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We consider the performance of Glauber dynamics for the random cluster model with real parameter $q\gt 1$ and temperature $\beta \gt 0$. Recent work by Helmuth, Jenssen, and Perkins detailed the ordered/disordered transition of the model on random $\Delta$-regular graphs for all sufficiently large $q$ and obtained an efficient sampling algorithm for all temperatures $\beta$ using cluster expansion methods. Despite this major progress, the performance of natural Markov chains, including Glauber dynamics, is not yet well understood on the random regular graph, partly because of the non-local nature of the model (especially at low temperatures) and partly because of severe bottleneck phenomena that emerge in a window around the ordered/disordered transition. Nevertheless, it is widely conjectured that the bottleneck phenomena that impede mixing from worst-case starting configurations can be avoided by initialising the chain more judiciously. Our main result establishes this conjecture for all sufficiently large $q$ (with respect to $\Delta$). Specifically, we consider the mixing time of Glauber dynamics initialised from the two extreme configurations, the all-in and all-out, and obtain a pair of fast mixing bounds which cover all temperatures $\beta$, including in particular the bottleneck window. Our result is inspired by the recent approach of Gheissari and Sinclair for the Ising model who obtained a similar flavoured mixing-time bound on the random regular graph for sufficiently low temperatures. To cover all temperatures in the RC model, we refine appropriately the structural results of Helmuth, Jenssen and Perkins about the ordered/disordered transition and show spatial mixing properties ‘within the phase’, which are then related to the evolution of the chain.
Hurricane Harvey (2017) forced the closure of hemodialysis centers across Harris County, Texas (USA) disrupting the provision of dialysis services. This study aims to estimate the percentage of hemodialysis clinics flooded after Harvey, to identify the proportion of such clinics located in high-risk flood zones, and to assess the sensitivity of the Federal Emergency Management Agency (FEMA) Flood Insurance Rate Maps (FIRMs) for estimation of flood risk.
Methods:
Data on 124 hemodialysis clinics in Harris County were extracted from Medicare.gov and geocoded using ArcGIS Online. The FIRMs were overlaid to identify the flood zone designation of each hemodialysis clinic.
Results:
Twenty-one percent (26 of 124) of hemodialysis clinics in Harris County flooded after Harvey. Of the flooded clinics, 57.7% were in a high-risk flood zone, 30.8% were within 1km of a high-risk flood zone, and 11.5% were not in or near a high-risk flood zone. The FIRMs had a sensitivity of 58%, misidentifying 42% (11 of 26) of the clinics flooded.
Conclusion:
Hurricanes are associated with severe disruptions of medical services, including hemodialysis. With one-quarter of Harris County in the 100-year floodplain, projected increases in the frequency and severity of disasters, and inadequate updates of flood zone designation maps, the implementation of new regulations that address the development of hemodialysis facilities in high-risk flood areas should be considered.
This study investigated subjective memory complaints in older adults and the roles of setting, response bias, and personality.
Design:
Cognitively normal older adults from two settings completed questionnaires measuring memory complaints, response bias, and personality.
Settings:
(A) Neuroimaging study with community-based recruitment and (B) academic memory clinic.
Participants:
Cognitively normal older adults who (A) volunteer for research (N = 92) or (B) self-referred to a memory clinic (N = 20).
Measurements:
Neuropsychological evaluation and adjudication of normal cognitive status were done by the neuroimaging study or memory clinic. This study administered self-reports of subjective memory complaints, response bias, five-factor personality, and depressive symptoms. Primary group differences were examined with secondary sensitivity analyses to control for sex, age, and education differences.
Results:
There was no significant difference in over-reporting response bias between study settings. Under-reporting response bias was higher in volunteers. Cognitive complaints were associated with response bias for two cognitive complaint measures. Neuroticism was positively associated with over-reporting in evaluation-seekers and negatively associated with under-reporting in volunteers. The relationship was reversed for Extraversion. Under-reporting bias was positively correlated with Agreeableness and Conscientiousness in volunteers.
Conclusion:
Evaluation-seekers do not show bias toward over-reporting symptoms compared to volunteers. Under-reporting response bias may be important to consider when screening for memory impairment in non-help-seeking settings. The Memory Functioning Questionnaire was less sensitive to reporting biases. Over-reporting may be a facet of higher Neuroticism. Findings help elucidate psychological influences on self-perceived cognitive decline and help seeking in aging and may inform different strategies for assessment by setting.
