Comparative characteristics of the GaAs/AlGaAs QWIP IDCA by the ISP of the SB RAS (Novosibirsk) and Sofradir (France).
\\n\\n
IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\\n\\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\\n\\nLaunching 2021
\\n\\nArtificial Intelligence, ISSN 2633-1403
\\n\\nVeterinary Medicine and Science, ISSN 2632-0517
\\n\\nBiochemistry, ISSN 2632-0983
\\n\\nBiomedical Engineering, ISSN 2631-5343
\\n\\nInfectious Diseases, ISSN 2631-6188
\\n\\nPhysiology (Coming Soon)
\\n\\nDentistry (Coming Soon)
\\n\\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\\n\\nNote: Edited in October 2021
\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/132"}},components:[{type:"htmlEditorComponent",content:'With the desire to make book publishing more relevant for the digital age and offer innovative Open Access publishing options, we are thrilled to announce the launch of our new publishing format: IntechOpen Book Series.
\n\nDesigned to cover fast-moving research fields in rapidly expanding areas, our Book Series feature a Topic structure allowing us to present the most relevant sub-disciplines. Book Series are headed by Series Editors, and a team of Topic Editors supported by international Editorial Board members. Topics are always open for submissions, with an Annual Volume published each calendar year.
\n\nAfter a robust peer-review process, accepted works are published quickly, thanks to Online First, ensuring research is made available to the scientific community without delay.
\n\nOur innovative Book Series format brings you:
\n\nIntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\n\nIntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
\n\nLaunching 2021
\n\nArtificial Intelligence, ISSN 2633-1403
\n\nVeterinary Medicine and Science, ISSN 2632-0517
\n\nBiochemistry, ISSN 2632-0983
\n\nBiomedical Engineering, ISSN 2631-5343
\n\nInfectious Diseases, ISSN 2631-6188
\n\nPhysiology (Coming Soon)
\n\nDentistry (Coming Soon)
\n\nWe invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\n\nNote: Edited in October 2021
\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:"9829",leadTitle:null,fullTitle:"Biosimilars",title:"Biosimilars",subtitle:null,reviewType:"peer-reviewed",abstract:"Introduced in the 1980s, biologic medications have since become important tools in modern medicine. However, biologics are expensive, greatly affecting the healthcare budgets of both underdeveloped and developed countries. Fortunately, biosimilars, which are highly similar, reverse-engineered versions of existing biological medicines and their active ingredients, are now available as more affordable options for patients treated with biologics. This book discusses biosimilars with chapters on clinical trials, regulation, pharmacovigilance, and the interchangeability of biosimilars with biologics. It also addresses future trends in the biosimilars market.",isbn:"978-1-83881-943-9",printIsbn:"978-1-83881-935-4",pdfIsbn:"978-1-83968-167-7",doi:"10.5772/intechopen.87638",price:119,priceEur:129,priceUsd:155,slug:"biosimilars",numberOfPages:106,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"c72171c1d1cf6df5aad989cb07cc8e4e",bookSignature:"Valderilio Feijó Azevedo and Robert Moots",publishedDate:"June 8th 2022",coverURL:"https://cdn.intechopen.com/books/images_new/9829.jpg",numberOfDownloads:577,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:0,numberOfDimensionsCitationsByBook:0,hasAltmetrics:0,numberOfTotalCitations:0,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"November 13th 2020",dateEndSecondStepPublish:"December 11th 2020",dateEndThirdStepPublish:"February 9th 2021",dateEndFourthStepPublish:"April 30th 2021",dateEndFifthStepPublish:"June 29th 2021",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"69875",title:"Dr.",name:"Valderilio",middleName:"Feijó",surname:"Feijó Azevedo",slug:"valderilio-feijo-azevedo",fullName:"Valderilio Feijó Azevedo",profilePictureURL:"https://mts.intechopen.com/storage/users/69875/images/system/69875.jpg",biography:"Valderilio Feijó Azevedo is an Associate Professor of Rheumatology and the former head of the Rheumatology Unit, Hospital de Clínicas, Federal University of Paraná (FPR), Brazil. Since 2009, he has been the owner and principal investigator of EDUMED Health Research and Education and EDUMED Biotech. His major research interests include clinical trials, regulatory advances in biologics therapies, spondyloarthritis, new treatment strategies for autoimmune diseases, biologics and biosimilars, and translational research in spondyloarthritis. Dr. Azevedo has authored several publications in the field. He is a member of the Brazilian Committee of Psoriatic Arthritis and coordinator of the Brazilian Committee of Biotechnology at the Brazilian Society of Rheumatology. He is also a member of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), European Scleroderma Trials and Research (EUSTAR), and a former member of the Assessment of SpondyloArthritis international Society (ASAS). Dr. Azevedo is an executive board member of Americas Health Foundation, Washington, DC. He has worked on projects on pharmacovigilance of biologics and biosimilars and spondyloarthritis and has been the coordinator of the Latin American Forum on Biosimilars (FLAB) since 2010. He is also an advisory board member of the Alliance for Safe Biologic Medicines, Washington, DC.",institutionString:"Hospital de Clínicas Universidade Federal do Paraná",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Hospital de Clínicas Universidade Federal do Paraná",institutionURL:null,country:{name:"Brazil"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"326277",title:"Dr.",name:"Robert",middleName:null,surname:"Moots",slug:"robert-moots",fullName:"Robert Moots",profilePictureURL:"https://mts.intechopen.com/storage/users/326277/images/system/326277.png",biography:"Robert Moots is a senior UK clinical academic rheumatologist. Qualifying in Medicine in London, he earned his Ph.D. in Immunology at the University of Oxford, UK, and worked at Harvard Medical School before returning to the United Kingdom to establish a new rheumatology group in Liverpool, where he was the first professor of rheumatology.\n\nHis research focuses on inflammatory diseases, from bench to bedside, and he has numerous publications in the field to his credit. His group is a designated European Alliance of Associations for Rheumatology (EULAR) Centre of Excellence for rheumatology research. Dr. Moots advises NICE (and chaired the panel that devised quality standards for rheumatoid arthritis), is a past editor of Rheumatology, and lectures all around the world on his work. Clinical service is a crucial part of his role and he has extensive experience in managing hard-to-treat rheumatological diseases and in delivering therapy with both standard and high-cost drugs, with referrals from around the United Kingdom and internationally. Dr. Moots is Director of the National Centre of Excellence for Behçet’s syndrome in Liverpool and has recently moved his academic affiliation to the newest medical school in the United Kingdom, Edge Hill University, Liverpool.",institutionString:"University of Liverpool",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"University of Liverpool",institutionURL:null,country:{name:"United Kingdom"}}},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"1197",title:"Pharmaceutical Drug",slug:"pharmaceutical-drug"}],chapters:[{id:"81620",title:"Introductory Chapter: Biosimilars - A Regulatory and Clinical Perspective",doi:"10.5772/intechopen.104746",slug:"introductory-chapter-biosimilars-a-regulatory-and-clinical-perspective",totalDownloads:8,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Valderílio Feijó Azevedo and Robert Moots",downloadPdfUrl:"/chapter/pdf-download/81620",previewPdfUrl:"/chapter/pdf-preview/81620",authors:[{id:"69875",title:"Dr.",name:"Valderilio",surname:"Feijó Azevedo",slug:"valderilio-feijo-azevedo",fullName:"Valderilio Feijó Azevedo"}],corrections:null},{id:"79456",title:"Biosimilars in Inflammatory Bowel Diseases: General Concepts and Clinical Implications",doi:"10.5772/intechopen.100452",slug:"biosimilars-in-inflammatory-bowel-diseases-general-concepts-and-clinical-implications",totalDownloads:106,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The treatment of inflammatory bowel disease (IBD) has changed over time with the increasing use of biologics to achieve therapeutic goals. As a result, the cost of treatment increased considerably, making it necessary to develop strategies that could increase access to biological therapies. In this scenario, the biosimilars were developed with the aim of reducing costs, maintaining safety and efficacy compared to the originator. Initially, its use in IBD was based on the extrapolation of studies in other specialties, such as rheumatology. More recently, studies in inflammatory bowel disease have emerged, with favorable results for its use. It is known that there are still knowledge gaps in the use of biosimilars and more experience is needed to increase clinicians’ confidence in their clinical practice. This chapter proposes a review of what is currently known about biosimilars in IBD. It discusses about aspects such as safety, efficacy, interchangeability, immunogenicity and switches.",signatures:"Sabrina Rodrigues de Figueiredo, Ana Elisa Rabe Caon, Rogerio Saad Hossne, Fábio Vieira Teixeira, Sabine Murakami Winkler and Natália Sousa Freitas Queiroz",downloadPdfUrl:"/chapter/pdf-download/79456",previewPdfUrl:"/chapter/pdf-preview/79456",authors:[{id:"343481",title:"Associate Prof.",name:"Natália",surname:"Sousa Freitas Queiroz",slug:"natalia-sousa-freitas-queiroz",fullName:"Natália Sousa Freitas Queiroz"},{id:"345940",title:"Dr.",name:"Fábio",surname:"Vieira Teixeira",slug:"fabio-vieira-teixeira",fullName:"Fábio Vieira Teixeira"},{id:"438015",title:"Dr.",name:"Sabrina Rodrigues",surname:"de Figueiredo",slug:"sabrina-rodrigues-de-figueiredo",fullName:"Sabrina Rodrigues de Figueiredo"},{id:"438016",title:"Dr.",name:"Ana Elisa",surname:"Rabe Caon",slug:"ana-elisa-rabe-caon",fullName:"Ana Elisa Rabe Caon"},{id:"438017",title:"Dr.",name:"Rogerio