Categories
Nevin Manimala Statistics

Antithrombotic Strategies Targeting the Coagulation Pathway and Incident Covert Brain Infarction: A Systematic Review and Meta-analysis of Randomized Trials

Int J Stroke. 2026 Apr 17:17474930261446363. doi: 10.1177/17474930261446363. Online ahead of print.

ABSTRACT

BackgroundCovert brain infarction (CBI) is a common neuroimaging-defined manifestation of covert cerebrovascular disease and is associated with increased risks of future stroke and cognitive decline. CBI has been included as an outcome in randomized trials evaluating coagulation-pathway-targeting strategies. However, whether these strategies consistently reduce incident CBI, and whether treatment effects on CBI parallel those for acute ischemic stroke (AIS), remains uncertain.MethodsFollowing PRISMA 2020 guidelines, we searched PubMed, Ovid MEDLINE, Embase, and Web of Science through November 10, 2025, for randomized controlled trials and MRI substudies enrolling patients without an established indication for anticoagulation. Eligible trials compared antithrombotic strategies targeting the coagulation pathway (oral anticoagulation or direct factor inhibition, with or without background antiplatelet therapy) with antiplatelet-based regimens and reported incident CBI on follow-up MRI. Trial-level treatment effects for CBI, AIS, and their composite were compared. Exploratory cross-outcome comparisons were performed using the ratio of relative risks (RRR) with prespecified interpretability bounds.ResultsSix randomized trials met the inclusion criteria, encompassing diverse clinical populations and varying antiplatelet regimens in the control arms. In stratified analyses according to treatment structure, coagulation-pathway strategies were not associated with a statistically significant reduction in incident CBI compared with antiplatelet therapy alone, with similar estimates across treatment strata and no evidence of interaction (P_interaction = 0.249). An exploratory pooled estimate was similar (RR, 0.95; 95% CI, 0.81-1.12). Findings were consistent across CBI subtypes, including lacunar and non-lacunar lesions. In trials reporting all three outcomes, these strategies were not associated with significant reductions in CBI, AIS (RR, 0.85; 95% CI, 0.65-1.11), or their composite endpoint (RR, 0.97; 95% CI, 0.84-1.11). The composite endpoint was predominantly driven by CBI (~70% of events). Exploratory cross-outcome comparisons yielded point estimates favoring AIS over CBI, although confidence intervals crossed unity.ConclusionsIn clinical settings without a mandatory indication for anticoagulation, coagulation-pathway strategies were not associated with reduced incident CBI compared with antiplatelet therapy. Although effect estimates for CBI and AIS were broadly similar, uncertainty remains. Composite endpoints predominantly driven by CBI warrant cautious interpretation when inferring treatment effects on clinically manifest ischemic stroke.

PMID:41999065 | DOI:10.1177/17474930261446363

Categories
Nevin Manimala Statistics

Predictive Factors for Operative Time and Blood Loss in Retroperitoneal Laparoscopic Adrenalectomy: A Single-Center Experience

Int J Urol. 2026 Apr;33(4):e70463. doi: 10.1111/iju.70463.

ABSTRACT

OBJECTIVES: Operative time and intraoperative blood loss in retroperitoneal laparoscopic adrenalectomy have decreased over time. This study aimed to identify predictive factors associated with operative time and blood loss and to clarify factors underlying improvements in operative outcomes, with particular focus on sealing device use.

METHODS: We retrospectively reviewed 597 patients who underwent retroperitoneal laparoscopic adrenalectomy for adrenal tumors at a single institution between December 1993 and October 2021. Patients treated after the introduction of robotic-assisted adrenalectomy were excluded. Predictors of prolonged operative time and increased intraoperative blood loss were evaluated using univariate and multivariate logistic regression analyses. To reduce potential confounding related to baseline differences in tumor characteristics and preoperative diagnoses, propensity score matching was performed between patients treated with and without sealing devices.

RESULTS: Both operative time and intraoperative blood loss decreased over time, with more pronounced improvements in recent periods. Multivariate analysis identified right-sided tumors, higher body mass index, and the absence of sealing device use as independent predictors of prolonged operative time. Increased blood loss was independently associated with male sex, higher body mass index, and the absence of sealing device use. In propensity score-matched analyses, operative time and blood loss remained significantly lower in patients treated with sealing devices than in those without sealing devices.

CONCLUSIONS: The appropriate use of sealing devices was independently associated with shorter operative time and reduced intraoperative blood loss in retroperitoneal laparoscopic adrenalectomy, suggesting a contribution to improved operative efficiency and surgical safety within the limited retroperitoneal working space.

