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Sample records for hemorrhagic shock model

  1. Rabbit model of uncontrolled hemorrhagic shock and hypotensive resuscitation

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    J.B. Rezende-Neto

    2010-12-01

    Full Text Available Clinically relevant animal models capable of simulating traumatic hemorrhagic shock are needed. We developed a hemorrhagic shock model with male New Zealand rabbits (2200-2800 g, 60-70 days old that simulates the pre-hospital and acute care of a penetrating trauma victim in an urban scenario using current resuscitation strategies. A laparotomy was performed to reproduce tissue trauma and an aortic injury was created using a standardized single puncture to the left side of the infrarenal aorta to induce hemorrhagic shock similar to a penetrating mechanism. A 15-min interval was used to simulate the arrival of pre-hospital care. Fluid resuscitation was then applied using two regimens: normotensive resuscitation to achieve baseline mean arterial blood pressure (MAP, 10 animals and hypotensive resuscitation at 60% of baseline MAP (10 animals. Another 10 animals were sham operated. The total time of the experiment was 85 min, reproducing scene, transport and emergency room times. Intra-abdominal blood loss was significantly greater in animals that underwent normotensive resuscitation compared to hypotensive resuscitation (17.1 ± 2.0 vs 8.0 ± 1.5 mL/kg. Antithrombin levels decreased significantly in normotensive resuscitated animals compared to baseline (102 ± 2.0 vs 59 ± 4.1%, sham (95 ± 2.8 vs 59 ± 4.1%, and hypotensive resuscitated animals (98 ± 7.8 vs 59 ± 4.1%. Evidence of re-bleeding was also noted in the normotensive resuscitation group. A hypotensive resuscitation regimen resulted in decreased blood loss in a clinically relevant small animal model capable of reproducing hemorrhagic shock caused by a penetrating mechanism.

  2. Evaluation of the microcirculation in a rabbit hemorrhagic shock model using laser Doppler imaging.

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    Luo, Zhenchun; Wang, Pengfei; Zhang, An; Zuo, Guoqing; Zheng, Yuanyi; Huang, Yan

    2015-01-01

    The aim of this study is to evaluate the feasibility of Laser Doppler imaging (LDI) for noninvasive and dynamic assessment of hemorrhagic shock in a rabbit model. A rabbit model of hemorrhagic shock was generated and LDI of the microcirculation in the rabbit ears was performed before and at 0, 30, 60, and 90 min after hemorrhage. The CCD (Charge Coupled Device) image of the ears, the mean arterial pressure (MAP) and the heart rate (HR) were monitored. The mean LDI flux was calculated. The HR of rabbits was significantly (p 0.05). Both the flux numbers and the red-to-blue color changes on LDI imaging showed the reduction of the microcirculation. LDI imaging is a noninvasive and non-contact approach to evaluate the microcirculation and may offer benefits in the diagnosis and treatment of hemorrhage shock. Further studies are needed to confirm its effectiveness in clinical practice.

  3. Evaluation of the microcirculation in a rabbit hemorrhagic shock model using laser Doppler imaging.

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    Zhenchun Luo

    Full Text Available The aim of this study is to evaluate the feasibility of Laser Doppler imaging (LDI for noninvasive and dynamic assessment of hemorrhagic shock in a rabbit model. A rabbit model of hemorrhagic shock was generated and LDI of the microcirculation in the rabbit ears was performed before and at 0, 30, 60, and 90 min after hemorrhage. The CCD (Charge Coupled Device image of the ears, the mean arterial pressure (MAP and the heart rate (HR were monitored. The mean LDI flux was calculated. The HR of rabbits was significantly (p 0.05. Both the flux numbers and the red-to-blue color changes on LDI imaging showed the reduction of the microcirculation. LDI imaging is a noninvasive and non-contact approach to evaluate the microcirculation and may offer benefits in the diagnosis and treatment of hemorrhage shock. Further studies are needed to confirm its effectiveness in clinical practice.

  4. A survival prediction model of rats in hemorrhagic shock using the random forest classifier.

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    Choi, Joon Yul; Kim, Sung Kean; Lee, Wan Hyung; Yoo, Tae Keun; Kim, Deok Won

    2012-01-01

    Hemorrhagic shock is the cause of one third of deaths resulting from injury in the world. Although many studies have tried to diagnose hemorrhagic shock early and accurately, such attempts were inconclusive due to compensatory mechanisms of humans. The objective of this study was to construct a survival prediction model of rats in hemorrhagic shock using a random forest (RF) model, which is a newly emerged classifier acknowledged for its performance. Heart rate (HR), mean arterial pressure (MAP), respiratory rate (RR), lactate concentration (LC), and perfusion (PF) measured in rats were used as input variables for the RF model and its performance was compared with that of a logistic regression (LR) model. Before constructing the models, we performed a 5-fold cross validation for RF variable selection and forward stepwise variable selection for the LR model to see which variables are important for the models. For the LR model, sensitivity, specificity, accuracy, and area under the receiver operating characteristic curve (ROC-AUC) were 1, 0.89, 0.94, and 0.98, respectively. For the RF models, sensitivity, specificity, accuracy, and AUC were 0.96, 1, 0.98, and 0.99, respectively. In conclusion, the RF model was superior to the LR model for survival prediction in the rat model.

  5. Impaired Fracture Healing after Hemorrhagic Shock

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    Philipp Lichte

    2015-01-01

    Full Text Available Impaired fracture healing can occur in severely injured patients with hemorrhagic shock due to decreased soft tissue perfusion after trauma. We investigated the effects of fracture healing in a standardized pressure controlled hemorrhagic shock model in mice, to test the hypothesis that bleeding is relevant in the bone healing response. Male C57/BL6 mice were subjected to a closed femoral shaft fracture stabilized by intramedullary nailing. One group was additionally subjected to pressure controlled hemorrhagic shock (HS, mean arterial pressure (MAP of 35 mmHg for 90 minutes. Serum cytokines (IL-6, KC, MCP-1, and TNF-α were analyzed 6 hours after shock. Fracture healing was assessed 21 days after fracture. Hemorrhagic shock is associated with a significant increase in serum inflammatory cytokines in the early phase. Histologic analysis demonstrated a significantly decreased number of osteoclasts, a decrease in bone quality, and more cartilage islands after hemorrhagic shock. μCT analysis showed a trend towards decreased bone tissue mineral density in the HS group. Mechanical testing revealed no difference in tensile failure. Our results suggest a delay in fracture healing after hemorrhagic shock. This may be due to significantly diminished osteoclast recruitment. The exact mechanisms should be studied further, particularly during earlier stages of fracture healing.

  6. Fed state prior to hemorrhagic shock and polytrauma in a porcine model results in altered liver transcriptomic response.

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    Charles Determan

    Full Text Available Hemorrhagic shock is a leading cause of trauma-related mortality in both civilian and military settings. Resuscitation often results in reperfusion injury and survivors are susceptible to developing multiple organ failure (MOF. The impact of fed state on the overall response to shock and resuscitation has been explored in some murine models but few clinically relevant large animal models. We have previously used metabolomics to establish that the fed state results in a different metabolic response in the porcine liver following hemorrhagic shock and resuscitation. In this study, we used our clinically relevant model of hemorrhagic shock and polytrauma and the Illumina HiSeq platform to determine if the liver transcriptomic response is also altered with respect to fed state. Functional analysis of the response to shock and resuscitation confirmed several typical responses including carbohydrate metabolism, cytokine inflammation, decreased cholesterol synthesis, and apoptosis. Our findings also suggest that the fasting state, relative to a carbohydrate prefed state, displays decreased carbohydrate metabolism, increased cytoskeleton reorganization and decreased inflammation in response to hemorrhagic shock and reperfusion. Evidence suggests that this is a consequence of a shrunken, catabolic state of the liver cells which provides an anti-inflammatory condition that partially mitigates hepatocellar damage.

  7. Hemorrhagic Shock-induced Endothelial Cell Activation in a Spontaneous Breathing and a Mechanical Ventilation Hemorrhagic Shock Model Is Induced by a Proinflammatory Response and Not by Hypoxia

    NARCIS (Netherlands)

    van Meurs, Matijs; Wulfert, Francis M.; Jongman, Rianne M.; Schipper, Martin; Houwertjes, Martin C.; Vaneker, Michiel; Scheffer, Gert Jan; Teppema, Luc J.; Aarts, Leon P. H. J.; Heeringa, Peter; Zijlstra, Jan G.; Molema, Grietje

    2011-01-01

    Introduction: The interaction between neutrophils and activated endothelium is essential for the development of multiple organ dysfunction in patients with hemorrhagic shock (HS). Mechanical ventilation frequently is used in patients with HS. The authors sought to investigate the consequences of mec

  8. Hypertonic saline resuscitation maintains a more balanced profile of T-lymphocyte subpopulations in a rat model of hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    LU Yuan-qiang; CAI Xiu-jun; GU Lin-hui; MU Han-zhou; HUANG Wei-dong

    2007-01-01

    Objective: To investigate the potential and early effect of hypertonic saline resuscitation on T-lymphocyte subpopulations in rats with hemorrhagic shock. Methods: A model of rat with severe hemorrhagic shock was established in 18 Sprague-Dawley (SD) rats. The rats were randomly divided into Sham group, HTS group (hypertonic saline resuscitation group)and NS group (normal saline resuscitation group). Each group contained 6 rats. The CD4+ and CD8+ subpopulations of T-lymphocytes in peripheral blood were detected respectively before shock and after resuscitation by double antibody labelling and flow cytometry. Results: In the early stage after hemorrhagic shock, fluid resuscitation and emergency treatment, the CD4+ lymphocytes of peripheral blood in HTS and NS groups markedly increased. Small volume resuscitation with HTS also induced peripheral CD8+ lymphocytes to a certain extent, whereas NS resuscitation showed no effect in this respect. Consequently,compared with Sham and HTS groups, CD4+/CD8+ ratio of peripheral blood in NS group was obviously increased, and showed statistically differences. Conclusion: In this model of rat with severe hemorrhagic shock, small volume resuscitation with HTS is more effective than NS in reducing immunologic disorders and promoting a more balanced profile of T-lymphocyte subpopulations regulating network.

  9. A model of hemorrhagic shock and acute lung injury in Landrace-Large White Swine.

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    Xanthos, Theodoros T; Balkamou, Xanthippi A; Stroumpoulis, Kostantinos I; Pantazopoulos, Ioannis N; Rokas, Georgios I; Agrogiannis, Georgios D; Troupis, Georgios T; Demestiha, Theano D; Skandalakis, Panagiotis N

    2011-04-01

    Traumatic injury is a leading cause of death worldwide for people between 5 and 44 y of age, and it accounts for 10% of all deaths. The incidence of acute lung injury, a life-threatening complication in severely injured trauma patients remains between 30% and 50%. This study describes an experimental protocol of volume-controlled hemorrhage in Landrace-Large White swine. The experimental approach simulated the clinical situation associated with hemorrhagic shock in the trauma patient while providing controlled conditions to maximize reproducibility. The duration of the protocol was 8 h and was divided into 5 distinct phases-stabilization, hemorrhage, maintenance, resuscitation, and observation-after which the swine were euthanized. Lung tissue samples were analyzed histologically. All swine survived the protocol. The hemodynamic responses accurately reflected those seen in humans, and the development of acute lung injury was consistent among all swine. This experimental protocol of hemorrhagic shock and fluid resuscitation in Landrace-Large White swine may be useful for future study of hemorrhagic shock and acute lung injury.

  10. A Model of Hemorrhagic Shock and Acute Lung Injury in Landrace–Large White Swine

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    Xanthos, Theodoros T; Balkamou, Xanthippi A; Stroumpoulis, Kostantinos I; Pantazopoulos, Ioannis N; Rokas, Georgios I; Agrogiannis, Georgios D; Troupis, Georgios T; Demestiha, Theano D; Skandalakis, Panagiotis N

    2011-01-01

    Traumatic injury is a leading cause of death worldwide for people between 5 and 44 y of age, and it accounts for 10% of all deaths. The incidence of acute lung injury, a life-threatening complication in severely injured trauma patients remains between 30% and 50%. This study describes an experimental protocol of volume-controlled hemorrhage in Landrace–Large White swine. The experimental approach simulated the clinical situation associated with hemorrhagic shock in the trauma patient while providing controlled conditions to maximize reproducibility. The duration of the protocol was 8 h and was divided into 5 distinct phases—stabilization, hemorrhage, maintenance, resuscitation, and observation—after which the swine were euthanized. Lung tissue samples were analyzed histologically. All swine survived the protocol. The hemodynamic responses accurately reflected those seen in humans, and the development of acute lung injury was consistent among all swine. This experimental protocol of hemorrhagic shock and fluid resuscitation in Landrace–Large White swine may be useful for future study of hemorrhagic shock and acute lung injury. PMID:21535927

  11. Physiologic Tolerance of Descending Thoracic Aortic Balloon Occlusion in a Swine Model of Hemorrhagic Shock

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    2013-01-10

    using a modified Seldinger technique. This permitted transduction of the carotid arterial catheter to enable cartoid- flow monitoring, intra- venous ...ameliorated with resuscitation and critical care . Central aortic pressure and cerebral oxygen delivery is significantly improved by the use of REBOA...minutes of hemorrhage shock Resuscitation Phase Resuscitation with shed blood, intra- venous fluid and inotropes Critical Care Phase Sedation

  12. Gut as source of sepsis after hemorrhagic shock

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    Sori, A.J.; Rush, B.F. Jr.; Lysz, T.W.; Smith, S.; Machiedo, G.W.

    1988-02-01

    In a model of severe hemorrhagic shock in rats, blood culture findings became positive within 2 to 4 hours of shock. The organisms cultured were primarily gram-negative. To test the hypothesis that the gut was the source of the bacteria, E. coli labeled with carbon-14 oleic acid were fed to rats undergoing hemorrhagic shock. Their plasma was then assayed for carbon-14 activity. Seven of the 14 shocked animals demonstrated increased plasma carbon-14 activity during or after shock. The mortality rate was 100 percent 80 hours postshock, and all animals had E. coli on subsequent blood culture. The seven rats without increased plasma carbon-14 activity had a survival rate of 83 percent postshock. Sham-shocked animals did not exhibit plasma carbon-14 levels greater than the background levels. These data suggest that bacterial translocation occurs during hemorrhagic shock and that the gut is the source of the bacteremia seen during hemorrhagic shock.

  13. Monitoring Microcirculatory Blood Flow with a New Sublingual Tonometer in a Porcine Model of Hemorrhagic Shock

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    Péter Palágyi

    2015-01-01

    Full Text Available Tissue capnometry may be suitable for the indirect evaluation of regional hypoperfusion. We tested the performance of a new sublingual capillary tonometer in experimental hemorrhage. Thirty-six anesthetized, ventilated mini pigs were divided into sham-operated (n=9 and shock groups (n=27. Hemorrhagic shock was induced by reducing mean arterial pressure (MAP to 40 mmHg for 60 min, after which fluid resuscitation started aiming to increase MAP to 75% of the baseline value (60–180 min. Sublingual carbon-dioxide partial pressure was measured by tonometry, using a specially coiled silicone rubber tube. Mucosal red blood cell velocity (RBCV and capillary perfusion rate (CPR were assessed by orthogonal polarization spectral (OPS imaging. In the 60 min shock phase a significant drop in cardiac index was accompanied by reduction in sublingual RBCV and CPR and significant increase in the sublingual mucosal-to-arterial PCO2 gap (PSLCO2 gap, which significantly improved during the 120 min resuscitation phase. There was significant correlation between PSLCO2 gap and sublingual RBCV (r=-0.65, p<0.0001, CPR (r=-0.64, p<0.0001, central venous oxygen saturation (r=-0.50, p<0.0001, and central venous-to-arterial PCO2 difference (r=0.62, p<0.0001. This new sublingual tonometer may be an appropriate tool for the indirect evaluation of circulatory changes in shock.

  14. Strategies of experiment standardization and response optimization in a rat model of hemorrhagic shock and chronic hypertension.

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    Reynolds, Penny S; Tamariz, Francisco J; Barbee, Robert Wayne

    2010-04-01

    Exploratory pilot studies are crucial to best practice in research but are frequently conducted without a systematic method for maximizing the amount and quality of information obtained. We describe the use of response surface regression models and simultaneous optimization methods to develop a rat model of hemorrhagic shock in the context of chronic hypertension, a clinically relevant comorbidity. Response surface regression model was applied to determine optimal levels of two inputs--dietary NaCl concentration (0.49%, 4%, and 8%) and time on the diet (4, 6, 8 weeks)--to achieve clinically realistic and stable target measures of systolic blood pressure while simultaneously maximizing critical oxygen delivery (a measure of vulnerability to hemorrhagic shock) and body mass M. Simultaneous optimization of the three response variables was performed though a dimensionality reduction strategy involving calculation of a single aggregate measure, the "desirability" function. Optimal conditions for inducing systolic blood pressure of 208 mmHg, critical oxygen delivery of 4.03 mL/min, and M of 290 g were determined to be 4% [NaCl] for 5 weeks. Rats on the 8% diet did not survive past 7 weeks. Response surface regression model and simultaneous optimization method techniques are commonly used in process engineering but have found little application to date in animal pilot studies. These methods will ensure both the scientific and ethical integrity of experimental trials involving animals and provide powerful tools for the development of novel models of clinically interacting comorbidities with shock.

  15. Lack of species-specific difference in pulmonary function when using mouse versus human plasma in a mouse model of hemorrhagic shock.

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    Peng, Zhanglong; Pati, Shibani; Fontaine, Magali J; Hall, Kelly; Herrera, Anthony V; Kozar, Rosemary A

    2016-11-01

    Clinical studies have demonstrated that the early and empiric use of plasma improves survival after hemorrhagic shock. We have demonstrated in rodent models of hemorrhagic shock that resuscitation with plasma is protective to the lungs compared with lactated Ringer's solution. As our long-term objective is to determine the molecular mechanisms that modulate plasma's protective effects in injured bleeding patients, we have used human plasma in a mouse model of hemorrhagic shock. The goal of the current experiments is to determine if there are significant adverse effects on lung injury when using human versus mouse plasma in an established murine model of hemorrhagic shock and laparotomy. Mice underwent laparotomy and 90 minutes of hemorrhagic shock to a mean arterial pressure (MAP) of 35 ± 5 mm Hg followed by resuscitation at 1× shed blood using either mouse fresh frozen plasma (FFP), human FFP, or human lyophilized plasma. Mean arterial pressure was recorded during shock and for the first 30 minutes of resuscitation. After 3 hours, animals were killed, and lungs collected for analysis. There was a significant increase in early MAP when mouse FFP was used to resuscitate animals compared with human FFP or human lyophilized plasma. However, despite these differences, analysis of the mouse lungs revealed no significant differences in pulmonary histopathology, lung permeability, or lung edema between all three plasma groups. Analysis of neutrophil infiltration in the lungs revealed that mouse FFP decreased neutrophil influx as measured by neutrophil staining; however, myeloperoxidase immunostaining revealed no significant differences in between groups. The study of human plasma in a mouse model of hemorrhagic shock is feasible but does reveal some differences compared with mouse plasma-based resuscitation in physiologic measures such as MAP postresuscitation. Measures of end organ function such as lung injury appear to be comparable in this acute model of hemorrhagic

  16. A Prospective, Randomized Trial of Intravenous Hydroxocobalamin Versus Whole Blood Transfusion Compared to No Treatment for Class III Hemorrhagic Shock Resuscitation in a Prehospital Swine Model

    Science.gov (United States)

    2015-03-01

    orrhagic shock in an adult swine (Sus Scrofa) model: a pilot study. Ann Emerg Med 2011;58:S241. 19. Eastridge BJ, Salinas J, Wade CE, Blackbourne LH... Carmona MJ. Evaluation of hemodynamic effects of xenon in dogs undergoing hemorrhagic shock. Clinics (Sao Paulo) 2013;68:231– 8. 69. Miller M, Keith J

  17. Effect of hypertonic saline resuscitation on heme oxygenase-1 mRNA expression and apoptosis of the intestinal mucosa in a rat model of hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    LU Yuan-qiang; GU Lin-hui; HUANG Wei-dong; MOU Han-zhou

    2010-01-01

    Background Massive blood loss due to trauma is the leading cause of death in trauma patients and military combatants. The fluid category of resuscitation for hypotensive trauma patients is open to debate. This study was conducted to investigate the early effects of hypertonic and isotonic saline solutions on heme oxygenase-1 (HO-1) mRNA expression and apoptosis in the intestinal mucosa of rats with hemorrhagic shock.Methods A model of severe hemorrhagic shock was established in 21 Sprague-Dawley rats. The rats were randomly divided into sham, normal saline resuscitation (NS), and hypertonic saline resuscitation (HTS) groups, with 7 in each group. We assessed and compared the HO-1 mRNA expression and apoptosis in the small intestinal mucosa of rats after hemorrhagic shock and resuscitation using the SYBR Green I fluorescence quantitative reverse transcriptase polymerase chain reaction, fluorescein-iso-thiocyanate-annexin V/propidium iodide double staining, and flow cytometry.Results In the early stage of hemorrhagic shock and resuscitation, marked apoptosis occurred in the small intestinal mucosa from both the NS and HTS groups. The apoptotic rate in the NS group was higher than that in the HTS group (P <0.01). Among the three groups, HO-1 mRNA mucosa from the HTS group had the highest level of expression; however, the differences were not significant. There was a significant negative correlation between HO-1 mRNA expression and apoptosis in the small intestinal mucosa from the NS and HTS groups after hemorrhagic shock and resuscitation.Conclusions In this rat model of severe hemorrhagic shock, HTS resuscitation with a small volume is more effective than NS resuscitation in reducing apoptosis of the intestinal mucosa. Further, HO-1 mRNA over-expression in the intestinal mucosa may be one of the molecular mechanisms of HTS in the resuscitation of hemorrhagic shock.

  18. Early treatment with lyophilized plasma protects the brain in a large animal model of combined traumatic brain injury and hemorrhagic shock

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    Imam, Ayesha M; Jin, Guang; Sillesen, Martin

    2013-01-01

    Combination of traumatic brain injury (TBI) and hemorrhagic shock (HS) can result in significant morbidity and mortality. We have previously shown that early administration of fresh frozen plasma (FFP) in a large animal model of TBI and HS reduces the size of the brain lesion as well as the assoc......Combination of traumatic brain injury (TBI) and hemorrhagic shock (HS) can result in significant morbidity and mortality. We have previously shown that early administration of fresh frozen plasma (FFP) in a large animal model of TBI and HS reduces the size of the brain lesion as well...

  19. Characterization and physiological effect of tapioca maltodextrin colloid plasma expander in hemorrhagic shock and resuscitation model.

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    Chatpun, Surapong; Sawanyawisuth, Kittisak; Wansuksri, Rungtiva; Piyachomkwan, Kuakoon

    2016-05-01

    Plasma expanders (PEs) are administered fluids to replace blood volume when massive blood loss has occured. Maltodextrin from tapioca starch was selected as a study candidate to prepare a colloid PE due to an uncomplicated production process. The formulations of mixture between tapioca maltodextrin and 0.9 % sodium chloride solution were prepared and then characterized. This was to investigate the effects of a dextrose equivalent (DE) and the concentration on the physical properties. Storage stability of each formulation was also determined and compared with clinically used PE [6 % hydroxyethyl starch (HES), 130/0.4]. The effects on the circulatory system in hamsters with hemorrhagic shock and resuscitation using prepared PE were also investigated. The results showed that low DE value led to high retrogradation, turbidity and viscosity but low colloid osmotic pressure and poor solubility. Among the prepared solutions, tapioca maltodextrin with DE6 at 10 % w/v concentration had comparable properties with 6 % HES 130/0.4. Animals resuscitated with 10 % DE6 PE had improved mean arterial blood pressure similar to those resuscitated with 6 % HES 130/0.4. However, several parameters in animals resuscitated with 10 % DE6 PE were lower than those resuscitated with 6 % HES 130/0.4, i.e., heart rate, functional capillary density. Therefore, if using tapioca maltodextrin for PE, some properties have to be considered and efficiently optimized.

  20. Recombinant Bcl-xL attenuates vascular hyperpermeability in a rat model of hemorrhagic shock

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    Tharakan, B; McNeal, SI; Hunter, FA; Sawant, DA; Smythe, WR; Childs, EW

    2015-01-01

    Following hemorrhagic shock (HS), vascular hyperpermeability, that is, the leakage of fluid, nutrients and proteins into the extravascular space occurs primarily due to the disruption of the endothelial cell–cell adherens junctional complex. Studies from our laboratory demonstrate that activation of the mitochondria-mediated ‘intrinsic’ apoptotic signaling cascade has a significant role in modulating HS-induced hyperpermeability. Here we report the novel use of recombinant Bcl-xL, an anti-apoptotic protein, to control HS-induced vascular hyperpermeability. Our results corroborate involvement of vascular hyperpermeability and apoptotic signaling. HS (the mean arterial pressure (MAP) was reduced to 40 mm Hg for 60 min followed by resuscitation to 90 mm Hg for 60 min) in rats resulted in vascular hyperpermeability as determined by intravital microscopy. Treatment of Bcl-xL (2.5 µg/ml of rat blood in non-lipid cationic polymer, i.v.) before, during and even after HS attenuated or reversed HS-induced vascular hyperpermeability significantly (P<0.05). Conversely, treatment using Bcl-xL inhibitors, 2-methoxy antimycin (2-OMeAA) and ABT 737, significantly increased vascular hyperpermeability compared with sham (P<0.05). Bcl-xL treatment also decreased the amount of fluid volume required to maintain a MAP of 90 mm Hg during resuscitation (P<0.05). HS resulted in an increased mitochondrial reactive oxygen species formation, reduction of ΔΨm, mitochondrial release of cytochrome c and significant activation of caspase-3 (P<0.05). All of these effects were significantly inhibited by Bcl-xL pre-treatment (P<0.05). Our results show that recombinant Bcl-xL is effective against HS-induced vascular hyperpermeability that appears to be mediated through the preservation of ΔΨm and subsequent prevention of caspase-3 activation. PMID:27042339

  1. The Effect of Infrarenal Aortic Balloon Occlusion on Weaning from Supraceliac Aortic Balloon Occlusion in a Porcine Model (Sus scrofa) of Hemorrhagic Shock

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    2017-06-15

    all animals , and continued for six hours. Half of the animals were randomly assigned to Zone-3 REBOA for an additional 45 minutes following Zone-1...concentration or resuscitation requirements.Conclusion: In an animal model of hemorrhagic shock and Zone-1 REBOA, subsequent Zone-3 aortic occlusion did not add

  2. Enhanced Innate Inflammation Induced by Anti-BTLA Antibody in Dual Insult Model of Hemorrhagic Shock/Sepsis.

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    Cheng, Tingting; Bai, Jianwen; Chung, Chun-Shiang; Chen, Yaping; Biron, Bethany M; Ayala, Alfred

    2016-01-01

    Sepsis following hemorrhagic shock is a common clinical condition, in which innate immune system suffers from severe suppression. B and T lymphocyte attenuator (BTLA) is an immune-regulatory coinhibitory receptor expressed not only on adaptive, but also on innate immune cells. Our previous data showed that BTLA gene deficient mice were protected from septic mortality when compared with wild-type control C57BL/6 mice. Here, we extended our study by treating C57BL/6 mice with an anti-BTLA monoclonal antibody (clone 6A6; reported to have the ability to neutralize or agonize/potentiate BTLA signaling) in a mouse model of hemorrhagic shock (Hem) followed by sepsis induced by cecal ligation and puncture (CLP); positing initially that if BTLA engagement was neutralized, like gene deficiency, an anti-BTLA mAb would have the similar effects on the inflammatory response/morbidity in these mice after such insults. Here, we report that BTLA expression is elevated on innate immune cells after Hem/CLP. However, anti-BTLA antibody treatment increased cytokine (TNF-α, IL-12, IL-10)/chemokine (KC, MIP-2, MCP-1) levels and inflammatory cells (neutrophils, macrophages, dendritic cells) recruitment in the peritoneal cavity, which in turn aggravated organ injury and elevated these animals' mortality in Hem/CLP. When compared with the protective effects of our previous study using BTLA gene deficient mice in a model of lethal septic challenge, we further confirmed BTLA's contribution to enhanced innate cell recruitment, elevated IL-10 levels, and reduced survival, and that engagement of antibody with BTLA potentiates/exacerbates the pathophysiology in Hem/sepsis.

  3. Effects of glycine and methylprednisolone on hemorrhagic shock in rats

    Institute of Scientific and Technical Information of China (English)

    王钢; 赵敏; 王恩华

    2004-01-01

    Background Methylprednisolone (MP), a synthetic glucocorticosteroid, has been broadly studied in experiments on endotoxin-induced shock and septic shock. This study was designed to ascertain whether glycine and MP can protect against organ injury and death caused by hemorrhagic shock, and to elucidate the underlying mechanisms of these protective effects in rats.Method To establish a shock model, Wistar rats were bled to maintain mean arterial pressure at 30-50 mmHg for 1 hour and subsequently resuscitated with the shed blood and normal saline. Just prior to resuscitation, the rats were randomly assigned to four groups: sham group (operation performed without inducing shock), shock group, shock+glycine group (glycine injected at the beginning of resuscitation) and shock+MP group (MP injected at the beginning of resuscitation).Conclusion Glycine and MP reduce organ injury and mortality caused by hemorrhagic shock by preventing increase of intracellular calcium levels in Kupffer cell, suppressing Kupffer cell activation, decreasing the production of TNF-α by Kupffer cells, and blocking systemic inflammatory responses.

  4. Effects of different resuscitation fluids on pulmonary expression of aquaporin1 and aquaporin5 in a rat model of uncontrolled hemorrhagic shock and infection.

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    Ju Gao

    Full Text Available BACKGROUND: To investigate the effects of fluids resuscitation on pulmonary expression of aquaporin1 and aquaporin5 in a rat model of uncontrolled hemorrhagic shock and infection. METHODS: Sixty Sprague-Dawley rats were randomly assigned to five groups, sham operation group (Group C and four treated groups: no fluid resuscitation group (Group NF, groups resuscitated with Lactated Ringer's (LR,7.5% NaCl (HTS and Hydroxyl ethyl starch (HES respectively. Three-phased uncontrolled hemorrhagic shock and infection model was used. Phase I: Massive hemorrhage with a mean arterial pressure of 35-40 mmHg for 60 min, and followed by infection of lipopolysaccharide. Then some animals were resuscitated with solutions mentioned above, until 90 min. Phase II: At hemorrhagic shock 90 minutes, phase II of 60 minutes began with hemostasis and returning of all the initial shed blood. Phase III: Observation phase for 3.5 hours. After phase III, arterial blood gas analysis and the survival rates of the rats were recorded, Wet-to-dry lung weight ratio, BALF protein, pulmonary permeability index, and expressions of aquaporin1 and aquaporin5 were tested. RESULTS: The expressions of aquaporin1 and aquaporin5 were decreased in treatment groups comparing with sham operation group. Group HES and Group HTS decreased pulmonary vascular permeability and Wet-to-dry lung weight ratio, improved arterial blood gas analysis and survival rates, and attenuated the decreased pulmonary expression of aquaporin1 and aquaporin5 after the "two-hit", comparing with groups NF and LR,but these beneficial effects were blunted in group HTS. CONCLUSION: The expression of aquaporin1 and aquaporin5 may play important roles in formation of pulmonary edema. Resuscitation with HTS and HES, especially HES can reduce lung injury after hemorrhagic shock, partly by up-regulating the expressions of aquaporin1 and aquaporin5.

  5. Resveratrol Rescues Kidney Mitochondrial Function Following Hemorrhagic Shock.

    Science.gov (United States)

    Wang, Hao; Guan, Yuxia; Karamercan, Mehmet Akif; Ye, Lan; Bhatti, Tricia; Becker, Lance B; Baur, Joseph A; Sims, Carrie A

    2015-08-01

    Hemorrhagic shock may contribute to acute kidney injury (AKI) by profoundly altering renal mitochondrial function. Resveratrol (RSV), a naturally occurring sirtuin 1 (SIRT1) activator, has been shown to promote mitochondrial function and reduce oxidative damage in a variety of aging-related disease states. We hypothesized that RSV treatment during resuscitation would ameliorate kidney mitochondrial dysfunction and decrease oxidative damage following hemorrhagic shock. Using a decompensated hemorrhagic shock model, male Long-Evans rats (n = 6 per group) were killed prior to hemorrhage (sham), at severe shock, and following either lactated Ringer's (LR) resuscitation or LR + RSV resuscitation (RSV: 30 mg/kg). At each time point, blood samples were assayed for arterial blood gases, lactate, blood urea nitrogen, and serum creatinine. Mitochondria were also isolated from kidney samples in order to assess individual electron transport complexes (complexes I, II, and IV) using high-resolution respirometry. Total mitochondria reactive oxygen species were measured using fluorometry, and lipid peroxidation was assessed by measuring 4-hydroxynonenal by Western blot. Quantitative polymerase chain reaction was used quantify mRNA from peroxisome proliferator-activated receptor γ coactivator 1-α (PGC1-α) SIRT1, and proteins known to mitigate oxidative damage and promote mitochondrial biogenesis. Resveratrol supplementation during resuscitation restored mitochondrial respiratory capacity and decreased mitochondrial reactive oxygen species and lipid peroxidation. Compared with standard LR resuscitation, RSV treatment significantly increased SIRT1 and PGC1-α expression and significantly increased both superoxide dismutase 2 and catalase expression. Although RSV was associated with decreased lactate production, pH, blood urea nitrogen, and serum creatinine values did not differ between resuscitation strategies. Resuscitation with RSV significantly restored renal mitochondrial

  6. Three versus four-factor prothrombin complex concentrates for "factor-based" resuscitation in a porcine hemorrhagic shock model.

    Science.gov (United States)

    Moe, Donald Michael; Lallemand, Michael Scott; McClellan, John Mason; Smith, Joshua Porter; Marko, Shannon T; Eckert, Matthew J; Martin, Matthew J

    2017-07-12

    Bleeding is a leading cause of preventable death following severe injury. Prothrombin complex concentrates (PCC) treat inborn coagulation disorders and reverse oral anticoagulants, but are proposed for use in "factor-based" resuscitation strategies. Few studies exist for this indication in acidosis, or that compare 3-factor (3PCC) versus 4-factor (4PCC) products. We aimed to assess and compare their safety and efficacy in a porcine model of severe hemorrhagic shock and coagulopathy. Twenty-five adult Yorkshire swine underwent 35% volume hemorrhage, ischemia-reperfusion injury, and protocolized crystalloid resuscitation. Seventeen animals were randomized at 4 hours following model creation to receive a 45-IU/kg dose of either 3PCC or 4PCC. An additional 8 animals received autologous plasma transfusion prior to 4PCC to better characterize response to PCC. Individual factor levels were drawn at 4 and 6 hours. The model created significant acidosis with mean pH 7.21 and lactate of 9.6 mmol/L. Following PCC, 66.7% of 3PCC animals and 25% of 4PCC animals (regardless of plasma administration) developed consumptive coagulopathy. The animals that developed consumptive coagulopathy had manifested the "lethal triad" with lower temperatures (36.3 vs. 37.8°C), increased acidosis (pH 7.14 vs. 7.27, base excess -12.1 vs. -6.5 mEq/L), and worse coagulopathy (prothrombin time 17.1 vs. 14.6 seconds, fibrinogen 87.9 vs. 124.1 mg/dL) (all pfactors with transient improvement of prothrombin time, but there was significant depletion of fibrinogen and platelets with no lasting improvement of coagulopathy. PCC failed to correct coagulopathy and was associated with fibrinogen and platelet depletion. Of greater concern, PCC administration resulted in consumptive coagulopathy in the more severely ill animals. The incidence of consumptive coagulopathy was markedly increased with 3PCC versus 4PCC, and these products should be used with caution in this setting. II, therapeutic.

  7. Closed-Loop Resuscitation of Hemorrhagic Shock

    Science.gov (United States)

    2011-02-21

    of care arterial blood pressure. We collected data from hemorrhaged sheep experiments (funded by this ONR grant), and from a series of hemorrhaged...ongoing, and is the focus of engineering graduate student Ben Voigt. 9) We continued close collaborations with the Institute of Surgical Research on...finger), and pigs (tail). This provides the opportunity to perform testing in reproducible animal models. CareTaker will have to be tested in patients

  8. Helping prometheus: liver protection in acute hemorrhagic shock.

    Science.gov (United States)

    Veith, Nils T; Histing, Tina; Menger, Michael D; Pohlemann, Tim; Tschernig, Thomas

    2017-05-01

    Acute hemorrhagic hypovolemic shock is caused by a significant high blood loss and leads to hemodynamic instability. The decrease in intravascular volume results in cellular hypoxia and finally in damage to organs such as the liver and the kidney. The liver plays a decisive role in the development or prevention of multiple organ failure after hemorrhagic shock. Despite the large number of experimental studies, the knowledge of pathophysiological mechanisms in the liver after hemorrhagic shock is incomplete. The aim of this mini review was to provide an overview of the pathophysiological changes in liver function after acute hemorrhagic shock and to address treatment options to improve liver perfusion.

  9. Hemorrhage-induced interleukin-1 receptor pathway in lung is suppressed by 3,5-bis(2-fluorobenzylidene)-4-piperidone in a rat model of hypovolemic shock.

    Science.gov (United States)

    Yadav, Vivek R; Vilekar, Prachi; Awasthi, Shanjana; Awasthi, Vibhudutta

    2014-08-01

    Severe blood loss in victims of trauma creates an exaggerated inflammatory background that contributes to the development of intravascular coagulopathy and multiple organ dysfunction syndrome. We hypothesized that treatment with diphenyldifluoroketone EF24, an inhibitor of nuclear factor kappa-B, would have salutary effects in hemorrhagic shock. The objective of this study was to investigate the effect of EF24 on the expression of the interleukin-1 receptor (IL-1R) superfamily in a rat model of hypovolemic shock. Hypovolemia was induced by gradually withdrawing approximately 50% of circulating blood, and EF24 was administered intraperitoneally (0.2 mg/kg) in 50 μL of saline. After 6 h of shock, lung tissue was probed immunohistochemically and by immunoblotting to study the expression of Toll-like receptor 4 (TLR4), IL-1R, suppression of tumorigenicity 2 (ST2), and single immunoglobulin IL-1R-related (SIGIRR). The tissue-associated pro-inflammatory cytokines, tumor necrosis factor alpha (TNF-α) and IL-6, were measured by enzyme-linked immunosorbent assay. We observed a reduction in immunoreactive TLR4 and IL-1R1 in lung tissue of rats treated with EF24. Simultaneously, the pulmonary expression of ST2 and SIGIRR (the putative down-regulators of the pro-inflammatory IL-1R pathway) was increased in EF24-treated hemorrhaged rats. The concentration of hemorrhage-induced TNF-α and IL-6 in lung tissue homogenates was also reduced by EF24 treatment. These results confirm our previous in vitro observations in lipopolysaccharide-stimulated dendritic cells that EF24 beneficially modulates the IL-1R pathway and suggest that it could be investigated as an adjunct therapeutic in managing inflammation associated with hemorrhagic shock.

  10. Hypertonic saline resuscitation contributes to early accumulation of circulating myeloid-derived suppressor cells in a rat model of hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    LU Yuan-qiang; GU Lin-hui; ZHANG Qin; JIANG Jiu-kun; MOU Han-zhou

    2013-01-01

    Background Hemorrhagic shock is usually associated with complicated immune and inflammatory responses,which are sometimes crucial for the prognosis.As regulators of the immune and inflammatory system; proliferation,migration,distribution and activation of myeloid-derived suppressor cells (MDSCs) are intimately linked to the inflammation cascade.Methods In a model of severe hemorrhagic shock,thirty-five rats were randomly divided into control,sham,normal saline resuscitation (NS),hypertonic saline resuscitation (HTS),and hydroxyethyl starch resuscitation (HES),with seven in each group.M DSCs were analyzed by flow cytometric staining of CD11b/c+Gra+ in peripheral blood mononuclear cells (PBMC),spleen cell suspensions,and bone marrow nucleated cells (BMNC).Simultaneously,the expressions of arginase-1 (ARG-1) and inducible nitric oxide synthase (iNOS) mRNA in MDSCs were evaluated by quantitative reverse transcription-polymerase chain reaction (qRT-PCR).Results In the early stage after hemorrhagic shock,fluid resuscitation and emergency treatment,the MDSCs in the PBMC of NS,HTS and HES groups markedly increased,and MDSCs in BMNC of these groups decreased accordingly,significantly different to the control group.In hemorrhagic shock rats infused with HTS at the early resuscitation stage,MDSCs in PBMC increased about 2 and 4 folds,and MDSCs in BMNC decreased about 1.3 and 1.6 folds,as compared to the sham group respectively,with statistically significant difference.Furthermore,compared to the NS and HES groups,the MDSCs in PBMC of HTS group increased 1.6 and 1.8 folds with statistically significant differences; the MDSCs decrease in BMNC was not significant.However,there was no statistically significant difference in MDSCs of spleen among the five groups.In addition,compared to the control,sham,NS and HES groups,the ARG-1 and iNOS mRNA of MDSCs in PBMC,spleen and BMNC in the HTS group had the highest level of expression,but no statistically significant differences were

  11. C-peptide attenuates acute lung inflammation in a murine model of hemorrhagic shock and resuscitation by reducing gut injury.

    Science.gov (United States)

    Kao, Raymond L C; Xu, Xuemei; Xenocostas, Anargyros; Parry, Neil; Mele, Tina; Martin, Claudio M; Rui, Tao

    2017-08-01

    The study aims to evaluate whether C-peptide can reduce gut injury during hemorrhagic shock (HS) and resuscitation (R) therefore attenuate shock-induced inflammation and subsequent acute lung injury. Twelve-week-old male mice (C57/BL6) were hemorrhaged (mean arterial blood pressure maintained at 35 mm Hg for 60 minutes) and then resuscitated with Ringer's lactate, followed by red blood cell transfusion with (HS/R) or without C-peptide (HS/R + C-peptide). Mouse gut permeability, bacterial translocation into the circulatory system and intestinal pathology, circulating HMGB1, and acute lung injury were assessed at different times after R. The mice in the control group underwent sham procedures without HS. Compared to the sham group, the mice in the HS/R group showed increased gut permeability (6.07 ± 3.41 μg of FD4/mL) and bacterial translocation into the circulatory system (10.05 ± 4.92, lipopolysaccharide [LPS] of pg/mL), and increased gut damage; conversely, mice in the HS/R + C-peptide group showed significantly reduced gut permeability (1.59 ± 1.39 μg of FD4/mL; p C-peptide group showed decreased HMGB1 (7.27 ± 1.93 ng/mL; p C-peptide exerts beneficial effects to attenuate gut injury and dysfunction, therefore diminishing lung inflammation and subsequent injury in mice with HS and R.

  12. Effects of aminoguanidine, a potent nitric oxide synthase inhibitor, on myocardial and organ structure in a rat model of hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Mona M Soliman

    2014-01-01

    Full Text Available Background: Nitric oxide (NO has been shown to increase following hemorrhagic shock (HS. Peroxynitrite is produced by the reaction of NO with reactive oxygen species, leads to nitrosative stress mediated organ injury. We examined the protective effects of a potent inhibitor of NO synthase, aminoguanidine (AG, on myocardial and multiple organ structure in a rat model of HS. Materials and Methods: Male Sprague Dawley rats (300-350 g were assigned to 3 experimental groups (n = 6 per group: (1 Normotensive rats (N, (2 HS rats and (3 HS rats treated with AG (HS-AG. Rats were hemorrhaged over 60 min to reach a mean arterial blood pressure of 40 mmHg. Rats were treated with 1 ml of 60 mg/kg AG intra-arterially after 60 min HS. Resuscitation was performed in vivo by the reinfusion of the shed blood for 30 min to restore normo-tension. Biopsy samples were taken for light and electron microscopy. Results: Histological examination of hemorrhagic shocked untreated rats revealed structural damage. Less histological damage was observed in multiple organs in AG-treated rats. AG-treatment decreased the number of inflammatory cells and mitochondrial swollen in myocardial cells. Conclusion: AG treatment reduced microscopic damage and injury in multiple organs in a HS model in rats.

  13. Pyruvate-Enhanced Resuscitation for Hemorrhagic Shock and Hindlimb Ischemia

    Science.gov (United States)

    2015-06-06

    Pyruvate-Enhanced Resuscitation for Hemorrhagic Shock and Hindlimb Ischemia The overall goals of this investigation were to test the ability of...Final Report: Pyruvate-Enhanced Resuscitation for Hemorrhagic Shock and Hindlimb Ischemia Report Title The overall goals of this investigation were to...during ischemia -reperfusion injury and cause cellular damage which likely contributes to myocardial contractile dysfunction. ROS oxidize and

  14. Arterial vs venous blood gas differences during hemorrhagic shock.

    Science.gov (United States)

    Williams, Kristopher Burton; Christmas, Ashley Britton; Heniford, Brant Todd; Sing, Ronald Fong; Messick, Joseph

    2014-05-04

    To characterize differences of arterial (ABG) and venous (VBG) blood gas analysis in a rabbit model of hemorrhagic shock. Following baseline arterial and venous blood gas analysis, fifty anesthetized, ventilated New Zealand white rabbits were hemorrhaged to and maintained at a mean arterial pressure of 40 mmHg until a state of shock was obtained, as defined by arterial pH ≤ 7.2 and base deficit ≤ -15 mmol/L. Simultaneous ABG and VBG were obtained at 3 minute intervals. Comparisons of pH, base deficit, pCO2, and arteriovenous (a-v) differences were then made between ABG and VBG at baseline and shock states. Statistical analysis was applied where appropriate with a significance of P blood gases for the following parameters: pH was significantly decreased in both arterial (7.39 ± 0.12 to 7.14 ± 0.18) and venous blood gases (7.35 ± 0.15 to 6.98 ± 0.26, P arterial (-0.9 ± 3.9 mEq/L vs -17.8 ± 2.2 mEq/L) and venous blood gasses (-0.8 ± 3.8 mEq/L vs -15.3 ± 4.1 mEq/L, P arterial blood (40.0 ± 9.1 mmHg vs 28.9 ± 7.1 mmHg) but an increase in venous blood (46.0 ± 10.1 mmHg vs 62.8 ± 15.3 mmHg), although these trends were non-significant. For calculated arteriovenous differences between baseline and shock states, only the pCO2 difference was shown to be significant during shock. In this rabbit model, significant differences exist in blood gas measurements for arterial and venous blood after hemorrhagic shock. A widened pCO2 a-v difference during hemorrhage, reflective of poor tissue oxygenation, may be a better indicator of impending shock.

  15. Synergistic effects of fresh frozen plasma and valproic acid treatment in a combined model of traumatic brain injury and hemorrhagic shock

    DEFF Research Database (Denmark)

    Imam, Ayesha M; Jin, Guang; Duggan, Michael

    2013-01-01

    Traumatic brain injury (TBI) and hemorrhagic shock (HS) are major causes of trauma-related deaths and are especially lethal as a combined insult. Previously, we showed that early administration of fresh frozen plasma (FFP) decreased the size of the brain lesion and associated swelling in a swine...... model of combined TBI+HS. We have also shown separately that addition of valproic acid (VPA) to the resuscitation protocol attenuates inflammatory markers in the brain as well as the degree of TBI. The current study was performed to determine whether a combined FFP+VPA treatment strategy would exert...

  16. (-)-DEPRENYL INHIBITS VASCULAR HYPERPERMEABILITY FOLLOWING HEMORRHAGIC SHOCK

    Science.gov (United States)

    J., Binu Tharakan; Whaley, Greg; Hunter, Felicia A.; Smythe, W. Roy; Childs, Ed W.

    2010-01-01

    Recent studies from our laboratory demonstrated the involvement of endothelial cell reactive oxygen species (ROS) formation and activation of apoptotic signaling in vascular hyperpermeability following hemorrhagic shock (HS). The objective of this study was to determine if (-)-deprenyl, an antioxidant with anti-apoptotic properties would attenuate HS-induced vascular hyperpermeability. In rats, HS was induced by withdrawing blood to reduce the MAP to 40 mmHg for 60 minutes followed by resuscitation for 60 minutes. To study hyperpermeability, the rats were injected with FITC-albumin (50 mg/kg) and the changes in integrated optical intensity of the mesenteric post-capillary venules were obtained intra and extra vascularly utilizing intravital microscopy. Mitochondrial ROS formation and mitochondrial transmembrane potential (ΔΨm) were studied using dihydrorhodamine 123 and JC-1 respectively. Mitochondrial release of cytochrome c was determined using ELISA and caspase-3 activity by a fluorometric assay. Parallel studies were performed in rat lung microvascular endothelial cells (RLMEC) utilizing pro-apoptotic BAK as inducer of hyperpermeability. Hemorrhagic shock induced vascular hyperpermeability, mitochondrial ROS formation, decrease in ΔΨm, release of cytochrome c and caspase-3 activation (p < 0.05). (-)-Deprenyl (0.15 mg/Kg) attenuated all these effects (p < 0.05). Similarly in RLMEC, (-)-deprenyl attenuated BAK peptide induced monolayer hyperpermeability (p < 0.05), ROS formation, decrease in ΔΨm, cytochrome c release (p < 0.05) and activation of caspase-3 (p < 0.05). The protective effects of (-)-deprenyl on vascular barrier functions may be due to its protective effects on ΔΨm thereby preventing mitochondrial release of cytochrome c and caspase-3 mediated disruption of endothelial adherens junctions. PMID:19373132

  17. Treatment with a histone deacetylase inhibitor, valproic acid, is associated with increased platelet activation in a large animal model of traumatic brain injury and hemorrhagic shock

    DEFF Research Database (Denmark)

    Dekker, Simone E; Sillesen, Martin; Bambakidis, Ted

    2014-01-01

    BACKGROUND: We have previously shown that resuscitation with fresh frozen plasma (FFP) in a large animal model of traumatic brain injury (TBI) and hemorrhagic shock (HS) decreases the size of the brain lesion, and that addition of a histone deacetylase inhibitor, valproic acid (VPA), provides...... synergistic benefits. In this study, we hypothesized that VPA administration would be associated with a conservation of platelet function as measured by increased platelet activation after resuscitation. MATERIALS AND METHODS: Ten swine (42-50 kg) were subjected to TBI and HS (40% blood loss). Animals were...... left in shock for 2 h before resuscitation with either FFP or FFP + VPA (300 mg/kg). Serum levels of platelet activation markers transforming growth factor beta, CD40 L, P-selectin, and platelet endothelial cell adhesion molecule (PECAM) 1 were measured at baseline, postresuscitation, and after a 6-h...

  18. Monitoring of renal hemodynamics during acute hemorrhagic shock with Doppler ultrasonic imaging: an experimental study

    Directory of Open Access Journals (Sweden)

    Rui-hong LIU

    2015-07-01

    Full Text Available Objective To evaluate the value of color Doppler flow imaging (CDFI and pulsed-wave Doppler (PWD in monitoring renal hemodynamics in rabbits with acute hemorrhagic shock. Methods The experimental model of acute hemorrhagic shock was reproduced in 16 normal New Zealand white rabbits by controlled exsanguination which was divided into 4 different grades: normal (100% MAP, mild (70% MAP, moderate (50% MAP, and severe (40% MAP. The right kidney of the experimental animal was examined by gray-scale ultrasound (2DUS, CDFI and PWD. The structure of the right kidney was observed with 2DUS. CDFI was used to monitor the change in right renal hemodynamics along with the progression of shock. The hemodynamic parameters of main renal artery (MRA, segmental renal artery (SRA and interlobar renal artery (IRA were measured by PWD, including the peak systolic velocity (Vmax, minimum diastolic velocity (Vmin and resistive index (RI. Results The animal model of hemorrhagic shock was successfully reproduced in 16 healthy New Zealand rabbits, of which 14 rabbits survived at the end of the experiment, and 2 died of severe shock. The mean arterial pressure (MAP declined, while the respiratory rate and heart rate increased as the circulation changed from normal to severe shock (P<0.05. Observation of the right renal structure by 2DUS revealed no obvious changes after bleeding in different degrees. CDFI showed a gradually reduced distribution of blood flow in renal hemodynamics along with the progression of hemorrhagic shock. Vmax and Vmin declined gradually, while RI intensity increased as the hemorrhagic shock progressed from minor to severe. There was statistically significant difference in RI intensity between different grades of shock (P<005. Conclusion CDFI and PWD can quantitatively assess the renal hemodynamics during acute hemorrhagic shock, so it can be used as a noninvasive monitoring tool in the diagnosis and treatment of hemorrhagic shock. DOI: 10

  19. Of hemorrhagic shock, spherical cows and Aloe vera.

    Science.gov (United States)

    Gutierrez, Guillermo; Fuller, Stephanie P

    2004-12-01

    The central question explored in this commentary is whether the beneficial effects of an Aloe vera derived drag-reducing polymer during hemorrhagic shock is due to its O2 radical scavenging properties or to changes in blood rheology.

  20. CT appearance of renal hemorrhage after extracorporeal shock wave lithotripsy

    Energy Technology Data Exchange (ETDEWEB)

    Kanazawa, Susumu; Araki, Toru; Takamoto, Hitoshi; Hata, Kazuhiro

    1988-07-01

    Computed Tomography (CT) was performed in three patients who were suspicious of renal hemorrhage after extracorporeal shock wave lithotripsy (ESWL). Post-ESWL scans demonstrated subcapsular hematoma in all three cases, and intrarenal hemorrhage in two cases, one of which had fluid collection in the pararenal space and hemorrhage in the posterior pararenal space on CT. Thickening of gerota fascia and bridging septa in the perirenal space was visualized on CT in all of them. CT demonstrated clearly the anatomic distribution and extent of renal hemorrhage, and it is important to comprehend the imaging anatomy of the perirenal area for CT evaluation.

  1. Peptidomic Analysis of Rat Plasma: Proteolysis in Hemorrhagic Shock.

    Science.gov (United States)

    Aletti, Federico; Maffioli, Elisa; Negri, Armando; Santamaria, Marco H; DeLano, Frank A; Kistler, Erik B; Schmid-Schönbein, Geert W; Tedeschi, Gabriella

    2016-05-01

    It has been previously shown that intestinal proteases translocate into the circulation during hemorrhagic shock and contribute to proteolysis in distal organs. However, consequences of this phenomenon have not previously been investigated using high-throughput approaches. Here, a shotgun label-free quantitative proteomic approach was utilized to compare the peptidome of plasma samples from healthy and hemorrhagic shock rats to verify the possible role of uncontrolled proteolytic activity in shock. Plasma was collected from rats after hemorrhagic shock (HS) consisting of 2-h hypovolemia followed by 2-h reperfusion, and from healthy control (CTRL) rats. A new two-step enrichment method was applied to selectively extract peptides and low molecular weight proteins from plasma, and directly analyze these samples by tandem mass spectrometry. One hundred twenty-six circulating peptides were identified in CTRL and 295 in HS animals. Ninety-six peptides were present in both conditions; of these, 57 increased and 30 decreased in shock. In total, 256 peptides were increased or present only in HS confirming a general increase in proteolytic activity in shock. Analysis of the proteases that potentially generated the identified peptides suggests that the larger relative contribution to the proteolytic activity in shock is due to chymotryptic-like proteases. These results provide quantitative confirmation that extensive, system-wide proteolysis is part of the complex pathologic phenomena occurring in hemorrhagic shock.

  2. B beta(15-42) (FX06) reduces pulmonary, myocardial, liver, and small intestine damage in a pig model of hemorrhagic shock and reperfusion

    NARCIS (Netherlands)

    Roesner, Jan P.; Petzelbauer, Peter; Koch, Alexander; Tran, Nguyen; Iber, Thomas; Vagts, Dierk A.; Scheeren, Thomas W. L.; Vollmar, Brigitte; Noeldge-Schomburg, Gabriele E. F.; Zacharowski, Kai

    2009-01-01

    Objective:  The fibrin-derived peptide B beta(15-42) (also called FX06) has been shown to reduce myocardial infarct size following ischemia/reperfusion. Hemorrhagic shock (HS) followed by volume resuscitation represents a similar scenario, whereby a whole organism is vulnerable to reperfusion injury

  3. A schizophrenic patient with cerebral infarctions after hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Youichi Yanagawa

    2013-01-01

    Full Text Available We herein report the fourth case of cerebral infarction, concomitant with hemorrhagic shock, in English literature. A 33-year-old male, who had been diagnosed with schizophrenia and given a prescription for Olanzapine, was discovered with multiple self-inflicted bleeding cuts on his wrist. On arrival, he was in hemorrhagic shock without verbal responsiveness, but his vital signs were normalized following infusion of Lactate Ringer′s solution. The neuroradiological studies revealed multiple cerebral ischemic lesions without any vascular abnormality. He was diagnosed with speech apraxia, motor aphasia, and dysgraphia, due to multiple cerebral infarctions. As there was no obvious causative factor with regard to the occurrence of cerebral infarction in the patient, the hypoperfusion due to hemorrhagic shock, and the thromboembolic tendency due to Olanzapine, might have acted together to lead to the patient′s cerebral ischemia.

  4. Suppression of centrineurogenic shock lung by Dilantin (DPH) administered early in established hemorrhagic shock.

    Science.gov (United States)

    Amy, B; LeGrand, P; Levitzky, M; Welsh, R A; Schechter, F G

    1981-09-01

    Centrineurogenic shock lung following acute hemorrhage was prevented by Dilantin (DPH) given preshock. Nineteen anemia (Hct = 30 +/- 5%) dogs were divided into five groups: one control (no anesthesia, no shock); one of three with 4 hours of anesthesia alone; and of 15 dogs with hemorrhagic shock, eight were without DPH, two with preshock DPH, and five received DPH 15 min after shock was established. Shock animals were rapidly bled to 40 mm Hg which was maintained for 2 hours, and all shed blood was reinfused. One hour later, all animals were sacrificed, the lungs fixed with formalin instilled at 15 cm H2O intratracheal pressure, the trachea cross-clamped, the lungs excised, photographed, and sent for gross and histopathologic study. Shock animals without DPH had grossly hemorrhagic lungs with diffuse interstitial and alveolar congestion, hemorrhage, and edema. Neither of the DPH-treated groups developed gross changes and showed minimal to no histopathology. Dilantin given early in established hemorrhagic shock prevents shock lung.

  5. Remote ischemic preconditioning mitigates myocardial and neurological dysfunction via K(ATP) channel activation in a rat model of hemorrhagic shock.

    Science.gov (United States)

    Hu, Xianwen; Yang, Zhengfei; Yang, Min; Qian, Jie; Cahoon, Jena; Xu, Jiefeng; Sun, Shijie; Tang, Wanchun

    2014-09-01

    Severe hemorrhagic shock and resuscitation is a state of global body ischemia and reperfusion that causes myocardial and cerebral dysfunction. We investigated whether remote ischemic preconditioning (RIPC) would reduce myocardial and cerebral ischemia and reperfusion injuries after hemorrhagic shock as the result of the K(ATP) channel activation. Twenty-one male rats were randomized into three groups: RIPC, RIPC with K(ATP) channel blocker, and control. Remote ischemic preconditioning was induced by four cycles of 5 min of limb ischemia followed by reperfusion for 5 min. Hemorrhagic shock was induced by removing 50% of the estimated total blood volume during an interval of 1 h. Thirty minutes after the completion of bleeding, the animals were reinfused with shed blood during the ensuing 30 min. The animals were monitored for 2 h and observed for an additional 72 h. Myocardial function was measured by echocardiography, and sublingual microcirculation was measured by a sidestream dark-field imaging device at baseline, 1 h after bleeding, 30 min after the completion of bleeding, 30 min after reinfusion, and hourly intervals thereafter. The survival and neurological function were evaluated at 12, 24, 48, and 72 h after reinfusion. At 2 h after reinfusion, ejection fraction and myocardial performance index were significantly better in the RIPC group than in the control group (P shock and resuscitation, RIPC mitigated myocardial and neurological dysfunction with improved survival by activation of the K(ATP) channel.

  6. Hemorrhagic shock and encephalopathy syndrome: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Sook Ja; Choi, Yun Sun; Shin, Chung Ho; Cho, Sung Bum; Cho, Jae Min; Kim, Hyun Sook; Han, Tae Il; Yoon, Yong Kyu [Eulji Univ. School of Medicine, Seoul (Korea, Republic of)

    2001-03-01

    Hemorrhagic shock and encephalopathy syndrome (HSES) is a sudden-onset symptom complex that involves multisystem failure and includes encephalopathy, shock, coma, convulsions, prerenal azotemia, hepatic dysfunction, and bleeding coagulopathy and progressive thrombocytopenia in previously healthy infants and children. Its radiologic findings have rarely been reported, and it has not been described in Korea. We present a case of clinically diagnosed HSES, and include the CT and MRI findings.

  7. C-PEPTIDE AMELIORATES KIDNEY INJURY FOLLOWING HEMORRHAGIC SHOCK

    Science.gov (United States)

    Chima, Ranjit S; Maltese, Giuseppe; LaMontagne, Timberly; Piraino, Giovanna; Denenberg, Alvin; O’Connor, Michael; Zingarelli, Basilia

    2013-01-01

    Reperfusion injury following hemorrhagic shock is accompanied by the development of a systemic inflammatory state that may lead to organ failure. C-peptide has been shown to exert anti-inflammatory effects in sepsis and myocardial ischemia-reperfusion injury, and to ameliorate renal dysfunction in diabetic animals. Hence, we investigated the effect of C-peptide on kidney injury following hemorrhagic shock. We hypothesized that C-peptide would exert reno-protective effects by blunting inflammation. Hemorrhagic shock was induced in male rats (3–4 months old) by withdrawing blood from the femoral artery to a mean arterial pressure of 50 mmHg. Animals were kept in shock for 3h at which time they were rapidly resuscitated by returning their shed blood. At the time of resuscitation and every hour thereafter, one group of animals received C-peptide (280 nmol/kg intravenously) while another group received vehicle. Hemorrhagic shock resulted in significant rise in plasma levels of creatinine and elevated kidney neutrophil infiltration as evaluated by myeloperoxidase (MPO) activity in vehicle-treated rats in comparison with sham rats, thus suggesting kidney injury. Treatment with C-peptide significantly attenuated the rise in creatinine and kidney MPO activity when compared to vehicle group. At a molecular level these effects of C-peptide were associated with reduced expression of the c-Fos subunit and reduced activation of the pro-inflammatory kinases, extracellular signal-regulated kinase (ERK 1/2) and c-Jun N-terminal kinase (JNK) and subsequently, reduced DNA binding of activator protein-1 (AP-1) in the kidney. Thus, our data suggest that C-peptide may exert reno-protective effects following hemorrhagic shock by modulating AP-1 signaling. PMID:21263384

  8. Polydatin Alleviates Small Intestine Injury during Hemorrhagic Shock as a SIRT1 Activator

    Directory of Open Access Journals (Sweden)

    Zhenhua Zeng

    2015-01-01

    Full Text Available Objective. To evaluate the role of SIRT1 in small intestine damage following severe hemorrhagic shock and to investigate whether polydatin (PD can activate SIRT1 in shock treatment. Research Design and Methods. The severe hemorrhagic shock model was reproduced in Sprague Dawley rats. Main Outcome Measures. Two hours after drug administration, half of the rats were assessed for survival time evaluation and the remainder were used for small intestinal tissue sample collection. Results. Bleeding and swelling appeared in the small intestine with epithelial apoptosis and gut barrier disturbance during hemorrhagic shock. SIRT1 activity and PGC-1α protein expression of the small intestine were decreased, which led to an increase in acetylated SOD2 and decreases in the expression and activity of SOD2, resulting in severe oxidative stress. The decreased SIRT1 activity and expression were partially restored in the PD administration group, which showed reduced intestine injury and longer survival time. Notably, the effect of PD was abolished after the addition of Ex527, a selective inhibitor of SIRT1. Conclusions. The results collectively suggest a role for the SIRT1-PGC-1α-SOD2 axis in small intestine injury following severe hemorrhagic shock and that PD is an effective SIRT1 activator for the shock treatment.

  9. Histamine in hemorrhagic shock - A new approach with microdialysis

    NARCIS (Netherlands)

    Raum, M; Nagelschmidt, M; Rixen, D; Keiser, F; Gregor, S; Tiling, T; Bouillon, B; Neugebauer, E; Redl, H

    2005-01-01

    Microdialysis is a new approach for monitoring after hemorrhagic shock. The advantage of microdialysis is the local measurement of microcirculation and local changes of mediators. Until now this was mostly used in neuromonitoring. In this experiment we were focussed on the local changes of histamine

  10. Histamine in hemorrhagic shock - A new approach with microdialysis

    NARCIS (Netherlands)

    Raum, M; Nagelschmidt, M; Rixen, D; Keiser, F; Gregor, S; Tiling, T; Bouillon, B; Neugebauer, E; Redl, H

    2005-01-01

    Microdialysis is a new approach for monitoring after hemorrhagic shock. The advantage of microdialysis is the local measurement of microcirculation and local changes of mediators. Until now this was mostly used in neuromonitoring. In this experiment we were focussed on the local changes of histamine

  11. Pharmacologic resuscitation for hemorrhagic shock combined with traumatic brain injury

    DEFF Research Database (Denmark)

    Jin, Guang; Duggan, Michael; Imam, Ayesha

    2012-01-01

    We have previously demonstrated that valproic acid (VPA), a histone deacetylase inhibitor, can improve survival after hemorrhagic shock (HS), protect neurons from hypoxia-induced apoptosis, and attenuate the inflammatory response. We have also shown that administration of 6% hetastarch (Hextend...

  12. Hypertonic Saline Dextran Ameliorates Organ Damage in Beagle Hemorrhagic Shock.

    Directory of Open Access Journals (Sweden)

    Jing-xiang Zhao

    Full Text Available The goal of this study was to investigate the effect of hypertonic saline with 6% Dextran-70 (HSD resuscitation on organ damage and the resuscitation efficiency of the combination of HSD and lactated ringers (LR in a model of hemorrhage shock in dogs.Beagles were bled to hold their mean arterial pressure (MAP at 50 ± 5 mmHg for 1 h. After hemorrhage, beagles were divided into three groups (n = 7 to receive pre-hospital resuscitation for 1 h (R1: HSD (4 ml/kg, LR (40 ml/kg, and HSD+LR (a combination of 4 ml/kg HSD and 40 ml/kg LR. Next, LR was transfused into all groups as in-hospital resuscitation (R2. After two hours of observation (R3, autologous blood was transfused. Hemodynamic responses and systemic oxygenation were measured at predetermined phases. Three days after resuscitation, the animals were sacrificed and tissues including kidney, lung, liver and intestinal were obtained for pathological analysis.Although the initial resuscitation with HSD was shown to be faster than LR with regard to an ascending MAP, the HSD group showed a similar hemodynamic performance compared to the LR group throughout the experiment. Compared with the LR group, the systemic oxygenation performance in the HSD group was similar but showed a lower venous-to-arterial CO2 gradient (Pv-aCO2 at R3 (p < 0.05. Additionally, the histology score of the kidneys, lungs and liver were significantly lower in the HSD group than in the LR group (p < 0.05. The HSD+LR group showed a superior hemodynamic response but higher extravascular lung water (EVLW and lower arterial oxygen tension (PaO2 than the other groups (p < 0.05. The HSD+LR group showed a marginally improved systemic oxygenation performance and lower histology score than other groups.Resuscitation after hemorrhagic shock with a bolus of HSD showed a similar hemodynamic response compared with LR at ten times the volume of HSD, but HSD showed superior efficacy in organ protection. Our findings suggest that

  13. Effects of CO2 pneumoperitoneum on blood flow vol-ume of abdominal organs of rabbits with controlled hem-orrhagic shock and liver impact injuries

    Institute of Scientific and Technical Information of China (English)

    ZHANG Lian-yang; ZHAO Song; LI Yong; MA Xiao-lin

    2009-01-01

    Objective: To investigate the effects of CO2 pneumo-peritoneum on blood flow volume of abdominal organs of rabbits with controlled hemorrhagic shock model and liver impact injuries.Methods: After controlled hemorrhagic shock and liver impact injuries, the rabbit model was established. Eighteen rabbits subjected to hemorrhagic shock and liver impact inju-ries were divided into 3 groups randomly according to the volume of lost blood: light hemorrhagic shock (blood loss volume was 10%, 6 ml/kg), moderate hemorrhagic shock (20%, 12 ml/kg) and severe hemorrhagic shock (40%, 22 ml/kg). Intraabdominal pressures of CO2 pneumoperitoneum was 10 mmHg. Color-labeled microspheres were used to mea-sure the blood flow volume of the liver, kidney and stomach before pneumoperitoneum at 30 minutes and 2 hours after pneumoperitoneum and 30 minutes after deflation. And the mortality and hepatic traumatic condition of rabbits were recorded.Results: Of the 18 rabbits, there were 9 with liver impact injuries at Grade Ⅰ, 8 at Grade Ⅱ and Ⅰ at Grade Ⅲ (according to AIS-2005). The mortality rate in light hemorrhagic shock group was 33.33%, and that in moderate or severe hemor-rhagic shock group was 100% within 30 minutes and 2 hours after pneumoperitoneum, respectively. The blood flow vol-ume in the organs detected decreased at 30 minutes under pneumoperitoneum in light and moderate hemorrhagic shock groups. At the same time, the blood flow volume of the liver in moderate hemorrhagic shock group decreased more sig-nificantly than that in light hemorrhagic shock group.Conclusions: The blood flow volume of abdominal organs in rabbits is decreased obviously under CO2 pneumoperitoneum, with fairly high mortality rate. It is be-lieved that CO2 pneumoperitoneum should cautiously be used in abdominal injury accompanied with hemorrhagic shock, especially under non-resuscitation conditions.

  14. The effect of p38 mitogen-activated protein kinase activation on inflammatory liver damage following hemorrhagic shock in rats.

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    Hiroaki Sato

    Full Text Available Hemorrhagic shock is a frequent cause of liver failure and often leads to a fatal outcome. Several studies have revealed that p38 MAPK is a key mediator in hemorrhagic damage of the primary organs through the activation of proinflammatory cytokines such as tumor necrosis factor (TNF-α and interleukin (IL-1β. However, the precise role of these factors in liver damage following hemorrhagic shock is unclear. In this study, we used FR167653, a specific inhibitor of p38 MAPK phosphorylation, to examine the role of p38 MAPK in liver damage occurring up to 5 hours after a hemorrhagic episode in a rat model. Activation of p38 MAPK in the liver as well as an increase in hepatic mRNA expression and serum concentrations of TNF-α and IL-1β occurred during the early phase after hemorrhage. Increased serum levels of hepatic enzymes, as well as histological damage and activated neutrophil accumulation in the liver, were observed in the late phase following hemorrhagic shock. FR167653 inhibited the inflammation-related hepatic injury following hemorrhagic shock. Bacterial lipopolysaccharide (LPS derived from the gut appeared to have little effects on the hepatic damage. These results demonstrate that p38 MAPK activation is induced by hepatic ischemia during hemorrhagic shock and plays an important role both in the hepatic expression of proinflammatory cytokines and in the development of inflammation-related liver damage.

  15. THE 5-LIPOXYGENASE PATHWAY IS REQUIRED FOR ACUTE LUNG INJURY FOLLOWING HEMORRHAGIC SHOCK

    Science.gov (United States)

    Eun, John C.; Moore, Ernest E.; Mauchley, David C.; Johnson, Chris A.; Meng, Xianzhong; Banerjee, Anirban; Wohlauer, Max V.; Zarini, Simona; Gijón, Miguel A.; Murphy, Robert C.

    2012-01-01

    The cellular and biochemical mechanisms leading to acute lung injury and subsequent multiple organ failure are only partially understood. In order to study the potential role of eicosanoids, particularly leukotrienes, as possible mediators of acute lung injury, we used a murine experimental model of acute lung injury induced by hemorrhagic shock after blood removal via cardiac puncture. Neutrophil sequestration as shown by immunofluorescence, and protein leakage into the alveolar space, were measured as markers of injury. We used liquid chromatography coupled to tandem mass spectrometry to unequivocally identify several eicosanoids in the bronchoalveolar lavage fluid of experimental animals. MK886, a specific inhibitor of the 5-lipoxygenase pathway, as well as transgenic mice deficient in 5-lipoxygenase, were used to determine the role of this enzymatic pathway in this model. Leukotriene B4 and leukotriene C4 were consistently elevated in shock-treated mice compared to sham-treated mice. MK886 attenuated neutrophil infiltration and protein extravasation induced by hemorrhagic shock. 5-lipoxygenase-deficient mice showed reduced neutrophil infiltration and protein extravasation after shock treatment, indicating greatly reduced lung injury. These results support the hypothesis that 5-lipoxygenase, most likely through the generation of leukotrienes, plays an important role in the pathogenesis of acute lung injury induced by hemorrhagic shock in mice. This pathway could represent a new target for pharmacological intervention to reduce lung damage following severe primary injury. PMID:22392149

  16. Effects of biliverdin administration on acute lung injury induced by hemorrhagic shock and resuscitation in rats.

    Directory of Open Access Journals (Sweden)

    Junko Kosaka

    Full Text Available Hemorrhagic shock and resuscitation induces pulmonary inflammation that leads to acute lung injury. Biliverdin, a metabolite of heme catabolism, has been shown to have potent cytoprotective, anti-inflammatory, and anti-oxidant effects. This study aimed to examine the effects of intravenous biliverdin administration on lung injury induced by hemorrhagic shock and resuscitation in rats. Biliverdin or vehicle was administered to the rats 1 h before sham or hemorrhagic shock-inducing surgery. The sham-operated rats underwent all surgical procedures except bleeding. To induce hemorrhagic shock, rats were bled to achieve a mean arterial pressure of 30 mmHg that was maintained for 60 min, followed by resuscitation with shed blood. Histopathological changes in the lungs were evaluated by histopathological scoring analysis. Inflammatory gene expression was determined by Northern blot analysis, and oxidative DNA damage was assessed by measuring 8-hydroxy-2' deoxyguanosine levels in the lungs. Hemorrhagic shock and resuscitation resulted in prominent histopathological damage, including congestion, edema, cellular infiltration, and hemorrhage. Biliverdin administration prior to hemorrhagic shock and resuscitation significantly ameliorated these lung injuries as judged by histopathological improvement. After hemorrhagic shock and resuscitation, inflammatory gene expression of tumor necrosis factor-α and inducible nitric oxide synthase were increased by 18- and 8-fold, respectively. Inflammatory gene expression significantly decreased when biliverdin was administered prior to hemorrhagic shock and resuscitation. Moreover, after hemorrhagic shock and resuscitation, lung 8-hydroxy-2' deoxyguanosine levels in mitochondrial DNA expressed in the pulmonary interstitium increased by 1.5-fold. Biliverdin administration prior to hemorrhagic shock and resuscitation decreased mitochondrial 8-hydroxy-2' deoxyguanosine levels to almost the same level as that in the

  17. Opioid receptor antagonists increase [Ca2+]i in rat arterial smooth muscle cells in hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    Li KAI; Zhong-feng WANG; Yu-liang SHI; Liang-ming LIU; De-yao HU

    2004-01-01

    AIM: To examine the effects of opioid receptor antagonists and norepinephrine on intracellular free Ca2+ concentration ([Ca2+]i) in mesenteric arterial (MA) smooth muscle cells (SMC) isolated from normal and hemorrhagic shocked rats in the vascular hyporesponse stage. METHODS: The rat model of hemorrhagic shock was made by withdrawing blood to decrease the artery mean blood pressure to 3.73-4.26 kPa and keeping at the level for 3 h.[Ca2+]i of vascular smooth muscle cells (VSMC) were detected by the laser scan confocal microscopy. RESULTS:In the hyporesponse VMSC of rats in hemorrhagic shock, selective δ-, κ-, and μ-opioid receptor antagonists (naltrindole, nor-binaltorphimine, and β-funaltrexamine, 100 nmol/L) as well as norepinephrine 5 μmol/L significantly increased [Ca2+]i by 47 %±13 %, 37 %±14 %, 33 %±10 %, and 54 %±17 %, respectively, although their effects were lower than those in the normal rat cells (the increased values were 148 %±54 %, 130 %±44 %, 63 %±17 %and 110 %±38 %, respectively); and the norepinephrine-induced increase in [Ca2+]i was further augmented by three δ-, κ-, and μ-opioid receptor antagonists (50 nmol/L, respectively) application (from 52 %± 16 % to 99 %±29 %,146 %±54 % and 137 %±47 %, respectively). CONCLUSION: The disorder of [Ca2+]i regulation induced by hemorrhagic shock was mediated by opioid receptor and α-adrenoceptor, which may be partly responsible for the vascular hyporesponse, and the opioid receptor antagonists improved the response of resistance arteries to vascular stimulants in decompensatory stage of hemorrhagic shock.

