BackgroundThe prevalence of major depression is particularly high in medical students, affecting around one-third of this population. Moreover, online social media, in particular Facebook, is becoming an intrinsic part in the life of a growing proportion of individuals worldwide.ObjectiveOur primary objective is to identify the prevalence of depression in medical students at the Lebanese University Faculty of Medicine, a unique state university in Lebanon, its correlation with the utilization of the interactive features of Facebook, and the way students may resort to these features.MethodsStudents of the Lebanese University Faculty of Medicine were assessed for (1) depression and (2) Facebook activity. To screen for major depression, we used the Patient Health Questionnaire-9 (PHQ-9) scale. To test for Facebook activity, we developed the Facebook Resorting Questionnaire (FbRQ), which measures the degree to which students resort to Facebook.ResultsA total of 365 out of 480 students (76.0%) participated in the survey. A total of 25 students were excluded, hence 340 students were included in the final analysis. Current depression was reported in 117 students out of 340 (34.4%) and t tests showed female predominance. Moreover, PHQ-9 score multiple regression analysis showed that feeling depressed is explained 63.5% of the time by specific independent variables studied from the PHQ-9 and the FbRQ. Depression varied significantly among the different academic years (P<.001) and it peaked in the third-year students. One-way analysis of variance (ANOVA) showed that depression and resorting to Facebook had a positive and significant relationship (P=.003) and the different FbRQ categories had significant differences in resorting-to-Facebook power. The like, add friend, and check-in features students used when resorting to Facebook were significantly associated with depression.ConclusionsThis study showed that depression was highly prevalent among students of the Faculty of Medicine at the Lebanese University. Moreover, Facebook may be a promising, helpful, psychological tool for optimizing the management of depression. Our study brought to bear further questions that now prompt further observation and scrutiny to know more about the high rates of depression in this student population, more so in the part of the world studied, and to the growing role of social media.

Highlights Duodenal diverticula is mostly found incidentally and it rarely complicates by perforation. Treatment is only indicated in complicated duodenal diverticula. Micro perforation in the absence of systemic signs are better treated with conservative management. Among surgical options diverticulectomy and single layer closure was performed. Other surgical intervention could involve segmental duodenectomy or pylorus-preserving duodeno-pancreatectomy.

Despite the variations in the adopted operative techniques, the laparoscopic approach seems to be harmless. However, no treatment algorithm or consensus has been published.

Patient: Female, 29 Final Diagnosis: Choledocho-duodenal fistula Symptoms: Abdominal pain • nausea • vomiting Medication: — Clinical Procedure: Gastro-jejunostomy • hepatico-jejunostomy Specialty: Surgery Objective: Rare co-existance of disease or pathology Background: Choledochoduodenal fistula is an uncommon complication secondary to peptic ulcer disease. Determining this diagnosis is challenging especially when confronted with unspecific physical and radiological findings. Case Report: Here we report a case of a 29-year-old Ethiopian female who presented to Geitaoui University Hospital in Beirut, Lebanon with epigastric pain and was diagnosed to have of choledochoduodenal fistula. Conclusions: Choledochoduodenal fistula is a rare complication of duodenal ulcer and this case report may help clinicians to identify suspected cases of this entity with similar presentations.

Highlights Adenomyoepithelioma is a rare tumor of the breast characterized by a biphasic proliferation. Variable spectrum of behavior ranging from benign to malignant, with tendency to local recurrence. Combine sentinel lymph node dissection (SLND), with simple mastectomy. Hematogenous spread is the more common means of spread. Adjuvant chemotherapy for malignant AME cases is recommended.