These books synthesize perspectives of renowned scientists from the world’s most prestigious institutions - from Fukushima Renewable Energy Institute in Japan to Stanford University in the United States, including Columbia University (US), University of Sidney (AU), University of Miami (USA), Cardiff University (UK), and many others.
\\n\\n
This collaboration embodied the true essence of Open Access by simplifying the approach to OA publishing for Academic editors and authors who contributed their research and allowed the new research to be made available free and open to anyone anywhere in the world.
\\n\\n
To celebrate the 50 books published, we have gathered them at one location - just one click away, so that you can easily browse the subjects of your interest, download the content directly, share it or read online.
IntechOpen and Knowledge Unlatched formed a partnership to support researchers working in engineering sciences by enabling an easier approach to publishing Open Access content. Using the Knowledge Unlatched crowdfunding model to raise the publishing costs through libraries around the world, Open Access Publishing Fee (OAPF) was not required from the authors.
\n\n
Initially, the partnership supported engineering research, but it soon grew to include physical and life sciences, attracting more researchers to the advantages of Open Access publishing.
\n\n\n\n
These books synthesize perspectives of renowned scientists from the world’s most prestigious institutions - from Fukushima Renewable Energy Institute in Japan to Stanford University in the United States, including Columbia University (US), University of Sidney (AU), University of Miami (USA), Cardiff University (UK), and many others.
\n\n
This collaboration embodied the true essence of Open Access by simplifying the approach to OA publishing for Academic editors and authors who contributed their research and allowed the new research to be made available free and open to anyone anywhere in the world.
\n\n
To celebrate the 50 books published, we have gathered them at one location - just one click away, so that you can easily browse the subjects of your interest, download the content directly, share it or read online.
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1. Introduction
Nitrogen (N) and potassium (K) are essential elements for plants life being part of multiple structural compounds and participating in many vital processes [1]. On the other hand, silicon (Si) is not considered an essential element for plants, however, its absorption can produce beneficial effects in some crops, such as resistance to pests and diseases [2], attenuating abiotic stress [3, 4] and hydric stress [5]. Among the main accumulative crops of Si, are gramineous as sugar cane (Saccharum spp.), rice (Oriza sativa L.), and corn (Z. mays L.) [6].
Some research report about the effect of the combinations of silicon and nitrogen on plants [7, 8, 9, 10] and silicon and potassium on the development of plants and yields [11], mainly in accumulative crops of silicon. However, there are not enough results on the effects produced by the interaction of silicon, nitrogen, and potassium on the accumulation of these elements inside the vegetables and their implications on the growth of the plants.
High nitrogen concentration and low concentrations of potassium increase the susceptibility of the corn plants to the noxious agents because it diminishes the absorption of Si. This fact is important because it is well-known that silicon can induce higher resistance to the plants in front of the pests [2].
In an accumulative crop of Si like rice, Andreotti et al. [7], informed that the supply of Si had a small influence on the production of dry matter, although it increased the number of panicles per plant at the highest concentrations of Si, and on the other hand, the concentration of Si decreased with the increment of the dose of fertilization with urea [11].
However, some researchers have stated that there is a lack of information on the use of silicon in general and in particular in corn crops that justifies the need to carry out further research on this subject [12]. Castellanos et al. [13] demonstrated the positive effect of the application of Si on the damages of Spodoptera frugiperda Smith in corn to an intermediate dose of N, while Matías and García-Montalvo [14] pointed out that the positive role of the silicon in the resistance to the foliar insects in Zea diploperennis L., however in Z. mayz this is not yet well explained.
González et al. [15] verified the increment of the green forage in one variety of corn and not in others when the application of an intermediate dose of Si was made, while any varieties had a response at the highest dose.
In front of this situation, two hypotheses arise, one that the unbalanced management of N and K, or the excessive use of N associated with the insufficient application of potassium can diminish the silicon absorption and the production of dry biomass in the plants, and other, that the use of silicon can improve the response of the plant in dry biomass production in function of the application of N and K.
To confirm one of those hypotheses the aim of the present investigation was to evaluate the effect of the interaction of silicon, potassium, and nitrogen on the foliar area and the accumulation of these elements and the dry biomass in corn plants.
2. Material and methods
The investigation was performed in a greenhouse located at the department of soils and fertilizers, FCAV/UNESP Jaboticabal Campus, SP, with geographic coordinates of 21° 15′ 22” South, 48° 18′ 58” West and an elevation of 600 m between March and June of 2014, in a hydroponic floating system.
Two silicon concentrations were evaluated (0 and 2 mmol L−1) using as source silicate of calcium; two concentrations of potassium (1 and 12 mmol L−1) corresponding to 16 and 200% of the solution of K proposed by Hoagland and Arnon [16], using as source monobasic potassium phosphate, and four nitrogen concentrations: 1, 10, 15, and 20 mmol L−1 corresponding at 10, 100, 150, and 200% of the solution of Hoagland and Arnon [16], respectively. The added nitrogen corresponded the 25% to ammoniac form (from ammonium chloride) and the 75% to nitric form (from calcium nitrate).
The rest of the macronutrients and micronutrients were incorporated into de nutrient solutions as were proposed by Hoagland and Arnon [16], balancing the concentrations of calcium and phosphorous. The nutrient solution was maintained under continuous oxygenation by means of an air compression system.
Treatments were arranged in one 2 × 2 × 4 factorial scheme with three repetitions. Each experimental unit consisted of a polypropylene pot with a lid, measuring 48 cm long, 11 cm wide at the lower base, 16 cm wide at the upper base, and 17 cm tall, containing 8 L of nutrient solution and six corn plants (Hybrid 30A77HX). The plants were developed in a greenhouse. Initially, the sowing of the corn was carried out in vermiculite on isospory trays, irrigated for 15 days, time in that plants reached five leaves.
Water used in the hydroponic system was distilled and deionized, where solution levels were completed daily in each pot with stock solutions corresponding to each treatment. Values of pH were adjusted to between 6.0 ± 0.2 using solutions of HCl 1.0 mol L−1 or NaOH 1.0 mol L−1.
At 45 days after transplanted, the foliar area of the plants was evaluated. For that, all the leaves of the six plants of each pot were collected, being used an integrative apparatus of scanning the foliar area (LI-COR®modelo LI-3000C).
Later on, the dry biomass was determined from the collection of the roots and the aerial part of each pot. For this, the picked-up material was placed in paper bags and dried off in an oven with forced air circulation (65°C) until they reached a constant weight to determine the dry biomass content by pot (aerial part, roots, and the total).
The dry material was ground for chemical analysis of N and K content according to the methodology described by Battaglia et al. [8] and silicon according to Kraska and Breitenbech [17]. Using data of concentration of N, K, and Si in the dry biomass from the aerial part, from the root, and from the total, for each pot, the accumulation of each element per pot was calculated and expressed in mg per plant.
The data of the active foliar area, dry biomass, nitrogen, potassium, and silicon accumulation in the aerial part of the plants were submitted to variance analysis. The media was compared by means of the Tukey test (P < 0.05). The statistical package SPSS version 21 was used [18].
3. Results
The application of silicon in the nutritious solution increased the biomass of the plants of corn and the accumulation of N, Si, and K in this, however, the foliar area did not increase, while a high-dose of K caused an increment of all evaluated variables. The foliar area, the biomass of the plants, and the accumulation of the three elements in the plants were influenced in some way by nitrogen dose (Table 1). Foliar and total dry matter and the accumulation of K in the plants were influenced by the interaction of the treatments of Si and K, but not the other variables, while dry biomass of the root and accumulation of K were influenced by the interaction Si × N. The interaction of N and K had influenced on the accumulation of Si and K in the plants and on the increment of the dry biomass of the aerial part of the plants and the total.
Source of de variation
Accumulation in the aerial part of
Foliar area
Biomass
N
Si
K
Roots
Aerial
Total
Signification of F values
Si
**
**
**
ns
**
**
**
K
*
**
**
**
**
**
**
N
**
**
**
**
**
**
**
Si × K
ns
ns
**
ns
ns
**
**
Si × N
ns
ns
**
ns
**
ns
ns
K × N
ns
**
**
ns
ns
**
**
CV (%)
14.12
11.51
15.6
14.42
12.51
9.50
8.85
Table 1.
Effect of nitrogen (N) and potassium (K) concentrations in the presence or not of silicon (Si), on the nitrogen, potassium, and silicon accumulation in the aerial part of corn plants, the foliar area to and biomass, under hydroponic conditions.
*, **, and ns: Significant (P < 0.05), (P < 0.01), and nonsignificant by the F-test, respectively.
The nitrogen accumulation was increased at the highest concentrations of this nutrient with a relationship at the lowest dose while this did not happen at the lowest dose (1 mmol L−1). The silicon accumulation was higher at the concentration at 10 mmol L−1 of N, with a statistical difference with the treatments at 15 and 20 mmol L−1 of N in the nutrient solution being lower at 1 mmol L−1. A similar situation was observed in relation to the influence of N doses for the foliar area (Table 2).
Nitrogen
Accumulation in the aerial part of
FA
Biomass
mmolL−1
N
Si
K
Roots
Aerial
Total
mg kg−1
g per pot
1
70.50b
36.79c
394.14c
0.67c
19.51b
36.50c
56.01c
10
269.32a
71.55a
731.96a
1.20a
29.95a
69.11a
99.06a
15
239.65a
59.62b
665.38ab
1.12b
24.39ab
60.91b
85.30ab
20
252.51a
55.85b
612.37b
1.06b
22.93ab
56.90b
79.83b
Table 2.
Effect of the nitrogen (N) concentrations on the N, K, and Si accumulation in the aerial part of corn plants, the foliar area (FA), and biomass under hydroponic conditions.
Different letters in the columns indicate significant differences according to the Tukey test for P < 0.05.
The higher values in accumulation of K were observed at the concentrations of 15 and 20 mmol L−1 of N, and the lower at 1 mmol L−1. A similar situation to that it was observed for the total dry biomass, however, the roots dry biomass showed lower values at 1 mmol L−1 of N in relation to the highest concentrations. The interaction of the application of Si with the highest concentration of K promoted an increase in the accumulation of K and the foliar and total biomass. However, there was no difference for the foliar biomass between the treatment of Si at 2 mmol L−1 combined with the treatment with K at 12 mmol L−1 compared with K at 12 mmol L-1 without the application of Si (Table 3).
Concentrations
Accumulation of K
Dry biomass
Si
K
mg kg−1
g per pot
mmol L−1
Aerial
Total
0
1
47.98c
69.63b
246.01c
0
12
57.96b
80.29ab
822.52b
2
1
54.47b
77.02ab
265.48c
2
12
62.22a
88.57a
1069.82a
Table 3.
Effect of the interaction of nitrogen (N) and potassium (K) concentrations on the N, K and Si accumulation in the aerial part of corn plants, the foliar area and biomass under hydroponic conditions.
Different letters in the columns indicate significant differences according to the Tukey test for P < 0.05.
The accumulation of K was increased in the treatments that received 2 mmol L−1 of Si and 10 and 15 mmol L−1 of N, without statistic difference with the treatment that received N at 10 mmol L−1 without the application of Si. The dry biomass of the root was increased in the interaction of Si at 2 mmol L-1 and N at 10 mmol L-1 in relation to the treatment that received 1 mmol L−1 of N in the nutrient solution without the application of Si, but not in the relation of the rest of the treatments. The role of silicon in the absorption of the K was verified, and at the same time that the beneficial effect of silicon was not evidenced in front of low and high concentrations of N (Table 4).
Si
N
Accumulation of K
Roots biomass
Mmol L−1
mg kg−1
g per pot
0
1
318.69f
18.73b
0
10
735.97ab
23.45ab
0
15
513.11de
22.40ab
0
20
569.32cde
23.38ab
2
1
469.58ef
23.30ab
2
10
727.95abc
28.45a
2
15
817.67a
26.38ab
2
20
655.42bcd
22.48ab
Table 4.
