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Cholangiosepsis Caused by Neutrophilic Cholangitis in Plaque Psoriasis

Journal of Cosmetics, Dermatological Sciences and Applications 2016年第2期6卷 81-84页

作者： Carina Bergthaler Ludwig Kramer andreas steiner Paul Sator Department of Dermatology KH Hietzing Vienna Austria Department of Medicine KH Hietzing Vienna Austria

Psoriasis is a common inflammatory skin disease with many comorbid conditions. We present a 37-year-old male patient with a history of plaque psoriasis, status febrilis, violent umbilical pain, elevated inflammatory markers and liver parameters. Blood cultures were tested positive for E. coli. Diagnostic findings indicated that mechanical icterus and cholangiosepsis in the context of neutrophilic cholangitis were caused by inflammatory stenosis. Neutrophilic cholangitis is often found in combination with skin diseases with intense cutaneous infiltration with polymorphonuclear leucocytes and peripherial blood neutrophilia. Interleukin-8 may play a role in the pathogenesis of neutrophilic cholangitis occurring in patients with psoriasis [1]. We showed that complications of psoriasis can also occur at unusual locations. To date no case of neutrophilic cholangitis as an elicitor of cholangiosepsis has been reported.

关键词： Plaque Psoriasis Cholangitis Cholangiosepsis

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转矩的分配

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汽车制造业 2017年第20期 56-56页

作者： andreas steiner

转矩矢量的概念唤起了人们对体育运动的联想，但它代表的则是很高的横向动力学性能，同时也意味着更有效的动力系统，尤其是未来的电气化驱动系统。

关键词：转矩分配动力学性能体育运动动力系统驱动系统电气化

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Colorectal cancer in geriatric patients: Endoscopic diagnosis and surgical treatment

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World Journal of Gastroenterology 2005年第3期11卷 315-318页

作者： andreas Kirchgatterer Pius steiner Dietmar Hubner Eva Fritz Gerhard Aschl Josef Preisinger Maximilian Hinterreiter Bernhard Stadler Peter Knoflach First Department of Medicine/Gastroenterology Second Department of Surgery

AIM: To investigate the prevalence of colorectal cancer in geriatrie patients undergoing endoscopy and to analyze their outcome. METHODS: All consecutive patients older than 80 years who underwent lower gastrointestinal endoscopy between January 1995 and December 2002 at our institution were included. patients with endoscopic diagnosis of colorectal cancer were evaluated with respect to indication, localization and stage of cancer, therapeutic consequences, and survival. RESULTS: Colorectal cancer was diagnosed in 88 patients (6% of all endoscopies, 55 women and 33 men, mean age 85.2 years). Frequent indications were lower gastrointestinal bleeding (25%), anemia (24%) or sonographic suspicion of tumor (10%). Localization of cancer was predominantly the sigmoid colon (27%), the rectum (26%), and the ascending colon (20%). Stage Dukes A was rare (1%), but Dukes D was diagnosed in 22% of cases. Curative surgery was performed in 54 patients (61.4%), in the remaining 34 patients (38.6%) surgical treatment was not feasible due to malnutrition and asthenia or cardiopulmonary comorbidity (15 patients), distant metastases (11 patients) or refusal of operation (8 patients). patients undergoing surgery had a very low in-hospital mortality rate (2%). Operated patients had a one-year and three-year survival rate of 88% and 49%, and the survival rates for non-operated patients amounted to 46% and 13% respectively. CONCLUSION: Nearly two-thirds of 88 geriatrie patiente with endoscopic diagnosis of colorectal cancer underwent successful surgery at a very low perioperative mortality rate, resulting in significantly higher survival rates. Hence, the clinical relevance of lower gastrointestinal endoscopy and oncologic surgery in geriatrie patients is demonstrated.

关键词： Colorectal cancer Endoscopic diagnosis Surgical treatment

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Enhanced clean steel tapping on BOF vessels with the interstop converter gate type CG series

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Baosteel Technical Research 2010年第S1期4卷 18-页

作者： Benno steiner andreas BERGHFER Head of Research & Development Stopinc AG. HnenbergSwitzerland Manager Steel Making Plant Salzgitter Flachstahl GmbH SalzgitterGermany

