• Title/Summary/Keyword: sterilization

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A Clinical Study on the Incidental Pregnancies following Tubal Sterilization Surgery (난관불임술후 발생된 임신에 관한 임상적 고찰)

  • Suh, Byung-Hee;Lee, Jae-Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.10 no.2
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    • pp.13-23
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    • 1983
  • In recent days, family planning is not only a problem limitted to our country but an important problem for the while world to solve. Up to present, various methods of sterilization have been developed for population control. When a patient with a previous tubal sterilization by operative method develops any symptoms and signs of pregnancy, we strongly consider it ectopic pregnancy and intrauterine pregnancy. As the cause of sterilization failure, we think that the tubal loop sloughs away and tubal ends either unite and recanalization results or heal and failure of union results in fistula. This present study considered of the 34 cases of ectopic pregnancies and 2 cases of intrauterine pregnancies after tubal sterilization by laparoscopy and Pomeroy's method, at the Dept. of Gynecol. in Kyung Hee University Hospital, during 6 years from Jan. 1977 to Dec. 1982. Authors take result in this study retrospectively. 1. Mean age was 33.7 years for the laparoscopic tubal sterilization group, 31.5 years for the Pomeroy tubal sterilization group. 2. The number of mean gravida and parity at the sterilization was 4.9, 2.8 for the laparoscopic tubal sterilization group, 4.2, 2.2 for the Pomeroy tubal sterilization group, :respectively. 3. The number of mean artificial abortion at the sterilization was all 2.2 for the laparoscopic and Pomeroy tubal sterilization groups. 4. Mean intervals from the tubal surgery to the incidental pregnancy was 3.2 years for the laparoscopic tubal sterilization group, and 3.8 years for the Pomeroy tubal sterilization group. 5. 63.3% of the laparoscopic tubal sterilization group had problem of inadequate tubal ligation, in comparison to having no inadequate problem in the Pomeroy tubal sterilization group. 6. The previous tubal sterilized scar was found to be 6 cases (17.6%) of inner portion, 15 cases (44.4%) of midportion, 13 cases (38.2%) of outer portion at the time of operation. The tubal site of ectopic pregnancy was found to be 23 cases (67.6%) of ampullary portion,S cases ( 4.7%) of isthmic and fimbrial portion, respectively. 7. The causes of table sterilization failure were, in order of frequency, technical error (19 cases), fistula formation (6 cases) and recanalization (5 cases) for the laparoscopic tubal sterilization group and fistula formation (2 cases), technical error (l case), recanalization (l case) fo the Pomeroy tubal sterilization group. 8. As the new applicated contraceptive method in incidental pregnant patient, Authors used 2 gravigard insertion for the two intrauterine pregnancy and 34 Pomeroys' tubal ligation, 2 total abdominal hysterectomy (due to associated pelvic inflammatory disease) for the 36 tubal pregnancy.

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Influence of Sterilization Methods on Atrazine Assimilation (멸균법이 atrazine의 분해과정에 미치는 영향)

  • 정규혁;오승민
    • Journal of Environmental Health Sciences
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    • v.23 no.1
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    • pp.1-7
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    • 1997
  • We investigated the influence of various known sterilization methods on atrazine assimilation. The present study was designed to investigate the effect of autoclaving, sodium azide and mercuric chloride treatment on the assimilation of atrazine in soil and sediment. The sterilization reactor treated with sodium azide resulted in $^{14}CO_2$ generation and atrazine was rapidly disappeared from reactor through chemical reaction with sodium azide. These findings seem to indicate that sodium azide sterilization is not recommended for atrazine studies. In sample reactors autoclaved or treated with mercuric chloride, $^{14}CO_2$ generation was not detected and most of the disappeared atrazine was found to exist as hydroxyatrazine. These results suggested that autoclaving or mercuric chloride treatment could be effective sterilization methods. However, chemical properties(pH and redox potential) of soil and sediment were altered by any of the sterilization methods applied. So it was suspected that these altered properties could affect distribution and mineralization of atrazine in soil and sediment. In addition, both autoclaving and mercuric chloride treatment have altered $K_d$ values of hydroxyatrazine more significantly than those of atrazine. Consequently, although autoclaving and mercuric chloride treatment are effective sterilization methods, one must be careful in using them in practice as these methods may cause chemical degradation of both of atrazine and its metabolites and changes in chemical properties of soil and sediment. In conclusion, careful assessment of sterilization methods must be made for the degradation studies of chemicals in soil and sediment in order to minimize possible undesirable chemical degradation of sample and/or changes in physico-chemical properties of soil and sediment by the selected sterilization methods.