Saad",surname:"Hossne",slug:"rogerio-saad-hossne",fullName:"Rogerio Saad Hossne"},{id:"438018",title:"Dr.",name:"Sabine Murakami",surname:"Winkler",slug:"sabine-murakami-winkler",fullName:"Sabine Murakami Winkler"}],corrections:null},{id:"78727",title:"Rheumatic Diseases and Biosimilars: Evidence about Switch from Originators to Biosimilars in the Real Life",doi:"10.5772/intechopen.100128",slug:"rheumatic-diseases-and-biosimilars-evidence-about-switch-from-originators-to-biosimilars-in-the-real",totalDownloads:109,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Biosimilars are broadly available for the treatment of several diseases including inflammatory arthritis. Thanks to biosimilars it has been possible to treat a greater number of rheumatic patients who previously were undertreated due to the high cost of originators, in several countries. There are a lot of data from double blind, randomized, controlled clinical trials, especially on TNF inhibitors (TNFi), concerning the maintenance of clinical efficacy after switching from originators to biosimilars; therefore, such a transition is increasingly encouraged both in the US and Europe mainly for economic reasons. However, despite the considerable saving, such shifts to biosimilar drugs are still being debated, principally over their ethical implications. Since the drugs are similar but not identical, the main issues are related to the possibility to compare the adverse events and/or the lack of efficacy and, to date, the variability in effectiveness for a single patient remains an unpredictable datum before effecting the switch. Despite encouraging data about the maintenance of efficacy and safety after the switch, there are many reports of discontinuation due both lack of efficacy or and adverse events. In this chapter we aim at showing the disease activity trend and the safety after the transition to TNF-i biosimilars in patients with rheumatic diseases in real life.",signatures:"Maria Chiara Ditto, Simone Parisi, Rossella Talotta, Marta Priora, Richard Borrelli and Enrico Fusaro",downloadPdfUrl:"/chapter/pdf-download/78727",previewPdfUrl:"/chapter/pdf-preview/78727",authors:[{id:"192358",title:"Dr.",name:"Simone",surname:"Parisi",slug:"simone-parisi",fullName:"Simone Parisi"},{id:"343499",title:"Ph.D.",name:"Maria Chiara",surname:"Ditto",slug:"maria-chiara-ditto",fullName:"Maria Chiara Ditto"},{id:"343512",title:"Dr.",name:"Richard",surname:"Borrelli",slug:"richard-borrelli",fullName:"Richard Borrelli"},{id:"343514",title:"Dr.",name:"Enrico",surname:"Fusaro",slug:"enrico-fusaro",fullName:"Enrico Fusaro"},{id:"351865",title:"Prof.",name:"Rossella",surname:"Talotta",slug:"rossella-talotta",fullName:"Rossella Talotta"},{id:"423095",title:"Dr.",name:"Marta",surname:"Priora",slug:"marta-priora",fullName:"Marta Priora"}],corrections:null},{id:"76870",title:"Monoclonal Antibodies for Cancer Treatment",doi:"10.5772/intechopen.97915",slug:"monoclonal-antibodies-for-cancer-treatment",totalDownloads:166,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Therapeutic monoclonal antibodies have emerged in the 1990 decade as an important option for cancer treatment. These molecules have a diverse set of clinically relevant antitumor mechanisms, directly targeting tumor cells. It has been established as “standard of care” for several human cancers. This chapter reviews the use of monoclonal antibodies in oncology and introduces available biosimilars. The requirements for biosimilar antibody development, mechanisms of action and current clinical applications for cancer treatment is also presented.",signatures:"Annemeri Livinalli and Taís Freire Galvão",downloadPdfUrl:"/chapter/pdf-download/76870",previewPdfUrl:"/chapter/pdf-preview/76870",authors:[{id:"340895",title:"Ph.D. Student",name:"Annemeri",surname:"Livinalli",slug:"annemeri-livinalli",fullName:"Annemeri Livinalli"},{id:"341105",title:"Dr.",name:"Taís Freire",surname:"Galvão",slug:"tais-freire-galvao",fullName:"Taís Freire Galvão"}],corrections:null},{id:"79577",title:"Biosimilar Monoclonal Antibodies in Latin America",doi:"10.5772/intechopen.101227",slug:"biosimilar-monoclonal-antibodies-in-latin-america",totalDownloads:188,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"In the last decade, the expiration of patents protecting therapeutic monoclonal antibodies opened an opportunity for the development and approval of biosimilar versions of these drugs. The complexity of these biologic molecules required the imposition of strict regulations to establish robust comparability with the antibody of reference in physicochemical, analytical, biological and, when deemed necessary, clinical data. Accordingly, this period coincides with the updating of the requirements and guidelines for the manufacture and approval of biologics in Latin American countries by their respective regulatory agencies. Although the term “biosimilar” does not appear in the official regulatory provisions in most of the countries, it is of general use in Latin America, and several biosimilars of therapeutic monoclonal antibodies were approved based on comparative quality, nonclinical and clinical data that demonstrate similarity to a licensed biological reference registered before in a Regulatory Health Authority of reference. Here, we provide an overview of how the complexities of therapeutic monoclonal antibodies shaped the regulatory landscape of similar biologics, the current status of biosimilar monoclonal antibodies in Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, México, Paraguay, Perú and Uruguay and their potential to reduce the cost of antibody therapies in this region.",signatures:"Paola Karp, Matías Gatto, María Victoria Batto, Sol Ferrero and Gustavo Helguera",downloadPdfUrl:"/chapter/pdf-download/79577",previewPdfUrl:"/chapter/pdf-preview/79577",authors:[{id:"341560",title:"Ph.D.",name:"Gustavo",surname:"Helguera",slug:"gustavo-helguera",fullName:"Gustavo Helguera"},{id:"342001",title:"Ms.",name:"Paola",surname:"Karp",slug:"paola-karp",fullName:"Paola Karp"},{id:"345908",title:"BSc.",name:"Matías",surname:"Gatto",slug:"matias-gatto",fullName:"Matías Gatto"},{id:"345909",title:"BSc.",name:"Sol",surname:"Ferrero",slug:"sol-ferrero",fullName:"Sol Ferrero"},{id:"346865",title:"M.Sc.",name:"María Victoria",surname:"Batto",slug:"maria-victoria-batto",fullName:"María Victoria Batto"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. 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From chapter submission and review to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. 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Venkateswarlu",coverURL:"https://cdn.intechopen.com/books/images_new/371.jpg",editedByType:"Edited by",editors:[{id:"58592",title:"Dr.",name:"Arun",surname:"Shanker",slug:"arun-shanker",fullName:"Arun Shanker"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"72",title:"Ionic Liquids",subtitle:"Theory, Properties, New Approaches",isOpenForSubmission:!1,hash:"d94ffa3cfa10505e3b1d676d46fcd3f5",slug:"ionic-liquids-theory-properties-new-approaches",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/72.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"314",title:"Regenerative Medicine and Tissue Engineering",subtitle:"Cells and Biomaterials",isOpenForSubmission:!1,hash:"bb67e80e480c86bb8315458012d65686",slug:"regenerative-medicine-and-tissue-engineering-cells-and-biomaterials",bookSignature:"Daniel Eberli",coverURL:"https://cdn.intechopen.com/books/images_new/314.jpg",editedByType:"Edited by",editors:[{id:"6495",title:"Dr.",name:"Daniel",surname:"Eberli",slug:"daniel-eberli",fullName:"Daniel Eberli"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"57",title:"Physics and Applications of Graphene",subtitle:"Experiments",isOpenForSubmission:!1,hash:"0e6622a71cf4f02f45bfdd5691e1189a",slug:"physics-and-applications-of-graphene-experiments",bookSignature:"Sergey Mikhailov",coverURL:"https://cdn.intechopen.com/books/images_new/57.jpg",editedByType:"Edited by",editors:[{id:"16042",title:"Dr.",name:"Sergey",surname:"Mikhailov",slug:"sergey-mikhailov",fullName:"Sergey Mikhailov"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1373",title:"Ionic Liquids",subtitle:"Applications and Perspectives",isOpenForSubmission:!1,hash:"5e9ae5ae9167cde4b344e499a792c41c",slug:"ionic-liquids-applications-and-perspectives",bookSignature:"Alexander Kokorin",coverURL:"https://cdn.intechopen.com/books/images_new/1373.jpg",editedByType:"Edited by",editors:[{id:"19816",title:"Prof.",name:"Alexander",surname:"Kokorin",slug:"alexander-kokorin",fullName:"Alexander Kokorin"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"2270",title:"Fourier Transform",subtitle:"Materials Analysis",isOpenForSubmission:!1,hash:"5e094b066da527193e878e160b4772af",slug:"fourier-transform-materials-analysis",bookSignature:"Salih Mohammed Salih",coverURL:"https://cdn.intechopen.com/books/images_new/2270.jpg",editedByType:"Edited by",editors:[{id:"111691",title:"Dr.Ing.",name:"Salih",surname:"Salih",slug:"salih-salih",fullName:"Salih Salih"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"57362",title:"AlGaAs/GaAs Quantum Well Infrared Photodetectors",doi:"10.5772/intechopen.71266",slug:"algaas-gaas-quantum-well-infrared-photodetectors",body:'The solution to a well-known problem of a finite rectangular quantum well (QW) indicates that the energy position of the quantum subbands is determined by several parameters, namely, the width of the quantum well, the height of the barriers, and the carrier effective masses. The possibility of a rather simple way of monitoring the wavelength of intersubband transitions in a quantum well to create photodetectors has attracted the attention of researchers for a long time [1]. Improving the technology of the molecular beam epitaxy (MBE) has allowed converting these dreams into reality. The quantum well infrared photodetector (QWIP) was first demonstrated on the basis of the AlGaAs/GaAs heterostructure in 1987 [2]. Permanent improvement of the QWIP design, epitaxial growth technologies of the AlGaAs layers, and techniques for device manufacturing allow using the QWIP based on AlGaAs/GaAs heterostructures not only for military purposes but also for various civilian tasks [3, 4, 5, 6, 7].
