Local fluid shear stress operates a molecular switch to drive fetal semilunar valve extension.

BACKGROUND: While much is known about the genetic regulation of early valvular morphogenesis, mechanisms governing fetal valvular growth and remodeling remain unclear. Hemodynamic forces strongly influence morphogenesis, but it is unknown whether or how they interact with valvulogenic signaling programs. Side-specific activity of valvulogenic programs motivates the hypothesis that shear stress pattern-specific endocardial signaling controls the elongation of leaflets. RESULTS: We determined that extension of the semilunar valve occurs via fibrosa sided endocardial proliferation. Low OSS was necessary and sufficient to induce canonical Wnt/ß-catenin activation in fetal valve endothelium, which in turn drives BMP receptor/ligand expression, and pSmad1/5 activity essential for endocardial proliferation. In contrast, ventricularis endocardial cells expressed active Notch1 but minimal pSmad1/5. Endocardial monolayers exposed to LSS attenuate Wnt signaling in a Notch1 dependent manner. CONCLUSIONS: Low OSS is transduced by endocardial cells into canonical Wnt signaling programs that regulate BMP signaling and endocardial proliferation. In contrast, high LSS induces Notch signaling in endocardial cells, inhibiting Wnt signaling and thereby restricting growth on the ventricular surface. Our results identify a novel mechanically regulated molecular switch, whereby fluid shear stress drives the growth of valve endothelium, orchestrating the extension of the valve in the direction of blood flow.

Biobased, cellulose long filament-reinforced vanillin-derived epoxy composite for high-performance and flame-retardant applications.

The development of high-strength and intrinsic flame-retardant natural fiber-reinforced green composite (NFRGC) is a landmark for high-performance structural applications. This paper reports a biobased, high-performance, flame-retardant composite material based on diverse bio-resources. Tough and strong cellulose long filaments (CLFs) are combined with vanillin-derived epoxy (VDE) resin to achieve high strength and flame-retardant NFRGC. The green composite was fabricated using a simple hand lay-up and compression molding technique. The green composite showed a noteworthy increment of 100.9 % flexural strength and 346 % flexural modulus compared to the neat VDE resin. Interestingly, despite the highly flammable nature of CLF, the green composite passes a V-0 rating under the UL-94 test, indicating excellent flame-retardant characteristics. Additionally, the green composite demonstrated outstanding hydrophobicity with a water contact angle of 104.2° and good chemical stability in various acidic and organic solvents. The green composite's excellent mechanical and physical properties show its potential for high-strength and flame-retardant structural applications.

Strong, highly porous and sustainable nanocellulose foam made using bioderived hyperbranched crosslinker for thermal insulation and sound absorption.

This paper reports an environment-friendly biobased foam made with cellulose nanofiber (CNF) and a biobased hyperbranched crosslinker, glycerol succinic anhydride (GSA). As a biobased hyperbranched crosslinker, carboxyl-terminated GSA is synthesized through a straightforward esterification process involving glycerol and succinic anhydride. The GSA-crosslinked CNF (GSA/CNF) foam is prepared using a facile, sustainable, cost-effective, and efficient solvent-exchange method. The resulting foam exhibits notable characteristics, including improved dimensional stability, remarkably low density (13.41 mg/cm3) with high porosity (>99 %), and exceptional compressive strength (494 kPa) and modulus (452 kPa). Further, the foam offers outstanding sound absorption capabilities with a coefficient of 0.986 at 2 kHz and remarkably low thermal conductivity (30.18 mW/mK), significantly lower than commonly used and reported porous materials, indicating its potential as an efficient, environmentally friendly sound absorption and thermal insulation material.

Effect of bio-based derived epoxy resin on interfacial adhesion of cellulose film and applicability towards natural jute fiber-reinforced composites.

