Publications by authors named "Powell S"

We examined how generalized and mathematics-specific language skills predicted the word-problem performance of students with mathematics difficulty. Participants included 325 third-grade students in the southwestern United States who performed at or below the 25th percentile on a word-problem measure. We assessed generalized language skills in word reading, passage comprehension, and vocabulary knowledge.

View Article and Find Full Text PDF

Purpose: Randomized trials have demonstrated similar local tumor control in patients treated with accelerated partial-breast irradiation (APBI) compared with whole-breast irradiation. However, the optimal APBI dose for maximizing tumor control and minimizing toxicity is uncertain.

Methods And Materials: We enrolled patients ≥18 years of age with grade 1 or 2 ductal carcinoma in situ or stage I invasive breast cancer and resection margins ≥2 mm between 2003 and 2011 to a sequential dose-escalation trial using 3-dimensional conformal external beam APBI giving twice daily 4 Gy fractions with total doses of 32 Gy, 36 Gy, and 40 Gy.

View Article and Find Full Text PDF

Background: An increasing body of evidence has linked fructose intake to colorectal cancer (CRC). African American (AA) adults consume greater quantities of fructose and are more likely to develop right-side colon cancer than European American (EA) adults.

Objective: We examined the hypothesis that fructose consumption leads to epigenomic and transcriptomic differences associated with CRC tumor biology.

View Article and Find Full Text PDF

Introduction: The History, Electrocardiogram, and Troponin (HET) score is a simplified alternative to the HEART score for risk stratifying emergency department (ED) patients with chest pain. This study evaluates the safety and efficacy of the HET score for 30-day cardiac death or myocardial infarction (MI).

Methods: We conducted a secondary analysis of the STOP-CP multisite cohort study.

View Article and Find Full Text PDF

Introduction: Tree bacterial diseases are a threat in forestry due to their increasing incidence and severity. Understanding tree defence mechanisms requires evaluating metabolic changes arising during infection. Metabolite extraction affects the chemical diversity of the samples and, therefore, the biological relevance of the data.

View Article and Find Full Text PDF
Article Synopsis
  • The CMSA Standards of Practice serve as a guiding framework for treating individuals in case management.
  • These standards emphasize the importance of helping individuals achieve their highest functional potential.
  • When individuals succeed in reaching optimal levels of functioning, entire communities benefit from the positive outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • The Implicit Prosody Hypothesis (IPH) suggests that people create internal vocal patterns while reading silently, similar to those used in spoken language.
  • The study used EEG to analyze brain responses as participants read sequences of words with different stress patterns, revealing that unexpected stress in words triggered stronger brain reactions.
  • Results indicated that various brain wave activities correlate with rhythmic expectations in language, supporting the idea that the same neural networks are involved in processing both spoken and silently read language.
View Article and Find Full Text PDF

Background: Pelvic exenterations are now established as a standard of care for locally advanced and recurrent rectal cancer. Traditionally, these radical and complex operations have been performed via an open approach, but with the increasing expertise in robotic-assisted surgery (RAS), there is scope to perform such cases robotically. This study compares outcomes from open and RAS pelvic exenterations.

View Article and Find Full Text PDF

Background: Management of patients with locoregionally advanced head and neck squamous cell carcinoma (HNSCC) when cisplatin is contraindicated is controversial. We aimed to assess whether radiotherapy with concurrent and adjuvant durvalumab would improve outcomes compared with radiotherapy with cetuximab.

Methods: NRG-HN004 was designed as an open-label, multicentre, parallel-group, randomised, phase 2/3 trial with safety lead-in conducted at 89 academic and community medical centres in North America.

View Article and Find Full Text PDF

Word problem-solving (WPS) poses a significant challenge for many students, particularly those with mathematics difficulties (MD), hindering their overall mathematical development. To improve WPS proficiency, providing individualized and intensive interventions is critical. This umbrella review examined 11 medium- to high-quality meta-analyses to identify intervention and participant characteristics, informed by the Taxonomy of Intervention Intensity (TII) framework, that consistently moderate WPS outcomes for students with MD.

View Article and Find Full Text PDF

Background: An increased body mass index (BMI) can lead to subfertility; however, current literature fails to exclude the effect of other confounding medical conditions, raising questions regarding the direct link between increased BMI and fertility outcomes.

Objectives: To conduct a systematic review and meta-analysis to elucidate the effects of increased BMI on fertility outcomes in females with no other comorbidities.

Search Strategy: A comprehensive search was conducted using EMBASE, MEDLINE and the Cochrane library from January 2000 until July 2023.

View Article and Find Full Text PDF

Unlabelled: Adeno-associated virus (AAV) is a with a ssDNA ~4.7 kb genome in a ~25 nm icosahedral capsid structure. AAV genomes encode nine known functional proteins from two open reading frames between two inverted terminal repeats (ITRs).

View Article and Find Full Text PDF

Purpose: Invasive lobular carcinoma (ILC) represents 10% to 15% of invasive breast cancers with limited representation among trials of accelerated partial breast irradiation (APBI). Contemporary guidelines advise against treating ILC with APBI given a paucity of supportive evidence. Here, we evaluated oncologic outcomes among patients with ILC treated with APBI.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to evaluate the safety and effectiveness of treatments for recurrent respiratory papillomatosis (RRP) in UK NHS hospitals, involving data collection from patients between April 2018 and August 2022, along with some retrospective data from earlier years.
  • - A total of 304 patients (including 65 children) were analyzed; findings showed that children had a more severe form of RRP compared to adults, with microdebrider surgeries being the most common treatment.
  • - The research concluded that RRP is more aggressive in children, treatment varies by age, and overall management was safe, with few complications and effective results; it highlighted the need for standardized reporting to better track disease progression and safety. *
View Article and Find Full Text PDF

Some estimate that 1.5 billion people worldwide suffer from chronic pain. In the United States, chronic pain affects about 20% of the people with an annual cost of $600 billion.

