Association of Body Mass Index with Ischemic and Hemorrhagic Stroke.

Data on the association between body mass index (BMI) and stroke are scarce. We aimed to examine the association between BMI and incident stroke (ischemic or hemorrhagic) and to clarify the relationship between underweight, overweight, and obesity and stroke risk stratified by sex. We analyzed the JMDC Claims Database between January 2005 and April 2020 including 2,740,778 healthy individuals (Median (interquartile) age, 45 (38-53) years; 56.2% men; median (interquartile) BMI, 22.3 (20.2-24.8) kg/m2). None of the participants had a history of cardiovascular disease. Each participant was categorized as underweight (BMI <18.5 kg/m2), normal weight (BMI 18.5-24.9 kg/m2), overweight (BMI 25.0-29.9 kg/m2), or obese (BMI ≥ 30 kg/m2). We investigated the association of BMI with incidence stroke in men and women using the Cox regression model. We used restricted cubic spline (RCS) functions to identify the association of BMI as a continuous parameter with incident stroke. The incidence (95% confidence interval) of total stroke, ischemic stroke, and hemorrhagic stroke was 32.5 (32.0-32.9), 28.1 (27.6-28.5), and 5.5 (5.3-5.7) per 10,000 person-years in men, whereas 25.7 (25.1-26.2), 22.5 (22.0-23.0), and 4.0 (3.8-4.2) per 10,000 person-years in women, respectively. Multivariable Cox regression analysis showed that overweight and obesity were associated with a higher incidence of total and ischemic stroke in both men and women. Underweight, overweight, and obesity were associated with a higher hemorrhagic stroke incidence in men, but not in women. Restricted cubic spline showed that the risk of ischemic stroke increased in a BMI dose-dependent manner in both men and women, whereas there was a U-shaped relationship between BMI and the hemorrhagic stroke risk in men. In conclusion, overweight and obesity were associated with a greater incidence of stroke and ischemic stroke in both men and women. Furthermore, underweight, overweight, and obesity were associated with a higher hemorrhagic stroke risk in men. Our results would help in the risk stratification of future stroke based on BMI.

A liquid-Ga-filled carbon nanotube: a miniaturized temperature sensor and electrical switch.

Temperature control on the nanometer scale is a challenging task in many physical, chemical, and material science applications where small experimental volumes with high temperature gradients are used. The crucial difficulty is reducing the size of temperature sensors while keeping their sensitivity, working temperature range, and, most importantly, their simplicity and accuracy of temperature reading. In this work, we demonstrate the ultimate miniaturization of the classic thermometer using an expanding column of liquid gallium inside a multi-walled C nanotube for precise temperature measurements. We report that electrical conductivity through unfilled nanotube regions is diffusive with a resistance per unit length of approximately 10 kOmega microm(-1), whereas Ga-filled segments of the nanotube show metallic behavior with a low resistance of approximately 100 Omega microm(-1). No noticeable Schottky barrier exists between the nanotube carbon shell and the inner Ga filling. Based on these findings, an individual carbon nanotube partially filled with liquid Ga is used as a temperature sensor and/or switch. The nanotube's electrical resistance decreases linearly with increasing temperature as the metallic Ga column expands inside the tube channel. In addition, the tube resistance drops sharply when two encapsulated Ga columns approaching each other meet inside the nanotube, producing a switching action that can occur at any predetermined temperature, as the Ga column position inside the nanotube can be effectively pre-adjusted by nanoindentation using an atomic force microscope.