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Studies
- Its most important claim’s importance 23 out of 100: trivial or highly circumscribed, under edition 4 of the rubric
An account of depression as accumulated physical load distributed across body systems predicts that each system's state tracks the symptoms it produces, that bodily measures relate to somatic symptoms beyond mood, and that socially distributed load appears somatically. We tested these predictions in a registered analysis of 14722 adults in the US National Health and Nutrition Examination Survey (NHANES), relating limitation in load-bearing tasks, slow bowel transit, body mass index (BMI), an allostatic load index and income to PHQ-9 depressive symptom items. Load-bearing limitation, BMI and allostatic load related to somatic symptoms beyond cognitive-affective ones, and more than to cognitive-affective symptoms beyond somatic ones. But the predicted system-specific pattern did not appear: load-bearing limitation tracked sleep, energy and appetite (0.2946) far more than slow transit did (0.0404). Low income related more to cognitive-affective than to somatic symptoms (difference -0.0996). Bodily load is linked to somatic depression generally, not system by system.
- Published, Reproduced, Reviewed: In 14722 NHANES 2005-2010 adults, limitation in load-bearing tasks is associated with the PHQ-9 psychomotor item more than slow bowel transit is (age-, sex- and cycle-adjusted partial Spearman 0.2038 vs 0.0296), but also with the sleep, energy and appetite items more than slow transit is (0.2946 vs 0.0404; difference -0.2542, 95% CI -0.2762 to -0.2312), so the predicted double dissociation between a structural and a transport system does not appear.
- Published, Reproduced, Reviewed: In the same adults, load-bearing limitation, body mass index and a nine-marker allostatic load index are each associated with somatic depressive symptoms after adjusting for cognitive-affective symptoms (partial Spearman 0.1916, 0.0558, 0.08) and more strongly than with cognitive-affective symptoms after adjusting for somatic ones (differences 0.0711, 0.0399, 0.0646; Holm-adjusted p 0.002, 0.016, 0.002), whereas slow bowel transit shows no such specificity (difference 0.0074, 95% CI -0.0209 to 0.0347).
- Published, Reproduced, Reviewed: Lower family income relates more to cognitive-affective than to somatic depressive symptoms in these adults (partial Spearman 0.1275 vs 0.0279; difference -0.0996, 95% CI -0.1299 to -0.0695), opposite to the prediction that socially distributed load expresses itself somatically.
- Its most important claim’s importance 21 out of 100: trivial or highly circumscribed, under edition 4 of the rubric
If severe depression were a different attractor state rather than the far end of a continuum, relationships between bodily load and symptom severity should change above a threshold. We tested this in a registered analysis of 14722 adults in the US National Health and Nutrition Examination Survey (NHANES) with PHQ-9 scores. Limitation in load-bearing tasks, an allostatic load index and body mass index rose steadily with severity, and no threshold between moderate and severe scores produced a steeper slope (Holm-adjusted p = 1, 1 and 1); near the top of the scale, the best-fitting breaks flattened rather than steepened the relationship. Height, a negative control, showed no break. In people whose symptoms made functioning very or extremely difficult, bodily load was no more tightly coupled to somatic symptoms than in others. In this population, the body-symptom relationship looks like one continuum, not two states.
- Published, Reproduced, Reviewed: In 14722 NHANES 2005-2010 adults, limitation in load-bearing tasks, a nine-marker allostatic load index and BMI rise linearly with PHQ-9 depressive-symptom severity across its full range, with no steeper slope above any threshold between 8 and 22 points (wild-bootstrap sup-t tests, Holm-adjusted p = 1.0, 1.0 and 1.0); the best-fitting breaks for allostatic load and BMI, near the top of the scale, flatten rather than steepen the slope, and standing height, a negative control, shows no break either.
- Published, Reproduced, Reviewed: The partial association of load-bearing limitation with somatic depressive symptoms, adjusting for cognitive-affective symptoms, is no stronger in adults whose symptoms make functioning very or extremely difficult (partial Spearman 0.1607, n = 454) than in other adults with symptoms (0.1746; difference -0.0139, 95% CI -0.1036 to 0.0773).
