RESUMEN
This article proposes a polarized entangled photon source in optical fiber with low Raman noise that features the controllable generation of specific signal and idler wavelengths (colors) by varying the pump power. The novel two color source can provide needed telecom entangled photon wavelengths for applications in quantum communications, quantum computing, and quantum imaging.
RESUMEN
A noninvasive high resolving power quantum microscope would facilitate progress in the areas of research and development in biosciences as well as in the area of biomedical technology. Longer-wavelength microscopes, i.e., visible or near-infrared, can provide noninvasive features. On the other hand, shorter wavelengths, i.e., in the ultraviolet, can provide better resolving power. We propose the development of both a noninvasive and high resolving power quantum microscope by using two-color entangled photon ghost imaging technology.
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Microscopía/instrumentación , Microscopía/métodos , Diseño de Equipo , FotonesRESUMEN
OBJECTIVES: Examine association of comprehensiveness of colorectal cancer (CRC) screening discussion by primary care physicians (PCPs) with completion of CRC screening. STUDY DESIGN: Observational study in Kaiser Permanente Northwest, a group-model health maintenance organization. METHODS: A total of 883 participants overdue for CRC screening received an automated telephone call (ATC) between April and June 2009 encouraging CRC screening. Between January and March 2010, participants completed a survey on PCPs' discussion of CRC screening and patient beliefs regarding screening. PRIMARY OUTCOME MEASURE: receipt of CRC screening (assessed by electronic medical record [EMR], 9 months after ATC). Primary independent variable: comprehensiveness of CRC screening discussion by PCPs (7-item scale). Secondary independent variables: perceived benefits of screening (4-item scale assessing respondents' agreement with benefits of timely screening) and primary care utilization (EMR; 9 months after ATC). The independent association of variables with CRC screening was assessed with logistic regression. RESULTS: Average scores for comprehensiveness of CRC discussion and perceived benefits were 0.4 (range 0-1) and 4.0 (range 1-5), respectively. A total of 28.2% (n = 249) completed screening, 84% of whom had survey assessments after their screening date. Of screeners, 95.2% completed the fecal immunochemical test. More comprehensive discussion of CRC screening was associated with increased screening (odds ratio [OR] = 1.51, 95% confidence interval [CI] = 1.03-2.21). Higher perceived benefits (OR = 1.46, 95% CI = 1.13-1.90) and 1 or more PCP visits (OR = 5.82, 95% CI = 3.87-8.74) were also associated with increased screening. CONCLUSIONS: More comprehensive discussion of CRC screening was independently associated with increased CRC screening. Primary care utilization was even more strongly associated with CRC screening, irrespective of discussion of CRC screening.
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Neoplasias Colorrectales/diagnóstico , Tamizaje Masivo/estadística & datos numéricos , Derivación y Consulta , Anciano , Anciano de 80 o más Años , Femenino , Sistemas Prepagos de Salud , Humanos , Masculino , Persona de Mediana Edad , Oregon , Relaciones Médico-Paciente , Médicos de Atención Primaria , Sistemas RecordatoriosRESUMEN
OBJECTIVES: To estimate the cost-effectiveness of an automated telephone intervention for colorectal cancer screening from a managed care perspective, using data from a pragmatic randomized controlled trial. METHODS: Intervention patients received calls for fecal occult blood testing (FOBT) screening. We searched patients' electronic medical records for any screening (defined as FOBT, flexible sigmoidoscopy, double-contrast barium enema, or colonoscopy) during follow-up. Intervention costs included project implementation and management, telephone calls, patient identification, and tracking. Screening costs included FOBT (kits, mailing, and processing) and any completed screening tests during follow-up. We estimated the incremental cost-effectiveness ratio (ICER) of the cost per additional screen. RESULTS: At 6 months, average costs for intervention and control patients were $37 (25% screened) and $34 (19% screened), respectively. The ICER at 6 months was $42 per additional screen, less than half what other studies have reported. Cost-effectiveness probability was 0.49, 0.84, and 0.99 for willingness-to-pay thresholds of $40, $100, and $200, respectively. Similar results were seen at 9 months. A greater increase in FOBT testing was seen for patients aged >70 years (45/100 intervention, 33/100 control) compared with younger patients (25/100 intervention, 21/100 control). The intervention was dominant for patients aged >70 years and was $73 per additional screen for younger patients. It increased screening rates by about 6% and costs by $3 per patient. CONCLUSIONS: At willingness to pay of $100 or more per additional screening test, an automated telephone reminder intervention can be an optimal use of resources.
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Neoplasias Colorrectales/diagnóstico , Detección Precoz del Cáncer/economía , Aceptación de la Atención de Salud/estadística & datos numéricos , Teléfono , Factores de Edad , Anciano , Colonoscopía/economía , Análisis Costo-Beneficio , Femenino , Humanos , Masculino , Programas Controlados de Atención en Salud/estadística & datos numéricos , Persona de Mediana Edad , Sangre Oculta , Ensayos Clínicos Controlados Aleatorios como AsuntoRESUMEN
Achieving super-resolution has become a scientific imperative for remote imaging of objects and scenes needing increased detail and has motivated the development of various laser-based techniques. We demonstrate a scheme which achieves subdiffraction imaging of remote objects by using femtosecond laser filaments. The use of laser filaments for imaging is destined to have applications in many environments.