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Barely three months into the new year and we are happy to announce a monumental milestone reached - 150 million downloads.
\n\nThis achievement solidifies IntechOpen’s place as a pioneer in Open Access publishing and the home to some of the most relevant scientific research available through Open Access.
\n\nWe are so proud to have worked with so many bright minds throughout the years who have helped us spread knowledge through the power of Open Access and we look forward to continuing to support some of the greatest thinkers of our day.
\n\nThank you for making IntechOpen your place of learning, sharing, and discovery, and here’s to 150 million more!
\n\n\n\n\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"}]},book:{item:{type:"book",id:"6880",leadTitle:null,fullTitle:"Recent Advances in Phylogenetics",title:"Recent Advances in Phylogenetics",subtitle:null,reviewType:"peer-reviewed",abstract:"This edited volume is a collection of reviewed and relevant research chapters concerning developments within the field of phylogenetics. 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She joined this institute in 2009 as an assistant professor. She did her postdoc from South China Botanical Garden, Guangzhou, China, in 2011, funded by TWAS-CAS. She has authored 45 research articles and 4 books and contributed 6 chapters in international editors’ book. 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Although quite accurate, the taxonomic classification proposed by naturalist Carl Linnaeus did not consider the evolutionary relationships between living beings. This view, although prior to Charles Darwin, only gained deserved prominence after On the Origin of Species. Only in the twentieth century, a new area founded by Hennig, phylogenetic systematics was implemented, and with this, a series of useful methods in the construction of phylogenetic trees arose, as maximum parsimony, neighbor joining, UPGMA, maximum likelihood, and Bayesian inference. With the advancement of information technology, phylogenetic analyses have become more sophisticated and faster. The algorithms used in the analysis programs have become more complex and realistic, favoring the addition of substitution models. The application of these data and the greater facility in generating nucleotide and amino acid sequences allowed the comparison previously unimaginable, for example, between bacteria and eukaryotes. In this way, the history of the advances of phylogenetic knowledge is confused with the greater knowledge about the origin of life.",signatures:"Eliane Barbosa Evanovich dos Santos",downloadPdfUrl:"/chapter/pdf-download/63795",previewPdfUrl:"/chapter/pdf-preview/63795",authors:[{id:"250217",title:"M.Sc.",name:"Eliane",surname:"Evanovich",slug:"eliane-evanovich",fullName:"Eliane Evanovich"}],corrections:null},{id:"63173",title:"Phylogeny of Three Palmwine Yeasts Genera",doi:"10.5772/intechopen.79958",slug:"phylogeny-of-three-palmwine-yeasts-genera",totalDownloads:1113,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Sequences from three palm wine yeast genera namely Saccharomyces cerevisiae, Pichia kudriavzevii, and Candida ethanolica were analyzed to establish their phylogenetic relationships, geographical origin, and food matrix source of their close relatives. Up to 600 sequences present in yeasts representing close relatives of palm wine yeasts were examined. Pyhlogenetic trees constructed showed polyphyletic relationships in C. ethanolica whereas close relatives of S. cerevisiae and P. kudriavzevii showed little divergence. Sequence data for both Elaeis sp. and Raphia sp. palm trees showed that highest number of palm wine yeasts relatives sequence submissions to the Genbank were from China and beverages were mainly the sources of close relatives of S. cerevisiae and P. kudriavzevii whereas C. ethanolica closest relatives were from various non-food sources. Overall relatives of palm wine yeasts were not specific to any particular food or fermentation mix. The guanine-cytosine (G+C) content in P. kudriavzevii (57–58%) and C. ethanolica (56–57%) was higher than that of S. cerevisiae (47.3–51%). This suggests that the P. kudriavzevii and C. ethanolica have a higher recombination rate than S. cerevisiae strains analyzed. 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Basidiomycetes are very large group of fungi including mushrooms, toad stools, puff balls, earth stars, polypores, and rust and smut fungi. Previously, these fungi were identified only by morphological characters that have been considered as variable due to environmental factors. Literature shows that many fungi are misidentified due to phenotypic changes. Molecular methods including phylogenetics prove to be successful aids along with traditional methods for correct identification of these fungi and these have revolutionized fungal reclassification. Many fungal taxa have been shifted to other groups of fungi after their phylogenetic analysis. 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They are used as staple food, dessert and cash crop by more than hundred millions of people throughout the world. However, the crop is threatened by several pests and diseases in central and eastern Africa. One way of partly solving this problem is to have diploids which have desirable traits currently lacking in the AAA-Lujugira-Mutika subgroup. The study assessed through 21 microsatellite markers pairs the cladistic closeness of the diploid AA-Mshale accessions with AAA-Lujugira-Mutika with the purpose of inclusion in breeding programmes. Results showed that the eight studied accessions of AA-Mshale were different from each other. AA-Mshale malembo was fairly well established to be among the ancestor of Lujugira-Mutika, suggesting the determinism of its pollen viability and the level of resistance to pests for including in breeding programmes. 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Almost every person has more than one computing device. So, there are in our world milliards of computing devices that consume a huge amount, of megawatts. It is crucial to design energy-efficient computers, servers and Tablets. Computer engineers should design and manufacture green computers, servers, Tablets, and other computing devices. The computer industry design and manufacture every year new computing devices. Appropriately disposing, recycling of unwanted computing devices and electronic equipment is a crucial task in creating a green environment.
\nGreen computing is the environmentally responsible use of computers and their resources. Green computing may be considered as the research and study of developing, designing, engineering, producing, using, and disposing of computing modules and devices to reduces environmental hazards and pollution. Computer designers, developers, manufacturing companies and vendors are investing in developing green computing modules and devices by reducing the use of hazard materials and improving the recycling process of computing and digital modules. Green computing is also known as green information technology (green IT).
\nIn 1992 the Environmental Protection Agency (EPA) launched the Energy Star program that boosted Green computing practices.
\nGreen computing practices include the development of environmentally green production practices, efficient energy consumption computers, usage of energy harvesting technologies, and enhancing disposal and recycling procedures.
\nGreen computing main topics and initiatives:
The book presents new subjects and innovation in green computing technologies and in green computing and electronics industries. The main topics presented in the book are listed.
Green computers, electronics, and computing technologies
Green renewable energy in computers and electronics
Developing and manufacturing of energy-efficient computers, servers and Tablets
Recycling and green disposal of computers and digital devices
Low electricity consumption computers, smartphones, servers and Tablets
Green production of green computers and digital devices
It is obvious in 2021 to most of the world population that Green Computing Technologies are crucial in protecting our universe from environmental hazards and pollution. In the last century, the world has suffered from rapid changes in climate, water pollution, and air pollution. The universe suffers from severe droughts, seawater acidification, rising seawater levels, increased depletion of groundwater reserves, air pollution, rivers pollution, and global rise of earth temperature. The rapid spread of diseases, viruses, macro-parasites, and the extinction of animal species are the direct result of environmental changes. Most of these changes are irreversible. Countries, governments, communities, and citizens should act rapidly to save the planet. In the last decade we notice that kids and young people lead around the world initiatives to decrease air pollution, water pollution and climate changes.
\nThe private cars industry, electronic industry, high tech computing industry, and the communication industry in the last century depleted and ruined the world natural resources. Computers waste, electronic waste, plastics, and food garbage contain dangerous chemicals that pollute air, soil, rivers water, sea water, and groundwater. These toxic materials cannot be removed from fishes, vegetables, fruits, and other food products. These toxic chemicals can be found in fruits, vegetables and other food crops, fishes, meat, and corps grown on polluted soil. Toxic waste, polluted water, polluted air, and climate changes affect severely first children health and grownup health. The universe oceans, rivers, seas, and lakes suffer from plastic and chemical waste. Chemical toxics and plastic waste kill the ocean and sea habitats in our planet. Hazard materials, chemical toxics, and plastic waste kill fishes, birds, and other creatures. Plastic waste poses choking and strangulation hazards. Plastic particles are making their way into the bottom of the food chain. Fishes and other species swallow plastic waste and become contaminated. These creatures are subsequently harvested for human consumption. The contaminated fishes and creatures, hazard toxics, are served in our plate and reach our stomach.
\nGreen computing, green electronics, green energy, recycling, and waste management and are the important crucial topics and challenges in green technologies, green industry, green research and in green innovation. The book is divided to three sections. Section one presents innovations in green computing and electronic systems. Section two presents green devices and technologies. Innovation in green computing technologies and computing industry are presented in section 3.
\nGreen electronics and computing are in continuous growth in the last twenty years. The communication, wireless communication, electronics, and computing industries are facing increasing pressure from governments and legislation to remove toxic and hazardous material from their devices. There is a continual world-wide environmental movement to use green materials, green energy, and green components in production of communication, electronic devices, and computers. There are global series of activities that outline targets for electronic devices re-use and recycling. In green computing and green electronic industries, the use of hazardous materials such as cooper, lead, plastic materials, and other toxic materials is not permitted or limited to decrease pollution and to improve recycling process.
\nComputers, communication devices, and electronics manufacturers are encouraged and challenged to develop electronic devices that are green and environmentally friendly. Green communication and electronics manufacturing focuses on using green materials, renewable energy, using efficient green devices, using energy harvesting units, reduction number of parts in modules and systems, recycling green materials, recycling energy, and recycling mechanical and electronic components. The book will describe and present development and production of green efficient devices that use green energy in computing and electronic industry. In this regard, energy harvesting technologies that can be employed to produce, recycle, and store green energy are presented in this book. On the other hand, it will present green computing systems and devices that are important factors in developing greener computing and electronic industry. Computers, cell phones and other electronic devices contain toxic hazardous materials that endanger the environment and, consequently, threaten the human health. Recycling of computer and electronic waste minimize the amount of toxic hazardous materials in the environment. Computers developers and manufacturers should handle and take care of electronic waste seriously with first majority. Computers, smart phones, and electronics manufacturers are challenged to reduce the amount, of computers and electronic waste and the number of parts in the system, by designing products that minimize the amount, of parts in the system and of harmful substances and to use parts and components that can be recycled. Computers developers and manufacturers are encouraged to develop products with a longer lifecycle. This book intends to provide the reader with a comprehensive presentation of green computing, green environmental technologies as a global universal standard for projects managers, developers, system engineers and manufacturers.
\nGreen energy
Minimization in energy consumption
Green materials
Electronic waste
Recycling
Cloud storage cut energy consumption, computing expenses such us storage maintenance tasks, and purchasing additional storage capacity. Cloud storage provides greener computing services. Cloud storage is a service package in which data is stored, managed, backed up remotely and made available to users over a network and internet services. Cloud storage is based on a virtualized infrastructure with accessible interfaces. Cloud-based data is stored in servers located in data centers managed by a cloud provider. A file and its associated metadata are stored in the server by using an object storage protocol. The server assigns an identification number, ID, to each stored file. When file needs to be retrieved, the user presents the ID to the system and the content is assembled with all its metadata, authentication, and security. The most common use of cloud services is cloud backup, disaster recovery, and archiving infrequently accessed data. Cloud storage providers are responsible for keeping the data available and accessible, and the physical environment protected and running. People and organizations buy or lease storage capacity from the providers to store and archive data files. Cloud storage services may be accessed via cloud computers and web services that use application programming interface, API, such as cloud desktop storage and cloud storage gateways.
\nThere are three main cloud-based storage architecture models public, private and hybrid.
\nBy using cloud storage companies can cut their energy consumption, computing expenses such us storage maintenance tasks, and purchasing additional storage capacity.
