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OBJECTIVE: To investigate fear of hypoglycemia (FoH) in parents of children with type 1 diabetes (T1D) before and after undergoing training to learn intranasal (IN) glucagon administration. METHOD: In this pre-test/post-test uncontrolled study 364 caregivers of patients with T1D (6-18 years) completed questionnaires measuring sociodemographic characteristics, diabetes-related factors (e.g., type of insulin therapy, glycemic control), and parents' trait anxiety. Parents' FoH was assessed at baseline (T0, training) and after nine months (T1). Two repeated-measure mixed analyses of covariance (ANCOVA) compared the FoH at T0 and at T1 and analyzed the moderating roles of anxiety proneness and type of insulin therapy, as well as of anxiety proneness and use of sensor. Age, T1D duration, HbA1c values, and SES were included as covariates. RESULTS: Parental FoH at T1 (M = 1.72; SE = 0.06/M = 1.57; SE = 0.09) was significantly lower than parental FoH at T0 (M = 1.89; SE = 0.06/M = 1.77; SE = 0.09). The group with high trait-anxiety had a higher level of FoH (M = 2.05; SE = 0.08/M = 1.89; SE = 0.12) than the group with low trait-anxiety (M = 1.57; SE = 0.08/M = 1.46; SE = 0.09) at both time points. SES was negatively associated with FoH at T0 (t = -2.87; p = .004/t = -2.87; p = .005). No other significant effects were found. CONCLUSIONS: Training and educating parents on IN glucagon use can help them effectively manage hypoglycemic episodes and alleviate the fear that generally accompany such events.
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Administración Intranasal , Ansiedad , Diabetes Mellitus Tipo 1 , Miedo , Glucagón , Hipoglucemia , Padres , Humanos , Diabetes Mellitus Tipo 1/tratamiento farmacológico , Diabetes Mellitus Tipo 1/sangre , Diabetes Mellitus Tipo 1/psicología , Hipoglucemia/inducido químicamente , Masculino , Femenino , Padres/psicología , Niño , Adolescente , Adulto , Encuestas y Cuestionarios , Persona de Mediana EdadRESUMEN
In the present work, the effects of carbon-based nanofillers (0.5 wt%), i.e., graphene nanoplatelets (GNPs), carbon nanofibers (CNFs), and carbon nanotubes (CNTs), on the cryogenic temperature (77 K) mechanical properties of carbon fiber reinforced polymers (CFRPs) were investigated. The study utilized an ex situ conditioning method for cryogenic tests. The nanofillers were mixed with the epoxy matrix by a solvent-free fluidized bed mixing technique (FBM), while unidirectional carbon fibers were impregnated with the resulting nanocomposites to manufacture CFRP samples. Optical microscopy was employed to analyze the dispersion of the carbon-based fillers within the matrix, revealing a homogeneous distribution in nanocomposites containing GNPs and CNFs. Fracture toughness tests confirmed the homogeneity of the GNP-loaded systems, showing an improvement in the stress intensity factor (KC) by 13.2% and 14.7% compared to the unmodified matrix at RT (25 °C) and 77 K, respectively; moreover, flexural tests demonstrated a general increase in flexural strength with the presence of carbon-based nanofillers at both temperature levels (RT and 77 K). Additionally, interlaminar shear strength (ILSS) tests were performed and analyzed using the same ex situ conditioning method.
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In this work, the effect of different mixing techniques on thermal and mechanical properties of graphene nanoplatelets (GNPs) and graphene nanofibers (GANFs) loaded epoxy nanocomposites was investigated. Three dispersion methods were employed: a high shear rate (HSR), ultrasonication (US) and the fluidized bed method (FBM). The optical microscopy has revealed that the most suitable dispersion, in terms of homogeneity and cluster size, is achieved by implementing the US and FBM techniques, leading to nanocomposites with the largest increase of glass transition temperature, as supported by the DMA analysis data. The fracture toughness results show a general increase of both the critical stress intensity factor (KIC) and the critical strain energy release rate (GIC), likely due to the homogeneity and the low scale dispersion of the carbonaceous nanostructures. Based on the nanocomposite fracture toughness improvements and also assuming a potential large scale up production of the nanocomposite matrix, a single mixing technique, namely the FBM, was employed to manufacture the carbon fiber reinforced composite (CFRC). This method has resulted in being less time-consuming and is potentially most suitable for the high volume industrial production. The CFRCs were characterized in terms of tensile, flexural and interlaminar fracture toughness properties and the results were analyzed and discussed.
