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      • Correlates of Lymphedema in Women with Breast Cancer: a Case Control Study in Shiraz, Southern Iran

        Honarvar, Behnam,Sayar, Negin,Tahmasebi, Sedigheh,Zakeri, Zeinab,Talei, Asra,Rostami, Sara,Khademi, Sahar,Sarvestani, Amene Sabzi,Sekhavati, Eghbal Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.no.sup3

        Globally, the burden of breast cancer (BC) continues to increase. BC related lymphedema (BCRL) is currently non curable and as a life time risk it affects at least 25% of BC patients. Knowing more about BCRL and appropriate control of its modifiable risk factors can improve quality of life (QOL) of the affected patients. In this case control study to detect factors, 400 women with BCRL (as the case group) and 283 patients with BC without lymphedema (as the control group) that were referred to Shiraz University of Medical Sciences affiliated BC clinic center were assessed. The data were analyzed in SPSS. The mean age of the case group was $52.3{\pm}11.0years$ and of the control group was $50.1{\pm}10.9years$. In patients with BCRL, 203(50.7%) had left (Lt) side BC and in non- lymphedema group 151 (53.3%) had Lt side BC. Out of all BCRL patients, 204 (51%) had lymphedema in all parts of their affected upper extremities, 100 (25%) had swelling in the arm and forearm and 23 (5.7%) had edema in both the upper extremity and trunk. Edema, heaviness, concern about changing body image, pain and paresthesia were the most common signs/symptoms among patients with BCRL. In BCRL patients, the difference of circumference between the affected upper limb and non-affected limb was $4.4{\pm}2.5cm$ and the difference in volume displacement was $528.7{\pm}374.4milliliters$. Multiple variable analysis showed that moderate to severe activity (OR; odds ratio =14, 95% CI :2.6-73.3), invasiveness of BC (OR =13.7, 95% CI :7.3-25.6), modified radical mastectomy (OR=4.3, 95% CI :2.3-7.9), BMI =>25 (OR=4.2, 95% CI :2-8.7), radiotherapy (OR=3.9, 95% CI :1.8-8.2), past history of limb damage (OR=1.7, 95% CI :0.9-3.1) and the number of excised lymph nodes (OR=1.06, 95% CI :1.02-1.09) were the significant predictors of lymphedema in women with BC. Modifiable risk factors of BCRL such as non-guided moderate to severe physical activity, high BMI and trauma to the limb should be controlled as early as possible in BC patients to prevent development of BCRL and improve QOL of these patients.

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        Effect of CO2-laser irradiation on properties and performance of thin-film composite polyamide reverse osmosis membrane

        Seyyed Abbas Mousavi,Foad Jahangiri,Fathollah Farhadi,Vahid Vatanpour,Behnam Sabzi,Zeinab Chenari 한국화학공학회 2016 Korean Journal of Chemical Engineering Vol.33 No.3

        CO2-laser irradiation was used to modify the surface properties of thin-film composite (TFC) polyamide reverse osmosis (RO) membranes. These membranes were first synthesized via interfacial polymerization of m-phenylenediamine (MPD) monomers and trimesoyl chloride (TMC) over porous polysulfone ultrafiltration support, followed by a CO2-irradiation. AFM, ATR-FTIR, SEM and contact angle measurements were used to characterize the surface properties of these membranes. The ATR-FTIR results indicated that CO2-laser irradiation did not induce any functional groups on the membrane surface. However, it was found that the laser irradiation enhanced the NaCl salt rejection and slightly reduced the permeate flux. Moreover, the maintenance of the flux in modified membranes was much higher than untreated ones. Specially, after 180 min of filtration, the reduction in initial flux for the unmodified membranes was 22%. However, the reduction in initial flux for the modified membranes was less than 5%. Bovine serum albumin (BSA) filtration revealed an improvement in the antifouling properties of the modified membranes. The changes in the membrane surface morphology showed that the roughness of membrane surface is reduced significantly.

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