Effect of the interaction of silicon (Si) and nitrogen (N) concentrations on K accumulation and root biomass under hydroponic conditions.
Different letters in the columns indicate significant differences according to the Tukey test for P < 0.05.
The accumulation of Si and the dry biomass in the air part of the plant manifested an increment at the higher concentration of K (12 mmol L−1) combined with 1, 10, and 15 mmol L−1 of N, while the accumulation of K and the biomass of the air part showed increments at 1 mmol L−1 of K and 10 mmol L−1 of N and at 12 mmol L−1 of K and at 10, 15 and 20 mmol L−1 of N (Table 5).
Concentrations
Accumulation
Biomass
K
N
Si
K
Aerial
Total
Mmol L−1
mg kg−1
g per pot
1
1
40.54ef
59.65 cd
44.10c
245.21d
1
10
59.18bcd
83.23ab
65.63ab
246.96d
1
15
51.40 cd
72.73bcd
46.73bc
264.80d
1
20
50.36de
70.83bcd
44.43c
285.05d
12
1
32.48f
52.40d
29.48c
522.26c
12
10
69.05a
96.90a
77.76a
1199.11a
12
15
67.00ab
94.55a
72.52a
1083.79ab
12
20
61.85bc
83.91ab
67.27a
699.53b
Table 5.
Effect of the interaction of potassium (K) and nitrogen (N) concentrations on the Si and K accumulation in the aerial part of corn plants and biomass under hydroponic conditions.
Different letters in the columns indicate significant differences according to the Tukey test for P < 0.05.
The influence of the concentration of K in the nutritious solution on the absorption of Si was verified. The application of low and high N concentrations caused the less accumulation of Si in the plant. In the same way, the results demonstrated that the treatments that stood out for a bigger absorption of Si also stood out for higher total biomass, while those treatments that had shown higher accumulation levels of potassium also manifested higher levels of dry biomass in the air part of the plant.
4. Discussion
The present results agree with those of Lima et al. [19] who observed increases in dry biomass of leaves, stems, and roots in maize seedlings with the application of 1 mmol L-1 of Si via nutrient solution.
Many authors have pointed out the increase of silicon accumulation in different crops as a response to the application of this beneficial element in corn [12, 20] and in rice under hydroponic conditions [11].
The increase of K accumulation in the aerial part of the plant with the application of high concentrations of this nutrient agrees with the results of Andreotti et al. [7] who obtained an increment of the concentration of K with an increase of the doses of K.
Increments in N accumulation as a function of N doses were also obtained in the aerial part of the maize plants (leaves, stems, cob, straw, and grains) by Gava et al. [21]. There are other results that also show that increases in N doses caused higher development and yield of corn plants [21, 22].
The total dry biomass in the aerial part of the plant was increased with the presence of Si, which agrees with the results of Rohanipoor et al. [23], who reported increases in the leaf area of the corn crop under different doses of Si. Also, González et al. [15] observed increases in plant height and green forage of the Morocho Blanco corn variety under hydroponic conditions when they applied an intermediate dose of Si, in relation to nonapplication. They attributed this to a synergism between Si and K.
No results were found in the literature on the influence of the interaction of the presence of Si with a high concentration of potassium on the gain of the dry biomass, however, Miaoo et al. [24] reported that in the soybean plants there was a positive effect of silicon on the increase of root length and its density subjected at low concentration of K (1 mmol L−1). They attributed this to the action of Si on the affectation of the peroxidase enzyme, but this effect was not demonstrated for the case of maize in an experiment in which the plants were subjected to a low concentration of K [10].
The increase in the accumulation of dry matter observed with the application of Si can be associated with its protective effects of the photosynthetic apparatus of the plants, in the improvement of the efficiency of water use and the balance of mineral nutrients as indicated by Mateos-Naranjo et al. [25]. Other researchers have attributed this increment of biomass to the beneficial effects of Si against the oxidative damage of plant membranes and the increase of the cell wall extension capacity [9].
Other investigations have shown that Si increases stomatal conductance by promoting better water use efficiency [26], inducing increased transpiration, which may lead to increased absorption of K, an element that participates actively in the closure and opening of the stomata [25].
The role of Si in the uptake of K was verified in the present research, but this effect does not occur at low and high concentrations of N. The increase of K at 10 mmol L−1 of N without application of Si can be explained by the small amounts of Si which remains in the water as indicated by Raya and Aguirre [6], despite being deionized in the experiment.
Parveen and Ashraf [27] also observed increases in dry biomass of the roots in corn plants with the application of 2 mmol L−1 of Si in relation to the nonapplication of this element combined with N at 10 mmol L−1 under hydroponic conditions.
The results obtained have relation to those of Mauad et al. [11] in rice, who observed a higher concentration of Si in the plant at the lowest dose of N combined with a normal dose of K, independently of the presence or absence of silicon, which show the role of the beneficial element in the presence of plant stress by N.
Castellanos et al. [13] also stated that the interaction of N and K influenced the accumulated silicon in corn with an optimum at 11.4 mmol L−1 of N. Similar results were obtained by Mauad et al. [11] who observed a decrease in the deposition of silica in leaves of rice plants at high doses of N.
Increments of dry biomass and productivity of corn as increase the concentration of N have also been obtained by other authors as Queiroz et al. [1].
The nitrogen effects on dry biomass gain was confirmed since this element is a constituent of all molecules, proteins, enzymes, coenzymes, nucleic acids, and cytochromes, as well as its important function as a member of the molecule of chlorophyll, as have been pointed out by Pina et al. [28].
5. Conclusions
The absorption of silicon in corn plants is influenced by the interaction of nitrogen and potassium. Application of Si combined with a high concentration of K causes an increase in K accumulation which is reflected in higher total dry biomass in corn plants. An excess and a deficit of N decrease the accumulation of Si in the aerial part of the plant, which is more evident at a low concentration of K in the nutrient solution, diminishing the accumulation of total dry biomass.
Acknowledgments
To CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil) by the fellowship as visiting professor from abroad granted to the first author.
\n',keywords:"benefic element, dry biomass, nutritious, Zea mays",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/79187.pdf",chapterXML:"https://mts.intechopen.com/source/xml/79187.xml",downloadPdfUrl:"/chapter/pdf-download/79187",previewPdfUrl:"/chapter/pdf-preview/79187",totalDownloads:72,totalViews:0,totalCrossrefCites:0,totalDimensionsCites:0,totalAltmetricsMentions:0,impactScore:0,impactScorePercentile:38,impactScoreQuartile:2,hasAltmetrics:0,dateSubmitted:null,dateReviewed:"September 24th 2021",datePrePublished:"October 30th 2021",datePublished:"April 20th 2022",dateFinished:"October 30th 2021",readingETA:"0",abstract:"The aim of the research was to evaluate the effect of the interaction of silicon, potassium, and nitrogen on the foliar area, the accumulation of these elements in the aerial part and the dry biomass in corn plants. The research was developed under hydroponic conditions in Jaboticabal Sao Pablo, Brasil using the 30A77HX hybrid. Two silicon concentrations were evaluated (0 and 2 mmol L−1); two concentrations of potassium (1 and 12 mmol L−1) and four nitrogen concentrations: (1, 10, 15, and 20 mmol L−1). A completely randomized design was used, with factorial arrangement 2 × 2 × 4 and three replications. The foliar area, the dry biomass and, nitrogen, potassium, and silicon content were determined. The application of silicon at a high concentration of K causes an increase in the accumulation of K, which is reflected in an increment of the total dry biomass in the plants of corn, while excess and a deficit of N diminish the accumulation of Si in the aerial part of the plant, which is more evident at a low concentration of K in the nutritious solution, affecting the accumulation of the total dry biomass.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/79187",risUrl:"/chapter/ris/79187",book:{id:"11016",slug:"maize-genetic-resources-breeding-strategies-and-recent-advances"},signatures:"Leónides Castellanos González, Renato de Mello Prado and Cid Naudi Silva Campos",authors:[{id:"438080",title:"Dr.",name:"Leonides",middleName:null,surname:"Castellanos González",fullName:"Leonides Castellanos González",slug:"leonides-castellanos-gonzalez",email:"lclcastell@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"438398",title:"Dr.",name:"Renato",middleName:null,surname:"de Mello Prado",fullName:"Renato de Mello Prado",slug:"renato-de-mello-prado",email:"rm.prado@unesp.br",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"438399",title:"Dr.",name:"Cid Naudi",middleName:null,surname:"Silva Campos",fullName:"Cid Naudi Silva Campos",slug:"cid-naudi-silva-campos",email:"cid.campos@ufms.br",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Material and methods",level:"1"},{id:"sec_3",title:"3. Results",level:"1"},{id:"sec_4",title:"4. Discussion",level:"1"},{id:"sec_5",title:"5. Conclusions",level:"1"},{id:"sec_6",title:"Acknowledgments",level:"1"}],chapterReferences:[{id:"B1",body:'Queiroz AM, Souza CHE, Machado VJ, Quintão RML, Korndorfer GH, Silva AA. Avaliação de diferentes fontes e doses de nitrogênio na adubação da cultura do milho (Zea mays L.). Revista Brasileira de Milho e Sorgo. 2011;10(3):257-266'},{id:"B2",body:'Castellanos L, Campos CN, Mello R. Silicon in the crop resistance to agricultural pest. Cultivos Tropicales. 2015a;36 No especial:18-26'},{id:"B3",body:'Silva CN, Renato MR, Caione G, Lima AJ, Checchio FL. Silicon and excess ammonium and nitrate in cucumber plants. African Journal of Agricultural Research. 2016;11(4):276-283. DOI: 10.5897/AJAR2015.10221'},{id:"B4",body:'Mahdieh M, Habibollahi N, Amirjani MR, Abnosi MH, Ghorbanpour M. Exogenous silicon nutrition ameliorates salt-induced stress by improving growth and effciency of PSII in Oryza sativa L. cultivars. Journal of. Soil Science and Plant Nutrition. 2015;15(4):1050-1060'},{id:"B5",body:'Camargo MS, Bezerra BKL, Vitti AC, Silva MA, Oliveira AL. Silicon fertilization reduces the deleterious effects of water deficit in sugarcane. Journal of Soil Science and Plant Nutrition. 2017;17(1):99-111'},{id:"B6",body:'Raya Pérez, Juan Carlos, Aguirre Mancilla, César L. El Papel del Silicio en los Organismos y Ecosistemas. Conciencia Tecnológica, núm. 43, enero-junio, 2012, pp. 42-46. Instituto Tecnológico de Aguascalientes, Aguascalientes, México.'},{id:"B7",body:'Andreotti M, Souza ECA, Crusciol CAC, Rodrigues JD, Büll LT. Produção de matéria seca e absorção de nutrientes pelo milho em razão da saturação por bases e da adubação potássica. Pesquisa Agropecuária Brasileira. 2000;35(12):2437-2446'},{id:"B8",body:'Bataglia OC, Furlani AMC, Teixeira JPF, Furlani PR, Gallo JR. Métodos de análise química de plantas. Campinas: Instituto Agronômico de Campinas; 1983. 48p. (Boletim Técnico, 78)'},{id:"B9",body:'Jiao-Jing L, Shao-Hang L, Pei-Lei X, Xiu-Juan W, Ji-Gang B. Effects of exogenous silicon on the activities of antioxidant enzymes and lipid peroxidation in chilling-stressed cucumber leaves. Agricultural Sciences in China. 2009;8(9):1075-1086'},{id:"B10",body:'Tewari RK, Kumar P, Tewari N, Srivastava S, Sharma PN. Macronutrient deficiencies and differential antioxidant responses – influence on the activity and expression of superoxide dismutase in maize. Plant Science. 