Two-way ANOVA for differences in shape of
\r\n\t
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Abdurakhmonov",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11724.jpg",keywords:"Full Genome Sequencing, Mutations and Genetic Variations, Whole-Virus Inactivated and Live-Attenuated, Recombinant Protein-Based, WHO-Protocols, Preclinical and Clinical Trials, New Strain Protection, Availability and Usage, Side Effects, Novel Designs, Country Experiences, Booster-Dose Injection",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"March 17th 2022",dateEndSecondStepPublish:"May 24th 2022",dateEndThirdStepPublish:"July 23rd 2022",dateEndFourthStepPublish:"October 11th 2022",dateEndFifthStepPublish:"December 10th 2022",remainingDaysToSecondStep:"5 days",secondStepPassed:!1,currentStepOfPublishingProcess:2,editedByType:null,kuFlag:!1,biosketch:"A leading biotechnologist, coordinating biotechnology science including COVID-19 vaccine development, laboratory studies, and clinical trials and production in Uzbekistan. Prof. Abdurakhmonov founded (2012) the Center of Genomics and Bioinformatics of Uzbekistan. He received a BS in Biotechnology from the National University, an MS in Plant Breeding from Texas A&M University, USA, a Ph.D. in Molecular Genetics, a Doctor of Science in Genetics, and a full professorship in Molecular Genetics.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"213344",title:"Prof.",name:"Ibrokhim Y.",middleName:null,surname:"Abdurakhmonov",slug:"ibrokhim-y.-abdurakhmonov",fullName:"Ibrokhim Y. Abdurakhmonov",profilePictureURL:"https://mts.intechopen.com/storage/users/213344/images/system/213344.jpg",biography:"Ibrokhim Y. Abdurakhmonov received his B.S. (1997) in biotechnology from the National University, M.S. in plant breeding\n(2001) from Texas A&M University of USA, Ph.D. (2002) in molecular genetics, Doctor of Science (2009) in genetics, and full professorship (2011) in molecular genetics and molecular biotechnology from Academy of Sciences of Uzbekistan. He founded (2012)\nthe Center of Genomics and Bioinformatics of Uzbekistan. He\nreceived the 2010 TWAS prize, and “ICAC Cotton Researcher of the Year 2013” for\nhis outstanding contribution to cotton genomics and biotechnology. He was elected\nas The World Academy of Sciences (TWAS) Fellow (2014) and as a member (2017)\nof the Academy of Sciences of Uzbekistan. He was appointed (2017) as a Minister\nof Innovative Development of Uzbekistan.",institutionString:"Academy of Sciences of Uzbekistan",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"12",totalChapterViews:"0",totalEditedBooks:"12",institution:null}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"16",title:"Medicine",slug:"medicine"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"252211",firstName:"Sara",lastName:"Debeuc",middleName:null,title:"Ms.",imageUrl:"https://mts.intechopen.com/storage/users/252211/images/7239_n.png",email:"sara.d@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review, to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. Whether that be identifying an exceptional author and proposing an editorship collaboration, or contacting researchers who would like the opportunity to work with IntechOpen, I establish and help manage author and editor acquisition and contact."}},relatedBooks:[{type:"book",id:"880",title:"Plant Breeding",subtitle:null,isOpenForSubmission:!1,hash:"00fb30196097697f0e1211ce27ba426d",slug:"plant-breeding",bookSignature:"Ibrokhim Y. Abdurakhmonov",coverURL:"https://cdn.intechopen.com/books/images_new/880.jpg",editedByType:"Edited by",editors:[{id:"213344",title:"Prof.",name:"Ibrokhim Y.",surname:"Abdurakhmonov",slug:"ibrokhim-y.-abdurakhmonov",fullName:"Ibrokhim Y. Abdurakhmonov"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"5090",title:"RNA Interference",subtitle:null,isOpenForSubmission:!1,hash:"9edcfa43c752e926f9e51ecb610e34db",slug:"rna-interference",bookSignature:"Ibrokhim Y. 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Historically, taxonomic classification and understanding of biological diversity have been based mainly on morphological descriptions [1]. In the early twentieth century, comparative biology entered a transition from the description field and quantitative science, where morphological analysis had a similar revolution of quantification [2]. Based on this quantitative mathematical revolution, the study of morphology has had an important emphasis by developing statistical shape analysis. This made possible the combination of multivariate statistical methods and new ways to visualize a structure [3,4].
In geometric morphometrics (GM), the shape is defined as "any geometric information that remains when the effects of translation, scaling and rotation are removed from an object"[5]. According to [6,7] two techniques have been described: Landmark and Outline methods. Landmark geometric morphometrics is currently the most used tool in sexual dimorphism studies, where equivalent and homologous specific points are fixed in the biological structure being studied. Whereas outliner GM reduces contour shape in a structure by means of points built and located in its boundaries [8-10]. These tools allow studying organism shape and also size, providing sound graphic analyses to quantify and visualize morphometric variation within and between organism samples.
One of the most interesting sources of phenotypic variation in animals and plants has been sexual dimorphism, the study of which continues to be an important area of research in evolutionary biology. Sexual differences in morphological characters are a common phenomenon in many animal taxa, and their most conspicuous aspect is body size [11]. The direction of these differences, that is whether males or females are larger, varies from one group to another [12]. Most of the morphological variations of insects are due to effects associated with the environment, either phenotypic responses (plasticity) or particularly those which act during ontogenetic development [13]. Females are generally larger than males, and this gives them adaptive advantages such as greater fecundity and better parental care [14,15]. However, in some species males are longer but have less relative mass e.g. [16], which implies that the determination of sexual dimorphism requires more complex measurement techniques related, for example, with geometric shape [17]. Sexual dimorphism is of interest in entomological studies since frequently the differences between sexes are not obvious or the individuals are very small; thus, finding discriminating characters allows easy determination of sexes.
Studies of
The following chapter is a brief description of sexual dimorphism of shape in insects and its evaluation by using new morphological tools that provide a visualization of the geometric shape, besides a description in 2 insect orders about the way in which sexual dimorphism variations that are not easily observed may be distinguished in different populations.
