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Implementation of an Opt-Out Outpatient HIV Screening Program

Background:

Screening rates for Human Immunodeficiency Virus (HIV) remain low despite guidelines by both the CDC and USPSTF recommending that all adolescents and adults be screened at least once. The aim of this quality improvement study was to increase HIV screening among eligible patients.

Methods:

This quality improvement study assessed the impact of interventions to increase HIV screening in an outpatient population at a large urban safety-net hospital. Outcomes were compared from the preintervention (December 2020 to November 2021) to postintervention years (December 2021 to November 2022). Stepwise electronic alerts to prompt HIV screening paired with provider financial incentives were implemented. The proportion of eligible individuals screened for HIV were compared after intervention implementation.

Results:

Average monthly HIV screening increased from 506 ± 97 to 2484 ± 663 between the pre- and postintervention periods, correlating to a 5.1-fold increase in screening (7.8% to 39.8%, P < .01). Increases were seen across all ages, and those aged 55 to 64 and 65+ had the highest relative increase in screening at 7.5 and 9.3-fold, respectively (P < .01). Screening rates increased for Hispanics (7.9% preintervention vs 43.6% postintervention, P < .01). In the pre- and postintervention periods, 41 patients with new HIV diagnoses were identified (13 preintervention and 28 postintervention) and 85.4% were linked to care within 30 days.

Conclusions:

Stepwise interventions targeted at primary care clinicians are an effective way to increase HIV screening rates, particularly in older demographics. Earlier HIV diagnosis coupled with linkage to care is an important strategy in ending the HIV epidemic.




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A circular split nanoluciferase reporter for validating and screening putative internal ribosomal entry site elements [METHOD]

Internal ribosomal entry sites (IRESs) recruit the ribosome to promote translation, typically in an m7G cap-independent manner. Although IRESs are well-documented in viral genomes, they have also been reported in mammalian transcriptomes, where they have been proposed to mediate cap-independent translation of mRNAs. However, subsequent studies have challenged the idea of these "cellular" IRESs. Current methods for screening and discovering IRES activity rely on a bicistronic reporter assay, which is prone to producing false positive signals if the putative IRES sequence has a cryptic promoter or cryptic splicing sites. Here, we report an assay for screening IRES activity using a genetically encoded circular RNA comprising a split nanoluciferase (nLuc) reporter. The circular split nLuc reporter is less susceptible to the various sources of false positives that adversely affect the bicistronic IRES reporter assay and provides a streamlined method for screening IRES activity. Using the circular split nLuc reporter, we find that nine reported cellular IRESs have minimal IRES activity. Overall, the circular split nLuc reporter offers a simplified approach for identifying and validating IRESs and exhibits reduced propensity for producing the types of false positives that can occur with the bicistronic reporter assay.




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Simplified Method for Kinetic and Thermodynamic Screening of Cardiotonic Steroids through the K+-Dependent Phosphatase Activity of Na+/K+-ATPase with Chromogenic pNPP Substrate [Article]

The antitumor effect of cardiotonic steroids (CTS) has stimulated the search for new methods to evaluate both kinetic and thermodynamic aspects of their binding to Na+/K+-ATPase (IUBMB Enzyme Nomenclature). We propose a real-time assay based on a chromogenic substrate for phosphatase activity (pNPPase activity), using only two concentrations with an inhibitory progression curve, to obtain the association rate (kon), dissociation rate (koff), and equilibrium (Ki) constants of CTS for the structure-kinetics relationship in drug screening. We show that changing conditions (from ATPase to pNPPase activity) resulted in an increase of Ki of the cardenolides digitoxigenin, essentially due to a reduction of kon. In contrast, the Ki of the structurally related bufadienolide bufalin increased much less due to the reduction of its koff partially compensating the decrease of its kon. When evaluating the kinetics of 15 natural and semisynthetic CTS, we observed that both kon and koff correlated with Ki (Spearman test), suggesting that differences in potency depend on variations of both kon and koff. A rhamnose in C3 of the steroidal nucleus enhanced the inhibitory potency by a reduction of koff rather than an increase of kon. Raising the temperature did not alter the koff of digitoxin, generating a H (koff) of –10.4 ± 4.3 kJ/mol, suggesting a complex dissociation mechanism. Based on a simple and inexpensive methodology, we determined the values of kon, koff, and Ki of the CTS and provided original kinetics and thermodynamics differences between CTS that could help the design of new compounds.

