Among the patients(N=377) who are registered in the department of family Medicine of Seoul National University Hospital investigators analysized the stress amount in terms of their recent experience of 98 kinds of life event and induced the 5 life events in the order of frequency, which are : 1. During period of formation, it is the most stressful event to plan about the future perspectives in men(57%), and to live separately from the family members(75%) and begin to have love affair in woman(75%). 2. During the period of expansion, moving is the most frequent event, and pregnancy and / or birth are next ones. 3. During the completion of expansion, the important examination of their children(38% in men, 41% in women) and marital discord(36% in men, 41% in women) were noticed. 4. During the completion of expansion, the important examination of their children, previously acknowledged, was more frequently issued(64% in men, 50% in women). Other minors include engagement, marriage, leaving home, serving military of their children. 5. During the completion of contraction, there might be the increased chance of family dysfunction as the consequence of the impact of illness(31% in men, 56% in women).
Due to the their rapid physical and psychological change, many adolescents in their growth development find themselves unstable and in a state of anxiety. Lack of communication between adolescents and adults also contributes to ineffective medical intervention. The author for the purpose of assessing the types of interests the adolescents have and what sort of problem they wish to discuss with a physician surveyed 702 boys and girls in 6 junior high and high schools located in Seoul from Oct.9 of 1988 through Oct.30 of 1988. The survey consisted of 32 questions. The results analyzed are as follows: 1. Of the total 702 students surveyed, the number of boys and girls were 349(49.7%), 353(50.3%), respectively. Among them, 358(51.0%) were junior high school students and 344(49.0%) were high school students. 2. Of the 702 student, 462(65.8%) replied they had someone to consult to if needed. 243(52.6%) consulted their problems with their mothers 127(27.5%) consulted their fathers and 41(8.9%) consulted their friends. 3. The problems most of the surveyed students wanted to discuss with were school problems (85.3%), problems of identity (80.2%), healthy diet (70.2%) in order of frequency. 4. In comparing the interests of both boys and girls, boys had more interest in school problems (79.9%), problems of identity (75.4%), healthy diet (64.5%), peer relationships (61.3%), relationships with opposite sex (59.9%). Girls had more interest in school problems (90.6%), problems of identity (85.1%), peer relationships (76.0%), healthy diet (75.7%), healthy exercise (72.9%) in order of frequency. Also, girls had more interests in problems concerning peer relationships, depression, healthy exercise than boys whereas boys had more interests in problems concerning sexual problems such as sexual conduct, sexually transmitted disease and problems concerning relationships with opposite sex. 5. In comparing junior high and high school students, junior high school students were more in school problems (86.6%), problem of identity (79.6%), peer relationships (72.3%), healthy diets (67.6%), healthy exercise (64.3%) in order of frequency. High school students had more interest in school problems (83.9%), problems of identity (80.9%), healthy diet (72.9%), healthy exercise (65.1%), peer relationships (64.8%) in order of frequency. Junior high school students had more interest in peer relationships and relationships with their teachers than high school students whereas high school students had more concern in problems relating to loss of self-esteem, difference of opinion with parents and sexual conduct. 6. Of the total 702 adolescents surveyed the actual number of students with prior experience in consulting were 249(35.5%). Among them, only 4 students (1.6%) consulted a physician. 7. The fact that approximately 85% of students surveyed wanted to consult a physician with problems relating to school shows that current educational system in our society appears to have great impact in the psychological health of adolescents, and necessitaties social reform regarding health care in adolescents. Additionally, 4 out of 5 adolescents were concerned with their problems of identity. Almost over half of the adolescents wished to consult a physician concerning problems relating to depression. Therefore, it is worthwhile for physicians to be concerned with problems noted above and other problems concerning healthy diet, peer relationships and health exercise. 8. Many adolescents seem to have much interest regarding their health whereas many physicans had very little involvement in consulting adolescents concerned with their health care. Also it as extremely rare for a physician to actually in tervene with problems concerning health in adolescents. Therefore it is advisable that physicians take their part in helping adolescents with their problems intervene in the health care of adolescents with a positive attitude conforming to social environment.
This survey was conducted was on 187 registered family members of department of family practice, between September 15, 1987, and September 30, 1987, utilized the Cornell Medical Index. The purpose of this study was obtain basic data which help to problem solving, health care and education for the registered family members of department of family practice. The results were as follows; 1. The average number of complaints of the over-all sections(A-R) was 35.82±26.37, the somatic(A-L)23.80±17.23, and the psychic(M-R)12.02±10.76 2. The average number of complaints by sex was 29.7±26.37 for male and 41.13±24.52, being the female higher. 3. The average number of complaints by each age group not increased with the increment of age 4. In comparison of the rates of complaints in terms of the sections, fatigability was the highest.
Urinary tract infections are quite common next to respiratory tract infections, and are more important they often progressive and lead to irreversible impairment of the kidney function. Hence urinary tract infections, whether encountered in hospital of in general practice, usually raquires rapid and energetic treatment. 1,920 cases with urinary tract infections were evaluated for observation of causative organisms and antibiotic sesceptability in in-patients and out-patients at Yonsei Medical Center during one year from january, 1987 to december, 1987. The following results were obtained. 1) 1,290 patients (in-patients:1065, out-patients:225), (male:477, female:813) were observed. The ratio of males to females was 1:1.7. 2) The most common pathogen were E. coli(43.5%), Enterococcus, Pseudomonas, Klebsiella, Enterobacter in the order. The predominant urinary pathogens in in-patients were Enterococcus, Pseudomonas, Klebsiella, Enterobacter as opposed to E. coli in out-patients. The prevalence of other infecting agent in both groups is almost identical. E.coli was the causative organism in 58.4% of the infections in the female. 3) The incidence of mixed urinary tract infections was 9.9% and their predominant pathogen was Pseudomonas. 4) The susceptability rates from out-patient infections were generally more sensitive than those from in-patient infections. Amikacin and cefotaxime were found to be the most effective antibiotic in both in-patient and out-patient infections. The susceptability rates of ampicillin, tetracyclin, chloramphenicol were very low in both groups. 5) The highest percentage of E.coli were sensitive to cefotaxime and amikacin followed by cefamandole, gentamicin, cefoperazone. E. coli from out-patients were significantly more sensitive to only gentamicin than those from in-patient infections. The susceptability rate of Pseudomonas were most sensitive to colistive to colistin and low sensitive gentamicin, carbenicillin, tobramycin and no significant difference between in-patient and out-patient infections. Klebsiella and Enterobacter were most sensitive to amikacin. Klebsiella from out-patients were more sensitive over 87.5% to most antibiotics than in-patient infections. Susceptability rate of Enterococcus was 89% to ampicillin in in-patient and 100% in out-patient infections.