We study a setting where individuals prefer to coordinate with others but they differ on their preferred action. Our interest is in understanding the role of link formation with others in shaping behavior. So we consider the situation in which interactions are exogenous and a situation where individuals choose links that determine the interactions. Theory is permissive in both settings: conformity (on either of the actions) and diversity (with different groups choosing their preferred actions) are both sustainable in equilibrium. We conduct an experiment to understand how link formation affects equilibrium selection. Our experiment reveals the powerful effect of linking on equilibrium selection: with an exogenous complete network, subjects choose to conform on the majority’s preferred action. By contrast, with endogenous linking—irrespective of the costs of linking—subjects always opt for diversity of actions.

In this article, we investigate necessary and sufficient conditions on the perturbation ρ for the existence of positive least energy solutions of the critical singular semilinear elliptic equation $ -\Delta u = \frac{|u|^{2^{*}(s)-2}}{|x|^s}u + \rho(u) $ with Dirichlet boundary condition in a bounded smooth domain in $\mathbb R^n$ containing the origin, where $2^*(s)=\frac{2(n-s)}{n-2}$, $0\leq s \lt 2 \lt n$. We show that the almost necessary and sufficient condition obtained for the case s = 0 in [1] differs conceptually when $0 \lt s \lt 2$.

This paper defines and studies a broad class of shock models by assuming that a Markovian arrival process models the arrival pattern of shocks. Under the defined class, we show that the system’s lifetime follows the well-known phase-type distribution. Further, we examine the age replacement policy for systems with a continuous phase-type distribution, identifying sufficient conditions for determining the optimal replacement time. Since phase-type distributions are dense in the class of lifetime distributions, our findings for the age replacement policy are widely applicable. We include numerical examples and graphical illustrations to support our results.

The classical Helmholtz–Smoluchowski (HS) model of electroosmosis holds for homogeneously charged interfaces in contact with a fluid layer bearing an equal and opposite net charge. However, inhomogeneities in the surface charge and topography are inevitable, either as practical materials and fabrication artefacts, or at times as deliberately introduced modulations for flow control. In an effort to arrive at an analytically tractable theoretical framework for addressing the underlying electro-mechanical coupling, here, we generalize the traditional HS theory to an extent where both the surface charge and topographies may bear arbitrary and independent periodic forms. Using a spectral-asymptotic approach, we further arrive at closed-form expressions for describing the resulting electroosmotic pumping for topographic features with small characteristic amplitude to pattern period ratio, as relevant for most practical scenarios. We subsequently execute full-scale numerical simulations without any restrictions on the surface charge and topography variations to assess the efficacy of the theoretical framework. The corresponding test beds include distinctive signature patterns – for example, a square-wave surface charge distribution on trapezoidal pit topographies. Our results reveal that the charge–topography interplay induces an anisotropic flow drift, deviating from the classical HS paradigm. This, in turn, provides new quantitative insights into highly selective electroosmotic flow control via judicious design of the charge and topographical patterns, resulting in controllable accentuation, attenuation, nullification, deflection and even complete reversal of the flow. Our analysis further establishes a provision of estimating the zeta potentials of naturally ‘contaminated’ surfaces, as well as explaining the electrophoresis of large inhomogeneous particles; a paradigm that remained to be explored thus far.

Background: Cerebral venous thrombosis (CVT) is a rare cause of stroke, with 10–15% of patients experiencing dependence or death. The role of endovascular therapy (EVT) in the management of CVT remains controversial and practice patterns are not well-known. Methods: We distributed a comprehensive 53-question survey to neurologists, neuro-interventionalists, neurosurgeons and other relevant clinicians globally from May 2023 to October 2023. The survey asked about practice patterns and perspectives on EVT for CVT and assessed opinions regarding future clinical trials. Results: The overall response rate was 31% (863 respondents from 2744 invited participants) across 61 countries. A majority (74%) supported use of EVT for certain CVT cases. Key considerations for EVT included worsening level of consciousness (86%) and other clinical deficits (76%). Mechanical thrombectomy with aspiration (22%) and stent retriever (19%) were the most utilized techniques, with regional variations. Post-procedurally, low molecular weight heparin was the predominant anticoagulant administered (40%), although North American respondents favored unfractionated heparin. Most respondents supported future trials of EVT (90%). Conclusions: Our survey reveals significant heterogeneity in approaches to EVT for CVT, highlighting the necessity for adequately powered clinical trials to guide standard-of-care practices.