  18. 麻醉对猪失血性休克模型血流动力学及氧动力学的影响%Effects of anesthesia on hemodynamics and oxygen dynamics in a porcine model of hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    张成; 高广荣; 张宝磊; 蒋会勇; 吕晨光; 谢名双; 张智丽; 余筣; 张雪峰

    2011-01-01

    Objective To investigate the effects of anesthesia on hemodynamics and oxygen dynamics in a porcine model of hemorrhagic shock. Methods 16 Bama pigs were randomized into Lwo groups (n = 8, each); Aneslhesia (A) and Unanesthetized ( U). Venous blood (30 mL/kg) was conlinously withdrawn over 15 min in anesthetized and unanesthetized swine to establish hemorrhagic shock model. Pulmonary arterial temperature (Tp) , heart rate(HR) , mean arterial pressure (MAP) , Pulmonary arterial pressure( PAP) , pulmonary arterial wedge pressure( PAWP) , central venous pressure (CVP) , cardiac output(CO) , hemoglobin(Hb) , saturation of mixed venous blood(SvO2) and blood gas analysis were recorded at the baseline and different hemorrhagic shock time ( HST). The whole body oxygen delivery indices, DO2I and VO2I, and the O2 extraction ratio(O2ER) were calculated. Results Core body temperature in group U decreased slightly after hemorrhagic shock model had been established and anesthesia resulted in more reduction in core body temperature. No difference was found in HR, MAP, PaO2, PaCO2 and pH between group A and group U, but unanesthetized animals had significantly higher levels of lactate. DO2I and VO2I decreased significantly after hemorrhage, but DO2I, VO2I and O2ER in group U were significantly higher than group A at the baseline and different hemorrhagic shock time(HST). Conclusion Anesthesia attenuated the disorder of oxygen metabolism after hemorrhagic shock, which might be the results of induced hypothermia caused by anaesthesia.%目的 探讨麻醉对猪失血性休克血流动力学及氧动力学的影响.方法 巴马香猪16头随机分为:麻醉休克组和清醒休克组,每组8头.按30 mL/kg放血建立失血性休克模型,记录建模前及建模后4 h内不同时点的核心体温、心率(HR)、平均动脉压(MAP)、肺动脉压(PAP)、肺动脉楔压(PAWP)、中心静脉压(CVP)、心输出量(CO)、血红蛋白(Hb)、混合静脉血氧饱和度(SvO2)及血气

  19. ANESTHETIC MANAGEMENT OF ATONIC POST - PARTUM HEMORRHAGE WITH HEMORRHAGIC SHOCK AND IMPENDING CARDIAC ARREST FOR EMERGENCY PERIPARTUM HYSTERECTOMY

    Directory of Open Access Journals (Sweden)

    Ravishankar

    2015-07-01

    Full Text Available Post - partum hemorrhagic complication is a critical situation for an anesthesiologist, which requires timely and skillful anesthetic management. A massive post - partum bleeding leading to severe hypovolemic shock may result in life threatening cardio - pulmonary arrest. Here is a case report of 25 year old with atonic post - partum hemorrhage resulting in hypovolemic shock & impending cardiac arrest and successful anesthetic management for emergency peripartum hysterectomy to save the life of the patient.

  20. Vasopressin in Hemorrhagic Shock: A Systematic Review and Meta-Analysis of Randomized Animal Trials

    Directory of Open Access Journals (Sweden)

    Andrea Pasquale Cossu

    2014-01-01

    Full Text Available Objective. The latest European guidelines for the management of hemorrhagic shock suggest the use of vasopressors (norepinephrine in order to restore an adequate mean arterial pressure when fluid resuscitation therapy fails to restore blood pressure. The administration of arginine vasopressin (AVP, or its analogue terlipressin, has been proposed as an alternative treatment in the early stages of hypovolemic shock. Design. A meta-analysis of randomized controlled animal trials. Participants. A total of 433 animals from 15 studies were included. Interventions. The ability of AVP and terlipressin to reduce mortality when compared with fluid resuscitation therapy, other vasopressors (norepinephrine or epinephrine, or placebo was investigated. Measurements and Main Results. Pooled estimates showed that AVP and terlipressin consistently and significantly improve survival in hemorrhagic shock (mortality: 26/174 (15% in the AVP group versus 164/259 (63% in the control arms; OR=0.09; 95% CI 0.05 to 0.15; P for effect < 0.001; P for heterogeneity = 0.30; I2=14%. Conclusions. Results suggest that AVP and terlipressin improve survival in the early phases of animal models of hemorrhagic shock. Vasopressin seems to be more effective than all other treatments, including other vasopressor drugs. These results need to be confirmed by human clinical trials.

  1. Molecular signatures of trauma-hemorrhagic shock-induced lung injury: hemorrhage- and injury-associated genes.

    Science.gov (United States)

    Feinman, Rena; Deitch, Edwin A; Aris, Virginie; Chu, Hung B; Abungu, Billy; Caputo, Francis J; Galante, Anthony; Xu, DaZhong; Lu, Qi; Colorado, Iriana; Streck, Deanna; Dermody, James; Soteropoulos, Patricia

    2007-09-01

    The etiology of trauma-hemorrhagic shock (T/HS)-induced acute lung injury has been difficult to elucidate because of, at least in part, the inability of in vivo studies to separate the noninjurious pulmonary effects of trauma-hemorrhage from the tissue-injurious ones. To circumvent this in vivo limitation, we used a model of T/HS in which T/HS lung injury was abrogated by dividing the mesenteric lymph duct. In this way, it was possible to separate the pulmonary injurious response from the noninjurious systemic response to T/HS by comparing the pulmonary molecular responses of rats subjected to T/HS, which did and did not develop lung injury, with those of nonshocked rats. Using high-density oligonucleotide arrays and treatment group comparisons of whole lung tissue collected at 3 h after the end of the shock or sham-shock period, 139 of 8,799 assessed genes were identified by significant analysis of microarrays. Hemorrhage without the secondary effects of lung injury modulated the expression of 21 genes such as interleukin 1beta, metallothionein-2, and myeloctomatosis oncogene (c-myc). In response to injury, 42 genes were identified to be differentially expressed. Upregulated genes included the L1 retroposon and guanine deaminase, whereas downregulated genes included catalase and superoxide dismutase 1. Real-time polymerase chain reaction confirmed the differential expression for selected genes. PathwayAssist analysis identified interleukin 1beta as a central regulator of two subpathways of stress response-related genes (c-myc and superoxide dismutase 1/catalase) as well as several unrelated genes such as lipoprotein lipase. Our model system provided a unique opportunity to distinguish the molecular changes associated with T/HS-induced acute lung injury from the systemic molecular response to T/HS.

  2. Effect of xinmailong on ischemic cardiac muscle during hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Xinmailong injection solution was invented at 1988 by prof. Li Shunan in Dali medical college. It was made from the material which has high biological activeness to the cardiac and vascular system. During the experimental shock caused by excessive loss of blood in monkey and dog, it was found by ECG that the T-wave of anterion lead on left chest elevated and became high and sharp after acute blood loss. Arterial blood pressure dropped to 8-5.3 kPa for dog and 8-5.3-2.7 kPa for monkey, changes of T-wave all recovered to near normal level after xinmailong solution was injected intravenously (0.05-0.2 mL/kg). These Results implied that xinmailong might improve the ischemia of myocardium induced by hemorrhagic shock.

  3. Evaluation of hemodynamic effects of xenon in dogs undergoing hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Ruben C. Franceschi

    2013-01-01

    Full Text Available OBJECTIVES: The anesthetic gas xenon is reported to preserve hemodynamic stability during general anesthesia. However, the effects of the gas during shock are unclear. The objective of this study was to evaluate the effect of Xe on hemodynamic stability and tissue perfusion in a canine model of hemorrhagic shock. METHOD: Twenty-six dogs, mechanically ventilated with a fraction of inspired oxygen of 21% and anesthetized with etomidate and vecuronium, were randomized into Xenon (Xe; n = 13 or Control (C; n = 13 groups. Following hemodynamic monitoring, a pressure-driven shock was induced to reach an arterial pressure of 40 mmHg. Hemodynamic data and blood samples were collected prior to bleeding, immediately after bleeding and 5, 20 and 40 minutes following shock. The Xe group was treated with 79% Xe diluted in ambient air, inhaled for 20 minutes after shock. RESULT: The mean bleeding volume was 44 mL.kg-1 in the C group and 40 mL.kg-1 in the Xe group. Hemorrhage promoted a decrease in both the cardiac index (p<0.001 and mean arterial pressure (p<0.001. These changes were associated with an increase in lactate levels and worsening of oxygen transport variables in both groups (p<0.05. Inhalation of xenon did not cause further worsening of hemodynamics or tissue perfusion markers. CONCLUSIONS: Xenon did not alter hemodynamic stability or tissue perfusion in an experimentally controlled hemorrhagic shock model. However, further studies are necessary to validate this drug in other contexts.

  4. Effects of paneth cells on restitution of intestinal mucosa in rat model of hemorrhagic shock%潘氏细胞在大鼠休克复苏后肠黏膜重建过程中的作用

    Institute of Scientific and Technical Information of China (English)

    杨斌; 何嘉辉; 傅玉如; 常建星; 陈双

    2011-01-01

    目的 观察小肠潘氏细胞在大鼠失血性休克复苏后肠黏膜重建过程中的作用。方法 42只雄性Wistar大鼠建立失血性休克复苏模型,随机分为实验组(n=7)和对照组(n=35),实验组再分5组,分别于复苏后1、3、6、12、24h观察回肠黏膜的形态学改变、复苏前后潘氏细胞数量及形态变化特点及各时相电镜下潘氏细胞结构特点。结果 休克复苏后小肠黏膜明显损伤,集中表现于绒毛部分。复苏后3h为明显,6h后绒毛已开始修复,至24h肠黏膜表面细胞连续性已恢复。复苏后1h,回肠黏膜潘氏细胞计数明显减少(P<0.05),3h降至最低(P<0.05),6h后与对照组比较,差异无统计学意义(P>0.05)。电镜下潘氏细胞表现肠内分泌细胞超微结构特征,核无凋亡改变。结论 失血性休克复苏后肠黏膜屏障早期受损,但具快速重建能力,潘氏细胞颗粒的合成和分泌可受缺血再灌注损伤的诱导。潘氏细胞对维持肠道黏膜防御机制具有重要的生理意义。%Objective To investigate the changes of Paneth cells during the restitution process of intestinal mucosa after hemorrhagic shock in rats. Methods A total of 42 Wistar male rats were randomized divided into control group ( n =7) and model group ( n =35 ). The rats in model group were further divided into five subgroups (n =7 in each group) according to different time points. Hemorrhagic shock model was established. The morphological changes of ileum mucosa and Paneth cells were observed during the restitution process after hemorrhagic shock, and the number of Paneth cells was counted under the light microscopy at different time points. Ultrastructures of Paneth cells were observed under different stages of resuscitation. Results After hemorrhagic shock, the mucosal epithelial injury was obvious in the upper villus and became more serious in 1 h up to 3 h, and mucosal restitution was found 6 h after resuscitation, almost established

  5. Thoracic epidural anesthesia attenuates hemorrhagic-induced splanchnic hypo-perfusion in post-resuscitation experimental hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Amir S Madjid

    2008-06-01

    Full Text Available The purpose of present study was to assess the effects of thoracic epidural anesthesia on splanchnic perfusion, bacterial translocation and histopathologic changes in experimental hemorrhagic shock in short-tailed macaques (Macaca nemestrina. Sixteen Macaca nemestrinas were randomly assigned to one of two groups i.e. the lidocaine group (n = 8, receiving general anesthesia plus lidocaine thoracic epidural anesthesia; and the saline group (n = 8, receiving general anesthesia alone as control. Hemorrhagic shock was induced by withdrawing blood gradually to a mean arterial pressure (MAP of 40 mm Hg, and maintained for 60 minutes. Animals were then resuscitated with their own blood and ringer lactate solution (RL. After resuscitation, epidural lidocaine 2% was given in the lidocaine group and saline in the control group. Resuscitation that was performed after one hour hemorrhagic shock, with hemodynamic variables and urine output returned to normal, revealed there was no improvement of splanchnic perfusion. PgCO2, P(g-aCO2, and pHi remained in critical value and tended to deteriorate in the saline group. Contrast to saline group, splanchnic perfusion in lidocaine group tended to improve. This condition was supported by the finding of less bacterial translocation and better histopathologic changes in lidocaine thoracic epidural anesthesia group than in saline group. This study concludes that lidocaine thoracic epidural anesthesia attenuates splachnic hypoperfusion in post-resuscitation hemorrhagic shock in Macaca nemestrina. (Med J Indones 2008; 17: 73-81Keywords: thoracic epidural anesthesia, lidocaine, hemorrhagic shock, splanchnic hypoperfusion, bacterial translocation

  6. Combined analysis of the non-pneumatic anti-shock garment on mortality from hypovolemic shock secondary to obstetric hemorrhage

    OpenAIRE

    El Ayadi, Alison M.; Butrick, Elizabeth; Geissler, Jillian; Miller, Suellen

    2013-01-01

    Abstract Background Obstetric hemorrhage is the leading cause of maternal mortality, particularly in low-resource settings where women face significant delays in accessing definitive treatment. The Non-pneumatic Anti-Shock Garment (NASG) is a first-aid device to stabilize women in hypovolemic shock secondary to obstetric hemorrhage. Prior studies on the effectiveness of the NASG have suffered from small sample sizes and insufficient statistical power....

  7. Survival in a rat model of lethal hemorrhagic shock is prolonged following resuscitation with a small volume of a solution containing a drag-reducing polymer derived from aloe vera.

    Science.gov (United States)

    Macias, Carlos A; Kameneva, Marina V; Tenhunen, Jyrki J; Puyana, Juan-Carlos; Fink, Mitchell P

    2004-08-01

    Drag-reducing polymers (DRP) increase tissue perfusion at constant driving pressure. We sought to evaluate the effects of small-volume resuscitation with a solution containing a DRP in a rat model of hemorrhage. Anesthetized rats were hemorrhaged at a constant rate over 25 min. In protocol A, total blood loss was 2.45 mL/100 g, whereas in protocol B, total blood loss was 3.15 mL/100 g. Five minutes after hemorrhage, the animals were resuscitated with 7 mL/kg of either normal saline (NS) or NS containing 50 microg/mL of an aloe vera-derived DRP. In protocol B, a third group (CON) was not resuscitated. Whole-body O2 consumption (Vo2) and CO2 production (Vco2) were measured using indirect calorimetry. In protocol A, 5/10 rats in the NS group and 8/10 rats in the DRP group survived for 4 h (P = 0.14). Mean arterial pressure was higher in the DRP-treated group than in the NS-treated group 45 min after resuscitation (89 +/- 8 vs. 68 +/- 5 mmHg, respectively; P < 0.05). In protocol B, survival rates over 2 h in the DRP, NS, and CON groups were 5/15, 1/14, and 0/7, respectively (P < 0.05). Compared with NS-treated rats, those resuscitated with DRP achieved a higher peak Vo2 (9.0 +/- 1.0 vs. 6,3+/- 1.0 mL/kg/min) and Vco2 (9.0 +/- 1.1 vs. 6.0 +/- 1.0 mL/kg/min) after resuscitation. We conclude that resuscitation with a small volume of DRP prolongs survival in rats with lethal hemorrhagic shock.

  8. Impact of hemoglobin nitrite to nitric oxide reductase on blood transfusion for resuscitation from hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Chad Brouse

    2015-01-01

    Full Text Available Background: Transfusion of blood remains the gold standard for fluid resuscitation from hemorrhagic shock. Hemoglobin (Hb within the red blood cell transports oxygen and modulates nitric oxide (NO through NO scavenging and nitrite reductase. Aims: This study was designed to examine the effects of incorporating a novel NO modulator, RRx-001, on systemic and microvascular hemodynamic response after blood transfusion for resuscitation from hemorrhagic shock in a hamster window chamber model. In addition, to RRx-001 the role of low dose of nitrite (1 × 10−9 moles per animal supplementation after resuscitation was studied. Materials and Methods: Severe hemorrhage was induced by arterial controlled bleeding of 50% of the blood volume (BV and the hypovolemic state was maintained for 1 h. The animals received volume resuscitation by an infusion of 25% of BV using fresh blood alone or with added nitrite, or fresh blood treated with RRx-001 (140 mg/kg or RRx-001 (140 mg/kg with added nitrite. Systemic and microvascular hemodynamics were followed at baseline and at different time points during the entire study. Tissue apoptosis and necrosis were measured 8 h after resuscitation to correlate hemodynamic changes with tissue viability. Results: Compared to resuscitation with blood alone, blood treated with RRx-001 decreased vascular resistance, increased blood flow and functional capillary density immediately after resuscitation and preserved tissue viability. Furthermore, in RRx-001 treated animals, both mean arterial pressure (MAP and met Hb were maintained within normal levels after resuscitation (MAP >90 mmHg and metHb <2%. The addition of nitrite to RRx-001 did not significantly improve the effects of RRx-001, as it increased methemoglobinemia and lower MAP. Conclusion: RRx-001 alone enhanced perfusion and reduced tissue damage as compared to blood; it may serve as an adjunct therapy to the current gold standard treatment for resuscitation from

  9. Hemodynamic responses and serum nitrite concentration during uncontrolled hemorrhagic shock in normotensive and hypertensive rats.

    Science.gov (United States)

    Khazaei, Majid; Barmaki, Babak; Nasimi, Ali

    2012-09-01

    We evaluated the effect of hypertension on hemodynamic responses and serum nitrite concentrations in normotensive (NT) and deoxycorticosteron acetate (DOCA)-Salt hypertensive (HT) rats. Uncontrolled hemorrhagic shock was induced in NT and HT rats (n=7 each) by preliminary bleed of 25 ml/kg followed by a 75% tail amputation. The mean arterial pressure (MAP), heart rate and serum nitrite were measured pre-hemorrhage and during hemorrhage. Changes in time-averaged MAP after hemorrhage were significantly greater in HT group than NT. After resuscitation, the HT rats failed to restore MAP to baseline level. Serum nitrite level in both groups was significantly increased during shock period. Survival rate of HT animals was lower than NT group, although it was not statistically significant. Marked reduction of MAP and less improvement after resuscitation suggested the less adaptation of cardiovascular system in HT animals which may interfere with management of these subjects during uncontrolled hemorrhagic shock.

  10. Resveratrol ameliorates mitochondrial dysfunction but increases the risk of hypoglycemia following hemorrhagic shock

    DEFF Research Database (Denmark)

    Widlund, Anne Lykkegaard; Wang, H.; Guan, Y.

    2014-01-01

    Background: Hemorrhagic shock (HS) may contribute to organ failure, by profoundly altering mitochondrial function. Resveratrol (RSV), a naturally occurring polyphenol, has been shown to promote mitochondrial function and regulate glucose homeostasis in diabetes. We hypothesized that RSV during...

  11. Adjunct Nitrous Oxide Normalizes Vascular Reactivity Changes after Hemorrhagic Shock in Mice under Isoflurane Anesthesia

    NARCIS (Netherlands)

    Samarska, Iryna V.; van Meurs, Matijs; Buikema, Hendrik; Houwertjes, Martin C.; Wulfert, Francis M.; Molema, Grietje; Epema, Anne H.; Henning, Robert H.

    2009-01-01

    Background: Hemorrhagic shock is associated with changes in vascular responsiveness that may lead to organ dysfunction and, ultimately, multiple organ dysfunction syndrome. Volatile anesthetics interfere with vasoresponsiveness, which may contribute to organ hypoperfusion. in this study, the authors

  12. Endogenous adenosine and hemorrhagic shock: effects of caffeine administration or caffeine withdrawal.

    OpenAIRE

    Conlay, L A; Evoniuk, G; Wurtman, R J

    1988-01-01

    Plasma adenosine concentrations doubled when rats were subjected to 90 min of profound hemorrhagic shock. Administration of caffeine (20 mg per kg of body weight), an adenosine-receptor antagonist, attenuated the hemorrhage-induced decrease in blood pressure. In contrast, chronic caffeine consumption (0.1% in drinking water), followed by a brief period of caffeine withdrawal, amplified the hypotensive response to hemorrhage. These data suggest that endogenous adenosine participates in the hyp...

  13. Endogenous adenosine and hemorrhagic shock: effects of caffeine administration or caffeine withdrawal.

    OpenAIRE

    Conlay, L A; Evoniuk, G; Wurtman, R.J.

    1988-01-01

    Plasma adenosine concentrations doubled when rats were subjected to 90 min of profound hemorrhagic shock. Administration of caffeine (20 mg per kg of body weight), an adenosine-receptor antagonist, attenuated the hemorrhage-induced decrease in blood pressure. In contrast, chronic caffeine consumption (0.1% in drinking water), followed by a brief period of caffeine withdrawal, amplified the hypotensive response to hemorrhage. These data suggest that endogenous adenosine participates in the hyp...

  14. Effects of carbachol matching oral fluid resuscitation on intestinal mucosa blood flow and absorption rate of dogs suffered hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Lin LI

    2011-04-01

    Full Text Available Objective To investigate the effects of carbachol matching oral fluid resuscitation on intestinal mucosa blood flow(IMBF and intestinal absorption rate of dogs suffered hemorrhagic shock.Methods Twenty-four hours after a preliminary intubation of carotid artery,jugular vein and jejunum by asepsis,twelve Beagle dogs were subjected to a loss of 40% total blood volume to establish animal model of hemorrhagic shock.Animals were then divided into oral resuscitation group and carbachol group(6 each.Dogs in oral resuscitation group were given by gastric tube the glucose-electrolyte solution(GES,which was 3 times volume of blood loss,within 24h after bleeding;while dogs in carbachol group were given GES added carbachol(0.25μg/kg.The IMBF and intestinal absorption rate of water before hemorrhage(0h and 2,4 and 8h after hemorrhage were measured.All the animals were sacrificed at 8h after hemorrhage to record the intestinal GES volume.Results The intestinal absorption rate of water remarkably decreased after hemorrhage in both groups,while in carbachol,group it was obviously higher than that in oral resuscitation group(P < 0.05.The GES volume absorbed by intestine in carbachol group was high than that in oral resuscitation group 8h after hemorrhage(P < 0.05.The IMBF decreased significantly in the both groups after hemorrhage,and then increased gradually 2h after hemorrhage.The IMBF in carbachol group was obviously higher than that in oral resuscitation group(P < 0.05.Conclusion Carbachol in oral resuscitation with GES can improve intestinal absorption rate of water and GES,and increase IMBF in dogs with 40% blood loss.

  15. Myosin light chain kinase is necessary for post-shock mesenteric lymph drainage enhancement of vascular reactivity and calcium sensitivity in hemorrhagic-shocked rats

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Y.P.; Niu, C.Y.; Zhao, Z.G.; Zhang, L.M.; Si, Y.H. [Institute of Microcirculation, Hebei North University, Hebei (China)

    2013-08-10

    Vascular hyporeactivity is an important factor in irreversible shock, and post-shock mesenteric lymph (PSML) blockade improves vascular reactivity after hemorrhagic shock. This study explored the possible involvement of myosin light chain kinase (MLCK) in PSML-mediated vascular hyporeactivity and calcium desensitization. Rats were divided into sham (n=12), shock (n=18), and shock+drainage (n=18) groups. A hemorrhagic shock model (40±2 mmHg, 3 h) was established in the shock and shock+drainage groups. PSML drainage was performed from 1 to 3 h from start of hypotension in shock+drainage rats. Levels of phospho-MLCK (p-MLCK) were determined in superior mesenteric artery (SMA) tissue, and the vascular reactivity to norepinephrine (NE) and sensitivity to Ca{sup 2+} were observed in SMA rings in an isolated organ perfusion system. p-MLCK was significantly decreased in the shock group compared with the sham group, but increased in the shock+drainage group compared with the shock group. Substance P (1 nM), an agonist of MLCK, significantly elevated the decreased contractile response of SMA rings to both NE and Ca{sup 2+} at various concentrations. Maximum contractility (E{sub max}) in the shock group increased with NE (from 0.179±0.038 to 0.440±0.177 g/mg, P<0.05) and Ca{sup 2+} (from 0.515±0.043 to 0.646±0.096 g/mg, P<0.05). ML-7 (0.1 nM), an inhibitor of MLCK, reduced the increased vascular response to NE and Ca{sup 2+} at various concentrations in the shock+drainage group (from 0.744±0.187 to 0.570±0.143 g/mg in E{sub max} for NE and from 0.729±0.037 to 0.645±0.056 g/mg in E{sub max} for Ca{sup 2+}, P<0.05). We conclude that MLCK is an important contributor to PSML drainage, enhancing vascular reactivity and calcium sensitivity in rats with hemorrhagic shock.

  16. Microwave processing for sample preparation to evaluate mitochondrial ultrastructural damage in hemorrhagic shock.

    Science.gov (United States)

    Josephsen, Gary D; Josephsen, Kelly A; Beilman, Greg J; Taylor, Jodie H; Muiler, Kristine E

    2005-12-01

    This is a report of the adaptation of microwave processing in the preparation of liver biopsies for transmission electron microscopy (TEM) to examine ultrastructural damage of mitochondria in the setting of metabolic stress. Hemorrhagic shock was induced in pigs via 35% total blood volume bleed and a 90-min period of shock followed by resuscitation. Hepatic biopsies were collected before shock and after resuscitation. Following collection, biopsies were processed for TEM by a rapid method involving microwave irradiation (Giberson, 2001). Samples pre- and postshock of each of two animals were viewed and scored using the mitochondrial ultrastructure scoring system (Crouser et al., 2002), a system used to quantify the severity of ultrastructural damage during shock. Results showed evidence of increased ultrastructural damage in the postshock samples, which scored 4.00 and 3.42, versus their preshock controls, which scored 1.18 and 1.27. The results of this analysis were similar to those obtained in another model of shock (Crouser et al., 2002). However, the amount of time used to process the samples was significantly shortened with methods involving microwave irradiation.

  17. Effect of N-acetylcysteine in hearts of rats submitted to controlled hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Luiz Dantas de Oliveira Filho

    2015-04-01

    Full Text Available AbstractIntroduction:Pharmacological therapy is a strategy for the prevention of complications associated with ischemia and reperfusion injury that occurs after volume replacement in the treatment of hemorrhagic shock.Objective:The aim of this study was to evaluate the effect of N-acetylcysteine associated with fluid resuscitation in cardiac injury in a rat hemorrhagic shock model.Methods:Mice Wister male rats were randomly and subjected to controlled hemorrhagic shock for 60 min. and then, subjected to resuscitation with Ringer lactate. In a group of six animals, 150mg/kg of N-acetylcysteine were added to fluid volume replacement. The animals were observed for 120 min and after this period, were euthanized and cardiac tissue was collected for histopathological analysis and measurement of thiobarbituric acid reactive substances and pro-and anti-inflammatory interleukin.Results:Cardiac tissue of the group treated with N-acetylcysteine showed lower concentrations of thiobarbituric acid reactive substances (0.20±0.05 vs. 0.27±0.05, P=0.014 and reduced histopathological damage and edema when compared to the group whose volume replacement occurred only with Ringer lactate. There was no difference in the expression of cytokines interleukin 6 (2,138.29±316.89 vs. 1,870.16±303.68, P=0.091 and interleukin 10 (1.019,83±262,50 vs. 848.60±106.5, P=0.169 between the treated groups.Conclusion:The association of N-acetylcysteine on volume replacement attenuates oxidative stress in the heart, as well myocardial damage and edema, but does not modify the expression of inflammatory cytokines.

  18. Noninvasive NIR measurement of tissue pH to assess hemorrhagic shock in swine

    Science.gov (United States)

    Soller, Babs R.; Zhang, Songbiao; Micheels, Ronald H.; Puyana, Juan C.

    1999-07-01

    Body-worn noninvasive physilogical sensors are needed to continuously monitor soldiers for hemorrhage and to provide real-time information for minimally skilled medics to treat the injured. In the hospital intramucosal pHi of the gut is used to monitor shock and its treatment. We hypothesize that abdominal wall muscle (AWM) pH can be measured noninvasively using near infrared (NIR) spectroscopy and partial least squares analysis (PLS) and will correlate with pHi. METHODS: AWM pH was measured with microelectrodes and gastric pHi was measured with a tonometric catheter simultaneously while NIR spectra were collected using prototype LED spectrometers placed on the pig's flanks. Animals were subject to hemorrhagic shock at 45 mm Hg for 45 minutes, then resuscitated with blood and lactated ringers. Relationships between electrode pH, pHi and NIR spectra were developed using PLS with cross validation. RESULTS: NIR spectral changes noninvasively acquired through the skin were shown to be from the muscle, not from changes in skin blood flow. Trending ability (R2) model accuracy (RMSD), and relative error were calculated for individual pigs. Using electrode pH as the reference, average R2 was 0.88 with a predicted accuracy of 0.17 pH units, a 9.3% relative error. Slightly degraded results were observed when pHi was used as a reference. CONCLUSIONS: NIR measurement of tissue pH can be used to noninvasively monitor for shock and guide its treatment in a swine model. These measurements correlate with gastric pHi, a clinically accepted measure of shock, providing an approach to develop similar methodology for humans.

  19. THE CHANGE OF ARTERIOVENOUS CARBON DIOXIDE AND pH GRADIENTS DURING SEVERE HEMORRHAGIC SHOCK AND RESUSCITATION

    Institute of Scientific and Technical Information of China (English)

    黄宇光; 曾清楷; 罗爱伦

    1998-01-01

    Objective. To investigate clidcally useful markers for determining the severity of hemorrhagic shock and adequacy of resuscitation. Methods. Prospective study was undertaken in 12 dogs, using an established model for hemorrhagic shock. The anesthetized dogs were bled to s mean arterial pressure of 40 mmHg which was maintained for 3 hours. Then each animal was resuscitated with heperinized whole blood followed by intravenous infusion of dobutamine at a rate of 5 μg·kg-1·min-1 for 10 minutes. Arterial and mixed venous blood gases, arterial lactate concentrations and bemndynamic parameters were measured throughout the study. Results. A difference in the PCO2 and pH values between arterial and mixed venous blond was observed. Arterlal-venous PCO2 and pH difference increased signifmantly after sustained shock. The arterioveraxts carbon dioxide and pH gradients recovered more rapidly than arterial lactate levels after successful resuscitation with blond and dobutamine. Conclusion. Arterial blood gases fail to reflect the acld-base status of tissues during hemorrhagic shock,The differences in PCO2 and pH vslues between arterial and mixed venous blood could he used as clinical indicators for assessing the severity of shock and efficacy of resuscitation.

  20. Glutamate Metabolism in Brain Structures in Experimental Hemorrhagic Shock

    Directory of Open Access Journals (Sweden)

    V. N. Jakovlev

    2017-01-01

    Full Text Available Purpose. To study glutamate metabolism characteristics in phylogenetically different parts of the mammalian brain in experimentally induced hemorrhagic shock (HS in cats.Material and methods. Experiments were performed on 76 cats. HS was induced by intermittent bloodletting from femoral artery at a rate of 10ml/kg•10 minutes, with the average volume of 24±0.8 ml/kg. The bloodletting was discontinued after arterial pressure (BP drop to 60.0±1.5 mmHg. We studied ammonia, glutamate (Gt, and α-ketoglutarate (α-KG levels and glutaminase (GS and glutamate dehydrogenase (GDG activity in specimens harvested from phylogenetically different parts of the brain (cortex, limbic system, diencephalon, and medulla oblongata.Results. In intact animals, the peak GDG activity was found in the medulla oblongata (phylogenetically the oldest part of the brain and the peak GS activity was registered in the sensorimotor cortex (phylogenetically the youngest part of the brain; the glutaminase activity did not depend on the phylogenetic age of brain structures.In the case of HS, Gt metabolism changes began in the sensorimotor cortex manifested by decreased GS activity, which progresses by the 70th minute of the post%hemorrhagic period (PHP accompanied by delayed increase in the GDG and glutaminase activity, as well as Gt accumulation. In the limbic system and diencephalon the Gt metabolism was changing (impaired glutamine synthesis, stimuled Gt synthesis with glutamine desamidization and α%KG amination when developed by the 70th minute of the PHP. Similarly to sensorimotor cortex, changes were associated with Gt accumulation. During the agony, α%KG deficiency developed in all parts of the brain as a result of its increased contribution to Gt synthesis. At the same period of time, in the sensorimotor cortex, limbic system and diencephalon the Gt synthesis from glutamine was stimulated, however, the Gt contribution tothe formation of glutamine was decreased. The

  1. Therapeutic effect of cisapride on gastric injury following hemorrhagic shock resuscitation in rats

    Institute of Scientific and Technical Information of China (English)

    ZHANG Lian-yang; WANG Zheng-guo; ZHU Pei-fang; XU Yan

    2005-01-01

    Objective: To investigate the therapeutic effect of cisapride on gastric injury following hemorrhagic shock resuscitation.Methods: 108 Wistar rats weighing (200 g±30 g) were randomly divided into a sham shock (SS) group (n=36), a hemorrhagic shock resuscitation (HS) group (n=36) and a hemorrhagic shock cisapride treated (HSC) group (n=36). Sampling at 1, 2 and 4 hours after resuscitation was done and 6 samples for each observation item were taken. The gastric blood flow volume was measured by isotope label biological microglobulin. Gastric pHi, gastric emptying, MDA and Na+-K+-ATPase of gastric mucosa were measured.Results: In the HSC group, the relative residual rate of gastric pigment decreased significantly, the gastric blood flow volume elevated; gastric pHi increased significantly at 2 hours; the level of mucosal MDA decreased at 4 hours, the activity of Na+-K+-ATPase increased and the lactic acid level in the portal vein decreased significantly compared to the HS group.Conclusions: After hemorrhagic shock resuscitation, cisapride contained the following functions,1) promoting gastric emptying, 2) increasing the blood flow of gastric blood flow volume and gastric pHi, 3) depressing the lactic acid concentration of the portal vein and improving MDA volume and Na+-K+ -ATPase activity of gastric mucosa. It suggests that after comple menting effective circulating blood volume for hemorrhagic shock resuscitation, early use of cisapride for gastric motility is helpful for an improvement of lasting ischemia and hypoxia in stomach.

  2. Plasma-Mediated Gut Protection After Hemorrhagic Shock is Lessened in Syndecan-1-/- Mice.

    Science.gov (United States)

    Ban, Kechen; Peng, Zhanglong; Pati, Shibani; Witkov, Richard B; Park, Pyong Woo; Kozar, Rosemary A

    2015-11-01

    We have shown in a rodent model of hemorrhagic shock (HS) that fresh frozen plasma (FFP) reduces lung inflammation and injury that are correlated with restitution of syndecan-1. As the gut is believed to contribute to distant organ injury and inflammation after shock, the current study sought to determine if the protective effects of plasma would extend to the gut and to elucidate the contribution of syndecan-1 to this protective effect. We also examined the potential role of TNFα, and a disintegrin and metalloproteinase (ADAM)-17, both intestinal sheddases of syndecan-1. Wild-type (WT) and syndecan-1 (KO) mice were subjected to HS followed by resuscitation with lactated Ringer's (LR) or FFP and compared with shock alone and shams. Small bowel and blood were obtained after 3  h for analysis of mucosal injury and inflammation and TNFα and ADAM-17 protein expression and activity. After HS, gut injury and inflammation were significantly increased compared with shams. Resuscitation with LR decreased both injury and inflammation that were further lessened by FFP. KO mice displayed worsened gut injury and inflammation after HS compared with WT mice, and LR and FFP equivalently inhibited injury and inflammation. Both systemic and intestinal TNFα and ADAM-17 followed similar trends, with increases after HS, reduction by LR, and a further decrease by FFP in WT but not KO mice. In conclusion, FFP decreased gut injury and inflammation after hemorrhagic shock, an effect that was abrogated in syndecan-1 mice. Plasma also decreased TNFα and ADAM-17, representing a potential mechanistic link to its protection via syndecan-1.

  3. 比格犬胸部多发伤出血性休克模型建立%A Model of Traumatic Hemorrhagic Shock with Multiple Thoracic Injuries in Beagle Dogs

    Institute of Scientific and Technical Information of China (English)

    孟辉; 郑军; 李庆新; 洪波; 张世范; 李乃斌; 高明; 杨俊峰; 王海芳

    2012-01-01

    目的 建立一种胸部多发伤失血性休克大动物模型,满足一线与后续救护实验研究需要.方法 普通级比格犬18只随机分为微创血气胸、失血休克组(A组,n=6),多根多段肋骨骨折、创伤性血胸、张力性气胸、失血性休克组(B组,n=12),后者又分为自体血回输组(B1组,n=6)、非自体血回输组(B2组,n=6).A、B2组常规液体复苏,B1组在液体复苏的基础上用自制救护装置自体输血复苏.观察动物的存活率、生理指标、血常规、凝血、动脉血气各项参数.结果 A、B1组动物全部成活(6/6,12/18),B2组半数死亡(3/6).与A组相比,伤后B1组RBC、HGB、HCT、PaO2、氧合指数有显著性差异(P<0.05),明显优于B2组;伤后4~8h,B2组RBC、HGB、HCT、PaO2、氧合指数降低较为明显,与B1组相比有显著性差异(P<0.05).结论 本法制作的胸部多发伤失血性休克模型成功率高,可重复性强.%Objective To establish a model of traumatic hemorrhagic shock with multiple thoracic injuries in Beagle dogs for the experimental study of the rescuing effect of the first - line and follow - up comprehensive rescue devices. Methods Eighteen beagle dogs of common grade were randomly divided into two groups, which included mini - traumatic shock and hemopneumothorax group( group A, n = 6) , multiple fractured ribs and traumatic hemothorax and tension pneumothorax and hemorrhagic shock group(group B, n = 12) ,and then the latter was dirided into with autologous blood transfusion group (group B1 ,n =6) and without autologous blood transfusion group (group B2 ,n = 6) . Routine liquid resuscitation were applied in group A and B2 , and autotransfusion of self - made serial first - aid life supporting devices in group B1. Animal survival rate, physiological index, and parameters of routine blood test,blood gas and coagulation were observed. Results The survival rate in group A and B1 was 100% but it was 50% in group B2. Compared with the control

  4. Potential early predictors for outcomes of experimental hemorrhagic shock induced by uncontrolled internal bleeding in rats.

    Directory of Open Access Journals (Sweden)

    Zaid A Abassi

    Full Text Available Uncontrolled hemorrhage, resulting from traumatic injuries, continues to be the leading cause of death in civilian and military environments. Hemorrhagic deaths usually occur within the first 6 hours of admission to hospital; therefore, early prehospital identification of patients who are at risk for developing shock may improve survival. The aims of the current study were: 1. To establish and characterize a unique model of uncontrolled internal hemorrhage induced by massive renal injury (MRI, of different degrees (20-35% unilateral nephrectomy in rats, 2. To identify early biomarkers those best predict the outcome of severe internal hemorrhage. For this purpose, male Sprague Dawley rats were anesthetized and cannulas were inserted into the trachea and carotid artery. After abdominal laparotomy, the lower pole of the kidney was excised. During 120 minutes, hematocrit, pO2, pCO2, base excess, potassium, lactate and glucose were measured from blood samples, and mean arterial pressure (MAP was measured through arterial tracing. After 120 minutes, blood loss was determined. Statistical prediction models of mortality and amount of blood loss were performed. In this model, the lowest blood loss and mortality rate were observed in the group with 20% nephrectomy. Escalation of the extent of nephrectomy to 25% and 30% significantly increased blood loss and mortality rate. Two phases of hemodynamic and biochemical response to MRI were noticed: the primary phase, occurring during the first 15 minutes after injury, and the secondary phase, beginning 30 minutes after the induction of bleeding. A Significant correlation between early blood loss and mean arterial pressure (MAP decrements and survival were noted. Our data also indicate that prediction of outcome was attainable in the very early stages of blood loss, over the first 15 minutes after the injury, and that blood loss and MAP were the strongest predictors of mortality.

  5. Effects of hypertension on hemodynamic response and serum nitrite concentration during graded hemorrhagic shock in rats.

    Science.gov (United States)

    Barmaki, Babak; Nasimi, Ali; Khazaei, Majid

    2011-09-01

    Hypertensive patients have higher morbidity and mortality from hemorrhage. In this study, we investigated hemodynamic responses and serum nitrite concentrations during graded hemorrhagic shock and resuscitation in hypertensive (HT) and normotensive (NT) rats. Thirteen male rats were divided into two groups, namely HT (n = 6) and NT (n = 7). Hypertension was induced by deoxycorticosterone acetate (DOCA)-salt method in uninephrectomized rats. After 8 weeks, graded hemorrhagic shock was induced during 34 minutes in four steps separated by 8-minute intervals (totally 16 ml/kg). The animals were kept in this condition for 120 minutes (shock period). Then, they were resuscitated with blood withdrawal. Mean arterial pressure (MAP) and heart rate (HR) were measured throughout the experiment. Blood samples were taken before and after shock induction and at the end of the shock period. HT rats experienced more MAP and HR reduction during the shock period and less improvement of hemodynamic response after resuscitation compared with the NT group (p 0.05). More reduction of MAP after hemorrhagic shock, less improvement of MAP and HR after resuscitation and low survival rate in HT animals suggested the impairment of cardiovascular system adaptation of HT animals during blood loss and it should be considered in management of hypertensive subjects.

  6. Adiponectin in Fresh Frozen Plasma Contributes to Restoration of Vascular Barrier Function After Hemorrhagic Shock.

    Science.gov (United States)

    Deng, Xiyun; Cao, Yanna; Huby, Maria P; Duan, Chaojun; Baer, Lisa; Peng, Zhanglong; Kozar, Rosemary A; Doursout, Marie-Francoise; Holcomb, John B; Wade, Charles E; Ko, Tien C

    2016-01-01

    Hemorrhagic shock is the leading cause of preventable deaths in civilian and military trauma. Use of fresh frozen plasma (FFP) in patients requiring massive transfusion is associated with improved outcomes. FFP contains significant amounts of adiponectin, which is known to have vascular protective function. We hypothesize that FFP improves vascular barrier function largely via adiponectin. Plasma adiponectin levels were measured in 19 severely injured patients in hemorrhagic shock (HS). Compared with normal individuals, plasma adiponectin levels decreased to 49% in HS patients before resuscitation (P < 0.05) and increased to 64% post-resuscitation (but not significant). In a HS mouse model, we demonstrated a similar decrease in plasma adiponectin to 54% but a significant increase to 79% by FFP resuscitation compared with baseline (P < 0.05). HS disrupted lung vascular barrier function, leading to an increase in permeability. FFP resuscitation reversed these HS-induced effects. Immunodepletion of adiponectin from FFP abolished FFP's effects on blocking endothelial hyperpermeability in vitro, and on improving lung vascular barrier function in HS mice. Replenishment with adiponectin rescued FFP's effects. These findings suggest that adiponectin is an important component in FFP resuscitation contributing to the beneficial effects on vascular barrier function after HS.

  7. Oxygen deficit and H2S in hemorrhagic shock in rats

    Science.gov (United States)

    2012-01-01

    Introduction Hemorrhagic shock induced O2 deficit triggers inflammation and multiple organ failure (MOF). Endogenous H2S has been proposed to be involved in MOF since plasma H2S concentration appears to increase in various types of shocks and to predict mortality. We tested the hypothesis that H2S increases during hemorrhagic shock associated with O2 deficit, and that enhancing H2S oxidation by hydroxocobalamin could reduce inflammation, O2 deficit or mortality. Methods We used a urethane anesthetized rat model, where 25 ml/kg of blood was withdrawn over 30 minutes. O2 deficit, lactic acid, tumor necrosis factor (TNF)-alpha and H2S plasma concentrations (Siegel method) were measured before and after the bleeding protocol in control animals and animals that received 140 mg/kg of hydroxocobalamin. The ability to oxidize exogenous H2S of the plasma and supernatants of the kidney and heart homogenates was determined in vitro. Results We found that withdrawing 25 ml/kg of blood led to an average oxygen deficit of 122 ± 23 ml/kg. This O2 deficit was correlated with an increase in the blood lactic acid concentration and mortality. However, the low level of absorbance of the plasma at 670 nm (A670), after adding N, N-Dimethyl-p-phenylenediamine, that is, the method used for H2S determination in previous studies, did not reflect the presence of H2S, but was a marker of plasma turbidity. There was no difference in plasmatic A670 before and after the bleeding protocol, despite the large oxygen deficit. The plasma sampled at the end of bleeding maintained a very large ability to oxidize exogenous H2S (high μM), as did the homogenates of hearts and kidneys harvested just after death. Hydroxocobalamin concentrations increased in the blood in the μM range in the vitamin B12 group, and enhanced the ability of plasma and kidneys to oxidize H2S. Yet, the survival rate, O2 deficit, H2S plasma concentration, blood lactic acid and TNF-alpha levels were not different from the control

  8. CB1 cannabinoid receptor participates in the vascular hyporeactivity resulting from hemorrhagic shock in rats

    Institute of Scientific and Technical Information of China (English)

    HOU Li-chao; LI Nan; ZHENG Li-na; LU Yan; XIE Ke-liang; WANG Yue-min; JI Gen-lin; XIONG Li-ze

    2009-01-01

    Background Vascular hyporeactivity, which occurs in the terminal stage of hemorrhagic shock, is believed to be critical for treating hemorrhagic shock. The present study was designed to examine whether the CB1 cannabinoid receptor (CB1R) was involved in the development of vascular hyporeactivity in rats suffering from hemorrhagic shock.Methods Sixteen animals were randomly divided into two groups (n=8 in each group): sham-operated (Sham) and hemorrhagic shock (HS) groups. Hemorrhagic shock was induced by bleeding. The mean arterial pressure (MAP) was reduced to and stabilized at (25±5) mmHg for 2 hours. The vascular reactivity was determined by the response of MAP to norepinephrine (NE). In later experiments another twelve animals were used in which the changes of CB1R mRNA and protein in aorta and superior mesenteric artery (SMA) were analyzed by RT-PCR and Western blotting. In addition, we investigated the effects of a CB1R antagonist on the vascular hyporeactivity and survival rates in rats with hemorrhagic shock. Survival rates were analyzed by the Fisher's exact probability test. The MAP response was analyzed by one-way analysis of variance (ANOVA).Results Vascular hyporeactivity developed in all animals suffering from hemorrhagic shock. The expression of CB1R mRNA and protein in aorta and 2-3 branches of the SMA were significantly increased in the HS group after the development of vascular hyporeactivity when compared to those in Sham group. When SR141716A or AM251 was administered, the MAP response to NE was (41.75±4.08) mmHg or (44.78±1.80) mmHg respectively, which was higher than that in saline groups with (4.31±0.36) mmHg (P<0.01). We also showed an increased 4-hour survival rate in the SR141716A or AM251-treated group with 20% or 30%, but with a statistically significant difference present between the AM251-treated and saline groups (P<0.05).Conclusions CB1R is involved in vascular hyporeactivity resulting from hemorrhagic shock in rats, and CB1R

  9. A Laparoscopic Swine Model of Noncompressible Torso Hemorrhage

    Science.gov (United States)

    2014-01-01

    Harvard Apparatus, Holliston, MA), the femoral vein was instrumented with a 7 Fr angiocatheter (BD Medical, Franklin Lakes, NJ), and the skin was...Scultetus A, Stern SA. Fluid resuscitation of uncontrolled hemorrhage using a hemoglobin-based oxygen carrier: effect of traumatic brain injury. Shock...King DR. Development of a lethal, closed-abdomen grade V hepato- portal injury model in non- coagulopathic swine. J Surg Res. 2013;182:101 107. 23

  10. A Hemoglobin Based Oxygen Carrier, Bovine Polymerized Hemoglobin (HBOC-201) versus Hetastarch (HEX) in an Uncontrolled Liver Injury Hemorrhagic Shock Swine Model with Delayed Evacuation

    Science.gov (United States)

    2004-10-01

    using Seldinger technique and a 7.5 F pulmonary artery catheter (PAC; Edwards Life Sciences, Irvine, CA,) was inserted for continuous hemodynamic and...to identify and isolate the lower left lobe. All surgical procedures were performed under aseptic techniques . Injury, Hemorrhage, and Resuscitation

  11. Establishment of swine model with deep hypothermia induced suspended animation for hemorrhagic shock therapy%深低温“假死”救治失血性休克动物模型建立

    Institute of Scientific and Technical Information of China (English)

    刘宇; 张永; 历志; 韩劲松; 尹宗涛; 王辉山

    2016-01-01

    目的:探讨应用深低温“假死”方法救治失血性休克的可行性。方法对8只小型巴马香猪行颈总动脉和颈内静脉插管,建立体外循环;转流降低直肠温至15℃时,暂停循环90 min 后恢复体外循环并复温;待直肠温恢复到术前水平后,脱离体外循环,呼吸机辅助呼吸直至脱离呼吸机;观察实验猪血流动力学指标及存活情况。结果本组8只实验猪心脏均自动复跳并能够脱离呼吸机,脱机后2 h 内血流动力学稳定。1只实验猪脱离体外循环后死于循环障碍。结论应用深低温“假死”救治猪失血性休克安全、有效,为外伤或战伤后心脏和大血管损伤的救治提供了实验基础。%Objective To explore the feasibility of using deep hypothermia induced suspended animation to treat swine model after hemorrhagic shock. Methods Cannulation of the right common carotid artery and internal jugular vein were performed to establish ex-tracorporeal circulation for eight swine,which was terminated till the rectal temperature dropped to 15℃ . Ninety minutes later,the cir-culation was restarted and terminated till rectal temperature of 37℃ . Breathing machine assisted until swine can spontaneously breath-ing. The index of hemodynamic and survival were observed. Results Seven swine had heart rehabilitation jump,sublation of the breathing machine,hemodynamic was stable after off-line within 2 hours,while one swine died of circulatory failure. Conclusion U-sing deep hypothermia induced suspended animation to treat swine model after hemorrhagic shock is feasible and safe,which can be used in the future study for heart and large vessel after war wound and trauma.

  12. Effects of intraosseous erythropoietin during hemorrhagic shock in swine.

    Directory of Open Access Journals (Sweden)

    Vesna Borovnik-Lesjak

    Full Text Available OBJECTIVE: To determine whether erythropoietin given during hemorrhagic shock (HS ameliorates organ injury while improving resuscitation and survival. METHODS: Three series of 24 pigs each were studied. In an initial series, 50% of the blood volume (BV was removed in 30 minutes and normal saline (threefold the blood removed started at minute 90 infusing each third in 30, 60, and 150 minutes with shed blood reinfused at minute 330 (HS-50BV. In a second series, the same HS-50BV protocol was used but removing an additional 15% of BV from minute 30 to 60 (HS-65BV. In a final series, blood was removed as in HS-65BV and intraosseous vasopressin given from minute 30 (0.04 U/kg min(-1 until start of shed blood reinfusion at minute 150 (HS-65BV+VP. Normal saline was reduced to half the blood removed and given from minute 90 to 120 in half of the animals. In each series, animals were randomized 1:1 to receive erythropoietin (1,200 U/kg or control solution intraosseously after removing 10% of the BV. RESULTS: In HS-50BV, O2 consumption remained near baseline yielding minimal lactate increases, 88% resuscitability, and 60% survival at 72 hours. In HS-65BV, O2 consumption was reduced and lactate increased yielding 25% resuscitability. In HS-65BV+VP, vasopressin promoted hemodynamic stability yielding 92% resuscitability and 83% survival at 72 hours. Erythropoietin did not affect resuscitability or subsequent survival in any of the series but increased interleukin-10, attenuated lactate increases, and ameliorated organ injury based on lesser troponin I, AST, and ALT increases and lesser neurological deficits in the HS-65BV+VP series. CONCLUSIONS: Erythropoietin given during HS in swine failed to alter resuscitability and 72 hour survival regardless of HS severity and concomitant treatment with fluids and vasopressin but attenuated acute organ injury. The studies also showed the efficacy of vasopressin and restrictive fluid resuscitation for hemodynamic

  13. A Hemoglobin-based Oxygen Carrier, Bovine Polymerized Hemoglobin (HBOC-201) Versus Hetastarch (HEX) in a Moderate Severity Hemorrhagic Shock Swine Model with Delayed Evacuation

    Science.gov (United States)

    2005-03-23

    vein using Seldinger technique and a 7.5 F pulmonary artery catheter (PAC; Edwards Life Sciences, Irvine, CA,) was inserted for continuous hemodynamic...using aseptic techniques . lood volume (ml) was estimated as: EBV = animal weight kg)× 65 ml/kg. .2. Pre-hospital phase: tissue injury, hemorrhage and...Pentra 60 C+, ABX, France) and serum chemistries including lactate (Vitros 250 Analyzer, Ortho). 2.5. Statistical analysis The statistical techniques were

  14. Effects of hypertension on hemodynamic response and serum nitrite concentration during graded hemorrhagic shock in rats

    OpenAIRE

    Babak Barmaki; Ali Nasimi; Majid Khazaei

    2011-01-01

    Background: Hypertensive patients have higher morbidity and mortality from hemorrhage. In this study, we investigated hemodynamic responses and serum nitrite concentrations during graded hemorrhagic shock and resuscitation in hypertensive (HT) and normotensive (NT) rats. Methods: Thirteen male rats were divided into two groups, namely HT (n = 6) and NT (n = 7). Hypertension was induced by deoxycorticosterone acetate (DOCA)-salt method in uninephrectomized rats. After 8 weeks, graded hemor...

  15. Blood autotransfusion outcomes compared with Ringer lactate infusion in dogs with hemorrhagic shock induced by controlled bleeding

    Directory of Open Access Journals (Sweden)

    Mansour Safaei

    2011-01-01

    Conclusions: Crystalloid during the first hours after treatment of hemorrhagic shock may be better than autologous blood as preferred treatment, while autotransfusion showed its benefits some hours after. This finding can be used to develop better strategies for treatment of hemorrhagic shock.

  16. Theoretical Analysis of the Relative Impact of Obesity on Hemodynamic Stability During Acute Hemorrhagic Shock

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    Sterling

    2015-09-01

    Full Text Available Background Evidence suggests that morbid obesity may be an independent risk factor for adverse outcomes in patients with traumatic injuries. Objectives In this study, a theoretic analysis using a derivation of the Guyton model of cardiovascular physiology examines the expected impact of obesity on hemodynamic changes in Mean Arterial Pressure (MAP and Cardiac Output (CO during Hemorrhagic Shock (HS. Patients and Methods Computer simulation studies were used to predict the relative impact of increasing Body Mass Index (BMI on global hemodynamic parameters during HS. The analytic procedure involved recreating physiologic conditions associated with changing BMI for a virtual subject in an In Silico environment. The model was validated for the known effect of a BMI of 30 on iliofemoral venous pressures. Then, the relative effect of changing BMI on the outcome of target cardiovascular parameters was examined during simulated acute loss of blood volume in class II hemorrhage. The percent changes in these parameters were compared between the virtual nonobese and obese subjects. Model parameter values are derived from known population distributions, producing simulation outputs that can be used in a deductive systems analysis assessment rather than traditional frequentist statistical methodologies. Results In hemorrhage simulation, moderate increases in BMI were found to produce greater decreases in MAP and CO compared to the normal subject. During HS, the virtual obese subject had 42% and 44% greater falls in CO and MAP, respectively, compared to the nonobese subject. Systems analysis of the model revealed that an increase in resistance to venous return due to changes in intra-abdominal pressure resulting from obesity was the critical mechanism responsible for the differences. Conclusions This study suggests that obese patients in HS may have a higher risk of hemodynamic instability compared to their nonobese counterparts primarily due to obesity

  17. Theoretical Analysis of the Relative Impact of Obesity on Hemodynamic Stability During Acute Hemorrhagic Shock

    Science.gov (United States)

    Sterling, Sarah A.; Jones, Alan E.; Coleman, Thomas G.; Summers, Richard L.

    2015-01-01

    Background: Evidence suggests that morbid obesity may be an independent risk factor for adverse outcomes in patients with traumatic injuries. Objectives: In this study, a theoretic analysis using a derivation of the Guyton model of cardiovascular physiology examines the expected impact of obesity on hemodynamic changes in Mean Arterial Pressure (MAP) and Cardiac Output (CO) during Hemorrhagic Shock (HS). Patients and Methods: Computer simulation studies were used to predict the relative impact of increasing Body Mass Index (BMI) on global hemodynamic parameters during HS. The analytic procedure involved recreating physiologic conditions associated with changing BMI for a virtual subject in an In Silico environment. The model was validated for the known effect of a BMI of 30 on iliofemoral venous pressures. Then, the relative effect of changing BMI on the outcome of target cardiovascular parameters was examined during simulated acute loss of blood volume in class II hemorrhage. The percent changes in these parameters were compared between the virtual nonobese and obese subjects. Model parameter values are derived from known population distributions, producing simulation outputs that can be used in a deductive systems analysis assessment rather than traditional frequentist statistical methodologies. Results: In hemorrhage simulation, moderate increases in BMI were found to produce greater decreases in MAP and CO compared to the normal subject. During HS, the virtual obese subject had 42% and 44% greater falls in CO and MAP, respectively, compared to the nonobese subject. Systems analysis of the model revealed that an increase in resistance to venous return due to changes in intra-abdominal pressure resulting from obesity was the critical mechanism responsible for the differences. Conclusions: This study suggests that obese patients in HS may have a higher risk of hemodynamic instability compared to their nonobese counterparts primarily due to obesity

  18. Hypertonic saline solution resuscitation in hemorrhagic shock dogs

    Institute of Scientific and Technical Information of China (English)

    蔡秀军; 黄迪宇; 牟一平; 彭淑牖

    2002-01-01

    To find out the optimal concentration, infusion rate and dosage of saline for resuscitation. Methods: Forty-five dogs were used to establish hypovolemic shock models. The dogs were resuscitated with saline of different concentrations and different dosages under different infusion rates, and the resuscitation results were compared. Results: The best concentration was 7.5%, the best rate of infusion 20 ml/min (a volume equivalent to 15% of the shed blood) and the best dosage 5.71 ml/kg. The method was effective for resuscitation, the mean arterial pressure (MAP) could be elevated to 89% of the baseline, and this MAP could be kept for more than one hour. Conclusions: Using 7.5% sodium chloride solution equivalent to 15% of the shed blood at an infusion rate of 20 ml/min can achieve a best resuscitation result.

  19. Vasopressin for Hemorrhagic Shock Management: Revisiting the Potential Value in Civilian and Combat Casualty Care

    Science.gov (United States)

    2010-07-01

    shock (Adapted from Guyton , Textbook of Medical Physiology).11 Figure 2. Course of arterial pressure in dogs after different degrees of acute hemorrhage...Each curve represents the av- erage result from six dogs ( Guyton , Textbook of Medical Physiology).11 Voelckel et al. The Journal of TRAUMA® Injury...systemic hemodynamics in catecholamine-resistant septic and post- cardiotomy shock: a retrospective analysis. Anesth Analg. 2001;93: 7–13. 11. Guyton AC

  20. Prevention of Trauma/Hemorrhagic Shock-Induced Mortality, Apoptosis, Inflammation and Mitochondrial Dysfunction

    Science.gov (United States)

    2015-02-01

    Award Number: W81XWH-11-2-0018 TITLE:“Prevention of Trauma/Hemorrhagic Shock-Induced Mortality, Apoptosis, Inflammation and Mitochondrial ...3. DATES COVERED (From - To) 05 Nov 2010 – 04 Nov 2014 4. TITLE AND SUBTITLE Inflammation and Mitochondrial Dysfunction” 5a. CONTRACT NUMBER...W81XWH-11-2-0018 “Prevention of Trauma/Hemor hagic Shock-Induced Mortality, Apoptosis,Inflammation and Mitochondrial Dysfunction” 5b. GRANT NUMBER

  1. 异丙酚对兔失血性休克/复苏时微循环的影响%Effect of propofol on microcirculation in a rabbit model of hemorrhagic shock and resuscitation

    Institute of Scientific and Technical Information of China (English)

    刘志慧; 李佩铂; 谢克亮; 张洋; 刘玲玲; 王国林; 于泳浩

    2016-01-01

    Objective To evaluate the effect of propofol on microcirculation in a rabbit model of hemorrhagic shock and resuscitation.Methods Twenty-four adult male rabbits,weighing 1.7-2.1 kg,aged 4-6 months,were equally randomized into sham operation (group S),hemorrhagic shock and resuscitation (group HS/R),or propofol (group P) groups.Hemorrhagic shock was induced by withdrawing blood from the left common carotid artery until mean arterial pressure was reduced to 40-50 mmHg which was maintained for 30 min.The animals were then resuscitated by infusion of shed blood and normal saline (2 times the volume of shed blood) in HS/R and P groups,and in addition propofol 20 mg · kg-1 · h-1 was infused intravenously in group P.Before blood-letting,immediately before resuscitation,and at 30 and 60 min after onset of resuscitation,arterial blood samples were collected for blood gas analysis,and pH value and lactic acid concentrations were recorded.Side-stream dark field imaging was employed to acquire the images of mesenteric microcirculation.Microcirculatory parameters like total vessel density,perfused vessel density,proportion of perfused vessels,and microvascular flow index were recorded.Results Compared with group S,pH value was significantly decreased,and lactic acid concentrations were increased immediately before resuscitation,and at 30 and 60 min after onset of resuscitation,and the total vessel density,perfused vessel density,proportion of perfused vessels,and microvascular flow index were decreased immediately before resuscitation in HS/R and P groups (P<0.05).There was no significant difference in the parameters mentioned above between group HS/R and group P (P>0.05).Conclusion Propofol exerts no effect on microcirculation in a rabbit model of hemorrhagic shock and resuscitation.%目的 评价异丙酚对兔失血性休克/复苏时微循环的影响.方法 成年雄性家兔24只,体重1.7~2.1 kg,4~6月龄,采用随机数字表法,将其分为3组(n=8):假手

  2. Leukotriene biosynthesis inhibition ameliorates acute lung injury following hemorrhagic shock in rats

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    Hadi Najah R

    2011-06-01

    Full Text Available Abstract Background Hemorrhagic shock followed by resuscitation is conceived as an insult frequently induces a systemic inflammatory response syndrome and oxidative stress that results in multiple-organ dysfunction syndrome including acute lung injury. MK-886 is a leukotriene biosynthesis inhibitor exerts an anti inflammatory and antioxidant activity. Objectives The objective of present study was to assess the possible protective effect of MK-886 against hemorrhagic shock-induced acute lung injury via interfering with inflammatory and oxidative pathways. Materials and methods Eighteen adult Albino rats were assigned to three groups each containing six rats: group I, sham group, rats underwent all surgical instrumentation but neither hemorrhagic shock nor resuscitation was done; group II, Rats underwent hemorrhagic shock (HS for 1 hr then resuscitated with Ringer's lactate (1 hr (induced untreated group, HS; group III, HS + MK-886 (0.6 mg/kg i.p. injection 30 min before the induction of HS, and the same dose was repeated just before reperfusion period. At the end of experiment (2 hr after completion of resuscitation, blood samples were collected for measurement of serum tumor necrosis factor-α (TNF-α and interleukin-6 (IL-6. The trachea was then isolated and bronchoalveolar lavage fluid (BALF was carried out for measurement of leukotriene B4 (LTB4, leukotriene C4 (LTC4 and total protein. The lungs were harvested, excised and the left lung was homogenized for measurement of malondialdehyde (MDA and reduced glutathione (GSH and the right lung was fixed in 10% formalin for histological examination. Results MK-886 treatment significantly reduced the total lung injury score compared with the HS group (P 4, LTC4 & total protein compared with the HS group (P P Conclusions The results of the present study reveal that MK-886 may ameliorate lung injury in shocked rats via interfering with inflammatory and oxidative pathways implicating the role of

  3. Hemorrhagic shock impairs myocardial cell volume regulation and membrane integrity in dogs

    Energy Technology Data Exchange (ETDEWEB)

    Horton, J.W.

    1987-06-01

    An in vitro myocardial slice technique was used to quantitate alterations in cell volume regulation and membrane integrity after 2 h or hemorrhagic shock. After in vitro incubation in Krebs-Ringer-phosphate medium containing trace (/sup 14/C)inulin, values (ml H/sub 2/O/g dry wt) for control nonshocked myocardial slices were 4.03 /plus minus/ 0.11 (SE) for total water, 2.16 /plus minus/ 0.07 for inulin impermeable space, and 1.76 /plus minus/ 0.15 for inulin diffusible space. Shocked myocardial slices showed impaired response to cold incubation. After 2 h of in vivo shock, total tissue water, inulin diffusible space, and inulin impermeable space increased significantly for subendocardium, whereas changes in subepicardium parameters were minimal. Shock-induced cellular swelling was accompanied by an increased total tissue sodium, but no change in tissue potassium. Calcium entry blockade in vivo significantly reduced subendocardial total tissue water as compared with shock-untreated dogs. In addition, calcium entry blockade reduced shock-induced increases in inulin diffusible space. In vitro myocardial slice studies confirm alterations in subendocardial membrane integrity after 2 h of in vivo hemorrhagic shock. Shock-induced abnormalities in myocardial cell volume regulation are reduced by calcium entry blockade in vivo.

  4. Early organ-specific endothelial activation during hemorrhagic shock and resuscitation

    NARCIS (Netherlands)

    van Meurs, Matijs; Wulfert, Francis M.; Knol, Ageeth J.; De Haes, Ann; Houwertjes, Martin; Aarts, Leon P. H. J.; Molema, Grietje

    2008-01-01

    Multiple organ dysfunction syndrome (MODS) is a complication of hemorrhagic shock (HS) and related to high morbidity and mortality. Interaction of activated neutrophils and endothelial cells is considered to play a prominent role in the pathophysiology of MODS. Insight in the nature and molecular ba

  5. Effects of hypertension on hemodynamic response and serum nitrite concentration during graded hemorrhagic shock in rats

    Directory of Open Access Journals (Sweden)

    Babak Barmaki

    2011-01-01

    Conclusions: More reduction of MAP after hemorrhagic shock, less improvement of MAP and HR after resuscitation and low survival rate in HT animals suggested the impairment of cardiovascular system adaptation of HT animals during blood loss and it should be considered in management of hypertensive subjects.

  6. Pancreatic digestive enzyme blockade in the small intestine prevents insulin resistance in hemorrhagic shock.

    Science.gov (United States)

    DeLano, Frank A; Schmid-Schönbein, Geert W

    2014-01-01

    Hemorrhagic shock is associated with metabolic defects, including hyperglycemia and insulin resistance, but the mechanisms are unknown. We recently demonstrated that reduction of the extracellular domain of the insulin receptor by degrading proteases may lead to a reduced ability to maintain normal plasma glucose values. In shock, transfer of digestive enzymes from the lumen of the intestine into the systemic circulation after breakdown of the intestinal mucosal barrier causes inflammation and organ dysfunction. Suppression of the digestive enzymes in the lumen of the intestine with protease inhibitors is effective in reducing the level of the inflammatory reactions. To determine the degree to which blockade of digestive enzymes affects insulin resistance in shock, rats were exposed to acute hemorrhagic shock (mean arterial pressure of 30 mmHg for 2 h) at which time all shed blood volume was returned. Digestive proteases in the intestine were blocked with a serine protease inhibitor (tranexamic acid in polyethylene glycol and physiological electrolyte solution), and the density of the insulin receptor was measured with immunohistochemistry in the mesentery microcirculation. The untreated rat without enzyme blockade had significantly attenuated levels of insulin receptor density as compared with control and treated rats. Blockade of the digestive proteases after 60 min of hypotension in the lumen of the small intestine led to a lesser decrease in insulin receptor density compared with controls without protease blockade. Glucose tolerance test indicates a significant increase in plasma glucose levels 2 h after hemorrhagic shock, which are reduced to control values in the presence of protease inhibition in the lumen of the intestine. The transient reduction of the plasma glucose levels after an insulin bolus is significantly attenuated after shock but is restored when digestive enzymes in the lumen of the intestine are blocked. These results suggest that in

  7. Shock Detector for SURF model

    Energy Technology Data Exchange (ETDEWEB)

    Menikoff, Ralph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-01-11

    SURF and its extension SURFplus are reactive burn models aimed at shock initiation and propagation of detonation waves in high explosives. A distinctive feature of these models is that the burn rate depends on the lead shock pressure. A key part of the models is an algorithm to detect the lead shock. Typically, shock capturing hydro algorithms have small oscillations behind a shock. Here we investigate how well the shock detection algorithm works for a nearly steady propagating detonation wave in one-dimension using the Eulerian xRage code.

  8. Shock Detector for SURF model

    Energy Technology Data Exchange (ETDEWEB)

    Menikoff, Ralph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-01-11

    SURF and its extension SURFplus are reactive burn models aimed at shock initiation and propagation of detonation waves in high explosives. A distinctive feature of these models is that the burn rate depends on the lead shock pressure. A key part of the models is an algorithm to detect the lead shock. Typically, shock capturing hydro algorithms have small oscillations behind a shock. Here we investigate how well the shock detection algorithm works for a nearly steady propagating detonation wave in one-dimension using the Eulerian xRage code.

  9. Blood soluble drag-reducing polymers prevent lethality from hemorrhagic shock in acute animal experiments.

    Science.gov (United States)

    Kameneva, Marina V; Wu, Zhongjun J; Uraysh, Arkady; Repko, Brandon; Litwak, Kenneth N; Billiar, Timothy R; Fink, Mitchell P; Simmons, Richard L; Griffith, Bartley P; Borovetz, Harvey S

    2004-01-01

    Over the past several decades, blood-soluble drag reducing polymers (DRPs) have been shown to significantly enhance hemodynamics in various animal models when added to blood at nanomolar concentrations. In the present study, the effects of the DRPs on blood circulation were tested in anesthetized rats exposed to acute hemorrhagic shock. The animals were acutely resuscitated either with a 2.5% dextran solution (Control) or using the same solution containing 0.0005% or 5 parts per million (ppm) concentration of one of two blood soluble DRPs: high molecular weight (MW=3500 kDa) polyethylene glycol (PEG-3500) or a DRP extracted from Aloe vera (AVP). An additional group of animals was resuscitated with 0.0075% (75 ppm) polyethylene glycol of molecular weight of 200 kDa (PEG-200), which possesses no drag-reducing ability. All of the animals were observed for two hours following the initiation of fluid resuscitation or until they expired. We found that infusion of the DRP solutions significantly improved tissue perfusion, tissue oxygenation, and two-hour survival rate, the latter from 19% (Control) and 14% (PEG-200) to 100% (AVP) and 100% (PEG-3500). Furthermore, the Control and PEG-200 animals that survived required three times more fluid to maintain their blood pressure than the AVP and PEG-3500 animals. Several hypotheses regarding the mechanisms underlying these observed beneficial hemodynamic effects of DRPs are discussed. Our findings suggest that the drag-reducing polymers warrant further investigation as a potential clinical treatment for hemorrhagic shock and possibly other microcirculatory disorders.

  10. Functional and morphological changes of the gut barrier during the restitution process after hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    Jian-Xing Chang; Zi-Tong Huang; Shuang Chen; Li-Ping Ma; Long-Yuan Jiang; Jian-Wen Chen; Rui-Ming Chang; Li-Qiang Wen; Wei Wu; Zhi-Peng Jiang

    2005-01-01

    AIM: To investigate the functional, morphological changes of the gut barrier during the restitution process after hemorrhagic shock, and the regional differences of the large intestine and small intestine in response to ischemia/reperfusion injury.METHODS: Forty-seven Sprague-Dawley rats with body weight of 250-300 g were divided into two groups: control group (sham shock n = 5) and experimental group (n = 42).Experimental group was further divided into six groups (n = 7 each) according to different time points after the hemorrhagic shock, including 0th h group, 1st h group, 3rd h group, 6th h group, 12th h group and 24th h group. All the rats were gavaged with 2 mL of suspension of lactulose (L) (100 mg/2 mL) and mannitol (M) (50 mg/each) at the beginning and then an experimental rat model of hemorrhagic shock was set up. The specimens from jejunum, ileum and colon tissues and the blood samples from the portal vein were taken at 0, 1, 3, 6, 12 and 24 h after shock resuscitation, respectively. The morphological changes of the intestinal mucosa, including the histology of intestinal mucosa, the thickness of mucosa, the height of villi, the index of mucosal damage and the numbers of goblet cells, were determined by light microscope and/or electron microscope. The concentrations of the bacterial endotoxin lipopolysaccharides (LPS) from the portal vein blood, which reflected the gut barrier function, were examined by using Limulus test. At the same time point,to evaluate intestinal permeability, all urine was collected and the concentrations of the metabolically inactive markers such as L and M in urine were measured by using GC-9A gas chromatographic instrument.RESULTS: After the hemorrhagic shock, the mucosal epithelial injury was obvious in small intestine even at the 0th h, and it became more serious at the 1st and the 3rd h. The tissue restitution was also found after 3 h,though the injury was still serious. Most of the injured mucosal restitution was established

  11. Shock Index and Prediction of Traumatic Hemorrhagic Shock 28-Day Mortality: Data from the DCLHb Resuscitation Clinical Trials

    Directory of Open Access Journals (Sweden)

    Edward P. Sloan

    2014-11-01

    Full Text Available Introduction: To assess the ability of the shock index (SI to predict 28-day mortality in traumatic hemorrhagic shock patients treated in the diaspirin cross-linked hemoglobin (DCLHb resuscitation clinical trials. Methods: We used data from two parallel DCLHb traumatic hemorrhagic shock efficacy trials, one in U.S. emergency departments, and one in the European Union prehospital setting to assess the relationship between SI values and 28-day mortality. Results: In the 219 patients, the mean age was 37 years, 64% sustained a blunt injury, 48% received DCLHb, 36% died, and 88% had an SI>1.0 at study entry. The percentage of patients with an SI>1.0 dropped by 57% (88 to 38% from the time of study entry to 120 minutes after study resuscitation (p1.0, 1.4, and 1.8 at any time point were 2.3, 2.7, and 3.1 times, respectively, more likely to die by 28 days than were patients with SI values below these cutoffs (p1.0 were 3.9x times more likely to die by 28 days (40 vs. 15%, p<0.001. Although the distribution of SI values differed based on treatment group, the receiver operator characeristics data showed no difference in SI predictive ability for 28-day mortality in patients treated with DCLHb. Conclusion: In these traumatic hemorrhagic shock patients, the shock index correlates with 28-day mortality, with higher SI values indicating greater mortality risk. Although DCLHb treatment did alter the distribution of SI values, it did not influence the ability of the SI to predict 28-day mortality. [West J Emerg Med. 2014;15(7:–0.

  12. Hemorrhagic shock due to hirudotherapy made with uncontrolled multiple leech bites

    Directory of Open Access Journals (Sweden)

    Mustafa Yilmaz

    2014-02-01

    Full Text Available Hirudotherapy is a alternative treatment method using leeches. It is especially used for the treatment of pain, sialadenitis, osteoartritis and venous insufficiency. Hirudin which is one of the secreted substances of leeches prevents blood coagulation and causes bleeding. In this paper, we aimed to draw attention to the unconsciously and uncontrolled done hirudotherapy which can become a serious life-threatening health problem. For this purpose, a rare case using warfarin for deep vein thrombosis in his legs and who admitted to emergency department with skin hemorrhages and hemorrhagic shock due to unconsciously done hirudotherapy is presented.

  13. Hemorrhagic shock due to spontaneous rupture of adrenal pheochromocytoma

    Directory of Open Access Journals (Sweden)

    Bittencourt José A.

    2003-01-01

    Full Text Available The spontaneous rupture of an adrenal pheochromocytoma is an extremely rare event; however, it is potentially fatal. We report a case of spontaneous rupture of pheochromocytoma followed by an extensive retroperitoneal hematoma and hypovolemic shock. The correct diagnostic assessment determined the adequate surgical approach and a favorable outcome for the patient.

  14. Shock index correlates with extravasation on angiographs of gastrointestinal hemorrhage: a logistics regression analysis.

    Science.gov (United States)

    Nakasone, Yutaka; Ikeda, Osamu; Yamashita, Yasuyuki; Kudoh, Kouichi; Shigematsu, Yoshinori; Harada, Kazunori

    2007-01-01

    We applied multivariate analysis to the clinical findings in patients with acute gastrointestinal (GI) hemorrhage and compared the relationship between these findings and angiographic evidence of extravasation. Our study population consisted of 46 patients with acute GI bleeding. They were divided into two groups. In group 1 we retrospectively analyzed 41 angiograms obtained in 29 patients (age range, 25-91 years; average, 71 years). Their clinical findings including the shock index (SI), diastolic blood pressure, hemoglobin, platelet counts, and age, which were quantitatively analyzed. In group 2, consisting of 17 patients (age range, 21-78 years; average, 60 years), we prospectively applied statistical analysis by a logistics regression model to their clinical findings and then assessed 21 angiograms obtained in these patients to determine whether our model was useful for predicting the presence of angiographic evidence of extravasation. On 18 of 41 (43.9%) angiograms in group 1 there was evidence of extravasation; in 3 patients it was demonstrated only by selective angiography. Factors significantly associated with angiographic visualization of extravasation were the SI and patient age. For differentiation between cases with and cases without angiographic evidence of extravasation, the maximum cutoff point was between 0.51 and 0.0.53. Of the 21 angiograms obtained in group 2, 13 (61.9%) showed evidence of extravasation; in 1 patient it was demonstrated only on selective angiograms. We found that in 90% of the cases, the prospective application of our model correctly predicted the angiographically confirmed presence or absence of extravasation. We conclude that in patients with GI hemorrhage, angiographic visualization of extravasation is associated with the pre-embolization SI. Patients with a high SI value should undergo study to facilitate optimal treatment planning.