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The aim of this paper is to study the effect of strain rate on the compressive behavior of the highly cross-linked RTM6 epoxy resin used in advanced aerospace composites. Dynamic compression tests were performed using a split Hopkinson pressure bar, along with reference quasi-static compression tests, to cover a strain rate range from 0.001 to 1035 s-1. Special attention was paid to the optimization of the test methodologies in order to obtain material data free of bias related to the use of different load introduction techniques and sample geometries over the considered strain rate range. In addition, the use of full-field 3D deformation measurements allowed the validation of traditional test and material assumptions. A novel self-alignment tool was developed to enable perfect interfacial contact during compression loading. The 3D digital image correlation technique was used to measure the instantaneous deformation of the sample during compression at different strain rates. Results showed a pronounced strain rate sensitivity of the RTM6 epoxy in compression. The peak yield strength increased with increasing strain rate, while the elastic modulus and Poisson's ratio in compression were independent of the strain rate. The barreling of the sample in compression, quantified by the barreling ratio, showed an increase during the progression of the compression tests. However, the barreling ratio significantly decreased with the increasing strain rate. Finally, it was shown that neglecting the significant volume change in the yield stages gave rise to a non-negligible underestimation of the strength of the material.
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Poly-L-lactic acid (PLLA) aerogel-based scaffolds were obtained from physical PLLA gels containing cyclopentanone (CPO) or methyl benzoate (BzOMe) molecules. An innovative single step method of solvent extraction, using supercritical CO2, was used to achieve cylindrical monolithic aerogels. The pore distribution and size, analyzed by SEM microscopy, were found to be related to the crystalline forms present in the physical nodes that hold the gels together, the stable α'-form and the metastable co-crystalline ε-form, detected in the PLLA/BzOMe and PLLA/CPO aerogels, respectively. A higher mechanical compressive strength was found for the PLLA/CPO aerogels, which exhibit a more homogenous porosity. In vitro biocompatibility tests also indicated that monolithic PLLA/CPO aerogels exhibited greater cell viability than PLLA/BzOMe aerogels. An improved biocompatibility of PLLA/CPO monolithic aerogels was finally observed by coating the surface of the aerogels with polydopamine (PDA) obtained by the in situ polymerization of dopamine (DA). The synergistic effect of biodegradable polyester (PLLA) and the biomimetic interface (PDA) makes this new 3D porous scaffold, with porosity and mechanical properties that are tunable based on the solvent used in the preparation process, attractive for tissue engineering applications.
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Ingeniería de Tejidos , Andamios del Tejido , Proliferación Celular , Indoles , Ácido Láctico/química , Poliésteres/química , Polímeros , Porosidad , Solventes , Ingeniería de Tejidos/métodos , Andamios del Tejido/químicaRESUMEN
This paper describes the preparation and characterization of poly(2,6-dimethyl-1,4-phenylene)oxide (PPO) highly porous monolithic aerogels with a hydrophobic nanoporous-crystalline phase and a hydrophilic sulfonated amorphous phase. The sulfonated aerogels were obtained by the sulfonation of PPO physical gels, followed by the supercritical CO2 extraction of solvents. WAXD and FTIR analysis showed that the nanoporous-crystalline phase was preserved for a degree of sulfonation up to c.a. 35%, allowing a highly volatile organic compound (VOC) sorption capacity. The sulfonated PPO aerogels exhibited a high water sorption capacity, with a water uptake of up to 500 wt%, and faster VOC sorption kinetics from water with respect to unsulfonated aerogels.
