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Biomedical subjects

J Lira

Publications and source records attributed to J Lira.

5 recordsLinked to original sources
PubMed2000

High standards. The formidable task of adopting HL7 standards is easier with the right tools.

PROBLEM: The hospital needed a strategy to integrate the HL7 standard into its facility. Because HL7 is flexible and subject to many interpretations, speaking HL7 is not a simple turnkey process. SOLUTION: Full HL7 functionality was achieved systematically and incrementally with the installation of an interface engine plus HL7 tools with end-point communication simulation. RESULTS: HL7 messaging simulation tools let technicians deliver better interfaces with fewer errors for less money. KEYS TO SUCCESS: A robust interface engine and third-party tools can lead the way for successful adoption of the protocol.

California↗
PubMed1998

Evaluation of Jump Into Action: a program to reduce the risk of non-insulin dependent diabetes mellitus in school children on the Texas-Mexico border.

Jump Into Action, a school-based non-insulin dependent diabetes mellitus (NIDDM) prevention program, encourages students to eat low-fat foods and exercise regularly to reduce their risks for developing NIDDM. A study was conducted in a school district with a predominately Hispanic enrollment to assess the effectiveness of Jump Into Action in improving fifth-graders' knowledge, self-efficacy, and behaviors regarding NIDDM prevention. Jump Into Action was found effective in increasing knowledge and self-efficacy regarding NIDDM prevention and improving dietary and exercise-related behaviors. These gains were sustained from posttest to follow-up four weeks later.

Child↗
PubMed1996

[Progressive systemic sclerosis and pregnancy].

Nine cases with the association of systemic progressive sclerosis and pregnancy at Instituto Nacional de Perinatología, from 1984 to 1994, are presented. All the patients were referred with the confirmed diagnosis by histopatological study. The variety CREST type was seen in three patients. Average age of patients was 29.2 +/- 5.4 years. Acute hypertensive disease of pregnancy; pre-term birth; and retarded intrauterine growth, were the most frequent complications. Most of the pregnancies were resolved by abdominal via, due to maternal and fetal indications. No maternal deaths.

Adult↗
PubMedDate not supplied

Thyroid peroxidase antibodies in Mexican-born healthy pregnant women, in women with type 2 or gestational diabetes mellitus, and in their offspring.

OBJECTIVE: To search for differences in the frequency of thyroid peroxidase antibodies (TPO-Ab) among 150 pregnant Mexican women who were healthy, had type 2 diabetes mellitus (DM), or had gestational diabetes mellitus (GDM). METHODS: Fifty healthy women, 50 women with type 2 DM, and 50 women with GDM were studied at delivery. In addition, 142 of their offspring were included in the study. TPO-Ab were determined by enzyme immunoassay, and total triiodothyronine, free thyroxine, and thyroid-stimulating hormone (thyrotropin) were measured by radioimmunoanalysis. RESULTS: TPO-Ab were < or = 70 U/mL (negative) in 50% of the healthy women and in 60% and 60% of women with type 2 DM and GDM, respectively (no significant difference). TPO-Ab were 71 to 250 U/mL (slightly positive) in 40% of healthy women and in 30% and 34% of women with type 2 DM and GDM, respectively (no significant difference). TPO-Ab were > or =251 U/mL (strongly positive) in 10% of healthy women and in 10% and 6% of women with type 2 DM and GDM, respectively. One healthy woman had subclinical hypothyroidism, and the rest were euthyroid. The newborn offspring of these Mexican women were euthyroid and had similar frequencies of TPO-Ab (all had TPO-Ab <250 U/mL). CONCLUSION: (1) The frequency of TPO-Ab > or =251 U/mL was similar in pregnant Mexican women with GDM in comparison with those who were healthy or had type 2 DM. (2) The similar high frequencies of slightly positive TPO-Ab in the three groups of pregnant women can partially be explained by the existence of an ethnic factor, the very strong family history of DM in a substantial percentage of them, and the use of a more sensitive and specific assay for detection of TPO-Ab.

Adult↗