More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
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Our breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
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“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
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Additionally, each book published by IntechOpen contains original content and research findings.
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We are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
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Simba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
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IntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
\n\n
Since the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
\n\n\n\n
More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\n
Our breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n
“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\n
Additionally, each book published by IntechOpen contains original content and research findings.
\n\n
We are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
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\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:"57",leadTitle:null,fullTitle:"Physics and Applications of Graphene - Experiments",title:"Physics and Applications of Graphene",subtitle:"Experiments",reviewType:"peer-reviewed",abstract:"The Stone Age, the Bronze Age, the Iron Age... Every global epoch in the history of the mankind is characterized by materials used in it. In 2004 a new era in material science was opened: the era of graphene or, more generally, of two-dimensional materials. Graphene is the strongest and the most stretchable known material, it has the record thermal conductivity and the very high mobility of charge carriers. It demonstrates many interesting fundamental physical effects and promises a lot of applications, among which are conductive ink, terahertz transistors, ultrafast photodetectors and bendable touch screens. In 2010 Andre Geim and Konstantin Novoselov were awarded the Nobel Prize in Physics “for groundbreaking experiments regarding the two-dimensional material graphene’’. 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\r\n\tCurrently, numerous biomaterials-based studies are being conducted, including research into chitin and chitosan, the second most abundant polysaccharide after cellulose. Chitin is obtained at an industrial scale from a variety of natural sources including, crustacean and insect exoskeletons, fungi cell walls, squid pen, etc. Chitosan is biodegradable, biocompatible, non-toxic, water-soluble under acidic conditions, and linear cationic amino polysaccharide derived from the deacetylation of chitin. It contains free amino and hydroxyl groups that can be functionalized by binding with the cationic and anionic groups. It has numerous applications, especially in the environmental remediation, biomedical, pharmaceutical, agriculture, and food industries.
\r\n
\r\n\tThis book will present an update of articles addressing isolation, properties, and certain applications of chitin and chitosan, including films, fibers, nanoparticles, composite materials, hydrogels, polymeric complexes, water purification, antimicrobials, textile, cosmetics, biosensors, nanoporous scaffolds, and membranes. We invite world-class researchers from around the world, industry, academia, government, and private research institutions are encouraged to publish research or review articles on chitin and chitosan.
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His research interest is in the development of sustainable and eco-friendly techniques for (a) nanoparticles synthesis and their applications for environmental remediation, (b) active films of organic solar cells, (c) nanomedicine, (d) sensors, (e) natural product extraction, purification, and analysis,(f) natural polymers, (g) peptide chemistry, (h) microwave and ultrasound-assisted organic synthesis and (i) organic synthesis. Dr. Brajesh Kumar has been credited for different national and international fellowships and he has also worked as a faculty member in various universities of India, Ecuador, and South Korea. He has also published numerous SCI/ SCIE/ Scopus research articles (h index = 28, Citations 2690) and is also an active reviewer of more than 50 Journals. 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1. Introduction
\n
The control and management of crop plants diseases has always been considered a subject of great interest for the huge economic losses associated with them. For many years, the control of pathogens has been performed mainly through the application of chemical pesticides, due to their easy application, the relatively low cost and the broad spectrum of action. Pesticides application for crop defence has been widely used since post-war years and led to a large yield growth in agriculture, contributing to economical development, reducing endemic diseases and protecting/restoring plantations, forests, harvested wood products [1]. In fact, plant diseases represent a critical problem to successful production. Agricultural productivity has demonstrated to get benefits from the utilization of pesticides both at quantitative and healthy level, e.g. when pesticides are properly used, they contribute to the higher production and quality characteristics of crops. However, the advantages in their use comprise several drawbacks problems related to two main aspects: the human health and the environmental impact. In fact, the chemical plant protection products, including even copper that is allowed in organic agriculture, are mostly toxic, persistent, bio-accumulative and extremely harmful not only for human health, but also for many living organisms [2]. Pesticides can contaminate environmental matrices coming up the aquifer [3], causing direct and permanent damage to the ecosystem. In addition, there is the real possibility that their residues can get into the food chain of consumers [4]. The massive use of these chemical substances has also favoured the emergence of resistance phenomena in the major crop pests [5] and the contemporary disappearance of many pests’ natural enemies, such as bumblebees, butterflies and bees [6].
\n
The pesticides application and their related effects constitute a topic of major concern, so that, according to the new Europe directive in favour of a sustainable agriculture, many plant protection products currently in use will be replaced with lower environmental impact substances. For this reason, many scientific works and researches have been focused in developing alternative approaches to the use of pesticides for managing crop diseases, through experimentations that have followed different paths including physical methods [7] integrated pest management and biological control [8]. A promising approach consists in the use of natural compounds such as plant extracts and their active principles (alkaloids, phenols, monoterpenes and sesquiterpenes, isoprenoids), which have been studied for their various antifungal, antibacterial and antioxidant properties [9–11] and animal derived compounds like chitosan. It has proved to be very interesting for controlling plant diseases [12]. In fact, it has been shown both to possess a broad-spectrum antimicrobial activity against several phytopathogenic organisms and to induce numerous biological responses in plants [13].
\n
2. Chitosan
\n
Chitosan is a linear polysaccharide that can be obtained from the deacetylation of chitin, a long-chain polymer of N-acetyl-glucosamine present and easily extracted from fungal cell wall and crustacean shells (Figure 1). From a practical viewpoint, the shells of marine crustaceans such as crabs and shrimps are very affordable for a commercial production of chitin. They represent a practical challenge because they are available as waste from the seafood processing industry. Recent advances in fermentation technologies suggest that the cultivation of selected fungi can provide an alternative source of chitin and chitosan [14].
Figure 1.
The structure of the molecules of chitin (β-(1-4)-N-acetyl-D-glucosamine) and chitosan (β-(1-4)-D-glucosamine) that results from the partial deacetylation of chitin.
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In addition to its low cost production, chitosan also possesses other biological properties such as non-toxicity, biocompatibility and biodegradability, which make chitosan a sustainable and eco-friendly molecule.
\n
Chitin is the second renewable carbon source after lignocelluloses biomass and, in fact, about 1600 tons of chitin are annually produced [15]. For industrial production, solid chitin is soaked in 40–50% (w/v) NaOH. This process removes more than 80% of the acetyl residues and converts N-acetyl-D-glucosamine into β-1,4-D-glucosamine. Complete deacetylation is possible by repeating the alkaline treatment. Therefore, the term “chitosan” is not uniquely related to a defined compound, but to a group of commercially available copolymers that are heterogeneous for deacetylation degree, molecular mass, polymerization degree and acid dissociation constant (pKa value) [13]. These different characteristics, in particular the degree of deacetylation and the molecular weight, influence the physic-chemical properties (including viscosity and solubility), and they have a direct influence on the biological properties of the substance and the effects in plants and pathogens.
\n
All these characteristics make chitosan very useful for several industrial applications, namely cosmetology, food, biotechnology, pharmacology, medicine and, more recently, agriculture [16].
\n
Based on the current state of research and progress in agriculture, this chapter will consider the potential uses of this natural compound in plant disease control, based mainly on a dual mode of action involving a direct antimicrobial activity and an indirect resistance induction that elicit several defence responses in the plants. The upgrading of the plant defence mechanisms against pathogen represents a very innovative approach for crop protection [15], and it will be described separately. Moreover, the last advanced researches such as seed treatment and soil amendment applications will be described. Postharvest fruit application will not be included because extensively discussed in the literature [17].
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2.1. Antimicrobial activity
\n
One of the most studied proprieties of chitosan is its high antimicrobial activity against a wide variety of microorganisms such as fungi, bacteria and viruses (Table 1). An antimicrobial substance is defined as a substance that kills or inhibits the growth of microorganisms [18].
\n
A broad spectrum fungicidal activity of chitosan has been described: it inhibits in vitro fungal growth of many pathogenic fungi, for example, Botrytis cinerea, Alternaria alternata, Colletotrichum gleosporoides and Rhizopus stolonifer. The inhibition was observed at different pathogen development stages such as mycelial growth, sporulation, spore viability and germination, and on the production of fungal virulence factors [14]. Moreover, the antifungal activity was also demonstrated in vivo in many different plant-pathogen systems, such as in pear against A. kikuchiana and Physalophora piricola [19], in grapevine and in strawberry against B. cinerea [20, 21], and in dragon fruit against C. gleosporoides [22]. In rice, the antifungal activity against R. solani was further demonstrated by transmission electron microscope observations and pathogenicity testing [23].
\n
Chitosan also prevents the growth of several pathogenic bacteria including Xanthomonas [24], Pseudomonas syringae [25] Agrobacterium tumefaciens and Erwinia carotovora [26]. However, the antimicrobial effectiveness of chitosan seems to be higher against fungi than bacteria [27], and among bacteria often been higher against Gram-positive than Gram-negative ones, even if this efficiency is somewhat controversial. This could be explained by the different structure of the bacteria surface and cell wall composition [28].
\n
Besides these activities, chitosan is able to inactivate the replication of viruses and viroids thus limiting their spread [29], even though relatively few research studies on its antiviral activity have been reported [30].
\n
The exact mechanism of the direct antimicrobial action of chitosan is still ambiguous, and different mechanisms have been proposed and described [14, 28], but none of them are mutually exclusive. The main mode of action proposed is related to its cationic properties [31] hypothesis supported by the lack of antifungal activity of uncharged chitin oligomers [32]. In fact, unlike chitosan, the polymeric form of chitin is naturally uncharged, and it does not show substantial antimicrobial activity. Basing on this model, the positive charges on the chitosan molecules interact with negatively charged pathogen surfaces (electrostatic interactions); this leads to the cell structure destruction, causing an extensive cell surface alterations and increasing membrane permeability [33–35]. Another proposed mechanism involved the alteration of cell permeability by chitosan that includes its deposition onto the pathogen cell surface, and consequent creation of an impermeable polymeric layer that prevents the uptake of nutrients in the cell, and in the meantime changes of the metabolite excretion in the extracellular matrix [28].
