Risultati del trattamento chirurgico del varicocele nella infertilità maschile

To evaluate the results of surgical treatment of varicocele on infertile men, especially regarding sperm count, 245 patients, surgically treated from 1993 to 2003, were evaluated. Patients underwent to ligature and section of the pampiniform plexus, throught the subinguinal approach and local anaesthesia. At the follow-up (3-6-12 months) an improvement of sperm count was relieved in 79.5% of patients and the incidence of complications and relapses was of 3.7% and 1.2%, respectively. The Authors stress the efficacy of surgical treatment of varicocele in male infertility and hold the subinguinal approach as an effective treatment, minimally invasive and low cost

Umbilical metastases: current viewpoint

<p>Abstract</p> <p>Background</p> <p>Umbilical metastases from a malignant neoplasm, also termed Sister Mary Joseph's nodule, are not commonly reported in the English literature, and they have usually been considered as a sign of a poor prognosis for the patient. The present article reports on the current view point on umbilical metastasis besides discussing the epidemiology, clinical presentation, pathophysiology and treatment.</p> <p>Method</p> <p>A search of Pubmed was carried out using the term 'umblic*' and 'metastases' or metastasis' revealed no references. Another search was made using the term "Sister Joseph's nodule" or sister Joseph nodule" that revealed 99 references. Of these there were 14 review articles, however when the search was limited to English language it yielded only 20 articles. Articles selected from these form the basis of this report along with cross references.</p> <p>Results</p> <p>The primary lesions usually arise from gastrointestinal or genitourinary tract malignancies and may be the presenting symptom or sign of a primary tumour in an unknown site.</p> <p>Conclusion</p> <p>A careful evaluation of all umbilical lesions, including an early biopsy if appropriate, is recommended. Recent studies suggest an aggressive surgical approach combined with chemotherapy for such patients may improve survival.</p

Sport per disabili: dalla riabilitazione alle Paralimpiadi.

La pratica regolare di esercizio fisico, cioè di attività motoria strutturata determina in soggetti con disabilità locomotoria, ed in particolare in soggetti con mielolesione (tetraplegici e paraplegici), effetti benefici sulla salute. Tali effetti salutari consistono nel miglioramento dell’efficienza cardiovascolare e respiratoria (con un ridotto rischio di incorrere in malattie conseguenti all’aterosclerosi), miglioramento della “fitness” muscolare (forza massima e capacità di protrarre l’esercizio a differenti livelli di contrazione sottomassimale) ed un generale miglioramento della funzionalità motoria con conseguente maggiore autonomia e ridotto stress cardiocircolatorio nelle attività della vita quotidiana. Dagli anni ‘70 in poi, parallelamente al suo uso di tipo fisiatrico, lo sport per i soggetti disabili si è andato sempre più evolvendo, acquistando popolarità e valenza agonistica sempre maggiore tanto da potersi ora considerare, in termini di spettacolo e di significato sociale, alla stessa stregua dello sport per i normodotati. Oggi le Paralimpiadi estive sono considerate per importanza il secondo evento sportivo al mondo (www.paralympic.org). Poichè la pratica sportiva non è però esente da rischi è fondamentale una accurata valutazione dello stato di salute degli atleti che raggiungono l'obbiettivo di gareggiare a livello paralimpico. sulla base di una ventennale esperienza iniziata con le visite paralimpiche di Seoul ‘88, frutto di una collaborazione tra la Scuola di Specializzazione in Medicina dello Sport dell’Università di Roma “Sapienza”, diretta dal Prof. Marco Marchetti, e la allora Federazione Italiana Sport Handicap, è stata messa a punto la visita di idoneità paralimpica

Intensity And Energy Expenditure Of Sports In Elite Paralympic Athletes With Locomotor Disabilities

Symposium Lessons Learned on the Road to Vancouver (Olympic and Paralympic Friday 3:15PM-5:15PM Andrew Pipe,FACSM,University of Ottawa Sports Medicine Issues Committee) Heart Institute Randall L.Wilber,FACSM,United States Olympic Committee Jos de Koning,FACSM,University of Amsterdam Donald McKenzie,University of British Columbia Mark Aubry,Ottawa Sport Medicine Centre Marco Bernardi,University of Rom

Physical Fitness Evaluation of Paralympic Winter Sports Sitting Athletes

Objective: To provide normative values of physical fitness in Paralympic winter sports athletes competing in a sitting posture and to identify the components relevant for successful performance. Design: Cross-sectional study with sports. Setting: The Institute of Sports Medicine and Science of the Italian National Olympic Committee (Rome, Italy). Participants: Fifteen Alpine skiers (3 BP), 16 Nordic skiers (2 BP), 10 curlers (2 BP), and 34 ISH players (7 BP). Independent Variables: Curling, Alpine skiing, Nordic skiing, and ice sledge hockey (ISH). Main Outcome Measures: Physical fitness components. Oxygen uptake peak ((V) over dotO(2peak); L.min(-1) and mL.kg(-1.)min(-1)), mechanical work in a high-intensity exhaustion exercise (MW-HIE; kJ and kJ.kg(-1)), upper-body strength (N and N.kg(-1)), mean explosive power (MEP; W and W.kg(-1)) in a 10-second arm cranking ergometer Wingate test, and fat mass (FM) (% body mass) were primary outcome measures when assessed in the whole sport groups and secondary outcome measures when separating the BP from the others. Results: Based on 1-way analysis of variance and Tukey post hoc test (P < 0.05), (V) over dotO(2peak) and MW-HIE were highest in Nordic skiers (2.9 +/- 0.53 L.min(-1) and 18.3 +/- 3.98 kJ) and similar in ISH players and Alpine skiers (2.5 +/- 0.42 and 2.3 +/- 0.44 L.min(-1) and 17.4 +/- 2.62 and 16.8 +/- 7.41 kJ, respectively). Alpine skiers showed the highest absolute strength values (1210.1 +/- 220.92 N). Curlers had the highest FM (26.2% +/- 7.74%) and the lowest (V) over dotO(2peak) (1.8 +/- 0.35 L.min(-1)), MW-HIE (11.4 +/- 2.40 kJ), and MEP (251.1 +/- 67.16 W). Among the BP, Nordic skiers, ISH players, and Alpine skiers showed (V) over dotO(2peak), MW-HIE, and strength equal to 3.4 +/- 0.43, 2.9 +/- 0.38, and 2.8 +/- 0.18 L.min(-1) and 22.6 +/- 4.04, 19.4 +/- 2.84, and 18.4 +/- 7.86 kJ, respectively. Conclusions: Analyzing physical fitness data of athletes competing in the last 4 winter Paralympic Games, normative values are provided. The specific components that are highly developed in the BP are considered relevant for successful performance