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Biomedical subjects

F Ríos

Publications and source records attributed to F Ríos.

6 recordsLinked to original sources
PubMed1996

[Seronegative arthritis: reexamination of the initial diagnosis and prognosis after 10 years].

Seronegative arthritides are a heterogeneous group of diseases that includes rheumatoid arthritis with negative rheumatoid factor. Between 1980 and 1984 we studied 38 patients with seronegative arthritis. Thirty of these patients were reassessed in 1994 after 9 to 20 years of evolution. Seventeen patients had a diagnosis of seronegative rheumatoid arthritis; this diagnosis was maintained in 12, changed to seropositive rheumatoid arthritis in three, to psoriatic arthritis in one and connective tissue disease in one. Thirteen patients had a diagnosis of undifferentiated arthritis; in 1994 the diagnosis was maintained in three, seven patients were diagnosed as having a spondyloarthropathy, two as having a reactive arthritis and one as having a connective tissue disease. In 1994, nine patients fulfilled the 1991 criteria for spondyloarthritis and six of these did so on admission. Six of 12 patients with seronegative rheumatoid arthritis had an active disease or used antiinflammatory drugs and 64% had erosions on hand X ray examinations. These figures are in contrast with the enign evolution classically attributed to this disease and agree with recent reports. The usefulness of classification criteria for rheumatoid arthritis and spondyloarthritis in the initial assessment of patients with seronegative arthritis is emphasized.

Adolescent↗
PubMedDate not supplied

An entity-relation model for a tocho-gynaecology service.

There is a trend, both at national and European levels, towards the use of standards in hardware, software and communications. This implies a common root for the design of unified databases which will result in the homogeneity and interchangeability of data and knowledge. The technological solution exists and is imposed. The problem then is not the tools to be used as information support but how this information is organized and structured. According the the standards proposed by the Plan de Dotación Informática para la Asistencia Sanitaria (DIAS), and with respect to the problem of computer coverage of specialties, we present in this work an entity-relation model for a generic service within our project of integrally computerizing a tocho-gynaecology area. It is a multidisciplinary job between doctors and physicists where we use a planning strategy in order to identify the functions, processes and activities, making the traditional clinical management structure compatible with the one proposed. This means that if we want the introduction of the system to be effective, we have to make all the clinical and sanitary staff participate in the project. We must induce the need for change and carry out the process of change gradually, so that only a change in the support, and not in the organization, is initially perceived.

Algorithms↗
PubMedDate not supplied

Data model management in a clinical service: application in an echography unit for tocho-gynaecology.

The organization and management of clinical information must take place according to the classical concept of department section or specialty area. Traditional organization and communication models must be respected, and those to be executed by the computer system must be developed on top of them. Information models that describe the organic structure of any specialty area must be proposed independently from the content and with the possibility of particularizing in each case. Taking these specifications into account and using our general entity relationship model for a specialty service, we present the description of the 'central clinical services function, particularizing for an echography unit within a tocho-gynaecology area. We present entity and relationship tables, data dictionary and organization and description of the basic user views.

Hospital Information Systems↗
PubMedDate not supplied

[Development of local health systems in Uruguay].

This article summarizes Uruguay's experience in local health systems development and the elements that have contributed to awareness and dissemination of this concept. In 1988 the Ministry of Public Health assumed responsibility as one of the entities charged with strengthening the country's local health systems. A technical group was created to act at the central level. It has proposed and promoted changes directed toward the deconcentration of resource utilization in accordance with a set of general guidelines and, at the local level, has acted as a catalyst in the understanding of health services delivery management as a systemic concept.

Delivery of Health Care↗