Optimal electrocardiographic limb lead set for rapid emphysema screening

BACKGROUND: Pulmonary emphysema of any etiology has been shown to be strongly and quasidiagnostically associated with a vertical frontal P wave axis. A vertical P wave axis (\u3e60 degrees) during sinus rhythm can be easily determined by a P wave in lead III greater than the P wave in lead I (bipolar lead set) or a dominantly negative P wave in aVL (unipolar lead set). The purpose of this investigation was to determine which set of limb leads may be better for identifying the vertical P vector of emphysema in adults. METHODS: Unselected consecutive electrocardiograms from 100 patients with a diagnosis of emphysema were analyzed to determine the P wave axis. Patients aged younger than 45 years, those not in sinus rhythm, and those with poor quality tracings were excluded. The electrocardiographic data were divided into three categories depending on the frontal P wave axis, ie, \u3e60 degrees, 60 degrees, ordegrees, by each criterion (P amplitude lead III \u3e lead I and a negative P wave in aVL). RESULTS: Sixty-six percent of patients had a P wave axis \u3e 60 degrees based on aVL, and 88% of patients had a P wave axis \u3e 60 degrees based on the P wave in lead III being greater than in lead I. CONCLUSION: A P wave in lead III greater than that in lead I is a more sensitive marker than a negative P wave in aVL for diagnosing emphysema and is recommended for rapid routine screening

The Effect of Solvent-Modification on the Physicochemical Properties of ZnO Nanoparticles Synthesized by Sol-Gel Method

This study investigated the solvent effect on the synthesis of Zinc Oxide (ZnO) nanoparticle using sol-gel method. Zinc acetate dihydrate and oxalic acid were used as a chemical precursor for the synthesis of the ZnO nanoparticle considering the effects of various solvents. The effect of using water, propanol, or ethanol as solvent during the synthesis were examined. The resultant gel in the aqueous and organic moderate solvent was thermally cracked into ZnO nanoparticles at 450 °C under atmospheric pressure. The results showed that the solvent type has a significant effect on the morphology and particles size of the ZnO nanoparticles synthesized. Atomic Force Microscopy (AFM) was used to investigate the microstructure of the nanoparticles. The crystalline and chemical structure of the prepared ZnO nanoparticle were studied by X-ray diffraction (XRD) and Fourier Transform Infrared spectroscopy (FTIR). The average diameter of nano-size particles obtained for ethanol, propanol and water are 79.55 nm, 83.86 nm and 85.59 nm, respectively. ZnO particles showed higher degree of crystalline in water compared to other solvents under current investigation. Copyright © 2021 by Authors, Published by BCREC Group. This is an open access article under the CC BY-SA License (https://creativecommons.org/licenses/by-sa/4.0).