\n
Chitosan is also able to chelate some essential nutrients, metal ions and trace elements necessary for bacterial and fungal growth [12, 28], inhibiting thereby toxin production and microbial growth [36].
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2.2. Plant resistance elicitation
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All plants, whether they are resistant or susceptible, respond to pathogen attack by the induction of a coordinate signalling system, which results in the accumulation of different gene products. The responses to pathogen attack are effective at different levels: at first, the pathogen recognition leads to the development in the plant of a rapid localized cell death, also known as the hypersensitive response (HR), that causes necrosis at the site of infection (local response). Then, even in uninfected parts of the plants, a systemic expression of a broad spectrum and long-lasting resistance against further pathogen infection is triggered. This leads to the production of reactive oxygen species (ROS), the activation of defence-related genes as well as an enhanced expression of genes related to the production of molecules, such as phytoalexins, terpens, pathogenesis-related (PR) proteins and many enzymes involved in defence mechanisms (phenylalanine ammonia-lyase [PAL], polyphenol-oxidases [PPOs] and peroxidases such as guaiacol-peroxidase (G-POD) and ascorbate peroxidase [APX]) [37–39].
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The signals able to trigger the defence mechanisms in plants are called elicitors, and they can be produced in the site of infection both by infected plant cells (endogenous elicitors, released by the plants upon contact with the pathogen) and by the pathogen itself (exogenous pathogenic elicitors). They consist of several compounds including oligosaccharides, lipids, peptides and proteins, and they are capable, even at low concentrations, to act as signal molecules inducing the plant to trigger the defensive responses [40]. The elicitors, once recognized by transmembrane receptors of plant cells, induce an immune response, both locally (around the infection site/application) and systemic, through the translocation of signalling molecules in distal tissues [41]. The increasing knowledge of the mechanisms underlying the plant response to pathogen attacks has supported the idea that it is possible to achieve a broad-spectrum disease control and an increased protection against virulent pathogens by artificially inducing the plant’s own resistance mechanisms using substances with elicitor function. It is now well-documented that treatment of plants with various eliciting agents leads to an induced resistance against subsequent pathogen attacks, both locally and systemically. Therefore in order to enhance plant resistance in agriculture the use of elicitors is becoming a very attractive and eco-friendly tool that could provide efficient alternatives to the usage of chemical pesticides for managing plant diseases, thus reducing their environmental negative impacts.
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Moreover, it is known that chitosan at low molecular weight acts as a potent biotic elicitor, able to induce plant defence responses and to activate different pathways that increase the crop resistance to diseases [13, 15, 28, 42, 43]. The most studied plant responses to chitosan treatment are the formation of chemical and mechanical barriers and the synthesis of new molecules and enzymes involved in the defence response [15, 37]. In some cases, chitosan causes the induction of the hypersensitive response, mainly around the infection site, that leads to the programmed cell death [44]. This hypersensitive response can be followed by systemic response of the plant defence mechanisms. These latter mainly include the synthesis and accumulation of secondary metabolites with active roles in defence: phenolic compounds such as lignin, callose, phytoalexins, PR proteins (pathogenesis-related proteins) and the modulation of the activity of key enzymes of metabolic pathways involved in the defensive response, such as the PAL, peroxidases and chitinase (Figure 2) [45–48].
Figure 2.
Some proposed effects of chitosan as elicitor of plant defence responses [43]. The cellular and molecular changes elicitated by chitosan can be summarized in: membrane depolarization, oxidative burst, influx and exit of ions such as Ca2+, activation of MAP-kinases, chromatin and DNA alteration, increase in PR gene mRNA, PR proteins synthesis, phytoalexins accumulation, lignification and callose deposition. TFs: transcriptional factors. HMG A: architectural transcription factor high mobility group. PR proteins: pathogenesis-related proteins.
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The mechanism of action of chitosan and the responses induced by the latter in plant-pathogen interaction is not yet entirely clear. As written above, the plant through transmembrane cell receptors recognizes the elicitors, but the specific receptor for the chitosan has not yet been identified [37]. Protein kinase cascades that may relay the signal to transcription factors (TFs) have not been identified as well. Various models have been proposed to explain the role of chitosan in the activation of plant defence genes. A proposed direct elicitation of gene activity in plant defence implicates chitosan/DNA interactions (Figure 2). The proposed predictive models assume that chitosan induces the activation of defence genes by modifying the structure of DNA (chromatin remodelling) along with reductions in the architectural transcription factor high mobility group HMG A [43, 49] or by the interaction with the DNA polymerase complex [50].
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The defensive responses that are induced by chitosan treatment may depend on the pathosystem and, even in the same crop, on numerous factors, including the type of treatment application (Table 1).
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3. Chitosan seed treatments
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In agriculture, "Seed treatments are the biological, physical and chemical agents and techniques applied to seed to provide protection and improve the establishment of healthy crops" [International Seed Federation (ISF)]. It represents the first line of defence for seeds and seedlings against pests infecting the seed teguments or living in the soil (seedborne and soilborne pathogens). It provides protection during the critical stage of germination and the very first seedling development, when seeds and seedlings are unable to protect themselves from invasive pathogens [51]. The substance applied to the seeds can be of various nature such as chemical pesticides, biochemical substance, natural compounds [8, 52], and there are many different techniques that can be used for this purpose. Among them, seed coating and dressing represent a common procedure of seed treatment applied for preventing diseases and pests [53, 54] other than improving the seedling performances, i.e. the seedling emergence time, synchronized emergence, improve germination percentage, emergence rate and yield in many field crops [52, 55–57].
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The technique of seed dressing involves the application on the seed surface of thin layer of the active product, such as pesticides, fertilizers or growth promoters [57], often in combination with other additives. These other components may include colour (effective pigment), filming agents, surfactants or tackifiers. These products come in dry formulations as powders or liquid formulations are also available for sprays, dips, fluid drilling gels and solid matrix priming.
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Chitosan represents an interesting prospective in this field because it could cover different aspects thanks to its variety of properties mainly related to the molecular weight [15]. The high molecular weight confers to chitosan biopolymer characteristics, so that it can be used as film, forming physical barriers (film) around the seeds preventing the pathogen infection [58, 59].
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The low molecular weight chitosan posses high antimicrobial activity, which increases with weight decreasing, demonstrated against a wide variety of microorganisms such as bacteria, yeast and fungi [60, 61] even if some controversial evidences for a correlation between bactericidal activity and chitosan molecular weight have been found [62]. Thanks also to its ability to induce plant resistance, low molecular weigh chitosan has great potential as protector against diseases.
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An interesting application on seed is the use of chitosan as film coating as a delivery system for fertilizers, plant protection products and micronutrients for crop growth promotion [13]. Chitosan in fact can vehicular and protect other antimicrobial compounds such as essential oils. Essential oils have demonstrated antimicrobic activity [10, 11, 63] but are very volatile and their incorporation into coating can ensure a better persistence of the active ingredient on the surface and maintain high concentration of active molecules [64].
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For example, different kinds of chitosan seed coatings with or without essential oils like thyme (Thymus vulgaris) and tea tree (Melaleuca alternifolia) essential oils, incorporated at different concentrations and applied with different thickness, have been studied for controlling disease and reduce the risk of pathogen attack [65]. The treatment effectiveness in reducing fungal development was evaluated both on Fusarium spp. naturally infected wheat seeds and on seeds artificially infected with F. graminearum, one of the causal agents of root and foot rot in cereals (Figure 3). Results showed that coating treatment with essential oils reduced fungal growth on seeds without affecting germinability and lowered severity on seedlings at the first developing stages. Scanning electron microscope studies allowed to monitor the superficial structure stability of the coating treatment on seeds after the imbibition processes [65].
Figure 3.
Blotter test for seed health analysis after 7 days of incubation at 25°C of durum wheat seeds artificially infected with F. graminearum, one of the causal agents of root and foot rot in cereals. Seeds were then coated with a solution of chitosan and tea tree oil. The chitosan/tea tree oil treatment reduced significantly the fungal infection on seeds (right) compared with the inoculated and not treated seeds (left).
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Another main application of chitosan as seed treatment concerns the elicitation of the systemic resistance in plants. Basing on recent evidences, chitosan, when applied as a seed treatment, behaves as a resistance elicitor, inducing a physiologically enhanced defensive ability in seedlings and plants, whereby the plant’s innate defences are potentiated [45, 66]. Chitosan is able to cross the seed teguments, probably by diffusing through microscopic ruptures caused by the imbibition [67] and to interact with embryo cells, influencing the plant cellular metabolism in the following stages of development. Using radio labelled chitosan, it has been showed that the chitosan applied to seed is transferred to the emerging seedling during their development [68]. The major effects produced by the seed/chitosan interaction can be summarize as follows: (a) the seeds germination index is enhanced, (b) the mean germination time and flowering time are reduced; (c) plant growth (e.g. shoot height, root length, and seedling, vegetative growth vigour) and biomass are increased [52]. In maize [69], rice [70] and wheat [71], the chitosan seed treatment increased the germination percentage and stress tolerance, and improved the vigour of the seedlings. In artichoke [53], chitosan seeds treatment resulted in a better growth of the seedlings (e.g. longer and better developed radicle and greener hypocotyls) and lower chance of being infected by fungi in comparison with the untreated seeds. The observed growth improvement by chitosan could be also related to the incorporation of nutrients (nitrogen) from chitosan. Chitosan seed treatment is also able to increase the content of important resistance markers, like phenols and the activities of defence-related enzyme, thus improving the plant resistance. Biochemical analyses on durum wheat and sunflower confirmed the ability of chitosan to induce plant defence increasing PAL, PPO, peroxidases, and chitinase activities and phenolic content in seedling. The enhancement of these plant defence mechanisms suggests the activation of systemic resistance processes. Laboratory results on the chitosan-induced resistance were also confirmed under field and greenhouse condition, where an enhancement of the number of emerged plants (Figure 4) and a reduction in the disease severity (root and foot rot and downy mildew, respectively) were observed [45, 66]. Chitosan seed treatment also induced lignifications process, considered one of the first line of defences in plant-pathogen interaction: in chilli, the lignin content of seedlings obtained from chitosan-treated seeds was higher than that of untreated ones [72], thus giving to the plant a major protection against potentially penetration of invasive pathogen.
