Abstract：
:In Brazil, as in other Latin American countries, there was a sharp increase in the number of medical schools in the past 20 years. The result was a steep increase in the number of physicians. These professionals are in many cases, however, poorly trained. As a consequence, public, as well as private health services, are exposed to professionals of great diversity of qualification. Few effective solutions have been proposed for this health services management problem. This paper presents a potential solution. It exposes preliminary results of field tests of an Expert System based on the first author's (Rozenbojm) three decades of experiences as a clinician, and medical residency advisor. The system was developed using ESE IBM Expert Systems language and a mainframe hardware. It was designed to support diagnosis based only in anamnesis and physical examination data, without lab or X ray support. Its original purpose was to increase the primary care physician's diagnostic and therapeutic accuracy. An initial test with specialist panels (endocrinology, cardiology, nephrology, G.O., gastroenterology, pediatrics and pneumology) revealed spell out a diagnostic and therapeutic concordance rate over 95 percent (based on real everyday practice cases brought by the specialists). A second test was performed in a private Health Care Network, at primary care level. In this case, concordance rate was over 83 percent in diagnostic aspects and 95 percent in the clinical orientation aspects. This expert system may be very useful for Health Services providing, first encounter standardization, medical graduate basic education and cost containment. The next proposed steps includes transcription of the software for personal computer utilization and an evaluation of its economic impacts.
journal_name
Salud Publica Mexjournal_title
Salud publica de Mexicoauthors
Rozenbojm J,Palladino E,Azevedo ACsubject
Has Abstractpub_date
1993-05-01 00:00:00pages
321-5issue
3eissn
0036-3634issn
1606-7916journal_volume
35pub_type
杂志文章abstract：OBJECTIVES:To assess the economic impact of a 100% smoke-free law on bars and restaurants in an Argentinean province. MATERIALS AND METHODS:We conducted a time series analysis of restaurant and bar revenues in the province of Santa Fe 31 months before and 29 months after the implementation of the 100% smoke-free envir...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342012000300004
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the independent effect of poor school performance and tobacco persistence using a prospective population study of students who remained on school grounds during the follow-up period. Two measurements were taken over a period of three years. MATERIAL AND METHODS:A cohort study conducted within sch...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342006000700004
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:To analyze the coverage of lung cancer in Mexico and offer recommendations in this regard. MATERIALS AND METHODS:By means of the conformation of a multidisciplinary group, we analyze the burden of the disease relative to the lung cancer and the access to the medical treatment offered by the different public ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/10114
更新日期：2019-05-01 00:00:00
abstract：:The majority of the approximately 14,000 hospitals in Latin America and the Caribbean face enormous challenges to live up to the basic prepositions of quality assurance in health care. If methods of quality control in medical education and hospitals are not implemented soon in Latin America, we will face, in the very ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
abstract：OBJECTIVE:To compare cancer mortality rates in Mexico from two national death registries that independently code and attribute cause of death. MATERIALS AND METHODS:We compared 5-year age-standardized total cancer and sitespecific cancer mortality rates (2010-2014) from Mexico's official death registry with a death re...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/10635
更新日期：2020-03-01 00:00:00
abstract：:This article analyzes 33 risk indicators about problematic drugs use, based in epidemiological studies in representative student samples, carried out in Mexico since 1975. The indicators are distributed among the variation sources proposed by the classic epidemiological model (environment-agent-host), and are aimed to...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：:Four experiences in health education in communities located in the state of Lara in Venezuela were analyzed from a sociopsychological perspective. Under a qualitative approach, the information was obtained from three sources: documentary analysis of didactic material; participant observation in workshops, and intervie...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：OBJECTIVE:To develop an automated model for the operational regionalization needed in the planning of the health service networks proposed by the new Mexican health care model (Modelo Integrador de Servicios de Salud MIDAS). MATERIAL AND METHODS:Using available data for México during 2005 and 2007, a geospatial model ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342010000500011
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To estimate the prevalence of antibodies against Trypanosoma cruzi in blood donors from Hospital General Regional (HGRO) of the Mexican Institute of Social Security (IMSS per its abbreviation in Spanish). MATERIAL AND METHODS:Between October 2001 and January 2002, blood samples were collected from voluntary ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342006000100004
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:To describe and explore the meanings of sexual practices among female sex workers (FSW) in Mexico City. MATERIAL AND METHODS:A qualitative and quantitative study was carried out. The qualitative approach was conducted in 1992 and the latter from 1991 to 1992. The study population was a representative sample ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To describe the patterns of antimicrobial resistance of organisms isolated from urine cultures at a teaching oncological hospital for adult patients. MATERIAL AND METHODS:All strains obtained from urine cultures from 1998 to 2005 were included. Mean susceptibilities were obtained for each antimicrobial teste...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342007000500003
更新日期：2007-09-01 00:00:00
abstract：:AIDS and human rights are closely related issues. This paper describes the relationship between AIDS and human rights, the impact and consequences of discrimination and the importance of the defense of human rights as a cornerstone strategy in AIDS prevention. Some general ethical aspects are addressed and two dilemma...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:Over 85,000 hectares in the Mezquital Valley of central Mexico are irrigated with wastewater. The main crops are fodder and cereal crops. A two cross-sectional survey was carried out to test the impact of exposure to raw wastewater and from storage of that wastewater in reservoirs. The main outcomes were diarrhoeal di...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：OBJECTIVE:To prove the benefit of an educational intervention for controlling LDL cholesterol levels in LDL cholesterol. MATERIAL AND METHODS:A quasi-experimental study was conducted; diabetic patients were randomly allocated to an experimental and a control group. The experimental group consisted of 25 patients and t...
