Publications by authors named "KIRSCHNER M"

Temporal lobe epilepsy with hippocampal sclerosis (TLE-HS) is associated with a complex genetic architecture, but the translation from genetic risk factors to brain vulnerability remains unclear. Here, we examined associations between epilepsy-related polygenic risk scores for HS (PRS-HS) and brain structure in a large sample of neurotypical children, and correlated these signatures with case-control findings in in multicentric cohorts of patients with TLE-HS. Imaging-genetic analyses revealed PRS-related cortical thinning in temporo-parietal and fronto-central regions, strongly anchored to distinct functional and structural network epicentres.

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Purpose: Treatment of peripheral artery disease (PAD) in the region below the knee (BTK) is dissatisfying as failure of treated target lesions (TLF) is frequent and diagnostic imaging is often challenging. In the BTK-region metallic drug-eluting stents (mDES) yielded best results concerning primary patency (PP), but also annihilate signal in magnetic resonance angiography (MR-A). A recently introduced non-metallic drug eluting bioresorbable Tyrocore® vascular scaffold (deBVS), that offers an option for re-treatment of lesions due to its full degradation within 3-4 years after placement, was investigated with respect to its compatibility with MR-A to unimpededly depict previously treated target lesions.

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Objective: To test the safety and efficacy of combination treatment for pleural mesothelioma (PM) with intracavitary cisplatin-fibrin (cis-fib) plus hemithoracic irradiation (IR) applied after lung-sparing surgery in an orthotopic immunocompetent rat model.

Methods: We randomized male F344 rats into 5 groups: cis-fib (n = 9), 10 Gy IR (n = 6), 20 Gy IR (n = 9), cis-fib+10 Gy IR (n = 6), and cis-fib+20 Gy IR (n = 9). Subpleural tumor implantation was performed on day 0 with 1 million syngeneic rat mesothelioma cells (IL45-luciferase).

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Complex structural and functional changes occurring in typical and atypical development necessitate multidimensional approaches to better understand the risk of developing psychopathology. Here, we simultaneously examined structural and functional brain network patterns in relation to dimensions of psychopathology in the Adolescent Brain Cognitive Development dataset. Several components were identified, recapitulating the psychopathology hierarchy, with the general psychopathology () factor explaining most covariance with multimodal imaging features, while the internalizing, externalizing, and neurodevelopmental dimensions were each associated with distinct morphological and functional connectivity signatures.

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Background: Persons with schizophrenia are excluded from psychedelic-assisted therapy due to concerns about the risk of triggering or worsening psychosis. However, there is limited meta-analytic data on the risk of psychedelic-induced psychosis in individuals with pre-existing psychotic disorders.

Methods: We conducted a systematic review, meta-analysis, and overview of reviews to assess the incidence of psychedelic-induced psychosis and symptom exacerbation in schizophrenia.

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Psychosis progresses along a continuum. While heterogeneity is evident across the continuum, it remains unknown whether this is also reflected in white matter (WM) heterogeneity and whether parsing WM heterogeneity may reveal subgroups with more pronounced clinical features. This analysis included 212 participants consisting of healthy controls (HC, n = 59), individuals with high schizotypy (SPT, n = 27), at-risk mental state (ARMS, n = 35), and patients with first episode psychosis (FEP, n = 50) and schizophrenia (SZ, n = 41).

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Background: The use of online information and communication is globally increasing in the healthcare sector. In addition to known benefits in other medical fields, possible specific potentials of eHealth lie in the monitoring of oncological patients undergoing outpatient therapy. Specifically, the treatment with immune checkpoint inhibitors (ICI) requires intensive monitoring due to various possible negative side effects.

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Objective:  In this study, we piloted the use of continuous 24-hour blood pressure (BP) monitoring in postpartum patients with preeclampsia with severe features.