Cloud storage provides users with immediate access to a broad range of resources and applications hosted in the infrastructure of another web service interface.
Cloud storage can provide the benefits of greater accessibility, rapid deployment, strong protection for data backup, reliability, archival and disaster recovery purposes.
Cloud storage is used as a natural disaster proof backup. Usually there are at least two backup servers located in different places around the world.
Cloud storage can be used for copying virtual machine images from the cloud to a desired location or to import a virtual machine image from any designated location to the cloud image library.
Storage availability and data protection are provided by cloud storage services. So, depending on the application, the additional technology efforts, and cost to ensure availability and protection of data storage can be eliminated.
Decrease in the security level of the stored data.
Increasing the risk of unauthorized physical access to the data.
In cloud-based architecture, data is replicated and moved frequently so the risk of unauthorized data recovery increases dramatically.
It increases the number of networks that the data should travel over them. This disadvantage does not exist in a local area network (LAN) or in a storage area network.
Data stored on a cloud requires a wide area network.
A cloud storage company have many customers and thousands of servers. Therefore, a larger team of technical staff with physical and electronic access to almost all, the data at the entire facility. Encryption keys that are kept by the service user, as opposed to the service provider, limit the access to data by service provider employees. An amount, of keys have to be distributed to users via secure channels for decryption. The keys should be securely stored and managed by the users in their devices. Storing these keys requires expensive secure storage.
Cloud storage is a rich resource for both hackers and national security agencies. The cloud store data from many different users and organizations. Hackers see it as a very valuable target.
Cloud storage sites have faced lawsuit from the owners of the intellectual property uploaded and shared in the site. Piracy and copyright problems may be enabled by sites that permit file sharing.
Cloud storage companies are not permanent and the services and products they provide can change.
Cloud storage companies can be purchased by other foreign larger companies, can go bankrupt and suffer from an irrecoverable disaster.
Solar energy, wind energy, water energy, and biology fuel are examples of green renewable energy. Nuclear energy, fuel, hydrogen, coal, natural gas, and oil are nonrenewable energy resources. Light, wind, electromagnetic energy, are employed to produce green renewable energy.
\nThe radiation of the sun is used to produce solar energy. The sun is an infinite limitless source of solar energy. Solar cells convert energy from natural light into electrical energy through the process of photovoltaics. Using solar energy to generate electricity minimize the consumption of coal and fuel. Using solar energy results in a significand reduction in air and environmental pollution. Solar energy farms are presented in Figure 1.
\nSolar energy farms.
Advantage of Green Solar Energy
does not emit green-house gases
Solar energy is Green and clean energy.
Solar energy offers decentralization of power.
Solar energy is environment friendly. Solar energy does not rely on constantly mining raw materials. Solar energy does not result in the destruction of forests and eco-systems that occurs with many fossil fuel operations.
Solar panels produced today carry a 25 to 30 years warranty.
Solar energy is not degradable.
Solar light is a free natural resource
Solar energy does not require expensive and ongoing raw materials like oil, coal, or gas. Solar energy requires significantly lower operational labor than conventional power production. Raw materials should not be constantly extracted, refined, and transported to the power plant.
Oil, coal, and gas used to produce conventional electricity is often transported cross-country or internationally. This transportation has additional costs, including monetary costs, and pollution costs of transport. These costs are avoided with solar energy.
On grid means If the house remains connected to the state electricity facility it is called on grid connection. If the house has no connection to the state electricity facility it is called off grid connection. In this case the facility, house, company, business, or a community is relying only on solar energy. The ability to produce electricity off the grid is an important advantage of solar energy for isolated communities, facilities, and rural areas. Solar energy can be produced on or off the grid. Installing power long power lines are significantly difficult and very expensive in these rural areas.
The sun is an unlimited free commodity that can be sourced from several locations. One of the major advantages of solar energy is the ability to bypass the linkage between politics status and energy price. However, in the fuel markets there is a strong linkage between politics status and energy price. Price of Solar energy is less affected to price manipulations of politics status, war, and international relations. However, politics status manipulations doubled the price of fuel in the past fifty years.
Disadvantage of Solar Energy
Depend on the weather and sun light
Expensive installation and maintenance
Consume large area
Development and production of solar cite is expensive
solar energy production is relatively inefficient. The efficiency of solar panels is less than 30%. This means that a huge amount of surface area is required to produce adequate electricity.
Solar electricity storage technology is expensive, bulky, and more appropriate to small scale home solar panels than large solar farms.
Global efforts to combat climate change, such as the Paris Agreement, renewable energy is seeing a continues growth. Cumulative wind capacity around the world increased from around 20,000 megawatts to more than 500,000 megawatts in the last fifteen years. Wind power is a popular sustainable, renewable source of power that has a small impact on the environment compared to burning coal or fuel. Wind energy uses the wind to provide mechanical power through wind turbines to turn electric generators for electrical power. The wind kinetic energy is used to operate electric turbines and windmills. The turbine’s blades spin clockwise when the wind blows, capturing energy. When the wind blows the main shaft of the wind turbine, connected to a gearbox within the nacelle, is triggered to spin. The gearbox sends the wind energy by the gearbox to the generator. The wind energy is converted to electricity. However, windmills cannot be operated in a residential area. Offshore wind turbines provide steady, reliable clean energy in several countries. Figure 2 presents wind energy cites. Wind is a clean source of renewable energy that produces no air or water pollution. Wind energy disadvantages include complaints from locals that wind turbines are ugly and noisy. The turbines rotating blades kill birds and bats.
\na. Country wind energy farm b. offshore wind energy cite
Wind energy is a green and clean energy. Wind energy turbines operation does not directly emit any CO2 or greenhouse gases
Wind energy is plentiful, readily available, and capturing its power does not deplete our valuable natural resources.
Not degradable
Wind power is cost-effective in many regions. Wind energy is cheap.
Wind energy offers decentralization of power.
Wind energy is environment friendly. Wind energy does not rely on constantly mining raw materials. Wind energy does not result in the destruction of forests and eco-systems that occurs with many fossil fuel operations.
Wind is a free natural resource
Wind energy does not require expensive and ongoing raw materials like oil, coal, or gas. Wind energy requires significantly lower operational labor than conventional power production. Raw materials should not be constantly extracted, refined, and transported to the power plant.
The wind is an unlimited free commodity that can be sourced from several locations. One of the major advantages of wind energy is the ability to bypass the linkage between politics status and energy price. However, in the fuel markets there is a strong linkage between politics status and energy price. Price of wind energy is less affected to price manipulations of politics status, war, and international relations. However, politics status manipulations doubled the price of fuel in the past fifty years.
Oil, coal, and gas used to produce conventional electricity is often transported cross-country or internationally. This transportation has additional costs, including monetary costs, and pollution costs of transport. These costs are avoided with solar energy.
Depend on the weather and wind velocity
Cannot be operated in a residential area
Consume large area
Development and production of wind energy cite is expensive, land is expensive.
Noisy
Dangerous to birds, bats, and animals
\nTable 1 presents global wind farms database.
\nWorld | \n884.2 GW | \n32,293 | \n1250 € | \n
Offshore | \n344.5 GW | \n986 | \n200 € | \n
Africa | \n8.8 GW | \n125 | \n75 € | \n
Americas | \n207.1 GW | \n3,165 | \n400 € | \n
Asia | \n328.2 GW | \n4,612 | \n400 € | \n
Europe | \n324.4 GW | \n24,195 | \n800 € | \n
Oceania | \n15.7 GW | \n196 | \n100 € | \n
Germany | \n70,800 MW | \n11,131 | \n350 € | \n
Brazil | \n36,476 MW | \n678 | \n205 € | \n
USA | \n136,490 MW | \n1,778 | \n350 € | \n
China | \n205,567 MW | \n2,528 | \n350 € | \n
United Kingdom | \n55,171 MW | \n1,171 | \n345 € | \n
France | \n22,252 MW | \n1,574 | \n350 € | \n
India | \n33,399 MW | \n914 | \n205 € | \n
Japan | \n25,107 | \n391 | \n105 € | \n
Global wind farms database.
Waterfalls and fast running water flow may be used to generate electric energy. Water Energy cite is presented in Figure 3. Water flow kinetic energy is converted to electric energy. In the late 19th century, hydropower became a source for generating electricity. The first commercial hydroelectric power plant was built at Niagara Falls in 1879. In 1881, streetlamps in the city of Niagara Falls were powered by hydropower. Hydroelectricity can be used to store energy in the form of potential energy between two areas with different heights with pumped-storage hydroelectricity. Water is pumped uphill into cites during periods of low demand. This energy can be released to generate energy when demand is high.
\nHydropower energy cite.
Rain fall generates water flow
Waterfalls generate hydropower energy
High water levels, low water levels and water stream can be used to generate hydropower energy
Hydroelectricity is green and clean energy compared to other sources of energy.
Hydroelectricity is not degradable
Water is a free natural resource
Hydroelectricity is cheap energy compared to other sources of energy
Hydroelectricity does not pollute the environment
Hydropower energy cites depend on rain fall, snow, the weather, and water stream
Difficult to be installed and operated in a residential area
Hydropower energy cites usually are limited to areas with waterfalls
Hydropower energy cites consume large area
Development and production of water hydroelectricity is expensive.
The continuous growth in production of portable RF systems increase the consumption of batteries and electrical energy. Batteries and conventional electrical energy increase the environmental pollution. In last twenty years, the trend of using free space energy such us light, heat, electromagnetic energy, vibration, muscle motion and other energy sources, has become very attractive and useful. Several inventions and methods to produce electricity from green energy sources have been presented, see [1, 2, 3]. RF harvesting may be useful and recharge batteries only if we collect as much RF energy as possible. In this case, energy harvesting units can eliminate the need to charge batteries by using electrical cables. It is crucial to harvest RF energy from several RF devices and systems. Wideband or multiband antennas should be used to harvest as much electromagnetic energy as possible. The energy harvesting antenna must meet the system requirements. Due to low electromagnetic energy densities in free space, efficient antennas should be used. The antennas should radiate efficiently at a specific frequency range and polarization. The antenna should receive efficiently electromagnetic waves from a wide angular angle. To meet this requirement the antenna radiation pattern should have a wide beam width. Printed antennas were used to harvest RF energy as presented in the literature, [4, 5, 6, 7, 8, 9, 10]. Electromagnetic energy harvesting systems capture waves propagating in the air. This RF energy is stored and used to recharge batteries and other electrical devices. In the last decade there is a huge increase in the amount of RF power in the air. The amount, of electromagnetic waves in the air in 2017 was 11 Exa-bytes per month. The amount, of electromagnetic waves in the air in 2019 was 33 Exa-bytes per month. However, the predicted amount, of electromagnetic waves in the air in 2025 will be around 165 Exa-bytes per month, Table 2. Table 2 presents the expected amount of RF wave in the air for 2G, 3G, 4G, and 5G networks. 5G devices are forecast to account for 45% of the universe mobile data traffic by 2025.
\nYear | \nTotal amount of RF wave in free space EB per month | \nAmount of RFwave in free space EB per month 2G, 3G, 4G | \nAmount of RF wave in free space EB per month 5G | \n
---|---|---|---|
2017 | \n11 | \n11 | \n0 | \n
2019 | \n33 | \n33 | \n0 | \n
2021 | \n60 | \n50 | \n10 | \n
2023 | \n100 | \n75 | \n25 | \n
2025 | \n164 | \n85 | \n79 | \n
Amount, of electromagnetic waves in the air from 2017 up to 2025.
