Background and Objective: HIV infection is a major global Public Health threat worldwide, particularly in Sub-Saharan Africa of which Benin. The level of knowledge determines the attitudes and behaviors of the populat...Background and Objective: HIV infection is a major global Public Health threat worldwide, particularly in Sub-Saharan Africa of which Benin. The level of knowledge determines the attitudes and behaviors of the populations towards this infection. The study objective was to assess knowledge, attitudes and practices related to HIV infection among motorbike taxi drivers (MTD) in Parakou in 2021. Methods: This was a descriptive cross-sectional study targeting MTD in Parakou in 2021. Participants were selected by cluster sampling. Pretested Digitized questionnaire using KoboCollect<sup>@</sup> applicationserved as a data collection tool. Knowledge, attitudes and practices variable were treated on a score scale. A knowledge score was considered to reflect a good knowledge of HIV if at least two-thirds of the knowledge statements had been correctly answered provided the subject recognized the sexual route as one of modes of HIV transmission, identified at least one preventive measure and meant the incurability of the disease. Quantitative and qualitative variables were appropriately described using the EPI Info 7.1.3.3 software. The participant was classified at positive attitude/practice for HIV prevention, when it has a score of at least 80% and suggests a good preventive measure face a risk of exposure to HIV. Results: A total of 374 subjects were recruited into the study. The mean age was 31.51 ± 7.76 years. Most participants (86.06%) had good knowledge of condom use as an HIV prevention method. The sources of information mentioned were mainly the media (77.07%), relatives or friends (63.38%), and field-workers from non-governmental organizations (37.26%). Routine HIV testing was 50.53%. Among participants, 76.10% reported at least two different sexual partners. Condom use was 59.18 % during the casual sexual intercourse. Within the client-provider relationship with female sex workers, 33.17% had had sexual intercourse with them. The sexual route was the most cited (92.99%), and 90.23% stated that HIV infection can be stabilized by medication in a health structure. Conclusion: The level of knowledge of motorbike taxi drivers in Parakou does not match their behavior with regard to HIV prevention. Appropriate strategies are needed to develop prevention skills in this population. To effectively comb at HIV, it will be necessary to strengthen the targeted HIV preventive interventions at key and bridge populations including motorbike taxi drivers in Benin.展开更多
There are obstacles to the widespread use of small electric vehicles(EVs)in Rwanda,including concerns regarding the battery range and lifespan.Lithium-ion batteries(LIBs)play an important role in EVs.However,their per...There are obstacles to the widespread use of small electric vehicles(EVs)in Rwanda,including concerns regarding the battery range and lifespan.Lithium-ion batteries(LIBs)play an important role in EVs.However,their performance declines over time because of several factors.To optimize battery management systems and extend the range of EVs in Rwanda,it is essential to understand the influence of the driving profiles on lithium-ion battery degradation.This study analyzed the degradation patterns of a lithium-ion battery cell that propels an E-bike using various real-world E-bike driving cycles that represent Rwandan driving conditions under deep discharge(>80%).By being aware of these variables,battery failure can be slowed and improved battery performance can be achieved to promote the transition to cleaner transportation in Rwanda for the productive use of energy.The analyzed parameters that affect battery performance are temperature,driving cycles,and state of charge.It was found that the higher the temperature,the higher was the rate of fading.On the other hand,the EVs that operate in the region with higher elevation(hilly region)combined with a flat surface where the riders use their physical forces to propel the E-bike and their batteries lose their capacity rapidly compared to those operating in regions where the energy from the lithium-ion battery assists for the entire mileage.By draining the battery to 10%and charging it to 90%of its initial capacity,the capacity fading decreased by 5%.展开更多