In this paper, we have described the current state of the manufacturing technology in the Rzhanov Institute of Semiconductor Physics of SB RAS for the focal plane array (FPA) based on the AlGaAs/GaAs QWIP structure.
A typical heterostructure intended to detect the infrared radiation (IR) is shown in Figure 1. Such heterostructures are commonly formed by a thin (4–6 nm) GaAs QW located between the wide band gap AlGaAs barrier layers. The thickness of these barrier layers (
The energy structure of the GaAs/AlGaAs QW.
In such a structure, the electron moves from a ground quantum level
such expressions as ℏ
Conversely, when the electromagnetic wave is polarized along the z axis, the operator
The first integral in expression (Eq.(2)) is nonzero for i and j with different parities, and the last integral is nonzero for
The concentration of the two-dimensional electron gas (2DEG) in the photodetector structures should be large enough to locate the ground quantum level below the Fermi level. The required position of the Fermi level is achieved at the 2DEG concentration (
The calculated potential diagrams and wave functions for AlGaAs/GaAs/ AlGaAs QWs: (A) doped in the middle part of the quantum well; (B) with the one-side δ-doping with the 5-nm spacer.
The doping of the structure outside the GaAs QW (so-called the modulation-doped QWs) leads to significant changes in the QW shape (Figure 2B). Actually, the separation of electrons and ionized donors causes the appearance of an electric field and, therefore, a noticeable bending of the band next to the quantum well region. Therefore, the energy of the quantum levels changes. The calculated energies of the ground and first-excited quantum levels resulted from a self-consistent calculation proved to be equal to 3.2/140.9 meV and −3.1/133.7 meV for the QW doped in middle part and the modulation-doped QW, respectively. These values are given with respect to the Fermi level that lies at the energy ε = 0. As one can easily estimate, the shift in the quantum levels resulted from the changes in the doping location leads to a shift in the intersubband absorption band by 0.5 μm.
The nomograms of the dependence of the intersubband transition line upon the QW width and the barrier height were calculated by the self-consistent solution of the Schrödinger and Poisson equations to compare the rectangular and modulation-doped QWs. Figure 3 shows the calculated nomogram for the QW doped in the middle part. As one can see from Figure 3, λmax is weakly dependent on the QW width in the wavelength region (8–10 μm) worth examining, whereas the required wavelength of the IR absorption is more difficult to obtain in the modulation-doped QWs. One more parameter is added, and the energy of the intersubband transition from the ground to the first excited level depends not only on the well width and the barrier height (or the Al mole fraction in the barrier) but also on the doping level. Therefore, the calculation was made for the modulated-doped QW at a fixed QW width equal to 5.6 nm (Figure 4).
The nomogram showing the dependence of the wavelength upon the quantum well width and the barrier height (molar aluminum mole fraction) for a quantum well with the middle doped part.
The nomogram showing the dependence of the wavelength upon the 2DEG concentration and the barrier height (aluminum mole fraction) in the modulation-doped QWs.
The dark current flowing in the thermal equilibrium through the photodetector under a bias is an important characteristic of a QWIP. Its value is frequently used as a QWIP quality criterion. In QWIPs, the physical reason for the appearance of a dark current is the thermionic electron emission from the ground-filled quantum level to continuum states both above and below the energy barrier
The dark current density (
where
The modeling with the help of
Thus, the current density through the heterostructure is finally obtained as:
where
Dependence of the activation energy of the QWIP dark current upon the donor concentration.
As one can see from Figure 5, the barrier height decreases at the enhanced doping, which is caused by an increase in the Fermi level accompanied by an increase in the DEG concentration from 1.4 × 1011 to 3.4 × 1011 cm−2.
Figure 6 shows the calculated dependences of the dark current density upon the applied electric field for different donor concentrations.
Dependence of the QWIP dark current upon the applied electric field for different donor concentrations. The donor concentration is indicated in units of 1018 cm−3 in the figure.
The optimum 2DEG concentration corresponding to the minimum value of the threshold power of the radiation (NEP) is estimated as follows. The value of NEP is given by:
where
where
In its turn, the responsivity is proportional to the absorption coefficient of a single QW α, which, in turn, is proportional to the DEG concentration [10]:
Thus, combining Eqs. (6)–(8), and Eq. (9), we obtain [11]:
where
Thus, the maximum sensitivity of the GaAs/AlGaAs QWIP is expected to be around 8.6 μm to ensure the spectral range of the detector (8–10 μm). The calculations have shown that this condition is satisfied by such parameters of the doped QW as the well width
Multiple quantum wells GaAs/AlGaAs were obtained by the MBE on the GaAs (100) substrate with a buffer consisting of a 0.4-μm GaAs layer. The doped GaAs layers of 1.5 μm thickness were used as a base contact, whereas the upper ohmic contact was provided by the doped GaAs of 1.2 μm thickness.
It has been found that the best structural perfection of epitaxial GaAs layers and the greatest value of the carrier mobility can be obtained at a growth under conditions ensuring a (3 × 6) surface structure having a stoichiometric composition on the growth surface and being intermediate between the “As-stabilized” (2 × 4) and “Ga-stabilized” (4 × 2) surfaces. At the growth under such conditions, the concentrations of the gallium and arsenic vacancies on the surface are minimal, which provides a minimum concentration of the intrinsic point defects in the crystal. The deviation of the growth conditions toward the gallium or arsenic stabilization leads to the enrichment of the epitaxial layers by the defects of anion or cation sublattices, respectively. Since the (3 × 6) surface is observed in the narrow ranges of the substrate temperature and V/III flow ratio, the growth conditions around the transition from (2 × 4) to (3 × 6) surface can be recommended in order to obtain good process reproducibility.
Such growth conditions being applied, the necessary homogeneity and concentration of the growth defects across the wafer can be achieved. The distribution of the growth defect (“oval” defect) density is shown in Figure 7. One can see that the average density of the defects of 100–200 pcs/cm2 can potentially lead to defectiveness of the photosensitive element matrix by no more than 0.2% (The number of pixels in the array of the photodetectors is 100–300 thousands). A small size of the growth defect in 4–6 microns suggests that even if one pixel is damaged, the neighboring pixels will remain unaffected.
Distribution of surface defects of the epitaxial QWIP structure. The distribution of the density of defects (left) and defect sizes (right).
The structure of the samples was examined by the method of studying the cross section of structures by the transmission electron microscopy (TEM). The studies were performed by the JEM-4000EX electron microscope by JEOL (Japan). The samples for the TEM were made in the geometry of the cross section by grinding them with their subsequent thinning during etching by Ar+ ions with an energy of 3–4 keV. The survey was conducted at an accelerating voltage of 400 kV. Figure 8 shows the results of the TEM AlGaAs/GaAs heterostructure. The image represents no structural defects, which indicate a high quality of the heterostructures under study. The measurements carried out by the TEM methods demonstrate a good correspondence of the heterostructure layer thicknesses planned and obtained. Sharp changes in the intensity at the quantum well heterogeneities testify to fairly sharp and smooth transitions from one material to another.
The cross section of the QWIP heterostructure.
The spectra of the piezomodulated reflection of the MQW structure in a visible spectral range at a liquid nitrogen temperature were measured to control the aluminum mole fraction in the AlGaAs barrier layers. Mechanical vibrations of the ceramic plate caused the modulation of the mechanical stresses in the structure, the modulations of the real Δεr and the imaginary Δεi parts of the dielectric constant, and as a consequence, the modulation of the reflection coefficient. The reflection variances ΔR are related to the variation of the dielectric constant by the Seraphin ratio [12]:
where α and β are Seraphin coefficients. The energy position of the peaks in the piezoreflection spectrum corresponds to the electronic transitions in the structure under study. Typical piezoreflection spectra of the MQW structure are shown in Figure 9A. The aluminum mole fraction in the barrier layer is calculated from the peak energy. The peak at the 1.484 eV corresponds to the transitions from the levels of residual acceptors (neutral carbon atoms) to the conduction band in the GaAs substrate. The band gap of the GaAs at the 77 K is
(A) The spectra of the piezomodulated reflection of the MQW structure. (B) The photoluminescence spectra of the MQW structure. The YAG laser was used to excite the PL.
The measurement of the QW width was carried out by means of the photoluminescence (PL) spectroscopy at a liquid nitrogen temperature along a line corresponding to the transition from the ground electron level to the ground level of the heavy holes
To control the electron concentration in the grown structures with MQWs, the C-V characteristics were measured. Those measurements were carried out with the specially fabricated Schottky barriers of the TiAu with a diameter of 200 μm and a C-V bridge operating at frequencies of 1 to 100 kHz. The upper contact layer had been previously etched and then measured. According to the measured C-V dependences, the concentration dependences upon the depletion region depth
where
Distribution of the sheet concentration of the charge carriers ΔΓ in the quantum wells for six different points. These points are located along the wafer radius.
To calculate parameters of the multiplexer (capacitance and integration time), it is necessary to know the field dependences of the dark current. The measured dependencies of the dark current upon the bias for the QWIP structure made up of 30 periods of QW and barriers (
Field dependences of the dark current in the QWIP structure (the donor concentration is 2.5 × 1011 cm−2) for various current directions at the 77 K temperature.