- Its most important claim’s importance 21 out of 100: trivial or highly circumscribed, under edition 4 of the rubric
Embodied accounts of affect propose that position, weight, tension and shape are bodily templates for mood and evaluation: down and heavy for sadness, up and light for happiness, tension for anger, crookedness for badness. If such mappings are deep, many unrelated languages should use one word for both senses. In two registered analyses of the CLICS4 colexification database, "light" and "easy" share a word in {{R2.pairs.LIGHT (WEIGHT)|EASY.families_colexifying}} of {{R2.pairs.LIGHT (WEIGHT)|EASY.families_with_both}} language families, mirroring "heavy" and "difficult", and "straight" shares a word with "correct" in {{R1.pairs.STRAIGHT|CORRECT (RIGHT).families_colexifying}} families. By contrast, "up" or "high" and "happy", "down" or "low" and "sad", and "light" and "happy" share a word in at most one family each, and "hard" never shares one with "angry". Across languages, weight is lexicalised as effort and straightness as rightness, but emotion is kept lexically apart from posture and weight.
- Published, Reproduced, Reviewed: In CLICS4 v1.0, one word means both 'light (in weight)' and 'easy' in 11 of 50 language families with words for both (rate 0.22), more often than 'light' pairs with any of its reference concepts, and 'heavy' and 'difficult' share a word in 7 of 57 families, so weight words double as words for ease and difficulty at both poles.
- Published, Reproduced: Words for vertical position or weight almost never double as words for happiness or sadness: up-happy 1 of 66 families, high-happy 0 of 145, down-sad 0 of 21, low-sad 0 of 108, light-happy 0 of 146.
- Published, Reproduced, Reviewed: 'Straight' shares a word with 'correct' in 38 of 155 families and with 'good' in 7 of 200, whereas 'crooked' shares a word with 'wrong' in 4 of 113 and with 'bad' in 1 of 171, so the straightness-evaluation link is lexicalised mainly at its positive pole.
- Its most important claim’s importance 19 out of 100: trivial or highly circumscribed, under edition 4 of the rubric
A regulated system nearing instability fluctuates more slowly, raising its lag-1 autocorrelation ("critical slowing down"). In a registered analysis of public sit-to-stand recordings from 27 adults, standing raised the autocorrelation of beat-to-beat systolic pressure by 0.0431 (CI 0.0066 to 0.0761). The rise was not larger with diabetes (probability of a larger rise 0.505, CI 0.2802 to 0.7308), and postural sway was not coupled to pressure beyond chance (median surrogate z -0.028). Standing shifts pressure dynamics toward slower fluctuations, but in this small sample the shift does not track diabetic status.
- Published, Reproduced, Reviewed: In 27 adults from the PhysioNet Cerebral Vasoregulation in Diabetes sit-to-stand recordings, standing with eyes open raised the lag-1 autocorrelation of linearly detrended beat-to-beat systolic blood pressure relative to the preceding 240 s of sitting, by a Hodges-Lehmann shift of 0.043 (bootstrap 95% CI 0.007 to 0.076), with 19 of 27 participants rising (one-sided Wilcoxon signed-rank p = 0.012; Holm-adjusted across two primary tests p = 0.025).
- Published, Reproduced, Reviewed: In the same recordings, the standing-induced rise in systolic-pressure lag-1 autocorrelation was not larger in 13 adults with type 2 diabetes than in 14 controls: the probability that a diabetic participant's rise exceeds a control's was 0.505 (bootstrap 95% CI 0.28 to 0.73; one-sided Mann-Whitney p = 0.49), which rules out only differences larger than that interval's upper end, since the test had 80% power only at a standardised difference of about 1.0.
- Published, Reproduced, Reviewed: During eyes-open standing, magnitude-squared coherence in 0.05-0.15 Hz between anteroposterior whole-body sway acceleration (horizontal ground-reaction force over body weight) and beat-to-beat systolic pressure did not exceed phase-randomised surrogates: median surrogate z-score -0.03 across 26 participants, 2 of whom exceeded 1.645 (one-sided Wilcoxon signed-rank p = 0.54).
