20 results on '"Zedler, D"'
Search Results
2. Klinische Relevanz der rechts-atrialen Funktion bei Patienten mit pulmonal-arterieller Hypertonie
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Zedler, D, additional, Richter, M J, additional, Berliner, D, additional, Douschan, P, additional, Gall, H, additional, Ghofrani, H A, additional, Kimmig, L, additional, Kremer, N, additional, Olsson, K M, additional, Brito da Rocha, B, additional, Rosenkranz, S, additional, Seeger, W, additional, Yogeswaran, A, additional, Rako, Z A, additional, and Tello, K, additional
- Published
- 2022
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3. Verlust der rechtsventrikulären Ausflusstraktfunktion bei pulmonaler Hypertonie.
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Brito, B da Rocha, Richter, M, Gall, H, Kremer, N, Schäfer, S, Seeger, W, Ghofrani, H, Zedler, D, Yildiz, S, Kovacs, A, Yogeswaran, A, Lakatos, B, Rako, Z, and Tello, K
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- 2024
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4. Einfluss einer PH-spezifischen Therapie auf die Belastungsfähigkeit und Mortalität von Patienten mit präkapillärer pulmonaler Hypertonie mit mPAP zwischen 21-24 mmHg.
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Yogeswaran, A, Brito, B da Rocha, Rako, Z, Zedler, D, Ghofrani, H, Fünderich, M, Seeger, W, Gall, H, Richter, M, Kremer, N, and Tello, K
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- 2024
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5. Structural, magnetic and spectral properties of tetrahedral cobalt(ii) silanethiolates: a variety of structures and manifestation of field-induced slow magnetic relaxation
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Kowalkowska-Zedler, D., primary, Dołęga, A., additional, Nedelko, N., additional, Łyszczek, R., additional, Aleshkevych, P., additional, Demchenko, I., additional, Łuczak, J., additional, Ślawska-Waniewska, A., additional, and Pladzyk, A., additional
- Published
- 2020
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6. Loss of right ventricular outflow function in pulmonary hypertension.
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da Rocha BRB, Yogeswaran A, Lakatos BK, Fábián A, Gall H, Ghofrani HA, Kremer NC, Schäfer S, Seeger W, Zedler D, Yildiz S, Rako ZA, Kovács A, and Tello K
- Abstract
Right ventricular outflow tract (RVOT) function is not systematically quantified by three-dimensional (3D) echocardiography. We tested the hypothesis that loss of RVOT function in pulmonary hypertension (PH) is related to disease severity independently of other echocardiographic parameters. In this observational study, patients with PH, disease controls, and a matched healthy control group underwent 3D echocardiography and RVOT analysis using ReVISION software. The study included 43 patients (38 with PH, 5 disease controls) and 43 healthy controls. Median 3D RVOT-ejection fraction (EF) was 30.4% in the patients and 44.2% in the healthy controls (p < 0.001). Patients with low 3D RVOT-EF (<30.4%) were more frequently categorized in higher-risk groups and had a higher incidence of clinical worsening than those with high 3D RVOT-EF. Even in patients with RV-EF ≥35%, those with low 3D RVOT-EF had worse outcomes. Segmental RVOT analysis identifies high-risk patients even with normal overall RV function., Competing Interests: Disclosure statement Drs. Lakatos, Fábián, and Kovács report personal fees from Argus Cognitive, Inc. Dr. Gall received fees from Actelion, AstraZeneca, Bayer, BMS, GSK, Janssen-Cilag, Lilly, MSD, Novartis, OMT, Pfizer, and United Therapeutics. Dr. Ghofrani received consultancy fees from Bayer, Actelion, Pfizer, Merck, GSK, and Novartis; fees for participation on advisory boards from Bayer, Pfizer, GSK, Actelion, and Takeda; lecture fees from Bayer HealthCare, GSK, Actelion, and Encysive/Pfizer; industry-sponsored grants from Bayer HealthCare, Aires, Encysive/Pfizer, and Novartis; and sponsored grants from the German Research Foundation, Excellence Cluster Cardiopulmonary Research, and the German Ministry for Education and Research. Dr. Seeger received speaker/consultancy fees from Pfizer, Bayer Pharma AG, United Therapeutics, and Liquidia. Dr. Yogeswaran reports nonfinancial support from the University of Giessen during the conduct of the study and personal fees from MSD outside the submitted work. Dr. Tello has received speaking fees from Actelion and Bayer. All other authors have nothing to disclose. Editorial assistance was provided by Claire Mulligan, Ph.D. (Beacon Medical Communications Ltd., Brighton, UK) and funded by the University of Giessen. This work was supported by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation—Projektnummer 268555672—SFB 1213, Project B08). Dr. Richter received funding from the JLU-CAREER program (German Research Foundation DFG 413584448). Dr. Kovács was supported by the János Bolyai Research Scholarship of the Hungarian Academy of Sciences., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2024
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7. Right ventricular pressure-strain relationship-derived myocardial work reflects contractility: Validation with invasive pressure-volume analysis.
