\r\n\tRadiation monitoring deals with the sampling and measurement of different products found in different radiation pathways from the environment ending with consumption in humans. Gamma-spectroscopy is the main tool for measurement of these radiations.
\r\n
\r\n\tThe aim of this book is to investigate the radionuclide concentrations in the most consumable food products, air, water and soil. Particularly, it is essential to investigate the radiations level in the surroundings of a nuclear facility.
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1. Introduction
Single incision laparoscopic surgery encompasses a plethora of techniques and styles. Multiple names have been used to describe similar surgical techniques, including single incision laparoscopy (SILS), single port access surgery (SPA), laparoscopic endoscopic single site surgery (LESS), single laparoscopic incision transabdominal (SLIT), one-port umbilical surgery (OPUS), and natural orifice translumenal endoscopic surgery (NOTES). The purpose of this chapter is to review single incision surgery in minor gynecologic surgery and discuss currently available single incision surgical access systems, accessory instruments and surgical techniques in single incision gynecologic surgery.
2. Use of single port abdominal laparoscopy in minor gynecologic surgery
Female sterilization by tubal ligation was the first procedure performed by way of single incision laparoscopy in the late 1960s. Though gynecologists were the first surgeons to perform SILS, the technique was more readily adopted by urologists in the 1990s [1]. Now, more than 40 years since its development, single incision laparoscopy has become widespread in gynecologic surgery. Minor gynecologic procedures that have been performed by single incision include, but are not limited to: diagnostic laparoscopy, tubal sterilization (by both occlusion and partial or complete salpingectomy), management of ectopic pregnancy, ovarian cystectomy, oophorectomy, ovarian detorsion, oophoropexy and myomectomy. Adnexal surgeries, especially oophorectomy and ovarian cystectomy, are the most commonly performed minor gynecologic SILS procedures [2, 3, 4].
Single incision laparoscopy has a greater degree of difficulty than multiport laparoscopy, mainly due to reduction of triangulation (Figure 1a, b). In multi-port laparoscopy, ports may be placed in a triangular formation in Ref. to the target organ. Generally, the central optical trocar is placed 10-15 cm away from the target organ and accessory ports are placed laterally along an arc maintaining a similar distance from the target organ. Instruments are then commonly introduced at a 60 degree angle. A wide angle of manipulation, ideally between 45 and 75 degrees, results in the most efficient movements from the surgeon. Triangulation also allows for the appropriate traction and countertraction necessary to retract, dissect, ligate, and suture during a multiport laparoscopic procedure [5, 6].
Figure 1.
(a) Triangulation in multiport laparoscopy. (b) Loss of triangulation with single incision laparoscopy.
With a narrow angle of triangulation, as in single incision laparoscopy, ergonomics become more limited. Surgical techniques, advanced uterine manipulation, articulating or prebent instruments, and angled or flexible laparoscopes can improve surgical constraints, but the degree of technical difficulty remains higher in single incision laparoscopy. Cross-triangulation, or the crossing of surgical instruments, may improve triangulation constraints [5, 6].
Most authors agree that between 5 and 30 cases are required to establish proficiency in single incision laparoscopy. A multicenter analysis revealed a linear improvement in both entry and operating times for SILS cases, with the most substantial decrease (9.2 min to 4.8 min for abdominal entry and 79.4 min to 56.8 min for total operating time) after increasing procedure volume from 10 to 20 cases [6].
Based on available data, outcomes of single incision laparoscopy for minor gynecologic procedures are similar to multiport laparoscopy [1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30].
Abdominal access is often obtained more quickly with single incision laparoscopy, with one study demonstrating a near 50% shorter entry time for SILS. Operating times for adnexal surgery by way of SILS may be increased when compared to multi-port procedures. A meta-analysis of 3 randomized control trials (RCT) published in 2013 demonstrated an increase in operating time of 6.9 minutes for adnexal surgery performed via SILS [8]. A 2017 meta-analysis of 5 RCT found similar increases in operating time [2]. However, subsequent studies not included in these meta-analyses have shown operating time for SILS is not significantly different when compared to multiport laparoscopy[9]. Surgeon proficiency greatly impacts operating time, and has been demonstrated to improve in a linear fashion [6].
Intraoperative complications, such as bowel or vascular injury, blood loss, or conversion to laparotomy are similar. In the 2013 meta-analysis, 2.78% of SILS were converted to multi-port laparoscopy and 0.11% were converted to laparotomy. Of the multi-port laparoscopies, 0.5% were converted to laparotomy. The authors did not distinguish between hysterectomy and adnexal procedures [8]. In the 2017 meta-analysis, no adnexal SILS cases were converted to laparotomy [2]. Decline in hemoglobin on postoperative day 1 was similar in nearly all studies and was found to be statistically similar in the 2016 meta-analysis [4].
Postoperative pain has been found to be comparable in most studies [8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30]. Some have demonstrated less immediate postoperative pain (in recovery and at 6 and 12 hours postoperatively) when a single incision surgical approach is used. Others have also noted less use of postoperative analgesia after SILS. Meta-analyses have demonstrated no significant difference in postoperative pain between the two procedures [2, 4, 9]; however, minor gynecologic surgery, especially adnexal procedures, is generally not associated with a high amount of postoperative pain.
Length of hospital stay is comparable for both types of laparoscopy. Given that the length of the average hospital stay for minor gynecologic surgery is already short, significant improvement is difficult to demonstrate. Resumption of normal postoperative activity is also similar [2, 4, 8].
Patient reported satisfaction with cosmetic results is most often higher with single incision laparoscopy, although some studies have reported no significant difference [8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30]. One analysis conducted by Bush et al. in 2011 revealed that when presented with three illustrations of the placement of port sites - traditional multiport placement, umbilical SILS, and robotic port placement - over 56% of the 241 female respondents preferred the traditional multiport trocar placement over the SILS (p = .007). Importantly, the illustration of single incision laparoscopy denoted a 2.5 cm umbilical incision that extended past the borders of the model’s navel [31] (Figure 2a). Many SILS surgeons strive to keep umbilical incisions hidden within the borders of the umbilicus (Figure 2b). A similar study conducted in the 1990s - prior to the rise in popularity of laparoscopic gynecology - showed 68% of women would choose a Pfannenstiel incision while only 31% would choose multiport laparoscopic incisions, indicating that patient familiarity with the incision type may have played a role in Bush’s findings [32].
Figure 2.
(a) Replication of incision used during Bush study – umbilical incision extends past the umbilicus. (b) Most single incision laparoscopic surgeons will confine the umbilical incision in the borders of the natural orifice.
Data regarding outcomes for single incision non-adnexal surgery is less abundant than that for adnexal procedures. A single RCT with 66 participants undergoing laparoscopic myomectomy by either SILS or multi-port laparoscopy demonstrated no significant differences in surgical outcomes with the exception of more favorable cosmesis and better patient satisfaction in the SILS group [29].
3. Commercially available single incision access systems
A variety of access systems are available for single incision laparoscopic surgery [33, 34] (Figure 3a-d). Surgeon preference and comfort level is key when choosing laparoscopic entry. SILS ports were designed to allow the passage of many instruments through one access point with a single, larger skin incision.
3.1 GelPOINT advanced access platform by applied Medical
The GelPOINT system is a gel topped port combined with Alexis wound retractor technology. The Alexis wound retractor provides 360 degree retraction of the port site; the rounded retraction allows for better instrument triangulation. Trocars supplied with the device are introduced through the GelSeal cap and may be arranged in any formation. The trocars accommodate instrument diameters from 5 to 12 mm. The device can be used in incisions ranging from 1.5 cm to 7 cm in length. The GelSeal cap has a diameter of 10 cm. The cap can be removed from the Alexis retractor for specimen retrieval [33, 34, 35].
The GelPOINT Mini uses the same GelSeal and Alexis retractor technology but with a smaller footprint. This system accommodates incisions up to 4 cm. Triangulation is reduced further with the GelPOINT Mini system, limiting its utility in more complex single incision laparoscopy [35].
3.2 SILS port by Medtronic
The SILS port by Medtronic consists of a blue colored foam, soft, flexible port that maintains pneumoperitoneum by conforming to the body wall. The outer diameter is 49 mm and the inner diameter is 29 mm. The port has an insufflation valve and three instrument placement channels. Three variations of the SILS port are available and can accommodate a range of instrument diameter from 5 mm to 15 mm [33, 34, 36].
3.3 TriPort and QuadPort by advanced surgical concepts
Advanced Surgical Concepts offers three single incision laparoscopy platforms. All three variations are composed of an outer ring connected to an inner ring by a clear retracting sleeve. The distal ring is placed into the abdominal cavity with an introducer which punctures the abdominal wall. After the introducer is removed, the outer ring is passed over the retracting sleeve until it creates a seal. Because of its self adjusting retraction sleeve, this port can be used in abdominal walls up to 10 cm in thickness. The fixed ports are angled in order to minimize instrument crowding. The 10 mm and 15 mm ports are equipped with lip seal valves that allow for the introduction and removal of smaller diameter instruments without losing pneumoperitoneum [33, 34, 37].
One model, the Triport+, contains four instrument ports (three 5 mm and one 10 mm) and two insufflation valves, while Triport15 contains three instrument ports (two 5 mm and one 15 mm) and two insufflation valves. Optimal incision length is between 12 mm and 25 mm. QuadPort contains five instrument ports (two 5 mm, one 10 mm, one 12 mm and one 15 mm) and two insufflation valves. It can be used with incisions 20 mm to 60 mm [37].
3.4 AnchorPort by Conmed
The Anchorport system uses a set of unique self-adjusting, self-anchoring trocars [38]. The 5 mm trocar is available in three lengths: 75 mm, 100 mm, 135 mm. It has a clear bladeless optical tip for direct entry and a pistol-like grip handle. The distal portion of the cannula system adjusts to the patient’s abdominal wall thickness with its accordion-like design, which anchors to the body wall for security. The AnchorPort design allows a minimum amount of the cannula tip inside the abdomen; this assists with laparoscopic instrument range of motion and widening instrument angles inside the abdomen. AnchorPort is uniquely designed for single incision laparoscopy; a single skin incision is made and then the trocars are introduced directly into the fascia, maintaining a bridge of tissue between each trocar [33, 34].
4. Accessory products
4.1 Laparoscopes
Traditional lens-based laparoscopes have a rigid shaft and utilize two dimensional views. Laparoscope diameters vary from <1 mm to 15 mm, with the most commonly used diameters being 5 and 10 mm. Classically, laparoscopes utilize charge coupled device (CCD) sensors, in which higher resolution is obtained with larger diameters. In SILS, a smaller diameter, such as 5 mm or less, is often preferred at the expense of resolution in order to maintain maneuverability of surgical instruments [39].
Though flexible tip endoscopy was developed as early as the 1950s, it wasn’t until the 2000s that flexible tip laparoscopes with adequate imaging capabilities were developed. The EndoEye Flex video laparoscope with “chip on the tip” design was developed in 2005 by Olympus. It has a deflectable tip that can rotate up to 100 degrees. The latest model allows for high definition video in a 5 mm diameter scope by utilizing complementary metal-oxide semiconductor (CMOS) technology as opposed to CCD. It is also the first autoclavable articulating videoscope, as other designs require chemical sterilization. Stryker has also developed articulating 5 and 10 mm videoscopes, however at the time of this manuscript, the Ideal Eyes HD Articulating Laparoscope does not appear to be available in the current Stryker product catalog. Flexible tip laparoscopes have demonstrated shorter operating times for single incision cholecystectomy, but have not yet been evaluated for gynecologic SILS [39].
