Hypertension is not only a freguent disease entity, but is a main predisposing and etiologic factor of cerebrovascular disease and coronary artery disease.
But, in many instances, patient with hypertension does not realize they have hypertension due to its indistinct clinical features, and even after diagnosis, many patients do not receive treatment, and some who are treated still have elevated blood pressure.
In order to maintain Patient's health, Studies on obstacles in blood pressure control and Patient Compliance were necessary.
There fore, a questionnaire Concerning physicians, proposed to 128 hypertensive patients in 4 hospitals from Sep. 1988 to Oct, 1988. Following results were obtained.
1. The main obstacles to hypertension control by Patients were "absence of Symptom" and "difficulty in weight control".
2. Even those patient who are in medication at hospital, they did not recieve appropriate treatment.
3. Compliance to treatment was low in patients who are less educated, lower income than 300,000 won per month, those exposed more than 3 years and thoses who drinks alcohol.

Upper gastrointestinal symptoms and problems are very frequent and important in primary care. Upper GI evaluations have been frequently performed to discriminate undifferentiated problems and make accurate diagnoses. But these evaluations couldn't be done all the time in primary care due to many limitations, so indications should be established.
To establish indications for upper GI evaluation including gastrofiberscopy and upper GI barium study, the authors analyzed the history of epigastric hunger pain, epigastric tenderness on palpation, stool occult blood testing, and the results of endoscopic or radiological evaluations. For each of hunger pain, tenderness, stool occult blood, and combinations of hunger pain and tenderness, of hunger pain and tenderness and stool occult blood, sensitivity, specificity, positive and negative predictability were obtained.
The results were as follows;
1. Subjects of study were 36 male and 32 female patients. Average age were 38.9(male) and 36.5(female) in years.
2. Gastrofiberscopy and upper GI study were performed to 66 and 2 patients, respectively.
Of these patients, peptic ulcer was detected in 9, erosive gastritis in 6, and other gastritis in 11 patients, respectively.
3. Positive results were not significantly correlated with hunger pain, tenderness, positive stool occult blood, and combinations of these symptoms or signs in sensitivity, specificity, and predictability.
These results showed that hunger pain, epigastric tenderness, or stool occult blood would not be used as meaningful indicators for upper GI evaluation. But further investigation should be performed to establish these indicators, especially in primary care settings.

This study was designed to investigate the patient satisfaction with an office visit for the common cold. A questionaires were given to 69 patients who visited "Ohryu clinic" from June 1988 to October 1988.
The results were as follows:
1. Among 69 patients, 35 patients were male, 34 patients were female. 32(46.4%) patients belong from age 1 to 19, 21(30.4%) patients were from age 20 to 39, 12(17.4%) patients were from age 40 to 59, and 4(5.8%) patients were above 60 years old.
2. The reasons why patients visited clinic were:first, the patient who wanted to find out whether he has risky disease or not was 14(20.3%), second, the patient who wanted to have full explanation about his disease was 11(14.9%). third, the patient who expected better condition right after medication was 10(14.1%).
3. There was no close statistical correlation between age, sex marital status, educational level and the reason for visiting clinic.
4. When physician prescribed medication only, 16(23.2%) of patients were fully satisfied, 6(8.7%) were satisfied a little, 6(8.7%) were dissatisfied a bit, 11(15.9%) were fully dissatisfied. In case of mediction and injection, 18(26.0%) patients were fully satisfied, 7(10.2%) were satisfied a little, 2(2.9%) were dissatisfied a bit, 3(4.4%) were fully dissatisfied.
5. There was no close statistical correlation between age, sex, marital status, educational level, frequency of visiting clinic and patient's satisfaction.
6. 13(27.7%) patients were pleased because of physician's careful listening, 10(21.2%) were pleased because of physician's kind explanation, 7(14.9%) patients were pleased because their views were in accord with physician's kind explanation, 7(14.9%) patients were pleased because their views were in accord with physician's, 5(10.6%) patients were pleased because they received injection, fifth, 3(6.4%) were pleased because they were reassured, in order.
7. 9(40.9%) patients were displeased because of physician's insufficient explanation, 4(18.2%) patients were displeased because they didn't have enough time to talk about their conditions, 3(13.6%) patients were displeased because of physician's carelessness, 3(13.6%) patients were displeased because of no injection, 2(9.1%) patients were displeased because they didn't have laboratory examination, in order.

In order to know the clinical content of health examination patient.
The patients chart were reviewed and analysed, All patients who were visited to the family medicine department from June, 1987, to June 1988 were selected and analysed.
1. The total number of patients was 323, in which 191 was male(59%) and the number of female was 132 (41%).
2. The age distribution of patients was O through 79 years old. The largest was the 30-39 year old group by 29.4%. The smallest was 70-79 year old group. 0-19 year old group was none.
3. The number of secondary visit patient was 129(40%).
4. The 4 most common chief complaints were general weakness or fatigue, abdominal discomfort. headache and anorexia
5. The 4 most common diseases by fuguency were gastritis, chronic liver Disease, Pulmonary Tuberculosis, Diabetes Mellitus.
6. The referral rate was 2.4%.

This retrospective clinical study was attempted to analyse 173 cases of twin deliveries out of 11, 481 cases delivered at the Department of Obstetrics and Gynecology, Incheon Gil's Hospital during 7 years, from Jan. 1, 1981 to Dec. 31, 1987.
Cinical evaluation with multiple aspects on 120 cases of twin pregnancy were made.
The results obtained were as follows:
1. The freguency of twin births was one in 66 births.
2. Predominant age group of gravida was 25-29 with 61.7% and the least was that of more than 40 years showed 0%, also, that of less than 20 years showed 0%.
3. According to parity, primipara was the most freguent with 44.2% and the least was group of para 4 with 0%.
4. The predominant gestational weeks group of twin births was 37-39 weeks with 37.5% and the least was more than 42 weeks with 0.8%.
5. In presentation of twins, vertex-vertex combination was the most common with 61.7% and vertex-breech was next with 26.7%
6. In cases of first baby, the most freguent baby weight group was 2,500-2,999gm with 30.0% followed by 2,000-2,499gm with 23.3% respectively.
7. The mode of delivery in twin pregnancy, the first baby was 55.8% in cesarean section, 30.8% in spontaneous delivery. The second baby was 55.8% in cesarean section, 24.2% in spontaneous dilivery.
8. 1 minute Apgar score of over 7 was shown in 71.7% of the first and 71.7% of the second twin.
5 minute Apgar score of over 7 was shown in 75% of the first and 75.0% of the second twin.
Low one minute Apgar scores occurred more often in second twins than in first twins.
9. Freguency of cesarean section was 55.8% and their indications were elective with 43.4% both previous C-section and collision revealed 10.5% respectiely.
10. The most freguent maternal complication during antepartum was hypertensive disorder with 27.9%, followed by anemia with 25.7% and premature labor with 16.4% and PROM with 11.4%.
11. The most freguent maternal complication during labor and postpartum was postpartum bleeding with 72.0%, both toxemia and infection revealed 7.0% respectively.