How do patients' clinical phenotype and the physiological mechanisms of the operations impact the choice of bariatric procedure?

Bariatric surgery is currently the most effective option for the treatment of morbid obesity and its associated comorbidities. Recent clinical and experimental findings have challenged the role of mechanical restriction and caloric malabsorption as the main mechanisms for weight loss and health benefits. Instead, other mechanisms including increased levels of satiety gut hormones, altered gut microbiota, changes in bile acid metabolism, and/or energy expenditure have been proposed as explanations for benefits of bariatric surgery. Beside the standard proximal Roux-en-Y gastric bypass and the biliopancreatic diversion with or without duodenal switch, where parts of the small intestine are excluded from contact with nutrients, resectional techniques like the sleeve gastrectomy (SG) have recently been added to the armory of bariatric surgeons. The variation of weight loss and glycemic control is vast between but also within different bariatric operations. We surveyed members of the Swiss Society for the Study of Morbid Obesity and Metabolic Disorders to assess the extent to which the phenotype of patients influences the choice of bariatric procedure. Swiss bariatric surgeons preferred Roux-en-Y gastric bypass and SG for patients with type 2 diabetes mellitus and patients with a body mass index >50 kg/m(2), which is consistent with the literature. An SG was preferred in patients with a high anesthetic risk or previous laparotomy. The surgeons' own experience was a major determinant as there is little evidence in the literature for this approach. Although trends will come and go, evidence-based medicine requires a rigorous examination of the proof to inform clinical practice

Weak local rules for planar octagonal tilings

We provide an effective characterization of the planar octagonal tilings which admit weak local rules. As a corollary, we show that they are all based on quadratic irrationalities, as conjectured by Thang Le in the 90s.Comment: 23 pages, 6 figure

π\pi and σ\sigma mesons at finite temperature and density in the NJL model with dimensional regularization

Dynamical Symmetry breaking and meson masses are studied in the Nambu-Jona-Lasinio (NJL) model at finite temperature and chemical potential using the dimensional regularization. Since the model is not renormalizable in four space-time dimensions, physical results and parameters depend on the regularization method. Following the imaginary time formalism, we introduce the temperature, $T$ and the chemical potential, $\mu$. The parameters in the model are fixed by calculating the pion mass and decay constant in the dimensional regularization at $T=\mu=0$.Comment: 28 pages, 9 figures, v2: a few points corrected and references adde

A mathematical formalization of the parallel replica dynamics

The purpose of this article is to lay the mathematical foundations of a well known numerical approach in computational statistical physics and molecular dynamics, namely the parallel replica dynamics introduced by A.F. Voter. The aim of the approach is to efficiently generate a coarse-grained evolution (in terms of state-to-state dynamics) of a given stochastic process. The approach formally consists in concurrently considering several realizations of the stochastic process, and tracking among the realizations that which, the soonest, undergoes an important transition. Using specific properties of the dynamics generated, a computational speed-up is obtained. In the best cases, this speed-up approaches the number of realizations considered. By drawing connections with the theory of Markov processes and, in particular, exploiting the notion of quasi-stationary distribution, we provide a mathematical setting appropriate for assessing theoretically the performance of the approach, and possibly improving it

Thermodynamic dislocation theory of high-temperature deformation in aluminum and steel

The statistical-thermodynamic dislocation theory developed in previous papers is used here in an analysis of high-temperature deformation of aluminum and steel. Using physics-based parameters that we expect theoretically to be independent of strain rate and temperature, we are able to fit experimental stress-strain curves for three different strain rates and three different temperatures for each of these two materials. Our theoretical curves include yielding transitions at zero strain in agreement with experiment. We find that thermal softening effects are important even at the lowest temperatures and smallest strain rates.Comment: 7 pages, 8 figure

