The blood pressure level and several selected variables were studied in 485 female adolescents (15 to 18 years of age) for the purpose of knowing the distribution of blood pressure and the factors associated with blood pressure. The level of systolic and diastolic blood pressure did not change with the increase of the age, height and pulse rate. But the level of systolic and diastolic blood pressure elevated with the increase in body weight and variable weight-height ratios. The level of systolic and diastolic blood pressure was not associated with the family history of hypertension and blood type. So this data suggests that for Korean female adolescents, body weight and variable weight-height ratios correlate with blood pressure significantly.

The aim of this study is to acquire the priority in effective request and family residency training afterward by grasping trend of patient who is requested other departments by family physicians.
By survey and analysis of medical report of 17,032 patients who visited in Soon Chun Hyang University Hospital during 11 months, we found of the results as follows.

1. The monthly referral rates was the highest in Jul 1989.
2. Total of 2,343 referrals, composed of 1,363 women and 980 men were made to other Depts.
3. The referrals were distributed to internist frequently, followed by general surgeons, orthopedic surgeons, obstetricians and gynecologists and urologists.
4. 47.1% of the referrals were made for more diagnostic work-up and/or specific treatments.
5. By ICPC, digestives were the most frequently, followed by circulatories, neurologicals, psychologicals.
6. Among the reasons of referrals, proper diagnoses and treatements were the most frequent.
In conclusion, 54.8% of referral patients were included upper 5 case of ICPC. So, there were needed interest of family residencies and continuous efforts of family doctors.

In order to know the contents of disease of inpatients, the patients' charts were reviewed and analyzed.
All patients who admitted in the Department of the family medicine Daelim from March 1, 1989 to February 28, 1990 were analyzed.
The results of this study were as follows.
1. Total number of patients was 318 among them, male was in 35.5%, female was in 64.5%
2. The age distribution of patient was 4 th 78 years old. The age group of 25-34 was the largest.
3. The 5 most common problems were abdominal pain, nausea & vomiting, fever, headache, dyspnea.
4. The total number of final diagnoses was 546, and mean number of final diagnoses per patient was 1.7 diagnoses/patient.
The 5 most common diagnoses were acute gastroenteritis, urinary tract infection, gastroduodenitis, acute pharyngotonsillitis, renal stone.
5. In classifying disease by system, the rank in order frequency was infective and parasitic, digestive system, respiratory system, genitourinary system, injury and poisoning.
6. The referral rate was 6.2%
7. The total number of consultation was 166, and the top 5 specialities cousulted were obstetrics and gynecology, otorhinolaryngology, general surgery, urology, psychiatrics in order.

Patients visited to emergency room of a general hospital for one year were analyzed to evaluate the role of family physicians in emergency room, ant the content of primary care.

The results were as follows ;
1. Among total 13,367 patients, the male and femele rate was 1.5:1 and the 29-29 year old group was 30.9%, the highest.
2. The seasonal distribution of the patients who visited emergency room highest in summer(29.6%).
3. The highest percentage of patients(21.8%) were seen on sunday.
4. The highest percentage of patients(23.5%) were seen from 8 P.M. to 12 P.M.
5. The problem, classifed by ICHPPC-2, why the patient visited the emergency room were in decreasing order as follows, accidents, poisonings and violence.
6. The percentage of patients was returning home, by department, who were seen at the emergency room, was highest in internal medicine.
7. In the comparison of hospitalizatiln of emergency room patients, by department, the highest(32.7%) was that of orthopedic surgery.
8. In management of patients, 77.0% of patients was returning home immediately after treatment, 22.3% was hospitalized 0.6% was dead on arrival and 0.1% of patients died during treatment procedure.

In order to be available in fundamental data for establishment & assesment of OB & Gyn. Curriculum and for practice guidance in family practice residency program practiced by a family physician at a community hospital from Jan. in 1990.
The results were as follows ;
1. The age distribution in 277 outpatients of this study was 39.9% in the twenties, 22.2% in the thrties, 16.4% in forties, 13.3% in fifties, 6.45% in the over sixty years old, 1.8% in the under nineteen years old.
2. The total number of chief complaints of problems of the outpatients was 436 and among them, leukorrhea was the most common problem(20.4%) 2nd was amenorrhea or antenatal care(18.7%). The percentage of problems from the most frequent to the 10th most frequent was 91.9%.
3. The following history takings were asked to the patients by physican : menstrual & parity history to 93.6%, 91.6% of patients, respectively. Contraceptives & sexual history to 29.2% of patients, family history & other medical history to 27.9% of patients.
4. The average number of diagnostic tools done per patient was 1.4, of which the top 10 most commonly performed tests comprised 99.2% of the total.
Gram stain & wet smear ranked first comprising 21.8% of the total and followed by Pap smear with 19.0%, and pelvic sonogram with 15.0%.
5. The diagnosis by physician were classified according to 378 items in the ICH PPC-2 defined method. Among 356 diagnoses, pregnancy or antenatal care was the most common diagnosis(21.9%) and followed by nonspecific vaginitis(18.0%).
The cumslative percentage from the most common diagnosis to 19th most common accounted for 95.9%.
6. Among them, normal delivery was 87.8%, vacuum delivery was 4.9%, and Cesarean section was 7.3%.

