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Research article

Validation of the Hebrew version of the questionnaire “know pain 50”

  • Received: 01 November 2021 Revised: 13 February 2022 Accepted: 21 February 2022 Published: 17 March 2022
  • Introduction 

    The “Know Pain 50” questionnaire, a well-known and validated questionnaire used to examine medical staff's knowledge in pain medicine, was translated and validated into Hebrew for Israeli medical staff. The questionnaire consists of 50 questions: the first five assess knowledge in pain medicine alone and the other 45 assess knowledge alongside attitudes and beliefs in many aspects of pain medicine.

    Background 

    There is great importance in understanding the complexity of pain medicine for patients suffering from chronic pain. Many physicians in Israel report a lack of knowledge in many aspects of pain medicine and in particular proper evaluation of pain, and treatment of chronic pain. To the best of our knowledge, there are no valid and reliable questionnaires in Israel that assess physicians' knowledge, attitudes, and beliefs regarding pain medicine. Therefore, validation of a Hebrew version of the “know pain 50” questionnaire is necessary.

    Methods 

    A transcultural adaptation was performed. The Hebrew version of the questionnaire was given to 16 pain specialists, 40 family practitioners, and 41 medical interns. Family practitioners and medical interns were grouped and compared to pain specialists for analysis.

    Findings 

    In the complete questionnaire alone and in all the different domains, pain specialists received higher scores (median = 3.5) than family practitioners + medical interns combined (median = 2.74), the group of family practitioners alone (median = 2.6), and the group of the medical interns alone (median = 2.9). (P-value < 0.01).

    Conclusions 

    The validated Hebrew version of the “Know Pain 50” questionnaire was found suitable for the Israeli medical community. Thus, it is an appropriate tool for assessing different levels of knowledge, attitudes, and beliefs of Israeli medical teams in pain medicine.

    Citation: Gili Eshel, Baruch Harash, Maayan Ben Sasson, Amir Minerbi, Simon Vulfsons. Validation of the Hebrew version of the questionnaire “know pain 50”[J]. AIMS Medical Science, 2022, 9(1): 51-64. doi: 10.3934/medsci.2022006

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  • Introduction 

    The “Know Pain 50” questionnaire, a well-known and validated questionnaire used to examine medical staff's knowledge in pain medicine, was translated and validated into Hebrew for Israeli medical staff. The questionnaire consists of 50 questions: the first five assess knowledge in pain medicine alone and the other 45 assess knowledge alongside attitudes and beliefs in many aspects of pain medicine.

    Background 

    There is great importance in understanding the complexity of pain medicine for patients suffering from chronic pain. Many physicians in Israel report a lack of knowledge in many aspects of pain medicine and in particular proper evaluation of pain, and treatment of chronic pain. To the best of our knowledge, there are no valid and reliable questionnaires in Israel that assess physicians' knowledge, attitudes, and beliefs regarding pain medicine. Therefore, validation of a Hebrew version of the “know pain 50” questionnaire is necessary.

    Methods 

    A transcultural adaptation was performed. The Hebrew version of the questionnaire was given to 16 pain specialists, 40 family practitioners, and 41 medical interns. Family practitioners and medical interns were grouped and compared to pain specialists for analysis.

    Findings 

    In the complete questionnaire alone and in all the different domains, pain specialists received higher scores (median = 3.5) than family practitioners + medical interns combined (median = 2.74), the group of family practitioners alone (median = 2.6), and the group of the medical interns alone (median = 2.9). (P-value < 0.01).

    Conclusions 

    The validated Hebrew version of the “Know Pain 50” questionnaire was found suitable for the Israeli medical community. Thus, it is an appropriate tool for assessing different levels of knowledge, attitudes, and beliefs of Israeli medical teams in pain medicine.



    Consider an infinite, locally finite, and connected graph G=(V(G),E(G),o), where V(G) denotes the vertex set, E(G) the edge set, and o is a designated root. Consider Markov chain. There is a stationary measure π() such that for any two adjacent vertices x and y, π(x)p(x,y)=π(y)p(y,x), where p(x,y) is the transition probability. For the edge joining vertices x and y, assign a weight

    c(x,y)=π(x)p(x,y).