Energy harvesting system is shown in Figure 4. The electromagnetic harvesting unit consists of an antenna, a rectifying circuit, and a rechargeable battery. The RF harvesting energy system operates as a Dual Mode harvesting unit. The Low Noise Amplifier, LNA, is part of the RF system. The LNA DC bias voltages are supplied by the DC unit of the RF system. The programmable array consists of 3 to 4 antennas that can harvest RF energy from around 140 MHz up to 18GHz. The total received electromagnetic energy is transformed to DC power. The harvesting system consists of antennas, matching and feed networks, rectifying circuit, and a rechargeable battery. The RF harvesting system function as a dual mode harvesting unit. The harvesting unit can be part of a computing network, server, communication system, medical, IOT, computer, and smartphone. The LNA bias voltages are supplied by the RF system. The energy coupled to the built in test port, -20 dB, may be used to recharge a battery.
\nDual mode energy harvesting concept.
Recycling is the process of collecting and processing used materials that would otherwise be thrown away as trash. Recycling conserves raw materials and saves the additional energy that manufacturers would use producing new products from scratch. The continuous growth in development of cellular wireless communication systems over the last thirty years has resulted that most of the world population owning laptops, computers, smartphones, smart watches, I-pads, and other devices. As a result, the number of unwanted electronic devices is huge. With this huge number of devices being produced and discarded, a new environmental disaster strikes our planet. Electronic waste or discarded old electronics are filling up landfills and trash storage areas. These electronics waste contain hazardous materials and toxic materials that endanger the environment and the health of local communities. This electronics waste increase air and water pollution. Green electronics and computing technologies are used to decrease environmental pollution. Recycling of computers waste, electronic devices waste, old batteries, plastic waste, and bottles decrease environmental pollution. Recycling saves original raw materials. Recycling reduce waste and reduce pollution. Computers recycling waste is shown in Figure 5.
\nComputers waste recycling cite.
Conserves natural resources such as cooper, steel. Water and other minerals
Minimize energy consumption by using recycled devices and parts
Increases economic security by tapping a domestic source of materials
Prevents pollution by reducing the need to collect new raw materials
Reduces the amount of waste sent to landfills
Saves energy needed to produce new components and materials
Supports manufacturing companies and conserves valuable resources
Create jobs in the recycling and manufacturing industries in the United States
Price of recycled devices is cheaper
In the last fifty years, the world has suffered from significantly rapid changes in the planet weather, water pollution, and air pollution. The private cars industry, electronic industry, high tech computing industry, and the communication industry in the last century depleted and ruined the world natural resources. The universe suffers from severe droughts, seawater acidification, rising seawater levels, increased depletion of groundwater reserves, air pollution, rivers pollution, and global rise of earth temperature. The rapid spread of diseases, viruses, and the extinction of animal species are the result of environmental changes. Most of these changes are irreversible. Computers waste, electronic waste, plastics, and food garbage contain dangerous chemicals that pollute air, soil, rivers water, sea water, and groundwater. These toxic materials cannot be removed from fishes, vegetables, fruits, and other food products. These toxic chemicals can be found in fruits, vegetables and other food crops, fishes, meat, and corps grown on polluted soil. Toxic waste, polluted water, polluted air, and climate changes affect severely first children health and grownup health. The universe oceans, rivers, seas, and lakes suffer from plastic and chemical waste. Chemical toxics and plastic waste kill the ocean and sea habitats in our planet. Hazard materials, chemical toxics, and plastic waste kill fishes, birds, and other creatures. We should encourage countries, governments, communities, and citizens to act rapidly to save the universe. We should encourage companies to use green materials, green energy, and green components in production of communication, electronic devices, and computers. We should encourage global activities to re-use and recycle computers and electronic waste. In green computing and green electronic industries, the use of hazardous materials such as cooper, lead, plastic materials, and other toxic materials should be limited to decrease pollution.
\nComputers, communication devices, and electronics manufacturers should be encouraged to develop electronic devices that are green and environmentally friendly. Computing and electronics manufacturers should use green materials, renewable energy, efficient green devices, and energy harvesting systems.
\nUsing renewable and harvesting energy in computing and electronic devices
Using recycled components and devices in manufacturing computers and electronic devices
Design and development of green computers and electronic devices
Producing cheap solar green energy
Recycling most of the computers and electronics waste
Development and production of green cars and airplanes
We should encourage peoples, young people, and kids to lead around the world initiatives to decrease air pollution, water pollution and climate changes.
The term “pneumothorax” was coined by a French physician Itard, in 1803 [1]. Pneumothorax is defined as the presence of air in the pleural space. Even though intrapleural pressures are negative throughout the respiratory cycle, air does not enter the pleural space, as the net movement of gases from capillary blood into pleural space requires pleural pressures to be lower than −54 mmHg, which does not occur in normal circumstances. Hence, for air to be present in pleural space, one of the three events must occur: communication between pleural space and alveolar space (or bronchus), or communication between pleural space and the atmosphere, or presence of gas-producing organism in the pleural space [2].
Clinically, pneumothorax is classified as spontaneous (no obvious precipitating factor present) and non spontaneous (consequence of any thoracic injury). Spontaneous pneumothorax may be primary (no apparent underlying lung disease) or secondary (associated with clinically apparent underlying disease, like chronic obstructive pulmonary disease, cystic fibrosis), or catamenial (associated with menstruation). Pneumothorax can be of varying clinical severity, ranging from a small pneumothorax, which is likely to resolve spontaneously, to those with large pleural defects and collapse of entire lung and compromised ventilation.
Pneumothorax ranks second to rib fracture, as the most common manifestation of traumatic chest injury and is noted in 40–50% of patients with chest trauma [3]. Weissberg et al. in a study of 1199 cases of pneumothoraces found secondary spontaneous pneumothorax (505 patients) to be most common, followed by primary spontaneous pneumothorax (218 patients), traumatic pneumothorax (403 patients), and iatrogenic pneumothorax (73 patients) [4].
Normally, the pressure in pleural space is negative compared to the alveolar pressure during the entire respiratory cycle, due to the inherent elastic recoil of the lung. The pleural pressure is also negative with respect to atmospheric pressure. Development of communication between alveolus or atmosphere and the pleural space allows air to flow into the pleural space until there is no longer a pressure difference or until the communication is sealed [5].
Tension pneumothorax is a condition where there is continuous increase in the air trapped in the pleural space, due to formation of a one-way valve by the injured tissues. This trapped air builds up pressure on the affected side, causing collapse of the ipsilateral lung and shift of mediastinum into the contralateral hemithorax. This causes respiratory distress. Also, there is reduced venous return and thus decreased cardiac output. Further, hypoxia leads to increased pulmonary vascular resistance via vasoconstriction. Cardiopulmonary arrest becomes imminent. Tension pneumothorax, thus, culminates in a life-threatening condition.
Spontaneous rupture of blebs may result in pneumothorax. The rupture may be a consequence of pressure change, as seen in airplane crew members or scuba divers [6]. The volume of given mass of gas at a constant temperature is inversely proportional to its pressure. A given volume of air at an altitude of 3050 m, saturated at body temperature, expands to 1.5 times the volume at sea level. Scuba divers breathe the compressed air delivered by a regulator and during ascent, as ambient pressure falls rapidly, gas in the lungs expands and may rupture blebs [7].
Secondary spontaneous pneumothorax may be due to rupture of pre-existing blebs or due to areas of increased porosity. These are areas of disrupted mesothelial cells on the visceral pleura, replaced by an inflammatory elastofibrotic layer with increased porosity, allowing air leak into the pleural space [8]. Pneumothorax has, also, been reported to be the presenting sign of peripheral necrotic tumour or centrally located tumour.
Catamenial pneumothorax is defined as two episodes of pneumothorax temporally related to the onset of menses, usually within 72 hours. Catamenial pneumothorax is the presentation of thoracic endometriosis and thorax is the most common site of extra pelvic endometriosis. An older age at diagnosis (34.2 ± 6.9 years), and right sided lesions predominate the clinical picture. Thirty-nine percent of patients have associated diaphragmatic lesions. Diverse hypothesis have been advanced to explain the pathogenesis of endometriosis related pneumothorax: spontaneous rupture of blebs, shedding of endometrial implants of visceral pleura, and the transdiaphragmatic crossing of air from the genital tract during menses. Known risk factors associated with thoracic endometriosis include previous gynaecologic surgery (such as curettage for miscarriage, hysteroscopy for endometrial biopsy, or revision of the uterine cavity after caesarean section), primary or secondary infertility, and the history of pelvic endometriosis.
Iatrogenic pneumothorax may be caused during transthoracic needle aspiration or biopsy, subclavian or jugular vein catheterization, thoracocentesis, mechanical ventilation, cardiopulmonary resuscitation, tracheobronchial biopsy, among the commonly reported causes. Rarer reported causes are liposuction of axilla fat, liver biopsy, colonoscopy and gastroscopy [9]. Surgeries with operative fields far removed from thorax, have been reported to be associated with pneumothorax, such as orthognathic surgery [10]. Iatrogenic pneumothorax related to mechanical ventilation has been reported in up to 15% of ventilated patients [11].
Communication between a bronchus (main stem, lobar or sublobar bronchus) and pleural space, called bronchopleural fistula, usually results as a complication of lung-resection surgery. The incidence of bronchopleural fistula is up to 1% after lobectomy and about 4–20% after pneumonectomy [12].
On inspection, tachypnea, increased work of breathing and respiratory distress may be seen. Cyanosis, drowsiness and decreased oxygen saturation may be found in tension pneumothorax. On palpation, tachycardia, chest wall tenderness, subcutaneous emphysema, decreased chest wall expansion, decreased tactile fremitus and tracheal shift are noted.
Hyper-resonant notes on percussion over the affected lung fields and decreased air entry perceived on auscultation are indicative of pneumothorax. There may be absent breath sounds on the ipsilateral side with contralateral reduced air entry in tension pneumothorax. Iatrogenic pneumothorax should be suspected in any patient who becomes more dyspneic after a medical or a surgical procedure that is known to be associated with the development of the pneumothorax. Sudden increase in peak airway pressure and sudden decline in oxygen saturation in a patient on mechanical ventilation should ring warning bells for the intensivist.
A chest X-ray may reveal free air around the periphery of the lung fields and decreased lung volume. It may demonstrate the aetiology of the pneumothorax, such as rib or sternal fractures or presence of emphysematous lungs. Films should be taken in erect position, because in supine position, air spreads out in whole of pleural cavity, and films may appear normal, even in the presence of significant air. In patients who cannot be positioned erect and need to be supine, a deep sulcus sign (deep lateral costophrenic angle) should be looked for [13].
Methods to determine the size of pneumothorax on chest X-ray give approximate idea only. There are currently two methods described in adults. If the lateral edge of the lung is >2 cm from the thoracic cage, then, it implies air is occupying at least 50% of thoracic volume and hence, pneumothorax is large in size. Another method is measuring the fractional change in linear dimension of lung, and that multiplied by a factor of three, gives the fractional volume of pneumothorax [14].
Computed tomography (CT) chest provides more accurate information regarding volume of pneumothorax and associated pathology. Obtaining X-ray or CT images may be problematic and time-consuming in poly-trauma patients. Nowadays, in many trauma centres, pneumothorax is detected by sonography and has been included as a part of focused abdominal sonography for trauma (FAST) examination [15]. Ultrasound plays a important role in patients who are not stable enough for chest X-ray and CT. Also, ultrasound is not invasive and the patient is not exposed to radiation. According to a study of Blaivas et al., chest X-ray and ultrasound have a sensitivity of 75.5 and 98.1%, respectively and a specificity of 100 and 99.2%, respectively [16].