  15. Crocetin Reduces Activation of Hepatic Apoptotic Pathways and Improves Survival in Experimental Hemorrhagic Shock

    Science.gov (United States)

    Yang, Rongjie; Vernon, Kathy; Thomas, Ann; Morrison, David; Qureshi, Nilofer; Van Way, Charles W

    2014-01-01

    Background Hemorrhagic shock results in cellular damage and cell death. A primary mechanism is cellular apoptosis from mitochondrial damage. This study demonstrated that administration of crocetin to experimental animals during resuscitation from shock significantly improved postshock survival and reduced apoptosis. Crocetin is a component of saffron and has long been used in traditional medicine in Asia. Methods Male Sprague-Dawley rats (350 ± 30g) were randomly assigned to 1 of 4 groups of 8 animals. Hemorrhagic shock was induced by withdrawing blood until the mean arterial pressure was 35–40 mm Hg, and blood pressure was maintained at that level for 60 minutes with further withdrawals as needed. Resuscitation was carried out by administration of 21 mL/kg lactated Ringer’s solution and return of shed blood, with or without concurrent administration of crocetin (2 mg/kg). Control animals were sham-treated with surgical preparation, without shock or resuscitation, and with and without crocetin. Rats were sacrificed 24 hours after completion of resuscitation. The extent of activation of hepatic apoptosis was established by measuring levels of hepatic cytosolic cytochrome c, caspase-3, and bcl-2. A separate group of 53 animals treated identically was used to assess survival. Results Crocetin administration during resuscitation resulted in less extensive activation of hepatic apoptosis and significantly increased survival relative to controls. Conclusions Crocetin administration to experimental animals during resuscitation post hemorrhage increased survival, at least in part by protecting the liver from activation of apoptotic cell death. This agent continues to show promise as a potential treatment strategy for hemorrhagic shock. PMID:21224437

  16. Blood autotransfusion outcomes compared with Ringer lactate infusion in dogs with hemorrhagic shock induced by controlled bleeding.

    Science.gov (United States)

    Safaei, Mansour; Takami, Hassan Mousavi

    2011-10-01

    The most common cause of shock in the surgical or trauma patient is hemorrhage. Crystalloid solutions and blood transfusion are the mainstays of treatment of hemorrhagic shock. Considering the disadvantages of allogeneic blood transfusion, such as risk of transmission of infectious diseases, and access and maintenance limitations, treatment of shock with autologous blood seems to be a decent solution. Autologous blood accumulated in body cavities in traumatic bleeding (such hemothorax), and bloodshed in operation field during open heart or vascular surgeries, and similar situations, can be utilized again. In this study, autotransfusion effects compared with crystalloid fluid in the treatment of hemorrhagic shock was investigated. After induction of hemorrhagic shock in dogs by Wiggers type controlled bleeding, treating them in a group with autologous blood and another group with Ringer lactate were performed, and the results of treatment were studied. There was no mortality in both treatment approaches. Immediately after treatment, crystalloid positive effects such as renormalized vital signs and appropriate consciousness were more noticeable than autotransfusion, while twenty-four hours after, the desired effects of autologous blood were more pronounced like decreased metabolic acidosis and improvement of diuresis. Crystalloid during the first hours after treatment of hemorrhagic shock may be better than autologous blood as preferred treatment, while autotransfusion showed its benefits some hours after. This finding can be used to develop better strategies for treatment of hemorrhagic shock.

  17. Plasma first in the field for postinjury hemorrhagic shock.

    Science.gov (United States)

    Moore, Ernest E; Chin, Theresa L; Chapman, Michael C; Gonzalez, Eduardo; Moore, Hunter B; Silliman, Christopher C; Hansen, Kirk C; Sauaia, Angela; Banerjee, Anirban

    2014-05-01

    Hemorrhage is the most preventable cause of death in civilian and military trauma, and despite tremendous advances in patient transport in the field, survival within the first hour has changed little over the past 40 years. The pathogenesis of trauma-induced coagulopathy is multifactorial, but most authorities believe there is an early depletion of clotting factors. While fresh frozen plasma delivered early in the emergency department has been shown to be beneficial, the rapid onset of trauma-induced coagulopathy suggests advancing this concept to the scene may improve patient outcome. The purpose of this report was to describe the rationale and design of a randomized trial to test the hypothesis that prehospital "plasma-first" resuscitation will benefit the critically injured patient. The rationale includes the possibility that plasma-first resuscitation may be advantageous beyond direct effects on clotting capacity. The study design is based on a ground ambulance system that allows rapid prehospital thawing of frozen plasma.

  18. Protective Role of Selective Nitric Oxide Synthase Inhibitor for Treatment of Decompensated Hemorrhagic Shock in Normotensive and Hypertensive Rats

    OpenAIRE

    Majid Khazaei; Babak Barmaki; Ali Nasimi

    2012-01-01

    Introduction: Different vasoactive factors can modulate cardiovascular adaptation to hemorrhagic shock including Nitric Oxide (NO). In this study we investigated the effect of the NO synthase inhibitor for treatment of decompensated hemorrhagic shock in normotensive and hypertensive rats. Methods: Twenty-four male Wistar rats were divided into two groups: The normotensive and hypertensive groups. Hypertension was induced by the DOCA-Salt method for eight weeks. Then, the animals were give...

  19. Delayed neutralization of interleukin 6 reduces organ injury, selectively suppresses inflammatory mediator, and partially normalizes immune dysfunction following trauma and hemorrhagic shock.

    Science.gov (United States)

    Zhang, Yong; Zhang, Jinxiang; Korff, Sebastian; Ayoob, Faez; Vodovotz, Yoram; Billiar, Timothy R

    2014-09-01

    An excessive and uncontrolled systemic inflammatory response is associated with organ failure, immunodepression, and increased susceptibility to nosocomial infection following trauma. Interleukin 6 (IL-6) plays a particularly prominent role in the host immune response after trauma with hemorrhage. However, as a result of its pleiotropic functions, the effect of IL-6 in trauma and hemorrhage is still controversial. It remains unclear whether suppression of IL-6 after hemorrhagic shock and trauma will attenuate organ injury and immunosuppression. In this study, C57BL/6 mice were treated with anti-mouse IL-6 monoclonal antibody immediately prior to resuscitation in an experimental model combining hemorrhagic shock and lower-extremity injury. Interleukin 6 levels and signaling were transiently suppressed following administrations of anti-IL-6 monoclonal antibody following hemorrhagic shock and lower-extremity injury. This resulted in reduced lung and liver injury, as well as suppression in the levels of key inflammatory mediators including IL-10, keratinocyte-derived chemokine, monocyte chemoattractant protein 1, and macrophage inhibitory protein 1α at both 6 and 24 h. Furthermore, the shift to TH2 cytokine production and suppressed lymphocyte response were partly prevented. These results demonstrate that IL-6 is not only a biomarker but also an important driver of injury-induced inflammation and immune suppression in mice. Rapid measurement of IL-6 levels in the early phase of postinjury care could be used to guide IL-6-based interventions.

  20. Life or death? A Physiogenomic Approach to Understand Individual Variation in Responses to Hemorrhagic Shock

    Science.gov (United States)

    2011-01-01

    Phillips, E. S.; Slater-Jefferies, J. L.; Jackson, A. A.; Hanson, M. A. Folic acid supplementation during the juvenile-pubertal period in rats modifies...hemorrhage and attendant shock via regulation of genetic mechanisms and to provide knowledge that will lead to genetically-informed personalized...Glutamine [197-199] Yes Histone deacetylase inhibitors (e.g., valproic acid ) [168-169, 200-201] No Naloxone [202] Yes 430 Current Genomics, 2011, Vol

  1. Arterioureteral Fistula: Treatment of a Hemorrhagic Shock with Massive Hematuria by Placing a Balloon Catheter

    Directory of Open Access Journals (Sweden)

    Nicolas Merzeau

    2017-01-01

    Full Text Available Arterioureteral fistulas (AUF are serious diseases with increasing incidence. This case report relates the management of AUF in a patient with a history of abdominal oncological surgery, pelvic radiotherapy, and a double J stent in place. The fistula was discovered during a hemorrhagic shock with massive hematuria. The bleeding was controlled by a balloon catheter which led to endovascular treatment consisting of a covered stent.

  2. Hemorrhagic Shock and Stress - Cause and Consequence of Hemorheology Disturbances on the Example of the Changes in Erythrocyte Aggregation

    Directory of Open Access Journals (Sweden)

    Mantskava M.M.

    2014-05-01

    Full Text Available Stress, being the general reaction of the organism to the physical and psychological effects, accompanies all the stages of somatic and psychic formation. Hemorrhagic shock occurring at blood loss appears to be a powerful stress for the organism. The origin (emergence and spread of stress reactions are characterized by the features of the macro-and microcirculation. In stressful situations the crisis of blood circulation affects the functions of hemorheological disorders, as well as appears to be a consequence of the shock. We were the first to combine these two problems. The dilemma has been built. Blood loss, being a cause of hemorrhagic shock development while spending adaptive energy would result in more slack development of stress stages, or the body who has received the stress from the outside, will be more subjected to hemorrhagic shock. The following specific objectives were set to answer this question: to ascertain the intensity of the transition from the lower grade of stress to higher due to the development of hemorrhagic shock and to investigate the hemorheological properties of blood at different stages of hemorrhagic shock and at different grades of stress. Experimental stress was induced by heating (hyperthermia. The erythrocyte aggregation increased as the blood volume quantity grew at the bleeding, i.e. with the increasing of shock stages by 10%, 25% and more than 110% compared to the control. When heated the erythrocyte aggregation increased with the transition of stress from one grade to another by 5%, 20% and 80% compared to the control and the increase of the amount of discharged blood was exacerbated at the first and second grades of the stress. During the third grade, even at low blood discharge the aggregation critically increased. The data obtained have shown that at hemorrhagic shock the stress developed according to the amount of blood loss, while in the stressful individuals of first and second grades, depending on

  3. Tracheobronchial cytologic changes and abnormal serum heme pigments in hemorrhagic shock.

    Science.gov (United States)

    Friedman-Mor, Z; Chalon, J; Turndorf, H; Orkin, L R

    1977-11-01

    Significantly elevated numbers of iron laden histiocytes have been shown to appear in the tracheobronchial secretions of subjects in hemorrhagic shock and in patients undergoing open heart-surgery during cardiopulmonary bypass (3,4). Abnormal heme pigments have also been demonstrated in the serum of dogs bled to hemorrhagic shock (6) and have been felt to be toxic. Because the ingestion of abnormal heme pigments by histiocytes may be part of a defense mechanism, we have attempted to correlate the percentage of iron laden histiocytes found in the tracheobronchial secretions of patients in hemorrhagic shock (Prussian blue method) with the presence of degradation of products of hemoglobin found in their serum by scanning spectrophotometry. There were, generally speaking, few iron laden histiocytes when hemoglobin degradation was advanced, and always numerous iron laden histiocytes when abnormal heme pigments were absent or spectrophotometric findings revealed minor degrees of degradation. Our findings probably reflect the process in the reticuloendothelial systems which eliminates toxic products accumulating in the circulation in low-flow states.

  4. Effects of resuscitation with three kinds of fluid on liver oxygen free radical in rats with severe hemorrhagic shock

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    Hua-mei LU

    2012-12-01

    Full Text Available Objective  To explore effects of resuscitation with different kinds of fluid on liver oxygen free radical in rats with severe hemorrhagic shock. Methods  Sixty SD Rats were randomly divided into 5 groups (n=12: control group (C, shock alone group (SA, lactated Ringer's solution (LR-treatment group, hydroxyethyl starch (HES-treatment group, 7.2% hypertonic saline-6% HES (HSH-treated group. According to Wigger's method, the rat model of severe hemorrhagic shock was reproduced. The mean arterial pressure (MAP was monitored in all the 5 groups. The ALT and AST level in venous blood were determined before shock (Tb, 1h after shock (Ts and 4h after resuscitation (Td respectively. In SA group, the rats were sacrificed and the livers were collected at Ts. The rats were resuscitated with LR (3 times the volume of shed blood, HES (1 time the volume of shed blood and HSH (6ml/kg in LR, HES and HSH group respectively. The rats in groups C, LR, HES and HSH were sacrificed at Td to obtain the liver tissues. The expression of TNF-α, NF-κB protein, MDA and SOD activities were determined by immunohistochemistry (SP and chromatometry. The iNOS content was detected by ELISA. The livers were also observed under light microscope and electron microscope for pathological changes. Results  Compared with group C, the AST and ALT levels in other groups were significantly higher, the expressions of NF-κB, iNOS and MDA in liver significantly increased, while SOD activity significantly decreased (P<0.05. The signs of injury were remarkable. The content of cytokines was significantly increased in blood in 3 fluid resuscitation groups compared with group SA (P<0.05, and signs of tissue injury were also significant. In 3 fluid resuscitation groups, the increase in cytokines was most remarkable in group LR (P<0.05, and liver tissue injury was also most remarkable, while the cytokine levels were lower (P<0.05 and pathological changes were also milder in HSH

  5. Acute right heart failure after hemorrhagic shock and trauma pneumonectomy-a management approach: A blinded randomized controlled animal trial using inhaled nitric oxide.

    Science.gov (United States)

    Lubitz, Andrea L; Sjoholm, Lars O; Goldberg, Amy; Pathak, Abhijit; Santora, Thomas; Sharp, Thomas E; Wallner, Markus; Berretta, Remus M; Poole, Lauren A; Wu, Jichuan; Wolfson, Marla R

    2017-02-01

    Hemorrhagic shock and pneumonectomy causes an acute increase in pulmonary vascular resistance (PVR). The increase in PVR and right ventricular (RV) afterload leads to acute RV failure, thus reducing left ventricular (LV) preload and output. Inhaled nitric oxide (iNO) lowers PVR by relaxing pulmonary arterial smooth muscle without remarkable systemic vascular effects. We hypothesized that with hemorrhagic shock and pneumonectomy, iNO can be used to decrease PVR and mitigate right heart failure. A hemorrhagic shock and pneumonectomy model was developed using sheep. Sheep received lung protective ventilatory support and were instrumented to serially obtain measurements of hemodynamics, gas exchange, and blood chemistry. Heart function was assessed with echocardiography. After randomization to study gas of iNO 20 ppm (n = 9) or nitrogen as placebo (n = 9), baseline measurements were obtained. Hemorrhagic shock was initiated by exsanguination to a target of 50% of the baseline mean arterial pressure. The resuscitation phase was initiated, consisting of simultaneous left pulmonary hilum ligation, via median sternotomy, infusion of autologous blood and initiation of study gas. Animals were monitored for 4 hours. All animals had an initial increase in PVR. PVR remained elevated with placebo; with iNO, PVR decreased to baseline. Echo showed improved RV function in the iNO group while it remained impaired in the placebo group. After an initial increase in shunt and lactate and decrease in SvO2, all returned toward baseline in the iNO group but remained abnormal in the placebo group. These data indicate that by decreasing PVR, iNO decreased RV afterload, preserved RV and LV function, and tissue oxygenation in this hemorrhagic shock and pneumonectomy model. This suggests that iNO may be a useful clinical adjunct to mitigate right heart failure and improve survival when trauma pneumonectomy is required.

  6. The redox status of experimental hemorrhagic shock as measured by cyclic voltammetry.

    Science.gov (United States)

    Mittal, Anubhav; Göke, Friederike; Flint, Richard; Loveday, Benjamin P T; Thompson, Nichola; Delahunt, Brett; Kilmartin, Paul A; Cooper, Garth J S; MacDonald, Julia; Hickey, Anthony; Windsor, John A; Phillips, Anthony R J

    2010-05-01

    Hemorrhagic shock (HS) leads to reactive oxygen species production. However, clinicians do not have access to bedside measurements of the redox status during HS. Cyclic voltammetry (CyV) is a simple electrochemical method of measuring redox status. The aims of this study were to 1) report the first application of cyclic voltammetry to measure the acute changes in serum redox status after HS, 2) to contrast it with another severe systemic disease with a different redox pathology (acute pancreatitis [AP]), and 3) to describe the response of CyV over time in a resolving model of AP. In the acute study, 24 male Wistar rats were randomized into three groups: groups 1 (control), 2 (AP), and 3 (HS). In the time-course study, 28 rats were randomized to a sham-control as well as 6 and 24 h post-AP cohorts, respectively.Cyclic voltammetry was performed using a three-electrode system. In the acute study, the first and second voltammetric peaks increased significantly in HS. In contrast, within the AP group, only the first voltammetric peak showed a significant increase. The first voltammetric peak correlated with plasma protein carbonyls (PCs) and with thiobarbituric acid-reactive substances, whereas the second voltammetric peak correlated positively with plasma protein carbonyls. In the second study, the first voltammetric peak correlated with physiological improvements. Here, we showed that serum CyV could respond to the serum redox change in HS and AP. Cyclic voltammetry warrants evaluation as a potential real-time beside measure of a patient's redox status during shock.

  7. Albumin resuscitation protects against traumatic/hemorrhagic shock-induced lung apoptosis in rats

    Institute of Scientific and Technical Information of China (English)

    Yun ZHANG; Zhong-yan LIANG; Shao-yang ZHANG; Fang-fang HUANG; Wei WU; Yuan GAO; Zuo-bing CHEN

    2008-01-01

    Objective: To determine the effects of albumin administration on lung injury and apoptosis in traumatic/hemorrhagic shock (T/HS) rats. Methods: Studies were performed on an in vivo model of spontaneously breathing rats with induced T/HS; the rats were subjected to femur fracture, ischemia for 30 min, and reperfusion for 20 rain with Ringer's lactate solution (RS) or 5% (w/v) albumin (ALB), and the left lower lobes of the lungs were resected. Results: Albumin administered during reperfusion markedly attenuated injury of the lung and decreased the concentration of lactic acid and the number of in situ TdT-mediated dUTP nick-end labelling (TUNEL)-positive cells. Moreover, immunohistochemistry performed 24 h after reperfusion revealed increases in the level of nuclear factor κB (NF-κB), and phosphorylated p38 mitogen-activated protein kinase (MAPK) in the albumin-untreated group was down-regulated by albumin treatment when compared with the sham rats. Conclusion: Resuscitation with albumin attenuates tissue injury and inhibits T/HS-induced apoptosis in the lung via the p38 MAPK signal transduction pathway that functions to stimulate the activation of NF-κB.

  8. Effect of Astragalus membranaceus injection on the activity of the intestinal mucosal mast cells after hemorrhagic shock-reperfusion in rats

    Institute of Scientific and Technical Information of China (English)

    GAN Xiao-liang; HEI Zi-qing; Huang He-qing; CHEN Li-xin; LI Shang-rong; CAI Jun

    2006-01-01

    Background The mechanism of mucosal damage induced by ischemia-reperfusion (IR) after hemorrhagic shock is complex; mast cells (MC) degranulation is associated with the mucosal damage. Astragalus membranaceus can protect intestinal mucosa against intestinal oxidative damage after hemorrhagic shock, and some antioxidant agents could prevent MC against degranulation. This study aimed to observe the effects of astragalus membranaceus injection on the activity of intestinal mucosal mast cells (IMMC) after hemorrhage shock-reperfusion in ratsMethods Thirty-two Wistar rats were randomly divided into the normal group, model group, low dosage group,(treated with Astragalus membranacaus injection, 10 g crude medication/kg) and high dosage group (treated with Astragalus membranacaus injection, 20 g crude medication/kg). The rat model of hemorrhagic shock-reperfusion was induced by hemorrhage for 60 minutes followed by 90 minutes of reperfusion. The animals were administrated with 3 ml of the test drug solution before reperfusion. At the end of study, intestinal pathology,ultrastructure of IMMC, and expression of tryptase were assayed. The levels of malondisldehyde (MDA), TNF-α,histamine, and superoxide dismutase (SOD) activity in intestine were detected, and the number of IMMC was counted.Results The Chiu's score of the rats in the model group was higher than in other groups (P<0.01). The Chiu's score in the high dosage group was higher than that in the low dosage group (P<0.05). Hemorrhage-reperfusion induced IMMC degranulation: Astragalus membranaceus injection attenuated this degranulation. Expression of tryptase and the number of IMMC in the model group increased compared with the other groups (P<0.01) and was significantly reduced by the treatments of Astragalus membranaceus injection at both doses. There was no significant difference between the two treatment groups (P>0.05). MDA content and concentration of TNF-α in the model group were higher than that in

  9. Establishment of a model of multiple trauma combined with uncontrolled hemorrhagic shock%多发伤合并未控制性失血性休克模型的建立

    Institute of Scientific and Technical Information of China (English)

    蒋守银; 巴立; 杨俭新; 赵小纲; 张茂; 干建新

    2013-01-01

    Objective To establish a model of multiple trauma combined with uncontrolled hemorrhagic shock so as to provide basis for basic study of multiple trauma.Methods Forty New Zealand male rabbits were equally and randomly divided into four groups,ie,sham group (Group A,with no bloodletting or resuscitation),uncontrolled group (Group B,with bloodletting alone),aggressive fluid resuscitation and limited fluid resuscitation groups (Groups C and D,with bloodletting,hemostasis and resuscitation).Fractures of the right hind limb in rabbits of each group were induced by free drop of a 3 kg hammer from a height of 45 cm.An estimated 30% of total blood was withdrawn from the right common carotid artery in 20 minutes in bloodletting groups (Groups B,C and D).Successively,the uncontrolled bleeding was caused via acupuncture bloodletting from ileocecal artery branch at 30 minutes in bloodletting groups.Progressive and limited fluid resuscitation using lactated Ringer' s solution (LR) were performed for Groups C and D in the next one hour respectively.Blood transfusion was performed in Groups C and D after ligation of bleeding artery branch at 90 minutes.In addition,LR of three folds more than blood loss was administered in Group D.Survivorship of rabbits in each group was observed at 150 minutes to seven hours.Arterial blood sample was taken at each time point for blood gas analysis and coagulation test.Fracture type,fluid requirements,intra-abdominal blood loss,and rabbits' survival rate at seven hours were recorded.Results Closed comminuted tibiofibular fractures were founded in all groups.Bloodletting groups showed an obvious reduction of MAP,heart rate and pH value and significantly increased levels of K+,blood glucose and lactic acid at 30 minutes (P <0.01),whereas MAP and heart rate were returned to baseline level at 150 minutes.Progressive fluid resuscitation significantly increased the intra-abdominal blood loss and fluid requirements (P<0.01),decreased erythrocrit

  10. Factors that affect the preparation of a severe hemorrhagic shock model of Wistar rats%Wistar大鼠重度失血性休克模型制备影响因素的研究

    Institute of Scientific and Technical Information of China (English)

    冯建华; 尤国兴; 王瑛; 阚雪梅; 赵莲; 周虹

    2011-01-01

    目的 探讨Wistar大鼠重度失血性休克模型制备的影响因素.方法 70只雄性Wistar大鼠,体质量为180~220 g,麻醉后经股动脉放血40%制备重度失血性休克模型,对放血后存活大鼠动脉血中pH、PaO2、PaCO2三项指标进行正态性分析,获得其分布规律,随后计算95%参考值范围,再将所有实验大鼠按照三项指标是否均在参考值范围内分为符合组(n=61)和不符合组(n=9),通过连续校正的χ2检验对两组大鼠的存活与否进行分析,最后通过多重logistic回归方法分析三项指标与存活与否的相关性.结果 经统计学分析发现,两组Wistar大鼠的pH值、PaO2、PaCO2值均呈偏态分布.通过计算获得存活大鼠三项指标的95%参考值范围:pH(7.30~7.59),PaO2(73~110)mmHg,PaCO2(32~50)mmHg.符合组(80.33%)与不符合组(33.33%)存活率相比差异具有统计学意义(P<0.01),其中pH值、PaCO2的交互作用与存活相关性较高.结论 在重度失血性休克模型的制备中,符合组pH (7.30~7.59),PaO2(73~110)mmHg,PaCO2(32~50)mmHg范围的Wistar大鼠相对于不符合组更易于存活,制备成功率更高.其中,pH值、PaCO2的交互作用对存活与否影响更大.%Objective To study the factors that affect the preparation of a severe hemorrhagic shock model of Wistar rats. Methods Seventy male rats were anesthesized and cannulated. Forty percent of the total blood volume was withdrawn via the arteria femoralis. Then the distribution of Wistar rats' pH,PaO2 and PaCO2 was analyzed and the 95% reference values were calculated. The rats were divided into normal group ( n = 61 ) and abnormal group ( n = 12 ) according to the reference values. The continuity adjusted Chi-square test was used to compare the intergroup survival rates. Then multiple logistic regression analysis was used to evaluate the survival-correlated parameter. Results The distribution of pH, Pa02 and PaCO2was all skew. The 95% reference values were

  11. Remediation of hemorrhagic shock-induced intestinal barrier dysfunction by treatment with diphenyldihaloketones EF24 and CLEFMA.

    Science.gov (United States)

    Yadav, Vivek R; Hussain, Alamdar; Sahoo, Kaustuv; Awasthi, Vibhudutta

    2014-11-01

    Gut is very sensitive to hypoperfusion and hypoxia, and deranged gastrointestinal barrier is implicated in systemic failure of various organs. We recently demonstrated that diphenyldihaloketone EF24 [3,5-bis(2-fluorobenzylidene)piperidin-4-one] improves survival in a rat model of hemorrhagic shock. In this study, we tested EF24 and its other analog CLEFMA (4-[3,5-bis(2-chlorobenzylidene)-4-oxo-piperidine-1-yl]-4-oxo-2-butenoic acid) for their effect on intestinal barrier dysfunction in hypovolemic shock. Hypovolemia was induced in rats by withdrawing 50% of blood. EF24 or CLEFMA (0.4 mg/kg i.p.) treatment was provided, without volume resuscitation, after 1 hour of hemorrhage. Ileum was collected 5 hours after the treatment to investigate the expression of tight junction proteins (zonula occludens, claudin, and occludin) and epithelial injury markers [myeloperoxidase, ileal lipid-binding protein (ILBP), CD163, and plasma citrulline]. The ileal permeability for dextran-fluoroisothiocyanate and Evan's blue dye was determined. EF24 and CLEFMA reduced the hypovolemia-induced plasma citrulline levels and the ileal expression of myeloperoxidase, ILBP, and CD163. The drugs also restored the basal expression levels of zonula occludens, claudin, and occludin, which were substantially deranged by hypovolemia. In ischemic ileum, the expression of phospho(tyrosine)-zonula occludens-1 was reduced, which was reinstated by EF24 and CLEFMA. In contrast, the drug treatments maintained the hypovolemia-induced expression of phospho(threonine)-occludin, but reduced that of phospho(tyrosine)-occludin. Both EF24 and CLEFMA treatments reduced the intestinal permeability enhanced by hypovolemia. EF24 and CLEFMA attenuate hypovolemic gut pathology and protect barrier function by restoring the status of tight junction proteins. These effects were observed in unresuscitated shock, implying the benefit of EF24 and CLEFMA in prehospital care of shock.

  12. Morphometric evaluation of murine pulmonary mast cells in experimental hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    I Kasacka

    2009-06-01

    Full Text Available Respiratory failure resulting frequently in death is one of the complications in the course of post-hemorrhagic changes. A systemic inflammatory reaction plays a significant role in the pathogenesis of this syndrome. Mast cells also contribute to this effect. To broaden our knowledge of the pathogenesis of respiratory insufficiency, we evaluated morphometrically lung mast cells in hemorrhagically shocked rats. Lung sections were stained with alcian blue and safranin, and four separate locations were distinguished: under the lung pleura, around the bronchi and the large vessels, and in the interalveolar septa. A decrease in the area and volume of mast cells and an increase in their circularity index in interalveolar septa and around the bronchi was observed. An enlargement of mast cells around lung vessels was also found. There were no changes in the morphometric parameters of mast cells under pleura. The results suggest an activation and degranulation of mast cells and a role in the inflammatory process causing acute lung injury in hemorrhagic shock.

  13. Effects of environmental hypothermia on hemodynamics and oxygen metabolism in unanesthetized swine model of hemorrhagic shock%环境低温对非麻醉猪失血性休克血流动力学及氧代谢的影响

    Institute of Scientific and Technical Information of China (English)

    张成; 高广荣; 蒋会勇; 吕晨光; 张宝磊; 谢名双; 张智丽; 余莉; 张雪峰

    2011-01-01

    Objective To investigate the effects of environmental hypothermia on hemodynamics and oxygen metabolism in unanesthetized swine model of hemorrhagic shock.Methods A total of 16 Bama pigs provided by animal experiment centre of the General Hospital of Shenyang Military Command were randomized into two groups ( n =8,each):ambient temperature (A) and hypothermia ( H ).Venous blood (30 mL/kg) was continously withdrawn over 15 minutes to establish hemorrhagic shock model.Core temperature,heart rate,mean arterial pressure,central venous pressure,cardiac output,saturation of mixed venous blood and blood gas analysis were recorded at the baseline and different hemorrhagic shock time.DO2I and VO2I,and the O2 extraction ratio (O2ER) were calculated.Results Core body temperature in group A decreased slightly after hemorrhagic shock model had established and environmental hypothermia resulted in more reduction in core body temperature.The mortality rate was significantly higher in group H (50%) than in group A (0%) (P <0.05).DO2I and VO2I decreased significantly after hemorrhage.No difference was found in hemodynamics,DO2I and VO2I between group A and group H,but the difference of pH,lactic acid and O2ER were significant between the two groups (P < 0.05 ).conclusions Environmental hypothermia aggravated the disorder of oxygen metabolism after hemorrhagic shock,which was associated with poor prognosis.%目的 探讨环境低温对非麻醉猪失血性休克血流动力学及氧代谢的影响.方法 沈阳军区总医院动物中心提供的巴马香猪16头随机(随机数字法)分为:室温休克组和低温休克组,每组8头.按30 mL/kg放血建立失血性休克模型,记录建模前及建模后4h内不同时点的核心体温、心率、平均动脉压、中心静脉压、心输出量、混合静脉血氧饱和度及血气等变化,并计算氧摄取率、氧供指数和氧耗指数.采用SPSS11.0软件包行计量资料的成组t检验.结果 模型建立后

  14. Effects of two fluid resuscitations on the bacterial translocation and inflammatory response of small intestine in rats with hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    GAO Xin-yue; REN Cong-cai; ZHOU Qiang; PANG Qing-feng; WU Chang-yi; ZENG Yin-ming

    2007-01-01

    Objective: To investigate the effects of two fluid resuscitations on the bacterial translocation and the inflammatory factors of small intestine in rats with hemorrhagic shock. Methods: Fifty SD healthy male rats were randomly divided into 5 groups (n=10 per group):Group A (Sham group), Group B (Ringer's solution for 1 h), Group C (Ringer's solution for 24 h), Group D (hydroxyethyl starch for 1 h) and Group E ((hydroxyethyl starch for 24 h). A model of rats with hemorrhagic shock was established. The bacterial translocation in liver, content of tumor necrosis factor-α (TNF-α) and changes of myeloperoxidase enzyme (MPO) activities in small intestine were pathologically investigated after these two fluid resuscitations, respectively. Results: The bacterial translocation and the expression of TNF-α in the small intestine were detected at 1 h and 24 h after fluid resuscitation. There were significant increase in the number of translocated bacteria, TNF-α and MPO activities in Group C compared with Group B, significant decrease in Group E compared with Group D and in Group B compared with Group D. The number of translocated bacteria and TNF-α expression significantly decreased in Group E as compared with Group C.Conclusions: The bacterial translocation and the expression of TNF-α in the small intestine exist 24 h after fluid resuscitation. 6% hydroxyethyl starch can improve the intestinal mucosa barrier function better than the Ringer's solution.

  15. Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock

    Directory of Open Access Journals (Sweden)

    Neetu Singh

    2013-01-01

    Full Text Available Posthemorrhagic anemia is a rare but important cause of anemia in neonates, second only to hemolytic anemia of newborn. Most cases of posthemorrhagic anemia are reported from fetomaternal hemorrhage or umbilical cord accidents in utero. This case report describes a preterm infant who developed severe anemia and shock immediately after delivery related to an acute hemorrhage through patent umbilical cord vessels secondary to a tear in the umbilical cord at the site of cord clamping. We believe that umbilical cord bleeding from errors in cord clamping could be an important cause of acute blood loss in the delivery room and that it may result in significant clinical morbidity, especially in extremely premature infants.

  16. A model of subarachnoid hemorrhage in rats

    Institute of Scientific and Technical Information of China (English)

    Liao-liaoLI; Xiao-liangWANG

    2004-01-01

    AIM: To build a simple and repeatable animal model of subarachnoid hemorrhage (SAH). METHODS: SAH was introduced by passing a nylon thread up through the right internal carotid artery and piercing a hone in the right anterior cerebral artery. At 12 and 24 h, the rats were evaluated with rotarod test and the behavior scale (5-point scale). RESULTS: The ratswere trained through rotarod test and then randomly divided into

  17. Point-of-care optical tool to detect early stage of hemorrhage and shock

    Science.gov (United States)

    Gurjar, Rajan S.; Riccardi, Suzannah L.; Johnson, Blair D.; Johnson, Christopher P.; Paradis, Norman A.; Joyner, Michael J.; Wolf, David E.

    2014-02-01

    There is a critical unmet clinical need for a device that can monitor and predict the onset of shock: hemorrhagic shock or bleeding to death, septic shock or systemic infection, and cardiogenic shock or blood flow and tissue oxygenation impairment due to heart attack. Together these represent 141 M patients per year. We have developed a monitor for shock based on measuring blood flow in peripheral (skin) capillary beds using diffuse correlation spectroscopy, a form of dynamic light scattering, and have demonstrated proof-of-principle both in pigs and humans. Our results show that skin blood flow measurement, either alone or in conjunction with other hemodynamic properties such as heart rate variability, pulse pressure variability, and tissue oxygenation, can meet this unmet need in a small self-contained patch-like device in conjunction with a hand-held processing unit. In this paper we describe and discuss the experimental work and the multivariate statistical analysis performed to demonstrate proof-of-principle of the concept.

  18. The Inflammatory Sequelae of Aortic Balloon Occlusion in Hemorrhagic Shock

    Science.gov (United States)

    2014-04-13

    prophylactically deliver an anti inflammatory perfusate such as a statin suspension [37]. 5. Conclusions The present study reaffirms that in severe...experimental model of ischemia reperfusion in the rat . J Pharmacol Sci 2006;102:413. j o u r n a l o f s u r g i c a l r e s e a r c h 1 9 1 ( 2 0 1 4 ) 4 2 3 4 3 1 431

  19. Effect of N-acetylcysteine on pulmonary cell death in a controlled hemorrhagic shock model in rats Efeito da N-acetilcisteína na morte celular pulmonar em um modelo de choque hemorrágico controlado em ratos

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    Paulo Fernandes Saad

    2012-08-01

    Full Text Available PURPOSE: To evaluate the effect of N-acetylcysteine (NAC combined with fluid resuscitation on pulmonary cell death in rats induced with controlled hemorrhagic shock (HS. METHODS: Two arteries (MAP calculation and exsanguination and one vein (treatments were catheterized in 22 anesthetized rats. Two groups of male albino rats were induced with controlled HS at 35mmHg MAP for 60 min. After this period, the RL group was resuscitated with Ringer's lactate and the RL+NAC group was resuscitated with Ringer's lactate combined with 150mg/Kg NAC. The control group animals were cannulated only. The animals were euthanized after 120 min of fluid resuscitation. Lung tissue samples were collected to evaluate the following: histopathology, TUNEL and imunohistochemical expression of caspase 3. RESULTS: RL showed a greater number of cells stained by TUNEL than RL + NAC, but there was no change in caspase 3 expression in any group. CONCLUSION: N-acetylcysteine associate to fluid resuscitation, after hemorrhagic shock, decreased cell death attenuating lung injury.OBJETIVO: Avaliar o efeito da N-acetilcisteína (NAC combinada ao fluido de reposição volêmica na morte celular pulmonar de ratos submetidos ao choque hemorrágico (CH controlado. MÉTODOS: Duas artérias (cálculo da PAM e exsanguinação e uma veia (tratamentos foram cateterizadas em 22 ratos anestesiados. Dois grupos de ratos machos albinos foram induzidos ao CH controlado com PAM de 35mmHg por 60 min. Após este período, o grupo RL foi ressuscitado com Ringer lactato e o grupo RL+NAC foi ressuscitado com Ringer lactato associado com 150mg/Kg de NAC. O grupo controle sofreu somente o procedimento cirúrgico de cateterização. Os animais sofreram eutanásia após 120 min. da ressuscitação. Amostras de tecido pulmonar foram coletadas para histopatologia, TUNEL e a imuno-expressão da caspase 3. RESULTADOS: RL apresentou maior número de células marcadas pelo TUNEL do que RL+NAC, porém sem

  20. The effect of piracetam on brain damage and serum nitric oxide levels in dogs submitted to hemorrhagic shock.

    Science.gov (United States)

    Ozkan, Seda; Ikizceli, Ibrahim; Sözüer, Erdoğan Mütevelli; Avşaroğullari, Levent; Oztürk, Figen; Muhtaroğlu, Sebahattin; Akdur, Okhan; Küçük, Can; Durukan, Polat

    2008-10-01

    To demonstrate the effect of piracetam on changes in brain tissue and serum nitric oxide levels in dogs submitted to hemorrhagic shock. The subjects were randomized into four subgroups each consisting of 10 dogs. Hemorrhagic shock was induced in Group I for 1 hour and no treatment was given to this group. Blood and saline solutions were administered to Group II following 1 hour hemorrhagic shock. Blood and piracetam were given to Group III following 1 hour shock. No shock was induced and no treatment was applied to Group IV. Blood samples were obtained at the onset of the experiment and at 60, 120 and 180 minutes for nitric oxide analysis. For histopathological examination, brain tissue samples were obtained at the end of the experiment. The observed improvement in blood pressure and pulse rates in Group III was more than in Group II. Nitric oxide levels were increased in Group I; however, no correlation between piracetam and nitric oxide levels was determined. It was seen that recovery in brain damage in Group III was greater than in the control group. Piracetam, added to the treatment, may ecrease ischemic damage in hemorrhagic shock.

  1. Resuscitation of traumatic hemorrhagic shock patients with hypertonic saline-without dextran-inhibits neutrophil and endothelial cell activation.

    Science.gov (United States)

    Junger, Wolfgang G; Rhind, Shawn G; Rizoli, Sandro B; Cuschieri, Joseph; Shiu, Maria Y; Baker, Andrew J; Li, Linglin; Shek, Pang N; Hoyt, David B; Bulger, Eileen M

    2012-10-01

    Posttraumatic inflammation and excessive neutrophil activation cause multiple organ dysfunction syndrome (MODS), a major cause of death among hemorrhagic shock patients. Traditional resuscitation strategies may exacerbate inflammation; thus, novel fluid treatments are needed to reduce such posttraumatic complications. Hypertonic resuscitation fluids inhibit inflammation and reduce MODS in animal models. Here we studied the anti-inflammatory efficacy of hypertonic fluids in a controlled clinical trial. Trauma patients in hypovolemic shock were resuscitated in a prehospital setting with 250 mL of either 7.5% hypertonic saline (HS; n = 9), 7.5% hypertonic saline + 6% dextran 70 (HSD; n = 8), or 0.9% normal saline (NS; n = 17). Blood samples were collected on hospital admission and 12 and 24 h after resuscitation. Multicolor flow cytometry was used to quantify neutrophil expression of cell-surface activation/adhesion (CD11b, CD62L, CD64) and degranulation (CD63, CD66b, CD35) markers as well as oxidative burst activity. Circulating concentrations of soluble intercellular adhesion molecule-1 (sICAM-1), vascular cell adhesion molecule-1 (sVACM-1), P- and E-selectins, myeloperoxidase (MPO), and matrix metalloproteinase 9 (MMP-9) were assessed by immunoassay. Multiple organ dysfunction syndrome, leukocytosis, and mortality were lower in the HS and HSD groups than in the NS group. However, these differences were not statistically significant. Hypertonic saline prevented priming and activation and neutrophil oxidative burst and CD11b and CD66b expression. Hypertonic saline also reduced circulating markers of neutrophil degranulation (MPO and MMP-9) and endothelial cell activation (sICAM-1, sVCAM-1, soluble E-selectin, and soluble P-selectin). Hypertonic saline + 6% dextran 70 was less capable than HS of suppressing the upregulation of most of these activation markers. This study demonstrates that initial resuscitation with HS, but neither NS nor HSD, can attenuate

  2. Post-partum hemorrhage complicated by reverse-Takotsubo cardiogenic shock; a novel therapeutic approach.

    Science.gov (United States)

    Papanikolaou, John; Makris, Demosthenes; Tsolaki, Vasiliki; Spathoulas, Konstantinos; Zakynthinos, Epaminondas

    2017-06-01

    Takotsubo Cardiomyopathy (TTC) is a type of transient, yet severe left ventricular systolic dysfunction, rarely complicating extreme emotional stress ("primary" TTC) or critical medical/surgical illness ("secondary" TTC forms). Although usually reversible, TTC may result in cardiogenic shock with dismal prognosis. "Secondary" TTC forms are particularly in danger for this complication, bearing significantly worse short and long-term prognosis. Herein, we report a rare case of a life-threatening "secondary" TTC in a patient with post-cesarean section severe hemorrhage, and we point out that early co-administration of esmolol and levosimendan might be an effective and safe therapeutic approach in "reversing" TTC-induced cardiogenic shock, especially when invasive therapeutic strategies are practically unfeasible. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Early changes of CD4+CD25+Foxp3+ regulatory T cells and Th1/Th2, Tc1/Tc2 profiles in the peripheral blood of rats with controlled hemorrhagic shock and no fluid resuscitation

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qin; LU Yuan-qiang; JIANG Jiu-kun; GU Lin-hui; MOU Han-zhou

    2012-01-01

    Background Hemorrhagic shock induces immune dysfunction.Regulatory T cells (Tregs),T-helper (Th) cells,and cytotoxic T-lymphocytes (CTLs) can execute many crucial actions in immune and inflammatory responses.This study was conducted to investigate the early pathophysiological changes of CD4+CD25+Foxp3+ Treg and Th1/Th2,Tc1/Tc2profiles in the peripheral blood of rats with controlled hemorrhagic shock and no fluid resuscitation. Methods A rat model of controlled hemorrhagic shock with no fluid resuscitation was established.Peripheral blood samples were taken before and four hours after hemorrhagic shock with no fluid resuscitation.Three color flow cytometry was used to detect Tregs,Th1,Th2,Tc1 and Tc2 cells in the samples.Results In the peripheral blood of rats,the percentage of Tregs four hours after hemorrhagic shock was significantly lower than before hemorrhagic shock (P=0.001).The ratios of Th1/Th2 and Tc1/Tc2 were changed from (23.08±8.98)%to (23.91±15.36)%,and from (40.40:1:21.56)% to (65.48±23.88)%,respectively.Conclusions At an eady stage,the advent of hemorrhagic shock is related to an early decrease of Tregs,and a mild shift in the Th1/Th2,Tc1/Tc2 balance toward Th1 and Tc1 dominance.These changes are part of a hyper-inflammatory state of the host,and will deteriorate the maintenance of immune balance.Further influences and detailed mechanisms need to be investigated.

  4. Obstetric hemorrhage and shock management: using the low technology Non-pneumatic Anti-Shock Garment in Nigerian and Egyptian tertiary care facilities

    Directory of Open Access Journals (Sweden)

    al Hussaini Tarek

    2010-10-01

    Full Text Available Abstract Background Obstetric hemorrhage is the leading cause of maternal mortality globally. The Non-pneumatic Anti-Shock Garment (NASG is a low-technology, first-aid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with hypovolemic shock secondary to obstetric hemorrhage in tertiary facilities in low-resource settings. Methods This study employed a pre-intervention/intervention design in four facilities in Nigeria and two in Egypt. Primary outcomes were measured mean and median blood loss, severe end-organ failure morbidity (renal failure, pulmonary failure, cardiac failure, or CNS dysfunctions, mortality, and emergency hysterectomy for 1442 women with ≥750 mL blood loss and at least one sign of hemodynamic instability. Comparisons of outcomes by study phase were assessed with rank sum tests, relative risks (RR, number needed to treat for benefit (NNTb, and multiple logistic regression. Results Women in the NASG phase (n = 835 were in worse condition on study entry, 38.5% with mean arterial pressure Conclusion Adding the NASG to standard shock and hemorrhage management may significantly improve maternal outcomes from hypovolemic shock secondary to obstetric hemorrhage at tertiary care facilities in low-resource settings.

  5. Mesenteric lymph return is an important contributor to vascular hyporeactivity and calcium desensitization after hemorrhagic shock.

    Science.gov (United States)

    Zhao, Zi-Gang; Niu, Chun-Yu; Wei, Yan-Ling; Zhang, Yu-Ping; Si, Yong-Hua; Zhang, Jing

    2012-08-01

    Vascular hyporeactivity is an important factor in irreversible shock, whereas calcium desensitization is one of the mechanisms of vascular hyporeactivity, and the intestinal lymphatic pathway plays an important role in multiple organ injury after severe hemorrhagic shock (HS). In this study, our aims were to determine the effects of mesenteric lymph on vascular reactivity during HS and the mechanisms involved. First, the in vivo pressor response was observed by intravenous injection of norepinephrine (3 μg/kg) at different time points after HS. We found that mesenteric lymph duct ligation (MLDL) and mesenteric lymph drainage (MLD) enhanced the pressor response at multiple time points after shock. Next, vascular reactivity and calcium sensitivity in superior mesenteric artery (SMA) vascular rings were examined using an isolated organ perfusion system. Vascular reactivity and calcium sensitivity were higher for SMA rings from rats that had undergone HS plus MLDL or MLD that those from rats that had undergone only HS. The effects of MLDL and MLD on vascular reactivity and calcium sensitivity were significantly increased following incubation with the calcium sensitizer angiotensin II and were reduced after incubation with the calcium sensitivity inhibitor insulin. When SMA rings from normal rats were incubated with mesenteric lymph from rats subjected to HS, lymph obtained 0 to 0.5 h after shock enhanced vascular reactivity and calcium sensitivity, whereas lymph obtained 1 to 3 h after shock blunted these effects. We finally examined vascular reactivity and calcium sensitivity in HS rats subjected to MLD at 0 to 3 h or 1 to 3 h after shock. We found that contractile activity of SMAs in response to norepinephrine or Ca was higher in HS rats subjected to MLD at 1 to 3 h after shock compared with rats subjected to MLD at 0 to 3 h after shock. These results indicate that mesenteric lymph return plays an important role in biphasic changes in vascular reactivity during HS

  6. Idiopathic Splenic Artery Pseudoaneurysm Rupture as an Uncommon Cause of Hemorrhagic Shock

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    Richard A. Schatz MD

    2015-04-01

    Full Text Available Splenic artery pseudoaneurysms are infrequently encountered but critical to recognize. Limited literature to date describes associations with pancreatitis, trauma, and rarely peptic ulcer disease. Hemorrhage and abdominal pain are the most common manifestations. There is typically overt gastrointestinal blood loss but bleeding can also extend into the peritoneum, retroperitoneum, adjacent organs, or even a pseudocyst. Most patients with ruptured splenic artery pseudoaneurysms present with hemodynamic instability. Here, we describe a patient recovering from acute illness in the intensive care unit but with otherwise no obvious risk factors or precipitants for visceral pseudoaneurysm. He presented with acute onset altered mental status, nausea, and worsening back and abdominal pain and was found to be in hypovolemic shock. The patient was urgently stabilized until more detailed imaging could be performed, which ultimately revealed the source of blood loss and explained his rapid decompensation. He was successfully treated with arterial coiling and embolization. Thus, we herein emphasize the importance of prompt recognition of hemorrhagic shock and of aggressive hemodynamic stabilization, as well as a focused diagnostic approach to this problem with specific treatment for splenic artery pseudoaneurysm. Finally, we recommend that multidisciplinary management should be the standard approach in all patients with splenic artery pseudoaneurysm.

  7. Valproic acid decreases brain lesion size and improves neurologic recovery in swine subjected to traumatic brain injury, hemorrhagic shock, and polytrauma.

    Science.gov (United States)

    Nikolian, Vahagn C; Georgoff, Patrick E; Pai, Manjunath P; Dehaney, Isabel S; Chtraklin, Kiril; Eidy, Hassan; Ghandour, Mohamed; Han, Yanyan; Srinivasan, Ashok; Li, Yongqing; Alam, Hasan B

    2017-07-08

    We have previously shown that treatment with valproic acid (VPA) decreases brain lesion size in swine models of traumatic brain injury (TBI) and controlled hemorrhage. To translate this treatment into clinical practice, validation of drug efficacy and evaluation of pharmacologic properties in clinically realistic models of injury are necessary. In this study, we evaluate neurologic outcomes and perform pharmacokinetic analysis of a single dose of VPA in swine subjected to TBI, hemorrhagic shock, and visceral hemorrhage. Yorkshire swine (n=5/cohort) were subjected to TBI, hemorrhagic shock, and polytrauma (liver and spleen injury, rib fracture, rectus abdominis crush). Animals remained in hypovolemic shock for two hours before resuscitation with normal saline (NS, volume=3X hemorrhage) or NS+VPA (150 mg/kg). Neurologic severity scores were assessed daily for 30 days and brain lesion size was measured via magnetic resonance imaging on post-injury days (PID) 3 and 10. Serum samples were collected for pharmacokinetic analysis. Shock severity and response to resuscitation were similar in both groups. VPA-treated animals demonstrated significantly less neurological impairment between PID1-5 and smaller brain lesions on PID3 (mean lesion size±SEM, mm: NS=4956±1511 vs. NS+VPA=828±279, p=0.047). No significant difference in lesion size was identified between groups at PID10 and all animals recovered to baseline neurologic function during the 30-day observation period. Animals treated with VPA had faster neurocognitive recovery (days to initiation of testing, mean±SD: NS=6.2±1.6 vs. NS+VPA=3.6±1.5, p=0.002; days to task mastery: NS=7.0±1.0 vs. NS+VPA=4.8±0.5, p=0.03). The mean±SD maximum VPA concentrations, AUC, and half-life were 145±38.2mg/L, 616±150h•mg/L, and 1.70±0.12h. In swine subjected to TBI, hemorrhagic shock, and polytrauma, VPA treatment is safe, decreases brain lesion size, and reduces neurologic injury when compared to resuscitation with NS alone

  8. Effect of sevoflurane on expression of aquaporin 8 in intestinal mucosa in a pig model of hemorrhagic shock%七氟醚对失血性休克猪肠黏膜水通道蛋白8表达的影响

    Institute of Scientific and Technical Information of China (English)

    王丽晶; 王丽斯; 孙莹杰; 宋丹丹; 刁玉刚; 张铁铮

    2015-01-01

    目的 评价七氟醚对失血性休克猪肠黏膜水通道蛋白8(AQP8)表达的影响.方法 健康成年巴马小型猪24头,雌雄不拘,体重22~ 25 kg,采用随机数字表法分为假手术组(S组)、失血性休克组(HS组)和七氟醚组(PS组),每组8头.S组麻醉后经股动脉和颈内静脉置管;HS组麻醉置管后制备大鼠失血性休克模型;PS组于制备失血性休克模型成功后吸入2%七氟醚30 min.于麻醉前(T0)、失血性休克后0.5、1、1.5、2、3和4h(T1-6)时取颈内静脉血样,采用ELISA法检测血清D-乳酸、肠脂肪酸结合蛋白(I-FABP)的浓度;失血性休克4h后放血处死动物取肠组织制作病理切片,观察病理学结果;称湿重和干重,计算肠水含量,采用ELISA法检测肠黏膜AQP8的表达.结果 与S组比较,HS组和PS组血清D-乳酸、I-FABP浓度、肠黏膜AQP8表达水平及肠水含量升高(P<0.05);与HS组比较,PS组上述指标降低(P<0.05).PS组肠组织病理学损伤较HS组明显减轻.结论 七氟醚可通过抑制AQP8表达降低肠黏膜水肿,从而减轻失血性休克猪肠黏膜损伤.%Objective To evaluate the effect of sevoflurane on the expression of aquaporin 8 (AQP8) in the intestinal mucosa in a pig model of hemorrhagic shock.Methods Twenty-four Bama miniature pigs of both sexes, weighing 22-25 kg, were randomly divided into 3 equal groups using a random number table: sham operation group (group S), hemorrhagic shock group (group HS) and sevoflurane group (group PS).The femoral artery and jugular vein were cannulated for blood pressure monitoring, blood-letting, and blood sampling in anesthetized pigs.Hemorrhagic shock was induced by withdrawing blood from the right femoral artery.Hemorrhagic shock was induced after cannulation in group HS.In group PS, 2% sevoflurane was inhaled for 30 min after the model of hemorrhagic shock was successfully established.Before anesthesia, and at 0.5, 1, 1.5, 2, 3 and 4 h after hemorrhagic shock, blood

  9. Effect of intra-abdominal volume increment technique for the treatment of intra-abdominal hypertension on the liver after resuscitation of hemorrhagic shock in pig

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    Zheng-gang WANG

    2012-02-01

    Full Text Available Objective  To observe the effect of vacuum sealing drainage (VSD assisted intra-abdominal volume increment (IAVI technique on the liver in the treatment of intra-abdominal hypertension (IAH following hemorrhagic shock resuscitation in pigs. Methods  Twelve healthy mini-pigs (Bama, Guangxi were selected for bloodletting from the femoral artery to reproduce hemorrhagic shock model (mean arterial blood pressure, 50mmHg, 1h, and IAH model was successfully reproduced in eight pigs by partial occlusion of portal vein. The eight pigs were randomly divided into the intra-abdominal volume increment treatment (IT group (n=4 and sham operation control (SC group (n=4. Vesical pressure (VP and inferior vena cava pressure (IVCP were observed before shock, 2h after IAH, and 22h after IAVI treatment. Aspartate aminotransferase (AST and alanine aminotransferase (ALT were measured. In addition, the ratio of the abdominal anteroposterior diameter to the transverse diameter was assessed, and the liver CT values were measured after enhanced CT scanning. The pigs were sacrificed 26h after operation. Liver specimens were collected to measure the ratio of wet weight to dry weight and pathological examination. Results  The VP in 8 IAH pigs was 21.16±4.63mmHg. The ratio of abdominal anteroposterior diameter to the transverse diameter increased remarkably 2h after IAH compared with that before shock (1.22±1.41 vs 0.96±0.08, PPvs 42.73±4.92HU, PPPvs 5.14±0.71, PConclusions  The established model could better reproduce the symptoms of IAH after hemorrhagic shock and fluid resuscitation, accompanied by liver damage. IAVI helps to relieve liver functional disturbance after IAH, which is related to decreased intra-abdominal pressure and hypoxia-ischemia of the liver.

  10. Impaired activation of mitogen-activated protein kinases after hemorrhagic shock.

    Science.gov (United States)

    Khadaroo, Rachel G; Lu, Ziyue; Powers, Kinga A; Papia, Giuseppe; Kapus, Andras; Rotstein, Ori D

    2002-08-01

    Patients sustaining major trauma are at risk of developing organ dysfunction. We have previously shown that resuscitated hemorrhagic shock primes for increased lung injury in response to lippolysaccharide (LPS), in part by preventing upregulation of the counterinflammatory cytokine IL-10. Because the mitogen-activated protein kinase (MAPK) family is known to participate in LPS signaling, we hypothesized that altered upstream signaling through these kinases might contribute to impaired LPS-simulated IL-10 release after shock and resuscitation. Rats were bled to a mean arterial pressure of 40 mm Hg and maintained for 1 hour, then resuscitated. Alveolar macrophages were retrieved at the end of resuscitation and exposed to LPS (0.5 microg/mL). Western blotting for p38, extracellular-regulated protein kinase, and c-Jun NH2-terminal kinase was performed on whole cell lysates. In some studies, the alveolar macrophages were preincubated with the p38 inhibitor or the extracellular-regulated protein kinase inhibitor before LPS stimulation. IL-10 levels were measured by enzyme-linked immunosorbent assay. LPS caused an early activation in all members of the MAPK family, whereas antecedent shock both delayed and attenuated the LPS induction. To discern whether this reduction in LPS-stimulated MAPK activation after shock might contribute to reduced IL-10, specific inhibitors were used. Inhibition of p38 MAPK completely inhibited LPS-induced IL-10 production, whereas blockade of extracellular-regulated protein kinase pathway had no effect. Shock resuscitation impairs LPS-induced activation of the members of the MAPK family. For the critical counterinflammatory cytokine IL-10, inhibition of p38 activation appears to contribute to the reduced levels of this cytokine in response to LPS. This study provides in vitro evidence for altered signaling through p38 MAPK, as a mechanism leading to failed upregulation of a counterinflammatory cytokine, and thus the propagation of an

  11. Protective role of selective nitric oxide synthase inhibitor for treatment of decompensated hemorrhagic shock in normotensive and hypertensive rats.

    Science.gov (United States)

    Khazaei, Majid; Barmaki, Babak; Nasimi, Ali

    2012-01-01

    Different vasoactive factors can modulate cardiovascular adaptation to hemorrhagic shock including Nitric Oxide (NO). In this study we investigated the effect of the NO synthase inhibitor for treatment of decompensated hemorrhagic shock in normotensive and hypertensive rats. Twenty-four male Wistar rats were divided into two groups: The normotensive and hypertensive groups. Hypertension was induced by the DOCA-Salt method for eight weeks. Then, the animals were given hemorrhagic shock by continuously withdrawing blood until the mean arterial pressure (MAP) reached to 40 mmHg. The animals were maintained in the shock state for 120 minutes. Subsequently, they were randomly assigned to L-NAME-treated and non-treated groups and monitored for 60 minutes. The survival time was recorded. Blood samples were taken before and after the shock and 60 minutes after L-NAME administration. Infusion of L-NAME caused a significant increase in MAP in normotensive animals, however, slightly increased MAP in hypertensive animals. The heart rate did not significantly alter. Hemorrhage caused a marked increase in serum nitrite levels in both groups (P<0.05). L-NAME treatment significantly reduced the serum nitrite concentration in the normotensive group (P<0.05), without any change in the hypertensive group. All animals who received L-NAME treatment survived at the end of experiment. Fifty percent of the hypertensive animals died four hours after the experiment. The 72-hour survival rate was similar in the L-NAME treated groups. L-NAME infusion during decompensated hemorrhagic shock plays a protective role in the improvement of hemodynamic responses and short-term survival rate in normotensive animals.

  12. Fluid Resuscitation for Hemorrhagic Shock in Tactical Combat Casualty Care: TCCC Guidelines Change 14-01 - 2 June 2014

    Science.gov (United States)

    2014-06-02

    01 JUN 2014 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Fluid Resuscitation for Hemorrhagic Shock in Tactical Combat Casualty...of the New Orleans Jazz Festival. CAPT Timby is a pulmonary/critical care physician. He is presently the Deputy Medical Officer of the Marine Corps

  13. Small doses of arginine vasopressin in combination with norepinephrine "buy" time for definitive treatment for uncontrolled hemorrhagic shock in rats.

    Science.gov (United States)

    Liu, Liangming; Tian, Kunlun; Xue, Mingying; Zhu, Yu; Lan, Dan; Peng, Xiaoyong; Wu, Yue; Li, Tao

    2013-11-01

    Implementation of fluid resuscitation and blood transfusion are greatly limited in prehospital or evacuation settings after severe trauma or war wounds. With uncontrolled hemorrhagic shock rats, we investigated if arginine vasopressin (AVP) in combination with norepinephrine (NE) is independent (or slightly dependent) of fluid resuscitation and can "buy" time for the subsequently definitive treatment of traumatic hemorrhagic shock in the present study. The results showed that AVP (0.4 U/kg) alone or with NE (3 μg/kg) with one-eighth and one-fourth volumes of total blood volume of lactated Ringer's infusion significantly increased and maintained the mean arterial pressure. Among all groups, 0.4 U/kg of AVP + NE (3 μg/kg) with one-eighth volume of lactated Ringer's infusion had the best effect: it significantly increased and maintained hemodynamics and prolonged the survival time. This early treatment strategy significantly improved the effects of subsequently definitive treatments (after bleeding controlled): it increased the subsequent survival, improved the hemodynamic parameters, improved the cardiac function, and increased the tissue blood flow and oxygen delivery. These results suggested that early application of small doses of AVP (0.4 U/kg) + NE before bleeding control can "buy" time for the definitive treatment of uncontrolled hemorrhagic shock, which may be an effective measure for the early treatment of traumatic hemorrhagic shock.

  14. Pancreatic enzymes in the gut contributing to lung injury after trauma/hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    石汉平; 刘正军; 闻英

    2004-01-01

    Objective: To examine whether pancreatic proteolytic enzymes involve in lung injury induced by trauma/hemorrhagic shock (T/HS). Results: Lung permeability, pulmonary myeloperoxidase levels and the ratio of bronchoalveolar lavage fluid protein to plasma protein increased after T/HS, and significantly decreased in intraluminal-ANGD treated but not in intravenous-ANGD treated rats. Histological analysis demonstrated fewer injured villi in the intraluminal-ANGD treated rats compared with those in the control rats. Linear regression analysis revealed that the percentage of injured ileal mucosal villi directly related to pulmonary polymorphic neutrophil sequestration and lung permeability to Evans blue dye. Conclusions: Pancreatic proteolytic enzymes in the ischemic gut may be important toxic factors contributing to lung injury after T/HS.

  15. Collisionless Electrostatic Shock Modeling and Simulation

    Science.gov (United States)

    2016-10-21

    Briefing Charts 3. DATES COVERED (From - To) 30 September 2016 – 21 October 2016 4. TITLE AND SUBTITLE Collisionless Electrostatic Shock Modeling and...release: distribution unlimited. PA#16490 Air Force Research Laboratory Collisionless Electrostatic Shock Modeling and Simulation Daniel W. Crews In-Space...unlimited. PA#16490 Overview • Motivation and Background • What is a Collisionless Shock Wave? • Features of the Collisionless Shock • The Shock Simulation

  16. History of Preclinical Models of Intracerebral Hemorrhage

    Science.gov (United States)

    Ma, Qingyi; Khatibi, Nikan; Chen, Hank; Zhang, John H.

    2013-01-01

    In order to understand a disease process, effective modeling is required that can assist scientists in understanding the pathophysiological processes that take place. Intracerebral hemorrhage (ICH), a devastating disease representing 15% of all stroke cases, is just one example of how scientists have developed models that can effectively mimic human clinical scenarios. Currently there are three models of hematoma injections that are being used to induce an ICH in subjects. They include the microballoon model introduced in 1987 by Dr. David Mendelow, the bacterial collagenase injection model introduced in 1990 by Dr. Gary Rosenberg, and the autologous blood injection model introduced by Dr. Guo-Yuan Yang in 1994. These models have been applied on various animal models beginning in 1963 with canines, followed by rats and rabbits in 1982, pigs in 1996, and mice just recently in 2003. In this review, we will explore in detail the various injection models and animal subjects that have been used to study the ICH process while comparing and analyzing the benefits and disadvantages of each. PMID:21725723

  17. Evaluation of heart rate and blood pressure variability as indicators of physiological compensation to hemorrhage before shock.

    Science.gov (United States)

    Scully, Christopher G; Kramer, George C; Strauss, David G

    2015-05-01

    Individual responses to hemorrhage vary, with varying periods of compensation before the development of shock. We characterized heart rate and blood pressure variability measures during hemorrhage of 25 mL/kgBody Weight for 15 min in conscious sheep (N = 7, 14 total hemorrhages) as markers of the transition from compensated to decompensated shock using the continuous wavelet transform. Heart rate-low frequency (HR-LF) and systolic blood pressure-low frequency (SBP-LF) indices were developed to represent the change in spectral power during hemorrhage as low-frequency (0.06 - 0.15 Hz) power divided by the sum of high (0.15 - 1.0 Hz)- and very low (0.02 - 0.06 Hz) frequency power. Heart rate rose from 96.3 (22.2) beats/min (mean [SD] across all trials) to a peak of 176.0 (25.4) beats/min occurring at a minimum time of 5.3 min to a maximum of 22.1 min (11.7 [1.6] min), depending on the trial, after the start of hemorrhage. During the HR-compensated response to hemorrhage, there was elevated HR-LF and SBP-LF in five of the seven animals. In these animals, HR-LF and SBP-LF dropped to below baseline levels around the time of the peak HR. The results from this conscious-animal study suggest that HR and SBP low-frequency power rise during the compensation phase of the response to hemorrhage in conscious sheep. Use of variability monitoring could aid in describing an individual's current response to hemorrhage and anticipation of impending decompensation; however, individual differences in the response limit this potential.

  18. Protective effect of albumin on lung injury in traumatic/hemorrhagic shock in rats

    Institute of Scientific and Technical Information of China (English)

    DING Chen-yan; CHEN Zuo-bing; ZHENG Shu-sen; GAO Yuan; ZHANG Yun; ZHAO Xue-hong; NI Ling-mei

    2005-01-01

    Objective: To determine the effect of albumin administration on lung injury in traumatic/hemorrhagic shock (T/HS) in rats. Methods: Forty-eight adult Sprague-Dawley rats were divided into three groups randomly (n=16 in each group): Group A, Group B, Group C. In Group A, rats underwent laparotomy without shock. In Group B, rats undergoing T/HS were resuscitated with their blood plus lactated Ringer's (twice the volume of shed blood). In Group C, rats undergoing T/HS were resuscitated with their shed blood plus additional 3 ml of 5% human albumin. The expression of polymorphonuclear neutrophils CD18/CD11b in jugular vein blood was evaluated. The main lung injury indexes (the activity of myeloperoxidase and lung injury score) were measured. Results: Significant differences of the expression of CD18/11b and the severity degree of lung injury were found between the three groups.(P<0.05). The expression of CD18/CD11b and the main lung injury indexes in Group B and Goup C incresed significantly compared with those in Group A(P<0.05).At the same time, the expression of CD18/CD11b and the main lung injury indexes in Group C decreased dramatically, compared with those in Group B (P<0.05). Conclusions: The infusion of albumin during resuscitation period can protect lungs from injury and decrease the expression of CD18/CD11b in T/HS rats.

  19. Model for Shock Wave Chaos

    KAUST Repository

    Kasimov, Aslan R.

    2013-03-08

    We propose the following model equation, ut+1/2(u2−uus)x=f(x,us) that predicts chaotic shock waves, similar to those in detonations in chemically reacting mixtures. The equation is given on the half line, x<0, and the shock is located at x=0 for any t≥0. Here, us(t) is the shock state and the source term f is taken to mimic the chemical energy release in detonations. This equation retains the essential physics needed to reproduce many properties of detonations in gaseous reactive mixtures: steady traveling wave solutions, instability of such solutions, and the onset of chaos. Our model is the first (to our knowledge) to describe chaos in shock waves by a scalar first-order partial differential equation. The chaos arises in the equation thanks to an interplay between the nonlinearity of the inviscid Burgers equation and a novel forcing term that is nonlocal in nature and has deep physical roots in reactive Euler equations.

  20. The trauma patient in hemorrhagic shock: how is the C-priority addressed between emergency and ICU admission?

    Directory of Open Access Journals (Sweden)

    Peiniger Sigune

    2012-12-01

    Full Text Available Abstract Background Trauma is the leading cause of death in young people with an injury related mortality rate of 47.6/100,000 in European high income countries. Early deaths often result from rapidly evolving and deteriorating secondary complications e.g. shock, hypoxia or uncontrolled hemorrhage. The present study assessed how well ABC priorities (A: Airway, B: Breathing/Ventilation and C: Circulation with hemorrhage control with focus on the C-priority including coagulation management are addressed during early trauma care and to what extent these priorities have been controlled for prior to ICU admission among patients arriving to the ER in states of moderate or severe hemorrhagic shock. Methods A retrospective analysis of data documented in the TraumaRegister of the ‘Deutsche Gesellschaft für Unfallchirurgie’ (TR-DGU® was conducted. Relevant clinical and laboratory parameters reflecting status and basic physiology of severely injured patients (ISS ≥ 25 in either moderate or severe shock according to base excess levels (BE -2 to -6 or BE  Results A total of 517 datasets was eligible for analysis. Upon ICU admission shock was reversed to BE > -2 in 36.4% and in 26.4% according to the subgroups. Two of three patients with initially moderate shock and three out of four patients with severe shock upon ER arrival were still in shock upon ICU admission. All patients suffered from coagulation dysfunction upon ER arrival (Quick’s value ≤ 70%. Upon ICU admission 3 out of 4 patients in both groups still had a disturbed coagulation function. The number of patients with significant thrombocytopenia had increased 5-6 fold between ER and ICU admission. Conclusion The C-priority including coagulation management was not adequately addressed during primary survey and initial resuscitation between ER and ICU admission, in this cohort of severely injured patients.

  1. Internal shock model for Microquasars

    CERN Document Server

    Kaiser, C R; Spruit, H C; Kaiser, Christian R.; Sunyaev, Rashid; Spruit, Henk C.

    2000-01-01

    We present a model for the radio outbursts of microquasars based on the assumption of quasi-continuous jet ejection. The jets are `lit up' by shock fronts traveling along the jets during outbursts. The observed comparatively flat decay light curves combined with gradually steepening spectral slopes are explained by a superposition of the radiation of the aging relativistic particle population left behind by the shocks. This scenario is the low energy, time-resolved equivalent to the internal shock model for GRBs. We show that this model predicts energy contents of the radiating plasma similar to the plasmon model. At the same time, the jet model relaxes the severe requirements on the central source in terms of the rate at which this energy must be supplied to the jet. Observations of `mini-bursts' with flat spectral slopes and of infrared emission far from the source centre suggest two different states of jet ejections: (i) A `mini-burst' mode with relatively stable jet production and weak radio emission with...

  2. The Use of Limited Fluid Resuscitation and Blood Pressure-Controlling Drugs in the Treatment of Acute Upper Gastrointestinal Hemorrhage Concomitant with Hemorrhagic Shock.

    Science.gov (United States)

    Lu, Bo; Li, Mao-Qin; Li, Jia-Qiong

    2015-06-01

    The aim of this study was to evaluate the usefulness of the limited fluid resuscitation regimen combined with blood pressure-controlling drugs in treating acute upper gastrointestinal hemorrhage concomitant with hemorrhagic shock. A total of 51 patients were enrolled and divided into a group that received traditional fluid resuscitation group (conventional group, 24 patients) and a limited fluid resuscitation group (study group, 27 patients). Before and after resuscitation, the blood lactate, base excess, and hemoglobin values, as well as the volume of fluid resuscitation and resuscitation time were examined. Compared with conventional group, study group had significantly better values of blood lactate, base excess, and hemoglobin (all p bleeding control and resuscitation effectiveness.

  3. Role of RhoA in regulating the pump function of isolated lymphatics from hemorrhagic shock rats.

    Science.gov (United States)

    Si, Yong-Hua; Niu, Chun-Yu; Zhao, Zi-Gang; Zhang, Li-Min; Zhang, Yu-Ping

    2013-07-01

    The aim of this present study was to examine changes in RhoA protein levels and the role in RhoA in lymphatic contractility and reactivity after hemorrhagic shock. Levels of RhoA and phospho-RhoA in lymphatic tissue isolated from hemorrhagic shock rats were measured, and the contractility and reactivity to substance P of lymphatics isolated from control rats and rats subjected to shock 0.5 and 2 h were determined with an isolated lymphatic perfusion system at a transmural pressure of 3 cmH2O. At the same time, lymphatics isolated from rats subjected to shock 0.5 and 2 h were incubated with agonists and antagonists of RhoA/Rho kinase signaling. Contractile frequency, end-diastolic and end-systolic diameter, and passive diameter were recorded and used to calculate lymphatic tonic index, contractile amplitude, and fractional pump flow. After stimulation with a gradient of substance P, the differences between the preadministration and postadministration values of contractile frequency, contractile amplitude, tonic index, and fractional pump flow were calculated to further assess lymphatic reactivity. RhoA protein levels were significantly increased at 0.5 h after shock but decreased at 2 and 3 h after shock; p-Rho levels were initially increased after shock and subsequently decreased. The contractility and reactivity of 0.5-h-shocked lymphatics were significantly reduced by the RhoA antagonist C3 transferase and the Rho kinase antagonist Y-27632. The RhoA agonist U-46619 increased the contractility and reactivity of 2-h-shocked lymphatics, whereas Y-27632 suppressed the effect of U-46619. Okadaic acid, an inhibitor of myosin light-chain phosphatase, had no effect on the contractility of 2-h-shocked lymphatics, but improved lymphatic reactivity. These results suggest that RhoA is involved in the modulation of lymphatic pump function during hemorrhagic shock and that its effects may be mediated by Rho kinase and MLCP.

  4. Argentine hemorrhagic fever: a primate model.

    Science.gov (United States)

    Weissenbacher, M C; Calello, M A; Colillas, O J; Rondinone, S N; Frigerio, M J

    1979-01-01

    Experimental Junin virus infection of a New World primate, Callithrix jacchus, was evaluated. The virus produced anorexia, loss of weight, thrombocytopenia, leukopenia, and hemorrhagic and neurological symptoms and terminated in death. Virus was recovered from urine, blood samples and all tissues taken at autopsy. These preliminary observations show that several aspects of the experimental disease in C. jacchus are quite similar to severe natural Argentine hemorrhagic fever of man.

  5. 1H-NMR metabolomic biomarkers of poor outcome after hemorrhagic shock are absent in hibernators.

    Directory of Open Access Journals (Sweden)

    Lori K Bogren

    Full Text Available Hemorrhagic shock (HS following trauma is a leading cause of death among persons under the age of 40. During HS the body undergoes systemic warm ischemia followed by reperfusion during medical intervention. Ischemia/reperfusion (I/R results in a disruption of cellular metabolic processes that ultimately lead to tissue and organ dysfunction or failure. Resistance to I/R injury is a characteristic of hibernating mammals. The present study sought to identify circulating metabolites in the rat as biomarkers for metabolic alterations associated with poor outcome after HS. Arctic ground squirrels (AGS, a hibernating species that resists I/R injury independent of decreased body temperature (warm I/R, was used as a negative control.Male Sprague-Dawley rats and AGS were subject to HS by withdrawing blood to a mean arterial pressure (MAP of 35 mmHg and maintaining the low MAP for 20 min before reperfusing with Ringers. The animals' temperature was maintained at 37 ± 0.5 °C for the duration of the experiment. Plasma samples were taken immediately before hemorrhage and three hours after reperfusion. Hydrophilic and lipid metabolites from plasma were then analyzed via 1H-NMR from unprocessed plasma and lipid extracts, respectively. Rats, susceptible to I/R injury, had a qualitative shift in their hydrophilic metabolic fingerprint including differential activation of glucose and anaerobic metabolism and had alterations in several metabolites during I/R indicative of metabolic adjustments and organ damage. In contrast, I/R injury resistant AGS, regardless of season or body temperature, maintained a stable metabolic homeostasis revealed by a qualitative 1H-NMR metabolic profile with few changes in quantified metabolites during HS-induced global I/R.An increase in circulating metabolites indicative of anaerobic metabolism and activation of glycolytic pathways is associated with poor prognosis after HS in rats. These same biomarkers are absent in AGS after HS

  6. Mechanism of macrophage injury following traumatic hemorrhagic shock: through PTX-sensitive G-protein-mediated signal transduction pathway

    Institute of Scientific and Technical Information of China (English)

    刘靖华; 刘良明; 陈惠孙; 胡德耀; 刘怀琼

    2002-01-01

    Objective: To study the mechanism of macrophage injury after trauma-hemorrhagic shock.   Methods: Wistar male rats underwent trauma (closed bone fracture) and hemorrhage (mean arterial blood pressure of 35 mm Hg±5 mm Hg for 60 minutes, following fluid resuscitation). Rats without trauma, hemorrhage or fluid resuscitation served as controls. Peritoneal macrophages were harvested at 6 hours and 1, 2, 3, 7 days after traumatic hemorrhagic shock to determine the effects of pertussis toxin (PTX, as a specific inhibitor to Giα) and cholera toxin (CTX, as a stimulant to Gsα) on macrophage-Ia expression and TNF-α production and levels of Giα and Gsα.   Results: The macrophages from the injured rats revealed a significant decrease of Ia positive number and TNF-α release in response to LPS. With pretreatment with PTX 10-100 ng/ml Ia positive cells and LPS-induced TNFα production in both control and impaired macrophages populations were dose-dependently increased. Both macrophages populations were not responding to CTX treatment (10-100 ng/ml). Western blot analyses showed that the levels of Giα protein expression increased as much as 116.5%-148.8% of the control level from 6 hours through 7 days after traumatic hemorrhage. The levels of Gsα protein expression were reduced at 6 hours and decreased to the lowest degree; 36% of the control at day 1, began to return at day 2 and returned to the normal level at day 7, following traumatic hemorrhagic shock.   Conclusions: PTX-sensitive G-protein may participate in the modulation of macrophage-Ia expression and TNF-α release following traumatic hemorrhagic shock. Analyses of the alteration of Giα and Gsα protein expressions further supports the concept that G-protein is involved in trauma-induced macrophage signal transduction pathways.