    Now we call the weights of the edges conductance and their reciprocals resistance. In this paper, we study the spectral radius of irreducible Markov chains on weighted graphs. More precisely, we focus on the spectral radius of a biased random walk, which is defined as follows:

    Fix a root o in a graph G. Let |x| be the graph distance between x and o for any vertex x of G. Write N for the set of natural numbers, and let Z+=N{0}. For any nZ+, we define two subsets of vertices:

    The ball of radius n centered at o is denoted by BG(n)={xV(G): |x|n}.

    The boundary of this ball is BG(n)={xV(G): |x|=n}. Fix any λ[0,). If edge e is at distance n from o, then let its conductance be λn. Denote by RWλ the random walk associated the above conductances, and we call RWλ a biased random walk. Recall that a random walk on an infinite connected network is transient iff the effective conductance from any of its vertices to infinity is positive [19].

    The motivation for introducing RWλ is to design a Monte-Carlo algorithm for self-avoiding walks by Berretti and Sokal [5]. See [13,20,21] for refinements of this idea. Due to interesting phenomenology and similarities to concrete physical systems ([7,9,10,12,23,24,25]), biased random walks and biased diffusions in disordered media have attracted much attention in the mathematical and physics communities since the 1980s.

    In the following, we assume G is transitive. Let Mn=|BG(n)| be the cardinality of BG(n) for any nZ+. Define the growth rate of G as

    gr(G)=lim infnnMn.

    Since the sequence {Mn}n=0 is submultiplicative, the limit gr(G)=limnnMn exists indeed. R. Lyons [15] showed that the critical parameter for RWλ on a general tree is exactly the exponent of the Hausdorff dimension of the tree boundary. Moreover, R. Lyons [16] proved that for Cayley graphs and degree-bounded transitive graphs, the growth rate is exactly the critical parameter of the RWλ.

    Let d be the vertex degree of G. For any vertex v of G except o, denote by dv the number of edges connecting v to BG(|v|1). For the definition of RWλ (Xn)n=0 starting at o, the transition probability from v to an adjacent vertex u is

    p(v,u)={1/dif v=o,λd+(λ1)dvif uBG(|v|1) and vo,1d+(λ1)dvotherwise.

    Note that RW1 is just a simple random walk on G.

    We write

    p(n)(x,y)=p(n)(x,y,λ)=Px(Xn=y).

    The Green function is defined by

    G(x,y|z)=n=0p(n)(x,y)zn,x,yV(G),zC.

    Define

    τy=τy(λ)=inf{n1|Xn=y},f(n)(x,y)=Px(τy=n),

    the associated generating function

    U(x,y|z)=n=1f(n)(x,y)zn,x,yV(G),zC.

    Given any function g(z), let us denote the radius of convergence by Rg. By the Cauchy-Hadamard criterion,

    RG=RG(λ)=1lim supnnpn(x,y).

    Recall [19, Exercise 1.2] that RG is independent of x and y due to its irreducibility. Define

    ρ=ρG(λ)=ρ(λ)=1RG=lim supnnpn(x,x).

    ρ is called the spectral radius of the biased random walk. The reason for this name we can refer to [14,19] for more information on the spectral radius. Moreover,

    ρ=lim supnnpn(o,o).

    Define the speed of RWλ, (Xn)n=0, as the limit of |Xn|n as n, if it exists almost surely (or in probability).

    There are many deep and important questions related to how the spectral radius and the speed depend on the bias parameter λ (see [14], Chapter 9). In [17,p.2005 Questions], R. Lyons, R. Pemantle, and Y. Peres raised the Lyons-Pemantle-Peres monotonicity problem. For a Cayley graph G with gr(G)>1, does the speed of RWλ exist and be positive for all λ(1,gr(G))? For more information, readers can refer to [1,4].

    Moreover, R. Lyons, R. Pemantle and Y. Peres [18] conjectured that the speed of RWλ on the supercritical Galton-Watson tree without leaves is strictly decreasing. The conjecture has been confirmed for λ lying in some regions (see [2,4,26]). For Galton-Watson trees without leaves, the Lyons-Pemantle-Peres monotonicity problem was answered positively for λm11160 by Ben Arous, Fribergh and Sidoravicius [4], where m1 is the minimal degree of the Galton-Watson tree. And Aïdékon [1] improved the just-mentioned result to λ12 by a completely different approach. In [3], Ben Arous, Hu, Olla, and Zeitouni obtained the Einstein relation for RWλ on Galton-Watson trees, which implies the conjecture holds in a neighborhood of m.

    We are interested in the continuity of the spectral radius of RWλ. For λ>gr(G), RWλ is recurrent, ρ=1. When λ=0 RWλ is not irreducible.

