Package of services for elderly in different levels of health care delivery system under NPHCE are given below.
\r\n\t
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Ltd., Atsugi, Japan, Researcher/Senior Researcher, Researches on Semiconductor Quantum Dots for Quantum Information, Semiconductor Optoelectronic Materials and Devices. \nApril, 2012 – March 2014: University of Tokyo, Tokyo, Japan, Senior Researcher, Researches on Quantum Information Processing Devices. \nApril, 2014 – now: Southwest Institute of Technical Physics, Chengdu, China, Professor, Researches on Semiconductor Optoelectronic Materials and Devices. \nJune, 2015 – now: University of Electronic Science and Technology, Chengdu, China, Professor, Researches on Nanoscaled Semiconductors and Quantum Information Processing Devices.\n \nAchievements\nSystematically studied the property of porous silicon materials and verified their mechanism; found green and ultraviolet luminescence, and clarified the multiple luminescence mechanisms of nanocrystalline-silicon embedded in SiO2, which is valuable to silicon-based optoelectronic integration; realized enhanced hole mobility in amorphous silicon, verified the existence of deep trap states in amorphous selenium, providing ways to improve amorphous optoelectronic materials. \nDiscovered lateral coupling between self-assembled quantum dots (QDs) and their tuning effect to 2D electron gas; illustrated and deeply explained the metal-insulator transition in 2D ordered QD arrays, all of which are worth in optoelectronic application of semiconductor QDs. \nDeveloped Sb-free technique to double the InAs/GaAs QD density and suppress the atomic interdiffusion, helped producing 1.3 um QD lasers, which won Japanese national prizes and had been merchandized; developed 1.06 um quantum-well lasers, which have been used to produce pure-green lasers robust against high temperature. \nFound a way to access buried QDs by scanning tunneling microscope; achieved a way to prepare diluted QDs by post-annealing and clarified its mechanisms; invented a technique to control the size and site of QDs by atomic-force microscopy lithography, and an apparatus to detect single electron spin states by optically-detected magnetic resonance; designed a few types of micropillar cavities applicable to realize 1.55 um highly-efficient, even coherent (strongly coupled) InAs/InP QD single photon sources; produced fiber-integrated photon-entangled sources, all of which are very useful to the applications of QDs in quantum information processing. \nDeveloped focal-plane single-photon avalanche detectors, providing central devices for 3D laser detecting and ranging system; explored antimonide middle- and long-wavelength infrared detectors and the surface plasmon enhancement effect in such detectors; advanced the acetone-sensing function of Eu-doped SnO2 nano-belt; found Nickle Phosphide serving as a good catalyst in hydrogen-producing. 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Araújo",slug:"aluizio-f.-r.-araujo"}]},{id:"10469",title:"Self-Organizing Maps for Processing of Data with Missing Values and Outliers: Application to Remote Sensing Images",slug:"self-organizing-maps-for-processing-of-data-with-missing-values-and-outliers-application-to-remote-s",signatures:"Bassam Abdel Latif and Gregoire Mercier",authors:[{id:"2828",title:"Dr.",name:"Bassam",middleName:null,surname:"Abdel Latif",fullName:"Bassam Abdel Latif",slug:"bassam-abdel-latif"},{id:"124342",title:"Dr.",name:"Gregoire",middleName:null,surname:"Mercier",fullName:"Gregoire Mercier",slug:"gregoire-mercier"}]},{id:"10472",title:"Image Clustering and Evaluation on Impact Perforation Test by Self-Organizing Map",slug:"image-clustering-and-evaluation-on-impact-perforation-test-by-self-organizing-map",signatures:"Takehiko Ogawa",authors:[{id:"2032",title:"Dr.",name:"Takehiko",middleName:null,surname:"Ogawa",fullName:"Takehiko Ogawa",slug:"takehiko-ogawa"}]},{id:"10454",title:"Self-Organizing Map-based Applications in Remote Sensing",slug:"self-organizing-map-based-applications-in-remote-sensing",signatures:"Anthony Filippi, Iliyana Dobreva, Andrew G. Klein and John R. Jensen",authors:[{id:"2206",title:"Assistant Professor",name:"Anthony",middleName:null,surname:"Filippi",fullName:"Anthony Filippi",slug:"anthony-filippi"},{id:"124320",title:"Prof.",name:"Iliyana",middleName:null,surname:"Dobreva",fullName:"Iliyana Dobreva",slug:"iliyana-dobreva"},{id:"124325",title:"PhD.",name:"John",middleName:null,surname:"Jensen",fullName:"John Jensen",slug:"john-jensen"}]},{id:"10458",title:"Segmentation of Satellite Images Using Self-Organizing Maps",slug:"segmentation-of-satellite-images-using-self-organizing-maps",signatures:"Mohamad Awad",authors:[{id:"2915",title:"Dr.",name:"Mohamad",middleName:null,surname:"Awad",fullName:"Mohamad Awad",slug:"mohamad-awad"}]},{id:"10470",title:"Bridging the Semantic Gap using Human Vision System Inspired Features",slug:"bridging-the-semantic-gap-using-human-vision-system-inspired-features",signatures:"Gaetan Martens, Peter Lambert and Rik Van de Walle",authors:[{id:"1941",title:"lic",name:"Gaetan",middleName:null,surname:"Martens",fullName:"Gaetan Martens",slug:"gaetan-martens"},{id:"19076",title:"Dr.",name:"Peter",middleName:null,surname:"Lambert",fullName:"Peter Lambert",slug:"peter-lambert"},{id:"19078",title:"Prof.",name:"Rik",middleName:null,surname:"Van de Walle",fullName:"Rik Van de Walle",slug:"rik-van-de-walle"}]},{id:"10464",title:"Face Recognition Using Self-Organizing Maps",slug:"face-recognition-using-self-organizing-maps",signatures:"Qiu Chen, Koji Kotani, Feifei Lee and Tadahiro Ohmi",authors:[{id:"2297",title:"Associate Prof.",name:"Qiu",middleName:null,surname:"Chen",fullName:"Qiu Chen",slug:"qiu-chen"},{id:"7572",title:"assistant professor",name:"Feifei",middleName:null,surname:"Lee",fullName:"Feifei Lee",slug:"feifei-lee"},{id:"124334",title:"Dr.",name:"Koji",middleName:null,surname:"Kotani",fullName:"Koji Kotani",slug:"koji-kotani"},{id:"124335",title:"Dr.",name:"Tadahiro",middleName:null,surname:"Ohmi",fullName:"Tadahiro Ohmi",slug:"tadahiro-ohmi"}]},{id:"10460",title:"Generation of Emotional Feature Space for Facial Expression Recognition Using Self-Mapping",slug:"generation-of-emotional-feature-space-for-facial-expression-recognition-using-self-mapping",signatures:"Masaki Ishii and Makoto Nishida",authors:[{id:"2603",title:"Dr.",name:"Masaki",middleName:null,surname:"Ishii",fullName:"Masaki Ishii",slug:"masaki-ishii"},{id:"124330",title:"Prof.",name:"Makoto",middleName:null,surname:"Nishida",fullName:"Makoto Nishida",slug:"makoto-nishida"}]},{id:"10452",title:"Fingerprint Matching with Self Organizing Maps",slug:"fingerprint-matching-with-self-organizing-maps",signatures:"Anastasia N. Ouzounoglou, Pantelis A. Asvestas and George K. Matsopoulos",authors:[{id:"2912",title:"Ass. Prof.",name:"George",middleName:null,surname:"Matsopoulos",fullName:"George Matsopoulos",slug:"george-matsopoulos"},{id:"124318",title:"Prof.",name:"Anastasia",middleName:null,surname:"Ouzounoglou",fullName:"Anastasia Ouzounoglou",slug:"anastasia-ouzounoglou"},{id:"124319",title:"Prof.",name:"Pantelis",middleName:null,surname:"Asvestas",fullName:"Pantelis Asvestas",slug:"pantelis-asvestas"}]},{id:"10459",title:"Multiple Self-Organizing Maps for Control of a Redundant Manipulator with Multiple Cameras",slug:"multiple-self-organizing-maps-for-control-of-a-redundant-manipulator-with-multiple-cameras",signatures:"Nobuhiro Okada, Jinjun Qiu and Eiji Kondo",authors:[{id:"2643",title:"Dr.",name:"Nobuhiro",middleName:null,surname:"Okada",fullName:"Nobuhiro Okada",slug:"nobuhiro-okada"},{id:"124329",title:"Prof.",name:"Eiji",middleName:null,surname:"Kondo",fullName:"Eiji Kondo",slug:"eiji-kondo"}]},{id:"10467",title:"Tracking English and Translated Arabic News using GHSOM",slug:"tracking-english-and-translated-arabic-news-using-ghsom",signatures:"Ali Selamat and Hanadi Hassen Ismail Mohammed",authors:[{id:"1992",title:"Assoc Professor Dr.",name:"Ali",middleName:null,surname:"Selamat",fullName:"Ali Selamat",slug:"ali-selamat"}]},{id:"10463",title:"Self-organizing Maps in Web Mining and Semantic Web",slug:"self-organizing-maps-in-web-mining-and-semantic-web",signatures:"Emil St. Chifu and Ioan Alfred Letia",authors:[{id:"2392",title:"PhD.",name:"Emil Stefan",middleName:null,surname:"Chifu",fullName:"Emil Stefan Chifu",slug:"emil-stefan-chifu"},{id:"124333",title:"Prof.",name:"Ioan Alfred",middleName:null,surname:"Letia",fullName:"Ioan Alfred Letia",slug:"ioan-alfred-letia"}]},{id:"10453",title:"Secure Wireless Mesh Network based on Human Immune System and Self-Organizing Map",slug:"secure-wireless-mesh-network-based-on-human-immune-system-and-self-organizing-map",signatures:"Mahira M. Mowjoon and Johnson I Agbinya",authors:[{id:"8974",title:"Mrs.",name:"Mahira",middleName:null,surname:"Mohamed Mowjoon",fullName:"Mahira Mohamed Mowjoon",slug:"mahira-mohamed-mowjoon"},{id:"23725",title:"Dr.",name:"Johnson I.",middleName:null,surname:"Agbinya",fullName:"Johnson I. Agbinya",slug:"johnson-i.