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Lakatos BK, Rako Z, Szijártó Á, da Rocha BRB, Richter MJ, Fábián A, Gall H, Ghofrani HA, Kremer N, Seeger W, Zedler D, Yildiz S, Yogeswaran A, Merkely B, Tello K, and Kovács A
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- Humans, Male, Female, Middle Aged, Ventricular Dysfunction, Right physiopathology, Ventricular Dysfunction, Right diagnostic imaging, Ventricular Pressure physiology, Heart Ventricles physiopathology, Heart Ventricles diagnostic imaging, Cardiac Catheterization, Aged, Adult, Myocardial Contraction physiology, Ventricular Function, Right physiology, Echocardiography, Three-Dimensional methods, Stroke Volume physiology
- Abstract
Three-dimensional (3D) echocardiography-derived right ventricular (RV) ejection fraction (EF) and global longitudinal strain (GLS) are valuable RV functional markers; nevertheless, they are substantially load-dependent. Global myocardial work index (GMWI) is a novel parameter calculated by the area of the RV pressure-strain loop. By adjusting myocardial deformation to instantaneous pressure, it may reflect contractility. To test this hypothesis, we enrolled 60 patients who underwent RV pressure-conductance catheterization to determine load-independent markers of RV contractility and ventriculo-arterial coupling. Detailed 3D echocardiography was also performed, and we calculated RV EF, RV GLS, and using the RV pressure trace curve, RV GWMI. While neither RV EF nor GLS correlated with Ees, GMWI strongly correlated with Ees. In contrast, RV EF and GLS showed a relationship with Ees/Ea. By dividing the population based on their Reveal Lite 2 risk classification, different characteristics were seen among the subgroups. RV GMWI may emerge as a useful clinical tool for risk stratification and follow-up in patients with RV dysfunction., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2024
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8. Liver stiffness is associated with right heart dysfunction, cardiohepatic syndrome, and prognosis in pulmonary hypertension.
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Rako ZA, Yogeswaran A, Yildiz S, Weidemann P, Zedler D, da Rocha BB, Kryvenko V, Schäfer S, Ghofrani HA, Seeger W, Kremer NC, and Tello K
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- Humans, Female, Male, Middle Aged, Prospective Studies, Prognosis, Syndrome, Cardiac Catheterization, Adult, Liver Diseases physiopathology, Liver Diseases complications, Echocardiography, Hypertension, Pulmonary physiopathology, Hypertension, Pulmonary etiology, Elasticity Imaging Techniques methods, Ventricular Dysfunction, Right physiopathology, Ventricular Dysfunction, Right etiology, Ventricular Dysfunction, Right diagnostic imaging, Ventricular Dysfunction, Right diagnosis, Liver diagnostic imaging, Liver physiopathology
- Abstract
Background: Pulmonary hypertension (PH) can lead to congestive hepatopathy, known as cardiohepatic syndrome (CHS). Hepatic congestion is associated with increased liver stiffness, which can be quantified using shear wave elastography. We aimed to investigate whether hepatic shear wave elastography detects patients at risk in the early stages of PH., Methods: Sixty-three prospectively enrolled patients undergoing right heart catheterization (52 diagnosed with PH and 11 with invasive exclusion of PH) and 52 healthy volunteers underwent assessments including echocardiography and hepatic shear wave elastography. CHS was defined as increased levels of ≥2 of the following: gamma-glutamyl transferase, alkaline phosphatase, and bilirubin. Liver stiffness was defined as normal (≤5.0 kPa) or high (>5.0 kPa)., Results: Compared with normal liver stiffness, high liver stiffness was associated with impaired right ventricular (RV) and right atrial (RA) function (median [interquartile range] RV ejection fraction: 54 [49; 57]% vs 45 [34; 51]%, p < 0.001; RA reservoir strain: 49 [41; 54]% vs 33 [22; 41]%, p < 0.001), more severe tricuspid insufficiency (p < 0.001), and higher prevalence of hepatovenous backflow (2% vs 29%, p < 0.001) and CHS (2% vs 10%, p = 0.038). In the patient subgroup with precapillary PH (n = 48), CHS and high liver stiffness were associated with increased European Society of Cardiology/European Respiratory Society 2022 risk scores (p = 0.003)., Conclusions: Shear wave liver elastography yields important information regarding right heart function and may complement risk assessment in patients with (suspected) PH., (Copyright © 2024 International Society for the Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.)