Bronchopleural fistula should be suspected in a lung resection patient with large continuous air leak and signs of empyema (leukocytosis, fever, purulent fluid on thoracocentesis, and pleural fluid on chest X-ray or CT scan). Large pneumothorax developing days or weeks after resection is strongly indicative of a bronchopleural fistula. There is often a persistent and worsening cough. Since these patients have high mortality rates, of 11–18% for early fistula (within 30 days of surgery) and 0–7% for late fistula (beyond 30 days of surgery), they should be evaluated thoroughly by CT scan and flexible bronchoscopy. Bronchopleural fistula is separately discussed thoroughly elsewhere.
Initial management of pneumothorax patients involves ensuring adequate airway, providing supplemental oxygen, securing an intravenous line, looking for signs of compromised breathing and deciding on the need of tube thoracostomy. Tension pneumothorax should be diagnosed by clinical assessment and a tube thoracostomy/needle thoracocentesis should be performed immediately. Scant data exists in literature proving the efficacy of needle thoracocentesis procedure. However, when tube thoracostomy is anticipated to take time, a needle thoracocentesis may be done immediately, to save life.
Tube thoracostomy is an emergency procedure and is mandatory where pneumothorax is large, or patient has respiratory compromise. Some centres practice drainage of all traumatic pneumothoraces irrespective of symptoms [11]. This line of management in simple pneumothorax is considered invasive by other centres, who recommend observation and oxygen supplementation for small pneumothoraces.
Sucking chest wounds require immediate sealed-cover with an occlusive, air-tight, clean plastic sheet. The sterile inside of gloves-packet can be used in an emergency situation. No patient with penetrating chest wound should be neglected, as tension pneumothorax or life-threatening respiratory emergency can arise.
Upright positioning is beneficial unless contraindicated, like in spinal injury. In a patient with pneumothorax who requires air transport, it is essential that an intercostal tube with Heimlich valve be placed prior to transfer, as pressure changes during flight will cause progression in the severity of the injury and may potentially lead to development of tension pneumothorax.
Pain impairs the ability of the person to breathe, further compromising lung mechanics, in inflammed and contused lungs. In addition, it causes the retention of pulmonary secretions which further suppresses the patient’s cough reflex, finally leading to atelectasis and increasing morbidity, Nonsteroidal anti-inflammatory drugs, systemic opioids or regional analgesia methods such as epidural analgesia, intrapleural analgesia, intercostal nerve block, and thoracic paravertebral block have been used for pain control.
Supplemental oxygen therapy, instead of room air, accelerates the resorption of air in pleural cavity by four-fold. By breathing 100% oxygen instead of air, alveolar pressure of nitrogen falls, and nitrogen is gradually washed out of tissue and oxygen is taken up by vascular system. This builds substantial gradient of nitrogen between tissue capillary and the pneumothorax space, resulting in multifold increase in absorption from pleural space. About 1.25% of the volume of pleural air is absorbed in 1 day; hence 25% of the volume is absorbed in 20 days [17]. Small pneumothoraces are often managed with oxygen administration and monitoring via chest X-rays.
Correct placement of the tube is seen as the stream of the bubbles during expiration and coughing and the rise on the level of fluid in the underwater seal during inspiration. Complications of tube thoracostomy include injury to lung or mediastinum, haemorrhage (usually from intercostal artery injury), neurovascular bundle injury, infection, bronchopleural fistula, and subcutaneous or intraperitoneal tube placement.
Heimlich valve or the Vycon self-sucking chest drainage valve are applied directly to the chest tube and reduce or eliminate the underwater drainage period. The Heimlich flutter valve is quite inconspicuous under clothes and makes ambulatory treatment possible. The valve is made of latex rubber that acts as one-way valve, letting air out and preventing reentry. The Vycon device is a double self-sucking valve. It has a soft plastic casing that allows application of manual pressure to aspirate air or fluid [18].
If the lung remains unexpanded or if there is a persistent air leak 72 hours after tube thoracostomy, thoracoscopy or thoracotomy should be considered. Presence of hemopneumothorax, bilateral pneumothorax, first contralateral pneumothorax and pregnancy may be considered for early invasive treatment [19].
Tube thoracostomy is usually sufficient to treat primary spontaneous pneumothorax. However, Schramel et al. reviewed 11 studies over 32 years, involving 1242 patients with primary spontaneous pneumothorax, treated with needle aspiration or tube drainage, and concluded that about 30% patients have recurrence of pneumothorax [20]. Risk factors for recurrence are radiographic evidence of pulmonary fibrosis, smoking, asthenic habitus and younger age [21]. Presence of blebs or bullae was not found to be significantly associated with recurrence [21]. Of patients with recurrent pneumothorax after initial spontaneous pneumothorax, 72% will develop a subsequent pneumothorax within a 2-year period [21]. Recurrent spontaneous pneumothorax or persistent air leaks at initial presentation are indications for operative treatment. Patients in occupations with excessive pressure changes (pilots and divers) or those residing in remote areas, are candidates for operative intervention after a single episode of spontaneous pneumothorax to prevent a potentially life-threatening recurrence.
Clinical picture in secondary spontaneous pneumothorax (SSP) is complicated by the presence of underlying diffuse lung disease, such as chronic obstructive pulmonary disease (COPD), cystic fibrosis, tuberculosis, fibrotic lung diseases such as idiopathic pulmonary fibrosis, and autoimmune diseases involving pleura such as rheumatoid arthritis, ankylosing spondylitis, systemic sclerosis, and Sjogren’s syndrome. Observation without evacuation of the pneumothorax, is usually not possible because these patients usually are very symptomatic. Simple aspiration is less likely to be successful in SSP than in primary pneumothorax [22]. It is attempted as an initial treatment in small (air space <2 cm) pneumothoraces in minimally breathless patients under the age of 50 years. If the patient with SSP is 50 years or older, and if the rim of intrathoracic air is larger than 2 cm on a chest X-ray, intercostal tube drainage is advocated. Clinically unstable patients should have a chest tube inserted, notwithstanding the size of the pneumothorax. Sixty-one to seventy percent of leaks resolve by day seven of tube drainage. Further drainage is unlikely to improve success. If air leak does not stop after 48 hours of continuous drainage, consultation for surgical intervention is recommended because of significantly lower healing rate of pleura in cases of SSP compared with primary spontaneous pneumothorax [23].
Indications for operative treatment include persistent air leak, recurrent pneumothorax, pneumothorax after pneumonectomy or intolerance of the prolonged effects of pneumothorax, not relieved by more conservative approaches.
Prevention of persistent air leak or future recurrence requires initial identification of the source of the air leak, that is, macroscopic blebs or bullae. Bullae are air filled spaces within the lung parenchyma resulting from the progressive destruction of alveolar tissue. Typically they have relatively thick fibrous walls, grow progressively larger, and are poorly ventilated and with poor perfusion. A giant bulla is defined as one which occupies more than one third of the chest cavity. Complete intrathoracic inspection requires division of all pleural adhesions since these often conceal the culprit lesion. The source of air leak is then controlled by stapling, or suturing.
After completion of the bleb resection, pleurodesis is performed to decrease risk of recurrence. Horio et al. has shown, in a comparative study, that recurrence rate diminished from 16 to 1.9%, when pleurodesis is added to bullectomy [24]. Areas of pleural porosity are potential sources of recurrence, and may be too widespread to be resected. Hence, pleural symphysis is important.
There are three basic approaches to achieve the principles above: thoracostomy, thoracoscopy or thoracotomy. Video-assisted thoracoscopic surgery (VATS) is enabled by the insertion of a 5- to 10-mm videothoracoscope via a 1- to 2-cm incision in the lateral sixth intercostal space. Two more similar incisions are placed anteriorly and inferiorly in the fourth and seventh intercostal space (Figure 1). Instruments are introduced via rigid or flexible ports. Adhesions are taken down with sharp dissection. Bleb excision or bullectomy is carried out with an endoscopic linear cutter. The bullae are deliberately opened by cautery or scissors and allowed to deflate. An endoscopic lung clamp is used to grasp the bulla and is then rotated repeatedly as if winding a clock. This action collapses the bulla onto itself and the demarcation between bulla and normal lung parenchyma is revealed. Small ventilated breaths to the ipsilateral lung can also highlight this transition zone. The endoscopic linear cutter stapler is then used to amputate the base of the bulla (Figure 2). Alternatively, bleb may be ligated using a pre-tied Roeder slip knot, introduced by an external applicator.
Port placement for blebectomy [
Apical bullectomy using ring forceps and endoscopic stapler [
When excising the emphysematous bulla, the staple lines must be reinforced to reduce chance of postoperative air leak. Application of buttress material in the staple line distributes tension throughout the staple line, seals off the staple holes and narrows the spaces between each staple, thus reducing tearing at the staple line. Additionally, the buttress provides a broader pressure profile around each individual staple across the staple line, leading to potentially improved haemostasis. Material such as fibrin glue, bovine pericardium, poly-glycolic acid, polydioxane ribbon, Teflon felt, collagen patches and polytetrafluoroethylene (PTFE) sheets have been used to reinforce staple line. Nonabsorbable synthetic materials carry the potential hazard of inflammation and/or bacterial colonisation. Biomaterials originating from animal tissues have a risk of cross-species transmission of infection.
Accessory ports are removed under direct thoracoscopic guidance and the sites inspected for haemostasis. A 24 or 28 F drain is placed to the apex of the hemithorax. This is brought out of one of the port sites and connected to underwater seal drainage and suction. The lung is inflated under direct vision by the scope to verify complete inflation, locate additional blebs, and insure proper placement of the chest tube to the apex of the hemithorax. An inflated lung can displace a tube 2–3 cm caudally. If not corrected, this will frequently lead to a loculated pneumothorax at the apex and thwart the pleurodesis. The sites are closed in two layers with an absorbable suture.
Open surgery is usually performed via muscle-sparing thoracotomy. A lateral or axillary thoracotomy via the fourth intercostal space preserving the fibres of latissimus dorsi and with minimal rib retraction is the approach of choice. Bullae are opened, bronchial edges are oversewed, edges of the bullae are unfolded and stapled. Exogenous materials are buttressed to minimise postoperative air leak.
Randomised prospective study comparing VATS with axillary thoracotomy found no significant difference in postoperative blood loss, lung function, postoperative pain, use of analgesics, postoperative complications, duration of hospital stay and resumption of normal activities. However, with a minimum follow-up of 2 years the recurrence rate after VATS was 4.3% and after a limited thoracotomy, was 0% [26].
However, for recurrent pneumothorax, a randomised study found significantly longer operative time with VATS. Complication rate, chest tube duration, hospital stay, and incidence of chronic pain were not significantly different [27].
In multiple studies, VATS was found to be associated with higher recurrence rate compared to open thoracotomy [28, 29, 30]. Barker and colleagues performed a meta-analysis by comparing the reported recurrence rates in patients undergoing VATS with those having open surgery. Results showed a four-fold increase when a similar pleurodesis procedure is performed with a video-assisted approach compared with an open approach [28]. One of the reasons attributed to it was insufficient visualisation of bullae or blebs on the lung by thoracoscopy. Another reason quoted was less adhesion between the lungs and the chest wall postoperatively when VATS is performed compared with open thoracotomy. Inspite of this, many thoracic surgeons prefer the VATS approach as it is less invasive, less painful, and associated with a shorter hospital stay [31]. VATS is, thus, now considered approach of choice for elderly patients or those with multiple comorbidities [32, 33].
