Publications by authors named "Fernando Fernandez-Palacin"

Article Synopsis
  • The study evaluates the effectiveness of transperineal ultrasound compared to the preoperative pelvic organ prolapse quantification (POP-Q) system in diagnosing surgical pelvic organ prolapse (POP) in patients with symptoms.
  • Conducted over two years, the research included 167 patients who had both clinical examinations and ultrasounds before corrective surgery for symptomatic POP.
  • Results show that the ultrasound had a very good correlation in diagnosing uterine prolapse and cervical elongation, outperforming the moderate to good correlation from the traditional clinical examination.
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Introduction And Hypothesis: The objective was to create and validate the usefulness of a convolutional neural network (CNN) for identifying different organs of the pelvic floor in the midsagittal plane via dynamic ultrasound.

Methods: This observational and prospective study included 110 patients. Transperineal ultrasound scans were performed by an expert sonographer of the pelvic floor.

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Objectives: The changes of the extracellular matrix of the connective tissue have significantly contributed to the incidence of pelvic organ prolapse (POP). It seems reasonable that sonoelastography could be a useful tool to evaluate the elasticity of pelvic floor tissue in patients with POP and compare it to those without POP. The main aim of this pilot study was to determine if there are differences in the elasticity of the levator ani muscle (LAM) and vaginal tissue between patients with and without POP.

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Objective: To determine if the addition of the assessment of levator ani muscle (LAM) avulsion to the measurement of the difference in the pubis-uterine fundus distance between rest and with the Valsalva maneuver could increase the diagnostic capacity of ultrasound for uterine prolapse (UP).

Methods: This multicenter, observational and prospective study included 145 patients. Ultrasound assessment was performed, establishing the diagnosis of UP as a difference between the pubic-uterine fundus distance at rest and during the Valsalva maneuver ≥15 mm (standard technique), while LAM avulsion was defined as an abnormal LAM insertion in three central slices using multislice ultrasound.

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Article Synopsis
  • The study examined chronic pain (CP) patients in Spain, focusing on their use of healthcare resources and satisfaction levels.
  • About 325 out of 1957 participants reported having CP, with an average duration of 10 years, and nearly half experienced severe pain, leading to emotional distress and job loss for some.
  • Most participants consulted healthcare professionals multiple times and reported high satisfaction with care and information received, although those with specific symptoms like headaches and feelings of sadness were less satisfied.
  • The findings suggest that chronic pain significantly impacts healthcare demands and highlights the need for attention to pain management and mental health in treatment plans.
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Article Synopsis
  • The study assesses the prevalence and impact of chronic pain in the Spanish population, finding that 16.6% experience chronic pain, significantly affecting daily activities and well-being.
  • Subjects were categorized into two subgroups based on pain characteristics: one with generalized long-term pain and another with localized short-term pain.
  • The findings indicate that chronic pain not only impacts individuals' daily lives but also their emotional state and family dynamics, emphasizing the need for targeted interventions.
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Metabolic syndrome (MS) is widely believed to be an important risk factor for cardiovascular disease (CVD). We assessed whether a model based on MS improved prediction of CVD and total mortality over the Framingham's general CVD system (FRS) and whether MS was better than its individual components. Prospective cohort study of 855 participants randomly selected from the general population.

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Background And Objective: The Chronic Kidney Disease Epidemiology Collaboration (CDK-EPI) equation has been proposed as a replacement for the Modification of Diet in Renal Disease (MDRD) equation to estimate the glomerular filtration rate, but this equation has not yet been evaluated in the general population.

Patients And Methods: Cross-sectional analysis of a random sample of 858 participants from the general population aged 50-75 years without known kidney disease. The prevalence of low eGFR (< 60 mL/min/1.

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Introduction And Objectives: The Spanish province of Cádiz has some of the poorest socioeconomic conditions and the highest cardiovascular morbidity and mortality rates in the country. The aim of this study was to investigate the prevalence of cardiovascular risk factors in the adult population of the city of Sanlúcar de Barrameda in Cádiz.

Methods: This cross-sectional population-based study involved 858 randomly selected individuals aged 50-75 years.

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