Adhesion Test Research Articles

Low temperature preparation of the monolayer-graphene/diamond heterostructure with superior mechanical properties

There is increasing interest in the preparation of graphene-on-diamond (GOD) hybrids since it is expected to reveal a new horizon of mechanical applications if the beneficial properties of diamond and graphene are effectively combined. Herein, we demonstrated the atomistic scale events leading to the growth of graphene domains on the diamond during the annealing of the nickel catalyst and diamond substrate by combining experiments and theoretical calculations, including the mechanism transition from high-to low-temperature. Concurrently, the high-quality heterostructure of monolayer graphene on diamond was prepared at a low temperature (760 °C) by rapid thermal annealing technique under the guidance of theoretical insights, and an extraordinarily low coefficient of friction (0.021) was exhibited, representing a 91.1 % reduction against the pristine diamond. The adhesion tests confirmed that such an excellent self-lubricity benefited from the adhesion shield effect of as-grown graphene and the consequent reduction in adhesion energy. Furthermore, the corresponding hardness and elastic modulus were also improved by 14.1 % and 32.5 %, respectively. This investigation presents a great potential of the preparation/integration and application of the GOD heterostructure.

Influence of casein on the degradation process of polylactide-casein coatings for resorbable alloys

This study used the dip-coating method to develop a new biocompatible coating composed of polylactide (PLA) and casein for ZnMg1.2 wt% alloy implants. It evaluated its impact on the alloy's degradation in a simulated body fluid. After 168 h of immersion in Ringer's solution, surface morphology analysis showed that the PLA-casein coatings demonstrated uniform degradation, with the corrosion current density measured at 48 µA/cm2. Contact angle measurements indicated that the average contact angles for the PLA-casein-coated samples were below 80°, signifying a hydrophilic nature that promotes cell adhesion. Fourier-transform infrared spectroscopy (FTIR) revealed no presence of lactic acid on PLA-casein coatings after immersion, in contrast to pure PLA coatings. Pull-off adhesion tests showed tensile strength values of 7.6 MPa for pure PLA coatings and 5 MPa for PLA-casein coatings. Electrochemical tests further supported the favorable corrosion resistance of the PLA-casein coatings, highlighting their potential to reduce tissue inflammation and improve the biocompatibility of ZnMg1.2 wt% alloy implants.

Design and Microwave Absorption Performance Study of SiC-Fe3O4 Emulsified Asphalt Mixture.

To address the challenges of slow curing speed and suboptimal microwave absorption during the paving of cold-mixed and cold-laid asphalt mixtures, this study introduces SiC-Fe3O4 composite material (SF) into emulsified asphalt mixtures to enhance microwave absorption and accelerate curing via microwave heating. Initially, based on the maximum density curve theory, an appropriate mineral aggregate gradation was designed, and the optimal ratio of emulsified asphalt mixture was determined through mixing tests, cohesion tests, wet wheel wear tests, and load wheel sand adhesion tests. Subsequently, the influence of SF content on the mixing performance of emulsified asphalt mixtures was analyzed through mixing and consistency tests. Finally, the microwave absorption performance of the mixture was evaluated by designing microwave heating tests under different conditions, using temperature indicators and quality indicators. The experimental results indicate that when SF content ranges from 0% to 4%, the mixing performance of the emulsified asphalt mixture meets specification requirements. The dosage of SF, SF composite ratio, and microwave power significantly impact microwave absorption performance, whereas environmental temperature has a relatively minor effect. The optimal mix ratio for the emulsified asphalt mixture is mineral aggregate:modified emulsified asphalt:water:cement = 100:12.8:6:1. The ideal SF dosage is 4%, with an optimal SiC to Fe3O4 composite ratio of 1:1, and a suitable microwave power range of 600-1000 W.