Morphometrics is the study of shape variation and its covariation with other variables. The development of its new properties, capable of capturing shape, renders this new morphology to be considered geometric, being its introduction received as a “revolution” for the morphological analysis realm [20]. Shape is mathematically defined as all the geometric features of an object except its size, position and orientation [4]. In other words, changes in size, position and orientation do not change the shape of an object. Most of the research efforts in geometric morphometrics have concentrated on landmark data. Morphological landmarks are points that can be located precisely on each specimen under study with a clear correspondence in a one-to-one manner from specimen to specimen [7,21]. There are several methods for the analysis of curves and outlines. Outlines can be analyzed using semi-landmarks, which are the points that fall at defined intervals along a curve between two landmarks [22]. Semilandmarks can be analyzed with Procrustes superimposition like ordinary landmarks. Another outline method is perhaps the oldest type of geometric morphometrics – Fourier analysis [23]. Fourier methods use sine and cosine harmonic functions to describe the positions of outline coordinates. Fourier analysis can be applied to 2D outlines [23,24] or 3D closed surfaces [25,26]. Eigenshape is a third method for the analysis of outlines or curves [27,28]. In eigenshape, the coordinate points of an outline or curve are converted to a phi function, which is a list of the angles from one point to the next one in the series. Outline methods have been criticized because their individual coordinate points are not biologically homologous to each other [29], but this issue is important only in cases where a one-to-one mapping between individual variables and biological homology is required.
The principal and most important analysis of geometric morphometrics is called Procrustes superimposition, where only the shape information is extracted and the other components of variation in size, position and orientation can be removed, while taking care not to alter shape in any step of the procedure [4,9,30]. The extra components of variation can be removed by rescaling the configurations to a standard size, shifting them to a standard position, and rotating them to a standard orientation (Figure 1). Moreover, since none of the steps has changed the shape of the configurations, the variation after the procedure is the complete shape variation.
Summary of Procrustes superimposition. Components of variation other than shape are eliminated by scaling to the same size, translating to the same location of centroids, and rotating to an overall best fit of corresponding landmarks. (Figure Idea by C.P Klingenberg)
Insects in many species vary greatly in the expression of sexual traits [14]. In some species variation in the expression of such traits is discontinuous, resulting in the co-occurrence of two or more discrete phenotypes within one sex. The discrete expression of sexual traits or secondary sexual traits has attracted particular attention, as it is thought to reflect alternative adaptations to heterogeneous social conditions [31]. Sexual size dimorphism (SSD) in body size is considered to be one of the major determinants of mating success in many species [32-35]. Because larger males are generally more aggressive and more competitive than smaller males, larger males often attain greater reproductive success through intrasexual selection [14]. In contrast, sexual shape dimorphism (SShD) has been much less investigated [17-19,36]. From those studies that considered SShD, most have discussed it as a diagnostic trait for diverse purposes, such as sex identification or the analysis of ontogeny [37-40]. Nevertheless, some other authors have considered sexual dimorphism evolution covering only some aspects of a limited number of taxa, such as: the evolution of cranium in primates [41-44]; the proportions and dimensions in lizard bodies [45,46]; newts [47]; or in flies [48]; and variation of shape in insect heads [49]; and variation of sexual dimorphism in
In coleopteran of the genus
Studies of body shape in
For the morphometric analyses a total of 116 specimens of
Once the Cartesian x-y coordinates were obtained for all landmarks, the shape information was extracted with a full Procrustes fit [4,9], taking into account the object symmetry of the structure. Procrustes superimposition is a procedure that removes the information of size, position and orientation to standardize each specimen according to centroid size. Due to the high difficulty to check the differences in sexual dimorphism in this group, the only way to differentiate was based on the presence of antennal careens located from the fifth to ninth segment [54], present “only in males” and observable under a dissecting microscope (Figure 3). Because of the symmetry of the structure, reflection is removed by including the original and mirror image of all configurations in the analysis and simultaneously superimposing all of them [55]. To examine the amount of symmetric variation and sexual shape dimorphism we used Procrustes ANOVA to assess studies on object symmetry. Differences between locations and sex were assessed using canonical variate analysis (CVA), a multivariate statistical method used to find the shape characters that best distinguish multiple groups of specimens
Location of the 17 landmarks in ventral view of
Canonical Variate Analysis (CVA) for the sexual shape dimorphism population of
The PCA plot for the symmetric component (individual variation) shows some differences between the populations analyzed. The first two PCs account for 53.643% (PC1 + PC2 + PC3 = 27.619% + 14.88% + 11.14) of the total shape variation and provide a reasonable approximation of the total amount of variation, with the other PC components that account each no more than 9.5% of the variation. The canonic analysis showed a clear differentiation of sexual shape dimorphism in both populations (Figure 3).
The Procrustes ANOVA for size does not show significant differences between populations and sex. Instead, Procrustes ANOVA for shape shows differences between populations (F = 3.79, P<0.0001) and high differences between sex (F = 11.76, P<0.0001). Besides, MANOVA tests, for both symmetric and asymmetric components, confirm these results (Pillay = 0.64, P<0.0001; Pillay = 0.31, P<0.0001 respectively).
Within species, sexual dimorphism is a source of variation in life history (e.g., sexual size dimorphism and protandry), morphology (e.g., wing shape and colour pattern), and behaviour (e.g., chemical and visual signaling). Sexual selection and mating systems have been considered the primary forces driving the evolution of sexual dimorphism in insects especially in lepidoptera, and alternative hypotheses have been neglected [56]. Recent analyses demonstrate that many lepidopteran species exhibit female-biased sexual size dimorphism 73% of 48 species in Reference [57]. Size and shape differences are established during the larval period [58,59] by developmental and physiological mechanisms (e.g., number of larval instars and hormonal regulation). Because females of many species are capital breeders (i.e., they allocate larval resources for reproduction), and large size is related directly to fecundity [60-62], selection for large female body size appears to be driven by natural selection for increased fecundity [63]. Most of the morphological variations between males and females in moth and buterflies are due to the effects associated with the environment, whether phenotypic responses (plasticity) or particularly those which act during ontogenetic development [64-66]. Females are generally larger than males; this gives them adaptive advantages such as greater fecundity and better parental care [14,15,63,67].