This paper reports a bio-based vanillin-derived epoxy (VDE) resin for bio-based natural fiber-reinforced composites. VDE monomer was synthesized, and curing agents, namely, 4,4´-diaminodiphenyl methane (DDM) and isophorone diamine, were used. The prepared VDE resins with various curing parameters were characterized using FTIR, NMR, tensile test, bending test and water contact angle. Further, the interfacial adhesion feasibility of VDE resins on cellulose film was studied through the single-lap shear joint examination and compared with a commercial epoxy, DGEBA. The VDE-DDM resin exhibited excellent interfacial adhesion with cellulose than VDE-IPDA and DGEBA-DDM resins. The cured VDE-DDM thermoset showed a tensile strength of 86.0 ± 6.5 MPa, thermal stability of 241.0 °C at Td5%, and an elastic modulus of 2.9 ± 0.3 GPa, which is better than the commercial epoxy resin. Besides, the developed VDE-DDM resin was used to fabricate treated-jute fiber (TJF)-reinforced composites. The bio-based VDE-DDM/TJF composite's flexural strength was higher than the commercial epoxy resin composite, DGEBA-DDM/TJF. Furthermore, the phosphorus moiety of the VDE-DDM resin endows flame retardancy to the VDE-DDM/TJF composite during combustion. Overall, the appealing properties of bio-based VDE-DDM/TJF composite render environment-friendly and high-performance structural applications.

Recent Research Progress on Lignin-Derived Resins for Natural Fiber Composite Applications.

By increasing the environmental concerns and depletion of petroleum resources, bio-based resins have gained interest. Recently, lignin, vanillin (4-hydroxy-3-methoxybenzaldehyde), and divanillin (6,6'-dihydroxy-5,5'-dimethoxybiphenyl-3,3'-dicarbaldehyde)-based resins have attracted attention due to the low cost, environmental benefits, good thermal stability, excellent mechanical properties, and suitability for high-performance natural fiber composite applications. This review highlights the recent use of lignin, vanillin, and divanillin-based resins with natural fiber composites and their synthesized processes. Finally, discussions are made on the curing kinetics, mechanical properties, flame retardancy, and bio-based resins' adhesion property.

Monocytes and Macrophages in Heart Valves: Uninvited Guests or Critical Performers?

Monocytes and macrophages are critical components of the myeloid niche of the innate immune system. In addition to traditional roles as phagocytes, this subsection of innate immunity has been implicated in its ability to regulate tissue homeostasis and inflammation across diverse physiological systems. Recent emergence of discriminatory features within the monocyte/macrophage niche within the last 5 years has helped to clarify specific function(s) of the subpopulations of these cells. It is becoming increasingly aware that these cells are likely implicated in valve development and disease. This review seeks to use current literature and opinions to show the diverse roles and potential contributions of this niche throughout valvulogenic processes, adult homeostatic function, valve disease mechanisms, and tissue engineering approaches.

Aged-Care Professionals' and Health Care Professionals' Self-Reported Impact of Printed Educational Material on Clinical Practice.

INTRODUCTION: This study aimed to evaluate the impact of the printed educational material (PEM), the Residential Aged-Care (RAC) Communiqué, on the changing clinical practice of health and aged-care professionals. METHODS: The RAC Communiqué is a PEM that contains case narratives from Coroners' investigations into potentially preventable deaths in nursing homes. A population-based cross-sectional study was conducted, using an anonymous electronic survey distributed to all subscribers of the RAC Communiqué. The questionnaire consisted of 40 questions in five sections, such as respondent characteristics, respondent preferences and reading behavior, respondent opinion about the RAC Communiqué content, and the mode of its delivery, impact of the RAC Communiqué, and the details of changes in professional practice. RESULTS: The response rate was 58.3% (367/630). Respondents were mostly women aged 45 years and older (n = 319, 86.9%) with more than 10 years of experience (n = 241, 65.7%) in management (n = 171, 46.6%) or nursing (n = 65, 17.7%). Of the 367 respondents, 204 (55.6%) reported changing their practice. Multivariate analysis revealed that women (odds ratio [OR] = 2.10, 95% confidence interval [CI] = 1.01-4.35) aged between 45 and 54 (OR = 2.06, CI = 1.13-3.75), who read most of the RAC Communiqué (OR = 2.77, CI = 1.34-5.72) and were subscribed for more than 1 year (OR = 3.58, CI = 1.61-7.95) were significantly associated with practice change. DISCUSSION: More than half of the survey respondents who read the RAC Communiqué self-reported a change in practice highlighting its impact and efficacy as PEM.