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Background: Epilepsy is a common disorder with co-morbidities. It affects physical, emotional, psychological, social, financial and cognitive functioning of the patients. Identification and management of psychosocial problems are important in holistic treatment of epilepsy. There is paucity of literature in psychosocial functioning in epilepsy. Aim: To find out the occurrence of psychosocial problems in patients with epilepsy. Materials and methods: One hundred consecutive patients attending the OPD of Internal Medicine were evaluated with a questionnaire subserving seven domains of psychosocial functioning with inclusion and exclusion criteria. Results: The occurrence of depression, emotional instability, inter personal relationship and vocational difficulties were higher in patients with epilepsy. Conclusion: Psychosocial co-morbidities are higher in patients with epilepsy and are likely to be missed unless carefully evaluated. [ABSTRACT FROM AUTHOR]

Superior Mesenteric Artery (SMA) syndrome (known as Wilkie's syndrome) is a rare cause of upper gastrointestinal obstruction. It is an acquired disorder, causes compression of the third part of the duodenum between the SMA and the aorta, due to loss of fatty tissue as a result of a variety of debilitating conditions. We report a case of 18 year old female presented with history of intermittent abdominal pain, vomiting of 6 months duration followed by significant weight loss for which she is hospitalized. Patient underwent extensive invasive and non-invasive tests, thereafter revealed her diagnosis. This case emphasizes the challenges in the diagnosis of SMA syndrome and the need for increased awareness of this entity. [ABSTRACT FROM AUTHOR]

Observational studies indicate that pleural effusion has an association with risk and the clinical prognosis of COVID-19 disease; however, the available literature on this area is inconsistent. The objective of this systematic review and meta-analysis is to evaluate the correlation between COVID-19 disease and pleural effusion. A rigorous literature search was conducted using multiple databases. All eligible observational studies were included from around the globe. The pooled prevalence and associated 95% confidence interval (CI) were calculated using the random effect model. Mantel-Haenszel odds ratios were produced to report overall effect size using random effect models for severity and mortality outcomes. Funnel plots, Egger regression tests, and Begg-Mazumdar's rank correlation test were used to appraise publication bias. Data from 23 studies including 6234 COVID-19 patients was obtained. The overall prevalence of pleural effusion in COVID-19 patients was 9.55% (95% CI, I² = 92%). Our findings also indicated that the presence of pleural effusions associated with increased risk of severity of disease(OR = 5.08, 95% CI 3.14-8.22, I2 = 77.4%) and mortality due to illness(OR = 4.53, 95% CI 2.16-9.49, I² = 66%) compared with patients without pleural effusion. Sensitivity analyses illustrated a similar effect size while decreasing the heterogeneity. No significant publication bias was evident in the meta-analysis. The presence of pleural effusion can assist as a prognostic factor to evaluate the risk of worse outcomes in COVID-19 patients hence, it is recommended that hospitalized COVID-19 patients with pleural effusion should be managed on an early basis. [ABSTRACT FROM AUTHOR]

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El artículo presenta una introducción al tema central del número, que es la relación entre la enfermedad periodontal y la no bucal, y nota los artículos publicados en el número, entre ellos artículos sobre las relaciones del osteoporosis, el cáncer y la obesidad con la enfermedad periodontal.

El artículo discurre sobre la decisión jurídica de la desnacionalización de dominicanos de ascendencia haitiana. Las autoras comentan sobre el rol del Tribunal Constitucional de la República Dominicana en esta declaración. También se consideran las condiciones sociales experimentadas por este grupo de personas a consecuencia de esta sentencia.

El artículo explora las lesiones osteocondrales del astrálago. Estas lesiones son poco frecuentes y secundarias a traumatismos previos del tobillo. Se menciona que el correcto diagnóstico de estas lesiones es importante a causa de su limitada capacidad de reparación. Aunque la radiografía es utilizada como una herramienta diagnóstica, la resonancia magnética también es usada. El artículo discute los avances recientes en cuanto a los injertos osteocondrales.