Economic Stress, Precariousness and Risk of High Blood Pressure: A Descriptive Survey of Life Models within Households of the Central Region of Cameroon

Context/Objective: High blood pressure (HBP) currently represents the most widespread chronic non-communicable disease in Cameroon. The increase in its prevalence in the country is the result of multiple factors including economic stress imposed by precariousness, poor living conditions, sources of anxiety, anguish, depression and other behavioral disorders. Economic stress is a globalizing concept that integrates into a purely hermeneutic approach, a particular functioning of the nervous system of an individual who faces employment problems and precarious remuneration conditions. The non-satisfaction by an individual of his basic needs due to insufficient financial means can cause him to become irritable, aggressive, and socially and symbolically isolated, thereby increasing the desire to resort to morbid life models such as excessive consumption of narcotics and other psychoactive substances often associated with high blood pressure. The fight against the emergence of BPH is a complex, multifaceted and multifactorial reality that requires taking into account economic stress. The main objective of this survey is to describe the situation of economic stress within the Cameroonian population, which imposes precariousness and life models at risk of high blood pressure. Specifically, we determined the level of household income and the sources of income. Methods: A cross-sectional survey with a descriptive aim among five hundred households in the Central Region of Cameroon was conducted. A probabilistic technique called simple randomness was used. The number of households to be surveyed was determined indirectly using the Cochrane formula. Data collection in face-to-face mode using a physical questionnaire took place from July 1 to August 31, 2023, after obtaining ethical clearance from the Regional Health Research Ethics Committee, Human from the Center and an administrative authorization for data collection. Regarding their processing, the data was grouped during processing in Excel sheets. Normality and reliability tests of the collected data were carried out. For this, the Chi-square test was used for data with a qualitative value and that of Kolmogorov-Sminorf for data with a quantitative value. Descriptive analysis was possible using R software version 3.2, SPSS version 25.0, XLSTAT 2016, PAST and EXCEL programs from Microsoft Office 2013. Results: The main results highlight economic stress, with 45.60% of households surveyed earning less than US$154 per month;55% of household heads were women in single-parent families;14% of household heads were unemployed, 22% worked in the private sector and 19% were self-employed. This general economic situation leads to precarious living conditions, thereby increasing the risk of high blood pressure among the Cameroonian population.

Peer pressure and academic stress among junior high school students:a cross-sectional study

Objective:The objective of the study was to explore the connection between peer pressure and academic stress among junior high school students.Methods:This descriptive correlational study was conducted to investigate the link between perceived peer pressure and academic stress.The study involved a total of 525 adolescents,aged 14-19 years,drawn from 6 public junior high schools(PJHS)in Padang,Indonesia,using purposive sampling.Academic stress and perceived peer pressure were assessed using the Educational Stress Scale for Adolescents(ESSA)and the Perceived Peer Pressure Scale(PPPS).Results:The findings indicated significant variations in stress levels among students in different grade levels(7th,8th,and 9th grades)(P<0.05),while there were no noteworthy differences in peer pressure across these grade levels(P>0.05).Additionally,there was a positive correlation observed between perceived peer pressure and academic stress(r=0.14,P<0.05).Furthermore,multiple regression analyses,incorporating demographic variables and perceived peer pressure as independent factors,yielded statistically significant results(adjusted R^(2)=0.082,F=4.33,P<0.001).Notably,peer pressure had a direct impact on academic stress among adolescents,with class level and parents’educational background mediating the relationship between academic stress and adolescent behavioral problems.Conclusions:These findings underscore the importance of addressing both external and internal factors at the individual,family,school,and societal levels to enhance adolescents’psychological resilience and mitigate problem behaviors.

