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Structure and behavior of collagen fibers                          363

           understanding of collagen biomechanics is necessary since the time-dependence and
           deformation mechanism must be considered in order to provide accurate interpreta-
           tions of the mechanical properties. This also requires the use of “gold standards” to
           make sure any new test developed can duplicate the behaviors that have been reported
           in the literature in the pioneering research of Yamada (1970) and Fung (1973).
              Future studies are needed to identify the changes that occur in collagen fibers and
           their mechanical properties found in tissues that are associated with cancers and other
           pathologies (Dudea et al., 2013). Collagen fibers in ECMs are oriented in more than
           one direction and form multilayered sheets such as is observed in skin, cartilage,
           and bone. Changes in packing patterns and fiber orientation may be a useful criterion
           for early diagnosis of a number of disease states.



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