SIGNIFICANCE STATEMENT

This study describes a fast, simple, and cost-effective method for the measurement of phosphatase pNPPase activity enabling structure-kinetics relationships of Na+/K+-ATPase inhibitors, which are important compounds due to their antitumor effect and endogenous role. Using 15 compounds, some of them original, this study was able to delineate the kinetics and/or thermodynamics differences due to the type of sugar and lactone ring present in the steroid structure.




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The Dawning of a New Age of Preclinical Analgesic Drug Screening [Viewpoint]




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Osteoporosis Canada guideline on screening for men likely low value [Letters]





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AI can reveal what’s on your screen via signals leaking from cables

Electromagnetic radiation leaking from the cable between your computer and monitor can be intercepted and decoded by AI to reveal what you are looking at




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Rise of the superbaby? US startup offers genetic IQ screening for wealthy elite: report

U.S.-based startup company Heliospect Genomics reportedly is offering wealthy couples embryo screening for IQ and other traits at $50,000 for 100 embryos.



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Touchscreens Are Out, and Tactile Controls Are Back



Tactile controls are back in vogue. Apple added two new buttons to the iPhone 16, home appliances like stoves and washing machines are returning to knobs, and several car manufacturers are reintroducing buttons and dials to dashboards and steering wheels.

With this “re-buttonization,” as The Wall Street Journal describes it, demand for Rachel Plotnick’s expertise has grown. Plotnick, an associate professor of cinema and media studies at Indiana University in Bloomington, is the leading expert on buttons and how people interact with them. She studies the relationship between technology and society with a focus on everyday or overlooked technologies, and wrote the 2018 book Power Button: A History of Pleasure, Panic, and the Politics of Pushing (The MIT Press). Now, companies are reaching out to her to help improve their tactile controls.

You wrote a book a few years ago about the history of buttons. What inspired that book?

Rachel Plotnick: Around 2009, I noticed there was a lot of discourse in the news about the death of the button. This was a couple years after the first iPhone had come out, and a lot of people were saying that, as touchscreens were becoming more popular, eventually we weren’t going to have any more physical buttons to push. This started to happen across a range of devices like the Microsoft Kinect, and after films like Minority Report had come out in the early 2000s, everyone thought we were moving to this kind of gesture or speech interface. I was fascinated by this idea that an entire interface could die, and that led me down this big wormhole, to try to understand how we came to be a society that pushed buttons everywhere we went.

Rachel Plotnick studies the ways we use everyday technologies and how they shape our relationships with each other and the world.Rachel Plotnick

The more that I looked around, the more that I saw not only were we pressing digital buttons on social media and to order things from Amazon, but also to start our coffee makers and go up and down in elevators and operate our televisions. The pervasiveness of the button as a technology pitted against this idea of buttons disappearing seemed like such an interesting dichotomy to me. And so I wanted to understand an origin story, if I could come up with it, of where buttons came from.

What did you find in your research?

Plotnick: One of the biggest observations I made was that a lot of fears and fantasies around pushing buttons were the same 100 years ago as they are today. I expected to see this society that wildly transformed and used buttons in such a different way, but I saw these persistent anxieties over time about control and who gets to push the button, and also these pleasures around button pushing that we can use for advertising and to make technology simpler. That pendulum swing between fantasy and fear, pleasure and panic, and how those themes persisted over more than a century was what really interested me. I liked seeing the connections between the past and the present.

[Back to top]

We’ve experienced the rise of touchscreens, but now we might be seeing another shift—a renaissance in buttons and physical controls. What’s prompting the trend?

Plotnick: There was this kind of touchscreen mania, where all of a sudden everything became a touchscreen. Your car was a touchscreen, your refrigerator was a touchscreen. Over time, people became somewhat fatigued with that. That’s not to say touchscreens aren’t a really useful interface, I think they are. But on the other hand, people seem to have a hunger for physical buttons, both because you don’t always have to look at them—you can feel your way around for them when you don’t want to directly pay attention to them—but also because they offer a greater range of tactility and feedback.

If you look at gamers playing video games, they want to push a lot of buttons on those controls. And if you look at DJs and digital musicians, they have endless amounts of buttons and joysticks and dials to make music. There seems to be this kind of richness of the tactile experience that’s afforded by pushing buttons. They’re not perfect for every situation, but I think increasingly, we’re realizing the merit that the interface offers.

What else is motivating the re-buttoning of consumer devices?

Plotnick: Maybe screen fatigue. We spend all our days and nights on these devices, scrolling or constantly flipping through pages and videos, and there’s something tiring about that. The button may be a way to almost de-technologize our everyday existence, to a certain extent. That’s not to say buttons don’t work with screens very nicely—they’re often partners. But in a way, it’s taking away the priority of vision as a sense, and recognizing that a screen isn’t always the best way to interact with something.