Migliore et al. approached pneumothorax through single port, using handcrafted 20 mm flexible trocar [31]. Jutley et al. compared the standard three-port VATS and uniVATS for surgical management of spontaneous pneumothorax and demonstrated safety and effectiveness with the latter technique [34]. Reduction of intraoperative blood loss and postoperative pain with a higher patient’s satisfaction score in uniVATS emerged from a propensity matched comparative analysis by Dai et al. [35]. However, retrospective comparison of uniport versus multiport VATS lobectomies by Chang et al. revealed no difference in operative time, postoperative 30-day mortality, chest tube permanence, hospital stay and reoperation rates [36].
More recent advance in the field of thoracic surgery is robotic-assisted surgery. The surgeon sits at a console, away from the patient in operating room and controls the instruments, including camera, on the robotic surgical system. A small 3D high-definition camera is placed through one of the incisions to provide a good view of the chest cavity, while wristed robotic instruments are inserted through the other small incisions.
For bilateral bullous disease, staging the operations is preferred, to minimise morbidity as well as to allow the ipsilateral lung to re-expand completely, optimising the patient’s functional status before tackling the contralateral lesion.
Catamenial pneumothorax with mild symptoms is usually managed with simple rest and thoracocentesis or chest tube for symptomatic relief. The surgical aspects include removal of blebs and bullae, wedge resection, and pleurodesis (abrasion or talc). Most surgical treatment is performed by thoracoscopy, and pleurodesis has been advocated to reduce recurrences. Endometrial deposits on diaphragm are removed as conservatively as possible to spare the diaphragmatic function. Multiple small defects are repaired by titanium clips. The diaphragm is finally reinforced by Prolene or Gore-Tex® mesh. Spiral clips are placed radially at the border of the prosthesis [37]. There is still no agreement regarding whether a prosthetic repair should be recommended. Bagan et al. reported fewer recurrences after diaphragm reinforcement with polyglactin mesh [38]. Concern exists about the use of VATS for large diaphragm defects. Minimally invasive approach is not fully supported by evidence. Both sides of the diaphragm need to be evaluated if one side is noted to have endometrial implants. Superficial diaphragmatic endometriosis can be treated with cold scissors, monopolar energy, bipolar energy, CO2 laser, or a plasma energy source [39]. Bagan et al. suggested application of surgical treatment during menses, for better visualisation of the endometriotic lesions [38].
Postoperative treatment with GnRH agonists or oral contraceptives for 6–12 months is suggested for all patients with proven catamenial pneumothorax for symptomatic relief and to reduce recurrences. The goal of early GnRH analogues administration is to prevent cyclic hormonal changes and induce suppression of ectopic endometrium activity, until accomplishment of effective pleurodesis, since formation of effective pleural adhesions require time [40]. Longer period of hormonal treatment (median 17.5 months) has been required after reoperations for catamenial pneumothorax. Recurrence rate varied from 14.3 to 55%.
Pleural symphysis is used to obliterate the potential space between pleural surfaces to prevent recurrent pneumothorax. This is accomplished by inducing an inflammatory reaction between the visceral and parietal surfaces with a chemical agent, mechanical abrasion or by stripping the parietal pleura which results in fusion of the visceral surface to the denuded thoracic wall. Chemical agents include talc, doxycycline, tetracycline, bleomycin, iodopovidone, Corynebacterium parvum and silver nitrate. Mechanical pleurodesis is done by vigorously abrading the parietal pleural surface with tightly rolled gauze, held by ringed forceps or a Bovie scratch pad (Figure 3).
Method of mechanical pleurodesis [
Parietal pleurectomy involves sacrifice of the parietal pleura. With the help of saline infusion in sub-pleural space, the parietal pleura can be bluntly dissected with a end-forceps. Alternatively, electrocautery can be used. Ayed and Chandrasekran suggested that in apical region, pleurectomy might be a more effective procedure than pleural abrasion [41].
In a randomised prospective study of 96 patients, pleurodesis by talc slurry resulted in the lowest recurrence rate of 8%, compared to 13% with tetracycline and 36% with simple tube drainage [42]. Talc is insufflated into the chest so that complete dispersion throughout the hemithorax is accomplished. This is typically accomplished with an atomizer. Alternatively, talc can be blown into the chest from a LUKI tube in front of a 6 L/minute oxygen flow rate. Alternatively, talc slurry can be instilled through a chest tube in patients who are not surgical candidates.
Talc is cheap. Talc instillation carries a low risk. However, complications such as pulmonary edema, acute respiratory distress syndrome, and hypotension have been reported [43, 44]. In an experimental study in rats, rapid absorption of talc from the pleural space was seen and systemic distribution might explain the complications [45]. Thus, size of the talc particles seems important, smaller particles inducing more systemic complications. In a recent prospective European multicentre study, thoracoscopic pleurodesis with 2 g of graded talc consisting of large particles, was found to be safe after a 30 day observation period [46].
Talc induces a painful inflammatory reaction on the pleural surfaces, which requires adequate analgesia. Aggressive pleurodesis methods should be avoided in chronic obstructive pulmonary disease patients who are suitable for lung transplantation, to reduce graft implantation complications.
In a comparative, randomised study including 73 patients with pleural effusion or spontaneous pneumothorax, talc and iodopovidone were found to be equally efficient and safe [47]. Pleurodesis by autologous blood has been initially used by Robinson, for treatment of persistent air leak in spontaneous pneumothorax patients [48]. This method is being widely used as a treatment of choice for air leaks, since pain and fever, which have been reported with other chemical pleurodesis agents, are rarely encountered with this agent [49, 50]. Development of empyema and tension pneumothorax have been reported, which had occurred due to clotting of the blood in the chest tube and care must be taken to prevent it [50].
In children, the management protocols of pneumothorax remain almost the same. In children too, surgery reduces ipsilateral primary spontaneous pneumothorax recurrence. But, surgery is shown to be predictive for contralateral recurrence in them [51]. Perhaps the positive pressure ventilation required during surgery leads to formation of new blebs contralaterally, or to over-distension of already existing contralateral blebs [52].
VATS is commonly performed under general anaesthesia with split-lung ventilation. The COPD patient’s baseline pulmonary functions are often suboptimal and they may represent a relative contraindication to split-lung ventilation, thus conferring axillary thoracotomy an advantage over VATS. However, postoperative exacerbation of respiratory function or postoperative chest pain has been more effectively avoided with thoracoscopic surgery [53, 54]. To prevent hypoxemia during one-lung ventilation for thoracoscopic surgery, application of continuous positive airway pressure to the non-ventilated lung is performed [55]. More sophisticated techniques using fiberoptic bronchoscopic segmental oxygen insufflation and recruitment have been reported [56].
Awake surgery under epidural anaesthesia might be advocated in case with several thoracic diseases [57, 58]. Though the efficacy and safety of awake surgery are still controversial, and definitive criteria for indications for awake surgery do not exist, studies have shown that the mean time for chest tube drainage, hospital stay, and operative time were shorter in epidural anaesthesia group than in general anaesthesia group. The postoperative pain score was significantly lower in the epidural anaesthesia group. The study proved that well-maintained breathing and hemodynamics during the awake thoracoscopic surgery attenuated the surgical stress responses and had a smaller impact on the postoperative lymphocyte responses when compared with conventional thoracoscopic surgery under general anaesthesia with single-lung ventilation [59, 60].
Another alternative to general anaesthesia with split-lung ventilation is total intravenous anaesthesia, using propofol and sufentanil, with local anaesthesia, using lignocaine, at incision sites and pleural surface. This has been described to have comparable results, while doing away with the adverse effects of epidural anaesthesia, such as epidural hematoma, spinal cord injury and phrenic nerve palsy. Total intravenous anaesthesia is technically demanding, and anaesthesia-related phenomena, such as hypotension and bradycardia, may arise. Anaesthetists have used laryngeal masks to secure the patients’ airway during the procedure, and provided deep sedation without compromising patient safety [61].
In contrast to secondary spontaneous pneumothorax due to COPD, that caused by lung fibrotic disease shows different characteristics—lungs with fibrotic disease are very fragile and shrunken. The postoperative mortality rate is high (three of 14 patients in one study) due to the exacerbation of basic lung disease and also because full expansion of lung is not achieved by applying negative intrathoracic pressure due to low respiratory compliance [62]. Such a pulmonary fibrotic disease that has taken the centre stage among all diseases, is the COVID-19 disease.
Lungs of patients with COVID-19 who have significant interstitial involvement seem physiologically small, with low compliance and reduced elastance. The thickened, stiff tissue makes it difficult for lungs to expand properly, and sustained-pressure ventilation may be necessary to obtain acceptable gas exchanges. In this setting, fibrotic parenchyma and preexisting emphysematous blebs are prone to rupture, with consequent risk of pneumothorax. Overinflation and high positive end-expiratory pressure in such fibrotic and hypoelastic lungs may cause alveolar or preexisting bleb rupture.
Furthermore, pneumothorax and bulla have been reported in COVID-19 patients who did not have any risk factors for pneumothorax, including mechanical ventilation, history of smoking, or pulmonary comorbidities [63]. The alveolar damage, and bronchiolar distortion and narrowing, caused by fibrosis following resolution of COVID-19 pneumonia, led to pulmonary bullae formation. Moreover, the severe cough associated with viral infections increases the intrapulmonary pressure. This, in turn, may precipitate bullae rupture and pneumothorax formation [64].
Chest tube placement should be considered first-line treatment. Persistence of air leak may constitute an indication for low-tidal volume two-lung ventilation thoracoscopy. Because of stiffer parenchyma, black cartridge staplers are needed for bulla resection. Ideal timing for surgical procedure is unclear. It may be better to do the procedures early in the disease when the interstitial tissues are less traumatised, less fibrotic, and less inflamed [65].
Extra-corporeal membrane oxygenation (ECMO) as a treatment option for pneumothorax with severe ventilator settings has been tried successfully, to reduce ventilator settings and thus, allowing the lungs to rest. This reduced the lung inflation, and avoided over distension of the lungs, while reducing the air leak and allowing the pleura to heal [66, 67].
Pneumothorax is a relatively common malady, both in traumatic and non-traumatic setting. The management is initiated by tube thoracostomy and other supportive measures. Presence of underlying lung disease warrants a more aggressive approach. Prevention of recurrence is also crucial, as recurrences are associated with poorer outcome. VATS is an attractive surgical option due to smaller incision and faster recovery. Innovative procedures continue to be described and many will achieve wide acceptability.