Lens angles of rigid laparoscopes can vary. Zero degree scopes are most commonly utilized by gynecologic surgeons in multiport laparoscopy. Angled scopes, however, can be very useful in SILS gynecology by moving the imaging plane out of the line of the operating plane in order to reduce instrument collision. Thirty degree laparoscopes are most commonly used, although 45 degree and 70 degree options are available as well. Variable view laparoscopes developed by Karl Storz allow the surgeon to adjust the lens angle between 0 and 90 degrees without removing the scope from the trocar.
An in-line light cord adapter and low profile camera head are two updates that reduce tangling of cords and instrument collision. Use of a longer laparoscope, as those used in bariatric surgery, may also improve mobility. Future laparoscopes may be cordless and wireless [40].
4.2 Instruments
Traditional laparoscopic instruments are rigid with an average length of 33 cm. Some instruments allow for rotation of the tip while others are fixed. Prebent instruments have been utilized by other specialties in the past but have not been widely utilized in gynecologic SILS [33, 34].
Articulating instruments have been pivotal in improving triangulation constraints of SILS while also increasing the surgeon’s range of motion (Figure 4a and b). Companies including Medtronic, BD and others manufacture articulating grasping instruments. There are currently 2 articulating 5 mm bipolar instruments on the market. Ethicon’s Enseal G2 provides bipolar sealing of vessels up to 7 mm in diameter with 110 degrees of articulation and 360 degree rotation. The Caiman 5 Vessel Sealer by Aesculap offers 80 degrees of articulation, a 26.5 mm sealing length and 23.5 mm cutting length [41, 42].
The ArtiSential line of wristed instruments with 360 degree of freedom was registered with the FDA in 2019. They have yet to be described in single incision gynecology but offer similar range of motion as robotic instruments and may have utility in SILS procedures.
In instances where wider triangulation is necessary, mini laparoscopic instruments can be introduced away from the single incision port site. Many companies promote miniature laparoscopic instruments with diameters 3 mm and under. Some of the smallest diameter instruments are manufactured by Teleflex, which produces instruments with only a 2.4 mm shaft. The instrument is introduced directly through the skin using an integrated needle tip, which eliminates the need for a skin incision or trocar. The product line offers 2 handpieces, 4 types of graspers and 4 monopolar electrosurgical tools.
The magnetically anchored and guidance system (MAGS) was first described in 2007. This device utilizes magnetic coupling of an external handpiece and an internal instrument or camera. The internal components are inserted through a single incision and paired to their external components via magnetic attraction across the abdominal wall, up to a maximal thickness of 10 cm. The internal components can then be arranged in an ergonomic configuration by moving the external components along the abdominal wall. MAGS has been utilized in urology and thoracic surgery, but has not yet been seen in gynecologic surgery [43].
4.3 Smoke evacuation systems
The dangers of surgical smoke to the surgical team are well documented. Electrocauterization instruments, lasers, and ultrasonic scalpels all release particulate matter (PM) into the ambient air during both open and laparoscopic surgery. Particles 10 microns or smaller can be inhaled. Studies evaluating the long term effects specific to surgical smoke are insufficient; however the PM found in surgical smoke is associated with coronary artery disease, congestive heart failure, asthma, and chronic obstructive pulmonary disease. Deposits of PM have been found in remote organs, including the brain, and may be associated with increased oxidative stress and systemic inflammation. Long term exposure may be associated with decreased life expectancy [44].
During laparoscopy, surgical smoke also impairs visualization. As simply venting the plume into the ambient air is ill advised, smoke evacuation systems are crucial in providing adequate visualization of structures. Dozens of smoke evacuation systems have been marketed for laparoscopic procedures. ConMed’s Airseal, released in 2007, is uniquely beneficial to gynecologic SILS. The Airseal system maintains the pneumoperitoneum, provides constant smoke evacuation and allows valve free port access. The high pressure nozzles of the port’s cannula direct recirculated CO2 gas down into the trocar in order to maintain pressure which creates a horizontal gas barrier across the cannula. Thus, introduction of a smaller caliber instrument or even 2 instruments through a single trocar does not result in loss of pneumoperitoneum. AirSeal has 3 operational modes: AirSeal Mode, Smoke Evacuation Mode, and Standard Insufflation Mode. The system filters particles as small as 0.01 microns [33, 34, 44].
5. Surgical techniques
Although traditionally, the least experienced member of the surgical team is often tasked with uterine manipulation, expert uterine manipulation is often key in gynecologic SILS. Introduction of multiple instruments through a single port site reduces mobility, and manipulation of the uterus can enhance or replace retraction usually done through the abdominal wall. Retroversion of the uterus allows access to the vesicouterine space. Anteversion of the uterus exposes the rectouterine space. Rotational uterine manipulation, rather than straight lateral displacement of the uterus, provides better access to the adnexa of surgical interest. The uterus can also be pushed cephalad to displace the ureters laterally or pulled caudad to access the fundus of a larger uterus.
Creation of a posterior colpotomy during a non-hysterectomy SILS procedure can provide a second point of access for instrumentation, passing suture or removing specimens. Vaginal natural orifice transluminal endoscopic surgery (vNOTES), which utilizes the vaginal as the sole entry point for endoscopic surgery, is discussed in a separate chapter. The techniques described for vNOTES may be employed in complex SILS cases as well.
Temporary sutures can be used to provide retraction during SILS procedures. This technique is often called “puppeteering” [1]. Straight needles are useful in that they can be passed through a trocar or inserted directly through the abdominal wall. Curved needles may be introduced through larger caliber trocars or partially straightened to pass through smaller trocars. Choice of suture is based upon surgeon preference as the suture is removed after the procedure is completed. As long as care is taken to avoid vascular structures, the uterus and adnexa can be retracted with puppet sutures. Large bowel should only be retracted by suturing through the epiploica. Small bowel should not be retracted in this manner due to risk of injury.
\n',keywords:"single port, laparoscopy, SILS, LESS, single incision, minimally invasive, gynecology",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/76743.pdf",chapterXML:"https://mts.intechopen.com/source/xml/76743.xml",downloadPdfUrl:"/chapter/pdf-download/76743",previewPdfUrl:"/chapter/pdf-preview/76743",totalDownloads:224,totalViews:0,totalCrossrefCites:0,totalDimensionsCites:0,totalAltmetricsMentions:0,impactScore:0,impactScorePercentile:41,impactScoreQuartile:2,hasAltmetrics:0,dateSubmitted:"July 4th 2020",dateReviewed:"March 1st 2021",datePrePublished:"June 15th 2021",datePublished:"September 22nd 2021",dateFinished:"May 13th 2021",readingETA:"0",abstract:"Single incision laparoscopic surgery encompasses a plethora of techniques and styles. Single incision laparoscopy has demonstrated outcomes comparable to traditional multiport laparoscopy with the added benefit of improved cosmesis. This book chapter will review single incision surgery for minor gynecologic surgery, including adnexal surgical procedures and myomectomy. The chapter reviews available data in regard to outcomes in single incision laparoscopy. It also discusses the commercially available single incision surgical access systems, laparoscopes, and accessory instruments. Surgical techniques beneficial in single incision laparosocpy, including uterine manipulation, are also reviewed.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/76743",risUrl:"/chapter/ris/76743",book:{id:"10616",slug:"single-port-gynecologic-laparoscopic-and-robotic-assisted-surgery"},signatures:"M. Luann Racher and Ann Marie Mercier",authors:[{id:"326379",title:"Assistant Prof.",name:"M. Luann",middleName:null,surname:"Racher",fullName:"M. Luann Racher",slug:"m.-luann-racher",email:"mlracher@uams.edu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"345500",title:"Dr.",name:"Ann Marie",middleName:null,surname:"Mercier",fullName:"Ann Marie Mercier",slug:"ann-marie-mercier",email:"ammercier@uams.edu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"University of Arkansas for Medical Sciences",institutionURL:null,country:{name:"United States of America"}}}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Use of single port abdominal laparoscopy in minor gynecologic surgery",level:"1"},{id:"sec_3",title:"3. Commercially available single incision access systems",level:"1"},{id:"sec_3_2",title:"3.1 GelPOINT advanced access platform by applied Medical",level:"2"},{id:"sec_4_2",title:"3.2 SILS port by Medtronic",level:"2"},{id:"sec_5_2",title:"3.3 TriPort and QuadPort by advanced surgical concepts",level:"2"},{id:"sec_6_2",title:"3.4 AnchorPort by Conmed",level:"2"},{id:"sec_8",title:"4. Accessory products",level:"1"},{id:"sec_8_2",title:"4.1 Laparoscopes",level:"2"},{id:"sec_9_2",title:"4.2 Instruments",level:"2"},{id:"sec_10_2",title:"4.3 Smoke evacuation systems",level:"2"},{id:"sec_12",title:"5. Surgical techniques",level:"1"}],chapterReferences:[{id:"B1",body:'Rao PP, Rao PP, Bhagwat S. Single-incision laparoscopic surgery - current status and controversies. J Minim Access Surg. 2011;7(1):6-16. doi:10.4103/0972-9941.72360'},{id:"B2",body:'Schmitt A, Crochet P, Knight S, Tourette C, Loundou A, Agostini A. Single-Port Laparoscopy vs Conventional Laparoscopy in Benign Adnexal Diseases: A Systematic Review and Meta-Analysis. J Minim Invasive Gynecol. 2017 Nov-Dec;24(7):1083-1095. doi: 10.1016/j.jmig.2017.07.001. Epub 2017 Jul 10. PMID: 28705751.'},{id:"B3",body:'Supe AN, Kulkarni GV, Supe PA. Ergonomics in laparoscopic surgery. J Minim Access Surg. 2010;6(2):31-36. doi:10.4103/0972-9941.65161'},{id:"B4",body:'Far SS, Miraj S. Single-incision laparoscopy surgery: a systematic review. Electron Physician. 2016;8(10):3088-3095. Published 2016 Oct 25. doi:10.19082/3088'},{id:"B5",body:'Bradford LS, Boruta DM. Laparoendoscopic single-site surgery in gynecology: a review of the literature, tools, and techniques. Obstet Gynecol Surv. 2013 Apr;68(4):295-304. doi: 10.1097/OGX.0b013e318286f673. PMID: 23943039.'