Publications by authors named "J-H Fischer"

It is not well investigated whether exposure to specific drug classes is associated with COVID-19. We investigated the risk of SARS-CoV-2 infection and severe COVID-19 among healthcare workers according to prescription drug use. We conducted an observational study among Danish healthcare workers.

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The development of a fatal, clonal, autonomously proliferating CD4-CD8- chimeric antigen receptor (CAR)+ peripheral T-cell lymphoma (PTCL) occurred 1 month after a patient received treatment with tisagenlecleucel for relapsed primary central nervous system lymphoma. The PTCL had a clonal T-cell receptor rearrangement, which was already detectable in the apheresis product for CAR T-cell manufacturing and 7 months earlier for autologous transplantation. Somatic and mutations in CD34+ stem cells and their progeny were detected in the PTCL, in the apheresis specimen that was obtained for CAR T-cell production, and in the autotransplant.

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Article Synopsis
  • Cognitive motor dissociation (CMD) involves patients who can follow commands in brain scans like fMRI, despite showing no behavioral signs of language function, highlighting the importance of accurate diagnosis in severe brain injuries.
  • Recent findings outline a structured approach for assessing CMD at clinical institutions, underlining the need for ethical considerations, standardized protocols, and effective communication of results.
  • The proposed method for CMD assessment aims to be adaptable, allowing for updates and improvements as more evidence becomes available in the field.
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Introduction: Clinical decision-making in oncology is a complex process, with the primary goal of identifying the most effective treatment tailored to individual cancer patients. Many factors influence the treatment decision: disease- and patient-specific criteria, the increasingly complex treatment landscape, market authorization and drug availability, financial aspects, and personal treatment expertise. In the domain of genitourinary cancers, particularly prostate cancer, decision-making is challenging.

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  • - The study aimed to analyze how general endoscopists' ability to predict the histologic features of small colorectal polyps improved when using a computer-aided diagnosis (CADx) system during real-life colonoscopies in the U.S.
  • - Results showed that while both unassisted and CADx-assisted predictions had similar sensitivity (around 90%), the assisted group's specificity was significantly higher, allowing more polyps to be resected or left untreated.
  • - Despite the benefits seen in a clinical setting, the study noted that the use of CADx might not yield the same results in other real-world scenarios.
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Rationale And Objectives: Assess the feasibility of a prototype image reconstruction algorithm in correcting motion artifacts in cone-beam computed tomography (CBCT) scans of interventional instruments in the lung.

Materials And Methods: First, phantom experiments were performed to assess the algorithm, using the Xsight lung phantom with custom inserts containing straight or curved catheters. During scanning, the inserts moved in a continuous sinusoidal or breath-hold mimicking pattern, with varying amplitudes and frequencies.

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Introduction: We previously reported the results of tofacitinib induction therapy in the prospective multisite US real-world Tofacitinib Response in Ulcerative Colitis registry. We now assessed patient-reported outcomes (PROs) and predictors of success during tofacitinib maintenance therapy.

Methods: Tofacitinib Response in Ulcerative Colitis included 103 patients with refractory ulcerative colitis (UC); 67% had failed ≥ 2 biologics.

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The treatment of metastatic uveal melanoma remains a major clinical challenge. Procaspase-3, a proapoptotic protein and precursor to the key apoptotic executioner caspase-3, is overexpressed in a wide range of malignancies, and the drug PAC-1 leverages this overexpression to selectively kill cancer cells. Herein, we investigate the efficacy of PAC-1 against uveal melanoma cell lines and report the synergistic combination of PAC-1 and entrectinib.

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Background: Procaspase-3 (PC-3) is overexpressed in various tumor types, including gliomas. Targeted PC-3 activation combined with chemotherapy is a novel strategy for treating patients with high-grade gliomas, with promising preclinical activity. This study aimed to define safety and tolerability of procaspase-activating compound-1 (PAC-1) in combination with temozolomide (TMZ) for patients with recurrent high-grade astrocytomas.

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Purpose: To assess inter-rater reliability in the detection of proliferative diabetic retinopathy (PDR) changes using wide-field optical coherence tomography angiography (WF-OCTA) versus fluorescein angiography (FA).

Methods: This retrospective, cross-sectional study included patients with severe nonproliferative and PDR. Images were acquired with 12 × 12 mm WF-OCTA and FA with a 55° lens.

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  • This study looks at how interpretable deep learning models can help predict functional recovery in stroke patients with large vessel occlusion using clinical and MRI data.* -
  • Researchers analyzed data from 222 patients who underwent mechanical thrombectomy and evaluated different models for their prediction accuracy based on clinical and imaging variables.* -
  • The findings showed that models utilizing clinical data combined with diffusion-weighted imaging performed best, and they surpassed the accuracy of experienced neurologists when imaging data was included.*
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Background: Cisplatin-based chemotherapy (ChT) is the preferred perioperative treatment in muscle-invasive urothelial carcinoma of the urinary bladder (UCUB). Nevertheless, a certain number of patients are ineligible for platinum-based ChT. This trial compared immediate adjuvant vs.