Study Design:  We measured continuous BP for up to 24 hours using finger plethysmography. We also used an oscillometric device to measure brachial BP per usual clinical protocol (intermittent BP) during the same monitoring period.

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Article Synopsis
  • Negative symptoms (NS) in schizophrenia spectrum disorders (SSD) and bipolar disorder I (BD-I) have been linked to issues in working memory, but research on their connections to other clinical factors is limited.
  • In a study with 50 participants from SSD and 49 from BD-I, NS were evaluated using SANS scores focusing on areas like avolition-apathy and anhedonia-asociality, while relationships to symptoms and antipsychotic medication were analyzed through regression methods.
  • Results indicated that disorganization correlates with specific negative symptoms, and avolition-apathy notably predicts worse working memory across both disorders, suggesting the need for further understanding of how NS affects cognitive function in these conditions.
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  • Researchers tried to create models to predict how well people with first episode psychosis (FEP) would do after treatment, but it was hard to tell if these predictions worked for different groups of patients.
  • They tested these models using patients from two big studies in Europe and found out that while the models were somewhat accurate, they didn't work as well when applied to patients from a different study.
  • The results showed that it’s really important to check and improve these prediction models with independent samples of patients to make them better and more reliable in the future.
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  • Telomeres protect chromosome ends from damage and shorten with cell division, which can lead to aging-related issues like cell senescence or death when they become critically short.
  • Premature aging and severe health complications, such as bone marrow failure and pulmonary fibrosis, can occur due to disorders affecting telomere maintenance, known as telomere biology disorders (TBDs).
  • Recognizing congenital causes of bone marrow failure in about 10% of cases is crucial for accurate diagnosis and treatment, emphasizing the need for proper counseling and donor selection for stem cell transplants.
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  • "Revolving door patients" are people who keep going back to the hospital because they aren't getting better, often due to not taking their medicine or not having enough support.
  • The idea of a Mobile Delivery Program (MDP) is proposed, where healthcare workers bring medicines and help directly to these patients' homes to make it easier for them to stick to their treatment.
  • This program aims to help patients avoid going back to the hospital repeatedly, improve their overall health, and save a lot of money that is currently spent on hospital visits and other related costs.
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Complex structural and functional changes occurring in typical and atypical development necessitate multidimensional approaches to better understand the risk of developing psychopathology. Here, we simultaneously examined structural and functional brain network patterns in relation to dimensions of psychopathology in the Adolescent Brain Cognitive Development dataset. Several components were identified, recapitulating the psychopathology hierarchy, with the general psychopathology () factor explaining most covariance with multimodal imaging features, while the internalizing, externalizing, and neurodevelopmental dimensions were each associated with distinct morphological and functional connectivity signatures.

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Article Synopsis
  • This study used machine learning to classify subtypes of schizophrenia by analyzing brain images from over 4,000 patients and healthy individuals through international collaboration.* -
  • Researchers identified two neurostructural subgroups: one with predominant cortical loss and enlarged striatum, and another with significant subcortical loss in areas like the hippocampus and striatum.* -
  • The findings suggest this new imaging-based classification could redefine schizophrenia based on biological similarities, enhancing our understanding and treatment of the disorder.*
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Objectives: Despite major advances in treatment options for multiple myeloma (MM), patients refractory to the main drug classes and those with aggressive, especially extramedullary disease, still face a dismal outcome. For these patients, effective therapeutic options are urgently warranted.

Methods: In this retrospective study, we report on the safety and efficacy of the intensive combination regimen of pomalidomide plus cisplatin, doxorubicin, cyclophosphamide, and etoposide (Pom-PACE) in patients with relapsed refractory MM (RRMM) or plasma cell leukemia (PCL).

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Background: Among patients diagnosed with schizophrenia, the presence of substance use poses an aggravating comorbidity, exerting a negative impact on the course of the disease, adherence to therapeutic regimens, treatment outcomes, duration of hospital stays, and the frequency of hospitalizations. The primary objective of the present study is to investigate the relationship between comorbid substance use disorders, antipsychotic treatment, and the length of stay in individuals hospitalized for treatment of schizophrenia.

