\r\n\tThe objective of this book is to provide a state-of-the-art review of the use of timber in building construction from various perspectives, including manufacturing, fabrication, modeling, design, and construction of residential and other types of buildings. Of special interest will be contributions related to new developments in timber technologies, design, construction, testing, sustainability, LCA, building envelope, and the performance of timber buildings in natural and man-made hazard conditions.
",isbn:"978-1-83768-263-8",printIsbn:"978-1-83768-262-1",pdfIsbn:"978-1-83768-264-5",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"356565153fc7e43f1bf0cb7ba5e7b28a",bookSignature:"Prof. Ali M. Memari",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/12057.jpg",keywords:"Wood, Lumber, Timber Industry, Home Building, Glue-Laminated Wood, Cross-Laminated Timber, Plywood, Fire Resistance, Sustainability, Fabrication, Panelized/Modular, Material Properties",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 31st 2022",dateEndSecondStepPublish:"June 28th 2022",dateEndThirdStepPublish:"August 27th 2022",dateEndFourthStepPublish:"November 15th 2022",dateEndFifthStepPublish:"January 14th 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"2 months",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Dr. Memari is a Professor and Bernard and Henrietta Hankin Chair in Residential Building Construction in the Departments of Architectural Engineering and Civil and Environmental Engineering. During his 30 years of teaching in structural engineering, his research focused on the behavior of structural, architectural, and enclosure components of residential and commercial buildings under natural hazard loading and environmental conditions. He has published over 300 publications.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"252670",title:"Prof.",name:"Ali",middleName:null,surname:"M. Memari",slug:"ali-m.-memari",fullName:"Ali M. Memari",profilePictureURL:"https://mts.intechopen.com/storage/users/252670/images/system/252670.jpg",biography:"Dr. Memari is a Professor and Bernard and Henrietta Hankin Chair in Residential Building Construction in the Departments of Architectural Engineering and Civil and Environmental Engineering at Penn State, and Director of The Pennsylvania Housing Research Center. During his 30 years of teaching and research experience, he has taught various courses related to structural\r\nengineering. He has focused his research on full-scale laboratory testing characterization and evaluation of residential and commercial buildings with respect to structural, architectural, and envelope components under gravity and lateral loads that simulate natural hazards (earthquakes/wind-storms), as well as environmental effects involving building science aspects (heat transfer, air leakage and moisture transport) through building enclosure. 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From chapter submission and review to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. Whether that be identifying an exceptional author and proposing an editorship collaboration, or contacting researchers who would like the opportunity to work with IntechOpen, I establish and help manage author and editor acquisition and contact."}},relatedBooks:[{type:"book",id:"10198",title:"Response Surface Methodology in Engineering Science",subtitle:null,isOpenForSubmission:!1,hash:"1942bec30d40572f519327ca7a6d7aae",slug:"response-surface-methodology-in-engineering-science",bookSignature:"Palanikumar Kayaroganam",coverURL:"https://cdn.intechopen.com/books/images_new/10198.jpg",editedByType:"Edited by",editors:[{id:"321730",title:"Prof.",name:"Palanikumar",surname:"Kayaroganam",slug:"palanikumar-kayaroganam",fullName:"Palanikumar Kayaroganam"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"1591",title:"Infrared Spectroscopy",subtitle:"Materials Science, Engineering and Technology",isOpenForSubmission:!1,hash:"99b4b7b71a8caeb693ed762b40b017f4",slug:"infrared-spectroscopy-materials-science-engineering-and-technology",bookSignature:"Theophile Theophanides",coverURL:"https://cdn.intechopen.com/books/images_new/1591.jpg",editedByType:"Edited by",editors:[{id:"37194",title:"Dr.",name:"Theophile",surname:"Theophanides",slug:"theophile-theophanides",fullName:"Theophile Theophanides"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"3161",title:"Frontiers in Guided Wave Optics and Optoelectronics",subtitle:null,isOpenForSubmission:!1,hash:"deb44e9c99f82bbce1083abea743146c",slug:"frontiers-in-guided-wave-optics-and-optoelectronics",bookSignature:"Bishnu Pal",coverURL:"https://cdn.intechopen.com/books/images_new/3161.jpg",editedByType:"Edited by",editors:[{id:"4782",title:"Prof.",name:"Bishnu",surname:"Pal",slug:"bishnu-pal",fullName:"Bishnu Pal"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"371",title:"Abiotic Stress in Plants",subtitle:"Mechanisms and Adaptations",isOpenForSubmission:!1,hash:"588466f487e307619849d72389178a74",slug:"abiotic-stress-in-plants-mechanisms-and-adaptations",bookSignature:"Arun Shanker and B. 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\n
1. Introduction
\n
There has been a constant endeavour to increase the number of available coherent sources allowing wider coverage of the electromagnetic spectrum. To this end, nonlinear optical conversion of the emission of a laser inside an appropriate nonlinear crystal by ensuring that the fundamental and generated waves are phase matched has emerged as one of the most attractive methods across UV [1], visible [2], infrared [3], and mid-infrared [4] regions of the electromagnetic spectrum. As the non-linearity of the crystal is responsible for effecting this conversion, an increase in the intensity of the pump radiation to which the crystal is subjected to increases the conversion efficiency too albeit in a non-linear fashion. Single crystals, specifically grown to provide a reasonable interaction length, invariably suffer from low optical damage threshold. This thus puts an upper limit on the pump intensity to which the crystal can be exposed to causing a corresponding reduction in the conversion efficiency. A significant under-utilisation of the pump beam is thus the end result. The crystals employed for the conversion in the mid infrared region have inherently high refractive index and the problem thus gets further compounded as the entrance and the exit faces of the crystals need to be essentially anti-reflection coated to arrest losses due to Fresnel reflection. The pump intensity therefore, needs to be further reduced as the optical damage threshold of dielectric coatings is usually lower than the crystal bulk. This drawback can be surmounted by increasing the interaction length of the pump beam with the nonlinear medium giving due consideration to the thermal de-phasing effect that occurs along the length of the crystal [5]. Increasing the length of the crystal brings about a steep rise in its cost and therefore is not an economically viable option. Attempts have been made to use a number of crystals instead, either in tandem [6] or in parallel [7] to circumvent this problem. These schemes however, suffer from an inherent disadvantage as they present too many crystal surfaces off which the pump photons escape through Fresnel reflections. To be noted here that the same crystal has also been used in the past to enhance the interaction length by allowing the pump beam to make two [8] or multiple passes [9] through it. These methods have not gained much popularity as the cavity configuration employed in the former case limited the operation to a non-collinear phase matched mode while in the latter case it resulted in enhancing the second harmonic (SH) conversion of the SH wave itself. In case of frequency doubling of near infrared cw pump to the visible, the schemes that have gained importance use the crystal in the intra-cavity mode [10] or external cavity resonant enhancement mode [11]. Ring cavity configuration that has an inherent advantage of blocking any feedback into the pump cavity has generally been employed here. The applicability of these schemes for pulsed second harmonic conversion (SHG) is challenging due to the high intra-cavity flux that prevails in a pulsed laser. Literature on similar schemes for SHG in the mid infrared region is scanty primarily due to the possibility of thermal lensing effect that may lead to crystal damage. This has restricted the operation to quasi-cw regime with adequate precautions to forbid Q-switched lasing [12] while in the case of pulsed operation, the intra-cavity flux has been brought down by using appropriate attenuators [13].
\n
Another approach has been to increase the intensity of the pump beam itself. That the generated SH output increases in a non-linear fashion with the intensity of the pump radiation to which the crystal is exposed is a fact known since the time SHG was reported more than half a century ago [14]. A direct consequence of this fact is that if the crystal can in some way be subjected to alternate high and low regions of pump intensity along its conversion length that results in an average intensity Iav, there would be a net gain with respect to SHG as compared to the conventional situation where the same crystal is subjected to a uniform pump intensity of Iav. These two cases are illustrated in \nFigure 1\n. In the first case (\nFigure 1a\n) the crystal of length ‘l’ is illuminated by a pump beam of uniform intensity ‘I’ along its length. In the second case the incident pump intensity ‘I’ is redistributed as alternate periodic intensity packets of ‘2I’ and ‘0’ longitudinally along the crystal thus maintaining the same average intensity ‘I’ as before (\nFigure 1b\n). The square dependence of second harmonic conversion on the incident pump intensity can be represented mathematically for the two cases as follows:
\n
Figure 1.
A non-linear crystal exposed to the pump radiation. (a) Uniform illumination of intensity ‘I’. (b) Periodic illumination with intensity packets of ‘2I’ and ‘0’ thus maintaining the same average intensity ‘I’ as before.
\n
For the case of \nFigure 1a\n: SH(output)∝\nl × I2.
\n
For the case of \nFigure 1b\n: SH(output)∝ [[(l/2) × 0] + [(l/2) × (2I)2]] ∝\n2l × I2.
\n
This clearly suggests that the generated SH, in the second case, is enhanced by a neat 100% as against the first case when the crystal is illuminated uniformly. A nonlinear crystal placed inside a Fabry-Perot or a bidirectional ring cavity experiences flux from both ends and therefore is one of the most obvious ways of creating such a situation of non-uniform illumination. The interference of the forward and reverse beams creates alternate high (anti-nodal) and low (nodal) regions of intensity in the crystal and therefore should result in an enhancement of the SHG.
\n
This chapter dwells on the recent advances made by our group in these two areas viz., enhancing the conversion efficiency by way of (a) increasing the interaction length between the pump and the non-linear medium and, (b) exploiting the effect of non-uniform illumination of the non-linear medium.
\n
\n
\n
2. Enhancing the SH conversion efficiency by increasing the interaction length between the pump and the non-linear medium
\n
By way of constructing a coupled plano-convex cavity external to the pump laser (\nFigure 2\n) that allowed to and fro passes of the unabsorbed pump through the crystal, we conceived a novel way to increase the effective interaction length between the non-linear medium and the pump beam [15]. An ideal situation demands that the coupling optics offers high transmission at the pump wavelength and high reflection too at the same wavelength to enable multiple passes through the crystal; a conflicting requirement indeed that is inherently taken care of in the above scheme. As the output coupler of the pump laser itself functioned as the entrance mirror of the external cavity, its quality factor could be maintained high allowing at the same time, efficient transportation of the pump beam into it. Further, the intra-cavity photon flux could be maintained within acceptable level due to the unstable nature of the external cavity. This reduced the risk of optical flux induced crystal damage besides eliminating the possibility of feed back into the pump cavity.
\n
Figure 2.
Schematic diagram of the experimental setup for second harmonic conversion of the emission of a CO2 laser in a AgGaSe2 crystal. G: Plane blazed grating, A1 and A2: Adjustable apertures, B1 and B2: ZnSe Brewster plates, M1: 70% R ZnSe concave mirror, D1 and D2: Energy/power detectors, M2: Dichroic mirror. (a) In case of single pass second harmonic generation, dichroic mirror M2 is absent. (b) In case of multi-pass second harmonic generation, dichroic mirror M2 in conjunction with pump laser output coupler M1 forms the unstable external cavity.
\n
\n
2.1 Experimental
\n
The experimental demonstration of this scheme was effected in the second harmonic generation of the 10 micron emission of a pulsed CO2 laser. A commercial uncoated 17 mm thick AgGaSe2 crystal served as the non-linear medium for this conversion process. A rise in the energy conversion efficiency by ~300% and even higher peak power conversion efficiency has been achieved by making the unconverted pump go through the crystal time and again. The increase in the effective length of the crystal should in principle, allow the performance of a thin crystal in such a cavity configuration to match that of a thick crystal in the conventional operation although at a lower level of optical flux, that in turn, precludes the possibility of its damage even in the pulsed operation.
