Barely three months into the new year and we are happy to announce a monumental milestone reached - 150 million downloads.
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This achievement solidifies IntechOpen’s place as a pioneer in Open Access publishing and the home to some of the most relevant scientific research available through Open Access.
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We are so proud to have worked with so many bright minds throughout the years who have helped us spread knowledge through the power of Open Access and we look forward to continuing to support some of the greatest thinkers of our day.
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Thank you for making IntechOpen your place of learning, sharing, and discovery, and here’s to 150 million more!
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\n'}],latestNews:[{slug:"intechopen-supports-asapbio-s-new-initiative-publish-your-reviews-20220729",title:"IntechOpen Supports ASAPbio’s New Initiative Publish Your Reviews"},{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"}]},book:{item:{type:"book",id:"9537",leadTitle:null,fullTitle:"Human Rights in the Contemporary World",title:"Human Rights in the Contemporary World",subtitle:null,reviewType:"peer-reviewed",abstract:"This book is a collection of narratives and research that explores our understanding of human rights in the contemporary world. The chapters highlight the narrative and experiences of researchers and academics who seek to ensure that human rights are implemented in policies and practices in their communities, their countries, and the global world. The book presents contemporary themes of the United Nations Human Rights in terms of current policies and practices, legislative reform, property rights, liberty, security, and freedom of expression. It also provides a comprehensive understanding of the importance of human rights across a number of fields of study that are very relevant in our contemporary world today.",isbn:"978-1-83968-874-4",printIsbn:"978-1-83968-873-7",pdfIsbn:"978-1-83968-875-1",doi:"10.5772/intechopen.87332",price:119,priceEur:129,priceUsd:155,slug:"human-rights-in-the-contemporary-world",numberOfPages:158,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"54f05b93812fd434f3962956d6413a6b",bookSignature:"Trudy Corrigan",publishedDate:"June 8th 2022",coverURL:"https://cdn.intechopen.com/books/images_new/9537.jpg",numberOfDownloads:2320,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:1,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:1,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"September 18th 2020",dateEndSecondStepPublish:"October 16th 2020",dateEndThirdStepPublish:"December 15th 2020",dateEndFourthStepPublish:"March 5th 2021",dateEndFifthStepPublish:"May 4th 2021",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"197557",title:"Dr.",name:"Trudy",middleName:null,surname:"Corrigan",slug:"trudy-corrigan",fullName:"Trudy Corrigan",profilePictureURL:"https://mts.intechopen.com/storage/users/197557/images/system/197557.jpg",biography:"Dr. Trudy Corrigan is an assistant professor at Dublin City University (DCU), Ireland. She is a staff member in the School of Policy and Practice at DCU and a research fellow at the Dublin City University Anti-Bullying Centre. Her research interests include adult education, lifelong learning, and intergenerational learning. She was recently a recipient of the New Foundations Irish Research Award in partnership with the Age & Opportunity organization, whose research evaluates ageism and bullying in the workplace. The organization’s aim is to provide a solution-oriented approach to addressing ageism through policies and practices relevant to employers and employees. Dr. Corrigan is passionate about human rights across a variety of disciplines, including education, health, sociology, culture, and the arts. She is interested in providing multi-disciplinary spaces through both the printed word and online media to disseminate the work of those who want to ensure that human rights are adhered to and upheld. This is to enable the narrative, research, and voice of academics and practitioners interested in promoting human rights to be heard and shared in a contemporary world.",institutionString:"Dublin City University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Dublin City University",institutionURL:null,country:{name:"Ireland"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"277",title:"Social Policy",slug:"social-policy"}],chapters:[{id:"80829",title:"The Realisation of Human Rights Issues of Older People in Contemporary Ireland to Ensure Equal Life Opportunities",doi:"10.5772/intechopen.103672",slug:"the-realisation-of-human-rights-issues-of-older-people-in-contemporary-ireland-to-ensure-equal-life-",totalDownloads:32,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Across the world, there is a growing ageing population. The number of older people living longer is unprecedented in our contemporary world. The longevity dividend has now ensured that people are living for a longer time than ever before. It is anticipated that by 2050, the world’s population of people aged over 60 years of age will double from 1 billion to 2.1 billion. The number of people aged 80 years and over is expected to triple between 2020 and 2050 to reach 426 million. The population of older people aged 65 plus years of age and older in Ireland was estimated at approximately 696,300 in 2019 and it is estimated to double to 1.56 million by 2051. This is an increase from 11.0% of the population in 2009 to 14.1% in 2018. In recent years, issues for older people, such as the ability to continue to live in their community, to have ease of access to health care, to have access to workplace training, and to ensure equal life chances, are issues of importance for people as they age. This is increasingly perceived within the framework of human rights as guided by the Universal Declaration of Human Rights (UDHR).",signatures:"Trudy Corrigan",downloadPdfUrl:"/chapter/pdf-download/80829",previewPdfUrl:"/chapter/pdf-preview/80829",authors:[{id:"197557",title:"Dr.",name:"Trudy",surname:"Corrigan",slug:"trudy-corrigan",fullName:"Trudy Corrigan"}],corrections:null},{id:"75454",title:"Protest March Restrictions in Cameroon",doi:"10.5772/intechopen.96024",slug:"protest-march-restrictions-in-cameroon",totalDownloads:319,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Southern Cameroonians stage protest marches because of their low or negative social status identity comparative to their French-speaking compatriot. This produces a negative perception of themselves: that of a marginalized people which is a negative or a low social identity. Accordingly, they try to change this situation by mobilizing their members for a protest march as it was on the 22nd September and 1st October, 2017 and their clamor for absolute independence is much clearer today than before. They have therefore constructed a collective identity with a common goal and an emotional bond of organizing protest marches, lockdowns and executing the weekly ghost towns among other. The shared goal of the Anglophone is different from that of the Francophone while one is protesting against the form of state and the protection of their English culture, the other is protesting against a change of government or better governance. In each protest, law enforcement officers brutalized, injured, harassed, seized and destroyed their phones, barred some from joining the demonstrations and dispersed them ruthlessly by violently repressing them, using teargas as well as shooting live bullets on the crowds. While southern Cameroonians share a collective identity and massively organize protest marches, their French-speaking compatriots have conflicting interests and low protest march participation.",signatures:"Nanche Billa Robert",downloadPdfUrl:"/chapter/pdf-download/75454",previewPdfUrl:"/chapter/pdf-preview/75454",authors:[{id:"285893",title:"Dr.",name:"Nanche Billa",surname:"Robert",slug:"nanche-billa-robert",fullName:"Nanche Billa Robert"}],corrections:null},{id:"75645",title:"Exploring the Tension between the Rights of the Child and Parental Rights: Voices from Ghana",doi:"10.5772/intechopen.96736",slug:"exploring-the-tension-between-the-rights-of-the-child-and-parental-rights-voices-from-ghana",totalDownloads:144,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The principle of “best interests of the child” is firmly established in legal jurisprudence and has taken a firm hold on several domestic and global instruments. Generally, the courts rely on this principle in many cases of child custody, child work, child labour, and compulsory education. The norm of best interests of the child seems to be placed at the core of international law in relation to children’s rights by Article 3(1) of the United Nations Convention on the Rights of the Child (UNCRC). Nevertheless, there is no one universal “best interests of the child” norm owing to cultural variations. In Ghana, this raises issues of conflicts between expectations in the rights and duties of the parent and the right of the child as expressed in the United Nations Convention on the Rights of the Child (UNCRC) and offers a genuine opportunity for reform. The United Nations Convention on the Rights of the Child (UNCRC) adopted the rights of the child that can be classified into three groups: protection rights, provision rights, and participation rights. It appears the best interests of the child is at the centre of international children’s rights law which is articulated through Article 3(1) of the UNCRC. Presently, the advocacy of a child’s right to welfare grounded on human dignity has generated the present discussion on the rights of the child. Article 18 of the UNCRC provides that parents have a shared and core responsibility for the nurturing of their children and that in undertaking their child upbringing responsibilities, appropriate support shall be offered to parents and legal guardians by State Parties. Usually, the variation between children’s rights and parental rights, nonetheless, is not acknowledged by the UNCRC. Furthermore, the UNCRC views children to be competent individuals who should be an essential component of decision-making on issues affecting them. The parent/child contrast demonstrates that there is the need for cooperation that protects the rights of the child, the parent and defines the role of the state. There is the need to explore the best legal and judicial processes for realising this cooperation.",signatures:"Obed Adonteng-Kissi",downloadPdfUrl:"/chapter/pdf-download/75645",previewPdfUrl:"/chapter/pdf-preview/75645",authors:[{id:"335002",title:"Dr.",name:"Obed",surname:"Adonteng-Kissi",slug:"obed-adonteng-kissi",fullName:"Obed Adonteng-Kissi"}],corrections:null},{id:"74995",title:"Death Penalty: A Human Rights Issue for South Africa",doi:"10.5772/intechopen.96014",slug:"death-penalty-a-human-rights-issue-for-south-africa",totalDownloads:650,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"In South Africa, the death penalty has been repealed just after the arrival of democracy in 1994. At present, due to numerous daily murders, especially farm murders, this issue is being debated once again seriously – by ordinary citizens, politicians, theologians, and others. In the media, in particular, it gets a lot of attention and in view of the extent of violent crime in our country, the reinstatement of the death penalty is again supported by many. The death penalty as such will always be contentious because it is about the reasoned termination of someone’s life – which is a radical act. Between 2009 and 2013 I did research on the death penalty in South African prisons (the first of its kind as far as we could determine), in all 9 our country’s provinces. The content of this study, gathered from 467 convicted murderers, and several other core aspects of why the reinstatement of the death penalty particularly in South Africa, should not be an option, will be discussed with reference to supporting international and authoritative research.",signatures:"Chris Jones",downloadPdfUrl:"/chapter/pdf-download/74995",previewPdfUrl:"/chapter/pdf-preview/74995",authors:[{id:"274281",title:"Dr.",name:"Chris",surname:"Jones",slug:"chris-jones",fullName:"Chris Jones"}],corrections:null},{id:"75555",title:"Queer/Disabled Existence: Human Rights of People with Disability",doi:"10.5772/intechopen.95964",slug:"queer-disabled-existence-human-rights-of-people-with-disability",totalDownloads:250,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The literature has sometimes portrayed queer/disabled people as the “Other.” People with disabilities and queer sexualities are frequently subject to ridicule and abuse. Historically, the literature has aided in the social constructionism of disability phenomena in society by depicting the disabled as someone harmful and undesirable. Furthermore, traditional representations of queer and/or disabled existence have frequently been biased and are usually about how the “able-bodied” or the so-called normal people perceive people with diverse bodies and queer sexualities. However, it has been conspicuously silent regarding the plight of people with disabilities and queer sexualities. In a departure from traditional representations of queer and/or disabled existence, Firdaus Kanga presents a first-hand account of the lived experiences of his precarious life in the Indian sociocultural context and beyond. He has to his credit a series of critically acclaimed books such as Trying to Grow (1990), Heaven on Wheels (1991), The Godmen (1995), and The Surprise Ending (1996). As a severely disabled individual suffering from a crippling disease called osteogenesis imperfecta (brittle bones disease), Trying to Grow (1990), a semiautobiographical novel, is a narrative of his lived experiences of disability and tryst with queer sexuality. While his other work, Heaven on Wheels (1991), is a discourse on queer sexuality and disability from the perspective of queer and disabled existence. Kanga critiques the ableist society’s treatment of the queer and the disabled, which is tantamount to human rights abuse.",signatures:"Deepak Basumatary",downloadPdfUrl:"/chapter/pdf-download/75555",previewPdfUrl:"/chapter/pdf-preview/75555",authors:[{id:"334255",title:"Dr.",name:"Deepak",surname:"Basumatary",slug:"deepak-basumatary",fullName:"Deepak Basumatary"}],corrections:[{id:"81457",title:"Corrigendum to: Queer/Disabled Existence: Human Rights of People with Disability",doi:null,slug:"corrigendum-to-queer-disabled-existence-human-rights-of-people-with-disability",totalDownloads:null,totalCrossrefCites:null,correctionPdfUrl:null}]},{id:"75389",title:"The Use of Criminal Law on Abortion: A Structural Barrier that Limits Women’s Rights",doi:"10.5772/intechopen.96307",slug:"the-use-of-criminal-law-on-abortion-a-structural-barrier-that-limits-women-s-rights",totalDownloads:243,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The use of criminal law to limit abortion rights still prevails in most of the legal regimes around Latin America. This particular law reveals the lower value assigned to women’s lives in modern societies and how much the state interferes in women’s freedom and reproductive autonomy. This situation has had an impact on women’s ability to access safe and timely abortion services due to the numerous barriers they face, among other things the criminalization of abortion. This paper develops the arguments that support a recent constitutional claim submitted to the Constitutional Court in Colombia by the Just Cause Movement, demonstrating that abortion crime violates several human rights including equality and freedom and compromises women’s citizenship by undermining their ability to make free decisions about their bodies and their lives.",signatures:"Ana Cristina González-Vélez and Laura Castro González",downloadPdfUrl:"/chapter/pdf-download/75389",previewPdfUrl:"/chapter/pdf-preview/75389",authors:[{id:"334316",title:"Ph.D.",name:"Ana Cristina",surname:"González-Vélez",slug:"ana-cristina-gonzalez-velez",fullName:"Ana Cristina González-Vélez"},{id:"344437",title:"Mrs.",name:"Laura",surname:"Castro González",slug:"laura-castro-gonzalez",fullName:"Laura Castro González"}],corrections:null},{id:"76181",title:"Digital Children’s Right: Human Right Perspective",doi:"10.5772/intechopen.97048",slug:"digital-children-s-right-human-right-perspective",totalDownloads:203,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"The utilisation of digital devices and technologies is an integral part of children’s daily lives. Besides the multiple opportunities associated to online environment, like education entertainment and communication, it has also been associated with various risks like grooming and cyber bullying. It is therefore important to assess the level of risk, mediation and digital literacy among children as they form the most vulnerable part of the society. We therefore in this chapter introduce a novel approach to analysing digital children’s right by viewing it from the human right perspectives, where we focus and extensively discuss on digital child rights as they relate to digital divide, technological access, gender issues, internet opportunities and risks, previous studies, policies and rights, frameworks as well as rights of children as a human right.",signatures:"Muhammad Bello Nawaila, Umar Mohammed Kani and Sezer Kanbul",downloadPdfUrl:"/chapter/pdf-download/76181",previewPdfUrl:"/chapter/pdf-preview/76181",authors:[{id:"335597",title:"Dr.",name:"Muhammad Bello",surname:"Nawaila",slug:"muhammad-bello-nawaila",fullName:"Muhammad Bello Nawaila"},{id:"344323",title:"Dr.",name:"Umar Mohammed",surname:"Kani",slug:"umar-mohammed-kani",fullName:"Umar Mohammed Kani"},{id:"344346",title:"Prof.",name:"Sezer",surname:"Kanbul",slug:"sezer-kanbul",fullName:"Sezer Kanbul"}],corrections:null},{id:"75060",title:"Human Rights and Land in Africa: Highlighting the Need for Democratic Land Governance",doi:"10.5772/intechopen.96000",slug:"human-rights-and-land-in-africa-highlighting-the-need-for-democratic-land-governance",totalDownloads:313,totalCrossrefCites:0,totalDimensionsCites:1,hasAltmetrics:1,abstract:"Human rights principles form the foundation for the move towards responsible land administration. They are embedded in such international treatises as the Sustainable Development Goals, New Urban Agenda, and Voluntary Guidelines on the Responsible Governance of Tenure, among others. These treatises provide the backdrop to the development of land policies and administration systems that seek to secure land tenure and land rights for all through adherence to human rights principles such as non-discrimination, equity and justice, gender responsiveness, transparency and accountability. Yet the human rights tradition is built on Western values and biases, and there is some contention as to the universal acceptance of this. In discussing land rights in Africa, assumptions about the universality of human rights should be weighed against such contentions if land reform programmes are to sustainably succeed. In this chapter, the arguments around human rights are presented in the context of African land reform, and a model of democratic land governance is proposed.",signatures:"Simon Hull and Jennifer Whittal",downloadPdfUrl:"/chapter/pdf-download/75060",previewPdfUrl:"/chapter/pdf-preview/75060",authors:[{id:"334463",title:"Dr.",name:"Simon",surname:"Hull",slug:"simon-hull",fullName:"Simon Hull"},{id:"339932",title:"Prof.",name:"Jennifer",surname:"Whittal",slug:"jennifer-whittal",fullName:"Jennifer Whittal"}],corrections:null},{id:"76556",title:"Equality before the Law Matters: The Legacy of American Jews and the Founding of the NAACP and the Modern Civil Rights Movement",doi:"10.5772/intechopen.97225",slug:"equality-before-the-law-matters-the-legacy-of-american-jews-and-the-founding-of-the-naacp-and-the-mo",totalDownloads:169,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"This chapter examines efforts by a small cadre of leading American Jews to bring to light human rights violations toward African Americans at the beginning of the 20th century. More specifically, this effort scrutinizes efforts by Jews who ushered in an era of human rights campaigning based on their moral principles, norms, and cultural practices. These same principles and practices manifested themselves in the co-founding of the National Association for the Advancement of Colored People in 1909. This profoundly important organization would lead concerted efforts to organize legal protest movements to bring about fairness in housing, employment, and education, regardless of race, color, or creed. This study will answer the following questions: What motivated leading American Jews to help co-found the NAACP and guide it become a leading advocate for African Americans in legal, political, and financial matters? Who were the Jewish leaders who came from various fields, including civil matters, education, law, and business to help create this nascent enterprise? What coalition-building took place between the Jews and African Americans over the last century leading to the birth of the civil rights movement in America in the 1950s and 1960s? What inroads or gains were made from the establishment of the NAACP and its development to bring about civil rights, and equality under the law in housing, education, employment, and banking to the forefront for blacks living in America? Ultimately, this research will underscore ways in which leading Jewish men and women who helped establish the NAACP were successful in integrating this organization with other civic organizations and working black leaders to make it a force in making the NAACP a force in achieving social justice and equality before the law.",signatures:"John P. Williams",downloadPdfUrl:"/chapter/pdf-download/76556",previewPdfUrl:"/chapter/pdf-preview/76556",authors:[{id:"334666",title:"Dr.",name:"John P.",surname:"Williams",slug:"john-p.-williams",fullName:"John P. 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\r\n\tAll the industrial processes (manufacturing, mechanization, handling…) are changing rapidly as the new technologies evolve. The introduction of Industry 4.0 concepts is changing the classical concept of industry to a new one, more connected, more concentrated in the collaborative work between humans and robots and focused to adopt robotic technologies in the SME.