  7. Systemic and microcirculatory effects of blood transfusion in experimental hemorrhagic shock.

    Science.gov (United States)

    Ferrara, Gonzalo; Edul, Vanina S Kanoore; Canales, Héctor S; Martins, Enrique; Canullán, Carlos; Murias, Gastón; Pozo, Mario O; Caminos Eguillor, Juan F; Buscetti, María G; Ince, Can; Dubin, Arnaldo

    2017-12-01

    The microvascular reperfusion injury after retransfusion has not been completely characterized. Specifically, the question of heterogeneity among different microvascular beds needs to be addressed. In addition, the identification of anaerobic metabolism is elusive. The venoarterial PCO2 to arteriovenous oxygen content difference ratio (Pv-aCO2/Ca-vO2) might be a surrogate for respiratory quotient, but this has not been validated. Therefore, our goal was to characterize sublingual and intestinal (mucosal and serosal) microvascular injury after blood resuscitation in hemorrhagic shock and its relation with O2 and CO2 metabolism. Anesthetized and mechanically ventilated sheep were assigned to stepwise bleeding and blood retransfusion (n = 10) and sham (n = 7) groups. We performed analysis of expired gases, arterial and mixed venous blood gases, and intestinal and sublingual videomicroscopy. In the bleeding group during the last step of hemorrhage, and compared to the sham group, there were decreases in oxygen consumption (3.7 [2.8-4.6] vs. 6.8 [5.8-8.0] mL min(-1) kg(-1), P < 0.001) and increases in respiratory quotient (0.96 [0.91-1.06] vs. 0.72 [0.69-0.77], P < 0.001). Retransfusion normalized these variables. The Pv-aCO2/Ca-vO2 increased in the last step of bleeding (2.4 [2.0-2.8] vs. 1.1 [1.0-1.3], P < 0.001) and remained elevated after retransfusion, compared to the sham group (1.8 [1.5-2.0] vs. 1.1 [0.9-1.3], P < 0.001). Pv-aCO2/Ca-vO2 had a weak correlation with respiratory quotient (Spearman R = 0.42, P < 0.001). All the intestinal and sublingual microcirculatory variables were affected during hemorrhage and improved after retransfusion. The recovery was only complete for intestinal red blood cell velocity and sublingual total and perfused vascular densities. Although there were some minor differences, intestinal and sublingual microcirculation behaved similarly. Therefore, sublingual mucosa might be an adequate window to

  8. The ATP-sensitive K + channel and membrane potential in the pathogenesis of vascular hyporeactivity in severe hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective: To elucidate the mechanism of vascular hyporeactivity following severe hemorrhagic shock (HS) by studying the changes of ATP-sensitive potassium channels'(KATP) properties and membrane potential of mesenteric arteriolar smooth muscle cells. Methods: Single channel currents were studied on cell-attached and inside-out patches of enzymatically isolated mesenteric arteriolar smooth muscle cells (ASMCs). Membrane potentials of arteriolar strips and ASMCs were recorded by intracellular membrane potential recording method and confocal microscopy, respectively. Results: KATP channels in ASMCs were activated,which induced smooth muscle hyperpolarization following vsscular hyporeactivity in HS. Conclusions: Hyperpolarizing effect of KATP channel activation plays an important role in low vasoreactivity during severe hemorrhagic shock.

  9. The Protective Effect of Electroacupuncturing Zusanli Points on Hemorrhagic Shock Rats through Cholinergic Anti-inflammatory Pathway

    Institute of Scientific and Technical Information of China (English)

    Zhao-Hui DU; Jian-Guo LI; Yan-Lin WANG; Zhou-Quan PENG; Xiao-Feng YE

    2005-01-01

    @@ 1 Introduction In conditions of circulatory shock, systemic inflammatory response (SIRS) plays a funda mental pathogenetic role, with activation of transcription nuclear factors(mainly NF- kB) and markedly increased production of cytokines (mainly TNF-a), which trigger the inflammatory cascade active ation. Recent research have identified a basic neural pathway that reflexively monitors and adjusts such response. It is through the rapid activation (in "real-time") of efferent vagus nerve fibres(the recentlyrecognized "brain cholinergic antiinflammatory pathway" ) [1].There are show that the rapid activation cholinergic antiinflammatory pathway can protect against the hemorrhagic shock[2,3].

  10. Optimal Surgical Therapy in a Porcine (Sus scrofa) Model of Extra-Thoracic Penetrating Trauma Resulting in Hemorrhagic Shock: ED Thoracotomy vs. Immediate Trans-Abdominal Vascular Control. A Porcine Model for Evaluating the Management of Non-Compressible Torso Hemorrhage

    Science.gov (United States)

    2010-11-08

    infrared brain oximetry monitor ( Pediatric SomaSensor®, Somanetics Corporation, Troy, MI) was positioned across the frontal scalp of the animal. The...to treat aneurysmal disease. In summary, non-compressible hemorrhage represents a significant area of interest for the military community

  11. Protective effects of ω-3 PUFA on the second liver injury in rats with traumatic brain injury and hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    许会彬

    2014-01-01

    Objective To investigate the effects of preconditioning withω-3 polyunsaturated fatty acid(ω-3 PUFA)on the second liver injury in rats with traumatic brain injury and hemorrhagic shock(TBIS)and explore the underlying mechanism.Methods Total of 36 male Wistar rats were assigned randomly(random number)into 3 groups(n=12 in each):sham

  12. The role of the vagus nerve in hypertonic resuscitation of hemorrhagic shocked dogs

    Directory of Open Access Journals (Sweden)

    Velasco I.T.

    2004-01-01

    Full Text Available Previous studies have suggested a critical role for the vagi during the hypertonic resuscitation of hemorrhagic shocked dogs. Vagal blockade prevented the full hemodynamic and metabolic recovery and increased mortality. This interpretation, however, was challenged on the grounds that the blockade also abolished critical compensatory mechanisms and therefore the animals would die regardless of treatment. To test this hypothesis, 29 dogs were bled (46.0 ± 6.2 ml/kg, enough to reduce the mean arterial pressure to 40 mmHg and held hypotensive for 45 min. After 40 min, vagal activity was blocked in a reversible manner (0ºC/15 min and animals were resuscitated with 7.5% NaCl (4 ml/kg, 0.9% NaCl (32 ml/kg, or the total volume of shed blood. In the vagal blocked isotonic saline group, 9 of 9 dogs, and in the vagal blocked replaced blood group, 11 of 11 dogs survived, with full hemodynamic and metabolic recovery. However, in the hypertonic vagal blocked group, 8 of 9 dogs died within 96 h. Survival of shocked dogs which received hypertonic saline solution was dependent on vagal integrity, while animals which received isotonic solution or blood did not need this neural component. Therefore, we conclude that hypertonic resuscitation is dependent on a neural component and not only on the transient plasma volume expansion or direct effects of hyperosmolarity on vascular reactivity or changes in myocardial contraction observed immediately after the beginning of infusion.

  13. Hemorrhagic shock and encephalopathy syndrome – the markers for an early HSES diagnosis

    Directory of Open Access Journals (Sweden)

    Miyaichi Toshinori

    2008-10-01

    Full Text Available Abstract Background The hemorrhagic shock and encephalopathy syndrome (HSES is a devastating disease that affects young children. The outcomes of HSES patients are often fatal or manifesting severe neurological sequelae. We reviewed the markers for an early diagnosis of HSES. Methods We examined the clinical, biological and radiological findings of 8 patients (4 months to 9 years old who met the HSES criteria. Results Although cerebral edema, disseminated intravascular coagulopathy (DIC, and multiple organ failure were seen in all 8 cases during their clinical courses, brain computed tomography (CT scans showed normal or only slight edema in 5 patients upon admission. All 8 patients had normal platelet counts, and none were in shock. However, they all had severe metabolic acidosis, which persisted even after 3 hours (median base excess (BE, -7.6 mmol/L. And at 6 hours after admission (BE, -5.7 mmol/L they required mechanical ventilation. Within 12 hours after admission, fluid resuscitation and vasopressor infusion for hypotension was required. Seven of the patients had elevated liver enzymes and creatine kinase (CK upon admission. Twenty-four hours after admission, all 8 patients needed vasopressor infusion to maintain blood pressure. Conclusion CT scan, platelet count, hemoglobin level and renal function upon admission are not useful for an early diagnosis of HSES. However, the elevated liver enzymes and CK upon admission, hypotension in the early stage after admission with refractory acid-base disturbance to fluid resuscitation and vasopressor infusion are useful markers for an early HSES diagnosis and helpful to indicate starting intensive neurological treatment.

  14. Inhibition of IκB Kinase Attenuates the Organ Injury and Dysfunction Associated with Hemorrhagic Shock.

    Science.gov (United States)

    Sordi, Regina; Chiazza, Fausto; Johnson, Florence L; Patel, Nimesh S A; Brohi, Karim; Collino, Massimo; Thiemermann, Christoph

    2015-06-18

    Nuclear factor-kappa B (NF-κB) activation is widely implicated in multiple organ failure (MOF); however, a direct inhibitor of IκB kinase (IKK), which plays a pivotal role in the activation of NF-κB, has not been investigated in shock. Thus, the aim of the present work was to investigate the effects of an IKK inhibitor on the MOF associated with hemorrhagic shock (HS). Therefore, rats were subjected to HS and were resuscitated with the shed blood. Rats were treated with the inhibitor of IKK or vehicle at resuscitation. Four hours later, blood and organs were assessed for organ injury and signaling events involved in the activation of NF-κB. Additionally, survival following serum deprivation was assessed in HK-2 cells treated with the inhibitor of IKK. HS resulted in renal dysfunction, lung, liver and muscular injury, and increases in serum inflammatory cytokines. Kidney and liver tissue from HS rats revealed increases in phosphorylation of IKKαβ and IκBα, nuclear translocation of NF-κB and expression of inducible isoform of nitric oxide synthase (iNOS). IKK16 treatment upon resuscitation attenuated NF-κB activation and activated the Akt survival pathway, leading to a significant attenuation of all of the above parameters. Furthermore, IKK16 exhibited cytoprotective effects in human kidney cells. In conclusion, the inhibitor of IKK complex attenuated the MOF associated with HS. This effect may be due to the inhibition of the NF-κB pathway and activation of the survival kinase Akt. Thus, the inhibition of the IKK complex might be an effective strategy for the prevention of MOF associated with HS.

  15. Heavy Ethanol Intoxication Increases Proinflammatory Cytokines and Aggravates Hemorrhagic Shock-Induced Organ Damage in Rats

    Directory of Open Access Journals (Sweden)

    Tsung-Ming Hu

    2013-01-01

    Full Text Available Hemorrhagic shock (HS following acute alcohol intoxication can increase proinflammatory cytokine production and induce marked immunosuppression. We investigated the effects of ethanol on physiopathology and cytokine levels following HS in acutely alcohol-intoxicated rats. Rats received an intravenous injection of 5 g/kg ethanol over 3 h followed by HS induced by withdrawal of 40% of total blood volume from a femoral arterial catheter over 30 min. Mean arterial pressure (MAP and heart rate (HR were monitored continuously for 48 h after the start of blood withdrawal. Biochemical parameters, including hemoglobin, ethanol, glutamic oxaloacetic transaminase (GOT, glutamic pyruvic transaminase (GPT, blood urea nitrogen (BUN, creatinine (Cre, lactic dehydrogenase (LDH, and creatine phosphokinase (CPK, were measured at 30 min before induction of HS and 0, 1, 3, 6, 9, 12, 18, 24, and 48 h after HS. Serum tumor necrosis factor-α (TNF-α and interleukin-6 (IL-6 levels were measured at 1 and 12 h after HS. The liver, kidneys, and lungs were removed for pathology at 48 h later. HS significantly increased HR, blood GOT, GPT, BUN, Cre, LDH, CPK, TNF-α, and IL-6 levels and decreased hemoglobin and MAP in rats. Acute ethanol intoxication further increased serum levels of GOT, GPT, BUN, Cre, LDH, CPK, TNF-α and IL-6 elevation following HS. Acutely intoxicated rats exacerbated the histopathologic changes in the liver, kidneys, and lungs following HS.

  16. Role of transcription factor Egr-1 in liver injury following hemorrhagic shock and resuscitation

    Institute of Scientific and Technical Information of China (English)

    MEI Jian-min; Timothy R. Billiar; YU Cong-hui; David J. Gallo; YANG Rong-hua; LIU Sha-lei

    2005-01-01

    Objective: To investigate the role of transcription factor Egr-1 in liver injury following hemorrhagic shock (HS) /resuscitation (R). Methods: Both Egr-1 knockout (KO) and wild-type (WT) mice were subjected to HS and HSR injuries. The expressions of TNF-α, IL-6, G-CSF and ICAM-1 mRNAs in the liver were examined by RT-PCR, and their serum levels were measured by ELISA. The liver inflammatory infiltration and liver injury in both Egr-1 WT and KO mice following HS/R were evaluated by liver MPO content, serum ALT level and histological examination. Results: Egr-1 inhibition resulted in less mRNA expression of TNF-α, IL-6 , G-CSF and ICAM-1 in the liver, and lower serum levels of TNF-α, IL-6, G-CSF and ICAM-1 antigens in Egr-1 KO mice following HS/R. The liver inflammatory infiltration and liver injury were less severe in Egr-1 KO mice following HS/R, as evidenced by lower serum ALT level, lower hepatic MPO content and histological manifestations. Conclusion: Our data suggest that transcription factor Egr-1 is involved in regulating the expression of inflammatory response genes and plays a role in liver injury following HS/R.

  17. Effects of volume and composition of the resuscitative fluids in the treatment of hemorrhagic shock

    Directory of Open Access Journals (Sweden)

    Pushpa Sharma

    2012-01-01

    Full Text Available Objectives: To evaluate the effectiveness of normal saline, hypertonic saline, and Ringer′s lactate solution followed by blood infusion in ameliorating the physiological, biochemical, and organ functions following hemorrhagic shock (HS in rats. Materials and Methods: Anesthetized, male Sprague-Dawley rats underwent computer-controlled HS, and were randomly divided into five groups consisting of (1 sham, (2 HS without resuscitation, (3 resuscitation with normal saline, (4 resuscitation with hypertonic saline, and (5 resuscitation with Ringer′s lactate solution. All resuscitated animals were infused with subsequent infusion of shed blood. Animals were continuously monitored for physiological, hemodynamic, biochemical parameters, and organ dysfunctions. Results: Non-resuscitated animals were unable to survive due to hypotension, poor oxygen metabolism, and lactic acidosis. Although these HS related parameters were corrected by all the fluids used in this study, additional blood infusion was more effective than fluid resuscitation alone. Also, hypertonic saline was more effective than Ringer′s lactate solution, and normal saline was the least effective in preserving the liver and kidney functions and muscle damage. Conclusions: All crystalloid fluids were significantly more effective in reversing the HS outcome when used with blood infusion, but hypertonic salinewith blood was more effective in preventing the organ damage than Lactated Ringers solutions or normal saline in the treatment of HS.

  18. Normal saline influences coagulation and endothelial function after traumatic brain injury and hemorrhagic shock in pigs

    DEFF Research Database (Denmark)

    Dekker, Simone E; Sillesen, Martin; Bambakidis, Ted

    2014-01-01

    BACKGROUND: Traumatic brain injury (TBI) and hemorrhagic shock (HS) are the leading causes of trauma-related deaths. These insults disrupt coagulation and endothelial systems. This study investigated whether previously reported differences in lesion size and brain swelling during normal saline (NS...... of endothelial activation (E-selectin, Intercellular adhesion molecule [ICAM]-1), coagulation activation (prothrombin fragment 1 + 2), and natural anticoagulation (activated protein C [aPC]) were determined in serum and brain whole cell lysates. RESULTS: Serum levels of aPC were greater in the NS group (203 ± 30...... pg/mL) compared with HEX (77 ± 28 pg/mL; P = .02) and FFP (110 ± 28 pg/mL; P = .09), as was PF 1 + 2 in the brain when compared with FFP (PF 1 + 2, 89 ± 46 vs 37 ± 14 ng/mL; P = .035). Brain E-selectin was greater in the NS group compared with FFP (3.36 ± 0.02 vs 3.31 ± 0.01 ng/mL; P = .029...

  19. Effect of Topical Iloprost and Nitroglycerin on Gastric Microcirculation and Barrier Function during Hemorrhagic Shock in Dogs.

    Science.gov (United States)

    Truse, Richard; Hinterberg, Jonas; Schulz, Jan; Herminghaus, Anna; Weber, Andreas; Mettler-Altmann, Tabea; Bauer, Inge; Picker, Olaf; Vollmer, Christian

    2017-01-01

    Topical drug application is used to avoid systemic side effects. The aim of this study was to analyze whether locally applied iloprost or nitroglycerin influence gastric mucosal perfusion, oxygenation, and barrier function during physiological and hemorrhagic conditions. In repeated experiments, 5 anesthetized dogs received iloprost, nitroglycerin, or normal saline during physiological and hemorrhagic (-20% blood volume) conditions. Macro- and microcirculatory variables were recorded continuously. Gastric barrier function was assessed via translocation of sucrose into the blood. During hemorrhage, gastric mucosal oxygenation decreased from 77 ± 4 to 37 ± 7%. This effect was attenuated by nitroglycerin (78 ± 6 to 47 ± 13%) and iloprost (82 ± 4 to 54 ± 9%). Sucrose plasma levels increased during hemorrhage from 7 ± 4 to 55 ± 15 relative amounts. This was alleviated by nitroglycerin (5 ± 8 to 29 ± 38 relative amounts). These effects were independent of systemic hemodynamic variables. During hemorrhage, topical nitroglycerin and iloprost improve regional gastric oxygenation without affecting perfusion. Nitroglycerin attenuated the shock-induced impairment of the mucosal barrier integrity. Thus, local drug application improves gastric microcirculation without compromising systemic hemodynamic variables, and it may also protect mucosal barrier function. © 2017 S. Karger AG, Basel.

  20. The effects of administration of valproic acid on organ function and outcome in a canine lethal hemorrhagic shock model%丙戊酸对致死性失血性休克犬器官功能和预后的影响

    Institute of Scientific and Technical Information of China (English)

    胡森; 侯经元; 李琳; 杨明星; 盛志勇

    2011-01-01

    Objective To investigate the effects of valproic acid (histone deacetylase inhibitor) on visceral function and outcome in a canine lethal hemorrhage model. Methods Twenty male Beagle canines were subjected to an about 42% of total blood volume loss to reproduce a lethal hemorrhage shock model.Animals were randomly divided into shock control group (SC group) and valproic acid treatment group (VPA group), each group n = 10. Canines in SC group and VPA group were intravenously injected either 20 ml saline or valproic acid (100 mg/kg) in 20 ml saline 1.5 hours after hemorrhage. Canines in each group were given delayed intravenous fluid resuscitation 24 hours after bleeding. The mean arterial pressure (MAP) was measured at 0 hour and at different time points without anesthesia, and the plasma levels of alanine aminotransferase (ALT), creatinine (Cr) and isoenzyme of creatine kinase (CK-MB) were measured before hemorrhage (0 hour), and at different time points after hemorrhage. Urinary output and survival rate 72 hours after hemorrhage were also recorded. Results The levels of MAP in both groups were significantly lowered from 2 hours after bleeding. The level of MAP (mm Hg, 1 mm Hg = 0. 133 kPa) in VPA group recovered rapidly and exceeded with statistically significant difference compared with those of SC group after hemorrhage (4 hours: 58. 4±7.6 vs. 40. 3±:5.0, 8 hours: 84.4±8. 0 vs. 56.4±4.4, 24 hours: 92.6±10. 3vs. 72. 6±8. 9, P<0. 05 or P<0. 01). The amount of urinary output of VPA group was significantly higher than that of SC group during the period of 0 -8 hours, 8 -24 hours, 24 -48 hours, and 48 -72 hours, but it was still lower than that before hemorrhage (0 hour). The plasma parameters for visceral function in both groups were significantly elevated compared with 0 hour. The plasma levels of ALT, Cr and CK-MB in VPA group were obviously lower than those in SC group from 4 hours after hemorrhage[at 4 hours after bleeding,ALT (U/L): 80.1±9.8 vs. 112

  1. Trauma-hemorrhagic shock-induced pulmonary epithelial and endothelial cell injury utilizes different programmed cell death signaling pathways.

    Science.gov (United States)

    Barlos, Dimtrios; Deitch, Edwin A; Watkins, Anthony C; Caputo, Frank J; Lu, Qi; Abungu, Billy; Colorado, Iriana; Xu, Da-Zhong; Feinman, Rena

    2009-03-01

    Intestinal ischemia after trauma-hemorrhagic shock (T/HS) results in gut barrier dysfunction and the production/release of biologically active and tissue injurious factors in the mesenteric lymph, which, in turn, causes acute lung injury and a systemic inflammatory state. Since T/HS-induced lung injury is associated with pulmonary endothelial and epithelial cell programmed cell death (PCD) and was abrogated by mesenteric lymph duct ligation, we sought to investigate the cellular pathways involved. Compared with trauma-sham shock (T/SS) rats, a significant increase in caspase-3 and M30 expression was detected in the pulmonary epithelial cells undergoing PCD, whereas apoptosis-inducing factor (AIF), but not caspase-3, was detected in endothelial cells undergoing PCD. This AIF-mediated pulmonary endothelial PCD response was validated in an in situ femoral vein assay where endothelial cells were found to express AIF but not caspase-3. To complement these studies, human umbilical vein endothelial cell (HUVEC), human lung microvascular endothelial cell (HLMEC), and human alveolar type II epithelial cell (A549) lines were used as in vitro models. T/HS lymph induced the nuclear translocation of AIF in HUVEC and HLMEC, and caspase inhibition in these cells did not afford any cytoprotection. For proof of principle, AIF silencing in HUVEC reversed the cytotoxic effects of T/HS on cell viability and DNA fragmentation. In A549 cells, T/HS lymph activated caspase-3-mediated apoptosis, which was partially abrogated by N-benzyloxycarbonyl-Val-Ala-Asp (zVAD). Additionally, T/HS lymph did not cause the nuclear translocation of AIF in A549 cells. Collectively, T/HS-induced pulmonary endothelial PCD occurs via an AIF-dependent caspase-independent pathway, whereas epithelial cells undergo apoptosis by a caspase-dependent pathway.

  2. Trauma hemorrhagic shock-induced lung injury involves a gut-lymph-induced TLR4 pathway in mice.

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    Diego C Reino

    Full Text Available Injurious non-microbial factors released from the stressed gut during shocked states contribute to the development of acute lung injury (ALI and multiple organ dysfunction syndrome (MODS. Since Toll-like receptors (TLR act as sensors of tissue injury as well as microbial invasion and TLR4 signaling occurs in both sepsis and noninfectious models of ischemia/reperfusion (I/R injury, we hypothesized that factors in the intestinal mesenteric lymph after trauma hemorrhagic shock (T/HS mediate gut-induced lung injury via TLR4 activation.The concept that factors in T/HS lymph exiting the gut recreates ALI is evidenced by our findings that the infusion of porcine lymph, collected from animals subjected to global T/HS injury, into naïve wildtype (WT mice induced lung injury. Using C3H/HeJ mice that harbor a TLR4 mutation, we found that TLR4 activation was necessary for the development of T/HS porcine lymph-induced lung injury as determined by Evan's blue dye (EBD lung permeability and myeloperoxidase (MPO levels as well as the induction of the injurious pulmonary iNOS response. TRIF and Myd88 deficiency fully and partially attenuated T/HS lymph-induced increases in lung permeability respectively. Additional studies in TLR2 deficient mice showed that TLR2 activation was not involved in the pathology of T/HS lymph-induced lung injury. Lastly, the lymph samples were devoid of bacteria, endotoxin and bacterial DNA and passage of lymph through an endotoxin removal column did not abrogate the ability of T/HS lymph to cause lung injury in naïve mice.Our findings suggest that non-microbial factors in the intestinal mesenteric lymph after T/HS are capable of recreating T/HS-induced lung injury via TLR4 activation.

  3. Effects of post-conditioning with sevoflurane on the expressions of intestinal AQP8 and I-FABP in pigs with hemorrhagic shock

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    Yan-hong CHEN

    2015-11-01

    Full Text Available Objective To observe the effects of sevoflurane post-conditioning on the expression of Aquaporin 8 (AQP8 and intestinal fatty acid binding protein (I-FABP, in order to investigate the protective role of sevoflurane post-conditioning on intestinal injury and its underlying mechanism. Methods Eighteen bama miniature pigs were randomly divided into three groups (6 each using a random number table: control group (S group, hemorrhagic shock group (HS group, and sevoflurane post-coditioning group (Post/ Sev group. Experimental animals were fasted for 8 hours before surgery, and propofol 3mg/kg was given viathe ear vein. Endotracheal intubation was done when the animal fell asleep. Bloodletting from the femoral artery after anesthesia was done to reproduce hemorrhagic shock. In Post/Sev group, 2% sevoflurane was given by inhalation for 30min (post-conditioning after successful reproduction of the model. Blood samples were collected prior to anesthesia (T0 and 30min (T1, 1h (T2, 1.5h (T3, 2h (T4, 3h (T5, 4h (T6 after hemorrhagic shock. The quantity of blood I-FABP and intestinal AQP8 levels were determined with ELISA. Water content in the intestinal tissue was determined by wet and dry weight method. Histopathological changes in the intestinal tissue were observed with HE staining. Results Compared with the control group, the serum I-FABP content, the expressions of intestinal AQP8, and water content in the intestinal tissue were significantly increased in HS group and Post/Sev (P<0.05 group. Compared with HS group, the above indices in Post/Sev group were significantly lower (P<0.05. These results were confirmed by pathological examination. Conclusion Postconditioning with sevoflurane could improve, to some extent, pig's intestinal barrier function in hemorrhagic shock, and this effect is likely related with lowering of intestinal AQP8 and I-FABP expression and mucosal edema. DOI: 10.11855/j.issn.0577-7402.2015.11.11

  4. Polydatin Protecting Kidneys against Hemorrhagic Shock-Induced Mitochondrial Dysfunction via SIRT1 Activation and p53 Deacetylation

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    Zhenhua Zeng

    2016-01-01

    Full Text Available Objectives. To ascertain if mitochondrial dysfunction (MD of kidney cells is present in severe hemorrhagic shock and to investigate whether polydatin (PD can attenuate MD and its protective mechanisms. Research Design and Methods. Renal tubular epithelial cells (RTECs from rat kidneys experiencing HS and a cell line (HK-2 under hypoxia/reoxygenation (H/R treatment were used. Morphology and function of mitochondria in isolated RTECs or cultured HK-2 cells were evaluated, accompanied by mitochondrial apoptosis pathway-related proteins. Result. Severe MD was found in rat kidneys, especially in RTECs, as evidenced by swollen mitochondria and poorly defined cristae, decreased mitochondrial membrane potential (ΔΨm, and reduced ATP content. PD treatment attenuated MD partially and inhibited expression of proapoptotic proteins. PD treatment increased SIRT1 activity and decreased acetylated-p53 levels. Beneficial effect of PD was abolished partially when the SIRT1 inhibitor Ex527 was added. Similar phenomena were shown in the H/R cell model; when pifithrin-α (p53 inhibitor was added to the PD/Ex527 group, considerable therapeutic effects were regained compared with the PD group apart from increased SIRT1 activity. Conclusions. MD is present in severe HS, and PD can attenuate MD of RTECs via the SIRT1-p53 pathway. PD might be a promising therapeutic drug for acute renal injury.

  5. Protective Effects of Estradiol on Myocardial Contractile Function Following Hemorrhagic Shock and Resuscitation in Rats

    Institute of Scientific and Technical Information of China (English)

    Mona Soliman

    2015-01-01

    Background:Hemorrhagic shock (HS) results in myocardial contractile dysfunction.Studies showed that 17β-estradiol protects the myocardium against contractile dysfunction.The study investigated the cardioprotective effects of treatment with 17β-estradiol before resuscitation following 1 h of HS and resuscitation.Methods:Male Sprague-Dawley rats were assigned to 2 sets of experimental protocols:Ex vivo and in vivo treatment and resuscitation.Each set had three experimental groups (n =6 per group):Normotensive (N),HS and resuscitation (HS-R) and HS rats treated with 17β-estradiol (E) and resuscitated (HS-E-R).Rats were hemorrhaged over 60-min to reach a mean arterial blood pressure of 40 mmHg.In the ex vivo group,hearts were resuscitated by perfusion in the Langendorff system.In the 17β-estradiol treated group,17β-estradiol 280 μg/kg was added for the first 5 min.Cardiac function was measured.Left ventricular generated pressure (LVGP) and +dP/dt were calculated.In the in vivo group,rats were treated with 17β-estradiol 280 μg/kg s.c.after 60-min HS.Resuscitation was performed in vivo by the reinfusion of the shed blood for 30-min to restore normotension.Results:Treatment with 17β-estradiol before resuscitation in ex vivo treated and resuscitated isolated hearts and in the in vivo treated and resuscitated rats following HS improved myocardial contractile function.In the in vivo treated group,LVGP and +dP/dt max were significantly higher in 17β-estradiol treated rats compared to the untreated group (LVGP 136.40 ± 6.61 compared to 47.58 ± 17.55,and +dP/dt 661.85 ± 49.88 compared to 88.18 ± 0.85).Treatment with 17β-estradiol improved LVGP following HS.Conclusions:The results indicate that treatment with 17β-estradiol before resuscitation following HS protects the myocardium against dysfunction.

  6. Glycogen Synthase Kinase-3 Inhibitor Protects Against Microvascular Hyperpermeability Following Hemorrhagic Shock

    Science.gov (United States)

    Sawant, Devendra A.; Tharakan, Binu; Hunter, Felicia A.; Childs, Ed W.

    2015-01-01

    Background Hemorrhagic shock (HS)-induce microvascular hyperpermeability involves disruption of endothelial cell adherens junctions leading to increase in paracellular permeability. β-Catenin, an integral component of the adherens junctional complex and Wnt pathway, and caspase-3 via its apoptotic signaling regulate endothelial cell barrier integrity. We have hypothesized that inhibiting phosphorylation of β-catenin and caspase-3 activity using glycogen synthase kinase-3 (GSK-3) specific inhibitor SB216763, would attenuate microvascular hyperpermeability following HS. Methods In Sprague-Dawley rats, HS was induced by withdrawing blood to reduce mean arterial pressure to 40 mmHg for 60 minutes followed by resuscitation. Rats were given SB216763 (600 μg/kg) intravenously 10 minutes prior to shock. To study microvascular permeability, the rats were injected intravenously with FITC-albumin (50 mg/kg) and its flux across the mesenteric post-capillary venules was determined using intravital microscopy. In cell-culture studies, rat lung microvascular endothelial cell (RLMEC) monolayers grown on Transwell plates were pre-treated with SB216763 (5 μM) followed by BAK (5 μg/mL) and caspase-3 (5 μg/mL) protein transfection. FITC-albumin (5 mg/mL) flux across cell monolayers indicates change in monolayer permeability. Activity of canonical Wnt pathway was determined by luciferase assay. Caspase-3 enzyme activity was assayed fluorometrically. Results The HS group showed significant increase in FITC-albumin extravasation (p<0.05) compared with sham. SB216763 significantly decrease HS-induced FITC-albumin extravasation (p<0.05). Pre-treatment with SB216763, protected against a BAK-induced increase in RLMEC monolayer permeability and caspase-3 activity, but failed to show similar results with a caspase-3-induced increase in monolayer permeability. Wnt3a treatment showed an increase in β-catenin dependent TCF-mediated transcription. Conclusion Inhibiting phosphorylation of

  7. Estrogen receptor hormone agonists limit trauma hemorrhage shock-induced gut and lung injury in rats.

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    Danielle Doucet

    Full Text Available BACKGROUND: Acute lung injury (ALI and the development of the multiple organ dysfunction syndrome (MODS is a major cause of death in trauma patients. Earlier studies in trauma hemorrhagic shock (T/HS have documented that splanchnic ischemia leading to gut inflammation and loss of barrier function is an initial triggering event that leads to gut-induced ARDS and MODS. Since sex hormones have been shown to modulate the response to T/HS and proestrous (PE females are more resistant to T/HS-induced gut and distant organ injury, the goal of our study was to determine the contribution of estrogen receptor (ERalpha and ERbeta in modulating the protective response of female rats to T/HS-induced gut and lung injury. METHODS/PRINCIPAL FINDINGS: The incidence of gut and lung injury was assessed in PE and ovariectomized (OVX female rats subjected to T/HS or trauma sham shock (T/SS as well as OVX rats that were administered estradiol (E2 or agonists for ERalpha or ERbeta immediately prior to resuscitation. Marked gut and lung injury was observed in OVX rats subjected to T/HS as compared to PE rats or E2-treated OVX rats subjected to T/HS. Both ERalpha and ERbeta agonists were equally effective in limiting T/HS-induced morphologic villous injury and bacterial translocation, whereas the ERbeta agonist was more effective than the ERalpha agonist in limiting T/HS-induced lung injury as determined by histology, Evan's blue lung permeability, bronchoalevolar fluid/plasma protein ratio and myeloperoxidase levels. Similarly, treatment with either E2 or the ERbeta agonist attenuated the induction of the intestinal iNOS response in OVX rats subjected to T/HS whereas the ERalpha agonist was only partially protective. CONCLUSIONS/SIGNIFICANCE: Our study demonstrates that estrogen attenuates T/HS-induced gut and lung injury and that its protective effects are mediated by the activation of ERalpha, ERbeta or both receptors.

  8. Dimethyl Sulfoxide Attenuates Acute Lung Injury Induced by Hemorrhagic Shock/Resuscitation in Rats.

    Science.gov (United States)

    Tsung, Yu-Chi; Chung, Chih-Yang; Wan, Hung-Chieh; Chang, Ya-Ying; Shih, Ping-Cheng; Hsu, Han-Shui; Kao, Ming-Chang; Huang, Chun-Jen

    2017-04-01

    Inflammation following hemorrhagic shock/resuscitation (HS/RES) induces acute lung injury (ALI). Dimethyl sulfoxide (DMSO) possesses anti-inflammatory and antioxidative capacities. We sought to clarify whether DMSO could attenuate ALI induced by HS/RES. Male Sprague-Dawley rats were allocated to receive either a sham operation, sham plus DMSO, HS/RES, or HS/RES plus DMSO, and these were denoted as the Sham, Sham + DMSO, HS/RES, or HS/RES + DMSO group, respectively (n = 12 in each group). HS/RES was achieved by drawing blood to lower mean arterial pressure (40-45 mmHg for 60 min) followed by reinfusion with shed blood/saline mixtures. All rats received an intravenous injection of normal saline or DMSO immediately before resuscitation or at matching points relative to the sham groups. Arterial blood gas and histological assays (including histopathology, neutrophil infiltration, and lung water content) confirmed that HS/RES induced ALI. Significant increases in pulmonary expression of tumor necrosis factor-α (TNF-α), malondialdehyde, nuclear factor-kappa B (NF-κB), inducible nitric oxide synthase (iNOS), and cyclooxygenase 2 (COX-2) confirmed that HS/RES induced pulmonary inflammation and oxidative stress. DMSO significantly attenuated the pulmonary inflammation and ALI induced by HS/RES. The mechanisms for this may involve reducing inflammation and oxidative stress through inhibition of pulmonary NF-κB, TNF-α, iNOS, and COX-2 expression.

  9. Effect of drag reducing polymer on the microcirculation in rat model of combined acute severe hemorrhagic shock and endotoxin infusion%减阻剂对急性失血性休克合并内毒素致伤大鼠微循环的作用

    Institute of Scientific and Technical Information of China (English)

    苗玉良; 钟京; 方唯武; 刘骥; 刘罡; 郭文治

    2012-01-01

    目的 观察减阻剂对急性失血性休克合并内毒素致伤大鼠皮肤微循环的改善作用及抗氧化能力.方法 60只SD大鼠,雌雄不拘,体质量(302±26)g,用简单随机法随机分为A、B、C三组,每组20只.在30 min内自颈动脉放血完成失血性休克,最终的指标为平均动脉压(40±5) mmHg,然后静脉给予内毒索10 mg/kg,休克30 mmin后开始液体复苏.复苏时间为5min.A组静脉给予3.5 ml/kg的生理盐水;B组使用内含0.4 mg/ml的透明质酸和0.05 mg/ml聚氧化乙烯作为减阻剂的等量生理盐水复苏;C组使用内含芦荟提取物0.05mg/ml的等量生理盐水复苏.在不同时间点,使用激光多普勒血流仪观察大鼠左侧腹股沟皮肤灌注情况,并测定大鼠血清超氧化物歧化胸(SOD)和丙二醛(MDA)浓度.结果 A、B、C三组的生存率分别为15%、55%和60%.三组的MDA和SOD在失血性体克开始后均显著升高并持续至实验结束.与A组比较,B和C组应用减阻剂60min后皮肤血流灌注得到改善并维持至实验结束,B和C组的SOD显著高于A组,MDA显著低于A组.结论 减阻剂可在急性失血性休克复合内毒素大鼠模型中,提高大鼠生存率、有效改善大鼠的皮肤微循环、增强抗氧化能力.%Objective To observe the effect of drag reducing polymer (DRP) on the microciiculation and its' antioxidative function in rat model of combined acute severe; hemorrhagic shock and endotoxin infusion. Methods Sixty SD rats of both sexes weighing (302 ±26) g were assigned to A, B, C groups of twenty animals in each group by simple randomization method. The caudal vein was cannulated with polyethylene tubing to administer drugs and fluids. The rats were anesthetized with intravenously administered Pentotbal sodium 30mg/kg intermittently. Right common carotid artery was cannulated for BP monitoring, blood removal and blood sampling. Acute severe hemorrhagic shock was induced by removal of blood in 30 min and the aim of

  10. An 8-month-old boy with congenital fibromuscular dysplasia presenting with shock caused by sudden renal hemorrhage.

    Science.gov (United States)

    Takano, K; Kawasaki, Y; Imaizumi, T; Ohara, S; Takeyama, A; Suyama, K; Hashimoto, K; Hosoya, M

    2010-11-01

    Fibromuscular dysplasia (FMD) is a non-atheromatous, non-inflammatory, multifocal segmental angiopathy. FMD is the most common cause of pediatric renovascular hypertension. Aneurysmal formation of the main renal artery and distal branches is a rare complication of FMD in infancy. We report an 8-month-old boy with FMD presenting with shock caused by sudden renal hemorrhage that necessitated removal of one kidney. A diagnosis of renovascular hypertension resulting from intimal type FMD with aneurysmal formation was made on the basis of the presence of hypertension, elevation of PRA and aldosterone activity, pathological findings and the results of renal angiography. Our findings suggest that it is therefore necessary to consider FMD with aneurysmal formation as a possible cause of hypertension and renal hemorrhage in infants.

  11. ghrelin对失血性休克大鼠胃黏膜的保护作用%The protective effect of recombinant rat ghrelin on gastric mucosa in rats with hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    褚万立; 刘雪峰; 刘军英; 张强; 林兆奋

    2009-01-01

    目的 探讨重组大鼠ghrelin对失血性休克大鼠胃黏膜损伤的影响.方法 18只健康雄性SD大鼠被随机分为对照组、失血性休克组、ghrelin治疗组3组.每组6只.失血性休克组及ghrelin治疗组制备失血性休克模型.ghrelin治疗组休克复苏的同时经颈内静脉推注重组大鼠ghrelin 20μg/kg.于复苏后2 h使用激光多普勒血流仪测定大鼠胃黏膜血流量;用光镜及透射电镜观察胃黏膜损伤情况.结果 失血性休克组胃黏膜血流量较对照组明显降低(260.4±49.6)bpu比(418.6±57.3)bpu,P0.05);胃黏膜损伤显著改善.结论 重组大鼠ghrelin能够提高失血性休克大鼠胃黏膜血流量,改善胃黏膜缺血/再灌注损伤.%Objective To investigate the effect of recombinant rat ghrelin on gastric mucosa in rats with hemorrhagic shock.Methods Eighteen healthy male Sprague-Dawley(SD)rats were randomly assigned into three groups:control group,hemorrhagic shock group,and ghrelin treatment group,with 6 rats for each group.The hemorrhagic shock model was reproduced in hemorrhagic shock group and ghrelin treatment group,and recombinant rat ghrelin(20μg/kg)was intravenously administered to rats in ghrelin treatment group when resuscitation begun.Two hours after resuscitation,the gastric mucosal blood flow (GMBF)was determined with laser Doppler flowmetry(LDF).The light microscope and transmission electron microscope(TEM)were used to assess gastric mucosal injury.Results The GMBF of the rats in hemorrhagic shock group was significantly lower than that in control group[(260.4±49.6)bpu VS. (418.6±57.3)bpu,P0.05),and the gastric mucosa injuries were greatly improved in the rats of ghrelin treatment group.Conclusion Recombinant rat ghrelin,through enhancing the GMBF,can ameliorate the gastric mucosal ischemic/reperfusion injury in rats with hemorrhagic shock.

  12. Hypothermia Improves Oral and Gastric Mucosal Microvascular Oxygenation during Hemorrhagic Shock in Dogs

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    Christian Vollmer

    2013-01-01

    Full Text Available Hypothermia is known to improve tissue function in different organs during physiological and pathological conditions. The aim of this study was to evaluate the effects of hypothermia on oral and gastric mucosal microvascular oxygenation (μHbO2 and perfusion (μflow under physiological and hemorrhagic conditions. Five dogs were repeatedly anesthetized. All animals underwent each experimental protocol (randomized cross-over design: hypothermia (34°C, hypothermia during hemorrhage, normothermia, and normothermia during hemorrhage. Microcirculatory and hemodynamic variables were recorded. Systemic (DO2 and oral mucosal (μDO2 oxygen delivery were calculated. Hypothermia increased oral μHbO2 with no effect on gastric μHbO2. Hemorrhage reduced oral and gastric μHbO2 during normothermia (−36 ± 4% and −27 ± 7%; however, this effect was attenuated during additional hypothermia (−15 ± 5% and −11 ± 5%. The improved μHbO2 might be based on an attenuated reduction in μflow during hemorrhage and additional hypothermia (−51 ± 21 aU compared to hemorrhage and normothermia (−106 ± 19 aU. μDO2 was accordingly attenuated under hypothermia during hemorrhage whereas DO2 did not change. Thus, in this study hypothermia alone improves oral μHbO2 and attenuates the effects of hemorrhage on oral and gastric μHbO2. This effect seems to be mediated by an increased μDO2 on the basis of increased μflow.

  13. Lung perfusion in hemorrhagic shock of rats. The effects of resuscitation with whole blood, saline or hes 6%

    Energy Technology Data Exchange (ETDEWEB)

    Turhanoglu, S.; Kaya, S.; Kararmaz, A.; Turhanoglu, A.D. [Dicle Univ., Diyarbakir (Turkey). Medical School

    2001-12-01

    This study was undertaken to determine the effects of various resuscitation regimens on lung perfusion following resuscitation from hemorrhagic shock. Fourty male Sprague-Dawley rats (250-300 g) were used. The rats were divided randomly into four groups (n=10 for each) and were sedated with intramuscular ketamine (100 mg/kg). We measured blood pressure, rectal temperature and lung perfusion using radioscintigraphy with a technetium colloid indicator. The systolic blood pressure was decreased 75% by removing blood via v. jugularis in the first three groups and group 4 was accepted as the control group, and blood volume was not diminished. Then the first three groups were resuscitated with autologous blood containing 125 units heparine/ml in group 1, saline in group 2, and hydroxyethyl starch (HES) 6% in group 3. After the correction of hypovolemia, all animals were injected 100 Bg (0.1 cc) technetium 99m macroaggregated albumin ({sup 99m}Tc MAA) via penil vein. After injection of {sup 99m}Tc MAA, 3 minutes fixed images were detected by a {gamma} camera in posterior position at 15 minutes and 5 hours. {sup 99m}Tc MMA ''wash out'' rate in lung was determined quantitatively at 5 hours. Compared to a control group, lung perfusion was decreased significantly in groups resuscitated with saline, and HES 6% while perfusion was restored with autologous blood. We conclude that heparinized autologous blood saved lung capillary circulation in hemorrhagic shock in rats. (author)

  14. G-CSF Administration after the Intraosseous Infusion of Hypertonic Hydroxyethyl Starches Accelerating Wound Healing Combined with Hemorrhagic Shock

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    Hong Huang

    2016-01-01

    Full Text Available Objective. To evaluate the therapeutic effects of G-CSF administration after intraosseous (IO resuscitation in hemorrhagic shock (HS combined with cutaneous injury rats. Methods. The rats were randomly divided into four groups: (1 HS with resuscitation (blank, (2 HS with resuscitation + G-CSF (G-CSF, 200 μg/kg body weight, subcutaneous injection, (3 HS with resuscitation + normal saline solution injection (normal saline, and (4 HS + G-CSF injection without resuscitation (Unres/G-CSF. To estimate the treatment effects, the vital signs of alteration were first evaluated, and then wound closure rates and homing of MSCs and EPCs to the wound skins and vasculogenesis were measured. Besides, inflammation and vasculogenesis related mRNA expressions were also examined. Results. IO infusion hypertonic hydroxyethyl starch (HHES exhibited beneficial volume expansion roles and G-CSF administration accelerated wound healing 3 days ahead of other groups under hemorrhagic shock. Circulating and the homing of MSCs and EPCs at wound skins were significantly elevated at 6 h after G-CSF treatment. Inflammation was declined since 3 d while angiogenesis was more obvious in G-CSF treated group on day 9. Conclusions. These results suggested that the synergistical application of HHES and G-CSF has life-saving effects and is beneficial for improving wound healing in HS combined with cutaneous injury rats.

  15. Humoral Control of Regional Blood Flow in Hemorrhagic Shock in Non-Resuscitated and Resuscitated Animals.

    Science.gov (United States)

    1987-07-17

    to perfusion with autologous normal (non-shock) blood. This increased resistance could be eliminated with phentolamine . However, oxygen consumption...perfusion with normal blood of 2.1 resistance units during perfusion with shock blood (pɘ.001). In a total of 17 phentolamine treated pig limbs...mL/min for normal blood and 1.4 mL/min for shock blood. None of these differences was statistically significant. The findings show that phentolamine

  16. Technique Refinement and Validation of Variable Aortic Occlusion via Extracorporeal Flow Circuit in a Pig Model (Sus scrofa) of Uncontrolled Hemorrhage with Subsequent Resuscitation and Critical Care

    Science.gov (United States)

    2016-07-24

    Rasmussen TE. Extending REBOA: Endovascular Variable Aortic Control (EVAC) in a Lethal Model of Hemorrhagic Shock. The Journal of Trauma and Acute Care...animals and minimized the ischemic insult to distal vascular beds, thus preserving organ viability as evidenced by early return of urine output and

  17. 七氟醚后处理对失血性休克复苏大鼠脑组织活化转录因子6表达的影响%Effect of sevoflurane postconditioning on expression of activating transcription factor 6 in brain tissues in a rat model of hemorrhagic shock and resuscitation

    Institute of Scientific and Technical Information of China (English)

    段晓雯; 胡宪文; 张启权; 汪静娴; 何淑芳; 张野

    2016-01-01

    Objective To evaluate the effect of sevoflurane postconditioning on the expression of activating transcription factor 6 (ATF6) in the brain tissues in a rat model of hemorrhagic shock and resuscitation.Methods Thirty-six pathogen-free healthy adult male Sprague-Dawley rats,weighing 300-350 g,were randomized into 3 groups (n=12 each) using a random number table:sham operation group (group S);hemorrhagic shock and resuscitation group (group HSR);sevoflurane postconditioning group (group SP).Hemorrhagic shock was induced by withdrawing blood (40% of the total blood volume) from the right common carotid artery over an interval of 30 min,and 1 h later the animals were resuscitated with infusion of the shed blood via the left jugular vein over 30 min.In group SP,2.4% sevoflurane was inhaled for 30 min starting from the onset of infusion of the shed blood.Mean arterial pressure was recorded before withdrawing blood (T0),immediately after the end of withdrawing blood (T1),at 30 min after the end of withdrawing blood (T2),before infusion of the shed blood (T3),and immediately after infusion of the shed blood (T4).The arterial blood samples were obtained at T0,T1,T3 and T4 for blood gas analysis.At 72 h after infusion of the shed blood,6 rats were selected from each group,and cognitive function was assessed by Y-maze test.The animals were then sacrificed,and brains were removed and sliced for determination of the expression of caspase-12 in hippocampal CA1 region by immunohistochemistry.The rest 6 rats in each group were sacrificed at 72 h after infusion of the shed blood,and the hippocampus was isolated for determination of the expression of ATF6 and caspase-12 by Western blot.Results Compared with group S,mean arterial pressure was significantly decreased at T1-3 (P<0.05),the pH value and base excess were significantly decreased at T1.3,and the blood lactic acid was significantly increased at T1,3 in HSR and SP groups,and the number of total training was

  18. p-Hydroxyphenylpyruvate, an intermediate of the Phe/Tyr catabolism, improves mitochondrial oxidative metabolism under stressing conditions and prolongs survival in rats subjected to profound hemorrhagic shock.

    Directory of Open Access Journals (Sweden)

    Antonella Cotoia

    Full Text Available The aim of this study was to test the effect of a small volume administration of p-hydroxyphenylpyruvate (pHPP in a rat model of profound hemorrhagic shock and to assess a possible metabolic mechanism of action of the compound. The results obtained show that hemorrhaged rats treated with 2-4% of the estimated blood volume of pHPP survived significantly longer (p<0.001 than rats treated with vehicle. In vitro analysis on cultured EA.hy 926 cells demonstrated that pHPP improved cell growth rate and promoted cell survival under stressing conditions. Moreover, pHPP stimulated mitochondria-related respiration under ATP-synthesizing conditions and exhibited antioxidant activity toward mitochondria-generated reactive oxygen species. The compound effects reported in the in vitro and in vivo analyses were obtained in the same millimolar concentration range. These data disclose pHPP as an efficient energetic substrates-supplier to the mitochondrial respiratory chain as well as an antioxidant supporting the view that the compound warrants further evaluation as a therapeutic agent.

  19. p-Hydroxyphenylpyruvate, an intermediate of the Phe/Tyr catabolism, improves mitochondrial oxidative metabolism under stressing conditions and prolongs survival in rats subjected to profound hemorrhagic shock.

    Science.gov (United States)

    Cotoia, Antonella; Scrima, Rosella; Gefter, Julia V; Piccoli, Claudia; Cinnella, Gilda; Dambrosio, Michele; Fink, Mitchell P; Capitanio, Nazzareno

    2014-01-01

    The aim of this study was to test the effect of a small volume administration of p-hydroxyphenylpyruvate (pHPP) in a rat model of profound hemorrhagic shock and to assess a possible metabolic mechanism of action of the compound. The results obtained show that hemorrhaged rats treated with 2-4% of the estimated blood volume of pHPP survived significantly longer (p<0.001) than rats treated with vehicle. In vitro analysis on cultured EA.hy 926 cells demonstrated that pHPP improved cell growth rate and promoted cell survival under stressing conditions. Moreover, pHPP stimulated mitochondria-related respiration under ATP-synthesizing conditions and exhibited antioxidant activity toward mitochondria-generated reactive oxygen species. The compound effects reported in the in vitro and in vivo analyses were obtained in the same millimolar concentration range. These data disclose pHPP as an efficient energetic substrates-supplier to the mitochondrial respiratory chain as well as an antioxidant supporting the view that the compound warrants further evaluation as a therapeutic agent.

  20. Pathogenesis of arenavirus hemorrhagic fevers.

    Science.gov (United States)

    Moraz, Marie-Laurence; Kunz, Stefan

    2011-01-01

    Viral hemorrhagic fevers (VHFs) caused by arenaviruses belong to the most devastating emerging human diseases and represent serious public health problems. Arenavirus VHFs in humans are acute diseases characterized by fever and, in severe cases, different degrees of hemorrhages associated with a shock syndrome in the terminal stage. Over the past years, much has been learned about the pathogenesis of arenaviruses at the cellular level, in particular their ability to subvert the host cell's innate antiviral defenses. Clinical studies and novel animal models have provided important new information about the interaction of hemorrhagic arenaviruses with the host's adaptive immune system, in particular virus-induced immunosuppression, and have provided the first hints towards an understanding of the terminal hemorrhagic shock syndrome. The scope of this article is to review our current knowledge on arenavirus VHF pathogenesis with an emphasis on recent developments.

  1. 产科出血性休克的原因及护理对策%The causes and nursing countermeasures of obstetric hemorrhage shock

    Institute of Scientific and Technical Information of China (English)

    郎学莲

    2015-01-01

    Objective:To investigate the causes and nursing countermeasures of obstetric hemorrhagic shock.Methods:40 patients with obstetric hemorrhage shock were selected from March 2013 to February 2014.We collated and analyzed the clinical data of them,and analyzed the cause of obstetric hemorrhagic shock,then we summed up the experience of nursing.Results:Based on the data analysis,the mainly cause of obstetric hemorrhagic shock had the following several:uterine inertia,placenta factor,coagulation dysfunction,the factors of birth canal and amniotic fluid embolism.40 cases of obstetric hemorrhagic shock patients were rescued successfully,and there was no physical discomfort in clinical nursing process.Conclusion:The cause of obstetric hemorrhagic shock are for many reasons.In the care of the rescue process,we must take treatment timely,so that we can help to reduce the probability of the occurrence rate of obstetric hemorrhagic shock.%目的:探讨产科出血性休克的原因和护理对策。方法:2013年3月-2014年2月收治产科出血性休克患者40例,对其临床资料进行整理和分析,分析引发产科出血性休克的原因,对护理经验进行总结。结果:依据资料进行分析可知,引发产科出血性休克的原因主要有以下几种:宫缩乏力、胎盘因素、凝血功能障碍、产道因素和羊水栓塞。40例产科失血性休克患者皆抢救成功,且在临床护理过程中并无身体不适状况。结论:造成产科出血性休克原因有很多,在护理救助过程中,及时采取救治,有助于降低产科出血性休克的几率。

  2. 40例产后出血失血性休克患者的抢救及护理方法%Rescue and Nursing in 40 Patients With Postpartum Hemorrhage and Hemorrhagic Shock

    Institute of Scientific and Technical Information of China (English)

    占月仙

    2015-01-01

    目的:探讨研究产妇产后失血性休克的抢救、护理方法和效果。方法选择我院2013年5月~2014年5月的40例产后失血性休克患者,分析导致产妇发生失血性休克的原因以及抢救、护理效果。结果导致产妇产后出血的原因中,胎盘因素21例占52.5%;凝血功能障碍7例占17.5%;软产道裂伤7例占17.5%;子宫收缩乏力5例占12.5%。结论针对失血性休克发生的原因及特点,给予针对性的抢救和护理,对于降低患者并发症及死亡率有很大的意义。%Objective To explore the therapeutic and nursing methods and effects for postpartum mothers with hemorrhagic shock.Methods40 patients with hemorrhagic shock who received treatment in our hospital between May 2013 and May 2014 were selected to analyze the causes of hemorrhagic shock,and the therapeutic and nursing effects.ResultsAmong the causes of postpartum hemorrhage,placental factor accounted for 52.5%(21 cases),coagulation disorder 17.5%(7 cases),soft birth canal laceration 17.5%(7 cases),uterine atony 12.5%(5 cases).Conclusion Providing specific therapeutic and nursing methods on the basis of the causes and characteristics of hemorrhagic shock is critical to reduce complications and mortality of patients.

  3. Can the Non-pneumatic Anti-Shock Garment (NASG reduce adverse maternal outcomes from postpartum hemorrhage? Evidence from Egypt and Nigeria

    Directory of Open Access Journals (Sweden)

    Mourad-Youssif Mohammed

    2010-09-01

    Full Text Available Abstract Background Postpartum hemorrhage (PPH is the leading cause of maternal mortality and severe maternal morbidity. The Non-pneumatic Anti-Shock Garment (NASG, a first-aid lower-body compression device, may decrease adverse outcomes from obstetric hemorrhage. This article is the first to report the effect of the NASG for PPH. Methods This pre-intervention/NASG study of 854 women was conducted in four referral facilities in Nigeria and two in Egypt between 2004-2008. Entry criteria were women with PPH due to uterine atony, retained placenta, ruptured uterus, vaginal or cervical lacerations or placenta accreta with estimated blood loss of ≥ 750 mL and one clinical sign of shock. Differences in demographics, conditions on study entry, treatment and outcomes were examined. The Wilcoxon rank-sum test and relative risks with 95% confidence intervals were calculated for primary outcomes - measured blood loss, emergency hysterectomy, mortality, morbidity (each individually, and a combined variable, "adverse outcomes", defined as severe morbidity and mortality. A multiple logistic regression model was fitted to test the independent association between the NASG and the combined severe morbidity and mortality outcome. Results Measured blood loss decreased by 50% between phases; women experienced 400 mL of median blood loss after study entry in the pre-intervention and 200 mL in the NASG phase (p Conclusion In this non-randomized study, in which bias is inherent, the NASG showed promise for reducing blood loss, emergency hysterectomy, morbidity and mortality associated with PPH in referral facilities in Egypt and Nigeria.

  4. Could peak proteinuria determine whether patient with dengue fever develop dengue hemorrhagic/dengue shock syndrome? - A prospective cohort study

    Directory of Open Access Journals (Sweden)

    Suhail Sufi M

    2011-08-01

    Full Text Available Abstract Background Worldwide there is a need to develop simple effective predictors that can distinguish whether a patient will progress from dengue fever (DF to life threatening dengue hemorrhagic (DHF or dengue shock syndrome (DSS. We explored whether proteinuria could be used as such a marker. Methods We included patients admitted to hospital with suspected dengue fever. Starting at enrollment until discharge, each patient's daily spot urine protein creatinine ratio (UPCR was measured. We classified those with confirmed dengue infection as DF or DHF (including DSS based on WHO criteria. Peak and day of onset of proteinuria was compared between both groups. Results Compared to those with DF, patients with DHF had significantly higher median peak proteinuria levels (0.56 versus 0.08 g/day; p Conclusions Peak UPCR could potentially predict DHF in patients with dengue requiring close monitoring and treatment.

  5. Modelos experimentales sobre shock hemorrágico Experimental models on hemorragic shock

    Directory of Open Access Journals (Sweden)

    J. L. Mauriz

    2007-04-01

    Full Text Available En este trabajo se describe la fisiopatología y potenciales tratamientos del shock hemorrágico, situación que se produce por una rápida y significante pérdida de volumen intravascular. El shock hemorrágico se inicia con una inestabilidad hemodinámica, descenso en el aporte y perfusión de oxígeno a los tejidos, lo que induce hipoxia celular. Una de las complicaciones más usuales es el daño multiorgánico, debido a un proceso sistémico inflamatorio que afecta a los órganos vitales y que puede conducir a la muerte del individuo. También, se ha descrito un incremento en la activación de los macrófagos por translocación bacteriana y por la propia isquemia/reperfusión. Además, la activación de las células de Kupffer favorece la liberación de citoquinas, radicales libres y óxido nítrico que pueden llevar a un empeoramiento del cuadro. En los últimos años se han llevado a cabo investigaciones para profundizar en el conocimiento de la fisiopatología y potenciales tratamientos del shock hemorrágico. Diferentes estudios han mostrado efectos positivos por la administración de antioxidantes, aminoácidos o lípidos en este tipo de shock.This review addresses the pathophysiology and treatment of hemorrhagic shock, a condition produced by rapid and significant loss of intravascular volume. Hemorrhagic shock may lead sequentially to hemodynamic instability, decreases in oxygen delivery, decreased tissue perfusion and cellular hypoxia. Multiple organ failure, a systemic inflammatory process that leads to dysfunction of different vital organs, is a frequent complication after hemorrhagic shock and accounts for a high incidence of mortality. The pathogenesis of organ injury secondary to hypovolemic insults is still not completely understood, but both experimental studies and clinical observations indicate that macrophages are activated by translocated endotoxin-bacteria and ischemia/reperfusion. Activated Kupffer cells release

  6. Pre-Hospital Resuscitation of Traumatic Hemorrhagic Shock with Hypertonic Solutions Worsen Hypocoagulation and Hyperfibrinolysis

    Science.gov (United States)

    2015-07-01

    advantages over isotonic crystalloids (7), and stud- ies in animals and humans show substantial physiologic benefits for treatment of hemorrhagic...Coagulation and Hyper-Fibrinolysis. 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Delano M. J., Rizoli S. B., Rhind S. G...damage, inflammation, and coagulation system requires further investigation. FIG. 1. Plasma concentrations of TF (A), TFPI (B), TM (C), TAFI (D) were

  7. Human Recombinant Decay-Accelerating Factor (DAF) Increases Survival and Limits Tissue Injury After Hemorrhagic Shock

    Science.gov (United States)

    2008-12-01

    For lung injury scoring as described previously (Carraway, et al., 2003), four parameters ( alveolar fibrin edema, alveolar hemorrhage, septal...thickening and intra- alveolar inflammatory cells) were scored on each slide for 1) severity (0: absent; 1, 2 and 3 for more severe changes) and 2) extent...groups at 120 min (Table 1). Significantly reduced bicarbonate levels and base deficit were observed in the H + DAF25μg + Hextend® group at the

  8. A model of hemorrhagic cystitis induced with acrolein in mice

    Directory of Open Access Journals (Sweden)

    C.K.L.P. Batista

    2006-11-01

    Full Text Available Acrolein is a urinary metabolite of cyclophosphamide and ifosfamide, which has been reported to be the causative agent of hemorrhagic cystitis induced by these compounds. A direct cytotoxic effect of acrolein, however, has not yet been demonstrated. In the present study, the effects of intravesical injection of acrolein and mesna, the classical acrolein chemical inhibitor, were evaluated. Male Swiss mice weighing 25 to 35 g (N = 6 per group received saline or acrolein (25, 75, 225 µg intravesically 3, 6, 12, and 24 h before sacrifice for evaluation of bladder wet weight, macroscopic and histopathological changes by Gray's criteria, and 3 and 24 h for assessment of increase in vascular permeability. In other animals, mesna was administered intravesically (2 mg or systemically (80 mg/kg 1 h before acrolein. Intravesical administration of acrolein induced a dose- and time-dependent increase in vascular permeability and bladder wet weight (within 3 h: 2.2- and 21-fold increases in bladder wet weight and Evans blue dye exuded, respectively, at doses of 75 µg/bladder, as confirmed by Gray's criteria. Pretreatment with mesna (2-mercaptoethanesulfonic acid, which interacts with acrolein resulting in an inactive compound, inhibited all changes induced by acrolein. Our results are the first demonstration that intravesical administration of acrolein induces hemorrhagic cystitis. This model of acrolein-induced hemorrhagic cystitis in mice may be an important tool for the evaluation of the mechanism by which acrolein induces bladder lesion, as well as for investigation of new uroprotective drugs.

  9. [Histostructural changes of rat cerebral cortex during hemorrhagic stroke modeling].

    Science.gov (United States)

    Savos'ko, S I; Chaĭkovs'kyĭ, Iu B; Pogoriela, N Kh; Makarenko, O M

    2012-01-01

    Pathological changes during modeling of primary and secondary acute hemorrhagic stroke were studied in rats. We revealed differences in the activity of pharmacological action of medications under condition of acute stroke. The action of medications increased viability of neurons in both hemispheres of rat cerebrum at a right-side primary and secondary hemorrhagic stroke. Following secondary stroke, the amount of degenerative neurons amounted 25.5 +/- 0.8 cells/mm2, following the action ofcerebrolysin this value was 17.6 +/- 1.7 cells/ mm2 and after the action of cortexine and cerebral this value amounted 18.0 +/- 0.9 cells/mm2 and 10.7 +/- 0.4 cells/ mm2, respectively. In control animals the number of degenerative neurons did not exceed 2% and averaged 1.5 +/- 0.1 cells/mm2. Analysis of the morphological and statistical data showed that the most effective remedies under the primary and secondary hemorrhagic insult are cortexine and cerebral. Cerebral was found to be more effective.

  10. Activation of TLR4 is necessary for trauma hemorrhagic shock-induced gut injury and PMN priming

    Science.gov (United States)

    Reino, Diego C.; Palange, David; Feketeova, Elenora; Bonitz, Robert P.; Xu, Da Zhong; Lu, Qi; Sheth, Sharvil U.; Peña, Geber; Ulloa, Luis; De Maio, Antonio; Feinman, Rena; Deitch, Edwin A

    2012-01-01

    Interactions of Toll-like receptors (TLR) with non-microbial factors plays a major role in the pathogenesis of early trauma-hemorrhagic shock (T/HS)-induced organ injury and inflammation. Thus, we tested the hypothesis that TLR4 mutant (TLR4mut) mice would be more resistant to T/HS-induced gut injury and neutrophil (PMN) priming than their wild-type (WT) littermates and found that both were significantly reduced in the TLR4mut mice. Additionally, the in vivo and ex vivo PMN priming effect of T/HS intestinal lymph observed in the WT mice was abrogated in TLR4mut mice as well the TRIFmut deficient mice and partially attenuated in Myd88-/- mice suggesting that TRIF activation played a more predominant role than MyD88 in T/HS lymph-induced PMN priming. PMN depletion studies showed that T/HS lymph-induced acute lung injury (ALI) was PMN-dependent, since lung injury was totally abrogated in PMN-depleted animals. Since the lymph samples were sterile and devoid of endotoxin or bacterial DNA, we investigated whether the effects of T/HS lymph was related to endogenous non-microbial TLR4 ligands. HMGB1, heat shock protein (Hsp)-70, Hsp27 and hyaluronic acid, since all have been implicated in ischemia-reperfusion-induced tissue injury. None of these ‘danger’ proteins appeared to be involved, since their levels were similar between the sham and shock lymph samples. In conclusion, TLR4 activation is important in T/HS-induced gut injury and in T/HS lymph-induced PMN priming and lung injury. However, the T/HS-associated effects of TLR4 on gut barrier dysfunction can be uncoupled from the T/HS lymph-associated effects of TLR4 on PMN priming. PMID:22575992

  11. Closed-Loop Resuscitation of Hemorrhagic Shock: Novel Solutions Infused to Hypotensive and Normotensive Endpoints

    Science.gov (United States)

    2007-06-29

    C infusion reduces fluid requirements in the resuscitation of bum-injured sheep. Shock 24(2):139-144, 2005. 8. Miller L, Kramer GC, Bolleter S...beta-agonists and beta-antagonists. Paper presented at: Society of Cardiovascular Anesthesiologists 26th Annual Meeting and Workshops; April 24-28

  12. The mixing rate of the arterial blood pressure waveform Markov chain is correlated with shock index during hemorrhage in anesthetized swine.

    Science.gov (United States)

    Adibuzzaman, Mohammad; Kramer, George C; Galeotti, Loriano; Merrill, Stephen J; Strauss, David G; Scully, Christopher G

    2014-01-01

    Identifying the need for interventions during hemorrhage is complicated due to physiological compensation mechanisms that can stabilize vital signs until a significant amount of blood loss. Physiological systems providing compensation during hemorrhage affect the arterial blood pressure waveform through changes in dynamics and waveform morphology. We investigated the use of Markov chain analysis of the arterial blood pressure waveform to monitor physiological systems changes during hemorrhage. Continuous arterial blood pressure recordings were made on anesthetized swine (N=7) during a 5 min baseline period and during a slow hemorrhage (10 ml/kg over 30 min). Markov chain analysis was applied to 20 sec arterial blood pressure waveform segments with a sliding window. 20 ranges of arterial blood pressure were defined as states and empirical transition probability matrices were determined for each 20 sec segment. The mixing rate (2(nd) largest eigenvalue of the transition probability matrix) was determined for all segments. A change in the mixing rate from baseline estimates was identified during hemorrhage for each animal (median time of 13 min, ~10% estimated blood volume, with minimum and maximum times of 2 and 33 min, respectively). The mixing rate was found to have an inverse correlation with shock index for all 7 animals (median correlation coefficient of -0.95 with minimum and maximum of -0.98 and -0.58, respectively). The Markov chain mixing rate of arterial blood pressure recordings is a novel potential biomarker for monitoring and understanding physiological systems during hemorrhage.

  13. 格列苯脲对失血性休克大鼠肺损伤的保护作用及机制%Protective effect and mechanism of Glibenclamide on lung injury in rat with hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    杨凤玉; 贾素贤

    2013-01-01

    Objective To investigate the protective effect of Glibenclamide on rats with hemorrhagic shock. Methods 24 male Wistar rats were randomly divided into 3 groups: control group (group C),shock group (group S) and Glibenclamide group (group G). The model of hemorrhagic shock in rats was produced by controlled method. After 90 min,the rats were resuscitated by transfusion of shed blood and normal saline,but rats in group G were treated with Glibenclamide. At different time points after reperfusion,the mean arterial pressure were recorded. The levels of tumor necrosis factor- alpha (TNF-α),interleukin-6 (IL-6),myeloperoxidase (MPO) and wet/dry weight ratio in lung were detected. Results Glibenclamide could improve MAP and reduce the level of TNF-α,IL-6,MPO and W/D ratio in lung in rat model of hemorrhagic shock. Conclusion Glibenclamide has a protection effect on lung injury in rats with hemorrhagic shock by suppressing the production of inflammatory factors and reducing oxidative damage.%目的 探讨格列苯脲对失血性休克大鼠肺损伤的保护作用及其机制.方法 将健康雄性Wistar大鼠24只随机分为对照组(C组)、休克组(S组)和格列苯脲组(G组).左股动脉抽放血法制作大鼠失血性休克模型,90 min后回输血液和生理盐水进行复苏,G组加用格列苯脲治疗.检测失血期及复苏期不同时点平均动脉压(MAP),并检测肺泡灌流液肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平,以及肺组织髓过氧化物酶(MPO)水平和湿/干重(W/D)比值.结果 格列苯脲可改善失血性休克复苏期MAP,并可降低失血性休克后复苏期大鼠肺泡灌流液TNF-α、IL-6水平以及肺组织匀浆MPO、W/D值.结论 格列苯脲可通过抑制细胞炎症因子的生成、减少氧化损伤而对失血性休克肺损伤起保护作用.

  14. Use of the non-pneumatic anti-shock garment (NASG for life-threatening obstetric hemorrhage: a cost-effectiveness analysis in Egypt and Nigeria.

    Directory of Open Access Journals (Sweden)

    Tori Sutherland

    Full Text Available OBJECTIVE: To assess the cost-effectiveness of a non-pneumatic anti-shock garment (NASG for obstetric hemorrhage in tertiary hospitals in Egypt and Nigeria. METHODS: We combined published data from pre-intervention/NASG-intervention clinical trials with costs from study sites. For each country, we used observed proportions of initial shock level (mild: mean arterial pressure [MAP] >60 mmHg; severe: MAP ≤60 mmHg to define a standard population of 1,000 women presenting in shock. We examined three intervention scenarios: no women in shock receive the NASG, only women in severe shock receive the NASG, and all women in shock receive the NASG. Clinical data included frequencies of adverse health outcomes (mortality, severe morbidity, severe anemia, and interventions to manage bleeding (uterotonics, blood transfusions, hysterectomies. Costs (in 2010 international dollars included the NASG, training, and clinical interventions. We compared costs and disability-adjusted life years (DALYs across the intervention scenarios. RESULTS: For 1000 women presenting in shock, providing the NASG to those in severe shock results in decreased mortality and morbidity, which averts 357 DALYs in Egypt and 2,063 DALYs in Nigeria. Differences in use of interventions result in net savings of $9,489 in Egypt (primarily due to reduced transfusions and net costs of $6,460 in Nigeria, with a cost per DALY averted of $3.13. Results of providing the NASG for women in mild shock has smaller and uncertain effects due to few clinical events in this data set. CONCLUSION: Using the NASG for women in severe shock resulted in markedly improved health outcomes (2-2.9 DALYs averted per woman, primarily due to reduced mortality, with net savings or extremely low cost per DALY averted. This suggests that in resource-limited settings, the NASG is a very cost-effective intervention for women in severe hypovolemic shock. The effects of the NASG for mild shock are less certain.

  15. The Role of Endorphins in the Pathophysiology of Hemorrhagic and Endotoxic Shock in the Subhuman Primate.

    Science.gov (United States)

    1982-09-01

    failed to release histamine in vivo (rat) and in vitro (rat peritoneal mast cells). The mechanisms of endorphin-mediated cardio- vascular dysfunction in...8217:. Ctritral nervous system involvement was deter- mined by intracerebroventricular irjections of opiate agonists and antagorists in unaresthetized non...shocked monkeys and of opiate antago- nists in herorrhdced monkr’,s. PeriDheral mecharisn’s involvirc histamine release were ev&luated by measuring

  16. A Syrian golden hamster model recapitulating ebola hemorrhagic fever.

    Science.gov (United States)

    Ebihara, Hideki; Zivcec, Marko; Gardner, Donald; Falzarano, Darryl; LaCasse, Rachel; Rosenke, Rebecca; Long, Dan; Haddock, Elaine; Fischer, Elizabeth; Kawaoka, Yoshihiro; Feldmann, Heinz

    2013-01-15

    Ebola hemorrhagic fever (EHF) is a severe viral infection for which no effective treatment or vaccine is currently available. While the nonhuman primate (NHP) model is used for final evaluation of experimental vaccines and therapeutic efficacy, rodent models have been widely used in ebolavirus research because of their convenience. However, the validity of rodent models has been questioned given their low predictive value for efficacy testing of vaccines and therapeutics, a result of the inconsistent manifestation of coagulopathy seen in EHF. Here, we describe a lethal Syrian hamster model of EHF using mouse-adapted Ebola virus. Infected hamsters displayed most clinical hallmarks of EHF, including severe coagulopathy and uncontrolled host immune responses. Thus, the hamster seems to be superior to the existing rodent models, offering a better tool for understanding the critical processes in pathogenesis and providing a new model for evaluating prophylactic and postexposure interventions prior to testing in NHPs.

  17. Minocycline Decreases Liver Injury after Hemorrhagic Shock and Resuscitation in Mice

    Directory of Open Access Journals (Sweden)

    Christoph Czerny

    2012-01-01

    Full Text Available Patients that survive hemorrhage and resuscitation (H/R may develop a systemic inflammatory response syndrome (SIRS that leads to dysfunction of vital organs (multiple organ dysfunction syndrome, MODS. SIRS and MODS may involve mitochondrial dysfunction. Under pentobarbital anesthesia, C57BL6 mice were hemorrhaged to 30 mm Hg for 3 h and then resuscitated with shed blood plus half the volume of lactated Ringer’s solution containing minocycline, tetracycline (both 10 mg/kg body weight or vehicle. Serum alanine aminotransferase (ALT, necrosis, apoptosis and oxidative stress were assessed 6 h after resuscitation. Mitochondrial polarization was assessed by intravital microscopy. After H/R with vehicle or tetracycline, ALT increased to 4538 U/L and 3999 U/L, respectively, which minocycline decreased to 1763 U/L (P<0.01. Necrosis and TUNEL also decreased from 24.5% and 17.7 cells/field, respectively, after vehicle to 8.3% and 8.7 cells/field after minocycline. Tetracycline failed to decrease necrosis (23.3% but decreased apoptosis to 9 cells/field (P<0.05. Minocycline and tetracycline also decreased caspase-3 activity in liver homogenates. Minocycline but not tetracycline decreased lipid peroxidation after resuscitation by 70% (P<0.05. Intravital microscopy showed that minocycline preserved mitochondrial polarization after H/R (P<0.05. In conclusion, minocycline decreases liver injury and oxidative stress after H/R by preventing mitochondrial dysfunction.

  18. Comparisons of Normal Saline and Lactated Ringer’s Resuscitation on Hemodynamics, Metabolic Responses, and Coagulation in Pigs after Severe Hemorrhagic Shock

    Science.gov (United States)

    2013-12-11

    vasodilator effects and the risks of metabolic acidosis and hyperkalemia . Keywords: Hemorrhagic shock, Oxygen metabolism, Coagulation, Pre-hospital...www.sjtrem.com/content/21/1/86 of hyperchloremic acidosis from NS resuscitation [37]. Consistent with our current results, clinically significant hyperkalemia ...risks of meta- bolic acidosis and hyperkalemia . Currently, military first responders have NS, LR and Hextend available [20]. How- ever, the results from

  19. Shock tubes and blast injury modeling

    Institute of Scientific and Technical Information of China (English)

    Ya-Lei Ning; Yuan-Guo Zhou

    2015-01-01

    Explosive blast injury has become the most prevalent injury in recent military conflicts and terrorist attacks.The magnitude of this kind of polytrauma is complex due to the basic physics of blast and the surrounding environments.Therefore,development of stable,reproducible and controllable animal model using an ideal blast simulation device is the key of blast injury research.The present review addresses the modeling of blast injury and applications of shock tubes.

  20. Comparison of Normal Saline, Hypertonic Saline Albumin and Terlipressin plus Hypertonic Saline Albumin in an Infant Animal Model of Hypovolemic Shock

    OpenAIRE

    Javier Urbano; Rafael González; Jorge López; Solana, María J.; Bellón, José M.; Marta Botrán; Ana García; Fernández, Sarah N.; Jesús López-Herce

    2015-01-01

    Introduction In series of cases and animal models suffering hemorrhagic shock, the use of vasopressors has shown potential benefits regarding hemodynamics and tissue perfusion. Terlipressin is an analogue of vasopressin with a longer half-life that can be administered by bolus injection. We have previously observed that hypertonic albumin improves resuscitation following controlled hemorrhage in piglets. The aim of the present study was to analyze whether the treatment with the combination of...

  1. 自发性气胸致失血性休克诊疗策略%The Diagnostic and Therapeutic Strategies of Spontaneous Pneumothorax with Hemorrhagic Shock

    Institute of Scientific and Technical Information of China (English)

    柯弢; 刘青; 范菁

    2011-01-01

    To understand the clinical features and research diagnostic and therapeutic strategies of spontaneous pneumothorax (SP) with hemorrhagic shock, 331 cases of SP with hemorrhagic shock were analyzed. The Operative treatment has the best effects. SP with hemorrhagic shock is found mostly in young males. The site of bleeding was mostly located in a torn adhesion of parietal pleura. Emergency minimally invasive technique is the direction of development.%分析自发性气胸(spontaneous pneumothorax,SP)出现失血性休克时的临床特点、探讨诊疗策略.分析331例SP并失血性休克的病例资料.结果采用手术治疗者效果最佳.SP致失血性休克者多见于青年男性,多为胸膜顶粘连带出血,急诊微创手术是治疗发展方向.

