Fiber lasers have seen progressive developments in terms of spectral coverage and linewidth, output power, pulse energy, and ultrashort pulse width since the first demonstration of a glass fiber laser in 1964. Their applications have extended into a variety of fields accordingly. In this paper, the milestones of glass fiber laser development are briefly reviewed and recent advances of high-power continuous wave, Q-switched, mode-locked, and single-frequency fiber lasers in the 1, 1.5, 2, and 3 μm regions and their applications in such areas as industry, medicine, research, defense, and security are addressed in detail.
Terrestrial moisture contributed by surface evaporation and transpiration, also known as recycled moisture, plays an important role in hydrological processes especially across arid central Asia. The stable hydrogen and oxygen isotopes can be used for water budget analysis to calculate the contribution of recycled moisture to precipitation between two locations along the moisture flow. Based on a three-component isotopic mixing model, the moisture recycling in oasis stations of arid central Asia during summer months is assessed. At large oases of Urumqi, the proportional contribution of recycled moisture to local precipitation is approximately 16.2%, and the mean proportions of surface evaporation and transpiration are 5.9% 6 1.5% and 10.3% 6 2.2%, respectively. At small oases like Shihezi and Caijiahu the contribution of recycled moisture is less than 5%, and the proportion of surface evaporation is much less than that of transpiration. The vegetative cover in arid central Asia is generally sparse, but the evapotranspiration contribution to precipitation cannot be ignored at the widely distributed oases. The oasis effect shows great variability depending on locations and water availability for evapotranspiration.
The diagnosis of squamous intraepithelial lesions in cervical tissue specimens is subject to substantial variability. Adjunctive immunohistochemical (IHC) staining for p16 has been shown to add objective biomarker information to morphologic interpretation of hematoxylin and eosin (H&E)-stained tissues. In the CERvical Tissue AdjunctIve aNalysis (CERTAIN) study, we systematically analyzed the impact of adjunctive p16 IHC on the accuracy (agreement with reference pathology results) of diagnosing cervical intraepithelial neoplasia of grade 2 or worse (CIN2+) in the United States. Eleven hundred cervical biopsies were divided into 4 sets of 275 cases by stratified randomization. All H&E slides from each set were interpreted by 17 to 18 individual surgical pathologists, for a total of 19,250 reads by 70 surgical pathologists. After a wash-out period and blinding to original results, cases were re-read by the same pathologists using H&E+p16-stained slides. Using expert consensus diagnoses on H&E+p16 as reference, adjunctive p16 IHC use significantly improved diagnostic agreement of surgical pathologists by 4.7% (95% confidence interval [CI], 3.9, 5.4; P<0.0001). This improvement was driven by an increase of 11.5% (95% CI, 9.3, 13.5; P<0.0001) in sensitivity and an increase of 3.0% (95% CI, 2.2, 3.7; P<0.0001) in specificity. Diagnostic performance was significantly increased as well when expert consensus diagnoses established on H&E only was used as reference. Furthermore, interobserver reliability improved significantly from moderate (H&E: κ=0.58) to substantial (H&E+p16: κ=0.73; P<0.0001). Adjunctive use of p16 IHC provides more accurate and reproducible diagnostic results in the interpretation of cervical biopsies, ensuring that more patients are treated correctly without treating more patients.
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