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IntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\\n\\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\\n\\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\\n\\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\\n\\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\\n\\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\\n\\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\\n\\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\\n\\nFeel free to share this news on social media and help us mark this memorable moment!
\\n\\n\\n"}]',published:!0,mainMedia:{caption:"",originalUrl:"/media/original/237"}},components:[{type:"htmlEditorComponent",content:'
After years of being acknowledged as the world's leading publisher of Open Access books, today, we are proud to announce we’ve successfully launched a portfolio of Open Science journals covering rapidly expanding areas of interdisciplinary research.
\n\n\n\nIntechOpen was founded by scientists, for scientists, in order to make book publishing accessible around the globe. Over the last two decades, this has driven Open Access (OA) book publishing whilst levelling the playing field for global academics. Through our innovative publishing model and the support of the research community, we have now published over 5,700 Open Access books and are visited online by over three million academics every month. These researchers are increasingly working in broad technology-based subjects, driving multidisciplinary academic endeavours into human health, environment, and technology.
\n\nBy listening to our community, and in order to serve these rapidly growing areas which lie at the core of IntechOpen's expertise, we are launching a portfolio of Open Science journals:
\n\nAll three journals will publish under an Open Access model and embrace Open Science policies to help support the changing needs of academics in these fast-moving research areas. There will be direct links to preprint servers and data repositories, allowing full reproducibility and rapid dissemination of published papers to help accelerate the pace of research. Each journal has renowned Editors in Chief who will work alongside a global Editorial Board, delivering robust single-blind peer review. Supported by our internal editorial teams, this will ensure our authors will receive a quick, user-friendly, and personalised publishing experience.
\n\n"By launching our journals portfolio we are introducing new, dedicated homes for interdisciplinary technology-focused researchers to publish their work, whilst embracing Open Science and creating a unique global home for academics to disseminate their work. We are taking a leap toward Open Science continuing and expanding our fundamental commitment to openly sharing scientific research across the world, making it available for the benefit of all." Dr. Sara Uhac, IntechOpen CEO
\n\n"Our aim is to promote and create better science for a better world by increasing access to information and the latest scientific developments to all scientists, innovators, entrepreneurs and students and give them the opportunity to learn, observe and contribute to knowledge creation. Open Science promotes a swifter path from research to innovation to produce new products and services." Alex Lazinica, IntechOpen founder
\n\nIn conclusion, Natalia Reinic Babic, Head of Journal Publishing and Open Science at IntechOpen adds:
\n\n“On behalf of the journal team I’d like to thank all our Editors in Chief, Editorial Boards, internal supporting teams, and our scientific community for their continuous support in making this portfolio a reality - we couldn’t have done it without you! With your support in place, we are confident these journals will become as impactful and successful as our book publishing program and bring us closer to a more open (science) future.”
\n\nWe invite you to visit the journals homepage and learn more about the journal’s Editorial Boards, scope and vision as all three journals are now open for submissions.
\n\nFeel free to share this news on social media and help us mark this memorable moment!
\n\n\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"}]},book:{item:{type:"book",id:"2733",leadTitle:null,fullTitle:"Genetic Programming - New Approaches and Successful Applications",title:"Genetic Programming",subtitle:"New Approaches and Successful Applications",reviewType:"peer-reviewed",abstract:"Genetic programming (GP) is a branch of Evolutionary Computing that aims the automatic discovery of programs to solve a given problem. Since its appearance, in the earliest nineties, GP has become one of the most promising paradigms for solving problems in the artificial intelligence field, producing a number of human-competitive results and even patentable new inventions. And, as other areas in Computer Science, GP continues evolving quickly, with new ideas, techniques and applications being constantly proposed.\nThe purpose of this book is to show recent advances in the field of GP, both the development of new theoretical approaches and the emergence of applications that have successfully solved different real world problems. The volume is primarily aimed at postgraduates, researchers and academics, although it is hoped that it may be useful to undergraduates who wish to learn about the leading techniques in GP.",isbn:null,printIsbn:"978-953-51-0809-2",pdfIsbn:"978-953-51-5699-4",doi:"10.5772/3102",price:119,priceEur:129,priceUsd:155,slug:"genetic-programming-new-approaches-and-successful-applications",numberOfPages:300,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"c0354ba67a0e83ff8e90a1a66fca66e7",bookSignature:"Sebastian Ventura",publishedDate:"October 18th 2012",coverURL:"https://cdn.intechopen.com/books/images_new/2733.jpg",numberOfDownloads:32659,numberOfWosCitations:29,numberOfCrossrefCitations:18,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:33,numberOfDimensionsCitationsByBook:1,hasAltmetrics:1,numberOfTotalCitations:80,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"December 5th 2011",dateEndSecondStepPublish:"January 9th 2012",dateEndThirdStepPublish:"April 14th 2012",dateEndFourthStepPublish:"July 13th 2012",dateEndFifthStepPublish:"August 12th 2012",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6,7",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"136112",title:"Dr.",name:"Sebastian",middleName:null,surname:"Ventura Soto",slug:"sebastian-ventura-soto",fullName:"Sebastian Ventura Soto",profilePictureURL:"https://mts.intechopen.com/storage/users/136112/images/system/136112.png",biography:"Sebastian Ventura is a Spanish researcher, a full professor with the Department of Computer Science and Numerical Analysis, University of Córdoba. Dr Ventura also holds the positions of Affiliated Professor at Virginia Commonwealth University (Richmond, USA) and Distinguished Adjunct Professor at King Abdulaziz University (Jeddah, Saudi Arabia). Additionally, he is deputy director of the Andalusian Research Institute in Data Science and Computational Intelligence (DaSCI) and heads the Knowledge Discovery and Intelligent Systems Research Laboratory. He has published more than ten books and over 300 articles in journals and scientific conferences. Currently, his work has received over 18,000 citations according to Google Scholar, including more than 2200 citations in 2020. In the last five years, he has published more than 60 papers in international journals indexed in the JCR (around 70% of them belonging to first quartile journals) and he has edited some Springer books “Supervised Descriptive Pattern Mining” (2018), “Multiple Instance Learning - Foundations and Algorithms” (2016), and “Pattern Mining with Evolutionary Algorithms” (2016). He has also been involved in more than 20 research projects supported by the Spanish and Andalusian governments and the European Union. He currently belongs to the editorial board of PeerJ Computer Science, Information Fusion and Engineering Applications of Artificial Intelligence journals, being also associate editor of Applied Computational Intelligence and Soft Computing and IEEE Transactions on Cybernetics. Finally, he is editor-in-chief of Progress in Artificial Intelligence. He is a Senior Member of the IEEE Computer, the IEEE Computational Intelligence, and the IEEE Systems, Man, and Cybernetics Societies, and the Association of Computing Machinery (ACM). Finally, his main research interests include data science, computational intelligence, and their applications.",institutionString:null,position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"0",totalChapterViews:"0",totalEditedBooks:"2",institution:{name:"University of Córdoba",institutionURL:null,country:{name:"Spain"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"517",title:"Evolutionary Computing",slug:"evolutionary-computing"}],chapters:[{id:"40288",title:"Using Quantitative Genetics and Phenotypic Traits in Genetic Programming",doi:"10.5772/50143",slug:"using-quantitative-genetics-and-phenotypic-traits-in-genetic-programming",totalDownloads:2199,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:null,signatures:"Uday Kamath, Jeffrey K. Bassett and Kenneth A. 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Lubricants have been in use for hundreds of centuries and are essential to our survival. Natural lubricants such as saliva and synovial fluid lubricate the food for easy mastication and reduce wear and tear of our joints respectively. Cooking oils prevent sticking of food onto frying pans and baking trays at the same time as conducting heat. Ancient Egyptians used lubricants to slide large stone blocks for building the great pyramids while the Romans used lubricant on the axles of their chariots [1]. Ancient lubricants were plant and animal based natural oils. With the onset of industrial revolution and our reliance on metal-based machinery and engines, petroleum-based lubricants witnessed a growth.
\nModern lubricants are far more complex and perform various other functions in addition to lubricating such as cleaning, cooling, and sealing. The primary function of most lubricants is to reduce friction and this property is known as lubricity. A lubricant can be used in solid form, semi-solid, liquid form or gaseous form. Examples of solid lubricants are graphite and Molybdenum disulphide (MoS2), semi-solid lubricants are greases, and liquid are automobile engine oil. Depending on the requirements of a said application, the physical state of lubricant is chosen. For example, in space environments where liquid lubrication is not feasible due to vacuum, solid lubricants are chosen. Air bearing are preferred in applications in machine tool applications where precision is of primary importance such as cutting and finishing of optical lenses. Greases are used where a liquid oil would not remain in position due to its tendency to flow or when a sealing action is needed to prevent water-ingress in addition to lubrication. Today’s lubricants are designed and packaged to meet specific requirements for specific applications by lubricant formulators. The lubricant for automobile transmission and drive train has different requirements to satisfy compared to lubricant for an internal combustion engine or turbines. Further depending upon the type of turbines viz. gas, steam or hydraulic, the lubricant needs to be designed.
\nTypically, industrial lubricants contain 70-90% base oils and the rest is additives [2]. Base oils impart primary vital properties of the lubricant such as viscosity, viscosity stability, thermal stability, solvency, low temperature flow and volatility, oxidation stability. Additives have been used in lubricating oil since the 1920s and the demand for lubrication has resulted in continuous growth in the size of the market (USD 14.35 billion in 2015) with huge investments in research and development to design and formulate superior lubricants that meets present and future environmental regulations and consumer expectations. Despite this, lubricant formulation has mostly remained an art. This is because blending a new formulation for optimizing viscosity and obtaining optimum performance through performance tests for friction and emissions is much easier than testing for parameters, such as impact on engine wear, sludge build-up and piston cleanliness which require long duration engine tests. For example, during the development of Castrol’s engine oil, ‘Edge with Titanium Fluid Strength Technology’, over 2400 unique formulations were engine-tested for an equivalent of 1.9 million miles.
\nTo understand the need for additives, one must understand the implication of the Stribeck curve shown in Figure 1. Machine elements such as engine bearings work in hydrodynamic lubrication regime where the major function of the lubricant is to maintain its viscosity at all temperatures while ensuring a thick fluid film to keep the two contacting surfaces in relative motion separated at all loads and speeds. Rolling element bearings work on elasto-hydrodynamic lubrication (EHL) where the contacting surfaces deform elastically and there is a very thin film separation. Cams and tappets work in the boundary lubrication regime where there is substantial metal to metal contact. And in the reciprocating motion of engine piston rings, all four kinds of lubrication regime occur.
\nStribeck curve.