    Problem 1.1. For a Cayley graph G, is the spectral radius of RWλ continuous for all λ(0,gr(G)]?

    In this paper, our focus is centered on addressing Problem 1.1 within the realm of a distinctive class of block-free product groups. To ensure a comprehensive understanding, the precise definition and pertinent details regarding free products will be meticulously introduced in Section 2.

    Theorem 1.2. Let graph G be a free product of complete graphs. Then the spectral radius ρ(λ) of RWλ on G is continuous in λ(0,gr(G)].

    To prove Theorem 1.2, the primary technical obstacle lies in establishing the generating function and subsequently demonstrating that the Cheeger constant is indeed positive.

    Theorem 1.2 affirmatively resolves Problem 1.1, specifically for the scenario involving the free product of complete graphs. A key observation here is that the d-regular tree Td, represents a particular instance of such free products of complete graphs. Consequently, it is deduced from the theorem that the spectral radius, ρ(λ) of RWλ defined on Td, exhibits a characteristic of continuity over the interval (0, gr(Td)], where gr(Td) signifies the growth rate of the d-regular tree. This finding underscores the robustness of the spectral property with respect to variations in the parameter λ.

    Intuitively, a "free product" of finite Cayley graphs Gi is a rule to construct a new Cayley graph G by gluing these m cells at "common vertices" without edge intersection, step by step. Concretely, we construct the Cayley graph G of H1H2Hr by the following steps: Here, denotes a free product.

    Step 1. Glue each i-cell (1ir) at a common vertex o such that any two of the r cells only have one common vertex o. View o as the birth root of these m cells. Usually o is chosen to be the identity element 1. Denote the obtained graph as G(1), and mark any vertex x in the j-cell as [j].

    Step 2. For any xG(1){o}, it must be in some cell, say an i-cell, then we glue each j-cell (1jir) at x such that any of the r1 cells has only one common vertex x with G(1) and any two of the r1 cells only have one common vertex x. View x as the birth root of just added r1 cells. For any distinctive two vertices x and y of G(1){o}, we require that any cell glued at x is disjoint from any cell glued at y. Let G(2) be the resulting graph. And for any 1jr, also mark a vertex x of G(2)G(1) in the j-cell as [j].

    Step 3. For all xG(2)G(1), according to x, we can determine which type of cell x belongs to, and glue other type cells as Step 2. And then mark all new added vertices y and define y and [y] as Step 2. Denote by G(3) the obtained graph. And so on, we obtain G with a type function [] in its vertices, where for convenience we let [o]=0.

    Now let G be the Cayley graph of H1H2Hr with root o, where each Hi (1ir) is a finite group whose Cayley graph is the complete graph Kmi+1 on mi+1 vertices. Let ri=1mi=m. Thus, the transition probability from v to an adjacent vertex u is

    p(v,u)={1/mif v=o,λm+λ1if uBG(|v|1) and vo,1m+λ1otherwise.

    Let f(n)i(o,o) (i=1,2,,r) be the probability of the biased random walk on G starting at o and τo=n, which does visit a vertex of Kmi+1. Define

    Ui(o,o|z)=n=1f(n)i(x,y)zn.

    Hence,

    U(o,o|z)=ri=1Ui(o,o|z). (2.1)

    Note the tree-like structure of G. To compute f(n)i(o,o), a biased random walk must reach an edge in Kmi+1 from o and return o by an edge in Kmi+1 at last step. Each vertex of Kmi+1 glues a copy of Kmj+1 (ji). By the symmetry of Kmi+1, we can regard Kmi+1 as an edge with a cycle and glue the same structure as in G. Thus

    Ui(o,o|z)=mimzλm+λ1zn=0(i1j=0Mj(z)+˜Mi(z)+rk=i+1Mk(z))n.

    Here Mj(z) denotes the generating function associated with the hitting probability of Kmi+1, which starts at a vertex of Kmj+1 (ji). Note that the probability from o to verteices of Kmj+1 is mim and from a vertex of Kmi+1 to the vertices of Kmj+1 is mim+λ1. And the other steps obey the same law as Uj(o,o|z). Thus

    Mj(z)=mm+λ1Uj(o,o|z),˜Mi(z)=mi1m+λ1z.