-agbinya"}]},{id:"10468",title:"A Knowledge Acquisition Method of Judgment Rules for Spam E-mail by using Self Organizing Map and Automatically Defined Groups by Genetic Programming",slug:"a-knowledge-acquisition-method-of-judgment-rules-for-spam-e-mail-by-using-self-organizing-map-and-au",signatures:"Takumi Ichimura, Kazuya Mera and Akira Hara",authors:[{id:"2646",title:"Dr.",name:"Takumi",middleName:null,surname:"Ichimura",fullName:"Takumi Ichimura",slug:"takumi-ichimura"}]},{id:"10451",title:"Applying an SOM Neural Network to Increase the Lifetime of Battery-Operated Wireless Sensor Networks",slug:"applying-an-som-neural-network-to-increase-the-lifetime-of-battery-operated-wireless-sensor-networks",signatures:"Mario Cordina and Carl James Debono",authors:[{id:"2785",title:"Dr Ing.",name:"Carl James",middleName:null,surname:"Debono",fullName:"Carl James Debono",slug:"carl-james-debono"},{id:"124317",title:"Prof.",name:"Mario",middleName:null,surname:"Cordina",fullName:"Mario Cordina",slug:"mario-cordina"}]}]}],publishedBooks:[{type:"book",id:"3176",title:"Self-Organizing Maps",subtitle:null,isOpenForSubmission:!1,hash:"4564709e06dd0c4e216e0da9615c928d",slug:"self-organizing-maps",bookSignature:"George K Matsopoulos",coverURL:"https://cdn.intechopen.com/books/images_new/3176.jpg",editedByType:"Edited by",editors:[{id:"2912",title:"Ass. 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Still we are lacking behind in meeting the health needs of our vulnerable population like elderly, pregnant mother etc. It may be due to lack of adequate number of manpower like doctors, nurses, paramedics, laboratory technician etc., sufficient fund allocated for health in budget and proper health infrastructure development.
Population aging is an inevitable and irreversible process due to improvements in health and medical care. With advancement in medical science and increased life expectancy, elderly population (60 years and above) is growing faster than young population globally [1].
The corona virus disease (COVID-19) pandemic has brought about unprecedented fear and uncertainty, especially among elderly population. The elderly population depends on social connection more than other generations and they are deprived of this socialism due to sudden pandemic and subsequent lock-down in the world. India is also practicing nation-wide lock down and advising social distancing measures to prevent the spread of this infectious disease among vulnerable populations like children, pregnant women and older people (more than 65 years). It has been seen, with aging immune system becomes weak and thus elderly are more prone to develop infectious diseases compared to younger generation. Geriatric populations are more affected with non communicable diseases like diabetes mellitus, hypertension, heart diseases, kidney diseases, chronic obstructive pulmonary diseases (COPD), cancer etc. Recoveries are usually slower and complication arises rapidly in older people compared to adults. They face anxiety and depression simultaneously due to their loneliness and burden of household expenditures, routine health checkups. For millions of elderly, COVID-19 has amplified their already-existing anxieties and turns them into panic mood [2].
The elderly constitutes about 11.5% of the total population of seven billion globally. This proportion of elderly is projected to be double (22%) by 2050 and it will be more than children below fifteen years of age. The proportion of the elderly will increase from 22.4% (as on 2012) to 31.9% in 2050 in developed countries. The proportion of the elderly is projected to be below 11% in least developed countries by 2050. The rapid aging of developing countries is not followed by the increase in personal incomes of that country. The proportion of the elderly is expected to double up from 10.5% to 22.4% in Asia during 2012–2050. Three countries in Asia, Japan (41.5%), South Korea (38.9%), China (34%) predicted to have the highest proportions of the elderly population in the region by 2050. The South Asian Association for Regional Cooperation (SAARC) countries, are likely to have only about 21% elderly population by 2050. The proportion of the elderly in India has been increasing at an increasing rate in recent years and the trend is likely to continue in the coming decades. The elderly population accounted for 7.4% of the total population in 2001, 8.6% in 2011 and has been projected to increase to 19% by the year 2050 in India. It is predicted that, the elderly will constitute about 34% of the total population in the country by the end of the 21st century. Therefore, relatively young India today will turn into a rapidly progressing aging society in near future. The sex ratio of the elderly has increased from 938 women to 1,000 men in 1971 to 1,033 in 2011 and is projected to increase to 1,060 by 2026 given the insignificant decline in mortality among males particularly during adult and older years [1, 3, 4].
In India, the elderly people suffer from dual medical problems, i.e. both communicable as well as non-communicable diseases. It is estimated that one out of two elderly in India suffers from at least one chronic disease like diabetes mellitus, dyslipidemia, hypertension, COPD, thyroid disorders, heart diseases which requires life-long medication. This is further complicated by impairment of special sensory functions like vision and hearing. A decline in immunity as well as age-related physiologic changes leads to an increased burden of communicable diseases or infectious diseases like influenza, pneumonia, tuberculosis (TB) in the elderly population. Most common disabilities among the aged were locomotor and visual, almost half of the elderly disabled population was reported to be suffering from these two types of disabilities (2011 census). Cardiovascular disorders account for one third of elderly mortality followed by respiratory disorders mortality (10%) and infections including TB (10%). It has been reported that a geriatric individual takes an average of six prescription drugs concurrently and often suffers from adverse drug reactions [1, 3, 5, 6].
A key clinical issue in geriatric mental health is the heterogeneity in clinical presentations that confounds diagnosis and treatment of these problems. Patients usually deny the presence of mental health problems and are reluctant to seek help. Geriatric patients have multiple co-morbidities including psychological problems like depression. Few factors contributing to geriatric depression are female sex, widowed status, nuclear families, and stressful life events. Research indicates comparatively higher prevalence of geriatric depression in India, with a median prevalence rate of 21.9%. Symptoms of geriatric depression affect behavioral, physical, and cognitive domains of an individual, while many elderly do not seek help as a stereotype myth prevails that geriatric depression is normal in old age. Dementia is the most common neuropsychiatric illness besides depression as the major contributor to disability in people above 60 years of age, accounting for one quarter of all disability adjusted life years (DALY). It has been shown in different studies that, many environmental factors as well as caregiver approach towards elderly population with dementia are responsible for development of various psychiatric behaviors in elderly like agitation, irritability, restlessness, emotional distress and sleep disturbance. There is urgent need of sufficient number of dementia care homes, rehabilitation centers along with dementia daycare centers to manage the huge number of dementia patients in India [7, 8, 9, 10, 11, 12].