Classical lubrication theory assumes that a lubricating oil is a Newtonian fluid with a fixed viscosity and the contacting surfaces to be rigid. George Osborne Reynolds approached the fluid film hydrodynamic lubrication using mathematical and physical approach (1886) to predict friction, film thickness and load carrying capacity [3]. In the real world, oils undergo shear thinning and behave as a non-Newtonian fluid due to heat and pressure developed at the contact. Furthermore, real surfaces are rough and can undergo elastic as well as local plastic deformation under fluid pressure. The EHL theory was developed by H.M. Martin (in 1916) and later by Ertel (in 1939) and Grubin (in 1949), Petrusevich (in 1951), Dowson and Higginson (in 1959), Dowson and Hamrock (in 1977) for predicting traction, load carrying capacity and film thickness in heavily loaded contacts [4]. The non-Newtonian behavior of thin films under high pressure and lower rolling speeds has guided lubricant formulators to consider the shear-stress/shear-strain behavior, pressure-viscosity dependence of the lubricant as these are closely linked to the molecular properties of the oil composition. On the Stribeck curve, when the speed is very low, the friction is governed by the chemistry of the lubricant molecules i.e. the molecular structure and orientation. It was W. B. Hardy (in 1920), who coined the term boundary lubrication and later with Ida Doubleday (in 1922) established the basic concepts of boundary lubrication theory [5]. The boundary lubrication properties such as friction and film thickness at the interface of two surfaces are affected by the force fields of molecules in relation to their structure and polarity. Hence, formulators add boundary film additives to reduce friction in this regime [6]. Additives must also reduce wear, as in this regime, the two surfaces in relative motion are in contact hence prone to significant wear. Furthermore, additives need to counter the side effects of continuous as well as intermittent use of the lubricant such as they need to control heat, deposit formation, prevent foam formation, prevent fouling and corrosion due to water ingress, prevent wear, increase film strength under concentrated contacts, control greenhouse gas emissions. Therefore, as high as 30% content of modern automotive lubricants are chemical additives while some industrial oils may only contain 1% or less.
\nA typical petroleum-based oil with no additive is called a base oil or base stock [7]. The generation of base stock starts with the identification and selection of a good petroleum crude followed by atmospheric distillation, vacuum distillation and solvent processing. Solvent processing has two processes viz. solvent extraction, and solvent dewaxing where undesirable molecules are separated where as in hydroprocessing undesirable molecules are converted to desirable ones. Hydroprocessing a general term for conversion of less desirable crude fractions into good quality feedstock using catalyst and hydrogen at high temperature and pressure. This can be categorized as hydrofinishing, hydrotreating and hydrocracking according to increasing order of severity. Another process called hydrodewaxing is required to remove long chain linear paraffins, isomerize straight chains to branched chains which improves the pour point. Only 10 % of crudes are converted to base stocks for lubricants, hence the refinery owners call the shots regarding the choice of crudes to be converted to base oils while balancing the cost, yield and demand relative to all the other refinery products. However, to satisfy lubricant performance demands under severe operating conditions, high quality base stocks are needed. The lubricant manufactures (refinery owner can also be lube manufacturer) buy these base stocks and other chemical compounds and formulate their lubricant for example SAE15W40 or ILSAC GF-5, meeting standards set by Original Equipment Manufacturers (OEMs), professional bodies, and international institutions like American Petroleum Institute (API), International Lubricant Standardization and Approval Committee (ILSAC), Society of Automotive Engineers (SAE) to name a few.
\nOwing their origin to petroleum crudes, lubricant base stocks are also mixtures of long chain hydrocarbons containing three types of chemical groups. i.e. paraffins, naphthenes and aromatics. The paraffins can be further classified into branched or straight chains. The chain length and branching affects the melting point and crystallization temperature of the paraffins. During the production of lube base stock, most of the unsaturated bonds, paraffin wax and sulfur content are removed, however depending on the severity of hydroprocessing, some wax, unsaturates and sulfur may remain. Base Stocks have been classified into 5 categories by the API according to the presence of saturates, sulfur content and viscosity as shown in Table 1. Group I, II and III are derived from petroleum crude while Group IV is reserved for Polyalphaolefins (PAO) which are synthesized from gaseous hydrocarbons. Group V is for all other base stocks that are not included in other four groups such as mineral based napthenics, synthetic esters, polyglycols, silicones, polybutenes, phosphate esters etc. These oils are designed for severe performance requirements.
\n\n | Type | \nSaturates (%) | \nSulfur (%) | \nViscosity index | \n
---|---|---|---|---|
Group I | \nSolvent refined | \n<90 | \n>0.03 | \n80 to <120 | \n
Group II | \nHydrofinished | \n≥90 | \n≤0.03 | \n80 to <120 | \n
Group III | \nHydrocracked | \n≥90 | \n≤0.03 | \n≥120 | \n
Group IV | \nPolyalphaolefins | \n— | \n— | \n— | \n
Group V | \nSynthetics and naphthenics and other stocks not included in Group I, II, III or IV | \n— | \n— | \n— | \n
API base stock classification.
Group I base oils are processed by solvent processing in which wax and multiring aromatics are removed while some sulfur and aromatics remain. These base oils are typically used in marine and diesel engine oils, heat transfer oils, hydraulic oils, conventional greases, industrial gear oils, and machine tool oils. These oils have high solvency, very high viscosity but poor viscosity index. The maximum operating temperature is 93°C.
\nGroup II base stocks have undergone catalytic conversion to remove wax, aromatics and sulfur compounds. These base oils are used as automotive engine oil, automatic transmission fluid, gear oils and turbine oils. The maximum operating temperature of these base stocks is 121°C.
\nGroup III base oils are similar to Group II oils but have a higher viscosity index. The severity of hydroprocessing removes any ring structures, as a result, its solvency is poor. These base oils are used in premium passenger vehicles, automatic transmission fluids, and food grade lubricants. The maximum operating temperature is 121°C.
\nGroup IV oils are synthetically produced Polyalphaolefins from low molecular weight organic material. They have uniform molecular structures. They provide excellent high temperature performance and oxidation stability and therefore used in high performance engine and gear applications, heavy duty industrial compressor, power transmission fluid, hydraulic fluid, heat transfer fluid and in bearings as greases or liquid or lubricants. A wide range of viscosity grades of PAOs can be produced by varying the number of olefin molecules linked together. PAOs have a maximum operating temperature of 132°C.
\nGroup V base stocks can be either naphthenic or synthetic in origin. The naphthenics provide very good low temperature performance and hence are used in applications which operate in a narrow temperature range such as transformer oil, process oils, grease. These oils have high solubility and available in a wide range of viscosities. The synthetics on the other side vary widely in their types and properties. These include polyglycols, silicones, polybutenes, organic esters, phosphate esters and they are used as compressor oils, brake fluids, heat transfer oils, aviation engine oil. Their maximum operating temperature is dependent on the nature of their molecular structure. Silicon oils are known to have a maximum operating temperature of 232°C.
\nFinally, Group II+ and Group III+ are two types of base stocks that are not included in the original API classification. The plus refers to increase in viscosity index (VI) in the higher limit of the API specification. Group II+ has VI minimum between 110 and 115 and Group III+ has minimum VI somewhere between 130 and 140.
\nAs mentioned previously, mineral oils are mixtures of hydrocarbons containing paraffins, naphthenics and aromatics of various structures and carbon numbers ranging between 20 to 40+, at varying amounts depending on their degree of refining and processing. Typical composition of various API groups have been identified, but their exact structures are still not known. There is a considerable variability in the performance among the mineral origin base oils owing to the source of the crude. Therefore, lubricant manufactures conduct performance tests on their formulations to ascertain satisfactory performance with any new base stock in the same API category.
\nThe primary function of Lubricant additives is to improve the properties of the base stock under different operating conditions and the high performance requirements of any machinery. Lubricant additives are chemical components that need to blend well with the base oil to function as a single fluid. Additive manufactures often sell several additives combined into an additive package and diluted with a base oil at a higher concentration. The additive package is then dosed into the lubricant blend by the lubricant manufacturer at an appropriate treat rate to give the desired performance. The concentration of various additives is constrained by various factors such as their primary function (for example dispersancy, wear protection and so on), their synergetic or antagonistic behaviour with other additives, and regulations set by industry bodies.
\nIn a nutshell, lubricant additives can be categorized into various kinds based on their general roles of performance improvement and service life extension. First category are additives that impart new properties to the lubricant also known as surface protective additives. Examples include antiwear additives, extreme pressure additives, corrosion inhibitors, detergents and dispersants. The second kind of additives enhance the existing properties already present in the lubricant hence known as performance additives. Viscosity index improvers, viscosity modifiers, friction modifiers, pour point depressants belong to this type. The third type of additives known as lubricant protective additives, are the ones that counteract the negative effects or changes that take place during the service life of the lubricant. These include antifoamants and, antioxidants. In this chapter only the major types of lubricant additives are discussed. Other additives such as demulsifiers, emulsifier, biocides may be added depending on the intended applications.
\nAs the name indicates, these are additives that reduce the pour point of the lubricant, i.e. the lubricant remains in liquid state and maintains its fluidity (pourability) at lower temperatures than without these additives. Usually as temperature decreases, paraffin molecules in the oil start to crystallize as wax (below 50°C) and the oil loses its ability to flow by gravity or to be pumped under pressure. This also affects the viscosity of the oil. Additives such as alkylaromatic polymers and polymethacrylates prevent wax crystal growth by modifying the interface between the wax and the oil molecules, to a certain extent thus lowering the pour point by about 20–30°F (11–17°C). These are present up to a fraction of a percent in all paraffin-based lubricants that lubricate machine elements such as bearings, gears exposed to cold start and cold (winter) operating temperatures. Modern multi-grade engine oils/motor oils composed of partly synthetic oil and partly mineral oil along with these additives, have pourpoints as low as −32°C.
\nViscosity index improvers (VII) also known as viscosity modifiers are additives that prevent the oil from losing its viscosity at high temperatures which is a natural tendency of any liquid. These additives are available in all shapes and sizes and quality [8]. Polymethylmethacrylates, olefin copolymers, hydrogenated poly(styrene-co-butadiene or isoprene), esterified polystyrene-co-maleic anhydride are commonly used VIIs. The large oil soluble flexible polymer molecules uncoil and spread out as temperature increases thereby increasing the viscosity as shown in Figure 2. Furthermore, their numerous branches entangle with those of other neighboring molecules. By doing this, these macromolecular structures can trap and control smaller oil molecules, thus increasing the viscosity of the lubricant.
\nMechanism of VII.
