\\n\\n
IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"5461",leadTitle:null,fullTitle:"Hair and Scalp Disorders",title:"Hair and Scalp Disorders",subtitle:null,reviewType:"peer-reviewed",abstract:"This textbook contains the latest advances and scientific knowledge from the leading experts in hair biology, hair disorders, and clinical trichology. The book consists of ten sections in which hair biology, hair genetics, hair diagnostics, hair loss types, pathogenesis, treatment options, and restoration techniques are discussed. This book also emphasizes on various genetic and nongenetic alopecia types, differential diagnosis, and the measurement of hair loss. One chapter of the book is devoted to natural products for hair care and treatment. We believe that this textbook will serve as a comprehensive guide to many physicians dealing with hair disorders in their clinical practice.",isbn:"978-953-51-3098-7",printIsbn:"978-953-51-3097-0",pdfIsbn:"978-953-51-4857-9",doi:"10.5772/63002",price:139,priceEur:155,priceUsd:179,slug:"hair-and-scalp-disorders",numberOfPages:386,isOpenForSubmission:!1,isInWos:1,isInBkci:!1,hash:"87c272cade1ee498e1b4d6051aa8d41e",bookSignature:"Zekayi Kutlubay and Server Serdaroglu",publishedDate:"May 3rd 2017",coverURL:"https://cdn.intechopen.com/books/images_new/5461.jpg",numberOfDownloads:56227,numberOfWosCitations:18,numberOfCrossrefCitations:20,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:31,numberOfDimensionsCitationsByBook:1,hasAltmetrics:1,numberOfTotalCitations:69,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"April 18th 2016",dateEndSecondStepPublish:"May 9th 2016",dateEndThirdStepPublish:"August 13th 2016",dateEndFourthStepPublish:"November 11th 2016",dateEndFifthStepPublish:"December 11th 2016",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"64792",title:"Dr.",name:"Zekayi",middleName:null,surname:"Kutlubay",slug:"zekayi-kutlubay",fullName:"Zekayi Kutlubay",profilePictureURL:"https://mts.intechopen.com/storage/users/64792/images/5583_n.png",biography:"Zekayi Kutlubay, MD, is a chief physician of Istanbul University Cerrahpasa Medical Faculty Hospital. He is also an associate professor in the Department of Dermatology at Istanbul University Cerrahpasa Medical Faculty in Turkey. He has coauthored over 40 publications and supervised several master, doctoral, and postdoctoral students. His actual research interests are focused on psoriasis, pediatric dermatology, autoimmune bullous diseases, urticaria and allergic diseases, Behçet’s disease, vasculitis, lasers, cosmetic dermatology, facial rejuvenation, hair diseases, mesotherapy, botulinum toxin, and fillers.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"5",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Istanbul University Cerrahpaşa",institutionURL:null,country:{name:"Turkey"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"64794",title:"Mr.",name:"Server",middleName:null,surname:"Serdaroglu",slug:"server-serdaroglu",fullName:"Server Serdaroglu",profilePictureURL:"https://mts.intechopen.com/storage/users/64794/images/5584_n.png",biography:"Server Serdaroglu, MD, is the head of the Department of Dermatology at Istanbul University Cerrahpasa Medical Faculty. He is also a professor in the Department of Dermatology at Istanbul University Cerrahpasa Medical Faculty in Turkey. He has coauthored over 30 publications and supervised several master, doctoral, and postdoctoral students. His actual research interests are focused on psoriasis, hair diseases, pediatric dermatology, autoimmune bullous diseases, urticaria and allergic diseases, lasers, and cosmetic dermatology.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"0",institution:null},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1003",title:"Trichology",slug:"trichology"}],chapters:[{id:"53795",title:"Introductory Chapter: Hair Loss",doi:"10.5772/66984",slug:"introductory-chapter-hair-loss",totalDownloads:2386,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:null,signatures:"Zekayi Kutlubay and Server Serdaroglu",downloadPdfUrl:"/chapter/pdf-download/53795",previewPdfUrl:"/chapter/pdf-preview/53795",authors:[{id:"64792",title:"Dr.",name:"Zekayi",surname:"Kutlubay",slug:"zekayi-kutlubay",fullName:"Zekayi Kutlubay"}],corrections:null},{id:"53880",title:"Anatomy and Physiology of Hair",doi:"10.5772/67269",slug:"anatomy-and-physiology-of-hair",totalDownloads:7684,totalCrossrefCites:5,totalDimensionsCites:8,hasAltmetrics:1,abstract:"Hair is one of the characteristic features of mammals and has various functions such as protection against external factors; producing sebum, apocrine sweat and pheromones; impact on social and sexual interactions; thermoregulation and being a resource for stem cells. Hair is a derivative of the epidermis and consists of two distinct parts: the follicle and the hair shaft. The follicle is the essential unit for the generation of hair. The hair shaft consists of a cortex and cuticle cells, and a medulla for some types of hairs. Hair follicle has a continuous growth and rest sequence named hair cycle. The duration of growth and rest cycles is coordinated by many endocrine, vascular and neural stimuli and depends not only on localization of the hair but also on various factors, like age and nutritional habits. Distinctive anatomy and physiology of hair follicle are presented in this chapter. Extensive knowledge on anatomical and physiological aspects of hair can contribute to understand and heal different hair disorders.",signatures:"Bilgen Erdoğan",downloadPdfUrl:"/chapter/pdf-download/53880",previewPdfUrl:"/chapter/pdf-preview/53880",authors:[{id:"193661",title:"Dr.",name:"Bilgen",surname:"Erdoğan",slug:"bilgen-erdogan",fullName:"Bilgen Erdoğan"}],corrections:null},{id:"53430",title:"Mechanism of Hair Loss from the Point of View of Epidermal Cell Polarity",doi:"10.5772/66735",slug:"mechanism-of-hair-loss-from-the-point-of-view-of-epidermal-cell-polarity",totalDownloads:2642,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The epidermis and hair follicle epithelium have a polarized stratified architecture, and epidermal homeostasis is maintained by stem cell and progenitor populations present in the basal layer of the interfollicular epidermis and in different compartments of the hair follicle. Atypical protein kinase Cs (aPKCs—a subgroup of the PKC family) are localized to tight junctions and regulate the apico-basal epithelial polarity in simple epithelia. In the stratified epidermis, aPKCs are expressed in the basal layer and are implicated in the regulation of oriented cell division by localizing to the apical pole of basal cells during mitosis. Mutant mice harboring epidermis-specific deletion of aPKCλ showed progressive hair loss, abnormal hair cycling, an increase of asymmetric cell division in the epidermis and hair follicles, and a gradual decrease in the hair follicle stem cell (HFSC) population. Lineage tracing analysis has demonstrated that mutant HFSCs lose their stemness and become more committed proliferating progenitors. Moreover, the expressions of quiescence-inducing factors (Bmp6 and Fgf18) were suppressed in the mutant hair follicles. These results clarify a novel function of aPKCλ in maintaining the quiescence of HFSCs and suggest that epidermal cell polarity is a new clue to understanding the pathogenesis of hair loss.",signatures:"Shin-Ichi Osada",downloadPdfUrl:"/chapter/pdf-download/53430",previewPdfUrl:"/chapter/pdf-preview/53430",authors:[{id:"190768",title:"Associate Prof.",name:"Shin-Ichi",surname:"Osada",slug:"shin-ichi-osada",fullName:"Shin-Ichi Osada"}],corrections:null},{id:"53304",title:"Hair Follicle Reconstruction and Stem Cells",doi:"10.5772/66707",slug:"hair-follicle-reconstruction-and-stem-cells",totalDownloads:2183,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"De novo hair follicle (HF) formation in embryonic skin and hair growth in postnatal skin are the result of epithelial-mesenchymal interactions between specialized mesenchymal dermal papilla (DP) and epithelial stem cells that give rise to hairs. Adult HF is a valuable source of different lineages of stem cells (SCs) with morphogenetic potential. Epithelial stem cells are residing in the special compartment of HF (the bulge) and can be mobilized to regenerate the new follicle with each hair cycle and to reepithelialize epidermis during wound repair. This review summarizes the current knowledge on key characteristics of HF SC populations in terms of regenerative potential. General biological principles that govern the mesenchymal-epithelial interactions within the HF and the signaling pathways that control HF development are discussed. The main focus is on recent approaches to reconstruct folliculogenesis in vitro and perspectives of the tissue engineering in alopecia therapy.",signatures:"Ekaterina P. Kalabusheva, Elina S. Chermnykh, Vasily V. Terskikh and\nEkaterina A. Vorotelyak",downloadPdfUrl:"/chapter/pdf-download/53304",previewPdfUrl:"/chapter/pdf-preview/53304",authors:[{id:"191045",title:"Dr.",name:"Ekaterina",surname:"Vorotelyak",slug:"ekaterina-vorotelyak",fullName:"Ekaterina Vorotelyak"},{id:"191046",title:"Ms.",name:"Ekaterina",surname:"Kalabusheva",slug:"ekaterina-kalabusheva",fullName:"Ekaterina Kalabusheva"},{id:"195509",title:"Prof.",name:"Vasily",surname:"Terskikh",slug:"vasily-terskikh",fullName:"Vasily Terskikh"},{id:"195510",title:"Dr.",name:"Elina",surname:"Chermnykh",slug:"elina-chermnykh",fullName:"Elina Chermnykh"}],corrections:null},{id:"54131",title:"The Histological Mechanisms of Hair Loss",doi:"10.5772/67275",slug:"the-histological-mechanisms-of-hair-loss",totalDownloads:2316,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The growing hair resists pulling out of the skin in particular site, where the keratinization of hair cortex and hair cuticle cells as well as the cells of the hair inner root sheath (IS) (being in tight contact) are advanced enough to make them rather strong but lower the level where the hair separates from the hair inner root sheath. The hair which does not grow is kept for some time within the skin by the direct contact of the keratinized hair cortex cells with the cells of the hair outer root sheath. Such contact is absent at the phase of growing hair and even in the case of proliferation inhibition in the follicle bulb causing the lack of hair resistance to pulling it out of the skin several days after inhibition induction.",signatures:"Vsevolodov Eduard Borisovich",downloadPdfUrl:"/chapter/pdf-download/54131",previewPdfUrl:"/chapter/pdf-preview/54131",authors:[{id:"191715",title:"Dr.",name:"Eduard",surname:"Vsevolodov",slug:"eduard-vsevolodov",fullName:"Eduard Vsevolodov"}],corrections:null},{id:"53525",title:"Trichoscopy and Trichogram",doi:"10.5772/66836",slug:"trichoscopy-and-trichogram",totalDownloads:2583,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Hair and scalp examination techniques can be classified into three categories: noninvasive methods (clinical history, general examination, photography, hair count, weighing shed hair, pull test, global hair counts, dermoscopy, electron microscopy, laser scanning microscopy, etc.); semi‐invasive methods (the trichogram, unit areatrichogram); and invasive methods (biopsies in cicatritial alopecia). Scalp dermoscopy or trichoscopy is one of thenoninvasive techniques for the evaluation of patients with hair loss that allows for magnified visualization of the hair and scalp skin. It may be performed with a manual dermoscope (10× magnification) or a videodermoscope (up to 1000× magnification). This method is simple, quick, and easy to perform, is well‐accepted by patients, and is useful for monitoring treatment, determining severity of the disease and follow‐up. It is a simple, minimally invasive and rapid technique for measuring hair follicle activity. Trichogram represents a semi‐invasive technique for the evaluation of patients