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Despite scientific evidence originating from two patients published to date that CCR5Δ32/Δ32 hematopoietic stem cell transplantation (HSCT) can cure human immunodeficiency virus type 1 (HIV-1), the knowledge of immunological and virological correlates of cure is limited. Here we characterize a case of long-term HIV-1 remission of a 53-year-old male who was carefully monitored for more than 9 years after allogeneic CCR5Δ32/Δ32 HSCT performed for acute myeloid leukemia. Despite sporadic traces of HIV-1 DNA detected by droplet digital PCR and in situ hybridization assays in peripheral T cell subsets and tissue-derived samples, repeated ex vivo quantitative and in vivo outgrowth assays in humanized mice did not reveal replication-competent virus.

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Dark-field chest radiography signal intensity appeared to correlate with inflation status in a cadaveric lung.

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Article Synopsis
  • Patients with mutations in the RAG1 or RAG2 genes can develop conditions like Omenn syndrome or combined immunodeficiency, and around 60% of those treated with hematopoietic stem cell transplantation (HSCT) experienced significant health issues like infections, autoimmunity, or organ damage.
  • The study involved a diverse patient group and found that survival rates were 77.5% at one year and 67.5% at four years post-transplant, with infections being the leading cause of death.
  • Early HSCT (before age 3.5) showed better immune recovery, especially if patients had no pre-existing organ damage, highlighting the importance of timely treatment.
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Background And Objectives: Declines in stroke admission, IV thrombolysis (IVT), and mechanical thrombectomy volumes were reported during the first wave of the COVID-19 pandemic. There is a paucity of data on the longer-term effect of the pandemic on stroke volumes over the course of a year and through the second wave of the pandemic. We sought to measure the effect of the COVID-19 pandemic on the volumes of stroke admissions, intracranial hemorrhage (ICH), IVT, and mechanical thrombectomy over a 1-year period at the onset of the pandemic (March 1, 2020, to February 28, 2021) compared with the immediately preceding year (March 1, 2019, to February 29, 2020).

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Aims: Severe aortic stenosis can cause acute heart failure and cardiogenic shock (CS). Transcatheter aortic valve implantation (TAVI) is the standard therapy for aortic stenosis in inoperable patients. However, its role in this setting is poorly evaluated.

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  • - Targeted protein degradation (TPD) utilizes small molecules to attract E3 ubiquitin ligases, promoting the degradation of specific proteins through ubiquitination.
  • - Researchers aimed to enhance the toolkit of E3 ligases by modifying a KEAP1 inhibitor (KI696) to recruit various target proteins, but found KEAP1's efficiency was limited compared to another ligase, cereblon (CRBN).
  • - By connecting KEAP1-binding and CRBN-binding ligands, scientists created a compound that degraded KEAP1 but not CRBN, highlighting the complexities in using different E3 ligases for developing effective bivalent degraders.
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Background: Allogeneic blood transfusions in oncologic surgery are associated with increased recurrence and mortality. Adverse effects on outcome could be reduced or avoided by using intraoperative autologous blood cell salvage (IOCS). However, there are concerns regarding the safety of the autologous IOCS blood.

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Background: Tofacitinib is an oral, small-molecule JAK inhibitor for the treatment of ulcerative colitis (UC). Using a novel electronic reporting tool, we aimed to prospectively describe the onset of tofacitinib efficacy during induction therapy in a real-world study.

Methods: Patient-reported outcome data (PROs) including the simple clinical colitis activity index (SCCAI), PRO Measurement Identification Systems (PROMIS) measures, and adverse events were collected daily for the first 14 days and at day 28 and 56.

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Background: Tourniquet use for extremity hemorrhage control has seen a recent increase in civilian usage. Previous retrospective studies demonstrated that tourniquets improve outcomes for major extremity trauma (MET). No prospective study has been conducted to date.

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  • - The study highlights that mental health issues are a significant public health concern for young people in Europe, with varying levels of resources allocated to tackle these problems across different countries.
  • - Data from 31 European countries reveals alarming statistics for mental disorders, substance use disorders, and self-harm, showing trends in disability and premature death over a 30-year period.
  • - The findings suggest that improving national policies on mental health is crucial, particularly for younger populations, to address the increasing burden of these conditions highlighted in the research.
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Off-target editing is one of the main safety concerns for the use of CRISPR-Cas9 genome editing in gene therapy. These unwanted modifications could lead to malignant transformation, which renders tumorigenicity assessment of gene therapy products indispensable. In this study, we established two transformation assays, the soft agar colony-forming assay (SACF) and the growth in low attachment assay (GILA) as alternative methods for tumorigenicity evaluation of genome-edited cells.

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  • The study examined the effectiveness of mRNA vaccines (Pfizer-BioNTech and Moderna) against COVID-19 among U.S. health care personnel who were prioritized for early vaccination.
  • It utilized a test-negative case-control design, comparing vaccinated individuals with positive SARS-CoV-2 tests (cases) to those with negative tests (controls) while adjusting for various demographics and health factors.
  • Results showed that partial vaccination had effectiveness rates of 77.6% for Pfizer and 88.9% for Moderna, while complete vaccination led to 88.8% and 96.3% effectiveness, respectively, with some variations noted in specific demographic subgroups and over time.
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Objectives: ABRUPT was a prospective, noninterventional, observational study of resuscitation practices at 21 burn centers. The primary goal was to examine burn resuscitation with albumin or crystalloids alone, to design a future prospective randomized trial.

Summary Background Data: No modern prospective study has determined whether to use colloids or crystalloids for acute burn resuscitation.

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