    Therefore, in the domain {zC||z|<RU},

    Ui(o,o|z)=λmi(m+λ1)2z211(mm+λ1ri=1Uj(o,o|z)mm+λ1Ui(o,o|z)+˜Mi(z))=λmi(m+λ1)2z211(mm+λ1U(o,o|z)mm+λ1Ui(o,o|z)+˜Mi(z)).

    Hence,

    Ui(o,o|z)=((m+λ1)mU(o,o|z)(mi1)z)2m+((m+λ1)mU(o,o|z)(mi1)z)2+4λmiz22m. (2.2)

    Drawing upon the results established in Eqs 2.1 and 2.2, we are able to deduce that

    U(o,o|z)=ri=1Ui(o,o|z)=ri=1((m+λ1)mU(o,o|z)(mi1)z)2m+ri=1((m+λ1)mU(o,o|z)(mi1)z)2+4λmiz22m.

    Let

    BGi(n)={xV(Gi): |x|=n}.

    Define

    Si(z)=n1|BGi(n)|zn.

    Lemma 2.1. [8]

    gr(G)=1zS,

    where zS is the unique real number with

    ri=1Si(zS)1+Si(zS)=1. (2.3)

    In the work of E. Candellero, L. A. Gilch, and S. Müller [8], they derive an upper bound for the upper box-counting dimension and a complementary lower bound for the Hausdorff dimension of the geometric endpoint boundary of the trace. This analysis is instrumental in establishing Lemma 2.1. Our approach subsequently leverages Lemma 2.1 as a pivotal step to demonstrate that the growth rate of the free product of complete graphs is indeed positive.

    Since the Cayley graph of Hi (1ir) is a complete graph on mi+1 vertices,

    Si(z)=miz.

    Recall Lemma 2.1,

    gr(G)=1zS,

    where zS is the unique real positive number with

    ri=1mizS1+mizS=1.

    Let Γi=(Vi,Ei) generated by the vertex set

    Vi={xV(G),the geodesic betweenoandxstarting atoto visitKmi+1}.

    Clearly, for any nZ+, 1ir,

    |BΓi(n)|=miji|BΓj(n1)|.

    Hence, for n large enough and 1ijr,

    |BΓi(n)||BΓj(n)|gr(G)n.

    To continue, we introduce some preliminaries about the Cheeger constant. For a weighted graph H (with weight c(x,y) for the edge joining vertices x and y), we say that H satisfies the isoperimetric inequality, briefly IP, if there exists a κ>0 such that C(E(S))κC(S) for any finite connected subset S. Here C(S)=xSCx and C(E(S))=xS,ySc(x,y), where Cx=yxc(x,y). The largest possible κ is the: Kesten-Cheeger-Dodziuk-Mohar theorem, see [14] Chapter 7, Theorem 7.3. A weighted graph can also be regarded as a network. Readers can refer to [19] for details.

    Theorem 2.2. For any connected infinite network H, the following are equivalent:

    (1) H satisfies IP with κ>0.

    (2) 0<ρ<1.

    In fact, κ2/21ρκ.

    In the subsequent discussion, we will undertake the task of proving that the Cheeger constant of G is indeed positive. This assertion is facilitated by invoking the Kesten-Cheeger-Dodziuk-Mohar theorem (Theorem 2.2), which leads us directly to the derivation of the following lemma.

    Lemma 2.3. For any λ(0,gr(G)), 0<ρ(λ)<1.

    Proof. To return o, a path can hit a vertex x of type [i] with probability 1m, then move to another neighbour of x with type [j] with probability mj1m+λ1. Until the nth step, the random walk runs away from o. From the (n+1)th until the 2nth the random walk returns o with probability λm+λ1 for every step. Hence, for any n2

    p(2n)(o,o)ri=11m(min1irmim+λ1)n1(λm+λ1)n.

    Thus

    ρ(λ)min1irmiλm+λ1>0.

    Let S be any connected, finite subgraph of G. Assume that S is between BG(n) and BG(n+m). Note that

    S=n+mj=n(SBG(j))=n+mj=nSj,|S|=|S|+|So|,

    where Sj denotes SBG(j) and So denotes the interior points of S.

    For any xSn, denote the subgraph of x as Sx=(V(Sx),E(G)). Here

    V(Sx)={yV(G),the geodesic betweenyandovisitsx},
    E(Sx)={xyE(G),x,yV(Sx)},
    Sx(n)={yV(Sx):the graph distance ofxandyn}.

    Given any fixed ϵ>0, from the definition of gr(G), {there exists n0 such that, for any k>n0,

    |BG(k)|(gr(G)ϵ)k.