- Its most important claim’s importance 18 out of 100: trivial or highly circumscribed, under edition 4 of the rubric
Psychological states are often described in mechanical terms: under pressure, crushed, torn, worn down, flowing, stuck, off course. If such mappings were deep and widespread, unrelated languages should often use one word for the mechanical and the psychological sense, as many use one word for "heavy" and "difficult". In a registered screen of the CLICS4 colexification database, we paired words for compression and tension, shear and friction, flow and momentum, and paths with concepts of emotion, cognition and effort. None of these pairs met the registered criterion of recurring across several families more often than the word's other pairings; each class had 0 hits against about 0.477 to 0.719 expected for random concepts. Only the load words reached it, through "heavy" with "difficult" and "light" with "easy" (2 hits, p = 0.0633). Across languages, weight is the one mechanical domain lexicalised as a psychological quantity.
- Published, Reproduced: Across CLICS4 v1.0, none of 37 words for compression and tension, shear and friction, flow and momentum, or paths shares a word with any of 30 emotion, cognition or effort concepts in at least three language families at the 95th percentile of the word's other pairings; each of the four classes has 0, 0, 0, 0 hits, against a mean of 0.48 to 0.72 for random concept sets of the same size.
- Published, Reproduced, Reviewed: Weight words are the exception: 'heavy' and 'light (weight)' give 2 hits among five load words (with 'difficult' and 'easy'), against 0.304 expected for random concept sets, though the class-level excess does not reach the registered 0.05 level (p = 0.0633), so the class test has limited sensitivity.
- Its most important claim’s importance 17 out of 100: trivial or highly circumscribed, under edition 3 of the rubric, being rated again
Does maintaining normal tissue mechanics prevent cancer initiation? A focused evidence map separates the endpoints of 4 selected papers and reanalyzes an available tumor-count table. The selected contrasts occupy 4 classes, with 0 papers testing incident cancer after a mechanical intervention in humans. The table concerns already malignant cells: blocking-antibody pretreatment gives risk ratios of 0.4667 and 0.5 against its controls. These endpoints answer different questions; neither a smaller transplantation risk nor a human biomarker change establishes primary prevention. This is a bounded, exploratory source audit, not a systematic review or a new biological experiment.
- Published, Reproduced, Reviewed: In a purposively selected four-paper evidence map, the coded contrasts occupy four distinct endpoint classes, only one paper starts its reprogramming program with normal primary cells, and none measures incident cancer after a mechanical intervention in humans, with all counts restricted to this selected set rather than the literature.
- Published, Reproduced, Reviewed: Reanalysis of Weaver et al. (1997) Table II gives 7/16 tumor-bearing mice after blocking-antibody pretreatment of already malignant cells versus 15/16 untreated and 14/16 control-antibody mice, risk ratios 0.4667 and 0.5000, with two-sided Fisher p-values 0.005923 and 0.023333 (Holm-adjusted 0.011846 and 0.023333), while conservative simultaneous 95% risk-ratio intervals are 0.1612 to 1.1614 and 0.1625 to 1.3304 under independent-binomial sampling.
- Its most important claim’s importance 14 out of 100: trivial or highly circumscribed, under edition 3 of the rubric, being rated again
How does transmission heterogeneity govern whether an emerging pathogen dies out or causes an epidemic? In negative binomial branching processes at reproduction number 2.5, increasing overdispersion from the Poisson limit to geometric variance to superspreading raises the extinction probability from 0.107355 to 0.4 to 0.860685. Epidemic certainty at 95 percent requires 2 introductions under Poisson transmission, 4 under geometric variance, and 20 under superspreading. Otter-Dwass evaluation establishes that solitary index cases account for 0.721943 extinction probability, or 83.88 percent of extinctions. Cluster size summation through 500 cases recovers the extinction probability with an absolute residual of 0, confirmed across 50000 simulations. Superspreading erects an extinction barrier against solitary introductions while concentrating epidemic risk in explosive clusters.
- Published, Reproduced, Reviewed: In negative binomial branching processes with reproduction number R0 = 2.50, increasing transmission overdispersion from the Poisson limit (k -> inf) to geometric variance (k = 1.00) to SARS-like superspreading (k = 0.10) increases the single-case extinction probability from 0.107355 to 0.400000 to 0.860685, expanding the critical introduction threshold for 95% epidemic certainty from 2 to 4 to 20 independent introductions.
