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Data from: Digital twin mathematical models suggest individualized hemorrhagic shock resuscitation strategies
<p><strong>Background:</strong> Optimizing resuscitation to reduce inflammation and organ dysfunction following human trauma-associated hemorrhagic shock is a major clinical hurdle. This is limited by the short duration of pre-clinical studies and the sparsity of early data in the clinical setting.</p> <p><strong>Methods:</strong> We sought to bridge this gap by linking preclinical data in the porcine model with clinical data from patients from the Prospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) study via a three-compartment ordinary differential equation model of inflammation and coagulation.</p> <p><strong>Results:</strong> The model accurately predicts physiologic, inflammatory, and laboratory measures in both the porcine model and patients, as well as the outcome and time of death in the PROMMTT cohort. Model simulation suggests that resuscitation with plasma and red blood cells outperformed resuscitation with crystalloid or plasma alone, and that earlier plasma resuscitation reduced injury severity and increased survival time.</p> <p><strong>Conclusions:</strong> This workflow may serve as a translational bridge from pre-clinical to clinical studies in trauma-associated hemorrhagic shock and other complex disease settings.</p>
Fig. 19 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 19. Punctation in front of the medial ocellus of females. A. Lasioglossum medinai (Vachal, 1895) (France: Uchaux). B. L. villosulum (Kirby, 1802) (Luxembourg: Stadtbredimus).
Fig. 22 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 22. Geographical distribution of the two pseudocryptic species in the Western Palaearctic. A. Lasioglossum villosulum (Kirby, 1802). B. L. medinai (Vachal, 1895).
Fig. 6. Melitta villosula Kirby, 1802 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 6. Melitta villosula Kirby, 1802, lectotype, ♂ (= Lasioglossum villosulum). A. Habitus. B. Head. C. Scutum. D. Propodeum. E. First tergum. F. Sterna.
Fig. 8. Halictus pauperatulellus Strand, 1909 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 8. Halictus pauperatulellus Strand, 1909, holotype, ♂. A. Head. B. Scutum. C. Propodeum. D. First tergum. E. Metasoma, dorsal view. F Metasoma, ventral view.
Fig. 21 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 21. Fringe on sternum 5 of males (arrow showing the fringe). A. Lasioglossum villosulum (Kirby, 1802). B. L. medinai (Vachal, 1895).
Fig. 2 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 2. Colouration and relative size of the species and subspecies. A–B. Lasioglossum villosulum (Kirby, 1802), ♀ and ♂. C–D. L. medinai (Vachal, 1895), ♀ and ♂ (holotype). E–F. L. villosulum arabicum Ebmer, 2008, ♀ and ♂.
Fig. 4 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 4. Ultrametric tree constructed using Bayesian inference and based on 29 haplotype sequences (658bp) of the cytochrome oxidase c subunit I gene of specimens currently identified as Lasioglossum villosulum (Kirby, 1802), Lasioglossum medinai (Vachal, 1895) and one as Lasioglossum berberum (Benoist, 1941). Each label corresponds to one roman letter which encompasses all sequence from a haplotype (for more details see Table 3). A. Lasioglossum medinai; B–D: three supported clusters (a fourth cluster could be defined in C) within Lasioglossum villosulum. This phylogenetic tree is rooted using Lasioglossum bluethgeni Ebmer, 1971 as outgroup (label III, voucher AP222). Posterior probabilities are given at nodes. The three colour gradients on the tree correspond to morphological delineation. Results of the species delimitations analyses are represented on the right side of the figure: the Bayesian Poisson Tree Process (bPTP) analyses based on the trees obtained using Bayesian inference (BI) or maximum likelihood (ML); The Generalized Mixed Yule Coalescent (GMYC) analysis resulting in seven candidate species (using the single threshold represented as a red line on the tree) and five alternative scenarios. Numbers at the top of the columns corresponds to the number of candidate species in the GMYC analysis.
Fig. 1 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 1. Distribution of Lasioglossum villosulum (Kirby, 1802) throughout the Palaearctic and Oriental Regions.
Fig. 15 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 15. Lasioglossum medinai (Vachal, 1895), holotype, ♂. A. Head. B. Scutum. C. Propodeum. D. Metasoma.
Fig. 23 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 23. Lasioglossum berberum (Benoist, 1941), holotype, ♂. A. Head. B. Scutum. C. Propodeum. D. First tergum. E. Metasoma.
Fig. 3 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 3. Trees constructed using maximum likelihood (above) and Bayesian inference (below) and based on 29 haplotype sequences (658bp) of the cytochrome oxidase c subunit I gene of specimens currently identified as Lasioglossum villosulum (Kirby, 1802), Lasioglossum medinai (Vachal, 1895) and one as Lasioglossum berberum (Benoist, 1941). Each label corresponds to one roman letter which encompasses all sequences from a haplotype (for more details see Table 3). A, Lasioglossum medinai; B–D: Lasioglossum villosulum. Label highlighted in blue corresponds to L. berberum. This phylogenetic tree is rooted using Lasioglossum bluethgeni Ebmer, 1971 as outgroup (label III, voucher AP222). Bootstrap support (%) and posterior probabilities are given at nodes.
Fig. 10. Halictus villiersi Benoist, 1941 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 10. Halictus villiersi Benoist, 1941, holotype, ♀. A. Head. B. Scutum. C. Propodeum. D. First tergum. E. Metasoma.
Fig. 18 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 18. Punctation of the first tergum of females. A. Lasioglossum medinai (Vachal, 1895) (France: Uchaux). B. L. villosulum (Kirby, 1802) (France: Visan).
Fig. 14. Lasioglossum villosulum arabicum Ebmer, 2008 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 14. Lasioglossum villosulum arabicum Ebmer, 2008, ♂ (UAE). A. Head. B. Scutum. C. Propodeum. D. First tergum. E. Metasoma.
Fig. 9. Halictus rufotegularis Cockerell, 1938 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 9. Halictus rufotegularis Cockerell, 1938, holotype, ♀. A. Habitus, dorsal view. B. Head. C. Scutum. D. Propodeum. E. First tergum. F. Metasoma.
Fig. 12. Heads. A in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 12. Heads. A. Lasioglossum villosulum villosulum (Kirby, 1802), ♀ (France, Allier). B. L. medinai, ♀ (France, Vaucluse). C. L. villosulum trichopse (Strand, 1914), ♀ (Taiwan). D. Idem, ♂.
Fig. 17 in Integrative taxonomy resuscitates two species in the Lasioglossum villosulum complex (Kirby, 1802) (Hymenoptera: Apoidea: Halictidae)
Fig. 17. Propodeum sculpture of females. A. Lasioglossum medinai (Vachal, 1895) (France: Uchaux). B. L. villosulum (Kirby, 1802).
BurnCare Physiology Data: Burn with Resuscitation and Escharotomy
<p>A standard male patient with burns from 20-40% TBSA (incrementing at 5%) were simulated through 24 hours with intervention and state files were generated every hour. In these resuscitation protocols, we opt to use only lactated ringers, and no colloid compounds. The data includes a log and csv results file for each simulation. The "golden path" of treatment starts the resuscitation pathway with fluids being given at a rate of 10xTBSA (then titrated up or down each hour based on urine output). The naming structure for each state consists of tbsa, simulation time, current ringers lactate infusion rate, and colloid infusion rate (for future treatment protocols).</p> <p> </p> <p>Additionally, we include checks on the hour for compartment syndrome and relieve it with an escharotomy if one is present. </p>
Data from: Digital twin mathematical models suggest individualized hemorrhagic shock resuscitation strategies
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