When I’m driving, it’s actually unsafe for my car to be operated in that way. It’s hard to generalize and say, buttons are always easy and good, and touchscreens are difficult and bad, or vice versa. Buttons tend to offer you a really limited range of possibilities in terms of what you can do. Maybe that simplicity of limiting our field of choices offers more safety in certain situations.

It also seems like there’s an accessibility issue when prioritizing vision in device interfaces, right?

Plotnick: The blind community had to fight for years to make touchscreens more accessible. It’s always been funny to me that we call them touchscreens. We think about them as a touch modality, but a touchscreen prioritizes the visual. Over the last few years, we’re seeing Alexa and Siri and a lot of these other voice-activated systems that are making things a little bit more auditory as a way to deal with that. But the touchscreen is oriented around visuality.

It sounds like, in general, having multiple interface options is the best way to move forward—not that touchscreens are going to become completely passé, just like the button never actually died.

Plotnick: I think that’s accurate. We see paradigm shifts over time with technologies, but for the most part, we often recycle old ideas. It’s striking that if we look at the 1800s, people were sending messages via telegraph about what the future would look like if we all had this dashboard of buttons at our command where we could communicate with anyone and shop for anything. And that’s essentially what our smartphones became. We still have this dashboard menu approach. I think it means carefully considering what the right interface is for each situation.

[Back to top]

Several companies have reached out to you to learn from your expertise. What do they want to know?

Plotnick: I think there is a hunger out there from companies designing buttons or consumer technologies to try to understand the history of how we used to do things, how we might bring that to bear on the present, and what the future looks like with these interfaces. I’ve had a number of interesting discussions with companies, including one that manufactures push-button interfaces. I had a conversation with them about medical devices like CT machines and X-ray machines, trying to imagine the easiest way to push a button in that situation, to save people time and improve the patient encounter.

I’ve also talked to people about what will make someone use a defibrillator or not. Even though it’s really simple to go up to these automatic machines, if you see someone going into cardiac arrest in a mall or out on the street, a lot of people are terrified to actually push the button that would get this machine started. We had a really fascinating discussion about why someone wouldn’t push a button, and what would it take to get them to feel okay about doing that.

In all of these cases, these are design questions, but they’re also social and cultural questions. I like the idea that people who are in the humanities studying these things from a long-term perspective can also speak to engineers trying to build these devices.

So these companies also want to know about the history of buttons?

Plotnick: I’ve had some fascinating conversations around history. We all want to learn what mistakes not to make and what worked well in the past. There’s often this narrative of progress, that things are only getting better with technology over time. But if we look at these lessons, I think we can see that sometimes things were simpler or better in a past moment, and sometimes they were harder. Often with new technologies, we think we’re completely reinventing the wheel. But maybe these concepts existed a long time ago, and we haven’t paid attention to that. There’s a lot to be learned from the past.

[Back to top]




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Screen Share | Films that use photography to reflect on love, life and the self

From Juliette Binoche’s ‘A Thousand Times Good Night’ to Clint Eastwood’s ‘The Bridges of Madison County,’ here are some films that used photography as a lens to reveal the inner landscapes of the protagonist





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LGBTI people can get a free breast screen with BreastScreen Victoria

This Thursday and Saturday, BreastScreen Victoria is providing free LGBTI specific mammogram sessions to women and trans and gender diverse people over the age of 40, as part of their ...

The post LGBTI people can get a free breast screen with BreastScreen Victoria appeared first on Star Observer.




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National online certificate course for pathologists on cervical cancer screening to begin from November 25

The Indian Council of Medical Research─National Institute of Cancer Prevention and Research (ICMR─NICPR) is set to launch its first─ever DHR─funded National NICPR─ECHO online certificate course on cervical




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Patrick Dempsey aims to raise awareness of cancer disparities and encourage screening

NPR's Leila Fadel talks with actor Patrick Dempsey about his efforts to raise money for cancer treatment and prevention.





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Free early The War of the Rohirrim screening in North Hollywood this weekend for kids and parents

The Regal North Hollywood is holding a showing of the new feature-length anime The Lord of the Rings: The War of the Rohirrim from 1.00pm on this Saturday (November 9) open to children aged nine to 14, and their parents. It's not entirely clear whether adult-without-kids can also attend, but I took a few moments to run through their pre-booking survey and it does seem that you get screened out if you state you're attending without kids.

T&Cs also state that no-one under the age of nine will be admitted (presumably because of MPAA ratings).