    Define

    n1=inf{k>n,there existsySSx(kn)},

    which means that at Sx(kn), we can find at least one vertex belonging to S. Hence,

    C(SxSx(n1n))C(Sx(n1n))λn1mn1n(m+λ1)λn=λnn1mn1n(m+λ1).

    If n1nn0, then

    C(SxSx(n1n))C(Sx(n1n))λn0mn0(m+λ1)>0.

    Now assume that, n1n>n0. Notice that every vertex xo has mmi neighbors in BG(|x|+1) and only one neighbour in BG(|x|1) if x[i]. Let Vij be the set of all vertices of type [i] in SoSj. It is easy to see that

    ri=1(mmi)|Vij||Sj+1|.

    Notice that ri=1(mmi)|Vij| denotes the growth way of SoSj. Since n1n>n0, for n0jn1n,

    |SoSx(j)|(gr(G)ϵ)ri=1(mmi)|Vij||Sx(j+1)|.

    Write c=gr(G)ϵ. Hence, for any n0jn1n,

    |SoSx(j)|1c|Sx(j+1)|=1c|SoSx(j+1)|+1c|SSx(j+1)|1c(1c|SoSx(j+2)|+1c|SSx(j+2)|)+1c|SSx(j+1)|=(1c)2|SoSx(j+2)|+(1c)2|SSx(j+2)|(1c)n1nj|SoSx(n1n)|+(1c)n1nj|SSx(n1n)|.

    In the case when |SSx(n1n)|ϵ|Sx(n1n)|,

    |SoSx(n1n)|(1ϵ)|Sx(n1n)|1ϵϵ|SSx(n1n)|.

    Therefore, for any n0jn1n,

    |SoSx(j)|1ϵ(1c)n1nj|SSx(n1n)|.

    Notice that every vertex in SoSx(j) has weight λj(m+λ1). Therefore,

    C(SoSx(n0+1))m+λ1λn+n0+11ϵ(1c)n1nn01|SSx(n1n)|,C(SoSx(n0+2))m+λ1λn+n0+21ϵ(1c)n1nn02|SSx(n1n)|,C(SoSx(n1n1))m+λ1λn111ϵ1c|SSx(n1n)|.

    Combining with that

    C(SoSx(n1n))=n1ni=1C(SoSx(i)),C(SSx(n1n))=n1ni=0C(SSx(i)),

    we have that

    C(SoSx(n1n))C(S0Sx(n0))+n1nn01i=1m+λ1ϵ(λc)iλn1|SSx(n1n)|.

    Since λ<gr(G)ϵ,

    n1nn01i=1(λc))iλc1λc.

    Hence, we obtain that,

    C(SoSx(n1n))C(S0Sx(n0))+m+λ1ϵλc1λcλn1|SSx(n1n)|.

    Notice that

    λn1|SSx(n1n)|C(Sx(Sx(n1n)Sx(n0)).

    Thus,

    C(SxSx(n1n))C(Sx(n1n))C(SoSx(n0))+C(So(Sx(n1n)Sx(n0))C(SSx(n0))+C(S(Sx(n1n)Sx(n0))min{λn0mn0(m+λ1),1m+λ1ϵλc1λc+1}>0.

    Notice that the left case is |SSx(n1n)|<ϵ|Sx(n1n)|. However, we will discuss the case in the following ways. If n1nn0, for x1Sx(n1), define

    n2(x1)=inf{k>n1,there existsySSx1(kn1)}.

    Then, similar to the proof of Sx(n1n), we can discuss the case of Sx1(n2n1). If n1n>n0, define

    n2=inf{n2(y),ySx(n1)So}.

    Moreover, if |SSx(n2n)|ϵ|Sx(n2n)|, then for n1jn2,

    |SoSx(j)|(gr(G)2ϵ)ri=1(mmi)|Vij||Sx(j+1)|.

    Similarly, as above, we have

    C(SSx(n2n))C(Sx(n2n))min{λn0mn0(m+λ1),1m+λ1ϵλc11λc1+1}>0.

    Here c1=gr(G)2ϵ. The left case is |SSx(n1n)|<ϵ|Sx(n1n)| and |SSx(n2n1)|<ϵ|Sx(n2n1)|. Notice that S is a finite graph; then there exists K>0 such that nK=n+m. And

    SSx(nKn)=SSx(m)=Sx(nKn).