Figure 4.
Parcels of field trial (Italy) sowed with durum wheat seeds cv. Simeto artificially infected with F. graminearum and then treated with chitosan (CH) or with a copper sulphate-based treatment (CU), commonly used as chemical treatment in organic farming. Chitosan treatment enhanced the number of emerged plants, if compared with no treatment (NT), as well as copper treatment.
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Chitosan seed treatment can also be effective in insect control because it stimulates plants to produce systemic antibodies with repellent effects on insect pests, as reported in soybean against Agrotis ypsilon, soybean pod borer and soybean aphid. The chitosan treatment developed an antifeedant rate of more than 80% against all these insects, together with increases in seed germination, plant growth and soybean yield [73].
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4. Chitosan as soil amendment
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As previously described, chitosan can be used in several ways to reduce plant disease levels and prevent the development and spread of diseases, thus preserving crop yield and quality. Chitosan as soil amendment was found to successfully decrease Fusarium wilt in several plant species [33, 74, 75]. Similar results were reported against Cylindrocladium floridanum [76], Alternaria solani [77] and Aspergillus flavus infections [78] after soil treatment with chitosan. Part of the observed effect of chitosan on the reduction in these pathogens comes from the fact that it enhances plant defence responses. It has been demonstrated that chitosan acts as an elicitor of plant systemic immunity by the accumulation of defence-related antimicrobial compounds, and it plays an important role in the activation of induced resistance [43]. For example, the innate immunity induction was observed in micropropagated kiwi plants after the addition of chitosan to the growth medium [46]. This includes the modulation of several enzyme activities, involved in detoxification processes as well as the increasing of the activity of enzymes involved in plant defence barriers (G-POD, APX, PAL and PPO) [46]. In addition, chitosan amendments were reported to induce callose formation, proteinase inhibitors and phytoalexin biosynthesis in many dicot species [79–81].
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The amendment of soil with chitosan is eco-friendly, since in the soil chitosan can be degraded at a substantial rate, due to the enormous abundance and diversity of bacteria in most soils and the presumed presence of chitinases in a considerable fraction of the bacterial populations. Chitin degradation is mainly a bacterial process [82–85]. However, it still remains unknown the wideness of chitinolytic process due to soil bacteria population with different chitin degradation and whether fungi can also play a major role in this process. Works on microbial community members hypothesized a role of chitin in stimulating bacterial communities to a greater extent than the fungal ones [85, 86]. Among the bacteria genera isolated from chitin-treated soils, there were Streptomyces [86], Stenotrophomonas and Bacillus [87, 88]. However, due to the complexity of bacterial response in soil treated with chitin, the mechanisms behind the observed effects, in particular what are the active bacterial community, the timing of the chitinolytic activity and bacterial succession is still poorly understood. Probably, members of the actinobacteria have a key role in the degradation of complex organic molecules like chitinosan in field [88, 89].
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In field conditions, chitosan alters the equilibrium of the rhizosphere, disadvantaging microbial pathogens and promoting the activity of beneficial microorganisms, such as Bacillus, Pseudomonas fluorescens, actinomycetes, mycorrhiza and rhizobacteria [90–93]. For instance, soil treatment with chitin and/or chitosan from shrimp waste has been shown to decrease the rate of infection of plant roots by nematodes [82, 84] and to enhance the suppressiveness against soilborne diseases [91]. Although not definitely proven in all cases, the mechanisms behind chitosan effectiveness are most often related to a change in the structure and/or activity of soil microbiota [94, 95]. Two hypotheses have been formulated regarding the response of the soil microbial communities to chitosan addition: (a) chitinolytic microorganisms, which are capable of hydrolyzing the chitinous hyphae of pathogenic fungi, increased their numbers and/or activities (b) secondary responders to the added chitosan have a detrimental activity against pathogens [96].
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The beneficial effect of the chitosan seems to be linked not only to its impact on soil microbiota, but also on plant itself. Recently, an innovative bioremediation strategy uses the ability of chitosan to chelate minerals and other nutrients, making them more available for the uptake by the plant [97, 98]. This is important, since crop production is many times limited by low availability of essential mineral elements [99]. In agreement with this strategy, in Ref. [100], the effect of using chitosan oligosaccharides as a soil conditioner was demonstrated on the flowering and fruit growth of purple passion fruit. It was found that this soil conditioner increased significantly the numbers of flowers, fruit weight and juice production. The inclusion of soluble chitosan to hydroponic fertigation streams also promoted the growth and final yield of hydroponically cultivated potato microtubers [101].
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Thus, if chitosan can increase absorption of essential minerals, enhancing the plant’s nutritional value (biofortification), it is possible that it can also help plants to take up higher concentrations of toxic elements. In fact, the ability of chitosan to chelate certain ions also makes it an interesting compound to be used in phytoremediation. In Refs. [102, 103], the remediation of metal contaminated soil using chitosan as soil amendment was shown to be possible (Table 1).
Plant
Disease/pathogen
Activity/defence response
Application
References
Pear
A. kikuchiana and P. piricola
Antifungal activity
Growth medium addition and postharvest treatment on fruits
Listing of some possible applications of chitosan in agriculture and the related effects (activity and plant defence responces).
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5. Conclusion
\n
The chitosan is an active molecule that finds many possible applications in agriculture with the aim of reducing or replacing more environmentally damaging chemical pesticides. Although it is a good alternative even in conventional farming, chitosan applications would find interesting opportunities particularly in organic farming, disadvantaged by the lack of effective tools for managing biotic diseases. The plant disease control in organic farming, especially those caused by fungal and bacterial pathogen, is currently based on copper treatments. However, the research of an ecological alternative is mandatory because of the environmental impact problems related to the use of this heavy metal. Thus, chitosan could represent an innovative eco-friendly strategy for managing plant diseases and replacing copper or reducing its use, thanks to its several properties such as those previously described. In fact, several studies have demonstrated the effectiveness of chitosan in protecting plants from biotic stresses by direct and/or indirect actions, but its interaction with pathogens and plants are still not fully understood. Chitosan application in the field, including formulation aspects, is one of the least studied issues and it needs further testing and validation.
Acknowledgments
\n
The authors wish to thank the Office PQAI I “Organic farming and National food quality Systems and General Affairs” of the Italian Ministry of Agriculture, which funded the project “Copper reduction Strategies and possible alternatives to its use in organic farming - ALT.RAMEINBIO”, within which the reported study was realized.
