Publications by authors named "John Pierce"

Purpose Of Review: Hexavalent chromium [Cr(VI)] is a well-established human carcinogen, yet the mechanisms by which it leads to carcinogenic outcomes is still unclear. As a driving factor in its carcinogenic mechanism, Cr(VI) causes DNA double strand breaks and break-repair deficiency, leading to the development of chromosome instability. Therefore, the aim of this review is to discuss studies assessing Cr(VI)-induced DNA double strand breaks, chromosome damage and instability, and neoplastic transformation including cell culture, experimental animal, human pathology and epidemiology studies.

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Purpose: Carers of people with aphasia face unique challenges. Research has demonstrated that these carers have a higher burden of care and more negative stroke-related outcomes in comparison to carers of stroke survivors without aphasia. The aim of this scoping review was to map the range of interventions for carers other than communication partner training and to examine their outcomes.

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Background: Currently, there are no agreed quality standards for post-stroke aphasia services. Therefore, it is unknown if care reflects best practices or meets the expectations of people living with aphasia. We aimed to (1) shortlist, (2) operationalise and (3) prioritise best practice recommendations for post-stroke aphasia care.

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Objective: To investigate the association of state-level cigarette price and tobacco control expenditure with the large 2000-2019 decline in cigarette smoking among US 18-24 year-olds.

Methods: Smoking behaviour was assessed in the 24 most populous US states using the 1992-2019 Tobacco Use Supplements to the Current Population Survey; association with price and expenditure was tested using adjusted logistic regression. States were ranked by inflation-adjusted average price and tobacco control expenditure and grouped into tertiles.

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Multi-Modality Aphasia Treatment (M-MAT) is an effective group intervention for post-stroke aphasia. M-MAT employs interactive card games and the modalities of gesture, drawing, reading, and writing to improve spoken language. However, there are challenges to implementation of group interventions such as M-MAT, particularly for those who cannot travel or live in rural areas.

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Article Synopsis
  • High-intensity therapy is recommended for chronic poststroke aphasia, but the impact of treatment-induced fatigue on rehabilitation outcomes is not well understood.
  • The study analyzed self-rated fatigue levels of 173 participants during two types of intensive aphasia therapies, comparing a higher intensity (30 hours in 2 weeks) with a lower intensity (30 hours in 5 weeks).
  • Results showed that fatigue levels increased only slightly each day after therapy, with no evidence of accumulating fatigue over the intervention period, suggesting that intensive therapy may not significantly raise fatigue for individuals with chronic aphasia.
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Background: Primary progressive aphasia (PPA) is a neurodegenerative condition characterised by a prominent and progressive deterioration in language abilities, which significantly impacts quality of life and interpersonal relationships. Speech and language therapy plays a crucial role in offering interventions. Group intervention is one mode of delivery that could benefit communication functioning and overall wellbeing of people with PPA (pwPPA) and their care partners.

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Article Synopsis
  • Speech and language interventions can improve word retrieval and communication quality for people with aphasia post-stroke, but their cost-effectiveness remains unclear.
  • A study compared two therapy types (CIAT-Plus and M-MAT) against usual care in 216 chronic aphasia patients, assessing costs, outcomes, and quality-adjusted life years over 12 weeks.
  • Results showed no significant cost differences among groups but suggested M-MAT was more favorable in many scenarios, highlighting the need for further analysis on therapy effectiveness and cost savings.
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With the increasing occurrence and severity of wildfires in the U.S., and especially in the forests and rangelands of the western U.

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Objective: To compare trends in cigarette smoking and nicotine vaping among US population aged 17-18 years and 18-24 years.

Methods: Regression analyses identified trends in ever and current use of cigarettes and e-cigarettes, using three US representative surveys from 1992 to 2022.

Results: From 1997 to 2020, cigarette smoking prevalence among those aged 18-24 years decreased from 29.

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Purpose: Images are a core component of aphasia assessment and intervention that require significant resources to produce or source. Text-to-image generation is an Artificial Intelligence (AI) technology that has recently made significant advances and could be a source of low-cost, highly customizable images. The aim of this study was to explore the potential of AI image generation for use in aphasia by examining its efficiency and cost during generation of typical images.

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Purpose: Temporal patterns of daily tobacco product use among ever users from the Truth Longitudinal Cohort (TLC) between 2018 and 2019 were explored.

