Publications by authors named "Wisch J"

Introduction: Alzheimer's disease (AD) in Down syndrome (DS) is associated with changes in brain structure. It is unknown if thickness and volumetric changes can identify AD stages and if they are similar to other genetic forms of AD.

Methods: Magnetic resonance imaging scans were collected for 178 DS adults (106 nonclinical, 45 preclinical, and 27 symptomatic).

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  • This case report discusses a pediatric patient with focal fibrocartilaginous dysplasia (FFCD) who experienced angular deformity and growth arrest, even with standard guided growth management.
  • The patient initially underwent implant-mediated guided growth for correcting a proximal tibia varus deformity, but the issue recurred, leading to the identification of a physeal bar that resulted in complete physeal arrest.
  • The report concludes that while treatment for FFCD-related angular deformity may involve observation and guided growth, there is a significant risk of complete physeal arrest that needs to be considered.
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  • - Development of Alzheimer's disease (AD) pathology occurs faster in individuals with Down's syndrome (DS) compared to others; this study focuses on comparing specific biomarkers in DS individuals and their siblings.
  • - Researchers found that plasma levels of glial fibrillary acidic protein (GFAP) and pTau-217 were elevated in individuals with DS, indicating increased astrogliosis and tau pathology, and GFAP played a mediating role in the relationship between amyloid and tau levels.
  • - The findings suggest that astrogliosis is crucial in the early stages of Alzheimer's in DS, and targeting neuroinflammation might be beneficial primarily for those with amyloid positivity.
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  • The study explores the relationship between traditional radiographic measurements of shoulder asymmetry and new surface topographic measurements, suggesting these relationships will be weak.
  • Data was collected from a registry of patients with idiopathic scoliosis, focusing on ST scanning along with standard radiographic evaluation methods.
  • Results showed that while the ST-based AC angle showed moderate-to-strong correlations with some radiographic measures, other ST measurements exhibited weak or no correlation, indicating a complex relationship between the two measurement types.
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Introduction: Cerebrospinal fluid (CSF) tau phosphorylation at multiple sites is associated with cortical amyloid and other pathologic changes in Alzheimer's disease. These relationships can be non-linear. We used an artificial neural network to assess the ability of 10 different CSF tau phosphorylation sites to predict continuous amyloid positron emission tomography (PET) values.

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Introduction: Early-onset scoliosis (EOS) refers to spinal curvature exceeding ten degrees in the coronal plane in patients under 10 years old. When non-operative management fails to control the curvature, surgical intervention may be indicated. In younger patients, growth-friendly instrumentation may be necessary to allow for continued spinal growth while controlling the curve, which includes magnetically control growing rods (MCGR).

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We evaluated the relationship between neighborhood disadvantage (measured by the Area Deprivation Index [ADI]) and frailty. We performed a secondary analysis, pooling cross-sectional data collected from 209 people with HIV (PWH) aged ≥50 years enrolled in studies in Colorado (CO) and Missouri (MO). MO participants ( = 137) had a higher ADI (µ= 70, ơ = 25) compared to CO (µ= 32, ơ = 15; < .

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Organic small molecules that exhibit second-scale phosphorescence at room temperature are of interest for potential applications in sensing, anticounterfeiting, and bioimaging. However, such materials systems are uncommon-requiring millisecond to second-scale triplet lifetimes, efficient intersystem crossing, and slow rates of nonradiative recombination. Here, a simple and scalable approach is demonstrated to activate long-lived phosphorescence in a wide variety of molecules by suspending them in rigid polymer hosts and annealing them above the polymer's glass transition temperature.

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  • - This study examines the link between Down syndrome (DS) and early-onset Alzheimer's disease (AD), focusing on how amyloid positivity, memory function, and clinical status change with age.
  • - Data from the Alzheimer Biomarker Consortium-Down Syndrome (ABC-DS) was used to analyze amyloid levels and cognitive function in 409 adults with DS, revealing that both amyloid positivity and memory decline increase significantly as individuals age.
  • - The research highlights the need for age-specific considerations in monoclonal antibody trials targeting AD in individuals with DS, as there’s a considerable gap between amyloid detection and visible clinical symptoms.
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Study Design: Retrospective case series.

Objective: To characterize the change in angle of trunk rotation (ATR), axial vertebral rotation (AVR), and body surface rotation (BSR) in patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal fusion (PSF) with en-bloc derotation across multiple postoperative visits.

Summary Of Background Data: Previous research has documented ATR, AVR, and BSR correction for AIS patients after surgery.

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  • The study investigates early Alzheimer's disease changes in the brains of people with Down syndrome and those with genetic variants linked to Alzheimer's, aiming to better understand disease development and improve prevention strategies.
  • Using cross-sectional data from two cohort studies, researchers analyzed tau protein spread and its relationship with amyloid accumulation in participants aged 25 and older.
  • Findings revealed significant differences in the pattern and timing of tau accumulation in the two groups, suggesting implications for early intervention and clinical trials targeting Alzheimer's pathology.
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Objective: Severe spinal deformity results in restrictive pulmonary disease from thoracic distortions and lung-volume limitations. Though spirometry and body plethysmography are widely accepted tests for pulmonary function tests (PFTs), they are time-consuming and require patient compliance. This study investigates whether surface topographic [surface topography (ST)] measurements of body volume difference (BVD) and torso volume difference between maximum inhale and exhale correlate to values determined on PFTs.

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Purpose: This study evaluates the intraoperative and short-term complications associated with robotically assisted pedicle screw placement in pediatric posterior spinal fusion (PSF) from three surgeons at two different institutions.