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In the last decade, amphiphilic cellulose (AC) is emerging as attractive biomaterial for different therapeutic use, due to its unique chemical and physical properties. Using it as alternative to synthetic polymers, AC opens up new avenues to prepare new bio-sustainable materials with low impact in the cellular environment. Herein, most recent methods to synthesize and processing AC materials from different sources-i.e., cellulose nanofibers, bacterial cellulose, cellulose derivatives-will be discussed. By an accurate optimization of morphology and surface chemistry, it is possible to develop innovative amphiphilic platforms, promising for a wide range of biomedical applications, from drug delivery to molecular/particle adsorption.
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In the last decade, alginate-based microgels have gained relevant interest as three-dimensional analogues of extracellular matrix, being able to support cell growth and functions. In this study, core-shell microgels were fabricated by self-polymerization of dopamine (DA) molecules under mild oxidation and in situ precipitation of polydopamine (PDA) onto alginate microbeads, processed by electro fluid dynamic atomization. Morphological (optical, SEM) and chemical analyses (ATR-FTIR, XPS) confirmed the presence of PDA macromolecules, distributed onto the microgel surface. Nanoindentation tests also indicated that the PDA coating can influence the biomechanical properties of the microgel surfaces-i.e., σmaxALG = 0.45 mN vs. σmaxALG@PDA = 0.30 mN-thus improving the interface with hMSCs as confirmed by in vitro tests; in particular, protein adsorption and viability tests show a significant increase in adhesion and cell proliferation, strictly related to the presence of PDA. Hence, we concluded that PDA coating contributes to the formation of a friendly interface able to efficiently support cells' activities. In this perspective, core-shell microgels may be suggested as a novel symmetric 3D model to study in vitro cell interactions.
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A preliminary design of customized antibiotic-loaded poly-methyl-methacrylate (ALPMMA) spacer characterized by an appropriate footprint according to the specific patient's anatomy and a reliable mechanical response to severe functional loads (i.e., level walking and 45° bent knee) is reported. The targeted virtual prototyping process takes origin from a novel patented 3D geometrical conceptualization characterized by added customization features and it is validated by a preliminary FEM-based analysis. Mechanical and thermomechanical properties of the antibiotic-doped orthopedic PMMA cement, which will be used for the future prototype manufacturing, were measured experimentally by testing samples taken during a real day-running orthopedic surgery and manufactured according to the surgeon protocol. FEM analysis results indicate that small area is subjected to intensive stresses, validating the proposed geometry from the mechanical point of view, under the two loading scenarios, moreover the value of safety margins results positive, and this is representative of the lower stress magnitude compared to the critical material limits. The experimental data confirm that the presence of antibiotic will last during the surgeon period moreover, the temperature dependent modulus of the bone cement is slightly affected by the body range temperature whereas it will drastically drop for higher temperature out the range of interest. A complete customization, according to a patient anatomy, and the corresponding real prototype spacer will be manufactured by 3D printing techniques, and it will be validated by destructive testing during the second stage of this activity before commercialization.
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The aim of this paper is to investigate the effect of strain rate and filler content on the compressive behavior of the aeronautical grade RTM6 epoxy-based nanocomposites. Silica nanoparticles with different sizes, weight concentrations and surface functionalization were used as fillers. Dynamic mechanical analysis was used to study the glass transition temperature and storage modulus of the nanocomposites. Using quasi-static and split Hopkinson bar tests, strain rates of 0.001 s-1 to 1100 s-1 were imposed. Sample deformation was measured using stereo digital image correlation techniques. Results showed a significant increase in the compressive strength with increasing strain rate. The elastic modulus and Poisson's ratio showed strain rate independency. The addition of silica nanoparticles marginally increased the glass transition temperature of the resin, and improved its storage and elastic moduli and peak yield strength for all filler concentrations. Increasing the weight percentage of the filler slightly improved the peak yield strength. Moreover, the filler's size and surface functionalization did not affect the resin's compressive behavior at different strain rates.
