Relative contents of raw ingredients in the designed specimens of friction materials.
\r\n\tWithin this scenario, special attention needs to be devoted to financial implications, due to their pervasiveness. Nobody would question the key role that finance plays to complement the real sphere of the economy and that has increasingly attracted both academics and practitioners. As a result, traditional pillars – such as financial markets, products, and institutions – have evolved significantly, with financial innovation fueling further progress over time. The global side of the coin features – among others – financially connected markets, international financial exchanges, and financial conglomerates that provide valuable opportunities in terms of international corporate finance. On the other side, recent advances have involved a wider recourse to ESG factors, allowed forward steps towards a more inclusive financial system, and have made digital finance a must, rather than an option, even though much remains to be accomplished, for instance, to facilitate access to formal financial channels in many underdeveloped regions.
\r\n\r\n\t
\r\n\tThis book aims to examine emerging trends, new perspectives, and empirical applications that deal with globalization and sustainability. The goal is to provide a comprehensive overview of these important concepts as valuable support to successfully meet the challenges and take on the opportunities ahead. At the same time, drawing upon empirical evidence can contribute to bridging the gap between theory and practice, which also fits within the scope of this book.
Bamboo is a natural biomaterial and consists of vascular bundles (cellulose fibers). The vascular bundles are composed of many right-handed spiral phloem fibers at a certain spiral angle. Lakkad and Patel [1] investigated the mechanical properties of bamboo specimen, such as, Young’s modulus, tensile strength, compressive strength, and interlaminar shear along fibers and the tensile strength across fibers. Bamboo has higher specific tensile strength than glass-reinforced plastic (GRP) and mild steel with chopped strand mat and woven roving, and comparable specific modulus with mild steel and GRP. Godbole and Lakkad [2] studied the influences of water absorption on mechanical performances of bamboo. The tensile strength, compressive strength, tensile modulus, and interlaminar shear of bamboo specimen reduced after soaking or boiling in distilled water. Li et al. [3] designed a double-fold spiral bionic composite model imitating the characteristic structure of bamboo. The tensile strength of carbon fiber reinforced tin composites processed by the bionic model was higher by 40% than that of unidirectional carbon fiber reinforced ones.
Yakou and Sakamoto [4] investigated abrasive performances of bamboo specimen with carborundum paper as the counterface. They indicated that the abrasive wear rate of the inner layer was higher than that of the outside surface layer for bamboo specimens of normal- and parallel-oriented cellulose fibers relative to the friction surface. Tong et al. [5] evaluated the abrasive wear properties of bamboo specimens by using quartz sand particles as abrasive material. The results showed that the abrasion resistance of bamboo specimen was decided by the relative orientation of the cellulose fibers with respect to the friction surface and by the size of abrasive particles. The abrasive wear rate increased with the increase of size of abrasive particles. Specimens with the normal orientation of cellulose fibers to the friction surface presented better abrasion resistance than those with the parallel orientation; the inner layer had lower abrasion resistance than the outside layer; and the cellulose fibers had better resistance than the matrix tissue. The dry sliding wear behavior of bamboo was studied in order to obtain some useful information for designs of friction materials.
On the other hand, friction materials are the key parts of automobiles brake systems, and many studies have been investigated to improve brake properties in order to adapt the people’s requirement for security and rapid development of automobile [6]. To acquire comfortable and dependable brake properties of the automobiles, braking friction materials usually contain more than 10 different components. The components are normally classified as reinforced fibers, binders, property modifiers, and fillers. Each component plays an important role for brake performance under different braking conditions. Many studies investigated the effect of different components on brake performance [7, 8]. A related review on frontiers of fundamental tribological research emphasized the concern over the environmental protection, for instance, biodegradability in the development of tribo-materials [9].
Asbestos fibers, which have been widely used in braking friction materials, are harmful to human health and environment; they have been forbidden to be used for manufacturing friction materials. Therefore, substitutes of the asbestos fibers, such as steel fibers, Al2O3 fibers, carbon fibers, glass fibers, aramid fibers, copper fibers, and their hybrid fibers [10, 11, 12] have been studied and selected. Moreover, many study results showed that these fibers have excellent properties for friction materials; however, there are many shortcomings (such as weak combination strength, high cost, and high noise) to be resolved when these fibers are applied in friction materials.
Many researches have focused on the utilization of biological fibers with the function of protecting environment, such as betel nut fibers [13], cotton fibers [14, 15], jute fibers [16, 17, 18], kenaf and ramie fibers [19], sisal and flax fibers [20, 21, 22], and sugarcane fibers [23]. More and more biological fiber reinforced composite materials have been used as tribological ones. Dimensions and orientation of fibers in friction materials are important factors affecting its tribological properties. Such natural biomaterials with composite structures as bamboo provide clues and ideas for designs of friction materials, for example, antifriction materials and wear-resistant materials. The excellent structure of bamboo fiber was investigated by Paramesaran and Liese [24]. Bamboo fibers were used as one of the components in friction materials because of their low density and excellent mechanical properties in comparison to that of glass fibers [25, 26, 27]. Meanwhile, the bamboo fiber is a kind of plant fiber with cellulose structure and vascular bundles consisting of the fiber bundle and sclerenchyma sheaths.
In the present study, sliding wear behavior of bamboo (
Bamboo specimens of dimensions 14 × 10 × 8 mm were cut from the air-dry bamboo (
(a) A photograph showing section structure of bamboo stem shell; (b) schematic diagram showing fiber orientation with respect to the rubbing surface for the N and P (PS and PI) specimens; and (c) the contract model of block-on-ring wear.
Sliding wear properties of bamboo specimens were studied on a block-on-ring machine. The counterfaces were made of a gray iron (HT200) and had a diameter of 40 mm. The normal loads were from 30 to 120 N and the sliding velocity was set as 0.42 and 0.84 m s−1, respectively; the total sliding distance was about 504 m and the surrounding temperature was about 23°C during all these tests. Worn morphologies of bamboo specimens and gray iron rings and wear debris were examined by SEM and stereoscopy.