Implementing Substrate Treatments to Enhance Adhesion and Facilitate Cyrene as an NMP Alternative for Sustainable Printed Nickel–Manganese–Cobalt‐Based Battery Cathodes

This study proposes a greener approach for electrode preparation using cyrene, a bio‐derived and fully biodegradable green solvent, as a potential N‐methyl‐2‐pyrrolidone substitute for fabricating high‐performance nickel–manganese–cobalt oxide (NMC88) lithium‐ion battery cathodes by screen‐printing method. This study also investigates the replacement of the polyvinylidene fluoride (PVDF) binder with Arkema Kynar HSV1810 homopolymer, a crucial substitution for enabling the effective utilization of cyrene, addressing the solvent inadequacy associated with PVDF dissolution. Alongside the ink formulation, the electrode preparation process is optimized by investigating current collector surface treatments using plasma, ultraviolet, and citric acid to enhance substrate wetting, leading to improved printability, adhesion, and cathode layer performance. Cyrene‐based screen‐printed NMC cathodes are analyzed using various characterization techniques, including microscopy, optical profilometry, scanning electron microscopy, adhesion tests, and electrochemical performance tests for assembled batteries. The results demonstrate that cyrene‐based slurries exhibit improved wettability and adhesion on substrates/current collectors when surface treatments are applied. Furthermore, the electrochemical performance of cells based on surface‐treated NMC88 electrodes prepared with cyrene shows adequate cycling performance and rate capability. As a proof of concept, the study presents an alternative green and sustainable approach for electrode preparation in screen‐printed Li‐ion batteries using cyrene.

Exploring anti-corrosion properties and rheological behaviour of tannic acid and epoxidized soybean oil-based fully bio-based epoxy thermoset resins

This research explores the physicochemical attributes of a fully bio-epoxy thermoset aimed at serving as an anti-corrosion coating for safeguarding carbon steel structures in marine environments. Throughout this investigation, various epoxy thermosets formulations, based on epoxidized soybean oil (ESO) and tannic acid (TA), were synthesized by adjusting the initial ratios of epoxide:hydroxyl groups (epoxy:OH). These formulations were subsequently applied onto carbon steel substrates and subjected to thermal curing at moderate temperatures (170 °C) to evaluate their anti-corrosion effectiveness using electrochemical impedance spectroscopy (EIS). The examination of the total impedance values derived from EIS Bode diagrams (>106 Ω) revealed a notable anti-corrosion efficacy that endured over several months of immersion in 3.5 wt% NaCl solutions. In addition to electrochemical assessment, a rheological analysis was conducted to determine the optimal curing temperature for each formulation and to track the evolution of their mechanical properties throughout the curing process. Furthermore, the progression of corrosion at the coating-metal interphase was quantified using samples featuring artificially created notches to facilitate rapid water penetration, reaching the protected surface. Moreover, cross-cut and pull-off adhesion tests were conducted on coatings cured with various epoxide:hydroxyl ratios, yielding exceptional results on carbon steel substrates. Overall, a great potential for anti-corrosion protection has been demonstrated on the developed fully bio-based coatings with tuneable mechanical properties, regarding the initial component ratio, to reach the specific requirements for specific applications.

Multi-functional properties of lactic acid bacteria strains derived from canine feces.

Probiotics, especially Lactic Acid Bacteria (LAB), can promote the health of host animals in a variety of ways, such as regulating intestinal flora and stimulating the host's immune system. In this study, 206 LAB strains were isolated from 48 canine fecal samples. Eleven LAB strains were selected based on growth performance, acid and bile salt resistance. The 11 candidates underwent comprehensive evaluation for probiotic properties, including antipathogenic activity, adhesion, safety, antioxidant capacity, and metabolites. The results of the antipathogenic activity tests showed that 11 LAB strains exhibited strong inhibitory effect and co-aggregation ability against four target pathogens (E. coli, Staphylococcus aureus, Salmonella braenderup, and Pseudomonas aeruginosa). The results of the adhesion test showed that the 11 LAB strains had high cell surface hydrophobicity, self-aggregation ability, biofilm-forming ability and adhesion ability to the Caco-2 cells. Among them, Lactobacillus acidophilus (L177) showed strong activity in various adhesion experiments. Safety tests showed that 11 LAB strains are sensitive to most antibiotics, with L102, L171, and L177 having the highest sensitivity rate at 85.71%, and no hemolysis occurred in all strains. Antioxidant test results showed that all strains showed good H2O2 tolerance, high scavenging capacity for 1, 1-diphenyl-2-trinitrophenylhydrazine (DPPH) and hydroxyl (OH-). In addition, 11 LAB strains can produce high levels of metabolites including exopolysaccharide (EPS), γ-aminobutyric acid (GABA), and bile salt hydrolase (BSH). This study provides a thorough characterization of canine-derived LAB strains, highlighting their multifunctional potential as probiotics. The diverse capabilities of the strains make them promising candidates for canine dietary supplements, offering a holistic approach to canine health. Further research should validate their efficacy in vivo to ensure their practical application.

