Publications by authors named "Costello R"

Despite broad consensus that highlighting counter-stereotypical scientist role models in educational materials promotes equity and success, the specific elements that make these materials effective remain untested. Are pictures of counter-stereotypical scientists enough to communicate to students that scientists come from a variety of backgrounds, or is additional information required? To parse the effects of including visual depictions and humanizing information about scientists featured in biology course materials, we distributed three randomized versions of assignments over several academic terms across 36 undergraduate institutions ( > 3700 students). We found that including humanizing information about scientists was key to increasing student engagement with the biology course materials.

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Patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) have poor outcomes. Gemcitabine + oxaliplatin (GemOx) with rituximab, a standard salvage therapy, yields complete response (CR) rates of approximately 30% and median overall survival (OS) of 10-13 months. Patients with refractory disease fare worse, with a CR rate of 7% for subsequent therapies and median OS of 6 months.

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Background: Imatinib is the treatment of elderly or frail patients with chronic myeloid leukemia (CML). Trough levels of around 1000 ng/ml are considered as the target exposure.

Objectives: We searched for baseline parameters associated with imatinib pharmacokinetics, and studied the clinical impact of subsequent adaptive dosing.

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Article Synopsis
  • * These technologies pave the way for decentralized clinical trials, allowing for a more inclusive study population, reduced costs, and faster access to new treatments.
  • * The discussion includes the use of digital endpoints, different trial designs, a specific example of a fully decentralized asthma trial, and examines the pros and cons of these methods from various perspectives (clinicians, patients, and regulators).
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Featuring scientists in classroom materials provides opportunities for students to relate to scientists as role models and see themselves in science. However, it is unclear what information students find most relatable when encountering scientists throughout their education. In this study, we manipulated the amount and type of information provided about scientists featured in biology courses.

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  • Researchers investigated whether ursodeoxycholic acid (UDCA), used for cholestatic liver diseases, could lower the risk of severe COVID-19 outcomes in patients with primary biliary cholangitis (PBC) or primary sclerosing cholangitis (PSC).
  • In a population-based study, data from over 11,000 individuals was analyzed, revealing that UDCA users had a 21% lower risk of hospitalization or death from COVID-19 compared to non-users.
  • The findings warrant further clinical trials to explore UDCA's potential as a preventive treatment for severe COVID-19 outcomes.
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Social traits are expected to experience highly context-dependent selection, but we know little about the contextual factors that shape selection on social behaviours. We hypothesized that the fitness consequences of social interactions will depend on the age of social partners, and therefore that population age structure will shape evolutionary pressures on sociality. Here, we investigate the consequences of age variation at multiple levels of social organization for both individual fitness and sexual selection on social network traits.

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Discipline-based education research-a field of research that investigates teaching and learning within STEM disciplines-has emerged over the last few decades to improve the quality of STEM education worldwide. Simple qualitative questions concerning the career backgrounds and motivations of the individuals who conduct this research have yet to be explored. Here, we surveyed and interviewed discipline-based education researchers about their career trajectories and motivations to pursue this field of research.

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Objectives: To examine the impact of the COVID-19 pandemic on deprivation-related inequalities in hospitalisations for cardiovascular disease (CVD) conditions in Denmark and England between March 2018 and December 2021.

Design: Time-series studies in England and Denmark.

Setting: With the approval of National Health Service England, we used English primary care electronic health records, linked to secondary care and death registry data through the OpenSAFELY platform and nationwide Danish health registry data.

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Acute myeloid leukaemia (AML) remains a major unmet medical, despite recent progress in targeted molecular therapies. One aspect of leukaemic cell resistance to chemotherapy is the development of clones with increased capacity to respond to cellular stress and the production of reactive oxygen species (ROS), thanks in particular to a high aldehyde dehydrogenases (ALDH) 1A1/2 activity. At diagnosis, ROS level and ALDH1A1/2 activity in AML patients BM are correlated with the different ELN 2022 prognostic groups and overall survival (OS).

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The respiratory literature, both written and in online formats, is growing exponentially. Capturing quality content, to meet the learning needs of those working in all fields of respiratory medicine and delivering it in a palatable, accessible format is challenging but paramount. In this article we discuss ways to determine the information content and review different methods of delivering this content to those who need it.

