Publications by authors named "David Noble"

Article Synopsis
  • The study looked at how well people can swallow before and after they received special radiation treatment for cancers in the throat area.
  • 175 patients were tested to see if their swallowing ability changed 6 months after treatment, and many showed a drop in their ability to eat or drink normally.
  • The results showed some improvements for a few, but many had trouble swallowing and some even developed jaw stiffness after the radiation.
View Article and Find Full Text PDF

Understanding patterns of species diversity is crucial for ecological research and conservation, and this understanding may be improved by studying patterns in the two components of species diversity, species richness and evenness of abundance of species. Variation in species richness and evenness has previously been linked to variation in total abundance of communities as well as productivity gradients. Exploring both components of species diversity is essential because these components could be unrelated or driven by different mechanisms.

View Article and Find Full Text PDF

Caring for hand and wrist injuries in the elite athlete brings distinct challenges, with case-by-case decisions regarding surgical intervention and return-to-play. Metacarpal fractures, thumb ulnar collateral ligament tears, and scaphoid fractures are common upper-extremity injuries in the elite athlete that can be detrimental to playing time and future participation. Treatment should therefore endure the demand of accelerated rehabilitation and return-to-activity without compromising long-term outcomes.

View Article and Find Full Text PDF

Pembrolizumab has received approval in the UK as first-line monotherapy for recurrent and/or metastatic HNSCC (R/M HNSCC) following the results of the KEYNOTE-048 trial, which demonstrated a longer overall survival (OS) in comparison to the EXTREME chemotherapy regimen in patients with a combined positive score (CPS) ≥1. In this article, we provide retrospective real-world data on the role of pembrolizumab monotherapy as first-line systemic therapy for HNSCC across 18 centers in the UK from March 20, 2020 to May 31, 2021. 211 patients were included, and in the efficacy analysis, the objective response rate (ORR) was 24.

View Article and Find Full Text PDF

Background: First metatarsophalangeal (MTP) arthrodesis is a common surgical procedure for addressing hallux MTP pathology. In the setting of revision procedures with significant bone loss, porous titanium wedges may provide an alternative to structural bone autograft or allograft.

Objective: The purpose of this study is to report the clinical and radiographic outcomes achieved in first MTP interposition arthrodesis using porous titanium wedges.

View Article and Find Full Text PDF

In addition to their lifecycle carbon emissions, another important issue with decarbonized energy pathways is their air quality, water, or land use implications. This paper considers the air quality issue for ammonia combustion. When directly combusting ammonia, reactions of its N atom with atmospheric oxygen lead to NO emissions that are O(10) ppm, 2 orders of magnitude higher than EPA limits or the amount emitted by current natural-gas-fired technologies.

View Article and Find Full Text PDF

Climate change has been associated with both latitudinal and elevational shifts in species' ranges. The extent, however, to which climate change has driven recent range shifts alongside other putative drivers remains uncertain. Here, we use the changing distributions of 378 European breeding bird species over 30 years to explore the putative drivers of recent range dynamics, considering the effects of climate, land cover, other environmental variables, and species' traits on the probability of local colonisation and extinction.

View Article and Find Full Text PDF

Detecting biodiversity change and identifying its causes is challenging because biodiversity is multifaceted and temporal data often contain bias. Here, we model temporal change in species' abundance and biomass by using extensive data describing the population sizes and trends of native breeding birds in the United Kingdom (UK) and the European Union (EU). In addition, we explore how species' population trends vary with species' traits.

View Article and Find Full Text PDF

Numerous proteins regulate gene expression by modulating mRNA translation and decay. To uncover the full scope of these post-transcriptional regulators, we conducted an unbiased survey that quantifies regulatory activity across the budding yeast proteome and delineates the protein domains responsible for these effects. Our approach couples a tethered function assay with quantitative single-cell fluorescence measurements to analyze ~50,000 protein fragments and determine their effects on a tethered mRNA.

View Article and Find Full Text PDF
Article Synopsis
  • Bird populations in Europe have been declining for years, and this study looks at how human activities are affecting them.
  • The researchers examined data from 170 bird species over 37 years across 28 countries to see how farming, forest changes, city growth, and temperature changes impact these birds.
  • They found that farming, especially using pesticides and fertilizers, hurts most bird populations the most, while changes in forests and cities affect different species in various ways.
View Article and Find Full Text PDF
Article Synopsis
  • The study developed machine learning models to predict rectal toxicities caused by radiation therapy for prostate cancer, focusing on three specific clinical outcomes.
  • Researchers analyzed data from 183 patients, using features derived from CT scans and radiation dosimetry, and applied multiple classifiers to assess the relationship between these features and the toxicities.
  • The findings demonstrated that combining radiomic and dosimetric features improved prediction accuracy, particularly for hemorrhage, indicating the potential of these methods in personalized treatment planning.
View Article and Find Full Text PDF

Background: The irradiation of sub-regions of the parotid has been linked to xerostomia development in patients with head and neck cancer (HNC). In this study, we compared the xerostomia classification performance of radiomics features calculated on clinically relevant and de novo sub-regions of the parotid glands of HNC patients.