with hair loss that allows the microscopic examination of hairs plucked from the scalp and provides information about the state of the proximal end of the hair shaft and the distal end. The trichogram is a useful complementary tool for clinical evaluation, diagnosis, and the monitoring of treatment response.",signatures:"Melike Kibar",downloadPdfUrl:"/chapter/pdf-download/53525",previewPdfUrl:"/chapter/pdf-preview/53525",authors:[{id:"189899",title:"Dr.",name:"Melike",surname:"Kibar Ozturk",slug:"melike-kibar-ozturk",fullName:"Melike Kibar Ozturk"}],corrections:null},{id:"53231",title:"Alopecia Areata",doi:"10.5772/66594",slug:"alopecia-areata",totalDownloads:2544,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Alopecia areata is an organ-specific autoimmune disease targeting hair follicles. It causes nonscarring hair loss. The prevalence rate of the disease is approximately 1 in 1000 people worldwide. The condition is most commonly seen as circular areas of hair loss, but it may sometimes be as extensive as to involve the whole scalp or whole body. The complex pathophysiology of alopecia areata involves an autoimmune basis. Association of alopecia areata with other autoimmune diseases, such as thyroiditis and vitiligo, and the good response of patients to immunosuppressive treatment support an autoimmune etiology. Although some poor prognostic signs are defined, the course of the disease is unpredictable and the response to treatment can be variable. To date, there are neither preventive nor curative measures to deal with the condition. First-line therapy for patchy disease is topical and intralesional steroids, whereas extensive disease is conventionally managed with immunotherapy. New treatment agents, such as excimer laser, low-dose recombinant interleukin 2, Janus kinase inhibitors, and simvastatin/ezetimibe, are promising.",signatures:"Burhan Engin, Muazzez Çiğdem Oba and Yalçın Tüzün",downloadPdfUrl:"/chapter/pdf-download/53231",previewPdfUrl:"/chapter/pdf-preview/53231",authors:[{id:"64793",title:"Prof.",name:"Burhan",surname:"Engin",slug:"burhan-engin",fullName:"Burhan Engin"}],corrections:null},{id:"54176",title:"Telogen Effluvium",doi:"10.5772/66975",slug:"telogen-effluvium",totalDownloads:1938,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Telogen effluvium (TE) is a noninflammatory disease characterized by diffuse loss of telogen hair. It is the most frequent cause of diffuse hair loss and the actual incidence of the disease is not known. According to the underlying etiology, TE could be physiologically and pathologically classified. The evaluation of a patient with TE includes a detailed history, physical examination, and laboratory tests. The patients should be questioned in terms of TE subtype, duration, and clinical course of hair loss. The most important point in the treatment of TE is to consult about the natural course of the disease.",signatures:"Emin Ozlu and Ayse Serap Karadag",downloadPdfUrl:"/chapter/pdf-download/54176",previewPdfUrl:"/chapter/pdf-preview/54176",authors:[{id:"188975",title:"Associate Prof.",name:"Ayse Serap",surname:"Karadag",slug:"ayse-serap-karadag",fullName:"Ayse Serap Karadag"},{id:"189961",title:"Dr.",name:"Emin",surname:"Ozlu",slug:"emin-ozlu",fullName:"Emin Ozlu"}],corrections:null},{id:"54721",title:"Androgenic Alopecia: Cross-Talk Between Cell Signal Transduction Pathways",doi:"10.5772/67845",slug:"androgenic-alopecia-cross-talk-between-cell-signal-transduction-pathways",totalDownloads:2906,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"Signaling pathways that control coordination of hair follicle cells genetic program are the convenient model for explaining the hierarchy of intercellular interactions governing cyclic growth of hair. This chapter describes models of molecular signaling pathways specific to dermal papilla cells from balding human scalp in hair follicle cycle. These models include already published data, as well as information inferred from pathway analysis of microarray data and protein-protein interaction database. Interplay of androgenic-alopecia-related signaling pathways FGF, TGFB, BMP, and WNT, as well as cyclin-dependent kinases signaling, is shown.",signatures:"Anastasia Nesterova and Anton Yuryev",downloadPdfUrl:"/chapter/pdf-download/54721",previewPdfUrl:"/chapter/pdf-preview/54721",authors:[{id:"189400",title:"Dr.",name:"Anastasia",surname:"Nesterova",slug:"anastasia-nesterova",fullName:"Anastasia Nesterova"},{id:"205662",title:"Dr.",name:"Anton",surname:"Yuryev",slug:"anton-yuryev",fullName:"Anton Yuryev"}],corrections:null},{id:"53933",title:"Cicatricial Alopecias",doi:"10.5772/67277",slug:"cicatricial-alopecias",totalDownloads:1760,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Primary cicatricial alopecias (PCA) are a rare group of disorders in which the hair follicle is the main target of destructive inflammation resulting in irreversible hair loss with scarring of affected lesions. Inflammation may predominantly involve lymphocytes or neutrophils. Cicatricial alopecias that mainly involve lymphocytic inflammation include lichen planopilaris, discoid lupus erythematosus, pseudopelade (Brocq), central centrifugal alopecia, alopecia mucinosa, and keratosis follicularis spinulosa decalvans. Cicatricial alopecias that are due to predominantly neutrophilic inflammation include folliculitis decalvans and dissecting cellulitis of the scalp. Acne keloidalis, acne necrotica, and erosive pustular dermatosis are cicatricial alopecias with a mixed inflammatory infiltrate.",signatures:"Ibrahim Halil Yavuz, Goknur Ozaydin Yavuz and Serap Gunes Bilgili",downloadPdfUrl:"/chapter/pdf-download/53933",previewPdfUrl:"/chapter/pdf-preview/53933",authors:[{id:"190495",title:"Associate Prof.",name:"Serap Gunes",surname:"Bilgili",slug:"serap-gunes-bilgili",fullName:"Serap Gunes Bilgili"},{id:"191273",title:"Dr.",name:"Goknur",surname:"Ozaydin Yavuz",slug:"goknur-ozaydin-yavuz",fullName:"Goknur Ozaydin Yavuz"},{id:"191275",title:"Dr.",name:"Ibrahim Halil",surname:"Yavuz",slug:"ibrahim-halil-yavuz",fullName:"Ibrahim Halil Yavuz"}],corrections:null},{id:"53947",title:"Infections, Infestations and Neoplasms of the Scalp",doi:"10.5772/67278",slug:"infections-infestations-and-neoplasms-of-the-scalp",totalDownloads:3433,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"This chapter reviews common cutaneous infections, infestations, and neoplasms of the scalp. Infections of the scalp are subdivided into three major groups. The most seen are: (1) Bacterial: Folliculitis, folliculitis decalvans, tufted hair folliculitis and acne keloidalis nuchae. (2) Fungal: Tinea capitis, favus and kerion celsi. (3) Protozoal: Syphilitic alopecia. Pediculosis capitis is the most common worldwide infestation of the scalp. The neoplasms of the scalp are large group of different diseases due to arising different origin. In the following section, trichilemmal cyst, proliferating trichilemmal cyst, nevus sebaceous and cylindroma are discussed in detail.",signatures:"Filiz Canpolat",downloadPdfUrl:"/chapter/pdf-download/53947",previewPdfUrl:"/chapter/pdf-preview/53947",authors:[{id:"191617",title:"Associate Prof.",name:"Filiz",surname:"Canpolat",slug:"filiz-canpolat",fullName:"Filiz Canpolat"}],corrections:null},{id:"53306",title:"Trichotillomania and Traction Alopecia",doi:"10.5772/66746",slug:"trichotillomania-and-traction-alopecia",totalDownloads:2387,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Trichotillomania and traction alopecia are chronic habitual disorders characterized by repetitive pulling of hair that results in alopecia. They are commonly observed in children and adolescents but may present in adults due to occupational or traditional behavioral patterns. Trichotillomania (hair‐pulling disorder) has been described more than a century ago, but we still have very limited data about its etiology and treatment. It is classified under the obsessive‐compulsive and related disorders along with hoarding disorder, skin‐picking disorder (excoriation) and body dysmorphic disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐5; American Psychiatric Association, May 2013). Traction alopecia is defined as loss of hair caused by repetitive or continuous and prolonged tension applied to the hair, usually on the scalp periphery and associated with mechanical traction of hair due to occupational behavioral patterns such as ballerinas or traditional behavioral patterns of hairstyles that cause tension. We aim to overview the clinical and diagnostic features of trichotillomania and traction alopecia and review the therapeutic options of these disorders in this chapter.",signatures:"Tugba Kevser Uzuncakmak, Melek Aslan Kayıran, Burak Tekin and\nFiliz Cebeci",downloadPdfUrl:"/chapter/pdf-download/53306",previewPdfUrl:"/chapter/pdf-preview/53306",authors:[{id:"193582",title:"Dr.",name:"Tugba Kevser",surname:"Uzuncakmak",slug:"tugba-kevser-uzuncakmak",fullName:"Tugba Kevser Uzuncakmak"},{id:"193587",title:"Dr.",name:"Filiz",surname:"Cebeci",slug:"filiz-cebeci",fullName:"Filiz Cebeci"},{id:"193588",title:"Dr.",name:"Melek",surname:"Aslan Kayıran",slug:"melek-aslan-kayiran",fullName:"Melek Aslan Kayıran"},{id:"193589",title:"Dr.",name:"Burak",surname:"Tekin",slug:"burak-tekin",fullName:"Burak Tekin"}],corrections:null},{id:"52801",title:"Psychosocial Aspects of Hair Loss",doi:"10.5772/66156",slug:"psychosocial-aspects-of-hair-loss",totalDownloads:2507,totalCrossrefCites:6,totalDimensionsCites:7,hasAltmetrics:1,abstract:"Hair loss (alopecia) is a common dermatological condition that affects men and women of all ages. It can be due to a wide variety of causes including scarring and non-scarring diseases. Although alopecia is not a life-threatening condition, it has significant psychological impact on the quality of life. Mental disorders such as anxiety, depression, social phobia, posttraumatic stress disorder, and suicidal thoughts are increased among alopecia patients. On the other hand, alopecia frequency increases during the course of psychological disorders. In this chapter, psychosocial aspects of hair loss and the relationship between alopecia and psychological disorders are reviewed.",signatures:"Hilal Gokalp",downloadPdfUrl:"/chapter/pdf-download/52801",previewPdfUrl:"/chapter/pdf-preview/52801",authors:[{id:"193580",title:"M.D.",name:"Hilal",surname:"Gokalp",slug:"hilal-gokalp",fullName:"Hilal Gokalp"}],corrections:null},{id:"54484",title:"Hair Loss in Children, Etiologies, and Treatment",doi:"10.5772/67379",slug:"hair-loss-in-children-etiologies-and-treatment",totalDownloads:2253,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Hair loss in children is a common and important complaint in dermatology and pediatric clinics and can be considered as a difficult and challenging problem in some cases. Early management is needed as this has its effect on development of normal mental and physical growth of children. Alopecia or hair loss is of particular concern in pediatric group, as it is associated with more significant psychological consequences in this growing age group and has patterns that are different from that seen in adults. There are common and uncommon causes for this complaint, and this usually covers a broad differential diagnosis. This chapter has been written in an attempt to distinguish the types of hair loss (acquired and congenital, common and uncommon), to facilitate the diagnostic causes of this problem, and finally to reach a proper treatment.",signatures:"Khitam Al-Refu",downloadPdfUrl:"/chapter/pdf-download/54484",previewPdfUrl:"/chapter/pdf-preview/54484",authors:[{id:"51233",title:"Dr.",name:"Khitam",surname:"Al-Refu",slug:"khitam-al-refu",fullName:"Khitam Al-Refu"}],corrections:null},{id:"53490",title:"Follicular Unit Extraction (FUE) Hair Transplantation",doi:"10.5772/66837",slug:"follicular-unit-extraction-fue-hair-transplantation",totalDownloads:2480,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Throughout