Durable superhydrophobic LTA-zeolite coating on PDMS surface with excellent self-cleaning property

Superhydrophobicity is a fundamental characteristic that plays a vital role in various applications, such as self-cleaning coatings, water vapor barriers for flexible electronics, and microfluidic chip fabrication. In this study, we developed a superhydrophobic surface coating on polydimethylsiloxane (PDMS) using Linde Type A (LTA) zeolite crystals, employing a silane coupling strategy. As part of this study, the LTA-zeolite-coated PDMS surface is characterized using various techniques to elucidate its superhydrophobic behavior, and a functionalization mechanism is proposed. The resulting substrate exhibited high surface roughness, with a water contact angle exceeding 155°, a sliding angle below 1°, and a contact angle hysteresis under 10°. This superhydrophobic surface coating effectively repelled water, confirming its excellent self-cleaning properties. Furthermore, the coating withstood three cycles of the Kapton adhesive tape peeling test, 5 h of water-jet hitting, and 72 h of UV light exposure, demonstrating its robustness and strong adhesion to PDMS.

Localized surface roughening to improve adhesion of electroless seed layer in through-glass vias

This article reports the improvement of the adhesion of the electroless seed layer deposited on glass substrates used in creating through-glass vias (TGV) by localized surface roughening. Four glass substrates having varying roughness characteristics were prepared by electrochemical discharge machining (ECDM) and ultrasonic machining (USM). The electroless nickel seed layer was deposited directly on glass without any adhesion layer, followed by electrodeposited copper layers. In-depth surface topography and morphology analysis reveal the mechanism behind the improved adhesion during standard peel and cross-hatch adhesion tests, which were used to determine the interlayer adhesion.Localized roughening techniques generated specific microfeatures, i.e., microgrooves (in USM) or ridges (in ECDM), increasing the surface area. These features acted as interlocking/nucleation sites to hold the electroless nickel atoms, resulting in higher interfacial adhesion. USM-roughened samples exhibited stronger interfacial adhesion than their ECDM-roughened counterparts, which indicated that the interlayer adhesion depends on topography and the roughened surface's morphology. The surface with negative skewness and positive excess kurtosis promotes mechanical interlocking, offering a promising strategy for enhancing interlayer adhesion. Finally, conformal deposition in a 6 × 6 array of through-holes having an aspect ratio of ∼4 was also demonstrated.

A Study of the Effects of Moisture on Composite-to-Metal Double-Lap Shear Joints.

This work investigated the effects of moisture absorption treatment on composite-to-metal double-lap shear joints (DLSJs) bonded with epoxy adhesive film through experiments and simulations. The composite-to-metal DLSJ can be divided into five parts (the interface between the composite and adhesive, the interface between the adhesive and metal, the composite adherend, the metal adherend, and the adhesive layer). First, the wet-dependent properties of the adhesive and interfaces were obtained through adhesive tensile tests and GC tests, which showed that the properties of the adhesive and interfaces were significantly affected by the moist environment. Then, tensile tests of the composite-to-metal double-lap shear joints were carried out in dry and wet environments. Finally, based on the experimental investigations, a finite element (FE) model that considered cohesive damage was established for simulating damage evolution and predicting the failure loads and failure modes of the DLSJs. The results of both the experimental and numerical tests show that the DLSJ failure load decreases significantly after immersion in 95 °C water, and the major failure mode transfers from adhesive failure to interface failure. The research results provide a theoretical basis or basic data for the structural design of adhesively bonded composite-to-metal.