Bamboos possess the excellent wear properties, and in present paper, bamboo fibers are selected as the reinforced fibers. The fresh bamboo (
The mechanical properties of the bamboo fibers were evaluated by tensile testing machine. The specimens of the bamboo fibers for tensile tests were 40 mm in length and 0.5 ± 0.05 mm in diameter. The tensile speed was 100 mm min−1 referring to the pulling speed of the tensile test machine during test. Ten tests were run for each bamboo fiber. The elongation at fracture, tensile strength, and elastic modulus of the fiber were recorded.
The raw components used for preparing the friction materials are listed in Table 1. Phenolic resin was used as adhesive; powders (such as Al2O3, Sb2S, graphite) were used as fillers. The mass fraction of the bamboo fibers added in the friction materials was 0, 3, 6, 9, and 12wt.%, respectively. All raw components were mixed using a blender for 10 min. The mixed materials were blocked with the dimension of 25 × 25 × 6 mm by compression molder equipment for 30 min at 165°C under pressure of 25 MPa, followed by heat treatment. The posttreating was segmented at 140°C for 1 h, 150°C for 3 h, and 180°C for 6 h continually as shown in Figure 2.
Raw ingredients | Bamboo fiber content (wt. %) | ||||
---|---|---|---|---|---|
0 | 3 | 6 | 9 | 12 | |
Mineral fiber | 17 | 16.5 | 16.04 | 15.6 | 15.18 |
Glass fiber | 10 | 9.71 | 9.43 | 9.17 | 8.93 |
Phenolic resin | 13 | 12.62 | 12.26 | 11.93 | 11.61 |
Vermiculite powder | 5 | 4.85 | 4.72 | 4.59 | 4.46 |
Foam iron powder | 11 | 10.68 | 10.38 | 10.09 | 9.82 |
BaSO4 | 20 | 17.47 | 16.98 | 16.51 | 15.57 |
Petroleum coke | 6 | 5.81 | 5.66 | 5.5 | 5.36 |
Graphite | 8 | 7.76 | 7.55 | 7.34 | 7.14 |
Al2O3 | 4 | 3.88 | 3.77 | 3.69 | 3.57 |
Sb2S3 | 3 | 2.91 | 2.83 | 2.75 | 2.68 |
Friction powder | 1 | 0.97 | 0.94 | 0.92 | 0.89 |
Zinc stearate | 2 | 1.94 | 1.89 | 1.83 | 1.79 |
Carbon black | 3 | 1.9 | 1.1 | 1.08 | 1 |
Relative contents of raw ingredients in the designed specimens of friction materials.
Heating process for preparation of friction materials.
The tribological property of friction materials was investigated using a constant speed friction tester with speed of 7.54 m s−1 under pressure of 0.98 MPa. The rotating disc (HT250 cast iron) was used as the counterpart. Friction and wear tests were implemented at the test temperature of 100, 150, 200, 250, 300, and 350°C, respectively [28]. The friction coefficients (
where
Worn morphologies of the specimens after tests were observed using the SEM (JEOL JSM-5600) at a voltage of 25 kV.
Figure 3 illustrates the wear volume of the three types of bamboo specimens versus the normal load at 0.42 and 0.84 m s−1. It can be seen from Figure 3 that the wear volume was dependent upon the normal load, the sliding velocity, and the relative orientation of bamboo fibers with respect to the friction surface. The wear volume and its difference between different types of specimens increased with the increase of normal load. The wear rate at 0.42 m s−1 velocity was lower than that at 0.84 m s−1. The N-type specimens presented excellent wear resistance. Although they had the same relative orientation of friction surface, PS-type specimens presented better wear resistance than PI-type specimens under identical experimental conditions, suggesting that the wear resistance of the outside layer of bamboo stem was higher than that of its inner layer.
The wear volume of the three types of bamboo specimens versus the normal load at sliding velocity of (a) 0.42 m s−1 and (b) 0.84 m s−1.
The materials transfer from the bamboo specimens to the iron surface occurred due to adhesion. In the initial stage, transferred material formed some patches on the gray iron ring surface, as shown in Figure 4a. As the sliding distance was increased, transferred material patches were extended along the sliding direction because of crushing action and further adhesion. When the interfacial contact reached a steady state, the adhesion transfer film was in a relatively steady state as shown in Figure 4b. The transferred material film did not cover the entire friction surface of the iron ring, as the material transferred to the ring surfaces could be detached. This transferring-detaching process resulted in the adhesive wear of bamboo. Features of adhesive wear were also found on worn surfaces of bamboo specimens and will be discussed in the following sections.
Stereographs of wear track of the gray iron ring.
Figure 5 illustrates typical morphologies of worn surfaces of PS-type specimens. There were mainly three wear features: pits, microcracks, and grooves. Pits were produced because of adhesion between bamboo specimens and iron. Some materials from these pits were transferred onto the gray iron ring surface and the remainder became wear debris. Because of asperities of the gray iron ring surface, a tensile stress existed in the bamboo surface layer at the rear of the contacting asperity and a compressive stress at front. This stress distribution could easily lead to microcracking of the bamboo surface layer across the friction direction. Moreover, the adhesion force existing at the contacting interface strengthened this microcracking process. However, microcracks along the friction direction may be directly nucleated and propagated due to the tensile stress. As the normal load was raised, the influence of microploughing-microcutting on the wear of the bamboo specimens surface layer became stronger, and the microploughing-microcutting grooves on worn surfaces generated under 60–90 N load at 0.42 m s−1 velocity were shallow (Figure 5a–d). For this case, damage of cellulose fibers was not severe. However, when the normal load reached 120 N, particularly at 0.84 m s−1 velocity, the cellulose fiber walls had been cut, but leptodermous cell tissue between the cellulose fibers and the material inside vascular bundles were not completely removed (Figure 5e).