While choosing a number of QW periods in the QWIP structure, the following must be taken into account: (A) an increase in a number of structure periods leads to an increase in the absorption coefficient, but, in turn, (B) the overall probability of capturing photoexcited electrons back into the QW, (C) the growth time of the heterostructure, (D) the mesa depth, and (E) the magnitude of the voltage applied to the structure increase as well. As a result, the sensitivity of the QWIP increases very weakly with an increasing number of the GaAs/AlGaAs layer periods [11]. Therefore, a heterostructure with 30 periods of the GaAs QW has been chosen.
A 2D diffraction grating with the parameters determined by the spectral range and properties of the dielectric applied is required to provide the absorption of a normal-incident light and increase the quantum efficiency of the QWIP [16]. The required etching depth of the lattice (
The thickness of the upper contact layer of n+ doped GaAs was increased up to 1200 nm to adapt the fabrication technology for ohmic contacts. At a lower thickness of the contact layer, the metal may penetrate into the QW region as a result of diffusion during a long (5 minutes) annealing.
The multiplexer capacity and integration time of the signal were estimated by the dependency dark current upon the bias at the 77 K (Figure 11). The current at the bias voltage equal to 0.5 V is about 10−10 A, which, in the presence of the capacitance in the multiplexer equal to 6 × 106 electrons, allows integrating the signal during 10 ms.
The focal plane arrays on the basis of GaAs/AlGaAs QWIP structures were fabricated by the complex of coordinated technological operations based on photolithography processes using functional dielectric and metallic layers, etching processes, and chemical treatments of the heterostructures in the regimes determined by the physicochemical properties of the MQW layers. The technology development was carried out at the FPA with 384 × 288 elements with the 25 microns pitch. The structure control was carried out by the optical and scanning electron (LEO-1430, SU8220) microscopes.
A diffraction grating and mesa structures were formed by dry anisotropic etching of the GaAs layer in a remote gas-discharged plasma (ICP RF) of the BCl3, argon, and nitrogen. The obtained diffraction grating holes are square shaped with rounded corners and vertical walls (Figure 12A). The view of the mesa structure walls formed by etching the GaAs at a given depth (2.4 μm) at the optimum ratios of reagent gases, the power of the RF and ICP generators, the reactor pressure, substrate temperature, heating, and etching time are shown in Figure 12B.
SEM images of (A) the diffraction grid and (B) the gap (2 μm) between the mesa structures of the FPA 384 × 288 elements obtained by dry etching with the 0.5-μm SiO2 layer.
The ohmic contacts to the base and upper n+ doped GaAs layers (on the mesa surface) were fabricated by the Ge/Au/Ni/Au (20/20/20/100 nm) deposition [17] after the removal of the native oxide layer from the semiconductor surface by HCl:Н2O (1:8) and annealing during 5 minutes at the 385°C in a hydrogen (Figure 13).
SEM image of the mesa structure of FPA 384 × 288 elements with a diffraction grating and the Ge/Au/Ni/Au (20/20/20/100 nm) metallization layer.
The SiO2 dielectric layer was deposited by a low-pressure chemical vapor deposition (LP CVD) method at temperatures of 195–250°C to passivate and protect the mesa structure surface. The low temperature of this process excludes the disorder of the surface stoichiometric composition due to the evaporation at high temperatures of the fifth group element. Depending on the synthesis conditions, the layers of LP CVD SiO2 (refractive index 1.46) have a dielectric constant of 5.9–6.5 and leakage currents of 6 ×·10−8–9·× 10−7A/cm2 (
To assemble a FPA by cold welding, indium bumps were fabricated both on the GaAs/AlGaAs QWIP structure and silicon multiplexers. The Tl xLift photoresist was used to produce indium bumps (height of ∼5 μm) by inverse photolithography. The view and cleavage of a separate mesa structure with an indium bump of the FPA of 384 ×·288 elements produced by the developed technology on the GaAs/AlGaAs heterostructures are shown in Figure 14.
SEM images (A) of the mesa structure and (B) mesa structure cleavage of the FPA with 288 × 384 pixels on the basis of GaAs/AlGaAs QWIP structures with indium bumps.
The FPA modules were assembled by cold welding of the indium bumps under pressure [18]. The FPA and multiplexer crystals were docked on the M9 setup of Laurier company. The fusion of the indium contacts was performed by heating the module up to the indium melting temperature with the succeeding cooling. The surface autoplanarization is provided during the crystal compression process, which is achieved by installing polyamide stoppers along the perimeter of one of the module elements—an array or multiplexer. The maximum limit mechanical load is determined experimentally from the measurement of the curves of the plastic flow of the indium bumps, their height, and area. The pressure required for the plastic flow of the contacts ranges from 0.3 to 0.9 kg/mm2. The total height of the indium bumps after the FPA assembly is 6–8 μm, which satisfies the requirements of the durability of the FPA hybrid assemblies [19].
The technology of the substrate removal after the assembly of the FPA consisted of the successive processes of the mechanical grinding aimed at removing the main thickness of the GaAs substrate, chemical mechanical polishing and chemical dynamic polishing, in order to obtain a mirror-smooth surface of the array crystal. The processes of the chemical selective etching of the GaAs and heterostructure layers were applied to remove the GaAs substrate from the FPA surface completely (Figure 15) [20, 21, 22].
The photo of the FPA assembly with 384 × 288 elements (A) before and (B) after the removal of the GaAs substrate (650 μm).
The silicon multiplexers by Integral Joint Stock Company (IZ640FD format 640 × 512) made by the CMOS technology and meeting the QWIP requirements were used as a part of the FPA assembly [23].
The storage capacitance in every cell of the IZ640FD multiplexer was approximately 8 × 106 electrons with a reading noise of 1000 electrons. The adjustable integration time could vary from 100 microseconds to the entire duration of the frame scanning. The electric power consumed at a frame rate of 100 Hz did not exceed 120 mW. The electric power consumed at a frame rate of 100 Hz did not exceed 140 mW in the four output mode and 90 mW at a switch into one output mode, respectively.
The schematic diagram of the input block of the multiplexer is shown in Figure 16, where D is the photoresistor (detector), VD is the detector supply voltage, VB is the voltage specifying the detector bias voltage, VA is the voltage specifying the level of anti-burglary, VS is the skimming voltage, C1 is the integration capacitance in pixel, C2 is the storage capacity in pixel, C3 is the storage capacity in column, K1, K2, and K3 are the keys, A is the amplifier with a controlled gain, and B is the buffer. The signal integration occurs simultaneously on all the array elements, and then, the voltage from the capacitances C2 is line-by-line read out by connecting the key K2 to the column capacitance C3 and the column amplifier A.
Schematic diagram of the input multiplexer for the FPA.
At the final stage, the opto-electronic characteristics of the fabricated FPA assembly were determined. For this purpose, the assembly was placed in a nitrogen cryostat with an entrance window made of the ZnSe. The operating temperature of 65 K was achieved due to the pressure pumped down by a vacuum pump. A cooled diaphragm provided a relative aperture of 1:2. To measure the sensitivity of the FPA, the module illumination was made by an extended-type absolutely black body. It should be noted that the high parameters of the FPA assembly both the absolute values of the signals and their homogeneity with respect to the array elements are supposed to be essential.
The distribution histogram of the total current (dark + photo signal from the 300 K background) for the FPA assembly thinned up to 170 μm is shown in Figure 17A. The integration time of the signal was chosen to be 9 ms. Figure 17B shows the distribution histogram of the temperature sensitivity of the ST at the 300 K background upon the pixels of the FPA module BM20. Its average value is rather high and equal to 23.2 mV/K. Figure 17C shows the distribution of the noise voltage Vn at the output of the photoreceptor module BM20 at a background of 300 K. All the histograms are rather narrow, which demonstrates the high uniformity of the array parameters. The noise equivalent temperature difference NETD = Vn/ST of the FPA module BM20 is shown in Figure 17D. The average value of a NETD for nondefective pixels at the FPA temperature of 67 K is 22.2 mK. A number of defective elements with a NETD over 70 mK is 0.15%. A typical spectrum of photosensitivity of a 640 × 512 FPA is shown in Figure 18. An example of the IR image detected by a 640 × 512 FPA assembly module equipped by the germanium lens with D/F = 1:2 aperture is shown in Figure 19.
(A) The histogram of the total current distribution of the 640 × 512 FPA module BM20. (B) The histogram of the temperature sensitivity at a background of 300 K of the 640 × 512 FPA module BM20. (C) The histogram of the noise voltage of the 640 × 512 FPA module BM20. (D) Experimentally measured NEΔT histogram of the 640 × 512 FPA module BM20.
Photosensitivity spectrum of the FPA.
The example of an IR image. The temperature is 65 K. The integration time is 6 ms. The working elements are 99.6%.
The developed technology for the FPA assembly is reproducible and has a rather high yield percentage of the suitable products well seen from Figure 20 showing the scatter of the noise equivalent temperature differences and a number of defective elements for the 640 × 512 FPA assembly manufactured on the 5 MBE grown heterostructures.
(A) Scatter of NETD and (B) a number of defective elements in the 640x512 FPAs produced on the five grown QWIP structures.
The fabricated and tested 640 × 512 FPA were installed in the body of a vacuum cryostat integrally coupled with a microcryogenic system. Resulted integrated detector cooler assembly (IDCA) is showed in Figure 21. A vacuum cryostat performs thermal isolation of the array from the environment to guarantee effective cooling of the photodetector up to the operating temperature (T = 68–72 K). The radiation from the detected objects is fed to the FPA through an input window made up of the germanium with the antireflection in the range of 8–10 μm and a cooled diaphragm with a relative aperture F/2 designed to reduce the background illumination. A low pressure in the vacuum cryostat is provided by a getter, whose reactivation is carried out by passing an electric current through it. Typical operating temperatures for the FPA based on the QWIP with the wavelength range 8–10 μm are 68–72 K. Thus, the powerful microcryogenic systems ensuring a cooling capacity at an operating temperature of 70 K not less than 0.4 W and the power consumption not more than 20 W are needed to provide the required temperature in a full range of climatic conditions.
