Adult onset Still's disease (AOSD) is an uncommon acute systemic inflammatory disease of unknown origin. The clinical features include high spiking fever, arthralgia or arthritis, transient maculopapular rash, lymphadenopathy, hepatosplenomegaly, and serositis. The laboratory findings include leukocytosis(neutrophilia), elevation of AST, ALT, ESR, CRP and serum ferritin, and negative rheumatic factor and anti-nuclear antibody. We report a case of a 52-year old woman whom symptom is subsided after steroid use. (J Korean Acad Fam Med 2007;28: 210-213)

Background
: If the corrections of the cryptorchid testes are delayed, it may lead the patients to suffer loss of testes of fertility. So we purposed to analyze the present status of correction and the causes of delay and tried to emphasize the needs to educate the in-form the ideal age for correction.

Methods : Total 363 cryptorchid patients who visited our hospital in 10 years from Janu-ary 1987 to December 1996 were divided into 3 groups according to their ages at visit as under 2,3, to 5 and over 6 years groups. We analyzed the operative findings of the 3 groups, compared the ratio of the over 6 groups during the half ten years till 1991 to the same ratio after 1992 and also analyzed the causes of delay in 81 patients for whom the causes of delay could be identified in over 6 years group.

Results : The age distributions showed 88 patients(24.2%) of under 2 years group, 118 patients(32.5%) of 3 to 5 years group and 157 patients(43.3%) of over 6 years group. When we compare the former 5 years till 1991 to the latter 5 years after 1992, the num-ber of the patients who underwent orchiopexy under the age of 2 were increased from 34(19.1%) to 54(29.2%) and those over the age of 6 were decreased from 88(49.4%) to 69(37.3%) but still in higher proportion. The intraoperative findings showed that the rate of atropic or smaller tests than normal size in over 6 years group(128 testes, 73.1%)were higher than those of under 2 years(10 tests, 9.8%) and 3 to 5 years group(28 tests, 20.2%). The most common causes of delay in over 6 years group was recommendation by rel-atives or neighbors(36 patients, 48.1%) and the remainders were advices of doctors other than urologists(27 patients, 33.%3), poor economic status(8 patients, 9.9%) and unaware-ness of the anomaly(7 patients, 8.6%).

Conclusion : To prevent the loss of testicular function or tests itself in patients with cryptorchidism, the early correction should be performed because the recommended age for the correction tends to be decreased. The public information for the recommended age should be provided and also educational programs for the primary are supposed to be performed.

Background
: Thomas L Campbell proposed a scoring method to assess families with chronic illness to easily. This scoring system relies on a questionnaire composed of 7 questions and depending on the results divides the families into three categories ; families coping very well, families that require support of a family physician and families that require family therapy consulting. this study was performed to investigate the reliability and validity of such a scoring system to accurately assess families with chronic illness and be of help management in Korea.

Methods : Coping scores and APGAR scores were taken 137 of patients and their families who were admitted to hospital between March and May in 1994. Statistical reliability testing was performed with Cronbach's alpha in SPSS/PC+ 4.0 and a comparison was made between the total coping score and individual items scores to find any correlation. Two technique were incorporated to determine the validity of the scoring, first, interviews were performed on families with chronic illness and points given from 1 to 5 for families with increasing levels of coping to the illness, and these results were compared with the coping score for correlation, second, APGAR scores were compared with the coping score for correlation. SAS was need to determine correlation.

Results : Patients studied were 90 male and 47 female and ages ranged from 17 years to 83 years with a mean of 48.7±16.1 years. The mean of the APGAR scores was 6.75±2.58 with 91 families with scores 7 points or over, 28 families between points 4 and 6, and 18 families with 3 points or less. The coping scores mean was 10.37±2.87 with 74 families with scoress 11 points or over, 55 families between points 5 and 10, and 8 families with 4 points or less.
Cronbacch's alpha was 0.6438 and with a score over 0.6, the coping score is found to have reliability. Correlation was found between the total score and individual items' scores.(P<0.0001) The R coefficiency between the coping score and the interview score was determined to be 0.5697 also showing correlation.(P<0.0001) The R coefficiency between the coping score and the interview score was determined to be 0.5697 also showing correlation.(P<0.0001) The R coefficiency between the coping score and APGAR score was 0.6410 again showing correlation (P<0.0001) and demonstrating the validity of the coping score.

Conclusion : The score of family's coping with chronic illness shows reliability and validity, as the results of this syudy. The scoring system can be used as a basic screening tool to determine how well a family is coping with chronic illness and as a basic guideline of family therapy in Korea.