\n
The schematic of the experimental lay out is depicted in \nFigure 2\n. In the first set of experiments (\nFigure 2a\n), the pulsed emission of a commercial multi-atmosphere TE-CO2 laser was made use of to affect SHG in an uncoated AgGaSe2 crystal (cross-section 10 × 10 mm and length 17 mm). A plane master grating (150 lines/mm) and a concave (7 m ROC) 70%R ZnSe output coupler separated by 105 cm formed the passively stabilised pump laser cavity. For this experiment, the laser was operated on 10P (34) line for which the second harmonic phase matching occurred at an external angle of incidence of ~34ᵒ. Usage of an intra-cavity adjustable aperture A1 allowed the operation of the pump laser on the TEM00 mode. The energy incident on the crystal was controlled by varying the charging voltage of the laser. An external adjustable aperture ‘A2’ allowed maintaining the pump beam cross-section on the crystal entrance to ~4.5 mm diameter so as to ensure its clear passage through the non-linear medium. Monitoring of both the energy and the power of the incident pump pulse was possible by probing its Fresnel reflection off the incident face of the crystal. The energy and power profile of the generated SH beam were measured after blocking the unconverted pump beam that also emerged along with the SH beam through the crystal by means of a sapphire plate. The CO2 laser, by virtue of its multi-atmosphere operation, possessed inherently very high gain and thus emitted pulses of relatively short duration (FWHM ~110 nsec, \nFigure 3\n). In the present experiment, the maximum intensity was restricted to ~2.5 MW/cm2.
\n
Figure 3.
Typical temporal profile of the emission of the pump CO2 laser. FWHM value of ~110 ns is evident from the upper trace. The beating of two longitudinal modes at a period of ~7 ns is apparent from the lower trace. Absence of any beat at a longer period indicates operation on multi-longitudinal modes belonging to the same transverse family.
\n
\n
\n
2.2 Results and discussion
\n
In order to find the efficiency of the single pass non-linear conversion process as a function of the input pump energy, we gradually increased the input and measured the corresponding SH energy and the dependence is as shown in \nFigure 4\n. The parabolic nature of this dependence clearly reveals the square proportionality of the SH intensity on the pump intensity. As would be seen, ~8.46% is the maximum internal SH energy conversion efficiency that was obtained maintaining the pump intensity below the damage threshold of the crystal. Understandably therefore, significant fraction of the pump photons stays unconverted and emerge together with the SH beam and the same was measured using detector D2 when the sapphire plate is removed. Effective utilisation of the pump beam is possible by making it to pass through the crystal time and again. To this end, a Fabry-Perot cavity was constructed that contained the crystal and comprised of the output coupler (M1) of the pump laser of plano-concave geometry [plane surface AR coated @ 10.6 μm and the concave surface (7 m ROC) dielectric coated for 70% R @ 10.6 μm] and a plane ZnSe dichroic mirror M2 (R > 90%@10.74 μm, T > 90%@5.37 μm) (refer to \nFigure 2b\n). The length of this external cavity (~1.21 m) was such as to push the g1 × g2 value viz., 1.17 beyond the region of stability. There was a remarkable enhancement in the generation of SH output when M2 was fine tuned to ascertain its parallelism with the convex face of mirror ‘M1’. Performance of this multi-pass cavity with respect to the generation of SH was characterised by varying the pump energy incident on the crystal and measuring the corresponding energy of the SH beam emerging through ‘M2’ (\nFigure 5\n). When the cavity is perfectly aligned, the pump photons coming through the Mirror M1 are in phase, at every instant, with the fraction of the unconverted pump that is reflected off it. This increases the effective energy input to the crystal and that, in turn, results in a correspondingly increased SH output. This fact is amply clear from \nFigure 4\n in conjunction with \nFigure 5\n. It is apparent that for a maximum input pump energy of ~6.5 mJ, the single pass SH output is ~0.55 mJ (\nFigure 4\n) while according to \nFigure 5\n, the same input of 6.5 mJ gets enhanced to ~9.2 mJ due to cavity effect. The corresponding SH multi pass output is ~1.625 mJ, almost a three-fold increase when compared to the single pass case. Considering 9.2 mJ as the input energy, the SHG efficiency can be estimated to be ~17.66% - a clear ~209% improvement as against the single pass case. To be noted here that the pump energy has actually been maintained at ~6.5 mJ and therefore the conversion efficiency has risen by ~295% as a matter of fact. In these experiments, both pump and SH beams suffered significant Fresnel reflection losses during their repeated back and forth passage through the crystal that was not anti-reflection coated. Further, as the pump laser output coupler M1 is only 23% reflective at 5.35 μm, a major part of the SH generated in the reverse direction escapes through this mirror. The dramatic improvement in the SH conversion efficiency that has been obtained in the multi-pass case is thus by no means an optimised one. Increasing the reflectivity of the rear mirror at the SH wavelength in addition to employing a crystal with broadband anti reflection coating on both its entrance and exit faces should be able to fully exploit the decided advantage of a multi-pass case. We also note here that this scheme does not suffer from the conventional single pass walk off [16] between the pump and the SH beams as mirror M2 is almost transparent to the SH beam thereby providing feedback only to the pump beam. As the second harmonic beam generated in the forward direction alone is extracted in this configuration, its spatial quality is practically same as that of a single pass case. Therefore no special effort was expended to monitor the spatial quality of the SH beam. However, the visual observation of a clear well defined spot when the generated beam was focussed by a 10 cm focal length CaF2 lens on a graphite plate bore testimony to its satisfactory spatial character.
\n
Figure 4.
Dependence of single-pass SH output on the energy of the pump pulse.
\n
Figure 5.
Dependence of multi-pass second harmonic output on the effective input pump energy following cavity effect.
\n
Towards comparing the SH power conversion efficiency in the single and multi-pass cases, we monitored the temporal profiles of the pump and the corresponding SH pulses with the external cavity in aligned and misaligned conditions. In order to obtain smooth temporal profiles devoid of mode beating, we captured the power profiles in all the four cases with oscilloscope set in bandwidth limited mode and the same are displayed in the traces of \nFigure 6\n from where the single pass internal peak power SH conversion efficiency can be readily estimated to be ~10.48%. The power conversion efficiency is thus greater than the energy conversion efficiency (8.45%) of the SHG process. This is because the peak power always exceeds the average intra-pulse power of the pump beam and higher is the intensity at the pump wavelength, better is the SH conversion. This observation is in general concurrence with the finding of several researchers [13, 17, 18]. When the cavity is perfectly aligned, the photon flux at the entrance face of the crystal comprises of two components at any point of time; (i) the photons constituting the output of the pump laser and (ii) the photons constituting the fraction of the unconverted pump beam that is reflected off the convex surface of the output coupler of the pump laser. When the cavity is aligned, these two components fall in step and an overall rise in the power level of the input pulse is thus the end result. A comparison of the input power profile traces for aligned and misaligned conditions as recorded in \nFigure 6\n clearly substantiates this fact. The rise in the input power level, in turn, leads to an enhanced SH conversion yielding a peak power conversion efficiency of ~22.36%, more than twice that is possible by single-pass conversion. Actually though, since the pump laser output has remained the same for both the aligned and misaligned cases, the effective SH peak power conversion efficiency stands at 35.8%, a neat enhancement of 341% due to the cavity effect.
\n
Figure 6.
Temporal profiles of the fundamental (bottom trace) and the corresponding second harmonic (top trace) captured in bandwidth limited mode; a: Single pass conversion, b: Multi-pass conversion.
\n
In the next set of experiments, we captured the temporal profiles of the pump and the corresponding cavity enhanced second harmonic pulses by setting the oscilloscope at its highest bandwidth (Tektronix MSO 3054) and the same are depicted in \nFigure 7a\n. That the emission of the pump laser is on multimode is evidenced by the rich modulation present in the temporal profile of the pump as well as the corresponding SH pulses. The lower trace of \nFigure 7b\n depicts the time expanded temporal profile of the pump pulse where an oscillation of period ~7 ns arising out of the beating of two longitudinal modes, matching with the round trip of 105 cm long cavity, is seen. Upon comparison with the typical temporal profile of the emission of the pump laser (\nFigure 3\n), it becomes obvious that the integration of the pump laser with this external unstable cavity does in no way bring in any new feature in its temporal profile or alter the beat period. This clearly implies that the coupling of the external cavity with the pump cavity has no effect on the dynamics of the pump laser. A comparison of the time expanded second harmonic temporal profile (upper trace of \nFigure 7b\n) with that of the temporal profile of the pump (lower trace of \nFigure 7b\n) readily establishes their phase and amplitude synchronisation: a signature of the instantaneous nature of the SHG process.
\n
Figure 7.
(a) Temporal profiles of the pump (lower trace) and the cavity enhanced SH (upper trace). Mode beating is reflected in the SH emission also. (b) 7 ns beat period indicates operation of the pump laser on two longitudinal modes (lower trace), the same is also reflected in the SH pulse (upper trace).
\n
\n
\n
2.3 Conclusion
\n
A thoughtful integration of a stable pump cavity with an unstable external Fabry-Perot cavity has resulted in remarkable enhancement in the SH conversion efficiency even in case of pulsed operation of the laser. Although coupled external resonant enhancement has found application for the non-linear conversion process in the cw operation of the pump laser over visible region, it has not gained popularity in the mid-infrared (MIR) region owing to the possibility of damage to the MIR crystals that are not only expensive but also scarce. An unstable cavity that has the intrinsic ability to limit the intra-cavity flux there by safe-guarding the crystal from optical damage even in case of pulsed operation has been shown to offer a practical solution to this problem. We note here that the performance of this scheme can be further improved by employing a crystal with its end faces broad band AR coated, appropriate choice of the cavity parameters and control of cavity lengths. Although feasibility of this scheme has been demonstrated in the case of SHG in the MIR region, the same should, in principle, be valid for application across the near IR, visible and the UV regions of the electromagnetic spectrum as well for both cw and pulse operations.
\n
\n
\n
\n
3. Enhancing the SH conversion efficiency by non-uniform illumination of the non-linear medium
\n
As explained in the introduction to this chapter, if a non-linear crystal can in some way be subjected to alternate high and low regions of pump intensity along its conversion length the conversion efficiency can be shown to increase 100% as against the case of conventional uniform illumination maintaining the same average intensity. We provide experimental validation of this hypothesis wherein a significant enhancement in the SH conversion efficiency has been achieved by subjecting the crystal to non-uniform illumination. Such a situation could be realised by shining the crystal from both ends as against the conventional operation of illuminating it from one end. This was readily possible by placing the crystal inside a Fabry Perot cavity wherein the interference of the forward and the reverse beams creates a periodic intensity modulation along its length. The coherent input beam was derived from the emission of a high pressure CO2 laser while an AgGaSe2 crystal was made use of to affect its frequency doubling. Subjecting the crystal to alternate high and low intensity of coherent pump radiation requires placing it inside a high ‘Q’ cavity that, at the same time, should allow significant transport of the pump energy into it. As in the previous case, integration of the pump laser cavity with the external Fabry-Perot cavity allowed efficient transport of the pump beam into the crystal while at the same time maintaining high Q of the external cavity at the pump wavelength. The only work that we came across and that explicitly connects SHG with cavity interference, albeit with a totally different central theme, is of Wu and Kimble [19] wherein two fundamental beams generate one or two SH coherent beams under non-collinear phase matched condition and the focus has been to study the phase dependence of the pump and the generated waves.