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- 2024
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9. Fire-Retardant Flexible Foamed Polyurethane (PU)-Based Composites: Armed and Charmed Ground Tire Rubber (GTR) Particles.
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Kosmela P, Sałasińska K, Kowalkowska-Zedler D, Barczewski M, Piasecki A, Saeb MR, and Hejna A
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Inadequate fire resistance of polymers raises questions about their advanced applications. Flexible polyurethane (PU) foams have myriad applications but inherently suffer from very high flammability. Because of the dependency of the ultimate properties (mechanical and damping performance) of PU foams on their cellular structure, reinforcement of PU with additives brings about further concerns. Though they are highly flammable and known for their environmental consequences, rubber wastes are desired from a circularity standpoint, which can also improve the mechanical properties of PU foams. In this work, melamine cyanurate (MC), melamine polyphosphate (MPP), and ammonium polyphosphate (APP) are used as well-known flame retardants (FRs) to develop highly fire-retardant ground tire rubber (GTR) particles for flexible PU foams. Analysis of the burning behavior of the resulting PU/GTR composites revealed that the armed GTR particles endowed PU with reduced flammability expressed by over 30% increase in limiting oxygen index, 50% drop in peak heat release rate, as well as reduced smoke generation. The Flame Retardancy Index ( FRI ) was used to classify and label PU/GTR composites such that the amount of GTR was found to be more important than that of FR type. The wide range of FRI (0.94-7.56), taking Poor to Good performance labels, was indicative of the sensitivity of flame retardancy to the hybridization of FR with GTR components, a feature of practicality. The results are promising for fire protection requirements in buildings; however, the flammability reduction was achieved at the expense of mechanical and thermal insulation performance.
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- 2024
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10. Echocardiographic pressure-strain loop-derived stroke work of the right ventricle: validation against the gold standard.
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Richter MJ, Douschan P, Fortuni F, Gall H, Ghofrani HA, Keranov S, Kremer N, Kriechbaum SD, Rako ZA, Rieth AJ, da Rocha BB, Seeger W, Zedler D, Yildiz S, Yogeswaran A, and Tello K
- Abstract
Aims: Commercially available integrated software for echocardiographic measurement of stroke work (SW) is increasingly used for the right ventricle, despite a lack of validation. We sought to assess the validity of this method [echo-based myocardial work (MW) module] vs. gold-standard invasive right ventricular (RV) pressure-volume (PV) loops., Methods and Results: From the prospectively recruiting EXERTION study (NCT04663217), we included 42 patients [34 patients with pulmonary arterial hypertension (PAH) or chronic thromboembolic pulmonary hypertension (CTEPH) and 8 patients with absence of cardiopulmonary disease] with RV echocardiography and invasive PV catheterization. Echocardiographic SW was assessed as RV global work index (RVGWI) generated via the integrated pressure-strain MW software. Invasive SW was calculated as the area bounded by the PV loop. An additional parameter derived from the MW module, RV global wasted work (RVGWW), was correlated with PV loop measures. RVGWI significantly correlated with invasive PV loop-derived RV SW in the overall cohort [rho = 0.546 (P < 0.001)] and the PAH/CTEPH subgroup [rho = 0.568 (P < 0.001)]. Overall, RVGWW correlated with invasive measures of arterial elastance (Ea), the ratio of end-systolic elastance (Ees)/Ea, and end-diastolic elastance (Eed) significantly., Conclusions: Integrated echo measurement of pressure-strain loop-derived SW correlates with PV loop-based assessment of RV SW. Wasted work correlates with invasive measures of load-independent RV function. Given the methodological and anatomical challenges of RV work assessment, evolution of this approach by incorporating more elaborated echo analysis data and an RV reference curve might improve its reliability to mirror invasively assessed RV SW., (© 2023 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)
- Published
- 2023
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11. Solvent influence on the crystal structures of new cadmium tri-tert-butoxysilanethiolate complexes with 1,4-bis(3-aminopropyl)piperazine: luminescence and antifungal activity.