In this section, sexual dimorphism was determined to be present in the wing shape of moths of the
Sampling: The study area was the farms named “El Guindo (36º50’12’’W- 73º01’25’’S) and Coyanmahuida” (36°49’28.66”S - 72°44’1.34”W) separated 20 km from one another in the province of Concepción, Biobío Region of Chile, where there are relict native forests with
The geometrical analysis, which considered variations attributed exclusively to shape, was performed using a photographic register of 63 males and 58 females of
Location of 18 morphological landmarks in the right wing of
The morphological variation among moths determined by Procrustes ANOVA indicates that variation in shape between sexes is highly significant (Table 1).
Effect | SS | df | MS | F | p |
Sex | |||||
Locality | 0.000061 | 1 | 0.000061 | 0.169012 | 0.684121 |
Sex x Locality | 0.000490 | 1 | 0.000490 | 1.360991 | 0.253206 |
Error | 0.010086 | 28 | 0.000360 |
Two-way ANOVA for differences in shape of
The relative warp plot shows some differences between sexes within each population analyzed (Figure 5). The first three Rws account for 91.74% of the total shape variation and provide a reasonable approximation of the total amount of variation, and the other Rw components account each for no more than 5% of variation. In order to visualize the variation in wing shape graphically we took the mean of the first three relative warps. We found different morphotypes for males and females of Coyanmahuida and Guindo (Figure 6).
Morphological deformation grids showing distributions of shape for males and females of
D dispersion graph of shape variables by sex and locality in moths of the genus
The adoption of new techniques to determine variation in shape of both animals and plants is currently a widely discussed issue [69,70]. Geometric morphometrics can unify methodologies to quantify and visualize shape in all the ways that are possible.
For case 1, geometric morphometric was capable of detecting variation between species that are not clearly visible on plain sight, but rather at a sexual selection level between species. However, small variations on body shape could mark the difference in both populations, and these were proven according to Procustes distances and also by means of variance analyses. It is worth noting that the populations studied were subject to climate differences based on the different mountain ranges from which individuals were collected.
Although these differences are not obvious, individuals of the Coast Range had less thickened bodies than those of the Andes foothills. It has been reported that a climate with high relative humidity and constant temperatures promotes a thinner, subelytral cavity; this result was therefore expected for the Coast Range. The individuals of the Andes foothills had more visible morphological variations, which may be a consequence of the instability of the environment in this area (more variation in temperature, leading to thicker subelytral cavities). However, in spite of the climatic differences between populations there were not large morphological differences in the sexual dimorphism between populations. We may infer from this that gene flow has not been interrupted between them [17].
Regarding the case of Lepidoptera wing, it was very similar to the findings in beetles, but in this case differences were determined by means of small variations in wing shape associated with venation and flying styles of males and females [18].
For a number of authors, the variation in wing shape does not provide sufficient evidence to conclude that this is only a product of sexual dimorphism. It is frequently argued that individual variation in shape may be strongly dependent on environmental conditions [3,71]. However, our study showed a significant difference in wing shape between sexes, both within and between localities. Therefore, we conclude that the differences found here are analytical for the species and areas studied.
The differences among the individual configurations of each sex were captured using mathematical functions varying according to the position of each landmark in the wing image. These differences were located in landmarks 5, 6, 7 and 8, respectively. The geometric variation detected showed that the landmarks located on the base of the radial veins were key characters to distinguish different wing morphotypes among populations and sexes. The crucial attributes for the group would benefit the dispersion, migration and sexual selection; in males for the nuptial flight, territoriality and sexual selection, and in females primarily as a characteristic flight behaviour in the search for host plants e.g. [72-75]. Therefore, selection would act on wing shape to optimize flight characteristics [76].
This revision is intended to provide a wide view of GM use in some of the diverse study areas of sexual dimorphism in insects, confirming that by using the new tools that define shape as a differentiation characteristic it is possible to determine variations at minimum scales, which can be explained by means of sexual selection. Furthermore, by using geometric morphometric, besides identifying variations regarding sex, the researcher may determine relations between anatomic points of shape, in order to identify asymmetry patterns and generate hypotheses about the group development stability, [55,77]. Therefore, it is worth noting that in recent years research efforts have increased exponentially, and GM gains attention every day as a usefull tool for quantitative integration in morphology study due to its easy, inexpensive and fast application. Consequently, scientists are taking steps to combine these advanced techniques of morphometry study, to unify methodologies with molecular and genetic studies, in order to get results with total evidence within the analysis itself.
To Dr. Viviane Jerez and Dr. Luis Parra of Zoology Department, Universidad de Concepción. Chile, for their comments and cooperation to generate the articles that were the core of the chapter and Ms. María Raquel Lazo de la Vega for her careful revision of the language.
Indwelling pleural catheters (IPC) are now being considered worldwide for patients with recurrent pleural effusions [1]. It is commonly used for patients with malignant pleural effusions (MPE) and can be performed as outpatient based day care procedure. Talc pleurodesis and indwelling pleural catheters are the standard of care therapeutic options for the patients presenting with symptomatic malignant pleural effusions. In malignant pleural effusions, indwelling catheters are particularly useful in patients with trapped lung or failed pleurodesis. IPCs are effective, both in terms of symptom control and costs, and can dramatically improve the quality of life for patients who have traditionally needed lengthy hospital admissions.
Indwelling pleural catheter (IPC) is a multi-fenestrated flexible silicone elastomeric chest drain with a polyester cuff which envelops the medial portion of the tube. The proximal end of tube has a one-way access valve designed to be attached to vacuum drainage bottles. Its distal part is tunneled through the subcutaneous tissue before placing it in the pleural space (Figure 1). Most widely used IPCs are pleurx catheter and IPC by Rockett medical. Pleurx catheter was approved by FDA in 1997 for patients with symptomatic malignant pleural effusions to relieve Dyspnea [2].
Indwelling pleural catheter (IPC).