\n',keywords:"chitosan, seed treatment, soil amendment, plant resistance elicitation, induced defence, elicitor",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/53601.pdf",chapterXML:"https://mts.intechopen.com/source/xml/53601.xml",downloadPdfUrl:"/chapter/pdf-download/53601",previewPdfUrl:"/chapter/pdf-preview/53601",totalDownloads:5633,totalViews:3048,totalCrossrefCites:31,totalDimensionsCites:65,totalAltmetricsMentions:1,impactScore:20,impactScorePercentile:99,impactScoreQuartile:4,hasAltmetrics:1,dateSubmitted:"April 19th 2016",dateReviewed:"November 11th 2016",datePrePublished:null,datePublished:"January 11th 2017",dateFinished:"December 21st 2016",readingETA:"0",abstract:"In recent years, environmental-friendly measures have been developed for managing crop diseases as alternative to chemical pesticides, including the use of natural compounds such as chitosan. In this chapter, the common uses of this natural product in agriculture and its potential uses in plant disease control are reviewed. The last advanced researches as seed coating, plant resistance elicitation and soil amendment applications are also described. Chitosan is a deacetylated derivative of chitin that is naturally present in the fungal cell wall and in crustacean shells from which it can be easily extracted. Chitosan has been reported to possess antifungal and antibacterial activity and it showed to be effective against seedborne pathogens when applied as seed treatment. It can form physical barriers (film) around the seed surface, and it can vehicular other antimicrobial compounds that could be added to the seed treatments. Chitosan behaves as a resistance elicitor inducing both local and systemic plant defence responses even when applied to the seeds. The chitosan used as soil amendment was shown to give many benefits to different plant species by reducing the pathogen attack and infection. Concluding, the chitosan is an active molecule that finds many possibilities for application in agriculture, including plant disease control.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/53601",risUrl:"/chapter/ris/53601",book:{id:"5412",slug:"biological-activities-and-application-of-marine-polysaccharides"},signatures:"Laura Orzali, Beatrice Corsi, Cinzia Forni and Luca Riccioni",authors:[{id:"189361",title:"Ph.D.",name:"Laura",middleName:null,surname:"Orzali",fullName:"Laura Orzali",slug:"laura-orzali",email:"laura.orzali@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"Centro di Ricerca per la Patologia Vegetale",institutionURL:null,country:{name:"Italy"}}},{id:"189612",title:"Dr.",name:"Luca",middleName:null,surname:"Riccioni",fullName:"Luca Riccioni",slug:"luca-riccioni",email:"luca.riccioni@crea.gov.it",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"189614",title:"Dr.",name:"Beatrice",middleName:null,surname:"Corsi",fullName:"Beatrice Corsi",slug:"beatrice-corsi",email:"CorsiBeatrice@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"189615",title:"Prof.",name:"Cinzia",middleName:null,surname:"Forni",fullName:"Cinzia Forni",slug:"cinzia-forni",email:"forni@uniroma2.it",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Chitosan",level:"1"},{id:"sec_2_2",title:"2.1. Antimicrobial activity",level:"2"},{id:"sec_3_2",title:"2.2. Plant resistance elicitation",level:"2"},{id:"sec_5",title:"3. Chitosan seed treatments",level:"1"},{id:"sec_6",title:"4. Chitosan as soil amendment",level:"1"},{id:"sec_7",title:"5. Conclusion",level:"1"},{id:"sec_8",title:"Acknowledgments",level:"1"}],chapterReferences:[{id:"B1",body:'Ecobichon D.J. Our changing perspectives on benefits and risks of pesticides: a historical overview. Neurotoxicology. 2000;21(1–2), 211–218.'},{id:"B2",body:'Aktar W., Sengupta D. and Chouwdhury A. Impact of pesticides use in agriculture: benefits and hazards. Interdiscip. Toxicol. 2009;2(1):1–12.'},{id:"B3",body:'Haria A.H., Hodnett M.G. and Johnson A.C. Mechanisms of groundwater recharge and pesticides penetration to a chalk aquifer in Southern England. J. 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Council for Agricultural Research and Economics, Plant Pathology Research Center (CREA-PAV), Rome, Italy
Council for Agricultural Research and Economics, Plant Pathology Research Center (CREA-PAV), Rome, Italy
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1. Introduction
Psoriatic arthritis (PsA) is a complex musculoskeletal disorder that has the clinical features of psoriasis, peripheral arthritis, spinal involvement, enthesitis, and dactylitis [1, 2]. Typically, skin lesions precede osteoarticular lesions [1, 2, 3, 4, 5, 6], although osteoarticular lesions precede skin lesions in some cases. In these cases, the diagnosis is difficult and often results in a delay in treatment. Regardless, the appropriate management of PsA requires early diagnosis. Classification criteria of PsA (CASPAR criteria) consist of established inflammatory articular diseases with at least 3 points from the following features: current psoriasis (assigned a score of 2), a history of psoriasis (a score of 1), a family history of psoriasis (a score of 1), dactylitis (a score of 1), juxtaarticular new bone formation (a score of 1), rheumatoid factor negativity (a score of 1), and nail dystrophy (a score of 1). The CASPAR criteria have been reported to be useful in assisting clinicians in the diagnosis of PsA because of high sensitivity and specificity than any other criteria [7].
PsA in many patients is associated with obesity, diabetes, hypertension, metabolic syndrome, fatty liver, and an increased risk of cardiovascular events compared to that of the general population [8]. In a realistic orthopedic outpatient clinical setting, little is unknown about the clinical features and the treatment status in patients with PsA. Whether PsA is associated with obesity or lifestyle-related diseases remains unknown.
We investigated the clinical characteristics of PsA, such as the onset pattern of PsA, the interval between the occurrence of skin lesions and osteoarticular lesions, and the distribution of arthritis such as peripheral and axial lesions and enthesitis. In addition, we examined whether obesity, hypertension, or diabetes mellitus was significantly increased in patients with PsA. We also examined the treatment status for PsA.
2. Methods
This was a single-center non-interventional retrospective study that examined patients with PsA who were diagnosed by rheumatologists and dermatologists at our hospital between January 2010 and December 2018. All patients in this study satisfied the CASPAR criteria with a score of more than 3 points. A total of 64 consecutive cases were enrolled, and informed consent was obtained from each patient. This study was approved by Niigata University Medical and Dental Hospital Institutional Review Board (#2018–0418).
The patients were categorized and investigated according to the following PsA onset patterns: a skin rash that preceded the manifestations of arthritis (skin leading type), the osteoarticular lesion that preceded the manifestation of a skin rash (osteoarticular leading type), and the simultaneous onset of skin and osteoarticular symptoms (simultaneous type). For both the skin and osteoarticular leading types of PsA, we recorded the time between the presentation of the first and second symptoms. We also investigated the disease prevalence according to the lesion site, namely peripheral lesions (e.g., fingers, wrists, elbows, shoulders, toes, ankles, knees, and hips), axial lesions (e.g., cervical, thoracic, lumbar spines, and sacroiliac joint), and enthesitis (e.g., Achilles’ tendon, plantar aponeurosis, quadriceps tendon, and patellar tendon).
When arthritis symptoms were present, painful areas were evaluated by radiography, which allowed us to confirm the presence of imaging findings typical of PsA (typical peripheral joint new bone formation, sacroiliac joint bone erosions, and syndesmophytes on the sacroiliac joint or spine).
Obesity was defined as a body mass index (BMI) ≥ 25, and the prevalence of comorbidities was assessed relative to that of the general population as reported in a survey conducted by the Ministry of Health, Labor, and Welfare of Japan [9]. The incidences of obesity and hypertension, diabetes mellitus, and other diseases such as dyslipidemia and chronic kidney disease were examined.
Furthermore, we classified the patients according to the treatments they had received, such as nonsteroidal anti-inflammatory drugs (NSAIDs), conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), biological DMARDs (bDMARDs), prednisolone, and others.
2.1 Statistical analysis
The statistical analyses were performed using SPSS (Version 21, Tokyo, Japan). The Student t-test was performed for continuous variables, and Fisher’s exact probability test was performed for categorical variables. A p-value <0.05 was considered to be statistically significant.
3. Results
Of the 64 patients with PsA who were enrolled, 49 were male and 15 were female patients. The patient characteristics are shown in Table 1. The mean age ± SD of the patients was 55.5 ± 12.9 years (range, 27–80 years), and the mean age at the onset of first symptoms was 36.2 ± 15.7 years (range, 3–70 years). The mean age of the onset of psoriasis (skin lesion) and the osteoarticular lesion was 36.2 years and 47.0 years, respectively. The mean time interval between the onset of skin and osteoarticular lesions was 11.3 years (range, 0–39 years). Regarding the CASPAR criteria, the percentage of confirmed items was 100% for current psoriasis, followed by rheumatoid factor negativity (92.4%), nail lesions (34.8%), juxta-articular new bone formation (25.8%), and dactylitis (16.7%); the mean CASPAR score was 3.75 points (range, 3–6 points).
Demographic and clinical characteristics (n = 64)
Value (range, %)
Demographic characteristics
Sex, male/female
49/15
Age
55.5 ± 12.9 years (27–80)
Age at onset of symptoms
36.2 ± 15.7 years (3–70)
Age at psoriasis onset
36.8 years (3–70)
Age at arthritis onset
47.0 years (17–75)
The mean interval between the occurrence of skin lesion and arthritis
11.3 years (0–39)
CASPAR criteria
Current psoriasis
64 (100)
Dactylitis
11 (16.7)
Juxta-articular new bone formation
17 (25.8)
Rheumatoid factor negativity
61 (92.4)
Typical psoriatic nail lesions
23 (34.8)
Average score
3.75 (3–6)
Table 1.
Characteristics of patients with psoriatic arthritis.
Regarding the onset patterns of PsA, the skin leading type was dominant in 48 cases (75%), with 10 cases of the osteoarticular leading type (15.6%), followed by 6 cases of the simultaneous type (9.4%). The mean time interval between the presentation of the two different lesion types was 14.2 ± 10.2 years (range, 0.3–39.4 years) in the skin leading type and 4.5 ± 3.3 (range, 0.1–15.1 years) in the osteoarticular leading type. A statistically significant difference (p < 0.001) was observed between the two types (Table 2). In addition, no statistically significant difference was observed between the patient’s sex and age.
Timing of onset
n or years (range, %)
Skin leading type
48 (75)
Time interval between the occurrence of skin and osteoarticular lesions
14.2 ± 10.2 years (0.3–39.4)
Simultaneous type
6 (9.4)
Osteoarticular leading type
10 (15.6)
Time interval between the occurrence of osteoarticular and skin lesions
shows statistically significant difference (p < 0.0001) compared to that of the time interval between the occurrence of skin and osteoarticular lesions.
Axial joints were affected in 29% of those in the skin leading group and 60% of the patients in the osteoarticular leading group, although there was no statistically significant difference in the distribution patterns of the affected axial joints (p = 0.16). Axial lesions were observed in a total of 21 cases (53%), with the sacroiliac joints the most affected joints in 14 cases (22%), followed by the thoracic spine in 10 cases (16%), lumbar spine in 9 cases (14%), and cervical spine in 7 cases (11%) (Table 3).
The site of axial lesions
Cases
%
Cervical spine
7
11
Thoracic spine
10
16
Lumbar spine
9
14
Sacroiliac joints
14
22
Total
21
33
Table 3.
The distribution pattern of axial lesions.
Peripheral joints were affected in 92% of the patients in the skin leading type and 100% of the patients in the osteoarticular leading type, without a statistically significant difference (p = 0.99). Regarding the peripheral joint lesions, 53 cases (83%) were observed in the upper extremity and 30 cases (47%) in the lower extremity. In the upper extremity, the joints that were first affected joint were the finger joints in 39 cases (61%), followed by shoulder joints in 22 cases (34%), wrist joints in 12 cases (19%), and elbow joints in 7 cases (11%). In the lower extremity, the joints that were first affected were the toe joints in 12 cases (19%), followed by knee joints in 11 cases (17%), hip joints in 7 cases (11%), and ankle joints in 4 cases (6.3%) (Table 4).