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This work aimed to investigate the effect of hybrid carbon nanofillers (e.g., carbon nanotubes/carbon nanofibers in the ratio 1:1 by mass) over the electrical and flexural properties for an epoxy matrix and corresponding basalt fibre reinforcing composite (BFRC) subjected to full-year seasonal water absorption. Hydrothermal ageing was performed by full immersion of the tested materials into distilled water according to the following model conditions (seasons). The mechanical properties were measured in three-point bending mode before environmental ageing and after each season. Upon environmental ageing, the relative change of flexural strength and elastic modulus of the epoxy and NC was within 10-15%. For nanomodified BFRCs, the slightly higher effect (approx. by 10%) of absorbed moisture on flexural characteristics was found and likely attributed to higher defectiveness (e.g., porosity, the formation of agglomerates etc.). During flexural tests, electrical resistance of the nanocomposites (NC) and BFRC/NC samples was evaluated. The electrical conductivity for UD BFRC/NC, before and after hydrothermal ageing, was by 2 and 3 times higher than for the NC, accordingly, revealing the orientation of electrically conductive nanoparticles and/or their agglomerates during lay-up manufacturing which was evaluated by the rules of the mixture. Based on all results obtained it can be concluded that the most potentially applicable for damage indication was UD BFRC/NC along fibres since full-year hydrothermal ageing improved its electrical conductivity by approx. 98% and, consequently, the ability to monitor damages was also enhanced.
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Recent studies have proposed that the bioelectrical response of glial cells, called astrocytes, currently represents a key target for neuroregenerative purposes. Here, we propose the fabrication of electrospun nanofibres containing gelatin and polyaniline (PANi) synthesized in the form of nano-needles (PnNs) as electrically conductive scaffolds to support the growth and functionalities of primary astrocytes. We report a fine control of the morphological features in terms of fibre size and spatial distribution and fibre patterning, i.e. random or aligned fibre organization, as revealed by SEM- and TEM-supported image analysis. We demonstrate that the peculiar morphological properties of fibres - i.e., the fibre size scale and alignment - drive the adhesion, proliferation, and functional properties of primary cortical astrocytes. In addition, the gradual transmission of biochemical and biophysical signals due to the presence of PnNs combined with the presence of gelatin results in a permissive and guiding environment for astrocytes. Accordingly, the functional properties of astrocytes measured via cell patch-clamp experiments reveal that PnNs do not alter the bioelectrical properties of resting astrocytes, thus setting the scene for the use of PnN-loaded nanofibres as bioconductive platforms for interfacing astrocytes and controlling their bioelectrical properties.
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BACKGROUND: Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed to explore the prevalence of DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls during the COVID-19 lockdown. METHODS: In a cross-sectional study, 138 children and adolescents with T1D (aged 8.01-19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed an online survey about eating behaviors (ChEAT and EAT-26), anthropometric characteristics, and clinical characteristics. RESULTS: 8.69% (N = 12) of participants with T1D and 13.4% (N = 37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients-whether children (total ChEAT score F(1, 157) = .104, p = .748) or adolescents (total EAT-26 score F(1, 255) = .135, p = .731)-and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p < .0001), while HbA1c values remained unchanged (p = .110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138) = 20.411, p < .0001, η2 = .132, controls: F(1, 276) = 18.271, p < .0001, η2 = .063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores. CONCLUSIONS: This exploratory study suggested that children and adolescents with T1D did not experience more DEB symptoms during the COVID-19 lockdown compared to healthy controls. Results revealed DEBs as more of a female adolescent developmental issue rather than a result of the challenges of living with a chronic illness under quarantine measures. Possible effects of parental pressure on their children's eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.
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OBJECTIVE: To examine body image problems and their associations with disordered eating behavior in adolescents with type 1 diabetes and well-matched healthy peers. METHODS: Using a cross-sectional design, 183 adolescents with type 1 diabetes (13.02-18.05 years) were recruited from diabetes centers in southern Italy and compared to healthy peers matched for age and gender. Participants completed self-report measures of disordered eating behaviors (DEPS-r and EDI-3RF) and a gender-specific body image problem questionnaire (SATAQ-4R). Socio-demographic and clinical data (zBMI, HbA1c, and disease duration) were also collected. Hierarchical multiple linear regression analyses were computed to determine the relative importance of diabetes variables and body image problems on participants' disordered eating behaviors after controlling for demographic variables. RESULTS: Adolescents with type 1 diabetes showed diabetes-specific eating problems in 37.7% of cases and had more eating problem symptoms (assessed as drive for thinness and bulimia) than healthy peers. Male adolescents with type 1 diabetes did not display more body image problems (p > 0.05); females with type 1 diabetes compared to females in the control group were found to be more pressured by family (p = 0.025) but less by media (p = 0.022) to improve their appearance and attain a thin body. zBMI and body image problems contributed to a significant increase in disordered eating behavior risk both in male and female adolescents with diabetes and in healthy peers (zBMI 0.213 < ß < 0.426, p < 0.05; body image 0.243 < ß < 0.572, p < 0.05). None of the variables analyzed were found to significantly predict male bulimic symptoms (all ß < 0.296, p > 0.05). CONCLUSION: Since in adolescence type 1 diabetes and insulin therapy may increase the risk of weight gain and promote focus and attention on the body and thus contribute to the development of body image problems and disordered eating behaviors, continuity of medical, nutritional, and psychological care is needed.