Permanent and temporary shear thinning of VII-thickened formulations can also occur depending upon the quality of the VII. In heavy duty application, due to the large compressive pressure between the two mating surfaces, VII polymer molecules, tend to align with each other and get “squashed” or even get chopped to small pieces under high shear conditions. When the polymer coils elongate and become aligned in the direction of the flow the viscosity temporarily drops resulting in reduced oil film thickness. After the lubricant leaves the contact between the mating parts, the polymer coils return to their original shape and the viscosity of the lubricant returns to normal. This phenomenon is referred to as temporary shear-thinning. However, under further high shear rates, the long and flexible polymer chains can be cut or ruptured or pulled and ripped apart into smaller chains by molecular scission. Unfortunately, once this has occurred, the broken polymer chains cannot re-form into the single large chain and this causes the oil to permanently lose viscosity leading to a reduction in oil film thickness, oil film failure and an increase in wear. This phenomenon is referred to as permanent shear-thinning.
\nAnti-wear additives are additives that prevent two-body wear of the metallic countersurfaces in the boundary lubrication regime where the film thickness is small and there is asperity - asperity contact. These additives are polar in nature which enables them to attach to the metallic surfaces followed by tribochemical or mechanochemical reactions to form an anti-wear film. This newly formed film undergoes wear and formation at the top layers thus protecting the underlying metallic surface. As these additives form films by chemical reactions, they get used up and the amount of antiwear additives present in the lubricant reduces with time. These are typically phosphorous compounds. Zinc dialkyldithiophosphate (ZDDP) is the most common, the most researched and has been used since the 1940s [9]. Its use has been reduced in passenger vehicles in the last decade due to zinc metal causing poisoning of the catalyst in the exhaust gas catalytic convertor. ZDDP also provide antioxidant and corrosion-inhibition properties to the lubricant. Owing to the multi functionality of ZDDP, finding its replacement has been challenging because molybdenum-based additive such MoDTC (molybdenum dithiocarbamate) or MoDDP (molybdenum dithiophosphate) molecules cannot work as antioxidant. On the other hand, ash-less antiwear additives such as hindered phenols and amines are very expensive and are required in larger quantities. Till date, ZDDP is considered as the most cost-effective antioxidant and antiwear additive available, and the alternatives are currently very expensive.
\nAntioxidants or oxidation inhibitors prevent the oxidation of the components of the base oil there by increasing the life of the lubricant. Oxidation of the lubricant molecules occur at all temperatures but at higher temperatures, it is accelerated. The presence of wear particles, water, and other contaminants also promote Oxidation of the lubricant molecules which then leads to formation of acids and sludge. The acids may further cause corrosion in the metallic parts while the sludge formation increases the viscosity of the lubricant. Almost every lubricating oil and grease contains antioxidants and examples include Zincdialkyldithiophosphates, hindered phenols, sulphurized phenols, and aromatic amines. These compounds decompose peroxides and terminate free-radical reactions that occur in the lubricant. These are sacrificial in nature hence their quantity gets reduced with time.
\nDefoamants or antifoaming agents are additives that prevent the lubricant from forming a foam and speed up the collapse of the foam if it does form. Foaming occurs because of constant mixing of the oil with air or other gases leading to air entrapment. Foam disrupts cooling of parts as it is not a good conductor of heat. It reduces the load carrying capacity and the lubricant flow leading to excessive engine wear. Silicone polymers such as polymethylsiloxane at a few parts per million and organic copolymers such as alkoxy aliphatic acids, polyalkoxyamines, polyethylene glycols, and branched polyvinyl ethers, at higher concentration are widely used in mineral oils. The antifoaming agents are essentially insoluble in the lubricant hence they need to be finely dispersed in the lubricant. These droplets attach themselves to the entrapped air bubbles and aid in forming bigger bubbles (via coalesce). The larger bubbles rise readily to the surface followed by bursting to release the trapped air. Bursting occurs by thinning of the air bubble film as the additive spreads due to its low surface tension.
\nFriction modifiers are used in engine oil and transmission oil to alter the coefficient of friction that would be experienced between the sliding parts when only the base oil is present. Friction reduction results in improved fuel economy. Organic and sulfurised fatty acids, amines, amides, imides, high molecular weight organic phosphorus and phosphoric acid esters are added to the range between 0.1 and 1.5% in finished lubricants as friction modifiers. Glyceryl monooleates and Molybdenum compounds such as MoDTC and MoDTP also function as friction modifiers. They preferentially adsorb very strongly on to the metallic surface. The head of the friction modifier is attracted to the metal surface and the long tail with at least 10 carbon atoms remains solubilized in the oil as shown in Figure 3 [10]. The chemical structure and the polarity of the molecules play a major role in the friction reduction. Ionic lubricants [11], a class of ionic liquids that are room-temperature molten salts consisting of cations and anions are also very good surface additives. The polarity of head group provides for strong surface adsorption. The physical, chemical and tribological properties of ionic liquids can be tailored to suit a wide variety of applications ranging from its use as polymer brushes in biological application, or as water soluble or oil soluble lubricant additive.
\nAdsorption of polar headgroups onto metallic surface.
Detergents keep surfaces free of deposits and neutralize corrosive acids formed due to oxidation. These molecules are chemical bases consisting of a polar substrate and a metal oxide or hydroxide [12]. Metallo-organic compounds of calcium and magnesium phenolates, phosphates, salicylate and sulfonates are recommended. Overbased detergents are used in marine engine lubricants to neutralize large amounts of acidic components produced by fuel combustion or oil oxidation. Ash (burning of organometallic species) and soot particles (largely carbon with sulfur adsorbed) is formed by burning of the oil in internal combustion engines. Ash can then form unwanted residues at high temperatures or simply deposit on surfaces. The deposit precursors particles are insoluble in the oil and have greater affinity for detergent molecules. The additive molecules cling to the surface of the particle and envelop it thereby also acting as dispersants and prevent those particles to agglomerate and to later settle as deposits. A detergent additive is normally used in conjunction with a dispersant additive.
\nDispersants are used mainly in engine oil along with detergents to keep engines surfaces clean and free of deposits [12]. Dispersants keep the insoluble soot particles and the precursors of deposits in the internal combustion engine finely dispersed or suspended in the lubricant even at high temperatures. These suspended particles are subsequently removed by oil filtration or oil change. Thus, dispersants minimize damage to engine surfaces and formation of high temperature deposits. Generally, polymeric and ashless dispersants are used today such as polymeric alkylthiophosphonates, alkylsuccinimides, succinic acid esters/amides, and their borated derivatives as well as organic complexes containing nitrogen compounds.
\nCorrosion and rust inhibitors are additives that reduce or eliminate rust (corrosion of iron and steel) and corrosion by neutralizing acids and forming a protective film, either adsorbed or chemically bonded on the metal surfaces. Preferential adsorption of polar constituent on metal surface forms the protective film that prevents corrosive materials such as organic acids from reaching and attacking the metal. These are usually compounds having a high polar attraction towards metal surfaces such as succinates, alkyl earth sulfonates, metal phenolates, fatty acids, amines as well as zincdithiophosphates. Some of these inhibitors are specific to protecting certain metals. Hence, an oil may contain several types of corrosion inhibitors.
\nExtreme Pressure additives are required to reduce friction, control wear and prevent severe surface damage in heavy duty application of gears and bearings at high temperatures and pressures. They are also known as antiscuffing additives. They react chemically with metallic surfaces to form a sacrificial surface film that prevents the welding and subsequent seizure of asperities at the metal-to-metal contact. Additionally, they contribute to smoothing of the surfaces as these are formed at contact asperities and the load is then distributed uniformly over a greater contact area, thus reducing the severity of wear and ensuring effective lubrication. Effectiveness of EP additives relies on their reactivity and their ability to readily form thick surface films at high loads and high contact temperatures that are created at the mechanical contacts. These additives usually contain sulfur and phosphorus compounds and chlorine or boron compounds. Ashless EP additives such as dithiocarbamates, dithiophospates, thiolesters, phosphorothioates, thiadiazoles, aminephosphates, phosphites may be preferred in some applications where chlorine may cause corrosion.
\nOther additives such as demulsifiers, emulsifier, biocides are added to meet specific requirements. Emulsifiers are used as a binder between oil and water molecules in oil-water-based metal-working fluids to help create a stable oil-water emulsion. Without the emulsifier, oil and water will separate out from each other due to differences in specific gravity and interfacial tension. On the other hand, demulsifiers are used to separate oil-water emulsions. Demulsification and removal of the aqueous phase from the oil-based lubricant minimizes harmful effects such as corrosion, foaming and cavitation from occurring. Biocides may be added to water-based lubricants to control the bacterial growth.
\nLubricating grease are a class of lubricant that do not flow like a fluid but bleed (release oil) when squeezed between contacting surfaces. They have a gel like consistency and can be described as a solid or semifluid like material and in some cases can be used in vertical or overhead applications because they can have good drip resistance due to their Non-Newtonian rheological properties. They are particularly useful in applications that are sealed for life; for example bearings and remote gearboxes. Functionality of greases include sealing out contamination and water ingress, prevent corrosion, compatible with polymers and elastomers, provide antiwear and extreme pressure load protection while reducing friction. Greases have three main components: fluid, thickener and additives [13].
\nA typical grease consists of 75-95% fluid base stock, 2-25% thickener and 0-25% additives. The base stock is chosen based on the required applications. Hence, the fluid can be petroleum based for most automotive and industrial application, synthetic based for low and high temperature application or may be wax based (no flow) for high load caring capacity. The thickeners are metal soaps which are created using the fundamental reaction of an acid and a base. Calcium based soaps have been the simplest and earliest used thickeners with a maximum operating temperature between 60 and 70°C. In the last decade, calcium sulfonate greases, polyurea greases, aluminum complex greases, lithium complex greases, sodium complex greases, and clay-based greases have received general acceptance due to their higher service temperatures of more than 150°C. However, each having their own set of pros and cons. For example, calcium-based greases do not perform well over a wide range of temperature, sodium based have deteriorated performance in the presence of water. Clay and polyurea based greases are used for high temperature (service temperatures of 190-220°C) and application that have limited relubrication access. The third component of greases are additives. Commonly used additives are listed below.
Antiwear additives
Antioxidants
Extreme Pressure additives
Friction Modifier
Rust and corrosion inhibitor
Tackifiers (adhesive agents)
Odorants (perfumes)
Dyes
Tackifiers are additives that increase the adhesive property of the grease or the lubricant. They prevent the lubricant from flinging off the metal surface during rotational movement. To be acceptable to the manufacturers and the end users the greases must be free of offensive odor and have a desirable color. Therefore, odorants and dyes are added to the grease. Although these have little effect on the grease performance, their appeal to senses has an impact on the product selection.
\nGreases have the unique ability to incorporate liquid as well solid additives. Solid additives such as molybdenum disulphide (MoS2), graphite, hexaboron nitride and polytetrafluoroethylene (PTFE) in the form of fine dispersed powder (nano and micro particles) have been used in lubricants and greases to provide ultralow friction and wear protection. Solid additives provide a physical separation between two contacting surfaces when fluid is unable to provide load support. The lattice structure of these solid lubricants plays an important role in transferring a thin low shear layer on the metal surfaces especially where load is high, and speed is low.