Site of peripheral lesions
Cases
%
Upper extremity
53
83
Finger
39
61
Wrist
12
19
Elbow
7
11
Shoulder
22
34
Lower extremity
30
47
Toe
12
19
Ankle
4
6.3
Knee
11
17
Hip
7
11
Table 4.
The distribution pattern of the peripheral lesions.
Enthesitis was observed in 15 of the total cases (23%). The most affected tendons were the Achilles’ and plantar tendons, both with 8 cases (13%), followed by the quadriceps tendon in 6 cases (9.4%) and patellar tendon in 2 cases (3.1%) (Table 5).
Site of enthesitis
Cases
%
Achilles’ tendon
8
13
Plantar tendon
8
13
Quadriceps tendon
6
9.4
Patellar tendon
2
3.1
Total
15
23
Table 5.
The distribution pattern of enthesitis.
In our study, the prevalence of obesity was determined to be 55%. Regarding other comorbid lifestyle-related diseases, hypertension was observed in 27 cases (42%), diabetes mellitus in 12 cases (19%), dyslipidemia in 11 cases (17%), and chronic kidney disease (CKD) in 3 cases (4.7%). Diabetes mellitus was type 2 in all 12 cases. A statistically significant correlation was found between PsA and obesity (p < 0.0001). No statistically significant correlations were observed between PsA and hypertension (p = 0.43) or diabetes mellitus (p = 0.57) (Table 6).
Present study (%)
Japanese cohort in 2016 (%)
p-value
Obesity (BMI ≥ 25)
55
26
< 0.001
Hypertension
42
36
0.43
Diabetes mellitus
19
15
0.57
Table 6.
The incidence of obesity, hypertension, and diabetes mellitus in patients with psoriatic arthritis and comparison with a Japanese cohort.
Fisher’s direct exact test was performed for each patient for obesity and concomitant diseases.
BMI, body mass index.
Table 7 shows the treatments the patients with PsA received. NSAIDs were prescribed in 25 cases (39%). Several csDMARDs were prescribed in 41 cases (64%), where 21 cases (32.8%) received methotrexate, 9 cases (14%) received salazosulfapyridine, and 3 cases (4.7%) received cyclosporine. Several bDMARDs were prescribed in 33 cases (51.5%), with the most prescribed bDMARDs being adalimumab and infliximab, which were both prescribed in 10 cases (15.6%), followed by ixekizumab in 4 cases (6.3%), etanercept and sekukinumab both in 3 cases (4.7%), and certolizumab pegol, tocilizumab, and guselkumab each prescribed in 1 case (1.6%). Other treatments included prednisolone in a single case (1.6%) and apremilast, ascorbic acid, calcium pantothenate, and biotin, each prescribed in two cases (3.1%) (Table 7).
We identified several clinical features of PsA based on the results of this study. First, PsA dominantly afflicted male patients (77%), with the mean age of onset for cutaneous psoriasis at 36.8 years, while that of osteoarticular lesions at 47.0 years. Second, the skin leading type was observed more than the osteoarticular leading type, with the interval between the onset of both symptoms significantly shorter in the osteoarticular leading type than in the skin leading type. Third, upper extremity lesions were more dominant (53 cases; 83%) than lower extremity lesions (30 cases; 47%). Fourth, axial lesions were observed in 33% and enthesitis in 23% of the sample. Fifth, obesity was strongly associated with PsA. Finally, csDMARDs were the most prescribed drugs in patients with PsA, followed by bDMARDs and NSAIDs.
Regarding the onset pattern of PsA in a Japanese multicenter study, Ohara reported arthritis preceded psoriasis in 11% of patients [1]. In previous reports concerning PsA [3, 4, 5, 6], the incidences of “joint before skin” cases were between 15% and 30% of the sample. In our study, arthritis preceded skin lesions in 17%, which was in near agreement with the results of previous reports. In these cases, the lack of skin lesions makes diagnosis difficult.
Regarding the distribution of arthritis, Ritchlin reported that axial joints are affected in 50% of PsA patients [2]. In the Japanese multicenter study, back pain such as lumbago and neck pain was observed in 34.3% of patients and enthesitis in 28.3% [10, 11]. Similarly, our study showed that axial lesions were present in 33% and enthesitis in 23%.
Moreover, we checked the distribution of arthritis by the onset patterns in this study. However, there was no statistically significant difference in both peripheral and axial lesions, and it was therefore concluded that the distribution pattern was not useful for detecting PsA in the osteoarticular leading type.
The risk factors for the development of psoriasis are obesity and lifestyle-related diseases such as hypertension, diabetes mellitus, hyperlipidemia [12], with obesity-related to the severity of psoriasis [13]. A large cohort study also demonstrated that BMI was associated with psoriasis [14]. In another study, PsA showed a significant association with obesity, type 2 diabetes, hypertension, metabolic syndrome, fatty liver, and an increased risk of cardiovascular events [15].
Similarly, in our study, obesity was significantly associated with PsA; however, the other factors were not statistically significantly associated with PsA.
Regarding the treatment status, NSAIDs were effective for joint symptoms but ineffective for skin lesions. The csDMARDs were effective for arthritis and skin involvement, whereas the bDMARDs were used for patients with an inadequate response to the csDMARDs as it can suppress skin and joint inflammation and delay radiographic progression.
Despite the use of traditional disease-modifying medications in more than 50% of patients with PsA, bone erosions were still observed in 47% of patients within the first 2 years [16]. Therefore, the appropriate diagnosis of PsA and tight control are required for better clinical outcomes of PsA. According to the American College of Rheumatology recommendation for PsA in a 2019 update, non-steroidal anti-inflammatory drugs and local glucocorticoid injections are proposed as initial therapy. Further, for patients with arthritis and poor prognostic factors such as polyarthritis or monoarthritis/oligoarthritis accompanied by factors such as dactylitis or joint damage, rapid initiation of csDMARDs are recommended. If the treatment target is not achieved with this strategy, bDMARDs targeting tumor necrosis factor (TNF), interleukin (IL)-17A, or IL-12/23 should be initiated [17].
In our study, NSAIDs were used in 39% of patients, csDMARDS in 64%, and bDMARDs in 51.5%. These data suggest that skin or arthritic symptoms were moderate to high in our cases. Yamamoto et al. Demonstrated that bDMARDs were used in more than 50% of all patients registered with PsA, which is in agreement with our results [10, 11].
Our study had several limitations. First, the small sample size was a result of this study taking place at a single center. Second, the type of skin and severity of psoriasis with a Psoriasis Area and Severity Index score was not evaluated. Third, the effect of the prescribed drugs was not examined.
5. Conclusions
we clarified the clinical features of PsA in a clinical orthopedic outpatient clinic setting. PsA was more dominant in male patients, with the osteoarticular leading type pattern of PsA observed in 17% of patients, as opposed to 75% in the skin leading type pattern. The interval between the onset of osteoarticular symptoms and the appearance of skin lesions was 4.5 years on average in the osteoarticular leading type, which was significantly shorter than that in the skin leading type. It was concluded that for patients with RF negative polyarthritis, it is important to be aware that psoriasis may develop approximately 4 years on average. Increased use of csDMARDs and bDMARDs was observed compared to that of NSAIDs.
Acknowledgments
The authors acknowledge English language editing and proofreading for Editage.
Conflicts of interest
None.
Ethical statement
This study was performed with the approval of the institutional review board of our hospital.
