[Relationship between diabetes mellitus type 2 and depression]

Relation between diabetes and depression is bidirectional. Diabetics are at higher risk for developing depression, which is a risk factor for the onset of type 2 diabetes and its complications. We will illustrate these links through the cases of two patients. The first patient had a major depressive episode that has resisted treatment, and in whom the management of a discovered diabetes has improved the depressive symptoms. The second patient suffered from diabetic complications stabilized after treatment of a neglected depression. Several factors favor the occurrence of depression in diabetic patients: the low socioeconomic and education level, loneliness, stress, high levels of glycated hemoglobin and the presence of diabetic complications, especially neuropathic ones. Furthermore, depression can lead to eating disorders and sedentary lifestyle, favoring the development of obesity and type 2 diabetes; depression is also accompanied by biological changes that may increase vulnerability to diabetes. Therapeutic response to antidepressants is probably lower in diabetics

[Telemedicine: evolution of a concept]

Being a medical practice in distance, it can be defined as a form of cooperation in medical practice, linking them remotely, thanks to information technology and communication, a patient and a or more physicians and healthcare professional for medical diagnosis, decision-making, care and treatment in accordance with the rules of medical ethics. Currently, she is the right solution for access to health care in countries with large geographical and situations of isolation or technical skills. There are several forms such as teleconsultation, telemonitoring, telesurgery, the teleconference, distance learning and tele-expertise. Interests of telemedicine are many: high efficiency: speed of decision, a better organization of care, limiting patient transfers and travel medical teams; accessibility of care regardless of location, and a reduction the costs related to health. In practice, it is in the theater she found her first indications particularly telecare surgical field, the most advanced in the field of medicine forward. The example of satellite transmission between five buildings French Navy, Southern and military Teaching Hospital [HIA] Saint Anne in Toulon digitized radiographs using military means of communication is one example. The ultimate development of this hotline will teleoperation that consists of performing Remote surgery [also known as telesurgery] using a robot

[Psycho-socio-pathological aspects of ulcerative colitis]

Ulcerative colitis is a chronic, severe and disabling disease whose etiology remains unclear. Studies are controversial regarding the role of psychopathological factors in its onset and evolution. psychiatrists have studied this disease for a long time. First, through the psychosomatic and psychoanalytic approaches, and then, with the development of neuro-physiology and the concept of stress. Thus, authors have described a number of characteristics in those patients, including the alexithymic dimension of personality; others have emphasized the role of stress and psycho-neuro-endocrine regulation mechanisms. Ulcerative colitis has also been linked with a higher incidence of psychiatric disorders, including anxiety and depression. But only the findings on the psychosocial impact of this disease are universally accepted. The development of psychosocial interventions aiming at ameliorating the quality of life of patients has also improved the prognosis of this disease