- Author
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Kowalkowska-Zedler D, Bruździak P, Hnatejko Z, Łyszczek R, Brillowska-Dąbrowska A, Ponikiewski Ł, Cieśla B, and Pladzyk A
- Abstract
Monocrystals of dinuclear μ-1,4-bis(3-aminopropyl)piperazine-κ
4 N1 ,N1' :N4 ,N4' -bis[bis(tri-tert-butoxysilanethiolato-κS)cadmium(II)], [Cd2 (C12 H27 O3 SSi)4 (C10 H24 N4 )] or [Cd2 {SSi(OtBu)3 }4 (μ-BAPP)], 1, and polynuclear catena-poly[[bis(tri-tert-butoxysilanethiolato-κS)cadmium(II)]-μ-1,4-bis(3-aminopropyl)piperazine-κ2 N1' :N4' ], [Cd(C12 H27 O3 SSi)2 (C10 H24 N4 )]n or [Cd{SSi(OtBu)3 }2 (μ-BAPP)]n , 2, with 1,4-bis(3-aminopropyl)piperazine (BAPP) and tri-tert-butoxysilanethiolate ligands, were obtained from the same ratio of reactants, but with different solvents used for the crystallization processes. The structures and properties of both complexes were characterized using elemental analysis, X-ray diffraction and FT-IR,1 H NMR and luminescence spectroscopy. Applied density functional theory (DFT) computational methods and noncovalent interaction (NCI) analysis were used for geometry optimization and visualization of the interactions between the metallic centres and their surroundings. The X-ray analysis revealed four-coordinate CdII centres bound to two S atoms of the silanethiolate groups and two N atoms of the BAPP ligand; however, it chelates to tertiary and primary N atoms in 1, whilst in 2 it does not chelate and bonds only to RNH2 . The photoluminescence properties of complexes 1 and 2 result from free-ligand emission and differ significantly from each other with respect to emission intensity. Additionally, antifungal activity was investigated against 18 isolates of fungi. Compound 1 strongly inhibited the growth of three dermatophytes: Epidermophyton floccosum, Microsporum canis and Trichophyton rubrum., (open access.)- Published
- 2023
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12. Hepatorenal dysfunction in patients with chronic thromboembolic pulmonary hypertension.