},{id:"B6",body:'Amanda Nickles Fader, Luis Rojas-Espaillat, Okechukwu Ibeanu, Francis C. Grumbine, Pedro F. Escobar, Laparoendoscopic single-site surgery (LESS) in gynecology: a multi-institutional evaluation, American Journal of Obstetrics and Gynecology, Volume 203, Issue 5, 2010, Pages 501.e1-501.e6'},{id:"B7",body:'Zhao M, Zhao J, Hua K, Zhu Z, Hu C. Single-incision multiport laparoscopy versus multichannel-tipped single port laparoscopy in gynecologic surgery: outcomes and benefits. Int J Clin Exp Med. 2015 Sep 15;8(9):14992-14998. PMID: 26628982; PMCID: PMC4658871.'},{id:"B8",body:'Murji A, Patel VI, Leyland N, Choi M. Single-incision laparoscopy in gynecologic surgery: a systematic review and meta-analysis. Obstet Gynecol. 2013 Apr;121(4):819-828. doi: 10.1097/AOG.0b013e318288828c. PMID: 23635683.'},{id:"B9",body:'Karasu Y, Akselim B, Kavak Cömert D, Ergün Y, Ülker K. Comparison of single-incision and conventional laparoscopic surgery for benign adnexal masses. Minim Invasive Ther Allied Technol. 2017 Oct;26(5):278-283. doi: 10.1080/13645706.2017.1299763. Epub 2017 Mar 14. PMID: 28290726.'},{id:"B10",body:'Cho YJ, Kim ML, Lee SY, Lee HS, Kim JM, Joo KY. Laparoendoscopic single-site surgery (LESS) versus conventional laparoscopic surgery for adnexal preservation: a randomized controlled study. Int J Womens Health. 2012;4:85-91. doi: 10.2147/ijwh.s29761. Epub 2012 Mar 13. PMID: 22448110; PMCID: PMC3310352.'},{id:"B11",body:'Hoyer-Sørensen C., Vistad I., and Ballard K.: Is single-port laparoscopy for benign adnexal disease less painful than conventional laparoscopy? A single-center randomized controlled trial. Fertil Steril 2012; 98: pp. 973-979'},{id:"B12",body:'Fagotti A., Bottoni C., Vizzielli G., et al: Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril 2011; 96: pp. 255-259'},{id:"B13",body:'Im K.S., Koo Y.J., Kim J.B., and Kwon Y.S.: Laparoendoscopic single-site surgery versus conventional laparoscopic surgery for adnexal tumors: a comparison of surgical outcomes and postoperative pain outcomes. Kaohsiung J Med Sci 2011; 27: pp. 91-95'},{id:"B14",body:'Yoo E.H., and Shim E.: Single-port access compared with three-port laparoscopic adnexal surgery in a randomized controlled trial. J Int Med Res 2013; 41: pp. 673-680'},{id:"B15",body:'Yoon B.S., Kim Y.S., Seong S.J., et al: Impact on ovarian reserve after laparoscopic ovarian cystectomy with reduced port number: a randomized controlled trial. Eur J Obstet Gynecol Reprod Biol 2014; 176: pp. 34-38'},{id:"B16",body:'Kim T.J., Lee Y.Y., An J.J., et al: Does single-port access (SPA) laparoscopy mean reduced pain? A retrospective cohort analysis between SPA and conventional laparoscopy. Eur J Obstet Gynecol Reprod Biol 2012; 162: pp. 71-74'},{id:"B17",body:'Lee Y.Y., Kim T.J., Kim C.J., et al: Single port access laparoscopic adnexal surgery versus conventional laparoscopic adnexal surgery: a comparison of peri-operative outcomes. Eur J Obstet Gynecol Reprod Biol 2010; 151: pp. 181-184'},{id:"B18",body:'Buda A., Cuzzocrea M., Montanelli L., et al: Evaluation of patient satisfaction using the EORTC IN-PATSAT32 questionnaire and surgical outcome in single-port surgery for benign adnexal disease: observational comparison with traditional laparoscopy. Diagn Ther Endosc 2013; 2013: pp. 578392'},{id:"B19",body:'Park J.Y., Kim D.Y., Kim S.H., Suh D.S., Kim J.H., and Nam J.H.: Laparoendoscopic single-site compared with conventional laparoscopic ovarian cystectomy for ovarian endometrioma. J Minim Invasive Gynecol 2015; 22: pp. 813-819'},{id:"B20",body:'Lee I.O., Yoon J.W., Chung D., et al: A comparison of clinical and surgical outcomes between laparo-endoscopic single-site surgery and traditional multiport laparoscopic surgery for adnexal tumors. Obstet Gynecol Sci 2014; 57: pp. 386-392'},{id:"B21",body:'Kim M.L., Song T., Seong S.J., et al: Comparison of single-port, two-port and four-port laparoscopic surgery for cyst enucleation in benign ovarian cysts. Gynecol Obstet Invest 2013; 76: pp. 57-63'},{id:"B22",body:'Bedaiwy M.A., Starks D., Hurd W., and Escobar P.F.: Laparoendoscopic single-site surgery in patients with benign adnexal disease: a comparative study. Gynecol Obstet Invest 2012; 73: pp. 294-298'},{id:"B23",body:'Bedaiwy M.A., Sheyn D., Eghdami L., et al: Laparoendoscopic single-site surgery for benign ovarian cystectomies. Gynecol Obstet Invest 2015; 79: pp. 179-183'},{id:"B24",body:'Yim G.W., Lee M., Nam E.J., Kim S., Kim Y.T., and Kim S.W.: Is single-port access laparoscopy less painful than conventional laparoscopy for adnexal surgery? A comparison of postoperative pain and surgical outcomes. Surg Innov 2013; 20: pp. 46-54'},{id:"B25",body:'Huang B.S., Wang P.H., Tsai H.W., Hsu T.F., Yen M.S., and Chen Y.J.: Single-port compared with conventional laparoscopic cystectomyfor ovarian dermoid cysts. Taiwan J Obstet Gynecol 2014; 53: pp. 523-529'},{id:"B26",body:'Liliana M, Alessandro P, Giada C, Luca M. Single-port access laparoscopic hysterectomy: a new dimension of minimally invasive surgery. J Gynecol Endosc Surg. 2011;2(1):11-17. doi:10.4103/0974-1216.85273'},{id:"B27",body:'Kim SK, Lee JH, Lee JR, Suh CS, Kim SH. Laparoendoscopic single-site myomectomy versus conventional laparoscopic myomectomy: a comparison of surgical outcomes. J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):775-781. doi: 10.1016/j.jmig.2014.03.002. Epub 2014 Mar 12. PMID: 24632396.'},{id:"B28",body:'Choi CH, Kim TH, Kim SH, Choi JK, Park JY, Yoon A, Lee YY, Kim TJ, Lee JW, Kim BG, Bae DS. Surgical outcomes of a new approach to laparoscopic myomectomy: single-port and modified suture technique. J Minim Invasive Gynecol. 2014 Jul-Aug;21(4):580-585. doi: 10.1016/j.jmig.2013.12.096. Epub 2013 Dec 31. PMID: 24384072.'},{id:"B29",body:'Lee D, Kim SK, Kim K, Lee JR, Suh CS, Kim SH. Advantages of Single-Port Laparoscopic Myomectomy Compared with Conventional Laparoscopic Myomectomy: A Randomized Controlled Study. J Minim Invasive Gynecol. 2018 Jan;25(1):124-132. doi: 10.1016/j.jmig.2017.08.651. Epub 2017 Aug 18. PMID: 28826957.'},{id:"B30",body:'Ramesh B, Vidyashankar M, Bharathi B. Single incision laparoscopic myomectomy. J Gynecol Endosc Surg. 2011;2(1):61-63. doi:10.4103/0974-1216.85288'},{id:"B31",body:'Bush AJ, Morris SN, Millham FH, et al. Women’s preference for minimally invasive incisions. J Minim Invasive Gynecol. 2011; 18: 640-643'},{id:"B32",body:'Currie I., Onwude J.L., Jarvis G.J.: A comparative study of the cosmetic appeal of abdominal incisions used for hysterectomy. Br J Obstet Gynaecol 1996; 103: pp. 252-254.'},{id:"B33",body:'Romanelli, J.R., Earle, D.B. Single-port laparoscopic surgery: an overview. Surg Endosc 23, 1419-1427 (2009).'},{id:"B34",body:'Kumar, Chigurupathi Venkata Pavan. "Different types of single incision laparoscopy surgery (SILS) ports." World J Laparosc Surg 4.1 (2011): 47-51.'},{id:"B35",body:'Applied Medical. GelPOINT Advanced Access Platforms. 2019'},{id:"B36",body:'Medtronic. Laparoscopic Access Catalogue. June 2020'},{id:"B37",body:'Advanced Surgical Concepts. Laparoendoscopic Single Site Surgery Access Devices. 2020.'},{id:"B38",body:'ConMed. Advanced Surgical Product Catalog. 2019.'},{id:"B39",body:'Matsui Y, Ryota H, Sakaguchi T, Nakatani K, Matsushima H, Yamaki S, Hirooka S, Yamamoto T, Kwon AH. Comparison of a flexible-tip laparoscope with a rigid straight laparoscope for single-incision laparoscopic cholecystectomy. Am Surg. 2014 Dec;80(12):1245-1249. PMID: 25513924.'},{id:"B40",body:'Chatzipapas, Ioannis PhD; Kathopoulis, Nikolaos MD; Siemou, Panagiota PhD; Protopapas, Athanasios PhD Wireless Laparoscopy in the 2020s, Obstetrics & Gynecology: November 2020 - Volume 136 - Issue 5 - p 908-911'},{id:"B41",body:'Ethicon. Enseal G2 Articulating Tissue Sealer Brochure. 2020.'},{id:"B42",body:'Aesculap. Caiman Vessel Sealers. March 2019.'},{id:"B43",body:'Best SL, Cadeddu JA. Development of magnetic anchoring and guidance systems for minimally invasive surgery. Indian J Urol. 2010;26(3):418-422. doi:10.4103/0970-1591.70585'},{id:"B44",body:'Limchantra IV, Fong Y, Melstrom KA. Surgical Smoke Exposure in Operating Room Personnel: A Review. JAMA Surg. 2019;154(10):960-967. doi:10.1001/jamasurg.2019.2515'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"M. Luann Racher",address:"mlracher@uams.edu",affiliation:'
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
'},{corresp:null,contributorFullName:"Ann Marie Mercier",address:null,affiliation:'
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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1. Introduction
Word retrieval deficits remain one of the enduring symptoms in most PWAs [1]. Word retrieval deficits are events where the individual exhibits word-finding difficulty in conversation or while conveying their ideas or thoughts. The prevailing literature on word retrieval failures suggests that this deficit varies in their cognitive and neural underpinnings among discrete variants of aphasia. The SLP treating word retrieval deficits firstly needs to understand the nature of word retrieval breakdown (semantic or phonemic). These are ascertained via comprehensive naming assessments, and then based on the nature of word retrieval failures, appropriate treatment paradigms need to be employed.
2. Pathophysiology of naming impairments
The word retrieval process is an intricate process requiring two critical stages—semantic and phonologic [2, 3]. The retrieval process is strongly influenced by the modality in which they receive the input. For instance, confrontation picture naming involves object recognition as the primary input mechanism, followed by activation of the semantic system. The semantic system aids in storing the meaning and has associated information about the activated word. Finally, the semantic system activates modality-specific output lexicons for spoken, written words, and actions. With respect to spoken naming, lexical phonological output systems are activated. Subsequent to semantic and phonologic lexical retrieval stages, the post-lexical and articulatory process aids in the planning and execution of the verbal responses. These complex processes involved in word retrieval are likely to be affected in individuals with brain insult resulting in word retrieval impairment.
The word retrieval breakdown associated with PWAs is mediated by a distributed left hemisphere neural network (Hart & Kraut, 2007). There is a large body of evidence that suggests a lesion in the inferior temporal cortex is responsible for word retrieval impairments. Indeed, these impairments may vary with respect to the grammatical class and the impairments may be more for nouns than for verbs [4, 5, 6]. The lexical phonological output is mediated via the left superior temporal gyrus and inferior parietal cortex [1]. Lesions noted at the left frontal operculum result in non-fluent forms of aphasia, which result in difficulty in retrieving verbs than nouns [4, 5, 6]. Wilshire and Coslett [7] opine that word retrieval impairment can be accredited as an interface between syntactic and lexical processes. As far as the brain structure affected is concerned, the thalamus plays an indispensable role in word retrieval; as a result, lesions at the thalamus result in word retrieval impairment also [8].