2004;66(3):687-694'},{id:"B11",body:'Mauad M, Costa CA, Grassi Filho CH, Machado SR. Deposição de sílica e teor de nitrogênio e silício em arroz. Semina: Ciências Agrárias. 2013;34(4):1653-1662'},{id:"B12",body:'Ávila FW, Baliza DP, Valdemar F, Lopes JA, Ramos SJ. Interação entre silício e nitrogênio em arroz cultivado sob solução nutritiva 1. Revista Ciência Agronômica. 2010;41(2):184-190'},{id:"B13",body:'Castellanos L, Mello R, Silva GB, Campos CN, Fernández O, Silva R, et al. Daños por Spodoptera frugiperda Smith en maíz en función de nitrógeno, potasio y silicio. Revista de Protección Vegetal. 2015b;30(3):176-178'},{id:"B14",body:'Matías G, García-Montalvo IA. Mecanismos de resistencia a patógenos e insectos herbívoros en teosinte y maíz. Journal of Negative & No Positive Results. 2016;1(5):190-198'},{id:"B15",body:'González EM, Ceballos J, Benavides O. Producción de forraje verde hidropónico de maíz Zea mays. L.en invernadero con diferentes niveles de silicio. Revista de Ciencias Agrícolas. 2015;32(1):75-83'},{id:"B16",body:'Hoagland DR, Arnon DI. The Water Culture Method for Growing Plant Without Soil. Berkeley: California Agricultural Experimental Station; 1950. p. 347'},{id:"B17",body:'Kraska JE, Breitenbeck GA. Simple, robust method for quantifying silicon in plant tissue. Communications in Soil Science and Plant Analysis. 2010;41(17):2075-2085'},{id:"B18",body:'IBM. IBM SPSS Statistics for Windows, Version 21.0. IBM Corp., New York, EE.UU. 2012. ISBN-13: 978-0205985517'},{id:"B19",body:'Lima M, de Castro VF, Batista J. Aplicação de silício em milho e feijão-de-corda sob estresse salino. Revista Ciência Agronômica. 2011;42(2):398-403.'},{id:"B20",body:'Barbosa FL, Coelho EM, Mendonçay NCM, Benetoli TR. Adubação foliar com silício na cultura do milho. Revista Ceres, Viçosa. 2011;58(2):262-267.'},{id:"B21",body:'Gava GJC, Oliveira MA, Jerônimo EM, Cruz JCS, Trivelin PCO. Produção de fitomassa e acúmulo de nitrogênio em milho cultivado com diferentes doses de 15N-uréia. Semina: Ciências Agrárias. 2010;31(4):851-862'},{id:"B22",body:'Victória EL, Fernandes HC, Lacerda EG, Rosado TL. Acúmulo de nutrientes e matéria seca pelo milho em função do manejo do solo e da adubação nitrogenada. Engenharia na Agricultura. 2012;20(2):104-111'},{id:"B23",body:'Rohanipoor A, Norouz IM, Abdolamir Moezzi A, Hassibi P. Effect of Silicon on Some Physiological Properties of Maize (Zea mays) under Salt Stress. Journal of Environmental Biology. 2013;7(20):71-79'},{id:"B24",body:'Miao H, Xing-Guo H, Wen-Hao Z. The ameliorative effect of silicon on soybean seedlings grown in potassium-deficient medium. Annals of Botany. 2010;105:967-973'},{id:"B25",body:'Mateos-Naranjo E, Andrades-Moreno L, Davy AJ. Silicon alleviates deleterious effects of high salinity on the halophytic grass Spartina densiflora. Plant Physiology and Biochemistry. 2013;63(1):115-121'},{id:"B26",body:'Farshidi M, Abdolzadeh A, Sadeghipour HR. Silicon nutrition alleviates physiological disorders imposed by salinity in hydroponically grown canola (Brassica napus L.) plants. Acta Physiologiae Plantarum. 2012;34(5):1779-1788'},{id:"B27",body:'Parveen N, Ashraf M. Role of silicon in mitigating the adverse effects of salt stress on growth and photosynthetic attributes of two maize (Zea mays L.) cultivars grown hydroponically. Pakistan Journal of Botany. 2010;42(3):1675-1684'},{id:"B28",body:'Pina NCA, Herrera OF, Mello R. Manejo de suelos para una agricultura sostenible. 1ra. ed. Vol. 1. Jaboticabal: FCAV/UNESP; 2013. 511 p'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Leónides Castellanos González",address:"lclcastell@gmail.com;, leonides.castellanos@unipamplona.edu.co",affiliation:'
Facultad de Ciencias Agrarias, Universidad de Pamplona, Colombia
'},{corresp:null,contributorFullName:"Renato de Mello Prado",address:null,affiliation:'
Faculdade de Ciências Agrárias e Veterinárias, Universidade Estadual Paulista “Júlio de Mesquita Filho”, (UNESP), Brasil
Faculdade de Ciências Agrárias e Veterinárias, Universidade Estadual Paulista “Júlio de Mesquita Filho”, (UNESP), Brasil
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1. Introduction
Hyperparathyroidism (HPT) is a pathology caused by the increased synthesis of parathyroid hormone (PTH) by the parathyroid glands. This process can be a consequence of an intrinsic parathyroid disorder or secondary to an imbalance of calcium metabolism in patients with systemic diseases, such as chronic kidney disease (CKD) [1]. PTH plays a central and fundamental role in homeostasis of the control of calcium and phosphorus in the body. Its action on the renal, bone, and, indirectly, intestinal cells implies a rapid increase in the extracellular flow of calcium. This hormone has a short half-life (2–3 min) that quickly mobilizes calcium to the intravascular. It binds to specific membrane receptors on the kidney and bone cells, fibroblasts, chondrocytes, vascular smooth muscle, adipocytes, and placental trophoblasts [2].
2. History
The parathyroid glands were initially discovered in the eighteenth century by Richard Owen, who dissected the parathyroid glands of an approximately 2260 kg rhino, being reported as “a small, compact yellow glandular body attached to the thyroid at the point where the veins emerge” [3, 4]. However, the definitive discovery of the parathyroid glands in humans was made in 1877 by Swede Ivar Sandström, a medical student at Uppsala University, Sweden, publishing his work in which he wrote: “Almost three years ago I found on the thyroid gland of a dog a small organ, hardly as big as a hemp seed, which was enclosed in the same connective tissue as the thyroid, but could be distinguished therefrom by the light color. Microscopically the examination revealed glandular tissue completely different from that of the thyroid” [4]. After identification in dogs, he finally dissected such structures in human cadavers, calling them glandulae parathyroidae (Figure 1).
Figure 1.
Original drawing by Ivar Sandström of human parathyroid glandular anatomy [4].
Later, in 1891, Eugene Gley reported symptoms of tetany when these glands were removed during thyroidectomies [5]. At the beginning of the twentieth century, the theory described by Jacob Erdheim emerged, which related hypertrophy of parathyroid tissue as a response to bone disease (osteomalacia and/or cystic fibrous osteitis). This theory was rejected by Felix Mandl in 1925, who performed the first parathyroid surgery in Vienna. Initially, it was believed that bone lesions were a consequence of a parathyroid deficiency, and to prove it, transplantation of cadaveric parathyroid tissues was performed in patients with cystic bone lesions and hypercalciuria. With the procedure unsuccessful, Mandl proceeded with cervical exploration and identified a 21 × 12 × 12 mm parathyroid “tumor,” which was resected, observing the patient’s improvement [6]. Still in 1925, Collip brought a breakthrough in studying the function of PTH, by treating patients with tetany due to parathyroidectomy with relative PTH extract with relative success [4].
The term tertiary HPT came up with Dr. Walter St. Goar, when describing a case report in the New England Journal of Medicine, number 268, in 1963, of a patient with CKD and functional parathyroid autonomy [7]. McPhaul, in 1964, published the first surgical success in patients with this clinical condition [8]. Later, in 1968, Davies and colleagues also studied 200 cases of HPT and, of these, obtained 14 cases of tertiary HPT [7].
3. Physiology
PTH plays a central and fundamental role in homeostasis of the control of calcium and phosphorus in the body. It is produced by the parathyroid glands, composed mainly of main cells, and, to a lesser extent, by oxyphil cells [1, 4]. Studies show that, over time, the main cells are replaced by oxyphil cells, which are more sensitive to PTH production, especially in cases of CKD [9, 10]. Its action on renal, bone, and, indirectly, intestinal cells implies a rapid increase in the extracellular flow of calcium (Figure 2). This hormone is a peptide with 84 amino acids and a molecular weight of 9500 Da. It has a short half-life (2–3 min) and is broken down into the amino-terminal and carboxy-terminal portions. Only the amino-terminal portion has biological effects on the body, while the carboxy-terminal portion remains inactive. PTH binds to specific membrane receptors in renal and bone cells, fibroblasts, chondrocytes, vascular smooth muscle, adipocytes, and placental trophoblasts [11].
Figure 2.
Mechanisms of action of parathyroid hormone.
3.1 Effect of PTH on the kidneys
PTH causes an increase in the calcium reabsorption of the glomerular filtrate. This is mainly due to some factors. First, it acts in the loop of Henle, increasing the voltage gradient to allow the passive transport of ionized calcium. Then, it acts on the granular portion of the distal contorted tubules, inducing translocation of preformed calcium channels on the cell surface, increasing the entry of calcium into the vascular lumen. Finally, it also acts on the collecting tubules by changing the activation of the Na+/Ca2+ pump [11, 12, 13]. In addition, PTH has other effects on kidney cells, such as an increase in phosphate excretion, with increased phosphaturia and decreased serum phosphate; increased bicarbonate clearance with urine alkalinization, resulting from decreased bicarbonate reabsorption in the proximal renal tubules; inhibition of sodium reabsorption in the proximal tubules, with increased clearance of free water and greater urinary flow; and increased activity of vitamin D1 alpha-hydroxylase, with greater production of the active form of vitamin D (calcitriol) [12, 14, 15].
3.2 Effect of PTH on bones
PTH produces both anabolic and catabolic effects, depending on the phases of action. In the early phase, there is a mobilization of calcium from the bones, entering equilibrium with the extracellular fluids. In the late phase, there is an increase in the synthesis of bone enzymes, such as lysosomal enzymes, which promotes bone resorption and remodeling. PTH also inhibits osteoclasts and stimulates bone resorption, leading to an increase in serum alkaline phosphatase and urinary hydroxyproline (markers of osteolysis) [11, 12, 13].
3.3 Effect of PTH on the intestine
PTH has no direct action on the intestine. Its effect is due to an increase in the synthesis of calcitriol (activate form of vitamin D) in the kidneys, through the stimulation of the enzyme α1-hydroxylase. Calcitriol has an effect on increasing serum calcium from the resorption of bowel lumen [11].
4. Embryology and anatomy of the parathyroid glands
Embryologically, the parathyroid glands have an endodermal origin, usually four glands, and rarely may be in number of three, five, or more glands. They develop through the proliferation of the dorsal part of the branchial pharyngeal pouches. Both parathyroid glands migrate to the posterior portion of the thyroid gland, since the lower ones are able to migrate to the thymus or upper mediastinum [4, 12, 16].
4.1 Inferior parathyroid glands
The inferior parathyroid glands originate from the dorsal portion of the third branchial pouch. This branchial pouch differs around the 5th to the 6th week of gestation, when the ventral portion gives rise to the thymus. Around the 7th week of pregnancy, both the thymus and the lower parathyroid loosen the connection with the pharynx, occurring medial and caudal migration of the thymus, bringing together the inferior parathyroid, when, finally, it separates from the thymus. Usually the inferior parathyroid glands are found outside the capsule of the thyroid gland and have a more variable location [17]. Caudal migration close to the thymus explains the lower localization of the inferior parathyroid glands (derived from the third branchial pouch) than the superior parathyroid glands (derived from the fourth branchial pouch). During this process, debris from the parathyroid tissue that can form supernumerary glands may detach. The arterial supply of the inferior parathyroid glands is from the branches of the inferior thyroid artery [17, 18, 19].