\n
\n
3.1 Experimental
\n
The experimental system utilised here is identical to the one used towards increasing the interaction length between the pump and the non-linear medium and the same would therefore, not be repeated here, and the reader may refer to \nFigure 2\n of Section 2.1 and its description therein instead. To be noted here that \nFigure 2a\n depicts the case of uniform illumination while \nFigure 2b\n represents the case of non-uniform illumination. The CO2 laser was tuned to the 10P(32) line giving rise to emission at 10.72 μm and consequently phase matching for frequency doubling was found to occur for an external angle of incidence of ~36ᵒ. The cross-section of the pump beam on the crystal entrance face was restricted to ~5.0 mm diameter that allowed its clear passage through the crystal. Although the crystal was AR coated over broad range covering 5–10 micron on both input and exit faces for normal angle of incidence (AOI), the small Fresnel reflection from the entrance face of the crystal, that was inevitable at oblique AOI, was utilised to monitor both energy and temporal profile of the pump pulse. The energy and temporal profile of the SH beam were monitored after blocking the residual pump beam, that also emerged with it through the exit face of the crystal, by a sapphire plate. By virtue of its multi-atmosphere operation, the CO2 laser possessed intrinsically very high gain and thus delivered a pulse of relatively short duration (FWHM ~110 nsec).
\n
\n
\n
3.2 Results and discussion
\n
Towards finding the efficiency of the SHG process as a function of the pump energy for the conventional case of uniform illumination (\nFigure 2a\n), we gradually increased the input and monitored the corresponding SH energy and the dependence is as shown in \nFigure 8\n. The maximum SH energy conversion efficiency can be estimated from this figure as ~8.0%.
\n
Figure 8.
Second harmonic output as a function of the input pump energy in the conventional operation wherein the crystal is uniformly illuminated by the pump beam along its conversion length.
\n
In the next set of experiments we subjected the crystal to alternate regions of high and low intensities along its length. This was readily possible by constructing a Fabry-Perot cavity comprising of the output coupler of the pump laser ‘M1’ (R ~80%@10.72 μm, T ~20%@5.36 μm) and a plane dichroic mirror ‘M2’ (R > 90%@10.72 μm, T > 90%@5.36 μm) located at the exit end of the crystal (refer to \nFigure 2b\n). The pump energy incident on the crystal, as measured by Detector D1, showed a dramatic increase as ‘M2’ was fine tuned to establish its parallelism with ‘M1’, resulting, in turn, in a corresponding improvement in the measured SH output. In effect, there are now two inputs to the crystal; (a) Forward Input: the actual input on the entrance face in the forward direction that comes directly from the pump laser and (b) Reverse Input: the pump, that stays unconverted after its passage through the crystal, gets reflected off ‘M2’ and shines on the exit face of the crystal from the opposite direction. When the cavity is perfectly aligned, the interference of these two components creates alternating nodal and anti-nodal intensity regions inside the cavity and partly contributes towards the observed dramatic enhancement of SH conversion by the crystal. At every instant, the reverse component, after traversing through the crystal, is reflected off M1 and falls in step with the pump photons emerging through it resulting in an effective increase in the energy incident on the entrance face of the crystal as measured by the detector D1. At this point, towards gaining a deeper insight into this process, we gradually varied the pump (forward) input and measured both, the corresponding reverse input and the generated SH. The difference in the energy measured by D1 with M1 aligned and misaligned gives the measure of the reverse input. \nFigure 9\n depicts the dependence of the reverse input on the forward input to the crystal while \nFigure 10\n shows the SH output as a function of the total effective input to the crystal which is now the sum total of the forward and the corresponding reverse components. It is apparent from \nFigure 9\n that the reverse input does not exactly bear a linear relationship with the forward input and this behaviour owes its origin to the square dependence of the SH output on the intensity of the input at the fundamental wavelength as is evident from \nFigure 8\n. The square dependence basically means that as the pump intensity rises, increasingly higher fraction of it gets converted into SH and thus less of it is left to constitute the reverse input to the crystal. This explains the observed departure from the linear dependence of the reverse input on the forward input to the crystal.
\n
Figure 9.
Dependence of the reverse input to the crystal as a function of the forward component.
\n
Figure 10.
Dependence of second harmonic output on the effective input pump energy in case of non-uniform illumination.
\n
The increase in the effective input to the crystal in case of an aligned cavity due to addition of forward and reverse components leads to the generation of higher SH output as revealed in \nFigure 10\n. For instance, the maximum pump input of 6.5 mJ in case of uniform illumination (\nFigure 8\n) gets enhanced to 10.34 mJ (\nFigure 10\n) in the aligned cavity condition giving rise to almost 2.54 fold increase in the SH conversion efficiency. However a closer examination of \nFigure 10\n, in conjunction with \nFigure 8\n, reveals a wealth of information, hitherto unexplored, that constitutes the central theme of this study and is captured in the traces of \nFigure 11\n. It is clearly evident from this figure that SH output in case of non-uniform illumination of the crystal is significantly higher compared to the case of its uniform illumination even when the total input to the crystal is maintained the same. Let us consider a typical input of 4.1 mJ that in case of uniform illumination generates 0.22 mJ (refer to \nFigure 8\n) of SH at a conversion efficiency of ~5.36%. It can be readily estimated from \nFigure 9\n that this input of 4.1 mJ in case of non-uniform illumination comprises of a forward component of 2.5 mJ and a reverse component of 1.6 mJ. Thus, when the same total input of 4.1 mJ is made to shine on the crystal as two separate beams of 2.5 and 1.6 mJ from opposite directions by taking advantage of a cavity, a SH output of 0.325 mJ (refer to \nFigure 10\n) is generated at an efficiency of 7.93%; a clear advantage of ~48% in the SH conversion efficiency by going for non-uniform illumination. As discussed before this is attributed to the alternate high and low intensity regions seen by the crystal as a result of the interference of the forward and reverse beams travelling through the crystal in the latter case.
\n
Figure 11.
Experimental SH conversion efficiency as a function of the total input to the crystal is shown for both uniform and non-uniform illumination cases. The % gain of SH conversion in case of non-uniform illumination over the uniform illumination case, defined as [(SHNUI-EFF−SHUI-EFF)/SHUI-EFF] × 100, is also shown here as a function of the overall input to the crystal.
\n
In order to estimate the expected advantage of the situation when the crystal is non-uniformly illuminated over the case of uniform illumination, we used the data available from \nFigures 8\n and \n10\n in conjunction with the dependence of reverse input on forward input (\nFigure 9\n) for the reconstruction of the standing wave parameters. This is recorded in the \nTable 1\n above. It would be seen from this table that the advantage expected for the non-uniform illumination shows a definite reduction, although very marginal, with increasing input intensity. This reduction is because, with increasing intensity, ER/EF gradually reduces as is evident from \nFigure 9\n and discussed earlier. The experimentally measured advantage also recorded in \nFigure 11\n as a function of input intensity shows the same trend. The experimentally measured advantage of the non-uniform illumination, however, is seen to be considerably lower than the estimated value. This is due to the fact that a major fraction of the SH generated in the reverse direction escapes through the output coupler ‘M1’ of the pump laser. Usage of a coupler that offers high reflectivity at both fundamental and generated wavelengths will help square the full advantage of the non-uniform illumination case.
Estimation of the % gain obtainable in case of non-uniform illumination over the uniform illumination through reconstruction of the standing wave parameters from the experimental data recorded in \nFigures 2\n, \n3\n and \n4\n.
Estimated overall gain (%) = [(SH NUI-EST−SHUI-EST)/SH UI-EST] × 100.
To be noted that the total input to the crystal in the two cases viz., uniform and non-uniform illumination has been always maintained same.
\n
To be noted here that the enhancement in the second harmonic conversion efficiency achieved by way of placing the non-linear medium inside a cavity, basically comprises of two components arising out of: (i) increased effective length of interaction between the pump and the non-linear medium and, (ii) non-uniform illumination of the non-linear medium. The above study helps decouple these two components. In the above example where the input was maintained at 4.1 mJ for both uniform illumination (meaning EF = 4.1 mJ and ER = 0) and non-uniform illumination (meaning EF = 2.5 mJ and ER = 1.6 mJ), the added advantage arising out of increased interaction length has been annulled. Thus the enhancement in the SH conversion efficiency (viz., ~70%) is entirely attributable to the modulation of intensity arising out of interference of forward and reverse beams. In case of a non-uniform illumination with EF = 4.1 mJ, the corresponding ER = 2.6 mJ as evident from \nFigure 9\n. The SH output now is 0.85 mJ as against 0.22 mJ for uniform illumination and the advantage gained here comprises of both the above components. From the discussion above it is amply clear that the component of gain due to increase in interaction length between the pump beam and the non-linear medium is ~126%. The modest gain obtained due to non-uniform illumination of the active medium is attributable to the inequality of the forward and the reverse components in the present study.
\n
\n
\n
\n
4. Conclusion
\n
In conclusion, we conceived the advantage in SH generation by a nonlinear crystal when it is illuminated with alternate high and low regions of intensity along its length as against the conventional case of its uniform illumination with the same average intensity. Exploitation of interference effect by placing the crystal inside a Fabry Perot cavity has allowed the imposition of such a non-uniform illumination condition on to the crystal along its conversion length. The decided advantage of the non-uniform illumination over uniform illumination has been experimentally established under conditions of equal intensity exposure in the two cases. We believe that this advantage was always present in intra-cavity or resonantly enhanced frequency doubling generation processes but stayed unrecognised as the motivation of these works was to enhance the conversion efficiency by increasing the effective interaction length of the crystal and the advantage gained was thus automatically attributed in totality to this. Carefully planned experiment here has allowed us to decouple the advantage due to interference (as seen in \nFigure 11\n) from the total advantage as recorded in the data of \nFigure 10\n that also included the gain due to increased interaction length. While we have achieved the spatial variation of intensity by the exploitation of interference effect, we do not rule out the possibility of achieving the same effect by some other means, e.g., a train of ps or fs mode locked pulses will manifest as spatial intensity variations in the sub mm to sub-micron scale appropriate to derive this advantage in a crystal of finite length. Advantage can be derived from even chaotic pulse trains wherein the temporal oscillations occur in the similar time scales as above. However, it is to be noted that the restriction on the maximum period of the spatial variation of the intensity is imposed by the crystal thickness while there is no restriction on the minimum period. As a matter of fact smaller is the periodicity of bright and dark intensity regions, better will be the heat diffusion and thus will be preferred from the point of view of handling higher intensity.