the world, over 60% of men and 50% of women suffer from androgenetic alopecia and irreversible hair loss. This type of hair loss is a seminatural process, and medication can only temporarily inhibit it. At the moment, the solution for either androgenetic alopecia or other irreversible hair loss problems is the hair transplantation. Besides androgenetic alopecia, the many irreversible hair losses are being applied successfully by hair transplantation. In the past 10–15 years, a new hair restoration technique was introduced. This method is called follicular unit extraction (FUE) technique. FUE is an alternative which allows for quick extraction of follicular unit grafts. The hair transplantation can be used in various problems such as alopecia areata, congenital alopecia, burn sequelae, eyelash-eyebrow loss, beard loss, and mustache loss. In addition, it can camouflage the scars. The main objective of hair transplantation is to restore hair loss. We may not be able to recreate the appearance that the patients had in their early twenties; however, realistic expectations can be met with the help of technology. Based on our experience, FUE is the method that gives us the opportunity to best meet all patients’ hair transplantation expectations.",signatures:"Safvet Ors",downloadPdfUrl:"/chapter/pdf-download/53490",previewPdfUrl:"/chapter/pdf-preview/53490",authors:[{id:"189369",title:"Dr.",name:"Safvet",surname:"Örs",slug:"safvet-ors",fullName:"Safvet Örs"}],corrections:null},{id:"54527",title:"Complications of Hair Transplantation",doi:"10.5772/66838",slug:"complications-of-hair-transplantation",totalDownloads:2532,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Recently, hair transplantation has been frequently commonly applied for aesthetic surgical procedures. Hair transplantation has a low complication rate compared to other aesthetic surgical procedures. However, it can cause serious complications if proper attention is not given. But there are a wide range of possible complications that are less severe and manageable. Common postoperative complications include pain, edema, asymmetry, bleeding, visible scarring, folliculitis, crusting, graft dislodgement, hiccups, effluvium, pruritus, and hypoesthesia. Other less common postoperative complications include hypertrophic scarring and keloid, arteriovenous fistula, infection, cobblestoning, syncope, pigment alteration, necrosis, granulomatous reaction, pyogenic granuloma, and Kaposi’s varicelliform eruptions. The most serious complication of hair transplantation is necrosis.",signatures:"Murat Küçüktaş",downloadPdfUrl:"/chapter/pdf-download/54527",previewPdfUrl:"/chapter/pdf-preview/54527",authors:[{id:"189869",title:"M.D.",name:"Murat",surname:"Küçüktaş",slug:"murat-kucuktas",fullName:"Murat Küçüktaş"}],corrections:null},{id:"53233",title:"New Modalities in the Treatment of Refractory Alopecia Areata",doi:"10.5772/66591",slug:"new-modalities-in-the-treatment-of-refractory-alopecia-areata",totalDownloads:1928,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Alopecia areata (AA) is a common and complex T-cell–mediated inflammatory disorder. It may be patchy (localized), involve the entire scalp (alopecia totalis) or entire body (alopecia universalis). Alopecia totalis and universalis are often difficult to treat. Although many therapeutic options currently exist in alopecia areata, none of them are curative or preventive. Besides, none of them are approved by Food and Drug Administration (FDA). The disease unfortunately has an unpredictable course. The factors indicating a poor prognosis are the extent of hair loss at the presentation, long duration of the disease, and ophiasis pattern of hair loss. There are only a few randomized controlled studies conducted on recalcitrant AA. Recent research on immunology of hair follicle and recent developments in immunopathogenesis, together with the shared pathways of the disease with other autoimmune disorders, led investigators to focus on novel therapies that target specific immunological pathways. Herein, we will review shortly the current treatment options in recalcitrant alopecia areata based on recently published studies and then will focus on the recently developed broad-spectrum and targeted therapeutics.",signatures:"Arzu Kılıç",downloadPdfUrl:"/chapter/pdf-download/53233",previewPdfUrl:"/chapter/pdf-preview/53233",authors:[{id:"189895",title:"Prof.",name:"Arzu",surname:"Kilic",slug:"arzu-kilic",fullName:"Arzu Kilic"}],corrections:null},{id:"54160",title:"Cosmetic Procedures in the Treatment of Alopecia",doi:"10.5772/66747",slug:"cosmetic-procedures-in-the-treatment-of-alopecia",totalDownloads:3339,totalCrossrefCites:1,totalDimensionsCites:3,hasAltmetrics:1,abstract:"Alopecia has a significant negative impact on the quality of life. Unfortunately, there is no satisfactory cure for most types of alopecia. Alopecia is divided into cicatricial and noncicatricial types. Androgenetic alopecia, alopecia areata, and telogen effluvium are common forms of noncicatricial alopecias. In order to treat or improve the appearance, various procedures that are being applied for different types of alopecia including mesotherapy, microneedling, platelet‐rich plasma, low‐level light therapy, and stem‐cell therapy with variable outcomes are reviewed in this chapter.",signatures:"Selda Pelin Kartal, Cemile Altunel and Bilgen Gencler",downloadPdfUrl:"/chapter/pdf-download/54160",previewPdfUrl:"/chapter/pdf-preview/54160",authors:[{id:"72686",title:"Prof.",name:"Selda Pelin",surname:"Kartal",slug:"selda-pelin-kartal",fullName:"Selda Pelin Kartal"}],corrections:null},{id:"53297",title:"Alternative Medicine for Hair Loss",doi:"10.5772/66593",slug:"alternative-medicine-for-hair-loss",totalDownloads:6430,totalCrossrefCites:1,totalDimensionsCites:2,hasAltmetrics:0,abstract:"In recent years, people have begun to give further emphasis to the external beauty, especially for their hair. Except drugs with proven effectiveness, complementary and alternative treatment options that have not yet been clarified of their effectiveness and side effect profiles have been used for centuries. Many plants or their extracts are widely used to prevent hair loss and treat alopecia (e.g., androgenetic alopecia, alopecia areata, or traction alopecia) worldwide, especially in Far Eastern countries. The mechanisms of action of these plants are still unknown. Although there are little randomized-controlled studies investigating the effectiveness in the treatment of hair loss, reported results have demonstrated that complementary and alternative medicine will become much more popular in the near future.",signatures:"Gurkan Yardimci",downloadPdfUrl:"/chapter/pdf-download/53297",previewPdfUrl:"/chapter/pdf-preview/53297",authors:[{id:"193590",title:"Dr.",name:"Gurkan",surname:"Yardimci",slug:"gurkan-yardimci",fullName:"Gurkan Yardimci"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"5941",title:"Fundamentals of Sexually Transmitted Infections",subtitle:null,isOpenForSubmission:!1,hash:"213a3a4ce4fd55711c78e9a7acaf6939",slug:"fundamentals-of-sexually-transmitted-infections",bookSignature:"Server Serdaroglu and Zekayi Kutlubay",coverURL:"https://cdn.intechopen.com/books/images_new/5941.jpg",editedByType:"Edited by",editors:[{id:"64792",title:"Dr.",name:"Zekayi",surname:"Kutlubay",slug:"zekayi-kutlubay",fullName:"Zekayi Kutlubay"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3038",title:"Current Genetics in Dermatology",subtitle:null,isOpenForSubmission:!1,hash:"384a276072f522c3aea68f9d2a0dbfd8",slug:"current-genetics-in-dermatology",bookSignature:"Naoki Oiso",coverURL:"https://cdn.intechopen.com/books/images_new/3038.jpg",editedByType:"Edited by",editors:[{id:"32053",title:"Dr.",name:"Naoki",surname:"Oiso",slug:"naoki-oiso",fullName:"Naoki Oiso"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6961",title:"Alopecia",subtitle:null,isOpenForSubmission:!1,hash:"211055d552abe032133f7281ea2b13dd",slug:"alopecia",bookSignature:"Muhammad Ahmad",coverURL:"https://cdn.intechopen.com/books/images_new/6961.jpg",editedByType:"Edited by",editors:[{id:"204257",title:"Dr.",name:"Muhammad",surname:"Ahmad",slug:"muhammad-ahmad",fullName:"Muhammad Ahmad"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3092",title:"Anopheles mosquitoes",subtitle:"New insights into malaria vectors",isOpenForSubmission:!1,hash:"c9e622485316d5e296288bf24d2b0d64",slug:"anopheles-mosquitoes-new-insights-into-malaria-vectors",bookSignature:"Sylvie Manguin",coverURL:"https://cdn.intechopen.com/books/images_new/3092.jpg",editedByType:"Edited by",editors:[{id:"50017",title:"Prof.",name:"Sylvie",surname:"Manguin",slug:"sylvie-manguin",fullName:"Sylvie Manguin"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. 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The book includes information about the genetics of various types of muscular dystrophies as well as explores new and current therapeutic strategies that aim to ameliorate symptoms and improve patients’ quality of life and life expectancy. In addition, this book reviews information on current clinical trials for muscular dystrophies and presents a framework for what to consider during the design of these trials.",isbn:"978-1-83968-475-3",printIsbn:"978-1-83968-474-6",pdfIsbn:"978-1-83968-476-0",doi:"10.5772/intechopen.87261",price:119,priceEur:129,priceUsd:155,slug:"muscular-dystrophy-research-updates-and-therapeutic-strategies",numberOfPages:116,isOpenForSubmission:!1,isSalesforceBook:!1,hash:"dd601de843019d51e1769a26cf7e1acc",bookSignature:"Gisela Gaina",publishedDate:"December 23rd 2020",coverURL:"https://cdn.intechopen.com/books/images_new/9477.jpg",keywords:null,numberOfDownloads:3550,numberOfWosCitations:0,numberOfCrossrefCitations:1,numberOfDimensionsCitations:2,numberOfTotalCitations:3,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"December 3rd 2019",dateEndSecondStepPublish:"March 9th 2020",dateEndThirdStepPublish:"May 8th 2020",dateEndFourthStepPublish:"July 27th 2020",dateEndFifthStepPublish:"September 25th 2020",remainingDaysToSecondStep:"2 years",secondStepPassed:!0,currentStepOfPublishingProcess:5,editedByType:"Edited by",kuFlag:!1,biosketch:null,coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"242747",title:"Dr.",name:"Gisela",middleName:null,surname:"Gaina",slug:"gisela-gaina",fullName:"Gisela Gaina",profilePictureURL:"https://mts.intechopen.com/storage/users/242747/images/system/242747.jpg",biography:"Florina Gisela Gaina, PhD, currently works at 'Victor Babes” National Institute of Pathology, Bucharest, Romania. 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Modern and complex aortic valve surgery is dependent on extracorporeal circulation established first in 1953 by Gibbon [1]. The first, Hufnagel’s aortic valve was implanted in the descending aorta in 1956 [2] and from then on annual numbers of aortic valve procedures performed through a full median sternotomy have risen significantly over the next decades. In 2002, Cribier performed the first transcatheter aortic valve implantation (TAVI), which paved the way for percutaneously resolving patients with prohibitive surgical risk [3]. Although, first minimally invasive approaches were developed a decade earlier, they gained increased interest after ever looser indications for TAVI. That dictated a response from the cardiac surgery society. Cosgrove performed the first minimally invasive aortic valve replacement (AVR) through a right parasternal approach back in 1996 [4]. In the same decade, more minimally invasive approaches were developed, such as upper mini-sternotomy, anterior right mini-thoracotomy (ART) or transverse sternotomy. Today, most isolated AVRs are performed through either upper mini-sternotomy or ART (Figure 1) with reduced pain, improved respiratory function, early recovery and an overall reduction in trauma.