\r\n
\r\n\tThis book is intended to cover those previous aspects and others related to the new challenges that appear in robotizing the present industry at all levels. Contributions are welcome regarding new robotic morphologies and mechanics to be adopted to new tasks that the collaboration between humans and robots is introducing. This collaboration needs also a lot research that editors expect to collect in the book as well. Control and programming robots to be more efficient and accurate in the tasks also need new research that is expected to be covered in the book. New applications and new robots used in other fields can be now applied into industrial domain. Regarding this point, unmanned aerial robots are deployed more usually for inspections, maintenance, control, surveillance tasks in the industry world. Navigation, map generation and collaboration are also new fields that need research and some papers are expected to be published on these topics in the book. The new applications and the use of new robot structures lead to a review and assessment in terms of ethics and values. Education is still a pending issue that need to be covered at a undergraduated level also, and new educational experiences in this direction are expected as well.
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He is currently a Professor with the Department of Automatic Control, UPC, giving lectures on computer vision, digital signal processing, and robotics at the School of Informatics of Barcelona. His research interests include computer vision, pattern recognition, autonomous mobile robots, factory automation, and education on sustainable development. He has chaired several international conferences. 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\n
1. Introduction
\n
The integrated circuits (ICs) operated at higher frequency are needed. For example, the transceivers operated in gigahertz (GHz) bands are the good candidate for the demand of faster data transmission [1]. CMOS technology is a promising way to implement the GHz integrated circuits with the advantages of high integration capability and low cost for mass production [2, 3]. However, the transistors in CMOS and even FinFET technologies are inherently susceptible to the electrostatic discharge (ESD) events [4, 5]. Once any transistor is damaged by ESD, it cannot be recovered, and the IC functionality will be lost. Therefore, the ESD protection design must be equipped on the chip. Nevertheless, the ESD protection devices cause the IC performance degradation. The ICs operated in GHz frequencies are very sensitive to the parasitic capacitance [6, 7]. To mitigate the performance degradation caused by ESD protection device, the low-capacitance (low-C) ESD protection designs are needed [8, 9].
\n
\n
\n
2. ESD protection requirement
\n
To adequately protect the ICs, the ESD protection circuit must shunt ESD current with limited voltage drop [10, 11, 12]. Figure 1 shows the ESD design window of an IC, which is defined by the power-supply voltage (VDD and VSS) and the breakdown voltage (VBD) of internal circuit. First, the internal circuit normally operates between VDD and VSS, and the ESD protection circuit cannot turn on in this normal circuit operation region. Second, the internal circuit causes failure beyond the positive or negative VBD, so the ESD protection circuit becomes invalid in this internal circuit failure region. Besides, it usually reserves some safety margin. Therefore, the ESD protection circuit must shunt ESD current with the voltage within ESD design window as shown in Figure 1. As ESD stresses at the I/O pad, the ESD protection circuit turns on at its trigger voltage (Vt1) and clamps to the holding voltage (Vh). The turn-on resistance (Ron) should be minimized to reduce the joule heat generated in the ESD protection circuit and enhance the current-handling ability, that is the secondary breakdown current (It2).
\n
Figure 1.
ESD design window.
\n
A typical method to enhance the current-handling ability is to widen the ESD device dimension; however, the large ESD protection device has too large parasitic capacitance to be tolerable for the high-frequency ICs. As shown in Figure 2(a), the parasitic capacitances seen at the input and output (I/O) pads cause signal loss to ground. The parasitic capacitances come from not only the ESD protection circuits but also the pads and the metal connections [13, 14]. If the parasitic capacitance increases, the signal loss dramatically increases at high frequency, as shown in Figure 2(b). To mitigate the performance degradation caused by the parasitic capacitance, the ESD protection circuit must carefully design. For example, a typical specification for the parasitic capacitance of input terminal of a gigahertz IC is 200fF [15].
\n
Figure 2.
(a) Parasitic capacitances seen at I/O pads cause signal loss to ground and (b) Simulated loss of parasitic capacitances.
\n
\n
\n
3. ESD protection strategy
\n
At an I/O pad of IC, it may be stressed by positive or negative ESD with grounded VDD or VSS. A whole-chip ESD protection design must provide the ESD current paths of all possible combinations, including the positive I/O-to-VDD (PD), positive I/O-to-VSS (PS), negative I/O-to-VDD (ND), and negative I/O-to-VSS (NS) [16]. Since the common ESD protection devices in CMOS technologies include diode, MOSFET, and silicon controlled rectifier (SCR), they are used to implement the ESD protection circuits [17]. To achieve the whole-chip ESD protection, three types of ESD protection schemes are introduced in this chapter.
\n
Type I ESD protection circuit uses one bidirectional ESD protection device between I/O pad and VSS and one bidirectional power-rail ESD clamp circuit between VDD and VSS, as shown in Figure 3(a). The bidirectional ESD protection device could be an NMOS or SCR device. Both PS and NS ESD currents can be discharged through the ESD protection device. Besides, PD and ND ESD currents can be discharged through the ESD protection device and the power-rail ESD clamp circuit.
\n
Figure 3.
ESD protection schemes: (a) type I, (b) type II, and (c) type III.
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Type II ESD protection circuit uses two unidirectional ESD protection devices from I/O pad to VDD and from VSS to I/O pad, respectively, and one bidirectional power-rail ESD clamp circuit between VDD and VSS, as shown in Figure 3(b). The unidirectional ESD protection device was a diode. Both PD and NS ESD currents can be discharged through one unidirectional ESD protection device. For the PS and ND ESD currents, they can be discharged through one ESD protection device and the power-rail ESD clamp circuit.
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Type III ESD protection circuit uses a two-branched ESD protection device and an unidirectional ESD protection device between I/O pad and VSS and one bidirectional power-rail ESD clamp circuit between VDD and VSS, as shown in Figure 3(c). The two-branched ESD protection device was usually an SCR device. The PS and PD ESD currents can be discharged through the two-branched ESD protection device, and NS and ND ESD currents can be discharged through the unidirectional ESD protection device and the power-rail ESD clamp circuit.
\n
All the ESD protection devices at I/O pad should be shrunk to lower the parasitic capacitance, while the power-rail ESD clamp circuit could be as large as possible. The large-sized power-rail ESD clamp circuit can help to reduce Ron during ESD current discharging, but it will not cause the parasitic capacitance to the I/O pad.
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4. ESD protection circuit design: Type I
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A common ESD protection circuit used in CMOS technology is the grounded-gate NMOS (GGNMOS), as shown in Figure 4(a) [18, 19]. In this ESD protection circuit, the NMOS’s gate is grounded to keep it off during normal circuit operation. The GGNMOS turns on as the positive voltage excursions above the trigger voltage (Vt1). Figure 5 shows the positive I-V curve of a GGNMOS in 0.18 μm CMOS technology, which is measured by a transmission-line-pulsing (TLP) system. The TLP system with a 10 ns rise time and a 100 ns pulse width is used to investigate the turn-on behavior and the I-V characteristics in high-current regions of the test devices [20]. The trigger voltage (Vt1), holding voltage (Vh), and secondary breakdown current (It2) of test devices in the time domain of HBM ESD event can be extracted from the TLP-measured I-V curves. This GGMOS triggers on at 5.6 V, snapbacks to 4.0 V, and discharges ESD current until 1.1A. The GGNMOS with the help of parasitic junction diode turns on as the I/O voltage excursions below the VSS voltage.
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Figure 4.
(a) ESD protection circuit with GGNMOS. Device cross-sectional view of (b) GGNMOS and (c) GGNMOS with additional N-well.
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Figure 5.
TLP-measured I-V curve of a GGNMOS (W = 120 μm) in 0.18 μm CMOS technology.
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The GGNMOS is generally drawn in the multi-finger structure with central drain to save total layout area [21]. Figure 4(b) shows the device cross-sectional view of a single-finger GGNMOS. The multi-finger structure can be realized by combining such single-finger structures with sharing drain and source regions between every two adjacent fingers. For the high-frequency applications, the parasitic capacitance of GGNMOS has to be considered. For a given drain width (Wn) and length (Ln), the total capacitance of a GGNMOS (Cn) is given by the drain-gate overlap capacitance (Coverlap), the N+/P-well bottom junction capacitance (Cj), and the N+/P-well sidewall capacitance (Cjsw), according to the following equation:
\n
\n
\n
All the parasitic capacitance (Coverlap, Cj, and Cjsw) are given by the process. Besides the drain width, the Ln strongly affects the total capacitance. For high-frequency applications, the Ln needs to be optimized by reducing the contact rows, the enclosure of contacts, and the extension of silicide [22, 23]. Also the extension of silicide on drain side increases the ESD robustness of GGNMOS, it implies a larger junction area and thus induces additional parasitic capacitance of the N+/P-well bottom junction. Therefore, a trade-off between the ESD robustness and the parasitic capacitance has to be found. A possible solution to reduce the bottom capacitance with the given Ln is to use an N-well implant below the N+ drain, as shown in Figure 4(c). Most of the bottom N+/P-well capacitance is then replaced by an N-well/P-well sidewall capacitance and N-well/P-substrate bottom capacitance.
\n
Instead of GGNMOS, gate-coupled NMOS and substrate-coupled NMOS have also been used as ESD protection circuit [24]. However, the parasitic capacitance of MOS-based ESD protection device is usually too large to be tolerable for the high-frequency circuits.
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An alternative ESD protection device used in Type I ESD protection circuit is a silicon controlled rectifier (SCR) [25]. The SCR device has been reported to be useful for ESD protection in high-frequency circuits due to its higher ESD robustness within a smaller layout area and lower parasitic capacitance [22]. Besides, the SCR device can be safely used without latchup danger in advanced CMOS technologies with low supply voltage [26]. The equivalent circuit of the SCR consists of a PNP BJT and an NPN BJT, as shown in Figure 6(a). As ESD zapping from I/O to VSS, the positive-feedback regenerative mechanism of PNP and NPN results in the SCR device highly conductive to make SCR very robust against ESD stresses. The device structure of the SCR device is illustrated in Figure 6(b). The I/O pad is connected to the first P+ and the pickup N+, which is formed in the N-well. The VSS pad is connected to the second N+ and the pickup P+, which are formed in the nearby P-well. The SCR path between I/O and VSS consists of P+, N-well, P-well, and N+. Besides, the parasitic diode path from VSS to I/O consists of P-well and N-well. The SCR with the help of P-well/N-well junction diode turns on as the I/O voltage excursions below the VSS voltage.
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Figure 6.
(a) ESD protection circuit with SCR. Device cross-sectional view of (b) STI-bounded SCR and (c) gate-bounded SCR.
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Figure 7 shows the TLP-measured positive I-V curve of an SCR in 0.18 μm CMOS technology. This SCR triggers on at 16.7 V, snapbacks to 2.1 V, and discharges ESD current until 9.5A. The main drawback of SCR device is the higher trigger voltage and thus the slower turn-on speed. Research works have demonstrated that separation of the N-well and P-well junction can play an important role. The typical SCR device uses the shallow trench isolation (STI) to separate the N-well and P-well. To reduce the trigger voltage of an SCR device, a gate-bounded SCR has been reported, as shown in Figure 6(c) [27].
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Figure 7.
TLP-measured I-V curve of an SCR (W = 120 μm) in 0.18 μm CMOS technology.
