No abstract available.
Cause of Death* ; Korea*

No abstract available.

No abstract available.
Barium* ; Child* ; Humans ; Intussusception* ; Ultrasonography*

This study was designed to evaluate the usefulness of the GnRH stimulation test in 83 infertile azoospermia and oligoasthenospermia patients. GnRH stimulation test may be helpful not only to differentiate hypogonadotropic hypogonadism of pituitary or hypothalamic origin, but also to identify early Sertoli cell insufficiency in patients with normal basaI FSH level.
Azoospermia ; Gonadotropin-Releasing Hormone* ; Humans ; Hypogonadism

This study was designed to evaluate the usefulness of the GnRH stimulation test in 83 infertile azoospermia and oligoasthenospermia patients. GnRH stimulation test may be helpful not only to differentiate hypogonadotropic hypogonadism of pituitary or hypothalamic origin, but also to identify early Sertoli cell insufficiency in patients with normal basaI FSH level.
Azoospermia ; Gonadotropin-Releasing Hormone* ; Humans ; Hypogonadism

No abstract available.
Vulva

This study was designed to determine the effectiveness of transrectal ultrasonography compared with chain cystourethrography in stress urinary incontinence. The advantages of transrectal ultrasonography are that it is a simple. comfortable, noninvasive and quick out patient procedure. The diagnostic criteria of stress urinary incontinence are more than 146.6` in posterior urethrovesical angle, more than 1.02cm in bladder neck descent and more than 0.14cm in bladder neck opening. In conclusion, transrectal ultrasonography is a highly sensitive and specific method for the diagnosis of stress urinary incontinence.
Diagnosis ; Diagnostic Tests, Routine* ; Female* ; Humans ; Neck ; Ultrasonography* ; Urinary Bladder ; Urinary Incontinence*

This study was designed to determine the effectiveness of transrectal ultrasonography compared with chain cystourethrography in stress urinary incontinence. The advantages of transrectal ultrasonography are that it is a simple. comfortable, noninvasive and quick out patient procedure. The diagnostic criteria of stress urinary incontinence are more than 146.6` in posterior urethrovesical angle, more than 1.02cm in bladder neck descent and more than 0.14cm in bladder neck opening. In conclusion, transrectal ultrasonography is a highly sensitive and specific method for the diagnosis of stress urinary incontinence.
Diagnosis ; Diagnostic Tests, Routine* ; Female* ; Humans ; Neck ; Ultrasonography* ; Urinary Bladder ; Urinary Incontinence*

Fertility preservation (FP) is an effort to retain the fertility of cancer patients, and as an emerging discipline, it plays a central role in cancer care. Because of improvement in diagnostic and therapeutic strategies, an increasingly large number of patients are surviving with cancer. FP specialists should make an effort to spread the significance of FP among reproductive women with cancer and provide appropriate education both for associated physicians and for cancer patients who wish to preserve their fertility. Physicians who take part in the initial diagnosis and management of cancer should consider the importance of early referral of young cancer patients to FP specialists and take care of those patients by providing timely information and appropriate counseling. Individualized treatment strategies should be delivered depending on the patient's situation with appropriate team approach.
Counseling ; Female ; Fertility ; Fertility Preservation ; Humans ; Referral and Consultation ; Specialization

Group occupational health service programme started in 1990 is one of the measures to cope with limited human and financial resources in occupational health. The programme has expanded rapidly to include 52 institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. This study has aims to develop the criteria to assess the quality of newly developed group occupational health service programme, and to investigate the quality of institutions, and finally to develop policies for the quality improvement. 1) Criteria development : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, followings are included as core elements of qualitative occupational health programme ; accessibility, continuity, comprehensiveness, technical quality, intersectoral collaboration, emphasis on preventive services, community participation, and adequacy. Again each element is divided into five major components of national health system infrastructure developed by the World Health Organization ; development of health resources, organized arrangement of resources, delivery of health care, economic support, and management. In turn, each component is categorized into three aspects of quality assessment, structure, process and outcome. Expert panel selected several criteria for each category to evaluate the programme. Criteria were modified according to each group of interviewees, to produce two sets of questionnaire, one for chief operating officer and another for nurses in the institutions, and the chief operating officer and workers in the workplace. 2) Subject : Of all 52 institutions, 25 voluntarily participated in the survey. At individual institution, chief operating officer and practicing nurses were interviewed in depth. After intensive education for interviewees, every interview was performed with standardized guideline and questionnaire. The quality of the 'Group occupational health service programme' was found to be lower than expected. Especially In continuity, comprehensiveness, technical quality, community participation and adequacy, lower quality in structural aspect was commonly identified throughout all the institutions. Quality in terms of accessibility and continuity highly varied among institutions. To improve quality of the programme, more comprehensive and systematic programme such as accreditation has to be introduced. In addition, human resources, governmental fund and information systems for individual workers are to be developed. As a long range plan, integration of occupational health services into the national health systems and pooling of financial resources and planned allocation should be considered.
Accreditation ; Consumer Participation ; Cooperative Behavior ; Delivery of Health Care ; Education ; Financial Management ; Health Resources ; Humans ; Information Systems ; Korea* ; Occupational Health Services* ; Occupational Health* ; Primary Health Care ; Quality Improvement ; Questionnaires ; Social Welfare ; World Health Organization