Different approaches for aortic valve surgery. Left: median sternotomy; middle: upper mini-sternotomy; right: anterior right mini-thoracotomy.
Regardless of the approach, some essentials must not be compromised in aortic valve surgery. These include safe application of a stable aortic cross-clamp, adequate visualization of the aortic valve, ensuring the same degree of myocardial protection as in median sternotomy, enabled approach to the aortic root and ascending aorta, and ability to quickly convert to median sternotomy if needed.
The present chapter aims to describe the two most commonly used minimally invasive approaches to aortic valve surgery (upper mini-sternotomy and ART) with a special focus on surgical technique and outcomes.
Skin incision runs over the upper half of the sternum and is usually <10 cm long. Sternotomy can be performed with either the standard (our preference) or oscillating saw and is performed in a “J” matter into the right 3rd (Maribor preference) or 4th (Graz preference) intercostal space. The selected intercostal space is determined by the total sternal length, method of myocardial protection delivery (antegrade or combined ante−/retrograde cardioplegia) and surgeon preference. If exposure of the aortic valve is not satisfying, the “J” mini-sternotomy can be modified to a “T” mini-sternotomy or converted to a full median sternotomy. However, care must be taken during sternotomy osteosynthesis when more than two sternal fragments are present to avoid excessive postoperative bleeding or sternal dehiscence. In upper “J” mini-sternotomy, prophylactic division of the right internal thoracic artery (RITA) is not required.
A small-blade retractor is inserted and the pericardium is opened in a longitudinal matter (Figure 2) [5]. Two to three stay sutures on both sides are applied and the intrapericardial contents are lifted upwards. Care must be taken not to reduce cardiac preload, which could lead to patient deterioration in the presence of severe aortic valve stenosis.
Incision of the pericardium through an upper mini-sternotomy [
The cardiopulmonary bypass could be established centrally or peripherally. At our institutions, central cannulation remains the preferred option except in cases of severe ascending aortic calcifications. After systemic heparinization with 300 I.U./kg to achieve an activated clotting time (ACT) > 480 s, the distal ascending aorta is cannulated through two Prolene 3-0 purse-string sutures with pledgets placed in a circular fashion. A double-stage venous cannula is placed through a single Prolene 3-0 purse-string suture either through the right atrial appendage (Graz preference) or in the superior vena cava (Maribor preference). When cannulating the right atrial appendage, the venous cannula could be positioned to the side of the mini-sternotomy wound or under the undivided sternum and beneath the xiphoid (Figure 3) [6].
Upper mini-sternotomy. Operative field and sternal incision [
The choice of cardioplegia dictates the type of cannulation. Some cardioplegic solutions (for example del Nido extracellular crystalloid cardioplegia) require only antegrade delivery. On the other hand, other solutions (such as blood cardioplegia or St. Thomas extracellular crystalloid cardioplegia) enhance myocardial protection when administered via both ante- and retrograde fashion. In that case, the retrograde cardioplegic cannula is inserted in the coronary sinus through a single Prolene 3-0 U-suture placed between the venous cannula and the inferior vena cava. The antegrade cardioplegic cannula is inserted in the proximal ascending aorta through a single Prolene 3-0 U-suture.
After placing the patient on cardiopulmonary bypass, a left ventricular vent is placed through the right superior pulmonary vein or directly through the aorta. Patients could be safely operated on in normothermia (Maribor preference) or mild hypothermia (34°C) (Graz preference).
The aorta is cross-clamped, cardioplegia is administered and the intrapericardial sac is flushed with cold saline to topically cool the heart. An oblique semicircular incision is made into the ascending aorta and three stay sutures are applied to each commissure (Figure 4) [5].
Superior view of the aortic valve [
The aortic valve is excised with a 2-mm margin-left on the aortic annulus. After flushing the left ventricular outflow tract (LVOT) and ascending aorta to remove residual calcified particles, an appropriate artificial valve sizer is introduced. Interrupted Ticron 2-0 U-sutures with pledgets are placed through the annulus with pledgets on the ventricular side. Care must be taken on the commissure between the right and a coronary leaflets not to injure the AV node. When an appropriate valve size is chosen, these sutures are placed on the sewing ring and the valve is lowered into the aortic annulus. The sutures are tied either by hand or by novel artificial tying devices (e.g., Cor-Knot). Coronary ostia are carefully inspected to prevent catastrophic consequences (Figure 5).
Probing the coronary ostia (courtesy of Medical University of Graz).
The aortotomy is closed using two Prolene 4-0 running sutures, both starting at the aortotomy edges. The patient is rewarmed if needed and the heart is de-aired mostly through a needle incision in the ascending aorta, just distal to the aortotomy. After removing the aortic cross-clamp, a rhythm check is required. If ventricular fibrillation, external defibrillation is applied. When sinus rhythm occurs, an epicardial temporary pacemaker wire is placed on the right ventricle. This maneuver is facilitated when the heart is actively emptied through the venous cannula and the wire is then pulled out through the 3rd right intercostal space.
Also, during active venous drainage, the external drains are placed. Usually, one retrosternal drain is sufficient placed either through the subxiphoid area or the 3rd right intercostal space lateral to the RITA. Another viable option is also placement of transpleural drainage tubes.
Weaning from cardiopulmonary bypass follows after complete reperfusion with step-by-step decannulation and oversewing all cannulated spots with Prolene 5-0. Simultaneously with aortic decannulation, protamine is administered in a 1:1 ratio to reverse the effects of heparine. With the pericardium left open, sternal osteosynthesis is performed with one obliquely placed wire between the non-divided lower sternum and the 2nd right intercostal space and one figure-of-eight placed wire around the manubrio-sternal joint. Finally, fascia, subcutaneous tissue and skin are sutured, respectively.
To consider this approach, a preoperative chest computed tomography (CT) scan is mandatory to assess the relationship of intrathoracic structures, especially the distance of the aortic root to the right-sided rib cage. The main criteria are: (1) the position of more than half of the ascending aorta is over the pulmonary artery on the right side of the sternum and (2) the distance of the ascending aorta from the sternum is <10 cm [7, 8]. Over the 2nd right intercostal space, a <10 cm long incision is made with the medial portion at the sternal edge. The intercostal muscles are sharply divided using electrocautery. Upon entering the thoracic cavity, the superior right pulmonary lobe is retracted using selective bilateral lung intubation and prophylactic division of the RITA is necessary to prevent extensive blood loss. A small-blade retractor is inserted and the pericardium is opened in a longitudinal matter (Figure 6) [5]. It is of paramount importance to identify the phrenic nerve before pericardial incision to avoid postoperative delayed mechanical ventilation due to respiratory disturbances. Two stay sutures on both sides are applied and the intrapericardial contents are lifted upwards. We advise against routine rib resection. In most ART cases, visualization is already satisfactory after intercostal muscles’ division.
Pericardial incision through an anterior right mini-thoracotomy [
The cardiopulmonary bypass could be established centrally or peripherally. At our institutions, central cannulation remains the preferred option. The rest of the operation commences in a similar fashion as previously described in the chapter on upper mini-sternotomy [9, 10].
Both already described minimally invasive approaches to the aortic valve were developed in the 1990s. The Cleveland group developed the upper mini-sternotomy technique in 1996 [4] and the first published data on the ART are from New Delhi group from 1993 [9].
The first large published article regarding minimally invasive aortic valve surgery was written by the Boston group. They reported their experience with 526 consecutive minimally invasive aortic valve procedures, which were mostly done through an upper mini-sternotomy (93%). Their publication has shown excellent results with short- and long-term mortality at 2% and 5%, respectively. Freedom from reoperation at 6 years was 99% [6].
Encouraged by these data, the number of minimally invasive aortic valve surgery have risen significantly in the following years. A report was recently published on the clinical trends between median sternotomy and minimally invasive approaches for aortic valve stenosis in three high volume aortic valve surgery centres in the USA (Houston, Atlanta, and Miami). In the observed three-year period, the overall number of AVRs increased by 107% owing to improved diagnostics and TAVIs for previously denied patients. Minimally invasive AVRs increased by 57% and median sternotomy AVRs decreased by 15% [11].
Outcomes of minimally invasive aortic valve surgery are similar or even superior in some reports to those of conventional median sternotomy surgery [12].
Mortality rates are similar when comparing ART [13, 14, 15] or upper mini-sternotomy [6, 16, 17] with median sternotomy, respectively. One-year survival is reported to be >95%, whereas 5-year survival ranges from 80–95%, respectively.
The incidence of re-exploration due to excessive bleeding ranges from 3.8% up to 12% [15, 16, 17, 18]. The latter high number was reported by Semsroth et al. in a subgroup of 167 patients who were operated through an ART. One explanation could be that they already experienced lots of issues with intraoperative bleeding, which resulted in the fact that bleeding was the predominant cause for conversion to median sternotomy [18]. Most often significant bleeding occurs on the aortotomy edges, on cannulation sites, especially the right superior pulmonary vein, on sternotomy edges or if the RITA is injured.