The photo of the QWIP IDCA.
As one can see from Table 1, the parameters of the developed 640 × 512 QWIP IDCA are comparable with those of the Sofradir products.
ISP SB RAS (Russia) BM20 | Sofradir (France) SIRIUS-LW | |
---|---|---|
Array format | 640 × 512 | 640 × 512 |
Pixel pitch, μm | 20 | 20 |
Peak sensitivity, μm | 8.5–8.6 | 8.5 |
FWHM, μm | 0.8–1 | 1 |
NETD, mK | <35 | <35 |
Operability, % | >99.5 | 99.9% |
Integration time, ms | 6 | 7 |
Operating temperature, K | 72 | 70–73 |
Comparative characteristics of the GaAs/AlGaAs QWIP IDCA by the ISP of the SB RAS (Novosibirsk) and Sofradir (France).
The technology of manufacturing the AlGaAs/GaAs QWIP FPA has been discussed. The parameters of a FPA of 640 × 512 format with a 20-μm pitch for a spectral range of 8–10 μm have been described. At an operating temperature of 72 K, the temperature resolution of the QWIP FPA is less than 35 mK. The frame rate is 100 Hz. A number of defect elements in the array do not exceed 0.5%. It is shown that the parameters of the QWIP FPA fabricated by Rzhanov Institute of Semiconductor Physics of SB RAS meet the world class standards.
Alcohol-related liver disease (ALD) is one of the major causes of liver injury worldwide, according to WHO [1]. More than 40% of the liver deaths are attributed to alcohol [2] and the indication for liver transplant in patients with ALD has significantly increased, being the top health burden. ALD is rarely detected at early stages, most of the patients being diagnosticated at the decompensation stage, when liver cirrhosis and its complications occur [3].
Diagnosis of ALD is suspected when alcohol consumption is >20 g/d in females and > 30 g/d in males and clinical and/or biological modifications suggestive of liver injury or extrahepatic manifestations of alcohol use disorder (AUD) occur [4]. Because a high proportion of patients with AUD do not express clinical symptoms or laboratory abnormalities, asymptomatic patients with harmful use of alcohol should undergo appropriate screening investigations [5].
ALD follows the typical progression of chronic liver diseases including alcoholic liver steatosis, steatohepatitis, fibrosis, and liver cirrhosis. Approximately 90% of heavy drinkers will develop liver steatosis and 5–10% liver cirrhosis in 5 years [6]. Liver cirrhosis is the main predictor of survival [7], so early recognition of fibrosis is the most important objective in this category of patients. On the other hand, another argument for early detection and diagnosis of patients with harmful use of alcohol is that the risk of developing liver disease decreases with abstinence [4]. ALD remains underestimated due to bad reporting of real alcohol consumption and a lack of specific investigations.
The main points to address in front of a patient with ALD from the hepatological point of view would be the evaluation of liver steatosis, inflammation, and fibrosis.
Liver biopsy remains the “gold standard” of diagnosis and staging for diffuse liver changes [4] since it is able to evaluate all points presented above; however, it is an invasive method, less likely accepted by patients, with a 7% rate of complications and sampling errors [8]. Noninvasive methods for evaluating steatosis and fibrosis in ALD gained a lot of interest lately, with many studies supporting their usefulness [9], but we still lack reliable noninvasive methods for grading liver inflammation. The main advantages of these noninvasive methods are the easy acceptability by patients, repeatability, and low costs. They consist of serum markers and elastography methods [9].
Noninvasive liver fibrosis evaluation in ALD by serum markers/biological scores can be performed by patented or non-patented serum biomarkers. Enhanced Liver Fibrosis (ELF™) and FibroTest (FT) are most commonly used as patented biomarkers. In a meta-analysis performed on nine studies, the ELF test showed good performance for the prediction of histological fibrosis stage [10]. A prospective study found that ELF and FT also had comparable diagnostic accuracy for ALD when it comes to AUROC, 0.92 for ELF and 0.9 for FT, and can rule out advanced fibrosis for ALD based on an ELF <10.5 or an FT value below 0.58. [11].
Nonpatented serum markers have been assessed in ALD for the diagnosis of liver fibrosis—age-platelet index, the aspartate transaminase (AST)-platelet-ratio index APRI [12], fibrosis-4 index-FIB-4 [13], and AST/alanine aminotransferase (ALT) ratio-AST/ALT [14]. A comparison of the performance of the different biological scores suggests that ELF and FT are better in the diagnosis of LF in ALD (Table 1) [9, 16].
Test | AUC | Se (%) | Sp (%) |
---|---|---|---|
APRI cut off 0.5 [15] | 0.79 | 84 | 41 |
APRI ≥ 1 [11] | 0.80 | 38 | 90 |
FIB-4 ≥ 3.25 [11] | 0.85 | 58 | 91 |
AST/ALT ratio ≥ 1 [11] | 0.76 | 85 | 46 |
Age-platelet index ≥ 6.0 [11] | 0.81 | 65 | 85 |
ELF ≥ 10.5 [11] | 0.92 | 79 | 91 |
FT ≥ 0.58 [11] | 0.90 | 67 | 87 |
Comparison and performance of biological tests for the diagnosis of advanced fibrosis (F3) in studies with biopsy-proven ALD.
APRI – aspartate transaminase-platelet ratio index; FIB-4 – fibrosis 4 index; ELF-Enhanced Liver Fibrosis; FT – Fibrotest; AUC – area under the curve; Se – sensitivity; and Sp – specificity.
From an economical point of view, patented scores for ALD have higher costs than nonpatented but provide the best diagnostic performance of advanced liver fibrosis. Lifetime health costs in ALD are very high in decompensated stages, so noninvasive methods were proven to be cost-effective [17].
For liver steatosis assessment several methods can be used as noninvasive techniques such as ultrasound-based methods or magnetic resonance imaging (MRI)-based methods. In the following part of this chapter, ultrasound-based methods will be introduced. MRI methods use MRI-PDFF (proton density fat fraction) and a routinely used MRI scanner to identify liver steatosis. MRI sensitivity and specificity are 76.7–90.0% and 80.2–87.0%, respectively. It is not affected by the etiology of liver disease or other abnormalities such as inflammation, most seen in ALD or iron overload. It has several advantages such as the highest accuracy following liver biopsy for liver steatosis diagnosis, but the major disadvantages include the high cost, long time of examination, and the inability to be used in claustrophobic or overweight patients [18, 19].
Liver elastography by means of transient elastography compared to serum markers is superior when it comes to liver stiffness assessment [20], and in the following sections, the place of noninvasive ultrasound-based steatosis quantification methods and ultrasound-based elastography techniques in ALD are presented in detail.
In patients with suspected ALD (presence of alcohol use disorder-AUD, abnormal liver test or extrahepatic manifestations of AUD, and no other causes of chronic liver disease), noninvasive tests can be transferred into clinical practice for the detection of advanced fibrosis. Physical and biological approaches are complementary and both methods should be used starting from primary care to facilitate the early detection of ALD. First of all, patients should be routinely screened for AUD using AUDIT questionnaire [4]. Further, patients can be easily assessed by primary care using patented or nonpatented biological scores and in case of liver fibrosis presence, redirected to second-line assessment made by a liver specialist, to validate the results by elastography methods. All patients with AUD need to be referred to a specialized withdrawal center. Follow-up can be performed by primary care or in case of advanced liver fibrosis by liver clinic units for specific investigations [7, 16].
Hepatic steatosis is characterized by accumulation of fat-lipids, especially triglycerides in hepatocytes, and when is over 5%, it is considered pathological. It is usually asymptomatic and is mainly caused by alcohol use and metabolic factors. In patients with AUD, liver steatosis can be reversible with abstinence. Steatosis severity is associated with lobular inflammation and fibrosis [21]. Approximately 90% of patients with AUD will develop liver steatosis [6].
Liver biopsy remains the gold standard of steatosis assessment, but has many drawbacks, like potential complications, sampling error, invasive, and is difficult for patients to accept this method as a follow-up method [8]. Noninvasive methods were developed to easily assess patients at risk of developing liver steatosis.
Because fat accumulation alters liver imagistic appearance, B-mode ultrasound (US) is the first-line technique used for screening and assessment of fatty liver [9]. It is a safe method, available, accessible, repeatable, and cost-efficient, with a sensitivity between 60 and 94% and specificity between 88 and 95% in detecting steatosis [22]. However, it has a better performance in detecting severe liver steatosis as compared to mild steatosis, is operator-dependent, and cannot give information related to fibrosis presence [23]. Magnetic resonance imaging (MRI)-proton density fat fraction (PDFF) is considered the most specific and sensitive technique for liver steatosis assessment [24], but it is not appropriate as a point of care technique because it requires complex evaluation by specialized radiologists, has high costs, and is not available in all centers. Also, it is not possible in the case of obese, claustrophobic patients and with metallic devices implanted [24].