SEM micrographs of worn surfaces of PS-type bamboo specimens. (a) 60 N, 0.42 m s−1; (b) 90 N, 0.42 m s−1; (c) details from (b); (d) 120 N, 0.42 m s−1; and (e) 120 N, 0.84 m s−1.
It can be considered from the surface morphology shown in Figure 5 that adhesion, microcracking, and microploughing-microcutting were the main wear mechanisms of PS-type bamboo specimens. When the normal load and sliding velocity were low, the adhesive wear, microcracking, and microploughing were predominant, while, when the load and velocity were high, the predominant wear mechanism was microploughing-microcutting.
Figure 6 illustrates typical morphologies of worn surfaces of PI-type bamboo specimens. It was seen that microcracks and microploughing grooves existed on the worn surfaces at low magnification, as shown in Figure 6a and e. Figure 6c shows some extent of the adhesive wear. At high magnification, besides some microcracks with random distribution illustrated in Figure 6a, some regular microcracking took place, as shown in Figure 6c and e. The regular microcracking under low load mainly displayed two states. One was local microcracking, causing some strips of bamboo material to be dug out from the surface layer, as shown in Figure 6b. Another was microcracking along the fiber direction (i.e., the rubbing direction) and then across fiber direction, as shown in Figure 6e. The tensile and compressive stresses of the bamboo surface layer under the contacting asperities of the ring surface and the adhesion force between both rubbing surfaces played important roles in the surface microcracking during the rubbing process. Generally, the former regular-microcracking occurred at the lower velocity (0.42 m s−1) and the latter took place at the higher velocity (0.84 m s−1). Compared with PS-type, PI-type specimens were severely ploughed, as shown in Figure 6b and d. When the load was increased to 120 N, particularly at high velocity (0.84 m s−1), asperities of the ring surface cut into the PI-type specimen surface layer and ploughed up the middle texture material of vascular bundles (see Figure 6f), or very deep grooves were produced (see Figure 6g). These topographies represented severe wear rupture of PI-type specimens. Comparing the morphologies illustrated in Figures 5 and 6, it was found that the microploughing-microcutting damage of PI-type specimens was larger than that of PS-type specimens under identical experimental conditions. The main wear mechanisms of PI-type bamboo specimens were also adhesion, specially, microcracking and microploughing–microcutting. The degree of damage of PI-type specimens was severe in comparison to that of PS-type ones.
Worn surface micrographs of PI-type bamboo specimens. (a) 60 N, 0.42 m s−1; (b) details of ploughing grooves in (a); (c) 60 N, 0.42 m s−1; (d) 90 N, 0.42 m s−1; (e) 60 N, 0.84 m s−1; (f) and (g) 120 N, 0.84 m s−1.
Figure 7 illustrates typical morphologies of worn surfaces of the N-type bamboo specimens. The structure of the bamboo stem was basically revealed at low magnification, as shown in Figure 7a, d, g, and h. The larger dark zones are the ends of vascular bundles consisting of several vascular, and the remainder is matrix tissue. It can be seen that there existed a certain difference in wear behavior between vascular bundles consisting of sclerenchyma cells and matrix tissue consisting of leptodermous cells. The wear rupture of vascular bundles was severe as compared with that of the matrix tissue. This result was opposite to the abrasive wear behavior of N-type specimens in free-abrasive wear conditions, in which the ends of vascular bundles were protruded on the matrix of the abrading surface of N-type specimens, suggesting that vascular bundles of bamboo possessed higher wear resistance than matrix tissue [5]. It was seen to the naked eye that the ends of vascular bundles were darker than matrix tissue after sliding friction, particularly at high velocity or under high load (see Figure 7d, e, g, and h). High temperature caused by frictional heat would burn the contacting bamboo surface. The vascular bundles were mainly burned for the N-type. This phenomenon can be observed clearly after grinding a bamboo block (N-type mode) against an abrasive wheel. The burnt material may easily be removed by asperities of the ring surfaces. The interfacial temperature was dependent upon the normal load and, particularly, sliding velocity [29]. Therefore, topographies of the ends of vascular bundles of worn surfaces of N-type bamboo specimens varied with the load and velocity.
Worn surface micrographs of N-type bamboo specimens. (a) 60 N, 0.42 m s−1; (b) details of the center area of a vascular bundle in (a); (c) details of leptodermous cell of the lower area of (a); (d) 120 N, 0.42 m s−1; (e) details of a vascular bundle of the center area of (d); (f) details of the center area of the vascular bundle of (e); (g) 60 N, 0.84 m s−1; (h) 120 N, 0.84 m s−1 (the friction direction of the ring was from left to right).
Figure 7b shows that the part surrounded by vascular of cellulose fibers (i.e., the center area of a vascular bundle) protruded. This was more obvious at low load and velocity (see Figure 7aand b). As the load or velocity was increased, the area of the protruded part became smaller, comparing Figure 7a, d, g, and h. It was considered that the center part of a vascular bundle would have leptodermous cell texture because its tribological behavior was similar to that of matrix tissue. Figure 7c gives the details of the worn surface of matrix tissue.
Worn micrograph of N-type bamboo specimens mainly presented adhesive wear and microcracking. No microploughing-microcutting feature was observed on worn surfaces except those of 120 N load and 0.84 m s−1 velocity (Figure 7h). Besides the microcracking of matrix tissue, cracking between bundles and matrix occurred, as shown in Figure 7f and h.