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Yogeswaran A, Zedler D, Richter MJ, Steinke S, Rako ZA, Kremer NC, Grimminger F, Seeger W, Ghofrani HA, Gall H, and Tello K
- Abstract
Background: Cardiac interactions with organs such as the liver or kidneys have been described in different cardiovascular diseases. However, the clinical relevance of hepatorenal dysfunction in chronic thromboembolic pulmonary hypertension (CTEPH) remains unclear. We determined the association of hepatorenal dysfunction (measured using the Model for End-stage Liver Disease Sodium [MELDNa] score) with right heart function and survival in patients with CTEPH., Methods: We analyzed all patients with CTEPH in the Giessen Pulmonary Hypertension Registry who had available MELDNa scores and were not taking vitamin K antagonists. The MELDNa score was calculated as MELD score - serum Na - (0.025 * MELD score * (140 - serum Na)) + 140; the MELD score was calculated as 10*(0.957*ln(creatinine)+0.378*ln(bilirubin)+1.12*ln(International Normalized Ratio))+6.43., Results: Seventy-two patients were included (74% female; median [Q1, Q3] MELDNa: 9 [6, 11]). MELDNa correlated well with right atrial and ventricular function and pulmonary hemodynamics. Forward regression analysis revealed that hepatorenal dysfunction mainly depends on right atrial strain and tricuspid regurgitation, but not right ventricular systolic dysfunction. Hepatorenal dysfunction predicted mortality at baseline and follow-up (adjusted hazard ratios [95% confidence intervals] per unit increase of MELDNa: 1.6 [1.1, 2.4] and 1.8 [1.1, 2.9], respectively). Changes in hepatorenal function also predicted mortality., Conclusion: Hepatorenal dysfunction in CTEPH is primarily associated with venous congestion rather than cardiac forward failure. As a surrogate parameter for hepatorenal dysfunction, MELDNa is a simple method to identify at-risk patients at baseline and follow-up., Competing Interests: AY reports non-financial support from the University of Giessen during the conduct of the study, and personal fees from MSD outside the submitted work. MR reports grants from the German Research Foundation and non-financial support from the University of Giessen during the conduct of the study, and grants from United Therapeutics, grants and personal fees from Bayer, and personal fees from Actelion, Mundipharma, Roche, and OMT outside the submitted work. FG reports no competing interests. WS reports grants from the German Research Foundation and non-financial support from the University of Giessen during the conduct of the study, and personal fees from Pfizer and Bayer Pharma AG outside the submitted work. HAG reports grants from the German Research Foundation and non-financial support from the University of Giessen during the conduct of the study, and personal fees from Bayer, Actelion, Pfizer, Merck, GSK, and Takeda, grants and personal fees from Novartis, Bayer HealthCare, and Encysive/Pfizer, and grants from Aires, the German Research Foundation, Excellence Cluster Cardiopulmonary Research, and the German Ministry for Education and Research outside the submitted work. HG reports grants from the German Research Foundation and non-financial support from the University of Giessen during the conduct of the study, and personal fees from Actelion, AstraZeneca, Bayer, BMS, GSK, Janssen-Cilag, Lilly, MSD, Novartis, OMT, Pfizer, and United Therapeutics outside the submitted work. KT reports grants from the German Research Foundation and non-financial support from the University of Giessen during the conduct of the study, and personal fees from Actelion and Bayer outside the submitted work. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Yogeswaran, Zedler, Richter, Steinke, Rako, Kremer, Grimminger, Seeger, Ghofrani, Gall and Tello.)
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- 2023
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13. Cross-Linking, Morphology, and Physico-Mechanical Properties of GTR/SBS Blends: Dicumyl Peroxide vs. Sulfur System.
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Rodak A, Susik A, Kowalkowska-Zedler D, Zedler Ł, and Formela K
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In this work, ground tire rubber and styrene-butadiene block copolymer (GTR/SBS) blends at the ratio of 50/50 wt%, with the application of four different SBS copolymer grades (linear and radial) and two types of cross-linking agent (a sulfur-based system and dicumyl peroxide), were prepared by melt compounding. The rheological and cross-linking behavior, physico-mechanical parameters (i.e., tensile properties, abrasion resistance, hardness, swelling degree, and density), thermal stability, and morphology of the prepared materials were characterized. The results showed that the selected SBS copolymers improved the processability of the GTR/SBS blends without any noticeable effects on their cross-linking behavior-which, in turn, was influenced by the type of cross-linking agent used. On the other hand, it was observed that the tensile strength, elongation at break, and abrasion resistance of the GTR/SBS blends cured with the sulfur system (6.1-8.4 MPa, 184-283%, and 235-303 mm
3 , respectively) were better than those cross-linked by dicumyl peroxide (4.0-7.8 MPa, 80-165%, and 351-414 mm3 , respectively). Furthermore, it was found that the SBS copolymers improved the thermal stability of GTR, while the increasing viscosity of the used SBS copolymer also enhanced the interfacial adhesion between the GTR and SBS copolymers, as confirmed by microstructure evaluation.- Published
- 2023
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14. Mater-Bi/Brewers' Spent Grain Biocomposites-Novel Approach to Plant-Based Waste Filler Treatment by Highly Efficient Thermomechanical and Chemical Methods.
