Publications by authors named "Stephen Townsend"

Introduction: The golden section or golden ratio (61.8% or 0.618) is a mathematical phenomenon that appears in art, literature, music and nature with such ubiquity that it is thought to be a fundamental principle of aesthetic organisation.

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Article Synopsis
  • Late-phase platform protocols, such as basket and master protocols, are more efficient than traditional two-arm trials but are underutilized; this study shares operational recommendations from successful implementations.* -
  • A meeting of UK clinical trial experts was held to discuss the practical challenges and operational aspects specific to running late-phase platform trials, leading to a set of guidance for trialists.* -
  • The recommendations cover all stages of a platform trial, emphasizing key areas like protocol development, funding, staffing, data management, and effective communication with participants and stakeholders.*
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Australian cultural attitudes toward sports related concussion (SRC) are understudied. Australia has a long history of valorising combat, collision, and contact sports, in which SRC is a common occurrence. It is therefore vital to understand how sociocultural and historical factors shape Australian attitudes toward SRC, in order to more critically evaluate the decisions made by athletes, parents, coaches, and others with regards to risk and brain injury in sport.

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Background: The ICON6 trial (ISRCTN68510403) is a phase III academic-led, international, randomized, three-arm, double-blind, placebo-controlled trial of the addition of cediranib to chemotherapy in recurrent ovarian cancer. It investigated the use of placebo during chemotherapy and maintenance (arm A), cediranib alongside chemotherapy followed by placebo maintenance (arm B) and cediranib throughout both periods (arm C). Results of the primary comparison showed a meaningful gain in progression-free survival (time to progression or death from any cause) when comparing arm A (placebo) with arm C (cediranib).

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Background: There is limited research and literature on the data management challenges encountered in multi-arm, multi-stage platform and umbrella protocols. These trial designs allow both (1) seamless addition of new research comparisons and (2) early stopping of accrual to individual comparisons that do not show sufficient activity. FOCUS4 (colorectal cancer) and STAMPEDE (prostate cancer), run from the Medical Research Council Clinical Trials Unit (CTU) at UCL, are two leading UK examples of clinical trials implementing adaptive platform protocol designs.

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A simple and rapid method involving thermal desorption gas chromatography (TD-GC) with flame ionisation detection has been successfully developed for the determination of ethylene glycol in whole blood. No sample extraction or derivatization steps were required. The conditions required for the direct determination of ethylene glycol in whole blood were optimised and require only the addition of the internal standard, 1,2-butanediol, to the sample.

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Inspired by dynamic similarity in fluid systems, we have derived a general dimensionless form for locomotion in granular materials, which is validated in experiments and discrete element method (DEM) simulations. The form instructs how to scale size, mass, and driving parameters in order to relate dynamic behaviors of different locomotors in the same granular media. The scaling can be derived by assuming intrusion forces arise from resistive force theory or equivalently by assuming the granular material behaves as a continuum obeying a frictional yield criterion.

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