The investment on semi-solid die casting processes of AZ91D magnesium alloy brackets for generators in JH70-type motorbikes is introduced. The processes of low super-heat and cooling slope for the preparation of bille...The investment on semi-solid die casting processes of AZ91D magnesium alloy brackets for generators in JH70-type motorbikes is introduced. The processes of low super-heat and cooling slope for the preparation of billets with non-dendritic microstructure, the remelting of billets for thixoforming and the parameters in the process of semi-sohd thixoforming have been researched. The results show that primary billets with non-dendritical structures can be prepared by forming great amount of nuclei in melt via the process of low super heat. By optimizing the remelting process through adjusting the current of the induced equipment, semi-solid billets with a structure of spherical grains were obtained from the primary billets with non-dendritical structure. The range of 580℃ to 583℃ is the proper remelting temperatures by which the billets have an expected thixotropy and can be transferred to a die-casting machine. The optimized parameters of semi-solid forming in a die-casting machine are as follows: the area of the ingate in the die is 383.5 mm^2, the speed of the pierce of the machine 5 m/s, the shot pressure of the pierce 75 MPa, and the maintenance pressure of the pierce 350 MPa. The castings of brackets for supporting generators in JH70 type motorbikes were formed by adopting the optimized processes and parameters mentioned above.展开更多
Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression fr...Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression from early stage of IR to T2D or CVDs. However, the knowledge of association between IR and circulating total calcium (CTCa) and phosphate levels among non-diabetic patients in Benin is lacking. We investigated whether CTCa and phosphate levels within the normal ranges are associated with IR risk among taxi-motorbike drivers (TMDs) living and working in Cotonou. We evaluated 134 non-diabetic TMDs (aged 22 - 59 years) based on CTCa, phosphate, glucose, fasting insulin, and IR levels. IR was assessed using the homeostatic model assessment-insulin resistance (HOMA-IR). IR was defined as the 75<sup>th</sup> percentile of HOMA-IR value. Cardiometabolic factors were analyzed by tertiles of CTCa and phosphate levels (low, middle, and high groups). Logistic regression models evaluated the relationships between IR and CTCa and phosphate levels. Our results showed that participants with high CTCa levels had the highest prevalence of IR, elevated total cholesterol and high-density lipoprotein cholesterol. In a fully adjusted model, the odd ratio (OR) of having IR comparing the highest (>2.50 mmol/L) to the lowest CTCa levels (1.23 mmol/L) and the lowest levels (<1.10 mmol/L) of phosphate was 0.28 (p = 0.037). In conclusion, our study demonstrates that elevated CTCa and low phosphate levels are significant predictors of IR in non-diabetic patients. Continuous monitoring of these markers may help identify earlier individuals at greatest IR risk.展开更多
Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associa...Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associations between plasma iron and potassium levels and risk of dyslipidemia among taxi-motorbike drivers (TMDs) in Cotonou. We conducted a cross-sectional study on 134 males TMDs aged ≥20 years old, of whom 39 (29.1%) had dyslipidemia. Plasma biochemistry including measurements of total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C), iron, and potassium were performed. Dyslipidemia was defined as any or combinations of the following: TC > 5.2 mmol/L, LDL-C > 3.4 mmol/L, TG > 1.7 mmol/L, and HDL-C 18.8 μmol/L) to the 1<sup>st</sup> tertile of plasma iron (<13.6 μmol/L) was 3.85, (95% CI: 1.20 - 12.35, p = 0.023). We observed similar patterns of association in a subgroup analysis restricted to normotensive patients, although the estimates lacked statistical significance. Our findings also revealed that the risk of dyslipidemia decreased when plasma potassium levels increased. The OR (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> tertile (4.4 - 4.8 μmol/L) to the 1<sup>st</sup> tertile (<4.3 μmol/L) of potassium was 0.31 (0.11 - 0.86, p = 0.025). Interestingly, the risk of dyslipidemia decreased progressively (81% to 86%) and significantly across plasma potassium tertiles when restricting analysis to normotensive patients. The ORs (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> and 3<sup>rd</sup> tertiles to the 1<sup>st</sup> tertile of plasma potassium were 0.19 (0.04 - 0.87, p = 0.032) and 0.14 (0.02 - 0.93, p = 0.043). In conclusion, our study shows that higher plasma iron and low potassium levels are significant predictors of dyslipidemia in TMDs. As such, the findings have public health implications for predicting and preventing dyslipidemia and associated cardiometabolic diseases. However, longitudinal studies are needed to determine if disturbances in iron and potassium levels, even within the normal range, are precursors or consequences of dyslipidemia.展开更多