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Review of Contraceptive Distribution Strategy for the Korean National Family Planning Program (정부가족계획사업의 피임보급전략에 관한 소고)

  • 조남훈;장영식
    • Korea journal of population studies
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    • v.5 no.1
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    • pp.117-132
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    • 1982
  • During the period of 1962 through 1981, a total of 11. 7 million cummulative acceptors have received contraceptive services under the national family planning program. The number of annual acceptors have steadly increased from 151, 200 in 1963 to 842, 200 in 1975, and since then it has maintained the range of 600, 000 to 800, 000 acceptors per year. From the beginning of the program, the IUD had been the principal method of contraception provided by the government program until 1976, at which time the government made female sterilization services available thorough the introduction of the laparoscopy method. The popularity of female sterilization has increased very rapidly during the last few years. Out of 614, 200 program acceptors in 1981, the proportion of female sterilization and IUD acceptors were virtually the same(26.8% and 27.2% respectively). Considering various anticipated problems such as a large proportion of contraceptive users for the fertility termination and the high discontinuation rates of IUD and other traditional method, the government has emphasized the distribution of female sterilization and deemphasized condom and pill contraceptives since 1978. However, the recent service statistics has revealed that the acceptance rate of female sterilization has steadly declined since 1979. Thus, the purpose of this analysis is to review the current government policy on contraceptive distribution with emphasis of female sterilization by estimating the prospect of sterilization acceptablilty. According to the Fifth Five-Year Plan for Family Planning Program(1982-1986) the annual average target of sterilization was set up to secure 230, 000 acceptors by the government sector during the period. If the sterilization target is to be met as planned, about 80 percent of exposed women aged 30-44 will be remained as sterilized women in 1985. This means the the high acceptance rate of sterilization shown in the past years can not be expected, unless the acceptors' age of sterilization is drastically lowered below 30 years. Accordingly, the current policy on contraceptive distribution with emphasis on sterilization should be gradually changed to encourage target population to use contraceptives for birth spacing by increasing access to such contraceptives as IUDs, pills, and condoms, and to improve continuation rates through better program management system including target setting, acceptors' follow-up, supervision, and evaluation system.

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Efficiency of Sterilization Policies by the State Bank of Vietnam

  • HOANG, Hang Thi Thanh;NGUYEN, Phung Thi Kim;NGUYEN, Phuc Tran
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.10
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    • pp.87-94
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    • 2020
  • This study aims to evaluate the effectiveness of sterilization in Vietnam. We estimate a simultaneous equation by using Two-Stage least squares (2SLS) regression analysis. The time-series data was collected for the first quarter of 2004 to the fourth quarter of 2018. In particular, the effectiveness of sterilization is considered in terms of dollarized economy, since making the transition from a centrally planned to a market economy system, the Vietnamese economy has remained in a state of dollarization. In addition, we also assess whether the global financial crisis had an impact on the sterilization effectiveness of the State Bank of Vietnam (SBV). On the basis of the estimated sterilization and offset coefficients, our results suggest that the State Bank of Vietnam (SBV) has not been able to fully neutralize the impact on the domestic money supply when intervening in the foreign exchange market, and the capital inflows respond strongly to changes in domestic monetary conditions. The results also show that the global financial crisis has changed the effectiveness of these sterilization policies. An analysis of this study's empirical findings provides the opportunity to derive some recommendations that may assist in increasing the effectiveness of the State Bank of Vietnam's sterilization policies in the process of accumulating international reserves.

An Epidemiological Study on the Complications caused by the Sterilization Program (불임시술의 합병증에 관한 역학적 연구)

