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Highlights In the present study, the basalt fibers (BFs) were treated with hybrid sizings consisting silane coupling agent (3‐Glycidoxypropyl)trimethoxysilane, and silicon dioxide nanoparticles (SNPs). Using acetone washing and heat treatment, the commercial sizing previously on the BFs was removed. Next, the fibers were dip‐coated, and silanes condensed on the surface of the fibers. Fiber samples were characterized using thermogravimetric analysis (TGA), atomic force microscopy (AFM), X‐ray photoelectron spectroscopy (XPS), and scanning electron microscopy (SEM). The test findings demonstrate that acetone extraction was an effective way to remove sizings. The AFM analysis and SEM micrographs demonstrate that SNP and silane particles were dispersed uniformly across the fiber surface. The single fiber tensile testing results indicated that the deposition of hybrid sizings enhanced the fibers strength. Because of the better adhesion between the fiber and epoxy, the hybrid sizings also improved the flexural strength by 22.28% and the interlaminar shear strength by 20.75%. Hybrid sizings (silanes and nano‐particles) on the basalt fiber surface. Characterization of the sizings and understanding of surface morphology. Hybrid sizings resulted in better tensile strength. Failure mechanisms of the fibers were observed using fractography. The effect of hybrid sizing on ILSS and flexural properties was observed. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to evaluate the usefulness of machine learning (ML) and neural network (NN) models versus traditional statistical methods for estimating biochemical recurrence (BCR) in men following robot-assisted radical prostatectomy (RARP). Methods: Patients who underwent RARP from November 2011 to July 2022 were taken in the study. Patients with BCR were assigned to Group 2, whereas those without BCR were placed in Group 1. Preoperative and postoperative parameters, together with demographic data, were recorded in the database. This study used one NN, the radial basis function NN (RBFNN), and two ML approaches, the K-nearest neighbor and XGboost ML models, to predict BCR. Results: Following the application of exclusion criteria, 516 patients were deemed eligible for the study. Of those, 234 (45.3%) developed BCR, and 282 (54.7%) did not. The results showed that the median follow-up period was 24 (15--42) months, and the median BCR diagnosis was 12.23 ± 15.58 months. The area under the curve (AUC) for the Cox proportional hazard analysis was 0.77. The receiver-operating characteristic curves (AUCs) for the XGBoost and K closest neighbor models were 0.82 and 0.69, respectively. The RBFNN's AUC was 0.82. Conclusions: The classical statistical model was outperformed by XGBoost and RBFNN models in predicting BCR. [ABSTRACT FROM AUTHOR]

To expand the applications of hybrid fiber composites in structural engineering applications, it is essential to study their fatigue behavior. The tensile and fatigue performance of unidirectional hybrid basalt/glass epoxy composites made with vacuum‐assisted resin infusion molding are investigated in this research. The sequencing influence on tensile properties was assessed using the two configurations of basalt/glass fiber epoxy hybrid fiber composites, namely GBBBG and BGBGB, having nearly equal volume fractions. According to the test results, hybrid fiber composites showed a positive hybrid effect on their tensile strength. Both hybrid layups showed higher tensile strengths (3.5% to 10.5%) than GFRPs and BFRPs. The GBBBG laminate has slightly higher fatigue resistance than BGBGB laminate under tension–tension (T–T) fatigue. Scanning electron microscopy (SEM) images verify the fatigue failure modes, which include fiber, matrix cracking, delamination, and debonding. The DMA analysis showed the lower adhesion efficiency of hybrid fiber composites, signifying lower damping properties. Highlights: The basalt/glass fiber hybrid fiber composites were fabricated using VARIM.The static and fatigue properties of basalt/glass fiber hybrid fiber composites were studied.The stiffness degradation and hysteresis were calculated for the composites tested.The DMA was performed, and Tg, storage modulus, and adhesion efficiency factor were calculated. [ABSTRACT FROM AUTHOR]