Influence of titanium surface roughness on a nanoscale on the zeta potential and platelet adhesion.

Thromboembolic complications still arise on blood contacting surfaces. Surface charge and topography influence the subsequent deposition of proteins and platelets, potentially leading to thrombi. Research showed a correlation of surface charge and nanoscale roughness, and a negative surface charge as well as a smooth surface finish are associated with lower thrombogenicity. The aim of this study was to compare the platelet adhesion on titanium with different nanoscale roughnesses and to examine if those roughness variations caused a change in surface charge. Titanium samples were polished and roughened to four different nanoscale roughness levels. Platelet adhesion (covered surface area (CSA), N = 8) was tested in flow chambers with human whole blood using fluorescence imaging. ζ-potential was measured over a broad range of pH-values and interpolated to obtain the ζ-potential for pHBlood (7.4). Platelet adhesion tests were evaluated in terms of p-values and the Wilcoxon test effect size and the trend of the ζ-potential at pHBlood and the CSA was compared. Ra-values ranged between 35 (polished) and 156 nm. Regarding platelet adhesion, the polished sample showed the lowest mean CSA with a medium or strong effect size compared to the roughened samples. The interpolated ζ-potentials for pHBlood follow a similar trend as the CSA, with the lowest ζ-potential measured for the polished surface. These findings suggest that the decreasing ζ-potential due to lower nanoscale roughness might be an additional explanation for the improved hemocompatibility besides the smoother topography.

From virus to viral: content analysis of HIV-related Twitter messages among young men in the U.S.

BackgroundAdolescents and young adults account for over 21% of new HIV infections in the U.S. with most new cases among young men. As an important information source for this group, social media can uniquely reveal the perspectives and communicative patterns of this key population. We identified 6,439 young male Twitter users (ages 13–24) in the U.S. using an NLP pipeline with geolocations. From their Twitter timelines, we collected 24,600 HIV-related tweets, among which the most retweeted and favorited tweets (n = 472) were analyzed through a content analysis.ResultsThree themes arose in this online viral discourse around HIV among young men: (i) othering, (ii) politics and activism, (iii) risk and wellness. Othering tweets contained stigmatizing jokes and insults alienating individuals who identify as lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, or being elsewhere on the gender and sexuality spectrum (LGBTQIA +), and people with HIV. Politics and activism tweets discussed awareness, stigma, HIV criminalization, violence, LGBTQIA + , and women’s rights. Risk and wellness tweets discussed risk behaviors for sexually transmitted infections (STIs) (e.g., condomless sex, transactional sex, multiple sexual partners), or safer sex and preventive practices (e.g., pre-exposure prophylaxis [PrEP], condom use, achieving undetectable viral load, medication adherence, and STI testing).ConclusionThe social acceptability of high-risk sex behaviors is high among young male Twitter users. Given the double-edged nature of social media—health-promoting (e.g., awareness, health activism) as well as risk-promoting (e.g., risky behavior endorsement, identity attacks)— this population may benefit from targeted health communication intervention. Future HIV prevention efforts should counter the stigma, misinformation, and risk-promoting viral messages prevalent on social media.

Fabrication of superamphiphobic micro-reentrant structures by inverted electrochemical deposition