journal_title：Salud publica de Mexico
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVE:To identify the frequency and factors associated with therapy noncompliance in type-2 diabetes mellitus patients. MATERIAL AND METHODS:A cross-sectional study was carried out in 79 patients with type-2 diabetes mellitus seen in major hospitals of Mexico City. Patients were visited at home, from March 1998 to...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342003000300008
更新日期：2003-05-01 00:00:00
abstract：:Violence against women by partners (VAWP) has been systematically studied in Mexico in the past 15 years. The aim of this paper is to reflect on the contributions on this topic in Mexico. The discussion focuses on the magnitude of this phenomenon, stressing its theoretical, methodological, and technical implications; ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：10.1590/s0036-36342006000800012
更新日期：2006-01-01 00:00:00
abstract：:The prevalence of AIDS in Mexico and the frequency of sexually transmitted risks was analyzed in relation to the socioeconomic strata of the patients. The study was based on the obligatory notifications of AIDS received by the Ministry of Health between 1982 and september of 1988. The findings show that AIDS is accumu...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：Objective::To explore indebtedness dynamics in an Afromexican town by an inclusive epidemiological approach. Materials and methods::Qualitative study through 75 questionnaires, 20 interviews to depth and six focal groups in a support process to the Municipal Health Commission in Santiago Tapextla, Oaxaca. Results::Ca...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/7841
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:Pyrodinium bahamense monitoring in water and their toxins in rock oyster Striostrea prismatica in Santiago Astata and Puerto Escondido Oaxaca was performed from September 2009 to July 2010. MATERIALS AND METHODS:Pyrodinium bahamense abundance in water, and concentration and toxic profile of paralytic shellfi...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2015-07-01 00:00:00
abstract：:The Social Functioning Scale (SFS) is described, together with its rationale and development. The instrument consists of 35 items, and was administered to a sample of 320 adult patients of a health center. Social functioning is assessed in a semistructured, 30 minute interview. The patient reports the level of satisfa...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:The effectiveness of vaccines and immunization in the prevention of infectious diseases is one of the greatest successes in medicine. In recent years, with access to cutting edge genomic and proteomic technology, it is possible to accelerate the development of new and improved vaccines with better immunogenicity and s...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：10.1590/s0036-36342009000900012
更新日期：2009-01-01 00:00:00
abstract：:Lead regulations and standards have resulted in a lower exposure to lead in the general population of the United States of America. This paper highlights some of the know-how developed through lead-containing experiences, particularly regarding lead content in air and water. The availability of a solid and clear scien...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Several mechanism to evade the immune system are induced during cervical cancer development, including the decrease of expression of class I HLA molecules and secretion of specific cytokines by tumoral cells. Consequently, the stimulation of cytotoxic (CTL) and helper (TH) T lymphocytes, as well as the natural killer ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVE:To study cutaneous leishmaniasis (CL), in the Calakmul municipality of the Campeche State, during two years. MATERIALS AND METHODS:Individuals with skin lesions were evaluated. Aspirates taken from the lesions were cultured, PCR was performed to diagnose the Leishmania species. RESULTS:The culture detected ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/spm.v57i1.7403
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To describe the Strategy Results Cycle (SRC), a model that approaches planning as an ongoing cycle of seven phases that continually responds and adapts to existing evidence. MATERIALS AND METHODS:Reliable sources were used for the preparation of databases and expenditure-costing data for resources needs anal...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of exclusive breastfeeding in <6mo (EBF<6mo) on the relationship between food insecurity (FI) and nutritional status, in Mexican infants. MATERIALS AND METHODS:We analyzed the sample of 12-49y women and their children <2y from the national survey ENSANUT 2012 (n = 4 022). Breastfeeding...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To analyze the mortality trend of lung cancer (LC) in Mexico, according to the municipality marginalization index (MMI) by age group and sex, during the period 1998-2016. MATERIALS AND METHODS:The information on mortality, population and MMI was obtained from the National Institute of Statistics and Geograph...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/10083
更新日期：2019-05-01 00:00:00
abstract：Objective::To select, pilot test and implement a set of indicators for tertiary public hospitals. Materials and methods::Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of source...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/8228
更新日期：2017-05-01 00:00:00
abstract：:This article describes the stages in the building of the general hospitals of 144 beds included in the Health Services Reconstruction and Reordering Program. The Program is being carried out by the Health Ministry in the metropolitan area of Mexico City, emphasizing the reordering sense of the activities developed to ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:To describe the mortality trends of cancer attributable to tobacco smoking, particularly lung cancer, for the 1980-1997 period in Mexico. MATERIAL AND METHODS:Mortality trends were analyzed for each type of cancer associated to tobacco smoking, according to the International Classification of Diseases (ICD)....
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