Effects of System Pressure and Heat Flux on Bubble Nucleation and Growth

Characteristics of bubble nucleation and growth are critical for its application. It is affected by several factors including viscosity, surface tension and temperature. However, the effect of pressure on bubble nucleation and growth has been underreported, although it processes significant effect on above characteristics. In this work, a micro copper electrode is etched on a slab covered with copper to produce bubble on the surface by current input. The nucleation time of bubble is measured under different heat flux and system pressures. The nucleation and growth processes are recorded with a high speed camera in order to discuss the effects of heat flux and system pressure on bubble characteristics. The experiment results indicate that the micro electrode with higher heat flux produces more thermal energy, which makes the time of bubble nucleation shorter and the speed of bubble growth faster. Higher system pressure causes the increase of the critical nucleation temperature and also baffles the bubble nucleation and growth. Bubble growth includes the stages of rapid growth and dynamic equilibrium, with the speed being from fast to slow. In the former part of rapid growth, heat flux plays a dominant role in bubble growth. While the effect of system pressure on bubble growth becomes significant in the latter part of rapid growth. Both the nucleation time and bubble growth agree well with the theoretical analysis. The obtained results help to accurately control bubble nucleation and growth required in different application.

Gas-Liquid Mass Transfer in a Slurry Bubble Column Reactor under High Temperature and High Pressure

The gas-liquid mass transfer of H2 and CO in a high temperature and high-pressure three-phase slurry bubble column reactor is studied. The gas-liquid volumetric mass transfer coefficients kLa are obtained by measuring the dissolution rate of H2 and CO. The influences of the main operation conditions, such as temperature, pressure, superficial gas velocity and solid concentration, are studied systematically. Two empirical correlations are proposed to predict kLa values for H2 and CO in liquid paraffin/solid particles slurry bubble column reactors.

Gas Holdups of Small and Large Bubbles in a Large-scale Bubble Column with Elevated Pressure

Gas holdups of large bubbles and small bubbles were measured by means of dynamic gas disengagement approach in the pressured bubble column with a diameter of 0.3 m and a height of 6.6 m. The effects of superficial gas velocity, liquid surface tension, liquid viscosity and system pressure on gas holdups of small bubbles and large bubbles were investigated. The holdup of large bubbles increases and the holdup of small bubbles decreases with an increase of liquid viscosity. Meanwhile, the holdup of large bubbles decreases with increasing the system pressure. A correlation for the holdup of small bubbles was obtained from the experimental data.

Molecular dynamics study of helium bubble pressure in titanium

In this paper, the pressure state of the helium bubble in titanium is simulated by a molecular dynamics （MD） method. First, the possible helium/vacancy ratio is determined according to therelation between the bubble pressure and helium/vacancy ratio; then the dependences of the helium bubble pressure on the bubble radius at different temperatures are studied. It is shown that the product of the bubble pressure and the radius is approximately a constant, a result justifying the pressure-radius relation predicted by thermodynamics-based theory for gas bubble. Furthermore, a state equation of the helium bubble is established based on the MD calculations. Comparison between the results obtained by the state equation and corresponding experimental data shows that the state equation can describe reasonably the state of helium bubble and thus could be used for Monte Carlo simulations of the evolution of helium bubble in metals.

Novel empirical correlations for estimation of bubble point pressure,saturated viscosity and gas solubility of crude oils

Knowledge of petroleum fluid properties is crucial for the study of reservoirs and their development. Estimation of reserves in an oil reservoir or determination of its performance and economics requires a good knowledge of the fluid physical properties. Bubble point pressure, gas solubility and viscosity of oils are the most important parameters in use for petroleum and chemical engineers. In this study a simple-to-use, straight-forward mathematical model was correlated on a set of 94 crude oil data. Three correlations were achieved based on an exponential regression, which were different from conventional empirical correlations, and were evaluated against 12 laboratory data other than those used for the regression. It is concluded that the new exponential equation is of higher precision and accuracy than the conventional correlations and is a more convenient mathematical formulation.