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Another alternative method to reduce the trigger voltage of an SCR device uses the substrate-triggered technique. The trigger signal can be sent into the base terminal of PNP or NPN to enhance the turn-on speed. Some circuit design techniques are reported to enhance the turn-on efficiency of SCR devices, such as the gate-coupled, substrate-triggered, diode-triggered, and gate-grounded-NMOS-triggered (GGNMOS-triggered) techniques [28, 29, 30]. Figure 8(a) shows the schematic of a GGNMOS-triggered SCR device, and Figure 8(b) shows its device cross-sectional view. The GGNMOS is connected between the second N+ in the N-well and VSS. The trigger current is drawn from the N-well (base of PNP) to VSS through the GGNMOS. Similarly, the trigger device can be connected between I/O pad and the base and NPN, but the trigger device will also add the parasitic capacitance to I/O. A diode string could also be used as the trigger device, and its parasitic capacitance is lower than the GGNMOS.
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Figure 8.
(a) ESD protection circuit with GGNMOS-triggered SCR and (b) device cross-sectional view of GGNMOS-triggered SCR.
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Recently, an inductor-assisted diode-triggered SCR (LASCR) has been presented to further reduce the parasitic capacitance [31]. As shown in Figure 9, the LASCR consists of an SCR, an inductor, and a diode string. The ESD current path from I/O to VSS consists of P+/N-well/P-well/N+ SCR. The diode string drawn the trigger current from the N-well (base of PNP) to VSS is used to enhance the turn-on efficiency of SCR. As the I/O voltage excursions below the VSS voltage, the ESD current path consists of P-well/N-well diode and inductor.
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Figure 9.
(a) ESD protection circuit with LASCR and (b) device cross-sectional view of LASCR.
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Under normal circuit operating condition, the inductor can resonate with the parasitic capacitance, and hence the signal loss can be compensated. Once the dimension of SCR has been chosen, the inductance (L) can be designed to minimize the high-frequency performance degradation by using the following equation:
\n
\n
\n
where CP+/N-well is the parasitic capacitance of P+/N-well junction, and fo is the operating frequency. For example, the dimension of SCR is selected to be 30 μm, and the CP+/N-well in a 0.18 μm CMOS process is ∼60fF around 30GHz. Therefore, the required L for 30GHz applications is 460pH.
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Figure 10(a) shows the TLP-measured I-V curves of LASCR with 3 and 5 diodes in diode string (LASCR_3D and LASCR_5D) in a 0.18 μm CMOS process. The LASCR_3D triggers on at 5.2 V, snapbacks to 2.9 V, and discharges ESD current until 2.4A, while LASCR_5D triggers on at 7.6 V, snapbacks to 2.9 V, and discharges ESD current until 2.1A. The trigger voltage can be adjusted by adding or reducing the diode numbers. The holding voltage of both LASCR devices exceed VDD (1.8 V in the given CMOS process), which is safe from latchup event.
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Figure 10.
(a) TLP-measured I-V curves and (b) loss of LASCR (W = 30 μm) with 3 and 5 trigger diodes in 0.18 μm CMOS technology.
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The signal losses of both LASCR devices are measured through the on-wafer two-port measurement. The measured loss versus frequencies of both LASCR devices is shown in Figure 10(b). The LASCR devices exhibit sufficiently low loss even if the frequency is up to 30GHz. Therefore, LASCR can be a good solution for ESD protection of high-speed applications.
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\n
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5. ESD protection circuit design: Type II
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Diode is a typical ESD protection device with unidirectional discharging path [32, 33]. A dual-diode ESD protection circuit for high-frequency applications is shown in Figure 11(a), where two ESD diodes at I/O pad are cooperated with the turn-on efficient power-rail ESD clamp circuit to discharge ESD current in the forward-biased condition [13, 34].
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Figure 11.
(a) ESD protection circuit with diodes. Device cross-sectional view of (b) STI-bounded P+/N-well diode, (c) STI-bounded N+/P-well diode, (d) gate-bounded P+/N-well diode, and (e) gate-bounded N+/P-well diode.
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In the CMOS process, the choice for ESD protection diodes includes P+/N-well, N+/P-well, and N-well/P-well diodes. The P+/N-well diode, as shown in Figure 11(b), is used between I/O pad and VDD. For the N-well/P-well diode, it may occupy larger layout area than the N+/P-well diode. Thus, the N+/P-well diode, as shown in Figure 11(c), is used between VSS and I/O pad.
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The typical diodes use the STI to separate the PN junctions. Besides the STI-bounded diodes, the gate-bounded diodes have been reported, as shown in Figure 11(d) and (e). The gate-bounded diodes were introduced by Voldman in order to improve the ESD robustness of STI bounded diodes [35].
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In order to reduce the parasitic capacitance or provide the large signal-swing tolerance, the ESD protection diodes in stacked configuration have been presented [36, 37], as shown in Figure 12(a). The device cross-sectional views of the conventional stacked diodes are shown in Figure 12(b) and (c). Two P+/N-well diodes (stacked P diodes) can apply to I/O-to-VDD, and two N+/P-well diodes (stacked N diodes) can apply to VSS-to-I/O, as shown in Figure 12(b) and (c), respectively. With the stacked diodes, the junction capacitances are connected in series, and the overall parasitic capacitance becomes smaller. However, the stacked configuration is adverse to ESD protection because the overall turn-on resistance and the clamping voltage of the stacked diodes during ESD stresses are increased as well.
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Figure 12.
ESD protection circuit with stacked diodes. (a) ESD protection circuit with stacked diodes. Device cross-sectional view of (b) stacked P+/N-well diode and (c) stacked N+/P-well diode.
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For effective ESD protection, the stacked diodes with embedded SCR (SDSCR) have been presented [38, 39]. The SCR device has been reported to be useful for ESD protection with low turn-on resistance, low parasitic effects, and high ESD robustness. The stacked diodes with embedded SCR are illustrated in Figure 13. In this design, a P+/N-well diode and an N+/P-well diode are stacked, and a P+/N-well/P-well/N+ SCR is embedded to form the ESD current path. A deep N-well structure is used to isolate the P-well region from the common P-substrate, so the SDSCR can apply to I/O-to-VDD or VSS-to-I/O. In the beginning of ESD stress, the initial current will be discharged through the stacked diodes, and then the primary current will be discharged through the embedded SCR. The stacked diodes also play the role of trigger circuit of SCR, because the current drawn from N-well and injected into P-well can also trigger the PNP and the NPN of SCR. Figure 14 shows the TLP-measured I-V curves of P+/N-well diode (DP), stacked P+/N-well diodes (SDP), and stacked diodes with embedded SCR (SDSCR) in a 0.18 μm CMOS process. We can find that turn-on resistance or the clamping voltage of single diode is much lower than that of the stacked diodes. The embedded SCR can help to slightly reduce the turn-on resistance and the clamping voltage of the stacked diodes. In fact, some layout skills can be used to further improve the turn-on efficient of the stacked diodes with embedded SCR [40].
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Figure 13.
(a) ESD protection circuit with SDSCR and (b) device cross-sectional view of SDSCR.
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Figure 14.
TLP-measured I-V curves of DP, SDP, and SDSCR (W = 20 μm) in 0.18 μm CMOS technology.
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Recently, a similar structure of the stacked diodes with embedded SCR, where a resistor uses to separate two diodes, has been reported [41]. The resistor acts as the trigger element of SCR, so the device is named resistor-triggered SCR (RTSCR). Figure 15(a) and (b) shows the schematic and the device cross-sectional view of RTSCR. The resistor can also reduce the parasitic capacitance of the ESD protection circuit. Considering the simplified SCR model by using junction capacitances, as shown in Figure 15(c), the equivalent capacitance seen at anode or cathode of RTSCR can be calculated by the following equation:
(a) ESD protection circuit with RTSCR. (b) device cross-sectional view and (c) simplified model of RTSCR.
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where YRTSCR denotes the admittance of the RTSCR, RT is the resistance, and CP+/N-Well, CP-Well/N-Well(Deep N-Well) and CP-Well/N+ denote the junction capacitances. To simplify the above equation, the junction capacitance is rewritten to CJ, and then the parasitic capacitance of the RTSCR can be expressed by the following equation:
It can be noted that the parasitic capacitance of the RTSCR can be reduced by adding the resistor. Generally, the capacitance reduction of RTSCR can be up to 30%. Therefore, the ESD protection circuit with dual RTSCRs can be used for high-frequency applications.
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\n
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6. ESD protection circuit design: Type III
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Figure 16(a) shows another SCR-based ESD protection circuit [13]. The typical SCR device in CMOS process consists of P+, N-well, P-well, and N+. Instead of connecting the N-well to I/O pad, connecting the N-well to VDD avoids the parasitic capacitance or noise coupling from P-substrate or P-well to N-well and I/O [42]. As shown in Figure 16(b), the I/O pad is connected to the first P+, which is formed in the N-well. The pickup N+ in the N-well is biased to VDD. The VSS pad is connected to the second N+ and the pickup P+, which are formed in the nearby P-well. The SCR path between I/O and VSS consists of P+, N-well, P-well, and N+. Besides, the parasitic diode path from I/O to VDD consists of P+ and N-well. In this structure, the PS and the PD ESD currents can be discharged through the SCR path and its parasitic diode path. The NS and the ND ESD currents need reverse diode and power-rail ESD clamp circuit to form their discharging paths.
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Figure 16.
(a) ESD protection circuit with SCR and diode and (b) device cross-sectional view of SCR and diode.
\n
The SCR device in this ESD protection circuit still has the drawbacks of higher trigger voltage and the slower turn-on speed. The circuit design techniques, including the gate-coupled, substrate-triggered, diode-triggered, and GGNMOS-triggered techniques can be used to enhance the turn-on efficiency of SCR device. Of course, the capacitive triggering device increases the total parasitic capacitance seen at the I/O pad, even if the triggering device is not directly connected to I/O. Recently, an SCR device with inductive triggering device has been presented [43]. That inductor-triggered SCR (LTSCR) is proposed for ESD protection of high-frequency applications to achieve low high-frequency performance degradation, low trigger voltage, and high ESD robustness. In this design, the inductor provides a current path to trigger the SCR device, and it can also compensate the parasitic capacitance of ESD protection devices.
\n
Figure 17(a) shows the ESD protection circuit with an LTSCR and a reverse diode. This design consists of an SCR device and a reverse diode as the main ESD current path, and an inductor (Ltrig), a MOS transistor (Mtrig), and an RC-based ESD detection circuit as the trigger circuit. The initial-on PMOS transistor is selected for Mtrig to quickly pass the trigger current to SCR device [44]. The positive and negative ESD current discharging paths for the I/O pad are provided by the SCR and the reverse diode. Figure 17(b) shows the device cross-sectional view of inductor-triggered SCR. Under ESD stress conditions, the inductor and PMOS are used to provide the trigger path between the I/O pad and the base of NPN of the SCR device. When the trigger current is sent into the base of NPN of the SCR device, the SCR device can be quickly triggered on to discharge the ESD current from the I/O pad to VSS. The ESD detection circuit usually uses RC timer to distinguish the ESD-stress conditions from the normal circuit operating conditions, and the PMOS transistor is well controlled to turn on or off by the ESD detection circuit. Under normal circuit operating conditions, the inductor can compensate the parasitic capacitance of SCR and diode.
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Figure 17.
ESD protection circuit with LTSCR and reverse diode. (a) ESD protection circuit with LTSCR and reverse diode and (b) device cross-sectional view of LTSCR and reverse diode.
\n
In this circuit, the dimensions of the inductor (Ltrig), PMOS transistor (Mtrig), SCR device, and reverse diode can be designed to minimize the high-frequency performance degradation. Since the capacitor used in power-rail ESD clamp circuit is large enough to keep the node between R and C at AC ground under normal circuit operating conditions, the impedance of the trigger path (Ztrig) seen at the I/O pad to ground can be calculated as:
where Ctrig is the sum of gate-to-source, gate-to-body, and drain-to-body capacitances of the PMOS. The resonance angular frequency (ωo) can be obtained by
where ωo is designed to be the operating frequency, and CESD is the parasitic capacitance contributed by the SCR and diode. The sizes of SCR and diode depend on the required ESD robustness, while the size of Mtrig transistor depends on the required trigger current. Once the sizes of Mtrig transistor, SCR, and diode have been chosen, the required inductance (Ltrig) can be determined.
\n
\n
\n
7. Conclusion
\n
A comprehensive review in the field of ESD protection design for high-frequency integrated circuits is presented in this chapter. Besides improving the ESD robustness, the parasitic effects from ESD protection devices must be minimized or canceled to optimize the high-frequency performance simultaneously. Furthermore, the ESD protection circuits and high-frequency circuits can be co-designed to achieve both good circuit performance and high ESD robustness. The on-chip ESD protection designs for high-frequency circuits will be continuously an important design task in CMOS technology.
