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Yayın Psoriasis Treatment on Youtube: A Cross-Sectional Study(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2023) Güder, H.; Güder, S.Objective: As with every chronic disease, YouTube is increasingly heavily accessed to get information for psoriasis. It contains quality videos containing medical information; however, some content is of low quality, unscientific, misleading, and potentially harmful. We aimed to conduct this study to reveal this situation, understand the rate of non-physician practice, and develop solutions. Material and Methods: Between May 1-31, 2022, we searched the YouTube search engine by typing “psoriasis treatment” in Turkish. The number of views of the video, the number of subscribers, time of publication, duration of the video, gender and occupation of the presenter, type of YouTube channel on which the video was posted, were recorded. In the analysis of analytical statistics, the Quade test was used to eliminate the severity of the difference in the number of views and the extreme difference of skewness. Levene's test was used for homogeneity analysis. Results: The majority of the videos consisted of education-information about psoriasis treatment methods (41.6%) and specific treatment recommendations (35%). 46.2% of the video narrators were physicians (21.7% dermatologist, 24.5% non-dermatologist) 25.8% were non-physicians, and herbalists (15.4%) were the leading ones. The rate of evidence-based treatment recommendations was 24.5%, while the rate of non-evidence-based treatments was 65.7%. Conclusion: We have identified videos created by herbalists who recommend supplements containing plant extracts, which are not based on substantial evidence. There should be more videos on YouTube about psoriasis and its treatment by dermatologists who are experts in the subject. Copyright © 2023 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Yayın Social Media Usage Habits and Treatment-Seeking of Patients with Seborrheic Dermatitis: A Cross-Sectional Study(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2022) Güder, H.; Güder, S.; Taşlidere, N.Objective: We wanted to examine how often patients with seborrheic dermatitis use social media to investigate their own diseases and seek treatment options. We believe that such incurable skin diseases are often abused on social media and the internet. Material and Methods: The 2-page questionnaire was delivered to participants who were being asked to fill out a 16-question questionnaire. The demographic information of the patients, the difficulties associated with the treatment of their disease, who they trust the most, their use of social media, which social media resources they use, and the changes in the severity of their illness after social media use were questioned. Results: The most frequently used social media platform was Instagram (63.6%) and YouTube (53%). After the social media recommendations, 35.2% of the patients stated that the severity of the disease did not change. 43.9% of the patients were compatible with the treatment guideline, and 19.7% were not. 15.2% of the patients complied with the guideline but also applied non-recommended lifestyle changes. Conclusion: This study showed that the majority of patients with seborrheic dermatitis are unsatisfied with the treatment of their disease and use social media very often to investigate the treatment of their diseases. Therefore, the data to be obtained in this regard can enable professionals to use social media more effectively so as to direct patients correctly and help protect patients from inappropriate treatments and high treatment costs. Copyright © 2022 by Türkiye Klinikleri.Yayın Spinal pathologies in patients with notalgia paresthetica and positive effect of strengthening exercises on itch relief: Case series(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2021) Güder, S.; Güder, H.Objectives: Notalgia paresthetica is a subgroup of localized neuropathic chronic itch and is due to a nerve entrapment limited to the corresponding dermatome. Neuropathic itching often includes signs of sensitive skin syndrome (numbness, burning, stinging, tingling, etc.). It does not respond to antipruritic treatments used in other itchy dermatoses. The relationship between neuropathic itching and spinal pathology has been reported in many studies. Degenerative disc hernias may play a role in chronic itching localized to the back, hand, and brachioradial areas. We aimed to remind these patients we encountered in our clinical practice. Material and Methods: The files of 12 patients with notalgia paresthetica who applied to our dermatology outpatient clinic between 2016-2018 were reviewed. Diagnostic criteria are: No primary skin lesions in the affected skin area, the absence of any other itchy skin disease, detection of spinal pathology compatible with the itching area in magnetic resonance imaging, no other history of systemic disease or medication to explain itching. Results: Spinal canal stenosis, herniated nucleus pulposus, dural sac compression, and non-compressive bulging and protrusions were seen as spinal pathology. Itching completely disappeared in one of the four patients who conformed to the program, and the itch severity decreased in the other three patients. Conclusion: It should be kept in mind that itching may be of neuropathic origin in patients with localized chronic itching. Spine strengthening and stretching exercises may be a good option as primary or adjuvant therapy in neuropathic itching due to spinal pathology. Advanced clinical studies are needed. Copyright © 2021 by Türkiye Klinikleri. This is an open