Elderly or geriatric populations have different socioeconomic problems in their life in the forms of loss of spouse, economic insecurity, social isolation, not getting pension timely etc. Elderly people in India not only work to support themselves but also make economic contributions to their households. Nearly 66% of those over 60 years of age are currently married, 32% are widowed and nearly 3% are separated or divorced (2011 Census). The proportion of those who have lost their spouse is much higher among women compared to men with 48% of older women and only 15% of the older men being widowed. Since women are more likely to be dependent on men for financial security, women face more adversities due to loss of spouse compared to men. Living arrangements among the elderly was not a problem in India till a few years ago because elderly people were given special respect and care in their family. Majority of the elderly are still living with their children in India, about one fifth either live alone or only with the spouse and hence have to manage their material and physical needs on their own. Financial dependency also increases with age. Around 50% of the elderly have some type of personal income after their retirement in the form of social security measures like pension scheme, provident fund, life insurance policies, post office deposits, savings bank interests and non service people of rural as well as urban India get some amount of incentives as part of different national health programs, schemes for elderly population; which will be discussed in subsequent sections. This income earned by the elderly is not sufficient sometimes to fulfill their basic needs and wishes to buy some gifts for their grandchildren on some special occasions. Most of the time, they are seen dependent financially on their offspring. Almost three fourth of the elderly are either fully or partially dependent on others like relatives, friends and neighbors and such dependency is more for elderly women than men. Overall, it appears that elderly still depend greatly on their earnings to support themselves and their family. Presently, lower class and middle class families are facing a great challenge to take care of elderly population due to reduction in economic activities following sudden Covid19 pandemic and subsequent lock-down [1, 6].
Corona virus outbreak was first reported in Wuhan city, Hubei province of China at the end of December 2019. Then Italy was affected by this infectious disease followed by multiple countries due to continuous movement of people across the globe by international air travel. The World Health Organization (WHO) declared this Covid outbreak to be a Public Health Emergency of International Concern (PHEIC) on 30th January, 2020. It was declared a pandemic subsequently on 11th March, 2020 when it affected more than hundred (113) countries world-wide [13].
Globally, there have been near about 3 crores (28918900) confirmed cases of COVID-19, with more than 9 lakh (922,252) deaths, reported by WHO with case fatality rate of 3.18% as on, 14 September 2020. Presently, the United States of Americas is at number one position in terms of number of Covid 19 cases, having more than one fifth of total confirmed cases (22.2%) of Covid 19 followed by South-East Asia (18.9%), European region (16.7%), Eastern Mediterranean region (7.3%), African region (3.9%) and Western Pacific (1.9%), being the least affected region globally as on 14th September, 2020. There were more than 1.8 million new cases of COVID-19, with over forty thousand (40,600) deaths reported in the second week of September, 2020.The African Region also showed a decline in Covid 19 cases this week and was the only region to report a decline in deaths due to Covid 19. The European region has reported the third highest number of new cases in this week, accounting for about 16% of global cases and 25% of the deaths, with the second-highest cumulative number of Covid 19 cases per million populations (5,172 cases per million populations). In the South-East Asia Region, three countries namely; India, Indonesia and Bangladesh continue to report the highest number of Covid-19 cases, with the Maldives accounting for the highest number of cumulative cases (16,746 per million populations) in the second week of September, 2020. This region suffered 22% of all new deaths but retains low cumulative deaths in terms of population (46 per million populations). Myanmar is continuing to show increasing number of cases with mortality of less than 1 per million populations. Presently India has the highest number of Covid 19 cases (88.4%) in South-East Asia Region as on 14th September 2020. Indonesia has the highest case fatality rate (4.02%) followed by Thailand (1.67%), India (1.65%), Bangladesh (1.39%), Nepal (0.63%), Myanmar (0.57%), Srilanka (0.37%) and Maldives (0.34%) in South-East Asia Region. Currently, two countries from this region, Bhutan and Timor-Leste have not reported any death due to Covid 19. India has a very good recovery rate of more than 78% till now which is better than many countries compared to huge number of populations affected by Covid 19 [14].
Many programmes targeting geriatric population came to act in our country in last few decades but still we do not have the sufficient number of geriatric health clinics, geriatric physicians and caregivers to take care of our elderly. It’s high time to look forward in a positive way to deal with these problems of deficiency during this challenging time of Covid 19 pandemic. Geriatrics is relatively a new branch in India with most practicing young physicians having limited knowledge of the clinical and functional implications of aging. India’s old, their caregivers and healthcare providers admit ill health as part of senility. Geriatric care is not only concerned with the physiological phenomenon, but also with the medical health problems and specific diseases of an elderly [5].
Increasing elderly population in India together with enhanced awareness on health issues is expected to put considerable pressure on the health care system in general and geriatric care in particular. The United Nations Population Fund (UNFPA) conducted a survey across seven states (Himachal Pradesh, Kerala, Maharashtra, Odisha, Punjab, Tamil Nadu and West Bengal) in India in 2011 to build a knowledge base on the socio-economic and health implications of aging and the ability of the elderly to access and use various welfare initiatives of the government. The survey showed that about 7.6% of the elderly in India (approximately 7.9 million persons) had difficulty in accomplishing activities of daily living (ADLs) and were in need of assistance. In general, elderly women have greater difficulty in performing ADLs than elderly men [1].
Aging of population affects economic development of society as economic productivity is usually carried out by youths and adults - the productive forces. Aging problems vary across different geographical regions depending on demographic diversity, socioeconomic status, cultural and traditional practices. India is a country of demographic heterogeneity and geographical diversity, still one thing is common among its population i.e.; love and respect for each other especially for their elderly population. The family provides social and economic support to individuals at various stages of life. Family transition from joint to nuclear structure affected not only the status of elderly but also the family’s capability to care for elderly. Family structure changes were brought out by increased mobility for job opportunity, urbanization, capitalism, division of labor and industrialization. Community based voluntary support and viable formal support systems for elderly with chronic diseases and disabilities might address this issue. Creating provisions for elderly housing, domiciliary care systems, communication technologies might bridge the gap between young and old generations. Demographic factors like very old, women, those living alone and unmarried are more likely to enter long term care institutions. Predictors of social placement of an elderly to an institution are mainly social selection and allocation processes in health delivery systems (theoretical perspective) and risk factors that delay nursing home placement (policy perspective). Important reasons for entry into institutions are unavailability and unwillingness of family members to take care of geriatric population as well as availability of caretaker in private as well as government institution. Conditions viz., living arrangement, perception that institutions are good alternatives and persons involved in decision making in family influence institutionalization of elderly. Institutionalized elderly are heterogeneous in terms of demographic characteristics, physical and mental conditions, service utilization patterns, prognosis and life expectancy. Few factors facilitating entry of elderly people in institution are status of elderly within the family, social issues, existence of nursing home, heterogeneity of nursing homes, behavioral ethnography of nursing home life and resident outcomes and attitude and behavior of nursing home personnel [15].
Over the years, government has launched various schemes with the intention of providing health, care, and independence of the elderly around the country. In the domain of public systems, there are two overarching initiatives that are large in coverage, more comprehensive or integrated in design and backed by financial and administrative resources. These are National programme for Health Care for Elderly (NPHCE) and Integrated Programme for Older Persons (IPOP). They facilitate and create an environment for different kinds of elder services. NPHCE is meant to be implemented in convergence with the National Health Mission, Ministry of AYUSH (Ayurveda, Yoga, Unani, Siddhi and Homeopathy) and the Ministry of Social Justice and Empowerment (MOSJE). The Government of India launched National Policy on Older Persons (NPOP) in 1999 with the primary goal of overall wellbeing of the elderly, ensuring them a legitimate position in the society. The same Year 1999 was observed as the International year for older persons by the United Nations general assembly. The MOSJE has started the Integrated Programme for Older Persons (IPOP) since 1992, with the aim of improving the quality of life of elderly people by providing basic amenities like food, shelter, medical care and entertainment opportunities. The IPOP provides financial assistance (up to 90%) to Panchayati Raj Institution (PRIs) or local bodies, NGOs, educational institutions, charitable hospitals or nursing homes etc. for initiation of different facilities for elderly like old age homes, mobile medical units for older persons living in rural and isolated areas, day care centers, physiotherapy clinics, provision of disability aids, running help lines and counseling centers and sensitization of school and college students to aging issues [1, 16].
Ministry of Health and Family Welfare (MOHFW) is responsible for implementing the National Programme for Health Care of Elderly (NPHCE) through primary, secondary and tertiary services, dedicated for older persons. NPHCE functions under the control, coordination and monitoring and supervision of the national, state and district cells for non-communicable diseases (NCD). NPHCE was launched to provide referral services through district hospitals and regional medical colleges for elderly population and to promote a community based approach for integration of existing primary health centers and capacity building [1, 15, 17].
The Vision of the NPHCE are: (1) Provision of accessible, affordable, and high quality long-term, comprehensive and dedicated care services to elderly population (2) Creation of a new “architecture” for Aging (3) Building a framework for creation of an comfortable environment for “a Society for all Ages;” (4) Promotion of the concept of Active and Healthy Aging.
