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Publisher: Mary Ann Liebert, incScopus Q: Q2

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    Citation - WoS: 12
    The Role of Patient Awareness and Knowledge in Developing Secondary Lymphedema After Breast and Gynecologic Cancer Surgery
    (Mary Ann Liebert, inc, 2020) Pervane Vural, Secil; Ayhan, Fikriye Figen; Soran, Atilla
    Background:This study aimed to compare the effects of awareness and knowledge on demographic and clinical factors in patients with breast cancer-related lymphedema (BCRL) and gynecologic cancer-related lymphedema (GCRL) in the oncologic rehabilitation setting. Methods and Results:A total of 506 female patients with upper or lower extremity lymphedema, were evaluated for lymphedema education in their postoperative period. Only 74 survivors (25%) with BCRL and 34 survivors (16.83%) with GCRL reported that they had received information about lymphedema by physicians/primary health care providers. In breast cancer survivors, the time of diagnostic delay for lymphedema was shorter in the informed group (p < 0.001), and there was a higher rate of cellulite attacks in uninformed patients (p = 0.021). Duration between surgery and lymphedema was longer and duration of diagnostic delay for lymphedema was shorter in the informed group than uninformed group in gynecologic cancer survivors (p = 0.019,p < 0.001). There was a higher rate of cellulite history in the uninformed patients than informed patients in gynecologic cancer survivors (p < 0.001). In gynecologic cancer survivors who were educated about lymphedema were at an earlier stage than noneducated patients (p = 0.024). Conclusion:The rate of awareness about lymphedema among patients with a history of surgery for gynecologic malignancies is lower compared with those for breast cancer. In female cancer survivors, awareness and knowledge about lymphedema may lead to a later onset of lymphedema, lower lymphedema grades, and fewer infection.
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    Citation - WoS: 3
    Citation - Scopus: 3
    Comparative Performance Study of Acidic Pumice and Basic Pumice Inclusions for Acrylonitrile-Butadiene Composite Filaments
    (Mary Ann Liebert, inc, 2024) Tayfun, Umit; Tirkes, Seha; Dogan, Mehmet; Tirkes, Suha; Zahmakiran, Mehmet
    This study aims to evaluate the effective use of porous pumice powder as an additive in acrylonitrile-butadiene-styrene (ABS)-based composite materials. The influence of pumice addition on mechanical, thermomechanical, thermal, and physical properties of ABS filaments was reported. Two types of pumice, namely acidic pumice (AP) and basic pumice (BP), were melt compounded with ABS at loading levels of 5%, 10%, 15%, and 20% by weight using the melt extrusion preparation method. Composites were shaped into dog bone test specimens by the injection molding process. The physical properties of pumice powders were investigated by particle size analysis and X-ray spectroscopy techniques. Mechanical, thermomechanical, thermal, melt flow, and morphological behaviors of ABS/AP and ABS/BP composite filaments were proposed. According to test results, pumice addition led to an increase in the mechanical response of ABS up to a filling ratio of 10%. Further inclusion of pumice caused sharp reduction due to the possible agglomeration of pumice particles. Composites filled with AP yielded remarkably higher mechanical performance in terms of tensile, impact, and hardness strength compared with BP-loaded composites. According to thermal analyses, ABS exhibited higher thermal stability after incorporation of AP and BP. Pumice addition also resulted in raising the glass transition temperature of ABS. Melt flow index (MFI) findings revealed that addition of two types of pumice led to an opposite trend in the melt flow behavior of ABS filaments. Homogeneous dispersion of pumice particles into the ABS matrix when adding low amounts, as well as reduction in dispersion homogeneity with high amounts, of AP and BP was confirmed by scanning electron microscopy (SEM) micrographs.
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    Citation - WoS: 8
    Limprint Study: the Turkish Experience
    (Mary Ann Liebert, inc, 2019) Borman, Pinar; Moffatt, Christine; Murray, Susie; Yaman, Aysegul; Denizli, Merve; Dalyan, Meltem; Donmez, Ayse Arikan
    Background: Lymphedema and chronic edema is a major health care problem in both developed and nondeveloped countries The Lymphoedema Impact and Prevelance - International (LIMPRINT) study is an international health service-based study to determine the prevalence and functional impact in adult populations of member countries of the International Lymphoedema Framework (ILF). Methods and Results: A total of 1051 patients from eight centers in Turkey were recruited using the LIMPRINT study protocol. Data were collected using the core and module tools that assess the demographic and clinical properties as well as disability and quality of life (QoL). Most of the Turkish patients were recruited from specialist lymphedema services and were found to be women, housewives, and having secondary lymphedema because of cancer treatment. The duration of lymphedema was commonly <5 years and most of them had International Society of Lymphology (ISL) grade 2 lymphedema. Cellulitis, infection, and wounds were uncommon. The majority of patients did not get any treatment or advice before. Most of the patients had impaired QoL and decreased functionality, but psychological support was neglected. Although most had social health security access to lymphedema centers, nevertheless access seemed difficult because of distance and cost. Conclusion: The study has shown the current status and characteristics of lymphedema patients, treatment conditions, the unmet need for the diagnosis and treatment, as well as burden of the disease in both patients and families in Turkey. National health policies are needed for the prevention, diagnosis, and treatment in Turkey that utilize this informative data.