    Hence,

    |SSx(nKn)|>ϵ|Sx(nKn)|.

    Whatever, from the above discussion, we can divide Sx into several parts. S1x,S2x, such that every part satisfies C(SSix)C(Six)>0 (iN). Therefore,

    C(SSx)C(Sx)min{λn0mn0(m+λ1),1m+λ1ϵλcK11λcK1+1}>0.

    Here cK1=gr(G)Kϵ. Hence, for λ(0,gr(G)Kϵ),

    C(S)C(S)>0.

    Note that K is decreasing as ϵ0. Thus, we prove that G is a positive Cheeger constant for λ(0,gr(G)), which completes the proof by Theorem 2.2.

    Lemma 2.4. G(o,o|RG)<, U(o,o|RG)<1, and RG=RU.

    Proof. Note that for any z>0

    G(o,o|z)=1+i=1(U(o,o|z))i.

    It is easy to see that RGRU, and in |z|<RG.

    G(o,o|z)=11U(o,o|z).

    So U(o,o|RG)1.

    Recall the following: Pringsheim's Theorem: If f(z)=n=0anzn with an0, then the radius of the convergence is the smallest positive singularity of f(z).

    Hence, the smallest positive singularity RG of G(o,o|z) is either one of the radius of convergence RU of U(o,o|z) or the smallest positive number z1 with U(o,o|z1)=1. Whatever, notice that U(o,o|z) is strictly increasing for z. Therefore, z1 is the unique positive number satisfying U(o,o|z)=1. Thus, to prove the theorem, we only need to prove U(o,o|RG)<1.

    Assume that U(o,o|RG)=1. We exclude the trivial case where mi=1 for 1ir. Notice that RG1. If RG=1, then U(o,o|1)<1 by transience. So the left-case is RG>1. Firstly, let us consider the case of 0<λ1. Recall that

    U(o,o|z)=ri=1Ui(o,o|z)=ri=1((m+λ1)mU(o,o|z)(mi1)z)2m+((m+λ1)mU(o,o|z)(mi1)z)2+4λmiz22m.

    Thus

    1=ri=1((λ1)(mi1)RG)+((λ1)(mi1)RG)2+4λmiR2G2m=ri=1((1λ)+(mi1)RG)+((1λ)+(mi1)RG)2+4λmiR2G2m.

    Notice (1λ)+(mi1)RG(1λ)+(mi1). Since there is at least one mi>1, which implies (1λ)+(mi1)RG>(1λ)+(mi1), we have

    1>ri=1((1λ)+(mi1))+((1λ)+(mi1))2+4λmi2m=ri=1miλ+mi+λ2m=1.

    It is a contradiction. That is for 0<λ1, U(o,o|RG)<1.

    Consider the case when λ>1. Notice that

    [λ1(mi1)z]2+4λmiz2=[λ1+(mi+1)z]2+4λmiz24miz24(λ1)miz.

    For λ>1,

    4λmiR2G4miR2G4(λ1)miRG=4RG(λmiRGmiRG(λ1)mi)=4RG((λ1)miRG(λ1)mi)=4RG(λ1)mi(RG1)0.

    Since RG>1, we have

    4λmiR2G4miR2G4(λ1)miRG>0.

    Thus, we get the following contradiction:

    1=ri=1((λ1)(mi1)RG)+((λ1)(mi1)RG)2+4λmiR2G2m=ri=1((λ1)(mi1)RG)2m+ri=1((λ1)(mi+1)RG)2+4λmiR2G4R2G+4(λ1)miRG2m>ri=1((λ1)(mi1)RG)+((λ1)+(mi+1)RG)2m=RG>1.

    Hence, for λ1, U(o,o|RG)<1.

    Suppose that RG<RU. There exists ˜z with RG<˜z<RU such that U(o,o|˜z)<1 since U(o,o|RG)<1. Therefore, G(o,o|˜z)<. It is in contradiction with RG, which is the convergence radius of G(o,o|z).

    Therefore, we complete the proof.

    Lemma 2.5. For any λ0(0,gr(G)), limλλ0RG(λ)=RG(λ0).

    Proof. We will employ proof by contradiction to establish the aforementioned theorem.

    Fix a sequence {λk}k1 with λkλ0. Suppose lim supλλ0RG(λ)>RG(λ0)=z. Then we can find a subsequence nk with limkRG(λnk)>z. Without loss of generality, we can assume z=limkRG(λk)>z. For a large enough k,

    1>U(RG(λk),λk)=n=0f(n)(o,o,λk)RG(λk)n.