Specific objectives of the programme are: (1) Provision of an easy access to promotional, preventive, curative and rehabilitative services through community based primary health-care (PHC) approach. (2) Identification of health problems in the elderly and provide appropriate health interventions in the community with a strong referral backup support. (3) Capacity building of the medical and paramedical professionals as well as the caregivers within the family for providing health care to the elderly (4) Provide referral services to the elderly patients through district hospital and regional medical institutions cum colleges.
Few strategies to achieve the above mentioned objectives of the NPHCE are given as mentioned below:
Community based PHC approach including domiciliary visits by trained health-care workers (2) Dedicated services at PHC/Community Health Center (CHC) level including provision of machinery, equipment, training, additional human resources, Information, Education and Communication (IEC), etc.
Dedicated facilities at the district hospital with 10 bedded wards, additional human resources, machinery and equipment, consumables and drugs, training and IEC
Strengthening of Eight Regional Medical Institutes to provide dedicated tertiary level medical facilities for the elderly, introducing PG courses in geriatric medicine, and in-service training of health personnel at all levels
Increase use of Information Education Communication (IEC) activities using mass media, folk media and other communication channels to reach out to the vulnerable population
Continuous monitoring and independent evaluation of the Program and research in geriatrics and implementation of NPHCE
Promotion of public private partnerships in geriatric health-care
Mainstreaming AYUSH (Ayurveda, Yoga, Unani, Siddhi and Homeopathy) by revitalization of local health traditions and convergence with programs of Ministry of Social Justice and Empowerment in the field of geriatrics
Reorienting traditional medical education to competency based medical education to deal with the problems of geriatric health
Expected outcomes of NPHCE are given as mentioned below:
Initiation of Regional geriatric centers (RGC) in eight Regional Medical Institutions by setting up RGCs with a dedicated geriatric out-patient department (OPD) and thirty (30) bedded geriatric ward for management of specific diseases of the elderly, training of health personnel in geriatric health-care and conducting research
Generation of Post-graduates in geriatric medicine from the eight regional medical institutions
Starting Video Conferencing Units in the eight (8) Regional Medical Institutions to be utilized for capacity building and mentoring
Provision of District geriatric units with dedicated geriatric OPD and ten (10) bedded geriatric ward in 80–100 District Hospitals
Starting Geriatric clinics or rehabilitation units set up for domiciliary visits in community or primary health centers in the selected districts
Strengthening Sub Centers by provision of appropriate logistics like medicines, vaccine carrier etc. and adequate infrastructure like provision for safe drinking water, clean toilet facility, electricity etc.
Training of Human Resources in the Public Health-Care System in geriatric care.
NPHCE is expected to provide preventive, promotional, curative and rehabilitative services in an integrated manner for the elderly in various Government health facilities. Districts will be linked to Regional Geriatric Centers (RGCs) for providing tertiary level care. Package of services for elderly in different levels of health care delivery system under NPHCE are given in Table 1.
Health facility level | Package of services |
---|---|
Sub-Center (SC) | Health Education related to healthy ageing |
Domiciliary visits for attention and care to home bound/bedridden elderly persons and provide training to the family care providers in looking after the disabled elderly persons | |
Arrange for suitable calipers and supportive devices from the PHC to the elderly disabled persons to make them ambulatory | |
Linkage with other support groups and day care centers etc., operational in the area | |
Primary Health Center (PHC) | Weekly geriatric clinic run by a trained Medical Officer |
Maintain a record of the elderly using the standard format during their first visit | |
Conducting a routine health assessment of the elderly persons based on simple clinical examination relating to eye, blood pressure, blood sugar, etc. | |
Provision of medicines and proper advice on chronic ailments | |
Public awareness on promotional, preventive and rehabilitative aspects of geriatrics during health and village sanitation day/camps | |
Referral for diseases needing further investigation and treatment, to CHC or the District Hospital as per need | |
Community Health Centers (CHC) | First Referral Unit for the elderly from PHCs and below |
Geriatric clinic for the elderly persons twice a week | |
Rehabilitation Unit for physiotherapy and counseling | |
Domiciliary visits by the rehabilitation worker for bed ridden elderly and counseling of the family members on their home-based care | |
Health promotion and prevention | |
Referral of difficult cases to District Hospital/higher health-care facility | |
District hospitals (DH) | Geriatric clinic for regular dedicated Out Patient Department (OPD) services to the elderly |
Facilities for laboratory investigations for diagnosis and provision of medicines for geriatric medical and health problems | |
Ten bedded Geriatric Ward for in-patient care of the elderly | |
Existing specialties like General Medicine; Orthopedics, Ophthalmology; ENT services etc., will provide services needed by elderly patients | |
Provide services for the elderly patients referred by the CHCs/PHCs, etc. | |
Conducting camps for Geriatric Services in PHCs/CHCs and other sites | |
Referral services for severe cases to tertiary level hospitals | |
Regional Geriatric Centers (RGC) | Geriatric clinic (Specialized OPD for the elderly) |
Thirty bedded Geriatric Ward for in-patient care and dedicated beds for the elderly patients in the various specialties viz. Surgery, Orthopedics, Psychiatry, Urology, Ophthalmology and Neurology etc. | |
Laboratory investigation required for elderly with a special sample collection center in the OPD block | |
Tertiary health care to the cases referred from medical colleges, district hospitals and below |
Package of services for elderly in different levels of health care delivery system under NPHCE are given below.
There are four essential features of an integrated package of elder services in private sector as given below [1]:
Affordable medical care at home
Improved access to institutional health care while linking home-based care with institution-based services
Training staff and family in home-based rehabilitation services
Greater participation of the elderly into the society, increasing the level of acceptance by fighting against ageism and continued enjoyment of home life.
While NPHCE and IPOP address aspects related to institutional health care, the rest of the aspects are facilitated by NGOs all over the country with public and private funding. Few NGO initiatives to deal with the health and social problems of elderly in India are as mentioned below:
Agewell Foundation
Alzheimer’s and Related Disorders Society of India
Calcutta Metropolitan Institute of Gerontology
Ekal Nari Shakti Sangathan (ENSS)
Guild for Services
HelpAge India
Heritage Foundation
The International Longevity Centre-India (ILC-I) Elder Care Services
Janaseva Foundation
Nightingale Medical Trust
Silver Innings Foundation
Sulabh International services for Widows in Ashrams
India is fighting strongly to mitigate the Covid 19 pandemic situation with its limited manpower and economy. Many government programmes and initiatives were launched and coming forward to develop to meet the needs of its vulnerable population like pregnant mother, adolescent, children and elderly since its independence. Public Health Foundation of India has recently launched another programme for training primary health care professionals in Geriatric health care among this most challenging time of Covid 19 pandemic which shows the distant vision of decision makers of health care delivery system in our country. We need to motivate and encourage our young medical graduates to enhance their knowledge and skills in geriatric health to decrease mortality and morbidity in elderly with such types of pandemic in future.
We want to thank
There is no funding agency for this write up. This writing is solely made by the authors with help of different articles and reports. I,
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\n\nCarlos Moedas, the European Commissioner for Research Science and Innovation at the STM Annual Frankfurt Conference, October 2016.
",metaTitle:"About Open Access",metaDescription:"Open access contributes to scientific excellence and integrity. It opens up research results to wider analysis. It allows research results to be reused for new discoveries. And it enables the multi-disciplinary research that is needed to solve global 21st century problems. Open access connects science with society. It allows the public to engage with research. To go behind the headlines. And look at the scientific evidence. And it enables policy makers to draw on innovative solutions to societal challenges.\n\nCarlos Moedas, the European Commissioner for Research Science and Innovation at the STM Annual Frankfurt Conference, October 2016.",metaKeywords:null,canonicalURL:"about-open-access",contentRaw:'[{"type":"htmlEditorComponent","content":"The Open Access publishing movement started in the early 2000s when academic leaders from around the world participated in the formation of the Budapest Initiative. They developed recommendations for an Open Access publishing process, “which has worked for the past decade to provide the public with unrestricted, free access to scholarly research—much of which is publicly funded. Making the research publicly available to everyone—free of charge and without most copyright and licensing restrictions—will accelerate scientific research efforts and allow authors to reach a larger number of readers” (reference: http://www.budapestopenaccessinitiative.org)
\\n\\nIntechOpen’s co-founders, both scientists themselves, created the company while undertaking research in robotics at Vienna University. Their goal was to spread research freely “for scientists, by scientists’ to the rest of the world via the Open Access publishing model. The company soon became a signatory of the Budapest Initiative, which currently has more than 1000 supporting organizations worldwide, ranging from universities to funders.
