Publications by authors named "J Moreno-Palacios"
Purpose: To compare voiding parameters in women with and without increased postvoid residual (PVR) volume, to correlate these parameters with PVR volume and PVR percentage, and to describe their ability to predict an increased PVR volume.
Methods: Retrospective cross-sectional study of urodynamics data prospectively acquired from consecutive symptomatic women over a 5-year period. Patients with spinal cord disorders and with abdominal straining during voiding (abdominal pressure ≥10 cm H2O over baseline at maximum flow rate [Qmax]) were excluded.
Article Synopsis
- Percutaneous nephrolithotomy (PNL) is recommended for kidney stones larger than 2 cm, but existing success measures focus only on whether stones are fully removed, ignoring complications.
- A new prognostic stratification system was developed to predict treatment failures in PNL by assessing various risk factors from a study of 595 cases, revealing that 73% achieved stone-free status while 12% had major complications.
- Key risk factors for complications and residual stones included positive urine culture, complex stone composition, severe comorbidity as indicated by the Charlson Comorbidity Index, and prolonged operating time, providing a useful tool for patient selection in PNL procedures.
The use of diagnostic tests to determine the presence or absence of a disease is essential in clinical practice. The results of a diagnostic test may correspond to numerical estimates that require quantitative reference parameters to be transferred to a dichotomous interpretation as normal or abnormal and thus implement actions for the care of a condition or disease. For example, in the diagnosis of anemia it is necessary to define a cut-off point for the hemoglobin variable and create two categories that distinguish the presence or absence of anemia.
View Article and Find Full Text PDFBackground: The diagnosis of bladder outlet obstruction (BOO) in women is a challenge for functional urology. In Mexico there are few data that report the prevalence of OTSV in women, being up to 24% in a group of patients.
Objective: The aim of this study is to compare six different definitions of bladder outlet obstruction and evaluate the interobserver agreement in an educational setting.
Research in clinical practice arises as a constant need for improvement to provide better care to patients, train better human resources and make a daily reflection on the amount of scientific information we receive every day. We want to reflect on how the Centro de Adiestramiento en Investigación Clínica (CAIC) from our healthcare activity changed our practice.
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