Before the advent of IPCs, conventional method for managing recurrent pleural effusions is to place a large bore chest drain with pleurodesis/multiple pleural aspirations. Some centers were able to offer more invasive procedures, such as parietal pleurectomy or pleuro-peritoneal shunting, but these inevitably carried a risk of morbidity and were limited to patients who were fit enough to undergo general anesthesia [3, 4].
A widely recognized precursor to indwelling pleural catheter was first described in 1994. Robinson et al. [5] treated 9 patients with recurrent MPE, who had previously failed pleurodesis, with a Tenckhoff catheter, which was tunneled into the pleural space under local anesthesia. Implantable Porta cath was also used in olden days for some patients for intrapleural immunotherapy used in mesothelioma [6].
Inability for the patient and care givers to handle or tolerate the drain.
Significant coagulopathy.
Parapneumonic effusion/empyema.
Local cellulitis in the insertion site.
Track metastasis over the proposed insertion site.
Individuals in immunocompromised state due to systemic diseases.
Most of this procedure can be performed as a day care procedure in outpatient settings. There is no need to admit the patient for IPC insertion unless clinically warranted. It is advisable to stop antiplatelet/antithrombotic medications before the procedure to minimize the risk of bleeding (Aspirin-withheld for 5 days, Clopidogrel—withheld for 7 days. IPC can be inserted in any position which is suitable for drainage. It is preferable to moniter his oxygen saturation and vitals during the procedure. Supplemental oxygen can be given to those patients who are dyspneic with hypoxemia. We often prefer to give supplemental oxygen to all our patients during the procedure.
It can be performed under conscious sedation with local anesthesia. The patient is typically placed in the lateral decubitus position, with the patient lying on the side contralateral to the effusion, although they can be inserted in other patient positions. Bedside ultrasound thorax is to be done which facilitates the site of entry and also helps to quantify the pleural effusion.
Under aseptic precaution, after local anesthetic (Lignocaine 1–2%) infiltration, two small incision are made, one at the pleural insertion point and another one 7–10 cm anterior to this, which will form the proximal end to the tunneled track. The IPC catheter is tunneled along this track with the pro-fibrotic cuff which promotes tissue growth and keeps the drain in-situ, situated approximately a third along the track.
The distal end of the catheter is then inserted into the pleural cavity, using the Seldinger technique. The incisions are then sutured closed, although the catheter itself is not sutured in place. A one-way valve on the external end is then attached to a drainage bag or vacuum bottle system.
Patients and care givers are advised to drain at least 3 times a week or in presence of symptoms i.e. dyspnoea. Normal drainage timing may lasts for 15–20 min which subsequently improves their symptoms and quality of life. Drainage bottles are commercially available which are connected to proprietary one-way access valve on the external portion of the drain. Training to the patients and their family members has to be done for proper dressing and drainage by connecting the bottles with aseptic precautions. This drainage bottle is primed with a vacuum (Figure 2) in order to draw out the pleural fluid usually to a maximum of 1000 ml.
Vacuum drainage bottles.
Complications which are directly related to IPC insertion are extremely rare [11].
It is common to see a small pneumothorax in the post procedure chest X ray as a result of air being drawn into the chest during insertion. Such appearances may also be produced by trapped lung if significant volumes of fluid have been removed or trapped lung itself is seen in 20–30% of patients with malignant pleural effusion.
Large significant pneumothorax should prompt consideration of Iatrogenic injury to underlying lung and may warrant an extended period of observation before discharge.
Subcutaneous emphysema is also been documented post procedure. This demonstrates another reason why careful consideration should be given to track length, as if it is made too long there is the possibility of a fenestration remaining in the extrapleural space.
Post procedure pain can be seen in significant number of patients which can be usually managed with analgesics. Severe pain and discomfort should prompt concerns over irritation or damage to intercostal nerves. Patient may experience pain and discomfort at the end of drainage which indicates complete drainage of the pleural space which is often seen in those with underlying trapped lung. Wound Dehiscence in IPC is rarely reported.
Initially there was a concern surrounding the risk of associated infections with indwelling pleural catheters. However, data from the observational and randomized studies have demonstrated a reassuring low incidence of associated infection with one large multicenteric multinational retrospective study of over a 1000 patients, demonstrating a 4.8% IPC-related pleural infection rate [12]. Common organisms implicated are
Usually the infectious complications are reported after 6 weeks after the insertion of IPC which indicates they are not secondary to the insertion but due to later spread of pathogens from the patient’s skin or lung parenchyma [13]. Proper care, IPC dressing and drainage techniques would help to minimize the risk. Reassuringly, the mortality rate from IPC-related infection is low (0.29%) and most of these patients can be managed with oral antibiotics [12]. There is no need to remove IPC as most patients responds very well to the therapy. If this approach is unsuccessful, then patient may require hospital admission for intravenous antibiotics and placing the catheter on continuous free-drainage to facilitate resolution of the infection. In case of loculated pleural effusions, Intrapleural thrombolytics like tissue plasminogen activator and DNAase can also be given via IPC [13].
In malignant pleural effusion insertion of IPC may lead to track metastasis usually occurs in malignant mesothelioma [14]. Reported cases in the literature are sparse, but the incidence of metastasis occurring appears to be just below 1% [15]. Diagnosis can be made clinically or using ultrasound-guided biopsy [16], followed by prophylactic radiotherapy to prevent track metastasis. There is nothing to suggest that radiotherapy damages the IPC [14] and treatment, based upon small case series, tends to be successful, obviating the need for drain removal [17].
IPC blockage is another concern one need to consider since patency of the tube is important for effective drainage. This can be managed by daily saline flushing and on rare occasions in presence of thick loculated collection, one may use intrapleural fibrinolytics. The loss of electrolytes, immune factors or proteins has occasionally been raised as a concern of the long-term use of IPCs [18].
Catheter fracture is rare and may occur when an IPC is removed. The polyester cuff promotes inflammation and fibrosis which leads to tight anchoring of the catheter makes it difficult to remove. The risk of catheter fracture is reported to be about 10% [19]. This is usually managed by surgical exploration or just leaving the catheter fragments inside the body. No complications have been reported from retained fragments of IPC.
