Publications by authors named "Daniel Steiner"

Background: Phase 3 trials of neoadjuvant immunotherapy-based regimens have shown promising outcomes in patients with resectable non-small cell lung cancer (NSCLC). However, real-world data on treatment regimens with combined chemoimmunotherapy, patient profiles, and clinical outcomes in those patients are limited.

Methods: This dual-center registry-based study describes clinical patterns and outcomes of using neoadjuvant platinum-based chemoimmunotherapy in patients with resectable NSCLC.

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  • * In a study of 791 cancer patients undergoing anti-cancer therapies, 17.6% experienced clinically relevant bleeding (CRB), with significant types including gastrointestinal and tumor-related bleeding.
  • * Bleeding events, particularly in those without anticoagulation, were linked to higher mortality rates; patients experiencing CRB had a 5.80 times higher risk of all-cause death compared to those who did not bleed.
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  • Patients with venous thromboembolism (VTE) may suffer from significant anxiety, but this aspect of their health is less researched compared to physical symptoms.
  • A study involving 257 patients found that overall anxiety levels decreased over three months, but 23.7% of patients experienced heightened anxiety, especially among older females and those with higher baseline anxiety.
  • Factors linked to increased anxiety included being female, being older than 45, having initial anxiety symptoms, while a history of VTE seemed to correlate with lower anxiety, although these findings require further research for conclusive validation.
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  • The study investigates the prevalence and incidence of venous thromboembolism (VTE) in older adults (65+) admitted to long-term care hospitals, highlighting a gap in existing research.
  • Researchers analyzed data from 1148 patients, finding a lifetime prevalence of VTE at 9.6% and cumulative incidence rates of 3.5%, 4.2%, and 5.4% over 1, 2, and 3 years, respectively.
  • The study concludes that there is a notably high prevalence and incidence of VTE in long-term care settings, indicating the need for more extensive prospective studies to better understand this issue.
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  • Venous thromboembolism (VTE) can lead to long-term complications, prompting a study to evaluate the relationship between initial clinical characteristics at diagnosis and functional limitations at 3 and 12 months post-diagnosis.
  • The study involved 307 patients (mostly middle-aged), where assessments showed improvements in functional status over time, but scores remained below pre-VTE levels.
  • Female sex, higher body mass index, older age, and pre-existing health conditions were identified as significant factors predicting ongoing functional limitations after VTE.
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High sugar consumption is associated with cardiovascular diseases and diabetes. Current sugar substitutes may cause taste sensations and gastrointestinal symptoms. ENSO 16 is a combination of 16 different sugar substitutes and plant fibers and has been designed as a sugar alternative.

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The prognosis of patients with acute myeloid leukemia (AML) is limited, especially for elderly or unfit patients not eligible for hematopoietic stem cell (HSC) transplantation. The disease is driven by leukemic stem cells (LSCs), which are characterized by clonal heterogeneity and resistance to conventional therapy. These cells are therefore believed to be a major cause of progression and relapse.

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Background: Data on walking impairment during the acute phase of deep vein thrombosis (DVT) are limited.

Objectives: This study aimed to assess the degree of walking impairment in patients with acute DVT, with a particular focus on the relation to the DVT's anatomical location.

Methods: Patients with sonographically confirmed DVT were eligible for inclusion in this cohort study.

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Background: Only small randomized trials have investigated the efficacy and safety of direct oral anticoagulants (DOACs) compared with vitamin K antagonists (VKAs) in patients with non-valvular atrial fibrillation (NVAF) and end-stage kidney disease.

Objectives: To perform a systematic review and meta-analysis comparing anticoagulation with DOACs to VKAs in patients with NVAF undergoing chronic hemodialysis.

Methods: A systematic search using Medline, Web of Science, and Embase was performed.

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Lymphovascular invasion, whereby tumour cells or cell clusters are identified in the lumen of lymphatic or blood vessels, is thought to be an essential step in disease dissemination. It has been established as an independent negative prognostic indicator in a range of cancers. We therefore aimed to assess the impact of lymphovascular invasion at the time of prostatectomy on oncological outcomes.

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Background:  Venous thromboembolism (VTE) may complicate the clinical course of cancer patients and add to their psychological burden.

Objectives:  We aimed to investigate the association between VTE and risk of subsequent depression in patients with hematological cancer.

Patients And Methods:  We conducted a population-based cohort study using Danish national health registries.

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Acute pulmonary embolism (PE) is a potentially life-threatening disease. Current guidelines suggest risk-adapted management. Hospitalization is required for intermediate- and high-risk patients.

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Background: Virtual reality (VR)-based simulation is being increasingly used to train medical students in emergency medicine. However, because the usefulness of VR may depend on various factors, the best practices for implementing this technology in the medical school curriculum are yet to be determined.

Objective: The overall objective of our study was to assess the perceptions of a large cohort of students toward VR-based training and to identify the associations between these attitudes and individual factors, such as gender and age.

