it is associated with the mentioned symptoms [16].
Post-partum thyroiditis (PPT) occurs in the first year after giving birth and may occur after an induced or spontaneous abortion. PPT prevalence may vary from 1 to 18%, but usually is reported approximatively 5%. In general, PPT has two evolutionary stages, transient thyrotoxicosis due to tissue destruction followed by the phase of hypothyroidism with or without restauration to euthyroidism [17]. Ultrasonography (US) shows the hypoechogenic inhomogeneous texture of the thyroid with decreased vascularity [18].
The ultrasonographic examination is the most sensitive imaging method for evaluating the thyroid. The most important indications of the US are: confirmation of the presence of thyroid nodules, their measurement and characterization, evaluation of diffuse tissue changes, detection of post-operative residual tumors, screening for the patients at high-risk (multiple endocrine neoplasia, history of thyroid cancer, and neck irradiation), and the guidance of the fine needle aspiration (FNA). US is widely available, non-invasive, and reproducible [19, 20, 21].
A relatively new imaging technique is elastography, which adds value by assessing tissue elasticity. There are more types of elastography, but the two most used are strain elastography (SE) and shear-wave elastography (SWE). SE evaluates the stiffness by applying external pressure which deforms the tissue. The deformation is named strain. The pressure being exerted by the operator, SE requires longer training to obtain high-quality images. To measure the stiffness, SWE uses shock waves generated by the machine. Both methods have advantages and disadvantages [22, 23]. SWE will be further described in detail, emphasizing the principles, technique, and the value of this method as well as the peculiarities of diffuse thyroid diseases.
SWE technique relies on the production and detection of shear-waves. The wave propagation velocity depends on tissue elasticity. Tissue deformation generated by the production of waves produces changes in the echo pattern. Tissue motion is monitored among the US probe in multiple locations. Shear waves are generated at low frequencies (10–2000 Hz) and their speed (~1–50 m/s) is related to tissue density [22, 24]. SWE is used for evaluation of various tissues: liver [25, 26, 27], kidney [28, 29], breast [30, 31], thyroid [32, 33, 34], prostate [35], and muscles and tendons [36]. There are three types of dynamic elastography: transient elastography (TE), point shear-wave elastography (pSWE), and 2D-SWE [37].
Transient elastography, usually used for measuring liver stiffness, uses a mechanical push. The wave velocity is proportional to tissue fibrosis. The usefulness of TE was demonstrated in many studies [38, 39].
Compared to the previous technique, point shear-wave elastography has the advantage of image guidance so the operator can choose the best acoustic window to perform the measurements. It is an acoustic radiation force impulse (ARFI)-based method that displays the elasticity as a numerical output (the average speed of shear wave within a region of interest [ROI], expressed in meters per second) [40, 41].
In 2D-SWE, multiple ARFI pulses generate shear waves on a larger area. The machine creates a colored map to display the stiffness. By convention, red is considered stiff and blue is considered soft. Quantitative results are expressed in meters/second (wave propagation speed) or kilo-Pascals (kPa). 2D-SWE is a reproductible, quantitative, and operator-independent technique (Figure 2) [42, 43].
Normal thyroid tissue—2D SWE.
The SWE evaluation is usually made after the conventional ultrasound examination. The method is non-invasive, completely painless. The subject is asked to stay in a supine position with the head tilted back for better exposure of the neck, without speaking or swallowing. The probe is positioned on one side of the neck, collecting images in longitudinal plane and SWE mode is initiated. The machine displays a color map from blue to red. The subject is asked to hold his/her breath for a few seconds. The image is frozen, and the tissue elasticity is measured and displayed.
Being a common pathology, HT has been studied in detail. In recent years, the elastographic differences between this type of thyroid damage and other diffuse thyroid pathologies have also been studied. A group of Japanese researchers included in a study 229 subjects, healthy controls and patients diagnosed with CAT. The shear-wave velocity (SWV) was measured, and significant differences were observed between the two groups (2.47 ± 0.57 m/s for CAT vs. 1.59 ± 0.41 m/s for the control group;
Similar results were found in a study conducted in Turkey on 50 patients diagnosed with CAT and 40 control subjects. Significant differences were found between the SWV of the two groups (2.56 ± 0.3 m/s vs. 1.63 ± 0.12 ms;
Rahatli et al. compared SWV in three groups of patients: HT, GD, and control subjects. Significant differences were found in SWV (2.5 ± 0.2 m/s for HT group, 2.71 ± 0.22 m/s for GD group and 1.92 ± 0.14 m/s for healthy subjects;
Kara et al. conducted a study on 74 HT patients and 75 healthy controls. They propose cut-off value of 2.15 m/s (Se 85.1%, Sp 78.7%, PPV 79.7%, NPV 84.2%, and diagnostic accuracy 81.8%) and 2.45 kPa (Se 82.4%, Sp 81.3%, PPV 81.3%, NV 82.4%, and diagnostic accuracy 81.8%). The mean values of the elastic index were 25.01 ± 10.53 kPa and 2.70 ± 0.53 m/s for the HT group and 12.49 ± 3.23 kPa and 1.94 ± 0.23 m/s for the control group. A positive correlation was found between SWE values and ATG antibodies. No significant correlation was found between SWE values and ATPO antibodies [48].
