La esquizofrenia es un trastorno psiquiátrico que presenta según el DSM-IV (Diagnostic and Statistical Manual of Mental Disorders)(1), síntomas característicos como ideas delirantes, alucinaciones, lenguaje desorganizado (por ejemplo, descarrilamiento frecuente o incoherencia), comportamiento catatónico o gravemente desorganizado, síntomas negativos, (por ejemplo, aplanamiento afectivo, alogia o abulia), que afecta principalmente a personas en edad productiva, con alto impacto en la calidad de vida del paciente y en su entorno familiar y social. En este estudio se describe el comportamiento de los factores farmacológicos y no farmacológicos que alteran la adherencia al tratamiento, de 85 pacientes con esquizofrenia, dados de alta de la Unidad de Salud Mental (USM), del Hospital Hernando Moncaleano Perdomo de Neiva (HUHMP), mediante revisión de la historia clínica y la entrevista telefónica del acudiente, familiar o del mismo paciente. La mayoría de los pacientes encuestados son adultos jóvenes, de género masculino, solteros, procedentes del departamento del Huila, con baja escolaridad, sin vinculo laboral en el momento del estudio. Se encontró un nivel bajo de adherencia al tratamiento, el cual es directamente proporcional al grado de introspección del paciente, al apoyo familiar y/o social, a la prescripción de antipsicóticos atípicos, a la buena relación médico-paciente e inversamente proporcional al consumo de sustancias psicoactivas, a la prescripción de medicamentos típicos, y a la presencia de reacciones adversas. El conocer estos comportamientos, es un precedente para futuras investigaciones y además es punto de partida para crear estrategias que permitan mejorar la tasa de adherencia al tratamiento por parte de los pacientes esquizofrénicos, desde un punto de vista integral e individualizado a la vez.

Experience of angioplasty in lower limbs in peripheral arterial disease in a private clinic in southern Colombia Aim: Evaluate the characteristics of patients undergoing angioplasty in the lower limbs, as well as to establish possible associations between the factors leading to complications. Materials and Method: Observational descriptive, cross-sectional and retrospective study conducted during 18 months in which patients with peripheral arterial disease undergoing angioplasty of the lower limb were included, as well their demographic, clinical, and surgical characteristics and the postoperative complications. Results: 158 records of patients between 30 and 95 years were evaluated. 65.2% (n = 103) of the procedures were performed not urgently, the most frequently intervened vessels were the superficial femoral artery (64%), the most frequent type of endovascular intervention was the combination of balloon + medicated ball (32.9%), the most used postoperative pharmacological treatment was the combination of acetylsalicylic acid (ASA) and clopidogrel (86.1%). There were 21 cases of complications, the most frequent complication was minor amputation (52%). A higher risk of minor amputation was found when the surgical procedure was performed urgently (p = 0.012, OR [95% CI]: 4.8 [1.4-16.5]). Discusion: The post-angioplasty complication with statistically significant difference was minor amputation when the procedure was performed urgently, this association was related to the clinical status of the patient at the time of admission and not to the surgical procedure. Conclusion: Angioplasty performed urgently is as safe as elective procedures, given by the same proportion of bleeding or arterial dissection.