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Biomedical subjects

J A Pinotti

Publications and source records attributed to J A Pinotti.

At least 73 records · Page 4Linked to original sources
PubMed1986

Preliminary experiment with computerized anamnesis in gynecology and reproductive health.

The Hospital of the Faculty of Medical Sciences of the State University of Campinas is implementing an Integrated Health Care Programme, whose objectives are early detection of risk factors of several diseases and the evaluation of the patient's reproductive health at the moment of the first visit to the Hospital. The initial results of this program encouraged us to try to apply it all to our own clientele. The present lack of material resources and qualified manpower leads us to concentrate all our attention on the patient's immediate complaints. This situation indicated to us that the only way to implement the program should be by means of a computerized questionnaire able to detect diseases and risk factors early. This paper presents the preliminary results of the application of computerized questionnaires to evaluate health risks. The authors conclude: The application of a computerized questionnaire met with very favorable reception by the clientele; In some segments of the population, the questionnaire can be answered by the patients in direct interaction with the computer; Programmes which evaluate risk factors need to be carefully revised before being put to use; The system operates on a relatively low cost basis, which could bring undeniable benefits to primary health care.

Computers↗
PubMed1985

Menstrual pattern and ovarian function in women with hyperprolactinemia.

Prolactin (PRL) and progesterone were systematically measured in all women presenting with amenorrhea, oligomenorrhea or galactorrhea at the Infertility Clinic of the Department of Obstetrics and Gynecology, State University of Campinas, Brazil, during a period of 34 months. The same hormonal assays were done to all infertile patients presenting for the first time during the last 6 months of the same period, for a total of 190 subjects. Fifty-five patients with amenorrhea, 38 with oligomenorrhea and 97 with normal cycles, 20 of whom had galactorrhea, were included in the study. Fifty-five percent of amenorrheic patients, 37% of oligomenorrheic and 9% of those with normal menses had elevated PRL. The mean PRL was higher the greater the menstrual disturbance but was not influenced by presence or absence of galactorrhea. Short luteal phase was the ovarian function condition most frequently associated with high PRL among women with normal menses.

Female↗
PubMed1984

Obstetric and gynecological care for Third World women.

The particular characteristics which women's health care in the Third World should have as compared with the situation in developed countries is discussed. Women in the Third World present a different prevalence of specific pathologies, give less attention to symptoms and to preventive measures, and the health system is usually not well adapted to respond to those characteristics. Examples of the difference between the needs of health care of Third World women compared to developed countries are taken from pre-natal care, prevention of cancer of the cervix and family planning. A critical analysis of the prevalent characteristics of present women's care in the Third World was done. Accordingly, some basic points to be considered in the implementation of women's health care for the Third World were proposed: avoid the uncritical replication of developed country's models to solve developing countries' health problems; application of a larger proportion of the resources to primary health care; a more aggressive attitude to increase preventive behavior, trying to maintain a continuous and not sporadic contact between the health system and the target population; great attention to reference and contra-reference to improve the integration of the various levels of the health system; delegation of functions from physicians to paramedical personnel; emphasis on health education, both formal and in the day-to-day contact between health agents and target population.

Delivery of Health Care↗
PubMed1984

[Experience with an innovation in the evaluation process at the Faculty of Medical Sciences of the State University of Campinas].

One way in which the university can perform its function of providing the community with competent professionals is to impart to the student during the educational process not only the knowledge he needs to exercise his profession, but also confidence to function in the area of his training and an awareness of his limitations. In an attempt to do this, the School of Medical Sciences at Campinas State University (São Paulo, Brazil) has established experimentally an evaluation by which it can be determined whether instructional objectives are being attained and, at the same time, needed adjustments to the teaching-learning process can be identified. Introduced in 1971 and modified several times since in the light of experience, the system is based on the identification of objectives, and of procedures and resources for attaining them, through questionnaires that are filled in not only by the teacher as in traditional procedures, but by the student as well. On the completion of each course, the student is required to answer questions that establish his progress in the acquisition of theoretical and practical knowledge and, at the same time, bring out his perceptions and attitudes in relation to the teaching process and its objectives. The system met with some resistance when it was being introduced and hence has not yet been made a prerequisite for admission to medical internship. The initial results showed that, in most cases, closer monitoring of the student's progress is needed, and a fresh evaluation of his knowledge afterwards if the community is to be minimally assured as to the overall performance of the new professional.

Attitude↗
PubMed1983

Obstetric and gynecological care for Third World women.

The particular characteristics required for women's health care in the Third World are compared with these in developed countries. Women of the Third World present a different prevalence of specific diseases and give less attention to symptoms and to preventive measures. The health system is usually not well adapted to respond to these problems. Examples of the differences between the needs of health care of Third World women and those of developed countries are taken from certain aspects of pre-natal care, from the prevention of cancer of the cervix and from family planning. A critical analysis of the prevalent characteristics of women's care in the Third World was undertaken. As a result some basic points to be considered in the implementation of women's health care for the Third World were proposed: (1) avoid the uncritical simple replication of developed country's models; (2) application of a larger proportion of the resources to primary health care; (3) a more aggressive attitude to improve preventive measures; (4) efforts to maintain a continuous and non-sporadic contact between the health system and the target population: (5) greater attention to reference and contra-reference to improve the integration of the various levels of the health system; (6) delegation of functions from physicians to paramedical personnel; (7) emphasis on health education, both formal and in the day-to-day contact between health agents and target population.

Delivery of Health Care↗