Hydrodynamics of air-kerosene bubble column under elevated pressure in homogeneous flow regime

A multiphase computational fluid dynamics(CFD)model coupled with the population balance equation(PBE)was developed in a homogeneous air-kerosene bubble column under elevated pressure(P).The specific pressure drop(ΔP/L),gas holdup(α_(G)),and Sauter mean diameter(d_(32))were experimentally measured in the bubble column with 1.8 m height and 0.1 m inner diameter,which was operated at a superficial gas velocity of 12.3 mm·s^(-1),and P=1-35 bar(1 bar=10^(5) Pa).A modified drag coefficient model was proposed to consider the effect of bubble swarm and pressure on hydrodynamics of the bubble column.The Luo breakage model was modified to account for liquid density,viscosity,surface tension and gas density.TheΔP/L,α_(G),and d_(32) obtained from the CFD model were compared with experimental data,and the gas density-dependent parameters of the CFD model were identified.With increasing P from 1 to 35 bar,theα_(G) varied from 5.4%to 7.2% and the d32 decreased from 2.3 to 1.5 mm.The CFD-PBE model is applicable to predict hydrodynamics of pressurized bubble columns for gas-organic liquid in the homogeneous regime.

Diffusion-controlled Adsorption Kinetics at Air/Solution Surface Studied by Maximum Bubble Pressure Method

In studying the diffusion-controlled adsorption kinetics of aqueous surfactant solutions at the air/solution surface by means of the maximal bubble pressure method, Fick's diffusion equation for a sphere should be used. In this paper the equation was solved by means of Laplace transformation under different initial and boundary conditions. The dynamic surface adsorption F(t) for a surfactant solution, which was used to describe the diffusion-controlled adsorption kinetics at the solution surface, was derived. Different from the planar surface adsorption, the dynamic surface adsorption F(t) for the short time consists of two terms: one is the same as Ward-Tordai equation and the other reflects the geometric effect caused by the spherical bubble surface. This effect should not be neglected for the very small radius of the capillary. The equilibrium surface tension γeq and the dynamic surface tension γ(t) of aqueous C10E6 [CH3(CH2)9(OCH2CH2)6OH] solution at temperature 25℃ were measuredby means of Wilhelmy plate method and maximal bubble pressure method respectively. As t→ 0, the theoreticalanalysis is in good agreement with experimental results and the dependence of γ(t) on is linear.

Multi-scale and multi-fractal analysis of pressure fluctuation in slurry bubble column bed reactor

The Daubechies second order wavelet was applied to decompose pressure fluctuation signals with the gas flux varying from 0.18 to 0.90 m3/h and the solid mass fraction from 0 to 20% and scales 1?9 detail signals and the 9th scale approximation signals. The pressure signals were studied by multi-scale and R/S analysis method. Hurst analysis method was applied to analyze multi-fractal characteristics of different scale signals. The results show that the characteristics of mono-fractal under scale 1 and scale 2, and bi-fractal under scale 3?9 are effective in deducing the hydrodynamics in slurry bubbling flow system. The measured pressure signals are decomposed to micro-scale signals, meso-scale signals and macro-scale signals. Micro-scale and macro-scale signals are of mono-fractal characteristics, and meso-scale signals are of bi-fractal characteristics. By analyzing energy distribution of different scale signals,it is shown that pressure fluctuations mainly reflects meso-scale interaction between the particles and the bubble.

Effects of Pressure on Bubble Size and Separation of BSA by a Semi-batch Foaming Process

Experiments were conducted to obtain the values of the Sauter bubble size, enrichment and recovery of bovine serum albumin （BSA） in a semi-batch col- umn fitted with a stainless steel sparger at elevated pressure. The effects of Sur- face tension, surfactant concentration, foam/solution height ratio and air flow rate on the separation performance were investigated, and the results showed that good en- richments and recoveries can be achieved for bovine serum albumin operated at el- evated pressures. Especially the size of bubbles generated by the stainless steel sparger was smaller at higher pressures which is favorable to the foam separation process. Furthermore, the separation mechanism of bovine serum albumin operated at elevated pressure was also discussed.