4.2 Superior parathyroid glands
The superior parathyroid glands originate from the dorsal portion of the fourth branchial pouch. In the 7th week of pregnancy, they lose their relationship with the pharynx and adhere to the thyroid gland, which is migrating caudally and medially. This migration occurs to a lesser extent than the migration of the thymus and inferior parathyroid glands, and therefore their locations are more predictable. Superior parathyroid glands are usually located more posteriorly and medially than inferior parathyroid glands, often located on the dorsal surface and outside the thyroid capsule [4, 17, 18, 19].
These glands are closely related to the inferior thyroid artery and its intersection with the recurrent laryngeal nerve, although many anatomical variations may occur. The superior parathyroid glands have arterial supply from the branches of the inferior thyroid artery and posterior branches of the superior thyroid artery. The inferior thyroid artery generates branches to supply the parathyroid glands before irrigating the thyroid lobes.
Parathyroid appears in the body as two superior and two inferior glands in approximately 85–90% of the population. In addition, in 10% of the population, they appear as supernumerary, with 5 or more glands, with reports of up to 10 parathyroid glands in a single patient [19].
Figure 3 shows the locations of the parathyroid glands.
Figure 3.
Anatomical location of the parathyroid glands, posterior view (modified by F. netter, atlas of human anatomy).
5. Clinical presentations
HPT can be divided into primary, secondary, or tertiary.
5.1 Primary HPT
PTH, in these cases, is produced through a stimulus of the parathyroid due to an intrinsic pathology of this gland. In 85% of the cases, a parathyroid adenoma forms, generating an increase in PTH production. However, hyperplasia of the parathyroid gland (13%) or carcinoma (1%) can occur. Parathyroid adenoma is the most common clinical presentation in primary HPT. It usually presents with only one adenoma, but it can manifest in more than one parathyroid, known as multiple adenomas [20, 21, 22]. Structural genetic mutations are associated with the etiology of the adenoma, although it can also occur after exposure to neck irradiation, treatment with lithium, or thiazide diuretics [20, 23]. The consequence is the disorderly overproduction of PTH, increasing osteoclastic activity and therefore raising calcium levels in the body. PTH also stimulates renal calcium reabsorption and acts on the activation of vitamin D, increasing intestinal calcium absorption. Most are asymptomatic; however the patient may develop clinical manifestations. The most frequent consequence of primary HPT is nephrolithiasis that develops in almost 15–20% of cases. Nevertheless, HPT is found in just 5% of patients with nephrolithiasis. Osteoporosis, fibrous osteitis, and peptic disease may be also found in these patients. Neuropsychiatric and neuromuscular disorders such as asthenia, weakness, and mild depression can be found less frequently [24]. In rare presentations, brown tumors may be formed, the etiology of which is associated with the disruption of bone turnover between osteoblastic and osteoclastic activity, resulting in benign bone tumors. Sporadic presentation is more frequent; however, family forms may be associated. The main familial manifestations are multiple endocrine neoplasia (MEN) type I, or Werner’s syndrome (HPT, pancreatic tumor and pituitary tumor), and type IIA, or Sipple’s syndrome (HPT, medullary thyroid carcinoma and pheochromocytoma), and are associated with the expression of the RET proto-oncogene [24, 25].
Other existing familial forms described are primary neonatal HPT, familial hypocalciuric hypercalcemia, jaw tumor HPT syndrome, and isolated familial HPT [26]. Associated with primary HPT is the parathyroid carcinoma, a rare presentation, less than 1% of cases. It is suspected when there are high levels of serum calcium and PTH and may also have a palpable cervical mass on the thyroid gland topography. HPT in patients, if not treated quickly and efficiently, can progress rapidly to complications secondary to hypercalcemia and may progress to death [20, 26, 27].
5.2 Secondary HPT
Secondary HPT, unlike primary HPT, is a systemic and non-intrinsic pathology of the parathyroid gland, the consequence of which affects the functioning and metabolism of the parathyroid glands. It is the result of a parathyroid response to a tendency of hypocalcemia in order to maintain calcium homeostasis. It occurs due to low calcium absorption and vitamin D deficiency. Hypovitaminosis D is the main cause of secondary HPT in developed countries, in which confinement and low sun exposure occur frequently. As a result, there is a decrease in intestinal calcium absorption and a tendency towards serum hypocalcemia. The feedback mechanism stimulates the parathyroid glands and increases PTH synthesis, mobilizing calcium from the bones to maintain intravascular calcium homeostasis. Another important cause of secondary HPT is CKD, in which the kidney injury generates low calcium reabsorption in the distal renal tubules with consequent hypocalcemia. It is also in the kidney that the conversion of vitamin D (cholecalciferol) to its active form (calcitriol) occurs through the enzyme alpha1-hydroxylase. In CKD, this conversion is impaired and shows a consequent decrease in serum calcitriol rates and intestinal calcium absorption. As a result, there is an increase in PTH production and osteoclastic activity to try to normalize serum calcium levels. In advanced cases, there is intense damage to bone health, with osteoporosis, severe bone pain, fibrous osteitis, and even pathological fractures [16, 28, 29]. At the same time, renal injury causes phosphate retention, with an increase in serum inorganic phosphate.
The chronic renal patient with secondary HPT frequently presents with major bone disease, bone pain, itching, cardiovascular disorders, and, in advanced cases, pathological bone fractures [28, 29].
5.3 Tertiary HPT
Tertiary HPT manifests itself through an evolution of secondary HPT. In these cases, the continuous stimulus to the overproduction of PTH leads the autonomy of the parathyroid glands to produce PTH in high amounts. In the case of CKD, many patients undergo kidney transplants, expecting normalization of calcium reabsorption, conversion of vitamin D to its active form (calcitriol), and a consequent drop in PTH levels and normalization of the calcium rates. However, autonomous parathyroid glands maintain PTH overproduction even with renal calcium reabsorption normalized. The main consequence is the increase of the calcium serum levels. Most patients are asymptomatic, although some maintained bone pain and risk of fractures. In these cases, persistent hypercalcemia, chronic renal graft dysfunction, bone disease progression, cardiovascular events, and the risk of developing nephrolithiasis in the transplanted renal graft justify the early treatment of the disease [7, 30].
6. Diagnosis
In HPT, anamnesis and physical examination are of fundamental importance for accurate diagnosis.
Hypercalcemia is the main consequence of the primary HPT. In most cases, the disease is asymptomatic, occupying more than 80% of cases [21, 26, 31]. This condition was introduced after the 1970s, when routine laboratory tests began to be performed in asymptomatic patients [32]. However, they can develop symptoms that usually begin when calcium levels exceed 12 mg/dL and include manifestations in several systems. Neurological disorders manifest with changes in the level of consciousness, confusion, or lack of concentration. Gastrointestinal manifestations, such as nausea, epigastric pain due to peptic disease, or even pancreatitis, can be found. Nephrolithiasis can occur, mainly of repetition, polydipsia or polyuria. Bone pain and pathological fractures are also reported, in addition to brown tumors in the bone skeleton. Cardiovascular manifestations and heart rhythm disorders are also associated with hypercalcemia [33]. We can measure ionized serum calcium or total calcium. The total calcium measurement needs to be adjusted, because much of it is bonded with serum albumin. The formula can be shown in the following: corrected calcium = measured total serum calcium in mg/dL + 0.8 × (4.0 − patient’s serum albumin concentration in g/dL) [21]. Vitamin D participates actively in the diagnosis of primary HPT. The Institute of Medicine (IOM) affirms an evidence that the disease is more active when the vitamin D levels are below normal [21, 34]. A variant of primary HPT is the normocalcemic HPT, when presents with levels of PTH above normal and normal levels of serum calcium. The evolution of these cases can be stable, without clinical complications or laboratory alterations, increase the serum calcium concentration, or cause bone, kidney, or cardiovascular impairments [35].
Secondary HPT caused by CKD normally courses with normal or low levels of serum calcium. Thus, the history of CKD, especially dialysis, is fundamental for the diagnostic interpretation. The symptoms are due to bone disease with bone pain that can be of different intensities and pathological fractures with difficulty in movement. The pruritus also is most frequent, especially when the phosphate levels are above the normal.
Laboratory assessment of HPT is essential for diagnosis. Serum measurements of PTH, total serum calcium, ionized fraction of calcium, phosphorus, vitamin D, and alkaline phosphatase should be ordered. PTH will always be increased but to varying degrees. In primary HPT, PTH normally increases from two to four times normal, but it can reach much higher values depending on the severity of the disease. Consequently, serum calcium also rises. Phosphorus levels are normal or low and alkaline phosphatase rises [33]. Very high levels of PTH and calcium raise the hypothesis of parathyroid carcinoma and require a different approach. In secondary HPT there is a high elevation of PTH, commonly reaching the values of 10–20 times higher than normal or above in several cases. Calcium is usually in the normal range or at reduced levels, with hyperphosphatemia occurring in some cases. Due to decreased vitamin D activation in the kidney, there is a decrease in serum calcium due to low intestinal absorption.
In tertiary HPT, the parathyroid glands become autonomous in the production of PTH, despite the improvement in renal function, observed mainly in post-kidney transplant patients [36]. There is not a sufficient decrease in PTH, which remains in the range of 5–10 times greater than normal. Vitamin D levels also tend to normalize, since the absence of kidney damage in the post-transplant patient normalizes the conversion of vitamin D into its active form (calcitriol) and also normalizes the intestinal absorption of calcium. Thus, the mechanisms lead to increased serum calcium concentration [36, 37].
Complementary imaging exams are of great value in therapeutic planning, especially when the surgical approach is programmed [38].
Cervical ultrasonography has an important value, i.e., in trying to locate the enlarged parathyroid glands, although there is difficulty due to the overlying position of the thyroid gland and the fact that it is operator dependent. Also, we need to study the thyroid anatomy and the possibility of thyroid nodules that can be approached at the same time, if surgery is performed [39, 40].
Computed tomography, as well as magnetic resonance imaging of the neck, can also help in locating the altered glands, especially if they are much larger than normal. One of the main exams is parathyroid scintigraphy, as it can functionally reveal parathyroid glands with increased activity through the uptake of 99Tc-sestamibi (MIBI) [38, 39]. Even more sensitive and specific than scintigraphy is SPECT/CT with MIBI. This examination has the same physiological foundations as flat scintigraphy; however its fusion with the computed tomography image allows for a much more precise location of the affected parathyroid glands.
Another resource is 4D computed tomography. The mechanism of realization of this exam is based on the arterial supply and venous drainage of the analyzed structure. It helps to differentiate a parathyroid gland from a lymph node or any other structure present in the neck or mediastinal region [38, 40, 41].
7. Treatment
The treatment for HPT may be with clinical management or surgery. However, there are other previous forms of disease control, mainly in primary asymptomatic HPT and secondary HPT in early stages. In asymptomatic cases of primary HPT, clinical follow-up without surgical treatment can be performed in most cases. However, in symptomatic cases with evidence of bone and kidney disease, surgical treatment is preferred [27, 31, 32, 42]. Treatment with bisphosphonates and calcimimetics, such as cinacalcete, is applied in cases of severe hypercalcemia and difficulty in performing surgical treatment in a timely manner [43, 44]. Therapeutic doubt arises in asymptomatic cases, in which initial surgical treatment is often not indicated. According to the Fourth International Workshop, held in Italy in 2013 [21], surgical indications in asymptomatic patients are reserved for the situations illustrated in Table 1.
Indication of parathyroidectomy in asymptomatic primary HPT
1. Serum calcium values
Serum calcium 1.0 mg/dL (0.25 mmol/L) greater than the upper limit of normal
2. Imaging findings
A. Bone mineral density: T-score < −2.5 in the lumbar spine, hip, femur, or distal third of the radius
B. Vertebral fracture on X-ray, CT, MRI, or bone densitometry
3. Renal factors
A. Creatinine clearance < 60 cc/min
B. Calciuria 24 h > 400 mg/d (>10 mmol/dL) and increased risk of calculosis by biochemical analysis
C. Presence of nephrolithiasis or nephrocalcinosis by X-ray, ultrasound, or CT
4. Age
<50 years
Table 1.