  2. Treatment of TBI and Concomitant Hemorrhage with Ghrelin

    Science.gov (United States)

    2010-07-01

    battlefield setting. 15. SUBJECT TERMS Traumatic brain injury ; hemorrhagic shock; ghrelin; treatment 16. SECURITY CLASSIFICATION OF: U 17...hemorrhagic shock. 2. Ghrelin treatment improves sensorimotor and reflex function after traumatic brain injury and uncontrolled hemorrhagic shock...3. Ghrelin treatment reduces cortical apoptosis after traumatic brain injury and uncontrolled hemorrhagic shock. 4. Ghrelin treatment

  3. Monetary Shocks in Models with Inattentive Producers.

    Science.gov (United States)

    Alvarez, Fernando E; Lippi, Francesco; Paciello, Luigi

    2016-04-01

    We study models where prices respond slowly to shocks because firms are rationally inattentive. Producers must pay a cost to observe the determinants of the current profit maximizing price, and hence observe them infrequently. To generate large real effects of monetary shocks in such a model the time between observations must be long and/or highly volatile. Previous work on rational inattentiveness has allowed for observation intervals that are either constant-but-long (e.g. Caballero, 1989 or Reis, 2006) or volatile-but-short (e.g. Reis's, 2006 example where observation costs are negligible), but not both. In these models, the real effects of monetary policy are small for realistic values of the duration between observations. We show that non-negligible observation costs produce both of these effects: intervals between observations are infrequent and volatile. This generates large real effects of monetary policy for realistic values of the average time between observations.

  4. Effects of n-3 PUFAs on Intestinal Mucosa Innate Immunity and Intestinal Microbiota in Mice after Hemorrhagic Shock Resuscitation

    Directory of Open Access Journals (Sweden)

    Feng Tian

    2016-09-01

    Full Text Available n-3 polyunsaturated fatty acids (PUFAs can improve the function of the intestinal barrier after damage from ischemia-reperfusion or hemorrhagic shock resuscitation (HSR. However, the effects of n-3 PUFAs on intestinal microbiota and the innate immunity of the intestinal mucosa after HSR remain unclear. In the present study, 40 C57BL/6J mice were randomly assigned to five groups: control, sham, HSR, HSR + n-3 PUFAs and HSR + n-6 PUFAs. Mice were sacrificed 12 h after HSR. Liver, spleen, mesenteric lymph nodes and terminal ileal tissues were collected. Intestinal mucosae were scraped aseptically. Compared with the HSR group, the number of goblet cells increased, expression of mucin 2 was restored and disturbed intestinal microbiota were partly stabilized in the PUFA-administered groups, indicating that both n-3 and n-6 PUFAs reduced overproliferation of Gammaproteobacteria while promoting the growth of Bacteroidetes. Notably, n-3 PUFAs had an advantage over n-6 PUFAs in improving ileal tissue levels of lysozyme after HSR. Thus, PUFAs, especially n-3 PUFAs, partly improved the innate immunity of intestinal mucosa in mice after HSR. These findings suggest a clinical rationale for providing n-3 PUFAs to patients recovering from ischemia-reperfusion.

  5. Serological characterization of dengue virus infections observed among dengue hemorrhagic fever/dengue shock syndrome cases in upper Myanmar.

    Science.gov (United States)

    Ngwe Tun, Mya Myat; Thant, Kyaw Zin; Inoue, Shingo; Kurosawa, Yae; Lwin, Yee Yee; Lin, Sanda; Aye, Kay Thi; Thet Khin, Pe; Myint, Tin; Htwe, Khin; Mapua, Cynthia A; Natividad, Filipinas F; Hirayama, Kenji; Morita, Kouichi

    2013-07-01

    In Myanmar, dengue fever (DF)/dengue hemorrhagic fever (DHF) is one of the leading causes of morbidity and mortality among children. From Pyinmana Hospital in 2004 and Mandalay Children Hospital in 2006, 160 patients diagnosed clinically to have DHF/dengue shock syndrome (DSS) were examined for immunoglobulin M (IgM) and IgG levels. A focus reduction neutralization test was also used to determine primary or secondary dengue virus (DENV) infection. By using IgM-capture ELISA, 139 cases were confirmed as DENV infections. Of these IgM-positives, 94 samples were collected 7-24 days from the onset of illness, to which 13 (14%) and 81 (86%) were determined to be primary and secondary DENV infections, respectively. The 13 primary DENV infection cases were spread among the various severity groups (DHF grade I-IV and DSS) and represented age groups ranging from <1 year of age to 9 years of age. The patients in these primary infection cases showed a remarkably high IgM with a low IgG titer response compared with the secondary infection cases. No significant differences were observed in IgG titers with clinical severity. The data obtained in this study suggest that primary DENV infection cases exist certainly among DHF/DSS cases in Myanmar, and that additional mechanism(s) aside from the antibody-dependent enhancement mechanism could have influenced the clinical severity in DHF/DSS cases. Copyright © 2013 Wiley Periodicals, Inc.

  6. A Prognostic Model for Development of Profound Shock among Children Presenting with Dengue Shock Syndrome.

    Directory of Open Access Journals (Sweden)

    Phung Khanh Lam

    Full Text Available To identify risk factors and develop a prediction model for the development of profound and recurrent shock amongst children presenting with dengue shock syndrome (DSS.We analyzed data from a prospective cohort of children with DSS recruited at the Paediatric Intensive Care Unit of the Hospital for Tropical Disease in Ho Chi Minh City, Vietnam. The primary endpoint was "profound DSS", defined as ≥2 recurrent shock episodes (for subjects presenting in compensated shock, or ≥1 recurrent shock episodes (for subjects presenting initially with decompensated/hypotensive shock, and/or requirement for inotropic support. Recurrent shock was evaluated as a secondary endpoint. Risk factors were pre-defined clinical and laboratory variables collected at the time of presentation with shock. Prognostic model development was based on logistic regression and compared to several alternative approaches.The analysis population included 1207 children of whom 222 (18% progressed to "profound DSS" and 433 (36% had recurrent shock. Independent risk factors for both endpoints included younger age, earlier presentation, higher pulse rate, higher temperature, higher haematocrit and, for females, worse hemodynamic status at presentation. The final prognostic model for "profound DSS" showed acceptable discrimination (AUC=0.69 for internal validation and calibration and is presented as a simple score-chart.Several risk factors for development of profound or recurrent shock among children presenting with DSS were identified. The score-chart derived from the prognostic models should improve triage and management of children presenting with DSS in dengue-endemic areas.

  7. Effect of pharmacologic resuscitation on the brain gene expression profiles in a swine model of traumatic brain injury and hemorrhage

    DEFF Research Database (Denmark)

    Dekker, Simone E; Bambakidis, Ted; Sillesen, Martin

    2014-01-01

    BACKGROUND: We have previously shown that addition of valproic acid (VPA; a histone deacetylase inhibitor) to hetastarch (Hextend [HEX]) resuscitation significantly decreases lesion size in a swine model of traumatic brain injury (TBI) and hemorrhagic shock (HS). However, the precise mechanisms...... have not been well defined. As VPA is a transcriptional modulator, the aim of this study was to investigate its effect on brain gene expression profiles. METHODS: Swine were subjected to controlled TBI and HS (40% blood volume), kept in shock for 2 hours, and resuscitated with HEX or HEX + VPA (n = 5...... per group). Following 6 hours of observation, brain RNA was isolated, and gene expression profiles were measured using a Porcine Gene ST 1.1 microarray (Affymetrix, Santa Clara, CA). Pathway analysis was done using network analysis tools Gene Ontology, Ingenuity Pathway Analysis, and Parametric Gene...

  8. Choque cardiogênico associado à hemorragia subaracnóidea Cardiogenic shock associated with subarachnoid hemorrhage

    Directory of Open Access Journals (Sweden)

    Glauco Adrieno Westphal

    2010-09-01

    cardiomyopathy may occur, possibly associated with myocardial dysfunction. This manuscript aims to report a case of subarachnoid hemorrhage associated with myocardial dysfunction and cardiogenic shock. A 45 years old woman was admitted with subarachnoid hemorrhage and coma, showing Glasgow scale = 7, Hunt-Hess = 5 and Fischer computed tomography classification = 3. On the second day, the patient underwent anterior cerebral communicant artery aneurysm embolization. The clinical evaluation revealed diffuse pulmonary infiltration, dyspnea and hypotension. Additional tests showed electrocardiographic lateral wall repolarization changes and elevated creatine kinase-MB fraction (36U/L. The cardiac index was 2.03 L/minute/m², Vascular systemic resistance was 3728 dynes.sec/cm². The non-responsiveness to volume demonstrated a cardiogenic shock pattern. The ventricular ejection fraction was 39%. The coronariography was normal, showing no obstructive lesions. Six days later the patient was removed from respiratory support and after eight days the dobutamine infusion was discontinued. The ejection fraction recovered up to 65%. Serial transcranial Doppler evaluations did not show vascular spasm. After ten days the patient was discharged from the intensive care unit. Patients with subarachnoid hemorrhage may be complicated with ventricular dysfunction and cardiogenic shock, increasing the cerebral ischemia risk. Diagnosis optimization and hemodynamic stabilization are essential to minimize the risk of cerebral vasospasm and ischemia.

  9. Study on the Treating Hemorrhagic Shock of Beagle Dogs with Canine Plasma from Other Individuals%异体犬血浆治疗失血性休克Beagle犬的实验研究

    Institute of Scientific and Technical Information of China (English)

    李学勇; 渠凯; 付少才; 刘欣; 张博; 魏永俊; 李巧伶; 朱海波

    2012-01-01

    Objective To explore the effect of treating hemorrhagic shock Beagle dogs with canine plasma from other individuals, which will lay the foundation for clinical application. Method Bloodletting by femoral artery to establish hemorrhagic shock models of Beagle dogs. Then, observing the effect on treating hemorrhagic shock of Beagle dogs by transfusing canine plasma from other individuals. Result Transfused canine plasma from other individuals by vein, the mean artery pressure, the content of serum protein, blood glucose, concentration and part-pressure of carbon dioxide, anionic gap, BEECF and lots of ions, had improved obviously. Comparing canine plasma from other individuals with physiological saline, the statistical data had significant difference (P≤0. 05) or extreme significant difference ( P ≤1 0. 01). However, lots of metabolic products such as ALP, TBIL, had no significant difference ( P > 0. 05 ) . Conclusion The canine plasma from other individuals had significant effect on treating hemorrhagic shock of Beagle dogs, and it could be used to clinical practices.%目的 观察异体犬血浆对失血性休克Beagle犬的治疗作用,为临床应用奠定基础.方法 通过股动脉放血建立Beagle犬失血性休克模型,静脉输入受试异体犬血浆观察其治疗实验性休克的作用.结果 静脉输入受试异体犬血浆后,Beagle犬的平均动脉压、血清蛋白含量、血糖含量、二氧化碳浓度及其分压、阴离子间隙、细胞外液碱剩余、多种离子等多项指标均显著改善,与输入生理盐水相比,统计学有显著性差异(P≤0.05)或极显著差异(P≤0.01),而碱性磷酸酶、总胆红素等多种代谢产物含量未见显著差异(P>0.05).结论 受试异体犬血浆对失血性休克Beagle犬的治疗效果明显,具有临床应用价值.

  10. Hemorrhagic shock shifts the serum cytokine profile from pro- to anti-inflammatory after experimental traumatic brain injury in mice.

    Science.gov (United States)

    Shein, Steven L; Shellington, David K; Exo, Jennifer L; Jackson, Travis C; Wisniewski, Stephen R; Jackson, Edwin K; Vagni, Vincent A; Bayır, Hülya; Clark, Robert S B; Dixon, C Edward; Janesko-Feldman, Keri L; Kochanek, Patrick M

    2014-08-15

    Secondary insults, such as hemorrhagic shock (HS), worsen outcome from traumatic brain injury (TBI). Both TBI and HS modulate levels of inflammatory mediators. We evaluated the addition of HS on the inflammatory response to TBI. Adult male C57BL6J mice were randomized into five groups (n=4 [naïve] or 8/group): naïve; sham; TBI (through mild-to-moderate controlled cortical impact [CCI] at 5 m/sec, 1-mm depth), HS; and CCI+HS. All non-naïve mice underwent identical monitoring and anesthesia. HS and CCI+HS underwent a 35-min period of pressure-controlled hemorrhage (target mean arterial pressure, 25-27 mm Hg) and a 90-min resuscitation with lactated Ringer's injection and autologous blood transfusion. Mice were sacrificed at 2 or 24 h after injury. Levels of 13 cytokines, six chemokines, and three growth factors were measured in serum and in five brain tissue regions. Serum levels of several proinflammatory mediators (eotaxin, interferon-inducible protein 10 [IP-10], keratinocyte chemoattractant [KC], monocyte chemoattractant protein 1 [MCP-1], macrophage inflammatory protein 1alpha [MIP-1α], interleukin [IL]-5, IL-6, tumor necrosis factor alpha, and granulocyte colony-stimulating factor [G-CSF]) were increased after CCI alone. Serum levels of fewer proinflammatory mediators (IL-5, IL-6, regulated upon activation, normal T-cell expressed, and secreted, and G-CSF) were increased after CCI+HS. Serum level of anti-inflammatory IL-10 was significantly increased after CCI+HS versus CCI alone. Brain tissue levels of eotaxin, IP-10, KC, MCP-1, MIP-1α, IL-6, and G-CSF were increased after both CCI and CCI+HS. There were no significant differences between levels after CCI alone and CCI+HS in any mediator. Addition of HS to experimental TBI led to a shift toward an anti-inflammatory serum profile--specifically, a marked increase in IL-10 levels. The brain cytokine and chemokine profile after TBI was minimally affected by the addition of HS.

  11. 产科失血性休克的临床特点及急救探讨%The clinical characteristics and first aid of obstetrical hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    黄宜红

    2014-01-01

    Objective To investigate the clinical characteristics and first aid of obstetrical hemorrhagic shock .Methods Forty-six patients with obstetrical hemorrhagic shock and other patients without obstetrical hemorrhagic shock were investigated retrospectively .The placenta previa , placental abruption, placenta accreta or placenta remnants , Uterine Atony, laceration of birth canal , coagulation disorder dysfunction , postpartum hemorrhage were analyzed .The main risk factors for hemorrhagic shock were analyzed , and the effect of comprehensive emergency measures were discussed .Results The rate of placenta previa , placental abruption , placenta accreta or placenta remnants , Uterine Atony, laceration of birth canal, coagulation disorder dysfunction were higher than those of the control group (P2000 mL compared with the control group (P <0.05).All of the patients were out of danger , and the rate of rescue success was 100%.Conclusion The main risk factors for hemorrhagic shock include placenta previa , placental abruption , placenta accreta or placenta remnants, Uterine Atony, laceration of birth canal , coagulation disorder dysfunction , postpartum hemorrhage .It helps to increase the rate of rescue success by effective rescue measures and prevention complications .%目的:探讨产科失血性休克(hemorrhagic shock, HS)的临床特点及急救方法。方法回顾性分析我院收治的46例产科HS危急重症产妇(试验组)和同期未发生HS的产妇(对照组)胎盘前置、胎盘早剥、胎盘残留或粘连、宫缩乏力、产道裂伤及产后出血等的发生情况,分析HS的主要危险因素,并探讨综合急救措施的救治效果。结果试验组胎盘前置、胎盘残留或粘连、胎盘早剥、宫缩乏力、产道裂伤及凝血机制障碍发生率均明显高于对照组(P<0.05);试验组出血量在800~1500 mL和1500~2000 mL HS患者明显低于对照组,当出血量>2000 mL时,HS

  12. Risk stratification for prognosis in intracerebral hemorrhage: A decision tree model and logistic regression

    Directory of Open Access Journals (Sweden)

    Gang WU

    2016-01-01

    Full Text Available Objective  To analyze the risk factors for prognosis in intracerebral hemorrhage using decision tree (classification and regression tree, CART model and logistic regression model. Methods  CART model and logistic regression model were established according to the risk factors for prognosis of patients with cerebral hemorrhage. The differences in the results were compared between the two methods. Results  Logistic regression analyses showed that hematoma volume (OR-value 0.953, initial Glasgow Coma Scale (GCS score (OR-value 1.210, pulmonary infection (OR-value 0.295, and basal ganglia hemorrhage (OR-value 0.336 were the risk factors for the prognosis of cerebral hemorrhage. The results of CART analysis showed that volume of hematoma and initial GCS score were the main factors affecting the prognosis of cerebral hemorrhage. The effects of two models on the prognosis of cerebral hemorrhage were similar (Z-value 0.402, P=0.688. Conclusions  CART model has a similar value to that of logistic model in judging the prognosis of cerebral hemorrhage, and it is characterized by using transactional analysis between the risk factors, and it is more intuitive. DOI: 10.11855/j.issn.0577-7402.2015.12.13

  13. Effects of C1 Inhibitor on Tissue Damage in a Porcine Model of Controlled Hemorrhage

    Science.gov (United States)

    2012-07-01

    glucose, hematocrit (Hct), hemoglobin ( Hb ), sodium (Na+), potassium (K+), and ionized calcium (Ca2+) using i STAT cartridges (Abbott Laboratories, Abbott...Shock Society. Unauthorized reproduction of this article is prohibited. (Princeton, NJ). MicroVue C1 INH enzyme immunoassay (EIA) kit was purchased from...TABLE 3. Prehemorrhage and posthemorrhage metabolic data of hemorrhaged animals Group PSham H H + C1-100 H + C1-250 n 5 5 6 4 5 4 5 Prehemorrhage Hb , g

  14. N-3 Polyunsaturated Fatty Acids Improve Liver Lipid Oxidation-Related Enzyme Levels and Increased the Peroxisome Proliferator-Activated Receptor α Expression Level in Mice Subjected to Hemorrhagic Shock/Resuscitation.

    Science.gov (United States)

    Zhang, Li; Tian, Feng; Gao, Xuejin; Wang, Xinying; Wu, Chao; Li, Ning; Li, Jieshou

    2016-04-22

    Appropriate metabolic interventions after hemorrhagic shock/resuscitation injury have not yet been identified. We aimed to examine the effects of fish oil on lipid metabolic intervention after hemorrhagic shock/resuscitation. Firstly, 48 C57BL/6 mice were assigned to six groups (n = 8 per group). The sham group did not undergo surgery, while mice in the remaining groups were sacrificed 1-5 days after hemorrhagic shock/resuscitation. In the second part, mice were treated with saline or fish oil (n = 8 per group) five days after injury. We determined serum triglyceride levels and liver tissues were collected and prepared for qRT-PCR or Western blot analysis. We found that triglyceride levels were increased five days after hemorrhagic shock/resuscitation, but decreased after addition of fish oil. After injury, the protein and gene expression of carnitine palmitoyltransferase 1A, fatty acid transport protein 1, and peroxisome proliferator-activated receptor-α decreased significantly in liver tissue. In contrast, after treatment with fish oil, the expression levels of these targets increased compared with those in the saline group. The present results suggest n-3 polyunsaturated fatty acids could improve lipid oxidation-related enzymes in liver subjected to hemorrhagic shock/resuscitation. This function is possibly accomplished through activating the peroxisome proliferator-activated receptor-α pathway.

  15. Simian hemorrhagic fever virus infection of rhesus macaques as a model of viral hemorrhagic fever: clinical characterization and risk factors for severe disease.

    Science.gov (United States)

    Johnson, Reed F; Dodd, Lori E; Yellayi, Srikanth; Gu, Wenjuan; Cann, Jennifer A; Jett, Catherine; Bernbaum, John G; Ragland, Dan R; St Claire, Marisa; Byrum, Russell; Paragas, Jason; Blaney, Joseph E; Jahrling, Peter B

    2011-12-20

    Simian Hemorrhagic Fever Virus (SHFV) has caused sporadic outbreaks of hemorrhagic fevers in macaques at primate research facilities. SHFV is a BSL-2 pathogen that has not been linked to human disease; as such, investigation of SHFV pathogenesis in non-human primates (NHPs) could serve as a model for hemorrhagic fever viruses such as Ebola, Marburg, and Lassa viruses. Here we describe the pathogenesis of SHFV in rhesus macaques inoculated with doses ranging from 50 PFU to 500,000 PFU. Disease severity was independent of dose with an overall mortality rate of 64% with signs of hemorrhagic fever and multiple organ system involvement. Analyses comparing survivors and non-survivors were performed to identify factors associated with survival revealing differences in the kinetics of viremia, immunosuppression, and regulation of hemostasis. Notable similarities between the pathogenesis of SHFV in NHPs and hemorrhagic fever viruses in humans suggest that SHFV may serve as a suitable model of BSL-4 pathogens.

  16. Interventional Vitamin C A Strategy for Attenuation of Coagulopathy and Inflammation in Hemorrhagic Trauma and Shock

    Science.gov (United States)

    2016-10-01

    acidosis (BE > 6), ion & liver enzyme disturbances, & leucocyte mobilization. Hespan transiently improved hemodynamics; however global coagulation ...in swine. This model produced significant platelet dysfunction and a reduction in global coagulation . Histological staining (H & E) of lung showed...pro-inflammatory mediators, coagulation markers 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF

  17. Nursing Care of Hemorrhagic Shock in Obstetrics and Gynecology%妇产科失血性休克的抢救护理

    Institute of Scientific and Technical Information of China (English)

    赵佳

    2016-01-01

    Objective To explore the nursing measures and nursing methods of hemorrhagic shock caused by loss of blood in obstetrics and gynecology department.Methods 30 cases of patients in our hospital were chosen as the research object, the treatment of pregnant women with hemorrhagic shock, nursing care, routine care and psychological counseling, the basic nursing knowledge to the patients' family members.Results Pregnant women with high cure rate was 100%, the study of 30 cases of patients with 27 cases of patients with salvage surgery after vital signs of recovery normal, from the intensive care unit transferred to ordinary ward nursing and treatment, and 3 patients always in intensive care unit for emergency care. 30 cases of hospitalization period ranged from 6 to 20 d.Conclusion To carry on the targeted clinical rescue nursing to the obstetrics and gynecology hemorrhagic shock. Can effectively reduce the amount of bleeding in patients with hemorrhagic shock, improve maternal self recovery ability.%目的:探究对妇产科孕产妇因失血导致的失血性休克的抢救措施与护理方法。方法选取我院30例患者作为研究对象,对孕妇患者进行失血性休克的抢救护理,术后常规护理以及心理辅导,向患者家属教授基本的护理知识。结果孕妇患者的治愈率高达100%,30例研究病患中有27例患者通过手术抢救后生命体征恢复正常,由重症监护室转入普通病房进行护理与治疗,还有3例患者始终处在重症监护室进行抢救监护。30例患者住院时期不等,住院时间为6~20 d。结论对妇产科失血性休克的产妇及时进行针对性的临床抢救护理。能够有效降低失血休克产妇的出血量,提高孕产妇患者的自我恢复能力。

  18. Non-pneumatic anti-shock garment (NASG, a first-aid device to decrease maternal mortality from obstetric hemorrhage: a cluster randomized trial.

    Directory of Open Access Journals (Sweden)

    Suellen Miller

    Full Text Available BACKGROUND: Obstetric hemorrhage is the leading cause of maternal mortality. Using a cluster randomized design, we investigated whether application of the Non-pneumatic Anti-Shock Garment (NASG before transport to referral hospitals (RHs from primary health care centers (PHCs decreased adverse outcomes among women with hypovolemic shock. We hypothesized the NASG group would have a 50% reduction in adverse outcomes. METHODS AND FINDINGS: We randomly assigned 38 PHCs in Zambia and Zimbabwe to standard obstetric hemorrhage/shock protocols or the same protocols plus NASG prior to transport. All women received the NASG at the RH. The primary outcomes were maternal mortality; severe, end-organ failure maternal morbidity; and a composite mortality/morbidity outcome, which we labeled extreme adverse outcome (EAO. We also examined whether the NASG contributed to negative side effects and secondary outcomes. The sample size for statistical power was not reached; of a planned 2400 women, 880 were enrolled, 405 in the intervention group. The intervention was associated with a non-significant 46% reduced odds of mortality (OR 0.54, 95% CI 0.14-2.05, p = 0.37 and 54% reduction in composite EAO (OR 0.46, 95% CI 0.13-1.62, p = 0.22. Women with NASGs recovered from shock significantly faster (HR 1.25, 95% CI 1.02-1.52, p = 0.03. No differences were observed in secondary outcomes or negative effects. The main limitation was small sample size. CONCLUSIONS: Despite a lack of statistical significance, the 54% reduced odds of EAO and the significantly faster shock recovery suggest there might be treatment benefits from earlier application of the NASG for women experiencing delays obtaining definitive treatment for hypovolemic shock. As there are no other tools for shock management outside of referral facilities, and no safety issues found, consideration of NASGs as a temporizing measure during delays may be warranted. A pragmatic study with rigorous evaluation is

  19. Vitamin C Attenuates Hemorrhagic Shock-induced Dendritic Cell-specific Intercellular Adhesion Molecule 3-grabbing Nonintegrin Expression in Tubular Epithelial Cells and Renal Injury in Rats

    Institute of Scientific and Technical Information of China (English)

    Li Ma; Jian Fei; Ying Chen; Bing Zhao; Zhi-Tao Yang; Lu Wang; Hui-Qiu Sheng

    2016-01-01

    Background:The expression of dendritic cell-specific intercellular adhesion molecule 3-grabbing nonintegrin (DC-SIGN) in renal tubular epithelial cells has been thought to be highly correlated with the occurrence of several kidney diseases,but whether it takes place in renal tissues during hemorrhagic shock (HS) is unknown.The present study aimed to investigate this phenomenon and the inhibitory effect of Vitamin C (VitC).Methods:A Sprague-Dawley rat HS model was established in vivo in this study.The expression level and location of DC-SIGN were observed in kidneys.Also,the degree of histological damage,the concentrations of tumor necrosis factor-α and interleukin-6 in the renal tissues,and the serum concentration of blood urea nitrogen and creatinine at different times (2-24 h) after HS (six rats in each group),with or without VitC treatment before resuscitation,were evaluated.Results:HS induced DC-SIGN expression in rat tubular epithelial cells.The proinflammatory cytokine concentration,histological damage scores,and functional injury of kidneys had increased.All these phenomena induced by HS were relieved when the rats were treated with VitC before resuscitation.Conclusions:The results of the present study illustrated that HS could induce tubular epithelial cells expressing DC-SIGN,and the levels of proinflammatory cytokines in the kidney tissues improved correspondingly.The results also indicated that VitC could suppress the DC-SIGN expression in the tubular epithelial cells induced by HS and alleviate the inflammation and functional injury in the kidney.

  20. Dose-Dependent Hemodynamic, Biochemical, and Tissue Oxygen Effects of OC99 following Severe Oxygen Debt Produced by Hemorrhagic Shock in Dogs

    Directory of Open Access Journals (Sweden)

    William W. Muir

    2014-01-01

    Full Text Available We determined the dose-dependent effects of OC99, a novel, stabilized hemoglobin-based oxygen-carrier, on hemodynamics, systemic and pulmonary artery pressures, surrogates of tissue oxygen debt (arterial lactate 7.2±0.1 mM/L and arterial base excess −17.9 ± 0.5 mM/L, and tissue oxygen tension (tPO2 in a dog model of controlled severe oxygen-debt from hemorrhagic shock. The dose/rate for OC99 was established from a pilot study conducted in six bled dogs. Subsequently twenty-four dogs were randomly assigned to one of four groups (n=6 per group and administered: 0.0, 0.065, 0.325, or 0.65 g/kg of OC99 combined with 10 mL/kg lactated Ringers solution administered in conjunction with 20 mL/kg Hextend IV over 60 minutes. The administration of 0.325 g/kg and 0.65 g/kg OC99 produced plasma hemoglobin concentrations of 0.63±0.01 and 1.11±0.02 g/dL, respectively, improved systemic hemodynamics, enhanced tPO2, and restored lactate and base excess values compared to 0.0 and 0.065 g/kg OC99. The administration of 0.65 g/kg OC99 significantly elevated pulmonary artery pressure. Plasma hemoglobin concentrations of OC99 ranging from 0.3 to 1.1 g/dL, in conjunction with colloid based fluid resuscitation, normalized clinical surrogates of tissue oxygen debt, improved tPO2, and avoided clinically relevant increases in pulmonary artery pressure.

  1. Dose-Dependent Hemodynamic, Biochemical, and Tissue Oxygen Effects of OC99 following Severe Oxygen Debt Produced by Hemorrhagic Shock in Dogs.

    Science.gov (United States)

    Muir, William W; Del Rio, Carlos L; Ueyama, Yukie; Youngblood, Bradley L; George, Robert S; Rausch, Carl W; Lau, Billy S H; Hamlin, Robert L

    2014-01-01

    We determined the dose-dependent effects of OC99, a novel, stabilized hemoglobin-based oxygen-carrier, on hemodynamics, systemic and pulmonary artery pressures, surrogates of tissue oxygen debt (arterial lactate 7.2 ± 0.1 mM/L and arterial base excess -17.9 ± 0.5 mM/L), and tissue oxygen tension (tPO2) in a dog model of controlled severe oxygen-debt from hemorrhagic shock. The dose/rate for OC99 was established from a pilot study conducted in six bled dogs. Subsequently twenty-four dogs were randomly assigned to one of four groups (n = 6 per group) and administered: 0.0, 0.065, 0.325, or 0.65 g/kg of OC99 combined with 10 mL/kg lactated Ringers solution administered in conjunction with 20 mL/kg Hextend IV over 60 minutes. The administration of 0.325 g/kg and 0.65 g/kg OC99 produced plasma hemoglobin concentrations of 0.63 ± 0.01 and 1.11 ± 0.02 g/dL, respectively, improved systemic hemodynamics, enhanced tPO2, and restored lactate and base excess values compared to 0.0 and 0.065 g/kg OC99. The administration of 0.65 g/kg OC99 significantly elevated pulmonary artery pressure. Plasma hemoglobin concentrations of OC99 ranging from 0.3 to 1.1 g/dL, in conjunction with colloid based fluid resuscitation, normalized clinical surrogates of tissue oxygen debt, improved tPO2, and avoided clinically relevant increases in pulmonary artery pressure.

  2. Comparison of geometrical shock dynamics and kinematic models for shock-wave propagation

    Science.gov (United States)

    Ridoux, J.; Lardjane, N.; Monasse, L.; Coulouvrat, F.

    2017-09-01

    Geometrical shock dynamics (GSD) is a simplified model for nonlinear shock-wave propagation, based on the decomposition of the shock front into elementary ray tubes. Assuming small changes in the ray tube area, and neglecting the effect of the post-shock flow, a simple relation linking the local curvature and velocity of the front, known as the A{-}M rule, is obtained. More recently, a new simplified model, referred to as the kinematic model, was proposed. This model is obtained by combining the three-dimensional Euler equations and the Rankine-Hugoniot relations at the front, which leads to an equation for the normal variation of the shock Mach number at the wave front. In the same way as GSD, the kinematic model is closed by neglecting the post-shock flow effects. Although each model's approach is different, we prove their structural equivalence: the kinematic model can be rewritten under the form of GSD with a specific A{-}M relation. Both models are then compared through a wide variety of examples including experimental data or Eulerian simulation results when available. Attention is drawn to the simple cases of compression ramps and diffraction over convex corners. The analysis is completed by the more complex cases of the diffraction over a cylinder, a sphere, a mound, and a trough.

  3. Rho kinase acts as a downstream molecule to participate in protein kinase Cε regulation of vascular reactivity after hemorrhagic shock in rats.

    Science.gov (United States)

    Li, Tao; Zhu, Yu; Zang, Jia-tao; Peng, Xiao-yong; Lan, Dan; Yang, Guang-ming; Xu, Jing; Liu, Liang-ming

    2014-09-01

    Our previous study demonstrated that Rho kinase and protein kinase C (PKC) played important parts in the regulation of vascular reactivity after shock. Using superior mesenteric arteries (SMAs) from hemorrhagic shock rats and hypoxia-treated vascular smooth muscle cells (VSMCs), relationship of PKCε regulation of vascular reactivity to Rho kinase, as well as the signal transduction after shock, was investigated. The results showed that inhibition of Rho kinase with the Rho kinase-specific inhibitor Y-27632 antagonized the PKCε-specific agonist carbachol and highly expressed PKCε-induced increase of vascular reactivity in SMAs and VSMCs, whereas inhibition of PKCε with its specific inhibitory peptide did not antagonize the Rho kinase agonist (U-46619)-induced increase of vascular reactivity in SMAs and VSMCs. Activation of PKCε or highly expressed PKCε upregulated the activity of Rho kinase and the phosphorylation of PKC-dependent phosphatase inhibitor 17 (CPI-17), zipper interacting protein kinase (ZIPK), and integrin-linked kinase (ILK), whereas activation of Rho kinase increased only CPI-17 phosphorylation. The specific neutralization antibodies of ZIPK and ILK antagonized PKCε-induced increases in the activity of Rho kinase, but CPI-17 neutralization antibody did not antagonize this effect. These results suggested that Rho kinase takes part in the regulation of PKCε on vascular reactivity after shock. Rho kinase is downstream of PKCε. Protein kinase Cε activates Rho kinase via ZIPK and ILK; CPI-17 is downstream of Rho kinase.

  4. Resuscitation with Pooled and Pathogen-Reduced Plasma Attenuates the Increase in Brain Water Content following Traumatic Brain Injury and Hemorrhagic Shock in Rats

    DEFF Research Database (Denmark)

    Genét, Gustav Folmer; Bentzer, Peter; Ostrowski, Sisse Rye;

    2017-01-01

    Traumatic brain injury and hemorrhagic shock is associated with blood-brain barrier (BBB) breakdown and edema formation. Recent animal studies have shown that fresh frozen plasma (FFP) resuscitation reduces brain swelling and improves endothelial function compared to isotonic NaCl (NS). The aim o......)-treated plasma attenuates the post-traumatic increase in brain water content, and that this effect may, in part, be explained by a high crystalloid and colloid osmotic pressure in SD-treated plasma.......Traumatic brain injury and hemorrhagic shock is associated with blood-brain barrier (BBB) breakdown and edema formation. Recent animal studies have shown that fresh frozen plasma (FFP) resuscitation reduces brain swelling and improves endothelial function compared to isotonic NaCl (NS). The aim...... of this study was to investigate whether pooled and pathogen-reduced plasma (OctaplasLG(®) [OCTA]; Octapharma, Stockholm, Sweden) was comparable to FFP with regard to effects on brain water content, BBB permeability, and plasma biomarkers of endothelial glycocalyx shedding and cell damage. After fluid...

  5. On a Stochastic Failure Model under Random Shocks

    Science.gov (United States)

    Cha, Ji Hwan

    2013-02-01

    In most conventional settings, the events caused by an external shock are initiated at the moments of its occurrence. In this paper, we study a new classes of shock model, where each shock from a nonhomogeneous Poisson processes can trigger a failure of a system not immediately, as in classical extreme shock models, but with delay of some random time. We derive the corresponding survival and failure rate functions. Furthermore, we study the limiting behaviour of the failure rate function where it is applicable.

  6. Stable and flux-conserved meshfree formulation to model shocks

    Science.gov (United States)

    Roth, Michael J.; Chen, Jiun-Shyan; Slawson, Thomas R.; Danielson, Kent T.

    2016-05-01

    Accurate shock modeling requires that two critical issues be addressed: (1) correct representation of the essential shock physics, and (2) control of Gibbs phenomenon oscillation at the discontinuity. In this work a stable (oscillation limiting) and flux-conserved formulation under the reproducing kernel particle method is developed for shock modeling. A smoothed flux divergence is constructed under the framework of stabilized conforming nodal integration, which is locally-enriched with a Riemann solution to satisfy the entropy production constraints. This Riemann-enriched flux divergence is embedded into the reproducing kernel formulation through a velocity correction that also provides oscillation control at the shock. The correction is constrained to the shock region by an automatic shock detection algorithm that is constructed using the intrinsic spectral decomposition feature of the reproducing kernel approximation. Several numerical examples are provided to verify accuracy of the proposed formulation.

  7. The MAPPINGS III Library of Fast Radiative Shock Models

    CERN Document Server

    Allen, Mark G; Dopita, Michael A; Sutherland, Ralph S; Kewley, Lisa J

    2008-01-01

    We present a new library of fully-radiative shock models calculated with the MAPPINGS III shock and photoionization code. The library consists of grids of models with shock velocities in the range v=100-1000 km/s and magnetic parameters B/sqrt(n) of 10^-4 - 10 muG cm^(3/2) for five different atomic abundance sets, and for a pre-shock density of 1.0 cm^(-3). Additionally, Solar abundance model grids have been calculated for densities of 0.01, 0.1, 10, 100, and 1000 cm^(-3) with the same range in v and B/sqrt(n). Each model includes components of both the radiative shock and its photoionized precursor, ionized by the EUV and soft X-ray radiation generated in the radiative gas. We present the details of the ionization structure, the column densities, and the luminosities of the shock and its precursor. Emission line ratio predictions are separately given for the shock and its precursor as well as for the composite shock+precursor structure to facilitate comparison with observations in cases where the shock and i...

  8. ATLS Hypovolemic Shock Classification by Prediction of Blood Loss in Rats Using Regression Models.

    Science.gov (United States)

    Choi, Soo Beom; Choi, Joon Yul; Park, Jee Soo; Kim, Deok Won

    2016-07-01

    In our previous study, our input data set consisted of 78 rats, the blood loss in percent as a dependent variable, and 11 independent variables (heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse pressure, respiration rate, temperature, perfusion index, lactate concentration, shock index, and new index (lactate concentration/perfusion)). The machine learning methods for multicategory classification were applied to a rat model in acute hemorrhage to predict the four Advanced Trauma Life Support (ATLS) hypovolemic shock classes for triage in our previous study. However, multicategory classification is much more difficult and complicated than binary classification. We introduce a simple approach for classifying ATLS hypovolaemic shock class by predicting blood loss in percent using support vector regression and multivariate linear regression (MLR). We also compared the performance of the classification models using absolute and relative vital signs. The accuracies of support vector regression and MLR models with relative values by predicting blood loss in percent were 88.5% and 84.6%, respectively. These were better than the best accuracy of 80.8% of the direct multicategory classification using the support vector machine one-versus-one model in our previous study for the same validation data set. Moreover, the simple MLR models with both absolute and relative values could provide possibility of the future clinical decision support system for ATLS classification. The perfusion index and new index were more appropriate with relative changes than absolute values.

  9. Automated closed-loop resuscitation of multiple hemorrhages: a comparison between fuzzy logic and decision table controllers in a sheep model.

    Science.gov (United States)

    Marques, Nicole Ribeiro; Ford, Brent J; Khan, Muzna N; Kinsky, Michael; Deyo, Donald J; Mileski, William J; Ying, Hao; Kramer, George C

    2017-01-01

    Hemorrhagic shock is the leading cause of trauma-related death in the military setting. Definitive surgical treatment of a combat casualty can be delayed and life-saving fluid resuscitation might be necessary in the field. Therefore, improved resuscitation strategies are critically needed for prolonged field and en route care. We developed an automated closed-loop control system capable of titrating fluid infusion to a target endpoint. We used the system to compare the performance of a decision table algorithm (DT) and a fuzzy logic controller (FL) to rescue and maintain the mean arterial pressure (MAP) at a target level during hemorrhages. Fuzzy logic empowered the control algorithm to emulate human expertise. We hypothesized that the FL controller would be more effective and more efficient than the DT algorithm by responding in a more rigid, structured way. Ten conscious sheep were submitted to a hemorrhagic protocol of 25 ml/kg over three separate bleeds. Automated resuscitation with lactated Ringer's was initiated 30 min after the first hemorrhage started. The endpoint target was MAP. Group differences were assessed by two-tailed t test and alpha of 0.05. Both groups maintained MAP at similar levels throughout the study. However, the DT group required significantly more fluid than the FL group, 1745 ± 552 ml (42 ± 11 ml/kg) versus 978 ± 397 ml (26 ± 11 ml/kg), respectively (p = 0.03). The FL controller was more efficient than the DT algorithm and may provide a means to reduce fluid loading. Effectiveness was not different between the two strategies. Automated closed-loop resuscitation can restore and maintain blood pressure in a multi-hemorrhage model of shock.

  10. Latent Utility Shocks in a Structural Empirical Asset Pricing Model

    DEFF Research Database (Denmark)

    Christensen, Bent Jesper; Raahauge, Peter

    We consider a random utility extension of the fundamental Lucas (1978) equilibriumasset pricing model. The resulting structural model leads naturally to a likelihoodfunction. We estimate the model using U.S. asset market data from 1871 to2000, using both dividends and earnings as state variables....... We find that current dividendsdo not forecast future utility shocks, whereas current utility shocks do forecastfuture dividends. The estimated structural model produces a sequence of predictedutility shocks which provide better forecasts of future long-horizon stock market returnsthan the classical...... dividend-price ratio.KEYWORDS: Randomutility, asset pricing, maximumlikelihood, structuralmodel,return predictability...

  11. Assessment of coagulopathy, endothelial injury, and inflammation after traumatic brain injury and hemorrhage in a porcine model

    DEFF Research Database (Denmark)

    Sillesen, Martin; Rasmussen, Lars Simon; Jin, Guang;

    2014-01-01

    Traumatic brain injury (TBI) and hemorrhagic shock (HS) can be associated with coagulopathy and inflammation, but the mechanisms are poorly understood. We hypothesized that a combination of TBI and HS would disturb coagulation, damage the endothelium, and activate inflammatory and complement...

  12. Shock

    Science.gov (United States)

    Shock can be caused by any condition that reduces blood flow, including: Heart problems (such as heart attack or heart failure ) Low blood volume (as with heavy bleeding or dehydration ) Changes in blood vessels (as with infection ...

  13. Models of Hemodynamics and Hematopoiesis Following Hemorrhage for Use in Combined Injury Simulations

    Science.gov (United States)

    2016-06-01

    resulting from a nuclear detonation and will assist in medical planning . Hemorrhage, Combined Injury, Ordinary Differential Equation Model, Fluid...Computer models can help predict the resource requirements for attending to casualties and assist in medical planning . Model extensions described in this...first phase, involves the restitution of plasma proteins to support plasma oncotic pressure and continued blood volume expansion. While this increase

  14. Activation of toll-like receptor 4 is necessary for trauma hemorrhagic shock-induced gut injury and polymorphonuclear neutrophil priming.

    Science.gov (United States)

    Reino, Diego C; Palange, David; Feketeova, Elenora; Bonitz, Robert P; Xu, Da Zhong; Lu, Qi; Sheth, Sharvil U; Peña, Geber; Ulloa, Luis; De Maio, Antonio; Feinman, Rena; Deitch, Edwin A

    2012-07-01

    Interactions of toll-like receptors (TLRs) with nonmicrobial factors play a major role in the pathogenesis of early trauma-hemorrhagic shock (T/HS)-induced organ injury and inflammation. Thus, we tested the hypothesis that TLR4 mutant (TLR4 mut) mice would be more resistant to T/HS-induced gut injury and polymorphonuclear neutrophil (PMN) priming than their wild-type littermates and found that both were significantly reduced in the TLR4 mut mice. In addition, the in vivo and ex vivo PMN priming effect of T/HS intestinal lymph observed in the wild-type mice was abrogated in TLR4 mut mice as well the TRIF mut-deficient mice and partially attenuated in Myd88 mice, suggesting that TRIF activation played a more predominant role than MyD88 in T/HS lymph-induced PMN priming. Polymorphonuclear neutrophil depletion studies showed that T/HS lymph-induced acute lung injury was PMN dependent, because lung injury was totally abrogated in PMN-depleted animals. Because the lymph samples were sterile and devoid of endotoxin or bacterial DNA, we investigated whether the effects of T/HS lymph was related to endogenous nonmicrobial TLR4 ligands. High-mobility group box 1 protein 1, heat shock protein 70, heat shock protein 27, and hyaluronic acid all have been implicated in ischemia-reperfusion-induced tissue injury. None of these "danger" proteins appeared to be involved, because their levels were similar between the sham and shock lymph samples. In conclusion, TLR4 activation is important in T/HS-induced gut injury and in T/HS lymph-induced PMN priming and lung injury. However, the T/HS-associated effects of TLR4 on gut barrier dysfunction can be uncoupled from the T/HS lymph-associated effects of TLR4 on PMN priming.

  15. Effects of extract F of red-rooted Salvia on mucosal lesions of gastric corpus and antrum induced by hemorrhagic shock-reperfusion in rats

    Institute of Scientific and Technical Information of China (English)

    Li-Hong Zhang; Chang-Bai Yao; He-Quan Li

    2001-01-01

    AIM To compare the effects of extract F of red-rooted Salvia (EFRRS) on mucosal lesions of gastric corpus and antrum induced by hemorrhagic shock and reperfusion in rats.``METHODS The rats were subject to hemorrhagic shock and followed by reperfusion, and were divided randomly into two groups. Group 1 received saline, and group 2received EFRRS intravenously. The index of gastric mucosal lesions (IGML) was expressed as the percentage of lesional area in the corpus or antrum. The degree of gastric mucosal lesions (DGML) was catalogued grade 0,1. 2 and 3. The concentrations of prostaglandins (lags)were measured by radioimmunoassay. The concentration of MDA was measured according to the procedures of Asakawa. The activity of SOD was measured by the biochemical way. The growth rates or inhibitory rates of above-mentioned parametes were calculated.``RESULTS As compared with IGML (%), grade 3 damage (%) and MDA content (nmol/g tissue) of gastric antrum which were respectively 7.96 ± 0.59, 34.86± 4.96 and 156.98± 16.12. those of gastric corpus which were respectively 23.18 ± 6.82, 58.44 ± 9.07 and 230.56 ± 19.37increased markedly (P<0.01), whereas the grade 0damage, grade 1 damage, the concentrations of PGE2 and PGI2(pg/ mg tissue), the ratio of PGI2/ TXA2 and the activity of SOD (U/ g tissue) of corpus which were respectively 3.01 _- 1.01, 8.35 + 1.95, 540.48 _+ 182.78,714.38 ± 123.74, 17.38 ± 5.93 and 134.29 ± 13.35 were markedly lower than those of antrum which were respectively 13.92 ± 2.25, 26.78 ± 6.06, 2218.56 ± 433.12,2531.76 ± 492.35, 43.46 ± 8.51 and 187.45 ± 17.67( P<0.01 ) after hemorrhagic shock and reperfusion. After intravenous EFRRS, the growth rates (%) of grade 0damage, grade 1 damage, the concentrations of PGE2 and PGI2, the ratio of PGI2/TXA2 and the activity of SOD of corpus which were respectively 632.56, 308.62, 40.75,74.75, 92.29 and 122.25 were higher than those in antrum which were respectively 104,89, 58.40, 11.12, 56.58,30.65 and

  16. Severe traumatic hemorrhagic shock induces compromised immune barrier function of the mesenteric lymph node leading to an increase in intestinal bacterial translocation.

    Science.gov (United States)

    Zhang, Jian; Zhang, Yun; Xu, Tao; Pan, Sheng-Jing; Nie, Gang; Miao, Xiao-Yan; Qiu, Jun-Yu; Yu, Wen-Qiao; Zhang, Shao-Yang; Liang, Ting-Bo

    2017-01-01

    Critically ill patients have increased susceptibility to translocation of gut bacteria. However, the mechanisms are complicated and remain unclear, and the aim of this study was to explore these mechanisms. Rats exposed to different levels of shock were orally administrated with bioluminescent Citrobacter. We found that severe shock caused an increase in bacterial translocation to the visceral organs, such as liver, spleen and blood, compared with mild shock. Surprisingly, bacterial translocation to mesenteric lymph node (MLN) was unchanged between the two shock groups. Various methods, including flow cytometry, a co-culture model and western blots, were used to evaluate MLN-associated immune function. Specifically, we focused on mesenteric lymph node dendritic cells (MLN-DCs), the critical antigen presenting cells involved in the construction of the immune barrier in MLN. We also found that severe shock impaired the phenotypic maturation of MLN-DCs and induced a tolerogenic phenotype. Furthermore, co-culture assays of DCs with naive CD4(+) T cells showed that DCs subject to severe shock were more inclined to polarize native CD4(+) T cells into Th2 and Treg cells. This study successfully reproduced the clinical phenomenon of severe shock resulting in increased bacterial translocation to extraintestinal tissues, and this may be related to the compromised immune barrier function of MLN, as maturation and function of MLN-DC's were badly impaired.

  17. Modeling of Shock Propagation and Attenuation in Viscoelastic Components

    Directory of Open Access Journals (Sweden)

    R. Rusovici

    2001-01-01

    Full Text Available Protection from the potentially damaging effects of shock loading is a common design requirement for diverse mechanical structures ranging from shock accelerometers to spacecraft. High damping viscoelastic materials are employed in the design of geometrically complex, impact-absorbent components. Since shock transients are characterized by a broad frequency spectrum, it is imperative to properly model frequency dependence of material behavior over a wide frequency range. The Anelastic Displacement Fields (ADF method is employed herein to model frequency-dependence within a time-domain finite element framework. Axisymmetric, ADF finite elements are developed and then used to model shock propagation and absorption through viscoelastic structures. The model predictions are verified against longitudinal wave propagation experimental data and theory.

  18. Protective effects of batimastat against hemorrhagic injuries in delayed jellyfish envenomation syndrome models.

    Science.gov (United States)

    Wang, Beilei; Liu, Dan; Liu, Guoyan; Zhang, Xin; Wang, Qianqian; Zheng, Jiemin; Zhou, Yonghong; He, Qian; Zhang, Liming

    2015-12-15

    Previously, we established delayed jellyfish envenomation syndrome (DJES) models and proposed that the hemorrhagic toxins in jellyfish tentacle extracts (TE) play a significant role in the liver and kidney injuries of the experimental model. Further, we also demonstrated that metalloproteinases are the central toxic components of the jellyfish Cyanea capillata (C. capillata), which may be responsible for the hemorrhagic effects. Thus, metalloproteinase inhibitors appear to be a promising therapeutic alternative for the treatment of hemorrhagic injuries in DJES. In this study, we examined the metalloproteinase activity of TE from the jellyfish C. capillata using zymography analyses. Our results confirmed that TE possessed a metalloproteinase activity, which was also sensitive to heat. Then, we tested the effect of metalloproteinase inhibitor batimastat (BB-94) on TE-induced hemorrhagic injuries in DJES models. Firstly, using SR-based X-ray microangiography, we found that BB-94 significantly improved TE-induced hepatic and renal microvasculature alterations in DJES mouse model. Secondly, under synchrotron radiation micro-computed tomography (SR-μCT), we also confirmed that BB-94 reduced TE-induced hepatic and renal microvasculature changes in DJES rat model. In addition, being consistent with the imaging results, histopathological and terminal deoxynucleotidyl transferase-mediated UTP end labeling (TUNEL)-like staining observations also clearly corroborated this hypothesis, as BB-94 was highly effective in neutralizing TE-induced extensive hemorrhage and necrosis in DJES rat model. Although it may require further clinical studies in the near future, the current study opens up the possibilities for the use of the metalloproteinase inhibitor, BB-94, in the treatment of multiple organ hemorrhagic injuries in DJES.

  19. Early Treatment in Shock. Addendum

    Science.gov (United States)

    2012-08-01

    An-1 gele , Chaudry, and co-workers. 6-10 They used the rat model, bleeding to 40 mm Hg in 2 a modified Wiggers preparation, and resuscitation...Bittmann I, Messmer K, Jauch KW, An-18 gele , MK. Recipient treatment with L-arginine attenuates donor lung injury associated 19 with hemorrhagic shock

  20. Therapeutic effect of the YH6 phage in a murine hemorrhagic pneumonia model.

    Science.gov (United States)

    Yang, Mei; Du, Chongtao; Gong, Pengjuan; Xia, Feifei; Sun, Changjiang; Feng, Xin; Lei, Liancheng; Song, Jun; Zhang, Lei; Wang, Bin; Xiao, Feng; Yan, Xinwu; Cui, Ziyin; Li, Xinwei; Gu, Jingmin; Han, Wenyu

    2015-10-01

    The treatment, in farmed mink, of hemorrhagic pneumonia caused by multidrug-resistant Pseudomonas aeruginosa strains has become increasingly difficult. This study investigated the potential use of phages as a therapy against hemorrhagic pneumonia caused by P. aeruginosa in a murine hemorrhagic pneumonia model. An N4-like phage designated YH6 was isolated using P. aeruginosa strain D9. YH6 is a virulent phage with efficient and broad host lytic activity against P. aeruginosa. No bacterial virulence- or lysogenesis-related ORF is present in the YH6 genome, making it eligible for use in phage therapy. In our murine experiments, a single intranasal administration of YH6 (2 × 10(7) PFU) 2 h after D9 intranasal injections at double minimum lethal dose was sufficient to protect mice against hemorrhagic pneumonia. The bacterial load in the lungs of YH6-protected mice was less than 10(3) CFU/g within 24 h after challenge and ultimately became undetectable, whereas the amount of bacteria in the lung tissue derived from unprotected mice was more than 10(8) CFU/g within 24 h after challenge. In view of its protective efficacy in this murine hemorrhagic pneumonia model, YH6 may serve as an alternative treatment strategy for infections caused by multidrug-resistant P. aeruginosa.

  1. Shock Acceleration Model for the Toothbrush Radio Relic

    Science.gov (United States)

    Kang, Hyesung; Ryu, Dongsu; Jones, T. W.

    2017-05-01

    Although many of the observed properties of giant radio relics detected in the outskirts of galaxy clusters can be explained by relativistic electrons accelerated at merger-driven shocks, significant puzzles remain. In the case of the so-called Toothbrush relic, the shock Mach number estimated from X-ray observations ({M}{{X}}≈ 1.2{--}1.5) is substantially weaker than that inferred from the radio spectral index ({M}{rad}≈ 2.8). Toward understanding such a discrepancy, we here consider the following diffusive shock acceleration (DSA) models: (1) weak-shock models with {M}{{s}}≲ 2 and a preexisting population of cosmic-ray electrons (CRe) with a flat energy spectrum, and (2) strong-shock models with {M}{{s}}≈ 3 and either shock-generated suprathermal electrons or preexisting fossil CRe. We calculate the synchrotron emission from the accelerated CRe, following the time evolution of the electron DSA, and the subsequent radiative cooling and postshock turbulent acceleration (TA). We find that both models could reproduce reasonably well the observed integrated radio spectrum of the Toothbrush relic, but the observed broad transverse profile requires the stochastic acceleration by downstream turbulence, which we label “turbulent acceleration” or TA to distinguish it from DSA. Moreover, to account for the almost uniform radio spectral index profile along the length of the relic, the weak-shock models require a preshock region over 400 kpc with a uniform population of preexisting CRe with a high cutoff energy (≳ 40 {GeV}). Due to the short cooling time, it is challenging to explain the origin of such energetic electrons. Therefore, we suggest the strong-shock models with low-energy seed CRe (≲ 150 {MeV}) are preferred for the radio observations of this relic.

  2. Alpha tryptase allele of Tryptase 1 (TPSAB1) gene associated with Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS) in Vietnam and Philippines.

    Science.gov (United States)

    Velasquez, Clara Vasquez; Roman, Arthur Dessi; Lan, Nguyen Thi Phuong; Huy, Nguyen Tien; Mercado, Edelwisa Segubre; Espino, Fe Esperanza; Perez, Ma Lucila M; Huong, Vu Thi Que; Thuy, Tran Thi; Tham, Vo Dinh; Nga, Cao Thi Phi; Ha, Tran Thi Ngoc; Bilar, Josie M; Bajaro, Jemimah Dawn P; Baello, Benilda Q; Kikuchi, Mihoko; Yasunami, Michio; Morita, Kouichi; Watanabe, Naohiro; Karbwang, Juntra; Hirayama, Kenji

    2015-05-01

    We previously reported, significantly higher levels of Chymase and Tryptase in early stage plasma of DSS patients prior to the occurrence of shock suggesting a possible role of mast cells in dengue pathogenesis. To further investigate, we analyzed CMA1 promoter SNP (rs1800875) and TPSAB1 gene alleles, which encode the Human Chymase and α- and β- tryptase 1 enzymes respectively, for susceptibility to Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS) in patients from hospitals in Vietnam (Ho Chi Minh City and Vinh Long) and the Philippines. While the CMA1 promoter SNP (rs1800875) was not associated with DHF/DSS, the homozygous form of α-tryptase allele was associated with DSS patients in Vinh Long and the Philippines (OR=3.52, pDSS were combined in Vinh Long (OR=1.5, p=0.034) and the Philippines (OR=2.36, p=0.0004); in Ho Chi Minh City when DHF and DSS were combine an association was observed, but it was not statistically significant (OR=1.5, p=0.0505). Therefore, the α-tryptase might have a possible effect on the susceptibility to severe form of Dengue infection.

  3. Computer modeling of test particle acceleration at oblique shocks

    Science.gov (United States)

    Decker, Robert B.

    1988-01-01

    The present evaluation of the basic techniques and illustrative results of charged particle-modeling numerical codes suitable for particle acceleration at oblique, fast-mode collisionless shocks emphasizes the treatment of ions as test particles, calculating particle dynamics through numerical integration along exact phase-space orbits. Attention is given to the acceleration of particles at planar, infinitessimally thin shocks, as well as to plasma simulations in which low-energy ions are injected and accelerated at quasi-perpendicular shocks with internal structure.

  4. On Numerical Considerations for Modeling Reactive Astrophysical Shocks

    CERN Document Server

    Papatheodore, Thomas L

    2013-01-01

    Simulating detonations in astrophysical environments is often complicated by numerical approximations to shock structure. A common prescription to ensure correct detonation speeds and associated quantities is to prohibit burning inside the numerically broadened shock (Fryxell et al. 1989). We have performed a series of simulations to verify the efficacy of this approximation and to understand how resolution and dimensionality might affect its use. Our results show that, in one dimension, prohibiting burning in the shock is important wherever the carbon burning length is not resolved, in keeping with the results of Fryxell et al. (1989). In two dimensions, we find that the prohibition of shock burning effectively inhibits the development of cellular structure for all but the most highly-resolved cases. We discuss the possible impacts this outcome may have on sub-grid models and detonation propagation in models of Type Ia supernovae, including potential impacts on observables.

  5. A Conditional Approach to Panel Data Models with Common Shocks

    Directory of Open Access Journals (Sweden)

    Giovanni Forchini

    2016-01-01

    Full Text Available This paper studies the effects of common shocks on the OLS estimators of the slopes’ parameters in linear panel data models. The shocks are assumed to affect both the errors and some of the explanatory variables. In contrast to existing approaches, which rely on using results on martingale difference sequences, our method relies on conditional strong laws of large numbers and conditional central limit theorems for conditionally-heterogeneous random variables.

  6. Forward modeling of shock-ramped tantalum

    Science.gov (United States)

    Brown, Justin L.; Carpenter, John H.; Seagle, Christopher T.

    2017-01-01

    Dynamic materials experiments on the Z-machine are beginning to reach a regime where traditional analysis techniques break down. Time dependent phenomena such as strength and phase transition kinetics often make the data obtained in these experiments difficult to interpret. We present an inverse analysis methodology to infer the equation of state (EOS) from velocimetry data in these types of experiments, building on recent advances in the propagation of uncertain EOS information through a hydrocode simulation. An example is given for a shock-ramp experiment in which tantalum was shock compressed to 40 GPa followed by a ramp to 80 GPa. The results are found to be consistent with isothermal compression and Hugoniot data in this regime.

  7. 产科出血性休克主要原因及临床处理措施分析%Analysis of main factors and clinical treatment of obstetric hemorrhage shock

    Institute of Scientific and Technical Information of China (English)

    陈文娟

    2015-01-01

    Objective:To investigate the main factors and clinical treatment of obstetric hemorrhage shock.Methods:100 cases of obstetric hemorrhage shock patients were selected from August 2012 to August 2013.We retrospectively analyzed the medical records of them,and we summarized and analysed its causes and clinical treatment.Results:In 100 cases of obstetric hemorrhagic shock patients,the main factors of prenatal bleeding were placenta previa,placental abruption.The main factors of postpartum hemorrhage were the weakness of uterine contraction,placental factors and reproductive tract laceration and so on.100 cases were all successful rescue,in the postpartum hemorrhage patients,2 cases underwent abdominal hysterectomy.Conclusion:In order to do a good job in the prevention of obstetric hemorrhagic shock,and reduce maternal mortality,we should strengthen perinatal health efforts,popularize the standardized diagnosis and treatment of obstetric hemorrhagic shock,improve the treatment level of perinatal health care personnel and obstetric medical staff.The treatment of obstetric hemorrhagic shock requires teamwork,obstetrical medical staff should have excellent professional and technical treatment of obstetric hemorrhagic shock,to form a standardized processes and referral process,to achieve the timely rescue,referral and timely,so that it can further reduce the maternal mortality rate and severe complications caused by obstetric hemorrhage.%目的:探讨产科出血性休克主要原因和临床处理措施.方法:2012年8月-2013年8月收治产科出血性休克患者 100 例,对其病历资料进行回顾性分析,总结分析其原因和临床处理措施.结果:100 例产科出血性休克患者中,产前出血的主要原因为前置胎盘、胎盘早剥.产后出血的主要原因有子宫收缩乏力、胎盘因素以及生殖道裂伤等.100 例患者全部抢救成功,产后出血患者中 2 例进行了经腹子宫全切术.结论:要做好产科出血性休克的

  8. Hypercapnic Acidosis Preserves Gastric Mucosal Microvascular Oxygen Saturation in a Canine Model of Hemorrhage.

    NARCIS (Netherlands)

    Schwartges, Ingo; Picker, Olaf; Beck, Christopher; Scheeren, Thomas W. L.; Schwarte, Lothar A.

    2010-01-01

    The authors aimed to clarify the effects of hypercapnic acidosis and its timing on gastric mucosal oxygenation in a canine model of hemorrhage. This was designed as a prospective, controlled, randomized animal study set in a university research laboratory. Five chronically instrumented dogs were

  9. 失血性休克过程中红细胞携氧-释氧动力学研究%Kinetics of Carrying and Releasing Oxygen of Red Blood Cells in Hemorrhagic Shock

    Institute of Scientific and Technical Information of China (English)

    兰珂; 王翔

    2012-01-01

    This paper focuses on the capacity changes of the red blood cells carrying and releasing oxygen. In order to provide theoretical basis and guidance for the clinical treatment of uncontrolled hemorrhagic shock,we investigated cases in the occurrence of uncontrolled hemorrhagic shock,and also analyzed the mechanism of physiological cause. Twenty healthy SD rats were used to build the hemorrhagic shock model. Red blood cells were collected at the initial step,at blood lose 20%,30%,and 40% to determine the red blood cells capacities of carrying and releasing oxygen. The Hemox-analyzer was used to measure the thermodynamic parameters of the P50,the kinetic parameters of Tc50 and Tr50. The 2,3-DPG,pH value,glucose and lactate dehydrogenase changes were also captured and recorded. With the aggravation of shock,P50 and lactate dehydrogenase are continuously increased,Tr50,pH value and glucose are tended to reduce significantly,and Tc50 does not change significantly. With the increase of blood loss,red blood cell capacity to carry oxygen is stable,and the ability to release oxygen is increased,so that the oxygen consumption cannot be satisfied,which causes organ failure.%失血性休克过程中,红细胞自身代谢与功能的变化会导致红细胞携氧-释氧能力的改变.本文对不同休克程度红细胞携氧-释氧能力的变化进行了监测,探讨失血性休克的危重程度与红细胞携氧-释氧能力之间的相互关系,并进行生理生化指标分析.本文采用健康SD大鼠20只(雌雄各10只),建立失血性休克模型,分别在初始、失血20%、30%和40%时采集红细胞,并利用血氧分析仪测定红细胞携氧-释氧热力学参数P50,效应时间Tc50、Tr50,同时检测了2,3-DPG、pH值、葡萄糖和乳酸脱氢酶的变化.实验结果表明:随着休克程度的加深,P50值不断增大,乳酸脱氢酶增加,而Tr50、pH值、葡萄糖均呈现减小的趋势,Tc50变化不明显;红细胞携氧能力相对稳定,

  10. The Protective Effect of Electroacupuncturing Zusanli Points on Hemorrhagic Shock Rats through Cholinergic Anti-inflammatory Pathway

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    1 IntroductionIn conditions of circulatory shock, systemic inflammatory response (SIRS) plays a funda mental pathogenetic role, with activation of transcription nuclear factors (mainly NF- kB) and markedly increased production of cytokines (mainly TNF-a), which trigger the inflammatory cascade active ation. Recent research have identified a basic neural pathway that reflexively monitors and adjusts such response. It is through the rapid activation (in “real-time”) of efferent vagus nerve fibres(the recently...

  11. Modeling And Forecasting Exchange-Rate Shocks

    OpenAIRE

    Andreou, A. S.; Zombanakis, George A.; Likothanassis, S. D.; Georgakopoulos, E.

    1998-01-01

    This paper considers the extent to which the application of neural networks methodology can be used in order to forecast exchange-rate shocks. Four major foreign currency exchange rates against the Greek Drachma as well as the overnight interest rate in the Greek market are employed in an attempt to predict the extent to which the local currency may be suffering an attack. The forecasting is extended to the estimation of future exchange rates and interest rates. The MLP proved to be highly ...

  12. Barriers and Facilitators to Scaling Up the Non-Pneumatic Anti-Shock Garment for Treating Obstetric Hemorrhage: A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    Keely Jordan

    Full Text Available Obstetric hemorrhage (OH, which includes hemorrhage from multiple etiologies during pregnancy, childbirth, or postpartum, is the leading cause of maternal mortality and accounts for one-quarter of global maternal deaths. The Non-pneumatic Anti-Shock Garment (NASG is a first-aid device for obstetric hemorrhage that can be applied for post-partum/post miscarriage and for ectopic pregnancies to buy time for a woman to reach a health care facility for definitive treatment. Despite successful field trials, and endorsement by safe motherhood organizations and the World Health Organization (WHO, scale-up has been slow in some countries. This qualitative study explores contextual factors affecting uptake.From March 2013 to April 2013, we conducted 13 key informant interviews across four countries with a large burden of maternal mortality that had achieved varying success in scaling up the NASG: Ethiopia, India, Nigeria, and Zimbabwe. These key informants were health providers or program specialists working with the NASG. We applied a health policy analysis framework to organize the results. The framework has five domains: attributes of the intervention, attributes of the implementers, delivery strategy, attributes of the adopting community, the socio-political context, and the research context.The interviews from our study found that relevant facilitators for scale-up are the simplicity of the device, local and international champions, well-developed training sessions, recommendations by WHO and the International Federation of Gynecology and Obstetrics, and dissemination of NASG clinical trial results. Barriers to scaling up the NASG included limited health infrastructure, relatively high upfront cost of the NASG, initial resistance by providers and policy makers, lack of in-country champions or policy makers advocating for NASG implementation, inadequate return and exchange programs, and lack of political will.There was a continuum of uptake ranging in

  13. An external-shock model for GRB afterglow 130427A

    CERN Document Server

    Panaitescu, A; Wozniak, P

    2013-01-01

    The complex multiwavelength emission of GRB afterglow 130427A (monitored in the radio up to 10 days, in the optical and X-ray until 50 days, and at GeV energies until 1 day) can be accounted for by a hybrid reverse-forward shock synchrotron model, with inverse-Compton emerging only above a few GeV. The high ratio of the early optical to late radio flux requires that the ambient medium is a wind and that the forward-shock synchrotron spectrum peaks in the optical at about 10 ks. The latter has two consequences: the wind must be very tenuous and the optical emission before 10 ks must arise from the reverse-shock, as suggested also by the bright optical flash that Raptor has monitored during the prompt emission phase (<100 s). The VLA radio emission is from the reverse-shock, the Swift X-ray emission is mostly from the forward-shock, but the both shocks give comparable contributions to the Fermi GeV emission. The weak wind implies a large blast-wave radius (8 t_{day}^{1/2} pc), which requires a very tenuous c...

  14. Intrastriatal injection of autologous blood or clostridial collagenase as murine models of intracerebral hemorrhage.

    Science.gov (United States)

    Lei, Beilei; Sheng, Huaxin; Wang, Haichen; Lascola, Christopher D; Warner, David S; Laskowitz, Daniel T; James, Michael L

    2014-07-03

    Intracerebral hemorrhage (ICH) is a common form of cerebrovascular disease and is associated with significant morbidity and mortality. Lack of effective treatment and failure of large clinical trials aimed at hemostasis and clot removal demonstrate the need for further mechanism-driven investigation of ICH. This research may be performed through the framework provided by preclinical models. Two murine models in popular use include intrastriatal (basal ganglia) injection of either autologous whole blood or clostridial collagenase. Since, each model represents distinctly different pathophysiological features related to ICH, use of a particular model may be selected based on what aspect of the disease is to be studied. For example, autologous blood injection most accurately represents the brain's response to the presence of intraparenchymal blood, and may most closely replicate lobar hemorrhage. Clostridial collagenase injection most accurately represents the small vessel rupture and hematoma evolution characteristic of deep hemorrhages. Thus, each model results in different hematoma formation, neuroinflammatory response, cerebral edema development, and neurobehavioral outcomes. Robustness of a purported therapeutic intervention can be best assessed using both models. In this protocol, induction of ICH using both models, immediate post-operative demonstration of injury, and early post-operative care techniques are demonstrated. Both models result in reproducible injuries, hematoma volumes, and neurobehavioral deficits. Because of the heterogeneity of human ICH, multiple preclinical models are needed to thoroughly explore pathophysiologic mechanisms and test potential therapeutic strategies.

  15. Modulation of Acetylation: Creating a Pro-survival and Anti-Inflammatory Phenotype in Lethal Hemorrhagic and Septic Shock

    Science.gov (United States)

    2011-01-01

    no. 1-2, pp. 73–76, 1999. [84] H. S. Park , S. G. Cho, C. K. Kim et al., “Heat shock protein Hsp72 is a negative regulator of apoptosis signal...1, pp. 474–481, 2010. [98] A. R. Kochenek, E. Y. Fukudome, J. S. Eleanor et al., “Phar- macological resuscitation attenuates MAP kinase pathway...inhibitors,” Journal of Neurochemistry, vol. 87, no. 2, pp. 407–416, 2003. [131] Y. Choi, S. K. Park , M. K. Hwan et al., “Histone deacetylase inhibitor

  16. A hamster model for Marburg virus infection accurately recapitulates Marburg hemorrhagic fever

    Science.gov (United States)

    Marzi, Andrea; Banadyga, Logan; Haddock, Elaine; Thomas, Tina; Shen, Kui; Horne, Eva J.; Scott, Dana P.; Feldmann, Heinz; Ebihara, Hideki

    2016-01-01

    Marburg virus (MARV), a close relative of Ebola virus, is the causative agent of a severe human disease known as Marburg hemorrhagic fever (MHF). No licensed vaccine or therapeutic exists to treat MHF, and MARV is therefore classified as a Tier 1 select agent and a category A bioterrorism agent. In order to develop countermeasures against this severe disease, animal models that accurately recapitulate human disease are required. Here we describe the development of a novel, uniformly lethal Syrian golden hamster model of MHF using a hamster-adapted MARV variant Angola. Remarkably, this model displayed almost all of the clinical features of MHF seen in humans and non-human primates, including coagulation abnormalities, hemorrhagic manifestations, petechial rash, and a severely dysregulated immune response. This MHF hamster model represents a powerful tool for further dissecting MARV pathogenesis and accelerating the development of effective medical countermeasures against human MHF. PMID:27976688

  17. 大黄附子汤对大鼠失血性休克复苏后肠黏膜屏障的保护作用%Protective effect of Dahuangfuzi decoction on intestinal barrier after hemorrhagic shock in rats

    Institute of Scientific and Technical Information of China (English)

    郭帅; 路晓光; 战丽彬; 范治伟; 宋轶; 吕春雨; 白黎智

    2016-01-01

    Objective To investigate the protective effect of Dahuangfuzi decoction on intestinal epithelial tight junction after hemorrhagic shock.Methods Seventy-two SD rats were allocated to sham operation group,hemorrhagic shock controlgroup,Dahuang Fuzi Decotion group according to random number table,and each group was divided into three subgroups according to the time point of 0,6,1 2 h after HS and resuscitation.The rat model of hemorrhagic shock was induced by using the improved Wiggers method. Model group and Dahuang Fuzi Decotion group were given physiological saline or Dahuang Fuzi Decotion 2ml retention enema after the post-resuscitation.At three time points,the level of intestinal fatty acid binding protein (IFABP)in the serum was tested by ELISA method,and the levels of serum endotoxin (LPS)was detected by dynamic turbidimetric method.The morphological changes of small intestinal mucosa in rats was observed under light microscope,while p-VASP and ZO-1 expression was observed by Western blot and immunohistochemical method.Results Compared with model group,the intestinal blood flow was increased [(1 1 9.28 ±6.50)bpu:(99.99 ±0.81 )bpu,P<0.01 ],serum endotoxin (LPS),fatty acid binding protein (IFABP)content gradually reduced [(21 .23 ±3.33)ng/mL:(27.09 ±3.55)ng/mL,P<0.01;(0.420 ± 0.059)ng/mL:(0.645 ±0.058)ng/mL,P<0.01 ]were reduced,and the intestinal mucosa damage[(1 .78 ±0.24):(3.64 ±0.25),P<0.01 ]was alleviated,p-VASP protein expression [(0.1 06 ±0.030):(0.297 ± 0.045 ),P<0.01 ],ZO-1 expression [(0.82 ±0.047 )ng/mL:(0.61 ±0.041 )ng/mL,P<0.01 ]was up-regulated.Conclusion Dahuangfuzi decoction can significantly protect the intestinal mucosal barrier function by regulating p-VASP,ZO 1 protein expression after hemorrhagic shock and resuscitation.%目的:探讨大黄附子汤对大鼠失血性休克(hemorrhagic shock,HS)复苏后小肠黏膜屏障功能保护作用的机理。方法健康清洁级雄性SD大鼠,72只,随机数字表法分为对

  18. A Manikin Model for Study of Wound Packing Interventions to Control Out-of-hospital Hemorrhage

    Science.gov (United States)

    2014-09-01

    SEP 2014 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE A manikin model for study of wound packing interventions to control...AirWrap. A manikin model for study of wound- packing interventions to control out-of-hospital hemorrhage☆,☆☆,★ To the Editor, With hemorrhage being the...primary cause of mortality on the battlefield [1 3], wound packing practice by US military medics in the wars since September 11, 2001, has changed from

  19. Utilizing multiple scale models to improve predictions of extra-axial hemorrhage in the immature piglet.

    Science.gov (United States)

    Scott, Gregory G; Margulies, Susan S; Coats, Brittany

    2016-10-01

    Traumatic brain injury (TBI) is a leading cause of death and disability in the USA. To help understand and better predict TBI, researchers have developed complex finite element (FE) models of the head which incorporate many biological structures such as scalp, skull, meninges, brain (with gray/white matter differentiation), and vasculature. However, most models drastically simplify the membranes and substructures between the pia and arachnoid membranes. We hypothesize that substructures in the pia-arachnoid complex (PAC) contribute substantially to brain deformation following head rotation, and that when included in FE models accuracy of extra-axial hemorrhage prediction improves. To test these hypotheses, microscale FE models of the PAC were developed to span the variability of PAC substructure anatomy and regional density. The constitutive response of these models were then integrated into an existing macroscale FE model of the immature piglet brain to identify changes in cortical stress distribution and predictions of extra-axial hemorrhage (EAH). Incorporating regional variability of PAC substructures substantially altered the distribution of principal stress on the cortical surface of the brain compared to a uniform representation of the PAC. Simulations of 24 non-impact rapid head rotations in an immature piglet animal model resulted in improved accuracy of EAH prediction (to 94 % sensitivity, 100 % specificity), as well as a high accuracy in regional hemorrhage prediction (to 82-100 % sensitivity, 100 % specificity). We conclude that including a biofidelic PAC substructure variability in FE models of the head is essential for improved predictions of hemorrhage at the brain/skull interface.

  20. Shock Particle Interaction - Fully Resolved Simulations and Modeling

    Science.gov (United States)

    Mehta, Yash; Neal, Chris; Jackson, Thomas L.; Balachandar, S. "Bala"; Thakur, Siddharth

    2016-11-01

    Currently there is a substantial lack of fully resolved data for shock interacting with multiple particles. In this talk we will fill this gap by presenting results of shock interaction with 1-D array and 3-D structured arrays of particles. Objectives of performing fully resolved simulations of shock propagation through packs of multiple particles are twofold, 1) To understand the complicated physical phenomena occurring during shock particle interaction, and 2) To translate the knowledge from microscale simulations in building next generation point-particle models for macroscale simulations that can better predict the motion (forces) and heat transfer for particles. We compare results from multiple particle simulations against the single particle simulations and make relevant observations. The drag history and flow field for multiple particle simulations are markedly different from those of single particle simluations, highlighting the effect of neighboring particles. We propose new models which capture this effect of neighboring particles. These models are called Pair-wise Interaction Extended Point Particle models (PIEP). Effect of multiple neighboring particles is broken down into pair-wise interactions, and these pair-wise interactions are superimposed to get the final model U.S. Department of Energy, National Nuclear Security Administration, Advanced Simulation and Computing Program, as a Cooperative Agreement under the Predictive Science Academic Alliance Program, under Contract No. DE-NA0002378.