Due to excellent oil resistance and shortened liquid-solid contact time, superamphiphobic surfaces have promising application prospects in oil transportation, and petroleum pollution control. Although superamphiphobic surfaces have been constructed on various substrates, there is still a lack of high-efficient methods for fabricating micro-reentrant structures on engineering metal substrates. This paper proposes a new method combining laser processing and inverted electrochemical deposition techniques to achieve high-efficient and large-scale fabrication of superamphiphobic surfaces on copper substrates. Firstly, micropillar array structures are constructed by laser processing, and the structures exhibit excellent superhydrophobicity after low surface energy modification. Then, inverted electrochemical deposition is performed after polishing the top of the array, and local angle of the gas/liquid interface can be controlled by adjusting the distance between the top of the micropillar and the electrolyte level, thus regulating micro-morphology of the roof structure. The influences of electrochemical deposition parameters on characteristics of the micro-reentrant structures are systematically investigated. Finally, superamphiphobic micro-reentrant structures (roof diameter > 190 μm, micropillar spacing <250 μm) with water and oil contact angles exceeding 150° are prepared after lowering the surface energy of the deposited structures. After anti-fouling, blowing, ultrasonic vibration, and tape adhesion tests, the prepared superamphiphobic micro-reentrant structures maintained good water and oil repellency, showing excellent chemical stability and durability. The research may provide a simple, efficient, and low-cost method for high-efficient constructing superamphiphobic surfaces on engineering metal substrates, enriching the fabrication techniques of micro-reentrant structures and facilitating their practical applications.

Gluten-Free Diet Adherence Tools for Individuals with Celiac Disease: A Systematic Review and Meta-Analysis of Tools Compared to Laboratory Tests.

This systematic review aimed to find the tool that best predicts celiac individuals' adherence to a gluten-free diet (GFD). The Transparent Reporting of Multivariable Prediction Models for Individual Prognosis or Diagnosis (TRIPOD-SRMA) guideline was used for the construction and collection of data from eight scientific databases (PubMed, EMBASE, LILACS, Web of Science, LIVIVO, SCOPUS, Google Scholar, and Proquest) on 16 November 2023. The inclusion criteria were studies involving individuals with celiac disease (CD) who were over 18 years old and on a GFD for at least six months, using a questionnaire to predict adherence to a GFD, and comparing it with laboratory tests (serological tests, gluten immunogenic peptide-GIP, or biopsy). Review articles, book chapters, and studies without sufficient data were excluded. The Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modeling Studies (CHARMS) was used for data collection from the selected primary studies, and their risk of bias and quality was assessed using the Prediction Risk of Bias Assessment Tool (PROBAST). The association between the GFD adherence determined by the tool and laboratory test was assessed using the phi contingency coefficient. The studies included in this review used four different tools to evaluate GFD adherence: BIAGI score, Coeliac Dietary Adherence Test (CDAT), self-report questions, and interviews. The comparison method most often used was biopsy (n = 19; 59.3%), followed by serology (n = 14; 43.7%) and gluten immunogenic peptides (GIPs) (n = 4; 12.5%). There were no significant differences between the interview, self-report, and BIAGI tools used to evaluate GFD adherence. These tools were better associated with GFD adherence than the CDAT. Considering their cost, application time, and prediction capacity, the self-report and BIAGI were the preferred tools for evaluating GFD adherence.

UPC2 mutations and development of azole resistance in Candida albicans hospital isolates from Lebanon

ObjectivesThis study evaluated the role of Upc2 in the development of azole resistance in Candida albicans isolates from Lebanese hospitalized patients and determined a correlation between resistance and virulence. MethodsThe UPC2 gene which codes for an ergosterol biosynthesis regulator was sequenced and analysed in two azole-resistant and one azole-susceptible C. albicans isolates. An amino acid substitution screening was carried out on Upc2 with a focus on its ligand binding domain (LBD) known to interact with ergosterol. Then, Upc2 protein secondary structure prediction and homology modelling were conducted, followed by total plasma membrane ergosterol and cell wall chitin quantifications. For virulence, mouse models of systemic infection were generated and an agar adhesion and invasion test was performed. ResultsAzole-resistant isolates harboured novel amino acid substitutions in the LBD of Upc2 and changes in protein secondary structures were observed. In addition, these isolates exhibited a significant increase in plasma membrane ergosterol content. Resistance and virulence were inversely correlated while increased cell wall chitin concentration does not seem to be linked to resistance since even though we observed an increase in chitin concentration, it was not statistically significant. ConclusionsThe azole-resistant C. albicans isolates harboured novel amino acid substitutions in the LBD of Upc2 which are speculated to induce an increase in plasma membrane ergosterol content, preventing the binding of azoles to their target, resulting in resistance.