Blood product transfusion is reported to be significantly lower in minimally invasive aortic valve surgery compared to traditional median sternotomy. Reported incidences are from 21.3% to 48.8% [13, 14, 15, 16, 17, 18]. The highest reported incidence was by Stolinski et al. in a series of 211 patients who undergone an ART, which is still significantly lower than in the median sternotomy group (67.3%, p < 0.001) [15].
Rhythm disturbances often accompany cardiac valvular procedures. The reported incidences of postoperative atrial fibrillation (POAF) are from 12.8% to 32.2% [13, 15, 16, 17].
Mechanical ventilation is significantly shorter in patients undergoing minimally invasive aortic valve surgery (5 vs. 6 h; p = 0.04) [17] and only 4.3% required prolonged ventilation >24 h [16].
Intensive care unit (ICU) and hospital length of stay are perhaps the most evident advantages of minimally invasive aortic valve surgery. Both parameters are shorter in comparison to median sternotomy aortic valve surgery [15]. Semsroth et al. reported a mean duration of ICU to stay 22 h for upper mini-sternotomy and 21 h for ART patients [18]. Although, Ghanta et al. reported longer ICU stays, early discharge defined by discharge by the 4th postoperative day (POD) was achieved in 15.8% in the minimally invasive group compared to only 4.2% in the median sternotomy group (p < 0.01) [17]. About 52.8% of minimally invasive surgery patients are discharged by the 6th POD and only 7.9% have a prolonged stay over 12 days [16].
Acute kidney injury (AKI) incidence ranges from 1% to 4.7% [16, 17] with hemodialysis from 0.5% to 13.2% [15, 18]. The large differences are a consequence of different AKI definitions and acquired protocols for renal replacement therapy. The highest reported incidence of hemodialysis comes from the report by Semsroth et al. Their explanation lies in the necessity of a preoperative CT imaging for patients receiving minimally invasive aortic valve surgery through ART, as contrast enhancement is nephrotoxic and might increase the risk for AKI [18].
However, a word of caution is proper. Not all patients are suitable for minimally invasive approaches, especially for ART which is technically more demanding. The reported exclusion criteria for ART are concomitant ascending aortic aneurysms, ascending aorta located completely retrosternal or relatively left lateral, pathological calcification of the ascending aorta (soft plaques) or prior cardiac surgery, history of right-sided pleuritis, a deep chest or women with large breasts [10, 19]. On the other hand, this approach is highly beneficial for disabled patients on crutches or those with deformed sternum due to radiation or injury.
All of the information on minimally invasive approaches so far have been regarding AVR. In recent years, some authors have published their experience with performing aortic valve repair or aortic valve-sparing procedures through minimally invasive approaches.
The Beijing group reported their results in upper mini-sternotomy aortic root surgery. A relatively small sample of 18 patients was matched with an equally large median sternotomy group. There were no differences in the categories of surgery, as aortic root surgery was combined with ascending aorta replacement or aortic arch replacement. Aortic cross-clamp was significantly longer in the minimally invasive group. Regarding postoperative outcomes, fewer transfusions, lower drainage volume, shorter mechanical ventilation time as well as shorter ICU and hospital stay were observed [20].
The ART approach was tested for the treatment of ascending aortic pathology. The Houston group compared 74 patients who operated through an ART with 103 patients with median sternotomy. In a matched cohort, a trend towards longer aortic cross-clamp time as well as significantly higher numbers of the bicuspid aortic valves in the ART group was observed. Again, fewer transfusions, shorter ventilation time, shorter ICU and hospital stay were experienced. Interestingly, short-term mortality was similar between the two groups [21].
A systematic review of the results of the minimally invasive aortic root, ascending aorta or aortic arch performed by the Bristol group revealed similar mortality, decreased length of cardiopulmonary bypass, shorter ICU and hospital stay, fewer reoperations due to bleeding and lower incidence of postoperative AKI in the minimally invasive group. A major limitation of this review is very low-quality non-randomized evidence [22].
The Warsaw group reported their experience with 167 upper mini-sternotomy aortic root or ascending aorta operations. About 49% undergone ascending aortic replacement, 26% a combination of ascending aortic and aortic valve replacement and 25% one of the aortic valve-sparing procedure (reimplantation/remodeling). Short- and long-term mortality was 1% and 5%, respectively. Seven % reoperations for bleeding, 1.7% prolonged ICU stays and 4.8% postoperative AKIs were observed [23].
As already mentioned in the text above, there are some specific pitfalls encountered in minimally invasive aortic valve surgery. Let us summarize and emphasize the most frequently seen:
injury to the RITA (prophylactic division is recommended in ART, sharp tissue division and electrocautery use should prevent RITA injury in upper mini-sternotomy),
poor exposure (excision of the prepericardial fatty tissue),
difficult ascending aortic cannulation (always be prepared for peripheral cannulation, most often through the femoral artery),
difficult de-airing (using a gauze-covered long instrument and additional CO2 inflation during the procedure can help aid against air embolisms),
reoperation (we strongly advocate against using minimally invasive approaches for redo surgery),
do not jeopardize the patient’s safety—if severe difficulties occur during a minimally invasive approach, do not hesitate to convert it into full median sternotomy.
Minimally invasive aortic valve surgery carries substantial benefits to patients with aortic valve disease. Fewer transfusions, shorter ICU and hospital stay, shorter mechanical ventilation alongside similar survival, POAF and AKI incidence are the main advantages when compared to conventional median sternotomy. The cardiac surgery society should aim at providing additional training to all cardiac surgeons to implement minimally invasive approaches in the majority of patients. Only by doing so, the cardiac surgery society can offer a counter-balance to ever-increasing numbers of TAVI, which will undoubtedly spread also in moderate or even low-risk patients in the following years [24].
The authors report not received funding.
The authors report no conflicts of interest.
.
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He completed M.Sc. from Bangaluru University, India and was awarded a Ph.D. from Kuvempu University, India. Dr. Sarat obtained post-doctoral training in 'modelling Parkinson’s disease using Drosophila” from Neurogenetics, National Institute of Neurological Disorders and Stroke (NINDS) of National Institutes of Health (NIH), Bethesda, USA and University of Regensburg, Germany. His laboratory, funded through multiple research grants from Department of Biotechnology (DBT), India, University of Grants Commission (UGC), India and Department of Science and Technology (DST), India, focuses on Drosophila approach to understand Parkinson's Disease associated neurodegeneration as well as identification of novel therapeutic targets which may help to reduce the burden of PD in human.",institutionString:"Nagaland University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"Nagaland University",institutionURL:null,country:{name:"India"}}},equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1777",title:"Zoology",subtitle:null,isOpenForSubmission:!1,hash:"54f4c6282e2eccdb401be063c5c6e892",slug:"zoology",bookSignature:"Maria-Dolores Garcia",coverURL:"https://cdn.intechopen.com/books/images_new/1777.jpg",editedByType:"Edited by",editors:[{id:"88891",title:"Dr.",name:"María-Dolores",middleName:null,surname:"García",slug:"maria-dolores-garcia",fullName:"María-Dolores García"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:3,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"69075",doi:"10.5772/intechopen.89137",title:"Animal Models in Orthopedic Research: The Proper Animal Model to Answer Fundamental Questions on Bone Healing Depending on Pathology and Implant Material",slug:"animal-models-in-orthopedic-research-the-proper-animal-model-to-answer-fundamental-questions-on-bone",totalDownloads:973,totalCrossrefCites:6,totalDimensionsCites:9,abstract:"Different species vary in bone metabolism, especially in modeling and remodeling of the bone. Human-related diseases with severe outcomes on bone, such as osteoporosis or osteoarthritis, are often reflected in animal models, which cannot adequately mimic the human situation. The pre-clinical investigation of implant materials in vivo complicates the search for the ideal animal model, especially when combining pathologic bone diseases and implant material. For instance, while alterations in trabecular bone architecture are investigated in female osteoporotic rats, rodents commonly lack cortical bone remodeling or secondary osteon formation. Small ruminants are commonly used to study long bone defects or orthopedic materials, due to their comparability to humans regarding body weight, bone size, and fracture healing. Nevertheless, there are important differences between human and ruminant models: plexiform cortical bone, seasonal bone loss, and stronger trabecular bone appear in sheep compared to humans. This chapter will summarize fundamental differences in bone quality between different animal models used for orthopedic and implant material research. Thus, choosing the ideal animal model to answer the proposed research question remains the key to guarantee a solid and excellent scientific study.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Nicole Gabriele Sommer, David Hahn, Begüm Okutan, Romy Marek and Annelie-Martina Weinberg",authors:[{id:"306401",title:"Ph.D.",name:"Nicole",middleName:null,surname:"Sommer",slug:"nicole-sommer",fullName:"Nicole Sommer"},{id:"306402",title:"Prof.",name:"Annelie-Martina",middleName:null,surname:"Weinberg",slug:"annelie-martina-weinberg",fullName:"Annelie-Martina Weinberg"},{id:"310234",title:"BSc.",name:"David",middleName:null,surname:"Hahn",slug:"david-hahn",fullName:"David Hahn"}]},{id:"69375",doi:"10.5772/intechopen.89480",title:"Impact of Oxidative Stress on Inflammation in Rheumatoid and Adjuvant Arthritis: Damage to Lipids, Proteins, and Enzymatic Antioxidant Defense in Plasma and Different Tissues",slug:"impact-of-oxidative-stress-on-inflammation-in-rheumatoid-and-adjuvant-arthritis-damage-to-lipids-pro",totalDownloads:981,totalCrossrefCites:1,totalDimensionsCites:5,abstract:"Animal models of rheumatoid arthritis (RA) are widely used for testing potential new therapies for RA. The most commonly used models of human RA are adjuvant-induced arthritis (AIA) and collagen-induced arthritis in rats and mice. In this chapter, we will focus on inflammatory and oxidative stress (OS) processes during the development of AIA. OS is a result of increased production of reactive oxygen species (ROS) or a reduction in the body’s endogenous antioxidant defense system. ROS and reactive nitrogen species (RNS) can contribute to the pathogenesis of RA by the induction of membrane oxidation, irreversible damage to proteins and DNA, cartilage damage, and induction of bone resorption. ROS/RNS can also modulate a variety of signaling events that control gene expression and affect cellular processes that participate in chronic inflammation. Our research team has been studying the course of OS during the development of rat AIA for more than a decade. We have analyzed the course of OS using markers of lipid peroxidation (malondialdehyde, 4-hydroxy-2-nonenal, and F-2 isoprostanes), protein carbonyls, antioxidant enzymes (heme oxygenase and gamma-glutamyl transferase), and levels of endogenous antioxidants (coenzyme Q10 and Q9, gamma-tocopherol) in plasma and different tissues (joint, liver, lung, skeletal muscle, and spleen).",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Silvester Ponist, Miloslav Zloh and Katarina Bauerova",authors:[{id:"304953",title:"Dr.",name:"Silvester",middleName:null,surname:"Poništ",slug:"silvester-ponist",fullName:"Silvester Poništ"},{id:"310174",title:"BSc.",name:"Miloslav",middleName:null,surname:"Zloh",slug:"miloslav-zloh",fullName:"Miloslav Zloh"},{id:"310175",title:"Dr.",name:"Katarína",middleName:null,surname:"Bauerová",slug:"katarina-bauerova",fullName:"Katarína Bauerová"}]},{id:"69011",doi:"10.5772/intechopen.89188",title:"Animal Models of Burn Wound Management",slug:"animal-models-of-burn-wound-management",totalDownloads:917,totalCrossrefCites:4,totalDimensionsCites:4,abstract:"Burn injury is known as the most traumatic wound. In the clinical, most patients with burn injury suffer from extreme pain during wound management; hence, the effective treatment that involved advanced medication is needed. In the evaluation of burn wound care devices, the use of animal model is considered suitable as valuable tools to investigate the burn pathophysiology as well as the efficacy of treatment strategies due to the complexity and heterogeneous nature of the burn. This chapter aimed to review the preclinical small and large animal models of burn injury for translational applications and to highlight their benefits and limitations for the burn treatment design that are clinically applicable to humans.