The mechanical and physical properties of bamboo fibers in this study are listed in Table 2. From Table 2, it can be seen that the elongation at fracture of alkaline-treated bamboo fibers was about 1.2%, the tensile strength was about 56.3 MPa, and the elastic modulus was about 18.6 GPa. However, for untreated bamboo fibers, the elongation at fracture was 1.7%, the tensile strength was 46.7 MPa, and the elastic modulus was 23.3 GPa. It indicated that the tensile strength and elastic modulus were increased by the modification of bamboo fibers. It is because the crystallinity of the alkaline-treated bamboo fiber was increased, which could improve the polarity of molecules and the adhesion strength between the high molecules. The slip produced by destruction of the binding force of molecules was relatively small, so the elongation at fracture was reduced, and the tensile strength and elastic modulus was increased after modification for bamboo fiber.
Elongation (%) | Tensile strength (MPa) | Elastic modulus (GPa) | |
---|---|---|---|
Untreated bamboo fiber | 1.7 | 46.7 | 18.6 |
Alkaline-treated bamboo fiber | 1.2 | 56.3 | 23.3 |
Test results of mechanical properties of bamboo fiber.
The stress-strain curve of the alkaline-treated bamboo fibers is shown in Figure 8. At the initial stage, the stress was proportional to the strain, which is consistent with the Hooke’s Force Law. There was no yield and necking phenomenon, and the stress and strain were very low before breaking. It indicated that the bamboo fiber was a brittle material. The brake pads were basically acted by compression pressure when they work. Hence, the lower tensile strength of bamboo fiber does not have impact on the braking performance of brake pad.
Test result of tensile stress-strain curve of a bamboo fiber treated with alkaline solution.
It can be seen from Figure 9a that a major part of the fracture surfaces presented brittle failure. Some small molecule impurities on bamboo fiber surface were removed by the alkaline solution that caused the adhesion strength among fibers to be reduced considerably. The fracture of the untreated fiber (Figure 9b) showed that the uneven break presented because of the uneven stress that resulted from the bonding of pectin with lignin among the fibers.
Morphologies of tensile fracture of (a) the bamboo fiber treated with alkaline solution; and (b) the untreated bamboo fiber.
The bamboo fibers connected with each other under pressure. The tangential resistance generated in relative sliding is called friction force. The tangential resistance is called cohesive force at the normal press of zero. Figure 10 shows that the bamboo fibers were assembled, entangled, bonded, and held tightly together due to the role of cohesive force that is not easy to loose. Therefore, the properties of the friction materials were affected by the friction force and the cohesive force.
Bamboo fiber assemblies.
It can be found from Figure 11 that the friction coefficients of BFRFMs with 3, 6, and 9 wt.% bamboo fibers were higher than those of the friction materials without bamboo fibers. The friction coefficients of the BFRFMs have significant variations at the test temperature of 250°C. This is because phenolic resin began to pyrolyse, and the bamboo fibers were carbonized gradually when temperature exceeded 250°C. However, the friction coefficient of BFRFMs containing 12 wt.% bamboo fibers decreased with the increase of test temperature.
Variation of the friction coefficient of the bamboo fiber reinforced friction materials with the temperature.
It can be seen from Figure 12 that wear rates of the BFRFMs generally increased with the increase of test temperature since the matrix began to soften, and the bamboo fibers were carbonized with the increase of test temperature. The surface roughness of friction materials containing 6, 9, and 12 wt.% bamboo fibers was high, so the adhesive wear and microcutting wear appeared on the worn surface. This is because the heat fading of the phenolic resin appeared, and the small hard particles formed from some glass fibers separated from the matrix. Plenty of wear debris formed and fell off, so the wear rate of friction materials significantly increased. The wear rate of friction materials containing 3 wt.% bamboo fibers was the lowest. In fact, some voids and grooves formed after the carbonization of the bamboo fibers can contain some other abrasive particles.
Variation of wear rate of the bamboo fiber reinforced friction materials with temperature.
The worn surface morphologies of the BFRFMs are shown in Figure 13. It can be seen from Figure 13 that some glass fibers exposed and some did not separate from the matrix. The glass fibers and friction surfaces were supported by the matrix. Some hard particles from the glass fiber formed under the friction force and the glass fibers did not separate from the matrix completely. It illustrated that the glass fibers were firmly bound with the matrix. Graphite and some particles that carbonized existed on the friction surface, so part of the friction surface was very smooth and easily deformed under friction force and shear force. Therefore, wear resistant surface was formed, and the friction coefficient and wear rate were decreased. Meanwhile, the carbonized fiber can repair the scratch and shallow pits on the worn surface, so the adhesive wear was decreased to some extent [30, 31], and the worn surface is relatively smooth. The grooves or voids (Figure 14) formed after the carbonization of the fibers reduced the noise and adhere to wear debris on the wear surface of friction materials [32].
Surface morphologies of the BFRFMs with bamboo fibers of (a) 3 wt.%; (b) 6 wt.%; (c) 9 wt.%; and (d) 12 wt.%.
Morphologies of the groove and voids of the BFRFMs with bamboo fibers of (a) 3 wt.%; and (b) 6 wt.%.
Dry sliding wear of bamboo (
Material transfer phenomena from bamboo to the counterface occur for three types of bamboo specimens. The predominant wear mechanisms are adhesion, microcracking, and microploughing under low load at low velocity, and microploughing-microcutting under high load for PS-type specimens. The main wear mechanisms of PI-type specimens are also adhesion, and particularly microcracking and microploughing-microcutting. The wear of N-type specimens is mainly due to adhesion and microcracking, and the matrix tissue shows certain wear resistance.
The friction coefficients of friction materials containing 3, 6, and 9 wt.% bamboo fibers increased with increase of the test temperature, whereas the friction materials containing 12 wt.% bamboo fibers decreased.
The wear rates were decreased with the increase of bamboo fibers content when the content of bamboo fibers of friction materials was lower than 3 wt.%; the wear rate increased with increase of bamboo fibers content when the bamboo fibers content of friction materials was higher than 3 wt.%.
The bamboo fibers improved the friction performances of fiction materials. The grooves or voids formed after the carbonization of the fibers reduced the noise and adhere to wear debris on the wear surface of friction materials.