PMID:41999031 | DOI:10.1111/iju.70463

Categories
Nevin Manimala Statistics

Scale invariance and statistical significance in complex weighted networks

Phys Rev E. 2026 Mar;113(3-1):034310. doi: 10.1103/4124-dyj8.

ABSTRACT

Most networks encountered in nature, society, and technology have weighted edges, representing the strength of the interaction or association between their vertices. Randomizing the structure of a network is a classic procedure used to estimate the statistical significance of properties of the network such as transitivity, centrality, and community structure. Randomization of weighted networks has traditionally been done via the weighted configuration model (WCM), a simple extension of the configuration model, where weights are interpreted as bundles of edges. It has previously been shown that the ensemble of randomizations provided by the WCM is affected by the specific scale used to compute the weights, but the consequences for statistical significance were unclear. Here we find that statistical significance based on the WCM is scale dependent, whereas in most cases results should be independent of the choice of the scale. A two-step approach, originally introduced for network reconstruction, in which one first randomizes the structure and then the weights, with a suitable distribution, restores scale invariance and allows us to conduct unbiased assessments of significance on weighted networks.

PMID:41998988 | DOI:10.1103/4124-dyj8

Categories
Nevin Manimala Statistics

Information propagation in predator-prey dynamics of turbulent plasma

Phys Rev E. 2026 Mar;113(3-2):035201. doi: 10.1103/p31r-2y55.

ABSTRACT

Magnetically confined fusion plasmas exhibit predator-prey-like cyclic oscillations through the self-regulating interaction between drift-wave turbulence and zonal flow. To elucidate the detailed mechanism and causality underlying this phenomenon, we construct a simple stochastic predator-prey model that incorporates intrinsic fluctuations and analyze its statistical properties from an information-theoretic perspective. We first show that the model exhibits persistent fluctuating cyclic oscillations called quasicycles due to amplification of intrinsic noise. This result suggests the possibility that the previously observed periodic oscillations in a toroidal plasma are not limit cycles, but quasicycles, and that such quasicycles may be widely observed under various conditions. For this model, we further prove that information of the zonal flow is propagated to turbulence. This result suggests that turbulence behavior may be predictable to a certain extent based on zonal flow characteristics.

PMID:41998978 | DOI:10.1103/p31r-2y55

Categories
Nevin Manimala Statistics

Intermediate time scale in the first product formation time distribution of Michaelis-Menten kinetics with inhibitors

Phys Rev E. 2026 Mar;113(3-1):034308. doi: 10.1103/cby1-s3gz.

ABSTRACT

Michaelis-Menten kinetics is one of the most recognized models in enzyme kinetics, crucial for understanding biochemical reactions in various metabolic processes. In this study, we perform a stochastic analysis of the Michaelis-Menten kinetics with inhibitory mechanisms, which significantly enriches the description of the reaction. Using the Fock space formalism, we reformulate the master equation into a Schrödinger-type form. We examine reversible inhibitions and analyze the averaged number of participating substances, identifying a stiffness behavior in all scenarios. For partial inhibition, we show that the formalism correctly captures the phenomenon of inhibitor-activator duality, where the inhibitor transition from pure inhibition role to functionally favors product formation. We calculate the first product formation time distribution, which characterizes the time statistic of the first product formation. An intermediate timescale emerges in addition to the two known regimes typically observed in first-passage problems. This timescale is associated with the introduction of new pathways by inhibitory mechanisms. Altogether, the results offer a perspective on inhibited enzymatic reactions and illustrate how the Fock space formalism can be applied to the analysis of low-copy-number chemical reactions.

PMID:41998976 | DOI:10.1103/cby1-s3gz

Categories
Nevin Manimala Statistics

Modeling language evolution using a spin glass approach

Phys Rev E. 2026 Mar;113(3-1):034312. doi: 10.1103/52k8-zz47.

ABSTRACT

The evolution of natural languages poses a riddle to any theoretical perspective based on efficiency considerations. If languages are already optimally effective means of organization and communication of thought, then why do they change? And if they are driven to become optimally effective in the future, then why do they change so slowly, and why do they diversify, rather than converge toward an optimum? We look here at the hypothesis that disorder, rather than efficiency, may play a dominant role. Most traditional approaches to study diachronic language dynamics emphasize lexical data, but it would seem that a crucial contribution to the effectiveness of a thought-coding device is given by its core generative structure, i.e., its syntax. Based on the reduction of syntax to a set of binary syntactic parameters, we introduce here a model of natural language change in which diachronic dynamics can stem from disordered interactions between/among parameters, even in the idealized limit of identical external inputs. We show in which region of “phase space” such dynamics show the glassy features that are observed in natural language across time. In particular, binary syntactic vectors remain trapped in glassy metastable (i.e., tendentially stable) states when the degree of asymmetry in the disordered interactions is below a critical value, consistent with studies of spin glasses with asymmetric interactions. We further show that an added Hopfield-type memory term would indeed, if strong enough, stabilize syntactic configurations even above the critical value, but losing the multiplicity of stable states. Finally, using a notion of linguistic distance in syntactic state space we show that a phylogenetic signal may remain among related languages, despite their gradually divergent syntax, exactly as recently pointed out for real-world languages. These statistical results appear to generalize beyond the dataset of 94 syntactic parameters across 58 languages used in this study.