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Shu-Jen Chang, Dewi Sartika, Gang-Yi Fan, Juin-Hong Cherng and Yi-Wen Wang",authors:[{id:"252781",title:"Ph.D.",name:"Juin-Hong",middleName:null,surname:"Cherng",slug:"juin-hong-cherng",fullName:"Juin-Hong Cherng"},{id:"310119",title:"Dr.",name:"Shu-Jen",middleName:null,surname:"Chang",slug:"shu-jen-chang",fullName:"Shu-Jen Chang"},{id:"310120",title:"MSc.",name:"Dewi",middleName:null,surname:"Sartika",slug:"dewi-sartika",fullName:"Dewi Sartika"},{id:"310121",title:"Dr.",name:"Gang-Yi",middleName:null,surname:"Fan",slug:"gang-yi-fan",fullName:"Gang-Yi Fan"},{id:"310122",title:"Dr.",name:"Yi-Wen",middleName:null,surname:"Wang",slug:"yi-wen-wang",fullName:"Yi-Wen Wang"}]},{id:"69063",doi:"10.5772/intechopen.89034",title:"Animal Models in Psychiatric Disorder Studies",slug:"animal-models-in-psychiatric-disorder-studies",totalDownloads:876,totalCrossrefCites:0,totalDimensionsCites:3,abstract:"Among the diseases affecting the brain, special attention has been paid to psychiatric disorders (PDs) due to high prevalence and significant debilitating clinical features. Many difficulties need to be overcome to find good animal models for PDs, due to their multifactorial origins, high heterogeneity and symptoms, as for instance the hallucinations and delusions, which usually cannot be easily assessed employing ordinary experimental animal models. The use of animal models reproducing at least some specific traits that can be studied individually, known as endophenotypes, is often reported. However, since altered biological pathways are common to many of these disorders, each of these behaviors may also reflect different PDs. In this context, it is possible to perform several approaches, to elicit changes in the endophenotypes of interest, not only in vertebrate models like rodents, but also in invertebrate models which have important advantages due to high conservation of essential pathways, lower complexity, and shorter life cycle compared to mammals. Therefore, animal models are also helpful for elucidating the etiology underlying PDs, by allowing easier access to biological samples that are usually not accessible in clinical studies, as for instance, fresh brain samples, from embryos to adults.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"João Victor Nani, Benjamín Rodríguez, Fabio Cardoso Cruz and Mirian Akemi Furuie Hayashi",authors:[{id:"100960",title:"Dr.",name:"Mirian A.F.",middleName:null,surname:"Hayashi",slug:"mirian-a.f.-hayashi",fullName:"Mirian A.F. Hayashi"},{id:"306448",title:"Ms.",name:"João",middleName:null,surname:"Nani",slug:"joao-nani",fullName:"João Nani"},{id:"309926",title:"Prof.",name:"Fabio",middleName:null,surname:"Cruz",slug:"fabio-cruz",fullName:"Fabio Cruz"},{id:"309927",title:"Mr.",name:"Benjamín",middleName:null,surname:"Rodríguez",slug:"benjamin-rodriguez",fullName:"Benjamín Rodríguez"}]},{id:"68915",doi:"10.5772/intechopen.89171",title:"A Porcine Model of Neonatal Hypoxia-Asphyxia to Study Resuscitation Techniques in Newborn Infants",slug:"a-porcine-model-of-neonatal-hypoxia-asphyxia-to-study-resuscitation-techniques-in-newborn-infants",totalDownloads:674,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Two to three million newborn infants worldwide need extensive cardiopulmonary resuscitation (CPR), and approximately one million of these infants die annually worldwide. Therefore, resuscitation techniques require further refinement to provide better outcomes. To investigate the effectiveness of various interventions and to understand the pathophysiology and pharmacology of neonatal CPR, it is important to have animal models that reliably reproduce features observed in neonates who require resuscitation. Herein, we describe an experimental animal model in newborn piglets that simulates neonatal asphyxia and enables us to examine resuscitation interventions, reoxygenation, and recovery processes. The newborn piglet has several advantages including similar development to a human fetus at 36–38 week’s gestation, and comparable body systems and body size, allowing for surgical instrumentation, monitoring, and collection of biological samples. Furthermore, using this model of neonatal asphyxia, we are also able to describe an increasingly important clinical situation in the laboratory setting—pulseless electrical activity (PEA). Since the integration of electrocardiogram into the neonatal resuscitation guidelines, there has been an increased awareness of PEA in newborn infants. The animal model we describe can therefore serve as a valuable tool to bridge the knowledge gap and improve the outcome of asphyxiated newborns in the delivery room.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Megan O’Reilly, Po-Yin Cheung, Tze-Fun Lee and Georg M. Schmölzer",authors:[{id:"179622",title:"Dr.",name:"Georg",middleName:null,surname:"Schmolzer",slug:"georg-schmolzer",fullName:"Georg Schmolzer"},{id:"179805",title:"Dr.",name:"Po-Yin",middleName:null,surname:"Cheung",slug:"po-yin-cheung",fullName:"Po-Yin Cheung"},{id:"179806",title:"Dr.",name:"Megan",middleName:null,surname:"O'Reilly",slug:"megan-o'reilly",fullName:"Megan O'Reilly"},{id:"306704",title:"Dr.",name:"Tze-Fun",middleName:null,surname:"Lee",slug:"tze-fun-lee",fullName:"Tze-Fun Lee"}]}],mostDownloadedChaptersLast30Days:[{id:"32849",title:"Mapping a Future for Southeast Asian Biodiversity",slug:"mapping-a-future-for-southeast-asian-biodiversity",totalDownloads:3027,totalCrossrefCites:0,totalDimensionsCites:0,abstract:null,book:{id:"1777",slug:"zoology",title:"Zoology",fullTitle:"Zoology"},signatures:"Alice C. 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ROS and reactive nitrogen species (RNS) can contribute to the pathogenesis of RA by the induction of membrane oxidation, irreversible damage to proteins and DNA, cartilage damage, and induction of bone resorption. ROS/RNS can also modulate a variety of signaling events that control gene expression and affect cellular processes that participate in chronic inflammation. Our research team has been studying the course of OS during the development of rat AIA for more than a decade. We have analyzed the course of OS using markers of lipid peroxidation (malondialdehyde, 4-hydroxy-2-nonenal, and F-2 isoprostanes), protein carbonyls, antioxidant enzymes (heme oxygenase and gamma-glutamyl transferase), and levels of endogenous antioxidants (coenzyme Q10 and Q9, gamma-tocopherol) in plasma and different tissues (joint, liver, lung, skeletal muscle, and spleen).",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Silvester Ponist, Miloslav Zloh and Katarina Bauerova",authors:[{id:"304953",title:"Dr.",name:"Silvester",middleName:null,surname:"Poništ",slug:"silvester-ponist",fullName:"Silvester Poništ"},{id:"310174",title:"BSc.",name:"Miloslav",middleName:null,surname:"Zloh",slug:"miloslav-zloh",fullName:"Miloslav Zloh"},{id:"310175",title:"Dr.",name:"Katarína",middleName:null,surname:"Bauerová",slug:"katarina-bauerova",fullName:"Katarína Bauerová"}]},{id:"69075",title:"Animal Models in Orthopedic Research: The Proper Animal Model to Answer Fundamental Questions on Bone Healing Depending on Pathology and Implant Material",slug:"animal-models-in-orthopedic-research-the-proper-animal-model-to-answer-fundamental-questions-on-bone",totalDownloads:969,totalCrossrefCites:6,totalDimensionsCites:9,abstract:"Different species vary in bone metabolism, especially in modeling and remodeling of the bone. Human-related diseases with severe outcomes on bone, such as osteoporosis or osteoarthritis, are often reflected in animal models, which cannot adequately mimic the human situation. The pre-clinical investigation of implant materials in vivo complicates the search for the ideal animal model, especially when combining pathologic bone diseases and implant material. For instance, while alterations in trabecular bone architecture are investigated in female osteoporotic rats, rodents commonly lack cortical bone remodeling or secondary osteon formation. Small ruminants are commonly used to study long bone defects or orthopedic materials, due to their comparability to humans regarding body weight, bone size, and fracture healing. Nevertheless, there are important differences between human and ruminant models: plexiform cortical bone, seasonal bone loss, and stronger trabecular bone appear in sheep compared to humans. This chapter will summarize fundamental differences in bone quality between different animal models used for orthopedic and implant material research. Thus, choosing the ideal animal model to answer the proposed research question remains the key to guarantee a solid and excellent scientific study.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Nicole Gabriele Sommer, David Hahn, Begüm Okutan, Romy Marek and Annelie-Martina Weinberg",authors:[{id:"306401",title:"Ph.D.",name:"Nicole",middleName:null,surname:"Sommer",slug:"nicole-sommer",fullName:"Nicole Sommer"},{id:"306402",title:"Prof.",name:"Annelie-Martina",middleName:null,surname:"Weinberg",slug:"annelie-martina-weinberg",fullName:"Annelie-Martina Weinberg"},{id:"310234",title:"BSc.",name:"David",middleName:null,surname:"Hahn",slug:"david-hahn",fullName:"David Hahn"}]},{id:"68936",title:"Animal Models of Cardiomyopathies",slug:"animal-models-of-cardiomyopathies",totalDownloads:994,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"Cardiomyopathies are a heterogeneous group of disorders of heart muscle that ultimately result in congestive heart failure (CHF). Rapid progress in genetics as well as in molecular and cellular biology over the past three decades has greatly improved the understanding of pathogenic signaling pathways in inherited cardiomyopathies. This chapter will focus on animal models of different clinical forms of human cardiomyopathies with their summaries of triggered key molecules, and signaling pathways will be described.