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A total of 64 patients with PsA who had been assessed according to the CASPAR criteria were enrolled. Of those, 75% had a typical lesion onset pattern where skin lesions preceded osteoarticular lesions (skin leading) and 16% had an osteoarticular leading lesion pattern. The mean time interval between the onset of lesions in patients with the skin leading pattern was 14.2 years and that in patients with the osteoarticular leading pattern was 4.5 years. Non-steroidal anti-inflammatory drugs were prescribed to 39% of patients, conventional synthetic disease modifying antirheumatic drugs (DMARDs) to 64%, and biologic DMARDs to 51.5%. 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Introduction",level:"1"},{id:"sec_2",title:"2. Methods",level:"1"},{id:"sec_2_2",title:"2.1 Statistical analysis",level:"2"},{id:"sec_4",title:"3. Results",level:"1"},{id:"sec_5",title:"4. Discussion",level:"1"},{id:"sec_6",title:"5. Conclusions",level:"1"},{id:"sec_7",title:"Acknowledgments",level:"1"},{id:"sec_10",title:"Conflicts of interest",level:"1"},{id:"sec_7",title:"Ethical statement",level:"1"}],chapterReferences:[{id:"B1",body:'Ohara Y, Kishimoto M, Takizawa N, et al. Prevalence and clinical characteristics of psoriatic arthritis in Japan. The Journal of Rheumatology. 2015;42:1439-1442'},{id:"B2",body:'Ritchlin CT, Colbert RA, Gladman DD. Psoriatic arthritis. The New England Journal of Medicine. 2017;376:2095-2096'},{id:"B3",body:'Gladman DD, Antoni C, Mease P, et al. Psoriatic arthritis: Epidemiology, clinical features, course, and outcome. Annals of the Rheumatic Diseases. 2005;64(Supplement 2):ii14-ii17'},{id:"B4",body:'Torre Alonso JC, Rodriguez Perez A, Arribas Castrillo JM, et al. Psoriatic arthritis (PA): A clinical, immunological and radiological study of 180 patients. British Journal of Rheumatology. 1991;30:245-250'},{id:"B5",body:'Gladman DD, Shuckett R, Russell ML, et al. Psoriatic arthritis (PSA)-an analysis of 220 patients. The Quarterly Journal of Medicine. 1987;62:127-141'},{id:"B6",body:'Kammer GM, Soter NA, Gibson DJ, et al. Psoriatic arthritis: A clinical, immunologic and HLA study of 100 patients. Seminars in Arthritis and Rheumatism. 1979;9:75-97'},{id:"B7",body:'Taylor W, Gladman D, Helliwell P, et al. Classification criteria for psoriatic arthritis: Development of new criteria from a large international study. Arthritis and Rheumatism. 2006;54:2665-2673'},{id:"B8",body:'Perez-Chada LM, Merola JF. Comorbidities associated with psoriatic arthritis: Review and update. Clinical Immunology. 2020;214:108397'},{id:"B9",body:'National Health and Nutrition Survey (Heisei 28 nen). Available from: https://www.mhlw.go.jp/stf/houdou/0000177189.html'},{id:"B10",body:'Yamamoto T, Kawada A. Clinical characteristics of Japanese patients with psoriatic arthritis: Comparison with East Asian countries. The Journal of Dermatology. 2018;45:273-278'},{id:"B11",body:'Yamamoto T, Ohtsuki M, Sano S, et al. Epidemiological analysis of psoriatic arthritis patients in Japan. The Journal of Dermatology. 2016;43:1193-1196'},{id:"B12",body:'Kamiya K, Kishimoto M, Sugai J, et al. Risk factors for the development of psoriasis. International Journal of Molecular Sciences. 2019;20:4347'},{id:"B13",body:'Tobin AM, Hackett CB, Rogers S, et al. Body mass index, waist circumference and HOMA-IR correlate with the Psoriasis Area and Severity Index in patients with psoriasis receiving phototherapy. The British Journal of Dermatology. 2014;171:436-438'},{id:"B14",body:'Setty AR, Curhan G, Choi HK. Obesity, waist circumference, weight change, and the risk of psoriasis in women: Nurses’ Health Study II. Archives of Internal Medicine. 2007;167:1670-1675'},{id:"B15",body:'Ogdie A, Schwartzman S, Husni ME. Recognizing and managing comorbidities in psoriatic arthritis. Current Opinion in Rheumatology. 2015;27:118-126'},{id:"B16",body:'Kane D, Stafford L, Bresnihan B, et al. A prospective, clinical and radiological study of early psoriatic arthritis: An early synovitis clinic experience. Rheumatology (Oxford). 2003;42:1460-1468'},{id:"B17",body:'Gossec L, Baraliakos X, Kerschbaumer A, et al. EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2019 update. Annals of the Rheumatic Diseases. 2020;79:700-712'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Naoki Kondo",address:"naokikondo1214@gmail.com",affiliation:'
Division of Orthopedic Surgery, Department of Orthopedic Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
Division of Orthopedic Surgery, Department of Orthopedic Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
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This chapter briefly discusses the background and current scope of salivary diagnostics, technologies for the discovery of biomarkers along with a summary of salivary sample collection, and processing methods.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Varsha Pathiyil and Rahul Udayasankar",authors:[{id:"281226",title:"Dr.",name:"Varsha",middleName:null,surname:"Pathiyil",slug:"varsha-pathiyil",fullName:"Varsha Pathiyil"},{id:"290603",title:"Dr.",name:"Rahul",middleName:null,surname:"Udayasankar",slug:"rahul-udayasankar",fullName:"Rahul Udayasankar"}]},{id:"36392",doi:"10.5772/36793",title:"Biomarkers and Therapeutic Drug Monitoring in Psychiatry",slug:"biomarkers-and-therapeutic-drug-monitoring-in-psychiatry",totalDownloads:1947,totalCrossrefCites:1,totalDimensionsCites:4,abstract:null,book:{id:"1959",slug:"biomarker",title:"Biomarker",fullTitle:"Biomarker"},signatures:"R. Lozano, R. Marin, A. Pascual, MJ. Santacruz, A. Lozano and F. Sebastian",authors:[{id:"109838",title:"Dr.",name:"Roberto",middleName:null,surname:"Lozano Ortiz",slug:"roberto-lozano-ortiz",fullName:"Roberto Lozano Ortiz"},{id:"115991",title:"Dr.",name:"Reyes",middleName:null,surname:"Marin",slug:"reyes-marin",fullName:"Reyes Marin"},{id:"115992",title:"Dr.",name:"Asuncion",middleName:null,surname:"Pascual",slug:"asuncion-pascual",fullName:"Asuncion Pascual"},{id:"115993",title:"Ms.",name:"Francisca",middleName:null,surname:"Sebastian",slug:"francisca-sebastian",fullName:"Francisca Sebastian"},{id:"115994",title:"Ms.",name:"Maria Jesus",middleName:null,surname:"Santacruz",slug:"maria-jesus-santacruz",fullName:"Maria Jesus Santacruz"}]}],mostDownloadedChaptersLast30Days:[{id:"72837",title:"The Na/K-ATPase Signaling Regulates Natriuresis in Renal Proximal Tubule",slug:"the-na-k-atpase-signaling-regulates-natriuresis-in-renal-proximal-tubule",totalDownloads:516,totalCrossrefCites:0,totalDimensionsCites:1,abstract:"For decades, the Na/K-ATPase has been proposed and recognized as one of the targets for the regulation of renal salt handling. While direct inhibition of the Na/K-ATPase ion transport activity and sodium reabsorption was the focus, the underlying mechanism is not well understood since decreases in basolateral Na/K-ATPase activity alone do not appear sufficient to decrease net sodium reabsorption across the renal tubular epithelium. The newly appreciated signaling function of Na/K-ATPase, which can be regulated by Na/K-ATPase ligands (cardiotonic steroids (CTS)) and reactive oxygen species (ROS), has been widely confirmed and provides a mechanistic framework for natriuresis regulation in renal proximal tubule (RPT). The focus of this review aims to understand, in renal proximal tubule, how the activation of Na/K-ATPase signaling function, either by CTS or ROS, stimulates a coordinated reduction of cell surface Na/K-ATPase and sodium/hydrogen exchanger isoform 3 (NHE3) that leads to ultimately decreases in net transcellular sodium transport/reabsorption.",book:{id:"10119",slug:"biomarkers-and-bioanalysis-overview",title:"Biomarkers and Bioanalysis Overview",fullTitle:"Biomarkers and Bioanalysis Overview"},signatures:"Jiang Liu, Yanling Yan and Joseph I. Shapiro",authors:[{id:"69199",title:"Dr.",name:"Joseph",middleName:"Isaac",surname:"Shapiro",slug:"joseph-shapiro",fullName:"Joseph Shapiro"},{id:"313470",title:"Associate Prof.",name:"Jiang",middleName:null,surname:"Liu",slug:"jiang-liu",fullName:"Jiang Liu"},{id:"314323",title:"Dr.",name:"Yanling",middleName:null,surname:"Yan",slug:"yanling-yan",fullName:"Yanling Yan"}]},{id:"66233",title:"Functions of Saliva",slug:"functions-of-saliva",totalDownloads:2e3,totalCrossrefCites:2,totalDimensionsCites:3,abstract:"Saliva is produced and secreted by salivary glands. The basic secretary units of salivary glands are clusters of acini cells. It is fluid that contains water, electrolytes, mucus, and enzymes, all of which flow out of the acinus into collecting ducts, certainly one of the most important components and an integral component to oral health. The protective role and benefits including buffering, remineralization in the healthy oral mucosa, immune defense, digestion, lubrication, diagnostic purpose, and proteome analysis are fulfilled by saliva. It aids in maintaining mucosal integrity and indigestion through salivary enzymes. The functions of saliva in maintaining oral health and the main factors that cause alterations in salivary secretion and the importance of saliva in caries development and bacterial plaque formation are discussed, and also its role and functions and organic and inorganic constituents in saliva are discussed. This is of great importance in ruminants, which have non-secretory forestomachs. Diseases of the salivary glands and ducts are not uncommon in animals and man, and excessive salivation is a symptom of almost any lesions in the oral cavity.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Narendra Maddu",authors:[{id:"272889",title:"Dr.",name:"Narendra",middleName:null,surname:"Maddu",slug:"narendra-maddu",fullName:"Narendra Maddu"}]},{id:"67237",title:"Advantages of Salivary DNA in Human Identification",slug:"advantages-of-salivary-dna-in-human-identification",totalDownloads:785,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Since two and a half decades, in human identification, the short tandem repeat (STR) markers represent the “gold standard.” Besides them, haploid markers such as X-STR and Y-STR are also used to complement the autosomal markers. In human identification, DNA from body fluids, especially saliva, represents an important tool. The aim of this chapter is to present the importance of analyzing X-STR markers in a relatedness case between a sister and her presumptive brother, a carbonized victim using body fluids for their DNA identification. Our laboratory had to establish the relatedness between a woman and her presumptive brother (PB), who was the victim of a car accident explosion. In this case, as reference sample we used saliva collected on swabs from the woman and blood sample from the deceased victim. For the DNA extraction, DNA IQ Casework (Promega, USA) was used. DNA quantification was done with PowerQuant System kit (Promega, USA). Furthermore, the DNA samples were amplified with Investigator 24plex QS (Qiagen, Germany) for the STR markers and Investigator Argus 12-X QS kit (Qiagen, Germany) for the X-STR markers. The amplified DNA products were separated by capillary electrophoresis on a 3500 Genetic Analyzer. In this case, full genetic profiles were obtained for the woman and her presumptive brother on both STR and X-STR markers. Thus, we could confirm a full sibling relationship between them. Since the introduction of DNA in human identification, it represents a useful tool in establishing sibling relationship from different biological samples.