\n
\n\n',keywords:"non-linear optical conversion, unstable cavity, interference, CO2 laser, dichroic optics",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/63461.pdf",chapterXML:"https://mts.intechopen.com/source/xml/63461.xml",downloadPdfUrl:"/chapter/pdf-download/63461",previewPdfUrl:"/chapter/pdf-preview/63461",totalDownloads:924,totalViews:132,totalCrossrefCites:0,totalDimensionsCites:0,totalAltmetricsMentions:0,introChapter:null,impactScore:0,impactScorePercentile:42,impactScoreQuartile:2,hasAltmetrics:0,dateSubmitted:"May 4th 2018",dateReviewed:"August 9th 2018",datePrePublished:"November 5th 2018",datePublished:"February 6th 2019",dateFinished:"September 8th 2018",readingETA:"0",abstract:"The chapter dwells on two novel approaches towards enhancing the efficiency of nonlinear optical generation. The former is to enable the unabsorbed pump beam to pass through the crystal repeatedly. Integration of an unstable cavity containing the crystal with the stable pump cavity made this possible. The Q of the unstable cavity could be maintained high as the output coupler of the pump laser, itself served as the entrance mirror of this cavity. The unstable nature of the cavity kept the crystal from being exposed to high flux while ensuring longer interaction length. Although this scheme demonstrated in mid-IR region its advantage should persist across UV, visible, and near-IR regions too. The enhancement of conversion efficiency is effected in the second scheme by way of illuminating the crystal with alternate high and low regions of intensity along its length as against the uniform illumination case maintaining the same average intensity as in the conventional operation. The advantage is attributed to the square dependence of the second harmonic on the intensity of the pump. A simple modification of the existing experimental setup involving integration of an additional optical element with the pump cavity allowed exploitation of interference effect to realise such a non-uniform illumination condition.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/63461",risUrl:"/chapter/ris/63461",book:{id:"7582",slug:"nonlinear-optics-novel-results-in-theory-and-applications"},signatures:"Padma Nilaya J. and Dhruba J. Biswas",authors:null,sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Enhancing the SH conversion efficiency by increasing the interaction length between the pump and the non-linear medium",level:"1"},{id:"sec_2_2",title:"2.1 Experimental",level:"2"},{id:"sec_3_2",title:"2.2 Results and discussion",level:"2"},{id:"sec_4_2",title:"2.3 Conclusion",level:"2"},{id:"sec_6",title:"3. Enhancing the SH conversion efficiency by non-uniform illumination of the non-linear medium",level:"1"},{id:"sec_6_2",title:"3.1 Experimental",level:"2"},{id:"sec_7_2",title:"3.2 Results and discussion",level:"2"},{id:"sec_9",title:"4. Conclusion",level:"1"}],chapterReferences:[{id:"B1",body:'\nChen C, Lu J, Togashi T, Suganuma T, Sekikawa T, Watanabe S, et al. Second-harmonic generation from a KBe2BO3F2 crystal in the deep ultraviolet. Optics Letters. 2002;27:637\n'},{id:"B2",body:'\nHerskind P, Lindballe J, Clausen C, Sorensen JL, Drewsen M. Second-harmonic generation of light at 544 and 272 nm from an ytterbium-doped distributed-feedback fiber laser. Optics Letters. 2007;32:268\n'},{id:"B3",body:'\nSamanta GK, Kumar SC, Mathew M, Canalias C, Pasiskevicius V, Laurell F, et al. High-power, continuous-wave, second-harmonic generation at 532 nm in periodically poled KTiOPO4. Optics Letters. 2008;33:2955\n'},{id:"B4",body:'\nZondy J, Bielsa F, Douillet A, Hilico L, Acef O, Petrov V, et al. Frequency doubling of CO2 laser radiation at 10.6 μm in the highly nonlinear chalcopyrite LiGaTe2. Optics Letters. 2007;32:1722\n'},{id:"B5",body:'\nSamanta GK, Kumar SC, Devi K, Ebrahim-Zadeh M. Multicrystal, continuous-wave, single-pass second-harmonic generation with 56% efficiency. Optics Letters. 2010;35:3513\n'},{id:"B6",body:'\nKumar SC, Samanta GK, Devi K, Ebrahim-Zadeh M. High-efficiency, multicrystal, single-pass, continuous-wave second harmonic generation. Optics Express. 2011;19:11152\n'},{id:"B7",body:'\nLi DJ, Guo J, Lang GL, Meng FJ, Zhang LM, Xie JJ, et al. High power 4.65 μm single-wavelength laser by second-harmonic generation of pulsed TEA CO2 laser in AgGaSe2 and ZnGeP2. Laser Physics. 2012;22:725\n'},{id:"B8",body:'\nHarimoto T, Yo B, Uchida K. A novel multipass scheme for enhancement of second harmonic generation. Optics Express. 2011;19:22692\n'},{id:"B9",body:'\nChatterjee U, Gangopadhyay S, Ghosh C, Bhar GC. Large enhancement in second-harmonic generation by optical feedback. Applied Physics Letters. 2006;88:171102; Indian Patent No: 221735 granted on 03-07-2008\n'},{id:"B10",body:'\nMcDonagh L, Wallenstein R. Low-noise 62 W CW intracavity-doubled TEM00 Nd: YVO4 green laser pumped at 888 nm. Optics Letters. 2007;32:802\n'},{id:"B11",body:'\nJensen OB, Petersen PM. Generation of single-frequency tunable green light in a coupled ring tapered diode laser cavity. Optics Express. 2013;21:6076\n'},{id:"B12",body:'\nPetukhov VO, Gorobets VA, Kozlov KV, Ya Tochitsky S. Intracavity second harmonic generation of a cw CO2 laser in AgGaSe2. In: Lasers and Electro-Optics Europe, 2000. Conference Digest. Nice: IEEE. Date of Conference: 10-15 Sept. 2000. ISBN: 0-7803-6319-1 INSPEC Accession Number: 6970334. DOI: 10.1109/CLEOE.2000.910221\n'},{id:"B13",body:'\nPetukhov VO, Gorobets VA, Tochitsky SY, Kozlov KV. Efficient intracavity frequency doubling of CO2 laser in nonlinear crystals. Proceedings of SPIE. 2001;4351:171-175\n'},{id:"B14",body:'\nFranken PA, Hill AE, Peters CW, Vfeinreich G. Generation of optical harmonics. Physical Review Letters. 1961;7:118\n'},{id:"B15",body:'\nNilaya JP, Biswas DJ. Exploitation of an external unstable multi-pass cavity to enhance the second harmonic conversion efficiency. Optics Communication. 2015;341:155\n'},{id:"B16",body:'\nNew G. Introduction to Non-linear Optics. New York, Chapter 3: Cambridge University Press. p. 55\n'},{id:"B17",body:'\nEckardt RC, Fan YX, Byer RL, Route RK, Feigelson RS, van der Laan J. Efficient second harmonic generation of 10μm radiation in AgGaSe2. Applied Physics Letters. 1985;47:786\n'},{id:"B18",body:'\nRussel DA, Ebert R. Efficient generation and heterodyne detection of 4.75-μm light with second-harmonic generation. Applied Optics. 1993;32:6638\n'},{id:"B19",body:'\nWu L, Kimble HJ. Interference effects in second harmonic generation within an optical cavity. Journal of the Optical Society of America B: Optical Physics. 1985;2:697\n'}],footnotes:[],contributors:[{corresp:null,contributorFullName:"Padma Nilaya J.",address:null,affiliation:'
Laser and Plasma Technology Division, Bhabha Atomic Research Centre, Mumbai, India
'},{corresp:"yes",contributorFullName:"Dhruba J. Biswas",address:"dhruba8biswas@gmail.com",affiliation:'
Laser and Plasma Technology Division, Bhabha Atomic Research Centre, Mumbai, India
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1. Introduction
Ageing is an inevitable process characterized by declining functions and increased susceptibility to certain diseases. Biologically, ageing results from a variety of molecular and cellular damage over time, leading to a gradual decrease in physical and mental capacity, increasing the risk of illness and death [1]. The fragility acquired by the elderly population with ageing is related to the gradual decrease of the physiological reserve and the failure of the homeostatic mechanisms. Thus, a cumulative decline is promoted in several physiological systems, and there is an exhaustion of the body’s reserves, starting to have a greater vulnerability to changes in health status [2]. The mechanisms associated with ageing are determined by environmental factors but also by genetic factors, which regulate the expression of genes that can be especially important for this process [3].
With ageing, many chronic diseases arise, requiring the use of a higher number of drugs. Polypharmacy, defined as the use of five or more drugs, is a significant public health problem, particularly in the older adults, since it is responsible for the increase of adverse drug reactions (ADR) and, frequently, for the rise of the morbidity and mortality in this population [4]. There are many other important issues related to the problem of polypharmacy, such as the interaction between drugs, organization and adherence to treatment [4].
Through the normal ageing process, changes occur with impact on the pharmacodynamics and pharmacokinetics of drugs. These changes may be related to the function of particular organs, homeostatic mechanisms and also to the ability to respond to specific receptors, causing greater vulnerability and susceptibility to ADR in older patients [5] frequently associated with the use of potentially inappropriate medication (PIM) in this population [6]. The inappropriate prescription in older patients occurs when the risk of adverse effects exceeds the clinical benefit, especially when there are more effective alternatives available [7]. The use of PIM is a public health challenge because it has high prevalence rates in different health contexts [8].
Although older adults are the primary consumers of medicines, the truth is that clinical trials are usually carried out on younger people, and the physiological changes that occur with ageing are not considered. With the rise of older people in the world, the needs associated with the resources of health systems will continue to increase, and several challenges will arise.
Over the past few years, to reduce the use of PIM in the older population, strategies and tools of explicit and implicit criteria have been developed to evaluate the appropriateness of medication use in the older patients. These criteria are useful tools for clinical practice, as a support for clinical decision.
2. Physiological and pharmacological changes in the elderly
The normal ageing process implies the occurrence of several physiological, biological, physical and psychological changes, which can affect the elderly patient’ quality of life and modify the ability to reach the best health outcomes [9]. The changes caused by ageing are associated with complex pathophysiology, variability in organ function and the presence of comorbidities, specific to this population [2]. When young, the human body has a sizeable physiological reserve to sustain the function of most organs. However, in early adulthood, the first physiological changes that can affect drug effects begin to occur, and the decline of cellular activity becomes a gradual and continuous process. In older adults, this reserve is increasingly diminished with decreasing in homeostatic mechanisms activity [10].
All of these factors contribute to the frailty of older adults making them more prone to drug-related problems. Most older people can experience significant changes in drug pharmacokinetics and pharmacodynamics due to age-related physiological changes and become more susceptible and vulnerable to adverse effects [7].
2.1 Age-related changes in pharmacokinetics
The bioavailability of a drug depends on many factors and all stages of pharmacokinetics (absorption, distribution, metabolism and excretion) and can be modified with ageing [9, 11]. A summary of the main pharmacokinetics changes can be consulted in Table 1.
There are several available routes of administration. However, the most common is the oral route. Although ageing is associated with decreased gastric emptying and peristalsis, in the absence of pathology, the absorption of most drugs does not decrease with age [9]. However, the presence of pathologies that affect the gastrointestinal organs can affect absorption. Furthermore, food intake can also affect drugs’ absorption. The fraction of the drug dose administered that reaches the bloodstream, after oral administration, can be influenced by several other factors, such as gastric pH, gastrointestinal motility, intestinal permeability and mucosal integrity, function and expression of drug carriers and gastrointestinal blood flow [11].
Drugs absorption after intramuscular or subcutaneous administration can be modified in older patients because there is a reduction in blood perfusion of the tissues [12].
After absorption, the drug enters the bloodstream and is distributed through the body. The distribution will influence the amount of active substance available to prosecute an effect at a specific target. Factors such as the extent of binding to tissues and plasmatic proteins, changes in body composition and protein synthesis can affect the distribution of drugs [11]. The volume of distribution can be affected by the proportions of lean body mass and fat body mass. With ageing, there is a reduction in the amount of body water and an increase in fat, so there are changes in the distribution of drugs that depend on lipid solubility. Also, the half-life of a drug increases with the volume of distribution. Thus, a decrease in the volume of distribution for hydrophilic drugs results in higher plasma concentrations and a lower half-life in older patients. Some examples are drugs such as digoxin and theophylline. As the volume of distribution increases, the half-life of liposoluble drugs increases, affecting, for example, long-acting benzodiazepines that can accumulate in the body [12].
Metabolism consists of converting an active substance in simpler and more polar substances, called metabolites. These metabolites are inactive or have modified activity. In the case of prodrugs, metabolism is necessary to convert the prodrug in an active drug. Therefore, hepatic metabolism is essential for the elimination of drugs from the body. Hepatic metabolism depends on hepatic blood flow, the transport of the drug from the blood to the hepatocytes and the ability to metabolize the drug [11]. It can be difficult to predict changes in liver metabolism for each patient. In addition to age, the nutritional status of the elderly also affects the rate of metabolism of the drug [12]. Moreover, the increase of inflammatory conditions in older adults can compromise the enzymes associated with the metabolism of many drugs. Frailty is associated with higher inflammatory markers and a reduction in the activity of esterases (enzymes class that catalyse hydrolysis reactions) [5].
With ageing, the composition of gut microbiome also changes. Intestinal bacteria play a role in the metabolism of drugs as they, being mostly anaerobic, participate in chemical reactions of reduction and hydrolysis of molecules. The changes caused by this phenomenon occur mainly in frailty older adults and long-term nursing homes residents. They have a decreased enzyme induction capacity, which can lead to an increase in genetic silencing with age. Also, external factors such as exposure to environmental contaminants are responsible for altering gene expression. These changes reflect the differential biological ageing [5].