Conventional approach to the patients with symptomatic MPE is therapeutic pleurocentesis and subsequent pleurodesis. Various pleurodesis agents can be used but the most commonly used agent is talc which can be guided by thoracoscopic talc poudrage or instillation via standard chest tube. Option of IPC insertion is given to the patients who had developed trapped lung. IPCs are the ideal way for palliative care as they can be sited easily and quickly, and can be drained as often as is required to alleviate symptoms, allowing for consistent improvement in the breathlessness which will afflict the vast majority of patients with a malignant effusion [20] and improvements seen even in those with trapped lung [21].
Davies et al. [22] compared the use of IPCs to standard talc slurry via chest drain in patients who had not previously undergone pleurodesis. The trial used self-reported dyspnoea scores as its main outcome measure, showing that 6 weeks after randomization there was no significant difference between the two treatment arms. Some of the secondary endpoints appeared more favorable in the IPC group, including the proportion of patients who achieved a clinically significant relief in their symptoms (86 vs. 74%); the median length of initial hospital stay (0 vs. 4 days), and the median number of days spent in hospital for drainage over the following 12 months (1 vs. 4.5 days). Eventhough the study is underpowered, similar findings were reported elsewhere. Intrapleural Fibrinolytics can also be guided with IPC in case of multiloculated/septated effusion.
It also holds the potential to allow direct anti-cancer therapy. Sterman et al. [23] showing that patients with MPE or mesothelioma can be safely given both single- and repeated-dose interferon-β gene therapy and another group reporting the administration of monthly rituximab via an IPC for a patient with non-Hodgkin’s lymphoma [24]. Jones et al. [25] and Rahman et al. [26] studied the use of Docataxel and Lipotechoic acid -T via IPC (Pleurx) respectively with favorable clinical response.
IPC can be combined with pleurodesis agents to achieve higher success rates and early pleurodesis in patients with high output effusion. Tremblay et al. [27] have demonstrated that low-level, repeated doses of intrapleural silver nitrate in a rabbit model can maintain the pleurodesis efficacy of a drug without raising the side effect profile. Dierdre B Fitzgerald et al. studied the use of talc via IPC with malignant pleural effusion and concluded that IPC combined with inpatient talc slurry pleurodesis, followed by daily home drainage provided good success rates [28].
Spontaneous pleurodesis is also possible in patients with IPC which is an added advantage. In a study by Yuvarajan et al. [29] Spontaneous pleurodesis was achieved in 55% of the patients with hepatic hydrothorax who were placed on IPC. Mean time for spontaneous pleurodesis is around 120.8 days. Collated data from various studies suggest an overall spontaneous pleurodesis rate of around 45% for patients with MPE [15], however, some studies have reported significantly higher [30, 31] or lower values [32]. Higher pleurodesis rates, often exceeding 70%, have been noted when more aggressive drainage regimens (daily or more frequent) have been used, or when patients undergo a talc pleurodesis at the same time as IPC insertion [31].
Usage of IPC significantly improves the dyspneoa, quality of life and their performance status which is crucial for initiating chemotherapy, as chemotherapy is usually deferred in patients with poor performance status. In spite of this, there is huge concern in the risk of infectious complications post chemotherapy in those patients with IPC. There was no difference in the pleural infection rates in a retrospective analysis of 170 patients who were receiving chemotherapy with IPC when compared to those patients who did not receive chemotherapy [33]. But the decision to place an IPC in those who is already on chemotherapy needs multidisciplinary discussion with oncologist, oncosurgeon, pulmonologist and infectious disease specialist.
The most common causes for nonmalignant pleural effusions are Parapneumonic effusions, effusions due to congestive heart failure (CHF), hepatic hydrothorax (HH) secondary to cirrhosis of the liver and effusions due to renal failure. IPC’s are being recently used even for benign effusions in case hepatic hydrothorax and in patients with CKD related pleural effusions. Yuvarajan et al. [29] did a retrospective analytical study on the use of IPC in hepatic hydrothorax. 30 patients with hepatic hydrothorax were placed with indwelling pleural catheters. Spontaneous pleurodesis was achieved in 18 patients (60%) and IPCs were removed in these patients. Most of the patients (70%) who achieved spontaneous pleurodesis with IPC received at atleast one TIPS (Transjugular Intrahepatic porto systemic shunt) procedure. Mean time in which pleurodesis achieved was 120.8 days (range, 15–290 days). Thus TIPS procedure increases the success rate of pleurodesis with indwelling pleural catheters in hepatic hydrothorax.
IPC placement may be a reasonable clinical option for patients with refractory HH, but it is associated with significant adverse events in this morbid population. Potechin et al. [34] did a cohort study on IPC usage in patients who presented with recurrent effusion in end stage renal disease and concluded that IPC insertion for pleural effusions associated with end-stage renal disease appears safe and effective.
Removal of IPC is often not required in most of the patients. However, spontaneous pleurodesis is one of the potential causes for considering its removal. Other indications include pleural sepsis, nonfunctional/defective IPC and Severe pain with local cellulitis which cannot be managed with conservative approach. Removing indwelling pleural catheter is not an easy task. Since the polyester cuff attached to the drain is designed to promote local fibrosis and the removal of a drain can become more difficult with long standing IPC. In addition, advanced malignancy promotes ingrowth of fibrotic strands into the fenestrations of IPC further making the extraction of catheter difficult. For removal, one need to do careful and meticulous dissection of the fibrous material around the cuff following appropriate incisions. In those circumstances of difficulty in removal of IPC, an alternative is to simply leave the drain and to remove only the proximal portion. Fysh et al. [35] described 2 cases of this being undertaken in a small series of complicated removals. In none of the cases in which tubing was left intrapleurally did the patient experience any infective or pain-related complications during follow-up.
So IPCs plays a major role in patients with recurrent pleural effusions especially malignant pleural effusions. It is particularly useful in palliative care of the patients with trapped lung and failed chemical pleurodesis. It can be performed safely as a day care procedure with consistently low rates of complications, reduced inpatient stay and the recognition that significant improvements in patients’ symptoms. They are relatively easy to insert, manage and remove, and provide the ability to empower patient’s in both the decisions regarding their treatment and the management of their disease itself.