  • Hong, Myung-Sun
    • Research in Community and Public Health Nursing
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    • v.7 no.1
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    • pp.138-153
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    • 1996
  • Intending to offer basic information for a prospective health services in Korea, this study is to investigate the complication caused by sterilization in goverment family planning program from 1962 to 1995. The results are as follows: 1. Total number of sterilization performed during the period from 1962 to 1995 were 1.367,772 cases of male sterilization and 2,889,635 cases of female sterilization. 2. Incidence of the complication caused by sterilization operation from 1980 to 1995 were 1,883(0.20%) out of 925,801 cases in vasectomies and 15,866(0.70%) out of 2,256,020 cases in tubal sterilizations. 3. Major complications in vasectomy were epididymities of 658 cases (34.9%), vas recanalization of 326 cases(17.3%), hematoma of 266 cases(14.1%), scrotal abscess of 184 cases(9.8%), sperm granuloma of 76 cases(4.0%),and other of 373 cases(19.8%). On the other hand, in tubal sterilization, ectopic pregnancy was the most significant complication of 15,078 cases (95.0%) among 15,866 total complications, followed by pelvic inflammatory diseases of 155 cases(0.9%), peritonities of 96 cases(0.6%), ovarian & tubal bleeding of 31 cases(0.2%), intestinal perforation of 16 cases (0.1%), uterine bleeding of 14 cases(0.1%), uterine cervix laceration of 1 case (0.1%), and other of 271 cases(1.7%), while 161 pregnancies(0.1%) were terminated and 43 cases(0.3%) with normal delivery. 4. The occurrence rate of the complication for each period showed that most of the complication cases by vasectomy occurred in a year after the operation -the cases were 1,256 (66.7%). 254 cases(13.5%) occurred between the next year and the 2nd year, 138 cases (7.3%) between the 2nd year and the 3rd year, 73 cases(3.9%) between the 3rd year and the 4th year, 52 cases(2.8%) between the 4th year and the 5th year, 31 cases(1.6%) between the 5th year and the 6th year, 79 cases(4.2%) over the 6th year. Tubal sterilization indicated that the occurred complication cases in a year were 2,175 cases(13.7%), 2,113 cases(13.3%) occurred between the next year and the 2nd year, 2,082 cases(13.1%) between the 2nd year and the 3rd year, 2,049 cases (12. 9%) between the 3rd year and the 4th year, 1,819 cases(11.5%) between the 4th year and the 5th year, 621 cases(10.2%) between the 5th year and the 6th year, 4,007 cases(25.3%) over the 6th year. 5. For the cost of complication treatment, total \7,928,229,000 were paid as medical expenditure in which \609,438,000 for vasectomy and \7,318,791,000 for tubal sterilization. Accordingly per capita expenses were \345,000 for vasectomy and \467,000 for tubal sterilization. As the proportion of government sterilization program was decreased after 1988, that of private sterilization program would be increased. So it is recommended to set a guideline for the private sterilization program and to continue government sterilization program for the lower class.

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Determination of Optimum Sterilization Condition for the Production of Retort Pouched Curry Sauce (레토르트 카레 소스 생산을 위한 최적살균 조건의 설정)

  • Chung, Myong-Soo;Cha, Hwan-Soo;Koo, Bon-Youl;Ahn, Peong-Ug;Choi, Chun-Un
    • Korean Journal of Food Science and Technology
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    • v.23 no.6
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    • pp.723-731
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    • 1991
  • In order to optimize sterilization conditions of retort pouched curry sauce, sterilization processes for eighteen conditions by varying temperature, time and method were conducted through $3^{2}{\times}2^{1}$ experimental factorial design. Quality evaluations before and after sterilization included measurements of vitamin (niacin) retention, pH and color differences, and organoleptic test(taste, color and viscosity). $F_{o}$ values were also measured at each condition. Product qualities were mainly affected by sterilization temperature and time, whereas sterilization method had no significant effect. Effect of sterilization time on product qualities was higher than that of sterilization temperature. From the response surface analysis, an optimum range of sterilization condition simultaneously satisfying desired specifications was determined to be $123.5^{\circ}C$, 21.5 min to $127.5^{\circ}C$, 17.0 min. In this range, the sterility($F_{o}$ value) at a cold point during sterilization was approximately 15.0 min.