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Raluca Dumache, Veronica Ciocan, Camelia Muresan, Ramona Parvanescu and Alexandra Enache",authors:[{id:"179199",title:"Dr.",name:"Raluca",middleName:null,surname:"Dumache",slug:"raluca-dumache",fullName:"Raluca Dumache"},{id:"181860",title:"Prof.",name:"Alexandra",middleName:null,surname:"Enache",slug:"alexandra-enache",fullName:"Alexandra Enache"},{id:"195502",title:"Dr.",name:"Veronica",middleName:null,surname:"Ciocan",slug:"veronica-ciocan",fullName:"Veronica Ciocan"},{id:"298285",title:"Dr.",name:"Camelia",middleName:null,surname:"Muresan",slug:"camelia-muresan",fullName:"Camelia Muresan"},{id:"298644",title:"Dr.",name:"Ramona",middleName:null,surname:"Parvanescu",slug:"ramona-parvanescu",fullName:"Ramona Parvanescu"}]},{id:"67299",title:"Salivary Diagnostics in Oral Diseases",slug:"salivary-diagnostics-in-oral-diseases",totalDownloads:1123,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Common oral diseases like dental caries, periodontal diseases and oral cancer have major impact on quality of life. For prevention, treatment and prognosis, it is essential to measure the disease objectively and accurately in a quantitative manner. Quantification of biochemical or molecular specific products of cancers in serum or localized body juices can be one of the current methods of measuring oral diseases objectively. Salivary diagnostics has influenced several researchers and has been verified as an important tool in the diagnosis of many systemic conditions and prognosis of the disease. Developments in the field of molecular biology, salivary genomics and proteomics have directed to the detection of novel molecular markers for oral disease diagnosis, therapeutics and prognosis.",book:{id:"7905",slug:"saliva-and-salivary-diagnostics",title:"Saliva and Salivary Diagnostics",fullTitle:"Saliva and Salivary Diagnostics"},signatures:"Manohar Bhat and Devikripa Bhat",authors:[{id:"280750",title:"Dr.",name:"Manohara",middleName:null,surname:"Bhat",slug:"manohara-bhat",fullName:"Manohara Bhat"},{id:"296530",title:"Dr.",name:"Devikripa",middleName:null,surname:"Bhat",slug:"devikripa-bhat",fullName:"Devikripa Bhat"}]},{id:"80105",title:"Diagnosis of Amyloidosis: From History to Current Tools",slug:"diagnosis-of-amyloidosis-from-history-to-current-tools",totalDownloads:91,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The term amyloid encompasses a large variety of misfolded proteins with varying amino acids unified by the antiparallel beta-pleated sheet configuration and characteristic Congo red staining. The etiology of these proteins is equally varied, ranging from neoplastic plasma cell disorder, hereditary causes to inflammatory disorders. The protean clinical manifestation makes a high index of clinical suspicion the first crucial step in the diagnosis. A battery of investigations needs to be carried out for a complete diagnosis of amyloidosis and its underlying etiology. Biopsy with Congo red staining constitutes the most important modality for confirmation of amyloid. For further testing, varying modalities with increasing complexity, such as immunohistochemistry, electron microscopy, and mass spectrometry, need to be employed. We discuss, in the course of the current chapter, this fascinating protein from a clinical diagnosis perspective. The requisite investigations are also discussed in detail.",book:{id:"9046",slug:"amyloidosis-history-and-perspectives",title:"Amyloidosis",fullTitle:"Amyloidosis - History and Perspectives"},signatures:"Richa Juneja, Prasad Dange and Rahul Arora",authors:[{id:"437940",title:"Dr.",name:"Richa",middleName:null,surname:"Juneja",slug:"richa-juneja",fullName:"Richa Juneja"},{id:"437941",title:"Dr.",name:"Prasad",middleName:null,surname:"Dange",slug:"prasad-dange",fullName:"Prasad Dange"},{id:"443471",title:"Dr.",name:"Rahul",middleName:null,surname:"Arora",slug:"rahul-arora",fullName:"Rahul Arora"}]}],onlineFirstChaptersFilter:{topicId:"1005",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:"24",title:"Sustainable Development",doi:"10.5772/intechopen.100361",issn:null,scope:"
\r\n\tTransforming our World: the 2030 Agenda for Sustainable Development endorsed by United Nations and 193 Member States, came into effect on Jan 1, 2016, to guide decision making and actions to the year 2030 and beyond. Central to this Agenda are 17 Goals, 169 associated targets and over 230 indicators that are reviewed annually. The vision envisaged in the implementation of the SDGs is centered on the five Ps: People, Planet, Prosperity, Peace and Partnership. This call for renewed focused efforts ensure we have a safe and healthy planet for current and future generations.
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\r\n\tThis Series focuses on covering research and applied research involving the five Ps through the following topics:
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\r\n\t1. Sustainable Economy and Fair Society that relates to SDG 1 on No Poverty, SDG 2 on Zero Hunger, SDG 8 on Decent Work and Economic Growth, SDG 10 on Reduced Inequalities, SDG 12 on Responsible Consumption and Production, and SDG 17 Partnership for the Goals
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\r\n\t2. Health and Wellbeing focusing on SDG 3 on Good Health and Wellbeing and SDG 6 on Clean Water and Sanitation
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\r\n\t3. Inclusivity and Social Equality involving SDG 4 on Quality Education, SDG 5 on Gender Equality, and SDG 16 on Peace, Justice and Strong Institutions
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\r\n\t4. Climate Change and Environmental Sustainability comprising SDG 13 on Climate Action, SDG 14 on Life Below Water, and SDG 15 on Life on Land
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\r\n\t5. Urban Planning and Environmental Management embracing SDG 7 on Affordable Clean Energy, SDG 9 on Industry, Innovation and Infrastructure, and SDG 11 on Sustainable Cities and Communities.
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\r\n\tThe series also seeks to support the use of cross cutting SDGs, as many of the goals listed above, targets and indicators are all interconnected to impact our lives and the decisions we make on a daily basis, making them impossible to tie to a single topic.
",coverUrl:"https://cdn.intechopen.com/series/covers/24.jpg",latestPublicationDate:"May 19th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:0,editor:{id:"262440",title:"Prof.",name:"Usha",middleName:null,surname:"Iyer-Raniga",slug:"usha-iyer-raniga",fullName:"Usha Iyer-Raniga",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRYSXQA4/Profile_Picture_2022-02-28T13:55:36.jpeg",biography:"Usha Iyer-Raniga is a professor in the School of Property and Construction Management at RMIT University. Usha co-leads the One Planet Network’s Sustainable Buildings and Construction Programme (SBC), a United Nations 10 Year Framework of Programmes on Sustainable Consumption and Production (UN 10FYP SCP) aligned with Sustainable Development Goal 12. The work also directly impacts SDG 11 on Sustainable Cities and Communities. She completed her undergraduate degree as an architect before obtaining her Masters degree from Canada and her Doctorate in Australia. Usha has been a keynote speaker as well as an invited speaker at national and international conferences, seminars and workshops. Her teaching experience includes teaching in Asian countries. She has advised Austrade, APEC, national, state and local governments. She serves as a reviewer and a member of the scientific committee for national and international refereed journals and refereed conferences. She is on the editorial board for refereed journals and has worked on Special Issues. Usha has served and continues to serve on the Boards of several not-for-profit organisations and she has also served as panel judge for a number of awards including the Premiers Sustainability Award in Victoria and the International Green Gown Awards. Usha has published over 100 publications, including research and consulting reports. Her publications cover a wide range of scientific and technical research publications that include edited books, book chapters, refereed journals, refereed conference papers and reports for local, state and federal government clients. She has also produced podcasts for various organisations and participated in media interviews. She has received state, national and international funding worth over USD $25 million. Usha has been awarded the Quarterly Franklin Membership by London Journals Press (UK). Her biography has been included in the Marquis Who's Who in the World® 2018, 2016 (33rd Edition), along with approximately 55,000 of the most accomplished men and women from around the world, including luminaries as U.N. Secretary-General Ban Ki-moon. In 2017, Usha was awarded the Marquis Who’s Who Lifetime Achiever Award.",institutionString:null,institution:{name:"RMIT University",institutionURL:null,country:{name:"Australia"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:5,paginationItems:[{id:"91",title:"Sustainable Economy and Fair Society",coverUrl:"https://cdn.intechopen.com/series_topics/covers/91.jpg",isOpenForSubmission:!0,annualVolume:11975,editor:{id:"181603",title:"Dr.",name:"Antonella",middleName:null,surname:"Petrillo",slug:"antonella-petrillo",fullName:"Antonella Petrillo",profilePictureURL:"https://mts.intechopen.com/storage/users/181603/images/system/181603.jpg",biography:"Antonella Petrillo is a Professor at the Department of Engineering of the University of Naples “Parthenope”, Italy. She received her Ph.D. in Mechanical Engineering from the University of Cassino. Her research interests include multi-criteria decision analysis, industrial plant, logistics, manufacturing and safety. She serves as an Associate Editor for the International Journal of the Analytic Hierarchy Process. She is a member of AHP Academy and a member of several editorial boards. She has over 160 Scientific Publications in International Journals and Conferences and she is the author of 5 books on Innovation and Decision Making in Industrial Applications and Engineering.",institutionString:null,institution:{name:"Parthenope University of Naples",institutionURL:null,country:{name:"Italy"}}},editorTwo:null,editorThree:null},{id:"92",title:"Health and Wellbeing",coverUrl:"https://cdn.intechopen.com/series_topics/covers/92.jpg",isOpenForSubmission:!0,annualVolume:11976,editor:{id:"348225",title:"Prof.",name:"Ann",middleName:null,surname:"Hemingway",slug:"ann-hemingway",fullName:"Ann Hemingway",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035LZFoQAO/Profile_Picture_2022-04-11T14:55:40.jpg",biography:"Professor Hemingway is a public health researcher, Bournemouth University, undertaking international and UK research focused on reducing inequalities in health outcomes for marginalised and excluded populations and more recently focused on equine assisted interventions.",institutionString:null,institution:{name:"Bournemouth University",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null},{id:"93",title:"Inclusivity and Social Equity",coverUrl:"https://cdn.intechopen.com/series_topics/covers/93.jpg",isOpenForSubmission:!0,annualVolume:11977,editor:{id:"210060",title:"Prof. Dr.",name:"Ebba",middleName:null,surname:"Ossiannilsson",slug:"ebba-ossiannilsson",fullName:"Ebba Ossiannilsson",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6LkBQAU/Profile_Picture_2022-02-28T13:31:48.png",biography:'Professor Dr. Ebba Ossiannilsson is an independent researcher, expert, consultant, quality auditor and influencer in the fields of open, flexible online and distance learning (OFDL) and the "new normal". Her focus is on quality, innovation, leadership, and personalised learning. She works primarily at the strategic and policy levels, both nationally and internationally, and with key international organisations. She is committed to promoting and improving OFDL in the context of SDG4 and the future of education. Ossiannilsson has more than 20 years of experience in her current field, but more than 40 years in the education sector. She works as a reviewer and expert for the European Commission and collaborates with the Joint Research Centre for Quality in Open Education. Ossiannilsson also collaborates with ITCILO and ICoBC (International Council on Badges and Credentials). She is a member of the ICDE Board of Directors and has previously served on the boards of EDEN and EUCEN. Ossiannilsson is a quality expert and reviewer for ICDE, EDEN and the EADTU. She chairs the ICDE OER Advocacy Committee and is a member of the ICDE Quality Network. 