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Hessami",coverURL:"https://cdn.intechopen.com/books/images_new/7573.jpg",editedByType:"Edited by",editors:[{id:"108303",title:"Prof.",name:"Ali G.",middleName:null,surname:"Hessami",slug:"ali-g.-hessami",fullName:"Ali G. Hessami"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}],booksByTopicTotal:3,seriesByTopicCollection:[],seriesByTopicTotal:0,mostCitedChapters:[{id:"64630",doi:"10.5772/intechopen.80804",title:"Process of Risk Management",slug:"process-of-risk-management",totalDownloads:1820,totalCrossrefCites:4,totalDimensionsCites:6,abstract:"Cost saving and timely performance are of utmost importance to all stakeholders who are involved in a construction project that is owner, contractor, consultant and subcontractor. The prime causes of risks in construction projects involve delay and failure to complete the work at specified cost and within the agreed time frame. Unexpected delays in construction projects are caused by internal and external environments embedding several risk factors which may occur concurrently. The cost overrun and schedule overrun not only influence the construction industry’s completion of a project but can also have profound effect on the economy of a country. Even though the failure of the construction projects to get completed within the budgeted cost and time has received attention by researchers, lot more need to be researched as to what can be done to have tight leash on construction projects so that they can be brought on track. In order to meet the stiff deadlines involving complexity of construction projects, the scheduling of projects should be flexible enough to accommodate changes without negatively affecting the overall project cost and duration. This chapter deals with Perspectives on Risk Assessment and Management Paradigms as applicable to any project in general and construction industry in particular.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"K. Srinivas",authors:[{id:"255339",title:"Prof.",name:"K.",middleName:null,surname:"Srinivas",slug:"k.-srinivas",fullName:"K. Srinivas"}]},{id:"63201",doi:"10.5772/intechopen.80640",title:"Risk Management Practices Adopted by European Financial Firms with a Mediterranean Connection",slug:"risk-management-practices-adopted-by-european-financial-firms-with-a-mediterranean-connection",totalDownloads:935,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Following the economic and financial crises, any activity involving internal controls, especially risk management, has been given more attention. With this study, we aim to contribute further to the existing literature on risk management by looking at practices adopted by financial services firms licenced in Europe with a Mediterranean connection. We used parts of a questionnaire adopted by two of the authors in another study on risk management practices adopted by Maltese financial services firms and sent it to prospective candidates who work closely within risk management, to collect our data. This resulted in 1635 participants. This data was used to (1) bring to light the mechanisms and strategies used in risk management by these organisations to maximise their opportunities, manage their risks, and maintain stability in their financials. Also, (2) we check if this is perceived as contributing to ‘principled performance’. Finally, (3) we examine the extent to which risk management capabilities offer a competitive advantage to these firms. Our findings evidence that the objective by EMP and the EU, that is to ensure that members operate ‘on the same level playing field’ within risk management, in financial services of firms with a Euro-Mediterranean connection, has been achieved.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"Simon Grima and Frank Bezzina",authors:[{id:"257099",title:"Dr.",name:"Simon",middleName:null,surname:"Grima",slug:"simon-grima",fullName:"Simon Grima"},{id:"257101",title:"Prof.",name:"Frank",middleName:null,surname:"Bezzina",slug:"frank-bezzina",fullName:"Frank Bezzina"}]},{id:"76927",doi:"10.5772/intechopen.97809",title:"Integrating Resilience in Time-based Dependency Analysis: A Large-Scale Case Study for Urban Critical Infrastructures",slug:"integrating-resilience-in-time-based-dependency-analysis-a-large-scale-case-study-for-urban-critical",totalDownloads:210,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"As critical systems shall withstand different types of perturbations affecting their functionalities and their service level, resilience is a very important requirement. Especially in an urban critical infrastructures where the occurrence of natural events may influence the state of other dependent infrastructures from various different sectors, the overall resilience of such infrastructures against large scale failures is even more important. When a perturbation occurs in a system, the quality (level) of the service provided by the affected system will be reduced and a recovery phase will be triggered to restore the system to its normal operation level. According to the implemented recovery controls, the restoration phase may follow a different growth model. This paper extends a previous time-based dependency risk analysis methodology by integrating and assessing the effect of recovery controls. The main goal is to dynamically assess the evolution of recovery over time, in order to identify how the expected recovery plans will eventually affect the overall risk of the critical paths. The proposed recovery-aware time-based dependency analysis methodology was integrated into the CIPCast Decision Support System that enables risk forecast due to natural events to identify vulnerable and disrupted assets (e.g., electric substations, telecommunication components) and measure the expected risk paths. Thus, CIPCast can be valuable to Critical Infrastructure Operators and other Emergency Managers involved in a crisis assessment to evaluate the effect of natural and anthropic threats affecting critical assets and plan proper countermeasures to reduce the overall risk of degradation of services. The proposed methodology is evaluated in a real scenario, which utilizes several infrastructures and Points of Interest of the city of Rome.",book:{id:"10256",slug:"issues-on-risk-analysis-for-critical-infrastructure-protection",title:"Issues on Risk Analysis for Critical Infrastructure Protection",fullTitle:"Issues on Risk Analysis for Critical Infrastructure Protection"},signatures:"Vittorio Rosato, Antonio Di Pietro, Panayiotis Kotzanikolaou, George Stergiopoulos and Giulio Smedile",authors:[{id:"27002",title:"Dr.",name:"Vittorio",middleName:null,surname:"Rosato",slug:"vittorio-rosato",fullName:"Vittorio Rosato"},{id:"284589",title:"Dr.",name:"Antonio",middleName:null,surname:"Di Pietro",slug:"antonio-di-pietro",fullName:"Antonio Di Pietro"},{id:"326117",title:"Dr.",name:"Yiorgos",middleName:null,surname:"Stergiopoulos",slug:"yiorgos-stergiopoulos",fullName:"Yiorgos Stergiopoulos"},{id:"326118",title:"Dr.",name:"Giulio",middleName:null,surname:"Smedile",slug:"giulio-smedile",fullName:"Giulio Smedile"},{id:"326119",title:"Associate Prof.",name:"Kotzanikolaou",middleName:null,surname:"Panagiotis",slug:"kotzanikolaou-panagiotis",fullName:"Kotzanikolaou Panagiotis"}]},{id:"74240",doi:"10.5772/intechopen.94917",title:"Analyzing the Cyber Risk in Critical Infrastructures",slug:"analyzing-the-cyber-risk-in-critical-infrastructures",totalDownloads:341,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Information