Background
: Hyperuricemia is commonly encountered clinical problem in laboratory results. In the Past, hyperuricemia was emphasized by cause of gout only, but it is argued that hyperuricemia is an independent risk factor of atherosclerosis recently in 1980's. Therefore to survey the frequency of hyperuricemia in normal person and to analyze relationship between hyperuricemia and several risk factors of atherosclerosis, we investigated this study.

Methods : From June 1990 to March 1991, in 4,395 persons who visited AMC Health Examination Center and examed health condition, we investigated the frequency of hyperuricemia and compared age, sex, scholarship, occupation, smoking, alcohol, past medical history, obesity indices, blood pressure, serum lipid profiles and serum glucose between hyperuricemic group and normouricemic group.

Results : In total surveyed persons, mean serum uric acid level is 5.99±1.33mg/dl in men, 4.25±0.96mg/dl in women. Hyperuricemia is noted in 12.7% of total surveyed persons, 19.2% in men, 4.4% in women. In hyperuricemic group there are significant higher mean values of Broca's indes, body mass index, systolic and diastolic blood pressure, total cholesterol, triglyceride, LDL-cholesterol than normouricemic group. Mean value of HLD-cholesterol in hyperuricemic group is lower than that in normouricemic group and mean value of glucose is no significantly different between normouricemics and hyperuricemics. There are significant differences in scholorship, ocupation but no difference in drinking, smoking, past medical history between hyperuricemic group and normouricemic group. In hyperuricemic group, the frequences of obesity, hypertension, hypercholesterolemia, hypertriglyceridemia and elevated LDL-cholesterol are significantly higher than that in normouricemic group. In normouricemic male group, the frequency of hyperglycemia is significantly higher than that in hyperuricemic group.

Conclusion : The frequency of hyperuricemia in normal population is 19.2% in men, 4.4% in women. Hyperuricemia has strongly correlated to several risk factors of atherosclerosis.

Background
: Upper gastrointestinal bleeding is the most difficult problems at emergency status and early accurate diagnosis and prompt emergent care is needed because of variable etiology and high mortality. We studied comparatively about relationship between upper gastrointestinal bleedings and it's prognostic factors.

Methods : We analyzed 42 cases that upper gastrointestinal bleeding from on Feb. 1992 to on Jan 1993 at hospital setting.

Results : Among the 42 cases, the ratio of the male to the female is 2.8 to 1, more common in the male and the 3rd decade is the most common. For the etiologic cause, peptic ulcer is the most common as 19 cass. The character of the bleeding is mixed type of hematemesis and hematchezia to 45.2%. The predisposing factors are alcohol abuse and drug.

Conclusion : The significant risk factors are the evidence of associated disease, increased bleeding tendency, decreased hematocrit and increased BUN. We conclude that these patients must be treated with early, active management and therapy.

Background
: Family function and types can influence on family members and may be related to marriage satisfaction degree of couples. The factors related to family function and types have been studied many times, but the study concernng the degree of marriage satisfaction's difference according to family function and types is rare. This study is attempted to see the difference of marriage satisfaction score in family groups according to Family APGAR Score and Family Adaptability Cohesion Evaluationg Scale.

Methods : 67 couples answered the questionaire among 200 couples who registered at Lifelong Health Care Program of Department of Family Medicine of Yeungnam University Medical Center from April 1 to May 31, 1992. The questionnaire is composed of Family APGAR Score, Family Adaptability Cohesion Evaluating Scale an Marriage Satisfaction Score.

Results : We compared into marriage satisfaction mean scores each group. Marriage satisfaction score is increased with high family APGAR score, balanced family type, appropriate adaptability and appropriate cohesion, It is statistically significant.

Conclusion : Families belong to high functional group and balanced type are showed high marriage satisfaction mean scores and marriage satisfaction score was a significant difference according to family function and types.

Background
: The Role of Family Medicine have been important scince the establishment of new health care delivery system, which came into effect on July, 1989. It is very important for family physician to manage hopitalized patients in the aspect of continuing care. And inpatient care is one of the main role of department of family medicine in general hospital. Therefore we analysed the hospitalized patients to help in establishing the orientation of in-patient care and the role of family medicine in general hospital.