Other studies have also observed differences in thyroid stiffness. Ruchala et al. studied groups of patients diagnosed with CAT, SAT, GD, and healthy controls and significant differences were found. The mean values for the CAT group were 36.15 ± 18.7 kPa, higher than values for the control group (16.18 ± 5.4 kPa),
SWE in CAT.
Thyroid stiffness was evaluated in a study to compare tissue elasticity in patients diagnosed with GD compared to healthy controls. The study group consisted of 51 patients with GD and 54 volunteers for the control group. The median SWE values were significantly higher compared to those of the control group (17.34 kPa and 2.28 m/s vs. 12.05 kPa and 1.92 m/s;
Another study conducted in China on 207 subjects, 45 healthy volunteers and 162 patients with GD concluded that SWE is a useful tool in diagnosing GD. The control group SWE values were significantly lower than those in the GD group. Mean, minimum, and maximum values were recorded for each subject. The mean values for the control group were 8.4 ± 2.4 kPa (min); 14.3 ± 2.7 kPa (mean), and 22.1 ± 5.4 kPa (max). GD group values were 10.7 ± 6.4 kPa (min); 17.6 ± 6.4 kPa (mean), and 25.6 ± 10.6 kPa (max);
Another study published in 2019 evaluated the usefulness of SWE in differentiating thyroid autoimmune diseases. In the GD group, the mean SWV was 2.61 ± 0.32 m/s (range 2.1–3.21 m/s) while in HT group, the mean SWV was 2.85 ± 0.52 m/s (range 2.31–3.82 m/s). The mean SWV value for the control group was 1.75 ± 0.37 m/s (range 1.24–2.36 m/s). The mean values for HT and GD groups were significantly higher than the control group (
SWE in GD.
Given the difference in prevalence, studies on subacute thyroiditis are fewer. Ruchala et al. comparatively studied different types of diffuse thyroid damage, including subacute thyroiditis. This study was included two patients with acute thyroiditis, 18 with SAT, 18 with CAT, and 40 healthy controls. Patients diagnosed with SAT were evaluated three times: at baseline, at 4 weeks follow-up and 10 weeks after diagnosing and treatment initiation. There were significant differences between the three measurements: 214.26 ± 32.5 kPa at the baseline, 45.92 ± 17.4 kPa at 4 weeks and 21.65 ± 5.3 kPa at 10 weeks. The thyroid stiffness was significantly higher at baseline in SAT compared to CAT (36.15 ± 18.7 kPa) or healthy control group (16.18 ± 5.4 kPa). Undertreatment, the values were restored close to normal. The SWE values for the two patients with acute thyroiditis equaled 216.6 and 241 kPa and after treatment, it decreased to 17.93 and 85.384 kPa. All evaluated categories had higher stiffness levels than healthy thyroid (
SWE in subacute thyroiditis.
Liu et al. also studied thyroid stiffness in SAT. The mean SWE values were 118.01 ± 51.02 kPa. However, the time of measurement is not mentioned, only the fact that all SAT patients had hyperthyroidism at the moment of evaluation. The AUROC for differentiating SAT from CAT was 0.989. The AUROC for distinguishing SAT from GD was 0.975 [54].
Both mentioned studies concluded SWE utility in diagnosing SAT and differentiating it from CAT and GD (Figure 6).
Radiation-induced thyroiditis.
To the best of our knowledge, no specific papers have been published regarding shear-wave elastography in postpartum thyroiditis or other diffuse thyroid pathologies.
The important prevalence of diffuse thyroid diseases makes their imaging assessment essential. SWE proves to be an important tool in the diagnosis and differentiation of diffuse thyroid pathology. However, new studies on larger patient groups are needed to determine exactly whether there are significant differences in elasticity between CAT and GD, as well as have of a consensus on cut-off values.
The authors declare no conflict of interest.
