Heart failure may lead to subclinical circulatory disturbances and remain an unrecognized cause of ischemic liver injury. We present the case of a previously healthy 40-year-old bodybuilder, referred to our Intensive-...
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Heart failure may lead to subclinical circulatory disturbances and remain an unrecognized cause of ischemic liver injury. We present the case of a previously healthy 40-year-old bodybuilder, referred to our Intensive-Care Unit of Hepatology for treatment of severe acute liver failure, with the suspicion of toxic hepatitis associated with anabolic steroid abuse. Despite the absence of symptoms and signs of congestive heart failure at admission, an anabolic steroid-induced dilated cardiomyopathy with a large thrombus in both ventricles was found to be the underlying cause of the liver injury. Treatment for the initially unrecognized heart failure rapidly restored liver function to normal. To our knowledge, this is the f irst reported case of severe acute liver failure due to an unrecognized anabolic steroid-induced cardiomyopathy. Awareness of this unique presentation will allow for prompt treatment of this potentially fatal cause of liver failure.
In this work,NiTi samples with different thicknesses(0.15-1.00 mm)were fabricated by laser powder bed fusion(LPBF)under variable scanning speeds(500-1200 mm s^(-1)).The densification behavior,phase transformation beha...
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In this work,NiTi samples with different thicknesses(0.15-1.00 mm)were fabricated by laser powder bed fusion(LPBF)under variable scanning speeds(500-1200 mm s^(-1)).The densification behavior,phase transformation behavior,and mechanical properties of the sample with different thicknesses are *** results indicate a strong size effect in the LPBF-fabricated NiTi *** decrease of the sample thickness results in(i)the increase of porosity,(ii)the decrease of the number of adhered NiTi powder particles at the surface,(iii)the monotonous decrease of the martensitic transformation temperatures(MTTs),and(iv)the decrease of the shape recovery *** influence of sample thickness on the melt-pool behavior,and thus the microstructure and performance of NiTi alloys are *** is suggested that the melt-pool is deeper and narrower in the thin samples than in the thick *** conclude that,apart from the LPBF process conditions,the sample dimensions have also to be considered to fabricate NiTi structures with predictable properties.
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