Background
As a result of technological developments in healthcare services, telemedicine is becoming widespread. We aimed to determine the effect of COVID-19 on Turkish medical oncologists’ opinions of telemedicine through a survey.
Methods
This study was conducted using an online questionnaire linked to an invitation e-mail sent to the members of the Turkish Medical Oncology Association mailing group between May and July 2020.
Results
Of the 110 (73 males and 37 females) medical oncologists who answered the questionnaire, the average age was 43.9 ± 7.29 (range: 31–64) years, and the majority of the respondents were academics. The most commonly used telemedicine method was store and forward (69.7%). Telemedicine use during clinical visits and multidisciplinary councils increased significantly during the COVID-19 pandemic (
p
< 0.001 in both cases).
Conclusion
The use of telemedicine increased during the COVID-19 pandemic, and the pandemic has led oncologists to view telemedicine more positively.
Background:
Exenatide is a glucagon-like peptide-1 (GLP-1) analogs. The effects of GLP-1 analogs on myocardial function are controversial.
Aims:
The purpose of this study is to compare the effects of exenatide and insulin glargine on subclinical right and left ventricular dysfunction.
Methods and Material:
In this study, 27 patients with type 2 diabetes were randomized into exenatide and insulin glargine treatment groups. The patients were monitored for six months by conventional echocardiography (ECHO) and 2D-speckle-tracking echocardiography (2D-STE) to evaluate right and left ventricular functions.
Results:
ECHO parameters did not change significantly pre- and post-treatment, except for the tricuspid annular plane systolic excursion (TAPSE) values. Post-treatment TAPSE values significantly increased in both groups compared to pre-treatment values. In the insulin group, values for 2D-STE parameters of the left ventricular global longitudinal strain (LVGLS) based on apical long-axis (ALA) images increased significantly (p: 0.047) compared to pre-treatment values; however, apical 4-chamber (A4C), apical 2-chamber (A2C), LVGLS, and right ventricular global longitudinal strain (RVGLS) values did not change. In the exenatide group, LVGLS based on A4C values improved (p: 0.048), while ALA, A2C, and LVGLS values did not change. Moreover, the RVGLS values improved significantly after exenatide treatment (p: 0.002). Based on 2D-STE parameters the two treatments did not differ statistically in either pre- or post-treatment periods.
Conclusions:
Glp-1 treatment can improve left ventricular regional and right ventricular global subclinical dysfunction. Therefore, early GLP-1 treatment may be recommended in diabetic patients with a high risk of cardiac dysfunction.
p< 0.01), n-6/n-3 (p¼0.042) as compared with locoregional CRC, was noted for patients with liver metastases. ROC curve was plotted for the panel of metabolites to demonstrate the ability to predict the presence of liver metastases or locoregional CRC. The area under the ROC curve was 0.90 with a sensitivity of 0.79 and a specificity of 0.89. We found the list of metabolites capable of identifying differences between patients with liver metastases and extrahepatic metastases: serum levels of myristic acid (C14:0), linoleic acid (C18:2;n-6), phenylalanine, threonine were lower and glutamine, glucose, butanoic acid, histidine, and mannose were more abundant in extrahepatic metastases in comparison with patients with liver metastases (p< 0,01-0,05). In erythrocyte membranes the decreased content of C12:
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.