Indication of parathyroidectomy in asymptomatic primary HPT [21].
The surgery performed on primary HPT is, in most cases, resection of the parathyroid affected by the adenoma (85% of cases). The use of intraoperative rapid PTH allows less chance of persistent disease (as in multiple adenomas) or future recurrences [26, 45, 46, 47]. In cases of parathyroid hyperplasia in primary HPT, as in multiple endocrine neoplasia, the surgical approach is the subject of much discussion. The possibility of subtotal/partial parathyroidectomy or total parathyroidectomy with autograft of fragments of parathyroid tissue in muscle tissue (forearm, presternal, or deltoid musculature) is described [25, 48]. Although rare, being responsible for less than 1% of cases of primary HPT, parathyroid carcinoma, when clinically suspected, should be treated with special care. Cases of severe hypercalcemia (greater than 14 mg/dL) and high levels of PTH (15–20 times higher than normal) should have parathyroid carcinoma as a diagnostic hypothesis. The recommended treatment is resection of the tumor en bloc with wide safety margins. The complete surgery includes partial thyroidectomy ipsilateral to the affected parathyroid, lymphadenectomy of the central compartment, and thymectomy [49].
In secondary HPT, initial clinical treatment is focused on the control of calcemia and phosphatemia and reduction of factors that stimulate PTH overproduction, as well as avoiding exposure to aluminum. Administration of vitamin D and calcium carbonate is used to try to correct serum calcium levels. Surgical treatment is usually indicated when intact PTH levels exceed 800 pg./mL, or when persistent symptoms such as bone fractures, pain refractory bone, intractable pruritus, brown tumor, and ectopic calcification. The pathology is systemic, and hyperplasia of all parathyroid glands occurs through feedback mechanisms. Therefore, the surgery to be performed can be the total parathyroidectomy with autograft of fragments of parathyroid tissue in the muscle tissue (forearm, presternal, or deltoid musculature) in order to avoid persistent hypoparathyroidism, or subtotal parathyroidectomy, with maintenance of parathyroid tissues to avoid persistent hypoparathyroidism [50, 51, 52]. The clinical management of secondary HPT is increasingly available, with acceptable responses, especially in patients who are not candidates for surgical treatment. Calcimimetics, such as cinacalcet, have acceptable results in reducing serum PTH and, mainly, improving the quality of life of chronic renal patients. Tolerability is reasonable, with some side effects, such as nausea, vomiting, and hypocalcemia, which may suspend treatment in some cases [53].
Tertiary HPT occurs in autonomy of parathyroid glands resulting from continuous stimulation of PTH secretion, a consequence of secondary HPT. These cases are better demonstrated after kidney transplantation, when PTH levels are kept high even after treating the cause of secondary HPT, the renal disease. Surgical treatment is indicated due to persistent hypercalcemia, in addition to symptoms that may be associated, such as bone pain, pathological fractures, and intractable pruritus. The surgical approach, as in secondary HPT, can be total parathyroidectomy with autograft of parathyroid fragments in muscle tissue, or subtotal parathyroidectomy [36, 54]. The measurement of intraoperative rapid PTH in cases of secondary and tertiary HPT during surgical treatment is the subject of much current discussion, although it is increasingly accepted in order to avoid new approaches due to recurrent or persistent disease [36, 51, 55, 56].
8. Conclusion
Hyperparathyroidism is an important clinical condition with severe consequences if it is not well diagnosed and treated. Knowledge of calcium metabolism is essential for the correct management of the patient with the disease. Primary hyperparathyroidism, although oligosymptomatic in most patients, should be viewed with magnitude by general practitioners with a basic health approach. The patient with hyperparathyroidism secondary to chronic kidney disease, often with several associated comorbidities, needs the best possible approach, directly influencing his quality of life, improving cardiovascular and osteometabolic status.
Conflict of interest
The author declares no conflict of interest.
\n',keywords:"hyperparathyroidism, calcium, bone diseases, kidney diseases, parathyroid hormone",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/72450.pdf",chapterXML:"https://mts.intechopen.com/source/xml/72450.xml",downloadPdfUrl:"/chapter/pdf-download/72450",previewPdfUrl:"/chapter/pdf-preview/72450",totalDownloads:654,totalViews:0,totalCrossrefCites:0,dateSubmitted:"March 28th 2020",dateReviewed:"May 10th 2020",datePrePublished:"June 11th 2020",datePublished:"June 30th 2021",dateFinished:"June 11th 2020",readingETA:"0",abstract:"Hyperparathyroidism (HPT) is a clinical condition caused by the increase of parathyroid hormone (PTH) synthesis by the parathyroid glands. PTH has a central and fundamental role in the control of calcium and phosphorus homeostasis. Its action on the kidney, bone, and, indirectly, intestinal cells implies a rapid increase in extracellular calcium flow. This clinical condition may be due to an intrinsic parathyroid disorder or secondary to an imbalance of calcium metabolism in patients with systemic diseases, such as chronic renal failure. The treatment of hyperparathyroidism may be clinical, with the control of calcium, phosphorus, and PTH levels, or surgical, depending on the various forms presented. The purpose of the chapter is to discuss the types of hyperparathyroidism, their relationship with phosphorus and mainly calcium metabolism, as well as the main forms of diagnosis and treatment.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/72450",risUrl:"/chapter/ris/72450",signatures:"Andre Luis Maion Casarim",book:{id:"8935",type:"book",title:"Mineral Deficiencies",subtitle:"Electrolyte Disturbances, Genes, Diet and Disease Interface",fullTitle:"Mineral Deficiencies - Electrolyte Disturbances, Genes, Diet and Disease Interface",slug:"mineral-deficiencies-electrolyte-disturbances-genes-diet-and-disease-interface",publishedDate:"June 30th 2021",bookSignature:"Gyula Mózsik and Gonzalo Díaz-Soto",coverURL:"https://cdn.intechopen.com/books/images_new/8935.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",isbn:"978-1-83881-085-6",printIsbn:"978-1-83881-081-8",pdfIsbn:"978-1-83881-086-3",isAvailableForWebshopOrdering:!0,editors:[{id:"58390",title:"Dr.",name:"Gyula",middleName:null,surname:"Mozsik",slug:"gyula-mozsik",fullName:"Gyula Mozsik"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"314091",title:"Dr.",name:"Andre Luis Maion",middleName:"Luis Maion",surname:"Casarim",fullName:"Andre Luis Maion Casarim",slug:"andre-luis-maion-casarim",email:"andre.casarim@yahoo.com.br",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. History",level:"1"},{id:"sec_3",title:"3. Physiology",level:"1"},{id:"sec_3_2",title:"3.1 Effect of PTH on the kidneys",level:"2"},{id:"sec_4_2",title:"3.2 Effect of PTH on bones",level:"2"},{id:"sec_5_2",title:"3.3 Effect of PTH on the intestine",level:"2"},{id:"sec_7",title:"4. Embryology and anatomy of the parathyroid glands",level:"1"},{id:"sec_7_2",title:"4.1 Inferior parathyroid glands",level:"2"},{id:"sec_8_2",title:"4.2 Superior parathyroid glands",level:"2"},{id:"sec_10",title:"5. Clinical presentations",level:"1"},{id:"sec_10_2",title:"5.1 Primary HPT",level:"2"},{id:"sec_11_2",title:"5.2 Secondary HPT",level:"2"},{id:"sec_12_2",title:"5.3 Tertiary HPT",level:"2"},{id:"sec_14",title:"6. Diagnosis",level:"1"},{id:"sec_15",title:"7. Treatment",level:"1"},{id:"sec_16",title:"8. Conclusion",level:"1"},{id:"sec_20",title:"Conflict of interest",level:"1"}],chapterReferences:[{id:"B1",body:'Gonçalves MDC, Rodrigues ASS. 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Brazilian Journal of Otorhinolaryngology. 2013;79(4):494-499'},{id:"B56",body:'Vulpio C, Bossola M, Di Stasio E, Pepe G, Nure E, Magalini S, et al. Intra-operative parathyroid hormone monitoring through central laboratory is accurate in renal secondary hyperparathyroidism. Clinical Biochemistry [Internet]. 2016;49(7-8):538-543. DOI: 10.1016/j.clinbiochem.2016.01.012'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Andre Luis Maion Casarim",address:"andre.casarim@yahoo.com.br",affiliation:'
School of Medical Sciences, Universidade Estadual de Campinas, Campinas, Brazil
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Shohel"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},subject:{topic:{id:"367",title:"Pathology",slug:"agricultural-and-biological-sciences-plant-biology-pathology",parent:{id:"41",title:"Plant Biology",slug:"agricultural-and-biological-sciences-plant-biology"},numberOfBooks:5,numberOfSeries:0,numberOfAuthorsAndEditors:108,numberOfWosCitations:43,numberOfCrossrefCitations:61,numberOfDimensionsCitations:124,videoUrl:null,fallbackUrl:null,description:null},booksByTopicFilter:{topicId:"367",sort:"-publishedDate",limit:12,offset:0},booksByTopicCollection:[{type:"book",id:"10985",title:"Agro-Economic Risks of Phytophthora and an Effective Biocontrol Approach",subtitle:null,isOpenForSubmission:!1,hash:"5ce2fdab78f95851db363572e8e44e36",slug:"agro-economic-risks-of-phytophthora-and-an-effective-biocontrol-approach",bookSignature:"Waleed Mohamed Hussain Abdulkhair",coverURL:"https://cdn.intechopen.com/books/images_new/10985.jpg",editedByType:"Edited by",editors:[{id:"175713",title:"Dr.",name:"Waleed Mohamed Hussain",middleName:null,surname:"Abdulkhair",slug:"waleed-mohamed-hussain-abdulkhair",fullName:"Waleed Mohamed Hussain Abdulkhair"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"10113",title:"Diagnostics of Plant Diseases",subtitle:null,isOpenForSubmission:!1,hash:"daef7c0ea5e568cfc5ae1613a74634b3",slug:"diagnostics-of-plant-diseases",bookSignature:"Dmitry Kurouski",coverURL:"https://cdn.intechopen.com/books/images_new/10113.jpg",editedByType:"Edited by",editors:[{id:"264297",title:"Dr.",name:"Dmitry",middleName:null,surname:"Kurouski",slug:"dmitry-kurouski",fullName:"Dmitry Kurouski"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"8814",title:"Plant Diseases",subtitle:"Current Threats and Management Trends",isOpenForSubmission:!1,hash:"5a1f36b34b43d68f20c7caf3961dd18a",slug:"plant-diseases-current-threats-and-management-trends",bookSignature:"Snježana Topolovec-Pintarić",coverURL:"https://cdn.intechopen.com/books/images_new/8814.jpg",editedByType:"Edited by",editors:[{id:"66211",title:"Prof.",name:"Snježana",middleName:null,surname:"Topolovec-Pintaric",slug:"snjezana-topolovec-pintaric",fullName:"Snježana Topolovec-Pintaric"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"6642",title:"Advances in Plant Pathology",subtitle:null,isOpenForSubmission:!1,hash:"99196a55714f4057fd77655b42e6855f",slug:"advances-in-plant-pathology",bookSignature:"Josphert Ngui Kimatu",coverURL:"https://cdn.intechopen.com/books/images_new/6642.jpg",editedByType:"Edited by",editors:[{id:"224171",title:"Prof.",name:"Josphert N.",middleName:null,surname:"Kimatu",slug:"josphert-n.-kimatu",fullName:"Josphert N. 