3. Treatment approaches
Most of the treatment protocols developed for discrete variants of aphasia address the domains of linguistic deficit in aphasia. This implies that the protocol would be merely beneficial for semantically related deficits or phonological-based deficits. Traditionally, treatment rendered to PWAs relies on a symptomatic approach. Owing to the fact, aphasia is a multifaceted condition and entails the complex nature of the processing, and treatment for PWAs is explained along a continuum of naturalness [9].
One end of the continuum is the participation-based or socially oriented approach that primarily focuses on naturalness. Under this domain, the life participation approach [10] is streamlined as a socially oriented approach. LPAA aids in re-engagement of life to maximize an individual’s quality of life and communication skills. The other hand of the continuum is the impaired-based approach. The impaired-based approach works on the premise of enhancing individuals’ linguistic abilities. Subsequently, the treatment paradigms related to it were designed with the rationale of obviating the damaged processes.
3.1 Impaired-based approach
Impaired-based word retrieval paradigms are deployed to maximize the word retrieval abilities in contexts of speech and conversation. In the recent past, various types of word retrieval paradigms have been meticulously developed to remediate retrieval deficits. These are some of the seminal word retrieval paradigms, for instance, cueing hierarchy, phonological component analysis (PCA), semantic feature analysis (SFA), and Verb Network Strengthening Treatment (VNeST).
3.2 Cueing hierarchies
In cueing hierarchy paradigm, the SLP renders a series of discrete and potent cues to facilitate the targeted word. When PWAs retrieve the desired target word, the clinician encourages to repeat the target word several times, or the clinician presents cues in reverse order until the PWA provides the desired response. While using cueing hierarchy in PWAs, SLPs must ensure the more and less effective cues pertaining to the individual. In this paradigm, the targeted word is elicited through both semantic and phonological cues.
However, few studies highlight the potent role of semantics over phonological cues or vice versa (e.g., [11, 12, 13]). A review study by Patterson (2001) was carried out to uncover the effectiveness of cueing hierarchy in remediating word retrieval failures. The consolidated reports by various studies posit that cueing hierarchy paradigm aids in showing ameliorated performance for the trained words with various levels of retrieval deficits (semantic or phonological).
There are few interesting studies, which appraised the effectiveness of cueing hierarchy paradigm by inculcating variations in the training. Marshall, Karow, Freed, and Babcock [14] compared the effect of personalized cues (i.e., a phrase developed by the individuals themselves) over phonological cues. The findings computed in the study showed that individuals using personalized semantic information (e.g., “Apple is red in color”? or the animal which eats flesh?) outperformed phonological cues alone. Furthermore, the cueing paradigm was trained and developed through software to provide more flexibility and to reach a large population who are deprived of receiving speech-language therapy services.
Over the recent decades, researchers have used a computerized version of cueing hierarchy paradigm. The finding of the study evinced ameliorated performance for the trained words in moderate–severe naming impaired individuals [15, 16].
3.3 Phonological component analysis (PCA)
PCA is one of the renowned treatment approaches to remediate word retrieval deficits [17]. This approach emphasizes the use of self-cueing. In PCA therapy, individuals are presented with a picture placing at the center of the chart, and then, they are asked to name the corresponding picture. Simultaneously, PWAs are asked to identify the phonological components such as rhyming words, the first sound, first sound associate, final sound, and the number of syllables with respect to the target word (Figure 1). While identifying the phonological cues, if individuals fail to produce desired responses, then they are given an array of choices (up to three choices). Out of these choices, individuals need to select one of the choices among three. Choices are presented via letter cards, and the clinician reads these choices aloud. The response elicited is noted in the chart. Once the response generation for each phonological component is complete, PWAs are able to retrieve the target item independently. When they generate the desired response, then positive feedback is provided. Considering the possibilities of errors, the clinician models the desired response and needs reiteration by PWAs.
Figure 1.
Flowchart depicting the procedure of phonological component analysis (PCA) treatment.
The impact of PCA treatment on word retrieval skills per se has been studied in many research studies. The evidences from these studies seem to be conducive as they manifest ameliorated performance in trained items in most of the studies [18, 19]. On the other hand, the findings for PCA on untrained stimuli seem to be less robust. Thus, researchers posit poor generalization skills following PCA treatment [11, 18].
3.4 Semantic feature analysis (SFA)
3.4.1 SFA for objects
SFA intends to manifest ameliorated performance in lexical retrieval abilities per se in PWAs. This treatment systematically trains the target word by activating the discrete semantic attributes, enhancing the semantic networks corresponding to the target word. In this treatment, the clinician places a target word picture card in the center of the chart. The chart comprises the discrete semantic features—superordinate category, use, action, physical properties, location, and association of the corresponding target word (Figure 2). In short, the clinician initially provides the target picture; subsequently, PWAs will be asked to retrieve the corresponding semantic attributes. If PWAs fail to name, then the clinician cues them to retrieve the desired responses. To provide semantic features, the clinician reads the printed cues and provides the relevant features both orally and in written forms. The semantic feature generation aids in distinguishing desired features versus undesired features of the target word. Initially, SFA training emphasizes maximal cueing by the clinician. Eventually, cueing is faded as the training progresses. The semantic features enhance the activation of the corresponding target word; consequently, PWAs name the items without any cues. If PWAs are not able to retrieve the target item and corresponding features, then the clinician delivers the name and features [20].
Figure 2.
Flowchart depicting SFA treatment for noun.
3.4.2 SFA for verbs
Semantic feature analysis treatment for verbs follows a slightly distinct protocol compared to noun training. In this treatment, a picture of the target action will be placed at the center of the chart. The PWA will be asked to retrieve the corresponding action. If they fail, the clinician cues the action verb using the following semantic features—(a) the agent/experiencer of the action (“Who usually does this?”), the theme/patient (“On what/ by whom is it performed?”), the location (“Where does this action happen?”), the purpose of the action (“Why does this happen?”), the means of carrying out the action (“What part of the body or what tool is used to make this happen?”), and the related objects or actions that reminded the participant of the target verb (“What does it make you think of?”). These features were introduced one at a time and in the same order mentioned above. The PWA’s response will be noted down. If the PWA failed to provide the desired response, then the clinician prompts a response. The prompts can be either semantic or phonological. After generating all six semantic features, the PWAs are asked to name the target action without any prompts. Despite these prompts, if the PWA still fails to arrive at desired responses, then the clinician delivers the target action word. The PWA is asked to repeat the action word after the clinician models. Finally, they will be asked to construct a simple sentence using the verb; if they are unable to produce, then the clinician assists in constructing simple sentences or narrating the simple sentences for PWAs. The PWA is prompted to repeat after the clinician narrates the sentence (Figure 3).
Figure 3.
Flowchart depicting SFA treatment for verbs.
Further, to document SFA treatment findings across various studies, a systematic review was conducted [21]. This review study pooled data from 21 studies consisting of 55 PWAs encompassed both fluent and nonfluent variants of aphasia. The findings revealed robust findings for 45 out of 55 PWAs for the trained items; 32 out of 55 PWAs were able to maintain the responses. In addition, 40% of PWAs were able to manifest generalization of response to the untrained stimuli. The SFA treatment manifested robust outcomes for fluent and mild–moderate severity of aphasia compared to nonfluent and severe forms of aphasia [22, 23, 24, 25]. Overall, SFA is deemed as a viable treatment approach in the diminution of word retrieval deficits. In light of these findings, future studies on SFA should focus on observing or noting the generalization on untrained stimuli. A future implication would be that the treatment approach can be extended by documenting the improvement in the discourse genre.
3.5 Verb network strengthening treatment (VNeST)
VNeST was developed on the premise that if treatment paradigms utilized verbs as the core element then it can aid in the activation of a wide array of semantic networks. In addition, it may assist in the construction of simple active sentences. VNeST protocol constitutes a total of six steps to remediate word retrieval deficits [26]. These steps are as follows:
Step one—Generation of Verb, Agent, and Patient: In this step, the clinician probes PWAs to retrieve the verb with the relevant semantic cues. If they are unable to retrieve the target verb, then maximal cueing is provided. Subsequently, PWA will be probed to elicit relevant agents (doer of the action) and patients (receiver of the action) for the intended verb. If PWA fails to elicit the corresponding agent and patient pairs on their own, then they will be provided with a series of choices (maximum cues).
To illustrate, to retrieve the verb “Baking,” the following semantic cues can be used: (a) This is usually done in the kitchen; (b) this is usually done using utensils/stove; (c) this is usually done to prepare bread, cake. For identification of the corresponding agent for the verb “Bake,” individuals will be provided with choices (written cards) of photographer, farmer, and chef. PWA will be asked to identify the corresponding agent for the verb “Bake.” Eventually, a similar cueing strategy will be carried out for the identification of the patient. In addition, PWA will be encouraged to produce agents and patients from their experiences. The rationale of step one is that eliciting a wide array of agent/patient pairs may promote the activation of discrete semantic networks corresponding to the verb.
Step two—Reading the Agent/ Patient Pairs: In this step, the PWA is prompted to read the generated agent/patient pairs corresponding verb. If they fail to read the simple sentence, then the choral reading strategy is employed.
Step three—Response to Wh Questions: The clinician intends to expand the generated agent/patient pairs in this step. That is, PWA is probed with series of “Wh” questions related to the pairs. However, this expansion is confounded to only one pair of agents/patients.
Step four —Judgment: This step is focused on carrying out sentence judgment by the varying agent or patient order. Four combinations of sentences will be presented/read to the PWA—(a) inappropriate agent form (doctor baked cake), (b) inappropriate patient form (chef baked tree), (c) sentence reversal (cake baked chef), and (d) the appropriate form (chef baked cake). The PWA has to judge where each sentence is correct or incorrect. Both steps three and four focus on strengthening the relationship among the verbs and their corresponding agent/patient pairs.
Step five—Independent Retrieval of Verb: In this step, the PWA has to retrieve the verb without any cues. If they are unable to retrieve, then prompts are provided.
Step six—Independent Retrieval of Agent/Patient: This step intends to elicit agent/patient pair for the target verb independently. Here, no prompts or cues will be rendered. This step aids in strengthening the discussed pairs before moving into the successive trained stimuli.
The relevance of steps with respect to the activation system occurring in the VNeST protocol is depicted in Figure 4.
Figure 4.
Activation of the semantic network using VNeST treatment protocol. Edmonds [27].
In order to understand the effectiveness of VNeST treatment, Edmonds [27] conducted a review study. A total of 19 English-speaking PWAs received VNeST treatment across different studies [26, 28, 29, 30]. These studies enrolled PWAs who evinced chronic aphasia with severity ranging between mild and severe form; PWAs showed no impairment or moderate impairment in cognitive-linguistic quick test and had good comprehension scores. Ten verbs were trained. The PWAs enrolled in these studies were trained for 4–15 weeks, twice a week (each session would last for 3–3.5 hours), wherein the majority of PWAs received training for 10 weeks on an average. On the other hand, Furnas and Edmonds [29] provided training thrice a week, with each session would last for 2 hours per session for the time interval of six weeks. Outcomes of this review study served as the preliminary evidence. These studies posit that VNeST training reinforces lexical retrieval at a single word, sentence, and discourse genre across discrete variants of aphasia and with different levels of severity.