\n
\n\n',keywords:"CMOS, ESD protection, high frequency, high speed, low capacitance",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/66524.pdf",chapterXML:"https://mts.intechopen.com/source/xml/66524.xml",downloadPdfUrl:"/chapter/pdf-download/66524",previewPdfUrl:"/chapter/pdf-preview/66524",totalDownloads:1668,totalViews:0,totalCrossrefCites:1,totalDimensionsCites:0,totalAltmetricsMentions:0,introChapter:null,impactScore:0,impactScorePercentile:40,impactScoreQuartile:2,hasAltmetrics:0,dateSubmitted:"January 3rd 2019",dateReviewed:"March 4th 2019",datePrePublished:"April 9th 2019",datePublished:"October 2nd 2019",dateFinished:"April 2nd 2019",readingETA:"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.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/66524",risUrl:"/chapter/ris/66524",book:{id:"8856",slug:"electrostatic-discharge-from-electrical-breakdown-in-micro-gaps-to-nano-generators"},signatures:"Chun-Yu Lin",authors:null,sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. ESD protection requirement",level:"1"},{id:"sec_3",title:"3. ESD protection strategy",level:"1"},{id:"sec_4",title:"4. ESD protection circuit design: Type I",level:"1"},{id:"sec_5",title:"5. ESD protection circuit design: Type II",level:"1"},{id:"sec_6",title:"6. ESD protection circuit design: Type III",level:"1"},{id:"sec_7",title:"7. Conclusion",level:"1"}],chapterReferences:[{id:"B1",body:'Rangan S, Rappaport T, Erkip E. Millimeter-wave cellular wireless networks: Potentials and challenges. Proceedings of the IEEE. 2014;102:366-385\n'},{id:"B2",body:'Fritsche D, Tretter G, Carta C, Ellinger F. Millimeter-wave low-noise amplifier design in 28-nm low-power digital CMOS. IEEE Transactions on Microwave Theory and Techniques. 2015;63:1910-1922\n'},{id:"B3",body:'Abidi A. CMOS microwave and millimeter-wave ICs: The historical background. 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GGSCRs: GGNMOS triggered silicon controlled rectifiers for ESD protection in deep sub-micron CMOS processes. In: Proceedings of the Electrical Overstress/Electrostatic Discharge Symposium (EOS/ESD). 2001; Portland\n'},{id:"B31",body:'Lin C, Chang R. Design of ESD protection device for K/Ka-band applications in nanoscale CMOS process. IEEE Transactions on Electron Devices. 2015;62:2824-2829\n'},{id:"B32",body:'Bhatia K, Jack N, Rosenbaum E. Layout optimization of ESD protection diodes for high-frequency I/Os. IEEE Transactions on Device and Materials Reliability. 2009;9:465-475\n'},{id:"B33",body:'Chen S, Linten D, Lee J, Scholz M, Hellings G, Sibaja-Hernandez A, Boschke R, Song M, See Y, Groeseneken G, Thean A. Proceedings of the IEEE International Electron Devices Meeting (IEDM); 2014\n'},{id:"B34",body:'Yeh C, Ker M, Liang Y. Optimization on layout style of ESD protection diode for radio-frequency front-end and high-speed I/O interface circuits. IEEE Transactions on Device and Materials Reliability. 2010;10:238-246\n'},{id:"B35",body:'Voldmm S, Schulz R, Howard J, Gross V, Wu S, Yapsir A, et al. CMOS-on-SOI ESD protection networks. In: Proceedings of the Electrical Overstress/Electrostatic Discharge Symposium (EOS/ESD). 1996\n'},{id:"B36",body:'Ruberto M, Degani O, Wail S, Tendler A, Fridman A, Goltman G. A reliability-aware RF power amplifier design for CMOS radio chip integration. In: Proceedings of the IEEE International Reliability Physics Symposium (IRPS); 2008\n'},{id:"B37",body:'Son M, Park C. Electrostatic discharge protection devices with series connection using distributed cell-based diodes. Electronics Letters. 2014;50:168-170\n'},{id:"B38",body:'Lin C, Fan M, Ker M, Chu L, Tseng J, Song M. Improving ESD robustness of stacked diodes with embedded SCR for RF applications in 65-nm CMOS. In: Proceedings of the IEEE International Reliability Physics Symposium (IRPS); 2014\n'},{id:"B39",body:'Lin C, Fu W. Diode string with reduced clamping voltage for efficient on-chip ESD protection. IEEE Transactions on Device and Materials Reliability. 2016;16:688-690\n'},{id:"B40",body:'Lin C, Fan M. Optimization on layout style of diode stackup for on-chip ESD protection. IEEE Transactions on Device and Materials Reliability. 2014;14:775-777\n'},{id:"B41",body:'Lin C, Chen C. Resistor-triggered SCR device for ESD protection in high-speed I/O interface circuits. IEEE Electron Device Letters. 2017;38:712-715\n'},{id:"B42",body:'Afzali-Kusha A, Nagata M, Verghese N, Allstot D. Substrate noise coupling in SoC design: Modeling, avoidance, and validation. Proceedings of the IEEE. 2006;94:2109-2138\n'},{id:"B43",body:'Lin C, Chu L, Ker M. ESD protection design for 60-GHz LNA with inductor-triggered SCR in 65-nm CMOS process. IEEE Transactions on Microwave Theory and Techniques. 2012;60:714-723\n'},{id:"B44",body:'Ker M, Chen S. Implementation of initial-on ESD protection concept with PMOS-triggered SCR devices in deep-submicron CMOS technology. IEEE Journal of Solid-State Circuits. 2007;42:1158-1168\n'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Chun-Yu Lin",address:"cy.lin@ieee.org",affiliation:'
Department of Electrical Engineering, National Taiwan Normal University, Taipei, Taiwan
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1. Introduction
Streptococcal skin and skin-structure infection (SSTI) is associated with significant morbidity all over the world and the impact is felt predominantly in resource-poor areas with inadequate personal hygiene and over-crowded living conditions. While exact numbers are difficult to estimate on account of the lack of systematic reporting, a literature search conducted by Sims and colleagues [1] reported an estimated prevalence of 18 million cases, with an incidence rate of around 1.78 million cases per year of invasive S. pyogenes (S. pyogenes) infection in 2005, and more than 140 million cases of impetigo globally each year as reported in the 2010 Global Burden of Disease study. Rising numbers of cases of infectious diseases of the skin is also seen in Western nations, probably driven by drug abuse and homelessness [2, 3]. Increased cases result in increased costs from emergency room visits and hospital care, hence outpatient parenteral antibiotic therapy (OPAT) has proven to be a valuable alternative to hospitalization [4], and when patients are chosen appropriately, OPAT results in very significant cost-savings without compromising outcomes [5]. Advances in pharmaceutical research has contributed to development of longer acting antibiotics that can be dosed once a day and in some cases once a week. There is ongoing research to determine the optimum duration of antibiotic therapy for these conditions.
Skin infections have been variously classified based on different criteria like depth of infection or the bacterial agents causing the infections or as primary infection in contrast to infection of pre-existing wounds or skin conditions. A very practical classification of patients hospitalized with skin infections (cellulitis versus abscess versus skin infections with additional complicating factors) has been described by Jenkins et al. [6]. The authors found in their study that cutaneous abscesses were primarily caused by Staphylococcus aureus and less often by the Streptococcus spp, in contrast with cellulitis which was caused primarily by β-hemolytic streptococci and less commonly by Staphylococcus spp. This differentiation is especially helpful when choosing the appropriate narrow spectrum antibiotic therapy for individual patients with these diagnoses. In contrast, “skin infections with additional complications” require more broad antibiotic coverage on account of mixed bacterial infection or infection with unusual organisms.
The clinical features of common streptococcal SSTIs and the antibiotics used in the management of these conditions will be further elaborated in this chapter.
2. Streptococcal pyoderma
Superficial skin infection has been described as impetigo or pyoderma. This is in contrast to more invasive diseases cellulitis and erysipelas. Impetigo (and the less precise term pyoderma) refers to superficial infection that begins in the form of a papule that progresses to a vesicle and pustule, ultimately forming crusted lesions (Figure 1). They resolve with hyper or hypopigmentation. These infections are caused either by Staphylococcus or Streptococcus, and one cannot clinically differentiate between the two causative organisms. They occur as a complication of underlying skin diseases like scabies [1] or contact dermatitis. The streptococci associated with these infections are most often group A (S. pyogenes). However other serotypes can also be isolated on cultures from these infections. Although considered benign, these infections could progress to more locally invasive cutaneous diseases (see below) and are associated with post-streptococcal complications like glomerulonephritis and acute rheumatic fever in resource limited populations (as reviewed in other chapters of this textbook).
Figure 1.
Impetigo secondary to infected contact dermatitis.
3. Treatment of impetigo
Antiseptic soaks and antibacterial creams are the mainstay of therapy for impetigo. A wide variety of topical antimicrobial agents are available including silver-based products, iodides, hydrogen peroxide, zinc, chlorhexidine and potassium permanganate. There is very little data in the literature comparing benefits of one product versus the other [7, 8]. Antibacterial creams: mupirocin, Na-fusidate and bacitracin are also available for use in localized superficial skin infections [9]. Drawbacks of topical therapy include development of resistance, risk of irritant or allergic dermatitis (sensitization), and if used in high concentrations, these could cause burn injuries.
4. Invasive streptococcal infections: erysipelas and cellulitis
When skin infection results in erythematous (red in color), edematous (raised above the surface) and well demarcated (sharp boundary between involved and uninvolved skin) areas of involvement, it is referred to as Erysipelas (Figure 2). Erysipelas is characterized by marked edema in the skin, sometimes severe enough to cause skin blisters. While it could be seen at any age, it is more common in the very young and in older individuals. Classically described as occurring on the face, it can be seen in other parts of the body including the trunk and extremities. It is commonly associated with systemic symptoms like fever, chills and body ache, and blood cultures could be positive. Erysipelas is most commonly caused by S. pyogenes but could also be caused by other streptococci and less commonly by S. aureus [10]. Superficial skin culture should not be obtained, and causative organism can be established if blood cultures return positive. The diagnosis is usually clinical and it responds well to antibiotic therapy. However, in patients with uncontrolled diabetes or other immunocompromising conditions, the infection can spread deeper and the patient could develop sepsis and shock. Recurrences—especially on the extremities—are common in patients with underlying chronic lymphedema [11].
Figure 2.
Erysipelas with sharply-defined edematous red skin lesions.
When streptococcal infection involves the skin as well as the subcutaneous tissue, it results in ill-defined areas of erythema that are rapidly spreading and this is called Cellulitis. The skin appears red with irregular spreading borders (Figure 3). The entry point for the infection is a break in the skin like a surgical wound or other skin trauma, underlying dermatoses like eczema and psoriasis or a fungal infection of the intertriginous areas like web spaces of the toes: “athlete’s foot” (Figure 4). The area of the skin involved is tender to touch, and cellulitis is associated with systemic symptoms like fever, chills and body ache. Sometimes infection spreads along a lymphatic channel rather than the entire skin and this is called streptococcal lymphangitis. (Figures 5 and 6) Blood cultures are positive in around 10% of cases [12, 13] which include patients with more severe disease, older patients, patients with underlying liver cirrhosis [12] and diabetes [13]. The yield of blood cultures is higher if cultures are obtained at the time when the patient is experiencing fever and chills. Cellulitis responds very quickly to appropriate antibiotic therapy. As with erysipelas, recurrences are common in those with underlying risk factors, and left untreated, the infection can spread to deeper tissues and result in sepsis and shock.
Figure 3.
Cellulitis with irregular and ill-defined borders.
Figure 4.
Fungal infection in the webspace of the toes, also called “athlete’s foot.”
Figure 5.
Lymphangitic streaking of the upper extremity.
Figure 6.
Lymphangitic streaking (double) of the lower extremity.
In some patients there is an overlap between erysipelas and cellulitis and the clinical differences are not so clear. Importantly, management of both conditions is similar.
5. Treatment of cellulitis and erysipelas
Mild localized infections are treated with oral antibiotics, while more extensive infections or infections with systemic symptoms are treated with parenteral (intravenous) antibiotic therapy [14]. Patients with signs of sepsis: fever or hypothermia, tachycardia and hypotension, and patients with underlying conditions like uncontrolled diabetes, liver cirrhosis, severe peripheral vascular disease or severe lymphedema and patients with immunocompromising conditions like HIV, or patients on chemotherapy should be admitted to the hospital for antibiotics as well as aggressive management of the underlying conditions. Penicillins and β-lactams are considered the antibiotics of choice for treatment of streptococcal cellulitis. The addition of a second antibiotic like trimethoprim/sulfamethoxazole (TMP/SMX) or clindamycin has been shown to provide no additional benefit [6, 15, 16, 17, 18]. Penicillins are available in the form of oral as well as intravenous preparations (Table 1). Extended spectrum penicillins: dicloxacillin, amoxicillin, ampicillin, oxacillin and nafcillin can be used if there is associated methicillin susceptible S. aureus (MSSA) infection. Cephalosporins are among the most commonly used β-lactams for the treatment of cellulitis. Different preparations are available both in the oral as well as the intravenous forms (Table 2). Physician preference and dosing convenience often define the choice of the antibiotic prescribed. Ceftaroline—one of the newest cephalosporins has excellent skin penetration and has activity against methicillin resistant S. aureus (MRSA) [19]. Patients who have an allergy to penicillin will require alternate agents. It should be noted here that there is increasing evidence in the literature indicating patients who claim penicillin allergy may not have a true allergy and are able to tolerate β-lactams [20, 21]. TMP-SMX [22], doxycycline, linezolid, clindamycin and fluoroquinolones (Table 3) all have excellent skin penetration and may be used as alternate oral agents in patients with allergies to penicillin and β-lactams. Severe cellulitis in patients who have a true allergy to both penicillin and β-lactams is treated with intravenous (IV) vancomycin. IV vancomycin requires close monitoring of levels to achieve optimized benefits while avoiding nephrotoxicity [23, 24], and often therapeutic levels are difficult to achieve in obese individuals [25]. Other alternatives to β-lactams are listed in Table 3. Daptomycin is a lipopeptide antibiotic that has excellent skin penetration. [26, 27]. It has the advantage of once- a- day dosing, making daptomycin a convenient agent for outpatient antibiotic therapy (OPAT). Other antibiotics with excellent skin penetration include linezolid [28, 29] and tigecycline [27, 30]. Both these antibiotics are dosed twice a day and hence less convenient for use as OPAT. Tigecycline is only available in the parenteral form and is recommended for patients hospitalized with severe infections. Linezolid is available in both parenteral as well as oral formulations. IV linezolid is used when a patient is hospitalized with severe cellulitis, and treatment can be completed with oral formulation once the patient improves. There are a number of newer agents approved for the management of SSTIs including long acting lipo-glycopeptide agents oritavancin and dalbavancin, extended-spectrum fluoroquinolone delafloxacin, and the new tetracycline derivative omadacycline [28, 29]. Important comments regarding the advantages as well as the potential side effects of these antibiotics are listed in Tables 3 and 4.
Non β-lactam antibiotics used for streptococcal skin infections.
Require dose adjustment in patients with kidney disease.
Name
Drug class
Dose
Comments
Dalbavancin
Lipo-glycopeptide
Intravenous: 1.5 g single dose
One dose IV provides 2 weeks of therapy
Oritavancin
Lipo-glycopeptide
Intravenous: 1.2 g single dose
One dose IV provides 2 weeks of therapy
Delafloxacin
Fluoroquinolone
Intravenous: 300 mg q 12 h Oral: 450 mg twice a day
Allows transition from IV to oral. Risks as with other FQ
Omadacycline
Tetracycline derivative
Intravenous: 200 mg X 1, then 100 mg daily Oral: 450 mg once a day for 2 days, then 300 mg once a day
Allows transition from IV to oral. Gastrointestinal side effects. Effective also against anaerobes
Tedizolid
Oxazolidinone
Intravenous: 200 mg, q 24 h Oral: 200 mg once a day
Allows transition from IV to oral. Risk for cytopenias, neuropathy
Table 4.
Newer antibiotics approved for treatment of skin infections.
Effective also against MSSA, MRSA.
6. Streptococcal infection of deeper tissues
When streptococcal infection spreads deep beyond the subcutaneous tissue, it can result in extensive necrosis (gangrene) of the overlying skin and inflammation and necrosis of underlying fascia (Streptococcal Necrotizing Fasciitis) and even muscle (Streptococcal Myositis). These infections are considered surgical emergencies.