Methods: We conducted a retrospective analysis of electronic health records spanning a 12-month period, specifically focusing on adult patients diagnosed with schizophrenia who were discharged from the University Hospital of Psychiatry Zurich between January and December 2019.

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Chemical transformations in charge transfer states result from the interplay between electronic dynamics and nuclear reorganization along excited-state trajectories. Here, we investigate the ultrafast structural dynamics following photoinduced electron transfer from the metal-metal-to-ligand charge transfer state of an electron donor, a Pt dimer complex, to a covalently linked electron acceptor group using ultrafast time-resolved wide-angle X-ray scattering and optical transient absorption spectroscopy methods to disentangle the interdependence of the excited-state electronic and nuclear dynamics. Following photoexcitation, Pt-Pt bond formation and contraction takes up to 1 ps, much slower than the corresponding process in analogous complexes without electron acceptor groups.

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In bacteria, algae, fungi, and plant cells, the wall must expand in concert with cytoplasmic biomass production, otherwise cells would experience toxic molecular crowding or lyse. But how cells achieve expansion of this complex biomaterial in coordination with biosynthesis of macromolecules in the cytoplasm remains unexplained, although recent works have revealed that these processes are indeed coupled. Here, we report a striking increase of turgor pressure with growth rate in suggesting that the speed of cell wall expansion is controlled via turgor.

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Article Synopsis
  • Formal thought disorder (FTD) is a key symptom of schizophrenia, but its exact neurobiological causes and correlation with brain volume loss are still unclear, which this study seeks to address using a large cohort of patients and controls.
  • The research focuses on differentiating between positive, negative, and total formal thought disorder while investigating brain structural changes and their cellular bases using virtual histology tools.
  • Findings reveal distinct neural networks for positive and negative FTD, with negative FTD showing preserved orbitofrontal thickness and both FTD types linked to unique cellular fingerprint patterns, advancing our understanding of the disorder.
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  • The study explores retinal changes in individuals with varying genetic risks for schizophrenia, using data from the UK Biobank and the latest genome-wide association studies.
  • Researchers measured retinal thinning, particularly in the macula, in relation to polygenic risk scores for schizophrenia, controlling for potential confounding factors.
  • Findings suggest that greater genetic susceptibility to schizophrenia is linked to retinal thinning, indicating that the retina may reflect the complex genetic factors associated with the disorder.
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Adaptive coding of reward is the process by which neurons adapt their response to the context of available compensations. Higher rewards lead to a stronger brain response, but the increase of the response depends on the range of available rewards. A steeper increase is observed in a narrow range and a more gradual slope in a wider range.

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Background And Hypothesis: Abnormal thalamic nuclei volumes and their link to cognitive impairments have been observed in schizophrenia. However, whether and how this finding extends to the schizophrenia spectrum is unknown. We hypothesized a distinct pattern of aberrant thalamic nuclei volume across the spectrum and examined its potential associations with cognitive symptoms.

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Despite the functional impact of cognitive deficit in people with psychosis, objective cognitive assessment is not typically part of routine clinical care. This is partly due to the length of traditional assessments and the need for a highly trained administrator. Brief, automated computerised assessments could help to address this issue.

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Article Synopsis
  • - Multimodal neuroimaging is a cutting-edge approach that helps scientists explore both the structure and function of the human brain, revealing important patterns known as spatial gradients.
  • - This paper discusses how recent advances in gradient techniques have grown popular in neuroscience due to efforts like data sharing and open-source software, along with workshops for early career researchers.
  • - The authors argue that the enthusiasm for gradient methods reflects a strong, collaborative community effort, suggesting that this model can guide future advancements in neuroinformatics, although challenges still exist in refining theories and methods.
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