- Published, Reproduced, Reviewed: For SARS-like superspreading dynamics (R0 = 2.50, k = 0.10), closed-form Otter-Dwass evaluation establishes that solitary index cases without secondary spread account for 0.721943 extinction probability (83.88% of all extinctions), and cumulative summation over finite cluster sizes s from 1 through 500 recovers the complete extinction probability with an absolute residual under 1.0e-6, verified across 50000 independent branching process simulations.
- Its most important claim’s importance 13 out of 100: trivial or highly circumscribed, under edition 3 of the rubric, being rated again
A nominal $95\%$ confidence interval for a binomial proportion should contain the true proportion $p$ in about $95\%$ of samples. Computed exactly, with nothing simulated, for every sample size $5 \le n \le 100$ and every $p$ on a grid of step $0.001$, the textbook Wald interval covers $p$ less than $0.93$ of the time at a fraction 0.463088 of the 95904 $(n, p)$ pairs, and averages 0.88228. The Wilson score interval falls below $0.93$ at a fraction 0.032981 of them, and the Agresti-Coull interval at 0.003681. The Clopper-Pearson interval never covers less than $0.95$, but averages 0.970942, so it is wider than it needs to be. Adding one observation can lower the Wald interval's coverage by more than a tenth. These values reproduce, on a fine grid and with every value declared, the behavior Brown, Cai and DasGupta (2001) described.
- Published, Reproduced, Reviewed, Replicated: Over every sample size n from 5 to 100 and every true proportion p from 0.001 to 0.999 in steps of 0.001, the exact coverage of the nominal 95% Wald interval for a binomial proportion is below 0.93 at a fraction 0.463088 of the 95904 (n, p) pairs and below 0.95 at a fraction 0.923027 of them.
- Published, Reproduced, Reviewed: Over the same 95904 pairs, the coverage of the nominal 95% Wilson score interval is below 0.93 at a fraction 0.032981 of them and that of the Agresti-Coull interval at a fraction 0.003681, with mean coverages of 0.952036 and 0.958695 against the Wald interval's 0.88228.
- Published, Reproduced, Reviewed: The nominal 95% Clopper-Pearson interval covers at least 0.95 at every one of the 95904 pairs, with a lowest coverage of 0.9502, and its mean coverage of 0.970942 exceeds the nominal level by about 0.021.
- Its most important claim’s importance 12 out of 100: trivial or highly circumscribed, under edition 3 of the rubric, being rated again
What are the exact finite-sample distributions of longest increasing subsequence lengths in random permutations, and how rapidly do their moments approach the limiting Tracy-Widom law? We compute the exact distribution of longest increasing subsequence lengths for every sample size up to 50 using the Robinson-Schensted-Knuth correspondence and the hook-length formula. At the largest sample size, the exact expected length is 11.309389 with variance 1.94134, corresponding to a normalized centered mean of -1.475863 and normalized variance of 0.526961. Across all 50 sample sizes, the expected length remains strictly below two times the square root of the sample size, with maximum ratio 0.799695. Exhaustive enumeration via patience sorting independently confirms every distribution count across 409113 permutations.
- Published, Reproduced, Reviewed: For uniformly random permutations of size n from 1 through 50, the exact distribution of longest increasing subsequence lengths computed via the Robinson-Schensted-Knuth correspondence yields an expected length of 11.309389 at n=50, with all expected lengths strictly bounded below 2*sqrt(n).
- Published, Reproduced, Reviewed: The benchmark independently verifies the exact distribution of longest increasing subsequence lengths against exhaustive enumeration via patience sorting for all 409113 permutations across n from 1 through 9, and confirms the Robinson-Schensted-Knuth sum-of-squares identity across all 50 sample sizes.
- Its most important claim’s importance 12 out of 100: trivial or highly circumscribed, under edition 3 of the rubric, being rated again
Adding floating-point numbers one after another loses a little at each step, and how much depends on the order of the additions. For sums of up to a million doubles, drawn uniformly from $[0, 1)$ and from $[-1, 1)$, this study measures how far four common methods land from the correctly rounded sum, in units in the last place (ulps). Adding left to right, the error averages 196.86 ulps for a million positive values and grows with their number $n$ as about $n^{\alpha}$ with fitted $\alpha$ = 0.545, close to the square root that independent rounding errors predict. Pairwise summation stays within 2 ulps at every length. Kahan's and Neumaier's compensated sums return the correctly rounded sum in all 400 draws, including mixed-sign sums that nearly cancel. Every value is reproducible exactly, on any machine and Python version.