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Synthesized silica nanoparticles (SiO2) were coated with a thin polydopamine (PDA) shell by a modified one-step procedure leading to PDA coated silica nanoparticles (SiO2@PDA). Core-shell (CSNPs) characterization revealed 15 nm thickness of PDA shell surrounding the SiO2 core (~270 nm in diameter). Different weight percentages of CSNPs were employed as filler to enhance the final properties of an aeronautical epoxy resin (RTM6) commonly used as matrix to manufacture structural composites. RTM6/SiO2@PDA nanocomposites were experimentally characterized in terms of thermal stability and mechanical performances to assess the induced effects by the synthesized CSNPs on pristine matrix. Thermal stability was investigated by thermogravimetry and data were modelled by the Doyle model and Kissinger methods. An overall enhancement in thermal stability was achieved and clearly highlighted by modelling results. Dynamic Mechanical Analysis has revealed an improvement in the nanocomposite performances compared to the neat matrix, with an increase in the glassy (+9.5%) and rubbery moduli (+32%) as well as glass transition temperature (+10 °C). Fracture Toughness tests confirmed the positive effect in damage resistance compared to unloaded resin with an impressive variation in critical stress intensity factor (KIC) and critical strain energy (GIC) of about 60% and 138%, respectively, with the highest SiO2@PDA content.
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The effects of temperature and moisture on flexural and thermomechanical properties of neat and filled epoxy with both multiwall carbon nanotubes (CNT), carbon nanofibers (CNF), and their hybrid components were investigated. Two regimes of environmental aging were applied: Water absorption at 70 °C until equilibrium moisture content and thermal heating at 70 °C for the same time period. Three-point bending and dynamic mechanical tests were carried out for all samples before and after conditioning. The property prediction model (PPM) was successfully applied for the prediction of the modulus of elasticity in bending of manufactured specimens subjected to both water absorption and thermal aging. It was experimentally confirmed that, due to addition of carbon nanofillers to the epoxy resin, the sorption, flexural, and thermomechanical characteristics were slightly improved compared to the neat system. Considering experimental and theoretical results, most of the epoxy composites filled with hybrid carbon nanofiller revealed the lowest effect of temperature and moisture on material properties, along with the lowest sorption characteristics.
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In recent years, mussel adhesive proteins have attracted much attention because they can form strong adhesive interface interactions with various substrates in a wet environment. Inspired by their catechol- and amine-based molecular structure, polydopamine (PDA), a dopamine derived synthetic eumelanin polymer, was recognized as a suitable bio-interface coating. PDA was successfully used to improve adhesion due to the availability of copious functional groups for covalently immobilizing biomolecules and anchoring reactive species and ions. Recently, it has been demonstrated that PDA and its derivatives can be successfully used for the surface modification of implants interfaces to modulate in vitro cellular responses in order to enhance the in vivo functionality of biomedical implants (i.e., prosthesis). Herein, we propose the development of multifunctional scaffolds based on polyε-caprolactone (PCL) electrospun fibers coated with PDA via electro fluid dynamic methods, by optimizing polymerization/oxidation reactions capable of driving PDA self-assembly, and, ultimately, investigating the effects on cell response. Morphological analyses have confirmed the possibility to obtain different surface topographies as a function of the coating process while in vitro studies proved the ability of PDA coating to interact with cells no compromising in vitro viability. In perspective, in vitro conductive properties of fibers will be further investigated in order to validate their promising use as bioconductive interfaces for tissue engineering applications.