  1. Systemic Inflammatory Effects of Traumatic Brain Injury, Femur Fracture, and Shock: An Experimental Murine Polytrauma Model

    Directory of Open Access Journals (Sweden)

    C. Probst

    2012-01-01

    Full Text Available Objective. Despite broad research in neurotrauma and shock, little is known on systemic inflammatory effects of the clinically most relevant combined polytrauma. Experimental investigation in an animal model may provide relevant insight for therapeutic strategies. We describe the effects of a combined injury with respect to lymphocyte population and cytokine activation. Methods. 45 male C57BL/6J mice (mean weight 27 g were anesthetized with ketamine/xylazine. Animals were subjected to a weight drop closed traumatic brain injury (WD-TBI, a femoral fracture and hemorrhagic shock (FX-SH. Animals were subdivided into WD-TBI, FX-SH and combined trauma (CO-TX groups. Subjects were sacrificed at 96 h. Blood was analysed for cytokines and by flow cytometry for lymphocyte populations. Results. Mortality was 8%, 13% and 47% for FX-SH, WD-TBI and CO-TX groups (P<0.05. TNFα (11/13/139 for FX-SH/WD-TBI/CO-TX; P<0.05, CCL2 (78/96/227; P<0.05 and IL-6 (16/48/281; P=0.05 showed significant increases in the CO-TX group. Lymphocyte populations results for FX-SH, WD-TBI and CO-TX were: CD-4 (31/21/22; P= n.s., CD-8 (7/28/34, P<0.05, CD-4-CD-8 (11/12/18; P= n.s., CD-56 (36/7/8; P<0.05. Conclusion. This study shows that a combination of closed TBI and femur-fracture/ shock results in an increase of the humoral inflammation. More attention to combined injury models in inflammation research is indicated.

  2. Reversal of hemorrhagic shock in rats using the metabolically stable thyrotropin-releasing hormone analog taltirelin hydrate.

    Science.gov (United States)

    Asai, Hidetoshi; Watanabe, Yumi; Yamauchi-Kohno, Rikako; Doi, Osamu

    2011-12-01

    We investigated the effect of taltirelin hydrate ((−)-N-[(S)-hexahydro-1-methyl- 2,6-dioxo-4-pyrimidinyl-carbonyl]-L-histidyl-L-prolinamide tetrahydrate; taltirelin), a metabolically stable thyrotropin-releasing hormone (TRH) analog, on circulatory function, respiratory function, and viable time after bleeding in urethane-anesthetized rats. Massive volume-controlled bleeding caused marked reductions in mean arterial pressure (MAP) and respiratory rate (RR). The vital signs of control rats were lost within an average of 23 min after bleeding. Intravenous administration of taltirelin (0.03−0.3 mg/kg) and TRH (1 and 3 mg/kg) immediately after bleeding accelerated recovery of MAP and RR, and prolonged viable time in a dose-dependent manner. The potency of taltirelin in accelerating MAP and RR recovery and prolonging viable time was higher when compared with that of TRH. In addition, recovery of MAP and RR and the extension of viable time by taltirelin were inhibited by preintraperitoneal administration of atropine sulfate, which is a centrally acting muscarinic antagonist, but not by that of atropine methylbromide, which is a peripherally acting muscarinic antagonist. Taltirelin also recovered decreased arterial pH, bicarbonate ions, and base excess, and prevented a decrease in arterial oxygen saturation. In conclusion, the anti-shock effect of taltirelin was more potent than that of TRH. Taltirelin activity was mediated by the central muscarinic cholinergic system. In addition, taltirelin also corrected metabolic acidosis. These results suggest that taltirelin could be useful in the treatment of hypovolemic shock.

  3. Improving Microcirculation with Therapeutic Intrathoracic Pressure Regulation in a Porcine Model of Hemorrhage

    Science.gov (United States)

    2011-01-01

    USA). The animals were intubated with a 7.5 mm cuffed French endotracheal tube inflated to prevent air leaks and anesthetized with isoflurane and...BS, Yannopoulos D, Sigurdsson G, et al. Spontaneous breathing through an inspiratory impedance threshold device augments cardiac index and stroke...volume index in a pediatric porcine model of hemorrhagic hypovolemia. Crit Care Med 2004;32:S398–405. 20. Pepe PE, Lurie KG, Wigginton JG, Raedler C, Idris

  4. Modeling non-thermal emission from stellar bow shocks

    CERN Document Server

    Pereira, V; Miceli, M; Bonito, R; de Castro, E

    2016-01-01

    Runaway O- and early B-type stars passing throughout the interstellar medium at supersonic velocities and characterized by strong stellar winds may produce bow shocks that can serve as particle acceleration sites. Previous theoretical models predict the production of high energy photons by non-thermal radiative processes, but their efficiency is still debated. We aim to test and explain the possibility of emission from the bow shocks formed by runaway stars traveling through the interstellar medium by using previous theoretical models. We apply our model to AE Aurigae, the first reported star with an X-ray detected bow shock, to BD+43 3654, in which the observations failed in detecting high energy emission, and to the transition phase of a supergiant star in the late stages of its life.From our analysis, we confirm that the X-ray emission from the bow shock produced by AE Aurigae can be explained by inverse Compton processes involving the infrared photons of the heated dust. We also predict low high energy fl...

  5. Comparison of CME/shock propagation models with heliospheric imaging and in situ observations

    CERN Document Server

    Zhao, Xinhua; Inhester, Bernd; Feng, Xueshang; Wiegelmann, Thomas; Lu, Lei

    2016-01-01

    The prediction of the arrival time for fast coronal mass ejections (CMEs) and their associated shocks is highly desirable in space weather studies. In this paper, we use two shock propagation models, i.e. Data Guided Shock Time Of Arrival (DGSTOA) and Data Guided Shock Propagation Model (DGSPM), to predict the kinematical evolution of interplanetary shocks associated with fast CMEs. DGSTOA is based on the similarity theory of shock waves in the solar wind reference frame, and DGSPM on the non-similarity theory in the stationary reference frame. The inputs are the kinematics of the CME front at the maximum speed moment obtained from the geometric triangulation method applied to STEREO imaging observations together with the Harmonic Mean approximation. The outputs provide the subsequent propagation of the associated shock. We apply these models to the CMEs on 2012 January 19, January 23, and March 7. We find that the shock models predict reasonably well the shock's propagation after the impulsive acceleration. ...

  6. Surface Ship Shock Modeling and Simulation: Two-Dimensional Analysis

    Directory of Open Access Journals (Sweden)

    Young S. Shin

    1998-01-01

    Full Text Available The modeling and simulation of the response of a surface ship system to underwater explosion requires an understanding of many different subject areas. These include the process of underwater explosion events, shock wave propagation, explosion gas bubble behavior and bubble-pulse loading, bulk and local cavitation, free surface effect, fluid-structure interaction, and structural dynamics. This paper investigates the effects of fluid-structure interaction and cavitation on the response of a surface ship using USA-NASTRAN-CFA code. First, the one-dimensional Bleich-Sandler model is used to validate the approach, and second, the underwater shock response of a two-dimensional mid-section model of a surface ship is predicted with a surrounding fluid model using a constitutive equation of a bilinear fluid which does not allow transmission of negative pressures.

  7. Initial Conditions and Modeling for Shock Driven Turbulence

    Science.gov (United States)

    Grinstein, Fernando

    2016-11-01

    We focus on the simulation of shock-driven material mixing driven by flow instabilities and initial conditions. Beyond complex multi-scale resolution of shocks and variable density turbulence, me must address the equally difficult problem of predicting flow transition promoted by energy deposited at the material interfacial layer during the shock interface interactions. Transition involves unsteady large-scale coherent-structure dynamics which can be captured by LES, but not by URANS based on equilibrium turbulence assumptions and single-point-closure modeling. Such URANS is frequently preferred on the engineering end of computation capabilities for full-scale configurations - and with reduced 1D/2D dimensionality being also a common aspect. With suitable initialization around each transition - e.g., reshock, URANS can be used to simulate the subsequent near-equilibrium weakly turbulent flow. We demonstrate 3D state-of-the-art URANS performance in one such flow regime. We simulate the CEA planar shock-tube experiments by Poggi et al. (1998) with an ILES strategy. Laboratory turbulence and mixing data are used to benchmark ILES. In turn, the ILES generated data is used to initialize and as reference to assess state-of-the-art 3D URANS. We find that by prescribing physics-based 3D initial conditions and allowing for 3D flow convection with just enough resolution, the additionally computed dissipation in 3D URANS effectively blends with the modeled dissipation to yield significantly improved statistical predictions.

  8. Oil shocks in New Keynesian models: Positive and normative implications

    Science.gov (United States)

    Chang, Jian

    Chapter 1 investigates optimal monetary policy response towards oil shocks in a New Keynesian model. We find that optimal policy, in general, becomes contractionary in response to an adverse oil shock. However, the optimal policy rule and the inflation-output trade-off depend on the specific structure of the model. The benchmark economy consists of a flexible-price energy sector and a sticky-price manufacturing sector where energy is used as an intermediate input. We show that optimal policy is to stabilize the sticky (core) price level. We then show that after incorporating a less oil-dependent sticky-price service sector, the model exhibits a trade-off in stabilizing prices and output gaps in the different sticky-price sectors. It predicts that central bank should not try to stabilize the core price level, and the economy will experience higher inflation and rising output gaps, even if central banks respond optimally. Chapter 2 addresses the observed volatility and persistence of real exchange rates and the terms of trade. It contributes to the literature with a quantitative study on the U.S. and Canada. A two-country New Keynesian model consisting of traded, non-traded, and oil production sectors is proposed to examine the time series properties of the real exchange rate, the terms of trade and the real oil price. We find that after incorporating several realistic features (namely oil price shocks, sector specific labor, non-traded goods, asymmetric pricing decisions of exporters and asymmetric consumer preferences over tradables), the benchmark model broadly matches the volatilities of the relative prices and some business cycle correlations. The model matches the data more closely after adding real demand shocks, suggesting their importance in explaining the relative price movements between the US and Canada. Chapter 3 explores several sources and transmission channels of international relative price movements. In particular, we elaborate on the role of

  9. THE EXPERIMENTAL STUDY ON THE CELL APOPTOSIS AND EXPRESSION OF BCL-2 PROTEIN IN INTRACEREBRAL HEMORRHAGE IN MODEL OF RATS

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Intra-cerebral hemorrhage is a common clinicaldisease,with a high mortality and morbidity.So itis one of the clinical hot topics.It has been foundinrecent years that there is a close relationship bet weenthe cell apoptosis and the course or prognosis of in-tra-cerebral hemorrhage.Bcl-2,as the apoptosis-adjusted gene,plays ani mportant role in the courseof cell apoptosis,but the mechanis min the cell ap-optosis in intra-cerebral hemorrhage remains un-clear.In this experi ment,with the model buildingof the in...

  10. Experimental Septic Shock: Models and Mechanisms

    Science.gov (United States)

    1976-06-14

    abnormally affected, although respiratory alkalosis and metabolic acidosis were regularly observed in both models. Significant differences in responses I...affected, although respiratory alkalosis and metabolic acidosis were regularly observed in both models. Significant differences in responses between...evidence of respiratory depression although data indicate the presence of metabolic acidosis . Lowered pCO2 in baboons given live E. coli organisms was

  11. Modeling of PZT Ferroelectric Ceramic Depolarization Driven by Shock Stress

    Institute of Scientific and Technical Information of China (English)

    LAN Chao-Hui; PENG Yu-Fei; LONG Ji-Dong; WANG Qiang; WANG Wen-Dou

    2011-01-01

    @@ Shock-induced phase transition of ferroelectric ceramic PZT 95/5 causes elastic stiffening and depolarization,releasing stored electrostatic energy into the load circuit.We develop a model to describe the response of the PZT ferroelectric ceramic and implement it into simulation codes.The model is based on the phenomenological theory of phase transition dyynamics and takes into account the effects of the self-generated intensive electrical field and stress.Connected with the discharge model and external circuit, the whole transient process of PZT ceramic depoling can be investigated.The results show the finite transition velocity of the ferroelectric phase and the double wave structure caused by phase transition.Simulated currents are compared with the results from experiments with shock pressures varying from 0.4 to 2.8GPa.

  12. Expression changes of HSP90α in cardiac muscles in rats with severs hemorrhagic shock by the treatment of different resuscitating fluid%复苏液体对重度失血性休克大鼠心肌热休克蛋白90α表达的影响

    Institute of Scientific and Technical Information of China (English)

    杨晓鲲; 徐明元; 徐贵森

    2013-01-01

    目的:用不同种类液体对重度失血性休克大鼠进行复苏后,对比大鼠心肌组织中热休克蛋白(HSP)90α的表达、变化规律及大鼠生存率,为临床治疗失血性休克选择复苏液体提供参考。方法建立失血性休克大鼠模型,分别运用乳酸林格液、聚明胶肽注射液、高渗氯化钠右旋糖酐进行液体复苏,测定大鼠心肌组织中HSP90α蛋白的表达及大鼠死亡率。结果重度失血性休克后运用不同种类液体进行复苏,大鼠心肌组织HSP90α表达、大鼠死亡率差异有统计学意义(P<0.05)。结论重度失血性休克可以诱导大鼠心肌组织中HSP90α的表达,当用不同液体进行复苏后各组HSP90α的表达不同且具有一定的规律性,提示HSP90α作为一个重要的调控分子参与失血性休克后心肌组织的保护机制。%Objective To explore the expression changes of HSP90αin cardiac muscles and survival rates in rats by using the different fluids to resuscitate the severs hemorrhagic shocked rats ,and provide reference for the clinical treatment of hemorrhagic shock with different resuscitation fluids .Methods Uncontrolled hemorrhagic shock rats model was established ,using lactic acid salinger liquid ,poly peptide injection gelatin ,hypertonic sodium chloride dextran for fluid resuscitation respectively ,and then checked the HSP90αexpression changes and survival rates in rats .Results the expressions of HSP90αin myocardial tissue and the mortality in rats were different after using different resuscitation fluids in severe hemorrhagic shock rats ,difference was statistically significant(P<0 .05) .Conclusion the expression of HSP90α in cardiac muscles of rats could be induced by severe hemorrhagic shock ,the HSP90αexpressed differently and regularly after using different resuscitating fluids ,it implied that the HSP90α played an important role in the hemorrhagic rats cardiac as a regulating fator .

  13. Numerical Modeling of Dual-Pulse Shock Test Machine for Simulating Underwater Explosion Shock Loads on Warship Equipments

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zhi-yi; WANG Gong-xian; WANG Yu

    2009-01-01

    In order to qualify shock resistance performance of shipboard equipments and simulate real underwater explosion environment, a novel dual-puise shock test machine is proposed. The new machine will increase testing capability and meet special shock testing requirement. Two key parts of the machine, the velocity generator and the shock pulse regulator, play an important role in producing the positive acceleration pulse and the succeeding negative acceleration pulse, respectively. The generated dual-pulse shock for test articles is in conformity with an anti-shock test specification. Based on the impact theory, a nonlinear dynamic model of the hydraulically-actuated test machine is established with thorough analysis on its mechanism that involves conversion of gas potential energy and dissipation of kinetic energy. Simulation results have demonstrated that the proposed machine is able to produce a double-pulse acceleration shock in the time domain or a desired shock response spectrum in the frequency domain, which sets up a base for the construction of the machine.

  14. Treatment model of dengue hemorrhagic fever infection in human body

    Science.gov (United States)

    Handayani, D.; Nuraini, N.; Primasari, N.; Wijaya, K. P.

    2014-03-01

    The treatment model of DHF presented in this paper involves the dynamic of five time-dependent compartments, i.e. susceptible, infected, free virus particle, immune cell, and haematocrit level. The treatment model is investigated based on normalization of haematocrit level, which is expressed as intravenous fluid infusion control. We analyze the stability of the disease free equilibrium and the endemic equilibrium. The numerical simulations will explain the dynamic of each compartment in human body. These results show particularly that infected compartment and free virus particle compartment are tend to be vanished in two weeks after the onset of dengue virus. However, these simulation results also show that without the treatment, the haematocrit level will decrease even though not up to the normal level. Therefore the effective haematocrit normalization should be done with the treatment control.

  15. Valproic acid attenuates the multiple-organ dysfunction in a rat model of septic shock

    Institute of Scientific and Technical Information of China (English)

    SHANG You; JIANG Yuan-xu; Ding Ze-jun; Shen Ai-ling; XU San-peng; YUAN Shi-ying; YAO Shang-long

    2010-01-01

    Background Valproic acid (VPA) improves early survival and organ function in a highly lethal poly-trauma and hemorrhagic shock model or other severe insults. We assessed whether VPA could improve organ function in a rat model of septic shock and illustrated the possible mechanisms.Methods Forty Sprague-Dawley rats were randomly assigned to four groups (n=10): control group, VPA group, LPS group, and LPS+VPA group. Lipopolysaccharide (LPS) (10 mg/kg) was injected intravenously to replicate the experimental model of septic shock. Rats were treated with VPA (300 mg/kg, i.v.) or saline. Six hours after LPS injection,blood was sampled for gas analysis, measurement of serum alanine aminotransferase, aspartate aminotransferase,urine nitrogen, creatinine and tumor necrosis factor-alpha. Lung, liver and kidney were collected for histopathological assessment. In addition, myeloperoxidase activity and tumor necrosis factor-α in pulmonary tissue were measured.Acetylation of histone H3 in lung was also evaluated by Western blotting.Results LPS resulted in a significant decrease in PaO2, which was increased by VPA administration followed LPS injection. In addition, LPS also induced an increase in the serum levels of alanine aminotransferase, aspartate aminotransferase, urine nitrogen, creatinine, and tumor necrosis factor-alpha. However, these increases were attenuated in the LPS+VPA group. The lungs, liver and kidneys from the LPS group were significantly damaged compared with the control group. However, the damage was attenuated in the LPS+VPA group. Myeloperoxidase activity and tumor necrosis factor-alpha levels in pulmonary tissue increased significantly in the LPS group compared with the control group. These increases were significantly inhibited in the LPS+VPA group. Acetylation of histone H3 in lung tissue in the LPS group was inhibited compared with the control. However, the level of acetylation of histone H3 in the LPS+VPA group was markedly elevated in contrast to the

  16. 3D numerical modeling of YSO accretion shocks

    Directory of Open Access Journals (Sweden)

    Matsakos T.

    2014-01-01

    Full Text Available The dynamics of YSO accretion shocks is determined by radiative processes as well as the strength and structure of the magnetic field. A quasi-periodic emission signature is theoretically expected to be observed, but observations do not confirm any such pattern. In this work, we assume a uniform background field, in the regime of optically thin energy losses, and we study the multi-dimensional shock evolution in the presence of perturbations, i.e. clumps in the stream and an acoustic energy flux flowing at the base of the chromosphere. We perform 3D MHD simulations using the PLUTO code, modelling locally the impact of the infalling gas onto the chromosphere. We find that the structure and dynamics of the post-shock region is strongly dependent on the plasma-beta (thermal over magnetic pressure, different values of which may give distinguishable emission signatures, relevant for observations. In particular, a strong magnetic field effectively confines the plasma inside its flux tubes and leads to the formation of quasi-independent fibrils. The fibrils may oscillate out of phase and hence the sum of their contributions in the emission results in a smooth overall profile. On the contrary, a weak magnetic field is not found to have any significant effect on the shocked plasma and the turbulent hot slab that forms is found to retain its periodic signature.

  17. Web software reliability modeling with random impulsive shocks

    Institute of Scientific and Technical Information of China (English)

    Jianfeng Yang; Ming Zhao; Wensheng Hu

    2014-01-01

    As the web-server based business is rapidly developed and popularized, how to evaluate and improve the reliability of web-servers has been extremely important. Although a large num-ber of software reliability growth models (SRGMs), including those combined with multiple change-points (CPs), have been available, these conventional SRGMs cannot be directly applied to web soft-ware reliability analysis because of the complex web operational profile. To characterize the web operational profile precisely, it should be realized that the workload of a web server is normal y non-homogeneous and often observed with the pattern of random impulsive shocks. A web software reliability model with random im-pulsive shocks and its statistical analysis method are developed. In the proposed model, the web server workload is characterized by a geometric Brownian motion process. Based on a real data set from IIS server logs of ICRMS website (www.icrms.cn), the proposed model is demonstrated to be powerful for estimating impulsive shocks and web software reliability.

  18. Visualizing a Dusty Plasma Shock Wave via Interacting Multiple-Model Mode Probabilities

    OpenAIRE

    Oxtoby, Neil P.; Ralph, Jason F.; Durniak, Céline; Samsonov, Dmitry

    2011-01-01

    Particles in a dusty plasma crystal disturbed by a shock wave are tracked using a three-mode interacting multiple model approach. Color-coded mode probabilities are used to visualize the shock wave propagation through the crystal.

  19. Monetary Shocks in a Model with Loss of Skills

    OpenAIRE

    Esteban-Pretel; Elisa, Faraglia

    2005-01-01

    Unemployment shows persistent and long lasting responses to nominal and real shocks. Standard real business cycle models with search frictions but homogeneous labor force are able to generate some persistence, but not enough to match the empirical evidence. Moreover, empirical studies emphasize the importance of the heterogeneity of the unemployment pool to fully understand unemployment dynamics. In particular, in most European countries the incidence of long term unemployment is big and well...

  20. Comparisons of Air Radiation Model with Shock Tube Measurements

    Science.gov (United States)

    Bose, Deepak; McCorkle, Evan; Bogdanoff, David W.; Allen, Gary A., Jr.

    2009-01-01

    This paper presents an assessment of the predictive capability of shock layer radiation model appropriate for NASA s Orion Crew Exploration Vehicle lunar return entry. A detailed set of spectrally resolved radiation intensity comparisons are made with recently conducted tests in the Electric Arc Shock Tube (EAST) facility at NASA Ames Research Center. The spectral range spanned from vacuum ultraviolet wavelength of 115 nm to infrared wavelength of 1400 nm. The analysis is done for 9.5-10.5 km/s shock passing through room temperature synthetic air at 0.2, 0.3 and 0.7 Torr. The comparisons between model and measurements show discrepancies in the level of background continuum radiation and intensities of atomic lines. Impurities in the EAST facility in the form of carbon bearing species are also modeled to estimate the level of contaminants and their impact on the comparisons. The discrepancies, although large is some cases, exhibit order and consistency. A set of tests and analyses improvements are proposed as forward work plan in order to confirm or reject various proposed reasons for the observed discrepancies.

  1. Experimental study on the immunomodulating effects of Shengmai Injection in severe trauma rats with hemorrhagic shock%生脉注射液对创伤失血性休克大鼠免疫功能的影响

    Institute of Scientific and Technical Information of China (English)

    刘星; 王毅鑫; 苏文利

    2012-01-01

    Objective To study the inference on the of Shengmai Injection in T lymphocytes of severe trauma rats with hemorrhagic shock, in order to provide the experiment evidence for immune dysfunction mechanism after using Shengmai Injection. Methods Animal models of severe trauma hemorrhage shock by bloodletting add cutting of femur were mode. In view of the paradox in immune function after severe trauma hemorrhage shock, 30 SD (Sprague-Dawley) rats were divided into normal control group (group A), hemorrhagic shock group (group B) and Shengmai Injection treatment group (group C), each group had 10 rats. Rats of 3 groups were killed after operation in 3 days. The blood routine of rats were detected by automatic blood biochemistry analyzer, T lymphocytes and the content of CD3+, CD4+, CD8+ were detected by flow cytome-try. Results Three day after injury, group B compared with group A, rat's WBC and neutrophils obviously rised [(8.890 ± 0.387) ×107L vs (4.230±0.856) ×109L, P = 0], [(26.15±2.97)% vs (16.00±4.53)%, P = 0], lympholeukocyte obviously decreased [(68.57±5.23)% vs (76.617±4.9)%, P = 0.001]. After treatment of Shengmai Injection, the rat's WBC and neutrophils obviously decreased [(6.29±0.758) ×107L vs (8.89±0.387) ×107L, P = 0] [(20.29±3.09)% vs (68.57±5.23)%, P = 0.001], in the same time, lympholeukocyte obviously rised [(74.85 ±4.12)% vs (76.617±4.9)%,P=0.007]. After hemorrhagic shock, group B compared with group A, lympholeukocyte of CD3+, CD4+ antigen presentation expression obviously decreased [CD3+: (31.17±4.00) vs (41.97±2.50), P = 0; CD4+: (10.49±1.42) vs (15.51+3.48), P = 0.003], CD4VCD8+ has decreased [(0.97±0.09) vs (1.19±0.07), P = 0), CD8+ has no change [(17.75±5.94) vs (17.34±3.77), P = 0.997]. After Shengmai Injection, the CD3+, CD4+ antigen presentation expression obviously increased [CD3+: (36.64±5.73) vs (31.17±4.00), P = 0.001; CD4+: (10.49±1.42) vs (13.94±2.02), P = 0.008), CD4+/CD8+ has rised [(1.12±0.03) vs (0.97±0

  2. LOW AMPLITUDE SINGLE AND MULTIPLE SHOCK INITIATION EXPERIMENTS AND MODELING OF LX-04

    Energy Technology Data Exchange (ETDEWEB)

    Vandersall, K S; Tarver, C M; Garcia, F; Chidester, S; Urtiew, P A; Forbes, J W

    2006-06-27

    Shock initiation experiments were performed on the plastic bonded explosive (PBX) LX-04 (85% HMX, 15% Viton binder) using single and multiple low amplitude shocks to obtain pressure history data for use in Ignition and Growth reactive flow modeling parameterization. A 100 mm diameter propellant driven gas gun was utilized to initiate the LX-04 explosive charges containing manganin piezoresistive pressure gauge packages placed between explosive discs. In the single shock experiments, the run distances to detonation at three shock pressures showed agreement with previously published data above 3 GPa. Even longer run distances to detonation were measured using 80 mm long by 145 mm diameter LX-04 charges impacted by low velocity projectiles from a 155 mm diameter gun. The minimum shock pressure required to cause low levels of exothermic reaction were determined for these large LX-04 charge dimensions. Multiple shocks were generated as double shocks by using a flyer plate with two materials and as reflected shocks by placing a high impedance material at the rear of the explosive charge. In both cases, the first shock pressure was not high enough to cause detonation of LX-04, and the second shock pressure, which would have been sufficient to cause detonation if generated by a single shock, failed to cause detonation. Thus LX-04 exhibited shock desensitization over a range of 0.6 to 1.4 GPa. The higher shock pressure LX-04 model was extended to accurately simulate these lower pressure and multiple shock gauge records. The shock desensitization effects observed with multiple shock compressions were partially accounted for in the model by using a critical compression corresponding to a shock pressure of 1.2 GPa. This shock desensitization effect occurs at higher pressures than those of other HMX-based PBX's containing higher HMX percentages.

  3. Laser shock experiments to investigate and to model various aspects of the response of metals to shock loading

    Directory of Open Access Journals (Sweden)

    Berthe L.

    2011-01-01

    Full Text Available Laser driven shocks allow studying the dynamic behaviour of condensed matter over small spatial (∼μm to mm-order and temporal (∼ps to ns-order scales, at extremely high strain rates (∼107 s−1. They can be used to test the predictive capability of constitutive models over wide ranges of loading pressures and pulse durations. We present experimental results in laser shock-loaded metals (iron, gold, tin, based on various, complementary techniques including time-resolved velocity measurements, transverse shadowgraphy and post-shock analyses of recovered samples. The data are used to investigate several shock wave processes such as yielding and polymorphic transformations, melting, spall fracture and dynamic fragmentation in both solid and melted states. On the basis of comparisons with numerical simulations, the abilities and limitations of several models are briefly discussed.

  4. Simple mixing model for pressurized thermal shock applications

    Energy Technology Data Exchange (ETDEWEB)

    Chexal, B.; Chao, J.; Nickell, R.; Griesbach, T. (Electric Power Research Inst., Palo Alto, CA (USA))

    1983-02-01

    The phenomenon of fluid/thermal mixing in the cold leg and downcomer of a Pressurized Water Reactor (PWR) has been a critical issue related to the concern of pressurized thermal shock. The question of imperfect mixing arises when the possibility of cold emergency core cooling water contacting the vessel wall during an overcooling transient could produce thermal stresses large enough to initiate a flaw in a radiation embrittled vessel wall. The temperature of the fluid in contact with the vessel wall is crucial to a determination of vessel integrity since temperature affects both the stresses and the material toughness of the vessel material. A simple mixing model is described which was developed as part of the EPRI pressurized thermal shock program for evaluation of reactor vessel integrity.

  5. Exsanguination Shock: The Next Frontier in Prevention of Battlefield Mortality

    Science.gov (United States)

    2011-07-01

    Role of central nervous system in renal nerve activity during prolonged hemorrhagic shock in dogs . Am J Physiol. 1988;254:R761–769. 15. Landry DW...that the failure of one or more vital organs, such as the heart, lungs, or small intestine, may be a root cause. In fact, in swine models of severe...hemorrhage and tissue injury, studied by Sondeen and others in this issue, death in resus- citation failures is often precipitated by respiratory arrest

  6. Spreading depolarizations increase delayed brain injury in a rat model of subarachnoid hemorrhage

    NARCIS (Netherlands)

    Hamming, Arend M.; Wermer, Marieke J H; Umesh Rudrapatna, S.; Lanier, Christian; Van Os, Hine J A; Van Den Bergh, Walter M.; Ferrari, Michel D.; van der Toorn, A; Van Den Maagdenberg, Arn M J M; Stowe, Ann M.; Dijkhuizen, Rick M.

    2016-01-01

    Spreading depolarizations may contribute to delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage, but the effect of spreading depolarizations on brain lesion progression after subarachnoid hemorrhage has not yet been assessed directly. Therefore, we tested the hypothesis that

  7. Spreading depolarizations increase delayed brain injury in a rat model of subarachnoid hemorrhage

    NARCIS (Netherlands)

    Hamming, Arend M.; Wermer, Marieke J. H.; Rudrapatna, S. Umesh; Lanier, Christian; van Os, Hine J. A.; van den Bergh, Walter M.; Ferrari, Michel D.; van der Toorn, Annette; van den Maagdenberg, Arn M. J. M.; Stowe, Ann M.; Dijkhuizen, Rick M.

    Spreading depolarizations may contribute to delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage, but the effect of spreading depolarizations on brain lesion progression after subarachnoid hemorrhage has not yet been assessed directly. Therefore, we tested the hypothesis that

  8. Thermochemical model for shock-induced chemical reactions in porous thermite: The heat detonation model

    Energy Technology Data Exchange (ETDEWEB)

    Boslough, M.B.

    1989-01-01

    A thermochemical model has been developed that treats a shock-induced solid state chemical reaction as a special type of detonation, called a ''heat detonation'' to distinguish it from an ordinary explosive detonation and describe the final form that the chemical energy takes. According to shock temperature measurements, chemical energy can be released from porous reactive solids on a time scale shorter than shock-transit times in laboratory samples. By comparing the experimental shock temperature for porous thermite to that calculated by the model, the amount of thermite reacted when shocked to about 4 GPa was estimated to be between 60 and 70%. Calculated shock temperatures are extremely strong functions of the extent of reaction, but are relatively insensitive to the initial porosity and amount of volatile impurities. Thus, shock temperature measurements are the most useful for real-time studies of shock-induced exothermic chemical reactions in solids. 11 refs., 5 figs., 1 tab.

  9. Atomistic modeling of shock-induced void collapse in copper

    Energy Technology Data Exchange (ETDEWEB)

    Davila, L P; Erhart, P; Bringa, E M; Meyers, M A; Lubarda, V A; Schneider, M S; Becker, R; Kumar, M

    2005-03-09

    Nonequilibrium molecular dynamics (MD) simulations show that shock-induced void collapse in copper occurs by emission of shear loops. These loops carry away the vacancies which comprise the void. The growth of the loops continues even after they collide and form sessile junctions, creating a hardened region around the collapsing void. The scenario seen in our simulations differs from current models that assume that prismatic loop emission is responsible for void collapse. We propose a new dislocation-based model that gives excellent agreement with the stress threshold found in the MD simulations for void collapse as a function of void radius.

  10. Modeling cellular lysis in skeletal muscle due to electric shock.

    Science.gov (United States)

    Cela, Carlos J; Lee, Raphael C; Lazzi, Gianluca

    2011-05-01

    High-voltage electrical trauma frequently results in injury patterns that cannot be completely attributed to Joule heating. An electrical-injury model describing cellular lysis damage caused by supraphysiological electric fields is introduced, and used to evaluate the effects of high-voltage electric shock on the skeletal muscle of a human upper limb in a configuration that simulates hand-to-hand contact. A novel multiresolution admittance method, capable of efficiently handling large computational models while maintaining excellent accuracy, was used to perform the numerical computations. Values for the computed current through the arm and the upper limb impedance are reported.

  11. Atomic model of rabbit hemorrhagic disease virus by cryo-electron microscopy and crystallography.

    Science.gov (United States)

    Wang, Xue; Xu, Fengting; Liu, Jiasen; Gao, Bingquan; Liu, Yanxin; Zhai, Yujia; Ma, Jun; Zhang, Kai; Baker, Timothy S; Schulten, Klaus; Zheng, Dong; Pang, Hai; Sun, Fei

    2013-01-01

    Rabbit hemorrhagic disease, first described in China in 1984, causes hemorrhagic necrosis of the liver. Its etiological agent, rabbit hemorrhagic disease virus (RHDV), belongs to the Lagovirus genus in the family Caliciviridae. The detailed molecular structure of any lagovirus capsid has yet to be determined. Here, we report a cryo-electron microscopic (cryoEM) reconstruction of wild-type RHDV at 6.5 Å resolution and the crystal structures of the shell (S) and protruding (P) domains of its major capsid protein, VP60, each at 2.0 Å resolution. From these data we built a complete atomic model of the RHDV capsid. VP60 has a conserved S domain and a specific P2 sub-domain that differs from those found in other caliciviruses. As seen in the shell portion of the RHDV cryoEM map, which was resolved to ~5.5 Å, the N-terminal arm domain of VP60 folds back onto its cognate S domain. Sequence alignments of VP60 from six groups of RHDV isolates revealed seven regions of high variation that could be mapped onto the surface of the P2 sub-domain and suggested three putative pockets might be responsible for binding to histo-blood group antigens. A flexible loop in one of these regions was shown to interact with rabbit tissue cells and contains an important epitope for anti-RHDV antibody production. Our study provides a reliable, pseudo-atomic model of a Lagovirus and suggests a new candidate for an efficient vaccine that can be used to protect rabbits from RHDV infection.

  12. Effects of different blood pressure levels on the arterial blood gas of rabbit with uncontrolled hemorrhagic shock during restrictive resuscitation%不同限制性复苏血压水平对出血未控制性休克家兔动脉血气的影响

    Institute of Scientific and Technical Information of China (English)

    程峰; 王振杰; 李磊; 窦贺贺; 邱兆磊; 纪忠; 王子岩

    2012-01-01

    Objective: To observe effects of different blood pressure levels on the arterial blood gas of rabbit with uncontrolled hemorrhagic shock during restrictive resuscitation and explore the ideal blood pressure levels for uncontrolling hemorrhagic shock. Methods: Model with uncontrolled hemorrhagic shock was established according to modifed Wigger's describtion. Twenty-four rabbits in the model were randomly divided into 4 groups(6 in each group) ,noresuscitation(NR) group as control,N50,N60 and N70 groups with maintaining mean arterial pressure( MAP) at 50,60 and 70 mmHg respectively. The arterial blood gas analysis( ABGA) including lactic acid, base excess, arterial oxygen tension, arterial carbon dioxide tension and potential of hydrogen were detected before shock and at 0, 60,120,150,180 and 240 minutes after shock. Results:The data of ABGA of N60 group were better than those of other groups at all time-points. Conclusions: During restrictive resuscitation of the rabbits with unconrntrolled hemorrhagic shock, maintaining MAP at 60 mmHg has little effect on their ABGA. The results suggest that MAP at 60 mmHg is suitable level for the restrictive resuscitation.%目的:观察不同限制性复苏血压水平对出血未控制性休克家兔动脉血气的影响,探讨出血未控制性休克复苏时应维持的理想血压水平.方法:采用Wigger改良法制作出血未控制性休克模型,24只家兔随机分为4组(n=6).NR组:不复苏组;N50组:复苏维持平均动脉压(mean arterial pressure,MAP)在50 mmHg水平;N60组:复苏维持MAP在60 mmHg水平;N70组:复苏维持MAP在70 mmHg水平;在休克前、休克后0、60、120、150、180、240 min检测动脉血气分析,包括血乳酸、剩余碱、氧分压、二氧化碳分压、pH值等指标.结果:N60组氧分压、二氧化碳分压、乳酸、pH值在各个时间点均优于其他组(P<0.05).结论:失血性休克家兔在出血未控制前行限制性液体复苏时,维持MAP在60 mmHg对动脉

  13. Cattle encephalon glycoside and ignotin reduced white matter injury and prevented post-hemorrhagic hydrocephalus in a rat model of intracerebral hemorrhage

    Science.gov (United States)

    Li, Rongwei; Ma, Kang; Zhao, Hengli; Feng, Zhou; Yang, Yang; Ge, Hongfei; Zhang, Xuan; Tang, Jun; Yin, Yi; Liu, Xin; Tan, Liang; Feng, Hua

    2016-01-01

    The morbidity, mortality, and disability associated with intraventricular hemorrhage (IVH) secondary to intracerebral hemorrhage (ICH) represent a global burden. To date, there is no effective therapy for ICH other than supportive care. In this study, we assessed the neuroprotective effects of Cattle encephalon glycoside and ignotin (CEGI) injection in a rat model of ICH with ventricular extension (IVH/ICH). The IVH/ICH rat model was induced via injection of type IV collagenase in the caudate nucleus of Sprague-Dawley rats. The experimental animals were randomized to receive CEGI, monosialotetrahexosyl ganglioside (GM-1), or normal saline. The modified Garcia scale, corner turn test, immunofluorescence staining for myelin basic protein (MBP) and microtubule associated protein 2 (MAP-2), transmission electron microscopy (TEM), and magnetic resonance imaging were employed to evaluate the neuroprotective effect of CEGI in the IVH/ICH rat model. CEGI treatment significantly alleviated the neurobehavioral dysfunction, reduced the lateral ventricular enlargement, promoted hematoma absorption, effectively up-regulated MBP/MAP-2 expression, and ameliorated white matter fiber damage post-ICH induction. Our results demonstrate that CEGI has significant neuroprotective effects in a rat model of IVH/ICH. Therefore, it can be used as a candidate drug for the clinical treatment of IVH/ICH. PMID:27782218

  14. Modeling shock waves in an ideal gas: combining the Burnett approximation and Holian's conjecture.

    Science.gov (United States)

    He, Yi-Guang; Tang, Xiu-Zhang; Pu, Yi-Kang

    2008-07-01

    We model a shock wave in an ideal gas by combining the Burnett approximation and Holian's conjecture. We use the temperature in the direction of shock propagation rather than the average temperature in the Burnett transport coefficients. The shock wave profiles and shock thickness are compared with other theories. The results are found to agree better with the nonequilibrium molecular dynamics (NEMD) and direct simulation Monte Carlo (DSMC) data than the Burnett equations and the modified Navier-Stokes theory.

  15. Effects of resuscitation by hydroxyethyl starch via intraosseous access on rabbits with hemorrhagic shock%羟乙基淀粉经骨髓通路复苏失血性休克兔的效果观察

    Institute of Scientific and Technical Information of China (English)

    杨敬辉; 邵旦兵; 刘红梅; 张炜; 李伟; 聂时南; 孙海晨

    2011-01-01

    目的 研究羟乙基淀粉经骨髓通路复苏失血性休克的效果.方法 成年新西兰白兔40只,随机分为两组(20只).失血性休克模型复制成功后,对照组(20只)经外周静脉给予6%羟乙基淀粉(HES,130/0.4,4ml/kg); 实验组(20只)经骨髓通路给予6%羟乙基淀粉(HES,130/0.4,4ml/kg); 此后两组都给予等量生理盐水,并回输所失血液复苏.观察各组收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、中心静脉压(CVP)、心率(HR)、呼吸频率(RR),并在休克后6小时内(15、30、60、90、120、150、180、360分钟)按时留取血标本8次(每次3ml)检验羟乙基淀粉含量(BHC).监测动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)及乳酸水平(BL),并计算乳酸清除率(LCR)和氧合指数(PaO2/FiO2).结果 复苏开始15分钟内MAP全部回升至90mmHg以上,实验组与对照组在各个时间点基本生命体征: SBP、DBP、MAP、CVP、HR及RR均无统计学差异(全部P>0.05).血羟乙基淀粉浓度(mg/L)在各个时间点均无统计学差异(全部P>0.05); 实验前(-90分)乳酸值、动脉血氧分压、二氧化碳分压、氧合指数; 休克时(0分)乳酸值、动脉血氧分压二氧化碳分压、氧合指数; 复苏后(360分)乳酸值、动脉血氧分压、二氧化碳分压、氧合指数; 以及乳酸清除率均无统计学差异(全部P>0.05).结论 失血性休克兔用6%羟乙基淀粉复苏能取得较好的效果,骨髓通路可以得到与静脉通路取得相同的效果.%Objective To evaluate the effect on the resuscitation of hemorrhagic shock rabbits by hydroxyethyl starch via intraosseous (IO) access in a randomized experimental study. Methods Forty new Zealand rabbits were randomized to two groups: IO group(6% Hydroxyethyl starch 130/0. 4 via intraosseous access) and Ⅳ group(6% hydroxyethyl starch 130/0.4 via intravenous access),20 rabbits in each group. Hemorrhagic shock model was induced by bleeding through the left internal carotid artery

  16. Hemorrhagic Stroke

    Science.gov (United States)

    A stroke is a medical emergency. There are two types - ischemic and hemorrhagic. Hemorrhagic stroke is the less common type. It happens when ... an artery wall that breaks open. Symptoms of stroke are Sudden numbness or weakness of the face, ...

  17. Comparison of normal saline, hypertonic saline albumin and terlipressin plus hypertonic saline albumin in an infant animal model of hypovolemic shock.

    Directory of Open Access Journals (Sweden)

    Javier Urbano

    Full Text Available In series of cases and animal models suffering hemorrhagic shock, the use of vasopressors has shown potential benefits regarding hemodynamics and tissue perfusion. Terlipressin is an analogue of vasopressin with a longer half-life that can be administered by bolus injection. We have previously observed that hypertonic albumin improves resuscitation following controlled hemorrhage in piglets. The aim of the present study was to analyze whether the treatment with the combination of terlipressin and hypertonic albumin can produce better hemodynamic and tissular perfusion parameters than normal saline or hypertonic albumin alone at early stages of hemorrhagic shock in an infant animal model.Experimental, randomized animal study including 39 2-to-3-month-old piglets. Thirty minutes after controlled 30 ml/kg bleed, pigs were randomized to receive either normal saline (NS 30 ml/kg (n = 13, 5% albumin plus 3% hypertonic saline (AHS 15 ml/kg (n = 13 or single bolus of terlipressin 15 μg/kg i.v. plus 5% albumin plus 3% hypertonic saline 15 ml/kg (TAHS (n = 13 over 30 minutes. Global hemodynamic and tissular perfusion parameters were compared.After controlled bleed a significant decrease of blood pressure, cardiac index, central venous saturation, carotid and peripheral blood flow, brain saturation and an increase of heart rate, gastric PCO2 and lactate was observed. After treatment no significant differences in most hemodynamic (cardiac index, mean arterial pressure and perfusion parameters (lactate, gastric PCO2, brain saturation, cutaneous blood flow were observed between the three therapeutic groups. AHS and TAHS produced higher increase in stroke volume index and carotid blood flow than NS.In this pediatric animal model of hypovolemic shock, albumin plus hypertonic saline with or without terlipressin achieved similar hemodynamics and perfusion parameters than twice the volume of NS. Addition of terlipressin did not produce better results than AHS.

  18. 限制性液体复苏产兔失血性休克对肠缺血再灌注损伤的保护作用%Protective effect of limited fluid resuscitation against intestinal ischemia-reperfusion injury in postpartum rabbits with uncontrolled hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    黄莉萍; 余艳红; 盛超; 龚时鹏

    2011-01-01

    Objective To investigate the protective effect of limited fluid resuscitation against intestinal ischemia-reperfusion injury in postpartum rabbits with severe uncontrolled obstetrical hemorrhagic shock. Methods Twenty-four postpartum rabbits were randomly assigned into sham shock group (group P), shock group without interventions (group PO), conventional fluid resuscitation group (group PNL), and limited fluid resuscitation group (group PLH), and the model of severe uncontrolled hemorrhagic shock was established in the latter 3 groups. The rabbits were sacrificed 4 h later, and SOD activity and MDA content in the intestinal mucosa and the degree of injury tp the intestinal mucosa were observed. Results Ischemia-reperfusion injury of the intestine due to uncontrolled hemorrhagic shock resulted in decreased SOD activity and increased MDA content. The MDA content was significantly lower and SOD activity was significantly higher in group PLH than in group PNL (P<0.05), and the intestinal mucosal tissue morphology and intestinal mucosa barrier lesion increased in group PLH. Conclusion Initial limited fluid resuscitation can relieve intestinal ischemia-reperfusion injury in postpartum rabbits with severe uncontrolled obstetrical hemorrhagic shock.%目的 应用产兔非控制性失血性休克模型,探讨限制性液体复苏对产兔肠缺血再灌注损伤的保护作用。方法 24只产后6h的新两兰大白兔被随机分成4组,假休克组(P组)、休克未处理组(P0组)、传统液体复苏组(PNL组)、限制性液体复苏组(PLH组),建立未控制重度失血性休克模型,分别于休克30 min后接受不同的液体复苏方案,于休克后90 min接受手术止血和输血输液治疗。在实验结束后处死产兔,观察不同液体复苏方式对小肠组织超氧化物歧化酶(SOD)活性、丙二醛(MDA)含量及肠粘膜形态损伤等情况。结果失血性休克时缺血再灌注损伤导致肠粘膜损伤加重、肠组织SOD活

  19. Protective efficacy of neutralizing monoclonal antibodies in a nonhuman primate model of Ebola hemorrhagic fever.

    Science.gov (United States)

    Marzi, Andrea; Yoshida, Reiko; Miyamoto, Hiroko; Ishijima, Mari; Suzuki, Yasuhiko; Higuchi, Megumi; Matsuyama, Yukie; Igarashi, Manabu; Nakayama, Eri; Kuroda, Makoto; Saijo, Masayuki; Feldmann, Friederike; Brining, Douglas; Feldmann, Heinz; Takada, Ayato

    2012-01-01

    Ebola virus (EBOV) is the causative agent of severe hemorrhagic fever in primates, with human case fatality rates up to 90%. Today, there is neither a licensed vaccine nor a treatment available for Ebola hemorrhagic fever (EHF). Single monoclonal antibodies (MAbs) specific for Zaire ebolavirus (ZEBOV) have been successfully used in passive immunization experiments in rodent models, but have failed to protect nonhuman primates from lethal disease. In this study, we used two clones of human-mouse chimeric MAbs (ch133 and ch226) with strong neutralizing activity against ZEBOV and evaluated their protective potential in a rhesus macaque model of EHF. Reduced viral loads and partial protection were observed in animals given MAbs ch133 and ch226 combined intravenously at 24 hours before and 24 and 72 hours after challenge. MAbs circulated in the blood of a surviving animal until virus-induced IgG responses were detected. In contrast, serum MAb concentrations decreased to undetectable levels at terminal stages of disease in animals that succumbed to infection, indicating substantial consumption of these antibodies due to virus replication. Accordingly, the rapid decrease of serum MAbs was clearly associated with increased viremia in non-survivors. Our results indicate that EBOV neutralizing antibodies, particularly in combination with other therapeutic strategies, might be beneficial in reducing viral loads and prolonging disease progression during EHF.

  20. Neuroprotective pentapeptide CN-105 improves functional and histological outcomes in a murine model of intracerebral hemorrhage.

    Science.gov (United States)

    Lei, Beilei; James, Michael L; Liu, Ji; Zhou, Guanen; Venkatraman, Talaignair N; Lascola, Christopher D; Acheson, Shawn K; Dubois, Laura G; Laskowitz, Daniel T; Wang, Haichen

    2016-10-07

    Presently, no pharmacological treatments have been demonstrated to improve long-term functional outcomes following intracerebral hemorrhage (ICH). Clinical evidence associates apolipoprotein E (apoE) genotype with ICH incidence and outcome. While apoE modifies neuroinflammatory responses through its adaptive role in glial downregulation, intact apoE holoprotein is too large to cross the blood-brain barrier (BBB). Therefore, we developed a 5-amino acid peptide - CN-105 - that mimics the polar face of the apoE helical domain involved in receptor interactions. In the current study, we investigated the therapeutic potential of CN-105 in a mouse model of ICH. Three doses of CN-105 (0.05 mg/kg) was administered by tail vein injection within 24 hours after ICH induction. Functional assessment showed durable improvement in vestibulomotor performance after CN-105 treatment, as quantified by increased Rotarod latencies on Days 1-5 post-ICH, and long-term improvement in neurocognitive performance, as quantified by reduced Morris water maze latencies on Days 29-32 post-ICH. Further, brain water content was significantly reduced, neuroinflammation was decreased and hippocampal CA3 neuronal survival was increased, although hemorrhage volume was not affected by CN-105. We concluded, therefore, that pentapeptide CN-105 improved short- and long-term neurobehavioral outcomes in a murine model of ICH, suggesting therapeutic potential for patients with acute ICH.

  1. Requirement for Serratia marcescens cytolysin in a murine model of hemorrhagic pneumonia.

    Science.gov (United States)

    González-Juarbe, Norberto; Mares, Chris A; Hinojosa, Cecilia A; Medina, Jorge L; Cantwell, Angelene; Dube, Peter H; Orihuela, Carlos J; Bergman, Molly A

    2015-02-01

    Serratia marcescens, a member of the carbapenem-resistant Enterobacteriaceae, is an important emerging pathogen that causes a wide variety of nosocomial infections, spreads rapidly within hospitals, and has a systemic mortality rate of ≤41%. Despite multiple clinical descriptions of S. marcescens nosocomial pneumonia, little is known regarding the mechanisms of bacterial pathogenesis and the host immune response. To address this gap, we developed an oropharyngeal aspiration model of lethal and sublethal S. marcescens pneumonia in BALB/c mice and extensively characterized the latter. Lethal challenge (>4.0 × 10(6) CFU) was characterized by fulminate hemorrhagic pneumonia with rapid loss of lung function and death. Mice challenged with a sublethal dose (marcescens strains that failed to cause profound weight loss, extended illness, hemorrhage, and prolonged lung pathology in mice. This study describes a model of S. marcescens pneumonia that mimics known clinical features of human illness, identifies neutrophils and the toxin ShlA as a key factors important for defense and infection, respectively, and provides a solid foundation for future studies of novel therapeutics for this important opportunistic pathogen.

  2. Ion-acoustic shocks with reflected ions: modeling and PIC simulations

    CERN Document Server

    Liseykina, T; Vshivkov, V; Malkov, M

    2015-01-01

    Non-relativistic collisionless shock waves are widespread in space and astrophysical plasmas and are known as efficient particle accelerators. However, our understanding of collisionless shocks, including their structure and the mechanisms whereby they accelerate particles remains incomplete. We present here the results of numerical modeling of an ion-acoustic collisionless shock based on one-dimensional (1D) kinetic approximation both for electrons and ions with a real mass ratio. Special emphasis is made on the shock-reflected ions as the main driver of shock dissipation. The reflection efficiency, velocity distribution of reflected particles and the shock electrostatic structure are studied in terms of the shock parameters. Applications to particle acceleration in geophysical and astrophysical shocks are discussed.

  3. Neurotransmitter Amines in Hemorrhagic Shock.

    Science.gov (United States)

    1984-03-02

    the vascular effect we have observed, nifedipine is preventing an influx of Ca++ into the cytosol. Lehninger 7) has called attention to the fact that...Neurochitur 63:259-265, 1982. 17. Lehninger AL: Role of phosphate and other proton donating cations in respiration-coupled transport of Ca++ by

  4. [Novel findings from an animal tourniquet shock model].

    Science.gov (United States)

    Hiraiwa, Kouichi

    2003-09-01

    This article is a review of our experimental results regarding the physiological statuses and roles of chemical mediators in tourniquet shock, and a novel phenomenon, modulation reflex, that is commonly observed in this shock model is discussed. In a rabbit with a tourniquet applied to a hind limb for 24 hrs, blood pressure (BP) gradually falls after release of the tourniquet, but the decline in BP stops when a tourniquet is again applied to the hind limb, indicating that shock mediators are attributed to the hind limb. The levels of dipeptides (anserine and carnosine) and lysosomes in blood samples as well as the levels of leukotrienes (LTD4 and LTE4) in blood and muscle samples from rabbits in tourniquet shock were elevated. However, injection of a large amount of a dipeptide into an ear vein of a rabbit did not reduce BP, suggesting that both peptides may not be directly related with reduction in BP of rabbits in tourniquet shock. Injection of a platelet-activating factor (PAF) antagonist into an ear vein resulted in slight elevation of BP and the elevated level was maintained for about 1 to 4 hrs during the period of decline in BP in tourniquet shock. As for interleukin-6 (IL-6), IL-6-deficient mice at young ages have a significantly greater blood volume than do wild-type mice without concomitant changes in body composition. Therefore, the role for IL-6 in the regulation of peripheral circulation may be to elevate, not reduce BP. In mice in tourniquet shock, superoxide (O2-) production is observed in skeletal muscle cells and these cells correspond to mitochondria-rich cells. However, RT-PCR of muscle samples showed no significant nitric oxide synthase (NOS) mRNA expression after tourniquet release. Pretreatment with NOS inhibitors before tourniquet release reduced O2- production in the skeletal muscle. These results indicate that O2- produced in muscle subjected to ischemia/repefusion may be involved in shock. As for changes in mRNA expression patterns of pro

  5. 1 case of hemorrhagic shock with placenta previa complicated with placenta implantation into internal ostium of the uterus%前置胎盘伴胎盘植入子宫内口致出血性休克1例

    Institute of Scientific and Technical Information of China (English)

    丁艳春

    2014-01-01

    In this paper,The author explored 1 case of hemorrhagic shock with placenta previa complicated with placenta implantation into internal ostium of the uterus.The patient suffered from hemorrhagic shock after cesarean and uterus resection, because the cause of bleeding was placenta implantation into internal ostium of the uterus inreoperation.So the doctors should check endometrial situation in a cesarean section surgery carefully,find and treat the problem timely so as to avoide secondary operation and patients with life-threatening.%探讨前置胎盘伴胎盘植入子宫内口至出血性休克1例,剖宫产后患者出现失血性休克,再次手术发现出血是胎盘植入子宫内口所引起,故行子宫切除术。告诫临床医生在以剖宫产手术终止妊娠时详细检查子宫内膜情况,发现问题及时处理,以免行二次手术危及患者生命。

  6. Linear-mixing model for shock-compressed liquid deuterium

    Energy Technology Data Exchange (ETDEWEB)

    Ross, M. [Lawrence Livermore National Laboratory, Livermore, California 94551 (United States)

    1998-07-01

    A model has been developed for the equation of state of deuterium that builds in the correct limiting behavior for the molecular fluid at low pressure and extends smoothly through dissociation to the very high-density monatomic-metallic fluid. The key assumption is that the Helmholtz free energy of the dissociating mixture is a function that can be approximated by the composition average of the free energy of the pure molecular and metallic hydrogen equations of state. The composition is determined by minimizing the free energy. In comparison to earlier studies this model leads to an enhancement of molecular dissociation and a lowering of shock temperatures and pressures. Calculations for shock-compressed liquid deuterium are in agreement with experiments to a pressure of 2.1 Mbar. At about 1 Mbar and 20thinsp000 K liquid deuterium is 90{percent} dissociated and is a nearly degenerate metal. The model predicts that molecular dissociation will lead to negative values of ({partial_derivative}P/{partial_derivative}T){sub V} in the range 4000 to 10thinsp000 K and volumes below 7 cc/mol. This feature suggests the formation of covalently bonded species in the partially dissociated mixture. {copyright} {ital 1998} {ital The American Physical Society}

  7. Modeling secondary accidents identified by traffic shock waves.

    Science.gov (United States)

    Junhua, Wang; Boya, Liu; Lanfang, Zhang; Ragland, David R

    2016-02-01

    The high potential for occurrence and the negative consequences of secondary accidents make them an issue of great concern affecting freeway safety. Using accident records from a three-year period together with California interstate freeway loop data, a dynamic method for more accurate classification based on the traffic shock wave detecting method was used to identify secondary accidents. Spatio-temporal gaps between the primary and secondary accident were proven be fit via a mixture of Weibull and normal distribution. A logistic regression model was developed to investigate major factors contributing to secondary accident occurrence. Traffic shock wave speed and volume at the occurrence of a primary accident were explicitly considered in the model, as a secondary accident is defined as an accident that occurs within the spatio-temporal impact scope of the primary accident. Results show that the shock waves originating in the wake of a primary accident have a more significant impact on the likelihood of a secondary accident occurrence than the effects of traffic volume. Primary accidents with long durations can significantly increase the possibility of secondary accidents. Unsafe speed and weather are other factors contributing to secondary crash occurrence. It is strongly suggested that when police or rescue personnel arrive at the scene of an accident, they should not suddenly block, decrease, or unblock the traffic flow, but instead endeavor to control traffic in a smooth and controlled manner. Also it is important to reduce accident processing time to reduce the risk of secondary accident. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. A SIMPLE EXPERIMENTAL MODEL OF HEAT SHOCK RESPONSE IN RATS

    Directory of Open Access Journals (Sweden)

    Tufi Neder Meyer

    1998-10-01

    Full Text Available Objective: To obtain a simple model for the elicitation of the heat shock response in rats. Design: Laboratory study. Setting: University research laboratories. Sample: Seventy-nine adult male albino rats (weight range 200 g to 570 g. Procedures: Exposure to heat stress by heating animals in a warm bath for 5 min after their rectal temperatures reached 107.60 F (420 C. Liver and lung samples were collected for heat-shock protein 70 (HSP70 detection (Western analysis. Results: Western analysis was positive for HSP70 in the liver and in the lungs of heated animals. There was a temporal correlation between heating and HSP70 detection: it was strongest 1 day after heating and reduced afterwards. No heated animals died. Conclusion: These data show that heating rats in a warm (45o C bath, according to parameters set in this model, elicits efficiently the heat shock response.OBJETIVO: Obter um modelo simples para tentar esclarecer a resposta ao choque térmico em ratos. LOCAL: Laboratório de pesquisa da Universidade. MÉTODO: Amostra: 79 ratos albinos, adultos, entre 200g a 570g. Procedimentos: Exposição ao calor, em banho quente, por 5 minutos, após a temperatura retal chegar a 42 graus centigrados. Biópsias de fígado e pulmão foram obtidas para detectar a proteina 70 (HSP 70, pelo "Western blot". RESULTADOS: As análises foram positivas nos animais aquecidos, com uma correlação entre aquecimento e constatação da HSP 70. Foi mais elevada no primeiro dia e não houve óbitos nos animais aquecidos. CONCLUSÃO: Os ratos aquecidos a 45 graus centígrados respondem eficientemente ao choque térmico.

  9. Modeling and Analysis of AGS (1998) Thermal Shock Experiments

    Energy Technology Data Exchange (ETDEWEB)

    Haines, J.R.; Kim, S.H.; Taleyarkhan, R.P.

    1999-11-14

    An overview is provided on modeling and analysis of thermal shock experiments conducted during 1998 with high-energy, short-pulse energy deposition in a mercury filled container in the Alternating Gradient Synchrotron (AGS) facility at Brookhaven National Laboratory (BNL). The simulation framework utilized along with the results of simulations for pressure and strain profiles are presented. While the magnitude of penk strain predictions versus data are in reasonable agreement, the temporal variations were found to differ significantly in selected cases, indicating lack of modeling of certain physical phenomena or due to uncertainties in the experimental data gathering techniques. Key thermal-shock related issues and uncertainties are highlighted. Specific experiments conducted at BNL's AGS facility during 1998 (the subject of this paper) involved high-energy (24 GeV) proton energy deposition in the mercury target over a time frame of - 0.1s. The target consisted of an - 1 m. long cylindrical stainless steel shell with a hemispherical dome at the leading edge. It was filled with mercury at room temperature and pressure. Several optical strain gages were attached to the surface of the steel target. Figure 1 shows a schematic representation of the test vessel along with the main dimensions and positions of three optical strain gages at which meaningful data were obtained. As

  10. The influences of propofol on corticosteroid and immunity of rats after hemorrhagic shock and resuscitation%异丙酚对失血性休克复苏大鼠应激激素和免疫平衡的影响

    Institute of Scientific and Technical Information of China (English)

    吉祥; 曹书华

    2009-01-01

    目的 观察异丙酚对失血性休克复苏后大鼠应激激素、细胞因子的影响及对重要脏器的保护作用.方法 雄性Wistar大鼠66只被随机分为对照组、失血性休克复苏组和异丙酚治疗组.制备失血性休克复苏动物模型后,异丙酚组经股静脉输注异丙酚10 mg-1·kg-1.h-1,休克复苏组输注等量生理盐水.休克复苏组和异丙酚组分别于术后30、60、120、180和240 min取6只大鼠,采集腹主动脉血及肺和小肠组织标本,用酶联免疫吸附法(ELISA)检测血浆皮质醇、γ-干扰素(IFN-γ)和白细胞介素-4(IL-4)水平,光镜下观察肺和小肠组织病理学改变,并行组织病理学评分.结果 与对照组比较,休克复苏组大鼠血浆皮质醇水平明显降低(P均<0.01);IFN-γ和IL-4呈进行性升高,IFN-γ/IL-4比值随病程进展逐渐下降(P均<0.01);肺和小肠组织损伤明显,病理学评分显著增加[肺:(3.09±0.56)分比(0.31±0.25)分,小肠:(7.6l±1.20)分比(0.86±0.72)分,P均<0.013).异丙酚组低皮质醇血症程度降轻,IFN-7和IL-4升高程度降低,IFN-γ/IL-4比值下降趋于减缓(P<0.05或P<0.01);肺和小肠组织损伤明显减轻,病理学评分显著降低[肺:(1.27±0.40)分,小肠:(3.69±1.28)分,P均<0.013.结论 异丙酚可减轻失血性休克复苏大鼠的低皮质醇血症,调节炎症反应,保护重要脏器.%Objective To observe the influence of propofol on corticosteroid,and cytokines in rats after hemorrhagic shock and resuscitation,as well as its protective effects on vital organs.Methods Sixty-six male Wistar rats were randomly divided into three groups:control group,hemorrhagic shock and resuscitation group and propofol treatment group.After the model of hemorrhagic shock and resuscitation was reproduced.propofol was infused in propofol treatment group at the speed of 10 mg·kg-1·h-1Via femoral vein,while equal amount of normal saline was infused in hemorrhagic shock and resuscitation group. Abdominal aortic

  11. Comparison of quantitative estimation of intracerebral hemorrhage and infarct volumes after thromboembolism in an embolic stroke model

    DEFF Research Database (Denmark)

    Eriksen, Nina; Rasmussen, Rune Skovgaard; Overgaard, Karsten

    2014-01-01

    . AIMS: We evaluated different methods for estimating the volume of infarcts, hemorrhages, after embolic middle cerebral artery occlusion with or without thrombolysis. METHODS: An experimental thromboembolytic rat model was used in this study. The rats underwent surgery and were placed in two groups...... of the infarct and intracerebral hemorrhage. RESULTS: No differences were observed in the infarct volume or amount of bleeding when comparing the three methods of volume estimation. Although semiautomated computer estimation and manual erythrocyte counting provided similar results as the stereological...... measurements, the stereological method was the most efficient and advantageous. CONCLUSIONS: We found that stereology was the superior method for quantification of hemorrhagic volume, especially for rodent petechial bleeding, which is otherwise difficult to measure. Our results suggest the possibility...

  12. Water Hammer Model of Shock Absorber Throttle Slice

    Institute of Scientific and Technical Information of China (English)

    CHEN Yi-jie; GU Liang; LEI Sheng-guang; GUAN Ji-fu

    2008-01-01

    In allusion to easy invalidation of damping valve in vehicle shock absorber caused by the impact from the road surface, the importance of the study of damping valve water hammer pressure is presented. The physical model of damping valve with the circle throttle slice is established. The time for the throttle slice deformation is studied by using the finite software, and the laws that how the structure parameters affect the deformation time are obtained. Combining the theory of water hammer, the water hammer initial and boundary condition of the damping valve is deduced, and the water hammer model of throttle slice is established. The analysis of simulation results indicates that the water hammer pressure amplitude and the amount of water hammer oscillation period can be reduced and the dependability of the valve can be enhanced by modifying the structure parameters and aperture width between slice and valve body.

  13. Comparison of CME/Shock Propagation Models with Heliospheric Imaging and In Situ Observations

    Science.gov (United States)

    Zhao, Xinhua; Liu, Ying D.; Inhester, Bernd; Feng, Xueshang; Wiegelmann, Thomas; Lu, Lei

    2016-10-01

    The prediction of the arrival time for fast coronal mass ejections (CMEs) and their associated shocks is highly desirable in space weather studies. In this paper, we use two shock propagation models, i.e., Data Guided Shock Time Of Arrival (DGSTOA) and Data Guided Shock Propagation Model (DGSPM), to predict the kinematical evolution of interplanetary shocks associated with fast CMEs. DGSTOA is based on the similarity theory of shock waves in the solar wind reference frame, and DGSPM is based on the non-similarity theory in the stationary reference frame. The inputs are the kinematics of the CME front at the maximum speed moment obtained from the geometric triangulation method applied to STEREO imaging observations together with the Harmonic Mean approximation. The outputs provide the subsequent propagation of the associated shock. We apply these models to the CMEs on 2012 January 19, January 23, and March 7. We find that the shock models predict reasonably well the shock’s propagation after the impulsive acceleration. The shock’s arrival time and local propagation speed at Earth predicted by these models are consistent with in situ measurements of WIND. We also employ the Drag-Based Model (DBM) as a comparison, and find that it predicts a steeper deceleration than the shock models after the rapid deceleration phase. The predictions of DBM at 1 au agree with the following ICME or sheath structure, not the preceding shock. These results demonstrate the applicability of the shock models used here for future arrival time prediction of interplanetary shocks associated with fast CMEs.

  14. Localized hypothermia aggravates bleeding in the collagenase model of intracerebral hemorrhage.

    Science.gov (United States)

    John, Roseleen F; Williamson, Michael R; Dietrich, Kristen; Colbourne, Frederick

    2015-03-01

    Animal studies testing whether therapeutic hypothermia is neuroprotective after intracerebral hemorrhage (ICH) have been inconclusive. In rodents, ICH is often produced in the striatum by infusing collagenase, which causes prolonged hemorrhaging from multiple vessels. Our previous data shows that this bleeding (hematoma) is worsened by systemic hypothermia given soon after collagenase infusion. In this study we hypothesized that localized brain hypothermia would also aggravate bleeding in this model (0.2 U of collagenase in 1.2 μL of saline). We also evaluated cooling after intrastriatal thrombin infusion (1 U in 30 μL of saline)-a simplified model of ICH thought to cause bleeding. Focal hypothermia was achieved by flushing cold water through an implanted cooling device attached to the skull underneath the temporalis muscle of adult rats. Previous work and data at this time shows this method cools the striatum to ∼33°C, whereas the body remains normothermic. In comparison to normothermic groups, cooling significantly worsened bleeding when instituted at 6 hours (∼94 vs. 42 μL, p=0.018) and 12 hours (79 vs. 61 μL, p=0.042) post-ICH (24-hour survival), but not after a 24-hour delay (36-hour survival). Rats were cooled until euthanasia when hematoma size was determined by a hemoglobin-based spectrophotometry assay. Cooling did not influence cerebral blood volume after just saline or thrombin infusion. The latter is explained by the fact that thrombin did not cause bleeding beyond that caused by saline infusion. In summary, local hypothermia significantly aggravates bleeding many hours after collagenase infusion suggesting that bleeding may have confounded earlier studies with hypothermia. Furthermore, these findings serve as a cautionary note on using cooling even many hours after cerebral bleeding.

  15. First Outbreak of Dengue Hemorrhagic Fever, Bangladesh

    OpenAIRE

    Rahman, Mahbubur; Rahman, Khalilur; Siddque, A. K.; Shoma, Shereen; A. H. M. Kamal; Ali, K.S.; Nisaluk, Ananda; Breiman, Robert F

    2002-01-01

    During the first countrywide outbreak of dengue hemorrhagic fever in Bangladesh, we conducted surveillance for dengue at a hospital in Dhaka. Of 176 patients, primarily adults, found positive for dengue, 60.2% had dengue fever, 39.2% dengue hemorrhagic fever, and 0.6% dengue shock syndrome. The Dengue virus 3 serotype was detected in eight patients.

  16. The shock-vortex interaction patterns affected by vortex flow regime and vortex models

    Science.gov (United States)

    Chang, Keun-Shik; Barik, Hrushikesh; Chang, Se-Myong

    2009-08-01

    We have used a third-order essentially non-oscillatory method to obtain numerical shadowgraphs for investigation of shock-vortex interaction patterns. To search different interaction patterns, we have tested two vortex models (the composite vortex model and the Taylor vortex model) and as many as 47 parametric data sets. By shock-vortex interaction, the impinging shock is deformed to a S-shape with leading and lagging parts of the shock. The vortex flow is locally accelerated by the leading shock and locally decelerated by the lagging shock, having a severely elongated vortex core with two vertices. When the leading shock escapes the vortex, implosion effect creates a high pressure in the vertex area where the flow had been most expanded. This compressed region spreads in time with two frontal waves, an induced expansion wave and an induced compression wave. They are subsonic waves when the shock-vortex interaction is weak but become supersonic waves for strong interactions. Under a intermediate interaction, however, an induced shock wave is first developed where flow speed is supersonic but is dissipated where the incoming flow is subsonic. We have identified three different interaction patterns that depend on the vortex flow regime characterized by the shock-vortex interaction.

  17. Preretinal hemorrhage

    Directory of Open Access Journals (Sweden)

    Eduardo Felippe

    2004-12-01

    Full Text Available A case of Valsalva hemorrhagic retinopathy treated with Nd:YAGlaser indescribed. The patient presented decreased visual acuityafter coughing, and a preretinal hemorrhage was diagnosed in theposterior pole; puncturing the posterior hyaloid face was performedwith Nd:Yag laser. Rapid hemorrhage absorption was observedafter the therapy proposed and visual acuity was recovered. Nd:Yaglaser proved to be safe and efficient in the management of preretinalhemorrhage.

  18. Modeling of energy transfer in hypersonic shocks using high fidelity models

    Science.gov (United States)

    Zhu, Tong

    The spectra of high-temperature, chemically reacting hypersonic flows provides the most powerful diagnostic available for testing thermochemically nonequilibrium models in re-entry conditions. Several shock tube experiments have revealed that conventional phenomenological approach can not accurately predict the internal temperature of the gas and also the corresponding radiation. In particular, large rotational nonequilibrium in strong shocks has been observed in several experiments with high peak translational temperatures. The Direct Simulation Monte Carlo (DSMC) method is a particlebased simulation method that is capable of properly simulating flows with large nonequilibrium. In the experiments above, one dimensional shocks are most widely studied but they are challenging to simulate using the DSMC method due to the unsteady nature of the flows and especially for hypersonic flows with chemical reactions taking place. Therefore, efficient approaches for simulating one-dimensional shocks are developed for use in DSMC simulations. Both a shock stabilization technique and a modified DSMC unsteady sampling approach are used in simulating one dimensional, unsteady shocks. In the latter approach, a moving sampling region is used to obtain an accurate profile of the reflected shock in air. The shock number density and temperature profiles are obtained and used to calculate excitation and radiation. The Quasi-Steady-State (QSS) assumption is made in the excitation calculation where both electron impact and heavy particle impact excitation for the NO(A2sum +) and the N+2 (B2sum +u ) states are studied. The calculated NOradiation in the wavelength range o lambda = 235 +/- 7 nm for shock speeds below 7 km/s are in good agreement with the experiment, but, the predicted radiation is lower than the experiment for shock speeds above 7 km/s. In addition, the N+2 radiation in the wavelength range of lambda = 391.4 +/- 0.2 nm are in good agreement with the experimental data for

  19. 腹腔脏器破裂失血性休克合并颅脑损伤的临床诊治%Clinical Diagnosis and Treatment of Abdominal Ruptured Hemorrhagic Shock with Craniocerebral Trauma

    Institute of Scientific and Technical Information of China (English)

    陈雷; 李跃继

    2014-01-01

    目的:探讨腹腔脏器破裂失血性休克合并颅脑损伤的临床诊治经验。方法对35例腹腔脏器破裂失血性休克合并颅脑损伤的患者进行急诊抢救、腹腔探查、腹部及开颅手术等治疗措施。结果35例患者经治疗痊愈28例,治愈率80%。其余7例恢复生活自理能力,但仍存在一些神经精神障碍。治疗后患者GCS明显高于治疗前。结论腹腔脏器破裂失血性休克合并颅脑损伤是外科临床最为严重的复合型损伤之一,病情凶险,进展快,易导致严重后果。尽早明确诊断和及时的正确治疗对于患者预后具有非常重要的意义。%Objective To investigate the diagnosis and treatment of abdominal ruptured hemorrhagic shock with craniocerebral trauma. Methods 35 patients with abdominal ruptured hemorrhagic shock with craniocerebral trauma were chosen and treated by emergency treatment, abdominal exploration and abdominal and craniotomy surgery. Results 28 patients were recovered with 80% recovery rate in 35 cases. Other 7 patients were in convalescence with daily living capacities and some neuropsychiatric disorders. After treatment, GCS was significantly higher than before. Conclusion Abdominal ruptured hemorrhagic shock with craniocerebral trauma was one of the most severe complex traumas in clinic. It was dangerous, fast progressed and easily leading to serious consequences. Af irmative diagnosis and timely accurate treatment as soon as possible would be significant for the prognosis to patients.

  20. Platelet activation and dysfunction in a large-animal model of traumatic brain injury and hemorrhage

    DEFF Research Database (Denmark)

    Sillesen, Martin; Johansson, Pär I; Rasmussen, Lars S

    2013-01-01

    Traumatic brain injury (TBI) and hemorrhage are the leading causes of trauma-related mortality. Both TBI and hemorrhage are associated with coagulation disturbances, including platelet dysfunction. We hypothesized that platelet dysfunction could be detected early after injury, and that this dysfu...

  1. Spatial Durbin Model (SDM For Identified Influence Dengue Hemorrhagic Fever Factors in Kabupaten Malang

    Directory of Open Access Journals (Sweden)

    Indah Resti Ayuni Suri

    2012-05-01

    Full Text Available Dengue Hemorrhagic Fever or usually populer call DBD (Demam Berdarah Degue is the cronic desease that caused by virus infection who carry by Aedes Aegypti mousquito. The observation act by DBD descriptioning and some factors territorial view that influence them, also DBD’s modeling use Spatial Durbin Model (SDM. SDM is the particullary case from Spatial Autoregresive Model (SAR, it means modeling with spatial lag at dependen variable and independen variable. This observation use ratio DBD invectors amount with population amount of citizenry at Kabupaten Malang in 2009. Some variable was used, those are the precentation of existention free number embrio, ratio of civil amount between family, procentation of healthy clinic between invectors and procentase of the invectors who taking care by medical help with amount of invectors. The fourth variables are independen variable to ratio of DBD invector amount with population of citizenry amount, as dependen variable trough spatial SDM modelling. The result of SDM parameter modelling, the significant influence variable in session % is the procentation of free amount embrio existention from their own district, the procentation of healthy clinic amount with the DBD invector amount from their own district, the ratio of the population of citizenry with the family from their neighborhood district, and the procentation of healthy clinic amount with the DBD invector amount from their neighborhood district.

  2. Experimental models of sepsis and septic shock: an overview

    Directory of Open Access Journals (Sweden)

    Garrido Alejandra G.

    2004-01-01

    Full Text Available Sepsis remains a major cause of morbidity and mortality in surgical patients and trauma victims, mainly due to sepsis-induced multiple organ dysfunction. In contrast to preclinical studies, most clinical trials of promising new treatment strategies for sepsis have fails to demonstrate efficacy. Although many reasons could account for this discrepancy, the misinterpretation of preclinical data obtained from experimental studies, and especially the use of animal models that do not adequately mimic human sepsis may have been contributing factors. In this review, the benefits and limitations of various animal models of sepsis are discussed to clarify the extend to which findings are relevant to human sepsis, particularly with respect to the subsequent design and execution of clinical trials. Such models include intravascular infusion of endotoxin or live bacteria, bacterial peritonitis, cecal ligation and perforation, soft tissue infection, pneumonia or meningitis models, using different animal species including rats, mice, rabbits, dogs, pigs, sheep and nonhuman primates. Despite several limitations, animal models remain essential in the development of all new therapies for sepsis and septic shock, because they provide fundamental information about the pharmacokinetics, toxicity, and mechanism of drug action that cannot be duplicated by other methods. New therapeutic agents should be studies in infection models, even after the initiation of the septic process. Furthermore, debility conditions need to be reproduced to avoid the exclusive use of healthy animals, which often do not represent the human septic patient.

