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OBJECTIVE: To measure health-related quality of life (HRQoL) in homebound elderly individuals in the District of San Blas (Alicante, Spain). METHOD: The sample was composed of 107 people aged more than 75 years old included in the home care program. As a measurement instrument, the Spanish version of COOP/WONCA charts in their complete version were used. RESULTS: The mean age was 83.18 years. Distribution by sex was 76 (71%) women and 31 (29%) men. The mean overall score was 29.7 points with a standard deviation of 5.04. The association between age and total score was 0.19, which was statistically significant (p = 0.045). Comparison of these two means with Student's t-test for independent samples showed no statistically significant differences (t = -580; p > 0.05). When differences between men and women in each of the items of the scale were analyzed, only "social activities" showed a statistically significant difference (t = -2.959; p = 0.04). The time taken to administer the questionnaire was 30 +/- 5 min. CONCLUSIONS: HRQoL in our population is worse than that in other studied populations. Due to the ceiling-floor effect of some of the variables, further studies in this type of population are required. The time used in this type of population to complete the questionnaire was five times greater than that used in other populations.

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Objetivo. Medir la calidad de vida relacionada con la salud en personas mayores confinadas en el domicilio en el Barrio de San Blas de Alicante. Método. La muestra estuvo compuesta por 107 personas mayores de 75 años incluidas en el programa de atención domiciliaria. Como instrumento de medida se utilizó la versión española de las láminas COOP/WONCA en su versión completa. Resultados. La edad media fue de 83,18 años. La distribución por sexo fue de 76 (71%) mujeres y 31 (29%) varones. La puntuación global media fue de 29,7 con una desviación estándar de 5,04. La asociación entre la edad y la puntuación total fue de 0,19, estadísticamente significativa (p = 0,045). Al comparar estas 2 medias con la prueba t de Student de muestras independientes no resultaron estadísticamente significativas (t = ­580; p > 0,05). En cuanto a la diferencia de varones y mujeres en cada uno de los ítems de la escala tan sólo las "actividades sociales" mostraron diferencia estadísticamente significativa entre varones y mujeres (t = ­2,959; p = 0,04). El tiempo empleado para realizar la encuesta fue de 30 ± 5 min. Conclusiones. La calidad de vida de nuestra población es peor que la de otras poblaciones estudiadas. Debido al efecto suelo-techo de algunas de las variables sería necesario realizar más estudios en este tipo de población. El tiempo empleado en este tipo de población para cumplimentar el cuestionario ha sido 5 veces superior que el empleado en otras poblaciones

Objective. To measure health-related quality of life (HRQoL) in homebound elderly individuals in the District of San Blas (Alicante, Spain). Method. The sample was composed of 107 people aged more than 75 years old included in the home care program. As a measurement instrument, the Spanish version of COOP/WONCA charts in their complete version were used. Results. The mean age was 83.18 years. Distribution by sex was 76 (71%) women and 31 (29%) men. The mean overall score was 29.7 points with a standard deviation of 5.04. The association between age and total score was 0.19, which was statistically significant (p = 0.045). Comparison of these two means with Student's t-test for independent samples showed no statistically significant differences (t = ­580; p > 0.05). When differences between men and women in each of the items of the scale were analyzed, only "social activities" showed a statistically significant difference (t = ­2.959; p = 0.04). The time taken to administer the questionnaire was 30 ± 5 min. Conclusions. HRQoL in our population is worse than that in other studied populations. Due to the ceiling-floor effect of some of the variables, further studies in this type of population are required. The time used in this type of population to complete the questionnaire was five times greater than that used in other populations

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FUNDAMENTO: El objetivo del presente estudio es evaluar la eficacia diagnóstica de la tomografía computarizada helicoidal no contrastada (TCHNC) en el diagnóstico del dolor lumbar agudo. MÉTODOS: Se trata de un estudio prospectivo en el que se evalúan 82 pacientes adultos que consultaron por dolor lumbar agudo entre enero de 1999 y junio de 2000. Se realizó radiografía simple de abdomen en 78 casos, ecografía abdominal en 73, y TCHNC en 46 pacientes. RESULTADOS: La radiografía simple detectó el 49,1 por ciento de las litiasis existentes. La ecografía mostró una sensibilidad para la localización de la litiasis del 48%, y una especificidad del 96%. La TCHNC mostró una sensibilidad del 100% y especificidad del 84% en el diagnóstico de la litiasis, permitiendo además el diagnóstico de otras patologías en 11 casos. CONCLUSIONES: La TCHNC es una técnica radiológica muy eficaz en el diagnóstico del dolor lumbar agudo. En nuestro centro la consideramos la técnica de elección en la evaluación inicial de los pacientes que consultan por dolor lumbar agudo al permitir, no sólo la localización de la litiasis urinaria cuando se trate de esta etiología, sino que además diagnosticar otras patologías abdominopélvicas (AU)

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OBJECTIVE: Evaluation the diagnostic ability of unenhanced helical computed tomography in the evaluation of patients with acute flank pain. PATIENTS AND METHODS: Prospectively evaluation of 82 patients referred for acute flank pain between january 1999 and june 2000. 78 patients were imaged with, 73 abdominal ultrasound and 46 with TCHNC. RESULTS: Plain radiography shows 49.1% of diagnosed lithiasis. Ultrasound was 48% sensitive and 96% specific. TCHNC was 100% sensitive and 84% specific in the diagnosis of lithiasis, allowing in 11 patients a diagnosis unrelated to stone disease. CONCLUSIONS: TCHNC is a valuable radiologic technique for patients presenting with acute flank pain and consider the TCHNC as initial evaluation technique in patients with acute flank pain, allowing not only the localization of the stone as well as the diagnosis of extraurinary pathologies.

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OBJECTIVES: Human papillomavirus (HPV) genital infection is a sexually transmitted disease that appears to be involved in the pathogenesis of various tumors of the genitourinary system, especially carcinoma of the uterine cervix. Diagnosis and treatment of sexual partners of female carriers is fundamental in preventing reinfection after treatment. METHODS: A prospective study was conducted on 118 male partners of females diagnosed as having HPV infection by cytology and, in some cases, dysplasia or carcinoma in situ of the cervix. RESULTS: Patient mean age was 38.5 years; 40 had a history of other sexually transmitted diseases. Peneoscopy was performed in all cases, 44 were biopsied and 47 had a urethral cytology. The infection rate was 55%. Peneoscopy and biopsy were the best diagnostic methods. CONCLUSIONS: HPV infection in male partners of female carriers can be diagnosed by peneoscopy and biopsy of the suspected lesions. Treatment and complete eradication of the infection are fundamental since HPV has been implicated in the pathogenesis of carcinoma of the cervix and other urogenital tumors.

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A case is presented of renopleural fistula secondary to xantogranulomatous pyelonephritis in an 18-year-old female patient. Although the renopleural communication was not observed radiologically, concomitant clinical signs, bacteriological isolation of E. coli in renal and pleural content and surgical findings, confirmed the existence of such fistula.

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The authors present the results from a retrospective study conducted on 42 patients with Peyronie's disease. For each case, all possible etiological factors were investigated, such as family history, history of trauma, history of other collagenoses, of diabetes, and so on. These studies yielded results comparable to published data. Calcifications within the plaques were found on simple X-ray films in 10.8% of cases. Out of 20 radiological examinations of the corpora cavernosa that were performed, 80% demonstrated pathological processes. It was possible, in some of the cases, to measure echographically the plaque widths, while autophotography was useful in a small number of cases. We were more particularly concerned with sexual dysfunction, impotence, and premature ejaculation, which could be observed in 14 patients.

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