Polyurethane–poly(2-hydroxyethyl methacrylate) semi- IPN–nanooxide composites

Two sets of hybrid polyurethane–poly(2-hydroxyethyl methacrylate) semi-interpenetrating polymer network–nanooxide composites with 0.25 or 3 wt% nanosilica or nanoalumina functionalised with OH, NH2 or CHLCH2 groups were prepared. A combination of atomic force microscopy, infrared spectroscopy, thermally stimulated depolarisation current measurement, differential scanning calorimetry and creep rate spectroscopy analysis of the nanostructure and properties of the composites was performed. The pronounced dynamic heterogeneity and the strong impact of oxide additives, basically suppression of the dynamics and temperature-dependent increasing modulus of elasticity, were observed. The effects correlated with either interfacial interactions (for silica) or the nanostructure (for alumina). A low oxide content strongly affected the matrix due to the formation of an unusual cross-linked, via double covalent hybridisation of three components, structure of the nanocomposites

Effects of once-weekly exenatide on cardiovascular outcomes in type 2 diabetes

BACKGROUND: The cardiovascular effects of adding once-weekly treatment with exenatide to usual care in patients with type 2 diabetes are unknown. METHODS: We randomly assigned patients with type 2 diabetes, with or without previous cardiovascular disease, to receive subcutaneous injections of extended-release exenatide at a dose of 2 mg or matching placebo once weekly. The primary composite outcome was the first occurrence of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke. The coprimary hypotheses were that exenatide, administered once weekly, would be noninferior to placebo with respect to safety and superior to placebo with respect to efficacy. RESULTS: In all, 14,752 patients (of whom 10,782 [73.1%] had previous cardiovascular disease) were followed for a median of 3.2 years (interquartile range, 2.2 to 4.4). A primary composite outcome event occurred in 839 of 7356 patients (11.4%; 3.7 events per 100 person-years) in the exenatide group and in 905 of 7396 patients (12.2%; 4.0 events per 100 person-years) in the placebo group (hazard ratio, 0.91; 95% confidence interval [CI], 0.83 to 1.00), with the intention-to-treat analysis indicating that exenatide, administered once weekly, was noninferior to placebo with respect to safety (P<0.001 for noninferiority) but was not superior to placebo with respect to efficacy (P=0.06 for superiority). The rates of death from cardiovascular causes, fatal or nonfatal myocardial infarction, fatal or nonfatal stroke, hospitalization for heart failure, and hospitalization for acute coronary syndrome, and the incidence of acute pancreatitis, pancreatic cancer, medullary thyroid carcinoma, and serious adverse events did not differ significantly between the two groups. CONCLUSIONS: Among patients with type 2 diabetes with or without previous cardiovascular disease, the incidence of major adverse cardiovascular events did not differ significantly between patients who received exenatide and those who received placebo