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Effects of Heating and UV Sterilization of Repeatedly Reused Face Masks on Inhalation Resistance and Fiber Structure (보건용 마스크 재사용을 위한 가열과 자외선 살균이 마스크의 안면부 흡기저항 및 섬유구조에 미치는 영향)

  • Jung, Jae-Yeon;Lee, Joo-Young
    • Fashion & Textile Research Journal
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    • v.23 no.3
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    • pp.406-414
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    • 2021
  • This study aimed to evaluate the inhalation resistance(IR) and fiber structure of disposable masks when exposed to repeated heating and ultraviolet(UV) sterilization. The experiments consisted of a lab-scale and a field test. For the lab-scale test, KF94 and N95 masks were selected and a trial was composed of three repetitions of an 80-min sterilization. For the field test, a subject participated over four days, of which a KF94 was worn without sterilization, and the same trial was conducted during the next four days with daily sterilization. The results showed that the IR of the KF94 mask(9.5 Pa) gradually increased according to the sterilization up to the second repetition(15.6 Pa) but decreased at the third treatment(9.7 Pa). However, the N95 mask did not showany tendency of IR during the repetitions. Microscope photos showed several warped or blackened fibers in the stiffener layer after the repeated sterilization. After wearing a KF94 mask for four consecutive days, its IR decreased until the three days but increased the fourth day, whereas another KF94 mask with sterilization showed an increase in IR for the four days. In the microscope-photos after the consecutive four days, outside fibers and stiffener layers were warped or became less dense. In summary, the IR of the KF94 mask slightly increased through the three~four rounds of heating and UV sterilizations, but the fiber structures were not significantly deformed by the repeated sterilization. To reduce discarded mask waste, the repeated sterilization of masks can be recommended.

Medicoethical Consideration Raised by Surgical Sterilization (불임시술의(不姙施術醫)의 윤리(倫理))

  • Bai, Byoung-Choo
    • Clinical and Experimental Reproductive Medicine
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    • v.15 no.1
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    • pp.35-39
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    • 1988
  • In these past 2 decades, dramatic improvement in technology have greatly expanded the scope of female and male surgical sterilization in Korea. Female and male surgical sterilization are readily accepted because those are simple, in expensive, effective and apparently without serious postoperative complications and the failure rates are very low. In 1986, 92,000 cases of vassectoncy and 312,000 tubal sterilization were taken by the financial support of government in Korea. In this important appraisal the Ministry of Health and Social Affairs provided the guideline for the physicians on the medicoethical problems of surgical sterilization for men and women. The various medicoethical consideration that may give arise to the physicians as well as family planning workers in connection with surgical sterilization are also reviewed and discussed.

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Disinfection, Sterilization and Aseptic Technique for Thread Embedding Acupuncture (안전한 매선요법 시술을 위한 멸균, 소독 및 무균법)

  • Yun, Young-Hee;Son, Jae-Woong;Ko, Seong-Gyu;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.1
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    • pp.103-112
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    • 2016
  • Objective : Thread embedding acupuncture has become popular as a minimally invasive treatment for facial wrinkles and laxity. However, there is little published clinical practice guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture. This study is to introducing a specific guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture.Method : We reviewed internal regulations and guidelines about hospital infection, and Traditional Korean medicine doctors, nurses, and director of central supply room discussed in depth and established a regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture.Result : The regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture consisted of ① management of supplies, ② guidelines of disinfection, sterilization, and reuse, ③ aseptic technique for thread embedding acupuncture.Conclusion : Microbial management is an essential element of medical care and quality. Traditional Korean medicine doctors will care for disinfection, sterilization, and this should not neglect to comply with the procedures and guidelines in the medical field as well as to understand the aseptic techniques.

Determinants of Sterilization among Married Couples in Korea (우리나라 부부의 영구피임 결정요인)

  • Kim, Ju-Hee;Lee, Sun-Mi;Suh, Moon-Hee;Kang, Dae-Ryong;Chung, Woo-Jin
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.6
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    • pp.461-466
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    • 2007
  • Objectives : The purpose of this study was to examine the determinants of sterilization in South Korea. Methods : This study was based on the data from the Korea National Fertility Survey carried out in the year 2000 by the Korea Institute of Health and Social Affairs. The subjects of the analysis were 4,604 women and their husbands who were in their first marriage, in the age group of 15-49 years. The data were analyzed by multiple logistic regression analysis. Results : Consistent with the findings of previous studies, the woman#s age and the number of total children increased the likelihood of sterilization. In addition, the year of marriage had a strong positive association with sterilization. Interestingly, the number of surviving sons tended to increase the likelihood of sterilization, whereas the woman#s education level and age at the time of marriage showed a negative association with sterilization. Religion, place of residence, son preference, and the husband#s education level, age and type of occupation were not significant determinants of sterilization. Conclusions : The sex of previous children and lower level of education are distinct determinants of sterilization among women in South Korea. More studies are needed in order to determine the associations between sterilization rate and decreased fertility.