OBJECTIVES/SPECIFIC AIMS: The primary aim is to assess differences in therapeutic effect between MSC and EPC EVs on acute ischemic rat hearts through delivery in a biocompatible and shear-thinning hydrogel. Primary outcomes for therapeutic assessment include an in-vitro angiogenesis assay and in-vivo hemodynamic analysis, mainly identifying differences in ejection fraction and contractility. Secondary hemodynamic outcomes include cardiac output, stroke volume, and end-diastolic pressure volume relationship (EDPVR). Secondary structural outcomes include post-mortem scar analysis and immunohistochemistry (IHC) staining for angiomyogenesis. METHODS/STUDY POPULATION: MSCs and EPCs will be cultured according to previously published protocols. EVs will be isolated from cultured cell lines through precipitation methods with polyethylene glycol. EVs will be qualitatively analyzed with nanoparticle tracking analysis (NTA) and flow cytometry. The shear thinning hydrogel (STG) will be constructed using a hyaluronic backbone conjugated to adamantane or beta-cyclodextrin, ultimately facilitating guest-host interactions with shear thinning properties. Controls and treatment groups mixed with the hydrogel will be injected into the border zone of infarcted Wistar rat hearts immediately following a left anterior descending artery ligation. Hemodynamic assessment will be performed at four weeks through left ventricular catheter based pressure-volume recordings. Ex-vivo analysis will include scar thickness assessment using Masson collagen staining and IHC stain for vessel (anti-vonWillebrand factor; anti-Isolectin) and myocyte formation (anti-cardiac Troponin I). RESULTS/ANTICIPATED RESULTS: We hypothesize that, in-vitro, MSC-EVs will demonstrate non-inferior angiogenic potential as compared to EPC-EVs. We posit that MSC-EVs will demonstrate superior therapeutic effect to EPC-EVs in-vivo as measured by functional hemodynamics and structural assessment. We have successfully isolated MSC and EPC EVs and have validated uniformity across EV populations (Figure 1). Preliminary data from the angiogenesis assay (n=3) demonstrated that MSC-EV and EPC-EV produce non-significantly different angiogenic potential as measured by number of vascular meshing extremes (p=0.144) and length of master vascular segment (p=0.193), with significant differences compared to either positive or negative controls. DISCUSSION/SIGNIFICANCE OF IMPACT: Novel regenerative therapies are needed for patients with a history of AMI given current limitations to therapy and sequelae of ischemic heart disease. Delivery of extracellular vesicles through a shear-thinning gel is a novel “off-the-shelf” translational approach to address the current clinical need.
A dramatic paradigm shift has occurred in European and German hate-speech laws, from their nineteenth-century origins in repressive campaigns against the Left to their present association with pluralism, tolerance, and minority rights. This article rethinks the timing and causes of that shift, arguing that, contrary to the prevailing scholarship, the decade of the 1890s—not 1945—constituted the first key turning point toward a human-rights model of hate-speech law. Departing from a more traditional legal historiography focused on formal legal institutions and laws, the article examines law “from below” as social and political practice. The results show how, in the 1890s, a new vision of hate speech began to take shape when a grassroots Jewish defense movement began to appropriate and reshape the law in order to oppose antisemites. In theoretical terms, the article's method of examining the interaction of law and politics shows that from the 1840s onward, the politics surrounding hate-speech law refutes simple binary constructions that cast German legal culture as “dignitarian” and distinct from U.S. “libertarianism.”
The present paper examines dietary intake and body composition in antiretroviral (ARV)-naïve HIV-positive compared with HIV-negative South African women, as well as the impact of disease severity on these variables.
Design
Baseline data from a longitudinal study assessing bone health in HIV-negative and HIV-positive premenopausal South African women over 18 years of age were used. Anthropometry and body composition, measured by dual energy X-ray absorptiometry, were analysed together with dietary intake data assessed using an interviewer-based quantitative FFQ.
Setting
Soweto, Johannesburg, South Africa.
Subjects
Black, urban South African women were divided into three groups: (i) HIV-negative (HIV−; n 98); (ii) HIV-positive with preserved CD4 counts (HIV+ non-ARV; n 74); and (iii) HIV-positive with low CD4 counts and due to start ARV treatment (HIV+ pre-ARV; n 75).
Results
The prevalence of overweight and obesity was high in this population (59 %). The HIV+ pre-ARV group was lighter and had a lower BMI than the other two groups (all P < 0·001). HIV+ pre-ARV women also had lower fat and lean masses and percentage body fat than their HIV− and HIV+ non-ARV counterparts. After adjustment, there were no differences in macronutrient intakes across study groups; however, fat and sugar intakes were high and consumption of predominantly refined food items was common overall.
