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    DIAGNOSTIC COMPARABILITY OF RATIO OF TISSUE DIELECTRIC CONSTANT (TDC) BETWEEN PATIENTS WITH LIPEDEMA AND THOSE WITH LOWER LIMB LYMPHEDEMA (LLL): A PROSPECTIVE OBSERVATIONAL STUDY
    (Lymphology, 2023) Tugral, A.; Bakar, Y.
    Lipedema is usually thought of as a dis-ease of women. Potentially diagnostic comparative data is needed between patients with lip-edema and those with lower limb lymphedema (LLL). Since there is no gold standard to diag-nose lipedema, some promising modalities such as Tissue Dielectric Constant (TDC) need to be investigated among patients with lipedema and lymphedema. This study was completed with a total of 26 patients (14 lipedema, 12 LLL). Local tissue water was assessed with Moisture MeterD compact (DelfinTech, Kuopio, Fin-land) according to the TDC method at 300 MHz within a 2.5 mm tissue penetration depth via the following reference points: Thigh, calf (20 cm upper and lower point of knee level, respectively), and malleoli (5 cm upper point of medial malleolus). Patients with LLL showed significantly higher TDC values and interlimb TDC ratios in all affected points and unaffect-ed malleolus points compared to patients with lipedema. No significant difference wasachieved between genders with LLL in all ref-erence points. The area under the curve (AUC) for thigh, calf, and malleolus reference points were found as 0.851 (95%CI .678-1.00), 0.801 (95% CI 0.612-0.989) and 0.786 (95%CI 0.596-0.976), respectively. Patients with LLL showed significantly higher TDC values compared to patients with lipedema, these differences should be carefully interpreted in patients with bilateral LLL and those with lipo-lymphedema
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    Öğe
    A new era of seeking knowledge for #lymphedema on social media : a detailed instagram hashtag analysis
    (Lymphology, 2021) Tugral, A.; Eliiyi, U.; Ozdemir, K.; Ergin, G.; Bakar, Y.
    Instagram is one ofthe most active social media platforms with over a billion users worldwide. Since the importance ofeducation on lymphedema has been established due to the chronic nature of the disease, seeking knowledge attracts much attention not only clinically but also on socialplatforms such as Listagram& Our aim was to examine content by analyzingposts tagged with hashtags on Instagram@ related to lymphedema. Nine predefined hashtags related to lymphedema were used to search posts uploaded to Instagram via the Apify tool. Retrievedpublic posts were classified and analyzed by four researchers for their content andpost-type. We found that the vast majority ofsharing on Instagram in the context oflymphedema and its related aspects have relatively low scores for both relevancy and accuracy with a 77% irrelevancy rate. The best posts were those determined to be educational, which were found 57% relevant and correct. Medicalprofessionals should consider that disseminating true guidance and therapy carries importance for patients with lymphedema and treatment success. The ability for patients to reach knowledge via social media might also be an important aspect in reliving suffering due to lymphedema. However, our results demonstrate that Instagram might not be a goodplatform for patients to discover reliable information about lymphedema.