\nSolid lubricants on their own are vital to niche applications such as space missions, satellites release and deployment mechanisms. Vacuum and microgravity of space eliminates the use of liquid lubricants. The importance of a thin film of solid lubricant can be emphasized on the fact that the success of an entire mission can be compromised if the, receiver and transmitter antennas or solar arrays packed securely during launch fail to release smoothly with precision due to extreme friction of a deployment mechanism. Solid lubricants can be used at low temperatures as well as at high temperatures where the liquid lubricant may solidify or vaporize respectively. Even at extreme pressures where liquid lubricant will be squeezed out, solid lubricants are used. However, solid lubricants are not limited to extreme conditions [14]. A wide variety of low friction coatings are used in various engineering applications that require high electrical and thermal conductivities, low wear rates and high lubricity at all operating temperatures. Newer engineered coatings have increased complexity and have transitioned from single or multi component structures to nanostructured and functional gradient structures.
\nThe most recognized polytetrafluoroethylene (PTFE) coating is Teflon® discovered in 1938 at DuPont. These are highly linear fluorocarbon molecules. They offer a low friction surface with moderate wear. They have low chemical reactivity and low surface energy. PTFE on its own performs best at low loads and wears rapidly at higher loads; hence they need reinforcements to increase strength and load bearing capacity. Such materials are called composite materials.
\nCarbon based materials such as graphite in both micro and nano forms is a popular solid lubricant additive whereas diamondlike carbon (DLC) makes excellent low friction coatings. However, they have different mechanisms of friction reduction. Graphite has hexagonal crystal structure which has the intrinsic property of easy shear. DLC exhibits high hardness and low friction due to an amorphous structure that combines graphitic and diamond phases. They can be doped with hydrogen or nitrogen for achieving desirable properties. Recently, a series of patents on superlubricity of nano-diamonds and graphene films have been filled [15].
\nMolybdenum disulphide are transition-metal dichalcogenides like Tungsten disulphide (WS2) work on the mechanism of interlamellar shear between covalently bonded hexagonal basal planes like that of graphite. Their performance is affected by moisture content [16].
\nApart from the advantages mentioned earlier, solid lubricants also have a few disadvantages. They have less ability to carry away heat and contaminants away from the contact. They have poor self-healing properties, and they are not easily entrained into tribological contacts.
\nAfter the selection of a suitable lubricant, its application method i.e. its delivery to the mechanical components such as gears, bearings, cams, tappets, chains, guideways and couplings of a machine or engine in correct quantity is considered. Liquid lubricants are applied to the machine elements by two methods. First type is called ‘all loss method’ while second type is called ‘reuse method’ [2]. In all loss method a small quantity of lubricant is applied periodically and the lubricant after use, gradually leaks away to waste. In reuse method, elaborate lubricating systems are designed to feed the required quantity of lubricant to various machine elements of the system. The lubricant after leaving the machine components is collected, cooled then filtered and recirculated to lubricate the machine components again. Most open gears, ropes, guideways, chains and rolling element bearings (except sealed for life rolling element bearings) are lubricated by all loss method. Nearly all grease lubricated elements also are lubricated by this method. Some devices used for all loss lubrication method include hand-held oiling device, grease gun, drop feed cups, wick feed cups, wick oilers, pad oilers, mechanical force feed lubricators, airline oilers and automatic or semiautomatic spray units. Reuse method of lubricant application has the oil circulating through a network of pipes that is pressurized by a pump or aided by gravity. However, closed oil sump systems employ splash oiling, bath oiling or ring oiling methods. Centralized lubricant application systems can reduce the quantity of lubricant usage as well as labour costs. Automobiles use an oil mist lubrication system to lubricate various machine elements of the engine and drive train. Considerations with regards to the lubricant characteristics and composition are required while designing a compatible system. Oil condition monitoring and routine checks are vital for the longevity of the machine elements lubricated by any method.
\nSolid lubricants on the other hand are applied as powder dispersed in a liquid lubricant or in a solid phase matrix. They can be also applied as a thin film coating. The coatings are made by various methods such as dip coating, thermal spraying, and cold. More robust ways of coating includes chemical vapor deposition or physical vapor deposition methods. Electrochemical processes are used for producing coatings of polymer-based solid lubricants and their composites.
\nLubricant analysis primarily refers to the characterization and evaluation of the lubricant for various physical, chemical and performance properties in all stages of its life cycle. For solid lubricants and coatings, the analysis includes determining the composition and structure by using a range of spectroscopic and microscopic observation methods as well as measuring the coating consistency and thickness applying non-destructive evaluation techniques. Standardized tribological lab tests are used to evaluate their performance. Once a candidate material is identified, larger-scale bench testing, such as engine tests, are conducted.
\nFor liquid lubricants, characterization is done to a much larger extent due to the large variety of applications and the implication of chemistry of the formulated oils on the machine elements performance and the overall performance of the entire equipment/machine or engine. The lubricant analysis can be classified as physical and chemical characteristics evaluation, Performance test evaluation and Engine Test evaluation as summarized in Table 2 [2]. Additionally, end users also develop their in-house in-service lubricant analysis to monitor and maintain the condition of the lubricant. The objective of such analysis is to ensure optimum performance, achieve expected life of the equipment as well as the lubricant flowing through it.
\nPhysical and chemical characteristics | \nPerformance test evaluation | \nEngine test evaluation | \n
---|---|---|
Color | \nOxidation Tests | \nOxidation stability and bearing corrosion protection | \n
Density and API gravity | \nThermal Stability | \nSingle cylinder high Temperature tests | \n
Carbon Residue | \nFoaming Tests | \nMulti cylinder high temperature tests | \n
Flash point | \nCorrosion and Rust Protection Test | \nMulti cylinder low temperature tests | \n
Neutralization Number | \nEP and Antiwear Test | \nRust and corrosion protection tests | \n
Total Acid Number | \nEmulsion and Demulsibility Test | \nOil Consumption rates and volatility | \n
Total Base Number | \n\n | Emission and protection of emission control systems | \n
Pour Point | \n\n | Fuel Economy | \n
Sulphated Ash | \n\n | \n |
Viscosity | \n\n | \n |
Volatility | \n\n | \n |
Evaluation techniques and testing.
Current automotive lubricants are optimized for internal combustion engines and drive trains. Electric vehicles (EVs) which use electric motors possess new challenges of lubrication such as high-power density of the small gear box which require efficient cooling. Hydro lubricants and synthetic gear oils are excellent candidates for such application but may pose sealing issues which requires innovative solutions. Lubricants are also required in the rolling element bearings of EVs that must stop electro-erosion caused by high frequency high energy discharges by being conductive. Ionic liquids are having shown good performance in preventing built up of potential [17].
\nThe future for lubricants formulation, manufacturing and end-use is oriented towards efficiency in terms of cost and time, customized and optimized for each individual tribo-system and run reliably for even longer drain interval time. New industrial lubricants must meet stringent regulations and guarantee ecological sustainability, and climate change actions. Hence, new lubricants will contribute to ‘Green Tribology’.
\nTribology of lubricants plays a significant role in technology and economics of industrial development. As the fourth industrial revolution ‘Industry 4.0’ (combines automation with the internet of things) is in progress, several concepts can be extended to lubricant and lubricant additive development and evaluation. For example new electronic smart sensors can be used for lubricant analysis and condition monitoring. The information of various performance parameters can be stored as data and transferred to the stakeholders and decision-making points using the information and communication technologies involved in Industry 4.0. such as internet and wireless connections to and via several electronic devices. Continuous monitoring can also aid in corrective measures. In-service lubricant performance testing and evaluation generates big quantities of data from various equipment and sensors. Therefore, ‘Big Data’ concepts can be applied in several ways. One such example can be combining lubricant data with machine data, another can be correlation study of amount of soot produced, change in oil viscosity, friction, wear of an engine. The benefits of Industry 4.0 include shorter lubricant development time, reduced number of trials, lubricant performance prediction through chemical and physical modeling and simulations. This will transform product development process from being empirically driven to using data and simulation driven approach.
\nLubricants are vital for the tribological life of the machine elements. As modern machine elements are required to perform in heavy-duty applications in a wide range of environments, newer, better and environmentally sustainable lubricants are required to be designed. Lubricant additives are therefore considered as lubrication engineering design components. Lubricant additives are designed and optimized to meet the performance requirements of the equipment or engine. Various types of lubricant additives and their functional properties were discussed. They are designed to provide oxidation resistance, high temperature viscosity, energy and fuel efficiency among others. Lubricant or grease therefore are a complex mixture of several components blended carefully together to meet the performance requirements. The different components can have synergistic or antagonistic effects due to chemical interactions or competition at the metal surface or among themselves. Therefore, formulation of lubricants requires considerable expertise and expensive performance testing. Green Tribology and Industry 4.0 era will steer the lubricant development, use and disposal.
\nThis chapter could not be published without the exceptional support of Prof. Paul B. Davies (University of Cambridge, UK) and substantial industry inputs and scrutiny by Mr. Tony D. Smith (Castrol, UK).
\nRabies is a highly fatal viral infection of the central nervous system caused by the Rabies virus, which belongs to the genus Lyssavirus of the
Rabies is sustained in two epidemiological cycles, one urban and the other sylvatic. Dogs are the principal reservoir host in the urban rabies cycle. This cycle is most prevalent in areas of Africa, Asia, Central and South America where there are a large number of unvaccinated, semi-owned or stray dogs. In Europe and North America, the sylvatic (or wildlife) cycle is the most common. In animals, disease patterns might be relatively stable or evolve into a slow-moving epidemic.
The skin or mucous membrane is the most common site of rabies virus entrance in humans and animals, where the virus enters the muscle and subcutaneous tissue through biting, licking or scratching by a rabies-virus-infected animal. Acute encephalomyelitis is the pathogenic manifestation in the CNS. In animals, disease can manifest itself in two ways. The classical or encephalitic (furious) form of rabies accounts for 80–85% of rabies cases. Hydrophobia, pharyngeal spasms and hyperactivity are all symptoms of the furious type of rabies, which can lead to paralysis, coma and death. The dumb type, also known as the paralytic form, is characterised by the development of pronounced and flaccid muscular weakness and is less prevalent. In humans, symptoms of cerebral dysfunction, agitation, anxiety and confusion develop. Later the person experiences abnormal behaviour, delirium, hallucinations, insomnia and respiratory failure. Once the symptoms develop, the disease is often fatal.