A novel noninvasive ultrasound-based elastographic parameter called CAP-controlled attenuation parameter has been developed for life’s steatosis assessment. It is based on vibration controlled transient elastography (VTCE) and is incorporated in FibroScan (Echosens, Paris, France) device and allows, in the same session, the evaluation of steatosis and fibrosis [25]. It is based on ultrasound attenuation, a physical characteristic of the propagation medium, which means the loss of energy when ultrasound spreads through this medium, and fat is known to be an attenuating medium [26]. CAP has been first developed on the M probe with a center frequency of 3.5 MHz [26], but when applied to overweight and obese patients the performance was impaired because of the thick subcutaneous fat layer. XL probe was then developed on 2.5 MHz and it measures to a depth of 7.5 cm [27]. The results are given in decibels per meter (dB/m) with a range from 100 to 400 dB/m. CAP is displayed only when liver stiffness measurements (LSMs) are valid, and it is recommended as a point-of-care technique for the detection of liver steatosis by the World Federation for Ultrasound in Medicine and Biology (WFUMB) [28].
CAP proved to have good accuracy for diagnosing steatosis in studies and meta-analysis including mixed cohorts [25] and especially in NAFLD [29]. In ALD, only one study is available from Thiele M. et al. [30], including 562 patients with ALD who underwent CAP, B-mode ultrasound, and liver biopsy. CAP proved to be superior to steatosis liver pattern by standard ultrasound. A CAP value over 290 dB/m ruled in any steatosis with 88% specificity, while CAP below 220 dB/m ruled out liver steatosis with 90% sensitivity. Moreover, CAP showed AUROCs of 0.77, 0.78, and 0.82 for mild, moderate, and severe steatosis, respectively. CAP had higher values for patients with ALD and metabolic syndrome (MetS) over imposed, with an average difference of 40 dB/m (302 ± 64 in patients with MetS vs. 262 ± 55 in patients without MetS; P < 0.001). The same was observed in patients with a BMI ≥30 kg/m2 with a difference of 49 dB/m (311 ± 48 in obese patients versus 261 ± 57 in patients with BMI < 30; P < 0.001). In the same multicentric study, 293 patients were admitted for detoxification and CAP showed a decrease by 32 ± 47 dB/m, decreasing equally in patients with ALD with or without MetS, but did not significantly decrease in obese patients after detoxification. There was no evidence that CAP influences liver stiffness measurements by TE or vice-versa. Diagnostic accuracy of CAP seems to be lower in mild steatosis compared to other etiologies and optimal cut-offs, which varies in the different studies performed; variation is possibly explained by the pattern of alcohol consumption in the moment of investigations; hence, evaluation of CAP in ALD remains a challenge.
Several other ultrasound equipment developers designed new ultrasound-based steatosis quantification software embedded in ultrasound machines, based mainly also on the evaluation of the ultrasound beam attenuation. Such examples are Ultrasound-Guided Attenuation Parameter (UGAP) from General Electric Healthcare, Attenuation imaging (ATI) developed by Canon, Attenuation (ATT) from Hitachi, SSp.PLUS (Sound Speed Plane-wave UltraSound) and Att.PLUS (Attenuation Plane-wave UltraSound) from Supersonic Imagine, and TAI™ (Tissue Attenuation Image) & TSI™ (Tissue Scatter-distribution Image) from Samsung; all emerging techniques are under evaluation but with no data yet related to ALD.
Because the presence of liver fibrosis and liver cirrhosis is the main predictor of survival in patients with ALD, liver stiffness (LS) assessment is very important in high-risk patients [7]. Liver fibrosis assessment can be performed by biological and elastography methods in the detriment of liver biopsy. Direct comparison with serum markers showed a better performance of TE in patients with ALD [20] with an AUROCs >0.9 for F4 cirrhosis diagnosis. In this chapter, we will discuss only the ultrasound-based elastography methods.
Liver elastography methods became more and more reliable in the liver stiffness measurement (LSM), being supported by recently published guidelines [28, 31]. The methods are classified into shear wave elastography (SWE) and strain elastography (SE) (Figure 1). Both guidelines support that SWE is the best for clinical use in LSM.
Classification of ultrasound-based elastography methods.
Transient elastography (TE) (FibroScan, EchoSens, Paris, and France), the first elastography technique developed, is the most widely used method, and it is noninvasive, rapid, and reproducible, with lower sampling errors [9]. The most important published studies in ALD are listed in the table below, majority of them biopsy-proven (Table 2). These studies showed good performance in the diagnosis of liver cirrhosis with AUROCs from 0.87 [41] to 0.97 [40], but the cut-off values differ quite a bit, most likely due to the presence of inflammation in these patients, given by recent alcohol consumption and assessed by AST levels. Several studies performed by Mueller et al. [40, 45, 46] show that absolute alcohol withdrawal leads to a 13% reduction of LS after one week and even a reduction of 40% in alcohol consumption can lead to a 17% reduction of LS [24]. In another study, LS improved in almost 80% of patients admitted for alcohol detoxification due to the coexistence of inflammation seen by AST >100 U/ml [25]. Preliminary observational data on long-term abstinence, observed over a period of more than 5 years, show LS decreases by 50% and also LS again increases by 22% if alcohol consumption continues [46]. Table 3 resumes the data on alcohol abstinence/ relapse and LS improvement.
Reference | Number of patients | Elastography method | Cut-off values for different fibrosis stage | ||
---|---|---|---|---|---|
F2 | F3 | F4 | |||
Anastasiou 2010 [32] | 14 patients | TE | >7.15 kPa | >12.5 kPa | |
Bardou-Jacquet 2013 [33] | 8 patients | TE | >7.15 kPa | >17 kPa | |
Boursier 2009 [34] | 106 patients | TE | >7.15 kPa | >9.5 kPa | >17.3 kPa |
de Ledinghen 2012 [35] | 34 patients | TE | >7.15 kPa | >9.5 kPa | >12.5 kPa |
Fernandez 2012 [36] | 139 patients | TE | >7.15 kPa | >10.5 kPa | >18 kPa |
Janssens 2010 [37] | 49 patients | TE | >7.15 kPa | >21.1 kPa | |
Lannerstedt 2013 [38] | 16 patients | TE | >7.15 kPa | >9.5 kPa | >12.5 kPa |
Lemoine 2008 [39] | 48 patients | TE | >7.15 kPa | >34.9 kPa | |
Mueller 2010 [40] | 101 patients | TE | >7.15 kPa | >8 kPa | >11.5 kPa |
Nahon 2008 [41] | 147 patients | TE | >7.15 kPa | >22.6 kPa | |
Nguyen-Khac 2008 [20] | 103 patients | TE | >7.15 kPa | >11 kPa | >19.5 kPa |
Muller 2015 [42] | 364 patients | TE | >6 kPa | >8 kPa | >12.5 kPa |
Voican 2017 [43] | 188 patients | TE | — | >13 kPa | >20.8 kPa |
Kim 2009 [44] | 45 patients | TE | >7.15 kPa | >9.5 kPa | >25.8 kPa |
Elastography in ALD patients performed by TE.
Reference | Patients | Time | Mean LS Before/after | LS improvement |
---|---|---|---|---|
Mueller 2020 [45] | 45- reduction of alcohol consumption and treatment with Nalmefene | 12 weeks | 10.5 kPa–8.7 kPa | −13% |
Mueller 2010 [40] | 50- detoxification | 5 days | 20.1 kPa–16.5 kPa | −17% |
Mueller 2020 [46] | 23- abstinence 23-relapse | 5.7 years 5.3 years | 20.5–10.5 kPa 14.8 kPa–18.1 kPa | −48% +22% |
Alcohol abstinence/relapse and liver stiffness improvement.
TE is followed by other ultrasound-based methods, such as point Share Wave Elastography (pSWE), Two-Dimensional Share Wave Elastography (2D-SWE), or Time-Harmonic Elastography embedded in ultrasound systems [47, 48, 49, 50, 51, 52, 53]. There are few studies that show data on the performance of pSWE or 2D-SWE in ALD (Table 4), with a small number of included patients, and in some studies, data show a wide range of values.
Reference | Number of patients | Elastography technique | Cut-off values for different fibrosis stage | ||
---|---|---|---|---|---|
F2 | F3 | F4 | |||
Thiele 2016 [54] | 199 patients | 2D-SWE | >10.2 kPa | — | >16.4 kPa |
Kiani 2016 [55] | 69 patients | pSWE | >1.63 m/s | >1.84 m/s | >1.94 m/s |
Zhang 2015 [56] | 112 patients | pSWE | >1.27 m/s | >1.40 m/s | >1.65 m/s |
Cho Y 2020 [57] | 251 patients | pSWE | >1.46 m/s | >1.47 m/s | >1.66 m/s |
Elastography in ALD patients performed by 2D-SWE and pSWE.
An important aspect of liver elastography in alcohol-induced liver fibrosis, compared to the rest of liver fibrosis etiologies is the presence of inflammation given by the levels of AST. In alcoholic liver disease, AST levels are typically higher as compared to ALT [58]. Although in cirrhotic stages, liver transaminases normalize, if alcohol consumption is continued, AST may be continuously increased. The presence of steatohepatitis with AST >100 U/ml will increase liver stiffness in patients with ALD, so it was proposed to assess the presence of advanced fibrosis when AST decreases below <100 U/ml [40]. For that, an algorithm was developed for inflammation-adapted cut-off values in ALD [42], based on a multicentric study that included over 2000 patients with biopsy-proven HCV and ALD. In the absence of inflammation given by elevated transaminases, cut-off values for ALD and HCV were similar. The cut-off values increased exponentially in relation to median AST. After the formula was applied there was an improved agreement of the AST cut-off values with the histological stage for both HCV and ALD, so using inflammation-adapted cut-off values avoid repetitive assessment of LS in ALD.
In a recent meta-analysis [43], it was proved that in addition to AST, bilirubin can have a significant effect on LS assessment in ALD. Bilirubin was independently associated with the presence of asymptomatic and non-severe steatohepatitis on histological features.