View Article and Find Full Text PDF
Article Synopsis
  • Precision oncology relies on biomarkers, with MGMT gene promoter methylation being a critical clinical biomarker for glioblastoma multiforme (GBM).
  • Time-consuming preanalytical processes like biospecimen storage and intratumor methylation variability can affect data reproducibility, but research showed that standard processing techniques do not significantly alter MGMT methylation assessment.
  • Despite consistent methods yielding reliable results, a significant portion of GBM specimens (26%-34%) displayed intratumor methylation heterogeneity, highlighting the necessity for multiple biopsies to accurately evaluate MGMT status.
View Article and Find Full Text PDF
Article Synopsis
  • The study evaluated the effectiveness of palbociclib, a targeted cancer therapy, in patients with advanced cancer exhibiting specific genomic alterations, focusing on two patient groups: those with head and neck cancer (HNC) and those with a mix of histologies (HP).
  • Results showed that 40% of the HNC patients achieved disease control, which was statistically significant, while only 13% of the HP cohort did, failing to meet the criteria for significance.
  • The treatment had notable side effects, with over 40% of patients experiencing serious adverse events, primarily blood-related issues like neutropenia and thrombocytopenia.
View Article and Find Full Text PDF
Article Synopsis
  • Pediatric ENT surgeons in the UK noticed an unusual increase in severe head and neck abscesses during the winter of 2022/3, prompting a study to validate this trend and explore associated factors.
  • A multicentre study collected data from 262 patients admitted with head and neck abscesses between September 2022 and February 2023, revealing a significant rise in group A streptococcus cases and complications like venous thrombosis during the winter months.
  • Despite the observed increases in certain complications, the overall number of abscess cases fell within expected historical ranges, indicating that the winter 2022/2023 rates were consistent with pre-COVID trends in pediatric cases.
View Article and Find Full Text PDF

In most patients with advanced prostate cancer treated with hormonal therapy, androgen independence eventually emerges, leading to death. Androgen receptor signalling remains an important prostate cancer driver, even in the advanced disease stage. MicroRNAs (miRs), non-coding RNAs that regulate gene expression by inhibiting translation and/or promoting degradation of target mRNAs, can act as tumour suppressors or "oncomiRs" and modulate tumour growth.

View Article and Find Full Text PDF

Purpose: Regional nodal irradiation (RNI) for breast cancer yields improvements in disease outcomes, yet comprehensive target coverage often increases cardiac radiation therapy (RT) dose. Volumetric modulated arc therapy (VMAT) may mitigate high-dose cardiac exposure, although it often increases the volume of low-dose exposure. The cardiac implications of this dosimetric configuration (in contrast to historic 3D conformal techniques) remain uncertain.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines the role of acid sphingomyelinase (ASMase) in the effectiveness of radiation therapy against tumors, highlighting its importance in tumor radiocurability and immune response.
  • The researchers used Lewis Lung Carcinoma (LLC) cells in different mouse models to observe how ASMase affects tumor response to radiation, including immune cell infiltration and related signaling pathways.
  • Findings revealed that ASMase is crucial for a successful immune response to radiation, as tumors in ASMase knockout mice did not respond effectively, underscoring the importance of ASMase in mediating radiation-induced anti-tumor immunity through STING activation.
View Article and Find Full Text PDF

Collisions of the transcription and replication machineries on the same DNA strand can pose a significant threat to genomic stability. These collisions occur in part due to the formation of RNA-DNA hybrids termed R-loops, in which a newly transcribed RNA molecule hybridizes with the DNA template strand. This study investigated the role of RAD52, a known DNA repair factor, in preventing collisions by directing R-loop formation and resolution.

View Article and Find Full Text PDF

Chromosome-containing micronuclei are a hallmark of aggressive cancers. Micronuclei frequently undergo irreversible collapse, exposing their enclosed chromatin to the cytosol. Micronuclear rupture catalyzes chromosomal rearrangements, epigenetic abnormalities, and inflammation, yet mechanisms safeguarding micronuclear integrity are poorly understood.

View Article and Find Full Text PDF

Adenoid cystic carcinoma (ACC) of head and neck origin is associated with slow but relentless progression and systemic metastasis, resulting in poor long-term survival rates. ACC does not respond to conventional chemotherapy. Determination of molecular drivers may provide a rational basis for personalized therapy.

View Article and Find Full Text PDF
Article Synopsis
  • Pathogenic mutations in the BRCA1 and BRCA2 genes are linked to several types of hereditary cancer, but inactivating both copies (bBRCA1/2) can be lethal in embryos and reduce cell growth.
  • Researchers identified specific genetic changes commonly found in bBRCA1/2 tumors that could boost cell proliferation and studied them through various analytical methods, including examining mutation patterns in databases.
  • In their results, they discovered that bBRCA1/2 tumors often showed large genomic deletions, identified genes that influenced cell growth, and validated some candidate genes (like RIC8A) as crucial for tumor viability despite the loss of BRCA1 and BRCA2.
View Article and Find Full Text PDF