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Hejna A, Barczewski M, Kosmela P, Mysiukiewicz O, Sulima P, Przyborowski JA, and Kowalkowska-Zedler D
- Abstract
Thermoplastic starch (TPS) is a homogenous material prepared from native starch and water or other plasticizers subjected to mixing at a temperature exceeding starch gelatinization temperature. It shows major drawbacks like high moisture sensitivity, poor mechanical properties, and thermal stability. To overcome these drawbacks without significant cost increase, TPS could be blended with bio-based or biodegradable polymers and filled with plant-based fillers, beneficially waste-based, like brewers' spent grain (BSG), the main brewing by-product. Filler modifications are often required to enhance the compatibility of such composites. Herein, we investigated the impact of BSG thermomechanical and chemical treatments on the structure, physical, thermal, and rheological performance of Mater-Bi-based composites. Thermomechanical modifications enhanced matrix thermal stability under oxidative conditions delaying degradation onset by 33 °C. Moreover, BSG enhanced the crystallization of the polybutylene adipate terephthalate (PBAT) fraction of Mater-Bi, potentially improving mechanical properties and shortening processing time. BSG chemical treatment with isophorone diisocyanate improved the processing properties of the composites, expressed by a 33% rise in melt flow index. Depending on the waste filler's selected treatment, processing, and rheological performance, thermal stability or interfacial adhesion of composites could be enhanced. Moreover, the appearance of the final materials could be adjusted by filler selection.
- Published
- 2022
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15. Green Polymer Nanocomposites for Skin Tissue Engineering.
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Shokrani H, Shokrani A, Jouyandeh M, Seidi F, Gholami F, Kar S, Munir MT, Kowalkowska-Zedler D, Zarrintaj P, Rabiee N, and Saeb MR
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- Biocompatible Materials therapeutic use, Hydrogels, Polymers therapeutic use, Nanocomposites therapeutic use, Tissue Engineering
- Abstract
Fabrication of an appropriate skin scaffold needs to meet several standards related to the mechanical and biological properties. Fully natural/green scaffolds with acceptable biodegradability, biocompatibility, and physiological properties quite often suffer from poor mechanical properties. Therefore, for appropriate skin tissue engineering and to mimic the real functions, we need to use synthetic polymers and/or additives as complements to green polymers. Green nanocomposites (either nanoscale natural macromolecules or biopolymers containing nanoparticles) are a class of scaffolds with acceptable biomedical properties window (drug delivery and cardiac, nerve, bone, cartilage as well as skin tissue engineering), enabling one to achieve the required level of skin regeneration and wound healing. In this review, we have collected, summarized, screened, analyzed, and interpreted the properties of green nanocomposites used in skin tissue engineering and wound dressing. We particularly emphasize the mechanical and biological properties that skin cells need to meet when seeded on the scaffold. In this regard, the latest state of the art studies directed at fabrication of skin tissue and bionanocomposites as well as their mechanistic features are discussed, whereas some unspoken complexities and challenges for future developments are highlighted.
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- 2022
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16. Clinical Relevance of Right Atrial Functional Response to Treatment in Pulmonary Arterial Hypertension.