  3. Effect of hypotensive fluid resuscitation on microcirculation in an uncontrolled hemorrhagic shock of pregnant rabbits%限制性输液对失血性休克孕兔微循环灌注的影响

    Institute of Scientific and Technical Information of China (English)

    秦薇; 余艳红; 王晨虹

    2010-01-01

    Objective To study the effects of hypotensive resuscitation on microvascular perfusion in a clinically relevant model of uncontrolled hemorrhagic shock in pregnancy. Methods Thirty New Zealand white rabbits at 15 -25 days, pregnanal age were randomly divided into three groups; Group normal saline traditional aggressive resuscitation ( NS), traditional aggressive resuscitation in the prehospital phase with a large quantity of normal saline and Ringer's solution to maintain mean arterial pressure (MAP) at the approximately 80 mm Hg ( 1 mm Hg = 0.133 kPa) level: Group normal saline hypotensive resuscitation (NH) and group hypertonic hyperosmotic hypotension resuscitation (HHH), hypotensive resuscitation in the prehospital phase with a bolus dose of 4 ml/kg normal saline or hypertonic hydroxyl ethyl starch (10% hydroxyl ethyl starch + 7.5% NaCl), followed by Ringer's solution to maintain MAP at 60 mm Hg.Production pregnant rabbit model with hemorrhagic shock. The experiment consisted of four phases:basic phase (0 miniutes), shock phase (0- 30 miniutes), prehospital phase (30- 90 miniutes) and hospital phase (90- 180 miniutes). Measurements: (1) arteriole and venule diameter were continuously monitored by microcirculatory detecting instrument; (2) functional capillary density (FCD) of each phase was expressed by the percentage of opening capillaries segments relative to basic phase; (3) blood pH, BE PCO2, PO2 in pregnant rabbits were determined with a Medica Easy Blood Gas Analyzer. Results ( 1 )There were no significant differences among three groups in arteriole and venule diameter at baseline ( P >0.05 ). After hemorrhagic shock arteriole diameter were NS ( 50.8 ± 5.6) μm, NH (47.6 ± 3.7 ) μm, HHH (51.3 ±2.4)μm, respectively, with no significant differences between groups(P >0.05). At the end of prehospital resuscitation phase and hospital resuscitation phase, significant differences were found in arteriole diameter in group NS(52.8 ± 4.9, 56.0 ± 3.8 )

  4. Host genetic diversity enables Ebola hemorrhagic fever pathogenesis and resistance.

    Science.gov (United States)

    Rasmussen, Angela L; Okumura, Atsushi; Ferris, Martin T; Green, Richard; Feldmann, Friederike; Kelly, Sara M; Scott, Dana P; Safronetz, David; Haddock, Elaine; LaCasse, Rachel; Thomas, Matthew J; Sova, Pavel; Carter, Victoria S; Weiss, Jeffrey M; Miller, Darla R; Shaw, Ginger D; Korth, Marcus J; Heise, Mark T; Baric, Ralph S; de Villena, Fernando Pardo-Manuel; Feldmann, Heinz; Katze, Michael G

    2014-11-21

    Existing mouse models of lethal Ebola virus infection do not reproduce hallmark symptoms of Ebola hemorrhagic fever, neither delayed blood coagulation and disseminated intravascular coagulation nor death from shock, thus restricting pathogenesis studies to nonhuman primates. Here we show that mice from the Collaborative Cross panel of recombinant inbred mice exhibit distinct disease phenotypes after mouse-adapted Ebola virus infection. Phenotypes range from complete resistance to lethal disease to severe hemorrhagic fever characterized by prolonged coagulation times and 100% mortality. Inflammatory signaling was associated with vascular permeability and endothelial activation, and resistance to lethal infection arose by induction of lymphocyte differentiation and cellular adhesion, probably mediated by the susceptibility allele Tek. These data indicate that genetic background determines susceptibility to Ebola hemorrhagic fever.

  5. Protective effect of tropisetron on rodent hepatic injury after trauma-hemorrhagic shock through P38 MAPK-dependent hemeoxygenase-1 expression.

    Directory of Open Access Journals (Sweden)

    Fu-Chao Liu

    Full Text Available Tropisetron can decrease inflammatory cell responses and alleviate organ damage caused by trauma-hemorrhage, but the mechanism of these effects remains unknown. The p38 mitogen-activated protein kinase/hemeoxygenase-1 (p38 MAPK/HO-1 pathway exerts anti-inflammatory effects on different tissues. The aim of this study was to investigate whether p38 MAPK/HO-1 plays any role in the tropisetron-mediated attenuation of hepatic injury after trauma-hemorrhage. Male Sprague-Dawley rats underwent trauma-hemorrhage (mean blood pressure maintained at approximately 35-40 mmHg for 90 min, followed by fluid resuscitation. During resuscitation, several treatment regimens were administered: four doses of tropisetron alone (0.1, 0.3, 1, 3 mg/kg body weight, or a single dose of tropisetron (1 mg/kg body weight with and without a p38 MAPK inhibitor (SB-203580, 2 mg/kg body weight or HO antagonist (chromium-mesoporphyrin, 2.5 mg/kg body weight. Various parameters were measured, and the animals were sacrificed at 24 h post-resuscitation. The results showed that trauma-hemorrhage increased the following parameters: plasma concentrations of aspartate (AST and alanine aminotransferases (ALT, hepatic myeloperoxidase (MPO activity, and levels of cytokine-induced neutrophil chemoattractant-1 and -3 (CINC-1 and CINC-3, intercellular adhesion molecule-1 (ICAM-1, interleukin-6 (IL-6, tumor necrosis factor-α (TNF-α, and macrophage inflammatory protein-1α (MIP-1α. These parameters were significantly improved in the tropisetron-treated rats subjected to trauma-hemorrhage. Tropisetron treatment also increased hepatic p38 MAPK and HO-1 expression compared with vehicle-treated trauma-hemorrhaged rats. Co-administration of SB-203580 or chromium-mesoporphyrin with tropisetron abolished the tropisetron-induced beneficial effects on the above parameters and hepatic injury. These results suggest that the protective effect of tropisetron administration on alleviation of hepatic

  6. Empirical modeling of soot formation in shock-tube pyrolysis of aromatic hydrocarbons

    Science.gov (United States)

    Frenklach, M.; Clary, D. W.; Matula, R. A.

    1986-01-01

    A method for empirical modeling of soot formation during shock-tube pyrolysis of aromatic hydrocarbons is developed. The method is demonstrated using data obtained in pyrolysis of argon-diluted mixtures of toluene behind reflected shock waves. The developed model is in good agreement with experiment.

  7. Modeling shock responses of plastic bonded explosives using material point method

    Science.gov (United States)

    Shang, Hailin; Zhao, Feng; Fu, Hua

    2017-01-01

    Shock responses of plastic bonded explosives are modeled using material point method as implemented in the Uintah Computational Framework. Two-dimensional simulation model was established based on the micrograph of PBX9501. Shock loading for the explosive was performed by a piston moving at a constant velocity. Unreactive simulation results indicate that under shock loading serious plastic strain appears on the boundary of HMX grains. Simultaneously, the plastic strain energy transforms to thermal energy, causing the temperature to rise rapidly on grain boundary areas. The influence of shock strength on the responses of explosive was also investigated by increasing the piston velocity. And the results show that with increasing shock strength, the distribution of plastic strain and temperature does not have significant changes, but their values increase obviously. Namely, the higher the shock strength is, the higher the temperature rise will be.

  8. Reverse and Forward Shock X-ray Emission in an Evolutionary Model of Supernova Remnants undergoing Efficient Diffusive Shock Acceleration

    CERN Document Server

    Lee, Shiu-Hang; Ellison, Donald C; Nagataki, Shigehiro; Slane, Patrick O

    2014-01-01

    We present new models for the forward and reverse shock thermal X-ray emission from core-collapse and Type Ia supernova remnants (SNRs) which include the efficient production of cosmic rays via non-linear diffusive shock acceleration (DSA). Our CR-hydro-NEI code takes into account non-equilibrium ionization (NEI), hydrodynamic effects of efficient CR production on the SNR evolution, and collisional temperature equilibration among heavy ions and electrons in both the shocked supernova (SN) ejecta and the shocked circumstellar material. While X-ray emission is emphasized here, our code self-consistently determines both thermal and non-thermal broadband emission from radio to TeV energies. We include Doppler broadening of the spectral lines by thermal motions of the ions and by the remnant expansion. We study, in general terms, the roles which the ambient environment, progenitor models, temperature equilibration, and processes related to DSA have on the thermal and non-thermal spectra. The study of X-ray line em...

  9. Testing the Empirical Shock Arrival Model using Quadrature Observations

    CERN Document Server

    Gopalswamy, N; Xie, H; Yashiro, S

    2013-01-01

    The empirical shock arrival (ESA) model was developed based on quadrature data from Helios (in-situ) and P-78 (remote-sensing) to predict the Sun-Earth travel time of coronal mass ejections (CMEs) [Gopalswamy et al. 2005a]. The ESA model requires earthward CME speed as input, which is not directly measurable from coronagraphs along the Sun-Earth line. The Solar Terrestrial Relations Observatory (STEREO) and the Solar and Heliospheric Observatory (SOHO) were in quadrature during 2010 - 2012, so the speeds of Earth-directed CMEs were observed with minimal projection effects. We identified a set of 20 full halo CMEs in the field of view of SOHO that were also observed in quadrature by STEREO. We used the earthward speed from STEREO measurements as input to the ESA model and compared the resulting travel times with the observed ones from L1 monitors. We find that the model predicts the CME travel time within about 7.3 hours, which is similar to the predictions by the ENLIL model. We also find that CME-CME and CME...

  10. Effects of environmental hypothermia on hemodynamics and oxygen dynamics in hemorrhagic shock pigs%低温暴露对失血性休克血流动力学和氧动力学的影响

    Institute of Scientific and Technical Information of China (English)

    余莉; 张成; 张雪峰; 张铁铮

    2011-01-01

    Objective To study the effects of environmental hypothermia on hemodynamics and oxygen dynamics in swine model of hemorrhagic shock(HS).Methods 16 healthy Bama miniature pigs were randomized into two groups(n=8):Ambient temperature group(C)and environmental hypothermia group(H).Venous blood(30 ml/kg)was continously withdrawn over 15 minutes in pigs to establish HS model,then placed models of two groups in the environment of 20℃-22℃ and 0℃-5℃ respectively.Pulmonary arterial temperature(TP),Heart rate(HR),mean arterial pressure(MAP),central venous pressure(CVP),mean pulmonary artery pressure(MPAP),pulmonary artery wedge pressure(PAWP)and cardiac output(CO),saturation of mixed venous blood(SmvO2)and blood gas analysis were recorded at the pro-bleed(HS 0 min)and different HS time; The stroke volume(SV),systemic vascular resistance(SVR),oxygen uptake(Ca-vO2),oxygen delivery(DO2),oxygen consumption(VO2),and the oxygen extraction ratio(ERO2)were calculated,along with survive time of all pigs.Results In period of 4 hrs after HS,TP of group C and H decreased from(38.97±0.57)℃ and(39.75±0.71)℃ to(37.37±0.99)℃ and(35.43±1.81)℃,respectively.There was significant difference between two groups after HS120 min(P<0.05).HR of group C and H increased to(193±19)bpm and(166±27)bpm respectively at HS15 min,then the group C decreased gradually,the variation of HR in group H was smaller.But the MAP and SVR increased more rapidly in group H,they reached max value of(120±7)mm Hg(1 mm Hg=0.133 kPa)and(6 308±479)dyne.sec.cm-5 at HS120 min,whereas reached max value of(91±7)mm Hg and(3 543±443)dyne.sec.cm-5 at HS180 min in group C.CO and SV also got more reduction in group H.HS resulted in significant reduction in DO2 and VO2,while no difference was found between two groups,but the SmvO2、Ca-vO2 and ERO2 obviously inferior in group H after HS150 min(P<0.05).There was no significant difference between two groups in other indexes,but more complicated changed trends

  11. Comparison Between Surf and Multi-Shock Forest Fire High Explosive Burn Models

    Energy Technology Data Exchange (ETDEWEB)

    Greenfield, Nicholas Alexander [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-07-18

    PAGOSA1 has several different burn models used to model high explosive detonation. Two of these, Multi-Shock Forest Fire and Surf, are capable of modeling shock initiation. Accurately calculating shock initiation of a high explosive is important because it is a mechanism for detonation in many accident scenarios (i.e. fragment impact). Comparing the models to pop-plot data give confidence that the models are accurately calculating detonation or lack thereof. To compare the performance of these models, pop-plots2 were created from simulations where one two cm block of PBX 9502 collides with another block of PBX 9502.

  12. Reverse and Forward Shock X-Ray Emission in an Evolutionary Model of Supernova Remnants Undergoing Efficient Diffusive Shock Acceleration

    Science.gov (United States)

    Lee, Shiu-Hang; Patnaude, Daniel J.; Ellison, Donald C.; Nagataki, Shigehiro; Slane, Patrick O.

    2014-08-01

    We present new models for the forward and reverse shock thermal X-ray emission from core-collapse and Type Ia supernova remnants (SNRs) that include the efficient production of cosmic rays (CR) via nonlinear diffusive shock acceleration (DSA). Our CR-hydro-NEI code takes into account non-equilibrium ionization, hydrodynamic effects of efficient CR production on the SNR evolution, and collisional temperature equilibration among heavy ions and electrons in both the shocked supernova (SN) ejecta and the shocked circumstellar material. While X-ray emission is emphasized here, our code self-consistently determines both thermal and non-thermal broadband emission from radio to TeV energies. We include Doppler broadening of the spectral lines by thermal motions of the ions and by the remnant expansion. We study, in general terms, the roles that the ambient environment, progenitor models, temperature equilibration, and processes related to DSA have on the thermal and non-thermal spectra. The study of X-ray line emission from young SNRs is a powerful tool for determining specific SN elemental contributions and for providing critical information that helps to understand the type and energetics of the explosion, the composition of the ambient medium in which the SN exploded, and the ionization and dynamics of the hot plasma in the shocked SN ejecta and interstellar medium. With the approaching launch of the next-generation X-ray satellite Astro-H, observations of spectral lines with unprecedented high resolution will become a reality. Our self-consistent calculations of the X-ray spectra from various progenitors will help interpret future observations of SNRs.

  13. Reverse and forward shock X-ray emission in an evolutionary model of supernova remnants undergoing efficient diffusive shock acceleration

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Shiu-Hang [Institute of Space and Astronautical Science, Japan Aerospace Exploration Agency, 3-1-1 Yoshinodai, Chuo-ku, Sagamihara, Kanagawa 252-5210 (Japan); Patnaude, Daniel J.; Slane, Patrick O. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Ellison, Donald C. [Physics Department, North Carolina State University, Box 8202, Raleigh, NC 27695 (United States); Nagataki, Shigehiro, E-mail: slee@astro.isas.jaxa.jp, E-mail: shiu-hang.lee@riken.jp, E-mail: shigehiro.nagataki@riken.jp, E-mail: slane@cfa.harvard.edu, E-mail: dpatnaude@cfa.harvard.edu, E-mail: don_ellison@ncsu.edu [RIKEN, Astrophysical Big Bang Laboratory, 2-1 Hirosawa, Wako, Saitama 351-0198 (Japan)

    2014-08-20

    We present new models for the forward and reverse shock thermal X-ray emission from core-collapse and Type Ia supernova remnants (SNRs) that include the efficient production of cosmic rays (CR) via nonlinear diffusive shock acceleration (DSA). Our CR-hydro-NEI code takes into account non-equilibrium ionization, hydrodynamic effects of efficient CR production on the SNR evolution, and collisional temperature equilibration among heavy ions and electrons in both the shocked supernova (SN) ejecta and the shocked circumstellar material. While X-ray emission is emphasized here, our code self-consistently determines both thermal and non-thermal broadband emission from radio to TeV energies. We include Doppler broadening of the spectral lines by thermal motions of the ions and by the remnant expansion. We study, in general terms, the roles that the ambient environment, progenitor models, temperature equilibration, and processes related to DSA have on the thermal and non-thermal spectra. The study of X-ray line emission from young SNRs is a powerful tool for determining specific SN elemental contributions and for providing critical information that helps to understand the type and energetics of the explosion, the composition of the ambient medium in which the SN exploded, and the ionization and dynamics of the hot plasma in the shocked SN ejecta and interstellar medium. With the approaching launch of the next-generation X-ray satellite Astro-H, observations of spectral lines with unprecedented high resolution will become a reality. Our self-consistent calculations of the X-ray spectra from various progenitors will help interpret future observations of SNRs.

  14. Improvements of the shock arrival times at the Earth model STOA

    CERN Document Server

    Liu, H -L

    2015-01-01

    Prediction of the shocks' arrival times (SATs) at the Earth is very important for space weather forecast. There is a well-known SAT model, STOA, which is widely used in the space weather forecast. However, the shock transit time from STOA model usually has a relative large error compared to the real measurements. In addition, STOA tends to yield too much `yes' prediction, which causes a large number of false alarms. Therefore, in this work, we work on the modification of STOA model. First, we give a new method to calculate the shock transit time by modifying the way to use the solar wind speed in STOA model. Second, we develop new criteria for deciding whether the shock will arrive at the Earth with the help of the sunspot numbers and the angle distances of the flare events. It is shown that our work can improve the SATs prediction significantly, especially the prediction of flare events without shocks arriving at the Earth.

  15. Animal Models for the Study of Rodent-Borne Hemorrhagic Fever Viruses: Arenaviruses and Hantaviruses.

    Science.gov (United States)

    Golden, Joseph W; Hammerbeck, Christopher D; Mucker, Eric M; Brocato, Rebecca L

    2015-01-01

    Human pathogenic hantaviruses and arenaviruses are maintained in nature by persistent infection of rodent carrier populations. Several members of these virus groups can cause significant disease in humans that is generically termed viral hemorrhagic fever (HF) and is characterized as a febrile illness with an increased propensity to cause acute inflammation. Human interaction with rodent carrier populations leads to infection. Arenaviruses are also viewed as potential biological weapons threat agents. There is an increased interest in studying these viruses in animal models to gain a deeper understating not only of viral pathogenesis, but also for the evaluation of medical countermeasures (MCM) to mitigate disease threats. In this review, we examine current knowledge regarding animal models employed in the study of these viruses. We include analysis of infection models in natural reservoirs and also discuss the impact of strain heterogeneity on the susceptibility of animals to infection. This information should provide a comprehensive reference for those interested in the study of arenaviruses and hantaviruses not only for MCM development but also in the study of viral pathogenesis and the biology of these viruses in their natural reservoirs.

  16. Shortened Lifespan and Lethal Hemorrhage in a Hemophilia A Mouse Model.

    Directory of Open Access Journals (Sweden)

    Janice M Staber

    Full Text Available Hemophilia A animal models have helped advance our understanding of factor VIII deficiency. Previously, factor VIII deficient mouse models were reported to have a normal life span without spontaneous bleeds. However, the bleeding frequency and survival in these animals has not been thoroughly evaluated.To investigate the survival and lethal bleeding frequency in two strains of E-16 hemophilia A mice.We prospectively studied factor VIII deficient hemizygous affected males (n = 83 and homozygous affected females (n = 55 for survival and bleeding frequency. Animals were evaluated for presence and location of bleeds as potential cause of death.Hemophilia A mice had a median survival of 254 days, which is significantly shortened compared to wild type controls (p < 0.0001. In addition, the hemophilia A mice experienced hemorrhage in several tissues. This previously-underappreciated shortened survival in the hemophilia A murine model provides new outcomes for investigation of therapeutics and also reflects the shortened lifespan of patients if left untreated.

  17. Animal Models for the Study of Rodent-Borne Hemorrhagic Fever Viruses: Arenaviruses and Hantaviruses

    Directory of Open Access Journals (Sweden)

    Joseph W. Golden

    2015-01-01

    Full Text Available Human pathogenic hantaviruses and arenaviruses are maintained in nature by persistent infection of rodent carrier populations. Several members of these virus groups can cause significant disease in humans that is generically termed viral hemorrhagic fever (HF and is characterized as a febrile illness with an increased propensity to cause acute inflammation. Human interaction with rodent carrier populations leads to infection. Arenaviruses are also viewed as potential biological weapons threat agents. There is an increased interest in studying these viruses in animal models to gain a deeper understating not only of viral pathogenesis, but also for the evaluation of medical countermeasures (MCM to mitigate disease threats. In this review, we examine current knowledge regarding animal models employed in the study of these viruses. We include analysis of infection models in natural reservoirs and also discuss the impact of strain heterogeneity on the susceptibility of animals to infection. This information should provide a comprehensive reference for those interested in the study of arenaviruses and hantaviruses not only for MCM development but also in the study of viral pathogenesis and the biology of these viruses in their natural reservoirs.

  18. A Theoretic Model for the Shock Observed in Geo-space

    Institute of Scientific and Technical Information of China (English)

    SHI Jian-Kui; WANG Xiao; ZHANG Tie-Long; Torkar Klaus; LIU Zhen-Xing

    2005-01-01

    An electrostatic model for the shock observed in the earth's polar region is established by deriving the "Sagdeev potential" from the magnetohydrodynamic equations in a cylindrical coordinate system. The results show that the shock can develop from the ion acoustic wave or ion cyclotron wave. in the polar region, and can exist when the Mach number M and the initial electric field E0 satisfy the condition of |(a/M2 - 1) E0| = 1. Also, some features of the shock wave are discussed. The result can interpret the electrostatic shock observed in the earth's polar region.

  19. Development of a fatal noncompressible truncal hemorrhage model with combined hepatic and portal venous injury in normothermic normovolemic swine.

    Directory of Open Access Journals (Sweden)

    Ujwal R Yanala

    Full Text Available Noncompressible truncal hemorrhage and brain injury currently account for most early mortality of warfighters on the battlefield. There is no effective treatment for noncompressible truncal hemorrhage, other than rapid evacuation to a surgical facility. The availability of an effective field treatment for noncompressible truncal hemorrhage could increase the number of warfighters salvaged from this frequently-lethal scenario. Our intent was to develop a porcine model of noncompressible truncal hemorrhage with a ∼ 50% one-hour mortality so that we could develop new treatments for this difficult problem. Normovolemic normothermic domestic swine (barrows, 3 months old, 34-36 kg underwent one of three injury types through a midline incision: 1 central stellate injury (N = 6; 2 excision of a portal vein branch distal to the main PV trunk (N = 6; or 3 hemi-transection of the left lateral lobe of the liver at its base (N = 10. The one-hour mortality of these injuries was 0, 82, and 40%, respectively; the final mean arterial pressure was 65, 24, and 30 mm Hg, respectively; and the final hemoglobin was 8.3, 2.3, and 3.6 g/dL, respectively. Hemi-transection of the left lateral lobe of the liver appeared to target our desired mortality rate better than the other injury mechanisms.

  20. Development of a fatal noncompressible truncal hemorrhage model with combined hepatic and portal venous injury in normothermic normovolemic swine.

    Science.gov (United States)

    Yanala, Ujwal R; Johanning, Jason M; Pipinos, Iraklis I; Larsen, Gustavo; Velander, William H; Carlson, Mark A

    2014-01-01

    Noncompressible truncal hemorrhage and brain injury currently account for most early mortality of warfighters on the battlefield. There is no effective treatment for noncompressible truncal hemorrhage, other than rapid evacuation to a surgical facility. The availability of an effective field treatment for noncompressible truncal hemorrhage could increase the number of warfighters salvaged from this frequently-lethal scenario. Our intent was to develop a porcine model of noncompressible truncal hemorrhage with a ∼ 50% one-hour mortality so that we could develop new treatments for this difficult problem. Normovolemic normothermic domestic swine (barrows, 3 months old, 34-36 kg) underwent one of three injury types through a midline incision: 1) central stellate injury (N = 6); 2) excision of a portal vein branch distal to the main PV trunk (N = 6); or 3) hemi-transection of the left lateral lobe of the liver at its base (N = 10). The one-hour mortality of these injuries was 0, 82, and 40%, respectively; the final mean arterial pressure was 65, 24, and 30 mm Hg, respectively; and the final hemoglobin was 8.3, 2.3, and 3.6 g/dL, respectively. Hemi-transection of the left lateral lobe of the liver appeared to target our desired mortality rate better than the other injury mechanisms.

  1. THE EXPERIMENTAL STUDY ON THE CELL APOPTOSIS AND EXPRESSION OF BCL-2 PROTEIN IN INTRACEREBRAL HEMORRHAGE IN MODEL OF RATS

    Institute of Scientific and Technical Information of China (English)

    Bao Gang; Guo Ning; Zhang Zhonglin; Chen Wei; Bao Dehu

    2006-01-01

    Otjective To study whether there is the apoptosis of neural cells and the expressionof Bcl-2 protein in intracerebral hemorrhage (ICH) in model of rats, for the further understanding the mechanism of the delayed damage of the neural cells around the hematoma after ICH. Methods Fifty SD rats were randomly divided into 5 groups, ten in each. With the Group A as the control, the rest 40 were used to set up intracerebral hemorrhage model. The brains were taken out at 12th, 24th, 48th and 72th hours, respectively. Apoptosis cells were detected with terminal deoxynucleotidyl transferase mediated dUTP nick end labeling (TUNEL), and the expression of Bcl-2 protein was detected with immunochemical stainging methed (SP). Results In the control group, no apoptosis cells and Bcl-2protein were detected. In rest groups, the apoptosis cells and Bcl-2 protein were expressed in different degree.Apoptosis rates verified and corresponded with the time after ICH, with the peak at 48th -72th hour after hemorrhage.The peak rate of apoptosis cells was (24. 50± 2.69)% and Bcl-2 protein expression was (20. 76 ± 1.97)% . There was significant difference between the experimental groups and control (P<0.05), and no linear relationship between the apoptosis rate and the expression of Bcl-2 protein. Conclusion Apoptosis may be an important factor in the secondary trauma of ICH. There is a time leg after hemorrhage. All this is instructive to clinical treatment in time. Bcl-2 protein keeps increasing in a certain time after hemorrhage, but not synchronize with the cell apoptosis. This indicates that bcl-2 has the effect to reduce the apoptosis of neural cells.

  2. Association of out-of-hospital advanced airway management with outcomes after traumatic brain injury and hemorrhagic shock in the ROC hypertonic saline trial.

    Science.gov (United States)

    Wang, Henry E; Brown, Siobhan P; MacDonald, Russell D; Dowling, Shawn K; Lin, Steve; Davis, Daniel; Schreiber, Martin A; Powell, Judy; van Heest, Rardi; Daya, Mohamud

    2014-03-01

    Prior studies suggest adverse associations between out-of-hospital advanced airway management (AAM) and patient outcomes after major trauma. This secondary analysis of data from the Resuscitation Outcomes Consortium Hypertonic Saline Trial evaluated associations between out-of-hospital AAM and outcomes in patients suffering isolated severe traumatic brain injury (TBI) or haemorrhagic shock. This multicentre study included adults with severe TBI (GCS ≤8) or haemorrhagic shock (SBP ≤70 mm Hg, or (SBP 71-90 mm Hg and heart rate ≥108 bpm)). We compared patients receiving out-of-hospital AAM with those receiving emergency department AAM. We evaluated the associations between airway strategy and patient outcomes (28-day mortality, and 6-month poor neurologic or functional outcome) and airway strategy, adjusting for confounders. Analysis was stratified by (1) patients with isolated severe TBI and (2) patients with haemorrhagic shock with or without severe TBI. Of 2135 patients, we studied 1116 TBI and 528 shock; excluding 491 who died in the field, did not receive AAM or had missing data. In the shock cohort, out-of-hospital AAM was associated with increased 28-day mortality (adjusted OR 5.14; 95% CI 2.42 to 10.90). In TBI, out-of-hospital AAM showed a tendency towards increased 28-day mortality (adjusted OR 1.57; 95% CI 0.93 to 2.64) and 6-month poor functional outcome (1.63; 1.00 to 2.68), but these differences were not statistically significant. Out-of-hospital AAM was associated with poorer 6-month TBI neurologic outcome (1.80; 1.09 to 2.96). Out-of-hospital AAM was associated with increased mortality after haemorrhagic shock. The adverse association between out-of-hospital AAM and injury outcome is most pronounced in patients with haemorrhagic shock.

  3. [Induction mechanism of shock: applying the etiology in judgment of the cause of death in forensic practice].

    Science.gov (United States)

    Tanaka, Noriyuki

    2004-09-01

    In the field of forensic medicine, shock has been identified as a cause of death owing to various kinds of exogenous insults. The etiology and pathogenesis of shock cannot be explained well by the usual gross appearance in medicolegal autopsies, because it is now generally established that the shock is a functional reaction of the vascular system to bodily injury, and that several organs are secondarily impaired during shock. Thus it seemed to forensic pathologists that these morphological changes in several organs after shock did not reveal any significant differences among the causes of death. We approached to the induction mechanism of shock, and we investigated what etiology induced these morphological changes after shock in order to identify shock as the cause of death. It is now generally accepted that the kidney is a target organ of shock, so we mainly investigated the cause of kidney disorder in a case of burn shock and hemorrhagic shock. 1. Consequences of bacterial translocation (BT) in the shock. The concept of BT indicates that the beginning of shock is induced by the loss of gut barrier function and consequent translocation of bacteria. In general, impaired gut barrier function can be caused either during the shock period by decreased intestinal blood flow and reduced oxygen delivery, resulting during reperfusion in a stage of increased intestinal blood flow, or at a later stage again by reduced flow. A variety of physiological stresses, such as trauma, hemorrhage, thermal injury, surgical operation, various kinds of drags and mental stress, have been shown to cause failure of the gut mucosal barrier, with translocation of bacteria/endotoxin from the gastrointestinal into the mesenteric lymph nodes, and translocation into remote organs and systemic circulation. 2. Burn shock. We designed to evaluate the BT in a burn shock rat model (following 20% full-thickness scald injury). The p38 MAPK pathway is an important stress-responsive signal molecule

  4. Energy metabolism regulated by HDAC inhibitor attenuates cardiac injury in hemorrhagic rat model.

    Science.gov (United States)

    Kuai, Qiyuan; Wang, Chunyan; Wang, Yanbing; Li, Weijing; Zhang, Gongqing; Qiao, Zhixin; He, Min; Wang, Xuanlin; Wang, Yu; Jiang, Xingwei; Su, Lihua; He, Yuezhong; Ren, Suping; Yu, Qun

    2016-12-02

    A disturbance of energy metabolism reduces cardiac function in acute severe hemorrhagic patients. Alternatively, adequate energy supply reduces heart failure and increases survival. However, the approach to regulating energy metabolism conductive to vital organs is limited, and the underlying molecular mechanism remains unknown. This study assesses the ability of histone deacetylase inhibitors (HDACIs) to preserve cardiac energy metabolism during lethal hemorrhagic injury. In the lethally hemorrhagic rat and hypoxic myocardial cells, energy metabolism and heart function were well maintained following HDACI treatment, as evident by continuous ATP production with normal cardiac contraction. Valproic acid (VPA) regulated the energy metabolism of hemorrhagic heart by reducing lactate synthesis and protecting the mitochondrial ultrastructure and respiration, which were attributable to the inhibition of lactate dehydrogenase A activity and the increased myeloid cell leukemia-1 (mcl-1) gene expression, ultimately facilitating ATP production and consumption. MCL-1, the key target of VPA, mediated this cardioprotective effect under acute severe hemorrhage conditions. Our results suggest that HDACIs promote cardioprotection by improving energy metabolism during hemorrhagic injury and could therefore be an effective strategy to counteract this process in the clinical setting.

  5. Does the Foreign Income Shock in a Small Open Economy DSGE Model Fit Croatian Data?

    OpenAIRE

    Arčabić, Vladimir; Globan, Tomislav; Nadoveza, Ozana; Rogić Dumančić, Lucija; Tica, Josip

    2016-01-01

    The paper compares theoretical impulse response functions from a DSGE model for a small open economy with an empirical VAR model estimated for the Croatian economy. The theoretical model fits the data well as long as monetary policy is modelled as a fixed exchange rate regime. The paper considers only a foreign output gap shock. A positive foreign shock increases domestic GDP and prices and decreases terms of trade, which is in compliance with theoretical assumptions. Interest rates behave di...

  6. Three-Dimensional Printing of a Hemorrhagic Cervical Cancer Model for Postgraduate Gynecological Training

    Science.gov (United States)

    Ryan, Stephen; Doucet, Gregory; Murphy, Deanna; Turner, Jacqueline

    2017-01-01

    Introduction A realistic hemorrhagic cervical cancer model was three-dimensionally (3D) printed and used in a postgraduate medical simulation training session. Materials and methods Computer-assisted design (CAD) software was the platform of choice to create and refine the cervical model. Once the prototype was finalized, another software allowed for the addition of a neoplastic mass, which included openings for bleeding from the neoplasm and cervical os. 3D printing was done using two desktop printers and three different materials. An emergency medicine simulation case was presented to obstetrics and gynecology residents who were at varying stages of their training. The scenario included history taking and physical examination of a standardized patient. This was a hybrid simulation; a synthetic pelvic task trainer that allowed the placement of the cervical model was connected to the standardized patient. The task trainer was placed under a drape and appeared to extend from the standardized patient’s body. At various points in the simulation, the standardized patient controlled the cervical bleeding through a peripheral venous line. Feedback forms were completed, and the models were discussed and evaluated with staff. Results A final cervical model was created and successfully printed. Overall, the models were reported to be similar to a real cervix. The models bled well. Most models were not sutured during the scenarios, but overall, the value of the printed cervical models was reported to be high. Discussion The models were well received, but it was suggested that more colors be integrated into the cervix in order to better emphasize the intended pathology. The model design requires further improvement, such as the addition of a locking mechanism, in order to ensure that the cervix stays inside the task trainer throughout the simulation. Adjustments to the simulated blood product would allow the bleeding to flow more vigorously. Additionally

  7. Development of a mechanics-based model of brain deformations during intracerebral hemorrhage evacuation

    Science.gov (United States)

    Narasimhan, Saramati; Weis, Jared A.; Godage, Isuru S.; Webster, Robert; Weaver, Kyle; Miga, Michael I.

    2017-03-01

    Intracerebral hemorrhages (ICHs) occur in 24 out of 100,000 people annually and have high morbidity and mortality rates. The standard treatment is conservative. We hypothesize that a patient-specific, mechanical model coupled with a robotic steerable needle, used to aspirate a hematoma, would result in a minimally invasive approach to ICH management that will improve outcomes. As a preliminary study, three realizations of a tissue aspiration framework are explored within the context of a biphasic finite element model based on Biot's consolidation theory. Short-term transient effects were neglected in favor of steady state formulation. The Galerkin Method of Weighted Residuals was used to solve coupled partial differential equations using linear basis functions, and assumptions of plane strain and homogeneous isotropic properties. All aspiration models began with the application of aspiration pressure sink(s), calculated pressures and displacements, and the use of von Mises stresses within a tissue failure criterion. With respect to aspiration strategies, one model employs an element-deletion strategy followed by aspiration redeployment on the remaining grid, while the other approaches use principles of superposition on a fixed grid. While the element-deletion approach had some intuitive appeal, without incorporating a dynamic grid strategy, it evolved into a less realistic result. The superposition strategy overcame this, but would require empirical investigations to determine the optimum distribution of aspiration sinks to match material removal. While each modeling framework demonstrated some promise, the superposition method's ease of computation, ability to incorporate the surgical plan, and better similarity to existing empirical observational data, makes it favorable.

  8. The shocking transit of WASP-12b: Modelling the observed early ingress in the near ultraviolet

    CERN Document Server

    Llama, J; Jardine, M; Vidotto, A A; Helling, Ch; Fossati, L; Haswell, C A

    2011-01-01

    Near ultraviolet observations of WASP-12b have revealed an early ingress compared to the optical transit lightcurve. This has been interpreted as due to the presence of a magnetospheric bow shock which forms when the relative velocity of the planetary and stellar material is supersonic. We aim to reproduce this observed early ingress by modelling the stellar wind (or coronal plasma) in order to derive the speed and density of the material at the planetary orbital radius. From this we determine the orientation of the shock and the density of compressed plasma behind it. With this model for the density structure surrounding the planet we perform Monte Carlo radiation transfer simulations of the near UV transits of WASP-12b with and without a bow shock. We find that we can reproduce the transit lightcurves with a wide range of plasma temperatures, shock geometries and optical depths. Our results support the hypothesis that a bow shock could explain the observed early ingress.

  9. A minimal titration modelization of the mammalian dynamical heat shock response

    CERN Document Server

    Aude, Sivéry; Thommen, Quentin

    2015-01-01

    Environmental stress, such as oxidative or heat stress, induces the activation of the Heat Shock Response (HSR) which leads to an increase in the heat shock proteins (HSPs) level. These HSPs act as molecular chaperones to maintain proteostasis. Even if the main heat shock response partners are well known, a detailed description of the dynamical properties of the HSR network is still missing. In this study, we derive a minimal mathematical model of cellular response to heat shock that reproduces available experimental data sets both on transcription factor activity and cell viability. This simplistic model highlights the key mechanistic processes that rule the HSR network and reveals (i) the titration of Heat Shock Factor 1 (HSF1) by chaperones as the guiding line of the network, (ii) that protein triage governs the fate of damaged proteins and (iii) three different temperature regimes describing normal, acute or chronic stress.

  10. On terminating Poisson processes in some shock models

    Energy Technology Data Exchange (ETDEWEB)

    Finkelstein, Maxim, E-mail: FinkelMI@ufs.ac.z [Department of Mathematical Statistics, University of the Free State, Bloemfontein (South Africa); Max Planck Institute for Demographic Research, Rostock (Germany); Marais, Francois, E-mail: fmarais@csc.co [CSC, Cape Town (South Africa)

    2010-08-15

    A system subject to a point process of shocks is considered. Shocks occur in accordance with the homogeneous Poisson process. Different criteria of system failure (termination) are discussed and the corresponding probabilities of failure (accident)-free performance are derived. The described analytical approach is based on deriving integral equations for each setting and solving these equations through the Laplace transform. Some approximations are analyzed and further generalizations and applications are discussed.

  11. Determining rural risk for aneurysmal subarachnoid hemorrhages: A structural equation modeling approach

    Science.gov (United States)

    Nichols, Linda Jayne; Gall, Seana; Stirling, Christine

    2016-01-01

    An aneurysmal subarachnoid hemorrhage (aSAH) carries a high disability burden. The true impact of rurality as a predictor of outcome severity is unknown. Our aim is to clarify the relationship between the proposed explanations of regional and rural health disparities linked to severity of outcome following an aSAH. An initial literature search identified limited data directly linking geographical location, rurality, rural vulnerability, and aSAH. A further search noting parallels with ischemic stroke and acute myocardial infarct literature presented a number of diverse and interrelated predictors. This a priori knowledge informed the development of a conceptual framework that proposes the relationship between rurality and severity of outcome following an aSAH utilizing structural equation modeling. The presented conceptual framework explores a number of system, environmental, and modifiable risk factors. Socioeconomic characteristics, modifiable risk factors, and timely treatment that were identified as predictors of severity of outcome following an aSAH and within each of these defined predictors a number of contributing specific individual predictors are proposed. There are considerable gaps in the current knowledge pertaining to the impact of rurality on the severity of outcome following an aSAH. Absent from the literature is any investigation of the cumulative impact and multiplicity of risk factors associated with rurality. The proposed conceptual framework hypothesizes a number of relationships between both individual level and system level predictors, acknowledging that intervening predictors may mediate the effect of one variable on another. PMID:27695237

  12. Determining rural risk for aneurysmal subarachnoid hemorrhages: A structural equation modeling approach.

    Science.gov (United States)

    Nichols, Linda Jayne; Gall, Seana; Stirling, Christine

    2016-01-01

    An aneurysmal subarachnoid hemorrhage (aSAH) carries a high disability burden. The true impact of rurality as a predictor of outcome severity is unknown. Our aim is to clarify the relationship between the proposed explanations of regional and rural health disparities linked to severity of outcome following an aSAH. An initial literature search identified limited data directly linking geographical location, rurality, rural vulnerability, and aSAH. A further search noting parallels with ischemic stroke and acute myocardial infarct literature presented a number of diverse and interrelated predictors. This a priori knowledge informed the development of a conceptual framework that proposes the relationship between rurality and severity of outcome following an aSAH utilizing structural equation modeling. The presented conceptual framework explores a number of system, environmental, and modifiable risk factors. Socioeconomic characteristics, modifiable risk factors, and timely treatment that were identified as predictors of severity of outcome following an aSAH and within each of these defined predictors a number of contributing specific individual predictors are proposed. There are considerable gaps in the current knowledge pertaining to the impact of rurality on the severity of outcome following an aSAH. Absent from the literature is any investigation of the cumulative impact and multiplicity of risk factors associated with rurality. The proposed conceptual framework hypothesizes a number of relationships between both individual level and system level predictors, acknowledging that intervening predictors may mediate the effect of one variable on another.

  13. Influence of omentoplasty on colonic anastomosis in animals submitted to hemorrhagic shock in rats Influência da omentoplastia na anastomose cólica de animais submetidos a choque hemorrágico em ratos

    Directory of Open Access Journals (Sweden)

    Ricardo Bolzam-Nascimento

    2009-06-01

    Full Text Available PURPOSE: To analyze influence of omentoplasty on anastomosis in descending colon of rats. Rats were submitted to the hypovolemic shock of the hemorrhagic type by the Biomechanical Test of Pressure of Rupture by Liquid Distension (BTPRLD. In addition, establish a type of acute anemia in rats that are provided to the study. METHODS: Comparative study between two groups of animals with ten rats in each one, all submitted to hemorrhagic shock for 30% volemic removal by the carotid artery. An anastomosis was performed in left colon. An anastomosis was performed in the left colon. Group 1 took place anastomosis with Polyvinyl Chloride (P.V.C film to prevent the adhesions formation on sature line. Group 2 placed the great omentum around the anastomosis. Euthanasia occurred on the fifth day, when the anastomoses were submitted to the biomechanical test of pressure of rupture by liquid distension (BTPRLD. RESULTS: High rupture pressure was gained with omentoplasty group in relation to the group in which anastomosis was protected from adhesions formation. A statistical significance was noted. CONCLUSION: Protection by great omentum has increased the anastomosis resistance of the shocked animals. Also, the proposed hemorrhagic shock type has proven to be useful for this study.OBJETIVO: Analisar a influência da omentoplastia sobre anastomose realizada em cólon descendente de ratos que foram submetidos a choque hipovolêmico do tipo hemorrágico, por meio do Teste Biomecânico de Pressão de Ruptura à Distensão por Líquido. Além disso, estabelecer modelo de anemia aguda em rato que se preste ao referido estudo. MÉTODOS: Estudo comparativo entre dois grupos de animais com 10 ratos em cada, todos submetidos a choque hemorrágico por retirada volêmica de 30% através da artéria carótida, sendo realizada anastomose em cólon esquerdo. No grupo 1 realizou-se proteção da anastomose com película de polivinilcloreto para impedir a formação de ader

  14. Effects of infusion restriction on pulmonary contusion with hemorrhagic shock%限制性补液对肺挫伤伴失血性休克的影响

    Institute of Scientific and Technical Information of China (English)

    麦惠强; 蒋崇慧; 郑超群

    2010-01-01

    Objective To explore the effect of infusion restriction on pulmonary contusion with hemorrhagic shock.Methods Seventy-eight patients (ISS≥25) with pulmonary contusion and hemorrhagic shock who had been hospitalized from January 2008 to March 2010 were included in this study.All the patients required mechanical ventilation and fluid rescue because of severe hypoxia and shock and were randomly divided into conventional group (n = 38) and restriction group (n = 40).FT,APTT,BE,lactic acid content,PO2,PO2/FiO2,and changes in chest radiology were determined; ventilation time,length of ICU stay,the motality,incidence,and curative rate of ARDS or MODS were studied in the two groups.Results FT,APTT,BE,and lactic acid content were lower in both restriction group and convertional group.As compared with conventional group,PO2,PO2/FiO2,and pulmonary inflammatory absorption were elevated (P<0.05),ventilation time and length of ICU stay were shortened,the mortality and incidence of ARDS or MODS were reduced (P<0.05),and the curative rate was increased in restriction group (P<0.05).Conclusions Infusion restriction in the treatment of pulmonary contusion with hemorrhagic shock can effectively improve coagulopathy and relieve acidosis and it markedly promotes pulmonary repair and increases the survival rate and the prognosis.%目的 观察限制性补液对肺挫伤伴失血性休克病人的治疗效果.方法 将2008年1月-2010年3月共救治肺挫伤伴失血性休克的病人(ISS≥25)78例,随机分为限制组(40人)和常规组(38人).两组患者均因严重低氧血症和失血性休克行机械通气和体液复苏.分别监测凝血功能(PT和APTT)、碱剩余(BE)、血浆乳酸含量、氧分压、氧合指数及胸片变化情况,统计两组肺挫伤伴失血性休克病人的呼吸机通气时间、住ICU时间、急性呼吸窘迫综合症(ARDS)和多器官功能障碍综合征(MODS)发生率、治愈率和死亡率.结果 限制性补液 与常规补液均能

  15. Evaluation of fracture models through pressurized-thermal-shock testing

    Energy Technology Data Exchange (ETDEWEB)

    Pugh, C.E.; Bryan, R.H.; Bass, B.R.; Nanstad, R.K.

    1988-01-01

    Two multiple-transient pressurized-thermal-shock experiments (PTSEs) have been conducted under the NRC-sponsored Heavy-Section Steel Technology (HSST) program. The first test (PTSE-1) employed an SA-508 class 2 steel with high Charpy upper-shelf energy level and a relatively high brittle-to-ductile transition temperature. The second test (PTSE-2) used a 2 1/4 Cr-1 Mo steel (SA-387 grade 22) that had been given a special heat treatment to yield a low Charpy upper-shelf energy level and attendant low tearing resistance. Each experiment included two combined thermal and pressure transients that give rise to propagation and arrest of an initial long flaw that extended about 10% through the thick wall of the test cylinder. Both materials exhibited the ability to inhibit crack propagation by warm prestressing, high initiation toughness values and high crack-arrest toughness values. Cleavage initiation and arrest are modeled well by available fracture theories. However, calculations of ductile tearing based on resistance curves did not consistently predict the observed tearing.

  16. Exploring temporal transcription regulation structure of Aspergillus fumigatus in heat shock by state space model

    Directory of Open Access Journals (Sweden)

    Miyano Satoru

    2009-07-01

    feed-forward loop type of regulation of heat shock proteins with metabolic genes became less frequent with increasing temperature. This might be the reason for dramatic increase in the expression of heat shock proteins and the number of heat shock response genes at heat shock of 48°C. Conclusion We systemically analysed the thermal adaption mechanism of A. fumigatus by state space model with times series microarray data in terms of transcription regulation structure. We suggest for the first time that heat shock proteins might efficiently regulate metabolic genes using the coherent feed-forward loop type of regulation structure. This type of regulation structure would also be efficient for adjustment to the other stresses requiring rapid change of metabolic mode as well as thermal adaptation.

  17. Modeling the anisotropic shock response of single-crystal RDX

    Science.gov (United States)

    Luscher, Darby

    Explosives initiate under impacts whose energy, if distributed homogeneously throughout the material, translates to temperature increases that are insufficient to drive the rapid chemistry observed. Heterogeneous thermomechanical interactions at the meso-scale (i.e. between single-crystal and macroscale) leads to the formation of localized hot spots. Direct numerical simulations of mesoscale response can contribute to our understanding of hot spots if they include the relevant deformation mechanisms that are essential to the nonlinear thermomechanical response of explosive molecular crystals. We have developed a single-crystal model for the finite deformation thermomechanical response of cyclotrimethylene trinitramine (RDX). Because of the low symmetry of RDX, a complete description of nonlinear thermoelasticity requires a careful decomposition of free energy into components that represent the pressure-volume-temperature (PVT) response and the coupling between isochoric deformation and both deviatoric and hydrostatic stresses. An equation-of-state (EOS) based on Debye theory that defines the PVT response was constructed using experimental data and density functional theory calculations. This EOS replicates the equilibrium states of phase transformation from alpha to gamma polymorphs observed in static high-pressure experiments. Lattice thermoelastic parameters defining the coupled isochoric free energy were obtained from molecular dynamics calculations and previous experimental data. Anisotropic crystal plasticity is modeled using Orowan's expression relating slip rate to dislocation density and velocity. Details of the theory will be presented followed by discussion of simulations of flyer plate impact experiments, including recent experiments diagnosed with in situ X-ray diffraction at the Advanced Photon Source. Impact conditions explored within the experimental effort have spanned shock pressures ranging from 1-10 GPa for several crystallographic orientations

  18. [Alveolar hemorrhage].

    Science.gov (United States)

    Parrot, A; Fartoukh, M; Cadranel, J

    2015-04-01

    Alveolar hemorrhage occurs relatively rarely and is a therapeutic emergency because it can quickly lead to acute respiratory failure, which can be fatal. Hemoptysis associated with anemia and pulmonary infiltrates suggest the diagnosis of alveolar hemorrhage, but may be absent in one third of cases including patients in respiratory distress. The diagnosis of alveolar hemorrhage is based on the findings of a bronchoalveolar lavage. The causes are numerous. It is important to identify alveolar hemorrhage due to sepsis, then separate an autoimmune cause (vasculitis associated with antineutrophil cytoplasmic antibody, connective tissue disease and Goodpasture's syndrome) with the search for autoantibodies and biopsies from readily accessible organs, from a non-immune cause, performing echocardiography. Lung biopsy should be necessary only in exceptional cases. If the hemorrhage has an immune cause, treatment with steroids and cyclophosphamide may be started. The indications for treatment with rituximab are beginning to be established (forms that are not severe and refractory forms). The benefit of plasma exchange is unquestionable in Goodpasture's syndrome. In patients with an immune disease that can lead to an alveolar hemorrhage, removing any source of infection is the first priority. Copyright © 2014 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  19. Single and double shock initiation modelling for high explosive materials in last three decades

    Science.gov (United States)

    Hussain, T.; Yan, Liu

    2016-08-01

    The explosives materials are normally in an energetically metastable state. These can undergo rapid chemical decomposition only if sufficient energy has first been added to get the process started. Such energy can be provided by shocks. To predict the response of these materials under impacts of shocks of different strengths and durations and at various conditions, mathematical models are used. During the last three decades, a lot of research has been carried out and several shock initiation models have been presented. The models can be divided into continuum based and physics based models. In this study the single and double shock initiation models presented in last three decades have been reviewed and the ranges of their application has been discussed.

  20. Prediction models for intracranial hemorrhage or major bleeding in patients on antiplatelet therapy: a systematic review and external validation study.

    Science.gov (United States)

    Hilkens, N A; Algra, A; Greving, J P

    2016-01-01

    ESSENTIALS: Prediction models may help to identify patients at high risk of bleeding on antiplatelet therapy. We identified existing prediction models for bleeding and validated them in patients with cerebral ischemia. Five prediction models were identified, all of which had some methodological shortcomings. Performance in patients with cerebral ischemia was poor. Background Antiplatelet therapy is widely used in secondary prevention after a transient ischemic attack (TIA) or ischemic stroke. Bleeding is the main adverse effect of antiplatelet therapy and is potentially life threatening. Identification of patients at increased risk of bleeding may help target antiplatelet therapy. This study sought to identify existing prediction models for intracranial hemorrhage or major bleeding in patients on antiplatelet therapy and evaluate their performance in patients with cerebral ischemia. We systematically searched PubMed and Embase for existing prediction models up to December 2014. The methodological quality of the included studies was assessed with the CHARMS checklist. Prediction models were externally validated in the European Stroke Prevention Study 2, comprising 6602 patients with a TIA or ischemic stroke. We assessed discrimination and calibration of included prediction models. Five prediction models were identified, of which two were developed in patients with previous cerebral ischemia. Three studies assessed major bleeding, one studied intracerebral hemorrhage and one gastrointestinal bleeding. None of the studies met all criteria of good quality. External validation showed poor discriminative performance, with c-statistics ranging from 0.53 to 0.64 and poor calibration. A limited number of prediction models is available that predict intracranial hemorrhage or major bleeding in patients on antiplatelet therapy. The methodological quality of the models varied, but was generally low. Predictive performance in patients with cerebral ischemia was poor. In order to

  1. Semi-transparent shock model for major solar energetic particle events

    Science.gov (United States)

    Kocharov, Leon

    2014-05-01

    Production of solar energetic particles in major events typically comprises two stages: (i) the initial stage associated with shocks and magnetic reconnection in solar corona and (ii) the main stage associated with the CME-bow shock in solar wind. The coronal emission of energetic particles from behind the interplanetary shock wave continues for about one hour , being not shielded by the CME shock in solar wind and having the prompt access to particle detectors at 1 AU. On occasion of two well-separated solar eruptions from the same active region, the newly accelerated solar particles may be emitted well behind the previous CME, and those solar particles may penetrate through the interplanetary shock of the previous CME to arrive at the Earth's orbit without significant delay, which is another evidence that high-energy particles from the solar corona can penetrate through travelling interplanetary shocks. Diffusive shock acceleration is fast only if the particle mean free path near the shock is small. The small mean free path (high turbulence level), however, implies that energetic particles from coronal sources could not penetrate through the interplanetary shock, and even the particles accelerated by the interplanetary shock itself could not escape to its far upstream region. If so, they could not be promptly observed at 1 AU. However, high-energy particles in major solar events are detected well before the shock arrival at 1 AU. The theoretical difficulty can be obviated in the framework of the proposed model of a "semitransparent" shock. As in situ plasma observations indicate, the turbulence energy levels in neighboring magnetic tubes of solar wind may differ from each other by more than one order of magnitude. Such an intermittence of coronal and solar wind plasmas can affect energetic particle acceleration in coronal and interplanetary shocks. The new modeling incorporates particle acceleration in the shock front and the particle transport both in parallel

  2. Characteristics of Hydraulic Shock Waves in an Inclined Chute Contraction by Using Three Dimensional Numerical Model

    Science.gov (United States)

    Hsiao, Kai-Wen; Hsu, Yu-Chao; Jan, Chyan-Deng; Su, Yu-Wen

    2016-04-01

    The inclined rectangular chute construction is a common structure used in hydraulic engineering for typical reasons such as the increase of bottom slope, the transition from side channel intakes to tunnel spillways, the drainage construction, and the reduction of chute width due to bridges, flood diversion structures or irrigation systems. The converging vertical sidewalls of a chute contraction deflect the supercritical flow to form hydraulic shock waves. Hydraulic shock waves have narrow and locally extreme wavy surfaces, which commonly results in the requirement of higher height of sidewalls. Therefore, predicting the possible height and position of maximum hydraulic shock wave are necessary to design the required height of sidewalls to prevent flow overtopping. In this study, we used a three-dimensional computation fluid dynamics model (i.e., FLOW-3D) to simulate the characteristics of hydraulic shock waves in an inclined chute contraction. For this purpose, the parameters of simulated hydraulic shock wave, such as the shock angle, maximum shock wave height and maximum shock wave position in various conditions are compared with those calculated by the empirical relations obtained from literatures. We showed that the simulated results are extremely close to the experimental results. The numerical results validated the applicability of these empirical relations and extend their applicability to higher approach Froude numbers from 3.51 to 7.27. Furthermore, we also applied the Yuan-Shan-Tsu flood diversion channel under 200-year peak flow condition to FLOW-3D model to simulate the hydraulic shock waves and validate the effect of the installation of a diversion pier in the channel on promoting the stability of flow fluid. The results revealed that a diversion pier installed in the Yuan-Shan-Tsu flood diversion channel is helpful for improving the stability of flow field. In summary, this study demonstrates that FLOW-3D model can be used to simulate the

  3. 不同补液强度对重度失血性休克早期血清乳酸及钾的影响%Impact of different rehydration intensity on serum lactate and potassium at the early stage of severe hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    杜鹏飞; 朱海彬; 赵会民

    2013-01-01

    目的 研究不同剂量液体治疗对重度失血性休克早期血清乳酸及钾的影响.方法 采用控制性颈动脉放血法建立持续出血性休克兔模型,共42只,随机分为3组,各14只,无补液组不输液;大剂量复苏组按失血量两倍输液,速度参照平均动脉压70~ 80 mm Hg目标值调整;小剂量复苏组按失血量1倍输液,速度参照平均动脉压50~60 mm Hg目标值调整,于休克前及液体治疗1、2、3、4 h分别检测血清乳酸及钾浓度,观察病死率.结果 小剂量组血清乳酸及钾浓度在治疗1、2、3、4h均显著低于无补液组(P<0.05)和大剂量复苏组(P<0.05),4h病死率(1/14)显著低于无补液组(10/14),而大剂量组病死率(5/14)与其他两组比较差异无统计学意义.结论 限制性液体复苏可以降低未控制失血的创伤出血性休克早期病死率,小剂量补液较快速大量补液更有利于抑制酸中毒进展及高钾血症.%Objective To investigate the impact of different rehydration intensity on serum lactate and potassium at the early stage of severe hemorrhagic shock.Methods The rabbit models of progressive hemorrhagic shock were established by controlling the carotid artery bloodletting method,and forty-two male rabbits were randomly divided into 3 groups.Non-infusion group accepted nearly no fluid; massive-infusion group accepted fluid equal to times of the bleeding amount,adjusting speed according to mean arterial pressure (MAP) target 70 ~ 80 mm Hg; and limited-infusion group accepted fluid equal to the amount of bleeding,adjusting speed according to MAP target 50 ~60 mm Hg.The serum lactic acid and potassium level were detected respectively before and after shock,and at 1,2,3,4 h followed fluid resuscitation.The 4 h-mortality was also discussed.Results There were 10,5,1 death within 4 h respectively in non-infusion group,massive-infusion group and limited-infusion group,the 4 h-mortality of limited-infusion group was

  4. On the proper Mach number and ratio of specific heats for modeling the Venus bow shock

    Science.gov (United States)

    Tatrallyay, M.; Russell, C. T.; Luhmann, J. G.; Barnes, A.; Mihalov, J. D.

    1984-01-01

    Observational data from the Pioneer Venus Orbiter are used to investigate the physical characteristics of the Venus bow shock, and to explore some general issues in the numerical simulation of collisionless shocks. It is found that since equations from gas-dynamic (GD) models of the Venus shock cannot in general replace MHD equations, it is not immediately obvious what the optimum way is to describe the desired MHD situation with a GD code. Test case analysis shows that for quasi-perpendicular shocks it is safest to use the magnetospheric Mach number as an input to the GD code. It is also shown that when comparing GD predicted temperatures with MHD predicted temperatures total energy should be compared since the magnetic energy density provides a significant fraction of the internal energy of the MHD fluid for typical solar wind parameters. Some conclusions are also offered on the properties of the terrestrial shock.

  5. Predicting effects of cold shock: modeling the decline of a thermal plume

    Energy Technology Data Exchange (ETDEWEB)

    Becker, C.D.; Trent, D.S.; Schneider, M.J.

    1977-10-01

    Predicting direct impact of cold shock on aquatic organisms after termination of power plant thermal discharges requires thermal tests that provide quantitative data on the resistance of acclimated species to lower temperatures. Selected examples from the literature on cold shock resistance of freshwater and marine fishes are illustrated to show predictive use. Abrupt cold shock data may be applied to field situations involving either abrupt or gradual temperature declines but yield conservative estimates under the latter conditions. Gradual cold shock data may be applied where heated plumes gradually dissipate because poikilotherms partially compensate for lowering temperature regimes. A simplified analytical model is presented for estimating thermal declines in terminated plumes originating from offshore, submerged discharges where shear current and boundary effects are minimal. When applied to site-specific conditions, the method provides time-temperature distributions for correlation with cold resistance data and, therefore, aids in assessing cold shock impact on aquatic biota.

  6. Modelling X-ray emitting stationary shocks in magnetized protostellar jets

    Science.gov (United States)

    Ustamujic, S.; Orlando, S.; Bonito, R.; Miceli, M.; Gómez de Castro, A. I.; López-Santiago, J.

    2017-03-01

    The early stages of a star birth are characterized by a variety of mass ejection phenomena, including outflows and collimated jets that are strongly related to the accretion process developed in the context of the star-disc interaction. Jets move through the ambient medium producing complex structures observed at different wavelengths. In particular, X-ray observations show evidence of strong shocks heating the plasma up to a few million degrees. In some cases, the shocked features appear to be stationary. They are interpreted as shock diamonds. We aim at investigating the physical properties of the shocked plasma and the role of magnetic fields on the collimation of the jet and the formation of a stationary shock. We performed 2.5D MHD simulations modelling the propagation of a jet ramming with a supersonic speed into an initially isothermal and homogeneous magnetized medium and compared the results with observations.

  7. Particle spectra and efficiency in nonlinear relativistic shock acceleration: survey of scattering models

    CERN Document Server

    Ellison, Donald C; Bykov, Andrei M

    2015-01-01

    We include a general form for the scattering mean free path in a nonlinear Monte Carlo model of relativistic shock formation and Fermi acceleration. Particle-in-cell (PIC) simulations, as well as analytic work, suggest that relativistic shocks tend to produce short-scale, self-generated magnetic turbulence that leads to a scattering mean free path (mfp) with a stronger momentum dependence than the mfp ~ p dependence for Bohm diffusion. In unmagnetized shocks, this turbulence is strong enough to dominate the background magnetic field so the shock can be treated as parallel regardless of the initial magnetic field orientation, making application to gamma-ray bursts (GRBs), pulsar winds, Type Ibc supernovae, and extra-galactic radio sources more straightforward and realistic. In addition to changing the scale of the shock precursor, we show that, when nonlinear effects from efficient Fermi acceleration are taken into account, the momentum dependence of the mfp has an important influence on the efficiency of cosm...

  8. Early constraint-induced movement therapy promotes functional recovery and neuronal plasticity in a subcortical hemorrhage model rat.

    Science.gov (United States)

    Ishida, Akimasa; Misumi, Sachiyo; Ueda, Yoshitomo; Shimizu, Yuko; Cha-Gyun, Jung; Tamakoshi, Keigo; Ishida, Kazuto; Hida, Hideki

    2015-05-01

    Constraint-induced movement therapy (CIMT) promotes functional recovery of impaired forelimbs after hemiplegic strokes, including intracerebral hemorrhage (ICH). We used a rat model of subcortical hemorrhage to compare the effects of delivering early or late CIMT after ICH. The rat model was made by injecting collagenase into the globus pallidus near the internal capsule, and then forcing rats to use the affected forelimb for 7 days starting either 1 day (early CIMT) or 17 days (late CIMT) after the lesion. Recovery of forelimb function in the skilled reaching test and the ladder stepping test was found after early-CIMT, while no significant recovery was shown after late CIMT or in the non-CIMT controls. Early CIMT was associated with greater numbers of ΔFosB-positive cells in the ipsi-lesional sensorimotor cortex layers II-III and V. Additionally, we found expression of the growth-related genes brain-derived neurotrophic factor (BDNF) and growth-related protein 43 (GAP-43), and abundant dendritic arborization of pyramidal neurons in the sensorimotor area. Similar results were not detected in the contra-lesional cortex. In contrast to early CIMT, late CIMT failed to induce any changes in plasticity. We conclude that CIMT induces molecular and morphological plasticity in the ipsi-lesional sensorimotor cortex and facilitates better functional recovery when initiated immediately after hemorrhage. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Exact Shock Solution of a Coupled System of Delay Differential Equations: A Car-Following Model

    Science.gov (United States)

    Tutiya, Yohei; Kanai, Masahiro

    2007-08-01

    In this letter, we present exact shock solutions of a coupled system of delay differential equations, which was introduced as a traffic-flow model called car-following model. We use the Hirota method, originally developed in order to solve soliton equations. The relevant delay differential equations have been known to allow exact solutions expressed by elliptic functions with periodic boundary conditions. In the present work, however, shock solutions are obtained with open boundaries, representing the stationary propagation of a traffic jam.

  10. 出血性休克复苏中诱发腹腔间隔综合征的临床分析%Clinical Analysis of Abdominal Compartment Syndrome Induced by Hemorrhagic Shock Resuscitation

    Institute of Scientific and Technical Information of China (English)

    陈荣鑫

    2015-01-01

    Objective:To analyze the abdominal compartment syndrome induced by hemorrhagic shock resuscitation. Methods: In the 10 cases of abdominal compartment syndrome admitted by our hospital in recent years,4 patients had car accident,2 were stabbed,1 fell from great height,and 3 had accidents in constructionn site.All abdominal compartment syndrome of the patients were caused by hemorrhagic shock resuscitation. Information of all patients before and after surgery were collected and analyzed. Results: In the clinical treatment of the 10 patients,4 patients had fascia compartment syndrome, five patients were cured,3 patients survived and 2 patients died. Conclusions: The hemorrhagic shock resuscitation should be done under detailed monitoring.The patient's bladder pressure is an important monitoring indicator,because it is helpful for the early detection and treatment of abdominal compartment syndrome,so as to increase the survival rate of the patients.%目的:探讨出血性休克复苏中诱发患者出现腹腔间隔综合征的临床分析。方法:在最近几年中我院收治出现腹腔间隔综合征患者10例,其中有4例患者为车祸所致,2例患者是刺伤,1例患者为高空坠落,3例患者为工地意外,患者出现腹腔间隔综合征均是由出血性休克复苏所致,对所有患者的进行手术前后的资料进行整合分析。结果:在10例患者的临床治疗中发现,其中有4例患者为合并筋膜间隔综合征,其中治疗痊愈患者5例,有3例患者存活,有2例患者死亡。结论:在出血性休克患者的临床进行复苏时,需要在详细监控中进行操作,其中监测的主要指标包括患者的膀胱内压,有助于早期及时发现患者出现的腹腔间隔综合征,并进行治疗,从而有效提高患者的生存率。

  11. Pancreatic Digestive Enzyme Blockade in the Intestine Increases Survival After Experimental Shock

    Science.gov (United States)

    DeLano, Frank A.; Hoyt, David B.; Schmid-Schönbein, Geert W.

    2015-01-01

    Shock, sepsis, and multiorgan failure are associated with inflammation, morbidity, and high mortality. The underlying pathophysiological mechanism is unknown, but evidence suggests that pancreatic enzymes in the intestinal lumen autodigest the intestine and generate systemic inflammation. Blocking these enzymes in the intestine reduces inflammation and multiorgan dysfunction. We investigated whether enzymatic blockade also reduces mortality after shock. Three rat shock models were used here: hemorrhagic shock, peritonitis shock induced by placement of cecal material into the peritoneum, and endotoxin shock. One hour after initiation of hemorrhagic, peritonitis, or endotoxin shock, animals were administered one of three different pancreatic enzyme inhibitors—6-amidino-2-naphtyl p-guanidinobenzoate di-methanesulfate, tranexamic acid, or aprotinin—into the lumen of the small intestine. In all forms of shock, blockade of digestive proteases with protease inhibitor attenuated entry of digestive enzymes into the wall of the intestine and subsequent autodigestion and morphological damage to the intestine, lung, and heart. Animals treated with protease inhibitors also survived in larger numbers than untreated controls over a period of 12 weeks. Surviving animals recovered completely and returned to normal weight within 14 days after shock. The results suggest that the active and concentrated digestive enzymes in the lumen of the intestine play a central role in shock and multi-organ failure, which can be treated with protease inhibitors that are currently available for use in the clinic. PMID:23345609

  12. Hydrodynamic modeling and simulations of shock ignition thresholds

    Directory of Open Access Journals (Sweden)

    Lafon M.

    2013-11-01

    Full Text Available The Shock Ignition (SI scheme [1] offers to reduce the laser requirements by relaxing the implosion phase to sub-ignition velocities and later adding an intense laser spike. Depending on laser energy, target characteristics and implosion velocity, high gains are expected [2,3]. Relevant intensities for scaled targets imploded in the velocity range from 150 to 400 km/s are defined at ignition thresholds. A range of moderate implosion velocities is specified to match safe implosions. These conditions for target design are then inferred for relevant NIF and LMJ shock-ignited targets.

  13. Novel brain arteriovenous malformation mouse models for type 1 hereditary hemorrhagic telangiectasia.

    Directory of Open Access Journals (Sweden)

    Eun-Jung Choi

    Full Text Available Endoglin (ENG is a causative gene of type 1 hereditary hemorrhagic telangiectasia (HHT1. HHT1 patients have a higher prevalence of brain arteriovenous malformation (AVM than the general population and patients with other HHT subtypes. The pathogenesis of brain AVM in HHT1 patients is currently unknown and no specific medical therapy is available to treat patients. Proper animal models are crucial for identifying the underlying mechanisms for brain AVM development and for testing new therapies. However, creating HHT1 brain AVM models has been quite challenging because of difficulties related to deleting Eng-floxed sequence in Eng(2fl/2fl mice. To create an HHT1 brain AVM mouse model, we used several Cre transgenic mouse lines to delete Eng in different cell-types in Eng(2fl/2fl mice: R26CreER (all cell types after tamoxifen treatment, SM22α-Cre (smooth muscle and endothelial cell and LysM-Cre (lysozyme M-positive macrophage. An adeno-associated viral vector expressing vascular endothelial growth factor (AAV-VEGF was injected into the brain to induce focal angiogenesis. We found that SM22α-Cre-mediated Eng deletion in the embryo caused AVMs in the postnatal brain, spinal cord, and intestines. Induction of Eng deletion in adult mice using R26CreER plus local VEGF stimulation induced the brain AVM phenotype. In both models, Eng-null endothelial cells were detected in the brain AVM lesions, and formed mosaicism with wildtype endothelial cells. However, LysM-Cre-mediated Eng deletion in the embryo did not cause AVM in the postnatal brain even after VEGF stimulation. In this study, we report two novel HHT1 brain AVM models that mimic many phenotypes of human brain AVM and can thus be used for studying brain AVM pathogenesis and testing new therapies. Further, our data indicate that macrophage Eng deletion is insufficient and that endothelial Eng homozygous deletion is required for HHT1 brain AVM development.

  14. NUMERICAL MODELING OF MULTICYLINDER ELECTRO-HYDRAULIC SYSTEM AND CONTROLLER DESIGN FOR SHOCK TEST MACHINE

    Institute of Scientific and Technical Information of China (English)

    CHU Deying; ZHANG Zhiyi; WANG Gongxian; HUA Hongxing

    2007-01-01

    A high fidelity dynamic model of a high-energy hydraulically-actuated shock test machine for heavy weight devices is presented to satisfy the newly-built shock resistance standard and simulate the actual underwater explosion environments in laboratory as well as increase the testing capability of shock test machine. In order to produce the required negative shock pulse in the given time duration, four hydraulic actuators are utilized. The model is then used to formulate an advanced feedforward controller for the system to produce the required negative waveform and to address the motion synchronization of the four cylinders. The model provides a safe and easily controllable way to perform a "virtual testing" before starting potentially destructive tests on specimen and to predict performance of the system. Simulation results have demonstrated the effectiveness of the controller.

  15. Effects of minocycline on apoptosis and angiogenesis-related protein expression in a rat model of intracerebral hemorrhage

    Institute of Scientific and Technical Information of China (English)

    Ruizhi Wang; Dongning Hao; Wei Shi; Jingnan Pu; Zizhang Wang

    2012-01-01

    In the present study, a rat model of non-traumatic intracerebral hemorrhage was established by type IV collagenase injection into the right globus pallidus. Bax and Bcl-2 expression in tissues surrounding hematomas was significantly increased within 14 days after injury, and it then gradually decreased. Vascular endothelial growth factor, Flk-1 and Flt-1 mRNA expression gradually increased over time. After intraperitoneal injection with minocycline, Bax expression was decreased 1 day after intracerebral hemorrhage. Flk-1 and Flt-1 mRNA expression was decreased after minocycline injection, but Bcl-2 expression was increased, and vascular endothelial growth factor mRNA expression was decreased between 4-14 days. These results indicated that protective effects of minocycline on nerve tissues were associated with increased Bcl-2 expression and decreased Bax expression in the early stage after intracerebral hemorrhage. In the late stage, minocycline downregulated vascular endothelial growth factor and its receptor expression to inhibit brain tissue self-repair.

  16. A thermochemical model for shock-induced reactions (heat detonations) in solids

    Energy Technology Data Exchange (ETDEWEB)

    Boslough, M.B. (Sandia National Laboratories, Albuquerque, New Mexico 87185 (US))

    1990-02-01

    Recent advances in studies of shock-induced chemistry in reactive solids have led to the recognition of a new class of energetic materials which are unique in their response to shock waves. Experimental work has shown that chemical energy can be released on a time scale shorter than shock-transit times in laboratory samples. However, for many compositions, the reaction products remain in the condensed state upon release from high pressure, and no sudden expansion takes place. Nevertheless, if such a reaction is sufficiently rapid, it can be modeled as a type of detonation, termed heat detonation'' in the present paper. It is shown that unlike an explosive detonation, an unsupported heat detonation will decay to zero unless certain conditions are met. An example of such a reaction is Fe{sub 2}O{sub 3} +2Al+shock{r arrow}Al{sub 2} O{sub 3} +2Fe (the standard thermite reaction). A shock-wave equation of state is determined from a mixture theory for reacted and unreacted porous thermite. The calculated shock temperatures are compared to experimentally measured shock temperatures, demonstrating that a shock-induced reaction takes place. Interpretation of the measured temperature history in the context of the thermochemical model implies that the principal rate-controlling kinetic mechanism is dynamic mixing at the shock front. Despite the similarity in thermochemical modeling of heat detonations to explosive detonations, the two processes are qualitatively very different in reaction mechanism as well as in the form the energy takes upon release, with explosives producing mostly work and heat detonations producing mostly heat.

  17. Observation and Modeling of a Termination Shock in a Solar Eruption as a Possible Particle Accelerator

    Science.gov (United States)

    Gary, Dale E.; Chen, Bin; Bastian, Timothy S.; Shen, Chengcai; Krucker, Sam

    2015-04-01

    Solar eruptions and their associated solar flares are the most energetic particle accelerators in our solar system. Yet the acceleration mechanism remains uncertain. A possible candidate often invoked in the standard picture of solar eruptions is a termination shock, produced by fast reconnection outflows impinging upon dense, closed loops in a helmet-type geometry. However, the importance of termination shocks in solar particle acceleration remains controversial, mainly because there has been no direct detection of such shocks. Here we report direct imaging of the location and evolution of a termination shock during the rise phase of a solar eruption. The shock appears at radio wavelengths as a narrow surface sandwiched between multitudes of downward-moving plasma blobs and the underlying, newly-reconnected flaring loops, and evolves coherently with a loop-top hard X-ray source in the shock downstream region. The shock produces many short-lived, point-like radio sources, each interpreted as emission from a turbulence cell interacting with fast (nonthermal) electrons. These point-like radio sources clearly outline the termination shock front and their positions change in reaction to the arrival of the fast plasma blobs, which are well-reproduced by our numerical simulations based on a resistive magnetohydrodynamics reconnection model in a standard two-ribbon flare geometry. We further show that a temporary disruption of the shock coincides with a reduction of radio and hard X-ray emission associated with the energetic electron population. Our observations strongly favor a scenario in which the termination shock is responsible for accelerating electrons to high energies.

  18. Using numerical models of bow shocks to investigate the circumstellar medium of massive stars

    Science.gov (United States)

    van Marle, A. J.; Decin, L.; Cox, N. L. J.; Meliani, Z.

    2015-01-01

    Many massive stars travel through the interstellar medium at supersonic speeds. As a result they form bow shocks at the interface between the stellar wind. We use numerical hydrodynamics to reproduce such bow shocks numerically, creating models that can be compared to observations. In this paper we discuss the influence of two physical phenomena, interstellar magnetic fields and the presence of interstellar dust grains on the observable shape of the bow shocks of massive stars. We find that the interstellar magnetic field, though too weak to restrict the general shape of the bow shock, reduces the size of the instabilities that would otherwise be observed in the bow shock of a red supergiant. The interstellar dust grains, due to their inertia can penetrate deep into the bow shock structure of a main sequence O-supergiant, crossing over from the ISM into the stellar wind. Therefore, the dust distribution may not always reflect the morphology of the gas. This is an important consideration for infrared observations, which are dominated by dust emission. Our models clearly show, that the bow shocks of massive stars are useful diagnostic tools that can used to investigate the properties of both the stellar wind as well as the interstellar medium.

  19. The Role of Uncoupling Protein 2 During Myocardial Dysfunction in a Canine Model of Endotoxin Shock.

    Science.gov (United States)

    Wang, Xiaoting; Liu, Dawei; Chai, Wenzhao; Long, Yun; Su, Longxiang; Yang, Rongli

    2015-03-01

    To explore the role of uncoupling protein 2 (UCP2) during myocardial dysfunction in a canine model of endotoxin shock, 26 mongrel canines were randomly divided into the following four groups: A (control group; n = 6), B2 (shock after 2 h; n = 7), B4 (shock after 4 h; n = 7), and B6 (shock after 6 h; n = 6). Escherichia coli endotoxin was injected into the canines via the central vein, and hemodynamics were monitored. Energy metabolism, UCP2 mRNA and protein expression, and UCP2 localization were analyzed, and the correlation between energy metabolism changes, and UCP2 expression was determined. After the canine endotoxin shock model was successfully established, the expression of UCP2 mRNA and protein was found to increase, with later time points showing significant increases (P shock (P shock, and UCP2 may play an important role in this process. The negative correlation between UCP2 expression and energy metabolism requires further study, as the results might contribute to the treatment of sepsis with heart failure.

  20. Particle spectra and efficiency in nonlinear relativistic shock acceleration - survey of scattering models

    Science.gov (United States)

    Ellison, Donald C.; Warren, Donald C.; Bykov, Andrei M.

