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      • Complications and Carcinogenic Effects of Mustard Gas - a Systematic Review and Meta-Analysis in Iran

        Panahi, Yunes,Gholami, Nasrin,Ghojazadeh, Morteza,Moslemi, Farnaz,Naghavi-Behzad, Mohammad,Azami-Aghdash, Saber,Ghaffari, Alireza,Piri, Reza Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.17

        Background: Catastrophic effects of mustard gas as a chemical warfare agent have always been a major problem for those exposed to this agent. In this meta-analysis it was tried to evaluate carcinogenesis, ocular, cutaneous and respiratory complications of mustard gas exposure among Iranians who had been exposed to this agent during the Iran-Iraq war. Materials and Methods: In this meta-analysis, the required data were collected using keywords "mustard gas", "sulfur mustard", "cancer", "neoplasm", "respiratory complications", "ocular complications", "lung disease", "chronic complication", "eye", "skin", "cutaneous complication", "carcinogenesis" and their combination with keywords "Iran", "Iranian", "prevalence", "mortality" and their Farsi equivalent terms from the databases of SID, Iranmedex, Magiran, Pubmed, Science Direct, Google Search engine, Gray Literature and Reference of References. To determine the prevalence of each complication and perform meta-analysis, CMA: 2 (Comprehensive Meta-Analysis) software with a randomized model was used. Results: Of the 542 articles found, 7 national articles, consistent with the aims of this study were selected. Meta-analysis of seven papers revealed that cancer risk, especially cancer of the respiratory system was elevated, so that the relative risk (RR) of cancer role of mustard gas was inconsistent from 2/1 to 4 in this survey. Also prevalence of delayed skin disorders due to sulfur mustard was 94.6%, pulmonary complications 94.5% and ocular complications 89.9%. The incidence of various cancers in victims exposed to mustard gas was 1.7% worldwide where the rate was 2.2% in Iranian victims of the Iraq-Iran war. Conclusions: Based on present study the prevalence of delayed mustard gas related cutaneous, pulmonary and ocular complications is above 90% and risk of carcinogenesis is higher in comparison to worldwide statistics. This may suggest need for long-term and persistent follow-up and rehabilitation procedures for populations exposed to this agent.

      • SCOPUSKCI등재

        Prevalence and extension of the anterior loop of the mental nerve in different populations and CBCT imaging settings: A systematic review and meta-analysis

        Hadilou, Mahdi,Gholami, Leila,Ghojazadeh, Morteza,Emadi, Naghmeh Korean Academy of Oral and Maxillofacial Radiology 2022 Imaging Science in Dentistry Vol.52 No.2

        Purpose: This study aimed to identify the prevalence and extension of the anterior loop (AL) of the mental nerve in different populations and according to different cone-beam computed tomography (CBCT) imaging settings. Materials and Methods: Medline/PubMed, Embase, Scopus, Web of Science, and ProQuest were searched. The main inclusion criterion was ALs evaluated in CBCT images. The quality of studies was assessed with the Joanna Briggs Institute risk of bias checklist. Subgroup analyses were conducted for sex, side, continent, voxel size, field of view, and type of CBCT-reconstruction images with a random-effects model. Results: Sixty-three studies with 13,743 participants (27,075 hemimandibles) were included. An AL was found in 40.6% (95% CI: 32.8%-48.9%, P<0.05) of participants and 36.0% (95% CI: 27.5%-45.5%, P<0.05) of hemimandibles, in 34.9% (95% CI: 25.1%-46.2%, P<0.05) of males and 34.5% (95% CI: 23.5%-47.4%, P<0.05) of females. The average length of ALs was 2.39 mm (95% CI: 2.07-2.70 mm, P<0.05). Their extension was 2.13 mm (95% CI: 1.54-2.73 mm, P<0.05) in males and 1.85 mm (95% CI: 1.35-2.36 mm, P<0.05) in females. Significant differences were observed regarding the prevalence and length of ALs among continents and for its measured length on different CBCT-reconstruction images, but not between other subgroups. Conclusion: AL was a relatively common finding. The voxel size and fields of view of CBCT devices were adequate for assessing AL; however, a 2-mm safety margin from anatomical structures(such as the AL) could be recommended to be considered when using CBCT imaging.

      • KCI등재

        A comprehensive study (kinetic, thermodynamic and equilibrium) of arsenic (V) adsorption using KMnO4 modified clinoptilolite

        Mohamadreza Massoudinejad,Anvar Asadi,Mehdi Vosoughi Niri,Morteza Gholami,Babak Kakavandi,Mohammad Amin Karami 한국화학공학회 2015 Korean Journal of Chemical Engineering Vol.32 No.10

        The sorption of As(V) on manganese oxide coated zeolite (MOCZ) was investigated through batch study to explore the feasibility of removing arsenic from groundwater. MOCZ was characterized by scanning electron microscopy, XRD, FTIR spectroscopy, and point of zero charge (pHPZC) measurements. The effects of process parameters such as contact time, adsorbent size, temperature and pH were investigated. Arsenic detection was carried out by atomic fluorescence spectrometer. Arsenate adsorption onto MOCZ followed the pseudo-second-order kinetic model with a correlation coefficient more than 0.99. Optimum removal of arsenate occurred within pH range of 6-10. The equilibrium data were analyzed by Langmuir, Freundlich and Dubinin-Radushkevich (D-R) isotherm models. The maximum adsorption capacity calculated from the Langmuir and D-R models was 151 and 152.8 μg g−1, respectively, at 38 oC. The activation energy of adsorption (Ea) was found to be 3.68 kj mol−1, suggesting that the adsorption process may be physical sorption. Thermodynamic parameters: ΔHo, was 1.181 kj mol−1; ΔSo, was −0.29 kj mol−1, while the values of ΔGo were −83.9, −86.7 and 89.8 kj mol−1 at 18, 28 and 38, respectively, suggesting endothermic and spontaneous process and a rise in temperature favoring the adsorption.

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