• Title/Summary/Keyword: Control of Shock

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Roles of Heat Shock Protein gp96 in the ER Quality Control: Redundant or Unique Function?

  • Yang, Yi;Li, Zihai
    • Molecules and Cells
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    • v.20 no.2
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    • pp.173-182
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    • 2005
  • Heat shock protein gp96 is an endoplasmic reticulum chaperone, belonging to the HSP90 family. The function of gp96 as a molecular chaperone was discovered more than 10 years ago, but its importance has been overshadowed by the brilliance of its role in immune responses. It is now clear that gp96 is instrumental in the initiation of both the innate and adaptive immunity. Recently, the roles of gp96 in protein homeostasis, as well as in cell differentiation and development, are beginning to draw more attention due to rapid development in the structural study of HSP90 and some surprising new discoveries from genetic studies of gp96. In this review, we focus on the aspect of gp96 as an ER molecular chaperone in protein maturation, peptide binding and the regulation of its activity.

Heat Shock Proteins: A Review of the Molecular Chaperones for Plant Immunity

  • Park, Chang-Jin;Seo, Young-Su
    • The Plant Pathology Journal
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    • v.31 no.4
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    • pp.323-333
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    • 2015
  • As sessile organisms, plants are exposed to persistently changing stresses and have to be able to interpret and respond to them. The stresses, drought, salinity, chemicals, cold and hot temperatures, and various pathogen attacks have interconnected effects on plants, resulting in the disruption of protein homeostasis. Maintenance of proteins in their functional native conformations and preventing aggregation of non-native proteins are important for cell survival under stress. Heat shock proteins (HSPs) functioning as molecular chaperones are the key components responsible for protein folding, assembly, translocation, and degradation under stress conditions and in many normal cellular processes. Plants respond to pathogen invasion using two different innate immune responses mediated by pattern recognition receptors (PRRs) or resistance (R) proteins. HSPs play an indispensable role as molecular chaperones in the quality control of plasma membrane-resident PRRs and intracellular R proteins against potential invaders. Here, we specifically discuss the functional involvement of cytosolic and endoplasmic reticulum (ER) HSPs/chaperones in plant immunity to obtain an integrated understanding of the immune responses in plant cells.

Resuscitative Endovascular Balloon Occlusion of the Aorta for an Iliac Artery Aneurysm: Case Report

  • Chang, Sung Wook;Chun, Sangwook;Lee, Gyeongho;Seo, Pil Won
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.429-432
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    • 2021
  • Isolated iliac artery aneurysm (IAA) is rare, but can be fatal. Emergency surgery is performed in cases of hemorrhagic shock due to a suddenly ruptured IAA, which may have a high mortality rate because of massive non-compressible torso hemorrhage (NCTH). Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an alternative to aortic cross-clamping via open thoracotomy to achieve hemostasis in trauma patients with profound shock due to NCTH and is considered an emerging bridging therapy for damage control. However, there is limited information on the use of REBOA in non-trauma patients with shock. Herein, we describe a patient with impending cardiac arrest due to isolated ruptured IAA, in whom perioperative bleeding was successfully controlled by REBOA.

Implementation of a Dashcam System using a Rotating Camera (회전 카메라를 이용한 블랙박스 시스템 구현)

  • Kim, Kiwan;Koo, Sung-Woo;Kim, Doo Yong
    • Journal of the Semiconductor & Display Technology
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    • v.19 no.4
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    • pp.34-38
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    • 2020
  • In this paper, we implement a Dashcam system capable of shooting 360 degrees using a Raspberry Pi, shock sensors, distance sensors, and rotating camera with a servo motor. If there is an object approaching the vehicle by the distance sensor, the camera rotates to take a video. In the event of an external shock, videos and images are stored in the server to analyze the cause of the vehicle's accident and prevent the user from forging or tampering with videos or images. We also implement functions that transmit the message with the location and the intensity of the impact when the accident occurs and send the vehicle information to an insurance authority with by linking the system with a smart device. It is advantage that the authority analyzes the transmitted message and provides the accident handling information giving the user's safety and convenience.