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Generally, harvested fruits are used for fresh consumption or are processed (mainly to produce juices). In this chapter, the authors discuss the state of art on citrus postharvest with a scientific approach, evaluating the current knowledge about the physiology and pathology of citrus fruits and the main causes of deterioration. In addition, the authors explain the main facilities for the cold storage of citrus fruit with particular reference to the rapid-cooling techniques and treatments needed prior to shipment of citrus fruits (refer shipment). In the last part of the chapter, the non-destructive methods for the quality evaluation are presented.",book:{id:"5606",slug:"citrus-pathology",title:"Citrus Pathology",fullTitle:"Citrus Pathology"},signatures:"Maria C. Strano, Giuseppe Altieri, Naouel Admane, Francesco\nGenovese and Giovanni C. Di Renzo",authors:[{id:"193555",title:"Dr.",name:"Francesco",middleName:null,surname:"Genovese",slug:"francesco-genovese",fullName:"Francesco Genovese"},{id:"193583",title:"Prof.",name:"Giovanni Carlo",middleName:null,surname:"Di Renzo",slug:"giovanni-carlo-di-renzo",fullName:"Giovanni Carlo Di Renzo"},{id:"193584",title:"Prof.",name:"Giuseppe",middleName:null,surname:"Altieri",slug:"giuseppe-altieri",fullName:"Giuseppe Altieri"},{id:"193585",title:"Dr.",name:"Maria Concetta",middleName:null,surname:"Strano",slug:"maria-concetta-strano",fullName:"Maria Concetta Strano"},{id:"193789",title:"Dr.",name:"Naouel",middleName:null,surname:"Admane",slug:"naouel-admane",fullName:"Naouel Admane"}]},{id:"67782",doi:"10.5772/intechopen.87101",title:"Aspects in Tobamovirus Management in Intensive Agriculture",slug:"aspects-in-em-tobamovirus-em-management-in-intensive-agriculture",totalDownloads:973,totalCrossrefCites:9,totalDimensionsCites:14,abstract:"In the recent years, disease spread of old and newly evolved tobamoviruses has occurred worldwide, affecting production of various vegetable and ornamental crops. The tobamoviruses are highly stable plant viruses that could cause severe disease symptoms. The well-known tobamovirus Cucumber green mottle mosaic virus (CGMMV) has recently caused severe damages in the cucumber, melon, and watermelon cucurbitaceous crops, worldwide. Similarly, a recent widespread of the newly identified tobamoviruses, Tomato mottle mosaic virus (ToMMV) and Tomato brown rugose fruit virus (ToBRFV), has reduced the solanaceous crop production. The primary route of tobamoviral infection is through mechanical means. These viruses adhere to agricultural facilities, contaminate the soil, infect seeds, and spread via beneficial pollinators and irrigation water. Mechanical plant injury suffices to initiate viral infection. Practicing hygiene by plant growers and in nurseries is currently the main strategy for mitigation of tobamoviral infection. Promoting the production of solanaceous vegetable crops genetically resistant to ToMMV and ToBRFV infection is a promising approach. However, CGMMV-resistant sources of cucurbitaceous vegetable crops are scarce. Conferring resistance to rootstocks and cross-protection strategies are newly implemented approaches that could alleviate tobamovirus disease spread in both solanaceous and cucurbitaceous crops.",book:{id:"8814",slug:"plant-diseases-current-threats-and-management-trends",title:"Plant Diseases",fullTitle:"Plant Diseases - Current Threats and Management Trends"},signatures:"Elisheva Smith and Aviv Dombrovsky",authors:null},{id:"68107",doi:"10.5772/intechopen.87958",title:"Plant Metabolites in Plant Defense Against Pathogens",slug:"plant-metabolites-in-plant-defense-against-pathogens",totalDownloads:1314,totalCrossrefCites:3,totalDimensionsCites:10,abstract:"Medicinal plants are widely used worldwide to treat various diseases. Its widespread use is due in part to the cultural acceptance of traditional medicine in different regions of the world, as well as its effectiveness in treating various diseases. Many of its active substances or secondary metabolites are formed to a response of various situations that generate stress in their habitat, such as sudden changes in environmental temperature, humidity, rain, drought, and infections by phytopathogens (fungi, bacteria, viruses, nematodes, protozoa). The production of these secondary metabolites is a mechanism of defense of plants. In this context, the objective of this chapter is to study the secondary metabolites of medicinal plants that could have a promising application in the control of different phytopathogens in crops of agricultural and economic interest.",book:{id:"8814",slug:"plant-diseases-current-threats-and-management-trends",title:"Plant Diseases",fullTitle:"Plant Diseases - Current Threats and Management Trends"},signatures:"Xóchitl S. Ramírez-Gómez, Sandra N. Jiménez-García, Vicente Beltrán Campos and Ma. Lourdes García Campos",authors:null},{id:"62605",doi:"10.5772/intechopen.75837",title:"The Biology of Thecaphora frezii Smut and Its Effects on Argentine Peanut Production",slug:"the-biology-of-thecaphora-frezii-smut-and-its-effects-on-argentine-peanut-production",totalDownloads:1091,totalCrossrefCites:7,totalDimensionsCites:9,abstract:"Thecaphora frezii was first reported in 1962 in wild peanut from Aquidauana, Mato Grosso do Sul, Brazil. In Argentina, it was first detected in 1995 in commercial crops from the central-northern area of Córdoba province. The fungus can survive in the soil as teliospores. When peanut gynophore penetrates the soil, their exudates disrupt telial dormancy; T. frezii penetrates and colonizes the tissues and replaces the cells with teliospores. Since its first report, peanut smut prevalence has gradually increased in peanut areas to reach a 100% in 2012. Currently, it is the most important peanut disease in Argentina, not only for its destructive power on crop but also for its quick spread throughout the growing region of Córdoba and the lack of effective tools for its management. It is important for additional research to find effective agronomical practice that reaches high control efficiencies. The collaboration of all those involved in Argentinian peanut production systems is necessary for the management of peanut smut to be successful.",book:{id:"6642",slug:"advances-in-plant-pathology",title:"Advances in Plant Pathology",fullTitle:"Advances in Plant Pathology"},signatures:"Luis Ignacio Cazón, Juan Andrés Paredes and Alejandro Mario Rago",authors:[{id:"232647",title:"M.Sc.",name:"Luis Ignacio",middleName:null,surname:"Cazón",slug:"luis-ignacio-cazon",fullName:"Luis Ignacio Cazón"},{id:"240515",title:"MSc.",name:"Juan Andrés",middleName:null,surname:"Paredes",slug:"juan-andres-paredes",fullName:"Juan Andrés Paredes"},{id:"240517",title:"MSc.",name:"Alejandro Mario",middleName:null,surname:"Rago",slug:"alejandro-mario-rago",fullName:"Alejandro Mario Rago"}]},{id:"67930",doi:"10.5772/intechopen.87055",title:"Impact of Climate Change on Plant Diseases and IPM Strategies",slug:"impact-of-climate-change-on-plant-diseases-and-ipm-strategies",totalDownloads:1866,totalCrossrefCites:6,totalDimensionsCites:9,abstract:"There has been a remarkable scientific output on the topic of how climate change is likely to affect plant diseases. Climate change influences the occurrence, prevalence, and severity of plant diseases. Projected atmospheric and climate change will thus affect the interaction between crops and pathogens in multiple ways. This will also affect disease management with regard to timing, preference, and efficacy of chemical, physical, and biological measures of control and their utilization within integrated pest management (IPM) strategies. Prediction of future requirements in disease management is of great interest for agro-industries, extension services, and practical farmers. A comprehensive analysis of potential climate change effects on disease control is difficult because current knowledge is limited and fragmented and due to the complexity of future risks for plant disease management, particularly if new crops are introduced in an area. Uncertainty in models of plant disease development under climate change calls for a diversity of management strategies, from more participatory approaches to interdisciplinary science. Involvement of stakeholders and scientists from outside plant pathology shows the importance of trade-offs. All these efforts and integrations will produce effective crop protection strategies using novel technologies as appropriate tools to adapt to altered climatic conditions.",book:{id:"8814",slug:"plant-diseases-current-threats-and-management-trends",title:"Plant Diseases",fullTitle:"Plant Diseases - Current Threats and Management Trends"},signatures:"Sahar Abdou Zayan",authors:null}],mostDownloadedChaptersLast30Days:[{id:"53686",title:"Major and Emerging Fungal Diseases of Citrus in the Mediterranean Region",slug:"major-and-emerging-fungal-diseases-of-citrus-in-the-mediterranean-region",totalDownloads:3118,totalCrossrefCites:3,totalDimensionsCites:9,abstract:"This chapter deals with major endemic and emerging fungal diseases of citrus as well as with exotic fungal pathogens potentially harmful for citrus industry in the Mediterranean region, with particular emphasis on diseases reported in Italy and Maghreb countries. The aim is to provide an update of both the taxonomy of the causal agents and their ecology based on a molecular approach, as a preliminary step towards developing or upgrading integrated and sustainable disease management strategies. Potential or actual problems related to the intensification of new plantings, introduction of new citrus cultivars and substitution of sour orange with other rootstocks, globalization of commerce and climate changes are discussed. Fungal pathogens causing vascular, foliar, fruit, trunk and root diseases in commercial citrus orchards are reported, including Plenodomus tracheiphilus, Colletotrichum spp., Alternaria spp., Mycosphaerellaceae, Botryosphaeriaceae, Guignardia citricarpa and lignicolous basidiomycetes. Diseases caused by Phytophthora spp. (oomycetes) are also included as these pathogens have many biological, ecological and epidemiological features in common with the true fungi (eumycetes).",book:{id:"5606",slug:"citrus-pathology",title:"Citrus Pathology",fullTitle:"Citrus Pathology"},signatures:"Khaled Khanchouch, Antonella Pane, Ali Chriki and Santa Olga\nCacciola",authors:[{id:"193916",title:"M.Sc.",name:"Khaled",middleName:null,surname:"Khanchouch",slug:"khaled-khanchouch",fullName:"Khaled Khanchouch"},{id:"193918",title:"Dr.",name:"Santa Olga",middleName:null,surname:"Cacciola",slug:"santa-olga-cacciola",fullName:"Santa Olga Cacciola"},{id:"196942",title:"Dr.",name:"Antonella",middleName:null,surname:"Pane",slug:"antonella-pane",fullName:"Antonella Pane"},{id:"196943",title:"Prof.",name:"Ali",middleName:null,surname:"Chriki",slug:"ali-chriki",fullName:"Ali Chriki"}]},{id:"67930",title:"Impact of Climate Change on Plant Diseases and IPM Strategies",slug:"impact-of-climate-change-on-plant-diseases-and-ipm-strategies",totalDownloads:1852,totalCrossrefCites:6,totalDimensionsCites:9,abstract:"There has been a remarkable scientific output on the topic of how climate change is likely to affect plant diseases. Climate change influences the occurrence, prevalence, and severity of plant diseases. Projected atmospheric and climate change will thus affect the interaction between crops and pathogens in multiple ways. This will also affect disease management with regard to timing, preference, and efficacy of chemical, physical, and biological measures of control and their utilization within integrated pest management (IPM) strategies. Prediction of future requirements in disease management is of great interest for agro-industries, extension services, and practical farmers. A comprehensive analysis of potential climate change effects on disease control is difficult because current knowledge is limited and fragmented and due to the complexity of future risks for plant disease management, particularly if new crops are introduced in an area. Uncertainty in models of plant disease development under climate change calls for a diversity of management strategies, from more participatory approaches to interdisciplinary science. Involvement of stakeholders and scientists from outside plant pathology shows the importance of trade-offs. All these efforts and integrations will produce effective crop protection strategies using novel technologies as appropriate tools to adapt to altered climatic conditions.",book:{id:"8814",slug:"plant-diseases-current-threats-and-management-trends",title:"Plant Diseases",fullTitle:"Plant Diseases - Current Threats and Management Trends"},signatures:"Sahar Abdou Zayan",authors:null},{id:"74757",title:"The Trends in the Evaluation of Fusarium Wilt of Chickpea",slug:"the-trends-in-the-evaluation-of-fusarium-wilt-of-chickpea",totalDownloads:678,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Chickpea (Cicer arietinum L.) is one of the important annual legume crops, cultivated throughout the India since ancient time. It is also grown in many countries of the world. The crop has been facing numerous biotic and abiotic constraints. Among biotic constraint crop affected adversely by diseases, caused by many pathogens. Ever since 1918 when for the first time wilt disease of chickpea was reported and Fusarium oxysporum f. sp. ciceri was the causal organism many strategies have been adopted to control the wilt disease. The controlling methods included conventional as well as modern one. However, more and more emphasis was given on biological control agents such as AM fungi and Trichoderma. The role of AM fungi have been evaluated for controlling the wilt disease similarly role of Trichoderma is thoroughly established biological control agent against Fusarium wilt. With the advent of modern tools and techniques developing markers, resistant varieties, all such sources enable us to reduce the effect of pathogens. Here an attempted has been made to acknowledge the trend of disease management and evaluation strategies of Fusarium wilt of chickpea for getting