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The growing interest in the use of polysaccharides nanoparticles for biomedical applications is related to the recent progresses on the synthesis of cellulose-based polymers with the specific functionalities. In particular, cellulose graft copolymers are emerging as amphiphilic materials suitable to fabricate smart nanoparticles for drug delivery applications. In this work, a cellulose-graft-poly(ε-caprolactone) (cell-g-PCL) was synthetized and characterized by FTIR, TGA and DSC in order to validate the synthesis process. We demonstrated that fast evaporation processes promoted cell-g-PCL self-assembly to form nanomicellar structures with hydrodynamic radius ranged from 30 to 60â¯nm as confirmed by TEM analysis. Moreover, the application of controlled electrostatic forces on solvent evaporation - namely electrospraying - allowed generating round-like nanoscaled particles, as confirmed by SEM supported via image analysis. We demonstrated also that sodium diclofenac (DS) drastically influenced the mechanism of particle formation, favoring the deposition of erythrocyte-like particles with highly concave surfaces, not penalizing the encapsulation efficiency of nanoparticles (>80%). The release profile showed a fast delivery of DS - about 60% during the first 24â¯h - followed by a sustained release - about 20% during the next 6 days - strictly related to the peculiar weak interactions among amphiphilic polymer segments and water molecules, thus suggesting a successful use of electrosprayed cell-g-PCL nanoparticles for therapeutic treatments in nanomedicine.
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Celulosa/química , Sistemas de Liberación de Medicamentos/métodos , Nanopartículas/química , Poliésteres/química , Diclofenaco/química , Diclofenaco/farmacocinética , Liberación de Fármacos , Humanos , Espectroscopía de Resonancia Magnética , Células Madre Mesenquimatosas/efectos de los fármacos , Nanopartículas/toxicidad , Nanotecnología/métodos , Polímeros/síntesis química , Polímeros/química , Propanoles/química , Solventes/química , Espectroscopía Infrarroja por Transformada de Fourier , TermogravimetríaRESUMEN
The effects of the addition of an aromatic hyperbranched polyester (AHBP) on thermal, mechanical, and fracture toughness properties of a thermosetting resin system were investigated. AHBP filler, synthesized by using a bulk poly-condensation reaction, reveals a glassy state at room temperature. Indeed, according to differential scanning calorimetry measurements, the glass transition temperature (Tg) of AHBP is 95 °C. Three different adduct weight percentages were employed to manufacture the AHBP/epoxy samples, respectively, 0.1, 1, and 5 wt%. Dynamical Mechanical Analysis tests revealed that the addition of AHBP induces a negligible variation in terms of conservative modulus, whereas a slight Tg reduction of about 4 °C was observed at 5 wt% of filler content. Fracture toughness results showed an improvement of both critical stress intensity factor (+18%) and critical strain energy release rate (+83%) by adding 5 wt% of AHBP compared to the neat epoxy matrix. Static and dynamic compression tests covering strain rates ranging from 0.0008 to 1000 s-1 revealed a pronounced strain rate sensitivity for all AHBP/epoxy systems. The AHBP composites all showed an increase of the true peak yield compressive strength with the best improvement associated with the sample with 0.1 wt% of AHBP.
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The following data describe the thermal properties of two different typologies of Hyperbranched Polymers (HBPs): the first one is a polyester (HBPG - Hyperbranched Polymer Glassy) with a glass transition temperature (Tg) higher than room temperature (â¼90 °C) whereas the second one is a polyamide ester (HBPR - Hyperbranched Polymer Rubbery) characterized by Tg of about 20 °C. The nanocomposites manufactured using these HBPs as filler were characterized using Optical Microscopy and Differential Scanning Calorimetry. The raw data for the evaluation of fracture toughness properties are reported for the listed materials. This article provides data related to "The effect of Glassy and Rubbery Hyperbranched Polymers as Modifiers in Epoxy Aeronautical Systems" (Zotti et al.).