The drive and the experience of the diabetic adolescent have been extensively discussed, but not enough the one of the death drive in teenagers suffering from diabetes. Some researchers have addressed this issue raising the expression of suffering and the role of caregivers in caring for the person with diabetes. The refusal to be treated is due to the fact that diabetes unlike other chronic diseases requires daily injections, adherence to a diet and control of blood sugar every day. We are interested in the teenager who is invaded by the death drive due to the imprint of diabetes on his adolescence thereby weakening his psyche. The main goal is to understand the experiences of non-compliant adolescents living with diabetes. To achieve this, we used the clinical method and the clinical interviews have been done at the Central Hospital of Yaoundé from three participants. These interviews have been treated through a content analysis and the findings show that diabetes sound on the psyche of the teenager. So, this disease cause suffering, pain related to daily injections that grow some adolescents with non-therapeutic compliance and even refusal to seek treatment. Thus, this disease destroys the body of the adolescent, limits his pleasures, disintegrates his body, makes him suffer. Indeed, it damages the body of the adolescent, destroys it for the sole purpose of annihilating it. All these difficulties related to the disease in adolescence weaken his psyche and develop in him the death drive. This allowed us to the deadly trends in the adolescent who suffers because of his posture of chronic patient as well as all the restrictions imposed by the disease to adolescence weakening his psyche that could lead to an uncertain death.

Herein, an otherwise healthy 63-year-old Caucasian woman with a three month-history of progressive symmetrical swelling and of the fingers, lumbal and abdominal pain, proximal muscle weakness, and heliotropic rash resembling V- neck, histologically verified as multicentric reticulohistiocytosis (MRH), is presented. Multiple computer tomography scans failed to detect ovarian cancer despite elevated Ca 125, however, it was verified six months later by magnetic resonance investigation. Multicentric reticulohistocytosis (MRH) is a rare systematic disease that targets skin, mucoses and synovium, resulting in skin nodules, mucosal lesions and deforming painful mutilating polyarthritis. Twenty – five percent of all patients are associated with internal malignancies, hence, MRH paraneoplastic nature remains extremely controversial. Our case showed a peculiar dermatomyositis-like clinical subtype, which we consider suggestive for verification of an underlying malignancy.

Background: The correlation between internet addiction and depression has already been reported in several studies as a debatable issue. Objective: To evaluate the relationship between depression and internet addiction among medical students, Materials and methods: A total of 260 medical students across all curricular years were conveniently sampled from the population of 1309 were administered a closed-questioned questionnaire with demographic information and young’s internet addiction test and the use of Patient Health Questionnaire-9. Results: the prevalence of depression was found to be 47.3% and showed preponderance in females and fresh year students while internet addiction did not show correlation with sex but correlated to curricular year. Conclusion: this study has shown that there is a significant correlation between depression and internet addiction both of which medical students are liable to, with both correlating to fresh year students and depression being more in females, it’s also important to screen people with internet addiction for depression

Background: Among the modalities of asynchronous telemedicine used in Colombia, there exists the teleconcepto, through which a medical response from a specialist is provided within certain time. Currently, there is no data about the characteristics of teleconceptos directed to the pulmonology service. Methods: A cross-sectional study was carried out to identify the characteristics of teleconceptos aimed at pulmonology. Data was obtained from the clinical record of each teleconcepto, taking into account date and time of the request, vital signs, ICD-10 diagnosis, present illness, and the reason for consultation, as well as date and time of response from pulmonology and type of recommendation, either a diagnosis or a treatment. Subsequently, the frequency and the percentage of the qualitative, quantitative, average and standard deviation variables were described. Results: 766 teleconceptos were studied, the mean age was 60 years. The cities with the highest number of requests were Ibague (7.4%) and Bogotá (7.3%). Mainly reported symptoms in the present illness were dyspnea (47%) and coughing (44.1%); the main preceding condition associated with pulmonary pathology was chronic obstructive pulmonary disease (COPD) (31.6%). Conclusions: Coughing and dyspnea were the most frequently found symptoms in the patients referred to pulmonology by teleconcepto and COPD was the preceeding condition which was most frequently associated with pulmonary pathology. On the other hand, spirometry and flow-volume curve were the most requested tests by the physician and the pulmonologist. Finally, the average time in hours from the request to the teleconcepto response was 9.1 hours.

Congenital neck lesions (CNL) are commonly seen in children. Due to different presentations and complications after surgical treatment, a through knowledge of regional anatomy is paramount in the management of these children. In this study it is aimed to review the frequently encountered surgical complications during and following surgical treatment of children with special reference to thyroglossal duct remnants, branchial cleft anomalies and dermoid cysts.