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González Rodríguez, Rocío Baños Rodríguez and Citlalli Hernández Guerrero",authors:[{id:"108938",title:"Dr.",name:"Victor",middleName:null,surname:"Bravo-Cuevas",slug:"victor-bravo-cuevas",fullName:"Victor Bravo-Cuevas"},{id:"109673",title:"Dr.",name:"Katia",middleName:null,surname:"González-Rodríguez",slug:"katia-gonzalez-rodriguez",fullName:"Katia González-Rodríguez"},{id:"109689",title:"Prof.",name:"Rocio",middleName:"Elizabeth",surname:"Baños-Rodríguez",slug:"rocio-banos-rodriguez",fullName:"Rocio Baños-Rodríguez"},{id:"109690",title:"BSc.",name:"Citlalli",middleName:null,surname:"Hernández-Guerrero",slug:"citlalli-hernandez-guerrero",fullName:"Citlalli Hernández-Guerrero"}]},{id:"36322",doi:"10.5772/34019",title:"The Paleogene Dinoflagellate Cyst and Nannoplankton Biostratigraphy of the Caspian Depression",slug:"the-paleogene-dinoflagellate-cyst-and-nannoplankton-biostratigraphy-of-the-caspian-depression",totalDownloads:2381,totalCrossrefCites:2,totalDimensionsCites:4,abstract:null,book:{id:"1550",slug:"stratigraphic-analysis-of-layered-deposits",title:"Stratigraphic Analysis of Layered Deposits",fullTitle:"Stratigraphic Analysis of Layered Deposits"},signatures:"Olga Vasilyeva and Vladimir Musatov",authors:[{id:"98322",title:"Dr.",name:"Olga",middleName:"N.",surname:"Vasilyeva",slug:"olga-vasilyeva",fullName:"Olga Vasilyeva"},{id:"136891",title:"Dr.",name:"Vladimir",middleName:null,surname:"Musatov",slug:"vladimir-musatov",fullName:"Vladimir Musatov"}]},{id:"36325",doi:"10.5772/35219",title:"Sedimentary Tectonics and Stratigraphy: The Early Mesozoic Record in Central to Northeastern Mexico",slug:"sedimentary-tectonics-and-straigraphy-the-early-mesozoic-record-in-central-to-northeastern-mexico",totalDownloads:2566,totalCrossrefCites:0,totalDimensionsCites:4,abstract:null,book:{id:"1550",slug:"stratigraphic-analysis-of-layered-deposits",title:"Stratigraphic Analysis of Layered Deposits",fullTitle:"Stratigraphic Analysis of Layered Deposits"},signatures:"Jose Rafael Barboza-Gudino",authors:[{id:"103498",title:"Dr.",name:"José Rafael",middleName:null,surname:"Barboza-Gudiño",slug:"jose-rafael-barboza-gudino",fullName:"José Rafael Barboza-Gudiño"}]},{id:"36326",doi:"10.5772/35216",title:"Tektono-Stratigraphy as a Reflection of Accretion Tectonics Processes (on an Example of the Nadankhada-Bikin Terrane of the Sikhote-Alin Jurassic Accretionary Prism, Russia Far East)",slug:"tektono-stratigraphy-as-a-reflection-of-accretion-tectonics-processes-on-an-example-of-the-nadankha",totalDownloads:2360,totalCrossrefCites:0,totalDimensionsCites:4,abstract:null,book:{id:"1550",slug:"stratigraphic-analysis-of-layered-deposits",title:"Stratigraphic Analysis of Layered Deposits",fullTitle:"Stratigraphic Analysis of Layered Deposits"},signatures:"Igor V. Kemkin",authors:[{id:"103490",title:"Prof.",name:"Igor'",middleName:null,surname:"Kemkin",slug:"igor'-kemkin",fullName:"Igor' Kemkin"}]}],mostDownloadedChaptersLast30Days:[{id:"36319",title:"Orbital Control on Carbonate-Lignite Cycles in the Ptolemais Basin, Northern Greece - An Integrated Stratigraphic Approach",slug:"orbital-control-on-carbonate-lignite-cycles-in-the-ptolemais-basin-northern-greece-an-integrate",totalDownloads:2693,totalCrossrefCites:1,totalDimensionsCites:3,abstract:null,book:{id:"1550",slug:"stratigraphic-analysis-of-layered-deposits",title:"Stratigraphic Analysis of Layered Deposits",fullTitle:"Stratigraphic Analysis of Layered Deposits"},signatures:"M.E. Weber, N. Tougiannidis, W. Ricken, C. Rolf, I. Oikonomopoulos and P. Antoniadis",authors:[{id:"104271",title:"Dr.",name:"Michael E.",middleName:null,surname:"Weber",slug:"michael-e.-weber",fullName:"Michael E. 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The Kinta Limestone is a Paleozoic succession located within the Western Belt. Due to structural and tectonothermal complexity, the sedimentological and paleontological works in these carbonates have proven to be problematic unless combined with geochemical approach. Thus, the current study has integrated stratigraphical, sedimentological, and geochemical studies to assess the lithofacies variations and to interpret the depositional environments. An intensive fieldwork has been carried out in order to assess the extent of metamorphism and to locate the less altered sections for further studies. Three boreholes have been drilled on N-S transect of the Kinta Valley recovering a 360 m core. The core description, the mineralogical analysis, and the geochemical analyses including major and trace elements and organic carbon contents have allowed for a significant advancement of the knowledge existing on this basin. The obtained results have indicated that the Kinta Limestone is chiefly composed of carbonate mudstones, siltstones, shales, and minor cherty units. It preserves the main sedimentary features from metamorphism, especially in the northern part of the Kinta Valley. The detrital siliciclastic debris is minimum in the limestones. The overall dominance of fine-grained textures, the lacking of detrital siliciclastic deposits, presence of bedded cherts, and high organic carbon content outlined by geochemistry and the occurrence of uncommon benthic fauna have suggested the deposition in a slope environment with low energy and low oxygen content. The lithological changes from carbonate to siliciclastic deposits have outlined the occurrence of sea level fluctuations in the Paleozoic. The various analyses combined with chemostratigraphy, an independent of type locality and stratotype, enable to interpret the depositional environment of the Kinta Limestone. 