PubMed HealthSearch

Biomedical subjects

C Simeone

Publications and source records attributed to C Simeone.

12 recordsLinked to original sources

[Retropubic adenectomy (Millin's technique). Our experience].

From January 1983 to December 1993, on 1917 ptz who underwent to operations for BPH, 1532 pts (80%) had transurethral adenomectomy, and 385 pts (20%) had retropubic adenomectomy. The prostatic weight, obtained by ultrasound, is the factor which determines the kind of operations: transurethral adenomectomy if the prostate weight is lower than 50 gr, open surgery if it is more than 50 gr. In our experience about retropubic adenomectomy (Millin) we never had patient's death during operation or in the immediate post-operatively period. The early complications were 13.7%, and the late complications were 3.8%. The retropubic adenomectomy, when performed with right indications, is still valid.

Aged

[Bladder neck cysts: role of transrectal echography].

High frequency probes for transrectal sonography are well tolerated and permit us to study the cervico-urethral unit carefully. We are allowed to single out some rare causes of obstruction, otherwise difficult to diagnose. Bladder neck obstruction secondary to a cyst is one of these. Our case report is about a young patient with complete retention secondary to bladder cyst discovered by transrectal sonography.

Adult

[Echography versus nuclear magnetic resonance in the preoperative dynamic evaluation of plastic penile induration].

Recently Ultrasonography (US) and Magnetic Resonance Imaging (MRI) has been successfully used as painless and non invasive techniques for depicting dense fibrous connective tissue of Peyronie's Disease (PD). The purpose of this study is to demonstrate the extent of disease and to prove the accuracy of US versus MRI. Twenty patients (aged 20-70; mean 43) with clinical diagnosis of PD were studied. All patients were studied with flaccid and erected penis after an intracavernous injection of Papaverine (variable dose). US and MRI examinations were performed independently by 2 groups of observers who knew clinical findings but not the results of the other technique. Both methods gave satisfactory images: they show the capacity to depict and to measure Peyronie's plaques clinically appreciated. US in 4 patients and MRI in 3 patients identified not palpable lesion which infiltrate the septum. Although the most common area of PD involvement is the dorsal surface of tunica albuginea, sometimes fibrous plaques are along the septum between the corpora cavernosa and the corpus spongiosum. In the present study, US and MRI are too able to identify not palpable lesion in the septum. In our opinion US has to be used for its high accuracy and low cost.

Adult

The effects of memory skills training and incentives on free recall in older learners.

The impact of memory skills training and external reward on free recall of serial word lists was assessed in 60 elderly community-dwelling adults. Participants were divided into four groups: (a) skills training plus incentive, (b) skills training only, (c) placebo plus incentive, and (d) placebo without incentive. The memory skills training involved 2 hours of class instruction and a take-home manual. The incentive was introduced following the posttest study interval, prior to recall, and was in the form of a lottery. The three experimental groups (skills only, skills plus incentive, and incentive only) recalled more words at the posttest interval than the placebo group. Skills training was associated with the greatest number of words recalled, followed by the incentive. No additional performance gains were found when skills training was coupled with incentive. A significant relationship between study time and word recall performance was found at posttest. Those who received skills training used more study time than did the no skills groups. The results suggest that teaching an active memory skill enhances free recall performance. Additionally, incentives were superior to no training. Combining incentives with skills, however, does not extend memory performance over skills training alone.

Aging

Major depressive disorder predicts cardiac events in patients with coronary artery disease.

Fifty-two patients undergoing cardiac catheterization and subsequently found to have significant coronary artery disease (CAD) were given structured psychiatric interviews before catheterization. Nine of these patients met criteria for major depressive disorder. All 52 patients were contacted 12 months after catheterization, and the occurrence of myocardial infarction, angioplasty, coronary bypass surgery and death was determined. Results of the study show that major depressive disorder was the best predictor of these major cardiac events during the 12 months following catheterization. The predictive effect was independent of the severity of CAD, left ventricular ejection fraction, and the presence of smoking. Furthermore, with the exception of smoking, there were no statistically significant differences between those patients with major depressive disorder and the remaining patients on any variable studied. The possible mechanisms relating major depressive disorder to subsequent cardiac events are discussed. It is concluded that major depressive disorder is an important independent risk factor for the occurrence of major cardiac events in patients with CAD.

Angioplasty, Balloon