- Published, Reproduced, Reviewed: Adding 1000000 doubles drawn uniformly from [0, 1) from left to right lands a mean of 196.86 units in the last place (at most 589) from the correctly rounded sum over 50 draws, and the mean error grows as about n to the power 0.545 for n from 1000 to 1000000, near the square-root growth that independent rounding errors predict.
- Published, Reproduced, Reviewed: Pairwise summation of the same positive draws stays within 2 units in the last place of the correctly rounded sum in all 200 draws for n from 1000 to 1000000, with a mean error of 0.4 units at n = 1000000.
- Published, Reproduced, Reviewed: Kahan's and Neumaier's compensated sums equal the correctly rounded sum in all 400 draws, positive and mixed-sign, including mixed-sign sums of 1000000 values whose median condition number is 991.
- Its most important claim’s importance 9 out of 100: trivial or highly circumscribed, under edition 3 of the rubric, being rated again
This bundle re-computes the Collatz total stopping time (delay) for every integer from 10000000 down through one, covering the closed interval of the first ten million positive integers, and extracts the delay-record sequence: each n whose delay strictly exceeds that of every smaller positive integer. The enumeration produces 54 records, ending at n=8400511 with delay 685. These values agree with the classical delay-record table of Leavens and Vermeulen as maintained in the public Collatz record lists on this range. The computation is deterministic, uses only integer arithmetic, and is re-run by verifiers from code/compute_delays.py.
- Its most important claim’s importance being rated, 0 of 4 ratings in
How often do stars like the Sun release superflares of $10^{34}$ erg or more? A recent Kepler analysis found once per century, far more often than earlier ones. We tested this with TESS: a pre-registered search of the two-minute light curves of 32908 stars selected as that analysis selected its Sun-like stars, with flares of known energy injected into every light curve to measure what it finds. It counted 78 superflares where the once-per-century rate predicts 23.4: 3.33 times that rate (interval 2.63 to 4.15), one per 33 years per star, far above the earlier rates. Every planned subset and sensitivity analysis gives a ratio above one. An exploratory emulation of the Kepler search suggests its correction for missed flares, measured with the profile it injected, understates the rate of flares shaped as assumed here by a factor of 1.79 between $10^{34}$ and $10^{35}$ erg; its published rates don't follow from its own figures, so how much of the gap is Kepler's remains open. All of it rests on the stars selected and the flare energies and shapes assumed.
- Published: In 94,747 TESS 2-minute light curves of 32,908 stars of 5000 to 6500 K with absolute G magnitudes of 4 to 6 and RUWE below 1.4 (5,605 star-years), the pre-registered search, with its SAP test corrected after registration to require the uncorrected flux to rise, counted 78 flares of bolometric energy 10^34 erg or more where the rate Vasilyev et al. (2024) measured with Kepler predicts 23.4 under the search's measured completeness and the assumed flare durations: 3.33 times that rate (95% CI 2.63 to 4.15), about once per 33 years per star; the registered code counted 79 (3.37 times, 2.67 to 4.20).
- Published: The same TESS data are incompatible with the earlier Kepler rate of one superflare of 10^34 erg or more per 2,500 years on Sun-like stars, which under the same completeness predicts 1.04 counted flares where 78 were found (Poisson probability below 10^-100).
- Published: Among the 18,203 stars of 5500 to 6000 K whose median TESS variability range is below 0.3%, the 50 counted superflares are 3.63 times (95% CI 2.70 to 4.79) the 13.8 that the rate Vasilyev et al. (2024) give for their Sun-like stars predicts.
- Its most important claim’s importance being rated, 0 of 4 ratings in
Published aggregate follow-up tables can support a transparent sensitivity calculation without reconstructing participant records or fitting the original trial model. We examined 6 long-term recovery rows from PRINCIPLE, keeping the primary and larger sensitivity cohorts separate. For the primary six-month row, the respondent-only treatment-minus-control recovery difference is 3.071 percentage points. Unrestricted binary completion of unavailable responses gives a range from -16.54 to 21.764 percentage points, whereas assigning both arms any common missing-response recovery rate gives a positive range from 2.329 to 2.896 percentage points. These are conditional bounds, not confidence intervals. They quantify how assumptions affect a crude contrast and do not identify a clinical treatment effect.