Even though Louis Pasteur achieved his first breakthrough against rabies with post-exposure vaccination in 1885, the disease continues to haunt the mankind, particularly in impoverished countries, more than 125 years later [4]. Despite recent advances in diagnosis, post-exposure treatment, the production of human and veterinary vaccines and the control of rabies in dogs and wild animals, rabies remains a major health hazard in many countries in Africa, South America and Asia and an economic burden for both developed and developing countries. Rabies is currently found on all continents except Antarctica, although Asia and Africa account for more than 95% of human mortality. Domestic/wild animals, as well as humans, are the primary transmitters. Many countries, including Japan, the United Kingdom, Denmark, Sweden, Greece, Scandinavia, Iceland, Portugal, New Zealand and Australia, are rabies-free, according to the World Health Organisation (WHO). Vaccination, public awareness, responsible participation, continued cooperation among stakeholders and the removal of the stray dog population are some of the measures to avoid rabies [5].
The deity of death was accompanied by a dog as the ambassador of death in India about 3000 BC. Rabid canines continue to kill 20,000 people each year in modern-day India. The Mosaic Esmuna Code of Babylon, written around 2300 BC, is the first documented record of rabies causing death in dogs and humans. Babylonians had to pay a fine if their dog communicated rabies to another person. Democritus, in the fifth century BC, accurately described the disease in dogs, as did Aristotle in the third century BC [6].
The medical literature of the ancient world was littered with ineffective folk cures. Scribonius Largus, a physician, proposed a poultice of cloth and hyena skin, while Antaeus suggested a concoction prepared from a hung man’s skull. The Roman scholar Celsus correctly predicted that rabies was transmitted through the saliva of the bitten animal in the first century A.D. He wrongly suggested that placing the victim under water would cure rabies. Those who did not drown succumbed to rabies. In eighteenth-century America, the most intriguing rabies therapy was the usage of madstones. Madstones are calcified hairballs found in ruminant stomachs including cows, goats and deer. They were supposed to have healing properties since they drew the craziness from the bite wound.
In the 1880s, the first effective rabies treatment was developed. When Louis Pasteur, a French chemistry instructor, was experimenting with chicken cholera, he discovered that virulent cultures exposed to the elements no longer caused sickness. He also discovered that chickens inoculated with this weaker or ‘attenuated strain’ were immune to fresh, virulent cultures. Pasteur then attempted an attenuated anthrax vaccination in cattle. It was successful! He next turned his attention to the world’s scourge, rabies. Pasteur wanted more time to purify his attenuated vaccine before trying it on himself, despite the positive results of his initial animal experiments. In the year 1885, a rabid dog mauled a 9-year-old kid named Joseph Meister. The wounds were treated by a local doctor, who informed Joseph’s family that Louis Pasteur was the only person who could rescue him. Pasteur consented only after speaking with a few of genuine doctors, who stated Joseph was a ‘dead lad walking’. Joseph recovered completely after receiving 13 inoculations in just 11 days. The nerve tissue vaccine developed by Louis Pasteur in 1885 was a success, and it was modified over time to decrease the typical severe side effects [7].
Although dogs are the predominant reservoirs, other domesticated animals and wildlife also play a role in rabies transmission [8]. The virus can easily be passed from one mammal to another, whether they are of the same species or not. Humans are most infected with rabies after being bitten or scratched by an infected dog or cat. Bats, foxes, coyotes, skunks, raccoons, wolves, opossums and other animals are among the commonly infected wild or feral animals. Rabid dogs infect most people in poor countries. These dogs are frequently aggressive and drool frequently, although they act very withdrawn. Humans and domestic animals contract the disease after coming into contact with infected saliva.
Bites, non-bite exposure and human-to-human transmission are all possible routes for rabies transmission. The most common way to contract rabies is through a bite from a rabid animal, although infection can also be spread through skin wounds contaminated by infected saliva. The incubation period is the time between the bite and the onset of symptoms, and it can span anywhere from weeks to months. Because the virus has not yet made it to the saliva, a bite by the animal during the incubation stage carries no danger of rabies. Other inoculation routes are uncommon. The rabies virus can enter the body through wounds or direct contact with mucous membranes. The virus cannot pass through intact skin. The chance of contracting rabies from a bite (5–80%) is at least 50 times higher than the risk of contracting it from a scratch (0.1–1%). Virus particles are present in all the body secretions 2 days after it first enters the CNS, and the victim is fully contagious. At or shortly after this point, clinical symptoms develop.
Non-bite exposures are uncommon sources of transmission. Non-bite exposure includes scratches, abrasions, open wounds or mucous membranes infected with saliva or materials such as rabid animal brain tissue. Inhalation of aerosolised rabies virus is another non-bite route of infection, although most people, except for laboratory personnel, are unlikely to encounter an aerosolised rabies virus. Rare cases of rabies in humans have been reported because of breathing air in a cave home to thousands of bats. As rabies virus can be found in the milk of infected animals, milk can be a vehicle for virus transmission. During the consumption of infected milk, an ulcer, abscess or other lesion in the mouth may trigger rabies. Transmission between humans is extremely rare, although it can happen through transplant surgery or even more rarely through bites, kisses or sexual relations. There were outlined a number of cases of rabies transmission from human to human through cornea transplant. Some dogs slaughtered for human consumption may be infected with the rabies virus, exposing handlers of dog meat to the disease because the virus may be present in the meat’s nerves. Rabies transmission to butchers is increased during handling, catching, loading, transportation and holding prior to slaughter.
The virus enters the body via transdermal inoculation (wounds) or direct contact with infectious materials (saliva, cerebrospinal fluid, nerve tissue) on mucous membranes or skin lesions. The virus is incapable of penetrating intact skin. After its entry in the skin, it can undergo eclipse phase, which is not easily detected. Virus replication begins in non-nervous tissue such as striated muscle cells at the site during this phase [9]. The virus can survive for a long time here, influencing the incubation period (the time between exposure and the development of sickness) in different individuals. The virus uses nicotinic acetylcholine receptors to connect to the cells at the inoculation site. The amount of virus acquired through the bite, the amount of tissue innervated and the tissue’s proximity to the brain all influence how long it takes for clinical indications to appear. The faster the signals appear, the higher the dose and the closer it is to the central nervous system. It can last anywhere from 4 days to several years, but it usually lasts between 20 and 90 days. Muscle cell replication occurs without causing any noticeable signs. It normally does not elicit an immunological response at this time, but if antibodies are present, it can be neutralised. Because the virus is neurotropic, its absorption into peripheral neurons is critical for infection progression. The neuromuscular spindles are a critical entrance point for viruses into the neurological system. Motor end plates can also be used to gain access to the nervous system by the virus [9].
The rabies virus can infect a variety of cell types, although it is most seen in neurons. Virus infection and replication include several processes, including:
Adsorption: It is the process of fusing the rabies virus envelope to the host cell membrane, which may entail contact with the G protein and certain cell surface receptors.
Penetration: Infection of the host cell by the virus by pinocytosis (via clathrin-coated pits).
Uncoating: Virions clump together in large endosomes (cytoplasmic vesicles), and viral membranes merge with endosomal membranes, which results in uncoating which exposes the virus’s genetic content.
Transcription:
mRNA: RNA that acts as a template for the synthesis of proteins.
Translation: The process of converting the mRNA code into N, P, M, G and L proteins.
Replication: In the host cell, the virus genetic material is amplified.
Assembly: Virus components are assembled. The ribonucleoprotein (RNP) core is formed by the N–P–L complex encasing negative-stranded genomic RNA, while the M protein forms a capsule, or matrix, surrounding the RNP.
Budding: The completed virus buds from the M–RNP complex’s interaction with the glycoprotein in the plasma membrane.
After replication in the originating neuron’s cell body, infection spreads through multiple neurons by retrograde axonal transport and transsynaptic dissemination. The ability of a virus to proliferate within the CNS via synaptic connections is known as transsynaptic spread. The rabies virus infects neurons, causing changes in neurotransmitter function that impact serotonin, GABA and muscarinic acetylcholine transmission. After that, acinar cells are infected, and the virus is discharged into the oral cavity. This explains why the virus can be found in saliva.
In rabies, there are no visible lesions. Rabies lesions are microscopic, restricted to the CNS and have a wide range of severity. Except for early necrosis of neurons with cytoplasmic inclusion bodies in the afflicted nerve cells, they may be difficult to detect. Pathologic evidence of rabies encephalomyelitis (inflammation) in brain tissue and meninges includes the following:
Mononuclear infiltration
Perivascular cuffing of lymphocytes or polymorphonuclear cells
Lymphocytic foci
Babes nodules consisting of glial cells
Negri bodies
There are diffuse perivascular cuffing, neuronophagic nodules and other alterations for neuron destruction throughout the brain in some cases. The hippocampus in the brain stem and the gasserian ganglia are notably affected. Lesions in the gasserian ganglia are more particular, occur earlier and are more consistent than lesions in other parts of the body. Babes nodules, which are clumps of growing glial cells, are the major lesion. Most of the histopathologic markers of rabies were identified by 1903, but rabies inclusions had yet to be discovered. Dr. Adelchi Negri reported the discovery of the Negri body, which he believed to be the etiologic agent of rabies. Negri bodies are round or oval inclusions within the cytoplasm of nerve cells of rabies-infected animals. The size of Negri bodies can range from 0.25 to 0.27 metres. The pyramidal cells of Ammon’s horn and the Purkinje cells of the cerebellum are the most potential sites for them. They’re also found in medulla cells and a variety of other ganglia. Negri bodies can be detected in the salivary glands, tongue and other organs’ neurons. They’re generally found in the hippocampus in dogs, but they are more common in the Purkinje cell of the cerebellum in cattle. In preparations stained with Mann’s or Seller’s stain, a granular, somewhat basophilic interior structure can be detected. When the virus infects the salivary glands centrifugally, the acinar epithelium undergoes degenerative alterations that lead to necrosis, primarily affecting the mucogenic cells of the mandibular salivary glands. Fluorescent antibody methods and electron microscopy can easily show virus within these cells. The degenerative alterations are accompanied by a moderate infiltration of lymphocytes and plasma cells.
Rabies clinical indications are rarely conclusive. Rabid animals of all species show similar symptoms of CNS abnormalities, with slight differences across species. It’s likely that the animal is seeking solitude. Rabid wild animals may lose their fear of humans, and traditionally nocturnal species may be found walking around during the day. The clinical course can be split into three stages: prodromal, furious and dumb.
Prodromal form—The term prodromal is initial period of rabies with non-specific period.
Furious form—It refers to animals in which the aggression is pronounced.
Dumb form—It refers to animals in which the behavioural changes are minimal, and the disease is manifest principally by paralysis.
It is initiated when rabies virus travels up the peripheral nerve axons to the spinal ganglia which form the junction between the peripheral and central nervous systems.
