16 research outputs found

    Computational approaches to predicting treatment response to obesity using neuroimaging

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    Obesity is a worldwide disease associated with multiple severe adverse consequences and comorbid conditions. While an increased body weight is the defining feature in obesity, etiologies, clinical phenotypes and treatment responses vary between patients. These variations can be observed within individual treatment options which comprise lifestyle interventions, pharmacological treatment, and bariatric surgery. Bariatric surgery can be regarded as the most effective treatment method. However, long-term weight regain is comparably frequent even for this treatment and its application is not without risk. A prognostic tool that would help predict the effectivity of the individual treatment methods in the long term would be essential in a personalized medicine approach. In line with this objective, an increasing number of studies have combined neuroimaging and computational modeling to predict treatment outcome in obesity. In our review, we begin by outlining the central nervous mechanisms measured with neuroimaging in these studies. The mechanisms are primarily related to reward-processing and include "incentive salience" and psychobehavioral control. We then present the diverse neuroimaging methods and computational prediction techniques applied. The studies included in this review provide consistent support for the importance of incentive salience and psychobehavioral control for treatment outcome in obesity. Nevertheless, further studies comprising larger sample sizes and rigorous validation processes are necessary to answer the question of whether or not the approach is sufficiently accurate for clinical real-world application

    Periodically driving a many-body localized quantum system

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    We experimentally study a periodically driven many-body localized system realized by interacting fermions in a one-dimensional quasi-disordered optical lattice. By preparing the system in a far-from-equilibrium state and monitoring the remains of an imprinted density pattern, we identify a localized phase at high drive frequencies and an ergodic phase at low ones. These two distinct phases are separated by a dynamical phase transition which depends on both the drive frequency and the drive strength. Our observations are quantitatively supported by numerical simulations and are directly connected to the change in the statistical properties of the effective Floquet Hamiltonian.We acknowledge support from Technical University of Munich - Institute for Advanced Study, funded by the German Excellence Initiative and the European Union FP7 under grant agreement 291763, from the DFG grant no. KN 1254/1-1, the European Commission (UQUAM, AQuS) and the Nanosystems Initiative Munich (NIM)

    PDB45 Cost-Effectiveness of Transferring Type 2 Diabetic Patients from Neutral Protamine Hagedorn (NPH) to Detemir in Portugal Settings

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    Understanding Reform: The CASE of Poland

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