If this tickles your fancy (and you have kids 9 to 14), you can reserve (free!) your tickets here.

If you're unaware of the story, The War of the Rohirrim is set many years before the events of The Lord of the Rings and follows a historic event described by J.R.R. Tolkien in Appendix A of the book. As the filmmakers describe it, "...a sudden attack by Wulf, a clever and ruthless Dunlending lord seeking vengeance for the death of his father, forces Helm Hammerhand, the King of Rohan, and his people to make a daring last stand in the ancient stronghold of the Hornburg."

The anime debuts worldwide (in most locations) on December 13.

Early free screening details

Saturday, November 9th, 2024
Regal North Hollywood
6150 Laurel Canyon Blvd # 200, North Hollywood, CA 91606

1:00 pm. Open to children 9-14 and their parents
No one under 9 will be admitted.
Check-in will begin 60 minutes before the start of the show.

RESERVE YOUR TICKETS




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Spraying rice with sunscreen particles during heatwaves boosts growth

Zinc nanoparticles, a common sunscreen ingredient, can make plants more resilient to climate change – in a surprising way




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Gurugram Increases Screening at Border to Stop Dengue-Malaria Cases

The district health department of Gurugram is on alert to screen for dengue and malaria cases at the border, after increase in the number of cases. The




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Tamil Nadu Plans 1,000 Medical Camps for Dengue Screening Starting October 1

Starting from October 1, the health department of Tamil Nadu will conduct 1,000 medical camps dedicated to screening for medlinkdengue/medlink, said Health Minister Ma Subramanian.




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Effect of PSA Screening on Prostate Cancer Mortality Rate at 15-Years

Highlights: The study compared prostate cancer mortality rate between subjects invited for a single invitation scre




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Keeping Up With Children's Dental Health and Bedwetting Screening Camp

Highlights: A dental and bed-wetting screening and awareness camp was conducted in Jaigopal Garodia Vivekananda Vid




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Hepatitis B Prevention: Kolkata Municipal Corporation Screens Pregnant Women

Highlights: Kolkata Municipal Corporation screens pregnant women for hepatitis B to prevent transmission to th




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How Early Screen Time Use Can Lead to Increased Anger in Young Children

Highlights: Tablet device use at age 3.5 is linked to increased anger by age 4.5 Early tablet device use disrup




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Iron Deficiency in Pregnancy: Need for Improved Screening Practice

During medlinkpregnancy/medlink, a woman's iron requirements increase nearly tenfold to adequately support fetal development and body's elevated iron needs.




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Screen Time Overload: Are We Losing Hours to Technology?

There's a growing sense that people or their children are wasting hours on screens, from gaming to endless medlinksocial media/medlink scrolling (!--ref1--).




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Excessive Screen Use Affects Children's Language Skills

medlinkChildren/medlink whose families frequently use screens, particularly for video games, have weaker vocabulary skills as per a study conducted




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Cervical Cancer Screening in South Pacific

A Sydney university has unveiled a new program to enhance cervical cancer screening and treatment in the South Pacific (!--ref1--). The University




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New Screening Tests for Colorectal Cancer

Colorectal cancer (CRC) is the third most common cancer in U.S. adults. Early detection can prevent more than half of CRC-related deaths. However, 40% of people in the U.




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Expert Urges Mpox Screening at Indian Airports

With medlinkMpox/medlink cases confirmed in Sweden and Pakistan, an infectious disease expert is urging immediate health screenings at major airports to prevent further spread.




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TB Screening for 80 Lakh Diabetics: Tamil Nadu's Makkalai Thedi Maruthuvam

In a significant public health initiative, the Tamil Nadu government plans to screen 80 lakh people diagnosed with diabetes for medlinktuberculosis/medlink (TB).




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KCAT: A Smart Tool to Screen Anxiety and Depression in Kids Before Surgery

A new computer-based tool could help doctors quickly spot anxiety or depression in children before surgery, suggests new research presented at the ANESTHESIOLOGY (Regd) 2024 annual meeting (!--ref1--).




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Transforming Drug Discovery: Rapid and Accurate Screening

Researchers from Cincinnati Children's Hospital and the University of Cincinnati College of Medicine have developed a novel approach to increase speed




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How Gene Technology Takes Newborn Screening to the Next Level

A groundbreaking study, GUARDIAN, is exploring the potential of DNA analysis for newborn screening (!--ref1--). Early findings suggest that genome sequencing




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Study Calls for Better Gestational Diabetes Screening

Research shows that using only the common casual blood glucose test for gestational diabetes screening misses most cases, prompting calls for better methods.