During this stage, there is very little evidence of paralysis. The animal becomes restless and may lash out with its fangs, claws, horns or hooves at the slightest provocation. These animals lose their fear of other animals and lose their caution. Carnivores infected with this strain of rabies are known to roam freely, attacking other animals, including humans and moving objects. Rabid dogs may shatter their teeth by chewing the wire and frame of their cages. Saliva either flows out of the mouth or is churned into a foam that can stick to the lip and face. Progressive paralysis leads to death.
The paralysis of the throat and masseter muscles is the initial symptom, which is typically accompanied by excessive salivation and the inability to swallow. Dogs tend to drop their lower jaw. These animals aren’t violent and only bite occasionally. The paralysis spreads quickly to all regions of the body and may lead to coma, and many die within a few hours.
Incubation takes about 3 weeks on average, although it can take anywhere from a few weeks to several months. Early indications of paralysis include knuckling of the hind fetlocks, sagging and swaying of the hindquarters while walking and typical deviation or flaccidity of the tail to one side. In this species, yawning is a common phenomenon. Soon after yawning, the animal begins to bellow, which continues until it reaches paralysis. One of the most common symptoms is saliva drooling. The penis of bulls in this stage is paralysed. Animals may attack other animals or inanimate objects with ferocity. Lactation in dairy cows ends abruptly. Sexual arousal is common. These symptoms linger during 24–48 hours, after which the animal collapses in a paralysed state and dies within a few weeks.
The signs are comparable to those of cattle. Sexual arousal, attacks on humans or each other and intense wool pulling have all been observed. There are twitches in the muscles, and salivation is observed. There is no excessive bleating. Most sheep are quiet and anorectic.
Aggressive and continuous bleating seen.
Excitement, a tendency to strike, dullness and incoordination are some of the indications that have been identified. There is nasal twitching, quick chewing movements, profuse salivation and clonic convulsions.
Show signals of anguish and agitation on a regular basis. These indications are frequently accompanied by rolling. They can bite or strike with ferocity. Abnormal postures, frequent whining, kicking, biting, colic and abrupt onset of lameness in limbs followed by recumbency are all the symptoms. Paddling convulsions and ultimate paralysis are followed by sternal and lateral recumbency.
The symptoms are identical to those seen in dogs. Two to four days after the initial symptoms start, the posterior part of the body is paralysed.
Incubation, prodromal stage, acute neurological phase, coma and death are the five stages of clinical manifestations.
It takes 30–90 days for rabies to develop, although it can take anything from 5 days to more than 2 years after initial exposure. It may be slightly shorter in children and vary depending on the bite place.
During this period, the first signs and symptoms appear. Some of the symptoms include fever, fatigue, sore throat, cough, dyspnea, anorexia, dysphagia, nausea, vomiting, abdominal pain, diarrhoea, headache, vertigo, anxiety, irritability and anxiousness. Agitation, photophobia, priapism, increased libido, sleeplessness and depression are all symptoms that could indicate encephalitis, psychiatric problems or brain conditions.
This stage starts with symptoms of central nervous system dysfunction, such as anxiety, insomnia, disorientation, agitation, strange behaviour, paranoia, terror and hallucinations and progresses to delirium. During the later stages, significant amount of saliva is produced together with an inability to swallow, resulting in hydrophobia due to paralysed throat and jaw. If hyperactivity is present, the condition is classed as furious, and if paralysis is present, the disease is categorised as dumb. Periods of rapid, uneven breathing may begin near the end of this phase, followed by coma and death.
Rabies virus is a single-stranded, negative-sense, unsegmented, enveloped RNA virus with a rod or bullet shape. Five proteins are encoded by the viral genome. In the cytoplasm of infected cells, viral RNA uncoils. A virion-associated RNA-dependent RNA polymerase transcribes the genome. Individual viral proteins are subsequently translated from viral RNA. The creation of progeny negative-stranded RNA begins with the synthesis of positive-stranded RNA templates [10]. The RNA is responsible for coding five genes:
Isolated from infected animal or human | Isolated from several intracranial passages from rabbits |
Causes several encephalopathies after varying incubation period | Less infective but cause disease after a fixed incubation of 7–10 days |
Negri bodies can be demonstrated | Negri bodies are not produced |
Not utilised for vaccine production | Suitable and utilised for the vaccine production |
A case of human rabies is described in Siberia’s polar region by Kuzmin [11] In the year 1999. The victim had been bitten by a wolf. Monoclonal antibodies revealed that the isolate was from arctic fox virus strain. This finding reaffirmed the importance of strain typing rabies virus isolates in areas where it has not yet been done: such characterisation is important for identifying the reservoir host, learning about the virus’s natural history in the reservoir and planning future surveillance, post-exposure treatment and public education in the area.
Epidemiology is the study of distribution and the determinants of the disease. For the better understanding of the topic, epidemiology is given in two separate sections.
Rabies is found everywhere across the planet, except for islands. Except for Australia and Antarctica, rabies is endemic in many of the countries. Bahrain, Cyprus, Hong Kong, Japan, Malaysia, Maldives, Qatar, Singapore, Lakshdweep, India’s Andaman and Nicobar Islands and Timor-Leste are among the Asian countries free of rabies. Antigua and Barbuda, the Bahamas, Barbados, Belize, Falkland Islands, Jamaica, Saint Kitts and Nevis, Trinidad and Tobago, Uruguay of the Americas subcontinent, and Albania, E.Y.R. of Macedonia, Finland, Gibraltar, Greece, Iceland, Isle of Man, Malta, Portugal, Norway (except Svalbard), United Kingdom and Spain (except Melilla and Ceuta) have all been declared rabies-free. Cape Verde, Congo, Libya, Mauritius, Reunion and Seychelles are the only African countries free of rabies. Fiji, Cook Islands, Vanuatu, Guam, French Polynesia, New Zealand, New Caledonia, Solomon Islands and Papua New Guinea are among the Oceana group of islands that are rabies-free [12, 13]. Bangladesh and India are the most affected, followed by Nepal, Myanmar, Bhutan, Thailand and Indonesia. Nepal is one of the countries in the world with the highest number of human rabies deaths [12, 13].
Rabies is a unique disease as it can contract a wide range of all the warm-blooded hosts.
Children lack fundamental ethology understanding about dogs, children are more vulnerable to the sickness and animal bites. When children disturb dogs while they are feeding, resting, mating or terrified, dogs get violent and bite them. According to research, the disease claimed the lives of 37% of children aged 5–14. [14]. Although the people from all the age groups are susceptible to the disease. The common site of bite in case of children is the face, and often children tend to hide the animal bite marks due to fear of scolds from the parents [15].
Males are more prone to contract to the disease as they are usually accessed to go out of the homes for earning or playing. In a study it was found that the ratio of men to women suffering from the disease was 4:1 [16].
Awareness plays a major role in the succession of the disease. In urbanised area, availability of the medical facilities and awareness is a factor which may show reduced cases of the disease contrary; in rural areas, many socio-economic and religious factors are responsible for the disease spread as in many part of Gujarat, India, there are temples of ‘Hadkai mata’, mythologically protecting the people bitten by dogs from the rabies. The bite of a rabies-infected dog causes over 95% of human cases, which disproportionately afflict rural people, particularly children, in economically challenged countries of Africa and Asia [17].
Majority of the rabies cases are occurring in the Southeast Asia and that too from the dogs. More the dogs are the factors significantly contributing to the spread of the disease. Stray dogs are generally naive towards the disease while only scanty dogs are vaccinated against the disease. The unvaccinated stray dog population is the biggest factor for the spread of the disease. At least 70% vaccination in the canine population will be taking care of spread of the disease in the animal population [18].
The disease occurs in two phases. First phase of the disease occurs once rabid dog bites any animal or human. The live viruses travel from the site of the bite to the brain in centripetal manner. The second phase starts when the virus after reaching the brain starts travelling from the brain to the peripheral nerves and induces the clinical signs. The course of the occurrence is directly related to the site of bite. If the site is nearer to the head, disease progression is rapid.
The rabies virus is spread by direct contact with saliva or brain/nervous system tissue from an infected animal (such as through broken skin or mucous membranes in the eyes, nose or mouth). Aside from bites and scrapes, there aren’t many injuries. One non-bite form of exposure is inhalation of aerosolised rabies virus, although most people, except for laboratory personnel, will not meet an aerosol of rabies virus. Rabies has been transmitted through corneal and solid organ transplants, but these cases are extremely rare [19].
Although all warm-blooded animals are susceptible to rabies and can transmit the RABV, there is significant interspecies heterogeneity in the ability of mammals to act as reservoirs. Rabies is mostly spread by carnivores all over the world [12]. Main cause for the transmission of the virus is wildlife or stray animals, lesser than 10% cases are reported from the domesticated animals such as dogs or cats [20]. Equine and bovine are generally susceptible to the disease, but they are considered as the dead end hosts as they generally do not transmit the disease [21].
There are two types of epidemiological cycle for the occurrence of the disease. Urban and Sylvatic cycles, both the cycles are overlapping to each other and interrelated. Dog, cat, fox, raccoon, jackal, wolf, badger, etc. are the reservoir of the disease while bats are the vector of the disease. In Asian subcontinent, majority of the cases are dog-mediated rabies while in American and European countries, bat-mediated rabies is seen [12]. In India, there are some factors which promote the growth of the stray dogs.
Mythologically dogs are related to ‘Kal Bhairav’, a god of Hinduism, and so from almost all the homes, last feed is offered to the dogs, which helps in the maintenance of the dog population.
Vulture population is getting declined day by day which is competitive exclusion parameter for dog food.
Open slaughter policies are providing food for sustainability to the dogs outdoor.
Open garbage disposal attracts dogs, and many a times they can be utilised as a source to the feed.
Accurate and timely diagnosis is very important for proper management of the post-exposure prophylaxis and application of the public health control efforts. The disease is diagnosed using a variety of techniques. However, adequate proper collection and submission of post-mortem materials, particularly brain tissues from animals suspected of having rabies, can provide basis for rabies confirmatory diagnosis [22]. Rabies can be difficult to diagnose because, in the early stages, it is easily confused with other diseases or even with a simple aggressive temperament. The reference method for diagnosing rabies is the fluorescent antibody test (FAT), an immunohistochemistry procedure, which is recommended by the World Health Organisation (WHO).
Primary diagnostic methods, such as the direct fluorescent antibody (DFA) test, the direct rapid immunohistochemistry test (dRIT) or pan-lyssavirus polymerase chain reaction (PCR) assays, are used to identify agents. If a proper conjugate or primer/probe is employed, the DFA test, dRIT and PCR offer an accurate diagnosis in 98–100% of cases for all lyssavirus strains. In highly equipped facilities, conventional and real-time PCR may produce speedy results for a large number of samples. Histological procedures such as Seller staining (Negri bodies) are no longer suggested for diagnosis. In the incidence that main diagnostic tests (DFA test, dRIT or pan-Lyssavirus PCR) give unsatisfactory findings, further confirmatory testing (molecular tests, cell culture or mice inoculation tests) on the same sample or repeat primary diagnostic tests on different samples are recommended. Virus isolation in cell culture should be used instead of mice inoculation testing whenever possible. In specialised laboratories, the agent can be characterised utilising monoclonal antibodies, partial and whole genome sequencing and phylogenetic analyses. These approaches can tell the difference between field and vaccine strains, as well as the geographical origin of the field strains. These extremely sensitive tests should only be performed and evaluated by highly experienced experts.