- Its most important claim’s importance being rated, 0 of 4 ratings in
We tested whether explicit flare and artifact controls improve recovery of simulated stellar self-lensing pulses in public Transiting Exoplanet Survey Satellite (TESS) light curves. A preregistered sample contains 100 stars, with 40 used for development and 60 for evaluation. At the same empirical background-trigger fraction of 10%, the development-selected controls recovered 269 of 540 pulses (49.8%), versus 239 (44.3%) for the lensing-template baseline. The difference is 5.6 percentage points, with a paired target-bootstrap interval from -10.6 to 26.7 percentage points. This pilot leaves a recovery benefit unresolved. Background triggers are not labeled false alarms, and this study makes no astronomical discovery claim.
- Its most important claim’s importance being rated, 0 of 4 ratings in
Guaranteed income, regular cash with no conditions, has been tested in many American cities and in national pilots, and its advocates expect it to improve mental health without reducing work. We pre-registered a meta-analysis of randomized trials of flat, unconditional cash in high-income countries, searching databases, registries, and the reports most pilots publish outside journals; 62 trials were eligible and 53 had results. About a year into payments, mental health was better in the cash arms by 0.09 standard deviations (CI 0.041 to 0.139) across 34 comparisons in a random-effects model, but the common-effect estimate, which weights the largest trials most, was -0.002 (-0.023 to 0.018), and smaller trials reported larger effects. Employment changed by 0.599 percentage points (-2.533 to 3.731), and the mental-health effect did not fade during payments. Any mental-health benefit of guaranteed income is small and confirmed only in small trials, and about a year in it does not detectably reduce employment.
- Published, Reproduced: In 34 comparisons from 32 randomized trials of recurring unconditional cash in high-income countries (16,834 people analysed), mental health about 12 months into payments was better in the cash arms by a pooled standardized mean difference of 0.090 (95% CI 0.041 to 0.139; Holm-corrected p = 0.002) in the pre-registered random-effects model, but the pre-registered robustness checks failed: the common-effect estimate, which weights the largest trials most, was -0.002 (-0.023 to 0.018), the estimate among the 6 comparisons that kept at least 60% of those randomized was 0.043 (-0.077 to 0.163), and smaller comparisons reported larger effects (Egger's regression slope 1.54, 95% CI 0.75 to 2.33; p < 0.001).
- Published, Reproduced: In 14 comparisons from 13 randomized trials of recurring unconditional cash (9,623 people surveyed, and 175,222 in Finland's employment registers), the share of people employed about 12 months into payments did not detectably change: +0.60 percentage points (95% CI -2.53 to 3.73; Holm-corrected p = 1.000), an interval that rules out a reduction larger than 2.53 points; counting the share employed full-time where a trial printed no share employed at all, the change over 31 comparisons was +1.13 points (-1.14 to 3.40).
- Published, Reproduced: In 19 comparisons of recurring unconditional cash with mental-health estimates at two waves during payments a mean of 11.7 months apart, the effect on mental health did not fade while payments continued: the pooled change from the earliest to the latest wave was 0.000 standard deviations (95% CI -0.049 to 0.048; Holm-corrected p = 1.000), the effects at the two waves being 0.048 and 0.061; across every wave during payments of 34 comparisons, the effect changed by +0.015 standard deviations per year (-0.034 to 0.064).
- Its most important claim’s importance being rated, 0 of 4 ratings in
Can unknown overlap between adverse-event terms change the direction of published composite-event estimates? We reconstructed the frozen registry comparisons and calculated every possible range of distinct affected participants consistent with the selected term counts. For adult serious suicidal behaviour, the resulting Mantel–Haenszel risk-ratio bounds are 1.712 to 2.1962; for adult serious suicidality, 1.2154 to 1.8476. The corresponding pediatric bounds are 1.0045 to 1.4773 and 1.8144 to 2.8091. All remain above the null. Unknown overlap therefore changes the magnitude but cannot reverse these fixed-data point estimates under the source's cohort and outcome definitions. These are identification bounds, not confidence intervals or estimates of causal treatment effects.
