Publications by authors named "P L Martin-Hirsch"

Article Synopsis
  • The study aimed to evaluate the cost-effectiveness of various treatments for cervical intraepithelial neoplasia (CIN) in women in England.
  • A decision-analytic model simulated the outcomes for 1,000 women receiving local treatment for CIN over a 10-year follow-up, considering surgical complications and related costs to the NHS.
  • Results indicated that large loop excision of the transformation zone (LLETZ) was the most cost-effective treatment for both younger and older women, with laser conisation becoming more viable for older women if costs were above £31,500 per recurrence averted.
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The advances in cancer research achieved in the last 50 years have been remarkable and have provided a deeper knowledge of this disease in many of its conceptual and biochemical aspects. From viewing a tumor as a 'simple' aggregate of mutant cells and focusing on detecting key cell changes leading to the tumorigenesis, the understanding of cancer has broadened to consider it as a complex organ interacting with its close and far surroundings through tumor and non-tumor cells, metabolic mechanisms, and immune processes. Metabolism and the immune system have been linked to tumorigenesis and malignancy progression along with cancer-specific genetic mutations.

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Introduction: In the UK alone, the incidence of cervical cancer is increasing, hence an urgent need for early and rapid detection of cancer before it develops. Spectroscopy in conjunction with machine learning offers a disruptive technology that promises to pick up cancer early as compared to the current diagnostic techniques used.

Areas Covered: This review article explores the different spectroscopy techniques that have been used for the analysis of cervical cancer.

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Electroactive hydrogels based on derivatives of polyethyleneglycol (PEG), chitosan and polypyrrole were prepared via a combination of photopolymerization and oxidative chemical polymerization, and optionally doped with anions (e.g., lignin, drugs, etc.

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Current triage for women with post-menopausal bleeding (PMB) to diagnose endometrial cancer rely on specialist referral for intimate tests to sequentially image, visualise and sample the endometrium. A point-of-care non-invasive triage tool with an instant readout could provide immediate reassurance for low-risk symptomatic women, whilst fast-tracking high-risk women for urgent intrauterine investigations. This study assessed the potential for infrared (IR) spectroscopy and attenuated total reflection (ATR) technology coupled with chemometric analysis of the resulting spectra for endometrial cancer detection in urine samples.

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