\\n\\nAt IntechOpen today, we are still as committed to working with organizations and people who care about scientific discovery, to putting the academic needs of the scientific community first, and to providing an Open Access environment where scientists can maximize their contribution to scientific advancement. By opening up access to the world’s scientific research articles and book chapters, we aim to facilitate greater opportunity for collaboration, scientific discovery and progress. We subscribe wholeheartedly to the Open Access definition:
\\n\\n“By “open access” to [peer-reviewed research literature], we mean its free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself. The only constraint on reproduction and distribution, and the only role for copyright in this domain, should be to give authors control over the integrity of their work and the right to be properly acknowledged and cited” (reference: http://www.budapestopenaccessinitiative.org)
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\\n\\nLicense
\\n\\nBook chapters published in edited volumes are distributed under the Creative Commons Attribution 3.0 Unported License (CC BY 3.0). IntechOpen upholds a very flexible Copyright Policy. There is no copyright transfer to the publisher and Authors retain exclusive copyright to their work. All Monographs/Compacts are distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Read more
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\\n\\nOA Publishing Fees
\\n\\nThe Open Access publishing model employed by IntechOpen eliminates subscription charges and pay-per-view fees, enabling readers to access research at no cost. In order to sustain operations and keep our publications freely accessible we levy an Open Access Publishing Fee for manuscripts, which helps us cover the costs of editorial work and the production of books. Read more
\\n\\nDigital Archiving Policy
\\n\\nIntechOpen is committed to ensuring the long-term preservation and the availability of all scholarly research we publish. We employ a variety of means to enable us to deliver on our commitments to the scientific community. Apart from preservation by the Croatian National Library (for publications prior to April 18, 2018) and the British Library (for publications after April 18, 2018), our entire catalogue is preserved in the CLOCKSS archive.
\\n\\nOpen Science is transparent and accessible knowledge that is shared and developed through collaborative networks.
\\n\\nOpen Science is about increased rigour, accountability, and reproducibility for research. It is based on the principles of inclusion, fairness, equity, and sharing, and ultimately seeks to change the way research is done, who is involved and how it is valued. It aims to make research more open to participation, review/refutation, improvement and (re)use for the world to benefit.
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The Open Access publishing movement started in the early 2000s when academic leaders from around the world participated in the formation of the Budapest Initiative. They developed recommendations for an Open Access publishing process, “which has worked for the past decade to provide the public with unrestricted, free access to scholarly research—much of which is publicly funded. Making the research publicly available to everyone—free of charge and without most copyright and licensing restrictions—will accelerate scientific research efforts and allow authors to reach a larger number of readers” (reference: http://www.budapestopenaccessinitiative.org)
\n\nIntechOpen’s co-founders, both scientists themselves, created the company while undertaking research in robotics at Vienna University. Their goal was to spread research freely “for scientists, by scientists’ to the rest of the world via the Open Access publishing model. The company soon became a signatory of the Budapest Initiative, which currently has more than 1000 supporting organizations worldwide, ranging from universities to funders.
\n\nAt IntechOpen today, we are still as committed to working with organizations and people who care about scientific discovery, to putting the academic needs of the scientific community first, and to providing an Open Access environment where scientists can maximize their contribution to scientific advancement. By opening up access to the world’s scientific research articles and book chapters, we aim to facilitate greater opportunity for collaboration, scientific discovery and progress. We subscribe wholeheartedly to the Open Access definition:
\n\n“By “open access” to [peer-reviewed research literature], we mean its free availability on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself. The only constraint on reproduction and distribution, and the only role for copyright in this domain, should be to give authors control over the integrity of their work and the right to be properly acknowledged and cited” (reference: http://www.budapestopenaccessinitiative.org)
\n\nOAI-PMH
\n\nAs a firm believer in the wider dissemination of knowledge, IntechOpen supports the Open Access Initiative Protocol for Metadata Harvesting (OAI-PMH Version 2.0). Read more
\n\nLicense
\n\nBook chapters published in edited volumes are distributed under the Creative Commons Attribution 3.0 Unported License (CC BY 3.0). IntechOpen upholds a very flexible Copyright Policy. There is no copyright transfer to the publisher and Authors retain exclusive copyright to their work. All Monographs/Compacts are distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Read more
\n\nPeer Review Policies
\n\nAll scientific works are Peer Reviewed prior to publishing. Read more
\n\nOA Publishing Fees
\n\nThe Open Access publishing model employed by IntechOpen eliminates subscription charges and pay-per-view fees, enabling readers to access research at no cost. In order to sustain operations and keep our publications freely accessible we levy an Open Access Publishing Fee for manuscripts, which helps us cover the costs of editorial work and the production of books. Read more
\n\nDigital Archiving Policy
\n\nIntechOpen is committed to ensuring the long-term preservation and the availability of all scholarly research we publish. We employ a variety of means to enable us to deliver on our commitments to the scientific community. Apart from preservation by the Croatian National Library (for publications prior to April 18, 2018) and the British Library (for publications after April 18, 2018), our entire catalogue is preserved in the CLOCKSS archive.
\n\nOpen Science is transparent and accessible knowledge that is shared and developed through collaborative networks.
\n\nOpen Science is about increased rigour, accountability, and reproducibility for research. It is based on the principles of inclusion, fairness, equity, and sharing, and ultimately seeks to change the way research is done, who is involved and how it is valued. It aims to make research more open to participation, review/refutation, improvement and (re)use for the world to benefit.
\n\nOpen Science refers to doing traditional science with more transparency involved at various stages, for example by openly sharing code and data. It implies a growing set of practices - within different disciplines - aiming at:
\n\nWe aim at improving the quality and availability of scholarly communication by promoting and practicing:
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This is seen with, for example, refractive-index sensing, detection of ad−/desorption and ligand-exchange processes, as well as ultrasensitive chemical sensing utilizing well-defined nanocrystals or discrete self-assembled superstructures in 2D and 3D. Apart from individual NPs, the rational design of self-assembled nanostructures grants spectroscopic access to unprecedented physicochemical information. This involves selected research examples on molecular trapping, ligand corona analysis, SERS-encoding, and biosensing. The origin of the SERS effect, also in regard to hot spot formation by off-resonant excitation, is reviewed and discussed in the context of the current challenge to formulate a generalized metric for high SERS efficiency. 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The possible interferences of atomic or molecular species are used to specify organic, inorganic or biological materials which allows critical applications in defense (landmines, explosive, forensic (trace of explosive or organic materials), public health (toxic substances pharmaceutical products), or environment (organic wastes). Laser induced plasma for organic material potentially provide fast sensor systems for explosive trace and pathogen biological agent detection and analysis. The laser ablation process starts with electronic energy absorption (~fs) and ends at particle recondensation (~ms). Then, the ablation process can be governed by thermal, non-thermal processes or a combination of both. There are several types of models, i.e., thermal, mechanical, photophysical, photochemical and defect models, which describe the ablation process by one dominant mechanism only. Plasma ignition process includes bond breaking and plasma shielding during the laser pulse. Bond breaking mechanisms influence the quantity and form of energy (kinetic, ionization and excitation) that atoms and ions can acquire. Plasma expansion depends on the initial mass and energy in the plume. The process is governed by initial plasma properties (electron density, temperature, velocity) after the laser pulse and the expansion medium. During first microsecond after the laser pulse, plume expansion is adiabatic afterwards line radiation becomes the dominant mechanism of energy loss.",book:{id:"5093",slug:"plasma-science-and-technology-progress-in-physical-states-and-chemical-reactions",title:"Plasma Science and Technology",fullTitle:"Plasma Science and Technology - Progress in Physical States and Chemical Reactions"},signatures:"Kashif Chaudhary, Syed Zuhaib Haider Rizvi and Jalil Ali",authors:[{id:"176684",title:"Dr.",name:"Kashif Tufail",middleName:null,surname:"Chaudhary",slug:"kashif-tufail-chaudhary",fullName:"Kashif Tufail Chaudhary"},{id:"176867",title:"Dr.",name:"Syed Zuhaib",middleName:null,surname:"Haider Rizivi",slug:"syed-zuhaib-haider-rizivi",fullName:"Syed Zuhaib Haider Rizivi"},{id:"176868",title:"Prof.",name:"Jalil",middleName:null,surname:"Ali",slug:"jalil-ali",fullName:"Jalil Ali"}]},{id:"63194",doi:"10.5772/intechopen.80433",title:"Electrical Diagnostics of Dielectric Barrier Discharges",slug:"electrical-diagnostics-of-dielectric-barrier-discharges",totalDownloads:1962,totalCrossrefCites:6,totalDimensionsCites:14,abstract:"Atmospheric pressure dielectric barrier discharges (DBD) has many industrial applications and remains a focus of academic research. This chapter provides a thorough overview of electrical diagnostics for DBD, with a specific focus on charge-voltage measurement techniques. These methods are often underutilised in the existing scientific literature, despite the fact that they can provide useful insights into plasma behaviour. Both optimization of the electrical measurement setup and the interpretation of results are treated in-depth. 