• Title/Summary/Keyword: 산부인과

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A study on the current state of Korean medicine treatment in infertile women: an observational multi-center study protocol (여성 난임환자의 한의치료 현황 및 경과 관찰을 위한 전향적 다기관 관찰연구 프로토콜)

  • Choi, Su-Ji;Kim, Dong-Il
    • The Journal of Korean Medicine
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    • v.43 no.2
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    • pp.42-50
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    • 2022
  • Objectives: The purpose of this study is to investigate the characteristics of female infertility patients who come to Korean medicine clinics and analyze the trends of Korean medicine treatment methods and the effects of female infertility by registry data. Methods: We are recruiting study participants from Korean medicine hospitals and clinics. If female infertility patients come, we will ask them to register for this study. After enrollment, we will collect demographic information, treatment methods, pregnancy results, adverse events, and treatment costs. Result: First, we will analyze the characteristics of patients, the status of the use of Korean medicine treatment interventions, the cost status of Korean medicine infertility treatment, and the delivery characteristics of pregnant women after Korean medicine treatment. Second, we will analyze the effectiveness of Korean medicine treatment. The primary outcome is clinical pregnancy rate, and secondary outcomes are 12-week pregnancy maintenance rate, degree of dysmenorrhea and premenstrual syndrome, stress level, and health-related quality of life score. Discussion: This study is the first observational multi-center study in Korea for female infertility. By establishing the registry, we are creating a resource that contains patient-reported outcome measures for female infertility. The registry is expected to provide valuable data for developing Korean medicine Clinical practice guidelines for female infertility.

Design and embodiment of stable system by change of action waveform by pulsemodule special quality of pulse style$CO_2$ laser for obstetrics and gynecology (산부인과용 펄스형 $CO_2$레이저의 펄스모듈 특성과 동작파형 변화에 따른 안정된 시스템의 설계 및 구현)

  • Kim, Whi-Young
    • Journal of the Korea Computer Industry Society
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    • v.8 no.2
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    • pp.97-102
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    • 2007
  • [ $CO_2$ ] laser sees that is most suitable to get this effect through minimum formation damage and advantage that is root enemy of effect that happen in minimum cellular tissue depth of 0.1mm is stable living body organization or internal organs institution. Formation damage by ten can be related in formation's kind or energy density, length of evaporation time. If shorten evaporation time, surroundings cellular thermal damage 200 - because happen within 400um laser beam in rain focus sacred ground surroundings cellular tissue without vitiation me by evaporation Poe of very small floor as is clean steam can . Application is possible to vulva cuticle cousins by a paternal aunt quantity, uterine cancer, cuticle tumor by laser system that $CO_2$ laser gets into standard in obstetrics and gynecology application. Because effect that super pulse output is ten enemies of laser if uniformity one pulse durations are short almost is decreased, most of all pulse module special quality of Pulse style $CO_2$ laser for obstetrics and gynecology mode stabilization by weight very, in this research to get into short pulse duration and higher frequency density, do switching by high frequency in DC-DC Converter output DC's ripple high frequency to be changed, high frequency done current ripple amount of condenser for output filter greatly reduce can . Ripple of output approximately to Zero realization applying possible inductor realization through a special quality experiment do.

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Changes in the Hosptal Length of Stay and Medical Cost between before and after the Applications of the DRG payment system using Health Insurance Big Data (건강보험 빅 데이터를 활용한 종합병원에서의 포괄수가제 적용 전·후 재원일수와 진료비의 변화)

  • Jeong, Su-Jin;Choi, Seong-Woo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.2
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    • pp.401-410
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    • 2017
  • This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

A Survey on Korean Medicine Doctors' Recognition and Treatment for Developing Korean Medicine Clinical Practice Guideline of Female Infertility (여성 난임 한의표준임상진료지침 개작을 위한 한의사의 인식과 치료에 관한 실태조사)

  • Hyo-Jeong Jung;Dong-Il Kim;Su-Ji Choi;Su-In Hwang;Young-Jin Yoon;Jang-Kyung Park
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.122-138
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    • 2022
  • Objectives: This study was conducted to develop a Korean Medicine(KM) Clinical Practice Guidelines(CPG) of female infertility. We conducted this questionnaire survey to reflect the experiences of Korean Medicine doctors(KMD) and clinical field in Korea. Method: We sent a questionnaire survey to KMD belonging to the Association of Korean Medicine by e-mail. We received 665 responds, and analyzed the answers. Results: 51.2% of respondents knew the previously developed CPG of female infertility, and 18.3% actually used. 83.3% agreed about the necessity of CPG of female infertility, and 80.3% had practical use plan. 90.2% of respondents treated less than 5 infertility woman for a month. 22.7% of respondents treated 50% of patients with collaborative treatment of KM and Western medical treatments. The main age group of patients was '35~40 years'(54.7%), and the most common cause was unexplained infertility(61.7%). The most common pattern identification of female infertility patients was Kidney deficiency(55.4%). KMD used 'a combination of decoction of herbal medicine, acupuncture and moxibustion treatment' the most(43%), and 'a decoction of herbal medicine treatment alone' was next(35%). 84.2% conducted lifestyle modification education about diet, stress, exercise etc. Conclusion: We figured out Korean Medicine doctors' recognition about CPG of female infertility, preference of treatments, and also characteristics of patients visiting Korean Medical clinics to make a practical CPG reflecting clinical situation.

In Vitro Fertilization and Embryo Transfer Program과 한국에서의 문제점

  • Bae, In-Ha;Jeong, Sun-O
    • Clinical and Experimental Reproductive Medicine
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    • v.12 no.1
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    • pp.15-29
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    • 1985
  • 최근 몇년전부터 한국에서도 In Vitro Fertilization - Embryo Transfer Program(IVF-ET)에 대한 논의가 있어왔다. 현재 몇몇 종합병원 및 개인 산부인과 의원에서 수십명의 난관 유착환자를 위한 IVF가 시도되었으나 아직까지, 한건도 성공되었다는 보고는 없다. 몇 십명이 실험적 모델로 제공되었으나 한 건의 성공사례도 없었다는 것은 문제점이 있는 것이 분명하며 이러한 한국에서의 문제점을 시설 문제와 전문가 또 IVF 과정에서의 technical problem들을 종합해서 다루어 보고져 하는 것이 본 논의의 주제임을 먼저 밝혀둔다.

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Medical Expert Systems: Infertility and Thyroid Disease Diagnosis (의료전문가체계: 불임크리닉과 갑상선 질환 진단)

  • 김성희;최용선
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1987.10a
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    • pp.3-3
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    • 1987
  • 현재 국내에서의 의료 부분의 전문가 시스템에 대한 개발이 시작 단계에 있다. 의료부문 전문가시스템 개발에 있어서 주요 촛점은 관련분야의 전문의들로부터 어떻게 시간적, 비용적 낭비없이 효과적으로 지식 획득(Knowledge acquisition)을 knowledge engineers가 하겠는가이며, 또한 어떠한 체계(Framework)로 전문가 시스템을 구성할 것인가이다. 본 발표에서는 현재 본 연구실에서 CASNET 및 INTERNET를 바탕으로 개발중인 산부인과의 불임 진료 및 내과의 갑상선 질환 진단, 치료에 관련된 전문가 시스템 개발의 초기단계를 보임으로써 의료 관련 전문가 시스템 개발의 일반적인 기본 방향을 제시하고자 한다.

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