Trends in today' s steel production show increasing demands for highly-sophisticated steel grades. Therefore,the steel industry will eventually be required to install best performing technologies to meet governmental specifications designed to significantly reduce environmental *** efforts are supported by innovative new solutions in the entire steel making *** process that will need to be addressed is the cleanliness of the steel in the liquid steel phase,especially during the BOF-tapping process. The new converter gate(CG)(Fig.1) best supports the slide gate tapping technology for converters in terms of clean steel,productivity,yield and availability-at reduced costs. The CG gate introduces a unique feature for converter slide gates:The bottom plate can be exchanged while the gate remains mounted on the *** new feature allows for an increased utilisation of the refractory parts and a significant reduction of the downtime of the *** 'designed efficiency' is achieved with a refractory set consisting of three identical plates-two bottom plates and one slider plate-and a nozzle.A number of other improvements such as automatic cylinder coupling using the Interstop SNAP technology and a two step tensioning system have also been implemented. The new system is designed to meet minimal space requirements and therefore will adapt to most BOF *** perform preparation,service and maintenance work the modular CG gate can be dismounted from the converter and simultaneously replaced by a ready-to-use *** degree of automation for dismounting and mounting as well as for off-line preparation has been enhanced and reduces manual efforts. This paper provides a solution to the obvious trend towards efficient and controlled production of clean steel,in general,and especially at BOF ***,it specifically describes the operational results of this innovative BOF tapping equipment at Salzgitter Flachstahl GmbH,Germany.

关键词： converter slide gate tapping clean steel refractory

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欧洲卒中组织颅内动脉瘤和蛛网膜下腔出血处理指南

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国际脑血管病杂志 2013年第6期21卷 401-417页

作者： Thorsten steiner andreas Unterberg Carla Jung Michael Forsting Seppo Juvela Gabriel Rinkel 吴政政(译) 李政(译) 陈蓓蕾(译) 陈聪(译) 杨卉(译) 徐运(译) From the Departments of Neurology Neurosurgery Heidelberg University Heidelberg Department of Radiology University of Essen Essen Gerwany Department of Clinical Neurosciences University of Helsinki Helsinki Finland Department Neurology Utrecht Universitv. Utrecht. The Netherlands 南京大学医学院附属鼓楼医院神经科 210008

背景伴或不伴蛛网膜下腔出血（subarachnoidhaemorrhage，SAH）的颅内动脉瘤是一个重要的健康问题，其总体发病率约为9／10万，在不同国家存在很大差异，在某些国家可高达20／10万。采用保守治疗时，发病最初数月内病死率为50％～60％... 详细信息

背景伴或不伴蛛网膜下腔出血（subarachnoidhaemorrhage，SAH）的颅内动脉瘤是一个重要的健康问题，其总体发病率约为9／10万，在不同国家存在很大差异，在某些国家可高达20／10万。采用保守治疗时，发病最初数月内病死率为50％～60％。在动脉瘤未经处理的患者中，约1剧寄在初次出血恢复后6个月内死于再次出血。此外，血管痉挛、脑积水、迟发性缺血性神经功能缺损以及其他并发症均会影响预后。本指南旨在为伴和不伴颅内动脉瘤的SAH以及未破裂颅内动脉瘤患者的处理提供全面的推荐意见。方法我们使用Medline和Embase进行广泛的文献检索（时间范围为1960年至2011年）。写作组成员通过面谈和电话会议的形式讨论各条推荐意见。按照欧洲神经科学学会联盟标准对检索结果进行分级。欧洲卒中组织指南委员会成员对本指南进行了审阅。结果本指南为SAH的流行病学、危险因素和预后提供了循证信息，并为破裂和未破裂颅内动脉瘤的诊断和治疗方法提供了循证推荐意见。我们明确了动脉瘤生长和破裂的多种危险因素，并且提供了诊断性检查、监测和一般处理（血压、血糖、体温、血栓预防、抗癫痫治疗和类固醇的使用）的推荐意见。特异性治疗干预需考虑处理时机、夹闭和弹簧圈栓塞。本指南还涉及并发症的处理，如脑积水、血管痉挛和迟发性缺血性神经功能缺损等，并对非动脉瘤性SAH和未破裂动脉瘤的处理提供了推荐意见。结论破裂颅内动脉瘤是一种严重的疾病，具有很高的继发并发症风险，需要在治疗此类患者方面有着丰富经验的医疗中心内及时治疗。本指南为破裂或未破裂颅内动脉瘤患者的处理提供了实用的循证建议。应用这些措施能改善SAH的预后。

关键词：蛛网膜下腔出血颅内动脉瘤中脑周围蛛网膜下腔出血处理指南

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