Material And Methods: All patients ( = 117) were treated with TomoTherapy in 30-35 fractions of 2-2.

View Article and Find Full Text PDF

Background And Purpose: While core to the scientific approach, reproducibility of experimental results is challenging in radiomics studies. A recent publication identified radiomics features that are predictive of late irradiation-induced toxicity in head and neck cancer (HNC) patients. In this study, we assessed the generalisability of these findings.

View Article and Find Full Text PDF

Background And Purpose: The images acquired during radiotherapy for image-guidance purposes could be used to monitor patient-specific response to irradiation and improve treatment personalisation. We investigated whether the kinetics of radiomics features from daily mega-voltage CT image-guidance scans (MVCT) improve prediction of moderate-to-severe xerostomia compared to dose/volume parameters in radiotherapy of head-and-neck cancer (HNC).

Materials And Methods: All included HNC patients (N = 117) received 30 or more fractions of radiotherapy with daily MVCTs.

View Article and Find Full Text PDF

Second generation anticoagulant rodenticides (SGARs) are widely used to control rodents around the world. However, contamination by SGARs is detectable in many non-target species, particularly carnivorous mammals or birds-of-prey that hunt or scavenge on poisoned rodents. The SGAR trophic transfer pathway via rodents and their predators/scavengers appears widespread, but little is known of other pathways of SGAR contamination in non-target wildlife.

View Article and Find Full Text PDF
Article Synopsis
  • Current conservation efforts lack a standardized system for identifying and analyzing failures, unlike some other sectors that have made progress in learning from mistakes.
  • The authors created a 3-tier taxonomy that classifies the root causes of failure in conservation projects, based on real-life examples of failures and their underlying issues.
  • Testing the taxonomy with conservation practitioners revealed no significant gaps, and it aims to enhance understanding and learning from failed conservation projects, ultimately fostering a culture that encourages learning from failures in the field.
View Article and Find Full Text PDF

Our knowledge of the factors affecting species abundances is mainly based on time-series analyses of a few well-studied species at single or few localities, but we know little about whether results from such analyses can be extrapolated to the community level. We apply a joint species distribution model to long-term time-series data on British bird communities to examine the relative contribution of intra- and interspecific density dependence at different spatial scales, as well as the influence of environmental stochasticity, to spatiotemporal interspecific variation in abundance. Intraspecific density dependence has the major structuring effect on these bird communities.

View Article and Find Full Text PDF

Objectives: High-energy Proton Beam Therapy (PBT) commenced in England in 2018 and NHS England commissions PBT for 1.5% of patients receiving radical radiotherapy. We sought expert opinion on the level of provision.

View Article and Find Full Text PDF

Introduction: The coronavirus disease 2019 (COVID-19) pandemic resulted in the unprecedented widespread cancellation of scheduled elective primary total joint arthroplasty (TJA) in the United States. The impact of postponing scheduled total hip arthroplasty and total knee arthroplasty procedures on patients has not been well studied and may have physical, emotional, and financial consequences.

Methods: All patients whose elective primary TJA procedures at a tertiary academic medical center were postponed because of COVID-19 were surveyed.

View Article and Find Full Text PDF

Rapid and relentless technological advances in an ever-more globalized world have shaped the field of radiation oncology in which we practise today. These developments have drastically modified the habitus of health professionals and researchers at an individual and organisational level. In this article we present an analysis of trends in radiation oncology research over the last half a century.

View Article and Find Full Text PDF
Article Synopsis
  • The COVID-19 pandemic led to significant changes in head and neck oncology practices in the UK, with varying responses from different medical centers due to delayed guidelines.
  • A multi-centre survey by the NCRI aimed to examine standard practices before and during the pandemic, focusing on treatment modifications related to feeding tubes, radiotherapy, and chemotherapy.
  • The survey found that most participating centers made at least one modification, including changes in radiation treatment schedules and the cessation or adjustment of chemotherapy protocols, reflecting a shift to adapt to the pandemic's challenges.
View Article and Find Full Text PDF

Around fifteen thousand fieldworkers annually count breeding birds using standardized protocols in 28 European countries. The observations are collected by using country-specific and standardized protocols, validated, summarized and finally used for the production of continent-wide annual and long-term indices of population size changes of 170 species. Here, we present the database and provide a detailed summary of the methodology used for fieldwork and calculation of the relative population size change estimates.

View Article and Find Full Text PDF

Importance: Personalized radiotherapy planning depends on high-quality delineation of target tumors and surrounding organs at risk (OARs). This process puts additional time burdens on oncologists and introduces variability among both experts and institutions.

Objective: To explore clinically acceptable autocontouring solutions that can be integrated into existing workflows and used in different domains of radiotherapy.

View Article and Find Full Text PDF