Necrotizing Fasciitis (NF) is characterized by rapidly (within hours) spreading infection of the skin, subcutaneous tissue and fascia with associated symptoms of fever, prostration, hypotension and shock. It carries a high mortality [31]. It could start as a benign appearing skin wound that rapidly spreads both on the surface as well as into deeper tissues and the entire limb or body-part could be involved in a matter of a few hours. Skin changes include a rapid progression from mild erythema to a dusky appearance followed by ecchymosis, purpura, blisters and tissue necrosis—resulting in open wounds often discharging purulent or hemorrhagic fluid. (Figures 7 and 8) “Pain out of proportion to physical findings” is a characteristic sign of NF. In other words, there may be pain when palpating areas beyond the visible area of redness or in other cases even gentle palpation of involved area elicits excruciating pain. Some authorities divide NF into type I and type II. Type I is characterized by poly-microbial infection (involving both aerobic as well as anaerobic bacteria), while type II is characterized by mono-microbial infection of which group A streptococcus is the most commonly implicated organism [32]. Mortality was found to be lower in group A streptococcus—associated NF (type II) compared to type I: 10% versus 20% in one large study [31]. NF may also be seen in persons who inject drugs. In these cases, multiple skip lesions are seen (Figure 9) and infection is usually poly-microbial. In addition to the skin lesions, the patient usually has systemic symptoms of sepsis including high fever, tachycardia, hypotension and may progress to have multi-organ failure. Streptococcal pyrogenic exotoxins (Spe) A, B and C are responsible for causing stimulation of a severe inflammatory cascade resulting in injury not only at the area of infection (local necrosis) but also to distant sites (lungs, kidneys, liver, central nervous system). Blood cultures are universally positive, and imaging of involved body-part (CT scan or MRI) will demonstrate edema and/or gas in the soft tissue planes and other changes consistent with this diagnosis [33].
Figure 7.
Necrotizing fasciitis of the lower extremity.
Figure 8.
Clinical photograph showing erythema, peeling skin, dusky hue and areas of necrosis.
Figure 9.
Necrotic areas with skip lesions on leg of patient who is abusing self with injection drugs.
When infection spreads beyond the fascial planes into the underlying muscles it is called myositis. Streptococcal myositis is often a complication of the overlying skin infection. Sometimes a deep tissue hematoma caused by blunt trauma [34] could get inoculated by the organism in a patient with bacteremia. This too is an emergency and requires rapid surgical intervention to relieve the pressure created by the severe inflammation in the muscle planes (Figure 10). Patients will also have systemic symptoms and signs of sepsis as seen in NF. There is often overlap of these two conditions in many patients.
Figure 10.
Necrosis of skin, soft tissue and muscle with exposure of tendon.
7. Management of necrotizing fasciitis and streptococcal myositis
Patients need admission to the hospital often to the intensive care unit. They require management by a team of experts involving medical, surgical, infectious diseases and critical care specialties. They often present with septic shock and require pressors like epinephrine, norepinephrine and vasopressin to maintain adequate blood pressure in order to perfuse critical organs. Patients require broad spectrum antibiotic coverage, aggressive fluid resuscitation, as well as emergent aggressive debridement of the infected areas. Surgical removal of infected/necrotic tissue is essential in order to reduce bacterial burden and hence remove the source of toxins. Often patients require a second or even third visit to the operating room because of extensive tissue necrosis not amenable to removal in a single operation [14]. Operative tissue is sent for microbiology (cultures) to help determine the infectious agent and obtain an antibiotic sensitivity profile to help guide appropriate antibiotic choices. While awaiting the results of cultures, the antibiotics chosen should cover Gram-positive bacteria including Streptococcus and S. aureus, Gram-negative bacteria including drug-resistant bacteria like Pseudomonas, as well as anaerobic bacteria. Different combinations of antibiotics from Tables 1–3 can be used. IV vancomycin (or IV daptomycin) plus cefepime (or fluoroquinolone) plus metronidazole, or IV vancomycin (or IV daptomycin) plus meropenem (or imipenem), or IV daptomycin plus piperacillin- tazobactam are some potential options for empiric therapy. Linezolid could be used in place of vancomycin and daptomycin in the above combinations. Vancomycin, daptomycin and linezolid provide Gram-positive coverage, cefepime and fluoroquinolones provide Gram-negative coverage. While metronidazole provides only anaerobic coverage, imipenem, meropenem and piperacillin-tazobactam provide Gram-negative as well as anaerobic coverage. Clindamycin is added in the initial critical stages of the infection on account of its antitoxin effect [14, 33]. If linezolid is used, additional clindamycin is not required because linezolid itself also has an antitoxin effect [33]. When culture results become available, antibiotics should be deescalated to target the organisms identified. Intravenous immunoglobulins (IVIG) is used at some centers as part of management of NF, however large studies have not shown a statistically significant benefit compared to those patients who did not receive IVIG [14, 33].
8. Toxic shock syndrome (TSS)
TSS is associated with a dramatic widespread skin rash and severe systemic symptoms. This condition is not due to direct inoculation of the skin with Streptococcus, but rather it is secondary to exotoxin [35] released by Streptococcus infection at a distant site. Originally described in children with S. aureus infection, TSS is seen with Streptococcus and Clostridial infection in children as well as adults [36]. Patients present with widespread rash associated with fever, hypotension and multi-organ system involvement as a result of circulating streptococcal exotoxins A, B and C. The rash is described as sheets of erythema (Figure 11) involving the face, trunk as well as extremities, and it subsides with characteristic desquamation (Figure 12) when the patient recovers. A detailed examination is important to determine the source of infection: either retained foreign body like menstrual tampon or surgical sponge/dressing material, necrotizing infection in a deep space, post-operative wound infection or peritonitis. Rarely, streptococcal pharyngitis is the primary event. The circulating toxins (super-antigens) are responsible for injury to internal organs—lungs, kidneys, liver [35] and the disease can be fatal in 40 to 60% cases of streptococcal TSS especially when there is delay in the diagnosis and hence delayed initiation of appropriate antibiotics. Blood cultures may be positive, as are cultures from an identified focus of infection.
Figure 11.
Clinical photograph of sheet of erythema seen in acute phase of toxic shock syndrome.
Figure 12.
Toxic shock syndrome with desquamation in the recovery phase.
9. Management of TSS
As with other severe streptococcal infection, patients with TSS require admission to the hospital. If they are hypotensive or experience multi-organ failure, management is in the intensive care unit where patients are treated with aggressive fluid resuscitation, broad antibiotic therapy (choices similar to that as described for management of necrotizing fasciitis) and pressor support. Surgery may be required if a deep focus of infection is identified. Rarely patients do not respond to standard therapy and may require intravenous immunoglobulins (IVIG) [36].
10. Discussion on general principles of systemic antibiotic therapy
Streptococcal SSTIs respond very well to antibiotic therapy. A wide range of antibiotics with excellent skin penetration are now available as noted in Table 1–4. All antibiotics carry the potential for side effects like allergic reactions and gastrointestinal disturbances. There are some side effects that are unique to certain antibiotics and patients need to be monitored for these toxicities. For example: β-lactam antibiotics have the potential for hepatotoxicity, vancomycin is associated with nephrotoxicity, daptomycin can cause rhabdomyolysis and eosinophilic pneumonitis and clindamycin is one of the most common antibiotics associated with Clostridioides difficile (C. Diff) infection. In addition, inappropriate use of broad-spectrum antibiotics—and even prolonged use of narrow spectrum antibiotics—can result in collateral damage (destruction of protective normal bacterial flora of the skin and the gastrointestinal tract) and cause antibiotic-associated diarrhea and C. Diff infection [37, 38]. Indiscriminate use of broad-spectrum antibiotics has also contributed to the development of multidrug-resistant pathogens [39]. Therefore, judicious use of antibiotics is very important to reduce the risk of these complications. Streptococcal infections should be treated with narrow spectrum antibiotics like penicillin and β-lactams. When streptococcal cellulitis or erysipelas does not seem to be responding adequately within the first 2–3 days of β-lactam therapy, antibiotics with additional coverage against MRSA will need to be used.
11. Specific points regarding treatment of SSTIs
Mild infections should be treated with oral antibiotics.
Severe infections (severe local skin infection with systemic symptoms like fever, tachycardia, hypotension or leukocytosis and bacteremia, or more extensive skin infections even without systemic symptoms) will require parenteral therapy, with step-down to oral therapy as the patient improves [40]. Antibiotics like the floroquinolones: ciprofloxacin, levofloxacin, delafloxacin [41, 42], moxifloxacin [43], the oxazolidinones: linezolid, tedizolid and the new tetracycline: omadacycline [44] have excellent oral bioavailability and allow early conversion from intravenous to oral therapy.
In the most serious cases: sepsis, septic shock, necrotizing fasciitis, myositis, toxic shock syndrome: broad-spectrum antibiotics are required initially (most often with more than one antimicrobial agent) to cover Streptococcus, S. aureus including MRSA as well as gram-negative and anaerobic bacteria. “De-escalation” can be achieved once microbiology data (blood cultures, deep tissue and intraoperative cultures) are available to guide the final antibiotic choice targeting the bacteria identified.
Duration of antibiotics: This depends on the severity of the infection as well as the clinical response to therapy. Mild infections or even severe infections in an otherwise healthy host that respond rapidly to antibiotics could be treated for as short as 5 days [14, 45, 46]. More severe infections or infections with a delayed response to therapy may need longer courses like 7, 10 or 14 days, depending upon the clinical picture. Shorter courses may be possible with some of the newer antibiotics including single dose antibiotics like dalbavancin [47] and oritavancin [28]. Relapses are found to be more common in patients with shorter courses of therapy [45]. Patients with bacteremia are usually treated for 14 days.
Dose adjustments: Antibiotics are cleared by the liver or kidney and hence dosage needs to be reduced in patients with liver or kidney disease in order to avoid toxicity. Conversely, patients who are obese require a higher dose of the antibiotic to achieve therapeutic levels in the skin [25, 48].
Suppressive therapy is attempted for patients with multiple recurrences [45, 49, 50]. Oral penicillin twice daily showed a 70–80% reduction in episodes—but recurrences occurred after discontinuation of prophylaxis. Treatment of underlying factors like athlete’s foot, chronic lymphedema, peripheral vascular disease and uncontrolled diabetes is also very important in the prevention of recurrences [11, 44, 45, 51]
.
12. Conclusions
Streptococcal skin infections cause significant morbidity all over the world, and severe infections like necrotizing fasciitis and toxic shock syndrome can be fatal. There is a wide spectrum of manifestations of skin infections ranging from mild superficial disease to deep necrotic and life-threatening infections. Skin infection is one of the most common reasons for prescriptions of antibiotics in the community as well as in hospitalized patients. Some of the most commonly used antibiotics have excellent skin penetration and hence the armamentarium to treat skin infections is quite large. Over the last few years there have been multiple new antibiotics approved for the treatment of skin infections and these should be reserved for treatment of severe infections not responding to the common antibiotics and for infections with multi-drug-resistant organisms. A thorough understanding of the different types of skin infections, as well as a detailed knowledge of the different antibiotics are essential for the early diagnosis and selection of the most appropriate antibiotic for the management of simple as well as complex skin infections.