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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.
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Introduction The integration of artificial intelligence (AI) in healthcare has revolutionized patient interactions and service delivery. AI's role extends from supporting clinical diagnostics and enhancing operational efficiencies to potentially improving informed consent processes in surgical settings. This study investigates the application of AI, particularly large language models like OpenAI's ChatGPT, in facilitating surgical consent, focusing on patient understanding, satisfaction, and trust.

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Background: Codelists are required to extract meaningful information on characteristics and events from routinely collected health data such as electronic health records. Research using routinely collected health data relies on codelists to define study populations and variables, thus, trustworthy codelists are important. Here, we provide a checklist, in the style of commonly used reporting guidelines, to help researchers adhere to best practice in codelist development and sharing.

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Digital medicine is already well established in respiratory medicine through remote monitoring digital devices which are used in the day-to-day care of patients with asthma, COPD and sleep disorders. Image recognition software, deployed in thoracic radiology for many applications including lung cancer screening, is another application of digital medicine. Used as clinical decision support, this software will soon become part of day-to-day practice once concerns regarding generalisability have been addressed.

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The pediatric patient populations in the United States are becoming increasingly diverse in culture. In addition to medical factors, a variety of sociocultural factors (including educational systems, language, immigration status, etc.) can impact a child's cognitive development, performance on traditional neuropsychological measures, provider interactions, differential diagnosis, and recommendations.

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Racial biases, which harm marginalized and excluded communities, may be combatted by clarifying misconceptions about race during biology lessons. We developed a human genetics laboratory activity that challenges the misconception that race is biological (biological essentialism). We assessed the relationship between this activity and student outcomes using a survey of students' attitudes about biological essentialism and color-evasive ideology and a concept inventory about phylogeny and human diversity.

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Purpose: Cabozantinib and nivolumab (CaboNivo) alone or with ipilimumab (CaboNivoIpi) have shown promising efficacy and safety in patients with metastatic urothelial carcinoma (mUC), metastatic renal cell carcinoma (mRCC), and rare genitourinary (GU) tumors in a dose-escalation phase I study. We report the final data analysis of the safety, overall response rate (ORR), progression-free survival (PFS), and overall survival (OS) of the phase I patients and seven expansion cohorts.

Methods: This is an investigator-initiated, multicenter, phase I trial.

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Background: Biologic asthma therapies reduce exacerbations and long-term oral corticosteroids (LTOCS) use in randomized controlled trials (RCTs); however, there are limited data on outcomes among patients ineligible for RCTs. Hence, we investigated responsiveness to biologics in a real-world population of adults with severe asthma.

Methods: Adults in the International Severe Asthma Registry (ISAR) with ≥24 weeks of follow-up were grouped into those who did, or did not, initiate biologics (anti-IgE, anti-IL5/IL5R, anti-IL4/13).

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Background: Long COVID is the patient-coined term for the persistent symptoms of COVID-19 illness for weeks, months or years following the acute infection. There is a large burden of long COVID globally from self-reported data, but the epidemiology, causes and treatments remain poorly understood. Primary care is used to help identify and treat patients with long COVID and therefore Electronic Health Records (EHRs) of past COVID-19 patients could be used to help fill these knowledge gaps.

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Article Synopsis
  • The study investigates how pre-biologic biomarker levels, specifically immunoglobulin E (IgE), blood eosinophil count (BEC), and fractional exhaled nitric oxide (FeNO), influence asthma treatment outcomes when patients start biologic therapy.
  • Conducted across 23 countries with over 3750 patients, the research focused on changes in exacerbation rates, symptom control, and lung function about a year after starting treatment.
  • Results showed that higher levels of BEC and FeNO were linked to significant improvements in lung function for specific biologic therapies, while IgE was not a strong predictor of treatment effectiveness.
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Background: Long COVID is a major problem affecting patient health, the health service, and the workforce. To optimise the design of future interventions against COVID-19, and to better plan and allocate health resources, it is critical to quantify the health and economic burden of this novel condition. We aimed to evaluate and estimate the differences in health impacts of long COVID across sociodemographic categories and quantify this in Quality-Adjusted Life-Years (QALYs), widely used measures across health systems.

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