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Richter MJ, Zedler D, Berliner D, Douschan P, Gall H, Ghofrani HA, Kimmig L, Kremer N, Olsson KM, Brita da Rocha B, Rosenkranz S, Seeger W, Yogeswaran A, Rako Z, and Tello K
- Abstract
Background: Right atrial (RA) function has emerged as an important determinant of outcome in pulmonary arterial hypertension (PAH). However, studies exploring RA function after initiation of specific pulmonary vascular treatment and its association with outcome in patients with incident PAH are lacking. Methods: RA peak longitudinal strain (PLS), passive strain (PS), and peak active contraction strain (PACS) were retrospectively assessed in 56 treatment-naïve patients with PAH at baseline and during follow-up after initiation of specific monotherapy or combination therapy. Patients were grouped according to their individual RA functional response to treatment, based on change from baseline (Δ): worsened (first Δ-tertile), stable (second Δ-tertile), and improved (third Δ-tertile). The Spearman's rho correlation and linear regression analysis were used to determine associations. Time to clinical worsening (defined as deterioration of functional class or 6-min walking distance, disease-related hospital admission, or death) was measured from the follow-up assessment. The association of RA functional treatment response with time to clinical worsening was assessed using the Kaplan-Meier and the Cox regression analyses. Results: Median (interquartile range) time to echocardiographic follow-up was 11 (9-12) months. Of the 56 patients, 37 patients (66%) received specific dual or triple combination therapy. Δ RA PLS during follow-up was significantly associated with changes in key hemodynamic and echocardiographic parameters. The change of pulmonary vascular resistance, right ventricular (RV) end-systolic area, and global longitudinal strain were independently associated with Δ RA PLS. The median time to clinical worsening after echocardiographic follow-up was 6 (2-14) months [17 events (30%)]. In the multivariate Cox regression analysis, worsening of RA PLS was significantly associated with clinical deterioration (hazard ratio: 4.87; 95% CI: 1.26-18.76; p = 0.022). Patients with worsened RA PLS had a significantly poorer prognosis than those with stable or improved RA PLS (log-rank p = 0.012). By contrast, PS and PACS did not yield significant prognostic information. Conclusion: Treatment-naïve patients with PAH may show different RA functional response patterns to PAH therapy. These functional patterns are significantly associated with clinically relevant outcome measures. Improvements of RA function are driven by reductions of afterload, RV remodeling, and RV dysfunction., Competing Interests: MR has received support from Bayer; speaker fees from Bayer, Janssen-Cilag GmbH, and OMT and consultancy fees from Bayer and Janssen-Cilag GmbH. PD reports personal fees and non-financial support from Actelion, non-financial support from Astra Zeneca, non-financial support from Bayer, non-financial support from GSK, personal fees and non-financial support from MSD, non-financial support from Novartis, non-financial support from Teva, non-financial support from Boehringer Ingelheim, non-financial support from Vifor, non-financial support from Menarini outside the submitted work. HG has received consultancy fees from Bayer, Actelion, Pfizer, Merck, GSK, and Novartis; fees for participation in advisory boards from Bayer, Pfizer, GSK, Actelion, and Takeda; lecture fees from Bayer HealthCare, GSK, Actelion, and Encysive/Pfizer; industry-sponsored grants from Bayer HealthCare, Aires, Encysive/Pfizer, and Novartis; and sponsored grants from the German Research Foundation, Excellence Cluster Cardiopulmonary Research, and the German Ministry for Education and Research. WS has received speaker/consultancy fees from Abivax, Bayer AG, Liquidia Technologies, Pieris Pharmaceuticals, United Therapeutics and Vectura. HG has received fees from Actelion, AstraZeneca, Bayer, BMS, GSK, Janssen-Cilag, Lilly, MSD, Novartis, OMT, Pfizer, and United Therapeutics. KT has received speaking fees from Actelion and Bayer. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Richter, Zedler, Berliner, Douschan, Gall, Ghofrani, Kimmig, Kremer, Olsson, Brita da Rocha, Rosenkranz, Seeger, Yogeswaran, Rako and Tello.)
- Published
- 2021
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17. Insights into the Thermo-Mechanical Treatment of Brewers' Spent Grain as a Potential Filler for Polymer Composites.
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Hejna A, Marć M, Kowalkowska-Zedler D, Pladzyk A, and Barczewski M
- Abstract
This paper investigated the impact of twin-screw extrusion parameters on the properties of brewers' spent grain. The chemical structure, antioxidant activity, particle size, and color properties, as well as the emission of volatile organic compounds during extrusion, were investigated. The main compounds detected in the air during modifications were terpenes and terpenoids, such as α-pinene, camphene, 3-carene, limonene, or terpinene. They could be considered as a potential threat to human health and the environment. Changes in the chemical structure, antioxidant activity, and color of materials after modification indicated the Maillard reactions during extrusion, which resulted in the generation of melanoidins, especially at higher temperatures. This should be considered an exciting feature of this treatment method because modified brewers' spent grain may improve the thermooxidative stability of polymer materials. Moreover, the impact of the brewers' spent grain particle size on color and browning index used to determine the melanoidins content was investigated. The presented results show that proper adjustment of extrusion parameters enables the preparation of brewers' spent grain with the desired appearance and chemical properties, which could maximize the efficiency of the modification process.