\n',keywords:"Streptococcus, Skin and Skin-Structure Infections (SSTI), Necrotizing Fasciitis (NF), Toxic Shock syndrome (TSS)",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/80546.pdf",chapterXML:"https://mts.intechopen.com/source/xml/80546.xml",downloadPdfUrl:"/chapter/pdf-download/80546",previewPdfUrl:"/chapter/pdf-preview/80546",totalDownloads:74,totalViews:0,totalCrossrefCites:0,dateSubmitted:"November 27th 2021",dateReviewed:"January 27th 2022",datePrePublished:"February 21st 2022",datePublished:null,dateFinished:"February 21st 2022",readingETA:"0",abstract:"Infections attributable to Streptococcus are protean. These range from mild skin and soft tissue infections to life-threatening conditions like meningitis, endocarditis and toxic shock syndrome. In addition, streptococcal infection can be associated with noninfectious sequelae like rheumatic fever and post-streptococcal glomerulonephritis. There is a wide range of Streptococcus spp. causing human infections and different classifications of these organisms have been described, the most quoted being the Lancefield classification based on cell-wall antigens. Streptococci can be studied based on their species: S. pyogenes, S. pneumoniae, S. anginosus etc. or by the Lancefield classification group A, B, C, D etc. or by the clinical syndromes associated with these bacteria. This chapter will describe clinical syndromes associated with streptococcal skin and soft tissue infections ranging from mild: cellulitis and lymphangitis which can be treated in the out-patient setting, to more aggressive manifestations that require hospitalization (sepsis and toxic shock syndrome) and even surgery (necrotizing fasciitis, myositis and gangrene), It will also provide clues to clinical diagnosis as well as suggest recommendations for optimized management of these conditions.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/80546",risUrl:"/chapter/ris/80546",signatures:"Alwyn Rapose",book:{id:"10828",type:"book",title:"Streptococcal Infections",subtitle:null,fullTitle:"Streptococcal Infections",slug:null,publishedDate:null,bookSignature:"Dr. Hassan Hemeg",coverURL:"https://cdn.intechopen.com/books/images_new/10828.jpg",licenceType:"CC BY 3.0",editedByType:null,isbn:"978-1-80355-316-0",printIsbn:"978-1-80355-315-3",pdfIsbn:"978-1-80355-317-7",isAvailableForWebshopOrdering:!0,editors:[{id:"187330",title:"Dr.",name:"Hassan",middleName:null,surname:"Hemeg",slug:"hassan-hemeg",fullName:"Hassan Hemeg"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:null,sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Streptococcal pyoderma",level:"1"},{id:"sec_3",title:"3. Treatment of impetigo",level:"1"},{id:"sec_4",title:"4. Invasive streptococcal infections: erysipelas and cellulitis",level:"1"},{id:"sec_5",title:"5. Treatment of cellulitis and erysipelas",level:"1"},{id:"sec_6",title:"6. Streptococcal infection of deeper tissues",level:"1"},{id:"sec_7",title:"7. Management of necrotizing fasciitis and streptococcal myositis",level:"1"},{id:"sec_8",title:"8. Toxic shock syndrome (TSS)",level:"1"},{id:"sec_9",title:"9. Management of TSS",level:"1"},{id:"sec_10",title:"10. Discussion on general principles of systemic antibiotic therapy",level:"1"},{id:"sec_11",title:"11. Specific points regarding treatment of SSTIs",level:"1"},{id:"sec_12",title:"12. Conclusions",level:"1"}],chapterReferences:[{id:"B1",body:'Sims Sanyahumbi A, Colquhoun S, Wyber R, et al. Global disease burden of Group A Streptococcus. 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Clinical Infectious Diseases. 2018;67(5):657-666'},{id:"B42",body:'Kingsley J, Mehra P, Lawrence LE, et al. A randomized, double-blind, Phase 2 study to evaluate subjective and objective outcomes in patients with acute bacterial skin and skin structure infections treated with delafloxacin, linezolid or vancomycin. The Journal of Antimicrobial Chemotherapy. 2016;71(3):821-829'},{id:"B43",body:'Gyssens IC, Dryden M, Kujath P, et al. A randomized trial of the efficacy and safety of sequential intravenous/oral moxifloxacin monotherapy versus intravenous piperacillin/tazobactam followed by oral amoxicillin/clavulanate for complicated skin and skin structure infections. The Journal of Antimicrobial Chemotherapy. 2011;66(11):2632-2642'},{id:"B44",body:'Abrahamian FM, Sakoulas G, Tzanis E, et al. Omadacycline for acute bacterial skin and skin structure infections. Clinical Infectious Diseases. 2019;69(Suppl. 1):S23-S32'},{id:"B45",body:'Cranendonk DR, Opmeer BC, van Agtmael MA, et al. Antibiotic treatment for 6 days versus 12 days in patients with severe cellulitis: A multicentre randomized, double-blind, placebo-controlled, non-inferiority trial. Clinical Microbiology and Infection. 2020;26(5):606-612'},{id:"B46",body:'Morris AD. Cellulitis and erysipelas. BMJ Clinical Evidence. 2008;2008:1708'},{id:"B47",body:'Bennett JW, Lewis JS, Ellis MW. Dalbavancin in the treatment of complicated skin and soft-tissue infections: A review. Therapeutics and Clinical Risk Management. 2008;4(1):31-40'},{id:"B48",body:'Grupper M, Nicolau DP. Obesity and skin and soft tissue infections: How to optimize antimicrobial usage for prevention and treatment? Current Opinion in Infectious Diseases. 2017;30(2):180-191'},{id:"B49",body:'Thomas KS, Crook AM, Nunn AJ, et al. Penicillin to prevent recurrent leg cellulitis. The New England Journal of Medicine. 2013;368(18):1695-1703'},{id:"B50",body:'Dalal A, Eskin-Schwartz M, Mimouni D, et al. Interventions for the prevention of recurrent erysipelas and cellulitis. Cochrane Database of Systematic Reviews. 2017;6(6):CD009758'},{id:"B51",body:'Wilcox M, Yan JL, Gonzalez PL, et al. Impact of underlying comorbidities on outcomes of patients treated with Ceftaroline Fosamil for complicated skin and soft tissue infections: Pooled results from three phase III Randomized Clinical Trials. Infectious Disease and Therapy. 2022;11(1):217-230'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Alwyn Rapose",address:"Alwyn.rapose@reliantmedicalgroup.org",affiliation:'
University of Massachusetts Medical School, Reliant Medical Group, Worcester, Massachusetts, USA
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However, procuring significant amount of rotenone using green alternative solvent rather than harmful organic solvents for commercialization is a challenge to be faced. Therefore, an approach using imidazolium-based ionic liquids (ILs) as an extraction medium was employed in this study. Five different types of binary solvent systems comprising a combination of acetone and five respective ionic liquids (ILs) of (1) [BMIM] Cl; (2) [BMIM] OAc; (3) [BMIM] NTf2; (4) [BMIM] OTf; and (5) [BMPy] Cl were used in the normal soaking extraction (NSE) of rotenone for a 24-hour extraction. The yield of the rotenone, % (w/w), and its concentration (mg/mL) in the dried roots was quantitatively determined by means of the reversed-phase high-performance liquid chromatography (RP-HPLC) and thin-layer chromatography (TLC). The results showed that a binary solvent system of [BMIM] OTf:acetone was the best solvent system combination compared to other solvent systems (p < 0.05). It contributed to the highest rotenone content of 2.69 ± 0.21% (w/w) (4.04 ± 0.34 mg/ml) at the 14th hour of the exhaustive extraction time. In conclusion, a combination of certain ILs with a selective organic solvent has been proven to be able to increase a significant amount of bioactive constituents in the phytochemical extraction process.",signatures:"Zetty Shafiqa Othman, Nur Hasyareeda Hassan and Saiful Irwan\nZubairi",authors:[{id:"187652",title:"Dr.",name:"Saiful",surname:"Zubairi",fullName:"Saiful Zubairi",slug:"saiful-zubairi",email:"saiful-z@ukm.edu.my"},{id:"189285",title:"Ms.",name:"Zetty",surname:"Shafiqa Othman",fullName:"Zetty Shafiqa Othman",slug:"zetty-shafiqa-othman",email:"zetsha789@gmail.com"},{id:"189286",title:"Dr.",name:"Nur Hasyareeda",surname:"Hassan",fullName:"Nur Hasyareeda Hassan",slug:"nur-hasyareeda-hassan",email:"syareeda@ukm.edu.my"}],book:{id:"5381",title:"Ionic Liquids",slug:"progress-and-developments-in-ionic-liquids",productType:{id:"1",title:"Edited Volume"}}}],collaborators:[{id:"186736",title:"Dr.",name:"Hu",surname:"Yu Lin",slug:"hu-yu-lin",fullName:"Hu Yu Lin",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"China Three Gorges University",institutionURL:null,country:{name:"China"}}},{id:"187906",title:"Prof.",name:"Gloria",surname:"Víllora",slug:"gloria-villora",fullName:"Gloria Víllora",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Murcia",institutionURL:null,country:{name:"Spain"}}},{id:"188210",title:"Associate Prof.",name:"Luca",surname:"Magagnin",slug:"luca-magagnin",fullName:"Luca Magagnin",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Polytechnic University of Milan",institutionURL:null,country:{name:"Italy"}}},{id:"194387",title:"MSc.",name:"Roberto",surname:"Bernasconi",slug:"roberto-bernasconi",fullName:"Roberto Bernasconi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Polytechnic University of Milan",institutionURL:null,country:{name:"Italy"}}},{id:"194388",title:"MSc.",name:"Gabriele",surname:"Panzeri",slug:"gabriele-panzeri",fullName:"Gabriele Panzeri",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Polytechnic University of Milan",institutionURL:null,country:{name:"Italy"}}},{id:"194389",title:"MSc.",name:"Alessandra",surname:"Accogli",slug:"alessandra-accogli",fullName:"Alessandra Accogli",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Polytechnic University of Milan",institutionURL:null,country:{name:"Italy"}}},{id:"194390",title:"MSc.",name:"Francesco",surname:"Liberale",slug:"francesco-liberale",fullName:"Francesco Liberale",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Polytechnic University of Milan",institutionURL:null,country:{name:"Italy"}}},{id:"194391",title:"Prof.",name:"Luca",surname:"Nobili",slug:"luca-nobili",fullName:"Luca Nobili",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Polytechnic University of Milan",institutionURL:null,country:{name:"Italy"}}},{id:"194675",title:"Mrs.",name:"Mercedes G.",surname:"Montalbán",slug:"mercedes-g.-montalban",fullName:"Mercedes G. Montalbán",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Murcia",institutionURL:null,country:{name:"Spain"}}},{id:"194676",title:"Mrs.",name:"Mar",surname:"Collado-González",slug:"mar-collado-gonzalez",fullName:"Mar Collado-González",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Murcia",institutionURL:null,country:{name:"Spain"}}}]},generic:{page:{slug:"access-policy",title:"Access policy",intro:"
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All IntechOpen published chapters and articles are available OPEN ACCESS and can be read without the requirement for registration of any kind, immediately upon publication, without any barrier.
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The HTML version, as well as the PDF version of publications dated before 2012 that are accessible through a reader, are available to readers with no restriction.
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The full content of chapters and articles can be read, copied and printed from the link location of the chapter/article and these actions are not limited or restricted in any way.
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Registration is requested only to download the PDF of the chapter/article. There are no subscription fees and there is no charge to user groups.
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IntechOpen chapters and articles are distributed under CC BY 3.0 licences allowing users to “copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship...” and there is no non-commercial restriction.
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Authors may post published works to any repository or website with no delay, and Authors and Editors of IntechOpen books have direct access to the PDF of the full book.
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All published content can be crawled for indexing. Full text and metadata may be accessed with instructions publicly posted.
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All IntechOpen books and Journal articles are indexed in CLOCKSS and preservation of access to published content is clearly indicated.
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Policy last updated: 2022-04-14
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From 1985 to 1986, he was a Research Fellow in the Research Institute for Electronic Equipment, ZZU AD, Plovdiv, Bulgaria. In 1986, he joined the Department of Control Systems, Technical University of Sofia at the Plovdiv campus, where he is presently a Full Professor. He has held long-term visiting Professor/Scholar positions at various institutions in South Korea, Turkey, Mexico, Greece, Belgium, UK, and Germany. And he has coauthored one book and authored or coauthored more than 80 research papers in conference proceedings and journals. 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such as COVID-19 home confinement). Very young children are regular users of smartphones and tablet, so their early digital engagement poses new challenges to parent-child relationships and parental role. First, the chapter introduces the “digital parenting” construct, moving through the literature from “traditional” parenting styles to more recent studies on “parental mediation,” that is, the different behaviors parents adopt to regulate children’s engagement with the Internet and digital media. Second, the chapter reviews empirical researches on different parental mediation practices (active or restrictive behaviors) and how they are adjusted according to the child’s characteristics (age, digital competences, etc.) or parent’s media competence and beliefs. Finally, from a bidirectional perspective of parent-child relationships, the chapter discusses the role of youths’ social involvement, communication, self-disclosure, and digital skills on parent’s beliefs and practices. 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Very young children are regular users of smartphones and tablet, so their early digital engagement poses new challenges to parent-child relationships and parental role. First, the chapter introduces the “digital parenting” construct, moving through the literature from “traditional” parenting styles to more recent studies on “parental mediation,” that is, the different behaviors parents adopt to regulate children’s engagement with the Internet and digital media. Second, the chapter reviews empirical researches on different parental mediation practices (active or restrictive behaviors) and how they are adjusted according to the child’s characteristics (age, digital competences, etc.) or parent’s media competence and beliefs. Finally, from a bidirectional perspective of parent-child relationships, the chapter discusses the role of youths’ social involvement, communication, self-disclosure, and digital skills on parent’s beliefs and practices. 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A particular parenting style influences all phases of development and life style of adolescent. Helicopter parents overly protect their children from the difficulties by setting some set of instructions without consideration of the uniqueness of their children. Recent literature has got huge attention on this parenting style and debating the pros and cons on the development of child. Higher life satisfaction and better psychological wellbeing have been found in the children of highly intrusive parents. When there are positive effects of helicopter parenting, there are negative outcome and impacts that have also been studied. The difficulties in emotional regulation, academic productivity, and social skills among children raised by helicopter parenting have been reported in the literature. Low self-efficacy, lack of trust on peers, and alienation from peers have also been associated with helicopter parenting. The chapter highlights the associated aspects of childhood and adolescence, raised by helicopter parenting. As parents have their own concern about raising their children in certain manner, it is important to understand the underlying mechanism of parenting style. Therefore, this chapter also describes the theoretical framework. The associated mental health issues and supportive psychological intervention to be also discussed.",book:{id:"9043",slug:"parenting-studies-by-an-ecocultural-and-transactional-perspective",title:"Parenting",fullTitle:"Parenting - Studies by an Ecocultural and Transactional Perspective"},signatures:"Deepika Srivastav and M.N. Lal Mathur",authors:[{id:"320545",title:"Ph.D.",name:"Deepika",middleName:null,surname:"Srivastav",slug:"deepika-srivastav",fullName:"Deepika Srivastav"},{id:"322605",title:"Dr.",name:"M.N.Lal",middleName:null,surname:"Mathur",slug:"m.n.lal-mathur",fullName:"M.N.Lal Mathur"}]},{id:"45760",title:"Parenting and Culture – Evidence from Some African Communities",slug:"parenting-and-culture-evidence-from-some-african-communities",totalDownloads:9624,totalCrossrefCites:10,totalDimensionsCites:25,abstract:null,book:{id:"3440",slug:"parenting-in-south-american-and-african-contexts",title:"Parenting in South American and African Contexts",fullTitle:"Parenting in South American and African Contexts"},signatures:"Patricia Mawusi Amos",authors:[{id:"162496",title:"Mrs.",name:"Patricia",middleName:"Mawusi",surname:"Mawusi Amos",slug:"patricia-mawusi-amos",fullName:"Patricia Mawusi Amos"}]},{id:"72914",title:"Parent-Adolescent Relationship and the Impact of Substance Dependency within the Trajectory of Adolescent Substance Use Disorder",slug:"parent-adolescent-relationship-and-the-impact-of-substance-dependency-within-the-trajectory-of-adole",totalDownloads:674,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Adolescents strive for freedom and autonomy; thus, communication with their parents needs to be enhanced. Building solid healthy relationships at this stage of their lives is of utmost importance to help them cope with the changes and challenges they are experiencing. The purpose of this chapter is to explore the parent-adolescent relationship in the substance dependency field. The focus is on the relationship between parents and their adolescents who have a substance use disorder. Parenting adolescents poses its own set of challenges, making it difficult to build and maintain healthy parent-adolescent relationships. We argue that although adolescent substance use disorder has been extensively researched, the relationship between parents and adolescents with substance use disorder has surprisingly not received the same attention. It is this gap that this chapter seeks to address. With this in mind, the ecological systems theory was employed here to shed light on the importance and significance of developing healthy parent-adolescent relationships. 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\r\n\tTransforming our World: the 2030 Agenda for Sustainable Development endorsed by United Nations and 193 Member States, came into effect on Jan 1, 2016, to guide decision making and actions to the year 2030 and beyond. Central to this Agenda are 17 Goals, 169 associated targets and over 230 indicators that are reviewed annually. The vision envisaged in the implementation of the SDGs is centered on the five Ps: People, Planet, Prosperity, Peace and Partnership. This call for renewed focused efforts ensure we have a safe and healthy planet for current and future generations.
\r\n
\r\n\t
\r\n
\r\n\tThis Series focuses on covering research and applied research involving the five Ps through the following topics:
\r\n
\r\n\t
\r\n
\r\n\t1. Sustainable Economy and Fair Society that relates to SDG 1 on No Poverty, SDG 2 on Zero Hunger, SDG 8 on Decent Work and Economic Growth, SDG 10 on Reduced Inequalities, SDG 12 on Responsible Consumption and Production, and SDG 17 Partnership for the Goals
\r\n
\r\n\t
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\r\n\t2. Health and Wellbeing focusing on SDG 3 on Good Health and Wellbeing and SDG 6 on Clean Water and Sanitation
\r\n
\r\n\t
\r\n
\r\n\t3. Inclusivity and Social Equality involving SDG 4 on Quality Education, SDG 5 on Gender Equality, and SDG 16 on Peace, Justice and Strong Institutions
\r\n
\r\n\t
\r\n
\r\n\t4. Climate Change and Environmental Sustainability comprising SDG 13 on Climate Action, SDG 14 on Life Below Water, and SDG 15 on Life on Land
\r\n
\r\n\t
\r\n
\r\n\t5. Urban Planning and Environmental Management embracing SDG 7 on Affordable Clean Energy, SDG 9 on Industry, Innovation and Infrastructure, and SDG 11 on Sustainable Cities and Communities.
\r\n
\r\n\t
\r\n
\r\n\tThe series also seeks to support the use of cross cutting SDGs, as many of the goals listed above, targets and indicators are all interconnected to impact our lives and the decisions we make on a daily basis, making them impossible to tie to a single topic.
