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Introduction: Self-care in chronic diseases implies the study and control of disease symptoms, maintaining a healthy lifestyle, and daily functioning. The objective of this study was to investigate the effect of educational text messages on self-care in hypertensive patients in one of the hypertension clinics in Kerman in 2020. Method: The statistical population of this quasi-experimental study included 316 patients with a history of hypertension, of whom 64 were selected as the sample of the study. Then, the selected participants were randomly assigned to two intervention and control groups each with 32 members. The self-care behavior questionnaire for hypertensive patients was used to collect data. Before the intervention, the questionnaires were completed by the participants. Then, educational text messages were sent to the intervention group for one month while the control group received no intervention. At the end of the training, all patients completed the questionnaires again. Data were analyzed using SPSS software (version 26). Results: The results showed that the mean score of self-care in the intervention group after the intervention (previous score being controlled) was 6.92 more than that of the control group, which was statistically significant (P-value

BACKGROUNDS:Cardiovascular disease (CVD) is the leading cause of mortality all over the globe. Inflammation is believed to play a pivotal role in the pathophysiology of CVD. While there are studies on the interrelationship of telomerase and vitamin D and their involvement in CVD, their independent contributions to long-term outcomes in patients with CVD are not well-defined. This study aimed to investigate the association of both telomerase and vitamin D concentrations with 10-year survival among candidates of coronary artery bypass grafting (CABG) surgery. METHODS:Participants were 404 patients from Tehran Heart Center-Coronary Outcome Measurement (THC-COM) cohort who were recruited from CABG surgery candidates in 2006. In addition to demographic and clinical data including risk factors for coronary artery disease, laboratory parameters such as markers of inflammation as well as baseline serum 25-hydroxy vitamin D [25(OH)D] and telomerase concentrations were measured. Cardiac function indexes alongside outcome measures such as mortality and survival days were recorded for every patient up to 10 years after CABG. Cox-proportional hazard model was used to study the association between all-cause mortality and research parameters. RESULTS:The mean serum telomerase enzyme level was 24.92 ±21.4 nmol/L and the mean serum 25(OH)D was 27.27±10.3 ng/mL. 10-year mortality was reported in 64 (15.8%) patients. 25(OH)D was categorized into three groups (30) and the cut-point for telomerase was set at 25.0 nmol/L. In Cox regression analysis, higher levels of telomerase (>25 nmol/L) were significantly associated with longer survival (p = 0.041), whereas 25(OH)D concentrations were not associated with survival time. Further analysis showed that telomerase concentrations significantly predicted survival only in the presence of insufficient levels of 25(OH)D (20-30 ng/mL) (p = 0.037). CONCLUSIONS:Telomerase can be regarded as a potential predictor of long-term outcomes in patients who underwent CABG. However, the association of telomerase with the mortality may be modified by vitamin D concentrations.

In 2019, we introduced Flame Retardancy Index (FRI) as a universal dimensionless index for the classification of flame-retardant polymer materials (Polymers, 2019, 11(3), 407). FRI simply takes the peak of Heat Release Rate (pHRR), Total Heat Release (THR), and Time-To-Ignition (ti) from cone calorimetry data and quantifies the flame retardancy performance of polymer composites with respect to the blank polymer (the reference sample) on a logarithmic scale, as of Poor (FRI ˂ 100), Good (100 ≤ FRI ˂ 101), or Excellent (FRI ≥ 101). Although initially applied to categorize thermoplastic composites, the versatility of FRI was later verified upon analyzing several sets of data collected from investigations/reports on thermoset composites. Over four years from the time FRI was introduced, we have adequate proof of FRI reliability for polymer materials ranking in terms of flame retardancy performance. Since the mission of FRI was to roughly classify flame-retardant polymer materials, its simplicity of usage and fast performance quantification were highly valued. Herein, we answered the question “does inclusion of additional cone calorimetry parameters, e.g., the time to pHRR (tp), affect the predictability of FRI?”. In this regard, we defined new variants to evaluate classification capability and variation interval of FRI. We also defined the Flammability Index (FI) based on Pyrolysis Combustion Flow Calorimetry (PCFC) data to invite specialists for analysis of the relationship between the FRI and FI, which may deepen our understanding of the flame retardancy mechanisms of the condensed and gas phases.

The effect of several concentrations of carboxylated nitrile butadiene rubber (XNBR) functionalized halloysite nanotubes (XHNTs) on the vulcanization and degradation kinetics of XNBR/epoxy compounds were evaluated using experimental and theoretical methods. The isothermal vulcanization kinetics were studied at various temperatures by rheometry and differential scanning calorimetry (DSC). The results obtained indicated that the nth order model could not accurately predict the curing performance. However, the autocatalytic approach can be used to estimate the vulcanization reaction mechanism of XNBR/epoxy/XHNTs nanocomposites. The kinetic parameters related to the degradation of XNBR/epoxy/XHNTs nanocomposites were also assessed using thermogravimetric analysis (TGA). TGA measurements suggested that the grafted nanotubes strongly enhanced the thermal stability of the nanocomposite.

