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  • Open Access

    ARTICLE

    Functional classification of heart failure before and after implementing a healthcare transition program for youth and young adults transferring from a pediatric to an adult congenital heart disease clinics

    Albert C. Hergenroeder1, Douglas S. Moodie2, Daniel J. Penny2, Constance M. Wiemann1, Blanca Sanchez-Fournier1, Lauren K. Moore2, Jane Head3

    Congenital Heart Disease, Vol.13, No.4, pp. 548-553, 2018, DOI:10.1111/chd.12604

    Abstract Objective: To describe changes in functional status between the last pediatric and first adult congenital heart disease (CHD) clinic visits in patients with moderate to severe CHD after implementing a healthcare transition (HCT) planning program.
    Design: Quasi-experimental design. Patients were followed prospectively following the implementation of the intervention; Control patients transitioned from the Pediatric CHD Clinic into Adult CHD Clinic before the intervention.
    Setting: Texas Children’s Hospital (TCH).
    Patients: Sixteen to 25-year-olds, cognitively normal, English speaking patients with moderate to severe CHD who transitioned from the Pediatric to the Adult CHD clinic.
    Interventions: An EMR-based transition planning tool (TPT) was… More >

  • Open Access

    ARTICLE

    Novel oral anticoagulant use in adult Fontan patients: A single center experience

    Justin Georgekutty1, Amir Kazerouninia2, YunFei Wang3, Peter R. Ermis4, Dhaval R. Parekh4, Wayne J. Franklin4, Wilson W. Lam4

    Congenital Heart Disease, Vol.13, No.4, pp. 541-547, 2018, DOI:10.1111/chd.12603

    Abstract Objective: Adult Fontan patients are at increased risk for thrombosis and thromboembolic complications leading to increased morbidity and mortality. Most are prescribed antiplatelet or anticoagulant therapy for thromboprophylaxis; novel oral anticoagulants (NOACs) are uncommonly used given lack of data on their use in this population and generalized concerns regarding Fontan patients’ abnormal coagulation. We report the largest single-center experience with the use of NOACs for treatment and prophylaxis of thrombosis and thromboembolism in adult Fontan patients.
    Results: A retrospective chart review identified 21 patients (11 female, 10 male), median age 33 years (18-50) at first initiation, who were prescribed a… More >

  • Open Access

    ARTICLE

    Differences in midterm outcomes in infants with hypoplastic left heart syndrome diagnosed with necrotizing enterocolitis: NPCQIC database analysis

    Natasha L. Lopez, Charitha Gowda, Carl H. Backes, Deipanjan Nandi, Holly Miller-Tate, Samantha Fichtner, Robin Allen, Jamie Stewart, Clifford L. Cua

    Congenital Heart Disease, Vol.13, No.4, pp. 512-518, 2018, DOI:10.1111/chd.12602

    Abstract Introduction: Neonates with hypoplastic left heart syndrome (HLHS) are at increased risk for necrotizing enterocolitis (NEC). Initial hospital outcomes are well described, but minimal midterm data exist. Goal of this study was to compare outcomes of HLHS infants with NEC (HLHS-NEC) to HLHS without NEC (HLHS-nNEC) during the interstage period.
    Methods: Data were reviewed from 55 centers using the NPC-QIC database. Case-control study with one HLHS-NEC matched to HLHS-nNEC neonates in a 1:3 ratio based on institutional site, type of surgical repair, and gestational age ±1 week was performed. Baseline demographics as well as outcome data were recorded. The t… More >

  • Open Access

    ARTICLE

    NT-pro BNP—A marker for worsening respiratory status and mortality in infants and young children with pulmonary hypertension

    Shahnawaz M. Amdani1, Muhammad Umair M. Mian2, Ron L. Thomas3, Robert D. Ross4

    Congenital Heart Disease, Vol.13, No.4, pp. 499-505, 2018, DOI:10.1111/chd.12601

    Abstract Aim: To evaluate predictors of morbidity and mortality in pediatric patients with pulmonary hypertension (PH), laboratory and echocardiographic measures of PH were analyzed.
    Methods: A retrospective review of all infants and children< 2 years of age with PH from January 2011 to August 2016 was conducted. Correlations were determined using Spearman’s rank correlation coefficients. Differences in characteristics between survivors and nonsurvivors were analyzed and Kaplan-Meier survival curves were generated.
    Results: Of 56 patients, the majority were extremely premature; of African American ethnicity; and had bronchopulmonary dysplasia. Patients who died were more likely to have underlying congenital heart disease; have a… More >

  • Open Access

    ARTICLE

    NaOH/Urea Swelling Treatment and Hydrothermal Degradation of Waste Cotton Fiber

    Lixia Gao1, Sheng Shi1,2,*, Wensheng Hou1, Shuhua Wang1, Zhifeng Yan1, Chao Ge1

    Journal of Renewable Materials, Vol.8, No.6, pp. 703-713, 2020, DOI:10.32604/jrm.2020.09055

    Abstract In this study, waste cotton fabric was used as cellulose raw material and pretreated in aqueous NaOH/urea solution system to investigate the effect of NaOH/urea pretreatment solution on the hydrolysis of cotton fiber. The cotton fiber was pretreated with different conditions of aqueous NaOH/urea solution, and the pretreated cotton fiber was hydrolyzed under the same conditions as the original cotton fiber. The results of characterization analysis showed that water retention value of pretreated cotton fiber was higher than that of unpretreated sample. Moreover, the cotton fiber presented both a convoluted structure and a coarser surface, XRD results suggested that the… More >