In addition, these studies evinced improvement in functional communication, per se. The studies based on VNeST showed ameliorated performance in noun and verb naming, sentence production, and discourse genre across the trained and untrained conditions. Despite these prominent findings, more research is warranted to strengthen these findings. The majority of the studies showed mixed findings while gauging the generalization effect. Equivocal findings were also noted across fluent and nonfluent aphasia and across different levels of severity. These literatures failed to evince the specific pattern or mechanism responsible for showing improvement in specific types of aphasia. Thus, the VNeST training has to be assessed in detail for each type of aphasia.
4. Conclusions
This chapter focuses on some of the word retrieval treatment approaches. These approaches are mainly intended to ameliorate word representation and also to activate the phonological encoding stage of word retrieval. While gauging the effectiveness of any treatment approach, several factors are to be looked upon, namely—(1) maintenance of word retrieval skills per se followed by therapy; (2) response generalization to the untrained conditions and different treatment settings. The treatments discussed in this chapter discerned fairly good generalization and response maintenance in almost all the approaches. However, relatively poor generalization skills are noted in the PCA. Poor responses can be attributed to being surface-level training and redundancy of cues. In cases of more severe word retrieval deficits, the treatment paradigms discussed may not be suitable for the initial phase of treatment. Instead, the clinician must start the treatment with more direct facilitative treatment and gradually progress to the treatment that entails self-generation of words. Owing to this, speech-language pathologists should consider severity before selecting the specific word retrieval treatment.
Commonly raised concern in the treatment-related studies is the superiority of one treatment approach over the other or anyone specific treatment approach is engendered to show maximal benefits. The answers to these questions are still at preliminary levels, and these need to be documented by conducting various research on these lines. To our understanding, in the current scenario, no particular treatment approach is deemed as superior over other treatment approaches at a more advanced level. However, based on the prevailing evidence, the VNeST approach can be claimed as the streamlined approach compared to SFA and PCA at the surface level in remediating word retrieval deficits.
Word retrieval treatments needed to be selected meticulously, and their impact on functional communication needs to be looked into, as word retrieval deficits are engendered to evince a tremendous impact on the day-to-day conversation. In some word retrieval treatments, improvement may be confounded to trained conditions, or improvement may be generalized to few untrained conditions. Owing to this, treatment paradigms selected should include strategies that would aid the PWAs to show improvement even in the functional communication per se.
\n',keywords:"word retrieval, lexical-semantic strengthening, semantic therapy, phonological therapy",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/79198.pdf",chapterXML:"https://mts.intechopen.com/source/xml/79198.xml",downloadPdfUrl:"/chapter/pdf-download/79198",previewPdfUrl:"/chapter/pdf-preview/79198",totalDownloads:133,totalViews:0,totalCrossrefCites:0,dateSubmitted:"September 18th 2021",dateReviewed:"September 28th 2021",datePrePublished:"October 30th 2021",datePublished:null,dateFinished:"October 30th 2021",readingETA:"0",abstract:"Word retrieval deficit is found to be one of the most persistent symptoms reported among the constellation of symptoms exhibited by persons with aphasia (PWAs). This deficit restraints the persons with aphasia to perform with ease across day-to-day conversations. As a consequence, PWAs fail to communicate their desired ideas or thoughts. Word retrieval is an intricate process as it entails various levels of processing. In addition, word retrieval breakdown can occur at multiple levels (semantic level or lexical-semantic level, or phonological level). Thus, there is a need for speech-language pathologists (SLPs) to treat this deficit through effective treatment approaches. In recent decades, semantic feature analysis, verb network strengthening treatment, and phonological component analysis have received greater focus and importance in treating word retrieval deficits. Many studies confirmed that the use of these treatment approaches on PWAs possesses a pivotal role in remediating word retrieval deficits.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/79198",risUrl:"/chapter/ris/79198",signatures:"Deepak Puttanna, Akshaya Swamy, Sathyapal Puri Goswami and Abhishek Budiguppe Panchakshari",book:{id:"10889",type:"book",title:"Aphasia Compendium",subtitle:null,fullTitle:"Aphasia Compendium",slug:null,publishedDate:null,bookSignature:"Prof. Dragos Catalin Jianu and Prof. Dafin F. Muresanu",coverURL:"https://cdn.intechopen.com/books/images_new/10889.jpg",licenceType:"CC BY 3.0",editedByType:null,isbn:"978-1-80355-070-1",printIsbn:"978-1-80355-069-5",pdfIsbn:"978-1-80355-071-8",isAvailableForWebshopOrdering:!0,editors:[{id:"45925",title:"Prof.",name:"Dragos Catalin",middleName:null,surname:"Jianu",slug:"dragos-catalin-jianu",fullName:"Dragos Catalin Jianu"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:null,sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Pathophysiology of naming impairments",level:"1"},{id:"sec_3",title:"3. Treatment approaches",level:"1"},{id:"sec_3_2",title:"3.1 Impaired-based approach",level:"2"},{id:"sec_4_2",title:"3.2 Cueing hierarchies",level:"2"},{id:"sec_5_2",title:"3.3 Phonological component analysis (PCA)",level:"2"},{id:"sec_6_2",title:"3.4 Semantic feature analysis (SFA)",level:"2"},{id:"sec_6_3",title:"3.4.1 SFA for objects",level:"3"},{id:"sec_7_3",title:"3.4.2 SFA for verbs",level:"3"},{id:"sec_9_2",title:"3.5 Verb network strengthening treatment (VNeST)",level:"2"},{id:"sec_11",title:"4. Conclusions",level:"1"}],chapterReferences:[{id:"B1",body:'Goodglass H, Wingfield A. Anomia: Neuroanatomical and Cognitive Correlates. San Diego: Academic Press; 1997'},{id:"B2",body:'Hillis AE, Newhart M. Cognitive neuropsychological approaches to treatment of language disorder: introduction. In: Chapey R, editor. Language intervention strategies in aphasia and related neurogenic communication disorders. 5th ed. 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W., Spencer, K. A., & Kalinyak-Fliszar, M. (1999, October). Effects of deficit-oriented treatments on lexical retrieval in a patient with semantic and phonological deficits. In Brain and Language (Vol. 69, No. 3, pp. 446-450). 525 B ST, STE 1900, San Diego, CA, USA: Academic Press Inc'},{id:"B13",body:'Wambaugh JL, Linebaugh CW, Doyle PJ, Martinez AL, Kalinyak-Fliszar M, Spencer KA. Effects of two cueing treatments on lexical retrieval in aphasic speakers with different levels of deficit. Aphasiology. 2001;15(10-11):933-950'},{id:"B14",body:'Marshall RC, Karow CM, Freed DB, Babcock P. Effects of personalised cue form on the learning of subordinate category names by aphasic and non-brain-damaged subjects. Aphasiology. 2002;16(7):763-771'},{id:"B15",body:'Fink RB, Brecher A, Schwartz MF, Robey RR. A computer-implemented protocol for treatment of naming disorders: Evaluation of clinician-guided and partially self-guided instruction. Aphasiology. 2002;16(10-11):1061-1086'},{id:"B16",body:'Ramsberger, G., & Marie, B. (2007). Self-administered cued naming therapy: A single-participant investigation of a computer-based therapy program replicated in four cases. American Speech Language Pathology. 16:343-58'},{id:"B17",body:'Howard DAVID, Patterson K, Franklin S, Orchard-Lisle V, Morton J. Treatment of word retrieval deficits in aphasia. Brain. 1985;108(8):17-829'},{id:"B18",body:'Hickin J, Best W, Herbert R, Howard D, Osborne F. Phonological therapy for word-finding difficulties: A re-evaluation. Aphasiology. 2002;16(10-11):981-999'},{id:"B19",body:'Greenwood A, Grassly J, Hickin J, Best W. Phonological and orthographic cueing therapy: A case of generalised improvement. Aphasiology. 2010;24(9):991-1016'},{id:"B20",body:'Boyle M. Semantic feature analysis treatment for aphasic word retrieval impairments: What’s in a name? Topics in Stroke Rehabilitation. 2010;17(6):411-422'},{id:"B21",body:'Efstratiadou EA, Papathanasiou I, Holland R, Archonti A, Hilari K. A systematic review of semantic feature analysis therapy studies for aphasia. Journal of Speech, Language, and Hearing Research. 2018;61(5):1261-1278'},{id:"B22",body:'Antonucci SM. The use of semantic feature analysis in group aphasia treatment. Aphasiology. 2009;23:854-866'},{id:"B23",body:'Boyle M. Semantic feature analysis treatment for anomia in two fluent aphasia syndromes. American Journal of Speech Language Pathology. 2004;13:236-249'},{id:"B24",body:'Coelho CA, McHugh RE, Boyle, M. Semantic feature analysis as a treatment for aphasic dysnomia: A replication. Aphasiology. 2000;14(2):133-142'},{id:"B25",body:'Hashimoto N. The use of semantic-and phonological-based feature approaches to treat naming deficits in aphasia. Clinical Linguistics & Phonetics. 2012;26(6):518-553'},{id:"B26",body:'Edmonds LA, Nadeau SE, Kiran S. Effect of verb network strengthening treatment (VNeST) on lexical retrieval of content words in sentences in persons with aphasia. Aphasiology. 2009;23(3):402-424'},{id:"B27",body:'Edmonds LA. A review of verb network strengthening treatment. Topics in Language Disorders. 2016;36(2):123-135'},{id:"B28",body:'Edmonds LA, Babb M. Effect of verb network strengthening treatment in moderate-to-severe aphasia. American Journal of Speech-Language Pathology. 2011;20:131-145'},{id:"B29",body:'Edmonds LA, Mammino K, Ojeda, J. Effect of verb network strengthening treatment (VNeST) in persons with aphasia: Extension and replication of previous findings. American Journal of Speech-Language Pathology. 2014;23(2):312-329'},{id:"B30",body:'Furnas DW, Edmonds, L. A. The effect of computerised Verb Network Strengthening Treatment on lexical retrieval in aphasia. Aphasiology. 2014;28(4):401-420'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Deepak Puttanna",address:"deepakaryan064@gmail.com",affiliation:'
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Definition of Terms:
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Book - collection of Works distributed in a book format, whose selection, coordination, preparation, and arrangement has been performed and published by IntechOpen, and in which the Work is included in its entirety in an unmodified form along with one or more other contributions, each constituting separate and independent sections, but together assembled into a collective whole.
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Work - a book Chapter (as well as Conference Papers), including any and all content, graphics, images and/or other materials forming part of, or accompanying, the Chapter/Conference Paper.
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Attribution – appropriate credit for the used Work or book.
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Rules of Attribution for Works Published by IntechOpen
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With the purpose of protecting Authors' copyright and the transparent reuse of OA (Open Access) content, IntechOpen has developed Rules of Attribution of Works licensed under Creative Commons licenses.
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All Chapters published in IntechOpen books prior to October 2011 are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported license (CC BY-NC-SA 3.0);
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In case you reuse or republish any of the Works licensed under CC licenses, you must abide by the guidelines outlined below:
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1. Rules for reusing of books in their entirety or significant parts of books
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All rights to Books and other compilations published on the IntechOpen platform and in print are reserved by IntechOpen. The Copyright to Books and other compilations is subject to a separate Copyright from any that exists in the included Works.
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A Book in its entirety or a significant part of a Book cannot be translated freely without specific written consent by the publisher. Further information can be obtained at permissions@intechopen.com.