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Ciurean, Dagmar Schröter and Thomas Glade",authors:[{id:"163703",title:"Prof.",name:"Thomas",middleName:null,surname:"Glade",slug:"thomas-glade",fullName:"Thomas Glade"},{id:"164141",title:"Ph.D. Student",name:"Roxana",middleName:"Liliana",surname:"Ciurean",slug:"roxana-ciurean",fullName:"Roxana Ciurean"},{id:"164142",title:"Dr.",name:"Dagmar",middleName:null,surname:"Schroeter",slug:"dagmar-schroeter",fullName:"Dagmar Schroeter"}]},{id:"63707",doi:"10.5772/intechopen.80780",title:"Drinking Water Treatment and Challenges in Developing Countries",slug:"drinking-water-treatment-and-challenges-in-developing-countries",totalDownloads:8058,totalCrossrefCites:14,totalDimensionsCites:28,abstract:"Safe drinking water remains inaccessible to many humans in the developing countries. Research continuously innovates to develop efficient and cheap methods to sustain clean water for developing countries. Developing nations are a broad term that includes countries that are less industrialised and have lower per capita income levels than developed countries. This chapter will discuss clean water for drinking water purposes. Pollution concerns of water in developing countries will be categorised in terms of physical, chemical and biological pollutants such as turbidity, organic matter and bacteria. Natural and anthropogenic pollution concerns linking with seasonal factors will be outlined. The multi-barrier approach to drinking water treatment will be discussed. Abstraction points used will be researched. Water treatment systems, medium- to small-scale approaches, will be discussed. The processes involved in removing the contaminants including physical processes such as sedimentation, filtration such as slow-sand filtration, coagulation and flocculation, and disinfectant processes such as chlorination will be reviewed. Other important methods including solar disinfection, hybrid filtration methods and arsenic removal technologies using innovative solid phase materials will be included in this chapter. Rainwater harvesting technologies are reviewed. Safe storage options for treated water are outlined. Challenges of water treatment in rural and urban areas will be outlined.",book:{id:"6682",slug:"the-relevance-of-hygiene-to-health-in-developing-countries",title:"The Relevance of Hygiene to Health in Developing Countries",fullTitle:"The Relevance of Hygiene to Health in Developing Countries"},signatures:"Josephine Treacy",authors:[{id:"238173",title:"Dr.",name:"Josephine",middleName:null,surname:"Treacy",slug:"josephine-treacy",fullName:"Josephine Treacy"}]},{id:"44219",doi:"10.5772/54973",title:"Disaster Management Discourse in Bangladesh: A Shift from Post-Event Response to the Preparedness and Mitigation Approach Through Institutional Partnerships",slug:"disaster-management-discourse-in-bangladesh-a-shift-from-post-event-response-to-the-preparedness-and",totalDownloads:4124,totalCrossrefCites:4,totalDimensionsCites:28,abstract:null,book:{id:"3054",slug:"approaches-to-disaster-management-examining-the-implications-of-hazards-emergencies-and-disasters",title:"Approaches to Disaster Management",fullTitle:"Approaches to Disaster Management - Examining the Implications of Hazards, Emergencies and Disasters"},signatures:"C. Emdad Haque and M. Salim Uddin",authors:[{id:"163390",title:"Dr.",name:"C. Emdad",middleName:null,surname:"Haque",slug:"c.-emdad-haque",fullName:"C. Emdad Haque"},{id:"168399",title:"Mr.",name:"Mohammed S",middleName:null,surname:"Uddin",slug:"mohammed-s-uddin",fullName:"Mohammed S Uddin"}]},{id:"59705",doi:"10.5772/intechopen.74943",title:"Augmented Reality Trends in Education between 2016 and 2017 Years",slug:"augmented-reality-trends-in-education-between-2016-and-2017-years",totalDownloads:2513,totalCrossrefCites:19,totalDimensionsCites:27,abstract:"The aim of this chapter is to review literature regarding using augmented reality (AR) in education articles published in between 2016 and 2017 years. The literature source was Web of Science and SSCI, SCI-EXPANDED, A&HCI, CPCI-S, CPCI-SSH, and ESCI indexes. Fifty-two articles were reviewed; however, 14 of them were not been included in the study. As a result, 38 articles were examined. Level of education, field of education, and material types of AR used in education and reported educational advantages of AR have been investigated. All articles are categorized according to target groups, which are early childhood education, primary education, secondary education, high school education, graduate education, and others. AR technology has been mostly carried out in primary and graduate education. “Science education” is the most explored field of education. Mobile applications and marker-based materials on paper have been mostly preferred. The major advantages indicated in the articles are “Learning/Academic Achievement,” “Motivation,” and “Attitude”.",book:{id:"6543",slug:"state-of-the-art-virtual-reality-and-augmented-reality-knowhow",title:"State of the Art Virtual Reality and Augmented Reality Knowhow",fullTitle:"State of the Art Virtual Reality and Augmented Reality Knowhow"},signatures:"Rabia M. Yilmaz",authors:[{id:"225838",title:"Dr.",name:"Rabia",middleName:null,surname:"Yilmaz",slug:"rabia-yilmaz",fullName:"Rabia Yilmaz"}]},{id:"45760",doi:"10.5772/56967",title:"Parenting and Culture – Evidence from Some African Communities",slug:"parenting-and-culture-evidence-from-some-african-communities",totalDownloads:9634,totalCrossrefCites:10,totalDimensionsCites:27,abstract:null,book:{id:"3440",slug:"parenting-in-south-american-and-african-contexts",title:"Parenting in South American and African Contexts",fullTitle:"Parenting in South American and African Contexts"},signatures:"Patricia Mawusi Amos",authors:[{id:"162496",title:"Mrs.",name:"Patricia",middleName:"Mawusi",surname:"Mawusi Amos",slug:"patricia-mawusi-amos",fullName:"Patricia Mawusi Amos"}]}],mostDownloadedChaptersLast30Days:[{id:"58890",title:"Philosophy and Paradigm of Scientific Research",slug:"philosophy-and-paradigm-of-scientific-research",totalDownloads:14128,totalCrossrefCites:10,totalDimensionsCites:17,abstract:"Before carrying out the empirical analysis of the role of management culture in corporate social responsibility, identification of the philosophical approach and the paradigm on which the research carried out is based is necessary. Therefore, this chapter deals with the philosophical systems and paradigms of scientific research, the epistemology, evaluating understanding and application of various theories and practices used in the scientific research. The key components of the scientific research paradigm are highlighted. Theories on the basis of which this research was focused on identification of the level of development of the management culture in order to implement corporate social responsibility are identified, and the stages of its implementation are described.",book:{id:"5791",slug:"management-culture-and-corporate-social-responsibility",title:"Management Culture and Corporate Social Responsibility",fullTitle:"Management Culture and Corporate Social Responsibility"},signatures:"Pranas Žukauskas, Jolita Vveinhardt and Regina Andriukaitienė",authors:[{id:"179629",title:"Prof.",name:"Jolita",middleName:null,surname:"Vveinhardt",slug:"jolita-vveinhardt",fullName:"Jolita Vveinhardt"}]},{id:"74550",title:"School Conflicts: Causes and Management Strategies in Classroom Relationships",slug:"school-conflicts-causes-and-management-strategies-in-classroom-relationships",totalDownloads:2339,totalCrossrefCites:1,totalDimensionsCites:10,abstract:"Conflicts cannot cease to exist, as they are intrinsic to human beings, forming an integral part of their moral and emotional growth. Likewise, they exist in all schools. The school is inserted in a space where the conflict manifests itself daily and assumes relevance, being the result of the multiple interpersonal relationships that occur in the school context. Thus, conflict is part of school life, which implies that teachers must have the skills to manage conflict constructively. Recognizing the diversity of school conflicts, this chapter aimed to present its causes, highlighting the main ones in the classroom, in the teacher-student relationship. It is important to conflict face and resolve it with skills to manage it properly and constructively, establishing cooperative relationships, and producing integrative solutions. Harmony and appreciation should coexist in a classroom environment and conflict should not interfere, negatively, in the teaching and learning process. This bibliography review underscore the need for during the teachers’ initial training the conflict management skills development.",book:{id:"7827",slug:"interpersonal-relationships",title:"Interpersonal Relationships",fullTitle:"Interpersonal Relationships"},signatures:"Sabina Valente, Abílio Afonso Lourenço and Zsolt Németh",authors:[{id:"324514",title:"Ph.D.",name:"Sabina",middleName:"N.",surname:"Valente",slug:"sabina-valente",fullName:"Sabina Valente"},{id:"326375",title:"Ph.D.",name:"Abílio",middleName:"Afonso",surname:"Lourenço",slug:"abilio-lourenco",fullName:"Abílio Lourenço"},{id:"329177",title:"Dr.",name:"Zsolt",middleName:null,surname:"Németh",slug:"zsolt-nemeth",fullName:"Zsolt Németh"}]},{id:"52475",title:"Teenage Pregnancies: A Worldwide Social and Medical Problem",slug:"teenage-pregnancies-a-worldwide-social-and-medical-problem",totalDownloads:8307,totalCrossrefCites:6,totalDimensionsCites:8,abstract:"Teenage pregnancies and teenage motherhood are a cause for concern worldwide. From a historical point of view, teenage pregnancies are nothing new. For much of human history, it was absolutely common that girls married during their late adolescence and experienced first birth during their second decade of life. This kind of reproductive behavior was socially desired and considered as normal. Nowadays, however, the prevention of teenage pregnancies and teenage motherhood is a priority for public health in nearly all developed and increasingly in developing countries. For a long time, teenage pregnancies were associated with severe medical problems; however, most of data supporting this viewpoint have been collected some decades ago and reflect mainly the situation of per se socially disadvantaged teenage mothers. According to more recent studies, teenage pregnancies are not per se risky ones. A clear risk group are extremely young teenage mothers (younger than 15 years) who are confronted with various medical risks, such as preeclampsia, preterm labor, and small for gestational age newborns but also marked social disadvantage, such as poverty, unemployment, low educational level, and single parenting. In the present study, the prevalence and outcome of teenage pregnancies in Austria are focused on.",book:{id:"5392",slug:"an-analysis-of-contemporary-social-welfare-issues",title:"An Analysis of Contemporary Social Welfare Issues",fullTitle:"An Analysis of Contemporary Social Welfare Issues"},signatures:"Sylvia Kirchengast",authors:[{id:"188289",title:"Prof.",name:"Sylvia",middleName:null,surname:"Kirchengast",slug:"sylvia-kirchengast",fullName:"Sylvia Kirchengast"}]},{id:"58060",title:"Pedagogy of the Twenty-First Century: Innovative Teaching Methods",slug:"pedagogy-of-the-twenty-first-century-innovative-teaching-methods",totalDownloads:8845,totalCrossrefCites:17,totalDimensionsCites:23,abstract:"In the twenty-first century, significant changes are occurring related to new scientific discoveries, informatization, globalization, the development of astronautics, robotics, and artificial intelligence. This century is called the age of digital technologies and knowledge. How is the school changing in the new century? How does learning theory change? Currently, you can hear a lot of criticism that the classroom has not changed significantly compared to the last century or even like two centuries ago. Do the teachers succeed in modern changes? The purpose of the chapter is to summarize the current changes in didactics for the use of innovative teaching methods and study the understanding of changes by teachers. In this chapter, we consider four areas: the expansion of the subject of pedagogy, environmental approach to teaching, the digital generation and the changes taking place, and innovation in teaching. The theory of education, figuratively speaking, has two levels. At the macro-level, in the “education-society” relationship, decentralization and diversification, internationalization of education, and the introduction of digital technologies occur. At the micro-level in the “teacher-learner” relationship, there is an active mix of traditional and innovative methods, combination of an activity approach with an energy-informational environment approach, cognition with constructivism and connectivism.",book:{id:"5980",slug:"new-pedagogical-challenges-in-the-21st-century-contributions-of-research-in-education",title:"New Pedagogical Challenges in the 21st Century",fullTitle:"New Pedagogical Challenges in the 21st Century - Contributions of Research in Education"},signatures:"Aigerim Mynbayeva, Zukhra Sadvakassova and Bakhytkul\nAkshalova",authors:[{id:"201997",title:"Dr.",name:"Aigerim",middleName:null,surname:"Mynbayeva",slug:"aigerim-mynbayeva",fullName:"Aigerim