    Applying Fatou's lemma,

    1>lim infkU(RG(λk),λk)=lim infkn=0f(n)(o,o,λk)RG(λk)n=n=0f(n)(o,o,λ0)zn=.

    It is a contradiction. Hence, lim supλλ0RG(λ)RG(λ0), and especially lim infλλ0ρ(λ)ρ(λ0).

    Specially lim supλgr(G)RG(λ)RG(gr(G))=1. Notice that for any λ, RG(λ)1. So limλgr(G)RG(λ)=RG(gr(G))=1.

    Here we use f(n)(λ) to denote f(n)(o,o) and U(o,o,λ) to U(o,o|z). Let

    Πn={all the paths with lengthnandτo=n}.

    Thus

    f(n)(λ)=γΠnP(γ,λ).

    Here P(γ,λ)=ni=0p(wi,wi+1) for γ=w0w1wn. Note that

    p(v,u)={1/mif v=o,λm+λ1if uBG(|v|1) and vo,1m+λ1otherwise.

    Given λ0(0,gr(G)) and z0. For any ϵ>0, RG(λ),RG(λ0), z<z0 with |zz0|2+|λλ0|2<ϵ, there exists a 0<δ<ϵ such that P(γ,λ)(1+δ)nP(γ,λ0). Hence, f(n)(λ)(1+δ)nf(n)(λ0). And there exists a δ1>0 such that

    (1+δ)zz0(1+δ1)<Rλ0z0.

    Therefore,

    U(o,o,λ)=Σn=0f(n)(λ)znΣn=0(1+δ1)nf(n)(λ0)zn0<.

    If lim supλλ0RG(λ)<RG(λ0). We can find a subsequence nk such that limλnkλ0RG(λ)<RG(λ0). Thus for any ϵ>0, let z=Rλ0ϵ2. Since limλλ0RG(λ)<RG(λ0),

    U(o,o,z)=.

    It is impossible. It means that limλλ0RG(λ)=RG(λ0).

    For any vertex set A and Z, let τA=inf{n0|XnA}. If RWλ starts at a vertex in A, then τA=0. Write τ+A=inf{n>0|XnA}. τ+A is different from τA only when RWλ starts in A. Consider the probability of a RWλ starting at a vertex x that visits A before its visit Z:

    Px(AZ,λ)=Px(τZ<τ+A).

    For λ[0,λc], define θ(λ)=Po(τ+o(λ)<). Clearly, θ(λ)=U(o,o|1)=n=1f(n)(o,o,λ), and θ(0)=0. Suppose A={o} and (Gn)n1 be any sequence of finite subgraphs of G that exhaust G. That is GnGn+1 and G=Gn. And let Zn be the set of vertices in GGn. So limnPo(oZn,λ) is the probability of never returning to o. And limnPo(oZn,λ) is independent of (Zn)n1 see [19] Exercise 2.4. We may regard the entire circuit between o and Zn as a single conductor of effective conductance Cc(oZn). Recall [19] Chapter 2.2, Cc(oZn)=π(o)Po(oZn,λ). Hence,

    θ(λ)=1limnPo(oZn,λ).

    Recall the following: Rayleigh's monotonicity principle.

    Theorem 3.1. Let H be a finite graph and A and Z be two disjoint subsets of its vertices. If c and c are two assignments of conductances on H with cc, then Cc(AZ)Cc(AZ).

    Notice that c(x,y)=c(x,y,λ) is the edge weight of edge xy. And recall the definition of RWλ, c(x,y) is decreasing of λ. By Theorem 3.1, for λ1λ2,

    Cc(λ1)(oZn)Cc(λ2)(oZn).

    Whatever, for o, π(o) can be any positive constant that is independent of λ. In fact, for any vertex xG, we can choose π(x)=yxc(x,y). Therefore, for λ1λ2,

    limnPo(oZn,λ1)limnPo(oZn,λ2).

    And

    θ(λ1)θ(λ2).

    The number of visits to vertex o prior to escape is modeled by a geometric random variable, which has an expected value or mean (1θ(λ))1. Note that the mean of τ+o(λ),

    Eo(τ+o(λ))=n=1nf(n)(o,o,λ).

    Recall the Varopoulos-Carne bound ([19] Chapter 13.2, Theorem 13.4) of n-step transition probability. For any x, y,

    p(n)(x,y,λ)2π(y)/π(x)ρn.