This work compares the tensile and fatigue behavior of unidirectional glass fiber/epoxy (GFRPs) and basalt fiber/epoxy (BFRPs) composites manufactured using vacuum-assisted resin infusion molding (VARIM). The tensile and fatigue tests are performed, and results show that both GFRPs and BFRPs have very similar tensile behavior, whereas BFRPs perform better than the GFRPs in terms of fatigue life and degradation of properties, showing about 75 MPa more fatigue limit. The S-N curve shows that BFRPs resist fatigue failure and stiffness degradation due to their better interfacial adhesion. Fractographic observations reveal fatigue failure mechanisms of both BFRPs and GFRPs. From the regression analysis performed, an S-N curve was fitted with a model available in the literature, and regression parameters were calculated. Dynamic mechanical analysis of both BFRPs and GFRPs was performed to evaluate parameters like glass transition temperature, storage modulus, and loss modulus. From the findings of this research, BFRPs may be recommended as a suitable alternative to GFRPs. Highlights • This article compares the tension-tension fatigue properties of unidirectional GFRPs and BFRPs. • From the research work, the authors found that BFRPs perform better than GFRPs under fatigue loading. • The stiffness degradation behavior of GFRPs and BFRPs are studied and compared. • Scanning electron micrographs of fractured samples are used to observe fatigue failure mechanisms. • Dynamic mechanical analysis (DMA) was performed to determine the storage modulus, loss modulus, glass transition temperature, and damping coefficient (tand) for both composites. [ABSTRACT FROM AUTHOR]

Visual question answering (VQA) is a challenging task in computer vision. Recently, there has been a growing interest in text‐based VQA tasks, emphasizing the important role of textual information for better understanding of images. Effectively utilizing text information within the image is crucial for achieving success in this task. However, existing approaches often overlook the contextual information and neglect to utilize the relationships between scene‐text tokens and image objects. They simply incorporate the scene‐text tokens mined from the image into the VQA model without considering these important factors. In this paper, the proposed model initially analyzes the image to extract text and identify scene objects. It then comprehends the question and mines relationships among the question, OCRed text, and scene objects, ultimately generating an answer through relational reasoning by conducting semantic and positional attention. Our decoder with attention map loss enables prediction of complex answers and handles dynamic vocabularies, reducing decoding space. It outperforms softmax‐based cross entropy loss in accuracy and efficiency by accommodating varying vocabulary sizes. We evaluated our model's performance on the TextVQA dataset and achieved an accuracy of 53.91% on the validation set and 53.98% on the test set. Moreover, on the ST‐VQA dataset, our model obtained ANLS scores of 0.699 on the validation set and 0.692 on the test set. [ABSTRACT FROM AUTHOR]

In Visual question answering (VQA), a natural language answer is generated for a given image and a question related to that image. There is a significant growth in the VQA task by applying an efficient attention mechanism. However, current VQA models use region features or object features that are not adequate to improve the accuracy of generated answers. To deal with this issue, we have used a Two‐way Co‐Attention Mechanism (TCAM), which is capable enough to fuse different visual features (region, object, and concept) from diverse perspectives. These diverse features lead to different sets of answers, and also, there is an inherent relationship between these visual features. We have developed a powerful attention mechanism that uses these two critical aspects by using both bottom‐up and top‐down TCAM to extract discriminative feature information. We have proposed a Collective Feature Integration Module (CFIM) to combine multimodal attention features and thus capture the valuable information from these visual features by employing a TCAM. Further, we have formulated a Vertical CFIM for fusing the features belonging to the same class and a Horizontal CFIM for combining the features belonging to different types, thus balancing the influence of top‐down and bottom‐up co‐attention. The experiments are conducted on two significant datasets, VQA 1.0 and VQA 2.0. On VQA 1.0, the overall accuracy of our proposed method is 71.23 on the test‐dev set and 71.94 on the test‐std set. On VQA 2.0, the overall accuracy of our proposed method is 75.89 on the test‐dev set and 76.32 on the test‐std set. The above overall accuracy clearly reflecting the superiority of our proposed TCAM based approach over the existing methods. [ABSTRACT FROM AUTHOR]