Pre-exposure vaccination and boosters are necessary for all persons and laboratory workers engaged in the management of rabies suspected cases. These individuals are at risk of contracting rabies in a variety of ways. As a result, personal protection equipment (PPE) must be always worn, beginning with the necropsy procedure.
Because the rabies virus inactivates quickly, the specimens should be delivered on ice to the laboratory as soon as possible. Various approaches are used to diagnose rabies, with a focus on brain tissue, although other organs such as salivary glands are also used. Both the cerebellum and the brain stem are recommended for laboratory testing since the virus will be abundant in them and will help in laboratory detection. These portions of the brain can be acquired when the complete brain is removed during necropsy using the skull open approach.
The virus can be found in the brain, spinal cord, saliva and salivary glands of a rabies-infected animal. B rain tissue is the preferred specimen for rabies diagnosis, the animal suspected of having rabies should be euthanised in such a way that the brain is not damaged. Only vaccinated and well-trained veterinarians or animal control personnel should remove the animal heads.
Brain sample collection for the accurate diagnosis of rabies is very difficult work and that can be dangerous in the field or if the person is not properly trained. The occipital foramen route of brain sampling is an alternative way of collecting brain samples that does not need open the skull.
The brain sample is collected through the occipital foramen by inserting a 5 mm drinking straw or a disposable plastic pipette with a capacity of about 2 mL or by inserting an artificial insemination sheath about 10 cm long into the foramen in the direction of the eye. Brain stem and cerebellum samples can be obtained through the juice straw or artificial insemination sheath (Figure 1). This technique of collection should be user-friendly, quick and risk-free for reliable rabies diagnosis [22]. This technique speeds up the more number of brain samples collection simultaneously.
Brainstem collection through the foramen magnum technique in a dog (captured by the authors).
Laboratory procedures for diagnosing rabies were developed as early as 1800 BC. Adelchi Negri discovered the Negri bodies in 1903, and their diagnostic significance was proved by his wife Lina Negri-Luzzani in 1913 [22]. This cleared the way for the development of a multiplicity of laboratory procedures for rabies confirmation, which are described in the WHO book ‘Laboratory Techniques in Rabies’ [23] as well as the ‘OIE Manual of Diagnostic Tests and Vaccines for Terrestrial Animals’ [24].
Seller’s staining method is a quick and easy test. It is a histological test used on brain impressions to show the unique cell lesions known as ‘Negri bodies’. These are viral particle aggregates visible as intracytoplasmic inclusion bodies ranging in size from 3 to 30 m in infected neural cells. The Negri bodies are round or oval structures that include basophilic granules in an eosinophilic matrix. This technique has relatively poor sensitivity for the diagnosis of rabies, that’s why nowadays this test is no longer recommended [23].
The World Health Organisation (WHO) and the World Organisation for Animal Health (OIE) both endorse the direct fluorescent antibody assay as the most extensively used test for post-mortem confirming diagnosis of rabies. Goldwasser and Kissling created this gold standard test in 1958. The ‘Nucleoprotein antigen’ (N) of the rabies virus is shown here to be present in fresh brain impressions of rabies suspect animals (Figure 2). Such rabies viral inclusions do not exist in the brain impressions of non-rabid animals (Figure 3). Furthermore, in a normal laboratory, the DFA has a specificity and sensitivity of about 99% [22].
Rabid animal brain impression, counterstained with Evan’s blue and stained with rabies virus antinucleocapsid IgG-FITC conjugate (rabies DFA III, light diagnostics, cat # 6500, captured by authors).
Non-rabid animal brain impression stained with rabies virus anti-nucleocapsid IgG-FITC conjugate (rabies DFA III, light diagnostics, cat # 6500, captured by authors).
The DFA is accurate and sensitive. The sensitivity of this test is determined by the quality of the sample (how carefully the brain is sampled as well as the degree of autolysis), the type of lyssavirus and the diagnostic staff’s expertise. Impressions are obtained from a composite sample of brain tissue that includes the brainstem. It is air-dried before being immersed in 100% high-grade cold acetone for 1 hour to set the impressions. The impression is withdrawn from the acetone, air-dried and stained with a drop of the appropriate conjugate.
The impression is then incubated for 60 minutes at 37°C. Anti-rabies fluorescent conjugates are commercially available as polyclonal or monoclonal antibodies (MAbs) that are specific to whole virus or the N protein of the rabies virus and have been conjugated to the fluorescing dye, fluorescein isothiocyanate (FITC). The DFA slides should be inspected under a fluorescent microscope with a filter that corresponds to the wavelength of the fluorescent conjugate employed. FITC, which is stimulated at 490 nm and re-emits at 510 nm, is the most often used fluorescent dye. The presence of nucleocapsid protein aggregates can be seen by the fluorescence of associated conjugate in an apple green colour. When fresh brain tissue is used, this test is reliable. Bacterial contamination of partially decomposed brains causes nonspecific fluorescence that is difficult to differentiate from specific fluorescence owing to N antigen, making it inappropriate for this test.
The Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, developed dRIT, which is one of the most important breakthroughs in the diagnosis of Rabies. This test also detects the N protein of the rabies virus in rabies brain impressions. A suspected animal brain smear is fixed with buffered formalin before being processed further. Following appropriate viral fixation, the antigen was treated with a biotinylated monoclonal antibody cocktail that was highly concentrated and purified (to N protein). After that, an indicator and streptavidin peroxidase are added. The aggregation of viral clusters is seen as brick red clusters within the cell, along the axons and throughout the brain impression (Figure 4). Negative brain impressions show no such brick red inclusions.
Rabid animal brain impression tested by dRIT, captured by authors.
This 1-hour test method is helpful in field conditions since the results may be examined with an ordinary light microscope. It has been tested in several nations and confirmed to be 100% as sensitive and specific as DFA. This simple, low-cost test will be extremely useful in enhancing rabies epidemiology monitoring, particularly in underdeveloped countries where expensive fluorescence microscopes and cold storage facilities may not be accessible [22].
The lateral flow assay is a simple and quick immunochromatographic technique. The rabies virus nucleoprotein is recognised by this test kit, which was produced utilising monoclonal antibodies. It has been tested as a quick rabies screening test. This assay is an immunodiagnostic test that provides quick findings in the field by detecting RABV antigen in post-mortem samples without the need of laboratory equipment. In summary, the detector antibodies are coupled to a membrane at two separate zones, and when the processed material is added to the device at the appropriate slot, coloured lines appear, indicating the presence of viral antigen [25].
In the case of rabies-virus-positive brain samples, coloured lines may be observed in both the ‘C’ (Control) and ‘T’ (test) zones; however, in the case of negative samples, only the ‘C’ zone displays colour development (Figure 5). Furthermore, this assay might be used to successfully identify rabies virus in cell culture [26].
Lateral flow test of rabies-positive brain sample suspensions (captured by authors).
Other less common antigen detection techniques are as follows:
A quick sandwich ELISA is used to identify lyssaviruses belonging to all seven genotypes that circulate in Europe, Africa, Asia and Oceania [27]. Dot-blot immunoassay for brain tissues and enzyme immunoassay (EIA) for quick diagnosis in humans and animals [28].
Various PCR-based tests are now being developed for ante-mortem and post-mortem rabies diagnosis. Because the nucleoprotein (N) gene is extremely conserved, most of these PCR variants amplify it. This method has shown to be quite efficient in detecting rabies ante-mortem.
RT-PCR tests based on gels are also used to identify rabies virus RNA in clinical samples [29, 30, 31, 32]. The amplicons produced in these tests, notably those targeting N, G and G-L intergenic regions, have been sequenced in order to characterise the virus and analyse its phylogeny [33]. However, these assays are vulnerable to cross-contamination, which is a major problem that prevents them from being used routinely for rabies diagnosis [27].
Real-time PCR is used to identify and quantify genome copies while reducing the probability of cross-contamination. The SYBR Green real-time PCR technique is applied for rabies ante-mortem diagnosis [34] as well as finding lyssaviruses [35]. TaqMan real-time PCR tests have been shown to have high specificity [27, 36]. This was shown to be 100 times more sensitive than typical nested RT-PCR [36].
Although they have certain drawbacks, the rabies virus neutralisation test, notably FAVN or RFFIT, is the test of choice for determining neutralising antibodies [37]. Various varieties of ELISA (enzyme-linked immunosorbent assay) are also utilised as an alternative since they are safe, simple and quick. Furthermore, because these tests do not involve the handling of live virus, they do not require use of high-containment facilities. The ELISA findings are shown to correspond well with the RFFIT results. ELISA based on N and G protein Mab was developed to the specially trap the rabies antigen during ante-mortem diagnosis [38].
A second-generation ELISA kit, the Platelia Rabies II, was designed to detect antibodies against the glycoprotein in blood and CSF samples. This ELISA was tested and shown to correlate well with RFFIT, making it suitable for use in laboratories without cell culture facilities [39]. However, when compared with neutralisation tests, ELISA is less sensitive [40].
PrEP (vaccination) is the most efficient way of rabies control. It not only saves the budget of the management, but it assures the prevention of the disease. There are several protocols for the prophylaxis of the disease. There are two routes for the vaccination: intra-muscular (IM) and intra-dermal (ID). Intra-dermal vaccine saves the quantity of the vaccine by 80%. The detailed protocol is given below. PrEP is recommended to the people who are associated to specific group vulnerable to rabies such as veterinarians, para-vets, animal welfare activists or people residing in endemic area. The dosage for ID is 0.1 ml at two sides while the dose of IM vaccine is whole vial. The vaccine should not be given at gluteal muscle. The protocol suggests two shots of vaccine on 0 and 7 days.
PEP is suggested after the exposure of rabies. There are three categories of the exposure listed in Table 1. There are three dosage regimes given by different institutions, Institut Pasteur du Cambodge regimen, Essen regimen and Zagreb regimen.