and communication technology (ICT) plays an important role in critical infrastructures (CIs). Some ICT-based services are in itself critical for the functioning of society while other ICT elements are essential for the functioning of critical processes within CIs. Moreover, many critical processes within CIs are monitored and controlled by industrial control systems (ICS) also referred to as operational technology (OT). In line with the CI-concept, the concept of critical information infrastructure (CII) is introduced comprising both ICT and OT. It is shown that CIIs extend beyond the classical set of CIs. The risk to society due to inadvertent and deliberate CI/CII disruptions has increased due to the interrelation, complexity, and dependencies of CIs and CIIs. The cyber risk due to threats to and vulnerabilities of ICT and OT is outlined. Methods to analyze the cyber risk to CI and CII are discussed at both the organization, national, and the service chain levels. Cyber threats, threat actors, and the organizational, personnel, and technological cyber security challenges are outlined. An outlook is given to near future cyber security risk challenges, and therefore upcoming risk, stemming from (industrial) internet of things and other new cyber-embedded technologies.",book:{id:"10256",slug:"issues-on-risk-analysis-for-critical-infrastructure-protection",title:"Issues on Risk Analysis for Critical Infrastructure Protection",fullTitle:"Issues on Risk Analysis for Critical Infrastructure Protection"},signatures:"Marieke Klaver and Eric Luiijf",authors:[{id:"325818",title:"Dr.",name:"Marieke",middleName:null,surname:"Klaver",slug:"marieke-klaver",fullName:"Marieke Klaver"},{id:"325822",title:"MSc.",name:"Eric",middleName:null,surname:"Luiijf",slug:"eric-luiijf",fullName:"Eric Luiijf"}]},{id:"64655",doi:"10.5772/intechopen.82273",title:"Lifecycle Risk Modelling of Complex Projects",slug:"lifecycle-risk-modelling-of-complex-projects",totalDownloads:919,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Large, complex and challenging engineering projects require extensive understanding and management of risk. How these risks are identified at the infancy of a project and subsequently mitigated throughout the project lifecycle is critical to successful delivery. Many projects begin with a comprehensive attempt to identify risks but lack the tools to manage and measure risk mitigation as the project progresses through the lifecycle causing the project to spiral out of control. This chapter outlines details of a risk model that uses a system within a system approach of identifying and segmenting risks. The model can then be analysed quantitatively and generate a visual lifecycle risk profile that allows the project team to monitor risks continuously in the project lifecycle. Furthermore, the use of a baseline or ideal project is proposed that is used as a measure of likely success against new projects.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"Matthew Cook and John P.T. Mo",authors:[{id:"6394",title:"Prof.",name:"John P.T.",middleName:null,surname:"Mo",slug:"john-p.t.-mo",fullName:"John P.T. Mo"},{id:"254858",title:"Ph.D. Student",name:"Matthew",middleName:null,surname:"Cook",slug:"matthew-cook",fullName:"Matthew Cook"}]}],mostDownloadedChaptersLast30Days:[{id:"64817",title:"Pharmaceutical Projects: Walking along the Risk Management Line",slug:"pharmaceutical-projects-walking-along-the-risk-management-line",totalDownloads:1261,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"We manage risk so commonly (and unconsciously) in our everyday life that we tend to undervalue it. Risk management was officially introduced in the pharmaceutical world by the ICH guideline Q9 in 2005. Since then, it has been intensively used and, not infrequently, misused. Practice shows that risk assessment tools are often seen as an end in themselves, while such important things as brainstorming on the matter and getting to know the problem are underestimated. A pharmaceutical project provides a very good example of this: risk management is critical, but as there are many unknown factors, it has to be performed in a way that what really counts is understanding the problems we face. A pharmaceutical project has at least two actors, a pharmaceutical firm and an engineering company, possessing different backgrounds, and this often leads to different approaches. This may explain why risk management is not used as much as it should in pharmaceutical projects. Thus, this chapter considers a pharmaceutical project from the point of view of risk management.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"Jordi Botet",authors:[{id:"143483",title:"Dr.",name:"Jordi",middleName:null,surname:"Botet",slug:"jordi-botet",fullName:"Jordi Botet"}]},{id:"62904",title:"Bank Risk Management: A Regulatory Perspective",slug:"bank-risk-management-a-regulatory-perspective",totalDownloads:1700,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"The globalization of financial markets, information technology development, and increasing competition have largely affected bank business and its risk management. Together with these forces, regulatory factors play a significant role. This chapter approaches bank risk management under the regulators’ perspective with an emphasis on the risk-based capital regulation. Specifically, how bank risk is regulated under the risk-based capital regulation and whether the regulation shapes bank risk are discussed in detail. In such a way, the chapter provides better understanding of the risk-based capital regulation and bank risk-taking behaviors.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"Nguyen Thi Thieu Quang and Christopher Gan",authors:[{id:"256020",title:"Prof.",name:"Christopher",middleName:null,surname:"Gan",slug:"christopher-gan",fullName:"Christopher Gan"},{id:"256021",title:"Ms.",name:"Nguyen Thi Thieu",middleName:null,surname:"Quang",slug:"nguyen-thi-thieu-quang",fullName:"Nguyen Thi Thieu Quang"}]},{id:"63163",title:"Decision-making in Risk Management",slug:"decision-making-in-risk-management",totalDownloads:1389,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The definition of risk introduced in the ISO 31000 standard of 2009 (2018) is uncertain goal achievement; thus, both negative and positive outcomes can be considered. It also implies that risk is not limited to life and health, but may cover all goals of a company. Risk management thus becomes a question of achieving and optimizing multiple goals. Since safety is but one of several considerations, safety may lose out to other more easily measured objectives of a company, such as economics and compliance with regulatory requirements. Risk analyses have a long history of quantification, a tradition that for various reasons has waned and should be revived if safety goals are to be treated together with other goals of a company. The extended scope affects not only company owners and employees but also neighbors, the local community, and the society at large. The stochastic nature of risk and the considerable time lap between decisions and the multiattributed consequences implies that managing risk is exposed to cognitive biases of many sorts. Risk management should be based on a quantitative approach to risk analysis as a protection against the many cognitive biases likely to be present, and managers should be trained to recognize the most common cognitive biases and decision pitfalls.