Delayed gratification is an important focus of research, given its potential relationship to forms of behavior, such as savings, susceptibility to addiction, and pro-social behaviors. The COVID-19 pandemic may be one of the most consequential recent examples of this phenomenon, with people's willingness to delay gratification affecting their willingness to socially distance themselves. COVID-19 also provides a naturalistic context by which to evaluate the ecological validity of delayed gratification. This article outlines four large-scale online experiments (total N =12, 906) where we ask participants to perform Money Earlier or Later (MEL) decisions (e.g., $5 today vs. $10 tomorrow) and to also report stress measures and pandemic mitigation behaviors. We found that stress increases impulsivity and that less stressed and more patient individuals socially distanced more throughout the pandemic. These results help resolve longstanding theoretical debates in the MEL literature as well as provide policymakers with scientific evidence that can help inform response strategies in the future. [ABSTRACT FROM AUTHOR]

The UiO-6x family of metal-organic frameworks has been extensively studied for applications in chemical warfare agent (CWA) capture and destruction. An understanding of intrinsic transport phenomena, such as diffusion, is key to understanding experimental results and designing effective materials for CWA capture. However, the relatively large size of CWAs and their simulants makes diffusion in the small-pored pristine UiO-66 very slow and hence impractical to study directly with direct molecular simulations because of the time scales required. We used isopropanol (IPA) as a surrogate for CWAs to investigate the fundamental diffusion mechanisms of a polar molecule within pristine UiO-66. IPA can form hydrogen bonds with the μ 3 -OH groups bound to the metal oxide clusters in UiO-66, similar to some CWAs, and can be studied by direct molecular dynamics simulations. We report self, corrected, and transport diffusivities of IPA in pristine UiO-66 as a function of loading. Our calculations highlight the importance of the accurate modeling of the hydrogen bonding interactions on diffusivities, with about an order of magnitude decrease in diffusion coefficients when the hydrogen bonding between IPA and the μ 3 -OH groups is included. We found that a fraction of the IPA molecules have very low mobility during the course of a simulation, while a small fraction are highly mobile, exhibiting mean square displacements far greater than the ensemble average. [ABSTRACT FROM AUTHOR]

De-tubularised ileum is one of the most common segments used for augmentation cystoplasty. It is associated with complications such as metabolic disturbances, recurrent urinary tract infections, and stone formation. However, adenocarcinoma arising in an augmented bladder is a rare occurrence. We report a 37-year-old female, case of ileocystoplasty 25 years ago due to a thimble bladder (genitourinary tuberculosis) who presented with hematuria for one month. Cystoscopy showed bladder mass in the transposed ileal segments. The patient underwent transurethral resection of the bladder lesion, and the histopathology was suggestive of adenocarcinoma of the ileum. Subsequently, she underwent anterior pelvic exenteration and postoperative recovery was uneventful. The 6-month follow-up showed that the patient was asymptomatic without recurrence. In conclusion, even though adenocarcinoma in the ileal neobladder is rare, life-long with close follow-up with routine cytologic, radiologic, and cystoscopic evaluation for early cancer detection and treatment at an early stage is crucial. [ABSTRACT FROM AUTHOR]

Sports competitions and recreational activities are practiced by infants, kids, and teenagers for their physical and mental health. Unfortunately, engaging in sports increases the chance of suffering trauma to the mouth's delicate and hard tissues, including lacerations to the lips, various injuries to the gingiva, tongue, or mucosa, chipped, luxated, or avulsed teeth, maxillary or mandibular fractures. The importance of the dentistry profession in connection to the prevention of dental and other orofacial sporting injuries has increased due to the popularity of contact sports and the encouraging of participation at a young age. Inculcating the prevention, management, and treatment of oral and face injuries, sports dentistry is the newest and most promising area of dentistry. Dentists should make it a point to tell parents about the orofacial damage caused by sports and about the different preventive measures that are available. They should also have solid clinical understanding of sports-related dentofacial injuries. In this article, we go over the different facets of sports-related injuries as well as the risk factors that go along with them. [ABSTRACT FROM AUTHOR]