Most drugs are eliminated through the kidneys, and in older adults, the ability to concentrate urine is reduced, consequently, there is a need for a higher amount of urine to excrete the same amount of toxic waste compared to young adults. The decline in renal function is mainly due to the decrease in the glomerular filtration rate (GFR) and the reduction in renal blood flow. With ageing, the decline in glomerular filtration is quite evident. The decreased in renal function increases the risk of ADR, and therefore, special attention should be given when prescribing, to older patients, drugs excreted by kidneys. For drugs that have a narrow therapeutic index and are excreted through the kidneys, such as digoxin, metformin and lithium, it is especially important to adjust and monitor the treatment [12].
This decrease in GFR can be explained by an increase in urea excretion and a reduction in creatinine production in older adults. The renal plasma flow is reduced by 50%, and the kidney’s ability to increase baseline GFR by at least 20% (the renal reserve) also decreases significantly with ageing [13].
Sodium reabsorption is reduced in the older adults, and drugs that promote the excretion of salt and water, such as thiazides and loop diuretics, can induce hyponatraemia, hypovolaemia and renal failure. Also, renal excretion of potassium is significantly reduced with ageing, so drugs such as angiotensin-converting-enzyme inhibitor (ACEI), angiotensin II receptor blockers (ARBs), aliskiren, digoxin, potassium-sparing agents, beta-blockers and nonsteroidal anti-inflammatory drugs (NSAIDs) can induce hyperkalaemia [13].
2.2 Age-related changes in pharmacodynamics
Age-related pharmacodynamic changes may also occur. However, these are more difficult to study than pharmacokinetic changes because there is low evidence of the mechanism underlying these changes.
Many response measures are subjective and can be influenced by several factors. These changes represent how drugs react in the body after absorption. The central nervous system (CNS) and the cardiovascular system, as well as the homeostatic mechanisms, are the most affected with the ageing process. Since most medicines used by the older adults have strong anticholinergic properties, the principal ADR that occur in this population are confusion, drowsiness and an increased risk of falls and fractures [14]. Due to all the physiological changes, an older adult’s ability to recover from an illness is often diminished, and symptoms may remain partially for a long time.
Age-related pharmacodynamic changes are associated with receptors (number, activity and expression) and with the ability to signal transduction and changes in homeostatic mechanisms [15].
Thus, in the older adults, there is an impaired circulatory response, an increased risk of falls and fractures, changes in thermoregulation mechanisms, laryngeal reflexes compromised with increased risk of aspiration or pneumonia, dehydration and bleeding due to changes in vascular stability and impaired cognitive ability. Therefore, drugs with sedative effects can considerably increase the risk of ADR in older patients [16].
Considering the drugs that act in the CNS, there is an increased sensitivity to the action of benzodiazepines, which can cause a high degree of sedation and impaired psychomotor performance in older adults, making them more favourable to the occurrence of falls and fractures. With increasing age, the ability to respond to antipsychotic drugs also increases, so there is an increased risk of anticholinergic and extrapyramidal effects, orthostatic hypotension and adverse cerebrovascular effects. The increase in the response capacity to antidepressants also increases the risk of anticholinergic effects in the elderly, being responsible for causing gastrointestinal bleeding and hyponatraemia. These population also have an increased sensitivity to intravenous and inhaled anaesthetic and opioid medications, with an increased risk of respiratory depression and reduced tolerability to these drugs. Furthermore, with ageing, there is an increased sensitivity to the adverse effects caused by lithium, increasing the risk of neurotoxic effects in these population [10, 17].
Concerning drugs that act on the cardiovascular system, the main pharmacodynamic changes associated with age are related to the reduction of the baroreceptor response to low blood pressure and the increase in the sinoatrial suppressive effect, interfering with the administration of calcium channel blocker drugs, causing an effect that can lead to the occurrence of orthostatic hypotension, falls and a decrease in heart rate. With ageing, there is a change in the signal transduction of the beta receptor and negative regulation of the beta-adrenergic receptors, so that there may be a reduction in the effectiveness of beta-blocking agents at doses considered normal. The reduction in GFR causes a decrease in the capacity of diuretic and natriuretic responses. NSAIDs reduce the effects of diuretics, and there is a compromise in adaptive and homeostatic mechanisms, thus reducing the effectiveness of diuretics in doses considered normal, and a high risk of hypokalaemia, hypomagnesaemia and hyponatraemia may occur. NSAIDs can also reduce the effects of ACEI. Since older patients are more sensitive to warfarin, there is an increased risk of bleeding when taking anticoagulant drugs [10, 17].
The presence of comorbidities is also responsible for pharmacodynamic changes during the ageing process. For example, the presence of psychiatric disorders such as schizophrenia, depression and dementia can alter the function of several neurotransmitters [16].
3. Polypharmacy and inappropriate medication in older patients
Pharmacotherapy can improve the quality of life, cure, prevent and relieve the symptoms of many pathologies. However, there is a growing concern that many older people are taking an inappropriately high number of medications [18]. Polypharmacy consists of the use of several drugs by the same patient and appears as a response to the increase in health-related problems, particularly in older adults. There is no consensual definition for polypharmacy; however, most studies consider the consumption of five or more drugs per day per person [19]. In older patients, polypharmacy has been associated with a wide range of negative health outcomes, including falls, ADR effects, changes in physical and cognitive ability, hospital readmission and mortality. It has also been associated with increasing costs in health [4, 18].
Besides, older adults often self-medicate themselves to improve their quality of life. This is a concern because the use of home medicines and herbal products, as well as the diet, can interfere with their health, due to the many drug interactions that can occur [20].
The inappropriate use of medicines by older patients who suffer from multiple diseases is a public health problem due to its impact on morbidity, quality of life and the improper use of health resources. There is an increase in hospital readmissions and the occurrence of ADR, leading the older patients to have difficulties in carrying out their daily activities, progressively losing their autonomy and, consequently, with loneliness and social isolation [4, 21]. Polypharmacy and multiple comorbidities are also associated with a lack of therapeutic compliance by older patients. The non-adherence may represent a risk because adverse health outcomes could occur like hospitalization and mortality [22].
Polypharmacy represents a challenge for health professionals, and it is essential to improve patients’ knowledge about their medication because beliefs about drugs are a strong predictor of adherence. If the patient knows what medicines he is using, the reason for pharmacotherapy and believe about its benefit, the adherence problem will be improved. In practice, the main goal is to achieve an ideal pharmacotherapy by reducing the number of drug-related problems (DRP).
The probability of a drug interaction occurring also increases with ageing due to the higher number of drugs used by older patients. These interactions have negative effects on health, and therefore, health professionals must be alert to possible interactions and must prevent them from occurring [23].
Most of the medications are considered appropriate for older patients, as long as they are used in the correct dosage and for the period strictly necessary. However, since older adults are more susceptible to the adverse effects of drugs, as a result of changes on pharmacokinetics and pharmacodynamics, special care by health professionals is needed when treating older patients.
Having more than one prescriber increases the risk of inappropriate medications use. Thus, it is crucial to implement medication review procedures and that the most frailty older adults have a clinician with knowledge of all their pharmacotherapy and improve communication with caregivers [23].
Some studies have shown that some measures can be implemented to decrease polypharmacy and its adverse effects, improving the quality of the prescription, such as educational programmes for patients and professionals and the creation of multidisciplinary teams of health professionals [24].
4. Improve pharmacotherapy in older patients
To improve the pharmacotherapy in older patients, the available tools must be friendly to improve the use by the health professionals.
According to Wooten [25, 26, 27], 10 rules must be followed by the physician’s when prescribing, especially in older patients: (1) know the patient and use the patient’s most current medical record; (2) follow the tenets of evidence-based medicine, but understand the limitations of the evidence; (3) understand the potential pharmacokinetic and pharmacodynamic changes that can occur in older adults, and use this specific patient information to make prudent prescribing decisions; (4) recognize and investigate patient factors that may contribute to medication problems; (5) avoid the prescribing cascade, if possible; (6) prescribe and recommend only those medications/drug classes for which have a thorough understanding of the pharmacology; (7) identify, anticipate and monitor potential drug interactions before they become a problem; (8) establish a monitoring plan for each medication prescribed for both efficacy and toxicity; (9) properly counsel patients/caregivers on all of the patient’s medications, and ensure that the patient understands the pharmacotherapy plan; and (10) assess and address compliance issues.
Clinical decision support includes a variety of tools and interventions that can be computerized or noncomputerized. Clinical decision support systems (CDSS) are characterized as tools for information management and include several clinical guidelines. In the last decades, the focus has been on tools to provide specific recommendations to patients, called advanced CDSS. These may include, for example, checking interactions between drug-disease, drug-drug, individualized dosing support and advice on laboratory tests during drug treatment [28]. The creation and implementation of this type of tools are responsible for increasing the quality of care and improving health outcomes, reducing the likelihood of errors and adverse effects. Thus, it is possible to reduce uncertainty and increase the reproducibility of decisions, increasing efficiency, cost-effectiveness and the satisfaction of the patients and caregiver [29].
For reducing prescription errors in older patients, other measures can be taken, such as implementing an educational system to train prescription, especially in young doctors who have less practice, and also in hospitals, where this type of errors are more frequent [30]. In many hospitals, pharmacists are responsible for identifying errors in the prescription of medications and must report them immediately to the medical team. Sometimes, the environment involving prescribing physicians may influence the prescription process, leading to some errors. So, all the conditions must be met so that the physician can carry out the prescription in the best possible way, making simple changes such as reducing background noise and promoting more effective communication between all health professionals and with patients. Upon admission of the older patients to the hospital, it is advisable to carry out a reconciliation of the medication in which all medicines used should be checked. The importance and suitability of each medicine for the patient should be assessed, as well as the needs of adding a new list with the latest medications, explaining reasons. This list must be updated and given to the next health professional responsible for the patient [30]. There is currently a validated tool used to provide physicians with a method for obtaining their patients’ medication history, the structured history taking of medication use (SHiM). The SHiM consists of 16 questions and reveals the potential to avoid discrepancies in patients’ medication histories [31].
Another way to improve pharmacotherapy for older patients is to use criteria that were created to identify PIM as tools to support clinical decision support as described above.
4.1 Criteria used as tools to reduce potentially inappropriate medications in the elderly
To reduce the use of PIM in older patients, strategies and tools have been developed in recent years to assess the appropriateness of medication use in this population. The created criteria can be classified as explicit, implicit or mixed. Explicit criteria are lists of drugs that can be applied with minimal information and clinical judgement. These do not consider individual differences between patients. In contrast, the implicit criteria consider the patient’s therapeutic regimen and are based on the judgement of a health professional, being specific to each patient. The mixed criteria, on the other hand, consist of a combination of the previous two, allowing to obtain advantages from both [8].
In 1991, Beers et al. [32] were the first ones to introduce the concept of PIM and to propose a list of PIM for the older adults. These criteria, developed to help healthcare professionals to assess the quality of prescription in older patients, were initially intended for psychiatric patients. In 2011, the American Geriatrics Society (AGS) assumed the responsibility for these criteria and became compromised to update them regularly, and in 2012 [33] the criteria were updated. After that, criteria have been updated, and new, improved versions appeared in 2015 [34] and recently in 2019 [35]. A consensus panel was created with several experts to define what these criteria would be and what individual aspects should be considered. However, there are drugs not included in these criteria, and that may also be potentially inappropriate for older patients.
Many other attempts have been proposed using implicit or explicit criteria. For example, the Medication Appropriation Index (MAI) measures the appropriation of prescriptions for elderly patients [36]. That is an implicit tool that consists of making a structured assessment of the patient’s medications across 10 criteria worded as questions. The 10 items are essential to evaluate the potential of DRP.
Also, according to European standards, the EURO-FORTA List was created in 2018 and is based on the FORTA List that has been validated for Germany and Austria. The EURO-FORTA List is an implicit tool and consists of 264 drugs/drug classes organized in 26 groups according to clinical diagnosis or symptoms [37].