better yields of the crop.",book:{id:"10113",slug:"diagnostics-of-plant-diseases",title:"Diagnostics of Plant Diseases",fullTitle:"Diagnostics of Plant Diseases"},signatures:"Chandan Singh and Deepak Vyas",authors:[{id:"315463",title:"Mr.",name:"Chandan",middleName:null,surname:"Singh",slug:"chandan-singh",fullName:"Chandan Singh"},{id:"338974",title:"Prof.",name:"Deepak",middleName:null,surname:"Vyas",slug:"deepak-vyas",fullName:"Deepak Vyas"}]},{id:"60615",title:"Leaf Curl Disease: A Significant Constraint in the Production of Tomato in India",slug:"leaf-curl-disease-a-significant-constraint-in-the-production-of-tomato-in-india",totalDownloads:1411,totalCrossrefCites:2,totalDimensionsCites:4,abstract:"Tomato (Lycopersicon esculentum Mill.) is one of the most economically important vegetable crops in the world. Among the major biotic constraints, virus-associated Tomato leaf curl disease (ToLCD) is a major limiting factor affecting its cultivation and yield. Different symptoms associated with disease are reported such as leaf curling, puckering of leaves, vein yellowing, stunting, excessive branching, from pale yellowing to deep yellowing, and small leaves. The genus Begomovirus is a circular single-stranded DNA virus which is exclusively being transmitted by whitefly (Bemisia tabaci) in a persistent circulative manner. Most of the begomovirus species are monopartite (having DNA-A molecule only), except few species, which are bipartite (having DNA-A and DNA-B as the genomic component). No absolute effective control measures of the disease could be developed so far, except resistance, management of insect vectors, and altering the dates of sowing to avoid peaks of insect vector population. This chapter reports an account of history, symptoms, transmission, genome organization, distribution, and management of Tomato leaf curl disease.",book:{id:"6642",slug:"advances-in-plant-pathology",title:"Advances in Plant Pathology",fullTitle:"Advances in Plant Pathology"},signatures:"Pradeep Kumar and Manish Kumar",authors:[{id:"234558",title:"Dr.",name:"Manish",middleName:null,surname:"Kumar",slug:"manish-kumar",fullName:"Manish Kumar"},{id:"239750",title:"Ph.D. Student",name:"Pradeep",middleName:null,surname:"Kumar",slug:"pradeep-kumar",fullName:"Pradeep Kumar"}]},{id:"68015",title:"Sisal Bole Rot: An Important but Neglected Disease",slug:"sisal-bole-rot-an-important-but-neglected-disease",totalDownloads:909,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Sisal (Agave sisalana) is one of the main sources of hard natural fibre and raw materials for the industry, medicine and handicrafts. Sisal yields a coarse and strong fibre that is increasingly being used in composite materials for automobiles, furniture, construction and plastic and paper products. Extracts of sisal contain substances with anti-inflammatory, antimicrobial and anthelmintic activities. Sisal is adapted to warm environments with low rainfall and is an excellent option for cultivation in semiarid conditions, where other crops cannot be grown. The world’s largest sisal producers are Brazil, Tanzania, China, Kenya and Madagascar. Sisal is a labour-intensive crop with great socio-economical importance as it is cultivated in poor areas employing familiar labour. Sisal bole rot is the main disease of sisal, responsible for substantial losses in producing countries. The disease is caused by certain species of the genus Aspergillus, especially the ones belonging in the section Nigri. The main symptoms are yellowing of the aerial parts and the red-coloured rot of the bole, which causes the plant to die. In this review we are going to address the taxonomy of the causal agents, disease diagnosis and epidemiology and disease management, with emphasis on biological control.",book:{id:"8814",slug:"plant-diseases-current-threats-and-management-trends",title:"Plant Diseases",fullTitle:"Plant Diseases - Current Threats and Management Trends"},signatures:"Valter Cruz-Magalhães, Jackeline Pereira Andrade, Yasmim Freitas Figueiredo, Phellippe Arthur Santos Marbach and Jorge Teodoro de Souza",authors:null}],onlineFirstChaptersFilter:{topicId:"367",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:0,limit:8,total:null},allSeries:{pteSeriesList:[],lsSeriesList:[],hsSeriesList:[],sshSeriesList:[],testimonialsList:[]},series:{item:{id:"7",title:"Biomedical Engineering",doi:"10.5772/intechopen.71985",issn:"2631-5343",scope:"Biomedical Engineering is one of the fastest-growing interdisciplinary branches of science and industry. The combination of electronics and computer science with biology and medicine has improved patient diagnosis, reduced rehabilitation time, and helped to facilitate a better quality of life. Nowadays, all medical imaging devices, medical instruments, or new laboratory techniques result from the cooperation of specialists in various fields. The series of Biomedical Engineering books covers such areas of knowledge as chemistry, physics, electronics, medicine, and biology. This series is intended for doctors, engineers, and scientists involved in biomedical engineering or those wanting to start working in this field.",coverUrl:"https://cdn.intechopen.com/series/covers/7.jpg",latestPublicationDate:"May 13th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:12,editor:{id:"50150",title:"Prof.",name:"Robert",middleName:null,surname:"Koprowski",slug:"robert-koprowski",fullName:"Robert Koprowski",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYTYNQA4/Profile_Picture_1630478535317",biography:"Robert Koprowski, MD (1997), PhD (2003), Habilitation (2015), is an employee of the University of Silesia, Poland, Institute of Computer Science, Department of Biomedical Computer Systems. For 20 years, he has studied the analysis and processing of biomedical images, emphasizing the full automation of measurement for a large inter-individual variability of patients. Dr. Koprowski has authored more than a hundred research papers with dozens in impact factor (IF) journals and has authored or co-authored six books. Additionally, he is the author of several national and international patents in the field of biomedical devices and imaging. Since 2011, he has been a reviewer of grants and projects (including EU projects) in biomedical engineering.",institutionString:null,institution:{name:"University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:5,paginationItems:[{id:"91",title:"Sustainable Economy and Fair Society",coverUrl:"https://cdn.intechopen.com/series_topics/covers/91.jpg",isOpenForSubmission:!0,editor:{id:"181603",title:"Dr.",name:"Antonella",middleName:null,surname:"Petrillo",slug:"antonella-petrillo",fullName:"Antonella Petrillo",profilePictureURL:"https://mts.intechopen.com/storage/users/181603/images/system/181603.jpg",biography:"Antonella Petrillo is a Professor at the Department of Engineering of the University of Naples “Parthenope”, Italy. She received her Ph.D. in Mechanical Engineering from the University of Cassino. Her research interests include multi-criteria decision analysis, industrial plant, logistics, manufacturing and safety. She serves as an Associate Editor for the International Journal of the Analytic Hierarchy Process. She is a member of AHP Academy and a member of several editorial boards. She has over 160 Scientific Publications in International Journals and Conferences and she is the author of 5 books on Innovation and Decision Making in Industrial Applications and Engineering.",institutionString:null,institution:{name:"Parthenope University of Naples",institutionURL:null,country:{name:"Italy"}}},editorTwo:null,editorThree:null},{id:"92",title:"Health and Wellbeing",coverUrl:"https://cdn.intechopen.com/series_topics/covers/92.jpg",isOpenForSubmission:!0,editor:{id:"348225",title:"Prof.",name:"Ann",middleName:null,surname:"Hemingway",slug:"ann-hemingway",fullName:"Ann Hemingway",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035LZFoQAO/Profile_Picture_2022-04-11T14:55:40.jpg",biography:"Professor Hemingway is a public health researcher, Bournemouth University, undertaking international and UK research focused on reducing inequalities in health outcomes for marginalised and excluded populations and more recently focused on equine assisted interventions.",institutionString:null,institution:{name:"Bournemouth University",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null},{id:"93",title:"Inclusivity and Social Equity",coverUrl:"https://cdn.intechopen.com/series_topics/covers/93.jpg",isOpenForSubmission:!0,editor:{id:"210060",title:"Prof. Dr.",name:"Ebba",middleName:null,surname:"Ossiannilsson",slug:"ebba-ossiannilsson",fullName:"Ebba Ossiannilsson",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6LkBQAU/Profile_Picture_2022-02-28T13:31:48.png",biography:'Professor Dr. Ebba Ossiannilsson is an independent researcher, expert, consultant, quality auditor and influencer in the fields of open, flexible online and distance learning (OFDL) and the "new normal". Her focus is on quality, innovation, leadership, and personalised learning. She works primarily at the strategic and policy levels, both nationally and internationally, and with key international organisations. She is committed to promoting and improving OFDL in the context of SDG4 and the future of education. Ossiannilsson has more than 20 years of experience in her current field, but more than 40 years in the education sector. She works as a reviewer and expert for the European Commission and collaborates with the Joint Research Centre for Quality in Open Education. Ossiannilsson also collaborates with ITCILO and ICoBC (International Council on Badges and Credentials). She is a member of the ICDE Board of Directors and has previously served on the boards of EDEN and EUCEN. Ossiannilsson is a quality expert and reviewer for ICDE, EDEN and the EADTU. She chairs the ICDE OER Advocacy Committee and is a member of the ICDE Quality Network. She is regularly invited as a keynote speaker at conferences. She is a guest editor for several special issues and a member of the editorial board of several scientific journals. She has published more than 200 articles and is currently working on book projects in the field of OFDL. Ossiannilsson is a visiting professor at several international universities and was recently appointed Professor and Research Fellow at Victoria University of Wellington, NZ. Ossiannilsson has been awarded the following fellowships: EDEN Fellows, EDEN Council of Fellows, and Open Education Europe. She is a ICDE OER Ambassador, Open Education Europe Ambassador, GIZ Ambassador for Quality in Digital Learning, and part of the Globe-Community of Digital Learning and Champion of SPARC Europe. On a national level, she is a quality developer at the Swedish Institute for Standards (SIS) and for ISO. She is a member of the Digital Skills and Jobs Coalition Sweden and Vice President of the Swedish Association for Distance Education. She is currently working on a government initiative on quality in distance education at the National Council for Higher Education. She holds a Ph.D. from the University of Oulu, Finland.',institutionString:"Swedish Association for Distance Education, Sweden",institution:null},editorTwo:null,editorThree:null},{id:"94",title:"Climate Change and Environmental Sustainability",coverUrl:"https://cdn.intechopen.com/series_topics/covers/94.jpg",isOpenForSubmission:!1,editor:null,editorTwo:null,editorThree:null},{id:"95",title:"Urban Planning and Environmental Management",coverUrl:"https://cdn.intechopen.com/series_topics/covers/95.jpg",isOpenForSubmission:!0,editor:{id:"181079",title:"Dr.",name:"Christoph",middleName:null,surname:"Lüthi",slug:"christoph-luthi",fullName:"Christoph Lüthi",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRHSqQAO/Profile_Picture_2022-04-12T15:51:33.png",biography:"Dr. Christoph Lüthi is an urban infrastructure planner with over 25 years of experience in planning and design of urban infrastructure in middle and low-income countries. He holds a Master’s Degree in Urban Development Planning from the University College of London (UCL), and a Ph.D. in Urban Planning & Engineering from TU Berlin. He has conducted applied research on urban planning and infrastructure issues in over 20 countries in Africa and Asia. In 2005 he joined Eawag-Sandec as Leader of the Strategic Environmental Sanitation Planning Group. Since 2015 he heads the research department Sanitation, Water and Solid Waste for Development (Sandec) at the Swiss Federal Institute of Aquatic Research and Technology (Eawag).",institutionString:"Swiss Federal Institute of Aquatic Science and Technology, Switzerland",institution:null},editorTwo:{id:"290571",title:"Dr.",name:"Rui