Syphilis outbreaks in the United States have been reported since 2000 with highest rates in the South and many cases among HIV-infected individuals. We evaluated incident syphilis cases and concurrent gonorrhea and chlamydia screening at a southern HIV clinic. A retrospective cohort study included HIV-infected patients with at least one reactive plasma reagin (test for serum reagin antibodies to cardiolipin-cholesterol-lecithin antigen) and primary care visit from July 2004 to June 2007. Primary, secondary, and early latent syphilis cases were identified as incident syphilis and evaluation for gonorrhea and chlamydia within 1 month were described. Logistic regression was performed to determine factors associated with incident syphilis. Among 1544 patients, 40 incident syphilis cases were identified (5 primary, 29 secondary, and 6 early latent). The majority of patients were not virologically suppressed and only 25% had gonorrhea and chlamydia testing. In adjusted analyses, younger age (0.57 per 10 years, 95% confidence interval [CI] 0.41-0.80) and minority race (2.26, 95% CI 1.12-4.59) were associated with incident syphilis. Among 40 incident syphilis cases, only 1 in 4 were further tested for gonorrhea and chlamydia. These low rates are concerning as concurrent sexually transmitted infections (STIs) increase risk for HIV transmission. HIV care provider education with emphasis on STI testing in the setting of incident syphilis is key in prevention. DOI: 10.1089/apc.2009.0255

Introduction: ureteral stents are used in managing various urological conditions. When these stents are left indwelling for a prolonged time, it results in complications like stent migration, fragmentation, and encrustation. The aim of this retrospective observational study is to analyse the incidence, risk factors, and morbidity associated with retained ureteral stents. Methods: the retained/forgotten ureteral stents were defined as the stents with an indwelling period of more than six months. The records of all such patients from January 2010 to January 2020 were retrospectively reviewed. The primary reason for the placement of a stent, total indwelling time, the reason for prolonged indwelling time, and part(s) of the stent encrusted were retrospectively reviewed. Single/multistage endourological procedures were used to make the patients remove the retained stents and stone free. The type, number of procedures, and total number of sessions needed were noted. Results: data of 114 patients was reviewed retrospectively. Most patients presented with abdominal pain (62 patients, 54.4%), and dysuria (41 patients, 35.1%). An average of 1.7 sessions (range 1-4) were needed to make the patients' stent and stone free. During these sessions, single/multiple procedures (endoscopic/open/combined) were performed. Nine patients (7.9%) had permanent loss of renal unit function and who needed a nephrectomy. Poor compliance (45.6%), unawareness (35.1%), and misconception that the stent would last a lifetime (12.3%), were the most common reasons for retained ureteral stents. The incidence rate of retained stents fell from 1.1% to 0.5% after the "three steps" prevention check method was in-cooperated to ensure timely follow-up of the patients. Conclusion: retained ureteral stents are a significant source of morbidity, which is avoidable by ensuring timely removal. Sincere efforts should be made to make patients aware of an indwelling foreign body. Prevention is the best strategy. [ABSTRACT FROM AUTHOR]

Cognitive fatigue and boredom are two phenomenological states that reflect overt task disengagement. In this article, we present a rational analysis of the temporal structure of controlled behavior, which provides a formal account of these phenomena. We suggest that in controlling behavior, the brain faces competing behavioral and computational imperatives, and must balance them by tracking their opportunity costs over time. We use this analysis to flesh out previous suggestions that feelings associated with subjective effort, like cognitive fatigue and boredom, are the phenomenological counterparts of these opportunity cost measures, instead of reflecting the depletion of resources as has often been assumed. Specifically, we propose that both fatigue and boredom reflect the competing value of particular options that require foregoing immediate reward but can improve future performance: Fatigue reflects the value of offline computation (internal to the organism) to improve future decisions, while boredom signals the value of exploration (external in the world). We demonstrate that these accounts provide a mechanistically explicit and parsimonious account for a wide array of findings related to cognitive control, integrating and reimagining them under a single, formally rigorous framework. [ABSTRACT FROM AUTHOR]