Pareto-optimal pilot design for cellular massive MIMO systems

We introduce a non-orthogonal pilot design scheme that simultaneously minimizes two contradicting targets of channel estimation errors of all base stations (BSs) and the total pilot power consumptions of all users in a multi-cell massive MIMO system, subject to the transmit power constraints of the users in the network. We formulate a multi-objective optimization problem (MOP) with two objective functions capturing the contradicting targets and find the Pareto optimal solutions for the pilot signals. Using weighted-sum-scalarization technique, we first convert the MOP to an equivalent single-objective optimization problem (SOP), which is not convex. Assuming that each BS is provided with the most recent knowledge of the pilot signals of the other BSs, we then decompose the SOP into a set of distributed non-convex optimization problems to be solved at individual BSs. Finally, we introduce an alternating optimization approach to cast each one of the resulting distributed optimization problems into a convex linear matrix inequality (LMI) form. We provide a mathematical proof for the convergence of the proposed alternating approach and a complexity analysis for the LMI optimization problem. Simulation results confirm that the proposed approach significantly reduces pilot power, whilst maintaining the same level of channel estimation error as in [1]

Answering Mermin's Challenge with Conservation per No Preferred Reference Frame

In 1981, Mermin published a now famous paper titled, "Bringing home the atomic world: Quantum mysteries for anybody" that Feynman called, "One of the most beautiful papers in physics that I know." Therein, he presented the "Mermin device" that illustrates the conundrum of quantum entanglement per the Bell spin states for the "general reader." He then challenged the "physicist reader" to explain the way the device works "in terms meaningful to a general reader struggling with the dilemma raised by the device." Herein, we show how "conservation per no preferred reference frame (NPRF)" answers that challenge. In short, the explicit conservation that obtains for Alice and Bob's Stern-Gerlach spin measurement outcomes in the same reference frame holds only on average in different reference frames, not on a trial-by-trial basis. This conservation is SO(3) invariant in the relevant symmetry plane in real space per the SU(2) invariance of its corresponding Bell spin state in Hilbert space. Since NPRF is also responsible for the postulates of special relativity, and therefore its counterintuitive aspects of time dilation and length contraction, we see that the symmetry group relating non-relativistic quantum mechanics and special relativity via their "mysteries" is the restricted Lorentz group.Comment: 18 pages, 9 figures. This version as revised and resubmitted to Scientific Report

HI Observations of the Asymptotic Giant Branch Star X Herculis: Discovery of an Extended Circumstellar Wake Superposed on a Compact High-Velocity Cloud

We report HI 21-cm line observations of the AGB star X Her obtained with the Green Bank Telescope (GBT) and the Very Large Array (VLA). We have detected HI emission totaling M_HI=2.1e-03 M_sun associated with the circumstellar envelope of the star. The HI distribution exhibits a head-tail morphology, similar to those previously observed around Mira and RS Cnc. The tail extends ~6.0' (0.24 pc) in the plane of the sky, along the direction of the star's space motion. We also detect a velocity gradient of ~6.5 km/s across the envelope, consistent with the HI tracing a turbulent wake that arises from the motion of a mass-losing star through the ISM. GBT mapping of a 2x2deg region around X Her reveals that the star lies (in projection) near the periphery of a much larger HI cloud that also exhibits signatures of ISM interaction. The properties of the cloud are consistent with those of compact high-velocity clouds. Using CO observations, we have placed an upper limit on its molecular gas content of N_H2<1.3e20 cm^-2. Although the distance to the cloud is poorly constrained, the probability of a chance coincidence in position, velocity, and apparent position angle of space motion between X Her and the cloud is extremely small, suggesting a possible physical association. However, the large HI mass of the cloud (~>2.4~M_sun) and the blueshift of its mean velocity relative to X Her are inconsistent with an origin tied directly to stellar ejection. (abridged)Comment: Accepted to AJ; 47 pages, 15 figures; version with full resolution figures available at http://www.haystack.mit.edu/hay/staff/lmatthew/matthews_XHer.pd

Efficiency optimization for Atomic Frequency Comb storage

We study the efficiency of the Atomic Frequency Comb storage protocol. We show that for a given optical depth, the preparation procedure can be optimize to significantly improve the retrieval. Our prediction is well supported by the experimental implementation of the protocol in a \TMYAG crystal. We observe a net gain in efficiency from 10% to 17% by applying the optimized preparation procedure. In the perspective of high bandwidth storage, we investigate the protocol under different magnetic fields. We analyze the effect of the Zeeman and superhyperfine interaction