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He has developed various compounds including a drug for acute promyelocytic leukemia.",institutionString:"Tokyo Medical and Dental University",institution:{name:"Tokyo Medical and Dental University",country:{name:"Japan"}}},{id:"94311",title:"Prof.",name:"Martins",middleName:"Ochubiojo",surname:"Ochubiojo Emeje",slug:"martins-ochubiojo-emeje",fullName:"Martins Ochubiojo Emeje",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/94311/images/system/94311.jpeg",biography:"Martins Emeje obtained a BPharm with distinction from Ahmadu Bello University, Nigeria, and an MPharm and Ph.D. from the University of Nigeria (UNN), where he received the best Ph.D. award and was enlisted as UNN’s “Face of Research.” He established the first nanomedicine center in Nigeria and was the pioneer head of the intellectual property and technology transfer as well as the technology innovation and support center. Prof. Emeje’s several international fellowships include the prestigious Raman fellowship. He has published more than 150 articles and patents. He is also the head of R&D at NIPRD and holds a visiting professor position at Nnamdi Azikiwe University, Nigeria. He has a postgraduate certificate in Project Management from Walden University, Minnesota, as well as a professional teaching certificate and a World Bank certification in Public Procurement. Prof. Emeje was a national chairman of academic pharmacists in Nigeria and the 2021 winner of the May & Baker Nigeria Plc–sponsored prize for professional service in research and innovation.",institutionString:"National Institute for Pharmaceutical Research and Development",institution:{name:"National Institute for Pharmaceutical Research and Development",country:{name:"Nigeria"}}},{id:"436430",title:"Associate Prof.",name:"Mesut",middleName:null,surname:"Işık",slug:"mesut-isik",fullName:"Mesut Işık",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/436430/images/19686_n.jpg",biography:null,institutionString:null,institution:{name:"Bilecik University",country:{name:"Turkey"}}},{id:"268659",title:"Ms.",name:"Xianquan",middleName:null,surname:"Zhan",slug:"xianquan-zhan",fullName:"Xianquan Zhan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/268659/images/8143_n.jpg",biography:"Dr. Zhan received his undergraduate and graduate training in the fields of preventive medicine and epidemiology and statistics at the West China University of Medical Sciences in China during 1989 to 1999. He received his post-doctoral training in oncology and cancer proteomics for two years at the Cancer Research Institute of Human Medical University in China. In 2001, he went to the University of Tennessee Health Science Center (UTHSC) in USA, where he was a post-doctoral researcher and focused on mass spectrometry and cancer proteomics. Then, he was appointed as an Assistant Professor of Neurology, UTHSC in 2005. He moved to the Cleveland Clinic in USA as a Project Scientist/Staff in 2006 where he focused on the studies of eye disease proteomics and biomarkers. He returned to UTHSC as an Assistant Professor of Neurology in the end of 2007, engaging in proteomics and biomarker studies of lung diseases and brain tumors, and initiating the studies of predictive, preventive, and personalized medicine (PPPM) in cancer. In 2010, he was promoted to Associate Professor of Neurology, UTHSC. Currently, he is a Professor at Xiangya Hospital of Central South University in China, Fellow of Royal Society of Medicine (FRSM), the European EPMA National Representative in China, Regular Member of American Association for the Advancement of Science (AAAS), European Cooperation of Science and Technology (e-COST) grant evaluator, Associate Editors of BMC Genomics, BMC Medical Genomics, EPMA Journal, and Frontiers in Endocrinology, Executive Editor-in-Chief of Med One. He has\npublished 116 peer-reviewed research articles, 16 book chapters, 2 books, and 2 US patents. His current main research interest focuses on the studies of cancer proteomics and biomarkers, and the use of modern omics techniques and systems biology for PPPM in cancer, and on the development and use of 2DE-LC/MS for the large-scale study of human proteoforms.",institutionString:null,institution:{name:"Xiangya Hospital Central South University",country:{name:"China"}}},{id:"40482",title:null,name:"Rizwan",middleName:null,surname:"Ahmad",slug:"rizwan-ahmad",fullName:"Rizwan Ahmad",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/40482/images/system/40482.jpeg",biography:"Dr. Rizwan Ahmad is a University Professor and Coordinator, Quality and Development, College of Medicine, Imam Abdulrahman bin Faisal University, Saudi Arabia. Previously, he was Associate Professor of Human Function, Oman Medical College, Oman, and SBS University, Dehradun. Dr. Ahmad completed his education at Aligarh Muslim University, Aligarh. He has published several articles in peer-reviewed journals, chapters, and edited books. His area of specialization is free radical biochemistry and autoimmune diseases.",institutionString:"Imam Abdulrahman Bin Faisal University",institution:{name:"Imam Abdulrahman Bin Faisal University",country:{name:"Saudi Arabia"}}},{id:"41865",title:"Prof.",name:"Farid A.",middleName:null,surname:"Badria",slug:"farid-a.-badria",fullName:"Farid A. Badria",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/41865/images/system/41865.jpg",biography:"Farid A. Badria, Ph.D., is the recipient of several awards, including The World Academy of Sciences (TWAS) Prize for Public Understanding of Science; the World Intellectual Property Organization (WIPO) Gold Medal for best invention; Outstanding Arab Scholar, Kuwait; and the Khwarizmi International Award, Iran. He has 250 publications, 12 books, 20 patents, and several marketed pharmaceutical products to his credit. He continues to lead research projects on developing new therapies for liver, skin disorders, and cancer. Dr. Badria was listed among the world’s top 2% of scientists in medicinal and biomolecular chemistry in 2019 and 2020. He is a member of the Arab Development Fund, Kuwait; International Cell Research Organization–United Nations Educational, Scientific and Cultural Organization (ICRO–UNESCO), Chile; and UNESCO Biotechnology France",institutionString:"Mansoura University",institution:{name:"Mansoura University",country:{name:"Egypt"}}},{id:"329385",title:"Dr.",name:"Rajesh K.",middleName:"Kumar",surname:"Singh",slug:"rajesh-k.-singh",fullName:"Rajesh K. Singh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329385/images/system/329385.png",biography:"Dr. Singh received a BPharm (2003) and MPharm (2005) from Panjab University, Chandigarh, India, and a Ph.D. (2013) from Punjab Technical University (PTU), Jalandhar, India. He has more than sixteen years of teaching experience and has supervised numerous postgraduate and Ph.D. students. He has to his credit more than seventy papers in SCI- and SCOPUS-indexed journals, fifty-five conference proceedings, four books, six Best Paper Awards, and five projects from different government agencies. He is currently an editorial board member of eight international journals and a reviewer for more than fifty scientific journals. He received Top Reviewer and Excellent Peer Reviewer Awards from Publons in 2016 and 2017, respectively. He is also on the panel of The International Reviewer for reviewing research proposals for grants from the Royal Society. He also serves as a Publons Academy mentor and Bentham brand ambassador.",institutionString:"Punjab Technical University",institution:{name:"Punjab Technical University",country:{name:"India"}}},{id:"142388",title:"Dr.",name:"Thiago",middleName:"Gomes",surname:"Gomes Heck",slug:"thiago-gomes-heck",fullName:"Thiago Gomes Heck",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/142388/images/7259_n.jpg",biography:null,institutionString:null,institution:{name:"Universidade Regional do Noroeste do Estado do Rio Grande do Sul",country:{name:"Brazil"}}},{id:"336273",title:"Assistant Prof.",name:"Janja",middleName:null,surname:"Zupan",slug:"janja-zupan",fullName:"Janja Zupan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/336273/images/14853_n.jpeg",biography:"Janja Zupan graduated in 2005 at the Department of Clinical Biochemistry (superviser prof. dr. Janja Marc) in the field of genetics of osteoporosis. Since November 2009 she is working as a Teaching Assistant at the Faculty of Pharmacy, Department of Clinical Biochemistry. In 2011 she completed part of her research and PhD work at Institute of Genetics and Molecular Medicine, University of Edinburgh. She finished her PhD entitled The influence of the proinflammatory cytokines on the RANK/RANKL/OPG in bone tissue of osteoporotic and osteoarthritic patients in 2012. From 2014-2016 she worked at the Institute of Biomedical Sciences, University of Aberdeen as a postdoctoral research fellow on UK Arthritis research project where she gained knowledge in mesenchymal stem cells and regenerative medicine. She returned back to University of Ljubljana, Faculty of Pharmacy in 2016. She is currently leading project entitled Mesenchymal stem cells-the keepers of tissue endogenous regenerative capacity facing up to aging of the musculoskeletal system funded by Slovenian Research Agency.",institutionString:null,institution:{name:"University of Ljubljana",country:{name:"Slovenia"}}},{id:"357453",title:"Dr.",name:"Radheshyam",middleName:null,surname:"Maurya",slug:"radheshyam-maurya",fullName:"Radheshyam Maurya",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/357453/images/16535_n.jpg",biography:null,institutionString:null,institution:{name:"University of Hyderabad",country:{name:"India"}}},{id:"418340",title:"Dr.",name:"Jyotirmoi",middleName:null,surname:"Aich",slug:"jyotirmoi-aich",fullName:"Jyotirmoi Aich",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038Ugi5QAC/Profile_Picture_2022-04-15T07:48:28.png",biography:"Biotechnologist with 15 years of research including 6 years of teaching experience. Demonstrated record of scientific achievements through consistent publication record (H index = 13, with 874 citations) in high impact journals such as Nature Communications, Oncotarget, Annals of Oncology, PNAS, and AJRCCM, etc. Strong research professional with a post-doctorate from ACTREC where I gained experimental oncology experience in clinical settings and a doctorate from IGIB where I gained expertise in asthma pathophysiology. A well-trained biotechnologist with diverse experience on the bench across different research themes ranging from asthma to cancer and other infectious diseases. An individual with a strong commitment and innovative mindset. Have the ability to work on diverse projects such as regenerative and molecular medicine with an overall mindset of improving healthcare.",institutionString:"DY Patil Deemed to Be University",institution:null},{id:"349288",title:"Prof.",name:"Soumya",middleName:null,surname:"Basu",slug:"soumya-basu",fullName:"Soumya Basu",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000035QxIDQA0/Profile_Picture_2022-04-15T07:47:01.jpg",biography:"Soumya Basu, Ph.D., is currently working as an Associate Professor at Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India. With 16+ years of trans-disciplinary research experience in Drug Design, development, and pre-clinical validation; 20+ research article publications in journals of repute, 9+ years of teaching experience, trained with cross-disciplinary education, Dr. Basu is a life-long learner and always thrives for new challenges.\r\nHer research area is the design and synthesis of small molecule partial agonists of PPAR-γ in lung cancer. She is also using artificial intelligence and deep learning methods to understand the exosomal miRNA’s role in cancer metastasis. Dr. Basu is the recipient of many awards including the Early Career Research Award from the Department of Science and Technology, Govt. of India. She is a reviewer of many journals like Molecular Biology Reports, Frontiers in Oncology, RSC Advances, PLOS ONE, Journal of Biomolecular Structure & Dynamics, Journal of Molecular Graphics and Modelling, etc. She has edited and authored/co-authored 21 journal papers, 3 book chapters, and 15 abstracts. She is a Board of Studies member at her university. She is a life member of 'The Cytometry Society”-in India and 'All India Cell Biology Society”- in India.",institutionString:"Dr. D.Y. Patil Vidyapeeth, Pune",institution:{name:"Dr. D.Y. Patil Vidyapeeth, Pune",country:{name:"India"}}},{id:"354817",title:"Dr.",name:"Anubhab",middleName:null,surname:"Mukherjee",slug:"anubhab-mukherjee",fullName:"Anubhab Mukherjee",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0033Y0000365PbRQAU/ProfilePicture%202022-04-15%2005%3A11%3A18.480",biography:"A former member of Laboratory of Nanomedicine, Brigham and Women’s Hospital, Harvard University, Boston, USA, Dr. Anubhab Mukherjee is an ardent votary of science who strives to make an impact in the lives of those afflicted with cancer and other chronic/acute ailments. He completed his Ph.D. from CSIR-Indian Institute of Chemical Technology, Hyderabad, India, having been skilled with RNAi, liposomal drug delivery, preclinical cell and animal studies. He pursued post-doctoral research at College of Pharmacy, Health Science Center, Texas A & M University and was involved in another postdoctoral research at Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute, Santa Monica, California. In 2015, he worked in Harvard-MIT Health Sciences & Technology as a visiting scientist. He has substantial experience in nanotechnology-based formulation development and successfully served various Indian organizations to develop pharmaceuticals and nutraceutical products. He is an inventor in many US patents and an author in many peer-reviewed articles, book chapters and books published in various media of international repute. Dr. Mukherjee is currently serving as Principal Scientist, R&D at Esperer Onco Nutrition (EON) Pvt. Ltd. and heads the Hyderabad R&D center of the organization.",institutionString:"Esperer Onco Nutrition Pvt Ltd.",institution:null},{id:"319365",title:"Assistant Prof.",name:"Manash K.",middleName:null,surname:"Paul",slug:"manash-k.-paul",fullName:"Manash K. Paul",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/319365/images/system/319365.png",biography:"Manash K. Paul is a Principal Investigator and Scientist at the University of California Los Angeles. He has contributed significantly to the fields of stem cell biology, regenerative medicine, and lung cancer. His research focuses on various signaling processes involved in maintaining stem cell homeostasis during the injury-repair process, deciphering lung stem cell niche, pulmonary disease modeling, immuno-oncology, and drug discovery. He is currently investigating the role of extracellular vesicles in premalignant lung cell migration and detecting the metastatic phenotype of lung cancer via machine-learning-based analyses of exosomal signatures. Dr. Paul has published in more than fifty peer-reviewed international journals and is highly cited. He is the recipient of many awards, including the UCLA Vice Chancellor’s award, a senior member of the Institute of Electrical and Electronics Engineers (IEEE), and an editorial board member for several international journals.",institutionString:"University of California Los Angeles",institution:{name:"University of California Los Angeles",country:{name:"United States of America"}}},{id:"311457",title:"Dr.",name:"Júlia",middleName:null,surname:"Scherer Santos",slug:"julia-scherer-santos",fullName:"Júlia Scherer Santos",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/311457/images/system/311457.jpg",biography:"Dr. Júlia Scherer Santos works in the areas of cosmetology, nanotechnology, pharmaceutical technology, beauty, and aesthetics. Dr. Santos also has experience as a professor of graduate courses. Graduated in Pharmacy, specialization in Cosmetology and Cosmeceuticals applied to aesthetics, specialization in Aesthetic and Cosmetic Health, and a doctorate in Pharmaceutical Nanotechnology. Teaching experience in Pharmacy and Aesthetics and Cosmetics courses. She works mainly on the following subjects: nanotechnology, cosmetology, pharmaceutical technology, aesthetics.",institutionString:"Universidade Federal de Juiz de Fora",institution:{name:"Universidade Federal de Juiz de Fora",country:{name:"Brazil"}}},{id:"219081",title:"Dr.",name:"Abdulsamed",middleName:null,surname:"Kükürt",slug:"abdulsamed-kukurt",fullName:"Abdulsamed Kükürt",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/219081/images/system/219081.png",biography:"Dr. Kükürt graduated from Uludağ University in Turkey. He started his academic career as a Research Assistant in the Department of Biochemistry at Kafkas University. In 2019, he completed his Ph.D. program in the Department of Biochemistry at the Institute of Health Sciences. He is currently working at the Department of Biochemistry, Kafkas