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Background: Patients with end-stage kidney disease on haemodialysis suffer from frequent complications requiring hospitalisation. Atrial fibrillation is a burdensome comorbidity amongst patients on haemodialysis. We aimed to assess frequency, reasons, and duration of hospitalisations in haemodialysis patients and their association with atrial fibrillation and anticoagulation.

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Background: A large proportion of patients experience functional limitations after an acute episode of venous thromboembolism (VTE). Recently, the post-VTE functional status (PVFS) scale was proposed to capture these limitations. We performed a prospective cohort study to validate this scale.

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  • * A study looked at patients with degenerative mitral stenosis (DMS) over 21 years to see how often they had strokes or clots in their blood.
  • * Results showed that DMS patients without AF had more strokes than those with AF, suggesting that treatment for stroke prevention might be needed for DMS patients even if they don't have AF.
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Venous thromboembolism (VTE) is a common complication in cancer patients, which is associated with increased morbidity and mortality as well as high risk of VTE recurrence and bleeding. Furthermore, it impairs quality of life, interferes with anti-cancer treatment schedules, and increases costs. Therefore, identifying patients at high VTE risk and primary prevention are of clinical importance.

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The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants with potential resistance to existing drugs emphasizes the need for new therapeutic modalities with broad variant activity. Here we show that ensovibep, a trispecific DARPin (designed ankyrin repeat protein) clinical candidate, can engage the three units of the spike protein trimer of SARS-CoV-2 and inhibit ACE2 binding with high potency, as revealed by cryo-electron microscopy analysis. The cooperative binding together with the complementarity of the three DARPin modules enable ensovibep to inhibit frequent SARS-CoV-2 variants, including Omicron sublineages BA.

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  • The study assessed the safety and effectiveness of the trastuzumab biosimilar SB3 combined with pertuzumab in treating HER2-positive breast cancer patients.
  • Out of 78 participants, 35 received SB3 with pertuzumab and showed a slight decline in heart function, with only 5.7% experiencing significant reductions.
  • Results were promising, as half of the patients treated in the neoadjuvant setting achieved a complete pathological response, indicating that SB3 performs similarly to the standard trastuzumab and pertuzumab combination.
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Decades of research have shown that biosensors using photonic circuits fabricated using CMOS processes can be highly sensitive, selective, and quantitative. Unfortunately, the cost of these sensors combined with the complexity of sample handling systems has limited the use of such sensors in clinical diagnostics. We present a new "disposable photonics" sensor platform in which rice-sized (1 × 4 mm) silicon nitride ring resonator sensor chips are paired with plastic micropillar fluidic cards for sample handling and optical detection.

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Objective: falls among older adults are common and can have devastating consequences. A novel task-specific exercise modality, gait adaptability training (GAT), has shown promising preventive effects. This systematic review and meta-analysis synthesise the evidence regarding GATs effect on falls and fall-related fractures in community-dwelling older adults.

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  • The study evaluated the prognostic value of the residual cancer burden (RCB) score in 367 breast cancer patients undergoing neoadjuvant therapy, focusing on recurrence-free survival (RFS), distant disease-free survival (DDFS), and overall survival (OS).
  • Results showed that higher RCB scores predicted worse clinical outcomes, with significant associations observed across various molecular subtypes and consistent risk over a 5-year follow-up.
  • The study also found that nearly half of the patients (49.1%) had their chemotherapy doses reduced, and this dose reduction was linked to higher RCB scores, indicating a significant interaction between treatment adjustments and cancer prognosis.
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Soft tissue sarcomas (STS) represent a small group of adult solid malignancies, with risk factors such as environmental factors, genetic predisposition, and prior radiotherapy. In STS patients with a novel swelling, differential diagnoses include recurrence, second primary cancer, metastasis from unknown primary cancer, and radiation-associated STS, the latter usually occurring approximately 10 years after radiotherapy. We present the case of a 64-year-old male patient with pleomorphic rhabdomyosarcoma, who underwent resection and radiotherapy.

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Purpose: The cemented Exeter V40 stem is known to migrate distally. Several previous studies have reported on the extent of stem migration and its influence on clinical outcome. However, no studies have investigated the influence of stem migration on Patient Reported Outcome Measures (PROM).

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Hintergrund: Primär kutane Lymphome (PCL) unterscheiden sich oft stark im klinischen Verhalten und in der Prognose von systemischen Lymphomen des gleichen histopathologischen Typs. Ziel der Studie war es, die Verteilung der PCL-Subtypen, die Zeitspanne von der Krankheitsmanifestation bis zur Diagnosestellung, den Stellenwert diagnostischer Verfahren, das Auftreten von Zweittumoren und die verschiedenen Behandlungsmodalitäten im Rahmen des Krankheitsverlaufs zu untersuchen.

Patienten Und Methodik: Retrospektive Analyse von 152 Patienten mit PCL, die von 2010-2012 an der Universitäts-Hautklinik Tübingen behandelt wurden.

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