High white blood cell count (WBC) and insulin resistance (IR) are interrelated events that contribute to non-communicable diseases (NCDs), including type-2 diabetes (T2D). However, associations between IR and hematolo...High white blood cell count (WBC) and insulin resistance (IR) are interrelated events that contribute to non-communicable diseases (NCDs), including type-2 diabetes (T2D). However, associations between IR and hematological parameters have never been explored in populations of Benin. The aims of this study were to determine the prevalence of IR and associated hematological parameters in taxi-motorbike drivers (TMDs) working in Cotonou. A total of 133 participants were analyzed in this cross-sectional study. Complete blood count, including WBC and platelet, as well as fasting plasma glucose and insulin, were performed by standard procedures. IR was assessed using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). Factors associated with IR, their odds ratios (ORs) and 95% confidence intervals (CIs) were determined by logistic regression analysis. The mean age of the study participants was 39.3 years. The HOMA-IR cut-off (75th percentile) for IR was 5.9. The overall prevalence of IR was 24.1%. IR increased with the increase of exposure duration and WBC levels. Logistic regression analysis revealed that the risk of IR increased significantly with higher total WBC, with adjusted ORs (95% CI) for the second and third tertiles of 3.56 (1.10 - 11.58) and 4.01 (1.21 - 13.31), respectively. Similar patterns of associations were observed in an analysis restricted to non-drinkers, although these estimates lacked statistical significance. BMI > 24.2 kg/m<sup>2</sup> was independently associated with an increased risk of IR (OR = 3.82, 95% CI: 1.33 - 11.03, P = 0.013). In conclusion, the prevalence of IR in TMDs was 24.1%. IR was significantly associated with elevated WBC count and BMI. WBC may serve as a biomarker to identify individuals at the greatest IR risk.展开更多
你也许注意到人力-电动混合型自行车的数量在增加。找出一个合适的名称来区分不同类型的自行车变得越来越困难。至此,你已听到电动自行车(electric bicycles),电动车(e-bikes),电动助力自行车(electric Power Assisted Cycles缩写为EPA...你也许注意到人力-电动混合型自行车的数量在增加。找出一个合适的名称来区分不同类型的自行车变得越来越困难。至此,你已听到电动自行车(electric bicycles),电动车(e-bikes),电动助力自行车(electric Power Assisted Cycles缩写为EPACs)及电控自行车(Electronic Bike)。你能说出它们之间的区别吗?展开更多
Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou ha...Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou had higher rates of CVD risk factors, but their impacts on cardiovascular events have rarely been studied. The Framingham risk score (FRS) is an algorithm that considers CVD risk factors and estimates the risk of developing CVD in the next 10 years. Our objectives were to assess the 10-year CVD risk predicted by the FRS, and to examine the relationships of 10-year CVD risk with plasma iron and potassium levels among TMDs. We included 134 TMDs (22 - 59 years old) who had no prior diagnosis of CVD or T2D, and not taking medications affecting iron and potassium homeostasis. Conventional cardiovascular risk factors were used to calculate the 10-year CVD risk, which was categorized as low (20%). FRS > 2%, which corresponded to the 75th percentile of FRS distribution in our study population, was used as a cut-off value to classify participants into two groups. Plasma iron and potassium levels were segregated into tertiles and their associations with 10-year CVD risk were quantified by multivariate-adjusted logistic regression to calculate the odd ratios (ORs) to being above the 75<sup>th</sup> percentile of 10-year CVD risk with the corresponding 95% confidence intervals (CIs). We found that 62.0% of participants had at least one of cardiovascular risk factors. Approximately 97.8% of TMDs had 10-year CVD risk 4.8 mmol/L led to an 83% risk reduction of having 10-year CVD risk > 2% (OR = 0.17, 95% CI: 0.04 - 0.82, P = 0.027). In conclusion, our findings showed that high plasma potassium levels associate with reduced 10-year CVD risk among TMDs. Interventions focused on monitoring of plasma potassium, particularly in those with existing cardiovascular risk factors, may help prevent CVD.展开更多