Methods: We retrospectively reviewed 334 pediatric patients who underwent PSF with robotic-assisted navigation at 2 institutions over 3 years (2020-2022). Five thousand seventy robotically placed screws were evaluated.

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  • Pelvic fixation is utilized in pediatric patients with neuromuscular scoliosis and adult patients with lumbosacral issues to correct pelvic obliquity and ensure stability.
  • S2-alar-iliac screws are preferred over traditional iliac screws due to their reduced visibility and effectiveness in minimally invasive surgeries.
  • This technical note outlines a robotically navigated technique for placing S2-alar-iliac screws that enhances precision, accommodates irregular anatomy, and minimizes surgical exposure, supported by five successful case studies.
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  • - Recent trials indicate that PD-1-directed immunotherapy, specifically pembrolizumab, may help some patients with anal squamous cell carcinoma, but there is a need for reliable biomarkers to predict who will respond to the treatment.
  • - In a phase II clinical trial involving 32 patients, the objective response rate (ORR) to pembrolizumab was low at 9.4%, with a median progression-free survival of only 2.2 months, and most patients showed low levels of beneficial immune cells.
  • - Some patients had long-term responses to pembrolizumab, with one patient lasting over 5 years, particularly those with HPV-positive tumors and no liver metastases, but challenges remain due to ongoing HPV infection
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  • "Brain-predicted age" (BAG) uses neuroimaging to estimate biological age and reveals that those with autosomal dominant Alzheimer's disease (ADAD) show advanced brain aging about 7 years before symptoms start.
  • The study analyzed BAG in 257 ADAD mutation carriers and 179 non-carriers, finding that BAG correlates with markers of neurodegeneration, cognitive function, and tau protein levels.
  • BAG provides a straightforward measure for assessing ADAD progression, complementing existing MRI indicators while requiring less complex data analysis.
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Background: Up to 75% of patients with idiopathic scoliosis (IS) report back pain, but the exact contributors are unclear. This study seeks to assess how pain correlates with demographics, radiographic and surface topographic (ST) measurements, and patient-reported outcome measures (PROMs) in patients with IS.

Methods: Patient-Reported Outcome Measurement Information System (PROMIS) Pain Interference (PI) and Scoliosis Research Society revised (SRS-22r) pain domain from an IRB approved prospectively collected registry containing patients 11 to 21 years old with IS were correlated (Spearman coefficients) with measurements from whole-body EOS radiography and ST scanning, PROMIS 1.

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Background: Individuals with Alzheimer's disease (AD) are more than twice as likely to incur a serious fall as the general population of older adults. Although AD is commonly associated with cognitive changes, impairments in other clinical measures such as strength or functional mobility (i.e.

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  • Despite the benefits of antiretroviral therapy (ART) for individuals with HIV, issues with brain function and inflammation persist, impacting health outcomes.
  • A study involving 173 individuals with HIV on ART found that lower CD4/CD8 T-cell ratios and higher inflammatory markers (CD16+ monocytes and soluble CD14) are linked to reduced brain volume and altered blood flow in various brain regions.
  • The research suggests that chronic immune system changes can lead to brain structural issues, indicating a need for further investigation into these relationships and their implications for cognitive health in people with HIV.
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  • - This study investigated the impact of HIV on resting state functional connectivity (RSFC) by comparing a large group of people with HIV (PWH) to healthy controls without HIV (PWoH).
  • - Using brain scans from 316 PWH and 209 PWoH, researchers analyzed the influence of viral load and cognitive impairment on RSFC, but did not find any significant differences between groups.
  • - The findings suggest that HIV does not significantly affect RSFC in this cohort, and future research may benefit from larger samples and additional imaging techniques.
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Purpose: Adolescent idiopathic scoliosis (AIS) patients experience structural spinal deformity, but the impact of AIS on physical activity is not widely studied. Reports of physical activity levels between children with AIS and their peers are mixed. This study sought to characterize the relationship between spinal deformity, spinal range of motion, and self-reported physical activity in AIS patients.

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Metal halide perovskites are promising for optoelectronic device applications; however, their poor stability under solar illumination remains a primary concern. While the intrinsic photostability of isolated neat perovskite samples has been widely discussed, it is important to explore how charge transport layers─employed in most devices─impact photostability. Herein, we study the effect of organic hole transport layers (HTLs) on light-induced halide segregation and photoluminescence (PL) quenching at perovskite/organic HTL interfaces.

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Introduction: Health disparities arise from biological-environmental interactions. Neuroimaging cohorts are reaching sufficiently large sample sizes such that analyses could evaluate how the environment affects the brain. We present a practical guide for applying geospatial methods to a neuroimaging cohort.

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Introduction: Continuous measures of amyloid burden as measured by positron emission tomography (PET) are being used increasingly to stage Alzheimer's disease (AD). This study examined whether cerebrospinal fluid (CSF) and plasma amyloid beta (Aβ)42/Aβ40 could predict continuous values for amyloid PET.

Methods: CSF Aβ42 and Aβ40 were measured with automated immunoassays.

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Background: Neuroimaging reveals structural brain changes linked with HIV infection and related neurocognitive disorders; however, group-level comparisons between people with HIV and people without HIV do not account for within-group heterogeneity. The aim of this study was to quantify the effects of comorbidities such as cardiovascular disease and adverse social determinants of health on brain ageing in people with HIV and people without HIV.

Methods: In this retrospective case-control study, people with HIV from Washington University in St Louis, MO, USA, and people without HIV identified through community organisations or the Research Participant Registry were clinically characterised and underwent 3-Tesla T-weighted MRI between Dec 3, 2008, and Oct 4, 2022.

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