Dysfonction érectile et diabète : fréquence et profil clinique à partir de 200 observations

Purpose

Erectile dysfunction is one of the most frequent complications in diabetes and also the most often under diagnosed. We report the prevalence of erectile dysfunction in 200 diabetic patients.

Patients and methods

Prevalence was estimated by the French version of the International Index of Erectile Function 5 (IIEF5).

Results

146 patients were included. Erectile dysfunction concerned 74 patients; a severe form was observed in 21.6%, a moderate in 37.8% and a mild one in 40.6%. The patients who presented erectile dysfunction were significantly older and displayed longer duration of diabetes.

Conclusion

Erectile dysfunction is frequent and severe among diabetic patients. The medical staff plays an essential role to initiate early diagnosis, promote psychological support and provide medication, when possible.     

Diabète des riches,diabète des pauvres. Le diabète comme révélateur de nouveaux risques et inégalités de santé au Sénégal

This paper's objective is to show how diabetes is the place of polarization of new uncertainties in Senegal and also to highlight how this “disease of modernity” is the source of pronounced health inequalities in urban and rural Senegalese areas.     

La thérapie cellulaire du diabète de type 1. Situation actuelle et perspective

Nowadays human pancreatic islet transplantation is a therapeutic approach in kidney transplanted patients with type 1 diabetes having severe macrovascular disease. Because of its low morbidity compared to pancreas transplantation, islet transplantation can be also proposed to patients with brittle type 1 diabetes and severe hypoglycemic events despite intensive insulin therapy. Evaluation of glucose instability is crucial for the optimal selection of candidates and to assess the benefit/risk ratio. The main objective of islet transplantation is not to reverse diabetes but to restore a satisfactory glucose control aiming to improve the clinical management and the quality of life. Further clinical trials with new immunosuppressive drugs are needed in order to improve the efficiency of islet transplantation and to apply this treatment to a large number of patients.     

Un ‘test d'induction de micronoyau’ sur Allium sativum; differentiation de substances clastogènes et mitoclasiques

A rapid and simple test was developed on root tips of Allium sativum. A comparison of diameters of micronuclei induced by clastogens and by spindle poisons has permitted a differentiation of the two types of substance.