Factors Associated with Echinococcosis-Induced Perioperative Anaphylactic Shock

  • Ye, Jianrong;Zhang, Qin;Xuan, Yan;Chen, Siyu;Ma, Long;Zhang, Yongqiang;Zheng, Hong
    • Parasites, Hosts and Diseases
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    • v.54 no.6
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    • pp.769-775
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    • 2016
  • This retrospective case-control study explored the factors associated with anaphylactic shock during surgery for cystic echinococcosis (CE) at the First Affiliated Hospital of Xinjiang Medical University between October 2008 and September 2013. Patients who suffered from anaphylactic shock (n=16) were age-matched 3:1 to patients who did not (n=43). Multivariate analysis suggested that IL-4 levels (odds ratio=1.096; 95% confidence interval=1.015-1.185; P=0.02) and cyst size (odds ratio=3.028, 95% confidence interval=1.259-7.283, P=0.013) were independently associated with CE-induced perioperative anaphylactic shock. Using the receiver operating characteristic (ROC) curves and a cut-off value of 415.7 ng/ml, IL-4 showed an area under the ROC (AUC) of 0.926, sensitivity of 75.0%, and specificity of 97.7%. Using a cut-off value of 7.8 cm, cyst size showed an AUC of 0.828, sensitivity of 81.3%, and specificity of 76.7%. In conclusion, results suggest that levels of IL-4 and cyst size were independently associated with echinococcosis-induced perioperative anaphylactic shock. These results could help identifying patients with echinococcosis at risk of anaphylactic shock in whom appropriate prophylaxis could be undertaken.

A Study on Thermal Shock Characterization of Composite (복합재료의 열충격 특성 평가)

  • Lee Jin Kyung;Park Young Chul;Lee Joon Hyun;Lee Sang Pill
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2004.10a
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    • pp.246-249
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    • 2004
  • A smart material is used as spectacle frames and brassiere frames, and partly in medical supplies because of its shape memory effect. The smart composite can be used on the wing of an airplane instead of the existing aluminium to control crack propagation. In this study, the smart composite was fabricated by a hot press method. TiNi alloy as reinforcement and A16061 as matrix were used, respectively. The mechanical properties of the smart composite under thermal shock cycles were evaluated. In addition, Acoustic Emission techniques were also used to clarify the damage behavior of the smart composite under thermal shock cycles nondestructive.

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Treatment of severe sepsis and septic shock associated with urogenital tract infection (요로감염과 관련된 중증 패혈증 및 패혈성 쇼크의 치료)

  • Hwang, Kyu Bin;Huh, Jung-Sik;Kim, Young-Joo;Park, Kyung Kgi;Kim, Sung Dae;You, Hyun Wook
    • Journal of Medicine and Life Science
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    • v.17 no.3
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    • pp.80-85
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    • 2020
  • Urinary tract infections are among the most common infectious diseases and are the major causes of mortality and morbidity. These diseases result in many severe hospitalizations each year. Severe sepsis and septic shock are common and life-threatening medical conditions, and large cases are associated with urinary tract infection. The medical term "severe sepsis" is defined as sepsis complicated by hypotension, organ dysfunction, and tissue hypoperfusion, whereas "septic shock" is defined as sepsis complicated either by hypotension that is refractory to fluid resuscitation or by hyperlacteremia. A recent multicenter-study in Korea reported that the rate of in-hospital mortality associated with severe sepsis and septic shock was > 34%. Among the causative diseases, urogenital tract infection showed a high correlation. Moreover, it is very important that clinicians detect severe sepsis and septic shock early and treat them properly. The principles of initial treatment include provision of sufficient hemodynamic resuscitation and early administration of appropriate antibiotic therapy to mitigate uncontrolled infection. Initial resuscitation includes the use of vasopressors and intravenous fluids, and it is a key to achieve the target of initial resuscitation. Supportive care in the intensive care unit, such as glucose control, stress ulcer prophylaxis, blood transfusion, deep vein thrombosis prophylaxis, and renal replacement therapy, is also significant. We have summarized the key components in the treatment of severe sepsis and septic shock in patients with urinary tract infection. Urologists should be aware that appropriate early treatment is necessary to prevent fatal outcomes in these patients.