Continuous Positive Airway Pressure Effectively Alleviates Arrhythmias in Patients with Obstructive Sleep Apnea:Possible Relationship with Counteracting Oxidative Stress

This work is aimed at exploring the clinical efficacy of continuous positive airway pressuie(CPAP)in treatment of patients with arrhythmias combined with obstructive sleep apnea(OSA).Through evaluating serum native thiol,malonaldehyde(MDA)and nicotinamide adenine dinucleotide phosphate oxidase(NADPH oxidase)in these patients and describing the effects on oxidative parameters of CPAP therapy for 3 months,we confirmed the impact of oxidative stress on arrhythmias.A total of 64 patients with OSA combined with arrhythmias were collected from April 2014 to April 2017 with full clinical information.Patients were divided into two groups(paired experiment design):32 patients in group A(control group),who received unchanged anti-arrhythmia treatment and 32 patients in group B,who were subjected to unchanged pharmacological anti-arrhythmia therapy combined with CPAP.OSA related parameters were compared between the two groups after 3-month therapy.And the levels of parameters of oxidative stress in patients were measured before and after CPAP therapy.After 3 months of CPAP therapy,compared with the control group,the percentage of sage N3(NREM 3)and stage R(REM)in total sleep time was significantly increased,while apnea-hypopnea index(AHI)and the Epworth Sleepiness Scale(ESS)score were evidently decreased.Meanwhile,the lowest oxygen saturation(LSpCh)was also elevated after CPAP treatment for 3 months.The CPAP therapy significantly prevented the occurrence of arrhythmias(P<0.05).Both the MDA level and NADPH oxidase levels were significantly lower in the group B than in the group A(P<0.05).But serum native thiol was improved by CPAP treatment(P<0.05).In conclusion,proper use of CPAP therapy provides significant benefits for the treatment of arrhythmia in patients with OSA.

Mudcake effects on wellbore stress and fracture initiation pressure and implications for wellbore strengthening

Although a large volume of mudcake filtration test data is available in the literature, effects of mudcake on wellbore strengthening cannot be quantified without incorporating the data into a stress-analysis model. Traditional models for determining fracture initiation pressure （FIP） either consider a wellbore with an impermeable mudcake or with no mudcake at all. An analytical model considering permeable mudcake is proposed in this paper. The model can predict pore pressure and stress profiles around the wellbore, and consequently the FIP, for different mudcake thickness, permeability, and strength. Numerical examples are provided to illustrate the effects of these mudcake parameters. The results show that a low-permeability mudcake enhances FIP, mainly through restricting fluid seepage and pore pressure increase in the near- wellbore region, rather than by mudcake strength. Fluid loss pressure （FLP） should be distinguished from FIP when a mudcake is present on the wellbore wall. Fracture may occur behind the mudcake at FIP without mudcake rupture. The small effect of mudcake strength on FIP does not mean its effect on FLP is small too. Mudcake strength may play an important role in maintaining integrity of the wellbore once a fracture has initiated behind the mudcake.

At-rest lateral earth pressure of compacted expansive soils:Experimental investigations and prediction approach