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In instances where permission is obtained from the publisher for reusing or republishing the Book, or significant parts of the Book, all of the following conditions apply:
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Information about the first publisher must be provided – please note the fact that the material was originally published by IntechOpen as an OA (Open Access) publication must be acknowledged;
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All original Academic Editor(s) must be credited;
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Since you are reusing content that someone else created and allowed you to use freely, you must credit all Authors involved;
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The type of license that is available for the Works must be indicated, as well as a link to the license provided, so that others can investigate the terms of the license. You will be aware that the material can be used for free in consequence of the CC license attribution, so you must acknowledge that fact. It is not sufficient that the material is Creative Commons, because that says nothing about how the material can actually be used. There are different CC licenses and you have to identify the specific license that is being used;
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Any original Copyright Notices associated, with the Works which constitute the Book must be kept intact;
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Provision of the original title of the Book, as well as the original titles of any individual Works;
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Provision of the URL where the Book is hosted, with a notice to the effect that the Book is an OA (Open Access) publication;
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Provision of the URL to every individual Work which constitutes the Book with a notice that the Work is an OA (Open Access) publication. As the material has been accessed for free, it is incumbent upon you to provide the source so that others can also access it for free.
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Every single Work that is used has to be attributed in the way described. If you are unsure about proper attribution, please write to permissions@intechopen.com.
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2. Rules of attribution for works published by IntechOpen
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Individual Works originally published in IntechOpen books are licensed under Creative Commons licenses and can be freely used under terms of the respective CC license, if properly attributed. In order to properly attribute the Work you must respect all the conditions outlined below:
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Credit all Authors – since you are reusing contents that someone created and allowed you to use freely, you have to acknowledge authorship;
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Indicate the type of license under which the Work is available and provide the URL to the license so others can find out the license terms. Preferably keep intact any original Copyright Notice associated with the Chapter (if any). You will be aware that the material can be used for free in consequence of the CC license attribution, so you must acknowledge that fact. It is not sufficient that the material is Creative Commons, because that says nothing about how the material can actually be used. There are different CC licenses and you have to identify the specific license that is being used;
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Provide the URL where the Work is hosted, preferably providing the original title of the Work, as well as the original title of the Book with a notification that the Work is an OA (Open Access) publication. As the material has been accessed for free, it is incumbent upon you to provide the source so that others can also access it for free;
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Provide information about the first publisher – please note the fact that the material was originally published by IntechOpen as an OA (Open Access) Work must be acknowledged.
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Every single Work that is used has to be attributed in the way as described. If you are unsure about proper attribution, please contact Us at permissions@intechopen.com.
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In the event that you use more than one of IntechOpen's Works published in one or more books (but not a significant part of the book that is under separate Copyright), each of these have to be properly attributed in the way described.
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IntechOpen does not have any claims on newly created copyrighted Works, but the Works originally published by IntechOpen must be properly attributed.
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All these rules apply to BOTH online and offline use.
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Parts of the Rules of Attribution are based on Work Attributing Creative Commons Materials published by the Australian Research Council Centre of Excellence for Creative Industries and Innovation, in partnership with Creative Commons Australia, which can be found at creativecommons.org.au licensed under Creative Commons Attribution 2.5 Australia license, and Best practices for attribution published by Creative Commons, which can be found at wiki.creativecommons.org under the Creative Commons Attribution 4.0 license.
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All the above rules are subject to change, IntechOpen reserves the right to take appropriate action if any of the conditions outlined above are not met.
Work - a book Chapter (as well as Conference Papers), including any and all content, graphics, images and/or other materials forming part of, or accompanying, the Chapter/Conference Paper.
\n\n
Attribution – appropriate credit for the used Work or book.
\n\n
Creative Commons licenses – enable licensors to retain copyright while allowing others to use their Works in an appropriate way.
\n\n
Rules of Attribution for Works Published by IntechOpen
\n\n
With the purpose of protecting Authors' copyright and the transparent reuse of OA (Open Access) content, IntechOpen has developed Rules of Attribution of Works licensed under Creative Commons licenses.
\n\n
\n\t
All Chapters published in IntechOpen books prior to October 2011 are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported license (CC BY-NC-SA 3.0);
\n\t
All Chapters published in IntechOpen books after October 2011 are licensed under the Creative Commons Attribution 3.0 Unported license (CC BY 3.0);
\n
\n\n
In case you reuse or republish any of the Works licensed under CC licenses, you must abide by the guidelines outlined below:
\n\n
1. Rules for reusing of books in their entirety or significant parts of books
\n\n
All rights to Books and other compilations published on the IntechOpen platform and in print are reserved by IntechOpen. The Copyright to Books and other compilations is subject to a separate Copyright from any that exists in the included Works.
\n\n
A Book in its entirety or a significant part of a Book cannot be translated freely without specific written consent by the publisher. Further information can be obtained at permissions@intechopen.com.
\n\n
In instances where permission is obtained from the publisher for reusing or republishing the Book, or significant parts of the Book, all of the following conditions apply:
\n\n
\n\t
Information about the first publisher must be provided – please note the fact that the material was originally published by IntechOpen as an OA (Open Access) publication must be acknowledged;
\n\t
All original Academic Editor(s) must be credited;
\n\t
Since you are reusing content that someone else created and allowed you to use freely, you must credit all Authors involved;
\n\t
The type of license that is available for the Works must be indicated, as well as a link to the license provided, so that others can investigate the terms of the license. You will be aware that the material can be used for free in consequence of the CC license attribution, so you must acknowledge that fact. It is not sufficient that the material is Creative Commons, because that says nothing about how the material can actually be used. There are different CC licenses and you have to identify the specific license that is being used;
\n\t
Any original Copyright Notices associated, with the Works which constitute the Book must be kept intact;
\n\t
Provision of the original title of the Book, as well as the original titles of any individual Works;
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Provision of the URL where the Book is hosted, with a notice to the effect that the Book is an OA (Open Access) publication;
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Provision of the URL to every individual Work which constitutes the Book with a notice that the Work is an OA (Open Access) publication. As the material has been accessed for free, it is incumbent upon you to provide the source so that others can also access it for free.
\n
\n\n
Every single Work that is used has to be attributed in the way described. If you are unsure about proper attribution, please write to permissions@intechopen.com.
\n\n
2. Rules of attribution for works published by IntechOpen
\n\n
Individual Works originally published in IntechOpen books are licensed under Creative Commons licenses and can be freely used under terms of the respective CC license, if properly attributed. In order to properly attribute the Work you must respect all the conditions outlined below:
\n\n
\n\t
Credit all Authors – since you are reusing contents that someone created and allowed you to use freely, you have to acknowledge authorship;
\n\t
Indicate the type of license under which the Work is available and provide the URL to the license so others can find out the license terms. Preferably keep intact any original Copyright Notice associated with the Chapter (if any). You will be aware that the material can be used for free in consequence of the CC license attribution, so you must acknowledge that fact. It is not sufficient that the material is Creative Commons, because that says nothing about how the material can actually be used. There are different CC licenses and you have to identify the specific license that is being used;
\n\t
Provide the URL where the Work is hosted, preferably providing the original title of the Work, as well as the original title of the Book with a notification that the Work is an OA (Open Access) publication. As the material has been accessed for free, it is incumbent upon you to provide the source so that others can also access it for free;
\n\t
Provide information about the first publisher – please note the fact that the material was originally published by IntechOpen as an OA (Open Access) Work must be acknowledged.
\n
\n\n
Every single Work that is used has to be attributed in the way as described. If you are unsure about proper attribution, please contact Us at permissions@intechopen.com.
\n\n
In the event that you use more than one of IntechOpen's Works published in one or more books (but not a significant part of the book that is under separate Copyright), each of these have to be properly attributed in the way described.
\n\n
IntechOpen does not have any claims on newly created copyrighted Works, but the Works originally published by IntechOpen must be properly attributed.
\n\n
All these rules apply to BOTH online and offline use.
\n\n
Parts of the Rules of Attribution are based on Work Attributing Creative Commons Materials published by the Australian Research Council Centre of Excellence for Creative Industries and Innovation, in partnership with Creative Commons Australia, which can be found at creativecommons.org.au licensed under Creative Commons Attribution 2.5 Australia license, and Best practices for attribution published by Creative Commons, which can be found at wiki.creativecommons.org under the Creative Commons Attribution 4.0 license.
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All the above rules are subject to change, IntechOpen reserves the right to take appropriate action if any of the conditions outlined above are not met.