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Recently, plasma technology has gained increasing interest as a non-equilibrium medium suitable for CO2 conversion, which provides a promising alternative to the conventional pathway for greenhouse gas conversion. The combination of plasma and catalysis is of great interest for turning plasma chemistry in applications related to pollution and energy issues. In this chapter a short review of the current progress in plasma-assisted catalytic processes for CO2 reduction is given. The most widely used discharges for CO2 conversion are presented and briefly discussed, illustrating how to achieve a better energy and conversion efficiency. The chapter includes the recent status and advances of the most promising candidates (plasma catalysis) to obtain efficient CO2 conversion, along with the future outlook of this plasma-assisted catalytic process for further improvement.",book:{id:"7502",slug:"plasma-chemistry-and-gas-conversion",title:"Plasma Chemistry and Gas Conversion",fullTitle:"Plasma Chemistry and Gas Conversion"},signatures:"Guoxing Chen, Ling Wang, Thomas Godfroid and Rony Snyders",authors:[{id:"199226",title:"Mr.",name:"Guoxing",middleName:null,surname:"Chen",slug:"guoxing-chen",fullName:"Guoxing Chen"}]}],mostDownloadedChaptersLast30Days:[{id:"49562",title:"Laser-Induced Plasma and its Applications",slug:"laser-induced-plasma-and-its-applications",totalDownloads:4634,totalCrossrefCites:11,totalDimensionsCites:25,abstract:"The laser irradiation have shown a range of applications from fabricating, melting, and evaporating nanoparticles to changing their shape, structure, size, and size distribution. Laser induced plasma has used for different diagnostic and technological applications as detection, thin film deposition, and elemental identification. The possible interferences of atomic or molecular species are used to specify organic, inorganic or biological materials which allows critical applications in defense (landmines, explosive, forensic (trace of explosive or organic materials), public health (toxic substances pharmaceutical products), or environment (organic wastes). Laser induced plasma for organic material potentially provide fast sensor systems for explosive trace and pathogen biological agent detection and analysis. The laser ablation process starts with electronic energy absorption (~fs) and ends at particle recondensation (~ms). Then, the ablation process can be governed by thermal, non-thermal processes or a combination of both. There are several types of models, i.e., thermal, mechanical, photophysical, photochemical and defect models, which describe the ablation process by one dominant mechanism only. Plasma ignition process includes bond breaking and plasma shielding during the laser pulse. Bond breaking mechanisms influence the quantity and form of energy (kinetic, ionization and excitation) that atoms and ions can acquire. Plasma expansion depends on the initial mass and energy in the plume. The process is governed by initial plasma properties (electron density, temperature, velocity) after the laser pulse and the expansion medium. During first microsecond after the laser pulse, plume expansion is adiabatic afterwards line radiation becomes the dominant mechanism of energy loss.",book:{id:"5093",slug:"plasma-science-and-technology-progress-in-physical-states-and-chemical-reactions",title:"Plasma Science and Technology",fullTitle:"Plasma Science and Technology - Progress in Physical States and Chemical Reactions"},signatures:"Kashif Chaudhary, Syed Zuhaib Haider Rizvi and Jalil Ali",authors:[{id:"176684",title:"Dr.",name:"Kashif Tufail",middleName:null,surname:"Chaudhary",slug:"kashif-tufail-chaudhary",fullName:"Kashif Tufail Chaudhary"},{id:"176867",title:"Dr.",name:"Syed Zuhaib",middleName:null,surname:"Haider Rizivi",slug:"syed-zuhaib-haider-rizivi",fullName:"Syed Zuhaib Haider Rizivi"},{id:"176868",title:"Prof.",name:"Jalil",middleName:null,surname:"Ali",slug:"jalil-ali",fullName:"Jalil Ali"}]},{id:"67663",title:"Electrical Breakdown Behaviors in Microgaps",slug:"electrical-breakdown-behaviors-in-microgaps",totalDownloads:1182,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"The study of electrical breakdown behaviors in microgaps has drawn intensive attention around the world due to the miniaturization of electronic devices that allows electronic circuits to be packaged more densely, making possible compact computers, advanced radar and navigation systems, and other devices that use very large numbers of components. Therefore, a clear understanding of the electrical breakdown behaviors in microgaps is required to avoid the dielectric breakdown or to trigger the breakdown at microscale. This chapter introduces the significance of understanding breakdown characterization and reliability assessment for electrostatically actuated devices, magnetic recording devices, photomasks, RF MEMS switches, and micromachines and points out the derivation of the classical Paschen’s law at microscale. Then it summarizes the state-of-the-art research work on the methodology, influencing factors, dynamics, and physical mechanisms of electrical breakdown in microgaps, which is expected to expand the general knowledge of electrical breakdown to the microscale regime or more and benefits the reliability assessment and ESD protection of microscale and nanoscale devices.",book:{id:"8856",slug:"electrostatic-discharge-from-electrical-breakdown-in-micro-gaps-to-nano-generators",title:"Electrostatic Discharge",fullTitle:"Electrostatic Discharge - From Electrical breakdown in Micro-gaps to Nano-generators"},signatures:"Guodong Meng and Yonghong Cheng",authors:null},{id:"66524",title:"Low-C ESD Protection Design in CMOS Technology",slug:"low-c-esd-protection-design-in-cmos-technology",totalDownloads:1575,totalCrossrefCites:1,totalDimensionsCites:0,abstract:"Electrostatic discharge (ESD) protection design is needed for integrated circuits in CMOS technology. The choice for ESD protection devices in the CMOS technology includes diode, MOSFET, and silicon controlled rectifier (SCR). These ESD protection devices cause signal losses at high-frequency input/output (I/O) pads due to the parasitic capacitance. To minimize the impacts from ESD protection circuit on high-frequency performances, ESD protection circuit at I/O pads must be carefully designed. A review on ESD protection designs with low parasitic capacitance for high-frequency applications in CMOS technology is presented in this chapter. With the reduced parasitic capacitance, ESD protection circuit can be easily combined or co-designed with high-frequency circuits. As the operating frequencies of high-frequency circuits increase, on-chip ESD protection designs for high-frequency applications will continuously be an important design task.",book:{id:"8856",slug:"electrostatic-discharge-from-electrical-breakdown-in-micro-gaps-to-nano-generators",title:"Electrostatic Discharge",fullTitle:"Electrostatic Discharge - From Electrical breakdown in Micro-gaps to Nano-generators"},signatures:"Chun-Yu Lin",authors:null},{id:"67235",title:"Nanogenerators from Electrical Discharge",slug:"nanogenerators-from-electrical-discharge",totalDownloads:1054,totalCrossrefCites:1,totalDimensionsCites:1,abstract:"Electrical discharge is generally considered as a negative effect in the electronic industry and often causes electrostatic discharge (ESD) and thus failure of electronic components and integrated circuits (IC). However, this effect was recently used to develop a new energy-harvesting technology, direct-current triboelectric nanogenerator (DC-TENG). In this chapter, its fundamental mechanism and the working modes of the nanogenerator will be presented. They are different from the general alternating current TENG (AC-TENG) invented in 2012, which is based on triboelectrification and electrostatic induction. Taking advantage of the electrostatic discharge, it can not only promote the miniaturization trend of TENG and self-powered systems, but also provide a paradigm shifting technique to in situ gain electrical energy.",book:{id:"8856",slug:"electrostatic-discharge-from-electrical-breakdown-in-micro-gaps-to-nano-generators",title:"Electrostatic Discharge",fullTitle:"Electrostatic Discharge - From Electrical breakdown in Micro-gaps to Nano-generators"},signatures:"Jie Wang, Di Liu, Linglin Zhou and Zhong Lin Wang",authors:null},{id:"62567",title:"Plasma Damage on Low-k Dielectric