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Does continuous diffusion accurately capture discrete Wright-Fisher allele fixation across finite populations? Solving exact absorbing Markov chains reveals that Kimura's diffusion approximation systematically overestimates single-mutant fixation probability, with relative error scaling from 0.29% at selection coefficient 0.01 in population size 100 to 3.31% at selection coefficient 0.1 in population size 20. Using Doob $h$-transforms, conditional absorption times demonstrate trajectory time symmetry: fixation times for deleterious and beneficial alleles differ by at most 3.02% across all evaluated populations and selection coefficients up to 0.05. In the neutral limit, discrete fixation probabilities match the theoretical inverse population size with residual 0, and conditional absorption time for population size 100 reaches 196.74 generations, within 1.63% of the asymptotic bound of 200 generations.

• Published, Reproduced, Reviewed.Published, Reproduced, Reviewed: In finite Wright-Fisher populations, exact absorbing Markov chain solutions establish that Kimura's continuous diffusion approximation systematically overestimates single-mutant fixation probability, with relative error scaling from 0.29% at weak selection and population size 100 to 3.31% at strong selection and population size 20.
• Published, Reproduced.Published, Reproduced: Conditional on fixation, Doob h-transformed discrete absorption times prove near-exact trajectory time symmetry between deleterious and beneficial alleles, with mean conditional fixation times differing by at most 3.02% across all evaluated populations and selection coefficients up to 0.05.
• Published, Reproduced, Reviewed.Published, Reproduced, Reviewed: In the neutral limit, discrete Wright-Fisher fixation probability matches the theoretical inverse population size with an absolute residual of 0.0, and conditional fixation time for population size 100 reaches 196.74 generations, converging within 1.63% of the asymptotic bound of 200.0 generations.

Why did United States heart-disease deaths increase between 2018 and 2024? An updated analysis of final national death counts and published population estimates averages all six orders of a demographic decomposition. Known-age deaths increase by 28135. Population size contributes 25981.4 deaths, age composition 26512.2, and age-specific rates -24358.5. Demographic contributions outweigh the negative rate contribution. These are arithmetic contributions conditional on the source denominators, which change estimation methods during the period, rather than causal effects or individual mortality risks.

• Published, Reproduced, Reviewed.Published, Reproduced, Reviewed: In the bundled CDC WONDER D158 final snapshot for United States residents with known age, 2018-2024 heart-disease deaths increase by 28,135. Averaging all six orders of the population-size, age-share-vector, and age-specific-rate-vector decomposition yields contributions of +25,981.4, +26,512.2, and -24,358.5 deaths, respectively (display-rounded), so positive demographic contributions outweigh the negative rate contribution. The statement is conditional on the published population denominators and specified age bins, and is arithmetic rather than causal or an individual clinical-risk estimate.