[Information processing as a tool].
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Biomedical subjects
Publications and source records attributed to M S Kupka.
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In most areas of medicine electronic documentation today is mandatory. Biometric or longitudinal data and data collected according to quality assessment programs can often only be collected in computer databases. Two different technical realisations in commercial software products for fetomaternal medicine are compared.
The safeguarding of quality has reached an essential position in medical area. The creation of corresponding concepts with definition of tasks for quality assessment is one of the most important challenges for public health organizations and politicians. The still established projects in gynecology and obstetrics in Germany now carried out that the conscience for the necessity of quality safeguarding is in high gear.A summary of the quality safeguarding projects and tools is given.
Main reason for acceptance and distribution of the internet is the possibility to present information in a reasonable and contemporary way. Therefore the internet changed the way of decision making techniques in medicine. Two different information platforms for gynecological and reproductive topics have been created. The German Register for In-Vitro-Fertilization (DIR) collect data for quality assessment in reproductive medicine. The Work Group for Information Technologies in Gynecology and Obstetrics (AIG) will establish methods and new techniques to support treatments and science.
Guidelines are well established in modern medicine as a tool of quality assurance. New developments in Information Technology (IT) alters strategies in communication, and influences the publication of important notes or research findings. Acceptance and efficiency of guidelines depends on promptness of publication. Using the internet to publish guidelines does not only improve success of transferal but also changes interaction between physicians and patients.
Rapid development and innovative research in medical computer science influences physicians work. Not only new hardware but also network implementation changed the way of decision making techniques in medicine. The main reason for acceptance and distribution of the internet is the possibility to present information in a reasonable and contemporary way. A self-labeling of medical information by web authors and systematic critical appraisal of health-related internet information by third parties may help to filter harmful health information and to positively identify and select high quality information. The German Work Group for Information Technologies in Gynecology and Obstetrics (AIG) informs physicians about health care issues related to computer science.
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From May 1991 to July 1993, assisted fertilisation by micromanipulation (PZD, SUZI and ICSI) was performed in 397 cycles with severe teratozoospermia. In the second series of 152 cycles with SUZI, the pregnancy rate per cycle was 5% (10% per transfer). In the third series, the method was changed from SUZI to ICSI.