Mynbayeva"},{id:"209208",title:"Dr.",name:"Zukhra",middleName:null,surname:"Sadvakassova",slug:"zukhra-sadvakassova",fullName:"Zukhra Sadvakassova"},{id:"209210",title:"Dr.",name:"Bakhytkul",middleName:null,surname:"Akshalova",slug:"bakhytkul-akshalova",fullName:"Bakhytkul Akshalova"}]},{id:"58894",title:"Research Ethics",slug:"research-ethics",totalDownloads:3373,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Research ethics is closely related to the ethical principles of social responsibility. This research covers a wide context of working with people, so the researchers raised a task not only to gain confidence in the respondents’ eyes, to receive reliable data, but also to ensure the transparency of the science. This chapter discusses the theoretical and practical topics of research, after evaluation of which ethical principles of organization and conducting the research are presented. There is a detailed description of how and what ethical principles were followed on the different stages of the research.",book:{id:"5791",slug:"management-culture-and-corporate-social-responsibility",title:"Management Culture and Corporate Social Responsibility",fullTitle:"Management Culture and Corporate Social Responsibility"},signatures:"Pranas Žukauskas, Jolita Vveinhardt and Regina Andriukaitienė",authors:[{id:"179629",title:"Prof.",name:"Jolita",middleName:null,surname:"Vveinhardt",slug:"jolita-vveinhardt",fullName:"Jolita Vveinhardt"}]}],onlineFirstChaptersFilter:{topicId:"23",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"83148",title:"Private Practice Social Work in the Arab World: Sultanate of Oman as a Model",slug:"private-practice-social-work-in-the-arab-world-sultanate-of-oman-as-a-model",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.106284",abstract:"This chapter aims to discuss the reality of the private practice social work profession in the Arab world from both research and practice perspectives. Furthermore, it identifies the most significant obstacles to the spread of its agencies. Additionally, this chapter discusses several fundamental concepts in this field, such as private practice, private practice agencies, and private practitioners. By referring to scientific research undertaken in the Arab world and, in particular, Oman society, a systematic scientific approach is significant to private practice and its themes. Finally, the author will wrap up the chapter by discussing the findings of one of his studies that identified the obstacles to the spread of private practice.",book:{id:"11095",title:"Social Work - Perspectives on Leadership and Organisation",coverURL:"https://cdn.intechopen.com/books/images_new/11095.jpg"},signatures:"Emad Saleh"},{id:"81124",title:"Views of South Sudanese Secondary School Teachers about the Use of Humour in the Mathematics Classroom",slug:"views-of-south-sudanese-secondary-school-teachers-about-the-use-of-humour-in-the-mathematics-classro",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.103007",abstract:"This chapter reports the views of South Sudanese secondary school teachers about the use of humour in the mathematics classroom as a teaching and learning tool. The use of humour as a pedagogical toolkit in a mathematics classroom is something that has not yet been seriously or widely considered and how the teachers, especially South Sudanese teachers, would react to the use of humour in the classroom was not yet known. An opinion survey containing six (6) close-ended questionnaire items or statements related to the use of humour in the classroom was distributed to ten (10) secondary schools located within and around Juba city. About sixty-five (65) South Sudanese secondary school teachers responded to the survey. Posed was a research question intended to explore the general views, attitudes, or opinions of South Sudanese secondary school teachers: What do South Sudanese secondary school teachers think about the use of Humour-Supported Instructional Approach (H-SIA), a proposed-alternative method of teaching and learning mathematics at secondary school level? Findings of this opinions survey indicate that South Sudanese secondary school teachers’ overall average views are positive toward the use of humour in the classroom setting. The average majority of the surveyed secondary school teachers appeared keen and seemed eager to welcome experimentation with new ways of teaching and learning in the classroom. Hence, it is recommended that classroom teachers be always encouraged and allowed a certain degree of freedom to explore and try out new ways of teaching and learning. It is suggested, however, that teachers be first provided with necessary proper training about how to use humour appropriately, effectively, and creatively in the classroom environments.",book:{id:"11279",title:"Advances in Research in STEM Education",coverURL:"https://cdn.intechopen.com/books/images_new/11279.jpg"},signatures:"William Deng Tap, Helicopter Mark Bulbul and Biar Simon Ajang"},{id:"83149",title:"Perspective Chapter: Ungrading, Grading Contracts, Gamification and Game-Based Learning",slug:"perspective-chapter-ungrading-grading-contracts-gamification-and-game-based-learning",totalDownloads:0,totalDimensionsCites:null,doi:"10.5772/intechopen.105967",abstract:"This chapter will explore considerations for the adoption of grading contracts with the possible addition of the mechanics of game design, game-based learning, or gamification. The motivation for this approach is to ensure equity and inclusion in the classroom by creating a compassionate environment to enhance student engagement and learning. When introduced in the appropriate way, teachers can track students’ progress without the imposition of the added stress and fear that conventional assessment practices engender. Sometimes referred as “ungrading,” the adoption of these strategies prioritizes the progress of each individual student and re-envisions learning as a series of achievements that students complete and level-up to take on a series of successive challenges based on previous accomplishments not unlike the playing of a video game. If virtual reality can be called an empathy machine, a well-crafted video game is a learning and engagement machine. In other words, the magic “sauce” of video games is that players put in untold hours and effort to learn new skills and are rewarded by the sense of mastery and achievement.",book:{id:"11481",title:"Active Learning - Research and Practice for STEAM and social sciences education",coverURL:"https://cdn.intechopen.com/books/images_new/11481.jpg"},signatures:"Gregory Garvey"},{id:"83112",title:"Anomalies in Nigeria Presidential Election Data and the Way Forward",slug:"anomalies-in-nigeria-presidential-election-data-and-the-way-forward",totalDownloads:0,totalDimensionsCites:0,doi:"10.5772/intechopen.106657",abstract:"Nigeria presently runs a presidential system of government and the Independent National Electoral Commission (INEC) is saddled with the responsibility of conducting elections, every four years. A fraud-free and credible election is a necessary ingredient to the growth of democracy. However, election fraud has become a major challenge in the Nigerian political system. Till date, reports show that elections in Nigeria have been marred with vote buying, falsification of results, underage voting, and the use of security forces to intimidate voters, among others. Hence, the authors suggest the need for transparency in the voting process and in the collation of results. There is also a need for an electoral reform to address the issue of electronic voting and electronic transmission of results. Electronic voting should be supported and encouraged by all stakeholders. The INEC, executive and legislative arms of government are advised to work in tandem to provide credible electoral process and improve on the conducts of elections in Nigeria. The chapter concludes with suggestion on the possibility of adopting election forensic techniques to address anomalies in Nigeria electoral results. The authors believe that this chapter contribution will be of great benefit to Nigeria and Africa as a whole.",book:{id:"11435",title:"Election and Democracy in the Digital Age - Status, Challenges, and Trends",coverURL:"https://cdn.intechopen.com/books/images_new/11435.jpg"},signatures:"Sunday Tunmibi and Wole Olatokun"},{id:"83121",title:"Social Media and Democracy",slug:"social-media-and-democracy",totalDownloads:0,totalDimensionsCites:0,doi:"10.5772/intechopen.106660",abstract:"The purpose of this chapter is to analyze the implications of freedom of speech regarding political discussions on social media platforms, such as Facebook. The paper will look at the following aspects: the occasion when social media users have to discuss politics as a hobby and as a means to keep their ideas out of the view of face-to-face social circles, to engage in social issues and even be part of protests, to discuss politicians’ public image, and attempt to change some users’ perception about it. Within social media, we witness debates or simple displays of emotions, allowing users to speak their minds and interact with other users, showing empathy toward them. The benefits of this are related to the therapeutic effects of speaking about what upsets them or angers them and finding like-minded users.",book:{id:"11435",title:"Election and Democracy in the Digital Age - Status, Challenges, and Trends",coverURL:"https://cdn.intechopen.com/books/images_new/11435.jpg"},signatures:"Irina-Ana Drobot"},{id:"83113",title:"Agoraphobic Dispositions towards Action Research: Teacher Education Students’ Perceptions and Experiences",slug:"agoraphobic-dispositions-towards-action-research-teacher-education-students-perceptions-and-experien",totalDownloads:7,totalDimensionsCites:0,doi:"10.5772/intechopen.106188",abstract:"One of the contemporary global education thrusts in teacher education is the generation of context-based theory through engagement in action research. While practicing in the classroom, the teacher education student is essentially in the laboratory creating procedural knowledge. Action research in the classroom involves reflective practice, which is indispensable to praxis. Despite the efficacy of action research in facilitating mathetics (learning how to learn), there are some militating situations that are fuelled by diehard traditional perceptions and practices. An exploration of teacher education students’ perceptions and experiences with action research was done with 16 informants who were selected purposively and exposed to in-depth interviews. The data were thematically analyzed and the findings were that some students develop agoraphobic dispositions toward action research due to some miseducative experiences that are largely attributed to traditional educational practices. The teacher education students are exposed to vices like technical rationality instead they should be oriented toward epistemic and pragmatic rationalities that are the linchpins of professional development. The experiences that precipitate agoraphobic dispositions in action research should be known and subsequently obliterated.",book:{id:"11481",title:"Active Learning - Research and Practice for STEAM and social sciences education",coverURL:"https://cdn.intechopen.com/books/images_new/11481.jpg"},signatures:"Davison Zireva"}],onlineFirstChaptersTotal:152},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:11,numberOfPublishedChapters:91,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:108,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:33,numberOfPublishedChapters:333,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:14,numberOfPublishedChapters:145,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:11,numberOfPublishedChapters:144,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:126,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:23,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:13,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:"2753-6580",doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}}]},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:"August 14th, 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:3,paginationItems:[{id:"7",title:"Bioinformatics and Medical Informatics",coverUrl:"https://cdn.intechopen.com/series_topics/covers/7.jpg",isOpenForSubmission:!0,editor:{id:"351533",title:"Dr.",name:"Slawomir",middleName:null,surname:"Wilczynski",slug:"slawomir-wilczynski",fullName:"Slawomir Wilczynski",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035U1loQAC/Profile_Picture_1630074514792",biography:"Professor Sławomir Wilczyński, Head of the Chair of Department of Basic Biomedical Sciences, Faculty of Pharmaceutical Sciences, Medical University of Silesia in Katowice, Poland. His research interests are focused on modern imaging methods used in medicine and pharmacy, including in particular hyperspectral imaging, dynamic thermovision analysis, high-resolution ultrasound, as well as other techniques such as EPR, NMR and hemispheric directional reflectance. Author of over 100 scientific works, patents and industrial designs. Expert of the Polish National Center for Research and Development, Member of the Investment Committee in the Bridge Alfa NCBiR program, expert of the Polish Ministry of Funds and Regional Policy, Polish Medical Research Agency. Editor-in-chief of