Materials",slug:"plasma-damage-on-low-k-dielectric-materials",totalDownloads:1568,totalCrossrefCites:1,totalDimensionsCites:4,abstract:"Low dielectric constant (low-k) materials as an interconnecting insulator in integrated circuits are essential for resistance-capacitance (RC) time delay reduction. Plasma technology is widely used for the fabrication of the interconnects, such as dielectric etching, resisting ashing or stripping, barrier metal deposition, and surface treatment. During these processes, low-k dielectric materials may be exposed to the plasma environments. The generated reactive species from the plasma react with the low-k dielectric materials. The reaction involves physical and chemical effects, causing degradations for low-k dielectric materials. This is called “plasma damage” on low-k dielectric materials. Therefore, this chapter is an attempt to provide an overview of plasma damage on the low-k dielectric materials.",book:{id:"6735",slug:"plasma-science-and-technology-basic-fundamentals-and-modern-applications",title:"Plasma Science and Technology",fullTitle:"Plasma Science and Technology - Basic Fundamentals and Modern Applications"},signatures:"Yi-Lung Cheng, Chih-Yen Lee and Chiao-Wei Haung",authors:[{id:"59549",title:"Prof.",name:"Yi-Lung",middleName:null,surname:"Cheng",slug:"yi-lung-cheng",fullName:"Yi-Lung Cheng"}]}],onlineFirstChaptersFilter:{topicId:"229",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:87,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:98,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:27,numberOfPublishedChapters:287,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:9,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:139,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:0,numberOfUpcomingTopics:2,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!1},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:10,numberOfPublishedChapters:103,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:0,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!1},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:10,numberOfOpenTopics:4,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}}]},series:{item:{id:"10",title:"Physiology",doi:"10.5772/intechopen.72796",issn:"2631-8261",scope:"Modern physiology requires a comprehensive understanding of the integration of tissues and organs throughout the mammalian body, including the cooperation between structure and function at the cellular and molecular levels governed by gene and protein expression. While a daunting task, learning is facilitated by identifying common and effective signaling pathways mediated by a variety of factors employed by nature to preserve and sustain homeostatic life. \r\nAs a leading example, the cellular interaction between intracellular concentration of Ca+2 increases, and changes in plasma membrane potential is integral for coordinating blood flow, governing the exocytosis of neurotransmitters, and modulating gene expression and cell effector secretory functions. Furthermore, in this manner, understanding the systemic interaction between the cardiovascular and nervous systems has become more important than ever as human populations' life prolongation, aging and mechanisms of cellular oxidative signaling are utilised for sustaining life. \r\nAltogether, physiological research enables our identification of distinct and precise points of transition from health to the development of multimorbidity throughout the inevitable aging disorders (e.g., diabetes, hypertension, chronic kidney disease, heart failure, peptic ulcer, inflammatory bowel disease, age-related macular degeneration, cancer). With consideration of all organ systems (e.g., brain, heart, lung, gut, skeletal and smooth muscle, liver, pancreas, kidney, eye) and the interactions thereof, this Physiology Series will address the goals of resolving (1) Aging physiology and chronic disease progression (2) Examination of key cellular pathways as they relate to calcium, oxidative stress, and electrical signaling, and (3) how changes in plasma membrane produced by lipid peroxidation products can affect aging physiology, covering new research in the area of cell, human, plant and animal physiology.",coverUrl:"https://cdn.intechopen.com/series/covers/10.jpg",latestPublicationDate:"May 14th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:11,editor:{id:"35854",title:"Prof.",name:"Tomasz",middleName:null,surname:"Brzozowski",slug:"tomasz-brzozowski",fullName:"Tomasz Brzozowski",profilePictureURL:"https://mts.intechopen.com/storage/users/35854/images/system/35854.jpg",biography:"Prof. Dr. Thomas Brzozowski works as a professor of Human Physiology and is currently Chairman at the Department of Physiology and is V-Dean of the Medical Faculty at Jagiellonian University Medical College, Cracow, Poland. His primary area of interest is physiology and pathophysiology of the gastrointestinal (GI) tract, with the major focus on the mechanism of GI mucosal defense, protection, and ulcer healing. He was a postdoctoral NIH fellow at the University of California and the Gastroenterology VA Medical Center, Irvine, Long Beach, CA, USA, and at the Gastroenterology Clinics Erlangen-Nuremberg and Munster in Germany. He has published 290 original articles in some of the most prestigious scientific journals and seven book chapters on the pathophysiology of the GI tract, gastroprotection, ulcer healing, drug therapy of peptic ulcers, hormonal regulation of the gut, and inflammatory bowel disease.",institutionString:null,institution:{name:"Jagiellonian University",institutionURL:null,country:{name:"Poland"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"10",title:"Animal Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/10.jpg",isOpenForSubmission:!0,editor:{id:"202192",title:"Dr.",name:"Catrin",middleName:null,surname:"Rutland",slug:"catrin-rutland",fullName:"Catrin Rutland",profilePictureURL:"https://mts.intechopen.com/storage/users/202192/images/system/202192.png",biography:"Catrin Rutland is an Associate Professor of Anatomy and Developmental Genetics at the University of Nottingham, UK. She obtained a BSc from the University of Derby, England, a master’s degree from Technische Universität München, Germany, and a Ph.D. from the University of Nottingham. She undertook a post-doctoral research fellowship in the School of Medicine before accepting tenure in Veterinary Medicine and Science. Dr. Rutland also obtained an MMedSci (Medical Education) and a Postgraduate Certificate in Higher Education (PGCHE). She is the author of more than sixty peer-reviewed journal articles, twelve books/book chapters, and more than 100 research abstracts in cardiovascular biology and oncology. She is a board member of the European Association of Veterinary Anatomists, Fellow of the Anatomical Society, and Senior Fellow of the Higher Education Academy. Dr. Rutland has also written popular science books for the public. https://orcid.org/0000-0002-2009-4898. www.nottingham.ac.uk/vet/people/catrin.rutland",institutionString:null,institution:{name:"University of Nottingham",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null},{id:"11",title:"Cell Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/11.jpg",isOpenForSubmission:!0,editor:{id:"133493",title:"Prof.",name:"Angel",middleName:null,surname:"Catala",slug:"angel-catala",fullName:"Angel Catala",profilePictureURL:"https://mts.intechopen.com/storage/users/133493/images/3091_n.jpg",biography:"Prof. Dr. Angel Catalá \r\nShort Biography Angel Catalá was born in Rodeo (San Juan, Argentina). He studied \r\nchemistry at the Universidad Nacional de La Plata, Argentina, where received aPh.D. degree in chemistry (Biological Branch) in 1965. From\r\n1964 to 1974, he worked as Assistant in Biochemistry at the School of MedicineUniversidad Nacional de La Plata, Argentina. From 1974 to 1976, he was a Fellowof the National Institutes of Health (NIH) at the University of Connecticut, Health Center, USA. From 1985 to 2004, he served as a Full Professor oBiochemistry at the Universidad Nacional de La Plata, Argentina. He is Member ofthe National Research Council (CONICET), Argentina, and Argentine Society foBiochemistry and Molecular Biology (SAIB). His laboratory has been interested for manyears in the lipid peroxidation of biological membranes from various tissues and different species. Professor Catalá has directed twelve doctoral theses, publishedover 100 papers in peer reviewed journals, several chapters in books andtwelve edited books. Angel Catalá received awards at the 40th InternationaConference Biochemistry of Lipids 1999: Dijon (France). W inner of the Bimbo PanAmerican Nutrition, Food Science and Technology Award 2006 and 2012, South AmericaHuman Nutrition, Professional Category. 