    2016-03-01

    We include a general form for the scattering mean free path, λmfp(p), in a nonlinear Monte Carlo model of relativistic shock formation and Fermi acceleration. Particle-in-cell simulations, as well as analytic work, suggest that relativistic shocks tend to produce short-scale, self-generated magnetic turbulence that leads to a scattering mean free path with a stronger momentum dependence than the λmfp ∝ p dependence for Bohm diffusion. In unmagnetized shocks, this turbulence is strong enough to dominate the background magnetic field so the shock can be treated as parallel regardless of the initial magnetic field orientation, making application to γ-ray bursts, pulsar winds, type Ibc supernovae, and extragalactic radio sources more straightforward and realistic. In addition to changing the scale of the shock precursor, we show that, when nonlinear effects from efficient Fermi acceleration are taken into account, the momentum dependence of λmfp(p) has an important influence on the efficiency of cosmic ray production as well as the accelerated particle spectral shape. These effects are absent in non-relativistic shocks and do not appear in relativistic shock models unless nonlinear effects are self-consistently described. We show, for limited examples, how the changes in Fermi acceleration translate to changes in the intensity and spectral shape of γ-ray emission from proton-proton interactions and pion-decay radiation.

  1. Mathematical modeling of heat shock protein synthesis in response to temperature change.

    Science.gov (United States)

    Szymańska, Zuzanna; Zylicz, Maciej

    2009-08-07

    One of the most important questions in cell biology is how cells cope with rapid changes in their environment. The range of common molecular responses includes a dramatic change in the pattern of gene expression and the elevated synthesis of so-called heat shock (or stress) proteins (HSPs). Induction of HSPs increases cell survival under stress conditions [Morimoto, R.I., 1993. Cells in stress: transcriptional activation of heat shock genes. Science 259, 1409-1410]. In this paper we propose a mathematical model of heat shock protein synthesis induced by an external temperature stimulus. Our model consists of a system of nine nonlinear ordinary differential equations describing the temporal evolution of the key variables involved in the regulation of HSP synthesis. Computational simulations of our model are carried out for different external temperature stimuli. We compare our model predictions with experimental data for three different cases-one corresponding to heat shock, the second corresponding to slow heating conditions and the third corresponding to a short heat shock (lasting about 40 min). We also present our model predictions for heat shocks carried out up to different final temperatures and finally we present a new hypothesis concerning the molecular response to stress that explains some phenomena observed in experiments.

  2. An empirical mixing model for pressurized thermal shock applications

    Energy Technology Data Exchange (ETDEWEB)

    Chexal, V.K.; Chao, J.; Griesbach, T.J.; Nickell, R.E.

    1985-04-01

    Empirical correlations are developed for the local temperature and velocity distributions in the pressurized water reactor downcomer for pressurized thermal shock scenarios. The correlation is based on Creare test data and has been validated with Science Applications, Inc., experiments and COMMIX code calculations. It provides good agreement under pump flow and natural circulation conditions and gives a conservative estimate under stagnation conditions.

  3. An In Silico Model of Endotoxic Shock Mediators (Briefing Charts)

    Science.gov (United States)

    2012-03-12

    Approved for public release; distribution unlimited 6 Vasoactive lipid mediators in endotoxic shock Eicosanoids can be detected in circulation...unlimited 23 Arachidonic acid (AA) cascade Species differences Interspecies differences in eicosanoid involvement highlight the need to consider the AA...calcium mobilization phospholipase C phospholipase D phospholipase A2 eicosanoids inositol metabolism protein kinase C COOH NH2 PAF

  4. Modeling Gamma-Ray Burst X-Ray Flares within the Internal Shock Model

    CERN Document Server

    Maxham, Amanda

    2009-01-01

    X-ray afterglow light curves have been collected for over 400 Swift gamma-ray bursts with nearly half of them having X-ray flares superimposed on the regular afterglow decay. Evidence suggests that gamma-ray prompt emission and X-ray flares share a common origin and that at least some flares can only be explained by long-lasting central engine activity. We have developed a shell model code to address the question of how X-ray flares are produced within the framework of the internal shock model. The shell model creates randomized GRB explosions from a central engine with multiple shells and follows those shells as they collide, merge and spread, producing prompt emission and X-ray flares. We pay special attention to the time history of central engine activity, internal shocks, and observed flares, but do not calculate the shock dynamics and radiation processes in detail. Using the empirical E_p - E_iso (Amati) relation with an assumed Band function spectrum for each collision and an empirical flare temporal pr...

  5. Graphite furnace atomic absorption spectrophotometry--a novel method to quantify blood volume in experimental models of intracerebral hemorrhage.

    Science.gov (United States)

    Kashefiolasl, Sepide; Foerch, Christian; Pfeilschifter, Waltraud

    2013-02-15

    Intracerebral hemorrhage (ICH) accounts for 10% of all strokes and has a significantly higher mortality than cerebral ischemia. For decades, ICH has been neglected by experimental stroke researchers. Recently, however, clinical trials on acute blood pressure lowering or hyperacute supplementation of coagulation factors in ICH have spurred an interest to also design and improve translational animal models of spontaneous and anticoagulant-associated ICH. Hematoma volume is a substantial outcome parameter of most experimental ICH studies. We present graphite furnace atomic absorption spectrophotometric analysis (AAS) as a suitable method to precisely quantify hematoma volumes in rodent models of ICH. Copyright © 2012 Elsevier B.V. All rights reserved.

  6. Recombinant-activated factor Ⅶ and neuronal apoptosis in a rat model of intracerebral hemorrhage

    Institute of Scientific and Technical Information of China (English)

    Qiang Li; Wei Li; Suju Ding; Jianping Tang; Jing Fang; Benqiang Deng; Tao Wu

    2009-01-01

    BACKGROUND:Activated clotting factor Ⅶ has been demonstrated to exhibit obvious anti-apoptosis effects.OBJECTIVE:To observe the effect of activated clotting factor Ⅶ on neuronal apoptosis at different time points following rat intracerebral hemorrhage (ICH).DESIGN,TIME AND SETTING:A randomized,controlled,animal experiment was performed at the Neurobiological Laboratory of Second Military Medical University from October 2005 to April 2006.MATERIALS:Recombinant-activated clotting factor Vlla (rFⅧa) was purchased from Danish Novo Nordisk,Denmark.In situ cell death detection kit-POD kit was purchased from Roche,Switzerland.Caspase-3 activity determination kit from Biovision,USA.METHODS:A total of 72 healthy,male,Sprague Dawley rats,aged 5-8 months,were randomly assigned to three groups (n=24):sham-operated,ICH model,and rFⅧa.In the ICH model and rFⅧa groups,80.0 μL autologous non-clotting blood from rat tails was injected into the right caudate putamen to establish the ICH.The empty microinjector was inserted into the caudate putamen in the sham-operated group.The ICH model and rFⅧa groups were subdivided into four subsets separately:6,24,72 hours and 7 clays following ICH.The rats in the rFⅧa group were injected with 160 μg/kg rFⅧa via the dorsal vein of the penis.MAIN OUTCOME MEASURES:Apoptotic cells were detected in the right caudate putamen by TUNEL;caspase-3 activity by spectrophotometry;and rat neurological function was evaluated by neurological functional impairment scales.RESULTS:Rat neurological function was deteriorated at 24,72 hours,and 7 days following ICH.The TUNEL-positive cells and caspase-3 activity in the right caudate putamen was significantly increased in the ICH rats (P<0.05);rFVlla treatment reduced the number of TUNEL-positive cells and caspase-3 activity in the right caudate putamen (P<0.05),and neurological function was significantly improved (P<0.05).CONCLUSION:rFⅧa was applied within 72 hours after ICH,which reduced

  7. Modeling Gamma-Ray Burst X-Ray Flares Within the Internal Shock Model

    Science.gov (United States)

    Maxham, Amanda; Zhang, Bing

    2009-12-01

    X-ray afterglow light curves have been collected for over 400 Swift gamma-ray bursts (GRBs) with nearly half of them having X-ray flares superimposed on the regular afterglow decay. Evidence suggests that gamma-ray prompt emission and X-ray flares share a common origin and that at least some flares can only be explained by long-lasting central engine activity. We have developed a shell model code to address the question of how X-ray flares are produced within the framework of the internal shock model. The shell model creates randomized GRB explosions from a central engine with multiple shells and follows those shells as they collide, merge, and spread, producing prompt emission and X-ray flares. We pay special attention to the time history of central engine activity, internal shocks, and observed flares, but do not calculate the shock dynamics and radiation processes in detail. Using the empirical Ep -E iso (Amati) relation with an assumed Band function spectrum for each collision and an empirical flare temporal profile, we calculate the gamma-ray (Swift/BAT band) and X-ray (Swift/XRT band) lightcurves for arbitrary central engine activity and compare the model results with the observational data. We show that the observed X-ray flare phenomenology can be explained within the internal shock model. The number, width, and occurring time of flares are then used to diagnose the central engine activity, putting constraints on the energy, ejection time, width, and number of ejected shells. We find that the observed X-ray flare time history generally reflects the time history of the central engine, which reactivates multiple times after the prompt emission phase with progressively reduced energy. The same shell model predicts an external shock X-ray afterglow component, which has a shallow decay phase due to the initial pile-up of shells onto the blast wave. However, the predicted X-ray afterglow is too bright as compared with the observed flux level, unless epsilon e is

  8. How Bad or Good Are the External Forward Shock Afterglow Models of Gamma-Ray Bursts?

    Science.gov (United States)

    Wang, Xiang-Gao; Zhang, Bing; Liang, En-Wei; Gao, He; Li, Liang; Deng, Can-Min; Qin, Song-Mei; Tang, Qing-Wen; Kann, D. Alexander; Ryde, Felix; Kumar, Pawan

    2015-07-01

    The external forward shock models have been the standard paradigm to interpret the broadband afterglow data of gamma-ray bursts (GRBs). One prediction of the models is that some afterglow temporal breaks at different energy bands should be achromatic; that is, the break times should be the same in different frequencies. Multiwavelength observations in the Swift era have revealed chromatic afterglow behaviors at least in some GRBs, casting doubts on the external forward shock origin of GRB afterglows. In this paper, using a large sample of GRBs with both X-ray and optical afterglow data, we perform a systematic study to address the question: how bad or good are the external forward shock models? Our sample includes 85 GRBs up to 2014 March with well-monitored X-ray and optical light curves. Based on how well the data abide by the external forward shock models, we categorize them into five grades and three samples. The first two grades (Grade I and II) include 45 of 85 GRBs. They show evidence of, or are consistent with having, an achromatic break. The temporal and spectral behaviors in each afterglow segment are consistent with the predictions (the “closure relations”) of the forward shock models. These GRBs are included in the Gold sample. The next two grades (Grade III and IV) include 37 of 85 GRBs. They are also consistent with having an achromatic break, even though one or more afterglow segments do not comply with the closure relations. These GRBs are included in the Silver sample. Finally, Grade V (3/85) shows direct evidence of chromatic behaviors, suggesting that the external shock models are inconsistent with the data. These are included in the Bad sample. We further perform statistical analyses of various observational properties (temporal index α, spectral index β, break time tb) and model parameters (energy injection index q, electron spectral index p, jet opening angle {θ }j, radiative efficiency ηγ, and so on) of the GRBs in the Gold sample

  9. Mortality Prediction Model of Septic Shock Patients Based on Routinely Recorded Data.

    Science.gov (United States)

    Carrara, Marta; Baselli, Giuseppe; Ferrario, Manuela

    2015-01-01

    We studied the problem of mortality prediction in two datasets, the first composed of 23 septic shock patients and the second composed of 73 septic subjects selected from the public database MIMIC-II. For each patient we derived hemodynamic variables, laboratory results, and clinical information of the first 48 hours after shock onset and we performed univariate and multivariate analyses to predict mortality in the following 7 days. The results show interesting features that individually identify significant differences between survivors and nonsurvivors and features which gain importance only when considered together with the others in a multivariate regression model. This preliminary study on two small septic shock populations represents a novel contribution towards new personalized models for an integration of multiparameter patient information to improve critical care management of shock patients.

  10. Computational Models of Material Interfaces for the Study of Extracorporeal Shock Wave Therapy

    CERN Document Server

    Fagnan, Kirsten; Matula, Thomas J

    2012-01-01

    Extracorporeal Shock Wave Therapy (ESWT) is a noninvasive treatment for a variety of musculoskeletal ailments. A shock wave is generated in water and then focused using an acoustic lens or reflector so the energy of the wave is concentrated in a small treatment region where mechanical stimulation enhances healing. In this work we have computationally investigated shock wave propagation in ESWT by solving a Lagrangian form of the isentropic Euler equations in the fluid and linear elasticity in the bone using high-resolution finite volume methods. We solve a full three-dimensional system of equations and use adaptive mesh refinement to concentrate grid cells near the propagating shock. We can model complex bone geometries, the reflection and mode conversion at interfaces, and the the propagation of the resulting shear stresses generated within the bone. We discuss the validity of our simplified model and present results validating this approach.

  11. Mortality Prediction Model of Septic Shock Patients Based on Routinely Recorded Data

    Directory of Open Access Journals (Sweden)

    Marta Carrara

    2015-01-01

    Full Text Available We studied the problem of mortality prediction in two datasets, the first composed of 23 septic shock patients and the second composed of 73 septic subjects selected from the public database MIMIC-II. For each patient we derived hemodynamic variables, laboratory results, and clinical information of the first 48 hours after shock onset and we performed univariate and multivariate analyses to predict mortality in the following 7 days. The results show interesting features that individually identify significant differences between survivors and nonsurvivors and features which gain importance only when considered together with the others in a multivariate regression model. This preliminary study on two small septic shock populations represents a novel contribution towards new personalized models for an integration of multiparameter patient information to improve critical care management of shock patients.

  12. Mortality Prediction Model of Septic Shock Patients Based on Routinely Recorded Data

    Science.gov (United States)

    Carrara, Marta; Baselli, Giuseppe; Ferrario, Manuela

    2015-01-01

    We studied the problem of mortality prediction in two datasets, the first composed of 23 septic shock patients and the second composed of 73 septic subjects selected from the public database MIMIC-II. For each patient we derived hemodynamic variables, laboratory results, and clinical information of the first 48 hours after shock onset and we performed univariate and multivariate analyses to predict mortality in the following 7 days. The results show interesting features that individually identify significant differences between survivors and nonsurvivors and features which gain importance only when considered together with the others in a multivariate regression model. This preliminary study on two small septic shock populations represents a novel contribution towards new personalized models for an integration of multiparameter patient information to improve critical care management of shock patients. PMID:26557154

  13. Modeling shock waves using exponential interpolation functions with the Least-Squares Finite Element method

    Science.gov (United States)

    Smith, Bradford Scott, Jr.

    The hypothesis of this research is that exponential interpolation functions will approximate fluid properties at shock waves with less error than polynomial interpolation functions. Exponential interpolation functions are derived for the purpose of modeling sharp gradients. General equations for conservation of mass, momentum, and energy for an inviscid flow of a perfect gas are converted to finite element equations using the least-squares method. Boundary conditions and a mesh adaptation scheme are also presented. An oblique shock reflection problem is used as a benchmark to determine whether or not exponential interpolation provides any advantages over Lagrange polynomial interpolation. Using exponential interpolation in elements downstream of a shock and having edges coincident with the shock showed a slight reduction in the solution error. However there was very little qualitative difference between solutions using polynomial and exponential interpolation. Regardless of the type of interpolation used, the shocks were smeared and oscillations were present both upstream and downstream of the shock waves. When a mesh adaptation scheme was implemented, exponential elements adjacent to the shock waves became much smaller and the numerical solution diverged. Changing the exponential elements to polynomial elements yielded a convergent solution. There appears to be no significant advantage to using exponential interpolation in comparison to Lagrange polynomial interpolation.

  14. Model atmospheres with periodic shocks. [pulsations and mass loss in variable stars

    Science.gov (United States)

    Bowen, G. H.

    1989-01-01

    The pulsation of a long-period variable star generates shock waves which dramatically affect the structure of the star's atmosphere and produce conditions that lead to rapid mass loss. Numerical modeling of atmospheres with periodic shocks is being pursued to study the processes involved and the evolutionary consequences for the stars. It is characteristic of these complex dynamical systems that most effects result from the interaction of various time-dependent processes.

  15. Shock-associated MHD waves - A model for interstellar density fluctuations

    Science.gov (United States)

    Spangler, Steven R.

    1988-01-01

    The possibility that the density fluctuations responsible for radio scintillations could be due to ion-beam-generated MHD waves near interstellar shock waves is discussed. This suggestion is inspired by spacecraft observations which reveal these phenomena near shocks in the solar system. The model quite naturally accounts for the scale on which these fluctuations occur; it is dictated by the wavelength of the unstable waves.

  16. Model atmospheres with periodic shocks. [pulsations and mass loss in variable stars

    Science.gov (United States)

    Bowen, G. H.

    1989-01-01

    The pulsation of a long-period variable star generates shock waves which dramatically affect the structure of the star's atmosphere and produce conditions that lead to rapid mass loss. Numerical modeling of atmospheres with periodic shocks is being pursued to study the processes involved and the evolutionary consequences for the stars. It is characteristic of these complex dynamical systems that most effects result from the interaction of various time-dependent processes.

  17. Genistein, a general kinase inhibitor, as a potential antiviral for arenaviral hemorrhagic fever as described in the Pirital virus-Syrian golden hamster model.

    Science.gov (United States)

    Vela, Eric M; Knostman, Katherine A; Mott, Jason M; Warren, Richard L; Garver, Jennifer N; Vela, Lela Johnson; Stammen, Rachelle L

    2010-09-01

    Arenaviruses are rodent-borne negative strand RNA viruses and infection of these viruses in humans may result in disease and hemorrhagic fever. To date, supportive care, ribavirin, and in some cases immune plasma remain the foremost treatment options for arenaviral hemorrhagic fever. Research with the hemorrhagic fever causing-arenaviruses usually requires a Biosafety level (BSL)-4 environment; however, surrogate animal model systems have been developed to preliminarily study and screen various vaccines and antivirals. The Syrian golden hamster-Pirital virus (PIRV) surrogate model of hemorrhagic fever provides an opportunity to test new antivirals in an ABSL-3 setting. Thus, we challenged hamsters, implanted with telemetry, with PIRV and observed viremia and tissue viral titers, and changes in core body temperature, hematology, clinical chemistry, and coagulation parameters. Physical signs of disease of the PIRV-infected hamsters included weight loss, lethargy, petechial rashes, epistaxis, ocular orbital and rectal hemorrhage, and visible signs of neurologic disorders. However, treating animals with genistein, a plant derived isoflavone and general kinase inhibitor, resulted in increased survival rates and led to an improved clinical profile. In all, the results from this study demonstrate the potential of a general kinase inhibitor genistein as an antiviral against arenaviral hemorrhagic fever.

  18. Hydrogen sulfide in posthemorrhagic shock mesenteric lymph drainage alleviates kidney injury in rats.

    Science.gov (United States)

    Han, B; Zhao, Z G; Zhang, L M; Li, S G; Niu, C Y

    2015-07-01

    Posthemorrhagic shock mesenteric lymph (PHSML) is a key factor in multiple organ injury following hemorrhagic shock. We investigated the role of hydrogen sulfide (H2S) in PHSML drainage in alleviating acute kidney injury (AKI) by administering D,L-propargylglycine (PPG) and sodium hydrosulfide hydrate (NaHS) to 12 specific pathogen-free male Wistar rats with PHSML drainage. A hemorrhagic shock model was established in 4 experimental groups: shock, shock+drainage, shock+drainage+PPG (45 mg/kg, 0.5 h prehemorrhage), and shock+drainage+NaHS (28 µmol/kg, 0.5 h prehemorrhage). Fluid resuscitation was performed after 1 h of hypotension, and PHMSL was drained in the last three groups for 3 h after resuscitation. Renal function and histomorphology were assessed along with levels of H2S, cystathionine-γ-lyase (CSE), Toll-like receptor 4 (TLR4), interleukin (IL)-10, IL-12, and tumor necrosis factor (TNF)-α in renal tissue. Hemorrhagic shock induced AKI with increased urea and creatinine levels in plasma and higher H2S, CSE, TLR4, IL-10, IL-12, and TNF-α levels in renal tissue. PHSML drainage significantly reduced urea, creatinine, H2S, CSE, and TNF-α but not TLR4, IL-10, or IL-12. PPG decreased creatinine, H2S, IL-10, and TNF-α levels, but this effect was reversed by NaHS administration. In conclusion, PHSML drainage alleviated AKI following hemorrhagic shock by preventing increases in H2S and H2S-mediated inflammation.

  19. Hydrogen sulfide in posthemorrhagic shock mesenteric lymph drainage alleviates kidney injury in rats

    Directory of Open Access Journals (Sweden)

    B. Han

    2015-07-01

    Full Text Available Posthemorrhagic shock mesenteric lymph (PHSML is a key factor in multiple organ injury following hemorrhagic shock. We investigated the role of hydrogen sulfide (H2S in PHSML drainage in alleviating acute kidney injury (AKI by administering D,L-propargylglycine (PPG and sodium hydrosulfide hydrate (NaHS to 12 specific pathogen-free male Wistar rats with PHSML drainage. A hemorrhagic shock model was established in 4 experimental groups: shock, shock+drainage, shock+drainage+PPG (45 mg/kg, 0.5 h prehemorrhage, and shock+drainage+NaHS (28 µmol/kg, 0.5 h prehemorrhage. Fluid resuscitation was performed after 1 h of hypotension, and PHMSL was drained in the last three groups for 3 h after resuscitation. Renal function and histomorphology were assessed along with levels of H2S, cystathionine-γ-lyase (CSE, Toll-like receptor 4 (TLR4, interleukin (IL-10, IL-12, and tumor necrosis factor (TNF-α in renal tissue. Hemorrhagic shock induced AKI with increased urea and creatinine levels in plasma and higher H2S, CSE, TLR4, IL-10, IL-12, and TNF-α levels in renal tissue. PHSML drainage significantly reduced urea, creatinine, H2S, CSE, and TNF-α but not TLR4, IL-10, or IL-12. PPG decreased creatinine, H2S, IL-10, and TNF-α levels, but this effect was reversed by NaHS administration. In conclusion, PHSML drainage alleviated AKI following hemorrhagic shock by preventing increases in H2S and H2S-mediated inflammation.

  20. Hydrogen sulfide in posthemorrhagic shock mesenteric lymph drainage alleviates kidney injury in rats

    Energy Technology Data Exchange (ETDEWEB)

    Han, B.; Zhao, Z.G.; Zhang, L.M.; Li, S.G.; Niu, C.Y. [Institute of Microcirculation, Hebei North University, Hebei Zhangjiakou (China)

    2015-04-28

    Posthemorrhagic shock mesenteric lymph (PHSML) is a key factor in multiple organ injury following hemorrhagic shock. We investigated the role of hydrogen sulfide (H{sub 2}S) in PHSML drainage in alleviating acute kidney injury (AKI) by administering D,L-propargylglycine (PPG) and sodium hydrosulfide hydrate (NaHS) to 12 specific pathogen-free male Wistar rats with PHSML drainage. A hemorrhagic shock model was established in 4 experimental groups: shock, shock+drainage, shock+drainage+PPG (45 mg/kg, 0.5 h prehemorrhage), and shock+drainage+NaHS (28 µmol/kg, 0.5 h prehemorrhage). Fluid resuscitation was performed after 1 h of hypotension, and PHMSL was drained in the last three groups for 3 h after resuscitation. Renal function and histomorphology were assessed along with levels of H{sub 2}S, cystathionine-γ-lyase (CSE), Toll-like receptor 4 (TLR4), interleukin (IL)-10, IL-12, and tumor necrosis factor (TNF)-α in renal tissue. Hemorrhagic shock induced AKI with increased urea and creatinine levels in plasma and higher H{sub 2}S, CSE, TLR4, IL-10, IL-12, and TNF-α levels in renal tissue. PHSML drainage significantly reduced urea, creatinine, H{sub 2}S, CSE, and TNF-α but not TLR4, IL-10, or IL-12. PPG decreased creatinine, H{sub 2}S, IL-10, and TNF-α levels, but this effect was reversed by NaHS administration. In conclusion, PHSML drainage alleviated AKI following hemorrhagic shock by preventing increases in H{sub 2}S and H{sub 2}S-mediated inflammation.

  1. Recombinant human brain-derived neurotrophic factor prevents neuronal apoptosis in a novel in vitro model of subarachnoid hemorrhage.

    Science.gov (United States)

    Li, Mingchang; Wang, Yuefei; Wang, Wei; Zou, Changlin; Wang, Xin; Chen, Qianxue

    2017-01-01

    Subarachnoid hemorrhage (SAH) is a hemorrhagic stroke with high mortality and morbidity. An animal model for SAH was established by directly injecting a hemolysate into the subarachnoid space of rats or mice. However, the in vitro applications of the hemolysate SAH model have not been reported, and the mechanisms remain unclear. In this study, we established an in vitro SAH model by treating cortical pyramidal neurons with hemolysate. Using this model, we assessed the effects of recombinant human brain-derived neurotrophic factor (rhBDNF) on hemolysate-induced cell death and related mechanisms. Cortical neurons were treated with 10 ng/mL or 100 ng/mL rhBDNF prior to application of hemolysate. Hemolysate treatment markedly increased cell loss, triggered apoptosis, and promoted the expression of caspase-8, caspase-9, and cleaved caspase-3. rhBDNF significantly inhibited hemolysate-induced cell loss, neuronal apoptosis, and expression of caspase-8, caspase-9, and cleaved caspase-3. Our data revealed a previously unrecognized protective activity of rhBDNF against hemolysate-induced cell death, potentially via regulation of caspase-9-, caspase-8-, and cleaved caspase-3-related apoptosis. This study implicates that hemolysate-induced cortical neuron death represents an important in vitro model of SAH.

  2. A new compressibility modification k-ε turbulence model with shock unsteadiness effect

    Institute of Scientific and Technical Information of China (English)

    HAN XingSi; YE TaoHong; ZHU MinMing; CHEN YiLiang

    2008-01-01

    A new compressibility modification k-ε model, including shock unsteadiness effect and the previous compressibility modification of pressure dilatation and dilatational dissipation rate, was developed with a simple formulation for numerical simulation in supersonic complex turbulent flows. The shock unsteadiness effect was modeled by inhibiting turbulent kinetic energy production in the governing equations of turbulent kinetic energy and the turbulent kinetic energy dissipation rate. Sarkar's correction models were employed accounting for the dilatational compressibility effects in the new model.Two types of flows, the free supersonic mixing layers and complex supersonic flow with transverse injection were simulated with different flow conditions. Comparisons with experimental data of the free supersonic mixing layers showed that the new compressibility modification k-ε model significantly inhibited the excessive growth of turbulent kinetic energy and improved predictions. On the supersonic mixing layer flows, prediction results with the new model were in close agreement with experimental data, accurately predicting the decreasing trend of the mixing layer spreading rate with the increase of the convective Mach number. Due to the complicated flow field with flow separation, shock unsteadiness modification inhibited excessive growth of the turbulent kinetic energy in shock regions and wider shock regions are predicted, thereby significantly improving results of the flow with a strong separation forecast. The flow separation was stronger, which was the primary modification effect of the new model. Predictions accord with experimental results even in strong separation flows.

  3. [Pathophysiology of hemorragic shock].

    Science.gov (United States)

    Copotoiu, R; Cinca, E; Collange, O; Levy, F; Mertes, P-M

    2016-11-01

    This review addresses the pathophysiology of hemorrhagic shock, a condition produced by rapid and significant loss of intravascular volume, which may lead to hemodynamic instability, decreases in oxygen delivery, decreased tissue perfusion, cellular hypoxia, organ damage, and death. The initial neuroendocrine response is mainly a sympathetic activation. Haemorrhagic shock is associated altered microcirculatory permeability and visceral injury. It is also responsible for a complex inflammatory response associated with hemostasis alteration. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  4. Epicardial shock-wave therapy improves ventricular function in a porcine model of ischaemic heart disease.

    Science.gov (United States)

    Holfeld, Johannes; Zimpfer, Daniel; Albrecht-Schgoer, Karin; Stojadinovic, Alexander; Paulus, Patrick; Dumfarth, Julia; Thomas, Anita; Lobenwein, Daniela; Tepeköylü, Can; Rosenhek, Raphael; Schaden, Wolfgang; Kirchmair, Rudolf; Aharinejad, Seyedhossein; Grimm, Michael

    2016-12-01

    Previously we have shown that epicardial shock-wave therapy improves left ventricular ejection fraction (LVEF) in a rat model of myocardial infarction. In the present experiments we aimed to address the safety and efficacy of epicardial shock-wave therapy in a preclinical large animal model and to further evaluate mechanisms of action of this novel therapy. Four weeks after left anterior descending (LAD) artery ligation in pigs, the animals underwent re-thoracotomy with (shock-wave group, n = 6) or without (control group, n = 5) epicardial shock waves (300 impulses at 0.38 mJ/mm(2) ) applied to the infarcted anterior wall. Efficacy endpoints were improvement of LVEF and induction of angiogenesis 6 weeks after shock-wave therapy. Safety endpoints were haemodynamic stability during treatment and myocardial damage. Four weeks after LAD ligation, LVEF decreased in both the shock-wave (43 ± 3%, p wave animals 6 weeks after treatment (62 ± 9%, p = 0.006); no improvement was observed in controls (41 ± 4%, p = 0.36), yielding a significant difference. Quantitative histology revealed significant angiogenesis 6 weeks after treatment (controls 2 ± 0.4 arterioles/high-power field vs treatment group 9 ± 3; p = 0.004). No acute or chronic adverse effects were observed. As a potential mechanism of action in vitro experiments showed stimulation of VEGF receptors after shock-wave treatment in human coronary artery endothelial cells. Epicardial shock-wave treatment in a large animal model of ischaemic heart failure exerted a positive effect on LVEF improvement and did not show any adverse effects. Angiogenesis was induced by stimulation of VEGF receptors. Copyright © 2014 John Wiley & Sons, Ltd.

  5. Interferon-β therapy prolongs survival in rhesus macaque models of Ebola and Marburg hemorrhagic fever.

    Science.gov (United States)

    Smith, Lauren M; Hensley, Lisa E; Geisbert, Thomas W; Johnson, Joshua; Stossel, Andrea; Honko, Anna; Yen, Judy Y; Geisbert, Joan; Paragas, Jason; Fritz, Elizabeth; Olinger, Gene; Young, Howard A; Rubins, Kathleen H; Karp, Christopher L

    2013-07-15

    There is a clear need for novel, effective therapeutic approaches to hemorrhagic fever due to filoviruses. Ebola virus hemorrhagic fever is associated with robust interferon (IFN)-α production, with plasma concentrations of IFN-α that greatly (60- to 100-fold) exceed those seen in other viral infections, but little IFN-β production. While all of the type I IFNs signal through the same receptor complex, both quantitative and qualitative differences in biological activity are observed after stimulation of the receptor complex with different type I IFNs. Taken together, this suggested potential for IFN-β therapy in filovirus infection. Here we show that early postexposure treatment with IFN-β significantly increased survival time of rhesus macaques infected with a lethal dose of Ebola virus, although it failed to alter mortality. Early treatment with IFN-β also significantly increased survival time after Marburg virus infection. IFN-β may have promise as an adjunctive postexposure therapy in filovirus infection.

  6. Development and Resuscitation of a Sedated, Mature Male Miniature Swine Severe Hemorrhage Model

    Science.gov (United States)

    2011-07-01

    human and laboratory activity and trained to lie quietly in a sling with feet on the floor . The swine was hemorrhaged 60% of estimated blood volume (EBV...stopcocks were placed in all of the catheters, and the sling was lowered until the animal’s feet were on the floor . Midazolam infusion was started at 1.25...Hager P, Schmid ER. Monitoring level of sedation with bispectral EEG analysis: comparison between hypothermic and normo- thermic cardiopulmonary bypass

  7. Adrenal hemorrhage in a newborn.

    Science.gov (United States)

    Abdu, Arebu T; Kriss, Vesna M; Bada, Henrietta S; Reynolds, Eric W

    2009-09-01

    Sometimes in the course of care in a neonatal intensive care unit, there may be a rush to intervene in cases where limited intervention is actually the correct course. One such example is that of neonatal adrenal hemorrhage. We present the case of a male term neonate with shock, metabolic acidosis, distended abdomen, and falling hematocrit. His prenatal and delivery histories were uneventful except for a nuchal cord. Apgar scores were 9 and 9. Because of his dramatic presentation, certain members of the medical team suggested immediate surgical intervention. However, a calm and careful evaluation revealed the true diagnosis and course of action. Ultrasound of the abdomen showed a mass between the liver and kidney, but the origin was difficult to identify. A computed tomography scan supported the diagnosis of right adrenal hemorrhage. His serum cortisol level was normal. The patient was managed conservatively and discharged home after a 1-week stay in the hospital. Subsequent abdominal ultrasound showed resolving adrenal hemorrhage with minimal calcification. A review of the pertinent literature is presented. Physicians should remember adrenal hemorrhage when evaluating a newborn infant with shock, acidosis, abdominal distention, and falling hematocrit and that conservative management is usually indicated.

  8. Well-posed Euler model of shock-induced two-phase flow in bubbly liquid

    Science.gov (United States)

    Tukhvatullina, R. R.; Frolov, S. M.

    2017-07-01

    A well-posed mathematical model of non-isothermal two-phase two-velocity flow of bubbly liquid is proposed. The model is based on the two-phase Euler equations with the introduction of an additional pressure at the gas bubble surface, which ensures the well-posedness of the Cauchy problem for a system of governing equations with homogeneous initial conditions, and the Rayleigh-Plesset equation for radial pulsations of gas bubbles. The applicability conditions of the model are formulated. The model is validated by comparing one-dimensional calculations of shock wave propagation in liquids with gas bubbles with a gas volume fraction of 0.005-0.3 with experimental data. The model is shown to provide satisfactory results for the shock propagation velocity, pressure profiles, and the shock-induced motion of the bubbly liquid column.

  9. Modeling properties of chromospheric evaporation driven by thermal conduction fronts from reconnection shocks

    CERN Document Server

    Brannon, Sean

    2014-01-01

    Magnetic reconnection in the corona results in contracting flare loops, releasing energy into plasma heating and shocks. The hydrodynamic shocks so produced drive thermal conduction fronts (TCFs) which transport energy into the chromosphere and drive upflows (evaporation) and downflows (condensation) in the cooler, denser footpoint plasma. Observations have revealed that certain properties of the transition point between evaporation and condensation (the "flow reversal point" or FRP), such as temperature and velocity-temperature derivative at the FRP, vary between different flares. These properties may provide a diagnostic tool to determine parameters of the coronal energy release mechanism and the loop atmosphere. In this study, we develop a 1-D hydrodynamical flare loop model with a simplified three-region atmosphere (chromosphere/transition region/corona), with TCFs initiated by shocks introduced in the corona. We investigate the effect of two different flare loop parameters (post-shock temperature and tra...

  10. Analytical model of Weibel-mediated electron-ion collisionless shock formation

    Science.gov (United States)

    Ruyer, C.; Gremillet, L.; Bonnaud, G.; Riconda, C.

    2015-11-01

    We address the formation of ion-electron collisionless shocks in the non-relativistic regime. The shocks formed by the non-linear evolution of the Weibel-type instabilities, arise during plasma collisions in numerous high-energy astrophysical scenario such as pulsar wind nebulae or supernova remnants. For the first time, a predictive fully analytical model of the ion Weibel saturation based on the coalescence of filaments is presented and allows to describe the evolution of the plasma and its characteristics until shock-formation. It is compared successfully to Weibel-mediated shock simulations until quasi-isotropisation of the ions, and close to shock formation. Our model compares well with two different recent experiments and allows us to pinpoint the role of the electron screening on the ion-Weibel dynamics. Our theoretical results, supported by both experiments and simulations, proves for the first time the effect of an artificially low ion to electron mass ratio on the formation of collisionless shocks commonly used in many numerical works.

  11. A case of idiopathic omental hemorrhage

    Directory of Open Access Journals (Sweden)

    Toshimitsu Hosotani

    2016-05-01

    Full Text Available With the exception of trauma, intraperitoneal hemorrhage in young women is caused by the high frequency of ectopic pregnancy and ovarian bleeding. Here, we describe a case of idiopathic omental hemorrhage, which is a rare cause of intraperitoneal hemorrhage. Intraperitoneal hemorrhage was suspected in a 38-year-old Japanese woman based on contrast-enhanced computed tomography. Her last menstrual period was 23 days prior, and ovarian bleeding was considered based on bloody ascites revealed by culdocentesis. She underwent emergency surgery for hypovolemic shock. Although both ovaries were of normal size and no abnormal findings were observed, we performed a partial omentectomy because multiple clots were attached only to the greater omentum. Postoperatively, no rebleeding occurred, and she was discharged 11 days after the surgery. Because she did not have a clear history of trauma and underlying disease, idiopathic omental hemorrhage was diagnosed.

  12. Evaluation of a Model-Based Hemodynamic Monitoring Method in a Porcine Study of Septic Shock

    Directory of Open Access Journals (Sweden)

    James A. Revie

    2013-01-01

    Full Text Available Introduction. The accuracy and clinical applicability of an improved model-based system for tracking hemodynamic changes is assessed in an animal study on septic shock. Methods. This study used cardiovascular measurements recorded during a porcine trial studying the efficacy of large-pore hemofiltration for treating septic shock. Four Pietrain pigs were instrumented and induced with septic shock. A subset of the measured data, representing clinically available measurements, was used to identify subject-specific cardiovascular models. These models were then validated against the remaining measurements. Results. The system accurately matched independent measures of left and right ventricle end diastolic volumes and maximum left and right ventricular pressures to percentage errors less than 20% (except for the 95th percentile error in maximum right ventricular pressure and all R2>0.76. An average decrease of 42% in systemic resistance, a main cardiovascular consequence of septic shock, was observed 120 minutes after the infusion of the endotoxin, consistent with experimentally measured trends. Moreover, modelled temporal trends in right ventricular end systolic elastance and afterload tracked changes in corresponding experimentally derived metrics. Conclusions. These results demonstrate that this model-based method can monitor disease-dependent changes in preload, afterload, and contractility in porcine study of septic shock.

  13. [Historical vision of shock].

    Science.gov (United States)

    Dosne Pasqualini, C

    1998-01-01

    The concept of shock and its close relationship with that of stress dates back to the experiments of Hans Selye initiated in 1936 at McGill University in Montreal, with whom I collaborated between 1939 and 1942. It was demonstrated that the General Adaptation Syndrome begins with an Alarm Reaction, which consists of a Stage of Shock and one of Counter-Shock, followed by a Stage of Adaptation and finally a Stage of Exhaustion. My Ph.D. thesis concluded that shock was due to an adrenal insufficiency postulating that active metabolic processes drain the body of certain essential compounds the lack of which causes shock. My interest in the role of the glucose metabolism in shock led me to work with Bernardo Houssay in 1942 at the Institute of Physiology of the University of Buenos Aires and in 1944 with C.N.H. Long at Yale University. There I developed a method for the induction of hemorrhagic shock in the guinea pig with 94% lethality; curiously, the administration of 200 mg of ascorbic acid prevented death. Upon my return to Buenos Aires, these results were confirmed and moreover, it was demonstrated that the administration of cortisone led to 40% survival of the animals while desoxycorticosterone had no effect. At the time, no explanation was available but to-day, half a century later, this Symposium should be able to explain the mechanisms leading to death by hemorrhagic shock.

  14. Studies on blast traumatic brain injury using in-vitro model with shock tube.

    Science.gov (United States)

    Arun, Peethambaran; Spadaro, John; John, Jennifer; Gharavi, Robert B; Bentley, Timothy B; Nambiar, Madhusoodana P

    2011-06-11

    One of the major limitations in studying the mechanisms of blast-induced traumatic brain injury (bTBI) or screening therapeutics for protection is the lack of suitable laboratory model systems that can closely mimic the complex blast exposure. Although animal models of bTBI that use shock tubes to mimic blast exposure are available, no high throughput shock tube-based in-vitro models have been reported. Here, we report an in-vitro bTBI model using a compressed air-driven shock tube and mouse neuroblastoma/rat glioblastoma hybrid cells (NG108-15) or SH-SY5Y human neuroblastoma cells in tissue culture plates. Our data showed significant neurobiological effects with decreased adenosine triphosphate levels, increased cellular injury, lactate dehydrogenase release, and reactive oxygen species formation after blast exposure.

  15. LPA signaling initiates schizophrenia-like brain and behavioral changes in a mouse model of prenatal brain hemorrhage.

    Science.gov (United States)

    Mirendil, H; Thomas, E A; De Loera, C; Okada, K; Inomata, Y; Chun, J

    2015-04-07

    Genetic, environmental and neurodevelopmental factors are thought to underlie the onset of neuropsychiatric disorders such as schizophrenia. How these risk factors collectively contribute to pathology is unclear. Here, we present a mouse model of prenatal intracerebral hemorrhage--an identified risk factor for schizophrenia--using a serum-exposure paradigm. This model exhibits behavioral, neurochemical and schizophrenia-related gene expression alterations in adult females. Behavioral alterations in amphetamine-induced locomotion, prepulse inhibition, thigmotaxis and social interaction--in addition to increases in tyrosine hydroxylase-positive dopaminergic cells in the substantia nigra and ventral tegmental area and decreases in parvalbumin-positive cells in the prefrontal cortex--were induced upon prenatal serum exposure. Lysophosphatidic acid (LPA), a lipid component of serum, was identified as a key molecular initiator of schizophrenia-like sequelae induced by serum. Prenatal exposure to LPA alone phenocopied many of the schizophrenia-like alterations seen in the serum model, whereas pretreatment with an antagonist against the LPA receptor subtype LPA1 prevented many of the behavioral and neurochemical alterations. In addition, both prenatal serum and LPA exposure altered the expression of many genes and pathways related to schizophrenia, including the expression of Grin2b, Slc17a7 and Grid1. These findings demonstrate that aberrant LPA receptor signaling associated with fetal brain hemorrhage may contribute to the development of some neuropsychiatric disorders.

  16. The impact of neuronal Notch-1/JNK pathway on intracerebral hemorrhage-induced neuronal injury of rat model.

    Science.gov (United States)

    Chen, Maohua; Sun, Jun; Lu, Chuan; Chen, Xiandong; Ba, Huajun; Lin, Qun; Cai, Jianyong; Dai, Junxia

    2016-11-08

    Notch signaling is a highly conserved pathway that regulates cell fate decisions during embryonic development. Notch activation endangers neurons by modulating NF-κB and HIF-1α pathways, however, the role of Notch signaling in activating JNK/c-Jun following intracerebral hemorrhage (ICH) has not been investigated. In this study, we used rat ICH models and thrombin-induced cell models to investigate the potential role of Notch-1/JNK signals. Our findings revealed that Notch-1 and JNK increased in hematoma-surrounding neurons tissues following ICH during ischemic conditions (all pNotch-1, p-JNK, and active caspase-3 were all up-regulated in cell viability-decreasing ICH cell models (all pNotch-1 or JNK suppressed the phosphorylation of JNK and the expression of active caspase-3, and cell viability was obviously ameliorated. In conclusion, this work suggested Notch-1 activates JNK pathway to induce the active caspase-3, leading to neuronal injury when intracerebral hemorrhage or ischemia occurred. Thus the Notch-1/JNK signal pathway has an important role in ICH process, and may be a therapeutic target to prevent brain injury.

  17. Prandtl number effects in MRT lattice Boltzmann models for shocked and unshocked compressible fluids

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    This paper constructs a new multiple relaxation time lattice Boltzmann model which is not only for the shocked compressible fluids,but also for the unshocked compressible fluids.To make the model work for unshocked compressible fluids,a key step is to modify the collision operators of energy flux so that the viscous coefficient in momentum equation is consistent with that in energy equation even in the unshocked system.The unnecessity of the modification for systems under strong shock is analyzed.The model ...

  18. Cellular Alterations in Shock and Ischemia and Their Correction.

    Science.gov (United States)

    Chaudry, Irshad H.

    1985-01-01

    Reviews recent advances in cellular alterations in shock to help physicians and physiologists keep abreast of current research. Specifically addresses changes occurring as a result of hemorrhagic shock and possible ways such lesions could be corrected. (DH)

  19. Integrated modeling/analyses of thermal-shock effects in SNS targets

    Energy Technology Data Exchange (ETDEWEB)

    Taleyarkhan, R.P.; Haines, J. [Oak Ridge National Lab., TN (United States)

    1996-06-01

    In a spallation neutron source (SNS), extremely rapid energy pulses are introduced in target materials such as mercury, lead, tungsten, uranium, etc. Shock phenomena in such systems may possibly lead to structural material damage beyond the design basis. As expected, the progression of shock waves and interaction with surrounding materials for liquid targets can be quite different from that in solid targets. The purpose of this paper is to describe ORNL`s modeling framework for `integrated` assessment of thermal-shock issues in liquid and solid target designs. This modeling framework is being developed based upon expertise developed from past reactor safety studies, especially those related to the Advanced Neutron Source (ANS) Project. Unlike previous separate-effects modeling approaches employed (for evaluating target behavior when subjected to thermal shocks), the present approach treats the overall problem in a coupled manner using state-of-the-art equations of state for materials of interest (viz., mercury, tungsten and uranium). That is, the modeling framework simultaneously accounts for localized (and distributed) compression pressure pulse generation due to transient heat deposition, the transport of this shock wave outwards, interaction with surrounding boundaries, feedback to mercury from structures, multi-dimensional reflection patterns & stress induced (possible) breakup or fracture.

  20. Hemorrhagic disorder

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    930167 Relationship among changes of bloodpicture and hemorrhage to skin,fundus occuliand brain in 220 cases of hematologic disease.WU Bingquan(吴秉权),et al.Blood Dis Hosp,CMAS.Tianjin Med J 1992;20(9):515-517.Changes of blood picture related to bleedingof the skin,fundus occuli and brain were ana-lyzed in 220 cases of blood diseases.Resultsshowed,in iron deficient anemia with pro-

  1. Purpurogallin, a Natural Phenol, Attenuates High-Mobility Group Box 1 in Subarachnoid Hemorrhage Induced Vasospasm in a Rat Model

    Directory of Open Access Journals (Sweden)

    Chih-Zen Chang

    2014-01-01

    Full Text Available High-mobility group box 1 (HMGB1 was shown to be an important extracellular mediator involved in vascular inflammation of animals following subarachnoid hemorrhage (SAH. This study is of interest to examine the efficacy of purpurogallin, a natural phenol, on the alternation of cytokines and HMGB1 in a SAH model. A rodent double hemorrhage SAH model was employed. Basilar arteries (BAs were harvested to examine HMGB1 mRNA and protein expression (Western blot. CSF samples were to examine IL-1β, IL-6, IL-8, and TNF-α (rt-PCR. Deformed endothelial wall, tortuous elastic lamina, and necrotic smooth muscle were observed in the vessels of SAH groups but were absent in the purpurogallin group. IL-1β, IL-6, and TNF-α in the SAH only and SAH plus vehicle groups were significantly elevated (P<0.01. Purpurgallin dose-dependently reduced HMGB1 protein expression. Likewise, high dose purpurogallin reduced TNF-α and HMGB1 mRNA levels. In conclusion, purpurogallin exerts its neuroinflammation effect through the dual effect of inhibiting IL-6 and TNF-α mRNA expression and reducing HMGB1 protein and mRNA expression. This study supports purpurogallin could attenuate both proinflammatory cytokines and late-onset inflammasome in SAH induced vasospasm.

  2. Equation-of-state model for shock compression of hot dense matter

    CERN Document Server

    Pain, J C

    2007-01-01

    A quantum equation-of-state model is presented and applied to the calculation of high-pressure shock Hugoniot curves beyond the asymptotic fourfold density, close to the maximum compression where quantum effects play a role. An analytical estimate for the maximum attainable compression is proposed. It gives a good agreement with the equation-of-state model.

  3. Modeling the shock initiation of PBX 9501 in ALE3D

    Energy Technology Data Exchange (ETDEWEB)

    Mace, Jonathan [Los Alamos National Laboratory; Mas, Eric M [Los Alamos National Laboratory; Leininger, Lara [HINMAN CONSULTING; Springer, H Keo [ONE BUSH STREET

    2008-01-01

    The SMIS (Specific Munitions Impact Scenario) experimental series performed at Los Alamos National Laboratory has determined the 3-dimensional shock initiation behavior of the HMX based heterogeneous high explosive, PBX9501, which has a PMMA case and a steel impact cover. The SMIS real-world shot scenario creates a unique test-bed because many of the fragments arrive at the impact plate off-center and at an angle of impact. The goal of this model validation experiments is to demonstrate the predictive capability of the Tarver-Lee Ignition and Growth (I&G) reactive flow model in this fully 3-dimensional regime of Shock to Detonation Transition (SDT).

  4. Molecular models of the Mojave rattlesnake (Crotalus scutulatus scutulatus) venom metalloproteinases reveal a structural basis for differences in hemorrhagic activities.

    Science.gov (United States)

    Dagda, Ruben K; Gasanov, Sardar E; Zhang, Boris; Welch, William; Rael, Eppie D

    2014-03-01

    Rattlesnake venom can differ in composition and in metalloproteinase-associated activities. The molecular basis for this intra-species variation in Crotalus scutulatus scutulatus (Mojave rattlesnake) remains an enigma. To understand the molecular basis for intra-species variation of metalloproteinase-associated activities, we modeled the three-dimensional structures of four metalloproteinases based on the amino acid sequence of four variations of the proteinase domain of the C. s. scutulatus metalloproteinase gene (GP1, GP2, GP3, and GP4). For comparative purposes, we modeled the atrolysin metalloproteinases of C. atrox as well. All molecular models shared the same topology. While the atrolysin metalloproteinase molecular models contained highly conserved substrate binding sites, the Mojave rattlesnake metalloproteinases showed higher structural divergence when superimposed onto each other. The highest structural divergence among the four C. s. scutulatus molecular models was located at the northern cleft wall and the S'1-pocket of the substrate binding site, molecular regions that modulate substrate selectivity. Molecular dynamics and field potential maps for each C. s. scutulatus metalloproteinase model demonstrated that the non-hemorrhagic metalloproteinases (GP2 and GP3) contain highly basic molecular and field potential surfaces while the hemorrhagic metalloproteinases GP1 and atrolysin C showed extensive acidic field potential maps and shallow but less dynamic active site pockets. Hence, differences in the spatial arrangement of the northern cleft wall, the S'1-pocket, and the physico-chemical environment surrounding the catalytic site contribute to differences in metalloproteinase activities in the Mojave rattlesnake. Our results provide a structural basis for variation of metalloproteinase-associated activities in the rattlesnake venom of the Mojave rattlesnake.

  5. Nonaligned shocks for discrete velocity models of the Boltzmann equation

    Directory of Open Access Journals (Sweden)

    J. M. Greenberg

    1991-05-01

    Full Text Available At the conclusion of I. Bonzani's presentation on the existence of structured shock solutions to the six-velocity, planar, discrete Boltzmann equation (with binary and triple collisions, Greenberg asked whether such solutions were possible in directions e(α=(cosα ,sinα when α was not one of the particle flow directions. This question generated a spirited discussion but the question was still open at the conclusion of the conference. In this note the author will provide a partial resolution to the question raised above. Using formal perturbation arguments he will produce approximate solutions to the equation considered by Bonzani which represent traveling waves propagating in any direction e(α=(cosα ,sinα.

  6. Stampidine prevents mortality in an experimental mouse model of viral hemorrhagic fever caused by lassa virus

    Directory of Open Access Journals (Sweden)

    Tibbles Heather E

    2004-01-01

    Full Text Available Abstract Background The potential use of microorganisms as agents of biological warfare (BW is a growing concern. Lassa virus, a member of the Arenavirus class of Hemorrhagic fever (HF viruses has emerged as a worldwide concern among public health officials. The purpose of the present study was to further elucidate the antiviral activity spectrum of stampidine, a novel nucleoside analog with potent anti-viral activity against the immunodeficiency viruses HIV-1, HIV-2, and FIV, by examining its effects on survival of mice challenged with Lassa virus. Methods We examined the therapeutic effect of Stampidine in CBA mice inoculated with intracerebral injections of the Josiah strain of Lassa virus. Mice were treated either with vehicle or nontoxic doses of stampidine administered intraperitoneally 24 hours prior to, 1 hour prior to, and 24 hours, 48 hours, 72 hours, and 96 hours after virus inoculation. Results The probability of survival following the Lassa challenge was significantly improved for stampidine treated mice (Kaplan Meier, Chi-squared = 11.7, df = 2, Log-Rank p-value = 0.003. Conclusion Therefore, stampidine shows clinical potential as a new agent for treatment of viral hemorrhagic fevers caused by Lassa virus.

  7. Liver repair and hemorrhage control using laser soldering of liquid albumin in a porcine model

    Science.gov (United States)

    Wadia, Yasmin; Xie, Hua; Kajitani, Michio; Gregory, Kenton W.; Prahl, Scott A.

    2000-05-01

    The purpose of this study was to evaluate laser soldering using liquid albumin for welding liver lacerations and sealing raw surfaces created by segmental resection of a lobe. Major liver trauma has a high mortality due to immediate exsanguination and a delayed morbidity and mortality from septicemia, peritonitis, biliary fistulae and delayed secondary hemorrhage. Eight laceration injuries (6 cm long X 2 cm deep) and eight non-anatomical resection injuries (raw surface 6 cm X 2 cm) were repaired. An 805 nm laser was used to weld 53% liquid albumin-ICG solder to the liver surface, reinforcing it with a free autologous omental scaffold. The animals were heparinized to simulate coagulation failure and hepatic inflow occlusion was used for vascular control. For both laceration and resection injuries, eight soldering repairs each were evaluated at three hours. A single suture repair of each type was evaluated at three hours. All 16 laser mediated liver repairs were accompanied by minimal blood loss as compared to the suture controls. No dehiscence, hemorrhage or bile leakage was seen in any of the laser repairs after three hours. In conclusion laser fusion repair of the liver is a quick and reliable technique to gain hemostasis on the cut surface as well as weld lacerations.

  8. A Data-Driven Analytic Model for Proton Acceleration by Large-Scale Solar Coronal Shocks

    CERN Document Server

    Kozarev, Kamen A

    2016-01-01

    We have recently studied the development of an eruptive filament-driven, large-scale off-limb coronal bright front (OCBF) in the low solar corona (Kozarev et al. 2015), using remote observations from Solar Dynamics Observatory's Advanced Imaging Assembly EUV telescopes. In that study, we obtained high-temporal resolution estimates of the OCBF parameters regulating the efficiency of charged particle acceleration within the theoretical framework of diffusive shock acceleration (DSA). These parameters include the time-dependent front size, speed, and strength, as well as the upstream coronal magnetic field orientations with respect to the front's surface normal direction. Here we present an analytical particle acceleration model, specifically developed to incorporate the coronal shock/compressive front properties described above, derived from remote observations. We verify the model's performance through a grid of idealized case runs using input parameters typical for large-scale coronal shocks, and demonstrate ...

  9. Evidence of disseminated intravascular coagulation in a hemorrhagic fever with renal syndrome-scoring models and severe illness.

    Directory of Open Access Journals (Sweden)

    Erik Sundberg

    Full Text Available BACKGROUND: Viral hemorrhagic fevers (VHF are considered to be a serious threat to public health worldwide with up to 100 million cases annually. The general hypothesis is that disseminated intravascular coagulation (DIC is an important part of the pathogenesis. The study objectives were to study the variability of DIC in consecutive patients with acute hemorrhagic fever with renal syndrome (HFRS, and to evaluate if different established DIC-scores can be used as a prognostic marker for a more severe illness. METHOD AND FINDINGS: In a prospective study 2006-2008, data from 106 patients with confirmed HFRS were analyzed and scored for the presence of DIC according to six different templates based on criteria from the International Society on Thrombosis and Haemostasis (ISTH. The DIC-scoring templates with a fibrinogen/CRP-ratio were most predictive, with predictions for moderate/severe illness (p<0.01 and bleeding of moderate/major importance (p<0.05. With these templates, 18.9-28.3% of the patients were diagnosed with DIC. CONCLUSIONS: DIC was found in about one fourth of the patients and correlated with a more severe disease. This supports that DIC is an important part of the pathogenesis in HFRS. ISTH-scores including fibrinogen/CRP-ratio outperform models without. The high negative predictive value could be a valuable tool for the clinician. We also believe that our findings could be relevant for other VHFs.

  10. Continuum modelling of shock waves through granular gases and the role of statistical fluctuations

    Science.gov (United States)

    Sirmas, Nick; Radulescu, Matei I.

    2016-11-01

    Previous experiments have revealed that shock waves driven through dissipative gases may become unstable, for example, in granular gases. The mechanisms controlling these instabilities are not well understood. Two-dimensional event-driven Molecular Dynamics (MD) simulations were previously completed to investigate the stability of piston driven shock waves through dilute granular gases. By considering viscoelastic collisions, allowing for finite dissipation within the shock wave, instabilities were found in the form of distinctive high density non-uniformities and convective rolls within the shock structure. This work is now extended to the continuum level. Euler and Navier-Stokes equations for granular gases are modelled with a modified cooling rate to include an impact threshold necessary for inelastic collisions. The shock structure predicted by the continuum formulation is found in good agreement with the structure obtained by MD. Introducing strong perturbations to the incoming density field, in accordance with the spacial fluctuations in the upstream state seen in MD, yields similar instabilities as those previously observed. While the inviscid model predicts a highly turbulent structure from these perturbations, the inclusion of viscosity and heat conductivity yields comparable wavelengths of pattern formations to those seen in MD.

  11. Micro-process model of hydraulic shock absorber with abnormal structural noise

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In order to discover the causes of the abnormal noise of shock absorbers,it is necessary to identify the operating characteristics of the shock absorbers.A micro-process model for operation of the hydraulic shock absorber was presented.A novel concept,which describes the process of hydraulic shock absorber by dividing it into smaller steps,was proposed.The dynamic model and the differential equations were established.The results of numerical simulation agree well with data obtained from the vibrostand test,indicating that the collision between the piston and the oil,the alternation of static friction and sliding friction acted between the piston and the cylinder,and the adherence between valve plate and piston result in impact on the piston head near the top dead center and the bottom dead center.Ultimately,the impact excites the high-frequency vibration of the piston structure,which can generate the abnormal noise in the hydraulic shock absorber after its transfer.And the maximum vibration acceleration on the piston head and the abnormal noise increase with the increase of the gap between the oil and piston rod head,the maximum static friction force and the adhering function,respectively.

  12. Modeling Properties Of Chromospheric Evaporation Driven By Thermal Conduction Fronts From Reconnection Shocks

    Science.gov (United States)

    Brannon, Sean; Longcope, D.

    2013-07-01

    Magnetic reconnection in the corona results in contracting flare loops, releasing energy into plasma heating and shocks. These hydrodynamic shocks drive thermal conduction fronts (TCFs), which deposit energy into the chromosphere, driving upflows (evaporation) and downflows (condensation) across a range of temperatures. Observations have revealed that the transition between evaporation and condensation, the "velocity reversal point" (VRP), occurs at a characteristic temperature and with a characteristic slope, which vary between different flares. In this study, we develop a 1-D hydrodynamical flare loop model with a simplified three-region atmosphere (chromosphere / transition region (TR) / corona), with TCFs initiated by piston shocks introduced in the corona. We investigate the effect of three different flare loop parameters (post-shock temperature, TR temperature ratio, and TR thickness) on the temperature and slope of the VRP. We find that both of the evaporation characteristics have power-law relationships to the varied flare parameters, and we report the scaling exponents for our model. Finally, we develop a method to determine the best-fit post-shock temperature and TR temperature ratio based on the observed quantities, and discuss the results for two sets of published data.

  13. A minimal titration model of the mammalian dynamical heat shock response

    Science.gov (United States)

    Sivéry, Aude; Courtade, Emmanuel; Thommen, Quentin

    2016-12-01

    Environmental stress, such as oxidative or heat stress, induces the activation of the heat shock response (HSR) and leads to an increase in the heat shock proteins (HSPs) level. These HSPs act as molecular chaperones to maintain cellular proteostasis. Controlled by highly intricate regulatory mechanisms, having stress-induced activation and feedback regulations with multiple partners, the HSR is still incompletely understood. In this context, we propose a minimal molecular model for the gene regulatory network of the HSR that reproduces quantitatively different heat shock experiments both on heat shock factor 1 (HSF1) and HSPs activities. This model, which is based on chemical kinetics laws, is kept with a low dimensionality without altering the biological interpretation of the model dynamics. This simplistic model highlights the titration of HSF1 by chaperones as the guiding line of the network. Moreover, by a steady states analysis of the network, three different temperature stress regimes appear: normal, acute, and chronic, where normal stress corresponds to pseudo thermal adaption. The protein triage that governs the fate of damaged proteins or the different stress regimes are consequences of the titration mechanism. The simplicity of the present model is of interest in order to study detailed modelling of cross regulation between the HSR and other major genetic networks like the cell cycle or the circadian clock.

  14. A retrievable rescue stent graft and radiofrequency positioning for rapid control of noncompressible hemorrhage.

    Science.gov (United States)

    Chun, Youngjae; Cho, Sung Kwon; Clark, William C; Wagner, William R; Gu, Xinzhu; Tevar, Amit D; McEnaney, Ryan M; Tillman, Bryan W

    2017-08-01

    Noncompressible hemorrhage of the torso remains a challenging surgical dilemma. Stent graft repair requires endovascular expertise, imaging, and inventory that are not available within the critical window of massive hemorrhage. We developed a retrievable stent graft for rapid hemorrhage. We further investigated a radiofrequency (RF) positioning approach as a possible alternative to the logistics of fluoroscopy. A retrievable stent graft was constructed with a novel "petal and stem" design from nitinol and covered with a sleeve of electrospun polyurethane. The stent graft was tested using an in vitro model of simulated hemorrhage. Next, the stent graft was examined in vivo using a porcine model of noncompressible hemorrhage. The stent was examined for hemorrhage control in a porcine model of either aortic or caval injury. An RF reader was assembled from an Arduino processor while RF tags were affixed to the ends of the stent graft. Detection accuracy of a handheld RF wand for an RF tag was quantified both in vitro and through tissue. The retrievable RESCUEstent graft was deployed within minutes and rapidly controlled traumatic hemorrhage angiographically in both aortic injury (n = 3) and caval injury (n = 2). Stent grafts were easily recaptured in both models in under 15 seconds. The LED light of a handheld RF detector illuminated when positioned directly over an RF tag. The RF detection approach revealed positioning accuracy to within 1 cm of the intended target, despite tissue interference. This study demonstrates the rapid deployment and retrieval of a RESCUE stent graft as well as the ability to tamponade injuries of the aorta and cava. In addition, this study demonstrates the feasibility of RF tags to guide stent placement through tissue. More rigorous models are needed to define the effectiveness of this approach in the setting of vascular injury and shock.

  15. Next generation experiments and models for shock initiation and detonation of solid explosives

    Energy Technology Data Exchange (ETDEWEB)

    Tarver, C M

    1999-06-01

    Current phenomenological hydrodynamic reactive flow models, such as Ignition and Growth and Johnson- Tang-Forest, when normalized to embedded gauge and laser velocimetry data, have been very successful in predicting shock initiation and detonation properties of solid explosives in most scenarios. However, since these models use reaction rates based on the compression and pressure of the reacting mixture, they can not easily model situations in which the local temperature, which controls the local reaction rate, changes differently from the local pressure. With the advent of larger, faster, parallel computers, microscopic modeling of the hot spot formation processes and Arrhenius chemical kinetic reaction rates that dominate shock initiation and detonation can now be attempted. Such a modeling effort can not be successful without nanosecond or better time resolved experimental data on these processes. The experimental and modeling approaches required to build the next generation of physically realistic reactive flow models are discussed.

  16. Riccati-coupled similarity shock wave solutions for multispeed discrete Boltzmann models

    Energy Technology Data Exchange (ETDEWEB)

    Cornille, H. (Service de Physique Theorique, Gif-sur-Yvette (France)); Platkowski, T. (Warsaw Univ. (Poland))

    1993-05-01

    The authors study nonstandard shock wave similarity solutions for three multispeed discrete boltzmann models: (1) the square 8[upsilon][sub i] model with speeds 1 and [radical]2 with the x axis along one median, (2) the Cabannes cubic 14[upsilon][sub i] model with speeds 1 and [radical]3 and the x axis perpendicular to one face, and (3) another 14[upsilon][sub i] model with speeds 1 and [radical]2. These models have five independent densities and two nonlinear Riccati-coupled equations. The standard similarity shock waves, solutions of scalar Riccati equations, are monotonic and the same behavior holds for the conservative macroscopic quantities. First, the exact similarity shock-wave solutions of coupled Riccati equations are determined and the nonmonotonic behavior for one density and a smaller effect for one conservative macroscopic quantity are observed when a violation of the microreversibility is allowed. Second, new results are obtained on the Whitham weak shock wave propagation. Third, the corresponding dynamical system is numerically solved, with microreversibility satisfied or not, and the analogous nonmonotonic behavior is observed. 9 refs., 2 figs., 1 tab.

  17. Modeling plasma glow discharges in Air near a Mach 3 bow shock with KRONOS

    Science.gov (United States)

    Rassou, Sebastien; Labaune, Julien; Packan, Denis; Elias, Paul-Quentin

    2016-09-01

    In this work, plasma glow discharge in Air is modeled near a Mach 3 bow shock. Numerical simulations are performed using the coupling KRONOS which have been developed at ONERA. The flow field is modeled using the code CFD: CEDRE from ONERA and the electrical and plasma part by the EDF open-source code CODE_SATURNE. The plasma kinetic modeling consists on a two-term Boltzmann equation solver and a chemical reaction solver depending of the electric field. The coupling KRONOS is fully parallelized and run on ONERA supercomputers. The shock wave is formed by the propagation of a supersonic flow (M = 3) through a truncated conical model mounted with a central spike. Depending on the spike's voltage value, corona, glow or arc regime could be obtained in a steady flow. The parameters for the supersonic flow and the spike configurations are chosen to be in glow discharge regime and to reproduce the experimental setup. In our simulations, 12 species and 80 reactions (ionization, electronic or vibrational excitation, attachment etc ...) are considered to properly model the glow discharge and the afterglow. In a stationary flow, glow discharge is observed only at the upstream of the shock wave near the high voltage spike. Behind the bow shock, in the afterglow, negative ions are provided by electrons attachment with O2. The negative ions flow convection ensures the electrical conduction and the establishment of the glow discharge.

  18. Pressure measurements and an analytical model for laser-generated shock waves in solids at low irradiance

    CERN Document Server

    Romain, J P; Dayma, G; Boustie, M; Resseguier, T D; Combis, P

    2002-01-01

    Low amplitude shock waves (from 1 to 300 bar) have been generated in gold layers deposited on a quartz substrate, by laser pulses at an incident fluence from 0.4 to 4.0 J cm sup - sup 2. The quartz was used as a pressure gauge for recording the induced shock profile. At a fluence <1.4 J cm sup - sup 2 , the shock pressure does not exceed 10 bar and the shock front is followed by a tension peak typical of an absorption in solid state. An analytical model of the compression-tension process has been developed, accounting for shock pressure and shock profile evolution as a function of irradiation conditions and material properties. From this model a mechanical interpretation is given to previous observations of spalling of the irradiated target surface.

  19. Isquemia e reperfusão hepática total associada ao estado de choque hemorrágico controlado: efeitos no seqüestro de neutrófilos no fígado do rato Total hepatic warm ischemia and reperfusion associated with controlled hemorrhagic shock: effects of neutrophil sequestration in rat liver

    Directory of Open Access Journals (Sweden)

    Mario Mantovani

    2003-08-01

    Full Text Available OBJETIVO: O propósito deste trabalho experimental foi estudar os efeitos da isquemia e reperfusão hepática total sobre o acúmulo de neutrófilos no fígado de ratos, em condições de normalidade e submetidos ao estado de choque hemorrágico controlado. MÉTODO: Trinta e dois ratos Wistar, machos, foram divididos em quatro grupos de oito animais cada: grupo Controle, submetido à laparotomia com um período de 60 minutos de observação; grupo Choque, submetido a choque hemorrágico controlado (PAM = 40 mmHg, 20 min. seguido de reposição volêmica (Ringer lactato + sangue, 3:1 e reperfusão (60 min.; grupo Pringle, submetido a isquemia hepática total (15 min. e reperfusão (60 min.; grupo Total submetido a choque hemorrágico controlado (15 min. seguido de reposição volêmica (Ringer lactato + sangue, 3:1 mais isquemia hepática total (15 min. e reperfusão (60 min.. A dosagem do lactato arterial e déficit de base foram utilizados para caracterizar o estado de choque hemorrágico com baixa perfusão tecidual. Após a morte dos animais, procedeu-se à contagem de neutrófilos no tecido hepático. RESULTADOS: Na contagem de neutrófilos no fígado o grupo Pringle diferiu dos grupos Choque e Total, os quais não diferiram entre si (Controle 10,30±3,20; Choque 13,94±2,84; Pringle 7,00±3,40; Total 12,45±3,65. CONCLUSÃO: Em ratos submetidos a estado de choque hemorrágico controlado, associado à isquemia hepática total de 15 minutos, seguido de 60 minutos de reperfusão, não ocorreu acúmulo significativo de neutrófilos no fígado.BACKGROUND:The purpose of this experimental study was to evaluate the effects of total hepatic ischemia and reperfusion on the accumulation of neutrophils in the liver of rats, under normal conditions and in rats submitted to controlled hemorrhagic shock . METHODS: Thirty two adult male Wistar rats, were divided into four groups: the Control group, was submitted to the standard procedures for a period of

  20. Comparing generic models for interplanetary shocks and magnetic clouds axis configurations at 1 AU

    CERN Document Server

    Janvier, Miho; Demoulin, Pascal; Masias-Meza, Jimmy; Lugaz, Noe

    2015-01-01

    Interplanetary Coronal Mass Ejections are the manifestation of solar transient eruptions, which can significantly modify the plasma and magnetic conditions in the heliosphere. They are often preceded by a shock, and a magnetic flux rope is detected in situ in a third to half of them. The main aim of this study is to obtain the best quantitative shape for the flux rope axis and for the shock surface from in situ data obtained during spacecraft crossings of these structures. We first compare the orientation of the flux ropes axes and shock normals obtained from independent data analyses of the same events, observed in situ at 1AU from the Sun. Then, we carry out an original statistical analysis of axes/shock normals by deriving the statistical distributions of their orientations. We fit the observed distributions using the distributions derived from several synthetic models describing these shapes. We show that the distributions of axis/shock orientations are very sensitive to their respective shape. One classi...

  1. The structure of radiative shock waves. III. The model grid for partially ionized hydrogen gas

    CERN Document Server

    Fadeyev, Y A; Fadeyev, Yu. A.

    2001-01-01

    The grid of the models of radiative shock waves propagating through partially ionized hydrogen gas with temperature 3000K <= T_1 <= 8000K and density 10^{-12} gm/cm^3 <= \\rho_1 <= 10^{-9}gm/cm^3 is computed for shock velocities 20 km/s <= U_1 <= 90 km/s. The fraction of the total energy of the shock wave irreversibly lost due to radiation flux ranges from 0.3 to 0.8 for 20 km/s <= U_1 <= 70 km/s. The postshock gas is compressed mostly due to radiative cooling in the hydrogen recombination zone and final compression ratios are within 1 <\\rho_N/\\rho_1 \\lesssim 10^2, depending mostly on the shock velocity U_1. The preshock gas temperature affects the shock wave structure due to the equilibrium ionization of the unperturbed hydrogen gas, since the rates of postshock relaxation processes are very sensitive to the number density of hydrogen ions ahead the discontinuous jump. Both the increase of the preshock gas temperature and the decrease of the preshock gas density lead to lower postsh...

  2. Constitutive modeling of weak and strong shock-initiation of porous explosives

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, L.S.

    1998-12-31

    A continuum based reactive burn model for shocked loaded high explosives has been developed that uses heterogeneous distribution of pore collapse energy to one or more of the constituents (a hot spot) as an ignition source, represents constituents with independent equations of state and has multiple competing and sequential chemical reactions. Reaction propagates from the hot spot to the remainder of the material through either a pressure or temperature dependence of heat transfer through a film layer. The reaction may be quenched by heat transfer or shock release if it is not rapid enough.

  3. Laser Beam Propagation Through Inhomogeneous Media with Shock-Like Profiles: Modeling and Computing

    Science.gov (United States)

    Adamovsky, Grigory; Ida, Nathan

    1997-01-01

    Wave propagation in inhomogeneous media has been studied for such diverse applications as propagation of radiowaves in atmosphere, light propagation through thin films and in inhomogeneous waveguides, flow visualization, and others. In recent years an increased interest has been developed in wave propagation through shocks in supersonic flows. Results of experiments conducted in the past few years has shown such interesting phenomena as a laser beam splitting and spreading. The paper describes a model constructed to propagate a laser beam through shock-like inhomogeneous media. Numerical techniques are presented to compute the beam through such media. The results of computation are presented, discussed, and compared with experimental data.

  4. Heat Shock Protein 70 Family Members Interact with Crimean-Congo Hemorrhagic Fever Virus and Hazara Virus Nucleocapsid Proteins and Perform a Functional Role in the Nairovirus Replication Cycle

    Science.gov (United States)

    Surtees, Rebecca; Dowall, Stuart D.; Shaw, Amelia; Armstrong, Stuart; Hewson, Roger; Carroll, Miles W.; Mankouri, Jamel; Edwards, Thomas A.

    2016-01-01

    ABSTRACT The Nairovirus genus of the Bunyaviridae family contains serious human and animal pathogens classified within multiple serogroups and species. Of these serogroups, the Crimean-Congo hemorrhagic fever virus (CCHFV) serogroup comprises sole members CCHFV and Hazara virus (HAZV). CCHFV is an emerging zoonotic virus that causes often-fatal hemorrhagic fever in infected humans for which preventative or therapeutic strategies are not available. In contrast, HAZV is nonpathogenic to humans and thus represents an excellent model to study aspects of CCHFV biology under conditions of more-accessible biological containment. The three RNA segments that form the nairovirus genome are encapsidated by the viral nucleocapsid protein (N) to form ribonucleoprotein (RNP) complexes that are substrates for RNA synthesis and packaging into virus particles. We used quantitative proteomics to identify cellular interaction partners of CCHFV N and identified robust interactions with cellular chaperones. These interactions were validated using immunological methods, and the specific interaction between native CCHFV N and cellular chaperones of the HSP70 family was confirmed during live CCHFV infection. Using infectious HAZV, we showed for the first time that the nairovirus N-HSP70 association was maintained within both infected cells and virus particles, where N is assembled as RNPs. Reduction of active HSP70 levels in cells by the use of small-molecule inhibitors significantly reduced HAZV titers, and a model for chaperone function in the context of high genetic variability is proposed. These results suggest that chaperones of the HSP70 family are required for nairovirus replication and thus represent a genetically stable cellular therapeutic target for preventing nairovirus-mediated disease. IMPORTANCE Nairoviruses compose a group of human and animal viruses that are transmitted by ticks and associated with serious or fatal disease. One member is Crimean-Congo hemorrhagic fever

  5. Non-relativistic perpendicular shocks modeling young supernova remnants: nonstationary dynamics and particle acceleration at forward and reverse shocks

    CERN Document Server

    Wieland, Volkmar; Niemiec, Jacek; Rafighi, Iman; Nishikawa, Ken-Ichi

    2016-01-01

    For parameters that are applicable to the conditions at young supernova remnants, we present results of 2D3V particle-in-cell simulations of a non-relativistic plasma shock with a large-scale perpendicular magnetic field inclined at 45-deg angle to the simulation plane to approximate 3D physics. We developed an improved clean setup that uses the collision of two plasma slabs with different density and velocity, leading to the development of two distinctive shocks and a contact discontinuity. The shock formation is mediated by Weibel-type filamentation instabilities that generate magnetic turbulence. Cyclic reformation is observed in both shocks with similar period, for which we note global variations on account of shock rippling and local variations arising from turbulent current filaments. The shock rippling occurs on spatial and temporal scales given by gyro-motions of shock-reflected ions. The drift motion of electrons and ions is not a gradient drift, but commensurates with E x B drift. We observe a stabl...

  6. Modeling and predicting hemorrhagic fever with renal syndrome trends based on meteorological factors in Hu County, China.

    Directory of Open Access Journals (Sweden)

    Dan Xiao

    Full Text Available Hu County is a serious hemorrhagic fever with renal syndrome (HFRS epidemic area, with notable fluctuation of the HFRS epidemic in recent years. This study aimed to explore the optimal model for HFRS epidemic prediction in Hu.Three models were constructed and compared, including a generalized linear model (GLM, a generalized additive model (GAM, and a principal components regression model (PCRM. The fitting and predictive adjusted R2 of each model were calculated. Ljung-Box Q tests for fitted and predicted residuals of each model were conducted. The study period was stratified into before (1971-1993 and after (1994-2012 vaccine implementation epochs to avoid the confounding factor of vaccination.The autocorrelation of fitted and predicted residuals of the GAM in the two epochs were not significant (Ljung-Box Q test, P>.05. The adjusted R2 for the predictive abilities of the GLM, GAM, and PCRM were 0.752, 0.799, and 0.665 in the early epoch, and 0.669, 0.756, and 0.574 in the recent epoch. The adjusted R2 values of the three models were lower in the early epoch than in the recent epoch.GAM is superior to GLM and PCRM for monthly HFRS case number prediction in Hu County. A shift in model reliability coincident with vaccination implementation demonstrates the importance of vaccination in HFRS control and prevention.