文摘Background and Objective: HIV infection is a major global Public Health threat worldwide, particularly in Sub-Saharan Africa of which Benin. The level of knowledge determines the attitudes and behaviors of the populations towards this infection. The study objective was to assess knowledge, attitudes and practices related to HIV infection among motorbike taxi drivers (MTD) in Parakou in 2021. Methods: This was a descriptive cross-sectional study targeting MTD in Parakou in 2021. Participants were selected by cluster sampling. Pretested Digitized questionnaire using KoboCollect<sup>@</sup> applicationserved as a data collection tool. Knowledge, attitudes and practices variable were treated on a score scale. A knowledge score was considered to reflect a good knowledge of HIV if at least two-thirds of the knowledge statements had been correctly answered provided the subject recognized the sexual route as one of modes of HIV transmission, identified at least one preventive measure and meant the incurability of the disease. Quantitative and qualitative variables were appropriately described using the EPI Info 7.1.3.3 software. The participant was classified at positive attitude/practice for HIV prevention, when it has a score of at least 80% and suggests a good preventive measure face a risk of exposure to HIV. Results: A total of 374 subjects were recruited into the study. The mean age was 31.51 ± 7.76 years. Most participants (86.06%) had good knowledge of condom use as an HIV prevention method. The sources of information mentioned were mainly the media (77.07%), relatives or friends (63.38%), and field-workers from non-governmental organizations (37.26%). Routine HIV testing was 50.53%. Among participants, 76.10% reported at least two different sexual partners. Condom use was 59.18 % during the casual sexual intercourse. Within the client-provider relationship with female sex workers, 33.17% had had sexual intercourse with them. The sexual route was the most cited (92.99%), and 90.23% stated that HIV infection can be stabilized by medication in a health structure. Conclusion: The level of knowledge of motorbike taxi drivers in Parakou does not match their behavior with regard to HIV prevention. Appropriate strategies are needed to develop prevention skills in this population. To effectively comb at HIV, it will be necessary to strengthen the targeted HIV preventive interventions at key and bridge populations including motorbike taxi drivers in Benin.
基金supported by the Global Challenges Research Fund(GCRF)through the Engineering and Physical Sciences Research Council UK under project RENGA(EP/R030235/1)It was also funded by the African Center of Excellence in Energy for Sustainable Development(ACE-ESD)under the University of Rwanda,College of Science and Technology.
文摘There are obstacles to the widespread use of small electric vehicles(EVs)in Rwanda,including concerns regarding the battery range and lifespan.Lithium-ion batteries(LIBs)play an important role in EVs.However,their performance declines over time because of several factors.To optimize battery management systems and extend the range of EVs in Rwanda,it is essential to understand the influence of the driving profiles on lithium-ion battery degradation.This study analyzed the degradation patterns of a lithium-ion battery cell that propels an E-bike using various real-world E-bike driving cycles that represent Rwandan driving conditions under deep discharge(>80%).By being aware of these variables,battery failure can be slowed and improved battery performance can be achieved to promote the transition to cleaner transportation in Rwanda for the productive use of energy.The analyzed parameters that affect battery performance are temperature,driving cycles,and state of charge.It was found that the higher the temperature,the higher was the rate of fading.On the other hand,the EVs that operate in the region with higher elevation(hilly region)combined with a flat surface where the riders use their physical forces to propel the E-bike and their batteries lose their capacity rapidly compared to those operating in regions where the energy from the lithium-ion battery assists for the entire mileage.By draining the battery to 10%and charging it to 90%of its initial capacity,the capacity fading decreased by 5%.