From an economical perspective, lifetime health care costs associated with ALD in advanced stages are very high, so noninvasive elastography methods for the diagnosis of advanced alcohol liver fibrosis were proven to be cost-effective [17] and may be used also for screening.
Because alcohol-related liver diseases are increasing, there is an unmet need for the identification and evaluation of patients at risk. Noninvasive elastography methods allow screening, diagnosis, and follow-up of liver steatosis and liver fibrosis in patients with ALD, with good accuracy and performance.
Alina Popescu has received speaker fees from Philips, General Electric Healthcare.
Camelia Foncea has nothing to declare.
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After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. 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He is a full professor of signal processing and pattern recognition and is head of the Signals and Communications Department at ULPGC, teaching from 2001 on subjects on signal processing and learning theory. His research lines are biometrics, biomedical signals and images, data mining, classification system, signal and image processing, machine learning, and environmental intelligence. He has researched in 52 international and Spanish research projects, some of them as head researcher. He is co-author of 4 books, co-editor of 27 proceedings books, guest editor for 8 JCR-ISI international journals, and up to 24 book chapters. He has over 450 papers published in international journals and conferences (81 of them indexed on JCR – ISI - Web of Science). He has published seven patents in the Spanish Patent and Trademark Office. He has been a supervisor on 8 Ph.D. theses (11 more are under supervision), and 130 master theses. He is the founder of The IEEE IWOBI conference series and the president of its Steering Committee, as well as the founder of both the InnoEducaTIC and APPIS conference series. He is an evaluator of project proposals for the European Union (H2020), Medical Research Council (MRC, UK), Spanish Government (ANECA, Spain), Research National Agency (ANR, France), DAAD (Germany), Argentinian Government, and the Colombian Institutions. He has been a reviewer in different indexed international journals (<70) and conferences (<250) since 2001. He has been a member of the IASTED Technical Committee on Image Processing from 2007 and a member of the IASTED Technical Committee on Artificial Intelligence and Expert Systems from 2011. \n\nHe has held the general chair position for the following: ACM-APPIS (2020, 2021), IEEE-IWOBI (2019, 2020 and 2020), A PPIS (2018, 2019), IEEE-IWOBI (2014, 2015, 2017, 2018), InnoEducaTIC (2014, 2017), IEEE-INES (2013), NoLISP (2011), JRBP (2012), and IEEE-ICCST (2005)\n\nHe is an associate editor of the Computational Intelligence and Neuroscience Journal (Hindawi – Q2 JCR-ISI). He was vice dean from 2004 to 2010 in the Higher Technical School of Telecommunication Engineers at ULPGC and the vice dean of Graduate and Postgraduate Studies from March 2013 to November 2017. He won the “Catedra Telefonica” Awards in Modality of Knowledge Transfer, 2017, 2018, and 2019 editions, and awards in Modality of COVID Research in 2020.\n\nPublic References:\nResearcher ID http://www.researcherid.com/rid/N-5967-2014\nORCID https://orcid.org/0000-0002-4621-2768 \nScopus Author ID https://www.scopus.com/authid/detail.uri?authorId=6602376272\nScholar Google https://scholar.google.es/citations?user=G1ks9nIAAAAJ&hl=en \nResearchGate https://www.researchgate.net/profile/Carlos_Travieso",institutionString:null,institution:{name:"University of Las Palmas de Gran Canaria",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"23",title:"Computational Neuroscience",coverUrl:"https://cdn.intechopen.com/series_topics/covers/23.jpg",isOpenForSubmission:!0,editor:{id:"14004",title:"Dr.",name:"Magnus",middleName:null,surname:"Johnsson",slug:"magnus-johnsson",fullName:"Magnus Johnsson",profilePictureURL:"https://mts.intechopen.com/storage/users/14004/images/system/14004.png",biography:"Dr Magnus Johnsson is a cross-disciplinary scientist, lecturer, scientific editor and AI/machine learning consultant from Sweden. \n\nHe is currently at Malmö University in Sweden, but also held positions at Lund University in Sweden and at Moscow Engineering Physics Institute. \nHe holds editorial positions at several international scientific journals and has served as a scientific editor for books and special journal issues. \nHis research interests are wide and include, but are not limited to, autonomous systems, computer modeling, artificial neural networks, artificial intelligence, cognitive neuroscience, cognitive robotics, cognitive architectures, cognitive aids and the philosophy of mind. \n\nDr. Johnsson has experience from working in the industry and he has a keen interest in the application of neural networks and artificial intelligence to fields like industry, finance, and medicine. \n\nWeb page: www.magnusjohnsson.se",institutionString:null,institution:{name:"Malmö University",institutionURL:null,country:{name:"Sweden"}}},editorTwo:null,editorThree:null},{id:"24",title:"Computer Vision",coverUrl:"https://cdn.intechopen.com/series_topics/covers/24.jpg",isOpenForSubmission:!0,editor:{id:"294154",title:"Prof.",name:"George",middleName:null,surname:"Papakostas",slug:"george-papakostas",fullName:"George Papakostas",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002hYaGbQAK/Profile_Picture_1624519712088",biography:"George A. 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He has (co)authored more than 150 publications in indexed journals, international conferences and book chapters, 1 book (in Greek), 3 edited books, and 5 journal special issues. His publications have more than 2100 citations with h-index 27 (GoogleScholar). His research interests include computer/machine vision, machine learning, pattern recognition, computational intelligence. \nDr. Papakostas served as a reviewer in numerous journals, as a program\ncommittee member in international conferences and he is a member of the IAENG, MIR Labs, EUCogIII, INSTICC and the Technical Chamber of Greece (TEE).",institutionString:null,institution:{name:"International Hellenic University",institutionURL:null,country:{name:"Greece"}}},editorTwo:null,editorThree:null},{id:"25",title:"Evolutionary Computation",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",isOpenForSubmission:!0,editor:{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. 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In the last five years, he has published more than 60 papers in international journals indexed in the JCR (around 70% of them belonging to first quartile journals) and he has edited some Springer books “Supervised Descriptive Pattern Mining” (2018), “Multiple Instance Learning - Foundations and Algorithms” (2016), and “Pattern Mining with Evolutionary Algorithms” (2016). He has also been involved in more than 20 research projects supported by the Spanish and Andalusian governments and the European Union. He currently belongs to the editorial board of PeerJ Computer Science, Information Fusion and Engineering Applications of Artificial Intelligence journals, being also associate editor of Applied Computational Intelligence and Soft Computing and IEEE Transactions on Cybernetics. Finally, he is editor-in-chief of Progress in Artificial Intelligence. He is a Senior Member of the IEEE Computer, the IEEE Computational Intelligence, and the IEEE Systems, Man, and Cybernetics Societies, and the Association of Computing Machinery (ACM). Finally, his main research interests include data science, computational intelligence, and their applications.",institutionString:null,institution:{name:"University of Córdoba",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"26",title:"Machine Learning and Data Mining",coverUrl:"https://cdn.intechopen.com/series_topics/covers/26.jpg",isOpenForSubmission:!0,editor:{id:"24555",title:"Dr.",name:"Marco Antonio",middleName:null,surname:"Aceves Fernandez",slug:"marco-antonio-aceves-fernandez",fullName:"Marco Antonio Aceves Fernandez",profilePictureURL:"https://mts.intechopen.com/storage/users/24555/images/system/24555.jpg",biography:"Dr. Marco Antonio Aceves Fernandez obtained his B.Sc. (Eng.) in Telematics from the Universidad de Colima, Mexico. 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He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. 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He is currently a full professor in\nthe Department of Automation and Applied Informatics at the\nsame university. Dr. Voloşencu is the author of ten books, seven\nbook chapters, and more than 160 papers published in journals\nand conference proceedings. He has also edited twelve books and\nhas twenty-seven patents to his name. He is a manager of research grants, editor in\nchief and member of international journal editorial boards, a former plenary speaker, a member of scientific committees, and chair at international conferences. His\nresearch is in the fields of control systems, control of electric drives, fuzzy control\nsystems, neural network applications, fault detection and diagnosis, sensor network\napplications, monitoring of distributed parameter systems, and power ultrasound\napplications. 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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:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/267434/images/system/267434.jpg",biography:"Dr. Rohit Raja received Ph.D. in Computer Science and Engineering from Dr. CVRAMAN University in 2016. His main research interest includes Face recognition and Identification, Digital Image Processing, Signal Processing, and Networking. Presently he is working as Associate Professor in IT Department, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur (CG), India. He has authored several Journal and Conference Papers. He has good Academics & Research experience in various areas of CSE and IT. He has filed and successfully published 27 Patents. He has received many time invitations to be a Guest at IEEE Conferences. He has published 100 research papers in various International/National Journals (including IEEE, Springer, etc.) and Proceedings of the reputed International/ National Conferences (including Springer and IEEE). He has been nominated to the board of editors/reviewers of many peer-reviewed and refereed Journals (including IEEE, Springer).",institutionString:"Guru Ghasidas Vishwavidyalaya",institution:{name:"Guru Ghasidas Vishwavidyalaya",country:{name:"India"}}},{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:null,institution:{name:"Beijing University of Technology",country:{name:"China"}}},{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:"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:"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:"Igor Victorovich Lakhno 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.\nPh.D. – 1999, Kharkiv National Medical Univesity.