This paper presents experimental studies on a compacted expansive soil,from Nanyang,China for investigating the at-rest lateral earth pressureσL of expansive soils.The key studies include(i)relationships between theσL and the vertical stressσV during soaking and consolidation,(ii)the influences of initial dry densityρd0 and moisture content w 0 on the vertical and lateral swelling pressures at no swelling strain(i.e.σV0 andσL0),and(iii)evolution of theσL during five long-term wetting-drying cycles.Experimental results demonstrated that the post-soakingσL-σV relationships are piecewise linear and their slopes in the passive state(σL>σV)and active state(σL<σV)are similar to that of the consolidationσL-σV relationships in the normal-and over-consolidated states,respectively.The soakingσL-σV relationships converge to the consolidationσL-σV relationships at a thresholdσV where the interparticle swelling is restrained.TheσL0 andσV0 increase monotonically withρd0;however,they show increasing-then-decreasing trends with the w 0.The extent of compaction-induced swelling anisotropy,which is evaluated byσL0/σV0,reduces with an increase in the compaction energy and molding water content.TheσL reduces over moisture cycles and the stress relaxation in theσL during soaking is observed.An approach was developed to predict the at-rest soakingσL-σV relationships,which requires conventional consolidation and shear strength properties and one measurement of theσL-σV relationships during soaking.The proposed approach was validated using the results of three different expansive soils available in the literature.

Numerical analysis of stress distribution in the upper arm tissues under an inflatable cuff：Implications for noninvasive blood pressure measurement

An inflatable cuff wrapped around the upper arm is widely used in noninvasive blood pressure measurement.However, the mechanical interaction between cuff and arm tissues, a factor that potentially affects the accuracy of noninvasive blood pressure measurement, remains rarely addressed. In the present study, finite element（FE） models were constructed to quantify intra-arm stresses generated by cuff compression, aiming to provide some theoretical evidence for identifying factors of importance for blood pressure measurement or explaining clinical observations. Obtained results showed that the simulated tissue stresses were highly sensitive to the distribution of cuff pressure on the arm surface and the contact condition between muscle and bone. In contrast, the magnitude of cuff pressure and small variations in elastic properties of arm soft tissues had little influence on the efficiency of pressure transmission in arm tissues. In particular, it was found that a thickened subcutaneous fat layer in obese subjects significantly reduced the effective pressure transmitted to the brachial artery, which may explain why blood pressure overestimation occurs more frequently in obese subjects in noninvasive blood pressure measurement.

Effects of Atmospheric Pressure on Developmental Characteristics and the Stability of Air Entraining Agent for Concrete

In order to ascertain the effects of atmospheric pressure on developmental characteristics and the stability of AEA(air-entraining agent)solution bubbles,AEA solution experiments and AEA solution bubble experiments were,respectively,conducted in Peking(50 m,101.2 kPa)and Lhasa(3,650 m,63.1 kPa).Surface tensions and inflection-point concentrations were tested based on AEA solutions,whilst developmental characteristics,thicknesses and elastic coefficients of liquid films were tested based on air bubbles of AEA solutions.The study involved three types of AEAs,which were TM-O,226A,and 226S.The experimental results show that initial sizes of TM-O,226A,and 226S are,respectively,increased by 43.5%,17.5%,and 3.8%.With the decrease of ambient pressure,the drainage rate and the drainage index of AEA solution bubbles increase.Interference experiments show that the liquid film thicknesses of all tested AEA solution bubbles are in micron scales.When the atmospheric pressure decreases from 101.2 to 63.1 kPa,the liquid film thicknesses of three types of AEA solutions decrease in various degrees;and film elasticities at critical thicknesses increase.Liquid film of 226S solution bubbles is the most stable,presenting as a minimum thickness variation.It should be noted that elastic coefficient of liquid film only represents the level at critical thickness,thus it can not be applied as the only evaluating indicator of bubble stability.For a type of AEA,factors affecting the stability of its bubbles under low atmospheric pressure include initial bubbles size,liquid film thickness,liquid film elasticity,ambient temperature,etc.

FEM analyses of stress and deformation of a flexible inner pressure bolt

The flexible inner pressure bolt is a new kind and new structural bolt (anchor rod). A number of structural improvements and performance test have been carried out. The bolt has superior compatibility to the soft crag and the large distortion tunnel with its flexibility. In order to study its stress, deformation and interaction mechanism thoroughly, a number of large distortion calcula- tions and analyses have been carried out on the bolt by FEM (finite element method), especially with the ANSYS software, based on the updated Lagrangian law. The results show that the maximum stress of the inner wall of the bolt is consistent with an elastic analytic solution. The maximum stress on the body occurs in the vicinity of the enhancement material. The link enhancement of the body seems to be quite essential. The experimental results indicate that the maximum injection pressure in the bolt is 2.5 MPa without link enhancement and 8.3 MPa with the enhancement. This link enhancement effect is highly significant. These results provide some basis for the design, application and anchoring stress analysis of the bolt.

