arXiv:2603.14691v3 Announce Type: replace-cross
Abstract: The branching geometry of biological transport networks is characterized by a diameter scaling exponent $alpha$. Two structural attractors compete: impedance matching ($alpha sim 2$) for pulsatile flow and viscous-metabolic minimization ($alpha = 3$) for steady flow. Neither predicts the empirically observed $alpha_mathrmexp = 2.70 pm 0.20$ in mammalian arterial trees. Incorporating sub-linear vessel-wall scaling $h(r) propto r^p$ ($p = 0.77$) into a three-term metabolic cost rigorously breaks Murray’s cubic law — via Cauchy’s functional equation — bounding the static optimum to $alpha_t in [2.90, 2.94]$. We formulate a unified network-level Lagrangian balancing wave-reflection penalties against transport-metabolic costs. Because the operational duty cycle $eta$ is uncertain over developmental timescales, we cast the optimization as a zero-sum game between network architecture and environment. Von Neumann’s minimax theorem — proved via strict monotonicity of the cost curves — yields a unique saddle point $(alpha^, eta^)$ satisfying an exact equal-cost condition. We further prove $N = 2$ uniquely maximizes the network stiffness ratio $kappa_mathrmeff(N)$, deriving binary branching as a structural consequence of the framework. For the porcine coronary tree ($G = 11$ generations), $alpha^* = 2.72$, within $0.1sigma$ of morphometric data. Sensitivity analysis confirms $|Deltaalpha^*| < 0.01$ across physiological metabolic ranges; the prediction depends critically only on the histological exponent $p$ — a zero-parameter derivation from fundamental scaling principles that simultaneously recovers a cumulative wave dissipation of 6.3%, consistent with independent clinical estimates.
Assessing nurses’ attitudes toward artificial intelligence in Kazakhstan: psychometric validation of a nine-item scale
BackgroundArtificial intelligence (AI) is increasingly integrated into healthcare, yet the attitudes and knowledge of nurses, who are the key mediators of AI implementation, remain underexplored.