This study was supported by National Natural Science Foundation of China (Grant No. 51475205), by Jilin Province Science and Technology Development Plan Item (Grant No. 20150519022JH), by China-EU H2020 FabSurfWAR project (Grant Nos. S2016G4501 and 644971), by Special Foundation of National Key R&D Program of China (2016YFD0701601), and by Supporting Program of “the twelfth five-year-plan” in national science and technology in rural areas of China (Grant No. 2014BAD06B03-01). Parts of this chapter are reproduced from authors’ recent conference publication, work
Dietary supplements are defined in the United States as products that contain one or more dietary ingredient such as vitamins, minerals, herbs, botanicals, and amino acids and are intended to supplement the diet [1]. In other countries dietary supplements are named differently including natural health products, complementary medicines, food supplements, and others [2]. Nonetheless, “dietary supplements” is a general term for products that mostly contain herbs, botanicals, proteins, and/or vitamins and minerals that are used with the intention to promote health. Despite the legal framework, dietary ingredients are often used and recommended for treating or preventing diseases. In this chapter, “dietary supplements” will be used as a general term to encompass several dietary ingredients.
Usage of dietary supplements has increased this last two decades [2]. From herbs, proteins, to vitamins and minerals, consumers are interested in self-treatment and preventing diseases [3]. Often using information from the internet to self-prescribe, many consumers believe that natural products are safe, while many others avoid using these products because of the lack of an approval process by health officials in many countries. Many dietary supplements provide significant benefits to health [4]. However, the lack of guidance from health professionals can be problematic.
Dietary supplements are likely safe when used as prescribed [4, 5]. But, when combined with drugs and disease, these products can interact and cause side effects [6, 7]. Some of the steps to evaluate the safe use of dietary ingredients is to know their mechanism of action, clinical effect, and consumers’ medical history. For example, an ingredient that induces liver enzymes will reduce the effect of a drug that is metabolized by these same enzymes. This can be life threating if the patient depends on this drug for normal function.
Due to the benefits that several of these dietary ingredients provide, it is important to evaluate their safety for wide spread recommendation. Particularly due to times of pandemic such as the coronavirus disease 2019 (COVID-19) [8], ways to prevent disease severity and to be used as adjunct treatments are needed. Several dietary ingredients have been reported to be effective against COVID-19 in review articles. For this book chapter, 30 review articles and meta-analysis were evaluated for the selection of the dietary ingredients herein discussed. The selection criterium was based on the number of articles that cited the ingredients as being effective as well as the commonality and accessibility of the ingredients across the globe. Vitamins and minerals were excluded due to their safety being extensively researched. Because COVID-19 severity is worse among patients with diabetes and cardiovascular disease, the safety use of these ingredients in the context of these comorbidities are presented here.
COVID-19 is a respiratory infection caused by the virus named “severe acute respiratory syndrome coronavirus 2” (SARS-CoV-2) [8]. COVID-19 is a novel disease officially declared as a pandemic on March 11th, 2020 [9, 10]. SARS-CoV-2 has infected 98.2 million people worldwide and caused 2.1 million deaths as of January 24th, 2021 [11]. COVID-19 is characterized by dry cough, fever, and fatigue symptoms in adults while in children rhinorrhea, abdominal pain, and diarrhea are also present [10]. SARS-CoV-2 binds directly to angiotensin converting enzyme 2 (ACE2) for subsequent entry into cells [10, 12]. Infected cells respond to the virus by generating pro-inflammatory cytokines and chemokines that sometimes lead to a cytokine storm which aggravates the disease [10, 12, 13]. Those with certain underlying health conditions such as respiratory disease, cardiovascular disease, and diabetes as well as older individuals seem to be at a higher risk for developing severe complications from the infection [14, 15]. Because SARS-CoV-2 has approximately 80% genomic homology with SARS-CoV-1, the virus that caused the 2002–2003 epidemic, many research studies have proposed the use of treatments that were effective against SARS-CoV-1 [9]. Current treatments for COVID-19 used in the clinics are ACE2 inhibitors, corticosteroids, chloroquine, anti-inflammatory tocilizumab, comostat, protease inhibitors (lopivavir and ritonavir), and RNA polymerase inhibitors (remdesivir, favipiravir) [16]. Some of the established protocols are: no treatment for mild cases besides acetaminophen for fever; hydroxychloroquine + azithromycin for moderate cases; tocilizumab or sarilumab for worsening respiratory function; and remdesivir, convalescent plasma, corticosteroids for respiratory failure. NSAIDs such as ibuprofen are not recommended due to potential increase in ACE2 expression [17]. Lastly, it has been suggested that reduction in cholesterol decreases viral mRNA [18]. Thus, treatments that reduce cholesterol in addition to antivirals, anti-inflammatories, and respiratory support should be beneficial in managing COVID-19.
As noted above, patients with heart disease and diabetes are more likely to develop severe COVID-19. Thus, many of these patients will be given medications for COVID-19 on top of the current heart/diabetes medications they take. For example, patients continue to take ACE inhibitors or angiotensin II receptor blockers (ARBs) during COVID-19 infection [17]. Furthermore, these are the patients more likely to benefit from dietary ingredients that assist in preventing or treating COVID-19. Due to multiple treatments at once, the likelihood of drug–drug and drug-herb interaction in these patients is high. Drug treatments for heart disease include several types: anticoagulants, antiplatelets, ACE inhibitors, ARBs, beta blockers, calcium channel blockers, cholesterol lowering, diuretics, and vasodilators [19]. For diabetes main medication classes include sulfonylureas, meglitinides, metformin, and glitazones [20]. The metabolism of some commonly prescribed of these medications are listed in Table 1. As noted, the most common cytochrome P450 enzyme involved in the metabolism of these drugs are CYP3A4, followed by CYP2C9, 2D6, and 2C8 [21, 22, 23, 24, 25]. Approximately half of them are primarily excreted via the kidneys.
