Publications by authors named "Marie Kirwan"

Objectives: The impact of lung cancer screening on smoking is unclear, especially in deprived populations who are underrepresented in screening trials. The aim of this observational cohort study was to investigate whether a community-based lung cancer screening programme influenced smoking behaviour and smoking attitude in socio-economically deprived populations.

Material And Methods: Ever-smokers, age 55-74, registered at participating General Practices were invited to a community-based Lung Health Check (LHC).

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Article Synopsis
  • Manchester's 'Lung Health Check' pilot used mobile CT scanners in retail locations to offer lung cancer screening for underserved communities.
  • 74.7% of participants valued location, with many (23%) preferring it over hospital-based programs, particularly current smokers and those from lower-income backgrounds.
  • Travel barriers significantly affected attendance, with 83.3% of those reluctant to go to hospitals citing travel-related issues, highlighting the importance of convenient community programs to improve screening access.
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Diagnosis of aspergillosis is often difficult. We compared fungal yields from respiratory specimens using the Health Protection Agency standard culture method (BSOP57), a higher volume undiluted culture method Mycology Reference Centre Manchester (MRCM) and Aspergillus quantitative real time polymerase chain reaction (qPCR). Sputum, bronchial aspirate and bronchoalveolar lavage (BAL) samples (total 23) were collected from aspergillosis patients.

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Background: Oral triazole therapy is well established for the treatment of invasive (IPA), allergic (ABPA), and chronic pulmonary (CPA) aspergillosis, and is often long-term. Triazole resistance rates are rising internationally. Microbiological diagnosis of aspergillosis is limited by poor culture yield, leading to uncertainty about the frequency of triazole resistance.

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