- Published
- 2021
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18. Reactive Sintering of Ground Tire Rubber (GTR) Modified by a Trans-Polyoctenamer Rubber and Curing Additives.
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Zedler Ł, Kowalkowska-Zedler D, Colom X, Cañavate J, Saeb MR, and Formela K
- Abstract
The proposed method of ground tire rubber (GTR) utilization involves the application of trans-polyoctenamer rubber (TOR), a commercially available waste rubber modifier. The idea was to investigate the influence of various curing additives (sulfur, N-cyclohexyl-2-benzothiazole sulfenamide (CBS), dibenzothiazole disulfide (MBTS) and di-(2-ethyl)hexylphosphorylpolysulfide (SDT)) on curing characteristics, physico-mechanical, thermal, acoustic properties as well as the morphology of modified GTR, in order to evaluate the possibility of reclaiming GTR and the co-cross-linking between applied components. The results showed that the presence of the modifier without the addition of curing additives hinders the physico-mechanical properties of revulcanized GTR. The addition of SDT, CBS, MBTS and sulfur change the melting kinetics of TOR, indicating partial degradation and/or co-cross-linking between components. In the studied conditions, the best mechanical properties were obtained by the samples cured with sulfur. The morphology analysis, combined with the physico-mechanical results, indicated that when the surface of the GTR is more developed, obtained by the addition of TOR, the properties of the GTR improve.
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- 2020
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19. Novel tetrahedral cobalt(ii) silanethiolates: structures and magnetism.
- Author
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Kowalkowska-Zedler D, Nedelko N, Kazimierczuk K, Aleshkevych P, Łyszczek R, Ślawska-Waniewska A, and Pladzyk A
- Abstract
Three heteroleptic complexes of Co(ii) tri- tert -butoxysilanethiolates have been synthesized with piperidine [Co{SSi(O t Bu)
3 }2 (ppd)2 ] 1, piperazine [Co{SSi(O t Bu)3 }2 (NH3 )]2 (μ-ppz)·2CH3 CN 2, and N -ethylimidazole [Co{SSi(O t Bu)3 }2 (etim)2 ] 3. The complexes have been characterized by a single-crystal X-ray, revealing their tetrahedral geometry on Co(ii) coordinated by two nitrogen and two sulfur atoms. Complexes 1 and 3 are mononuclear, whereas 2 is binuclear. The spectral properties and thermal properties of 1-3 complexes were established by FTIR spectroscopy for solid samples and TGA. The magnetic properties of complexes 1, 2, and 3 have been investigated by static magnetic measurements and X-band EPR spectroscopy. These studies have shown that 1 and 3, regardless of the similarity in structure of CoN2 S2 cores, demonstrate different types of local magnetic anisotropy. Magnetic investigations of 2 reveal the presence of weak antiferromagnetic intra-molecular Co(ii)-Co(ii) interactions that are strongly influenced by the local magnetic anisotropy of individual Co(ii) ions., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)- Published
- 2020
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20. Preliminary Investigation on Auto-Thermal Extrusion of Ground Tire Rubber.
- Author
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Zedler Ł, Kowalkowska-Zedler D, Vahabi H, Saeb MR, Colom X, Cañavate J, Wang S, and Formela K
- Abstract
Ground tire rubber (GTR) was processed using an auto-thermal extrusion as a prerequisite to green reclaiming of waste rubbers. The reclaimed GTR underwent a series of tests: thermogravimetric analysis combined with Fourier-transform infrared spectroscopy (TGA-FTIR), scanning electron microscopy (SEM), Fourier-transform infrared spectroscopy (FTIR), and static headspace and gas chromatography-mass spectrometry (SHS-GC-MS) in order to evaluate the impact of barrel heating conditions (with/without external barrel heating) on the reclaiming process of GTR. Moreover, samples were cured to assess the impact of reclaiming heating conditions on curing characteristics and physico-mechanical properties. Detailed analysis of the results indicated that the application of auto-thermal extrusion is a promising approach for the sustainable development of reclaiming technologies.
- Published
- 2019
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