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BackgroundThe outcome of COVID-19 in allogeneic hematopoietic stem cell transplantation (HSCT) recipients is almost uniformely considered poor. The aim of present study was to retrospectively analyse the outcome and risk factors for mortality in a large series of patients who developed COVID-19 infection after an allogeneic HSCT.MethodsThis multicenter retrospective study promoted by the European Hematology Association – Infections in Hematology Study Working Group, included 326 adult HSCT patients who had COVID-19 between January 2020 and March 2022.ResultsThe median time from HSCT to the diagnosis of COVID-19 was 268 days (IQR 86-713; range 0-185 days). COVID-19 severity was mild in 21% of the patients, severe in 39% and critical in 16% of the patients. In multivariable analysis factors associated with a higher risk of mortality were, age above 50 years, presence of 3 or more comorbidities, active hematologic disease at time of COVID-19 infection, development of COVID-19 within 12 months of HSCT, and severe/critical infections. Overall mortality rate was 21% (n=68): COVID-19 was the main or secondary cause of death in 16% of the patients (n=53).ConclusionsMortality in HSCT recipients who develop COVID-19 is high and largely dependent on age, comorbidities, active hematologic disease, timing from transplant and severity of the infection.

The ionisation of molecules by attosecond XUV pulses is accompanied by complex correlated dynamics, such as the creation of coherent electron wave packets in the parent ion, their interplay with nuclear wave packets, and a correlated photoelectron moving in a multi-centred potential. Additionally, these processes are influenced by the dynamics prior to and during the ionisation. To fully understand and subsequently control the ionisation process on different time scales, a profound understanding of electron and nuclear correlation is needed. Here, we investigate the effect of nuclear–electron correlation in a correlated two-electron and one-nucleus quantum model system. Solving the time-dependent Schrödinger equation allows to monitor the correlation impact pre, during, and post-XUV ionisation. We show how an initial nuclear wave packet displaced from equilibrium influences the post-ionisation dynamics by means of momentum conservation between the target and parent ion, whilst the attosecond electron population remains largely unaffected. We calculate time-resolved photoelectron spectra and their asymmetries and demonstrate how the coupled electron–nuclear dynamics are imprinted on top of electron–electron correlation on the photoelectron properties. Finally, our findings give guidelines towards when correlation resulting effects have to be incorporated and in which instances the exact correlation treatment can be neglected.

We have investigated the dissociation mechanisms of the prototypical heavy polar molecule OCS into the two break-up channels of the dication, OCS2+ → O+ + CS+ and OC+ + S+, in phase-locked two-color intense laser fields. The branching ratio of the breaking of the C–O and C–S bonds followed a pronounced 2π-oscillation with a modulation depth of 11%, depending on the relative phase of the two-color laser fields. The fragment ejection direction of both break-up channels reflects the anisotropy of the tunneling ionization rate, following a 2π-periodicity, as well. The two dissociation pathways in the C–S bond breaking channel show different phase dependencies of the fragment ejection direction, which are assigned to post-ionization dynamics. These observations, resulting from the excitation with asymmetric two-color intense laser fields, supported by state-of-the-art theoretical simulations, reveal the importance of post-ionization population dynamics in addition to tunneling ionization in the molecular fragmentation processes, even for heavy polar molecules.