The burden, correlates and outcomes of left ventricular hypertrophy among young Africans with first ever stroke in Tanzania

Background Left ventricular hypertrophy is a pathophysiological response often due to chronic uncontrolled hypertension. Our primary aim was to investigate the magnitude, correlates and outcomes of left ventricular hypertrophy as a surrogate maker for chronic uncontrolled hypertension in young adults ≤ 45 years with stroke. Our secondary aim was to determine the accuracy of electrocardiography using Sokolow-Lyon and Cornell criteria in detecting left ventricular hypertrophy compared to echocardiography. Methods This cohort study recruited young strokes who had undergone brain imaging, electrocardiography and transthoracic echocardiography at baseline. The modified Poisson regression model examined baseline correlates for left ventricular hypertrophy. The National Institute of Health Stroke Scale assessed stroke severity and the modified Rankin Scale assessed outcomes to 30-days. Performance of electrical voltage criterions was estimated using receiver operator characteristics. Results We enrolled 101 stroke participants. Brain imaging revealed ischemic strokes in 60 (59.4%) and those with intracerebral hemorrhage, 33 (86.8%) were localized to the basal ganglia. Left ventricular hypertrophy was present in 76 (75.3%:95%CI 65.7%–83.3%), and 30 (39.5%) and 28 (36.8%) had moderate or severe hypertrophy respectively. Young adults with premorbid or a new diagnosis of hypertension were more likely to have left ventricular hypertrophy, 47 (61.8%), and 26 (34.2%). On multivariable analysis, left ventricular hypertrophy was independently associated with not being on anti-hypertensive medications among hypertensives participants {adjusted risk ratio 1.4 (95%CI:1.04–1.94). The mean National Institute of Health Stroke score was 18 and 30-day mortality was 42 (43.3%). The sensitivity and specificity for Sokolow-Lyon in detecting left ventricular hypertrophy was 27% and 78%, and for Cornell was 32% and 52% respectively. Conclusions We identified a high proportion of left ventricular hypertrophy in young adults with stroke associated with chronic undertreated hypertension. While the study methodology does not allow us to determine causation, this association and knowledge of pathophysiological processes supports the notion that chronic hypertension is a major risk factor for young strokes associated with high mortality. Our findings did not support the use of the electrical voltage criteria for detecting left ventricular hypertrophy. We recommend low cost interventions like blood pressure screening and treatment to reduce this burden.

Analysis Of The Effect Of Alternator Modification On Himoinsa Genset 20 Kva To Load Testing And Cost

A generator is a device or engine that generates electrical energy from the presence of mechanical energy obtained from a prime mover in the form of a diesel engine as the prime mover which then drives an AC generator or alternator, causing an electrical voltage. The aim of this research is that the generator can supply electricity needs at the Sumur Welut site by changing or modifying diameter of the wire on the alternator. This analysis includes the Stator and Rotor on the Alternator generator so that it can produce the electricity needed. From the test results, the load generated after being modified can supply power at the site but the fuel consumption is more wasteful, namely 0.9 liters / minute and also the generator temperature increases to 88.2 C. So that the radiator planning is done by changing the surface area of ​​the radiator from 2915 cm2 to 8077 cm2. Or change the radiator fan, which originally changed the wind speed of 4.7 m / s to 13 m / s. Keywords: Generator, Alternator, Load Testing, Radiator, Cost.

Enhancement of muscle’s activity by woven compression bandage

Electromyography (EMG) test, the recording of electrical activity in muscle, is a main tool usually used to evaluate themuscle’s activation. This study aims to discuss and analyse the effect of woven compression bandage (WCB) onmuscles’ activation. Flexor Carpi (FC), Soleus (SO), and Medial Gastrocnemius (MG) muscles were selected torepresent the wrist, ankle, and mid-calf muscles respectively, which were then evaluated by EMG electrical voltage testwith and without wearing WCB. The standardized activities used to test the FC muscle were flexion-extension andsqueezing a soft roll. While the protocol activities for MG and SO muscles were flexion-extension and walking actions.Wearing WCB significantly decreased the muscle’s activation and was associated with higher median frequency for bothSO and MG muscles during the tested activities. The EMG signals were analysed and filtered using MegaWin andMATLAB software. Root mean square (RMS) values confirmed that wearing WCB could improve the performance of FC,SO, and MG muscles and might reduce the muscle’s fatigue during the selected activities.

National standards of the impulse electrical voltage of Russian Federation and Republic of Belarus: additional comparisons

The results of additional bilateral comparison of initial standards of the impulse electrical voltage unit were considered. As a result of comparison there were confirmed announced uncertainties and calibration and measurement capabilities of the participants of comparison. The comparison was carried out under guidance of COOMET (project 710/RU-a/16) оn the initiative of national metrology institutes (NMI): VNIIFTRI (Russia) and BelGIM (Republic of Belarus). The comparison involved national standards: the State primary standard unit of the impulse electrical voltage unit (GET 182-2010, VNIIFTRI) and the original standard of the impulse electrical voltage unit BelGIM. Step pulse generator TMG030010SN11-M1 was used as a traveling standard. The values of the impulse electrical voltage, reproduced by means of traveling standard, were measured by national standards.The purpose of comparison was to confirm confidence in the measurement results and calibration certificates, issued by the NMI in the field of impulse electrical voltage measurements. In the comparison VNIIFTRI acted as a pilot laboratory. Measurements of impulse electrical voltage by means of traveling standard were carried out in the following order: first – measurements of impulse electrical voltage on GET 182-2010, then – on the original standard of BelGIM and finally – again on GET 182-2010. Processing of the results of comparison according to χ2(i) criterion showed that χ2(i) criterion values (calculated on the basis of the measurement results) doesn’t exceed a critical value χ2, that is the objective confirmation of announced uncertainties, declared by the participants of comparison.

Numerical analysis of jet airflow impact inclined flat plate under electrohydrodynamics force in a porous medium

Purpose This study aims to present a numerical analysis of the behavior of the electric field and flow field characteristics under electrohydrodynamics (EHD) force. The influence of the jet airflow under the EHD force is investigated when it impacts the inclined flat plate. Design/methodology/approach The high electrical voltage and angle of an inclined flat plate are tested in a range of 0–30 kV and 0–90°, respectively. In this condition, the air is set in a porous medium and the inlet jet airflow is varied from 0–2 m/s. Findings The results of this study show that the electric field line patterns increase with increasing the electrical voltage and it affects the electric force increasing. The angle of inclined flat plate and the boundary of the computational model are influenced by the electric field line patterns and electrical voltage surface. The electric field pattern is the difference in the fluid flow pattern. The fluid flow is more expanded and more concentrated with increasing the angle of an inclined flat plate, the electrical voltage and the inlet jet airflow. The velocity field ratio is increased with increasing the electrical voltage but it is decreased with increasing the angle of the inclined flat plate and the inlet jet airflow. Originality/value The maximum Reynolds number, the maximum velocity field and the maximum cell Reynolds number are increased with increasing the electrical voltage, the inlet jet airflow and the angle of the inclined flat plate. In addition, the cell Reynolds number characteristics are more concentrated and more expanded with increasing the electrical voltage. The pattern of numerical results from the cell Reynolds number characteristics is similar to the pattern of the fluid flow characteristics. Finally, a similar trend of the maximum velocity field has appeared for experimental and numerical results so both techniques are in good agreement.