    Clearly, if ρ<1, then

    Eo(τ+o(λ))=n=1nf(n)(o,o,λ)<.

    Hence, for large enough n, by the Strong Law of Large Numbers,

    {the number of visits o before timen}nEo(τ+o(λ)).

    Problem 3.2. Is Eo(τ+o(λ)) increasing for λ[0,gr(G)]?

    lim supnp(n)(o,o,λ)=Po(τ+o(λ)<)1Eo(τ+o(λ))?

    If both problems have a positive answer, then the spectral radius ρ is increasing with λ. And for λ[0,gr(G)), if Eo(τ+o(λ))<, then ρ<1.

    Moreover,

    Problem 3.3. For RWλ on the free product of complete graphs with λ[0,λc], is θ(λ) continuous and strictly increasing?

    Recall the following result: [19] Chapter 6, Proposition 6.6.

    Proposition 3.4. Consider a graph H with an upper exponent growth rate b>1. For a reversible Markov chain (Xn)n0 starting at o on its vertex set with reversible measure π() is bounded and π(o)>0 and ρ<1. Then, in the graph metric,

    lim infn|Xn|n>lnρlnb.

    Hence, for RWλ on G with ρ<1, lim infn|Xn|n>0. So the key, to answer Lyons-Pemantle-Peres monotonicity problem, is to prove the existence of the speed. Furthermore, R. Lyons, R. Pemantle, and Y. Peres [17] proved that on the lamplighter group ZxZZ2, which has a growth rate of (1+5)/2, the speed of RWλ is 0 at λ=1, and is strictly positive when 1<λ<(1+5)/2. We wonder whether the spectral radius ρ has a similar property or not. That is

    Problem 3.5. For λ(0,1], ρ(λ)=1? And for 1<λ<(1+5)/2, ρ(λ)<1?

    Moreover, does a similar result hold for amenable groups with exponential growth?

    Citing Chapter 9 of [14], it is demonstrated that the n-step transition probability is governed by the spectral radius ρ(λ), with the following upper bound holding:

    p(n)(x,y)2π(y)π(x)ρn.

    This inequality underscores the influence of the spectral radius; as the spectral radius decreases, the probability of transition between any two states x and y after n steps becomes more restricted. Given that the speed, a measure of how rapidly the random walk explores the graph, is inherently tied to the transition probabilities, a positive speed necessitates that p(n)(x,y) decreases over time, implicating a requirement for ρ(λ) to be sufficiently small. Based on these considerations, we posit that the existence of a positive speed aligns with the premise that the spectral radius ρ(λ) must be adequately restrained.

    In the paper, we establish the continuity of the spectral radius ρ(λ) of RWλ on the free product of complete graphs, as a function of the parameter λ within the interval (0,gr(G)].

    He Song, Longmin Wang, Kainan Xiang contributed to the conception of the study; He Song, Longmin Wang, Kainan Xiang, Qingpei Zang contributed significantly to analysis and manuscript preparation; He Song, Longmin Wang, Kainan Xiang, Qingpei Zang contributed to the writing of the manuscript. He Song, Longmin Wang, Kainan Xiang, Qingpei Zang helped perform the analysis with constructive discussions. All authors have read and approved the final version of the manuscript for publication.

    The authors declare they have not used Artificial Intelligence (AI) tools in the creation of this article.

    The authors would like to thank the anonymous referees, the editors for their constructive comments that improved the quality of this paper.

    KX's research is supported partially by National Natural Science Foundation of China (Nos. 11671216, 11871032) and by Hu Xiang, Gao Ceng, Ci Ren, Cai Ju, Jiao Gong, Cheng Chuang Xin, Ren Cai (No. 2019RS1057).

    HS's research is supported partially by the Natural Science Foundation of Jiangsu Higher Education Institutions of China (No. 21KJB110003), Huai'an City Science and Technology Project (HAB202357) and by Xiang Yu, Ying Cai (No. 31SH002).

    QZ's research is supported partially by National Natural Science Foundation of China (Nos. 11971197).


    Acknowledgments



    Elon Eisenberg (Data collection), May Haddad (Data collection), Eyal Ben-Bassat (Data collection), John Kent (Data collection), Bosmat Eshel-Ekstein (Editing), Yael Ekstein (Editing), Or Galant (Editing).

    Conflict of interest



    The authors declare no conflicts of interest in this paper.

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