A hybrid machine learning optimization algorithm for multivariable pore pressure prediction

Pore pressure is essential data in drilling design,and its accurate prediction is necessary to ensure drilling safety and improve drilling efficiency.Traditional methods for predicting pore pressure are limited when forming particular structures and lithology.In this paper,a machine learning algorithm and effective stress theorem are used to establish the transformation model between rock physical parameters and pore pressure.This study collects data from three wells.Well 1 had 881 data sets for model training,and Wells 2 and 3 had 538 and 464 data sets for model testing.In this paper,support vector machine(SVM),random forest(RF),extreme gradient boosting(XGB),and multilayer perceptron(MLP)are selected as the machine learning algorithms for pore pressure modeling.In addition,this paper uses the grey wolf optimization(GWO)algorithm,particle swarm optimization(PSO)algorithm,sparrow search algorithm(SSA),and bat algorithm(BA)to establish a hybrid machine learning optimization algorithm,and proposes an improved grey wolf optimization(IGWO)algorithm.The IGWO-MLP model obtained the minimum root mean square error(RMSE)by using the 5-fold cross-validation method for the training data.For the pore pressure data in Well 2 and Well 3,the coefficients of determination(R^(2))of SVM,RF,XGB,and MLP are 0.9930 and 0.9446,0.9943 and 0.9472,0.9945 and 0.9488,0.9949 and 0.9574.MLP achieves optimal performance on both training and test data,and the MLP model shows a high degree of generalization.It indicates that the IGWO-MLP is an excellent predictor of pore pressure and can be used to predict pore pressure.

Stress analytical solution for plane problem of a double-layered thick-walled cylinder subjected to a type of non-uniform distributed pressure

The stress state around circular openings,such as boreholes,shafts,and tunnels,is usually needed to be evaluated.Solutions for stresses,strains and ultimate bearing capacities of pressurized hollow cylinder are common cases.Stress analytical method for plane problem of a double-layered thick-walled cylinder subjected to a type of non-uniform pressure on the outer surface and uniform radial pressure on the inner surface is given.The power series method of complex function is used.The stress analytical solution is obtained with the assumption that two layers of a cylinder are fully contacted.The distributions of normal and tangential contact stress along the interface,tangential stress on the inner boundary and stresses in the radial direction at θ=0°,45° and 90°,are obtained.An example indicates that,when the elastic modulus of the inner layer of a double-layered thick-walled cylinder is smaller than that of the outer layer,the tangential stress is smaller than that in the corresponding point for a traditional cylinder composed of homogeneous materials.In that way,stress concentration at the inner surface can be alleviated and the stress distribution is more uniform.This is a capable way to enhance the elastic ultimate bearing capacity of thick-walled cylinder.

Influence of Ground Stress on Coal Seam Gas Pressure and Gas Content

The influence of ground stress was quantitatively analyzed on coal seam gas pressure and gas content in this paper.Mining activities in coal mine can result in stress concentration in the coal(rock)body around the mining space,but porosity of the coal seam would not change too much.Therefore,gas pressure and gas content in the coal seam are slightly affected.Studies showed that the free gas was gradually transformed into adsorbed gas,and the gas adsorption volume was small,and then gas pressure increases roughly linearly when the porosity decreased because of stress influence.Additionaly,when porosity of coal seam reduced to 40%,the amount of adsorbed gas accounted for no more than 10%of coal seam gas content,and the increase of gas pressure did not exceed 15%of the original gas pressure.