Drug categories | Liver metabolism | Renal excretion | References |
---|---|---|---|
ACE inhibitors:
|
|
| [21, 22] |
ARBs:
|
|
| [22] |
Hydroxychloroquine | Partially metabolized | Slowly excreted by the kidneys | [21] |
Protease inhibitor, ritonavir | CYP3A4 and 2D6 inhibitor | Minimal renal excretion | [16, 23] |
RNA polymerase inhibitor, remdesivir | CES1 to form active metabolite | ~50% renal excretion | [22] |
Corticosteroids and anti-inflammatories
|
|
| [21, 24] |
Antiplatelet, clopidogrel | CYP 2C19 forms active metabolite | ~50% excreted in urine | [22] |
Beta blocker, atenolol | Minimal metabolism | Major renal excretion | [21] |
Cholesterol lowering:
|
|
| [22, 25] |
Diuretic, spironolactone | Extensive metabolized | Major renal excretion | [22] |
Sulfonylureas
|
|
| [21, 22, 25] |
Meglitinides, repaglinide | Metabolized by CYP3A4 | Minimal renal excretion | [21] |
Metformin | Minimal metabolism | ~90% renal excretion | [22] |
Glitazones, pioglitazone | Metabolized by CYP2C8 | ~15–30% renal excretion | [21] |
Metabolism and excretion of some common medications used in COVID-19, heart disease and diabetes.
Echinacea has antiviral and immunomodulatory effects that seems to be promising against COVID-19 [13, 26]. Several studies have investigated the benefits of echinacea in treating and preventing respiratory tract infections such as the common cold, but not for other health purposes [27]. No studies have yet been completed on echinacea and COVID-19 [28]. A meta-analysis including 17 clinical trials found that echinacea is safe and effective in preventing or treating viral infections. In a separate analysis including 12 clinical trials, echinacea showed to decrease or not change pro-inflammatory cytokines associated with cytokine storm (IL-6, IL-1β, and TNF-α) and increase or not change anti-inflammatory or immune-stimulatory cytokines (IL-10, IL-2, IL-8, IL-3, and IFN-γ). These effects are beneficial during infections since immune stimulatory and anti-inflammatory effects are needed but pro-inflammatory cytokines can aggravate the disease. Adverse events were mild with the most common reported being insomnia, gastrointestinal, and anxiety. One case of serious erythema was reported. Most studies included healthy participants and echinacea dose and method of extraction were quite variable making it difficult to evaluate safety in patients with comorbidities [28].
Not many studies have investigated the effects of echinacea in diabetes. In Wistar rats, 33 days of echinacea root extract showed hypoglycemic activity similar to glibenclamide. No safety parameters were investigated [29].
Almost no studies have evaluated the effects of echinacea on heart conditions such as hypertension and hypercholesterolemia. In one study with 374 elderly, 349 reported to use over-the-counter drugs and 43 reported to use herbal medicine. Echinacea was the most common herbal therapy used while aspirin, acetaminophen, laxatives, antiacids, and vitamins were the most common over-the-counter drugs [31]. This single study suggests the potential for interaction of echinacea with drugs.
In a review article, echinacea was considered to have a high or medium evidence for efficacy and safety [32]. Debatable concern of hepatotoxicity with echinacea when used for more than 8 weeks has been raised [6]. On the other hand, echinacea has shown hepatic and renal protection against toxins in rats with no effect by itself on liver and kidney parameters including AST, ALT, ALP, blood urea nitrogen and creatinine [33]. No toxicity was found in rats and mice after oral or intravenous injection of
In vivo pharmacokinetics in 12 healthy men and women,
Echinacea is likely safe when taken short-term, up to 8 weeks, in healthy adults. Unknown safety in patients with diabetes or heart disease. Caution should be taken when combining with medications metabolized by CYP3A, 1A2, and 2C9 enzymes.
Licorice root is used as a flavoring agent in food in many countries. In the United States, anise oil is often used for this purpose. Licorice is promoted as a dietary supplement for digestion, cough, infections, and others [40]. Frequently recommended by herbalists, licorice has recently shown to be the herb most frequently used for COVID-19 treatment [41, 42]. Several review articles have discussed the potential effectiveness of licorice in treating COVID-19 for its antiviral, anti-inflammatory, spasmolytic, and expectorant effects [9, 10, 12, 13, 14]. Some in vitro studies showed that the active component glycyrrhizin inhibits the replication of SARS-coronavirus (SARS-CoV) [43, 44]. Other in vitro studies showed that glycyrrhizin may prevent SARS-CoV-2 entry by binding to ACE2 receptors and other protein targets [45, 46]. Clinical trials of licorice use during COVID-19 are ongoing. Daily doses range from 250 mg 25% extract (62.5 mg glycyrrhizin) for 10 days to 2.28 g 3% extract (70 mg glycyrrhizin) for 7 days [47, 48].
Not many studies have investigated the effects of licorice in diabetes. In a clinical trial with 58 overweight and obese but otherwise healthy volunteers, 1.5 g licorice extract (<0.01% glycyrrhizin) for 8 weeks decreased insulin and HOMA-IR without side effects [49]. In cell cultures, de-glycyrrhizinated or regular licorice showed to be a potential therapeutic target in diabetic nephropathy [50]. In diabetic mice, licorice hydrophobic flavonoids demonstrated abdominal fat-lowering and hypoglycemic effects [51].