Alexandre",middleName:null,surname:"Castanho",slug:"rui-alexandre-castanho",fullName:"Rui Alexandre Castanho",profilePictureURL:"https://mts.intechopen.com/storage/users/290571/images/system/290571.jpg",biography:"Rui Alexandre Castanho has a master\\'s degree in Planning, Audit, and Control in Urban Green Spaces and an international Ph.D. in Sustainable Planning in Borderlands. Currently, he is a professor at WSB University, Poland, and a visiting professor at the University of Johannesburg, South Africa. Dr. Castanho is a post-doc researcher on the GREAT Project, University of Azores, Ponta Delgada, Portugal. He collaborates with the Environmental Resources Analysis Research Group (ARAM), University of Extremadura (UEx), Spain; VALORIZA - Research Center for the Enhancement of Endogenous Resources, Polytechnic Institute of Portalegre (IPP), Portugal; Centre for Tourism Research, Development and Innovation (CITUR), Madeira, Portugal; and AQUAGEO Research Group, University of Campinas (UNICAMP), Brazil.",institutionString:"University of Johannesburg, South Africa and WSB University, Poland",institution:{name:"University of Johannesburg",institutionURL:null,country:{name:"South Africa"}}},editorThree:null}]},overviewPageOFChapters:{paginationCount:11,paginationItems:[{id:"81920",title:"Rethinking an Approach for Sustainable Globalization",doi:"10.5772/intechopen.105141",signatures:"Parakram Pyakurel",slug:"rethinking-an-approach-for-sustainable-globalization",totalDownloads:0,totalCrossrefCites:null,totalDimensionsCites:null,authors:null,book:{title:"Globalization and Sustainability - Recent Advances, New Perspectives and Emerging Issues",coverURL:"https://cdn.intechopen.com/books/images_new/11476.jpg",subseries:{id:"91",title:"Sustainable Economy and Fair Society"}}},{id:"81297",title:"Legumes Cropping and Nitrogen Fixation under Mediterranean Climate",doi:"10.5772/intechopen.104473",signatures:"Fernando Teixeira",slug:"legumes-cropping-and-nitrogen-fixation-under-mediterranean-climate",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Food Systems Resilience",coverURL:"https://cdn.intechopen.com/books/images_new/10897.jpg",subseries:{id:"91",title:"Sustainable Economy and Fair Society"}}},{id:"81493",title:"Rust Disease Classification Using Deep Learning Based Algorithm: The Case of Wheat",doi:"10.5772/intechopen.104426",signatures:"Shivani Sood, Harjeet Singh and Suruchi Jindal",slug:"rust-disease-classification-using-deep-learning-based-algorithm-the-case-of-wheat",totalDownloads:40,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Food Systems Resilience",coverURL:"https://cdn.intechopen.com/books/images_new/10897.jpg",subseries:{id:"91",title:"Sustainable Economy and Fair Society"}}},{id:"81428",title:"Observatory of Sustainable Development in Postgraduate Study Programs in Baja California",doi:"10.5772/intechopen.104641",signatures:"Rodolfo Martinez-Gutierrez, Maria Marcela Solis-Quinteros, Maria Esther Ibarra-Estrada and Angel Ernesto Jimenez-Bernardino",slug:"observatory-of-sustainable-development-in-postgraduate-study-programs-in-baja-california",totalDownloads:9,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Globalization and Sustainability - 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Saxena",hash:"d92a4085627bab25ddc7942fbf44cf05",volumeInSeries:2,fullTitle:"Current Perspectives in Human Papillomavirus",editors:[{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",slug:"shailendra-k.-saxena",fullName:"Shailendra K. Saxena",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",institutionURL:null,country:{name:"India"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},subseriesFiltersForPublishedBooks:[{group:"subseries",caption:"Bacterial Infectious Diseases",value:3,count:2},{group:"subseries",caption:"Parasitic Infectious Diseases",value:5,count:4},{group:"subseries",caption:"Viral Infectious Diseases",value:6,count:7}],publicationYearFilters:[{group:"publicationYear",caption:"2022",value:2022,count:2},{group:"publicationYear",caption:"2021",value:2021,count:4},{group:"publicationYear",caption:"2020",value:2020,count:3},{group:"publicationYear",caption:"2019",value:2019,count:3},{group:"publicationYear",caption:"2018",value:2018,count:1}],authors:{paginationCount:249,paginationItems:[{id:"274452",title:"Dr.",name:"Yousif",middleName:"Mohamed",surname:"Abdallah",slug:"yousif-abdallah",fullName:"Yousif Abdallah",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274452/images/8324_n.jpg",biography:"I certainly enjoyed my experience in Radiotherapy and Nuclear Medicine, particularly it has been in different institutions and hospitals with different Medical Cultures and allocated resources. Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. He is the author or co-author of more than seventy papers in peer-reviewed journals and conferences as well as the co-author of several books. He serves as a reviewer for many scientific journals, international conferences, and research foundations. Since 2010, Dr. Placzek has been a reviewer of grants and projects (including EU projects) in the field of information technologies.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"35000",title:"Prof.",name:"Ulrich H.P",middleName:"H.P.",surname:"Fischer",slug:"ulrich-h.p-fischer",fullName:"Ulrich H.P Fischer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/35000/images/3052_n.jpg",biography:"Academic and Professional Background\nUlrich H. P. has Diploma and PhD degrees in Physics from the Free University Berlin, Germany. He has been working on research positions in the Heinrich-Hertz-Institute in Germany. Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University, Kuwait. His research interests include optimization, computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, and intelligent systems. Prof. Sarfraz has been a keynote/invited speaker at various platforms around the globe. He has advised/supervised more than 110 students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He has authored and/or edited around seventy books. Prof. Sarfraz is a member of various professional societies. He is a chair and member of international advisory committees and organizing committees of numerous international conferences. He is also an editor and editor in chief for various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:null},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:"Beijing University of Technology",institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Lakhno Igor Victorovich was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPhD – 1999, Kharkiv National Medical Univesity.\nDSc – 2019, PL Shupik National Academy of Postgraduate Education \nLakhno Igor has been graduated from an international training courses on reproductive medicine and family planning held in Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor of the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s a professor of the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education . He’s an author of about 200 printed works and there are 17 of them in Scopus or Web of Science databases. Lakhno Igor is a rewiever of Journal of Obstetrics and Gynaecology (Taylor and Francis), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for DSc degree \\'Pre-eclampsia: prediction, prevention and treatment”. Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: obstetrics, women’s health, fetal medicine, cardiovascular medicine.",institutionString:"V.N. Karazin Kharkiv National University",institution:{name:"Kharkiv Medical Academy of Postgraduate Education",country:{name:"Ukraine"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"243698",title:"M.D.",name:"Xiaogang",middleName:null,surname:"Wang",slug:"xiaogang-wang",fullName:"Xiaogang Wang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243698/images/system/243698.png",biography:"Dr. Xiaogang Wang, a faculty member of Shanxi Eye Hospital specializing in the treatment of cataract and retinal disease and a tutor for postgraduate students of Shanxi Medical University, worked in the COOL Lab as an international visiting scholar under the supervision of Dr. David Huang and Yali Jia from October 2012 through November 2013. Dr. Wang earned an MD from Shanxi Medical University and a Ph.D. from Shanghai Jiao Tong University. Dr. Wang was awarded two research project grants focused on multimodal optical coherence tomography imaging and deep learning in cataract and retinal disease, from the National Natural Science Foundation of China. He has published around 30 peer-reviewed journal papers and four book chapters and co-edited one book.",institutionString:"Shanxi Eye Hospital",institution:{name:"Shanxi Eye Hospital",country:{name:"China"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRZkkQAG/Profile_Picture_2022-05-09T12:55:18.jpg",biography:null,institutionString:null,institution:null},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. RELACION DE PONENCIAS DE LA SOCIEDAD ESPAÑOLA DE OFTALMOLOGIA. 10/2014.",institutionString:null,institution:null},{id:"265335",title:"Mr.",name:"Stefan",middleName:"Radnev",surname:"Stefanov",slug:"stefan-stefanov",fullName:"Stefan Stefanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/265335/images/7562_n.jpg",biography:null,institutionString:null,institution:null},{id:"318905",title:"Prof.",name:"Elvis",middleName:"Kwason",surname:"Tiburu",slug:"elvis-tiburu",fullName:"Elvis Tiburu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Ghana",country:{name:"Ghana"}}},{id:"336193",title:"Dr.",name:"Abdullah",middleName:null,surname:"Alamoudi",slug:"abdullah-alamoudi",fullName:"Abdullah Alamoudi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"318657",title:"MSc.",name:"Isabell",middleName:null,surname:"Steuding",slug:"isabell-steuding",fullName:"Isabell Steuding",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"318656",title:"BSc.",name:"Peter",middleName:null,surname:"Kußmann",slug:"peter-kussmann",fullName:"Peter Kußmann",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"338222",title:"Mrs.",name:"María José",middleName:null,surname:"Lucía Mudas",slug:"maria-jose-lucia-mudas",fullName:"María José Lucía Mudas",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Carlos III University of Madrid",country:{name:"Spain"}}},{id:"147824",title:"Mr.",name:"Pablo",middleName:null,surname:"Revuelta Sanz",slug:"pablo-revuelta-sanz",fullName:"Pablo Revuelta Sanz",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Carlos III University of Madrid",country:{name:"Spain"}}}]}},subseries:{item:{id:"25",type:"subseries",title:"Evolutionary Computation",keywords:"Genetic Algorithms, Genetic Programming, Evolutionary Programming, Evolution Strategies, Hybrid Algorithms, Bioinspired Metaheuristics, Ant Colony Optimization, Evolutionary Learning, Hyperparameter Optimization",scope:"Evolutionary computing is a paradigm that has grown dramatically in recent years. This group of bio-inspired metaheuristics solves multiple optimization problems by applying the metaphor of natural selection. It so far has solved problems such as resource allocation, routing, schedule planning, and engineering design. Moreover, in the field of machine learning, evolutionary computation has carved out a significant niche both in the generation of learning models and in the automatic design and optimization of hyperparameters in deep learning models. This collection aims to include quality volumes on various topics related to evolutionary algorithms and, alternatively, other metaheuristics of interest inspired by nature. For example, some of the issues of interest could be the following: Advances in evolutionary computation (Genetic algorithms, Genetic programming, Bio-inspired metaheuristics, Hybrid metaheuristics, Parallel ECs); Applications of evolutionary algorithms (Machine learning and Data Mining with EAs, Search-Based Software Engineering, Scheduling, and Planning Applications, Smart Transport Applications, Applications to Games, Image Analysis, Signal Processing and Pattern Recognition, Applications to Sustainability).",coverUrl:"https://cdn.intechopen.com/series_topics/covers/25.jpg",hasOnlineFirst:!1,hasPublishedBooks:!0,annualVolume:11421,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. Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. 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,series:{id:"14",title:"Artificial Intelligence",doi:"10.5772/intechopen.79920",issn:"2633-1403"},editorialBoard:[{id:"111683",title:"Prof.",name:"Elmer P.",middleName:"P.",surname:"Dadios",slug:"elmer-p.-dadios",fullName:"Elmer P. 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