PMID:41998971 | DOI:10.1103/52k8-zz47

Categories
Nevin Manimala Statistics

Computing large deviations of first-passage-time statistics in open quantum systems: Two methods

Phys Rev E. 2026 Mar;113(3-1):034123. doi: 10.1103/jqbq-8dx8.

ABSTRACT

We propose two methods for computing the large deviations of the first-passage-time statistics in general open quantum systems. The first method determines the region of convergence of the joint Laplace transform and the z transform of the first-passage time distribution by solving an equation of poles with respect to the z-transform parameter. The scaled cumulant generating function, which is the logarithm of the boundary values within this region, is subsequently obtained. The theoretical basis is that the dynamics of open quantum systems can be unraveled into a piecewise deterministic process and that a tilted Liouville master equation exists in Hilbert space. The second method uses a simulation-based approach that is built on the wave-function cloning algorithm. To validate both methods, we derive analytical expressions for the scaled cumulant generating functions in field-driven two-level and three-level systems. In addition, we present numerical results and cloning simulations for a field-driven system comprising two interacting two-level atoms.

PMID:41998970 | DOI:10.1103/jqbq-8dx8

Categories
Nevin Manimala Statistics

Statistical physics of an asset exchange model with investment and guaranteed income

Phys Rev E. 2026 Mar;113(3-1):034309. doi: 10.1103/2mh9-nn23.

ABSTRACT

An agent-based model of the economy is generalized to incorporate investment and guaranteed income mechanisms in addition to the exchange and distribution mechanisms considered in an earlier model. We use the tools of statistical physics to show that the system is effectively ergodic, is not in equilibrium, but reaches a steady state with occasional large fluctuations because of the effects of multiplicative noise from the investment mechanism. We find realistic wealth distributions and realistic values of the Gini coefficients and the Pareto index.

PMID:41998969 | DOI:10.1103/2mh9-nn23

Categories
Nevin Manimala Statistics

Estimating classical mutual information between quantum subsystems with neural networks

Phys Rev E. 2026 Mar;113(3-1):034122. doi: 10.1103/wx2b-37kt.

ABSTRACT

Characterizing correlations in a quantum system on the basis of the results of the projective measurements can be performed with different means including the calculation of the classical mutual information. Generally, estimating such information-entropy-based quantities requires having complete statistics of the system’s states. Here we explore the possibility to reconstruct the classical mutual information and specific entropy of a quantum system with a neural network approach on the basis of a limited number of projective measurements. As a prominent example we consider the antiferromagnetic quantum Ising model in transverse and longitudinal magnetic fields which is in demand in both condensed matter physics and quantum computing. We show that the neural network approach gives reliable estimates of the classical mutual information even in the case of paramagnetic wave functions delocalized in the state space. In addition, the phase diagram of the considered quantum system is reconstructed with a special focus on discriminating various types of disordered states.

PMID:41998968 | DOI:10.1103/wx2b-37kt

Categories
Nevin Manimala Statistics

Empirical discovery of multiscale transfer of information in dynamical systems

Phys Rev E. 2026 Mar;113(3-1):034219. doi: 10.1103/3jtj-sxrw.

ABSTRACT

In this work, we quantify the timescales and information flow associated with multiscale energy transfer in a weakly turbulent system. This is done through a greedy optimization algorithm which finds the maximum conditional-mutual information across lagged embeddings of time series localized by wave number. For our chosen weakly turbulent system, the algorithm finds asymmetries in the information flow across wave numbers, reflecting what are typically described as forward and inverse cascades. However, our approach goes beyond typical heuristic arguments and provides quantitative insight into the intricate multiwave mixing dynamics necessary to maintain the steady statistical state characterizing weak turbulence. Our work then provides a detailed and fully nonlinear statistical analysis of a weakly turbulent system. The flexibility of our approach points to broader applicability in real-world data coming from chaotic or turbulent dynamical systems.

PMID:41998961 | DOI:10.1103/3jtj-sxrw