  • Open Access

    ARTICLE

    Bond Performance of Adhesively Bonding Interface of Steel-Bamboo Composite Structure

    Jialiang Zhang1, Zhenwen Zhang2, Keting Tong1, Jianmin Wang2, Yushun Li3,*

    Journal of Renewable Materials, Vol.8, No.6, pp. 687-702, 2020, DOI:10.32604/jrm.2020.09513

    Abstract The steel-bamboo composite structure is a newly developed structure, combining phyllostachys pubescens (also called Moso bamboo) plywood and cold-formed thin-walled steel with structural adhesive. The reliability of steelbamboo interface is the premise of composite effect. 13 specimens were prepared to investigate the failure modes and mechanism of the steel-bamboo interface on the basis of push-out test, and the strain difference analysis method was proposed to study the distribution of shear stress. The results show that the main failure modes of steel-bamboo interface are adhesion failure and splitting of bamboo plywood. The shear stress is not evenly distributed along the longitudinal… More >

  • Open Access

    ARTICLE

    Application of the Principles of “Green Chemistry” for the Synthesis of 10-Undecylenic Aliphatic Esters with Antimicrobial Activity

    Dragomir Vassilev1,*, Nadezhda Petkova2, Yulian Tumbarski3, Milena Koleva1, Panteley Denev2

    Journal of Renewable Materials, Vol.8, No.6, pp. 675-686, 2020, DOI:10.32604/jrm.2020.09279

    Abstract Undenicylic acid (10:1) is known as an antifungal agent and an active ingredient of many topical medicines [1–6]. The present research investigates the preparation of aliphatic esters of 10-undecylic acid with butanol and i-amyl alcohol by the conventional and ultrasound-assisted syntheses as well as the structural elucidation of the resulting compounds, by FTIR and NMR spectroscopy. The antimicrobial properties of the obtained 10-undecylenic esters were tested against Gram-positive bacteria (Staphylococcus aureus; Enterococcus faecalis; Listeria monocytogenes), Gram-negative bacteria (Escherichia coli; Salmonella sp.) and filamentous fungi (Penicillium sp.; Aspergillus niger; Fusarium moniliforme) using the conventional agar-well diffusion assay. The results demonstrated that… More >

  • Open Access

    ARTICLE

    Differential Catalysis of Depolymerisation and Dehydration Reactions: Producing Furfural from Plant Biomass

    Nikolajs Vedernikovs*

    Journal of Renewable Materials, Vol.8, No.6, pp. 661-674, 2020, DOI:10.32604/jrm.2020.09274

    Abstract The main principles of the technological realisation of the furfural obtaining process have been formulated by Ricard [1]. Based on his recommendations, all investigators proceeded from the assumption that the depolymerisation of pentosans and the dehydration of pentoses in the one-step production of furfural from raw plant material must be accelerated with diluted catalyst solutions. According to this theory, uniform impregnation of the raw material with a catalyst solution is considered necessary. The reduction in the amount of the catalyst solution down to 30–40% of the mass of the dry raw material, suggested by Miner et al. [2], made the… More >

  • Open Access

    ARTICLE

    Manufacturing Process Selection of “Green” Oil Palm Natural Fiber Reinforced Polyurethane Composites Using Hybrid TEA Criteria Requirement and AHP Method for Automotive Crash Box

    N. S. B. Yusof1,2, S. M. Sapuan1,3,*, M. T. H. Sultan1,4, M. Jawaid1

    Journal of Renewable Materials, Vol.8, No.6, pp. 647-660, 2020, DOI:10.32604/jrm.2020.08309

    Abstract In this study, the best manufacturing process will be selected to build an automotive crash box using green oil palm natural fibre-reinforced polyurethane composite materials. This paper introduces an approach consist of technical aspects (T), the economic point of view (E) and availability (A), and it’s also called as TEA requirement. This approach was developed with the goal of assisting the design engineer in the selection of the best manufacturing process during the design phase at the criteria selection stage. In this study, the TEA requirement will integrate with the analytical hierarchy process (AHP) to assist decision makers or manufacturing… More >

  • Open Access

    ARTICLE

    Preparation and Characterization of Waterborne Polyurethane/Cellulose Nanocrystal Composite Membrane from Recycling Waste Paper

    Xing Zhou1,*, Xin Zhang1, Dong Wang1, Changqing Fang1,*, Wanqing Lei1, Zhigang Huang2, Yonghua Song1, Xinyu He1, Yingwei Huang1

    Journal of Renewable Materials, Vol.8, No.6, pp. 631-645, 2020, DOI:10.32604/jrm.2020.010176

    Abstract Cellulose plays a key role in abundant organic natural materials meeting the increasing demand for green and biocompatible products. The highly crystalline nanoscale component of cellulose nanocrystals has recently attracted great attention due to the versatile performance as filler or matrix in producing functional materials. In this work, we prepared the waterborne polyurethane via a prepolymer process, and obtained cellulose and cellulose nanocrystals from waste paper via a facile acid hydrolysis process. After that, the cellulose nanocrystals were assembled into film and mixed with polyurethane to prepare flexible polyurethane/cellulose nanocrystals composite membrane with different soaking time. The correlation between the… More >

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