Cases of hypokalemia and hypertension have been reported after daily ingestion of licorice tea or after short-term high dose [52, 53, 54]. In one case patient was combining licorice with the glucocorticoid medication fludrocortisone [55]. The active components of licorice, glycyrrhizinates, inhibit the enzyme responsible for inactivating cortisol and bind to mineralocorticoid receptors resulting in reversible hyper-mineralocorticoid effects [56]. A meta-analysis with 18 clinical trials found that chronic daily intake of 100 mg glycyrrhizin increases systolic and diastolic blood pressure [57]. In another meta-analysis including 26 clinical trials and 985 subjects, mainly healthy and overweight but some with hypercholesterolemia, found licorice to reduce body weight and BMI but increase diastolic blood pressure. Licorice was given as licorice flavonoid oil with a dose range of 300 mg to 1.8 g/day for 2–16 weeks [58]. In a dose–response relationship investigation in healthy men and women, licorice root with 108 or 217 mg of glycyrrhizin per day for 4 weeks caused no adverse events. However, licorice with 380 and 814 mg glycyrrhizin caused headache, arterial hypertension, hyperkalemia, and peripheral edema. One individual had a family history of hypertension [59]. Lastly, a similar study compared adverse events in patients with hypertension versus normotensive individuals during 100 g licorice containing 150 mg glycyrrhetinic acid per day for 4 weeks. Systolic and diastolic blood pressure were slightly increased in normotensive (3.5 and 3.6 mmHg) but significantly greater increase in hypertensive patients (15.3 and 9.3 mmHg). Increase in urinary cortisol correlated with the rise in blood pressure [60]. These data suggest that glycyrrhizin at dose >200 mg/day short-term and > 100 mg/day long-term in patients or healthy individuals can cause reversible hyperkalemia and hypertension.
Despite licorice being a substance generally recognized as safe (GRAS) in the United States [61] and regarded as having a high safety profile because it is consumed as food [32], licorice can cause hypertension and hypokalemia in a dose-dependent manner [57]. However, safe dose will vary depending on licorice’s composition and the underlying medical conditions. Those with hypertension, heart or kidney disease are more sensitive to licorice toxicity [40]. In a study involving 360 subjects, no clinically significant change in renal function (potassium, blood urea nitrogen, and creatinine levels) were found in 98.3% of the subjects after ~19 days of ~8 g licorice per day taken as dietary supplements that contained other ingredients. The remaining 1.7% of subjects developed hyperkalemia [62]. In a safety and toxicity study with 39 healthy female and male volunteers aged 19–40 years old, glycyrrhizic acid was administered at 1, 2, and 4 mg/kg body weight daily for 8 weeks. A no-effect level of 2 mg/kg was found and applying a 100-safety factor, the acceptable daily intake of 0.2 mg/kg body weight was proposed. This is equivalent to 12 mg glycyrrhizic acid/day for a 60-kg person [63]. Similarly, based on review of in vivo and clinical evidence, an acceptable daily intake has been proposed to be 0.015–0.229 mg glycyrrhizin/kg body weight [64]. The acceptable daily intake without a safety factor is equivalent to 120 mg glycyrrhizic acid. This dose could be considered safe if used short-term in a situation of high benefit versus risk.
A safe daily dose for short-term use consists of licorice with less than 100 mg glycyrrhizin. For daily long-term use a dose of 12 mg glycyrrhizin has been proposed. COVID-19 studies are using short-term doses of <100 mg glycyrrhizin per day. Caution should be taken when combining licorice with medications. Licorice inhibits several cytochrome P450 enzymes including CYP1A2, 2B6, 2C8, 2C9, and 2C19. Only
Turmeric has antiviral and anti-inflammatory effects that might benefit COVID-19 patients [10, 13]. It has also been hypothesized that the antioxidant effects of turmeric benefit diabetic patients during COVID-19 infection [67]. However, some has expressed concerns that curcumin, the main active component of turmeric, might increase the expression of ACE2 and worsen COVID-19 infection as well as increase pro-inflammatory cytokines and worsen COVID-19 in patients with cytokine storm [26]. In the contrary, curcumin binds to viral S protein and the viral attachment sites of the ACE2 receptor protein to inhibit the entry of SARS-CoV2 [18, 68]. In addition, curcumin has shown to reduce inflammatory cytokines in COVID-19 patients. In a clinical study with 40 COVID-19 patients, curcumin given as nano-curcumin at 160 mg/day for 14 days reduced the inflammatory cytokines IL-6 and IL-1β as well as clinical manifestations (fever, cough, dyspnea, headache, chest radiography, lymphocyte, white blood cells, and platelets count) in comparison to placebo-treated group. Both groups were taking atorvastatin, bromhexine, and betaferon concomitantly with 5–15% of them having diabetes, cardiovascular disease or renal disease. These results suggest the effectiveness and safety of curcumin in COVID-19 patients with underlying medical conditions [69].
In clinical trials with type 2 diabetic patients, curcuminoids from 250 mg/day for 9 months to 1 g/day for 3 months improved glycemic control, β-cell function, insulin resistance, and reduced inflammatory cytokines with no major adverse effects. Minor side effects included diarrhea, constipation, vertigo, and itching. Some clinical and preclinical studies also showed that curcumin improve biomarkers of liver and kidney damage [70]. In a clinical trial on 46 patients with diabetic nephropathy, 1.5 g curcumin for 16 weeks improved 24-h urine analysis for albuminuria with no change in blood urea nitrogen, creatinine, fasting blood sugar, 2-h postprandial blood sugar, lipid profile, serum albumin, and hemoglobin A1C in comparison to placebo and baseline [71].
A recent meta-analysis found that turmeric or curcumin have no effect on diastolic blood pressure and minor effect on systolic blood pressure when taken for longer than 12 weeks [72]. A meta-analysis that included 7 randomized, placebo-controlled clinical trials in patients with cardiovascular risk factors (i.e., non-alcoholic fatty liver disease, metabolic syndrome, type 2 diabetes, prehypertension, and dyslipidemia) found turmeric powder at 2–2.4 g/day for 1–2 months, turmeric extract with 0.6–1.9 g curcuminoids/day for 2–6 months, or curcumin at 70–80 mg/day for 2–3 months were effective in reducing serum LDL-cholesterol and triglycerides levels. Adverse events reported were abdominal pain, nausea, dyspepsia, constipation, and hot flushes. Hot flushes were also reported in the placebo group. In 3 of the trials patients were kept on their medications during the study; however, only one trial disclosed the name of the concomitant drug treatment (metformin) [73].