Category | Immunologically naive | Previously immunised |
---|---|---|
1 Touching or feeding animals, animal licks on intact skin (no exposure) | Wash exposed skin surfaces. No PEP required. | |
2 Nibbling of uncovered skin, minor scratches, or abrasions without bleeding (exposure) | Wound washing and immediate vaccination: - 2-sites ID on days 0, 3 and 7 OR - 1-site IM on days 0, 3, 7 and between days 14 and 28 OR - 2-sites IM on days 0 and 1-site IM on days 7, 21 RIG is not indicated. | Wound washing and immediate vaccination*: - 1-site ID on days 0 and 3; OR - at 4-sites ID on day 0; OR - at 1-site IM on days 0 and 3); RIG is not indicated. |
3 Single or multiple transdermal bites or scratches, contamination of mucous membrane or broken skin with saliva from animal licks, exposures due to direct contact with bats (severe exposure) | Wound washing and immediate vaccination - 2-sites ID on days 0, 3 and 76 OR - 1-site IM on days 0, 3, 7 and between days 14 and 287 OR - 2-sites IM on days 0 and 1-site IM on days 7, 218 RIG administration is recommended. | Wound washing and immediate vaccination*: - 1-site ID on days 0 and 3; OR - at 4-sites ID on day 0; OR - at 1-site IM on days 0 and 3; RIG is not indicated. |
Suggested PEP according to exposure.
The major between immunologically naïve and previously immunised person with the PEP is no requirement of RIG in previously immunised person. The maximum dose of RIG is 20 (hRIG) or 40 (eRIG). If RIG is not available, thorough, prompt wound washing, together with immediate administration of the first vaccine dose, followed by a complete course of rabies vaccine, is highly effective in preventing rabies. Vaccines should never be withheld, regardless of the availability of RIG. Rabies virus is enveloped virus and so through washing of bite wound with soap solution under running tap water is advised. (Adopted from [41])
The rabies vaccine with the potency of RIVM >2 I.U. may be used for the vaccination. The vaccine is approved for the use for the prophylaxis of apparently healthy mammals. The vaccine may be given by the IM or SC route. Generally, a temporary palpable nodule at the site of the SC injection may be noticed, which will disappear by the time. Rarely anaphylactic reaction can be seen which can be managed by SC injection of adrenalin. It is always recommended to give the vaccine a bit earlier than the due date to ensure the protection. Many a times it is possible that the whole dose of vaccine may be failed to be administered to the animals due to faulty administration. Vaccination can begin as early as 3 months of age in dogs, ferrets and livestock. Vaccines for cats can be administered as early as 2 months of age [42].
The schedule is given below in Table 2.
Species | Age at Primary Vaccination | Revaccination |
---|---|---|
Dog & Cat | After 3 months of age* | 3 years** |
Cattle, Horse, Sheep & Goat | After 6 months of age* | 2 years** |
Ferret | After 3 months of age* | 1 year** |
Vaccination schedule for animals.
Primary vaccination can be administered at an earlier age, but then a repeat vaccination must be given at the age of 3 or 6 months depending on the species.
Annual revaccination is recommended in endemic areas.
Source: [43].
The rabies vaccine bait RABORAL V-RG® contains an attenuated (‘modified-live’) recombinant vaccinia virus vector vaccine that expresses the rabies virus glycoprotein gene (V-RG). Since 1987, when the first licenced recombinant oral rabies vaccine (ORV) was released into the environment to immunise wildlife populations against rabies, over 250 million doses have been distributed globally with no reports of adverse responses in wildlife or domestic animals. V-RG is genetically stable, does not remain in the oral cavity for more than 48 hours after ingestion, is not shed into the environment by vaccinated animals and has been tested for thermostability in a variety of laboratory and field settings. V-RG has been tested in over 50 vertebrate species, including nonhuman primates, and no adverse effects have been reported regardless of method or dose. Immunogenicity and efficacy in a variety of target species have been established in the lab and in the field (including fox, raccoon, coyote, skunk, raccoon dog and jackal). The liquid vaccine is placed within edible baits (such as RABORAL V-RG, the vaccine-bait product) that are released into animal areas for target species to consume. The use of RABORAL V-RG in the field has helped to eradicate wildlife rabies in three European nations (Belgium, France and Luxembourg), as well as the dog/coyote rabies virus form in the United States (USA). With the final case reported in a cow in 2009, an oral rabies vaccination programme in west-central Texas has effectively removed the grey fox rabies virus strain from Texas. In the United States, a long-term ORV barrier effort using RABORAL V-RG is preventing significant geographic spread of the raccoon rabies virus strain. For more than a decade, RABORAL V-RG has been used in Israel to control wildlife rabies [44].
PEP of the rabies should include five administrations of the vaccine on the days 0, 3, 7, 14, 28/90 days. If the animal is not immunised previously, eRIG is advised to be administered at the site of bite.
The disease is a classical example of neglected zoonosis. The disease can be well managed by the multi-disciplinary approach. Control of the rabies in the dogs is very important. World Health Organisation (WHO) has strong measures in place to prevent rabies in dogs. These guidelines include:
Notification of suspected cases, with euthanasia of dogs with clinical signs and those bitten by suspected rabid animals
Leash laws and quarantine to limit contact between susceptible dogs
A mass immunisation programme with ongoing boosters
Stray dog control and euthanasia of unvaccinated dogs roaming freely
Dog registration programmes [45].
IntechOpen - where academia and industry create content with global impact
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Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. He is the author or co-author of more than seventy papers in peer-reviewed journals and conferences as well as the co-author of several books. He serves as a reviewer for many scientific journals, international conferences, and research foundations. Since 2010, Dr. Placzek has been a reviewer of grants and projects (including EU projects) in the field of information technologies.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"35000",title:"Prof.",name:"Ulrich H.P",middleName:"H.P.",surname:"Fischer",slug:"ulrich-h.p-fischer",fullName:"Ulrich H.P Fischer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/35000/images/3052_n.jpg",biography:"Academic and Professional Background\nUlrich H. P. has Diploma and PhD degrees in Physics from the Free University Berlin, Germany. He has been working on research positions in the Heinrich-Hertz-Institute in Germany. Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. 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. His research interests include computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, intelligent systems, information technology, and information systems. Prof. Sarfraz has been a keynote/invited speaker on various platforms around the globe. He has advised various students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He is a member of various professional societies and a chair and member of the International Advisory Committees and Organizing Committees of various international conferences. Prof. Sarfraz is also an editor-in-chief and editor of various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/267434/images/system/267434.jpg",biography:"Dr. Rohit Raja received Ph.D. in Computer Science and Engineering from Dr. CVRAMAN University in 2016. His main research interest includes Face recognition and Identification, Digital Image Processing, Signal Processing, and Networking. Presently he is working as Associate Professor in IT Department, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur (CG), India. He has authored several Journal and Conference Papers. He has good Academics & Research experience in various areas of CSE and IT. He has filed and successfully published 27 Patents. He has received many time invitations to be a Guest at IEEE Conferences. He has published 100 research papers in various International/National Journals (including IEEE, Springer, etc.) and Proceedings of the reputed International/ National Conferences (including Springer and IEEE). He has been nominated to the board of editors/reviewers of many peer-reviewed and refereed Journals (including IEEE, Springer).",institutionString:"Guru Ghasidas Vishwavidyalaya",institution:{name:"Guru Ghasidas Vishwavidyalaya",country:{name:"India"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:null,institution:{name:"Beijing University of Technology",country:{name:"China"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"265335",title:"Mr.",name:"Stefan",middleName:"Radnev",surname:"Stefanov",slug:"stefan-stefanov",fullName:"Stefan Stefanov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/265335/images/7562_n.jpg",biography:null,institutionString:null,institution:{name:"Medical University Plovdiv",country:{name:"Bulgaria"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Igor Victorovich Lakhno was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPh.D. – 1999, Kharkiv National Medical Univesity.\nDSC – 2019, PL Shupik National Academy of Postgraduate Education \nProfessor – 2021, Department of Obstetrics and Gynecology of VN Karazin Kharkiv National University\nHead of Department – 2021, Department of Perinatology, Obstetrics and gynecology of Kharkiv Medical Academy of Postgraduate Education\nIgor Lakhno has been graduated from international training courses on reproductive medicine and family planning held at Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor in the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics, and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s been a professor in the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics, and gynecology department. He’s affiliated with Kharkiv Medical Academy of Postgraduate Education as a Head of Department from November 2021. Igor Lakhno has participated in several international projects on fetal non-invasive electrocardiography (with Dr. J. A. Behar (Technion), Prof. D. Hoyer (Jena University), and José Alejandro Díaz Méndez (National Institute of Astrophysics, Optics, and Electronics, Mexico). He’s an author of about 200 printed works and there are 31 of them in Scopus or Web of Science databases. Igor Lakhno is a member of the Editorial Board of Reproductive Health of Woman, Emergency Medicine, and Technology Transfer Innovative Solutions in Medicine (Estonia). He is a medical Editor of “Z turbotoyu pro zhinku”. Igor Lakhno is a reviewer of the Journal of Obstetrics and Gynaecology (Taylor and Francis), British Journal of Obstetrics and Gynecology (Wiley), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for a DSc degree “Pre-eclampsia: prediction, prevention, and treatment”. Three years ago Igor Lakhno has participated in a training course on innovative technologies in medical education at Lublin Medical University (Poland). Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: are obstetrics, women’s health, fetal medicine, and cardiovascular medicine. \nIgor Lakhno is a consultant at Kharkiv municipal perinatal center. He’s graduated from training courses on endoscopy in gynecology. He has 28 years of practical experience in the field.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. RELACION DE PONENCIAS DE LA SOCIEDAD ESPAÑOLA DE OFTALMOLOGIA. 10/2014.",institutionString:null,institution:null},{id:"243698",title:"Dr.",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:null,institution:null},{id:"7227",title:"Dr.",name:"Hiroaki",middleName:null,surname:"Matsui",slug:"hiroaki-matsui",fullName:"Hiroaki Matsui",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Tokyo",country:{name:"Japan"}}},{id:"312999",title:"Dr.",name:"Bernard O.",middleName:null,surname:"Asimeng",slug:"bernard-o.-asimeng",fullName:"Bernard O. Asimeng",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Ghana",country:{name:"Ghana"}}},{id:"318905",title:"Prof.",name:"Elvis",middleName:"Kwason",surname:"Tiburu",slug:"elvis-tiburu",fullName:"Elvis Tiburu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Ghana",country:{name:"Ghana"}}},{id:"336193",title:"Dr.",name:"Abdullah",middleName:null,surname:"Alamoudi",slug:"abdullah-alamoudi",fullName:"Abdullah Alamoudi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"318657",title:"MSc.",name:"Isabell",middleName:null,surname:"Steuding",slug:"isabell-steuding",fullName:"Isabell Steuding",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}},{id:"318656",title:"BSc.",name:"Peter",middleName:null,surname:"Kußmann",slug:"peter-kussmann",fullName:"Peter Kußmann",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Harz University of Applied Sciences",country:{name:"Germany"}}}]}},subseries:{item:{id:"88",type:"subseries",title:"Marketing",keywords:"Consumer Trends, Consumer Needs, Media, Pricing, Distribution, Branding, Innovation, Neuromarketing",scope:"