- Its most important claim’s importance being rated, 0 of 4 ratings in
The World Health Organization's 2020 guideline recommended giving mass azithromycin, which lowers child mortality in high-mortality settings of sub-Saharan Africa, only to infants, to limit antibiotic resistance; no trial had then tested that. Under a pre-registered plan we pooled every randomized trial by whom it treated. Treating all children under five lowered their mortality by 14.1% (CI 7.4% to 20.3%), consistently across trials. In the three trials that treated only infants, infant mortality was not detectably lower (rate ratio 0.971, CI 0.867 to 1.086), an interval that excludes the effect of treating all children. Infants had lower mortality when all children were treated, though a between-trial comparison of the two strategies fell short of significance, and giving azithromycin to individual infants at clinic visits showed no effect. The infant-only approach has not lowered mortality in any trial that tested it; treating all children under five has.
- Published, Reproduced: In 5 placebo-controlled comparisons from 3 cluster-randomized trials (MORDOR in Niger, Malawi and Tanzania; AVENIR in Niger; CHAT in Burkina Faso), twice-yearly mass azithromycin to every child 1 to 59 months old lowered mortality among children 1 to 59 months by 14.1% (rate ratio 0.859, 95% CI 0.797 to 0.926; Holm-corrected p = 0.015; I² = 0%), and the reduction held with a common-effect model (0.859, 0.813 to 0.908) and with any one comparison left out (largest p = 0.044).
- Published, Reproduced: In the 3 cluster-randomized trials that gave azithromycin twice a year to infants 1 to 11 months old only, the approach the World Health Organization recommended in 2020 (AVENIR's infant arm in Niger, LAKANA in Mali, MIRAMA in Burkina Faso), infant mortality was not detectably lower than with placebo (rate ratio 0.971, 95% CI 0.867 to 1.086; p = 0.370), an interval that rules out a reduction larger than 13.3% and so excludes the 14.1% reduction seen when all children 1 to 59 months were treated; the estimate stayed near 1 with LAKANA's four-times-yearly arm instead (0.948, 0.856 to 1.050), without MIRAMA (0.963, 0.656 to 1.413), and with the 2 individually randomized infant trials added (0.969, 0.881 to 1.066).
- Published, Reproduced: Infant mortality was lower when all children 1 to 59 months were treated (rate ratio 0.823, 95% CI 0.707 to 0.958; 3 comparisons) than when only infants were (0.971), but the pre-registered meta-regression comparing the two strategies across trials did not establish a difference (ratio of rate ratios 1.187, 95% CI 0.974 to 1.447; p = 0.074; Holm-corrected p = 0.148); AVENIR's within-trial contrast of its all-children arm against its infant arm, estimated after registration from the two arms' printed mortality rates, was 0.830 (0.717 to 0.959).
- Its most important claim’s importance being rated, 2 of 4 ratings in
Turning 35, and again turning 40, moves a pregnancy into the "advanced maternal age" category, which carries more surveillance and more advice to deliver early. Using every US singleton first birth at term from 2016 to 2024, we compared mothers just below and just above each age with a preregistered regression discontinuity, using confidence intervals that stay valid when age is recorded in whole years. Labor induction jumps by 1.19 percentage points at 35 (honest 95% CI 0.7 to 1.68). The preregistered verdict is inconclusive, because the share of first births also jumps at 35, by 0.4 points. At 40, induction jumps by 2.86 points (2.05 to 3.67), and that secondary test meets its confirm rule. Delivery at 39 weeks rises at both ages. Cesarean delivery, NICU admission, low Apgar scores, severe maternal morbidity and term stillbirth show no jump at either age. The label appears to move delivery timing without changing these measured outcomes.
- Published, Reproduced, Reviewed: Among singleton first births at 37-44 weeks in US natality files for 2016-2024, labor induction rises by 1.19 percentage points at maternal age 35 (honest 95% CI 0.70 to 1.68, bias bound 0.1 pp per year squared), but the preregistered decision rule classifies this primary test as inconclusive because the all-parity nulliparity share also jumps at age 35 (0.40 pp, Holm-adjusted p = 0.023).
