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    Clinical Characteristics of and Services Provided for Patients with Lymphedema Referred to a Physiotherapy Program During the Years 2009 Through 2019
    (Mary Ann Liebert, Inc, 2021) Keser, Ilke; Ozdemir, Kadirhan; Erturk, Burak; Haspolat, Miray; Duman Ozkan, Tugce; Cam, Yagmur; Sakizli Erdal, Elif
    Background: Lymphedema is a chronic and progressive disease whose diagnosis involves determination of clinical and demographic characteristics. The aim of this retrospective study was to analyze the clinical characteristics of patients with lymphedema and their various diagnoses. We studied patients who were referred for physiotherapy services at any point during the years 2009 through 2019. Methods: Retrospective data were collected from the files of 430 lymphedema patients. The type, cause, localization, stage, and severity of lymphedema and physiotherapy needs were analyzed and reported. Results: Primary and secondary lymphedema were observed in 18 (4.2%) and 412 (95.8%) patients, respectively. The patients' mean body mass index score was 30.66 kg/m(2). The data indicated that the most common cause of secondary lymphedema was breast cancer and its treatments (n = 196, 47.6%). Other causes were chronic venous insufficiency (CVI) (n = 140, 34%), lipolymphedema (n = 11, 2.7%), and other types of cancers (n = 65, 15.7%). According to the affected body regions, 416 patients had unilateral/bilateral upper and lower extremity lymphedema and 14 had head and neck lymphedema. The patients were followed with a home-based physiotherapy program (n = 353, 82.1%) or they underwent treatments through an outpatient program (n = 77, 17.9%). Conclusions: Most patients admitted to the clinic had a diagnosis of breast cancer and CVI. The severity and stages of lymphedema were variable. The data indicated that most patients were followed through a home-based physiotherapy program. These results may set a frame for understanding the treatment and care needs of patients with lymphedema.
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    THE AWARENESS OF HEALTHY INDIVIDUALS ABOUT ATTRIBUTABLE RISK FACTORS OF CANCER
    (Dokuz Eylul Univ Inst Health Sciences, 2023) Keser, Ilke; ozdemir, Kadirhan; Berguz, Hilal Utkan; Uysal, Songul Atasavun; Suner-Keklik, Sinem; Yentur, Songuel Baglan; Aras, Mukaddes
    Purpose: This study aimed to determine the awareness of healthy individuals about the attributable risk factors of cancer and investigate the consistency of their ideas.Material and Methods: A review of relevant literature was undertaken to assemble a list of possible causes of cancer. Seventy-six healthy individuals were interviewed. Individuals were asked to declare their opinion by scoring the potential 15 cancer risk factors between 0-4. One week later, the opinions were retaken to evaluate intra-rater reliability.Results: Individuals mostly agreed with the attributable risk factors including nuclear accident (96.0%), smoking (94.8%), stress (93.5%), having a family history of cancer (92.1%), alcohol (90.8%), air pollution (86.8%), plastic (84.2%), mobile phone use (79.0%), washing agents (77.7%), sunlight exposure (69.77%), occupational exposure (67.1%), being overweight (63.1%), infection (57.9%), fatigue (54.0%), except age (34.2%). All risk factors had significant intra-rater consistencies in different levels (fair to perfect) between the two-time points (p<0.05).Conclusion: It was determined that 14 out of the 15 risk factors carried a cancer risk according to the individuals. The formation of sufficient awareness and acceptance of risk factors has revealed the necessity of raising awareness in the fight against cancer.