We present SEREN, a new hybrid Smoothed Particle Hydrodynamics and N-body code designed to simulate astrophysical processes such as star and planet formation. It is written in Fortran 95/2003 and has been parallelised using OpenMP. SEREN is designed in a flexible, modular style, thereby allowing a large number of options to be selected or disabled easily and without compromising performance. SEREN uses the conservative "grad-h" formulation of SPH, but can easily be configured to use traditional SPH or Godunov SPH. Thermal physics is treated either with a barotropic equation of state, or by solving the energy equation and modelling the transport of cooling radiation. A Barnes-Hut tree is used to obtain neighbour lists and compute gravitational accelerations efficiently, and an hierarchical time-stepping scheme is used to reduce the number of computations per timestep. Dense gravitationally bound objects are replaced by sink particles, to allow the simulation to be evolved longer, and to facilitate the identification of protostars and the compilation of stellar and binary properties. At the termination of a hydrodynamical simulation, SEREN has the option of switching to a pure N-body simulation, using a 4th-order Hermite integrator, and following the ballistic evolution of the sink particles (e.g. to determine the final binary statistics once a star cluster has relaxed). We describe in detail all the algorithms implemented in SEREN and we present the results of a suite of tests designed to demonstrate the fidelity of SEREN and its performance and scalability.
We measured simultaneous changes in jugular venous oxygen saturation, brain tissue oxygen tension, and cerebral tissue oxygen index by using near-infrared spectroscopy during normobaric hyperoxygenation in eight severely brain-injured patients. Patients were ventilated at their baseline fraction of inspired oxygen (FIO(2)), followed by stepped changes in FIO(2) to 1.0, 0.6, and 0.02-0.05 less than baseline. There was an increase (P < 0.01) in jugular venous saturation (mean +/- SD) from a baseline value of 79% +/- 7% to 89% +/- 6% and 84% +/- 8% at an FIO(2) of 1.0 and 0.6, respectively. The changes in brain tissue oxygen tension were from a baseline of 30 +/- 5 mm Hg to 147 +/- 36 mm Hg and 63 +/- 6 mm Hg at an FIO(2) of 1.0 and 0.6, respectively (P < 0.01). The baseline tissue oxygen index was 78% +/- 3%, and this increased to 83% +/- 5% and 80% +/- 4% at an FIO(2) of 1.0 and 0.6, respectively. There was a reduction (P < 0.05) in tissue oxygen index to 76.2% +/- 3.0% when the FIO(2) was reduced to less than baseline. The changes in the three variables followed similar patterns but varied in their degree and speed of response. During brain injury, FIO(2) affects measured variables of cerebral oxygenation.
Background: Strategies to prevent iron deficiency anemia (IDA) have varying effectiveness. The purpose of this systematic review of the literature and meta-analysis was to examine the effects of probiotics on iron absorption and iron status-related markers in humans. Methods: We followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) reporting guidelines. Relevant articles were identified from Embase, Pubmed, Scopus, and CINAHL from inception to February, 2019. We conducted a meta-analysis for eight studies examining the effect of the probiotic Lactobacillus plantarum 299v (Lp299v) on iron absorption. Results: Fifteen studies reported in 12 articles were identified (N = 950). Our meta-analysis of eight studies using a random-effects model demonstrated a significant increase in iron absorption following administration of the probiotic Lp299v with a pooled standardized mean difference (an average intervention effect size) of 0.55 (95% CI 0.22–0.88, p = 0.001). Of the seven randomized clinical trials (RCTs) and nonrandomized clinical trials examining a range of probiotic species on iron status, only one study supplementing with Lp299v showed improvement in serum iron; no other studies reported improvement in iron status-related indices with probiotic treatment. Conclusions: Lp299v significantly improved iron absorption in humans. Future research should include the assessment of Lp299v effect on iron absorption and iron status in populations at high risk of IDA, including pregnant women.
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