Results of Extracorporeal Membrane Oxygenation (ECMO) Support before Coronary Reperfusion in Cardiogenic Shock with Acute Myocardial Infarction

  • Chung, Eui-Suk;Lim, Cheong;Lee, Hae-Young;Choi, Jin-Ho;Lee, Jeong-Sang;Park, Kay-Hyun
    • Journal of Chest Surgery
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    • v.44 no.4
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    • pp.273-278
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    • 2011
  • Despite aggressive treatment, the mortality rate of cardiogenic shock with acute myocardial infarction (AMI) is high. We performed extracorporeal membrane oxygenation (ECMO) prior to coronary reperfusion, and evaluated the early clinical results and risk factors. Materials and Methods: From May 2006 to November 2009, we reviewed the medical records of 20 patients in cardiogenic shock with AMI (mean age $67.7{\pm}11.7$ yrs, M : F 14 : 6). After initially performing ECMO using the CAPIOX emergency bypass system ($EBS^{(R)}$Terumo, Tokyo, Japan), patients underwent coronary reperfusion (coronary artery bypass grafting, 13; percutaneous coronary intervention, 7). Results: All patients were in a cardiogenic shock state, cardiopulmonary resuscitations (CPR) were performed for fourteen patients (mean CPR time $20.8{\pm}26.0$ min). The mean time from vascular access to the initiation of ECMO was $17.2{\pm}9.4$ min and mean support time was $3.8{\pm}4.0$ days. Fourteen patients were able to be weaned from ECMO and ten patients were discharged (mean admission duration $50.1{\pm}31.6$ days). Patients survived on average $476.6{\pm}374.6$ days of follow-up. Longer CPR and support time, increased cardiac enzyme, lower ejection fraction, lower albumin, and major complications were the risk factors of mortality (p<0.05). Conclusion: The early application of ECMO prior to coronary reperfusion and control of risk factors allowed for good clinical results in cardiogenic shock with AMI.

Differential Regulation of the Genes of the Streptococcus pneumoniae dnaK Operon by Ca++

  • Kim, Seung-Whan;Bae, Yong-Goo;Pyo, Suhk-Neung;Rhee, Dong-Kwon
    • Molecules and Cells
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    • v.23 no.2
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    • pp.239-245
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    • 2007
  • DnaK is a major antigen in Streptococcus pneumoniae, and is induced by a minor shift in temperature (30 to $37^{\circ}C$) but not by ethanol shock. Although HrcA in the presence of $Ca^{{+}{+}}$ represses the expression of both groEL and hrcA, the control of transcription of the dnaK operon is not completely understood. In this study, the dnaK operon of S. pneumoniae (5' hrcA-grpE-dnaK-dnaJ) was cloned and analyzed. It contains large intergenic regions in grpE/dnaK and dnaK/dnaJ. Pulse labeling with [$^{35}S$]-methionine and immunoblot analyses revealed the presence of higher levels of DnaK than of HrcA even in the presence of $Ca^{{+}{+}}$ after heat shock suggesting that $Ca^{{+}{+}}$ differentially regulates the heat shock responses of hrcA and dnaK. By blocking de novo mRNA synthesis with rifampin it was shown that neither the hrcA nor the groEL transcripts were stabilized by heat shock even though dnaK transcripts were stabilized. We conclude that S. pneumoniae uses fine regulation of the transcription of the individual genes of the tetracistronic dnaK operon to cope with the various stresses experienced during infections.

Design of Optical Disk Profile for Minimizing the Focusing Error (포커싱 에러를 최소화하기 위한 광디스크의 형상설계)

  • Hong, Seok-Joon;Jee, Jung-Geun;Lee, Jong-Soo;Park, No-Cheol;Park, Young-Pil
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.1015-1021
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    • 2002
  • Optical disk is the media which is used generally in data storage device, but it has a disadvantage in the vibration by spinning and the shock. For overcoming these disadvantage, we must control the optical disk to minimize the focusing error and tacking error. The present study investigates the disk profile for minimizing the focusing error subjected to environmental shock and weight of the disk. In this study, the disk is assumed to be a cantilever beam to determine the disk profile for the minimum displacement as to the shock considering only the first mode. Also, for the optimally determined profile by ADS program this paper recalculate the robust caltilever profile by using orthogonal array and ANOM.

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