Conclusion
HIV-associated immunosuppression may be a key determinant of body composition in HIV-positive women. However, in populations with high obesity prevalence, these differences become evident only at advanced stages of infection.
Pregnancy and lactation are times of additional demand for Ca. Ca is transferred across the placenta for fetal skeletal mineralisation, and supplied to the mammary gland for secretion into breast milk. In theory, these additional maternal requirements could be met through mobilisation of Ca from the skeleton, increased intestinal Ca absorption efficiency, enhanced renal Ca retention or greater dietary Ca intake. The extent to which any or all of these apply, the underpinning biological mechanisms and the possible consequences for maternal and infant bone health in the short and long term are the focus of the present review. The complexities in the methodological aspects of interpreting the literature in this area are highlighted and the inter-individual variation in the response to pregnancy and lactation is reviewed. In summary, human pregnancy and lactation are associated with changes in Ca and bone metabolism that support the transfer of Ca between mother and child. The changes generally appear to be independent of maternal Ca supply in populations where Ca intakes are close to current recommendations. Evidence suggests that the processes are physiological in humans and that they provide sufficient Ca for fetal growth and breast-milk production, without relying on an increase in dietary Ca intake or compromising long-term maternal bone health. Further research is needed to determine the limitations of the maternal response to the Ca demands of pregnancy and lactation, especially among mothers with marginal and low dietary Ca intake, and to define vitamin D adequacy for reproductive women.
Honor in nineteenth-century Germany is usually thought of as an anachronistic aristocratic tradition confined to the duelling elites. In this innovative study Ann Goldberg shows instead how it pervaded all aspects of German life and how, during an era of rapid modernization, it was adapted and incorporated into the modern state, industrial capitalism, and mass politics. In business, state administration, politics, labor relations, gender and racial matters, Germans contested questions of honor in an explosion of defamation litigation. Dr Goldberg surveys court cases, newspaper reportage, and parliamentary debates, exploring the conflicts of daily life and the intense politicization of libel jurisprudence in an era when an authoritarian state faced off against groups and individuals from 'below' claiming new citizenship rights around a democratized notion of honor and law. Her fascinating account provides a nuanced and important understanding of the political, legal and social history of imperial Germany.
“It is not only a right but a duty for anyone with claims to a respectable position in society to defend his honor when it is in any way attacked or called into question.”
“Don't be so sensitive!”
Judges in the Kaiserreich were driven to distraction by the landslide of defamation suits, most of which were the Privatklage of private citizens. Those with firsthand experience wrote in disgust about their daily encounters with insult suits that “stem from gossip and revolve around [legally] invalid issues,” most of these being “petty suits” dealing with “ludicrous tongue lashings … pettiness … [and] squabbling without any deeper meaning.” Overburdening the courts, these suits were “poisoning” social relations in whole communities:
The worst aspect of defamation suits is … that they poison the social climate of small towns more than all other lawsuits. Thus witnesses are hauled in for whom the whole matter, for personal reasons, is highly embarrassing; thus, old friendships are destroyed, old long forgotten matters are dug up and hostilities are provoked which otherwise would never have broken out.
Commentators in the press and the parliaments likewise bemoaned German “sensitivity” (Empfindlichkeit), the hypersensitivity to the tiniest slights, and the readiness to turn those feelings into lawsuits: “every swear-word uttered in back courtyards or on the street leads … to a solemn official proceeding,” complained the right-wing writer Richard Nordhausen.
It was October, 1965. The war in Vietnam was massively escalating under US President Johnson, and a group of German protestors, bearing banners and shouting antiwar slogans, gathered near the US embassy in Bonn. Amid a welter of angry denunciations (“Vietnam: America's Auschwitz,” “Negotiations, Not Murder”), one chant caught the authorities attention: “Child Murderer Johnson – Child Murderer Johnson.” A slanderous attack against a named head of state, albeit a foreign one, constituted a criminal offense under §103 of the German penal code. An investigation was opened – the leaders of the demonstration, in addition to the above offense, were reputed to have communist connections – and the US State Department contacted about pressing charges. But the US had a very different legal history and no law approaching that of §103. There ensued a moment of diplomatic confusion. Possibly stunned, the US State Department had to confess to the absence in American law of any basis for prosecution. The Germans were thus forced to drop the case. The case is reminiscent of one seventy years earlier when the German authorities under the Kaiser advised their Belgian counterparts of “their right to prosecute” the German Socialist editor Reinhold Stenzel for an article in a German newspaper attacking the Belgian King Leopold II for “his colonial exploits” and other matters. The outcome in this earlier instance, however, was different: the case went to trial and Stengel was given an eight-month prison sentence.