Cover Story: A Modus Vivendi? Sex, Marriage and the Church

The article presents divergent views on an analysis by historian Eamon Duffy of the Catholic Church\u27s response to shifting attitude towards sex and marriage in the West. Duffy noted that the church is increasingly confronted with the need to evolve a modus vivendi with social trends. Many Catholics are said to have disregarded the church\u27s teachings on sex and marriage. Other topics tackled include the increasing rate of divorce, premarital sex, same-sex unions and sexual education

A Modus Vivendi? Sex, Marriage & the Church

During the 1960s, nearly 80 percent of adult Americans were married. A recent analysis of U.S. census data reported that only 52 percent of adult Americans were married in 2009. That is the lowest percentage reported in the 100 years the Census Bureau has collected such information. The reasons for this dramatic cultural shift are well known: high rates of divorce; changing attitudes toward premarital sex; social acceptability of cohabitation; the weakening of the stigma surrounding out-of-wedlock births and single parenting; the postponement of marriage and children for academic or professional reasons. Among those with only a high-school education or less, the data suggest that the decision to marry has been made more difficult by deteriorating economic conditions

Phenomenology of deflected anomaly-mediation

We explore the phenomenology of a class of models with anomaly-mediated supersymmetry breaking. These models retain the successful flavor properties of the minimal scenario while avoiding the tachyons. The mass spectrum is predicted in terms of a few parameters. However various qualitatively different spectra are possible, often strongly different from the ones usually employed to explore capabilities of new accelerators. One stable feature is the limited spread of the spectrum, so that squarks and gluinos could be conceivably produced at TEVII. The lightest superpartner of standard particles is often a charged slepton or a neutral higgsino. It behaves as a stable particle in collider experiments but it decays at or before nucleosynthesis. We identify the experimental signatures at hadron colliders that can help distinguish this scenario from the usual ones.Comment: 18 pages, latex, refs adde

False Vacuum Inflation with a Quartic Potential

We consider a variant of Hybrid Inflation, where inflation is driven by two interacting scalar fields, one of which has a `Mexican hat' potential and the other a quartic potential. Given the appropriate initial conditions one of the fields can be trapped in a false vacuum state, supported by couplings to the other field. The energy of this vacuum can be used to drive inflation, which ends when the vacuum decays to one of its true minima. Depending on parameters, it is possible for inflation to proceed via two separate epochs, with the potential temporarily steepening sufficiently to suspend inflation. We use numerical simulations to analyse the possibilities, and emphasise the shortcomings of the slow-roll approximation for analysing this scenario. We also calculate the density perturbations produced, which can have a spectral index greater than one.Comment: 10 pages, RevTeX 3.0, no figure

Analyzing the brainstem circuits for respiratory chemosensitivity in freely moving mice

Regulation of systemic PCO2 is a life-preserving homeostatic mechanism. In the medulla oblongata, the retrotrapezoid nucleus (RTN) and rostral medullary Raphe are proposed as CO2 chemosensory nuclei mediating adaptive respiratory changes. Hypercapnia also induces active expiration, an adaptive change thought to be controlled by the lateral parafacial region (pFL). Here we use GCaMP6 expression and head-mounted mini-microscopes to image Ca2+ activity in these nuclei in awake adult mice during hypercapnia. Activity in the pFL supports its role as a homogenous neuronal population that drives active expiration. Our data show that chemosensory responses in the RTN and Raphe differ in their temporal characteristics and sensitivity to CO2, raising the possibility these nuclei act in a coordinated way to generate adaptive ventilatory responses to hypercapnia. Our analysis revises the understanding of chemosensory control in awake adult mouse and paves the way to understanding how breathing is coordinated with complex non-ventilatory behaviours

Ultrahigh-Energy Neutrino Interactions

Cross sections for the interactions of ultrahigh-energy neutrinos with nucleons are evaluated in light of new information about nucleon structure functions. For $10^{20}$--eV neutrinos, the cross section is about 2.4 times previous estimates. We also review the cross sections for neutrino interactions with atomic electrons. Some consequences for interaction rates in the Earth and for event rates from generic astrophysical sources in large-scale detectors are noted.Comment: 51 pages, LaTeX, uses elsart.sty and BoxedEPS for 23 uufiled PostScript figures. Compressed PostScript version is available at http://chrisq.fnal.gov/Papers/GQRS.ps.

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Innate sleep apnea in spontaneously hypertensive rats is associated with microvascular rarefaction and neuronal loss in the preBötzinger complex

BACKGROUND: Sleep apnea (SA) is a major threat to physical health and carries a significant economic burden. These impacts are worsened by its interaction with, and induction of, its comorbidities. SA holds a bidirectional relationship with hypertension, which drives atherosclerosis/arteriolosclerosis, ultimately culminating in vascular dementia. METHODS: To enable a better understanding of these sequelae of events, we investigated innate SA and its effects on cognition in adult-aged spontaneously hypertensive rats, which have a range of cardiovascular disorders: plethysmography and electroencephalographic/electromyographic recordings were used to assess sleep-wake state, breathing parameters, and sleep-disordered breathing; immunocytochemistry was used to assess vascular and neural health; the forced alteration Y maze and Barnes maze were used to assess short- and long-term memories, respectively; and an anesthetized preparation was used to assess baroreflex sensitivity. RESULTS: Spontaneously hypertensive rats displayed a higher degree of sleep-disordered breathing, which emanates from poor vascular health leading to a loss of preBötzinger Complex neurons. These rats also display small vessel white matter disease, a form of vascular dementia, which may be exacerbated by the SA-induced neuroinflammation in the hippocampus to worsen the related deficits in both long- and short-term memories. CONCLUSIONS: Therefore, we postulate that hypertension induces SA through vascular damage in the respiratory column, culminating in neuronal loss in the inspiratory oscillator. This induction of SA, which, in turn, will independently exacerbate hypertension and neural inflammation, increases the rate of vascular dementia