Polypropylene (PP) is a commodity plastic known for high rigidity and crystallinity, which is suitable for a wide range of applications. However, high flammability of PP has always been noticed by users as a constraint; therefore, a variety of additives has been examined to make PP flame-retardant. In this work, research papers on the flame retardancy of PP have been comprehensively reviewed, classified in terms of flame retardancy, and evaluated based on the universal dimensionless criterion of Flame Retardancy Index (FRI). The classification of additives of well-known families, i.e., phosphorus-based, nitrogen-based, mineral, carbon-based, bio-based, and hybrid flame retardants composed of two or more additives, was reflected in FRI mirror calculated from cone calorimetry data, whatever heat flux and sample thickness in a given series of samples. PP composites were categorized in terms of flame retardancy performance as Poor, Good, or Excellent cases. It also attempted to correlate other criteria like UL-94 and limiting oxygen index (LOI) with FRI values, giving a broad view of flame retardancy performance of PP composites. The collected data and the conclusions presented in this survey should help researchers working in the field to select the best additives among possibilities for making the PP sufficiently flame-retardant for advanced applications.

Sustainable polymers are emerging fast and have received much more attention in recent years compared to petro-sourced polymers. However, they inherently have low-quality properties, such as poor mechanical properties, and inadequate performance, such as high flammability. In general, two methods have been considered to tackle such drawbacks: (i) reinforcement of sustainable polymers with additives; and (ii) modification of chemical structure by architectural manipulation so as to modify polymers for advanced applications. Development and management of bio-based polyurethanes with flame-retardant properties have been at the core of attention in recent years. Bio-based polyurethanes are currently prepared from renewable, bio-based sources such as vegetable oils. They are used in a wide range of applications including coatings and foams. However, they are highly flammable, and their further development is dependent on their flame retardancy. The aim of the present review is to investigate recent advances in the development of flame-retardant bio-based polyurethanes. Chemical structures of bio-based flame-retardant polyurethanes have been studied and explained from the point of view of flame retardancy. Moreover, various strategies for improving the flame retardancy of bio-based polyurethanes as well as reactive and additive flame-retardant solutions are discussed.

The effect of various amounts of carboxylated nitrile butadiene rubber (XNBR) functionalized halloysite nanotubes (XHNTs) on the cure characteristics, mechanical and swelling behavior of XNBR/epoxy compounds was experimentally and theoretically investigated. The morphology of the prepared XNBR/epoxy/XHNTs nanocomposites was imaged using scanning electron microscopy (SEM). The effects of various XNBR-grafted nanotubes on the damping factor of nanocomposites were evaluated by dynamic mechanical thermal analysis (DMTA). The cure behavior characterization indicated a fall in the scorch time, but a rise in the cure rate with higher loading of XHNTs into the XNBR/epoxy nanocomposites. SEM micrographs of tensile fracture surfaces were indicative of a rougher fracture surface with a uniform dispersion state of nanotubes into the polymer matrix in the XNBR/epoxy/XHNTs nanocomposites. The stress–strain behavior studies of XNBR/epoxy/XHNTs nanocomposites showed a higher tensile strength up to 40% with 7 wt % XHNTs loading. The theoretical predictions of uniaxial tensile behavior of nanocomposites using Bergström–Boyce model revealed that some of the material parameters were considerably changed with the XHNTs loading. Furthermore, the used theoretical model precisely predicted the nonlinear large strain hyperelastic behavior of nanocomposites.

Nowadays, epoxy composites are elements of engineering materials and systems. Although they are known as versatile materials, epoxy resins suffer from high flammability. In this sense, flame retardancy analysis has been recognized as an undeniable requirement for developing future generations of epoxy-based systems. A considerable proportion of the literature on epoxy composites has been devoted to the use of phosphorus-based additives. Nevertheless, innovative flame retardants have coincidentally been under investigation to meet market requirements. This review paper attempts to give an overview of the research on flame retardant epoxy composites by classification of literature in terms of phosphorus (P), non-phosphorus (NP), and combinations of P/NP additives. A comprehensive set of data on cone calorimetry measurements applied on P-, NP-, and P/NP-incorporated epoxy systems was collected and treated. The performance of epoxy composites was qualitatively discussed as Poor, Good, and Excellent cases identified and distinguished by the use of the universal Flame Retardancy Index (FRI). Moreover, evaluations were rechecked by considering the UL-94 test data in four groups as V0, V1, V2, and nonrated (NR). The dimensionless FRI allowed for comparison between flame retardancy performances of epoxy composites. The results of this survey can pave the way for future innovations in developing flame-retardant additives for epoxy.