Improving biological and mechanical properties of bioprinted PCL-alginate-chondrocyte scaffolds for patellofemoral cartilage tissue regeneration

In this study, polycaprolactone (PCL) scaffolds have been employed as structural framework scaffolds for patellofemoral cartilage tissue regeneration. The biomechanical and biological properties of different scaffolds were investigated by varying alginate concentrations and the number of scaffold layers. Patellofemoral cartilage defects result in knee pain and reduced mobility, and they are usually treated with conventional methods, often with limited success. Generally, tissue-engineered PCL-alginate scaffolds fabricated by bioprinting technology show promise for enhanced cartilage regeneration due to the biocompatibility and mechanical stability of PCL. In addition, alginate is known for its cell encapsulation capabilities and for promoting cell viability. Biological and morphological assessments, utilizing water contact angle, cell adhesion tests, MTT assays, and scanning electron microscopy (SEM), informed the selection of the optimized scaffold. Comparative analyses between the initial optimal scaffolds with the same chemical composition also included flexural and compression tests and fracture surface observations using SEM. The controlled integration of PCL and alginate offers a hybrid approach, that assembles the mechanical strength of PCL and the bioactive properties of alginate for tissue reconstruction potential. This study aims to identify the most effective scaffold composition for patellofemoral articular cartilage tissue engineering, emphasizing cell viability, structural morphology, and mechanical integrity. The results showed that the optimum biomechanical and biological properties of scaffolds were obtained with a 10% alginate concentration in the monolayer of PCL structure. The findings contribute to regenerative medicine by advancing the understanding of functional tissue constructs, bringing us closer to addressing articular cartilage defects and related clinical challenges.

Synthesis of Polybenzoxazine as an environmentally friendly adhesive material from cardanol and post-consumer PET source

In this study, a thermosetting benzoxazine was successfully prepared from environmentally friendly sources to be used as an adhesive. The phenolic component used for the synthesis of the benzoxazine monomer is cardanol derived from the cashew nutshell, while the amine fractions are terephthalamide, which is a product of the amination process of used polyethylene terephthalate plastic bottles (PET). The structure of the benzoxazine monomer was determined by FT-IR and 1H-NMR spectroscopy. The thermal and curing behavior of the materials was investigated by differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA). A lap-shear adhesion testing (ASTM D1002-10) was performed to measure the bond strength of the material to the CT3 steel surface. The adhesive properties with a shear strength of 7.29 MPa are excellent compared to other commercial adhesives. This result indicates the great potential of this benzoxazine for adhesive applications in practice.

Mechanical Performance of Bentonite Plugs in Abandonment Operations of Petroleum Wells

This study aims to evaluate how the operational procedure adopted for pellet placement and the exposure to subsurface conditions influence the mechanical integrity of bentonite plugs used as barrier elements in the abandonment of petroleum wells. To this end, the plugs were formed by hydrating the pellets directly in water, simulating the onshore procedure, while the offshore plugs were obtained from pellets hydrated in deionized water after immersion in diesel or olefin, which are suggested as displacement fluids. The plugs obtained were tested by compression and adhesion tests. These mechanical tests were also carried out for specimens obtained from plugs exposed to four formulations of synthetic formation waters. The results obtained demonstrated that, in the offshore procedure, the previous contact with olefin may adversely affects the mechanical stability of bentonite plugs, while plugs formed from pellets immersed in diesel presented satisfactory mechanical properties. However, the contact with formation water evidenced that the onshore plug presents superior resistance than the offshore plug previously immersed in diesel. The highly successful performance of the onshore plug was attested by the maintenance of the compressive strength, which exhibited a maximum reduction of 13%, even after exposure to the most saline formation waters.