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Policy last updated: 2016-06-09
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Shohel"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},subject:{topic:{id:"954",title:"Thermodynamics",slug:"thermodynamics",parent:{id:"158",title:"Metals and Nonmetals",slug:"metals-and-nonmetals"},numberOfBooks:2,numberOfSeries:0,numberOfAuthorsAndEditors:61,numberOfWosCitations:7,numberOfCrossrefCitations:10,numberOfDimensionsCitations:15,videoUrl:null,fallbackUrl:null,description:null},booksByTopicFilter:{topicId:"954",sort:"-publishedDate",limit:12,offset:0},booksByTopicCollection:[{type:"book",id:"8416",title:"Non-Equilibrium Particle Dynamics",subtitle:null,isOpenForSubmission:!1,hash:"2c3add7639dcd1cb442cb4313ea64e3a",slug:"non-equilibrium-particle-dynamics",bookSignature:"Albert S. Kim",coverURL:"https://cdn.intechopen.com/books/images_new/8416.jpg",editedByType:"Edited by",editors:[{id:"21045",title:"Prof.",name:"Albert S.",middleName:null,surname:"Kim",slug:"albert-s.-kim",fullName:"Albert S. Kim"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"7661",title:"Heat and Mass Transfer",subtitle:"Advances in Science and Technology Applications",isOpenForSubmission:!1,hash:"c29b5c2ce24925a935ca52b8344fbb99",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",bookSignature:"Alfredo Iranzo",coverURL:"https://cdn.intechopen.com/books/images_new/7661.jpg",editedByType:"Edited by",editors:[{id:"67352",title:"Dr.",name:"Alfredo",middleName:null,surname:"Iranzo",slug:"alfredo-iranzo",fullName:"Alfredo Iranzo"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:2,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"67726",doi:"10.5772/intechopen.86322",title:"CFD Simulation of Heat and Mass Transfer for Climate Control in Greenhouses",slug:"cfd-simulation-of-heat-and-mass-transfer-for-climate-control-in-greenhouses",totalDownloads:1120,totalCrossrefCites:3,totalDimensionsCites:3,abstract:"Greenhouse plant production involves a number of processes such as transpiration, condensation, photosynthesis, and climate control. Such processes, in turn, set off mass and heat transfer phenomena that influence not only the quality and quantity of crop production but also its environmental cost. While these processes have considerably been analyzed in separate, they strongly interact with one another. For instance, increased radiation (mainly thermal infrared) increases temperature, reduces humidity, consequently increases transpiration, and affects CO2 exchange as well as other reaction rates. Computational fluid dynamics (CFD) is a numerical tool with a solid physical basis which allows, through the construction of a computational model, to simulate the fluid flow environment. Heating, ventilation, and condensation have been analyzed in the greenhouse environment with CFD techniques. The current challenge is the interaction of these processes and their impact on the production system. The present work summarizes some CFD investigations carried out in this topic, in order to analyze the processes of heat and mass transfer in a greenhouse for agronomic purposes.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Cruz Ernesto Aguilar Rodriguez and Jorge Flores Velazquez",authors:[{id:"173578",title:"Dr.",name:"Jorge",middleName:null,surname:"Flores-Velazquez",slug:"jorge-flores-velazquez",fullName:"Jorge Flores-Velazquez"}]},{id:"66158",doi:"10.5772/intechopen.84706",title:"Numerical Solution to Two-Dimensional Freezing and Subsequent Defrosting of Logs",slug:"numerical-solution-to-two-dimensional-freezing-and-subsequent-defrosting-of-logs",totalDownloads:620,totalCrossrefCites:3,totalDimensionsCites:3,abstract:"Two-dimensional mutually connected mathematical models have been created, solved, and verified for the transient non-linear heat conduction in logs during their freezing and subsequent defrosting. The models reflect the influence of the internal sources of latent heat of both the free and bound water on the logs’ freezing process and also the impact of the temperature on the fiber saturation point of wood species, with whose participation the current values of the thermo-physical characteristics in each separate volume point of the subjected to freezing and subsequent defrosting logs are computed. The chapter presents solutions of the models with explicit form of the finite-difference method and their validation towards own experimental studies. Results from experimental and simulative investigation of 2D non-stationary temperature distribution in the longitudinal section of beech and pine logs with a diameter of 0.24 m and length of 0.48 m during their many hours freezing in a freezer and subsequent defrosting at room temperature are presented, visualized, and analyzed.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Nencho Deliiski and Natalia Tumbarkova",authors:[{id:"43040",title:"Prof.",name:"Nencho",middleName:"Stanev",surname:"Deliiski",slug:"nencho-deliiski",fullName:"Nencho Deliiski"},{id:"284649",title:"Dr.",name:"Natalia",middleName:"Yordanova",surname:"Tumbarkova",slug:"natalia-tumbarkova",fullName:"Natalia Tumbarkova"}]},{id:"67626",doi:"10.5772/intechopen.86738",title:"The Boundary Element Method for Fluctuating Active Colloids",slug:"the-boundary-element-method-for-fluctuating-active-colloids",totalDownloads:920,totalCrossrefCites:0,totalDimensionsCites:2,abstract:"The boundary element method (BEM) is a computational method particularly suited to solution of linear partial differential equations (PDEs), including the Laplace and Stokes equations, in complex geometries. The PDEs are formulated as boundary integral equations over bounding surfaces, which can be discretized for numerical solution. This manuscript reviews application of the BEM for simulation of the dynamics of “active” colloids that can self-propel through liquid solution. We introduce basic concepts and model equations for both catalytically active colloids and the “squirmer” model of a ciliated biological microswimmer. We review the foundations of the BEM for both the Laplace and Stokes equations, including the application to confined geometries, and the extension of the method to include thermal fluctuations of the colloid. Finally, we discuss recent and potential applications to research problems concerning active colloids. The aim of this review is to facilitate development and adoption of boundary element models that capture the interplay of deterministic and stochastic effects in the dynamics of active colloids.",book:{id:"8416",slug:"non-equilibrium-particle-dynamics",title:"Non-Equilibrium Particle Dynamics",fullTitle:"Non-Equilibrium Particle Dynamics"},signatures:"William E. Uspal",authors:[{id:"279308",title:"Prof.",name:"William",middleName:null,surname:"Uspal",slug:"william-uspal",fullName:"William Uspal"}]},{id:"66487",doi:"10.5772/intechopen.85735",title:"Mean Aspects Controlling Supercritical CO2 Precipitation Processes",slug:"mean-aspects-controlling-supercritical-co-sub-2-sub-precipitation-processes",totalDownloads:736,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"The use of supercritical CO2 is an excellent alternative in extraction, particle precipitation, impregnation and reaction processes due to its special properties. Solubility of the compound in supercritical CO2 drives the precipitation process in different ways. In supercritical antisolvent process, mass and heat transfers, phase equilibria, nucleation, and growth of the compound to be precipitated are the main phenomena that should be taken into account. Mass transfer conditions the morphology and particle size of the final product. This transfer could be tuned altering operating conditions. Heat transfer in non-isothermal process influences on mixing step the size of generated microparticles. In rapid expansion of supercritical solution, phenomena as the phase change from supercritical to a CO2 gas flow, rapid mass transfer and crystallization of the compound, and expansion jet define the morphology and size of the final product. These phenomena a priori could be modulated tuning a large number of operating parameters through the experiments, but the correlations and modeling of these processes are necessary to clarify the relative importance of each one. Moreover, particle agglomeration in the expansion jet and CO2 condensation are determinant phenomena which should be avoided in order to conserve fine particles in the final product.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Antonio Montes, Clara Pereyra and Enrique J. Martínez de la Ossa",authors:[{id:"55991",title:"Mr.",name:"Antonio",middleName:null,surname:"Montes",slug:"antonio-montes",fullName:"Antonio Montes"},{id:"55992",title:"Dr.",name:"Clara",middleName:null,surname:"Pereyra",slug:"clara-pereyra",fullName:"Clara Pereyra"},{id:"55993",title:"Dr.",name:"Enrique",middleName:null,surname:"Martinez De La Ossa",slug:"enrique-martinez-de-la-ossa",fullName:"Enrique Martinez De La Ossa"}]},{id:"66317",doi:"10.5772/intechopen.85254",title:"Review Heat Transfer of Non-Newtonian Fluids in Agitated Tanks",slug:"review-heat-transfer-of-non-newtonian-fluids-in-agitated-tanks",totalDownloads:1001,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"The heating and cooling of non-Newtonian liquids in tanks with mechanical impellers are operations commonly employed as chemical reactors, heat exchangers, distillers, extractors, thinners and decanters. In particular, the design of heat exchangers (jackets, helical coils, spiral coils and vertical tubular baffles) in tanks requires the prior knowledge of the rheology of the liquid for the calculation of the convection coefficients and the Reynolds number, in order to obtain the area thermal exchange. This chapter aimed to present the basic concepts of tanks with agitation, non-Newtonian liquids, hydrodynamics, heat transfer and, finally, with a practical design example for engineers and undergraduate students.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Vitor da Silva Rosa and Deovaldo de Moraes Júnior",authors:[{id:"187128",title:"Ph.D.",name:"Vitor",middleName:null,surname:"Rosa",slug:"vitor-rosa",fullName:"Vitor Rosa"},{id:"188792",title:"Dr.",name:"Deovaldo",middleName:null,surname:"Moraes Júnior",slug:"deovaldo-moraes-junior",fullName:"Deovaldo Moraes Júnior"}]}],mostDownloadedChaptersLast30Days:[{id:"66878",title:"Design of Industrial Falling Film Evaporators",slug:"design-of-industrial-falling-film-evaporators",totalDownloads:1753,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The high performance evaporators are important for process industries such as food, desalination and refineries. The falling film evaporators have many advantages over flooded and vertical tubes that make them best candidate for processes industries application. The heat transfer area is the key parameter in designing of an evaporator and many correlations are available to estimate the size of tube bundle. Unfortunately, most of the correlation is available only for pure water and above 322 K saturation temperatures. Out of these conditions, the areas are designed by the extrapolation of existing correlations. We demonstrated that the actual heat transfer values are 2–3-fold higher at lower temperature and hence simple extrapolated estimation leads to inefficient and high capital cost design. We proposed an accurate heat transfer correlation for falling film evaporators that can capture both, low temperature evaporation and salt concentration effectively. It is also embedded with unique bubble-assisted evaporation parameter that can be only observed at low temperature and it enhances the heat transfer. The proposed correlation is applicable from 280 to 305 K saturation temperatures and feed water concentration ranges from 35,000 to 95,000 ppm. The uncertainty of measured data is less than 5% and RMS of regressed data is 3.5%. In this chapter, first part summarized the all available correlations and their limitations. In second part, falling film evaporation heat transfer coefficient (FFHTC) is proposed and model is developed. In the last part, experimentation is conducted and FFHTC developed and compared with conventional correlations.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Muhammad Wakil Shahzad, Muhammad Burhan and Kim Choon Ng",authors:[{id:"174208",title:"Dr.",name:"Muhammad Wakil",middleName:null,surname:"Shahzad",slug:"muhammad-wakil-shahzad",fullName:"Muhammad Wakil Shahzad"},{id:"249811",title:"Dr.",name:"Muhammad",middleName:null,surname:"Burhan",slug:"muhammad-burhan",fullName:"Muhammad Burhan"},{id:"254696",title:"Prof.",name:"Kim Choon",middleName:null,surname:"Ng",slug:"kim-choon-ng",fullName:"Kim Choon Ng"}]},{id:"66102",title:"Heat and Mass Transfer of Additive Manufacturing Processes for Metals",slug:"heat-and-mass-transfer-of-additive-manufacturing-processes-for-metals",totalDownloads:1302,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Additive manufacturing (AM), a method in which a part is fabricated layer by layer from a digital design package, provides the potential to produce complex components at reduced cost and time. Many techniques (using many different names) have been developed to accomplish this via melting or solid-state joining. However, to date, only a handful can be used to produce metallic parts that fulfill the requirements of industrial applications. The thermal physics and weld pool behaviors in metal AM process have decisive influence on the deposition quality, the microstructure and service performance of the depositions. Accurate analysis and calculation of thermal processes and weld pool behaviors are of great significance to the metallurgy analysis, stress and deformation analysis, process control and process optimization etc. Numerical modeling is also a necessary way to turn welding from qualitative description and experience-based art into quantitative analysis- and science-based engineering branch. In this chapter, two techniques for producing metal parts are explored, with a focus on the thermal science of metal AM: fluid flow and heat transfer. Selective laser melting (SLM) is the one that is most widely used because it typically has the best resolution. Another is named metal fused-coated additive manufacturing (MFCAM) that is cost competitive and efficient in producing large and middle-complex components in aerospace applications.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Zhengying Wei and Jun Du",authors:[{id:"47614",title:"Prof.",name:"Zhengying",middleName:null,surname:"Wei",slug:"zhengying-wei",fullName:"Zhengying Wei"},{id:"282052",title:"Dr.",name:"Jun",middleName:null,surname:"Du",slug:"jun-du",fullName:"Jun Du"}]},{id:"66563",title:"Heat and Mass Transfer in Outward Convex Corrugated Tube Heat Exchangers",slug:"heat-and-mass-transfer-in-outward-convex-corrugated-tube-heat-exchangers",totalDownloads:1037,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"Heat and mass transfer in outward convex corrugated tube heat exchangers is of significant importance for the optimization, fabrication, and application of outward convex corrugated tube heat exchangers. This chapter gives a deep investigation of the heat and mass transfer in outward convex corrugated tube heat exchangers. Based on the experimental setup developed, the performances of a novel outward convex corrugated tube heat exchanger are presented. Simulation methods are then used to detail the heat and mass transfer at tube side and shell side of the outward convex corrugated tube heat exchanger, and these include the flow structure, temperature distribution, and turbulence kinetic energy. Heat and mass transfer enhancements of the outward convex corrugated tube heat exchanger are also studied, and they are from tube side, shell side, and overall system aspects. Finally, multi-objective optimization of the outward convex corrugated tube heat exchanger is conducted to obtain the optimal performances through using Response Surface Methodology (RSM) and Non-dominated Sorting Genetic Algorithm (NSGA-II). Main conclusions and future outlook are then briefly stated and summarized. We firmly believe that the contents presented in this chapter can not only enrich the knowledge of heat exchangers but also develop methods for studying heat exchangers.