On the other hand, explicit tools, such as the Screening Tool to Alert to Right Treatment (START) and Screening Tool of Older Person’s Prescriptions (STOPP) criteria, originally created in 2008 [38], are adapted to European prescription standards. Over time, the START/STOPP criteria have been updated, with the most recent version (version 2) being published in 2015 [39]. These criteria are used as tools to help researchers and professionals to identify 81 PIM and 34 potential prescribing omissions (PPO). Although the STOPP criteria are classified as explicit, according to studies carried out recently in Portugal, for only 29 of the 81 STOPP criteria, a judgement can be made only with the patient’s medication profile information. This means that 52 of the STOPP criteria require additional information (i.e., duration of treatment, previous medication, current medical conditions, medical history and laboratory data) [40].
In 2015, the EU (7)-PIM List, an explicit criteria tool, was developed by experts from seven European countries (Germany, Finland, Estonia, Holland, France, Spain and Sweden) that allows the identification and comparison of PIM in these countries [41]. The EU (7)-PIM List development process was based on the participation of several European experts in two Delphi rounds. Some PIM concepts were defined considering the dose, the time of use or the therapeutic scheme, and the final list consists of 282 PIM.
In addition to these criteria, there are many other PIM lists in several countries, such as LaRoche (France) [42, 43], the PRISCUS list (Germany) [44], the Austrian consensus panel list [45], the NORGEP criteria (Norway) [46] and the Canada national consensus panel list [47].
Figure 1 is a flowchart that represents the steps that must be taken by health professionals when prescribing medications to the elderly, including the moment when they should consult the currently available PIM identification criteria.
Figure 1.
Flowchart of the operating procedure of the expected steps during prescription for older patients.
5. Conclusions
There are many physiological and pathophysiological changes associated with ageing that can affect the disposition of a drug. However, there are many variations among individuals. Thus, health professionals should be more alert during a prescription to older patients and monitor their health status with individual attention.
One of the main factors responsible for variability in older patients is genetics since the structure, function and expression of most of the enzymes involved in metabolism can be affected due to genetic polymorphism, which will modify the therapeutic effect of certain drugs. Thus, the concept of individualized therapy, which analyses for each subject, genetic and non-genetic factors to optimize the treatment for each patient according to their characteristics, is increasingly common.
In general, older patients have a higher sensitivity to drug therapy, so recommendations for the appropriate prescription of drugs in the elderly population should be considered.
The incorporation of the described criteria in the CDSS has been successful in the detection of PIM. Persistent changes in medication were recorded in 8.7% of the alerts generated [48]. These data suggest that CDSS alerts are a useful tool for implementing guidelines related to the identification of PIM for older patients and for helping physicians during the prescription process, improving healthcare practices.
Acknowledgments
This work was financially supported by the project MedElderly [SAICT-POL/23585/2016], funded by Portuguese Foundation for Science and Technology (FCT/MCTES), Portugal 2020 and Centro 2020 grants, and by the project APIMedOlder [PTDC/MED-FAR/31598/2017], funded by FEDER, through COMPETE2020—Programa Operacional Competitividade e Internacionalização (POCI-01-0145-FEDER-031598), and by national funds (OE), through FCT/MCTES.
Conflict of interest
The authors declare no conflict of interest.
Abbreviations
ACEI
angiotensin conversion enzyme inhibitors
ADR
adverse drug reaction
AGS
American Geriatrics Society
ARBs
angiotensin II receptor blockers
CDSS
clinical decision support systems
CNS
central nervous system
DRP
drug-related problem
GFR
glomerular filtration rate
MAI
medication appropriation index
NSAIDs
nonsteroidal anti-inflammatory drugs
PIM
potentially inappropriate medication
PPO
potential prescribing omissions
START
screening tool to alert to right treatment
STOPP
screening tool of older person’s prescriptions
A. Glossary
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On the other hand, physiological and cognitive changes interfere with drugs’ pharmacodynamics and pharmacokinetics contributing to drug-related problems which have been reported to account for a large percentage of emergency treatment and hospitalizations of older people, increasing the costs with health in the most aged regions. In order to reduce the use of potentially inappropriate medicines in this population, strategies and tools have been developed in recent years to assess the appropriateness medication use in the elderly.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/71815",risUrl:"/chapter/ris/71815",signatures:"Daniela A. 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Rodrigues",fullName:"Daniela A. Rodrigues",slug:"daniela-a.-rodrigues",email:"danielaalmeidar.95@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"317981",title:"Prof.",name:"Fátima",middleName:null,surname:"Roque",fullName:"Fátima Roque",slug:"fatima-roque",email:"froque@ipg.pt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317981/images/system/317981.jpg",institution:{name:"Instituto Politécnico da Guarda",institutionURL:null,country:{name:"Portugal"}}},{id:"318105",title:"Dr.",name:"Paula",middleName:null,surname:"Coutinho",fullName:"Paula Coutinho",slug:"paula-coutinho",email:"coutinho@ipg.pt",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. 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British Journal of Clinical Pharmacology. 2019;2018:1-15'},{id:"B23",body:'Midlvov P, Eriksson T, Kragh A. Drug-Related Problems in the Elderly. 1st ed. Netherlands: Springer; 2009. p. 37'},{id:"B24",body:'Sacarny A, Barnett ML, Le J, Tetkoski F, Yokum D, Agrawal S. Effect of peer comparison letters for high-volume primary care prescribers of quetiapine in older and disabled adults: A randomized clinical trial. JAMA Psychiatry. 2018;75(10):1003-1011'},{id:"B25",body:'Wooten JM. Rules for improving pharmacotherapy in older adult patients: Part 2 (rules 6-10). Southern Medical Journal. 2015;108(2):97-104'},{id:"B26",body:'Wooten JM. Rules for improving pharmacotherapy in older adult patients: Part 1 (rules 1-5). Southern Medical Journal. 2015;108(2):97-104'},{id:"B27",body:'Wooten JM. Appropriate pharmacotherapy in the elderly. Journal of Aging Science. 2016;04(01):4-6'},{id:"B28",body:'Wasylewicz ATM, Scheepers-Hoeks AMJW. Clinical decision support systems. In: Fundamentals of Clinical Data Science. 2018. pp. 153-169'},{id:"B29",body:'Berner ES. Clinical Decision Support Systems: State of the Art. Rockville, Maryland: Agency for Healthcare Research and Quality; 2009'},{id:"B30",body:'Lavan AH, Gallagher PF, O’Mahony D. Methods to reduce prescribing errors in elderly patients with multimorbidity. Clinical Interventions in Aging. 2016;11:857-866'},{id:"B31",body:'Maanen ACD, Spee J, van Hensbergen L, Jansen PAF, Egberts TCG, van Marum RJ. Structured history taking of medication use reveals iatrogenic harm due to discrepancies in medication histories in hospital and pharmacy records. Journal of the American Geriatrics Society. 2011;59(10):1976-1978'},{id:"B32",body:'Beers MH, Ouslander JG, Rollingher I, Reuben DB, Brooks J, Beck JC. Explicit criteria for determining inappropriate medication use in nursing home residents. Archives of Internal Medicine. 1991;151(9):1825-1832'},{id:"B33",body:'Campanelli CM, Fick DM, Semla T, Beizer J. American Geriatrics Society updated beers criteria for potentially inappropriate medication use in older adults: The American Geriatrics Society 2012 Beers Criteria Update Expert Panel. Journal of the American Geriatrics Society. 2012;60(4):616-631'},{id:"B34",body:'The American Geriatrics Society. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society. 2015;63(11):2227-2246'},{id:"B35",body:'Fick DM et al. American Geriatrics Society 2019 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society. 2019;67(4):674-694'},{id:"B36",body:'Hanlon JT et al. A method for assessing drug therapy appropriatness. Journal of Clinical Epidemiology. 1992;45:1045-1051'},{id:"B37",body:'Pazan F, Weiss C, Wehling M. The EURO-FORTA (Fit fOR The Aged) list: International consensus validation of a clinical tool for improved drug treatment in older people. Drugs and Aging. 2018;35(1):61-71'},{id:"B38",body:'Gallagher P, Ryan C, Byrne S, Kennedy J, O’Mahony D. STOPP (Screening Tool of Older Person’s Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation. International Journal of Clinical Pharmacology and Therapeutics. 2008;46:72-83'},{id:"B39",body:'O’mahony D, O’sullivan D, Byrne S, O’connor MN, Ryan C, Gallagher P. STOPP/START criteria for potentially inappropriate prescribing in older people: Version 2. Age and Ageing. 2015;44(2):213-218'},{id:"B40",body:'Carvalho R et al. Patients’ clinical information requirements to apply the STOPP/START criteria. International Journal of Clinical Pharmacy. 2019 0123456789'},{id:"B41",body:'Renom-Guiteras A, Meyer G, Thürmann PA. The EU(7)-PIM list: A list of potentially inappropriate medications for older people consented by experts from seven European countries. European Journal of Clinical Pharmacology. 2015;71(7):861-875'},{id:"B42",body:'Laroche ML, Bouthier F, Merle L, Charmes JP. Médicaments potentiellement inappropriés aux personnes âgées: Intérêt d’une liste adaptée à la pratique médicale française. La Revue de Médecine Interne. 2009;30(7):592-601'},{id:"B43",body:'Laroche ML, Charmes JP, Merle L. Potentially inappropriate medications in the elderly: A French consensus panel list. European Journal of Clinical Pharmacology. 2007;63(8):725-731'},{id:"B44",body:'Holt S, Schmiedl S, Thürmann PA. Potentially inappropriate medications in the elderly: The PRISCUS list. Deutsches Ärzteblatt. 2010;107(31-32):543-551'},{id:"B45",body:'Mann E et al. Potentially inappropriate medication in geriatric patients: The Austrian consensus panel list. Wiener Klinische Wochenschrift. 2012;124(5-6):160-169'},{id:"B46",body:'Rognstad S, Brekke M, Fetveit A, Spigset O, Wyller TB, Straand J. The norwegian general practice (NORGEP) criteria for assessing potentially inappropriate prescriptions to elderly patients. Scandinavian Journal of Primary Health Care. 2009;27(3):153-159'},{id:"B47",body:'McLeod PJ, Huang AR, Tamblyn RM, Gayton DC. Defining inappropriate practices in prescribing for elderly people: A national consensus panel. Canadian Medical Association Journal. 1997;156(3):385-391'},{id:"B48",body:'Mulder-Wildemors LGM, Heringa M, Floor-Schreudering A, Jansen PAF, Bouvy ML. Reducing inappropriate drug use in older patients by use of clinical decision support in community pharmacy: A mixed-methods evaluation. Drugs and Aging. 2020;37:115-123'},{id:"B49",body:'European Medicines Agency. Guideline on Good Pharmacovigilance Practices (GVP) Annex I—Definitions (Rev 4). Heads Med. Agencies; 2017 EMA/876333/2011. Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-good-pharmacovigilance-practices-annex-i-definitions-rev-4_en.pdf'},{id:"B50",body:'Brunton LL. Goodman & Gilman’s The Pharmacological Basis of Therapeutics. In: Brunton L, Lazo J, Parker K, editors. 11th ed. McGraw Hill, New York; 2006'},{id:"B51",body:'Pharmaceutical Care Network Europe Association. PCNE Classification for Drug-Related Problems V9.00. 2019. Available from: https://www.pcne.org/upload/files/334_PCNE_classification_V9-0.pdf'},{id:"B52",body:'World Health Organization. Medication safety in Polypharmacy. Geneva, Switzerland: World Health Organization Technical Report Series; 2019'}],footnotes:[],contributors:[{corresp:null,contributorFullName:"Daniela A. Rodrigues",address:null,affiliation:'
Research Unit for Inland Development-Polytechnic of Guarda (UDI-IPG), Guarda, Portugal
Department of Preventive Medicine and Public Health, University of Santiago de Compostela; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP); Health Research Institute of Santiago de Compostela (IDIS), Spain
Research Unit for Inland Development-Polytechnic of Guarda (UDI-IPG), Guarda, Portugal
Health Sciences Research Centre, University of Beira Interior (CICS-UBI), Portugal