the journal in the field of aesthetic medicine and dermatology - Aesthetica.",institutionString:null,institution:{name:"Medical University of Silesia",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},{id:"8",title:"Bioinspired Technology and Biomechanics",coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",isOpenForSubmission:!0,editor:{id:"144937",title:"Prof.",name:"Adriano",middleName:"De Oliveira",surname:"Andrade",slug:"adriano-andrade",fullName:"Adriano Andrade",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRC8QQAW/Profile_Picture_1625219101815",biography:"Dr. Adriano de Oliveira Andrade graduated in Electrical Engineering at the Federal University of Goiás (Brazil) in 1997. He received his MSc and PhD in Biomedical Engineering respectively from the Federal University of Uberlândia (UFU, Brazil) in 2000 and from the University of Reading (UK) in 2005. He completed a one-year Post-Doctoral Fellowship awarded by the DFAIT (Foreign Affairs and International Trade Canada) at the Institute of Biomedical Engineering of the University of New Brunswick (Canada) in 2010. Currently, he is Professor in the Faculty of Electrical Engineering (UFU). He has authored and co-authored more than 200 peer-reviewed publications in Biomedical Engineering. He has been a researcher of The National Council for Scientific and Technological Development (CNPq-Brazil) since 2009. He has served as an ad-hoc consultant for CNPq, CAPES (Coordination for the Improvement of Higher Education Personnel), FINEP (Brazilian Innovation Agency), and other funding bodies on several occasions. He was the Secretary of the Brazilian Society of Biomedical Engineering (SBEB) from 2015 to 2016, President of SBEB (2017-2018) and Vice-President of SBEB (2019-2020). He was the head of the undergraduate program in Biomedical Engineering of the Federal University of Uberlândia (2015 - June/2019) and the head of the Centre for Innovation and Technology Assessment in Health (NIATS/UFU) since 2010. He is the head of the Postgraduate Program in Biomedical Engineering (UFU, July/2019 - to date). He was the secretary of the Parkinson's Disease Association of Uberlândia (2018-2019). Dr. Andrade's primary area of research is focused towards getting information from the neuromuscular system to understand its strategies of organization, adaptation and controlling in the context of motor neuron diseases. His research interests include Biomedical Signal Processing and Modelling, Assistive Technology, Rehabilitation Engineering, Neuroengineering and Parkinson's Disease.",institutionString:null,institution:{name:"Federal University of Uberlândia",institutionURL:null,country:{name:"Brazil"}}},editorTwo:null,editorThree:null},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",isOpenForSubmission:!0,editor:{id:"126286",title:"Dr.",name:"Luis",middleName:"Jesús",surname:"Villarreal-Gómez",slug:"luis-villarreal-gomez",fullName:"Luis Villarreal-Gómez",profilePictureURL:"https://mts.intechopen.com/storage/users/126286/images/system/126286.jpg",biography:"Dr. Luis Villarreal is a research professor from the Facultad de Ciencias de la Ingeniería y Tecnología, Universidad Autónoma de Baja California, Tijuana, Baja California, México. Dr. Villarreal is the editor in chief and founder of the Revista de Ciencias Tecnológicas (RECIT) (https://recit.uabc.mx/) and is a member of several editorial and reviewer boards for numerous international journals. He has published more than thirty international papers and reviewed more than ninety-two manuscripts. His research interests include biomaterials, nanomaterials, bioengineering, biosensors, drug delivery systems, and tissue engineering.",institutionString:null,institution:{name:"Autonomous University of Baja California",institutionURL:null,country:{name:"Mexico"}}},editorTwo:null,editorThree:null}]},overviewPageOFChapters:{paginationCount:27,paginationItems:[{id:"83092",title:"Novel Composites for Bone Tissue Engineering",doi:"10.5772/intechopen.106255",signatures:"Pugalanthipandian Sankaralingam, Poornimadevi Sakthivel and Vijayakumar Chinnaswamy Thangavel",slug:"novel-composites-for-bone-tissue-engineering",totalDownloads:7,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Biomimetics - Bridging the Gap",coverURL:"https://cdn.intechopen.com/books/images_new/11453.jpg",subseries:{id:"8",title:"Bioinspired Technology and Biomechanics"}}},{id:"82800",title:"Repurposing Drugs as Potential Therapeutics for the SARS-Cov-2 Viral Infection: Automatizing a Blind Molecular Docking High-throughput Pipeline",doi:"10.5772/intechopen.105792",signatures:"Aldo Herrera-Rodulfo, Mariana Andrade-Medina and Mauricio Carrillo-Tripp",slug:"repurposing-drugs-as-potential-therapeutics-for-the-sars-cov-2-viral-infection-automatizing-a-blind-",totalDownloads:10,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Molecular Docking - Recent Advances",coverURL:"https://cdn.intechopen.com/books/images_new/11451.jpg",subseries:{id:"7",title:"Bioinformatics and Medical Informatics"}}},{id:"82582",title:"Protecting Bioelectric Signals from Electromagnetic Interference in a Wireless World",doi:"10.5772/intechopen.105951",signatures:"David Marcarian",slug:"protecting-bioelectric-signals-from-electromagnetic-interference-in-a-wireless-world",totalDownloads:4,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Biosignal Processing",coverURL:"https://cdn.intechopen.com/books/images_new/11153.jpg",subseries:{id:"7",title:"Bioinformatics and Medical Informatics"}}},{id:"82586",title:"Fundamentals of Molecular Docking and Comparative Analysis of Protein–Small-Molecule Docking Approaches",doi:"10.5772/intechopen.105815",signatures:"Maden Sefika Feyza, Sezer Selin and Acuner Saliha Ece",slug:"fundamentals-of-molecular-docking-and-comparative-analysis-of-protein-small-molecule-docking-approac",totalDownloads:29,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Molecular Docking - Recent Advances",coverURL:"https://cdn.intechopen.com/books/images_new/11451.jpg",subseries:{id:"7",title:"Bioinformatics and Medical Informatics"}}}]},overviewPagePublishedBooks:{paginationCount:12,paginationItems:[{type:"book",id:"6692",title:"Medical and Biological Image Analysis",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6692.jpg",slug:"medical-and-biological-image-analysis",publishedDate:"July 4th 2018",editedByType:"Edited by",bookSignature:"Robert Koprowski",hash:"e75f234a0fc1988d9816a94e4c724deb",volumeInSeries:1,fullTitle:"Medical and Biological Image Analysis",editors:[{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"}}}]},{type:"book",id:"7218",title:"OCT",subtitle:"Applications in Ophthalmology",coverURL:"https://cdn.intechopen.com/books/images_new/7218.jpg",slug:"oct-applications-in-ophthalmology",publishedDate:"September 19th 2018",editedByType:"Edited by",bookSignature:"Michele Lanza",hash:"e3a3430cdfd6999caccac933e4613885",volumeInSeries:2,fullTitle:"OCT - Applications in Ophthalmology",editors:[{id:"240088",title:"Prof.",name:"Michele",middleName:null,surname:"Lanza",slug:"michele-lanza",fullName:"Michele Lanza",profilePictureURL:"https://mts.intechopen.com/storage/users/240088/images/system/240088.png",biography:"Michele Lanza is Associate Professor of Ophthalmology at Università della Campania, Luigi Vanvitelli, Napoli, Italy. His fields of interest are anterior segment disease, keratoconus, glaucoma, corneal dystrophies, and cataracts. His research topics include\nintraocular lens power calculation, eye modification induced by refractive surgery, glaucoma progression, and validation of new diagnostic devices in ophthalmology. \nHe has published more than 100 papers in international and Italian scientific journals, more than 60 in journals with impact factors, and chapters in international and Italian books. He has also edited two international books and authored more than 150 communications or posters for the most important international and Italian ophthalmology conferences.",institutionString:'University of Campania "Luigi Vanvitelli"',institution:{name:'University of Campania "Luigi Vanvitelli"',institutionURL:null,country:{name:"Italy"}}}]},{type:"book",id:"7560",title:"Non-Invasive Diagnostic Methods",subtitle:"Image Processing",coverURL:"https://cdn.intechopen.com/books/images_new/7560.jpg",slug:"non-invasive-diagnostic-methods-image-processing",publishedDate:"December 19th 2018",editedByType:"Edited by",bookSignature:"Mariusz Marzec and Robert Koprowski",hash:"d92fd8cf5a90a47f2b8a310837a5600e",volumeInSeries:3,fullTitle:"Non-Invasive Diagnostic Methods - Image Processing",editors:[{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",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:{name:"University of Silesia",institutionURL:null,country:{name:"Poland"}}}]},{type:"book",id:"6843",title:"Biomechanics",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6843.jpg",slug:"biomechanics",publishedDate:"January 30th 2019",editedByType:"Edited by",bookSignature:"Hadi Mohammadi",hash:"85132976010be1d7f3dbd88662b785e5",volumeInSeries:4,fullTitle:"Biomechanics",editors:[{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",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. 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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. 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Prof. Sarfraz is also an editor-in-chief and editor of 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:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/267434/images/system/267434.jpg",biography:"Dr. Rohit Raja received Ph.D. in Computer Science and Engineering from Dr. CVRAMAN University in 2016. His main research interest includes Face recognition and Identification, Digital Image Processing, Signal Processing, and Networking. Presently he is working as Associate Professor in IT Department, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur (CG), India. He has authored several Journal and Conference Papers. He has good Academics & Research experience in various areas of CSE and IT. He has filed and successfully published 27 Patents. He has received many time invitations to be a Guest at IEEE Conferences. He has published 100 research papers in various International/National Journals (including IEEE, Springer, etc.) and Proceedings of the reputed International/ National Conferences (including Springer and IEEE). He has been nominated to the board of editors/reviewers of many peer-reviewed and refereed Journals (including IEEE, Springer).",institutionString:"Guru Ghasidas Vishwavidyalaya",institution:{name:"Guru Ghasidas Vishwavidyalaya",country:{name:"India"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:null,institution:{name:"Beijing University of Technology",country:{name:"China"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"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:{name:"Medical University Plovdiv",country:{name:"Bulgaria"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Igor Victorovich Lakhno was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPh.D. – 1999, Kharkiv National Medical Univesity.\nDSC – 2019, PL Shupik National Academy of Postgraduate Education \nProfessor – 2021, Department of Obstetrics and Gynecology of VN Karazin Kharkiv National University\nHead of Department – 2021, Department of Perinatology, Obstetrics and gynecology of Kharkiv Medical Academy of Postgraduate Education\nIgor Lakhno has been graduated from international training courses on reproductive medicine and family planning held at Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor in the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics, and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s been a professor in the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics, and gynecology department. He’s affiliated with Kharkiv Medical Academy of Postgraduate Education as a Head of Department from November 2021. Igor Lakhno has participated in several international projects on fetal non-invasive electrocardiography (with Dr. J. A. Behar (Technion), Prof. D. Hoyer (Jena University), and José Alejandro Díaz Méndez (National Institute of Astrophysics, Optics, and Electronics, Mexico). He’s an author of about 200 printed works and there are 31 of them in Scopus or Web of Science databases. Igor Lakhno is a member of the Editorial Board of Reproductive Health of Woman, Emergency Medicine, and Technology Transfer Innovative Solutions in Medicine (Estonia). He is a medical Editor of “Z turbotoyu pro zhinku”. Igor Lakhno is a reviewer of the Journal of Obstetrics and Gynaecology (Taylor and Francis), British Journal of Obstetrics and Gynecology (Wiley), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for a DSc degree “Pre-eclampsia: prediction, prevention, and treatment”. Three years ago Igor Lakhno has participated in a training course on innovative technologies in medical education at Lublin Medical University (Poland). Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: are obstetrics, women’s health, fetal medicine, and cardiovascular medicine. \nIgor Lakhno is a consultant at Kharkiv municipal perinatal center. He’s graduated from training courses on endoscopy in gynecology. He has 28 years of practical experience in the field.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. 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