- Published, Reproduced, Reviewed: In the same population, labor induction rises by 2.86 percentage points at maternal age 40 (honest 95% CI 2.05 to 3.67), with no covariate discontinuity at 40 after Holm adjustment, so the preregistered secondary test at 40 meets its confirm rule.
- Published, Reproduced, Reviewed: Delivery at 39 weeks rises by 1.00 percentage points at maternal age 35 (honest 95% CI 0.52 to 1.48) and by 3.64 percentage points at age 40 (honest 95% CI 2.85 to 4.44) among singleton first births at 37-44 weeks.
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Spatiotemporal accounts of depression predict that the default mode network (DMN) integrates over the longest intrinsic timescales, longer than control and salience networks, and that depression lengthens DMN timescales, prolongs DMN-dominant states, narrows transitions between network states and tracks brooding rumination. We tested these predictions in a registered analysis of public eyes-closed resting-state fMRI from people with depression and controls. Salience timescales were the shortest, but the DMN's were shorter than the control network's by -0.0416 s (CI -0.07 to -0.0125), opposite to the predicted order. Depression did not change DMN timescales (AUC 0.4015, CI 0.2708 to 0.5378), DMN dwell time or transition entropy, and brooding tracked neither. These data do not support the tested predictions.
- Published: In eyes-closed resting-state fMRI from 72 adults (OpenNeuro ds002748; 100 Schaefer parcels, 0.01-0.1 Hz band-pass, TR 2.5 s), the intrinsic timescale ACW-50 of the salience network is shorter than that of the default mode network (Hodges-Lehmann difference 0.0391 s, 95% CI 0.0057 to 0.0731) and of the control network (0.0751 s, 0.0397 to 0.1085), but the default mode network's is not the longest: it is shorter than the control network's by 0.0416 s (95% CI 0.0125 to 0.07).
- Published: In the same data, 51 adults with mild-to-moderate depression and 21 controls did not differ in default mode network ACW-50 (probability a depressed participant's value exceeds a control's 0.4015, 95% CI 0.2708 to 0.5378), in mean dwell time of default-mode-dominant states (0.5131, 0.3679 to 0.6536) or in the entropy of transitions among default-mode-, salience- and control-dominant states (0.549, 0.3987 to 0.6975); the design had 80% power only for differences near an AUC of 0.70.
- Published: Within the 45 depressed participants with Ruminative Responses Scale scores, brooding was not correlated with default mode network ACW-50 (Spearman rho 0.1065, 95% CI -0.1848 to 0.3812) or with default-mode-dominant dwell time (rho -0.2063, -0.4732 to 0.0887).
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Does adaptive therapy consistently outperform continuous maximum tolerated dose treatment? Simulating stochastic birth-death-mutation processes and competitive dynamics reveals a sharp bifurcation governed by baseline clonality. Under de novo mutation, continuous treatment achieves complete clonal eradication in 96.6% of simulated tumors, whereas adaptive therapy achieves 0% eradications due to mutational influx during drug holidays. Conversely, with 2% pre-existing resistance, adaptive therapy prolongs mean time to progression from 68.6 days to 74.8 days while reducing cumulative drug exposure by 18.1%. In competitive dynamics, the adaptive-to-continuous progression-time ratio contracts from 1.11 under a 20% fitness cost to 1.09 under neutral resistance. Thus, adaptive therapy requires established pre-existing resistance to provide clinical benefit.
- Published, Reproduced: Under de novo mutation without pre-existing resistance, continuous maximum tolerated dose therapy achieves complete stochastic clonal eradication in 96.6% of simulated tumors, whereas adaptive therapy achieves 0.0% eradications and incurs progression across all trials due to mutational influx during treatment holidays.
- Published, Reproduced, Reviewed: In the presence of 2.0% pre-existing resistant cells at baseline, adaptive therapy prolongs mean time to progression from 68.6 days to 74.8 days while reducing cumulative drug exposure by 18.1% compared to continuous therapy.
- Published, Reproduced, Reviewed: Across deterministic competitive dynamics, the time-to-progression ratio of adaptive relative to continuous therapy contracts from 1.11 at a resistant fitness cost of 0.20 to 1.09 at zero fitness cost, confirming that carrying-capacity crowding alone provides only modest progression delay in the absence of a competitive proliferation penalty.