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Currently, she is working as a Data Scientist with an MNC in Delhi, India.",institutionString:"NSHM College of Management and Technology",institution:{name:"Association for Computing Machinery",country:{name:"United States of America"}}},{id:"226240",title:"Dr.",name:"Andri Irfan",middleName:null,surname:"Rifai",slug:"andri-irfan-rifai",fullName:"Andri Irfan Rifai",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/226240/images/7412_n.jpg",biography:"Andri IRFAN is a Senior Lecturer of Civil Engineering and Planning. He completed the PhD at the Universitas Indonesia & Universidade do Minho with Sandwich Program Scholarship from the Directorate General of Higher Education and LPDP scholarship. He has been teaching for more than 19 years and much active to applied his knowledge in the project construction in Indonesia. His research interest ranges from pavement management system to advanced data mining techniques for transportation engineering. He has published more than 50 papers in journals and 2 books.",institutionString:null,institution:{name:"Universitas Internasional Batam",country:{name:"Indonesia"}}},{id:"314576",title:"Dr.",name:"Ibai",middleName:null,surname:"Laña",slug:"ibai-lana",fullName:"Ibai Laña",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314576/images/system/314576.jpg",biography:"Dr. Ibai Laña works at TECNALIA as a data analyst. He received his Ph.D. in Artificial Intelligence from the University of the Basque Country (UPV/EHU), Spain, in 2018. He is currently a senior researcher at TECNALIA. His research interests fall within the intersection of intelligent transportation systems, machine learning, traffic data analysis, and data science. He has dealt with urban traffic forecasting problems, applying machine learning models and evolutionary algorithms. He has experience in origin-destination matrix estimation or point of interest and trajectory detection. Working with large volumes of data has given him a good command of big data processing tools and NoSQL databases. He has also been a visiting scholar at the Knowledge Engineering and Discovery Research Institute, Auckland University of Technology.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"314575",title:"Dr.",name:"Jesus",middleName:null,surname:"L. Lobo",slug:"jesus-l.-lobo",fullName:"Jesus L. Lobo",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/314575/images/system/314575.png",biography:"Dr. Jesús López is currently based in Bilbao (Spain) working at TECNALIA as Artificial Intelligence Research Scientist. In most cases, a project idea or a new research line needs to be investigated to see if it is good enough to take into production or to focus on it. That is exactly what he does, diving into Machine Learning algorithms and technologies to help TECNALIA to decide whether something is great in theory or will actually impact on the product or processes of its projects. So, he is expert at framing experiments, developing hypotheses, and proving whether they’re true or not, in order to investigate fundamental problems with a longer time horizon. He is also able to design and develop PoCs and system prototypes in simulation. He has participated in several national and internacional R&D projects.\n\nAs another relevant part of his everyday research work, he usually publishes his findings in reputed scientific refereed journals and international conferences, occasionally acting as reviewer and Programme Commitee member. Concretely, since 2018 he has published 9 JCR (8 Q1) journal papers, 9 conference papers (e.g. ECML PKDD 2021), and he has co-edited a book. He is also active in popular science writing data science stories for reputed blogs (KDNuggets, TowardsDataScience, Naukas). Besides, he has recently embarked on mentoring programmes as mentor, and has also worked as data science trainer.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"103779",title:"Prof.",name:"Yalcin",middleName:null,surname:"Isler",slug:"yalcin-isler",fullName:"Yalcin Isler",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRyQ8QAK/Profile_Picture_1628834958734",biography:"Yalcin Isler (1971 - Burdur / Turkey) received the B.Sc. degree in the Department of Electrical and Electronics Engineering from Anadolu University, Eskisehir, Turkey, in 1993, the M.Sc. degree from the Department of Electronics and Communication Engineering, Suleyman Demirel University, Isparta, Turkey, in 1996, the Ph.D. degree from the Department of Electrical and Electronics Engineering, Dokuz Eylul University, Izmir, Turkey, in 2009, and the Competence of Associate Professorship from the Turkish Interuniversity Council in 2019.\n\nHe was Lecturer at Burdur Vocational School in Suleyman Demirel University (1993-2000, Burdur / Turkey), Software Engineer (2000-2002, Izmir / Turkey), Research Assistant in Bulent Ecevit University (2002-2003, Zonguldak / Turkey), Research Assistant in Dokuz Eylul University (2003-2010, Izmir / Turkey), Assistant Professor at the Department of Electrical and Electronics Engineering in Bulent Ecevit University (2010-2012, Zonguldak / Turkey), Assistant Professor at the Department of Biomedical Engineering in Izmir Katip Celebi University (2012-2019, Izmir / Turkey). He is an Associate Professor at the Department of Biomedical Engineering at Izmir Katip Celebi University, Izmir / Turkey, since 2019. In addition to academics, he has also founded Islerya Medical and Information Technologies Company, Izmir / Turkey, since 2017.\n\nHis main research interests cover biomedical signal processing, pattern recognition, medical device design, programming, and embedded systems. He has many scientific papers and participated in several projects in these study fields. He was an IEEE Student Member (2009-2011) and IEEE Member (2011-2014) and has been IEEE Senior Member since 2014.",institutionString:null,institution:{name:"Izmir Kâtip Çelebi University",country:{name:"Turkey"}}},{id:"339677",title:"Dr.",name:"Mrinmoy",middleName:null,surname:"Roy",slug:"mrinmoy-roy",fullName:"Mrinmoy Roy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/339677/images/16768_n.jpg",biography:"An accomplished Sales & Marketing professional with 12 years of cross-functional experience in well-known organisations such as CIPLA, LUPIN, GLENMARK, ASTRAZENECA across different segment of Sales & Marketing, International Business, Institutional Business, Product Management, Strategic Marketing of HIV, Oncology, Derma, Respiratory, Anti-Diabetic, Nutraceutical & Stomatological Product Portfolio and Generic as well as Chronic Critical Care Portfolio. A First Class MBA in International Business & Strategic Marketing, B.Pharm, D.Pharm, Google Certified Digital Marketing Professional. Qualified PhD Candidate in Operations and Management with special focus on Artificial Intelligence and Machine Learning adoption, analysis and use in Healthcare, Hospital & Pharma Domain. Seasoned with diverse therapy area of Pharmaceutical Sales & Marketing ranging from generating revenue through generating prescriptions, launching new products, and making them big brands with continuous strategy execution at the Physician and Patients level. Moved from Sales to Marketing and Business Development for 3.5 years in South East Asian Market operating from Manila, Philippines. Came back to India and handled and developed Brands such as Gluconorm, Lupisulin, Supracal, Absolut Woman, Hemozink, Fabiflu (For COVID 19), and many more. In my previous assignment I used to develop and execute strategies on Sales & Marketing, Commercialization & Business Development for Institution and Corporate Hospital Business portfolio of Oncology Therapy Area for AstraZeneca Pharma India Ltd. Being a Research Scholar and Student of ‘Operations Research & Management: Artificial Intelligence’ I published several pioneer research papers and book chapters on the same in Internationally reputed journals and Books indexed in Scopus, Springer and Ei Compendex, Google Scholar etc. Currently, I am launching PGDM Pharmaceutical Management Program in IIHMR Bangalore and spearheading the course curriculum and structure of the same. I am interested in Collaboration for Healthcare Innovation, Pharma AI Innovation, Future trend in Marketing and Management with incubation on Healthcare, Healthcare IT startups, AI-ML Modelling and Healthcare Algorithm based training module development. I am also an affiliated member of the Institute of Management Consultant of India, looking forward to Healthcare, Healthcare IT and Innovation, Pharma and Hospital Management Consulting works.",institutionString:null,institution:{name:"Lovely Professional University",country:{name:"India"}}},{id:"1063",title:"Prof.",name:"Constantin",middleName:null,surname:"Volosencu",slug:"constantin-volosencu",fullName:"Constantin Volosencu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/1063/images/system/1063.png",biography:"Prof. Dr. Constantin Voloşencu graduated as an engineer from\nPolitehnica University of Timișoara, Romania, where he also\nobtained a doctorate degree. He is currently a full professor in\nthe Department of Automation and Applied Informatics at the\nsame university. Dr. Voloşencu is the author of ten books, seven\nbook chapters, and more than 160 papers published in journals\nand conference proceedings. He has also edited twelve books and\nhas twenty-seven patents to his name. He is a manager of research grants, editor in\nchief and member of international journal editorial boards, a former plenary speaker, a member of scientific committees, and chair at international conferences. His\nresearch is in the fields of control systems, control of electric drives, fuzzy control\nsystems, neural network applications, fault detection and diagnosis, sensor network\napplications, monitoring of distributed parameter systems, and power ultrasound\napplications. He has developed automation equipment for machine tools, spooling\nmachines, high-power ultrasound processes, and more.",institutionString:'"Politechnica" University Timişoara',institution:null},{id:"221364",title:"Dr.",name:"Eneko",middleName:null,surname:"Osaba",slug:"eneko-osaba",fullName:"Eneko Osaba",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/221364/images/system/221364.jpg",biography:"Dr. Eneko Osaba works at TECNALIA as a senior researcher. He obtained his Ph.D. in Artificial Intelligence in 2015. He has participated in more than twenty-five local and European research projects, and in the publication of more than 130 papers. He has performed several stays at universities in the United Kingdom, Italy, and Malta. Dr. Osaba has served as a program committee member in more than forty international conferences and participated in organizing activities in more than ten international conferences. He is a member of the editorial board of the International Journal of Artificial Intelligence, Data in Brief, and Journal of Advanced Transportation. He is also a guest editor for the Journal of Computational Science, Neurocomputing, Swarm, and Evolutionary Computation and IEEE ITS Magazine.",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"275829",title:"Dr.",name:"Esther",middleName:null,surname:"Villar-Rodriguez",slug:"esther-villar-rodriguez",fullName:"Esther Villar-Rodriguez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/275829/images/system/275829.jpg",biography:"Dr. Esther Villar obtained a Ph.D. in Information and Communication Technologies from the University of Alcalá, Spain, in 2015. She obtained a degree in Computer Science from the University of Deusto, Spain, in 2010, and an MSc in Computer Languages and Systems from the National University of Distance Education, Spain, in 2012. Her areas of interest and knowledge include natural language processing (NLP), detection of impersonation in social networks, semantic web, and machine learning. Dr. Esther Villar made several contributions at conferences and publishing in various journals in those fields. Currently, she is working within the OPTIMA (Optimization Modeling & Analytics) business of TECNALIA’s ICT Division as a data scientist in projects related to the prediction and optimization of management and industrial processes (resource planning, energy efficiency, etc).",institutionString:"TECNALIA Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"49813",title:"Dr.",name:"Javier",middleName:null,surname:"Del Ser",slug:"javier-del-ser",fullName:"Javier Del Ser",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49813/images/system/49813.png",biography:"Prof. Dr. Javier Del Ser received his first PhD in Telecommunication Engineering (Cum Laude) from the University of Navarra, Spain, in 2006, and a second PhD in Computational Intelligence (Summa Cum Laude) from the University of Alcala, Spain, in 2013. He is currently a principal researcher in data analytics and optimisation at TECNALIA (Spain), a visiting fellow at the Basque Center for Applied Mathematics (BCAM) and a part-time lecturer at the University of the Basque Country (UPV/EHU). His research interests gravitate on the use of descriptive, prescriptive and predictive algorithms for data mining and optimization in a diverse range of application fields such as Energy, Transport, Telecommunications, Health and Industry, among others. In these fields he has published more than 240 articles, co-supervised 8 Ph.D. theses, edited 6 books, coauthored 7 patents and participated/led more than 40 research projects. He is a Senior Member of the IEEE, and a recipient of the Biscay Talent prize for his academic career.",institutionString:"Tecnalia Research & Innovation",institution:{name:"Tecnalia",country:{name:"Spain"}}},{id:"278948",title:"Dr.",name:"Carlos Pedro",middleName:null,surname:"Gonçalves",slug:"carlos-pedro-goncalves",fullName:"Carlos Pedro Gonçalves",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRcmyQAC/Profile_Picture_1564224512145",biography:'Carlos Pedro Gonçalves (PhD) is an Associate Professor at Lusophone University of Humanities and Technologies and a researcher on Complexity Sciences, Quantum Technologies, Artificial Intelligence, Strategic Studies, Studies in Intelligence and Security, FinTech and Financial Risk Modeling. He is also a progammer with programming experience in:\n\nA) Quantum Computing using Qiskit Python module and IBM Quantum Experience Platform, with software developed on the simulation of Quantum Artificial Neural Networks and Quantum Cybersecurity;\n\nB) Artificial Intelligence and Machine learning programming in Python;\n\nC) Artificial Intelligence, Multiagent Systems Modeling and System Dynamics Modeling in Netlogo, with models developed in the areas of Chaos Theory, Econophysics, Artificial Intelligence, Classical and Quantum Complex Systems Science, with the Econophysics models having been cited worldwide and incorporated in PhD programs by different Universities.