\nDSC – 2019, PL Shupik National Academy of Postgraduate Education \nProfessor – 2021, Department of Obstetrics and Gynecology of VN Karazin Kharkiv National University\nHead of Department – 2021, Department of Perinatology, Obstetrics and gynecology of Kharkiv Medical Academy of Postgraduate Education\nIgor Lakhno has been graduated from international training courses on reproductive medicine and family planning held at Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor in 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 been a professor in the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics, and gynecology department. He’s affiliated with Kharkiv Medical Academy of Postgraduate Education as a Head of Department from November 2021. Igor Lakhno has participated in several international projects on fetal non-invasive electrocardiography (with Dr. J. A. Behar (Technion), Prof. D. Hoyer (Jena University), and José Alejandro Díaz Méndez (National Institute of Astrophysics, Optics, and Electronics, Mexico). He’s an author of about 200 printed works and there are 31 of them in Scopus or Web of Science databases. Igor Lakhno is a member of the Editorial Board of Reproductive Health of Woman, Emergency Medicine, and Technology Transfer Innovative Solutions in Medicine (Estonia). He is a medical Editor of “Z turbotoyu pro zhinku”. Igor Lakhno is a reviewer of the Journal of Obstetrics and Gynaecology (Taylor and Francis), British Journal of Obstetrics and Gynecology (Wiley), 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 a DSc degree “Pre-eclampsia: prediction, prevention, and treatment”. Three years ago Igor Lakhno has participated in a training course on innovative technologies in medical education at Lublin Medical University (Poland). 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: are obstetrics, women’s health, fetal medicine, and cardiovascular medicine. \nIgor Lakhno is a consultant at Kharkiv municipal perinatal center. He’s graduated from training courses on endoscopy in gynecology. He has 28 years of practical experience in the field.",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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He is simultaneously working as a Researcher with Department of Agrochemistry, Soil Science, Microbiology and Plant Nutrition (FA), Mendel University Brno and Institute of Environmental Studies, Charles University Prague, Czechia. \nHis research is focused on soil organic carbon (SOC) accumulation mechanisms, plant-microbe interactions, biochar production, and utilization for agricultural crop production and environmental remediation. He is actively involved in bioremediation of contaminated soils using organic and inorganic amendments in addition to exploiting plant-microbe interactions. He has published over 50 refereed journal articles, many of which sought to explore the effectiveness of innovative soil amendments and plant growth promoting rhizobacteria (PGPR) for improving crop performance and soil resilience under various abiotic stresses. He has been working for several renowned academic societies and enjoys early career in research.",institutionString:"Brno University of Technology",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Brno University of Technology",institutionURL:null,country:{name:"Czech Republic"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}],selectedSeries:null,selectedSubseries:null},seriesLanding:{item:{id:"11",title:"Biochemistry",doi:"10.5772/intechopen.72877",issn:"2632-0983",scope:"Biochemistry, the study of chemical transformations occurring within living organisms, impacts all areas of life sciences, from molecular crystallography and genetics to ecology, medicine, and population biology. Biochemistry examines macromolecules - proteins, nucleic acids, carbohydrates, and lipids – and their building blocks, structures, functions, and interactions. Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. This Biochemistry Series will address the current research on biomolecules and the emerging trends with great promise.",coverUrl:"https://cdn.intechopen.com/series/covers/11.jpg",latestPublicationDate:"June 28th, 2022",hasOnlineFirst:!0,numberOfOpenTopics:4,numberOfPublishedChapters:317,numberOfPublishedBooks:32,editor:{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},subseries:[{id:"14",title:"Cell and Molecular Biology",keywords:"Omics (Transcriptomics; Proteomics; Metabolomics), Molecular Biology, Cell Biology, Signal Transduction and Regulation, Cell Growth and Differentiation, Apoptosis, Necroptosis, Ferroptosis, Autophagy, Cell Cycle, Macromolecules and Complexes, Gene Expression",scope:"The Cell and Molecular Biology topic within the IntechOpen Biochemistry Series aims to rapidly publish contributions on all aspects of cell and molecular biology, including aspects related to biochemical and genetic research (not only in humans but all living beings). We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics include, but are not limited to: Advanced techniques of cellular and molecular biology (Molecular methodologies, imaging techniques, and bioinformatics); Biological activities at the molecular level; Biological processes of cell functions, cell division, senescence, maintenance, and cell death; Biomolecules interactions; Cancer; Cell biology; Chemical biology; Computational biology; Cytochemistry; Developmental biology; Disease mechanisms and therapeutics; DNA, and RNA metabolism; Gene functions, genetics, and genomics; Genetics; Immunology; Medical microbiology; Molecular biology; Molecular genetics; Molecular processes of cell and organelle dynamics; Neuroscience; Protein biosynthesis, degradation, and functions; Regulation of molecular interactions in a cell; Signalling networks and system biology; Structural biology; Virology and microbiology.",annualVolume:11410,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"79367",title:"Dr.",name:"Ana Isabel",middleName:null,surname:"Flores",fullName:"Ana Isabel Flores",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRpIOQA0/Profile_Picture_1632418099564",institutionString:null,institution:{name:"Hospital Universitario 12 De Octubre",institutionURL:null,country:{name:"Spain"}}},{id:"328234",title:"Ph.D.",name:"Christian",middleName:null,surname:"Palavecino",fullName:"Christian Palavecino",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000030DhEhQAK/Profile_Picture_1628835318625",institutionString:null,institution:{name:"Central University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"186585",title:"Dr.",name:"Francisco Javier",middleName:null,surname:"Martin-Romero",fullName:"Francisco Javier Martin-Romero",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSB3HQAW/Profile_Picture_1631258137641",institutionString:null,institution:{name:"University of Extremadura",institutionURL:null,country:{name:"Spain"}}}]},{id:"15",title:"Chemical Biology",keywords:"Phenolic Compounds, Essential Oils, Modification of Biomolecules, Glycobiology, Combinatorial Chemistry, Therapeutic peptides, Enzyme Inhibitors",scope:"Chemical biology spans the fields of chemistry and biology involving the application of biological and chemical molecules and techniques. In recent years, the application of chemistry to biological molecules has gained significant interest in medicinal and pharmacological studies. This topic will be devoted to understanding the interplay between biomolecules and chemical compounds, their structure and function, and their potential applications in related fields. Being a part of the biochemistry discipline, the ideas and concepts that have emerged from Chemical Biology have affected other related areas. This topic will closely deal with all emerging trends in this discipline.",annualVolume:11411,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",institutionString:null,institution:{name:"Ondokuz Mayıs University",institutionURL:null,country:{name:"Turkey"}}},editorThree:null,editorialBoard:[{id:"241413",title:"Dr.",name:"Azhar",middleName:null,surname:"Rasul",fullName:"Azhar Rasul",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRT1oQAG/Profile_Picture_1635251978933",institutionString:null,institution:{name:"Government College University, Faisalabad",institutionURL:null,country:{name:"Pakistan"}}},{id:"178316",title:"Ph.D.",name:"Sergey",middleName:null,surname:"Sedykh",fullName:"Sergey Sedykh",profilePictureURL:"https://mts.intechopen.com/storage/users/178316/images/system/178316.jfif",institutionString:null,institution:{name:"Novosibirsk State University",institutionURL:null,country:{name:"Russia"}}}]},{id:"17",title:"Metabolism",keywords:"Biomolecules Metabolism, Energy Metabolism, Metabolic Pathways, Key Metabolic Enzymes, Metabolic Adaptation",scope:"Metabolism is frequently defined in biochemistry textbooks as the overall process that allows living systems to acquire and use the free energy they need for their vital functions or the chemical processes that occur within a living organism to maintain life. Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. Thus all studies on metabolism will be considered for publication.",annualVolume:11413,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/17.jpg",editor:{id:"138626",title:"Dr.",name:"Yannis",middleName:null,surname:"Karamanos",fullName:"Yannis Karamanos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6Jv2QAE/Profile_Picture_1629356660984",institutionString:null,institution:{name:"Artois University",institutionURL:null,country:{name:"France"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",fullName:"Anca Pantea Stoian",profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"203824",title:"Dr.",name:"Attilio",middleName:null,surname:"Rigotti",fullName:"Attilio Rigotti",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institutionString:null,institution:{name:"Pontifical Catholic University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"300470",title:"Dr.",name:"Yanfei (Jacob)",middleName:null,surname:"Qi",fullName:"Yanfei (Jacob) Qi",profilePictureURL:"https://mts.intechopen.com/storage/users/300470/images/system/300470.jpg",institutionString:null,institution:{name:"Centenary Institute of Cancer Medicine and Cell Biology",institutionURL:null,country:{name:"Australia"}}}]},{id:"18",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. The Proteomics topic aims to attract contributions on all aspects of MS-based proteomics that, by pushing the boundaries of MS capabilities, may address biological problems that have not been resolved yet.",annualVolume:11414,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorThree:null,editorialBoard:[{id:"72288",title:"Dr.",name:"Arli Aditya",middleName:null,surname:"Parikesit",fullName:"Arli Aditya Parikesit",profilePictureURL:"https://mts.intechopen.com/storage/users/72288/images/system/72288.jpg",institutionString:null,institution:{name:"Indonesia International Institute for Life Sciences",institutionURL:null,country:{name:"Indonesia"}}},{id:"40928",title:"Dr.",name:"Cesar",middleName:null,surname:"Lopez-Camarillo",fullName:"Cesar Lopez-Camarillo",profilePictureURL:"https://mts.intechopen.com/storage/users/40928/images/3884_n.png",institutionString:null,institution:{name:"Universidad Autónoma de la Ciudad de México",institutionURL:null,country:{name:"Mexico"}}},{id:"81926",title:"Dr.",name:"Shymaa",middleName:null,surname:"Enany",fullName:"Shymaa Enany",profilePictureURL:"https://mts.intechopen.com/storage/users/81926/images/system/81926.png",institutionString:"Suez Canal University",institution:{name:"Suez Canal University",institutionURL:null,country:{name:"Egypt"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"chapter.detail",path:"/chapters/57362",hash:"",query:{},params:{id:"57362"},fullPath:"/chapters/57362",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()