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Enkhsaikhan Purevjav",authors:[{id:"231585",title:"Associate Prof.",name:"Enkhsaikhan",middleName:null,surname:"Purevjav",slug:"enkhsaikhan-purevjav",fullName:"Enkhsaikhan Purevjav"}]},{id:"69011",title:"Animal Models of Burn Wound Management",slug:"animal-models-of-burn-wound-management",totalDownloads:912,totalCrossrefCites:4,totalDimensionsCites:4,abstract:"Burn injury is known as the most traumatic wound. In the clinical, most patients with burn injury suffer from extreme pain during wound management; hence, the effective treatment that involved advanced medication is needed. In the evaluation of burn wound care devices, the use of animal model is considered suitable as valuable tools to investigate the burn pathophysiology as well as the efficacy of treatment strategies due to the complexity and heterogeneous nature of the burn. This chapter aimed to review the preclinical small and large animal models of burn injury for translational applications and to highlight their benefits and limitations for the burn treatment design that are clinically applicable to humans.",book:{id:"8699",slug:"animal-models-in-medicine-and-biology",title:"Animal Models in Medicine and Biology",fullTitle:"Animal Models in Medicine and Biology"},signatures:"Shu-Jen Chang, Dewi Sartika, Gang-Yi Fan, Juin-Hong Cherng and Yi-Wen Wang",authors:[{id:"252781",title:"Ph.D.",name:"Juin-Hong",middleName:null,surname:"Cherng",slug:"juin-hong-cherng",fullName:"Juin-Hong Cherng"},{id:"310119",title:"Dr.",name:"Shu-Jen",middleName:null,surname:"Chang",slug:"shu-jen-chang",fullName:"Shu-Jen Chang"},{id:"310120",title:"MSc.",name:"Dewi",middleName:null,surname:"Sartika",slug:"dewi-sartika",fullName:"Dewi Sartika"},{id:"310121",title:"Dr.",name:"Gang-Yi",middleName:null,surname:"Fan",slug:"gang-yi-fan",fullName:"Gang-Yi Fan"},{id:"310122",title:"Dr.",name:"Yi-Wen",middleName:null,surname:"Wang",slug:"yi-wen-wang",fullName:"Yi-Wen Wang"}]}],onlineFirstChaptersFilter:{topicId:"314",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:9,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:287,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:107,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:10,numberOfPublishedChapters:103,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:12,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:10,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:"14",title:"Artificial Intelligence",doi:"10.5772/intechopen.79920",issn:"2633-1403",scope:"Artificial Intelligence (AI) is a rapidly developing multidisciplinary research area that aims to solve increasingly complex problems. In today's highly integrated world, AI promises to become a robust and powerful means for obtaining solutions to previously unsolvable problems. This Series is intended for researchers and students alike interested in this fascinating field and its many applications.",coverUrl:"https://cdn.intechopen.com/series/covers/14.jpg",latestPublicationDate:"May 18th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:9,editor:{id:"218714",title:"Prof.",name:"Andries",middleName:null,surname:"Engelbrecht",slug:"andries-engelbrecht",fullName:"Andries Engelbrecht",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRNR8QAO/Profile_Picture_1622640468300",biography:"Andries Engelbrecht received the Masters and PhD degrees in Computer Science from the University of Stellenbosch, South Africa, in 1994 and 1999 respectively. He is currently appointed as the Voigt Chair in Data Science in the Department of Industrial Engineering, with a joint appointment as Professor in the Computer Science Division, Stellenbosch University. Prior to his appointment at Stellenbosch University, he has been at the University of Pretoria, Department of Computer Science (1998-2018), where he was appointed as South Africa Research Chair in Artifical Intelligence (2007-2018), the head of the Department of Computer Science (2008-2017), and Director of the Institute for Big Data and Data Science (2017-2018). In addition to a number of research articles, he has written two books, Computational Intelligence: An Introduction and Fundamentals of Computational Swarm Intelligence.",institutionString:null,institution:{name:"Stellenbosch University",institutionURL:null,country:{name:"South Africa"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:10,paginationItems:[{id:"22",title:"Applied Intelligence",coverUrl:"https://cdn.intechopen.com/series_topics/covers/22.jpg",editor:{id:"27170",title:"Prof.",name:"Carlos",middleName:"M.",surname:"Travieso-Gonzalez",slug:"carlos-travieso-gonzalez",fullName:"Carlos Travieso-Gonzalez",profilePictureURL:"https://mts.intechopen.com/storage/users/27170/images/system/27170.jpeg",biography:"Carlos M. Travieso-González received his MSc degree in Telecommunication Engineering at Polytechnic University of Catalonia (UPC), Spain in 1997, and his Ph.D. degree in 2002 at the University of Las Palmas de Gran Canaria (ULPGC-Spain). He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). He was vice dean from 2004 to 2010 in the Higher Technical School of Telecommunication Engineers at ULPGC and the vice dean of Graduate and Postgraduate Studies from March 2013 to November 2017. He won the “Catedra Telefonica” Awards in Modality of Knowledge Transfer, 2017, 2018, and 2019 editions, and awards in Modality of COVID Research in 2020.\n\nPublic References:\nResearcher ID http://www.researcherid.com/rid/N-5967-2014\nORCID https://orcid.org/0000-0002-4621-2768 \nScopus Author ID https://www.scopus.com/authid/detail.uri?authorId=6602376272\nScholar Google https://scholar.google.es/citations?user=G1ks9nIAAAAJ&hl=en \nResearchGate https://www.researchgate.net/profile/Carlos_Travieso",institutionString:null,institution:{name:"University of Las Palmas de Gran Canaria",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"13633",title:"Prof.",name:"Abdelhamid",middleName:null,surname:"Mellouk",slug:"abdelhamid-mellouk",fullName:"Abdelhamid Mellouk",profilePictureURL:"https://mts.intechopen.com/storage/users/13633/images/1567_n.jpg",institutionString:null,institution:{name:"Paris 12 Val de Marne University",institutionURL:null,country:{name:"France"}}},{id:"109268",title:"Dr.",name:"Ali",middleName:null,surname:"Al-Ataby",slug:"ali-al-ataby",fullName:"Ali Al-Ataby",profilePictureURL:"https://mts.intechopen.com/storage/users/109268/images/7410_n.jpg",institutionString:null,institution:{name:"University of Liverpool",institutionURL:null,country:{name:"United Kingdom"}}},{id:"3807",title:"Dr.",name:"Carmelo",middleName:"Jose Albanez",surname:"Bastos-Filho",slug:"carmelo-bastos-filho",fullName:"Carmelo Bastos-Filho",profilePictureURL:"https://mts.intechopen.com/storage/users/3807/images/624_n.jpg",institutionString:null,institution:{name:"Universidade de Pernambuco",institutionURL:null,country:{name:"Brazil"}}},{id:"38850",title:"Dr.",name:"Efren",middleName:null,surname:"Gorrostieta Hurtado",slug:"efren-gorrostieta-hurtado",fullName:"Efren Gorrostieta 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learning consultant from Sweden. \n\nHe is currently at Malmö University in Sweden, but also held positions at Lund University in Sweden and at Moscow Engineering Physics Institute. \nHe holds editorial positions at several international scientific journals and has served as a scientific editor for books and special journal issues. \nHis research interests are wide and include, but are not limited to, autonomous systems, computer modeling, artificial neural networks, artificial intelligence, cognitive neuroscience, cognitive robotics, cognitive architectures, cognitive aids and the philosophy of mind. \n\nDr. Johnsson has experience from working in the industry and he has a keen interest in the application of neural networks and artificial intelligence to fields like industry, finance, and medicine. \n\nWeb page: www.magnusjohnsson.se",institutionString:null,institution:{name:"Malmö University",institutionURL:null,country:{name:"Sweden"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"13818",title:"Dr.",name:"Asim",middleName:null,surname:"Bhatti",slug:"asim-bhatti",fullName:"Asim Bhatti",profilePictureURL:"https://mts.intechopen.com/storage/users/13818/images/system/13818.jpg",institutionString:null,institution:{name:"Deakin University",institutionURL:null,country:{name:"Australia"}}},{id:"151889",title:"Dr.",name:"Joao Luis Garcia",middleName:null,surname:"Rosa",slug:"joao-luis-garcia-rosa",fullName:"Joao Luis Garcia Rosa",profilePictureURL:"https://mts.intechopen.com/storage/users/151889/images/4861_n.jpg",institutionString:null,institution:{name:"University of Sao Paulo",institutionURL:null,country:{name:"Brazil"}}},{id:"103779",title:"Prof.",name:"Yalcin",middleName:null,surname:"Isler",slug:"yalcin-isler",fullName:"Yalcin Isler",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRyQ8QAK/Profile_Picture_1628834958734",institutionString:null,institution:{name:"Izmir Kâtip Çelebi University",institutionURL:null,country:{name:"Turkey"}}}]},{id:"24",title:"Computer Vision",coverUrl:"https://cdn.intechopen.com/series_topics/covers/24.jpg",editor:{id:"294154",title:"Prof.",name:"George",middleName:null,surname:"Papakostas",slug:"george-papakostas",fullName:"George Papakostas",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002hYaGbQAK/Profile_Picture_1624519712088",biography:"George A. Papakostas has received a diploma in Electrical and Computer Engineering in 1999 and the M.Sc. and Ph.D. degrees in Electrical and Computer Engineering in 2002 and 2007, respectively, from the Democritus University of Thrace (DUTH), Greece. Dr. Papakostas serves as a Tenured Full Professor at the Department of Computer Science, International Hellenic University, Greece. Dr. Papakostas has 10 years of experience in large-scale systems design as a senior software engineer and technical manager, and 20 years of research experience in the field of Artificial Intelligence. Currently, he is the Head of the “Visual Computing” division of HUman-MAchines INteraction Laboratory (HUMAIN-Lab) and the Director of the MPhil program “Advanced Technologies in Informatics and Computers” hosted by the Department of Computer Science, International Hellenic University. He has (co)authored more than 150 publications in indexed journals, international conferences and book chapters, 1 book (in Greek), 3 edited books, and 5 journal special issues. His publications have more than 2100 citations with h-index 27 (GoogleScholar). His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"1177",title:"Prof.",name:"Antonio",middleName:"J. 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Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. 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Fungal infectious illness prevalence and prognosis are determined by the exposure between fungi and host, host immunological state, fungal virulence, and early and accurate diagnosis and treatment. \r\nPatients with both congenital and acquired immunodeficiency are more likely to be infected with opportunistic mycosis. Fungal infectious disease outbreaks are common during the post- disaster rebuilding era, which is characterised by high population density, migration, and poor health and medical conditions.\r\nSystemic or local fungal infection is mainly associated with the fungi directly inhaled or inoculated in the environment during the disaster. The most common fungal infection pathways are human to human (anthropophilic), animal to human (zoophilic), and environment to human (soilophile). Diseases are common as a result of widespread exposure to pathogenic fungus dispersed into the environment. \r\nFungi that are both common and emerging are intertwined. In Southeast Asia, for example, Talaromyces marneffei is an important pathogenic thermally dimorphic fungus that causes systemic mycosis. Widespread fungal infections with complicated and variable clinical manifestations, such as Candida auris infection resistant to several antifungal medicines, Covid-19 associated with Trichoderma, and terbinafine resistant dermatophytosis in India, are among the most serious disorders. \r\nInappropriate local or systemic use of glucocorticoids, as well as their immunosuppressive effects, may lead to changes in fungal infection spectrum and clinical characteristics. Hematogenous candidiasis is a worrisome issue that affects people all over the world, particularly ICU patients. CARD9 deficiency and fungal infection have been major issues in recent years. Invasive aspergillosis is associated with a significant death rate. Special attention should be given to endemic fungal infections, identification of important clinical fungal infections advanced in yeasts, filamentous fungal infections, skin mycobiome and fungal genomes, and immunity to fungal infections.