2006 award in pharmacology, Bernardo\r\nHoussay, in recognition of his meritorious works of research. Angel Catalá belongto the Editorial Board of Journal of lipids, International Review of Biophysical ChemistryFrontiers in Membrane Physiology and Biophysics, World Journal oExperimental Medicine and Biochemistry Research International, W orld Journal oBiological Chemistry, Oxidative Medicine and Cellular Longevity, Diabetes and thePancreas, International Journal of Chronic Diseases & Therapy, International Journal oNutrition, Co-Editor of The Open Biology Journal.",institutionString:null,institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}},editorTwo:null,editorThree:null},{id:"12",title:"Human Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/12.jpg",isOpenForSubmission:!0,editor:{id:"195829",title:"Prof.",name:"Kunihiro",middleName:null,surname:"Sakuma",slug:"kunihiro-sakuma",fullName:"Kunihiro Sakuma",profilePictureURL:"https://mts.intechopen.com/storage/users/195829/images/system/195829.jpg",biography:"Professor Kunihiro Sakuma, Ph.D., currently works in the Institute for Liberal Arts at the Tokyo Institute of Technology. He is a physiologist working in the field of skeletal muscle. He was awarded his sports science diploma in 1995 by the University of Tsukuba and began his scientific work at the Department of Physiology, Aichi Human Service Center, focusing on the molecular mechanism of congenital muscular dystrophy and normal muscle regeneration. His interest later turned to the molecular mechanism and attenuating strategy of sarcopenia (age-related muscle atrophy). His opinion is to attenuate sarcopenia by improving autophagic defects using nutrient- and pharmaceutical-based treatments.",institutionString:null,institution:{name:"Tokyo Institute of Technology",institutionURL:null,country:{name:"Japan"}}},editorTwo:null,editorThree:{id:"331519",title:"Dr.",name:"Kotomi",middleName:null,surname:"Sakai",slug:"kotomi-sakai",fullName:"Kotomi Sakai",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000031QtFXQA0/Profile_Picture_1637053227318",biography:"Senior researcher Kotomi Sakai, Ph.D., MPH, works at the Research Organization of Science and Technology in Ritsumeikan University. She is a researcher in the geriatric rehabilitation and public health field. She received Ph.D. from Nihon University and MPH from St.Luke’s International University. Her main research interest is sarcopenia in older adults, especially its association with nutritional status. Additionally, to understand how to maintain and improve physical function in older adults, to conduct studies about the mechanism of sarcopenia and determine when possible interventions are needed.",institutionString:null,institution:{name:"Ritsumeikan University",institutionURL:null,country:{name:"Japan"}}}},{id:"13",title:"Plant Physiology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/13.jpg",isOpenForSubmission:!0,editor:{id:"332229",title:"Prof.",name:"Jen-Tsung",middleName:null,surname:"Chen",slug:"jen-tsung-chen",fullName:"Jen-Tsung Chen",profilePictureURL:"https://mts.intechopen.com/storage/users/332229/images/system/332229.png",biography:"Dr. Jen-Tsung Chen is currently a professor at the National University of Kaohsiung, Taiwan. He teaches cell biology, genomics, proteomics, medicinal plant biotechnology, and plant tissue culture. Dr. Chen\\'s research interests include bioactive compounds, chromatography techniques, in vitro culture, medicinal plants, phytochemicals, and plant biotechnology. He has published more than ninety scientific papers and serves as an editorial board member for Plant Methods, Biomolecules, and International Journal of Molecular Sciences.",institutionString:"National University of Kaohsiung",institution:{name:"National University of Kaohsiung",institutionURL:null,country:{name:"Taiwan"}}},editorTwo:null,editorThree:null}]},overviewPageOFChapters:{paginationCount:43,paginationItems:[{id:"81796",title:"Apoptosis-Related Diseases and Peroxisomes",doi:"10.5772/intechopen.105052",signatures:"Meimei Wang, Yakun Liu, Ni Chen, Juan Wang and Ye Zhao",slug:"apoptosis-related-diseases-and-peroxisomes",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"The Metabolic Role of Peroxisome in Health and Disease",coverURL:"https://cdn.intechopen.com/books/images_new/10837.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81723",title:"Peroxisomal Modulation as Therapeutic Alternative for Tackling Multiple Cancers",doi:"10.5772/intechopen.104873",signatures:"Shazia Usmani, Shadma Wahab, Abdul Hafeez, Shabana Khatoon and Syed Misbahul Hasan",slug:"peroxisomal-modulation-as-therapeutic-alternative-for-tackling-multiple-cancers",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"The Metabolic Role of Peroxisome in Health and Disease",coverURL:"https://cdn.intechopen.com/books/images_new/10837.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81638",title:"Aging and Neuropsychiatric Disease: A General Overview of Prevalence and Trends",doi:"10.5772/intechopen.103102",signatures:"Jelena Milić",slug:"aging-and-neuropsychiatric-disease-a-general-overview-of-prevalence-and-trends",totalDownloads:14,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Senescence",coverURL:"https://cdn.intechopen.com/books/images_new/10935.jpg",subseries:{id:"11",title:"Cell Physiology"}}},{id:"81566",title:"New and Emerging Technologies for Integrative Ambulatory Autonomic Assessment and Intervention as a Catalyst in the Synergy of Remote Geocoded Biosensing, Algorithmic Networked Cloud Computing, Deep Learning, and Regenerative/Biomic Medicine: Further Real",doi:"10.5772/intechopen.104092",signatures:"Robert L. Drury",slug:"new-and-emerging-technologies-for-integrative-ambulatory-autonomic-assessment-and-intervention-as-a-",totalDownloads:9,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Autonomic Nervous System - Special Interest Topics",coverURL:"https://cdn.intechopen.com/books/images_new/10835.jpg",subseries:{id:"12",title:"Human Physiology"}}}]},overviewPagePublishedBooks:{paginationCount:11,paginationItems:[{type:"book",id:"7264",title:"Calcium and Signal Transduction",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/7264.jpg",slug:"calcium-and-signal-transduction",publishedDate:"October 24th 2018",editedByType:"Edited by",bookSignature:"John N. Buchholz and Erik J. Behringer",hash:"e373a3d1123dbd45fddf75d90e3e7c38",volumeInSeries:1,fullTitle:"Calcium and Signal Transduction",editors:[{id:"89438",title:"Dr.",name:"John N.",middleName:null,surname:"Buchholz",slug:"john-n.-buchholz",fullName:"John N. Buchholz",profilePictureURL:"https://mts.intechopen.com/storage/users/89438/images/6463_n.jpg",biography:"Full Professor and Vice Chair, Division of Pharmacology, Loma Linda University, School of Medicine. He received his B.S. Degree in Biology at La Sierra University, Riverside California (1980) and a PhD in Pharmacology from Loma Linda University School of Medicine (1988). Post-Doctoral Fellow at University of California, Irvine, College of Medicine 1989-1992 with a focus on autonomic nerve function in blood vessels and the impact of aging on the function of these nerves and overall blood vessel function. Twenty years of research funding and served on NIH R01 review panels, Editor-In-Chief of Edorium Journal of Aging Research. Serves as a peer reviewer for biomedical journals. Military Reserve Officer serving with the 100 Support Command, 100 Troop Command, 40 Infantry Division, CA National Guard.",institutionString:null,institution:{name:"Loma Linda University",institutionURL:null,country:{name:"United States of America"}}}]},{type:"book",id:"6925",title:"Endoplasmic Reticulum",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6925.jpg",slug:"endoplasmic-reticulum",publishedDate:"April 17th 2019",editedByType:"Edited by",bookSignature:"Angel Català",hash:"a9e90d2dbdbc46128dfe7dac9f87c6b4",volumeInSeries:2,fullTitle:"Endoplasmic Reticulum",editors:[{id:"196544",title:"Prof.",name:"Angel",middleName:null,surname:"Catala",slug:"angel-catala",fullName:"Angel Catala",profilePictureURL:"https://mts.intechopen.com/storage/users/196544/images/system/196544.jpg",biography:"Angel Catalá studied chemistry at Universidad Nacional de La Plata, Argentina, where he received a Ph.D. in Chemistry (Biological Branch) in 1965. From 1964 to 1974, he worked as an Assistant in Biochemistry at the School of Medicine at the same university. From 1974 to 1976, he was a fellow of the National Institutes of Health (NIH) at the University of Connecticut, Health Center, USA. From 1985 to 2004, he served as a Full Professor of Biochemistry at the Universidad Nacional de La Plata. He is a member of the National Research Council (CONICET), Argentina, and the Argentine Society for Biochemistry and Molecular Biology (SAIB). His laboratory has been interested for many years in the lipid peroxidation of biological membranes from various tissues and different species. Dr. Catalá has directed twelve doctoral theses, published more than 100 papers in peer-reviewed journals, several chapters in books, and edited twelve books. He received awards at the 40th International Conference Biochemistry of Lipids 1999 in Dijon, France. He is the winner of the Bimbo Pan-American Nutrition, Food Science and Technology Award 2006 and 2012, South America, Human Nutrition, Professional Category. In 2006, he won the Bernardo Houssay award in pharmacology, in recognition of his meritorious works of research. Dr. Catalá belongs to the editorial board of several journals including Journal of Lipids; International Review of Biophysical Chemistry; Frontiers in Membrane Physiology and Biophysics; World Journal of Experimental Medicine and Biochemistry Research International; World Journal of Biological Chemistry, Diabetes, and the Pancreas; International Journal of Chronic Diseases & Therapy; and International Journal of Nutrition. He is the co-editor of The Open Biology Journal and associate editor for Oxidative Medicine and Cellular Longevity.",institutionString:"Universidad Nacional de La Plata",institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}}]},{type:"book",id:"6924",title:"Adenosine Triphosphate in Health and Disease",subtitle:null,coverURL:"https://cdn.intechopen.com/books/images_new/6924.jpg",slug:"adenosine-triphosphate-in-health-and-disease",publishedDate:"April 24th 2019",editedByType:"Edited by",bookSignature:"Gyula Mozsik",hash:"04106c232a3c68fec07ba7cf00d2522d",volumeInSeries:3,fullTitle:"Adenosine Triphosphate in Health and Disease",editors:[{id:"58390",title:"Dr.",name:"Gyula",middleName:null,surname:"Mozsik",slug:"gyula-mozsik",fullName:"Gyula Mozsik",profilePictureURL:"https://mts.intechopen.com/storage/users/58390/images/system/58390.png",biography:"Gyula Mózsik MD, Ph.D., ScD (med), is an emeritus professor of Medicine at the First Department of Medicine, Univesity of Pécs, Hungary. 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