文摘The investment on semi-solid die casting processes of AZ91D magnesium alloy brackets for generators in JH70-type motorbikes is introduced. The processes of low super-heat and cooling slope for the preparation of billets with non-dendritic microstructure, the remelting of billets for thixoforming and the parameters in the process of semi-sohd thixoforming have been researched. The results show that primary billets with non-dendritical structures can be prepared by forming great amount of nuclei in melt via the process of low super heat. By optimizing the remelting process through adjusting the current of the induced equipment, semi-solid billets with a structure of spherical grains were obtained from the primary billets with non-dendritical structure. The range of 580℃ to 583℃ is the proper remelting temperatures by which the billets have an expected thixotropy and can be transferred to a die-casting machine. The optimized parameters of semi-solid forming in a die-casting machine are as follows: the area of the ingate in the die is 383.5 mm^2, the speed of the pierce of the machine 5 m/s, the shot pressure of the pierce 75 MPa, and the maintenance pressure of the pierce 350 MPa. The castings of brackets for supporting generators in JH70 type motorbikes were formed by adopting the optimized processes and parameters mentioned above.
文摘Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression from early stage of IR to T2D or CVDs. However, the knowledge of association between IR and circulating total calcium (CTCa) and phosphate levels among non-diabetic patients in Benin is lacking. We investigated whether CTCa and phosphate levels within the normal ranges are associated with IR risk among taxi-motorbike drivers (TMDs) living and working in Cotonou. We evaluated 134 non-diabetic TMDs (aged 22 - 59 years) based on CTCa, phosphate, glucose, fasting insulin, and IR levels. IR was assessed using the homeostatic model assessment-insulin resistance (HOMA-IR). IR was defined as the 75<sup>th</sup> percentile of HOMA-IR value. Cardiometabolic factors were analyzed by tertiles of CTCa and phosphate levels (low, middle, and high groups). Logistic regression models evaluated the relationships between IR and CTCa and phosphate levels. Our results showed that participants with high CTCa levels had the highest prevalence of IR, elevated total cholesterol and high-density lipoprotein cholesterol. In a fully adjusted model, the odd ratio (OR) of having IR comparing the highest (>2.50 mmol/L) to the lowest CTCa levels (1.23 mmol/L) and the lowest levels (<1.10 mmol/L) of phosphate was 0.28 (p = 0.037). In conclusion, our study demonstrates that elevated CTCa and low phosphate levels are significant predictors of IR in non-diabetic patients. Continuous monitoring of these markers may help identify earlier individuals at greatest IR risk.
文摘Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associations between plasma iron and potassium levels and risk of dyslipidemia among taxi-motorbike drivers (TMDs) in Cotonou. We conducted a cross-sectional study on 134 males TMDs aged ≥20 years old, of whom 39 (29.1%) had dyslipidemia. Plasma biochemistry including measurements of total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C), iron, and potassium were performed. Dyslipidemia was defined as any or combinations of the following: TC > 5.2 mmol/L, LDL-C > 3.4 mmol/L, TG > 1.7 mmol/L, and HDL-C 18.8 μmol/L) to the 1<sup>st</sup> tertile of plasma iron (<13.6 μmol/L) was 3.85, (95% CI: 1.20 - 12.35, p = 0.023). We observed similar patterns of association in a subgroup analysis restricted to normotensive patients, although the estimates lacked statistical significance. Our findings also revealed that the risk of dyslipidemia decreased when plasma potassium levels increased. The OR (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> tertile (4.4 - 4.8 μmol/L) to the 1<sup>st</sup> tertile (<4.3 μmol/L) of potassium was 0.31 (0.11 - 0.86, p = 0.025). Interestingly, the risk of dyslipidemia decreased progressively (81% to 86%) and significantly across plasma potassium tertiles when restricting analysis to normotensive patients. The ORs (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> and 3<sup>rd</sup> tertiles to the 1<sup>st</sup> tertile of plasma potassium were 0.19 (0.04 - 0.87, p = 0.032) and 0.14 (0.02 - 0.93, p = 0.043). In conclusion, our study shows that higher plasma iron and low potassium levels are significant predictors of dyslipidemia in TMDs. As such, the findings have public health implications for predicting and preventing dyslipidemia and associated cardiometabolic diseases. However, longitudinal studies are needed to determine if disturbances in iron and potassium levels, even within the normal range, are precursors or consequences of dyslipidemia.