Exploring cyclic olefin copolymer (COC) for flexible silver nanowire electrode

The development of flexible electronic devices has been a primary focus in various fields, and silver nanowire (Ag NW) networks show significant promise due to their unique electrical and mechanical properties. However, achieving well-defined and stable nanowire coatings on polymer substrates remains challenging. This work presents a novel and simple approach for directly coating Ag NWs on cyclic olefin copolymer (COC) substrates utilizing ultraviolet/ozone (UVO) treatment, a method not previously demonstrated for this specific material system up to our knowledge. The compatibility of this approach with COC eliminates the need for complex pre- and post-treatment processes, making it a more straightforward and environmentally friendly way to improve adhesion between Ag NWs and COC. The Ag NWs/COC electrodes exhibited excellent optoelectrical performance, with a high optical transmittance of 84% and a low sheet resistance of 13 Ω/sq—metrics that compare favorably to industry standards for transparent conductive films. Additionally, the Ag NWs/COC electrodes displayed excellent mechanical stability, showing no changes in sheet resistance after both tape adhesion and film bending tests. The novelty of the presented Ag NW-COC system, combined with the simplicity and environmental benefits of the UVO coating approach, as well as the demonstrated performance and stability of the resulting electrodes, make this work a significant advancement towards realizing the commercial potential of flexible electronics for biocompatible and wearable device applications.

'What Happened?': Perceptions of Patients with Hypertension of Conflicting Results between Self-Reported Medication Adherence and Chemical Adherence Testing: A Qualitative Study.

To explore the perceptions of outpatients with hypertension regarding the conflicting results between their self-reported medication adherence and chemical adherence testing. An exploratory generic qualitative study design with semi-structured interviews was conducted. Thirteen adult patients being treated with antihypertensives were interviewed. Patients had a negative chemical adherence test for at least one prescribed antihypertensive, while they reported to adhere to their medication. Audio-recorded interviews were thematically analyzed. Six themes emerged: (1) becoming frustrated with medication intake, (2) being uncomfortable with addressing medication nonadherence, (3) feeling ashamed and angry about their nonadherence, (4) feeling falsely accused of nonadherence, (5) experiencing results as a wakeup call and (6) wanting to be heard and listened to. Participants reacted differently to the adherence test results. Two distinct groups were identified among the participants: the first group felt shameful, disappointed, and angry at themselves for being nonadherent; the second group felt falsely accused and rejected the adherence test results. No differences between both groups were found in their reasons for becoming frustrated with medication intake and their behavior after the adherence test results. Patients felt that communication with clinicians is key in the treatment support of patients with hypertension. Clinicians need to consider the reasons for nonadherence and the different responses of patients to the chemical adherence test results in their support to optimize treatment for patients with hypertension.

Vitexin Suppresses High-Glucose-upregulated Adhesion Molecule Expression in Endothelial Cells through Inhibiting NF-κB Signaling Pathway.

Vascular damage is one of the significant complications of diabetes mellitus (DM). Central to this damage is endothelial damage, especially under high-glucose conditions, which promotes inflammation via the NF-κB signaling pathway. Inflammatory processes in endothelial cells directly contribute to endothelial dysfunction, such as promoting inflammatory cytokine release and activation of adhesion molecules. Vitexin, a compound found in many medicinal plants, shows promise in countering oxidative stress in diabetic contexts and modulating blood glucose. However, its effect on high-glucose-induced endothelial cell activation has not yet been studied. This research explores vitexin's potential role in this process, focusing on its influence on the NF-κB pathway in endothelial cells. Human umbilical vein endothelial cells (HUVECs) were stimulated with 30 mM glucose (high glucose, HG) with or without vitexin treatment for 24 h. Western blotting assay was conducted for the NF-κB pathway and p-p38. Adhesion molecules (ICAM-1, VCAM-1, E-selectin, and MCP-1) were studied using flow cytometry, while pro-inflammatory cytokines were investigated using ELISA. Monocyte adhesion and vascular permeability tests were conducted to confirm the protective effect of vitexin under HG exposure. This study confirms vitexin's capacity to suppress p38 MAPK and NF-κB activation under HG conditions, reducing HG-elevated adhesion molecules and pro-inflammatory cytokine secretion. Additionally, vitexin mitigates HG-stimulated vascular permeability and monocyte adhesion. In conclusion, this study shows the therapeutic potential of vitexin against hyperglycemia-related vascular complications via p38 MAPK/NF-κB inhibition.