Background
This study was conducted to survey the current status of family medicine residency programs and to evaluate the difficulties in training of the curriculums. Methods: Questionnaires on residency programs were sent to all the centers of residency programs by mail in April 2006. The questionnaire included detailed characteristics of residency programs, curriculum schedule, reasons for failed specific curriculum, and review and measures by the program center and the Korean Academy of Family Medicine to resolve problematic curriculums. Results: A total of 113 residency programs responded. Among the 93 residency programs except for the 20 subsidiary hospitals, inadeguate subjects were mainly dermatology (12 programs, 12.3%), psychiatry (6 programs, 7.5%), ophthalmology (5 programs, 7.1%), and otolaryngology (5 programs, 7.1%). Training rejection rate was higher in dermatology (13 programs, 14.4%), radiology (11 programs, 13.1%), gastrofibroscopy (8 programs, 9.5%), and psychiatry (5 programs, 6.2%). Emergency me-dicine in 4 programs and general surgery in 3 programs had a longer duration of training than initially planned. Difficulties in training some subjects were due to failed establishment of specific curriculums in non-university hospital. Commonly established clinics were health promotion center, obesity clinic, smoking cessation clinic, geriatric clinic, stress clinic, and clinical nutrition clinic. Family medicine center programs included gastrofibroscopy, obesity, smoking cessation, geriatrics, hospice care, and evidence-based medicine. Conclusion: There is repeated demand for taking measures to promote better curriculum in the nation-wide view of family medicine. Dermatology, radiology, psychiatry, and otolaryngology were the subjects difficult to receive training. Measures to strengthen the weak subjects are urgently needed. (J Korean Acad Fam Med 2007;28: 367-374)

Background
: It is well known that the ultrasonographic test is one of most commonly performed diagnostic tool nowadays. Also the fatty liver is one of the most frequent finding by this abdominal ultrasonographic examination. The purpose of this study is to determine the significance of this fatty liver and the possibility of application of ultrasonography to make diagrosis and follow up clinical course of fatty liver.

Methods : Obesity index, liver function tests, blood lipids, clinical features, related factors and age and sex distribution were analyzed with 237 fatty liver cases those were diagnosed by ultrasonography for the health care examination at Guro Hospital Korea University from April 1992 to March 1993. Fatty liver cases were classified according to Mittelstaedt's classification to group I(mild) an group II(moderate to severe). In this study, patients who were confirmed as hepatitis B or C were excluded.

Results : Fatigue(21.5%), indigestion(9.9%), epigastric pain(9.4%) were frequent complaints and asymptomatic was 54.1% in group I. In other hand, fatigue(28.6%), indigestion(14.3%), epigastric pain(8.9%) were prominent subjective finding and asymptomatic were only 39.3% is group II. The obesity index was statistically higher in group II than group I. And aspartate aminotransferase, alanine aminotransferase, ν-glutamyltranspeptidase, alkaline phosphatase were significantly higher in group II than in group I. Total cholesterol and triglyceride in group II were significantly elevated than group I.

Conclusion : The fatty liver cases classified by ultrasonographic finding revealed statistically significant differences in several biologic markers as indicated the above results. The author concluded that group II fatty liver needs more close and more frequent clinical traces individually as they have well known risk factors than group I.

Background
: It is well accepted fact that the obesity is an important factor for many disease such as chronic debilitating illness including hypertension and so on. It has been the main focus of disease prevention adn health promotion in our medical field because of westernizing daily life practice in Korea. Many investigators had been reported the relation between obesity and hypertension. However there has little study been done about any relationship between Body Mass Index (BMI) and blood pressure. The purpose of this study focused on the relation of aging process, blood pressure and BMI.

Methods : The author analysed systolic and diastolic blood pressure and BMI by age variables with 911 people who came to Korea University Guro Hospital for periodic health exam from January 1, 1985 to June 40, 1991.

Results : The systolic and diastolic blood pressure are significantly (P<0.05) higher in BMI grade I and II compare to grade 0 in men regardless of age variable. In other hand systolic blood pressure in significantly (P<0.05) higher in BMI grade I than grade 0 and diastolic pressure is also higher (P<0.05) in grade I and II than grado 0 in women. The correlations of these variable are r=0.29 in systolic blood pressure and age, r=0.26 in systolic blood pressure and BMI, r=0.18 in diastolic blood pressure and age, and r=0.29 in diastolic blood pressure and BMI. The author analyzed the contribution of age and BMI to blood pressure. The result showed that age can explain 8.24% to systolic blood pressure and BMI can explain 8.61% to diastolic blood pressure.

Conclusion : In this study with the relationship of obesity and blood pressure(systolic and diastolic), the author can make conclusion that age variable has significantly correlation with systolic blood pressure and BMI showed positive relationship with diastolic blood pressure. The author propose that there is a lot of room for further study to make clear the point if there is and possibility of positive effect on diastolic blood pressure with reducing body weight in the obese diastolic hypertensive patients.