Methods: The sample (N = 5274) includes individuals (15-36 years), residing in the United States, who had ever used any tobacco product at Wave 7 (February - May 2018) and provided tobacco use information at Wave 9 (September - December 2019).

Results: There was a nonsignificant 1.

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Living alone, particularly for individuals with poor physical health, can increase the likelihood of mortality. This study aimed to explore the individual and joint associations of living alone and physical health with overall mortality among breast cancer survivors in the Women's Healthy Eating and Living (WHEL). We collected baseline, 12-month and 48-month data among 2869 women enrolled in the WHEL cohort.

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Introduction: This study examined trajectories of tobacco dependence (TD) in relationship to changes in tobacco product use, and explored the effects of product-specific adding, switching, or discontinued use on dependence over time.

Aims And Methods: Data were analyzed from the first three waves from the Population Assessment of Tobacco and Health (PATH) Study, a nationally representative, longitudinal study of adults and youth in the United States. Data included 9556 wave 1 (2013-2014) adult current established tobacco users aged 18 or older who completed all three interviews and had established use at ≥2 assessments.

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Article Synopsis
  • Aphasia is a communication disorder often caused by brain injuries like strokes, impacting individuals' quality of life, leading researchers to explore AI solutions for better management and rehabilitation.
  • A scoping review of 77 studies was conducted to track the evolution of AI in aphasia, assessing its research objectives and technological advancements over time.
  • The findings showed a shift from automated assessments to AI-driven therapy and personalized systems, indicating significant opportunities to further integrate AI in aphasia rehabilitation for tailored patient care.
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Background: Prior work established a measure of tobacco dependence (TD) among adults that can be used to compare TD across different tobacco products. We extend this approach to develop a common, cross-product metric for TD among youth.

Methods: One thousand one hundred and forty-eight youth aged 12-17 who used a tobacco product in the past 30 days were identified from 13 651 youth respondents in Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study.

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Article Synopsis
  • High-intensity aphasia therapies like CIAT-Plus and M-MAT are effective but challenging to implement, so this study examined their feasibility and effectiveness at lower intensities.
  • In a Phase II trial with chronic aphasia participants, both therapies were tested at a reduced intensity of 6 hours per week for 5 weeks, compared to the original higher intensity.
  • Results showed high participation and completion rates, with positive effects on word retrieval and functional communication, indicating that lower intensity therapies are feasible, acceptable, and may be effective.
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Objectives: To make projections of cigarette consumption that incorporate state-specific trends in smoking behaviors, assess the potential for states to reach an ideal target, and identify State-specific targets for cigarette consumption.

Methods: We used 70 years (1950-2020) of annual state-specific estimates of per capita cigarette consumption (expressed as packs per capita or "ppc") from the Tax Burden on Tobacco reports (N = 3550). We summarized trends within each state by linear regression models and the variation in rates across states by the Gini coefficient.

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Central retinal artery occlusion (CRAO) after a prolonged period of lying prone is a rare condition with only a handful of cases reported, generally as a postoperative complication of spinal surgery. Only a few cases can be found describing acute visual loss following intravenous drug abuse and stupor leading to continuous pressure on the orbit while asleep. No cases can be found describing acute visual loss following the ingestion of oral sedating/antipsychotic medications.

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The effect of treatment dose on recovery of post-stroke aphasia is not well understood. Inconsistent conceptualization, measurement, and reporting of the multiple dimensions of dose hinders efforts to evaluate dose-response relations in aphasia rehabilitation research. We review the state of dose conceptualization in aphasia rehabilitation and compare the applicability of 3 existing dose frameworks to aphasia rehabilitation research-the Frequency, Intensity, Time, and Type (FITT) principle, the Cumulative Intervention Intensity (CII) framework, and the Multidimensional Dose Articulation Framework (MDAF).

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Purpose: Tobacco use during early adolescence can harm brain development and cause adverse health outcomes. Identifying susceptibility in early adolescence before initiation presents an opportunity for tobacco use prevention.

Methods: Data were drawn from the Adolescent Brain and Cognitive Development study that enrolled 9-10-year-old children in 21 US cities between 2016 and 2018 at baseline.

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When the COVID-19 virus first arrived in the United States in early 2020, many epidemiologists and public health officers counseled for shutdowns and advised policymakers to prepare for a major pandemic. In 2020, though, US society was rife with major political and cultural divides. Some elected leaders promoted policies at odds with the experts, and many people refused to heed the public health-based communications about the coming pandemic.

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