Turmeric has GRAS status in the United States [74]. Through a toxicological assessment, the European Food Safety Authority (EFSA) has recommended curcumin daily intake be ≤3 mg/kg body weight per day (180 mg/day in 60 kg individuals) [75]. In 2–year oral feed studies, turmeric oil at 79–85% curcumin showed no biological significantly differences in hematology, clinical chemistry (liver and kidney function markers), and urinalysis parameters, but showed to potentially cause carcinogenicity in mice and rats especially in females at doses ≥100 mg/kg body weight in rats and 300 mg/kg body weight in mice [76]. However, the EFSA concluded that curcumin is not carcinogenic and studies have demonstrated the benefits of curcumin as an adjunct treatment of cancer [77]. High daily dose of curcumin might cause hepatotoxicity. In rats, 25 and 100 mg/kg body weight for 90 days of curcumin induced liver injury through the generation of reactive oxygen species and pro-inflammatory cytokines as well as reduced antioxidant and detoxifying enzymes SOD and GST [78]. Similarly, 5% turmeric via diet for 90 days in female Wistar rats and 0.2% turmeric via diet in female Swiss mice was hepatotoxic. Human equivalent dose for these rodent studies ranged from 250 mg curcumin/day to 1 g–50 g turmeric/day [79, 80].
Turmeric constituents have shown to inhibit p-glycoprotein in vitro and in vivo models [81]. Inhibition of p-glycoprotein can lead to increased bioavailability of drugs [82]. Curcumin is primarily eliminated in the feces with little renal excretion in a rat study [76]. In a pharmacokinetics study with healthy adults, turmeric reduced the bioavailability of the beta-blocker talinolol [83]. Curcumin was safe and effective when combined with glyburide in patients with type 2 diabetes. Better cholesterol and glycemia control without hypoglycemic side effects were observed. Curcumin increased AUC but did not change Cmax of glyburide [84]. In rats, curcumin increased the Cmax, AUC0-t and half-life of amlodipine – an antihypertensive drug [85]. Amlodipine is metabolized by CYP3A4 in humans [86]. Curcumin inhibits several hepatic CYP enzymes including 3A4, 1A2, 2B6 (competitive type of inhibition), 2D6 and 2C9 (non-competitive inhibition) in human recombinant cytochrome P450s [87]. However, it is been suggested that these effects are not clinically significant due to poor bioavailability of curcumin. In fact, in a pharmacokinetics study in healthy volunteers, 4 g curcuminoids +24 mg piperine to enhance bioavailability did not affect Cmax, AUC, clearance, or half-life of drugs metabolized by CYP3A, CYP2C9, and UGT, SULT conjugation enzymes [88].
Turmeric is safe and effective at doses ≤250 mg curcumin/day. Higher doses are associated with hepatotoxicity and potentially carcinogenicity. Doses as low as 70–250 mg curcuminoids/day has shown to be effective in metabolic disorders and COVID-19. Although turmeric inhibits cytochrome P450 enzymes, these effects seem to be clinically negligible. Caution when taken with drugs that are substrates of p-glycoprotein in order to avoid drug overdose. Although turmeric has hypoglycemic effects and might cause side effects such as fainting when combined with antidiabetic medications, this combination has shown to be safe in clinical trials.
Several clinical trials have been conducted to evaluate
In a meta-analysis including 11 randomized clinical trials with 860 hypertensive or normotensive individuals,
One of the main active constituents in
The combination of several dietary ingredients might be desirable when their main mechanisms of action and clinical effects differ. For example, combination of an anti-inflammatory, antiviral, immunostimulant, and bronchodilator herbs might be recommended. Safety combination of black seed and turmeric has been demonstrated in a clinical study.
Echinacea | None | None | Scarce: positive effect in 1 preclinical study | Induces CYP3A, inhibits CYP1A2, and CYP2C9 | [27, 28, 29, 36, 38] |
Licorice | Positive effects in vitro and 2 ongoing clinical trials | Negative effects in several clinical trials showing hypertension and hyperkalemia | Scarce: positive effects in 1 clinical, 1 preclinical, and 1 in vitro study | Safe dose <100 mg glycyrrhizin. Inhibits CYP1A2, 2B6, 2C8, 2C9, and 2C19. Only | [45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 63, 64, 65, 66] |
Turmeric | Positive effects in vitro and 1 completed clinical trial | Positive effects in several clinical trials | Positive effects in several clinical trials | Safe dose ≤250 mg. Inhibits p-glycoprotein and not clinically significant inhibition of P450 enzymes | [68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 88] |
Black seed | Positive effects in vitro | Positive effects in several clinical trials | Positive effects in several clinical trials | Inhibits CYP2C9 | [94, 96, 97, 98, 99, 100, 101, 102, 103, 104, 111, 112, 113, 114] |
Summary of level of evidence for efficacy and safety of echinacea, licorice, turmeric, and black seed in COVID-19, heart disease, and diabetes.
All the four dietary ingredients discussed herein are safe for use short-term as in a setting of treating a disease. However, some might not be safe when taken long-term. For example, no safety data was found for echinacea in heart disease and diabetes. Long-term use of low dose or short-term use of high dose licorice can cause reversible hypertension. Hepatotoxicity might occur with long-term use of turmeric >250 mg/day. Lastly, all of these four dietary ingredients are metabolized by cytochrome P450 enzymes to some extent. Mostly they inhibit CYP2C9, 1A2 and 2B6. Caution with echinacea because it induces CYP3A4 and turmeric because it inhibits it.
The author declares no conflict of interest.
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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. 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Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. 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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. 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