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Saxena",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",institutionURL:null,country:{name:"India"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},subseriesFiltersForPublishedBooks:[{group:"subseries",caption:"Bacterial Infectious Diseases",value:3,count:2},{group:"subseries",caption:"Parasitic Infectious Diseases",value:5,count:4},{group:"subseries",caption:"Viral Infectious Diseases",value:6,count:7}],publicationYearFilters:[{group:"publicationYear",caption:"2022",value:2022,count:2},{group:"publicationYear",caption:"2021",value:2021,count:4},{group:"publicationYear",caption:"2020",value:2020,count:3},{group:"publicationYear",caption:"2019",value:2019,count:3},{group:"publicationYear",caption:"2018",value:2018,count:1}],authors:{paginationCount:249,paginationItems:[{id:"274452",title:"Dr.",name:"Yousif",middleName:"Mohamed",surname:"Abdallah",slug:"yousif-abdallah",fullName:"Yousif Abdallah",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274452/images/8324_n.jpg",biography:"I certainly enjoyed my experience in Radiotherapy and Nuclear Medicine, particularly it has been in different institutions and hospitals with different Medical Cultures and allocated resources. Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. He is the author or co-author of more than seventy papers in peer-reviewed journals and conferences as well as the co-author of several books. He serves as a reviewer for many scientific journals, international conferences, and research foundations. Since 2010, Dr. Placzek has been a reviewer of grants and projects (including EU projects) in the field of information technologies.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"35000",title:"Prof.",name:"Ulrich H.P",middleName:"H.P.",surname:"Fischer",slug:"ulrich-h.p-fischer",fullName:"Ulrich H.P Fischer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/35000/images/3052_n.jpg",biography:"Academic and Professional Background\nUlrich H. P. has Diploma and PhD degrees in Physics from the Free University Berlin, Germany. He has been working on research positions in the Heinrich-Hertz-Institute in Germany. Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University, Kuwait. His research interests include optimization, computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, and intelligent systems. Prof. Sarfraz has been a keynote/invited speaker at various platforms around the globe. He has advised/supervised more than 110 students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He has authored and/or edited around seventy books. Prof. Sarfraz is a member of various professional societies. He is a chair and member of international advisory committees and organizing committees of numerous international conferences. He is also an editor and editor in chief for various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:null},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:"Beijing University of Technology",institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Lakhno Igor Victorovich was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPhD – 1999, Kharkiv National Medical Univesity.\nDSc – 2019, PL Shupik National Academy of Postgraduate Education \nLakhno Igor has been graduated from an international training courses on reproductive medicine and family planning held in Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor of the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s a professor of the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education . He’s an author of about 200 printed works and there are 17 of them in Scopus or Web of Science databases. Lakhno Igor is a rewiever of Journal of Obstetrics and Gynaecology (Taylor and Francis), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for DSc degree \\'Pre-eclampsia: prediction, prevention and treatment”. Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: obstetrics, women’s health, fetal medicine, cardiovascular medicine.",institutionString:"V.N. Karazin Kharkiv National University",institution:{name:"Kharkiv Medical Academy of Postgraduate Education",country:{name:"Ukraine"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"243698",title:"M.D.",name:"Xiaogang",middleName:null,surname:"Wang",slug:"xiaogang-wang",fullName:"Xiaogang Wang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243698/images/system/243698.png",biography:"Dr. Xiaogang Wang, a faculty member of Shanxi Eye Hospital specializing in the treatment of cataract and retinal disease and a tutor for postgraduate students of Shanxi Medical University, worked in the COOL Lab as an international visiting scholar under the supervision of Dr. David Huang and Yali Jia from October 2012 through November 2013. Dr. Wang earned an MD from Shanxi Medical University and a Ph.D. from Shanghai Jiao Tong University. Dr. Wang was awarded two research project grants focused on multimodal optical coherence tomography imaging and deep learning in cataract and retinal disease, from the National Natural Science Foundation of China. He has published around 30 peer-reviewed journal papers and four book chapters and co-edited one book.",institutionString:"Shanxi Eye Hospital",institution:{name:"Shanxi Eye Hospital",country:{name:"China"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRZkkQAG/Profile_Picture_2022-05-09T12:55:18.jpg",biography:null,institutionString:null,institution:null},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. RELACION DE PONENCIAS DE LA SOCIEDAD ESPAÑOLA DE OFTALMOLOGIA. 10/2014.",institutionString:null,institution:null},{id:"265335",title:"Mr.",name:"Stefan",middleName:"Radnev",surname:"Stefanov",slug:"stefan-stefanov",fullName:"Stefan Stefanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/265335/images/7562_n.jpg",biography:null,institutionString:null,institution:null},{id:"318905",title:"Prof.",name:"Elvis",middleName:"Kwason",surname:"Tiburu",slug:"elvis-tiburu",fullName:"Elvis Tiburu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Ghana",country:{name:"Ghana"}}},{id:"336193",title:"Dr.",name:"Abdullah",middleName:null,surname:"Alamoudi",slug:"abdullah-alamoudi",fullName:"Abdullah Alamoudi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"318657",title:"MSc.",name:"Isabell",middleName:null,surname:"Steuding",slug:"isabell-steuding",fullName:"Isabell Steuding",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"318656",title:"BSc.",name:"Peter",middleName:null,surname:"Kußmann",slug:"peter-kussmann",fullName:"Peter Kußmann",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"338222",title:"Mrs.",name:"María José",middleName:null,surname:"Lucía Mudas",slug:"maria-jose-lucia-mudas",fullName:"María José Lucía Mudas",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Carlos III University of Madrid",country:{name:"Spain"}}},{id:"147824",title:"Mr.",name:"Pablo",middleName:null,surname:"Revuelta Sanz",slug:"pablo-revuelta-sanz",fullName:"Pablo Revuelta Sanz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Carlos III University of Madrid",country:{name:"Spain"}}}]}},subseries:{item:{id:"18",type:"subseries",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.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",hasOnlineFirst:!0,hasPublishedBooks:!0,annualVolume:11414,editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",slug:"paolo-iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",biography:"Paolo Iadarola graduated with a degree in Chemistry from the University of Pavia (Italy) in July 1972. He then worked as an Assistant Professor at the Faculty of Science of the same University until 1984. In 1985, Prof. Iadarola became Associate Professor at the Department of Biology and Biotechnologies of the University of Pavia and retired in October 2017. Since then, he has been working as an Adjunct Professor in the same Department at the University of Pavia. His research activity during the first years was primarily focused on the purification and structural characterization of enzymes from animal and plant sources. During this period, Prof. Iadarola familiarized himself with the conventional techniques used in column chromatography, spectrophotometry, manual Edman degradation, and electrophoresis). Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. In this context, he has developed and validated new methodologies (e.g., Capillary Electrophoresis coupled to Laser-Induced Fluorescence, CE-LIF) whose application enabled him to determine both the amounts of biochemical markers (Desmosines) in urine/serum of patients affected by Chronic Obstructive Pulmonary Disease (COPD) and the activity of proteolytic enzymes (Human Neutrophil Elastase, Cathepsin G, Pseudomonas aeruginosa elastase) in sputa of these patients. More recently, Prof. Iadarola was involved in developing techniques such as two-dimensional electrophoresis coupled to liquid chromatography/mass spectrometry (2DE-LC/MS) for the proteomic analysis of biological fluids aimed at the identification of potential biomarkers of different lung diseases. He is the author of about 150 publications (According to Scopus: H-Index: 23; Total citations: 1568- According to WOS: H-Index: 20; Total Citations: 1296) of peer-reviewed international journals. He is a Consultant Reviewer for several journals, including the Journal of Chromatography A, Journal of Chromatography B, Plos ONE, Proteomes, International Journal of Molecular Science, Biotech, Electrophoresis, and others. He is also Associate Editor of Biotech.",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",slug:"simona-viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",biography:"Simona Viglio is an Associate Professor of Biochemistry at the Department of Molecular Medicine at the University of Pavia. She has been working since 1995 on the determination of proteolytic enzymes involved in the degradation process of connective tissue matrix and on the identification of biological markers of lung diseases. She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. 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