\r\nIn addition, endemic fungal diseases or uncommon fungal infections caused by Mucor irregularis, dermatophytosis, Malassezia, cryptococcosis, chromoblastomycosis, coccidiosis, blastomycosis, histoplasmosis, sporotrichosis, and other fungi, should be monitored. \r\nThis topic includes the research progress on the etiology and pathogenesis of fungal infections, new methods of isolation and identification, rapid detection, drug sensitivity testing, new antifungal drugs, schemes and case series reports. It will provide significant opportunities and support for scientists, clinical doctors, mycologists, antifungal drug researchers, public health practitioners, and epidemiologists from all over the world to share new research, ideas and solutions to promote the development and progress of medical mycology.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/4.jpg",keywords:"Emerging Fungal Pathogens, Invasive Infections, Epidemiology, Cell Membrane, Fungal Virulence, Diagnosis, Treatment"},{id:"5",title:"Parasitic Infectious Diseases",scope:"Parasitic diseases have evolved alongside their human hosts. In many cases, these diseases have adapted so well that they have developed efficient resilience methods in the human host and can live in the host for years. Others, particularly some blood parasites, can cause very acute diseases and are responsible for millions of deaths yearly. Many parasitic diseases are classified as neglected tropical diseases because they have received minimal funding over recent years and, in many cases, are under-reported despite the critical role they play in morbidity and mortality among human and animal hosts. The current topic, Parasitic Infectious Diseases, in the Infectious Diseases Series aims to publish studies on the systematics, epidemiology, molecular biology, genomics, pathogenesis, genetics, and clinical significance of parasitic diseases from blood borne to intestinal parasites as well as zoonotic parasites. We hope to cover all aspects of parasitic diseases to provide current and relevant research data on these very important diseases. In the current atmosphere of the Coronavirus pandemic, communities around the world, particularly those in different underdeveloped areas, are faced with the growing challenges of the high burden of parasitic diseases. At the same time, they are faced with the Covid-19 pandemic leading to what some authors have called potential syndemics that might worsen the outcome of such infections. Therefore, it is important to conduct studies that examine parasitic infections in the context of the coronavirus pandemic for the benefit of all communities to help foster more informed decisions for the betterment of human and animal health.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/5.jpg",keywords:"Blood Borne Parasites, Intestinal Parasites, Protozoa, Helminths, Arthropods, Water Born Parasites, Epidemiology, Molecular Biology, Systematics, Genomics, Proteomics, Ecology"},{id:"6",title:"Viral Infectious Diseases",scope:"The Viral Infectious Diseases Book Series aims to provide a comprehensive overview of recent research trends and discoveries in various viral infectious diseases emerging around the globe. The emergence of any viral disease is hard to anticipate, which often contributes to death. A viral disease can be defined as an infectious disease that has recently appeared within a population or exists in nature with the rapid expansion of incident or geographic range. 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Biochemistry examines macromolecules - proteins, nucleic acids, carbohydrates, and lipids – and their building blocks, structures, functions, and interactions. Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. This Biochemistry Series will address the current research on biomolecules and the emerging trends with great promise.",coverUrl:"https://cdn.intechopen.com/series/covers/11.jpg",latestPublicationDate:"May 18th, 2022",hasOnlineFirst:!0,numberOfOpenTopics:4,numberOfPublishedChapters:287,numberOfPublishedBooks:27,editor:{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. 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"}}},subseries:[{id:"14",title:"Cell and Molecular Biology",keywords:"Omics (Transcriptomics; Proteomics; Metabolomics), Molecular Biology, Cell Biology, Signal Transduction and Regulation, Cell Growth and Differentiation, Apoptosis, Necroptosis, Ferroptosis, Autophagy, Cell Cycle, Macromolecules and Complexes, Gene Expression",scope:"The Cell and Molecular Biology topic within the IntechOpen Biochemistry Series aims to rapidly publish contributions on all aspects of cell and molecular biology, including aspects related to biochemical and genetic research (not only in humans but all living beings). We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics include, but are not limited to: Advanced techniques of cellular and molecular biology (Molecular methodologies, imaging techniques, and bioinformatics); Biological activities at the molecular level; Biological processes of cell functions, cell division, senescence, maintenance, and cell death; Biomolecules interactions; Cancer; Cell biology; Chemical biology; Computational biology; Cytochemistry; Developmental biology; Disease mechanisms and therapeutics; DNA, and RNA metabolism; Gene functions, genetics, and genomics; Genetics; Immunology; Medical microbiology; Molecular biology; Molecular genetics; Molecular processes of cell and organelle dynamics; Neuroscience; Protein biosynthesis, degradation, and functions; Regulation of molecular interactions in a cell; Signalling networks and system biology; Structural biology; Virology and microbiology.",annualVolume:11410,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"79367",title:"Dr.",name:"Ana Isabel",middleName:null,surname:"Flores",fullName:"Ana Isabel Flores",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRpIOQA0/Profile_Picture_1632418099564",institutionString:null,institution:{name:"Hospital Universitario 12 De Octubre",institutionURL:null,country:{name:"Spain"}}},{id:"328234",title:"Ph.D.",name:"Christian",middleName:null,surname:"Palavecino",fullName:"Christian Palavecino",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000030DhEhQAK/Profile_Picture_1628835318625",institutionString:null,institution:{name:"Central University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"186585",title:"Dr.",name:"Francisco Javier",middleName:null,surname:"Martin-Romero",fullName:"Francisco Javier Martin-Romero",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSB3HQAW/Profile_Picture_1631258137641",institutionString:null,institution:{name:"University of Extremadura",institutionURL:null,country:{name:"Spain"}}}]},{id:"15",title:"Chemical Biology",keywords:"Phenolic Compounds, Essential Oils, Modification of Biomolecules, Glycobiology, Combinatorial Chemistry, Therapeutic peptides, Enzyme Inhibitors",scope:"Chemical biology spans the fields of chemistry and biology involving the application of biological and chemical molecules and techniques. In recent years, the application of chemistry to biological molecules has gained significant interest in medicinal and pharmacological studies. This topic will be devoted to understanding the interplay between biomolecules and chemical compounds, their structure and function, and their potential applications in related fields. Being a part of the biochemistry discipline, the ideas and concepts that have emerged from Chemical Biology have affected other related areas. This topic will closely deal with all emerging trends in this discipline.",annualVolume:11411,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",institutionString:null,institution:{name:"Ondokuz Mayıs University",institutionURL:null,country:{name:"Turkey"}}},editorThree:null,editorialBoard:[{id:"241413",title:"Dr.",name:"Azhar",middleName:null,surname:"Rasul",fullName:"Azhar Rasul",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRT1oQAG/Profile_Picture_1635251978933",institutionString:null,institution:{name:"Government College University, Faisalabad",institutionURL:null,country:{name:"Pakistan"}}},{id:"178316",title:"Ph.D.",name:"Sergey",middleName:null,surname:"Sedykh",fullName:"Sergey Sedykh",profilePictureURL:"https://mts.intechopen.com/storage/users/178316/images/system/178316.jfif",institutionString:null,institution:{name:"Novosibirsk State University",institutionURL:null,country:{name:"Russia"}}}]},{id:"17",title:"Metabolism",keywords:"Biomolecules Metabolism, Energy Metabolism, Metabolic Pathways, Key Metabolic Enzymes, Metabolic Adaptation",scope:"Metabolism is frequently defined in biochemistry textbooks as the overall process that allows living systems to acquire and use the free energy they need for their vital functions or the chemical processes that occur within a living organism to maintain life. Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. Thus all studies on metabolism will be considered for publication.",annualVolume:11413,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/17.jpg",editor:{id:"138626",title:"Dr.",name:"Yannis",middleName:null,surname:"Karamanos",fullName:"Yannis Karamanos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6Jv2QAE/Profile_Picture_1629356660984",institutionString:null,institution:{name:"Artois University",institutionURL:null,country:{name:"France"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",fullName:"Anca Pantea Stoian",profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"203824",title:"Dr.",name:"Attilio",middleName:null,surname:"Rigotti",fullName:"Attilio Rigotti",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institutionString:null,institution:{name:"Pontifical Catholic University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"300470",title:"Dr.",name:"Yanfei (Jacob)",middleName:null,surname:"Qi",fullName:"Yanfei (Jacob) Qi",profilePictureURL:"https://mts.intechopen.com/storage/users/300470/images/system/300470.jpg",institutionString:null,institution:{name:"Centenary Institute of Cancer Medicine and Cell Biology",institutionURL:null,country:{name:"Australia"}}}]},{id:"18",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. The Proteomics topic aims to attract contributions on all aspects of MS-based proteomics that, by pushing the boundaries of MS capabilities, may address biological problems that have not been resolved yet.",annualVolume:11414,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorThree:null,editorialBoard:[{id:"72288",title:"Dr.",name:"Arli Aditya",middleName:null,surname:"Parikesit",fullName:"Arli Aditya Parikesit",profilePictureURL:"https://mts.intechopen.com/storage/users/72288/images/system/72288.jpg",institutionString:null,institution:{name:"Indonesia International Institute for Life Sciences",institutionURL:null,country:{name:"Indonesia"}}},{id:"40928",title:"Dr.",name:"Cesar",middleName:null,surname:"Lopez-Camarillo",fullName:"Cesar Lopez-Camarillo",profilePictureURL:"https://mts.intechopen.com/storage/users/40928/images/3884_n.png",institutionString:null,institution:{name:"Universidad Autónoma de la Ciudad de México",institutionURL:null,country:{name:"Mexico"}}},{id:"81926",title:"Dr.",name:"Shymaa",middleName:null,surname:"Enany",fullName:"Shymaa Enany",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRqB9QAK/Profile_Picture_1626163237970",institutionString:null,institution:{name:"Suez Canal University",institutionURL:null,country:{name:"Egypt"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"profile.detail",path:"/profiles/416701",hash:"",query:{},params:{id:"416701"},fullPath:"/profiles/416701",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()