Calidad de vida en pacientes con diabetes mellitus controlados en Hospital Galvarino, Servicio de Salud Araucania Sur / Quality of life of patients with diabetes mellitus controlled at the Galvarino Hospital, Health Service of Araucania South

Diabetes mellitus is a chronic disease with an increasing prevalence and a raised life expectancy of patients.Since it is a disease presenting with multiple complications during its evolution special emphasis should be given to ever greather efforts for improving quality of life of the patients.A sample of 50 persons comprising 50 per cent of the diabetic population controlled by the Cardiovascular Programme of the Galvarino Hospital were studied, including a survey to assess their quality of life. Results showed that 100 per cent of the patients had one associated pathology, high blood pressure being the most frequent; 72 per cent were obese while a high percentage showed a deficient metabolic control. 71 per cent had a poorly compensated diabetes and 85 per cent presented high tensional figures at the time of assessment.A Cause of special concern is that none of the patients had a recent eye examination nor a fundoscopy.The above results show the ineffectiveness of the Cardiovascular Health Programme developed by the municipality of Galvarino as well as the absence of basic tools to carry out a proper assessment of diabetic patients.

Priapismo como manifestación de leucemia mieloide cronica / Priapism as a sign of chronic myeloid leukaemia

En base a un caso clínico se realiza una revisión bibliográfica acerca de las recomendaciones formuladas en el diagnóstico y manejo de los pacientes con priapismo. Se describe lo fundamental en lo que respecta a la distinción entre un priapismo de alto o bajo flujo y al tratamiento de instauración precoz a fin de optimizar el pronóstico de potencia sexual a largo plazo. En la revisión de la literatura, destaca el escaso número de casos descritos por lo que aún se requiere mayor experiencia y seguimiento para definir y precisar el mejor protocolo terapÚutico en pacientes leucÚmicos con priapismo. Se insiste en la importancia de una historia clínica exhaustiva con el propósito de distinguir factores etiológicos y la utilidad del hemograma como herramienta económica en el diagnóstico diferencial.