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He is the president of the Travel Medicine Committee of the Pan-American Infectious Diseases Association (API), as well as the president of the Colombian Association of Infectious Diseases (ACIN). He is a member of the Committee on Tropical Medicine, Zoonoses, and Travel Medicine of ACIN. He is a vice-president of the Latin American Society for Travel Medicine (SLAMVI) and a Member of the Council of the International Society for Infectious Diseases (ISID). Since 2014, he has been recognized as a Senior Researcher, at the Ministry of Science of Colombia. He is a professor at the Faculty of Medicine of the Fundacion Universitaria Autonoma de las Americas, in Pereira, Risaralda, Colombia. He is an External Professor, Master in Research on Tropical Medicine and International Health, Universitat de Barcelona, Spain. He is also a professor at the Master in Clinical Epidemiology and Biostatistics, Universidad Científica del Sur, Lima, Peru. In 2021 he has been awarded the “Raul Isturiz Award” Medal of the API. Also, in 2021, he was awarded with the “Jose Felix Patiño” Asclepius Staff Medal of the Colombian Medical College, due to his scientific contributions to COVID-19 during the pandemic. He is currently the Editor in Chief of the journal Travel Medicine and Infectious Diseases. His Scopus H index is 47 (Google Scholar H index, 68).",institutionString:"Institución Universitaria Visión de las Américas, Colombia",institution:null},{id:"332819",title:"Dr.",name:"Chukwudi Michael",middleName:"Michael",surname:"Egbuche",slug:"chukwudi-michael-egbuche",fullName:"Chukwudi Michael Egbuche",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/332819/images/14624_n.jpg",biography:"I an Dr. Chukwudi Michael Egbuche. I am a Senior Lecturer in the Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka.",institutionString:null,institution:{name:"Nnamdi Azikiwe University",country:{name:"Nigeria"}}},{id:"284232",title:"Mr.",name:"Nikunj",middleName:"U",surname:"Tandel",slug:"nikunj-tandel",fullName:"Nikunj Tandel",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/284232/images/8275_n.jpg",biography:'Mr. Nikunj Tandel has completed his Master\'s degree in Biotechnology from VIT University, India in the year of 2012. He is having 8 years of research experience especially in the field of malaria epidemiology, immunology, and nanoparticle-based drug delivery system against the infectious diseases, autoimmune disorders and cancer. He has worked for the NIH funded-International Center of Excellence in Malaria Research project "Center for the study of complex malaria in India (CSCMi)" in collaboration with New York University. The preliminary objectives of the study are to understand and develop the evidence-based tools and interventions for the control and prevention of malaria in different sites of the INDIA. Alongside, with the help of next-generation genomics study, the team has studied the antimalarial drug resistance in India. Further, he has extended his research in the development of Humanized mice for the study of liver-stage malaria and identification of molecular marker(s) for the Artemisinin resistance. At present, his research focuses on understanding the role of B cells in the activation of CD8+ T cells in malaria. 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She is currently an Adjunct Professor at Feevale University in Medicine and Biomedicine courses and a permanent professor of the Academic Master\\'s Degree in Virology. She has experience in the field of Microbiology, with an emphasis on Bacteriology, working mainly on the following topics: bacteriophages, bacterial resistance, clinical microbiology and food microbiology.",institutionString:null,institution:{name:"Universidade Feevale",country:{name:"Brazil"}}},{id:"229220",title:"Dr.",name:"Amjad",middleName:"Islam",surname:"Aqib",slug:"amjad-aqib",fullName:"Amjad Aqib",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/229220/images/system/229220.png",biography:"Dr. Amjad Islam Aqib obtained a DVM and MSc (Hons) from University of Agriculture Faisalabad (UAF), Pakistan, and a PhD from the University of Veterinary and Animal Sciences Lahore, Pakistan. 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