\n\nReceived an Arctic Code Vault Contributor status by GitHub, due to having developed open source software preserved in the \\"Arctic Code Vault\\" for future generations (https://archiveprogram.github.com/arctic-vault/), with the Strategy Analyzer A.I. module for decision making support (based on his PhD thesis, used in his Classes on Decision Making and in Strategic Intelligence Consulting Activities) and QNeural Python Quantum Neural Network simulator also preserved in the \\"Arctic Code Vault\\", for access to these software modules see: https://github.com/cpgoncalves. He is also a peer reviewer with outsanding review status from Elsevier journals, including Physica A, Neurocomputing and Engineering Applications of Artificial Intelligence. Science CV available at: https://www.cienciavitae.pt//pt/8E1C-A8B3-78C5 and ORCID: https://orcid.org/0000-0002-0298-3974',institutionString:"University of Lisbon",institution:{name:"Universidade Lusófona",country:{name:"Portugal"}}},{id:"310576",title:"Prof.",name:"Erick Giovani",middleName:null,surname:"Sperandio Nascimento",slug:"erick-giovani-sperandio-nascimento",fullName:"Erick Giovani Sperandio Nascimento",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y00002pDKxDQAW/ProfilePicture%202022-06-20%2019%3A57%3A24.788",biography:"Prof. Erick Sperandio is the Lead Researcher and professor of Artificial Intelligence (AI) at SENAI CIMATEC, Bahia, Brazil, also working with Computational Modeling (CM) and HPC. He holds a PhD in Environmental Engineering in the area of Atmospheric Computational Modeling, a Master in Informatics in the field of Computational Intelligence and Graduated in Computer Science from UFES. He currently coordinates, leads and participates in R&D projects in the areas of AI, computational modeling and supercomputing applied to different areas such as Oil and Gas, Health, Advanced Manufacturing, Renewable Energies and Atmospheric Sciences, advising undergraduate, master's and doctoral students. He is the Lead Researcher at SENAI CIMATEC's Reference Center on Artificial Intelligence. In addition, he is a Certified Instructor and University Ambassador of the NVIDIA Deep Learning Institute (DLI) in the areas of Deep Learning, Computer Vision, Natural Language Processing and Recommender Systems, and Principal Investigator of the NVIDIA/CIMATEC AI Joint Lab, the first in Latin America within the NVIDIA AI Technology Center (NVAITC) worldwide program. He also works as a researcher at the Supercomputing Center for Industrial Innovation (CS2i) and at the SENAI Institute of Innovation for Automation (ISI Automação), both from SENAI CIMATEC. He is a member and vice-coordinator of the Basic Board of Scientific-Technological Advice and Evaluation, in the area of Innovation, of the Foundation for Research Support of the State of Bahia (FAPESB). He serves as Technology Transfer Coordinator and one of the Principal Investigators at the National Applied Research Center in Artificial Intelligence (CPA-IA) of SENAI CIMATEC, focusing on Industry, being one of the six CPA-IA in Brazil approved by MCTI / FAPESP / CGI.br. He also participates as one of the representatives of Brazil in the BRICS Innovation Collaboration Working Group on HPC, ICT and AI. He is the coordinator of the Work Group of the Axis 5 - Workforce and Training - of the Brazilian Strategy for Artificial Intelligence (EBIA), and member of the MCTI/EMBRAPII AI Innovation Network Training Committee. He is the coordinator, by SENAI CIMATEC, of the Artificial Intelligence Reference Network of the State of Bahia (REDE BAH.IA). He leads the working group of experts representing Brazil in the Global Partnership on Artificial Intelligence (GPAI), on the theme \"AI and the Pandemic Response\".",institutionString:null,institution:null},{id:"241400",title:"Prof.",name:"Mohammed",middleName:null,surname:"Bsiss",slug:"mohammed-bsiss",fullName:"Mohammed Bsiss",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/241400/images/8062_n.jpg",biography:null,institutionString:null,institution:null},{id:"276128",title:"Dr.",name:"Hira",middleName:null,surname:"Fatima",slug:"hira-fatima",fullName:"Hira Fatima",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/276128/images/14420_n.jpg",biography:"Dr. Hira Fatima\nAssistant Professor\nDepartment of Mathematics\nInstitute of Applied Science\nMangalayatan University, Aligarh\nMobile: no : 8532041179\nhirafatima2014@gmal.com\n\nDr. Hira Fatima has received his Ph.D. degree in pure Mathematics from Aligarh Muslim University, Aligarh India. Currently working as an Assistant Professor in the Department of Mathematics, Institute of Applied Science, Mangalayatan University, Aligarh. She taught so many courses of Mathematics of UG and PG level. Her research Area of Expertise is Functional Analysis & Sequence Spaces. She has been working on Ideal Convergence of double sequence. She has published 17 research papers in National and International Journals including Cogent Mathematics, Filomat, Journal of Intelligent and Fuzzy Systems, Advances in Difference Equations, Journal of Mathematical Analysis, Journal of Mathematical & Computer Science etc. She has also reviewed few research papers for the and international journals. She is a member of Indian Mathematical Society.",institutionString:null,institution:null},{id:"417317",title:"Mrs.",name:"Chiedza",middleName:null,surname:"Elvina Mashiri",slug:"chiedza-elvina-mashiri",fullName:"Chiedza Elvina Mashiri",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Midlands State University",country:{name:"Zimbabwe"}}},{id:"352140",title:"Dr.",name:"Edina",middleName:null,surname:"Chandiwana",slug:"edina-chandiwana",fullName:"Edina Chandiwana",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Midlands State University",country:{name:"Zimbabwe"}}},{id:"342259",title:"B.Sc.",name:"Leonard",middleName:null,surname:"Mushunje",slug:"leonard-mushunje",fullName:"Leonard Mushunje",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Midlands State University",country:{name:"Zimbabwe"}}},{id:"347042",title:"Mr.",name:"Maxwell",middleName:null,surname:"Mashasha",slug:"maxwell-mashasha",fullName:"Maxwell Mashasha",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Midlands State University",country:{name:"Zimbabwe"}}},{id:"2941",title:"Dr.",name:"Alberto J.",middleName:"Jorge",surname:"Rosales-Silva",slug:"alberto-j.-rosales-silva",fullName:"Alberto J. Rosales-Silva",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Instituto Politécnico Nacional",country:{name:"Mexico"}}},{id:"437913",title:"Dr.",name:"Guillermo",middleName:null,surname:"Urriolagoitia-Sosa",slug:"guillermo-urriolagoitia-sosa",fullName:"Guillermo Urriolagoitia-Sosa",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Instituto Politécnico Nacional",country:{name:"Mexico"}}},{id:"435126",title:"Prof.",name:"Joaquim",middleName:null,surname:"José de Castro Ferreira",slug:"joaquim-jose-de-castro-ferreira",fullName:"Joaquim José de Castro Ferreira",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Aveiro",country:{name:"Portugal"}}},{id:"437899",title:"MSc.",name:"Miguel Angel",middleName:null,surname:"Ángel Castillo-Martínez",slug:"miguel-angel-angel-castillo-martinez",fullName:"Miguel Angel Ángel Castillo-Martínez",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Instituto Politécnico Nacional",country:{name:"Mexico"}}},{id:"289955",title:"Dr.",name:"Raja",middleName:null,surname:"Kishor Duggirala",slug:"raja-kishor-duggirala",fullName:"Raja Kishor Duggirala",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Jawaharlal Nehru Technological University, Hyderabad",country:{name:"India"}}}]}},subseries:{item:{id:"19",type:"subseries",title:"Animal Science",keywords:"Animal Science, Animal Biology, Wildlife Species, Domesticated Animals",scope:"The Animal Science topic welcomes research on captive and wildlife species, including domesticated animals. 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A dynamic career research platform which is based on the thematic areas of comparative vertebrate physiology, stress endocrinology, reproductive endocrinology, animal health and welfare, and conservation biology. \nEdward has supervised 40 research students and published over 60 peer reviewed research.",institutionString:null,institution:{name:"University of Queensland",institutionURL:null,country:{name:"Australia"}}},editorTwo:null,editorThree:null,series:{id:"13",title:"Veterinary Medicine and Science",doi:"10.5772/intechopen.73681",issn:"2632-0517"},editorialBoard:[{id:"258334",title:"Dr.",name:"Carlos Eduardo",middleName:null,surname:"Fonseca-Alves",slug:"carlos-eduardo-fonseca-alves",fullName:"Carlos Eduardo Fonseca-Alves",profilePictureURL:"https://mts.intechopen.com/storage/users/258334/images/system/258334.jpg",institutionString:null,institution:{name:"Universidade Paulista",institutionURL:null,country:{name:"Brazil"}}},{id:"191123",title:"Dr.",name:"Juan 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\r\n\tThis topic will focus on the current challenges and advantages in the diagnosis and treatment of bacterial infections. We will discuss the host-microbiota relationship, the treatment of chronic infections due to biofilm formation, and the development of new diagnostic tools to rapidly distinguish between colonization and probable infection.
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In many cases, these diseases have adapted so well that they have developed efficient resilience methods in the human host and can live in the host for years. Others, particularly some blood parasites, can cause very acute diseases and are responsible for millions of deaths yearly. Many parasitic diseases are classified as neglected tropical diseases because they have received minimal funding over recent years and, in many cases, are under-reported despite the critical role they play in morbidity and mortality among human and animal hosts. The current topic, Parasitic Infectious Diseases, in the Infectious Diseases Series aims to publish studies on the systematics, epidemiology, molecular biology, genomics, pathogenesis, genetics, and clinical significance of parasitic diseases from blood borne to intestinal parasites as well as zoonotic parasites. We hope to cover all aspects of parasitic diseases to provide current and relevant research data on these very important diseases. 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The emergence of any viral disease is hard to anticipate, which often contributes to death. A viral disease can be defined as an infectious disease that has recently appeared within a population or exists in nature with the rapid expansion of incident or geographic range. This series will focus on various crucial factors related to emerging viral infectious diseases, including epidemiology, pathogenesis, host immune response, clinical manifestations, diagnosis, treatment, and clinical recommendations for managing viral infectious diseases, highlighting the recent issues with future directions for effective therapeutic strategies.",annualVolume:11402,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/6.jpg",editor:{id:"158026",title:"Prof.",name:"Shailendra K.",middleName:null,surname:"Saxena",fullName:"Shailendra K. 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