Objective: In this study, we aimed to assess the results of tunica vaginalis flap (TVF), dorsal preputial dartos flap (DPF), and spongioplasty alone as additional cover after neourethra formation in a Snodgrass repair for various types of hypospadias as per the selection criteria decided. Material and methods: This was a non-randomized experimental study of 97 patients with primary hypospadias treated via Snodgrass repair using various second layers (tunica vaginalis flap, dorsal preputial dartos flap, and spongiosum alone) as per the selection criteria in a single center by a single surgeon. The outcome of the procedure was assessed in terms of cosmesis, chordee correction, urinary stream, and uroflowmetry. Results: Of the 97 patients, we used dorsal preputial dartos flap in 42 (43.3%), tunica vaginalis in 38 (39.2%), and spongioplasty only in 17 (17.5%) for primary hypospadias. Urethrocutaneous fistula developed in four patients (three in DPF and one in the TVF groups). One patient each had skin necrosis, hematoma, and wound dehiscence in the DPF group. In the spongioplasty only group, one patient had meatal stenosis which was treated by meatoplasty after failing repeated periodic calibration. Conclusion: DPF should be preferably used for distal penile and TVF for mid and proximal penile hypospadias to ensure excellent result with minimum complications. Spongioplasty only as a second layer is sufficient to avoid the complications wherever it is thick and robust. [ABSTRACT FROM AUTHOR]

Framework flexibility is one of the most important characteristics of metal–organic frameworks (MOFs), making them highly suitable for adsorption applications. There have been a limited number of computational efforts to study flexible MOFs in the literature, and they are mostly focused on MIL-53. We studied a flexible MOF known as LMOF-201, which was found to exhibit guest-induced flexible properties; however, the mechanism of the appearance of flexibility is still unclear. First, we validated our simulation results by reproducing the experimental isotherm and powder X-ray diffraction measurements of experimental structures using grand canonical Monte Carlo (GCMC) and reactive force field (ReaxFF) molecular dynamics (MD) simulations. Then, we demonstrated the importance of the presence of a carbonyl oxygen atom in LMOF-201 to induce flexibility. The mechanism determined in this study will enable LMOF-201 to be considered for adsorption applications in the future. [ABSTRACT FROM AUTHOR]

Molecular modeling of mixture adsorption in nanoporous materials can provide insight into the molecular-level details that underlie adsorptive separations. Modeling of adsorption often employs a rigid framework approximation for computational convenience. All real materials, however, have intrinsic flexibility due to thermal vibrations of their atoms. In this article, we examine quantitative predictions of the adsorption selectivity for a dilute concentration of a chemical warfare agent, sarin, from bulk mixtures with aqueous and non-aqueous (methanol, isopropyl alcohol) solvents using metal–organic frameworks (MOFs). These predictions were made in MOFs approximated as rigid and also in MOFs allowed to have intrinsic flexibility. Including framework flexibility appears to have important consequences for quantitative predictions of adsorption selectivity, particularly for sarin/water mixtures. Our observations suggest the intrinsic flexibility of MOFs can have a nontrivial impact on adsorption modeling of molecular mixtures, especially for mixtures containing polar species and molecules of different sizes. [ABSTRACT FROM AUTHOR]

Traumatic dislocation of testis (TDT) is an uncommon event. During trauma, the cremasteric reflex can forcefully retract the testis out of the scrotal sac saving the testis from the injury. However, associated injuries in the form of skin degloving, penile avulsion, and amputation can be present. Early surgical intervention to locate and deposit the displaced testis to the scrotal sac is essential. We present a case of a 33-year-old man with bilateral congenital cryptorchidism who suffered blunt trauma to his genitalia following a road traffic injury. On presentation, based on a well-developed scrotum, it looked like a case of TDT. However, good history along with detailed physical and radiological evaluation helped us reach the correct diagnosis. TDT must be suspected in a case of blunt trauma to the genitalia when the scrotal sac (well-developed) is empty. This case report highlights the importance of detailed clinical and radiological evaluation in such cases. [ABSTRACT FROM AUTHOR]

Byline: Madhu. Agrawal, Mayank. Agrawal Introduction and Objective : Placement of a percutaneous nephrostomy tube for drainage has been an integral part of the standard percutaneous nephrolithotomy (PCNL) procedure. However, [...]