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"Jan Folkmann Wright",authors:[{id:"254395",title:"Mr.",name:"Jan Folkmann",middleName:null,surname:"Wright",slug:"jan-folkmann-wright",fullName:"Jan Folkmann Wright"}]},{id:"65609",title:"Risk Analysis Related to Cost and Schedule for a Bridge Construction Project",slug:"risk-analysis-related-to-cost-and-schedule-for-a-bridge-construction-project",totalDownloads:1491,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"The construction sector is subject to more risk than many other sectors. Managing risk is the hottest topic of discussion for engineers within the construction sector. It is difficult to imagine managing of projects without risk management in construction. Risk management is concerned with risk management planning, identification, analysis, responses, monitoring and controlling project risk. Risk analysis is an evaluative process that establishes the magnitude of risks on projects. This work is planned to identify and analyze risks in the construction of a bridge project. The data are collected through a survey approach by administering a questionnaire. Professionals involved in the construction of bridges identify the project risks. A case study is utilized to determine the impact of cost and schedule risks. The analysis is carried out using the Monte Carlo simulation. The findings of the Monte Carlo simulation are compared with the actual times and costs of the case-study project. The results show the actual times and costs fell within the expected distribution of the simulation. The results indicate that risk analysis is helpful in managing costs and schedule risks. Additionally, this work documents guidelines for risk analysis.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"Rafiq M. Choudhry",authors:[{id:"255346",title:"Prof.",name:"Rafiq M.",middleName:null,surname:"Choudhry",slug:"rafiq-m.-choudhry",fullName:"Rafiq M. Choudhry"}]},{id:"64630",title:"Process of Risk Management",slug:"process-of-risk-management",totalDownloads:1820,totalCrossrefCites:4,totalDimensionsCites:6,abstract:"Cost saving and timely performance are of utmost importance to all stakeholders who are involved in a construction project that is owner, contractor, consultant and subcontractor. The prime causes of risks in construction projects involve delay and failure to complete the work at specified cost and within the agreed time frame. Unexpected delays in construction projects are caused by internal and external environments embedding several risk factors which may occur concurrently. The cost overrun and schedule overrun not only influence the construction industry’s completion of a project but can also have profound effect on the economy of a country. Even though the failure of the construction projects to get completed within the budgeted cost and time has received attention by researchers, lot more need to be researched as to what can be done to have tight leash on construction projects so that they can be brought on track. In order to meet the stiff deadlines involving complexity of construction projects, the scheduling of projects should be flexible enough to accommodate changes without negatively affecting the overall project cost and duration. This chapter deals with Perspectives on Risk Assessment and Management Paradigms as applicable to any project in general and construction industry in particular.",book:{id:"7573",slug:"perspectives-on-risk-assessment-and-management-paradigms",title:"Perspectives on Risk, Assessment and Management Paradigms",fullTitle:"Perspectives on Risk, Assessment and Management Paradigms"},signatures:"K. Srinivas",authors:[{id:"255339",title:"Prof.",name:"K.",middleName:null,surname:"Srinivas",slug:"k.-srinivas",fullName:"K. 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Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University, Kuwait. His research interests include optimization, computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, and intelligent systems. Prof. Sarfraz has been a keynote/invited speaker at various platforms around the globe. He has advised/supervised more than 110 students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He has authored and/or edited around seventy books. Prof. Sarfraz is a member of various professional societies. He is a chair and member of international advisory committees and organizing committees of numerous international conferences. He is also an editor and editor in chief for various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:null},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:"Beijing University of Technology",institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Lakhno Igor Victorovich was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPhD – 1999, Kharkiv National Medical Univesity.\nDSc – 2019, PL Shupik National Academy of Postgraduate Education \nLakhno Igor has been graduated from an international training courses on reproductive medicine and family planning held in Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor of the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s a professor of the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics and gynecology department of Kharkiv Medical Academy of Postgraduate Education . He’s an author of about 200 printed works and there are 17 of them in Scopus or Web of Science databases. Lakhno Igor is a rewiever of Journal of Obstetrics and Gynaecology (Taylor and Francis), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for DSc degree \\'Pre-eclampsia: prediction, prevention and treatment”. Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: obstetrics, women’s health, fetal medicine, cardiovascular medicine.",institutionString:"V.N. Karazin Kharkiv National University",institution:{name:"Kharkiv Medical Academy of Postgraduate Education",country:{name:"Ukraine"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"243698",title:"M.D.",name:"Xiaogang",middleName:null,surname:"Wang",slug:"xiaogang-wang",fullName:"Xiaogang Wang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243698/images/system/243698.png",biography:"Dr. Xiaogang Wang, a faculty member of Shanxi Eye Hospital specializing in the treatment of cataract and retinal disease and a tutor for postgraduate students of Shanxi Medical University, worked in the COOL Lab as an international visiting scholar under the supervision of Dr. David Huang and Yali Jia from October 2012 through November 2013. Dr. Wang earned an MD from Shanxi Medical University and a Ph.D. from Shanghai Jiao Tong University. Dr. Wang was awarded two research project grants focused on multimodal optical coherence tomography imaging and deep learning in cataract and retinal disease, from the National Natural Science Foundation of China. He has published around 30 peer-reviewed journal papers and four book chapters and co-edited one book.",institutionString:"Shanxi Eye Hospital",institution:{name:"Shanxi Eye Hospital",country:{name:"China"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRZkkQAG/Profile_Picture_2022-05-09T12:55:18.jpg",biography:null,institutionString:null,institution:null},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. 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Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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