University. He has 27 published research articles in academic journals, 11 book chapters, and 37 papers. He took part in 10 academic projects. He served as a reviewer for many articles. He still serves as a member of the review board in many academic journals. He is currently working on the protective activity of phenolic compounds in disorders associated with oxidative stress and inflammation.",institutionString:null,institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"178366",title:"Dr.",name:"Volkan",middleName:null,surname:"Gelen",slug:"volkan-gelen",fullName:"Volkan Gelen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178366/images/system/178366.jpg",biography:"Volkan Gelen is a Physiology specialist who received his veterinary degree from Kafkas University in 2011. Between 2011-2015, he worked as an assistant at Atatürk University, Faculty of Veterinary Medicine, Department of Physiology. In 2016, he joined Kafkas University, Faculty of Veterinary Medicine, Department of Physiology as an assistant professor. Dr. Gelen has been engaged in various academic activities at Kafkas University since 2016. There he completed 5 projects and has 3 ongoing projects. He has 60 articles published in scientific journals and 20 poster presentations in scientific congresses. His research interests include physiology, endocrine system, cancer, diabetes, cardiovascular system diseases, and isolated organ bath system studies.",institutionString:"Kafkas University",institution:{name:"Kafkas University",country:{name:"Turkey"}}},{id:"418963",title:"Dr.",name:"Augustine Ododo",middleName:"Augustine",surname:"Osagie",slug:"augustine-ododo-osagie",fullName:"Augustine Ododo Osagie",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/418963/images/16900_n.jpg",biography:"Born into the family of Osagie, a prince of the Benin Kingdom. I am currently an academic in the Department of Medical Biochemistry, University of Benin. Part of the duties are to teach undergraduate students and conduct academic research.",institutionString:null,institution:{name:"University of Benin",country:{name:"Nigeria"}}},{id:"192992",title:"Prof.",name:"Shagufta",middleName:null,surname:"Perveen",slug:"shagufta-perveen",fullName:"Shagufta Perveen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192992/images/system/192992.png",biography:"Prof. Shagufta Perveen is a Distinguish Professor in the Department of Pharmacognosy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. Dr. Perveen has acted as the principal investigator of major research projects funded by the research unit of King Saud University. She has more than ninety original research papers in peer-reviewed journals of international repute to her credit. She is a fellow member of the Royal Society of Chemistry UK and the American Chemical Society of the United States.",institutionString:"King Saud University",institution:{name:"King Saud University",country:{name:"Saudi Arabia"}}},{id:"49848",title:"Dr.",name:"Wen-Long",middleName:null,surname:"Hu",slug:"wen-long-hu",fullName:"Wen-Long Hu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/49848/images/system/49848.jpg",biography:"Wen-Long Hu is Chief of the Division of Acupuncture, Department of Chinese Medicine at Kaohsiung Chang Gung Memorial Hospital, as well as an adjunct associate professor at Fooyin University and Kaohsiung Medical University. Wen-Long is President of Taiwan Traditional Chinese Medicine Medical Association. He has 28 years of experience in clinical practice in laser acupuncture therapy and 34 years in acupuncture. He is an invited speaker for lectures and workshops in laser acupuncture at many symposiums held by medical associations. He owns the patent for herbal preparation and producing, and for the supercritical fluid-treated needle. Dr. Hu has published three books, 12 book chapters, and more than 30 papers in reputed journals, besides serving as an editorial board member of repute.",institutionString:"Kaohsiung Chang Gung Memorial Hospital",institution:{name:"Kaohsiung Chang Gung Memorial Hospital",country:{name:"Taiwan"}}},{id:"298472",title:"Prof.",name:"Andrey V.",middleName:null,surname:"Grechko",slug:"andrey-v.-grechko",fullName:"Andrey V. Grechko",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/298472/images/system/298472.png",biography:"Andrey Vyacheslavovich Grechko, Ph.D., Professor, is a Corresponding Member of the Russian Academy of Sciences. He graduated from the Semashko Moscow Medical Institute (Semashko National Research Institute of Public Health) with a degree in Medicine (1998), the Clinical Department of Dermatovenerology (2000), and received a second higher education in Psychology (2009). Professor A.V. Grechko held the position of Сhief Physician of the Central Clinical Hospital in Moscow. He worked as a professor at the faculty and was engaged in scientific research at the Medical University. Starting in 2013, he has been the initiator of the creation of the Federal Scientific and Clinical Center for Intensive Care and Rehabilitology, Moscow, Russian Federation, where he also serves as Director since 2015. He has many years of experience in research and teaching in various fields of medicine, is an author/co-author of more than 200 scientific publications, 13 patents, 15 medical books/chapters, including Chapter in Book «Metabolomics», IntechOpen, 2020 «Metabolomic Discovery of Microbiota Dysfunction as the Cause of Pathology».",institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"199461",title:"Prof.",name:"Natalia V.",middleName:null,surname:"Beloborodova",slug:"natalia-v.-beloborodova",fullName:"Natalia V. Beloborodova",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/199461/images/system/199461.jpg",biography:'Natalia Vladimirovna Beloborodova was educated at the Pirogov Russian National Research Medical University, with a degree in pediatrics in 1980, a Ph.D. in 1987, and a specialization in Clinical Microbiology from First Moscow State Medical University in 2004. She has been a Professor since 1996. Currently, she is the Head of the Laboratory of Metabolism, a division of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation. N.V. Beloborodova has many years of clinical experience in the field of intensive care and surgery. She studies infectious complications and sepsis. She initiated a series of interdisciplinary clinical and experimental studies based on the concept of integrating human metabolism and its microbiota. Her scientific achievements are widely known: she is the recipient of the Marie E. Coates Award \\"Best lecturer-scientist\\" Gustafsson Fund, Karolinska Institutes, Stockholm, Sweden, and the International Sepsis Forum Award, Pasteur Institute, Paris, France (2014), etc. Professor N.V. Beloborodova wrote 210 papers, five books, 10 chapters and has edited four books.',institutionString:"Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology",institution:null},{id:"354260",title:"Ph.D.",name:"Tércio Elyan",middleName:"Azevedo",surname:"Azevedo Martins",slug:"tercio-elyan-azevedo-martins",fullName:"Tércio Elyan Azevedo Martins",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/354260/images/16241_n.jpg",biography:"Graduated in Pharmacy from the Federal University of Ceará with the modality in Industrial Pharmacy, Specialist in Production and Control of Medicines from the University of São Paulo (USP), Master in Pharmaceuticals and Medicines from the University of São Paulo (USP) and Doctor of Science in the program of Pharmaceuticals and Medicines by the University of São Paulo. Professor at Universidade Paulista (UNIP) in the areas of chemistry, cosmetology and trichology. Assistant Coordinator of the Higher Course in Aesthetic and Cosmetic Technology at Universidade Paulista Campus Chácara Santo Antônio. Experience in the Pharmacy area, with emphasis on Pharmacotechnics, Pharmaceutical Technology, Research and Development of Cosmetics, acting mainly on topics such as cosmetology, antioxidant activity, aesthetics, photoprotection, cyclodextrin and thermal analysis.",institutionString:null,institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"334285",title:"Ph.D. Student",name:"Sameer",middleName:"Kumar",surname:"Jagirdar",slug:"sameer-jagirdar",fullName:"Sameer Jagirdar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/334285/images/14691_n.jpg",biography:"I\\'m a graduate student at the center for biosystems science and engineering at the Indian Institute of Science, Bangalore, India. I am interested in studying host-pathogen interactions at the biomaterial interface.",institutionString:null,institution:{name:"Indian Institute of Science Bangalore",country:{name:"India"}}},{id:"329248",title:"Dr.",name:"Md. Faheem",middleName:null,surname:"Haider",slug:"md.-faheem-haider",fullName:"Md. Faheem Haider",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329248/images/system/329248.jpg",biography:"Dr. Md. Faheem Haider completed his BPharm in 2012 at Integral University, Lucknow, India. In 2014, he completed his MPharm with specialization in Pharmaceutics at Babasaheb Bhimrao Ambedkar University, Lucknow, India. He received his Ph.D. degree from Jamia Hamdard University, New Delhi, India, in 2018. He was selected for the GPAT six times and his best All India Rank was 34. Currently, he is an assistant professor at Integral University. Previously he was an assistant professor at IIMT University, Meerut, India. He has experience teaching DPharm, Pharm.D, BPharm, and MPharm students. He has more than five publications in reputed journals to his credit. Dr. Faheem’s research area is the development and characterization of nanoformulation for the delivery of drugs to various organs.",institutionString:"Integral University",institution:{name:"Integral University",country:{name:"India"}}},{id:"329795",title:"Dr.",name:"Mohd Aftab",middleName:"Aftab",surname:"Siddiqui",slug:"mohd-aftab-siddiqui",fullName:"Mohd Aftab Siddiqui",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/329795/images/system/329795.png",biography:"Dr. Mohd Aftab Siddiqui is an assistant professor in the Faculty of Pharmacy, Integral University, Lucknow, India, where he obtained a Ph.D. in Pharmacology in 2020. He also obtained a BPharm and MPharm from the same university in 2013 and 2015, respectively. His area of research is the pharmacological screening of herbal drugs/natural products in liver cancer and cardiac diseases. He is a member of many professional bodies and has guided many MPharm and PharmD research projects. Dr. Siddiqui has many national and international publications and one German patent to his credit.",institutionString:"Integral University",institution:null}]}},subseries:{item:{id:"4",type:"subseries",title:"Fungal Infectious Diseases",keywords:"Emerging Fungal Pathogens, Invasive Infections, Epidemiology, Cell Membrane, Fungal Virulence, Diagnosis, Treatment",scope:"Fungi are ubiquitous and there are almost no non-pathogenic fungi. Fungal infectious illness prevalence and prognosis are determined by the exposure between fungi and host, host immunological state, fungal virulence, and early and accurate diagnosis and treatment. \r\nPatients with both congenital and acquired immunodeficiency are more likely to be infected with opportunistic mycosis. Fungal infectious disease outbreaks are common during the post- disaster rebuilding era, which is characterised by high population density, migration, and poor health and medical conditions.\r\nSystemic or local fungal infection is mainly associated with the fungi directly inhaled or inoculated in the environment during the disaster. The most common fungal infection pathways are human to human (anthropophilic), animal to human (zoophilic), and environment to human (soilophile). Diseases are common as a result of widespread exposure to pathogenic fungus dispersed into the environment. \r\nFungi that are both common and emerging are intertwined. In Southeast Asia, for example, Talaromyces marneffei is an important pathogenic thermally dimorphic fungus that causes systemic mycosis. Widespread fungal infections with complicated and variable clinical manifestations, such as Candida auris infection resistant to several antifungal medicines, Covid-19 associated with Trichoderma, and terbinafine resistant dermatophytosis in India, are among the most serious disorders. \r\nInappropriate local or systemic use of glucocorticoids, as well as their immunosuppressive effects, may lead to changes in fungal infection spectrum and clinical characteristics. Hematogenous candidiasis is a worrisome issue that affects people all over the world, particularly ICU patients. CARD9 deficiency and fungal infection have been major issues in recent years. Invasive aspergillosis is associated with a significant death rate. Special attention should be given to endemic fungal infections, identification of important clinical fungal infections advanced in yeasts, filamentous fungal infections, skin mycobiome and fungal genomes, and immunity to fungal infections.\r\nIn addition, endemic fungal diseases or uncommon fungal infections caused by Mucor irregularis, dermatophytosis, Malassezia, cryptococcosis, chromoblastomycosis, coccidiosis, blastomycosis, histoplasmosis, sporotrichosis, and other fungi, should be monitored. \r\nThis topic includes the research progress on the etiology and pathogenesis of fungal infections, new methods of isolation and identification, rapid detection, drug sensitivity testing, new antifungal drugs, schemes and case series reports. It will provide significant opportunities and support for scientists, clinical doctors, mycologists, antifungal drug researchers, public health practitioners, and epidemiologists from all over the world to share new research, ideas and solutions to promote the development and progress of medical mycology.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/4.jpg",hasOnlineFirst:!0,hasPublishedBooks:!1,annualVolume:11400,editor:{id:"174134",title:"Dr.",name:"Yuping",middleName:null,surname:"Ran",slug:"yuping-ran",fullName:"Yuping Ran",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bS9d6QAC/Profile_Picture_1630330675373",biography:"Dr. Yuping Ran, Professor, Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China. Completed the Course Medical Mycology, the Centraalbureau voor Schimmelcultures (CBS), Fungal Biodiversity Centre, Netherlands (2006). 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The area covers many techniques that offer solutions to emerging problems in robotics and enterprise-level software systems. Collaborative intelligence is highly and effectively achieved with multi-agent systems. Areas of application include swarms of robots, flocks of UAVs, collaborative software management. Given the level of technological enhancements, the popularity of machine learning in use has opened a new chapter in multi-agent studies alongside the practical challenges and long-lasting collaboration issues in the field. It has increased the urgency and the need for further studies in this field. We welcome chapters presenting research on the many applications of multi-agent studies including, but not limited to, the following key areas: machine learning for multi-agent systems; modeling swarms robots and flocks of UAVs with multi-agent systems; decision science and multi-agent systems; software engineering for and with multi-agent systems; tools and technologies of multi-agent systems.",annualVolume:11423,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/27.jpg",editor:{id:"148497",title:"Dr.",name:"Mehmet",middleName:"Emin",surname:"Aydin",fullName:"Mehmet Aydin",profilePictureURL:"https://mts.intechopen.com/storage/users/148497/images/system/148497.jpg",institutionString:null,institution:{name:"University of the West of England",institutionURL:null,country:{name:"United Kingdom"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"275140",title:"Dr.",name:"Dinh Hoa",middleName:null,surname:"Nguyen",fullName:"Dinh Hoa Nguyen",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRbnKQAS/Profile_Picture_1622204093453",institutionString:null,institution:{name:"Kyushu University",institutionURL:null,country:{name:"Japan"}}},{id:"20259",title:"Dr.",name:"Hongbin",middleName:null,surname:"Ma",fullName:"Hongbin Ma",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRhDJQA0/Profile_Picture_2022-05-02T08:25:21.jpg",institutionString:null,institution:{name:"Beijing Institute of Technology",institutionURL:null,country:{name:"China"}}},{id:"28640",title:"Prof.",name:"Yasushi",middleName:null,surname:"Kambayashi",fullName:"Yasushi Kambayashi",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYOQxQAO/Profile_Picture_1625660525470",institutionString:null,institution:{name:"Nippon Institute of Technology",institutionURL:null,country:{name:"Japan"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"profile.detail",path:"/profiles/189286",hash:"",query:{},params:{id:"189286"},fullPath:"/profiles/189286",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()