文摘High white blood cell count (WBC) and insulin resistance (IR) are interrelated events that contribute to non-communicable diseases (NCDs), including type-2 diabetes (T2D). However, associations between IR and hematological parameters have never been explored in populations of Benin. The aims of this study were to determine the prevalence of IR and associated hematological parameters in taxi-motorbike drivers (TMDs) working in Cotonou. A total of 133 participants were analyzed in this cross-sectional study. Complete blood count, including WBC and platelet, as well as fasting plasma glucose and insulin, were performed by standard procedures. IR was assessed using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). Factors associated with IR, their odds ratios (ORs) and 95% confidence intervals (CIs) were determined by logistic regression analysis. The mean age of the study participants was 39.3 years. The HOMA-IR cut-off (75th percentile) for IR was 5.9. The overall prevalence of IR was 24.1%. IR increased with the increase of exposure duration and WBC levels. Logistic regression analysis revealed that the risk of IR increased significantly with higher total WBC, with adjusted ORs (95% CI) for the second and third tertiles of 3.56 (1.10 - 11.58) and 4.01 (1.21 - 13.31), respectively. Similar patterns of associations were observed in an analysis restricted to non-drinkers, although these estimates lacked statistical significance. BMI > 24.2 kg/m<sup>2</sup> was independently associated with an increased risk of IR (OR = 3.82, 95% CI: 1.33 - 11.03, P = 0.013). In conclusion, the prevalence of IR in TMDs was 24.1%. IR was significantly associated with elevated WBC count and BMI. WBC may serve as a biomarker to identify individuals at the greatest IR risk.
文摘Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou had higher rates of CVD risk factors, but their impacts on cardiovascular events have rarely been studied. The Framingham risk score (FRS) is an algorithm that considers CVD risk factors and estimates the risk of developing CVD in the next 10 years. Our objectives were to assess the 10-year CVD risk predicted by the FRS, and to examine the relationships of 10-year CVD risk with plasma iron and potassium levels among TMDs. We included 134 TMDs (22 - 59 years old) who had no prior diagnosis of CVD or T2D, and not taking medications affecting iron and potassium homeostasis. Conventional cardiovascular risk factors were used to calculate the 10-year CVD risk, which was categorized as low (20%). FRS > 2%, which corresponded to the 75th percentile of FRS distribution in our study population, was used as a cut-off value to classify participants into two groups. Plasma iron and potassium levels were segregated into tertiles and their associations with 10-year CVD risk were quantified by multivariate-adjusted logistic regression to calculate the odd ratios (ORs) to being above the 75<sup>th</sup> percentile of 10-year CVD risk with the corresponding 95% confidence intervals (CIs). We found that 62.0% of participants had at least one of cardiovascular risk factors. Approximately 97.8% of TMDs had 10-year CVD risk 4.8 mmol/L led to an 83% risk reduction of having 10-year CVD risk > 2% (OR = 0.17, 95% CI: 0.04 - 0.82, P = 0.027). In conclusion, our findings showed that high plasma potassium levels associate with reduced 10-year CVD risk among TMDs. Interventions focused on monitoring of plasma potassium, particularly in those with existing cardiovascular risk factors, may help prevent CVD.