Background: Reducing oral corticosteroids (OCS) use can alleviate the risk of many adverse events related to long-term OCS use. Here, we evaluate real-world utilization of OCS among patients with generalized myasthenia gravis (gMG) over the first 6 months following efgartigimod initiation. Methods: Patients with gMG using OCS who initiated efgartigimod treatment were identified retrospectively from an open US medical and pharmacy claims database (IQVIA Longitudinal Access and Adjudication Data [LAAD], April 2016-April 2023). Average daily dose (ADD) of OCS was analyzed during the 3-month period preceding efgartigimod initiation, and at 3 and 6 months post-efgartigimod initiation. Results: Of 231 patients assessed, 17 (7.4%), 109 (47.1%), and 105 (45.5%) had baseline OCS ADD of 0–5 mg, 5–20 mg, or >20 mg, respectively. At 3 and 6 months post-efgartigimod, 82 (35%) and 99 (43%) patients, respectively, reduced ADD by ≥5 mg. Proportion of patients with ADD of 0–5 mg increased >3-fold (7% baseline vs. 26% 6 months post-efgartigimod) and proportion of patients with ADD of >20 mg decreased by 35% (45% baseline vs. 29% 6 months post-efgartigimod) following efgartigimod initiation. Conclusions: Approximately 43% of patients were able to decrease steroid use or achieved steroid-free status within 6 months of efgartigimod treatment initiation.

Background: This study aimed to investigate the effect of impulsivity on the planning & decision-making of individuals with OCD compared to a control group, focusing on amplitude and latency during the Tower of London (TOL) task. Methods: A sample of a total of 76 (dominantly right-handed & aged between 18-30 yrs) participated. Participants with OCD were assessed with the Y-BOCS & symptom checklist, BIS-11, and the HCs were screened with the GHQ-12. ERP components were measured by using TOL on E-prime 3.0. The amplitude and latency along with the spectral power for each problem-solving task were measured and analyzed. Results: Statistically significant differences were found in the Latency variable in the left frontal area of the brain, indicating distinctive latency patterns in individuals with OCD compared to controls. No statistically significant differences were observed in amplitude or latency for other move sequences. High spectral activity was detected in individuals with OCD for an extended period. Conclusions: Individuals with OCD exhibit higher activity indicative of ambivalence during decision-making which indicates that to overcome impulsive urges, thus they need to put more cognitive effort to maintain the same outcomes. To maintain error-free results obsessive & compulsive behaviors are a necessary evil.

Comparisons were made of the immune and inflammatory responses of four strains of inbred mice to infection with the intestinal nematodes Trichinella spiralis and Nippostrongylus brasiliensis to determine whether genetically determined ‘high responsiveness’ to infection, seen most clearly in intestinal responses, is independent of the parasite concerned and necessarily correlated with protection. The time course of infection was followed by counting adult worms at intervals after infection. Mucosal mast cells and Paneth cell numbers were determined as indices of the intestinal inflammatory response. Levels of IgG2a and IgG1 antibodies and of the cytokines IFN-γ and IL-5 released from in vitro-stimulated mesenteric node lymphocytes were measured to assess type 1 and type 2 responses. NIH and CBA mice were the most resistant to T. spiralis and N. brasiliensis respectively, resistance in each case being correlated with the most intense intestinal inflammatory responses. C57BL/10 (B10) and B10.BR were the least resistant to T. spiralis, but were as resistant as CBA to N. brasiliensis, despite their intestinal inflammatory responses to both parasites being much lower than the other two strains. Mice infected with T. spiralis made the expected switch from a type 1 (IFN-γ) to a type 2 (IL-5) response between days 2 and 8, and there were no significant differences in levels of these cytokines between the strains. In contrast, when infected with N. brasiliensis, CBA showed an IFN-γ response at day 4, all strains switching to IL-5 by day 8 and NIH mice releasing the greatest amount of IL-5. The results indicate that the ‘high responder’ phenotype to intestinal nematode infection is in part determined by host characteristics, but is also determined by the parasite concerned – seen most clearly by the differences between NIH and CBA when infected with T. spiralis and N. brasiliensis. The fact that ‘low responder’ B10 background mice were more resistant to N. brasiliensis than ‘high responder’ NIH implies that each parasite elicits a particular pattern of protective host responses, rather than parasites being differentially susceptible to the same response profile.

This article highlights a new way in which descriptive representation enhances democracy through inclusive party building. We theorize that parties retain and promote incumbents based on gendered criteria, disproportionately incentivizing women to recruit party members. However, gendered resource inequalities lower women’s access to the patronage required for recruitment. Women respond by recruiting more women members, as it lowers recruitment costs, is role-congruent, and eases credit claiming. Using rich administrative data on party membership from 2004 to 2020 and a regression discontinuity design in Brazil, we find that, despite resource disparities, women mayors recruit new members at similar rates as men but reduce the gender gap in party membership. As expected, women are more likely to be promoted in constituencies where they most lower the gender gap in party membership. We also find that women’s increased membership improves party resilience. Our findings suggest that descriptive representation strengthens party building by including underrepresented citizens.