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Huaizhi Han, Bingxi Li, Yaning Zhang, Quan Zhu and Ruitian Yu",authors:[{id:"23828",title:"Dr.",name:"Quan",middleName:null,surname:"Zhu",slug:"quan-zhu",fullName:"Quan Zhu"},{id:"148369",title:"Prof.",name:"Bingxi",middleName:null,surname:"Li",slug:"bingxi-li",fullName:"Bingxi Li"},{id:"196928",title:"Dr.",name:"Yaning",middleName:null,surname:"Zhang",slug:"yaning-zhang",fullName:"Yaning Zhang"},{id:"281875",title:"Prof.",name:"Huaizhi",middleName:null,surname:"Han",slug:"huaizhi-han",fullName:"Huaizhi Han"},{id:"282268",title:"Mr.",name:"Ruitian",middleName:null,surname:"Yu",slug:"ruitian-yu",fullName:"Ruitian Yu"}]},{id:"66317",title:"Review Heat Transfer of Non-Newtonian Fluids in Agitated Tanks",slug:"review-heat-transfer-of-non-newtonian-fluids-in-agitated-tanks",totalDownloads:1001,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"The heating and cooling of non-Newtonian liquids in tanks with mechanical impellers are operations commonly employed as chemical reactors, heat exchangers, distillers, extractors, thinners and decanters. In particular, the design of heat exchangers (jackets, helical coils, spiral coils and vertical tubular baffles) in tanks requires the prior knowledge of the rheology of the liquid for the calculation of the convection coefficients and the Reynolds number, in order to obtain the area thermal exchange. This chapter aimed to present the basic concepts of tanks with agitation, non-Newtonian liquids, hydrodynamics, heat transfer and, finally, with a practical design example for engineers and undergraduate students.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Vitor da Silva Rosa and Deovaldo de Moraes Júnior",authors:[{id:"187128",title:"Ph.D.",name:"Vitor",middleName:null,surname:"Rosa",slug:"vitor-rosa",fullName:"Vitor Rosa"},{id:"188792",title:"Dr.",name:"Deovaldo",middleName:null,surname:"Moraes Júnior",slug:"deovaldo-moraes-junior",fullName:"Deovaldo Moraes Júnior"}]},{id:"65692",title:"Advances in Concentrated Solar Power: A Perspective of Heat Transfer",slug:"advances-in-concentrated-solar-power-a-perspective-of-heat-transfer",totalDownloads:1114,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Solar energy has the potential to reduce the dependence on the dwindling supply of fossil fuels through concentrated solar power (CSP) technology. CSP plants utilize solar thermal energy to produce electrical energy based on different thermodynamic power cycles. Solar collectors, reflectors, receivers, thermal fluid, and turbines are the main components of each CSP plant and involve intensive heat transfer at all stages. This chapter illustrates the thermal characteristics of the main components used in CSP technology. In addition, the solar thermal fluid characteristics and its stable operational ranges are discussed in this chapter. Heat capacity, vapor pressure, volume expansion, density and viscosity of the thermal fluid should not differ significantly at different temperatures during various operation stages because these variations can cause failure in the system, which is designed at the fixed material properties. Currently, CSP technology is associated with a higher cost compared to the electricity generated through gas power plants. Many efforts are made to search for sustainable and inexpensive materials to minimize the cost of CSP. One critical issue faced by CSP technology is the intermittent nature of the sun. Modern CSP plants integrate thermal energy storage (TES) unit to smoothen the power production or to shift the production from peak sunshine hours to peak demand hours.",book:{id:"7661",slug:"heat-and-mass-transfer-advances-in-science-and-technology-applications",title:"Heat and Mass Transfer",fullTitle:"Heat and Mass Transfer - Advances in Science and Technology Applications"},signatures:"Fadi Alnaimat and Yasir Rashid",authors:[{id:"151722",title:"Dr.",name:"Fadi",middleName:null,surname:"Alnaimat",slug:"fadi-alnaimat",fullName:"Fadi Alnaimat"},{id:"291252",title:"Mr.",name:"Yasir",middleName:null,surname:"Rashid",slug:"yasir-rashid",fullName:"Yasir Rashid"}]}],onlineFirstChaptersFilter:{topicId:"954",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},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:8,numberOfPublishedChapters:87,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:98,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:27,numberOfPublishedChapters:286,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:9,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:139,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:0,numberOfUpcomingTopics:2,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!1},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:106,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:9,numberOfPublishedChapters:101,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:11,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:0,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!1},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:9,numberOfOpenTopics:4,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"24",title:"Sustainable Development",doi:"10.5772/intechopen.100361",issn:null,scope:"
\r\n\tTransforming our World: the 2030 Agenda for Sustainable Development endorsed by United Nations and 193 Member States, came into effect on Jan 1, 2016, to guide decision making and actions to the year 2030 and beyond. Central to this Agenda are 17 Goals, 169 associated targets and over 230 indicators that are reviewed annually. The vision envisaged in the implementation of the SDGs is centered on the five Ps: People, Planet, Prosperity, Peace and Partnership. This call for renewed focused efforts ensure we have a safe and healthy planet for current and future generations.
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\r\n\tThis Series focuses on covering research and applied research involving the five Ps through the following topics:
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\r\n\t1. Sustainable Economy and Fair Society that relates to SDG 1 on No Poverty, SDG 2 on Zero Hunger, SDG 8 on Decent Work and Economic Growth, SDG 10 on Reduced Inequalities, SDG 12 on Responsible Consumption and Production, and SDG 17 Partnership for the Goals
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\r\n\t2. Health and Wellbeing focusing on SDG 3 on Good Health and Wellbeing and SDG 6 on Clean Water and Sanitation
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\r\n\t3. Inclusivity and Social Equality involving SDG 4 on Quality Education, SDG 5 on Gender Equality, and SDG 16 on Peace, Justice and Strong Institutions
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\r\n\t4. Climate Change and Environmental Sustainability comprising SDG 13 on Climate Action, SDG 14 on Life Below Water, and SDG 15 on Life on Land
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\r\n\t5. Urban Planning and Environmental Management embracing SDG 7 on Affordable Clean Energy, SDG 9 on Industry, Innovation and Infrastructure, and SDG 11 on Sustainable Cities and Communities.
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\r\n\tThe series also seeks to support the use of cross cutting SDGs, as many of the goals listed above, targets and indicators are all interconnected to impact our lives and the decisions we make on a daily basis, making them impossible to tie to a single topic.
",coverUrl:"https://cdn.intechopen.com/series/covers/24.jpg",latestPublicationDate:"April 24th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:0,editor:{id:"262440",title:"Prof.",name:"Usha",middleName:null,surname:"Iyer-Raniga",slug:"usha-iyer-raniga",fullName:"Usha Iyer-Raniga",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRYSXQA4/Profile_Picture_2022-02-28T13:55:36.jpeg",biography:"Usha Iyer-Raniga is a professor in the School of Property and Construction Management at RMIT University. Usha co-leads the One Planet Network’s Sustainable Buildings and Construction Programme (SBC), a United Nations 10 Year Framework of Programmes on Sustainable Consumption and Production (UN 10FYP SCP) aligned with Sustainable Development Goal 12. The work also directly impacts SDG 11 on Sustainable Cities and Communities. She completed her undergraduate degree as an architect before obtaining her Masters degree from Canada and her Doctorate in Australia. Usha has been a keynote speaker as well as an invited speaker at national and international conferences, seminars and workshops. Her teaching experience includes teaching in Asian countries. She has advised Austrade, APEC, national, state and local governments. She serves as a reviewer and a member of the scientific committee for national and international refereed journals and refereed conferences. She is on the editorial board for refereed journals and has worked on Special Issues. Usha has served and continues to serve on the Boards of several not-for-profit organisations and she has also served as panel judge for a number of awards including the Premiers Sustainability Award in Victoria and the International Green Gown Awards. Usha has published over 100 publications, including research and consulting reports. Her publications cover a wide range of scientific and technical research publications that include edited books, book chapters, refereed journals, refereed conference papers and reports for local, state and federal government clients. She has also produced podcasts for various organisations and participated in media interviews. She has received state, national and international funding worth over USD $25 million. Usha has been awarded the Quarterly Franklin Membership by London Journals Press (UK). Her biography has been included in the Marquis Who's Who in the World® 2018, 2016 (33rd Edition), along with approximately 55,000 of the most accomplished men and women from around the world, including luminaries as U.N. Secretary-General Ban Ki-moon. In 2017, Usha was awarded the Marquis Who’s Who Lifetime Achiever Award.",institutionString:null,institution:{name:"RMIT University",institutionURL:null,country:{name:"Australia"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"14",title:"Cell and Molecular Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",isOpenForSubmission:!0,editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",slug:"rosa-maria-martinez-espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",biography:"Dr. Rosa María Martínez-Espinosa has been a Spanish Full Professor since 2020 (Biochemistry and Molecular Biology) and is currently Vice-President of International Relations and Cooperation development and leader of the research group 'Applied Biochemistry” (University of Alicante, Spain). Other positions she has held at the university include Vice-Dean of Master Programs, Vice-Dean of the Degree in Biology and Vice-Dean for Mobility and Enterprise and Engagement at the Faculty of Science (University of Alicante). She received her Bachelor in Biology in 1998 (University of Alicante) and her PhD in 2003 (Biochemistry, University of Alicante). She undertook post-doctoral research at the University of East Anglia (Norwich, U.K. 2004-2005; 2007-2008).\nHer multidisciplinary research focuses on investigating archaea and their potential applications in biotechnology. She has an H-index of 21. She has authored one patent and has published more than 70 indexed papers and around 60 book chapters.\nShe has contributed to more than 150 national and international meetings during the last 15 years. Her research interests include archaea metabolism, enzymes purification and characterization, gene regulation, carotenoids and bioplastics production, antioxidant\ncompounds, waste water treatments, and brines bioremediation.\nRosa María’s other roles include editorial board member for several journals related\nto biochemistry, reviewer for more than 60 journals (biochemistry, molecular biology, biotechnology, chemistry and microbiology) and president of several organizing committees in international meetings related to the N-cycle or respiratory processes.",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"15",title:"Chemical Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",isOpenForSubmission:!0,editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. 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He is a member of the Turkish Biochemical Society, American Chemical Society, and German Genetics society. Dr. Ekinci published around ninety scientific papers, reviews and book chapters, and presented several conferences to scientists. He has received numerous publication awards from several scientific councils. 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Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}}]},{type:"book",id:"7978",title:"Vitamin A",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/7978.jpg",slug:"vitamin-a",publishedDate:"May 15th 2019",editedByType:"Edited by",bookSignature:"Leila Queiroz Zepka, Veridiana Vera de Rosso and Eduardo Jacob-Lopes",hash:"dad04a658ab9e3d851d23705980a688b",volumeInSeries:3,fullTitle:"Vitamin A",editors:[{id:"261969",title:"Dr.",name:"Leila",middleName:null,surname:"Queiroz Zepka",slug:"leila-queiroz-zepka",fullName:"Leila Queiroz Zepka",profilePictureURL:"https://mts.intechopen.com/storage/users/261969/images/system/261969.png",biography:"Prof. Dr. Leila Queiroz Zepka is currently an associate professor in the Department of Food Technology and Science, Federal University of Santa Maria, Brazil. 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The applications of this research cover many related fields, such as biotechnology and medicine, where, for example, Bioinformatics contributes to faster drug design, DNA analysis in forensics, and DNA sequence analysis in the field of personalized medicine. Personalized medicine is a type of medical care in which treatment is customized individually for each patient. Personalized medicine enables more effective therapy, reduces the costs of therapy and clinical trials, and also minimizes the risk of side effects. Nevertheless, advances in personalized medicine would not have been possible without bioinformatics, which can analyze the human genome and other vast amounts of biomedical data, especially in genetics. The rapid growth of information technology enabled the development of new tools to decode human genomes, large-scale studies of genetic variations and medical informatics. 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