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Why Is STI and HIV Screening Decreased While Positive Test Results Increase?

At the onset of the pandemic, sexually transmitted infection (STI) and medlinkHIV/medlink testing reduced, while there was a rise in positive sexually




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Researchers Develop Rapid Screening System to Target Harmful Amyloid Proteins

An international research team led by the University of Toronto has created an effective system using the iC. elegans/i nematode to identify compounds that can halt the growth of amyloid proteins.




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Free Health Movie Screenings at Wellness Center

Free Health Movie Screenings at Wellness Center




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Small Company Employees Less Likely to Get Screened for Cancer

Small time business employees can be less likely to get screened for cancers when compared to big companies with over 500 employees found a new study published in i Preventive Medicine/i journal.




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Crime, power, legacy : Varun Tej's 'MATKA' trailer out now; to hit screens on Nov 14

The highly anticipated trailer of 'MATKA', the period crime-action drama featuring Southern sensation Varun Tej, alongside Meenakshi Chaudhary and Nora Fatehi, has just been unveiled, stirring excitement among fans nationwide.




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Samantha Ruth Prabhu To Nimrat Kaur: Dressing sense takes centre-stage even at screening of film Citadel Honey Bunny

Actresses put out their best fashion foot forward at the screening of the much anticipated OTT series Citadel: Honey Bunny




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Ali Fazal to share screen space with Phoebe Waller-Bridge in 'Rule Breakers'

Indian actor Ali Fazal will be seen starring alongside Hollywood star Phoebe Waller-Bridge in the upcoming film "Rule Breakers". He called the actress a powerhouse of talent and that her addition has lifted the film to greater heights.




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Apple’s new widget puts Election Day updates on your Lock Screen and Home Screen

It’s Election Day in the U.S., which means you’re likely glued to the latest news about which presidential candidate is currently in the lead. To help with this, Apple has released a Live Activities widget within its Apple News app that will offer real-time election updates directly on your iPhone or iPad’s Home Screen and […]

© 2024 TechCrunch. All rights reserved. For personal use only.




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LG Just Demoed a New Screen That Stretches Like Taffy From 12 to 18 Inches: Video

LG's full-color screen is a first for the industry, but competitors like Samsung are not too far behind.




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Facing WhatsApp’s Green Screen Issue? Here Are Some Quick Fixes

If you're a WhatsApp beta tester, you may have encountered a frustrating issue recently: the "green screen bug." This bug is creating a serious headache for some Android users, transforming their screens into an unusable bright green. The Green




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Beyond The Screen : Ever Wonder What Movies Do to Your Brain?

Movies have a unique way of pulling us into different worlds, evoking emotions, and making us see life from new perspectives. We often find ourselves laughing, crying, or even questioning our beliefs long after the end credits roll. But what if




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Screening Nature : Cinema beyond the Human [Electronic book] / ed. by Guinevere Narraway, Anat Pick.

New York; Oxford : Berghahn Books, [2013]




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The British monarchy on screen [Electronic book] / ed. by Mandy Merck.

Manchester : Manchester University Press, [2016]




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Shooting short-wavelength nonlinear optical materials with targeted balance performances in hydroxyborates through first-principles high-throughput screening

Inorg. Chem. Front., 2024, 11,7843-7852
DOI: 10.1039/D4QI02234C, Research Article
Chenxu Li, Abudukadi Tudi, Huanhuan Cheng, Qingyu Liu, Zhihua Yang, Shilie Pan
High-throughput screening of 222 hydroxyborates identified three as promising short-wavelength ultraviolet nonlinear optical. with phase-matching second harmonic generation capacity extending to the solar blind region (200–280 nm).
The content of this RSS Feed (c) The Royal Society of Chemistry




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Screening for Urothelial Carcinoma Cells in Urine Based on Digital Holographic Flow Cytometry through Machine Learning and Deep Learning Method

Lab Chip, 2024, Accepted Manuscript
DOI: 10.1039/D3LC00854A, Paper
Lu Xin, Xi Xiao, Wen Xiao, Ran Peng, Hao Wang, Feng Pan
The incidence of urothelial carcinoma continue to rise annually, particularly among the elderly. Prompt diagnosis and treatment can significantly enhance patient survival and quality of life. Urine cytology remains a...
The content of this RSS Feed (c) The Royal Society of Chemistry




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'I am bored playing a bahu on screen'

Sanskaar: Dharohar Apnon Ki's Bhoomi gets a makeover and she's looking WOW!