We already know how important the adequate prenatal care is & it's positive effects to birth outcomes. In KOREA, nevertheless, the proportion of pregnant women who receives adequate prenatal care is still low. This study was performed to detect any obstacles in receiving adequate prenatal care. As many as 141 out of 257 women who gave birth at Puchun Sejong hospital from June to July 1990 were selected & paper-interviews with chart reviews were performed.
The results were as follows :
1. Mean age of 145 women was 27.3 years & 82(56.6%) of them were primipara & 63(43.4%) were multipara.
2. The mean number of prenatal visit was 8.1, and the numbers of women who received adequate prenatal care were 65(37.2%), intermediate prenatal care were 55(37.2%), and inadequate prenatal care were 25(17.2%).
3. Adequacy of prenatal care had no effect to birth outcomes.
4. Age group, economic status, educational level, type of health insurance, family structure, previous illness, illness during this pregnancy were not significantly related to adequacy of prenatal care.
5. In multiparous women, the proportion of inadequate prenatal care was higher than primiparas & it's difference was statistically significant.
6. The proportion of inadequate prenatal care was higher in women who had negative attitude to prenatal care than those who had positive attitude, & it's difference was statistically significant.
7. The majority(86.7%) of women who did not received adequate prenatal care said,"I didn't have to, because I had no problem".
We concluded that the education about the significance and the practical method of adequate prenatal care was very important, and it should be especially stressed to multiparas.

On the 1980s drug abuse became one of the serious problems in Korea and philopon abuse still more. There are various view points in approaching drug analysis as a way of preventing and treating the drug abuse.
As the philopon abuser group, we took 49 cases among respondents who were criminally admitted to medical institutions in Busan and Kyungsangnam-Do from March to September, 1990. And as a control group we took 50 cases of adults who are non-philopon abuser in Seoul.
The results were as follows:
1. Age distribution of philopon abuse group is as follows : 4th decade were 22 cases(44.9%), 3rd decade were 17 cases(34.7%).
2. In smoking rate, philopon abuse group were significantly higher than the control group(P<0.001), but smoking amount were not significant between the two groups.
3. Basic motivation study of abuse group
a. first motivation for philopon : curiosity 26 cases(53.1%), friends' temptation 6 cases(12.2%).
b. place of drug use : house of his own or others' 20 cases(40.9%), hotel 18 cases(36.7%).
c. partner of drug use : alone 12 cases(24.5%), friends or fellows 11 cases(12.2%).
d. real causality of abuse : away from everyday-life 15 cases(30.6%), for pleasure 11 cases(22.4%).
4. In view of family cohesion, disengaged and enmeshed groups of the abuser' were significantly higher than the control group(P<0.05). But family adaptibily showed no significant difference between the 2 groups.
5. Balanced families were significantly lesser and extreme families were significantly more than the control group(P<0.05).

To study the various factors related with hypertriglyceridemia, 2,011 persons who visited Yongdong Health Examination Center for general check-up during the period from May. 1990 to Sep. 1990 were examined by means of questionnaire on living environment and health behavior and laboratory findings.
Hypertriglyceridemia was defined as plasma triglyceride over 250mg%.
We made the nongypertriglyceridemic control group by random matching each hypertriglyceridemic person by age and sex(1:1 matching).
There were 128 persons for nonhypertriglyceridemic group and 128 persons for hypertriglyceridemic group.

The results were as follows.
1. The incidence of hypertriglyceridemia was 128(6.3%) among 2,011 cases and sexual distribution was 102/1215(8.4%) in males and 26/796(3.3%) in females.
2. The incidence of hypertriglyceridemia was increasing while patient's age increased and which was statistically significant(p<0.05).
3. In hypertriglyceridemic group, smoking rate(p<0.01) and smoking amount(p<0.05), alcohol drinking rate(p<0.05), hypertension(p<0.05), diabetes mellitus(p<0.05), fatty liver(p<0,05), total cholesterol level, HDL cholesterol level and LDL cholesterol level were significantly different from nonhypertriglyceridemic group by statistics.
4. In respect of obesity, there was no significant difference between hypertriglyceridemic and nonhypertriglyceridemic groups.