Methods : We examined the medical records of the patients who had hospitalzed in department of family medicine of college of medicine, Kon-kuk university in Chungju from July, 1, 1989 to June, 30, 1993.

Results : A total of 453 patients were hospitalized during study periods. The sex ratio was 1.4:1. Mean age was 40.8 years old. The patient admitted via emergency room was 63.5% in the first year. But The last two years, the most patients was admitted via O.P.D. of Family Medicine. The most common symptoms with the patients complained at the time of admission was fever(17.0%), headache(7.5%), abdominal pain(5.7%). The common diagnosis at discharge was multiple contusion(9.5%), neurosis(6.6%), chronic hepatitis(6.4%). But the 98% patient of multiple contusion was in the first years. The most common diagnosis was acute gastroenteritis(13.0%) in the second year, chronic hepatitis(13.0%) in the third year, gastroduodenitis(18.5%) in the last year. The injury and intoxication was the most common disease in the first year, parasitic and infectious disease in the second year and digestive diseases in the last two years. Total 236 cases of special study was done and the common special study was abdominal ultrasonography(27.9%). The total 24 cases of operative procedure was done and all operative procedure was done in the first years. Total 179 cases were consulted. Total 23 patients were transferred to other departments.

Conclusion : The content of hospitalized patients in family Medicine was varied and it was changed by the characteristics and situation of the hospital to support the general function of hospital. The comprehensive practice and the unique field of family medinice was enforced to develop the role of family medicine in general hospital.

Background
: The education of family medicine for medical students is a starting point to make progress the relationship of mutual cooperation among doctors through improving the understanding of family medicine and training a good primary care physician who plays the fundamental role as a main body in the field of medicine in future. This report was planned to help us establish the direction for education of family medicine by understanding to above subject.

Methods : This study based on the questionnaires answered by 194 juniors registered in a medical school in 1992 and 1993. The questionnaires of 173 juniors, whose degree of completion was comparatively high, were analysed.
As to the above subject, three groups were appeared in the view of considering what specialty medical students were willing to manage; Family Medicine Considering Group, Other Specialty Considering Group, and Uncertain Group. The characteristics of family medicine considering group were compared with the others.

Results : In general characteristics of each group, three groups had similar demographic and socioeconomic traits. There were 19 students(11.0%) who consider family medicine as a career after graduation. Three incentives to be a medical doctors as a job in family medicine considering group were like the followings; interest in helping people, job security, and encouragement of others. In conparision with the others. family medicine considering group had higher interest in helping people. In methodologic types of approaching to the patients, there was no difference among one another. The most important way of service to the patients was working with patients to prevent illness in family medicine considering group. To coincide with his philosophical thought was the most important reason for the choice of specialty as a career in family medicine considering group and there was a difference between two specialty as a career in family medicine considering group and there was a difference between two specialty considering group in this point of view. As for preferential career after graduation, there was a contradistinction between a salaried clinical practitioner of family medicine considering group and a professor of the other groups. As to the location planned for practice or employment, family medicine considering group prefering to county or rural area had difference from that of the others. In family medicine considering group, the cognitive degree on contents of family medicine and family physician was higher than the others significantly.

Conclusion : It is very important to manage continuously medical students who consider family medicine as their specialty, to guide positively their career, and to pick out and manage students who have similar trend. Additionaly, we should concentrate our efforts on improving the understanding of family medicine in medical field.

Background
: Inspite of the significance of early detection for glaucoma, the majrity of primary care physician does not mesure intraocular pressure in their setting due to limitation of technique for conventional tonometry. The purpose of this study was to compare the effectiveness of noncontact tonometry(NCT) using the air-puff noncontact tonometer(CT-50, Topcon, Ltd, Japan) with that of conventional tonometry using the Goldmann applanation tonometer as a screening tool for glaucoma.

Methods : Intraocular pressure was measured by a technician using the air-puff NCT 3 times and by a skillful ophthalmologist using the Goldmann applanation tonometry once in both eyes of 153 patients who visited eye clinic from June, 1993 to July. 1993.

Results : Air-puff NCT correctly identified 12 of the 13 eyes with an intraocular pressure above 21mmHg measured by Goldmann applanation tonometry for a sensitivity of 92.3%, and 267 of the 268 eyes with an intraocular pressure less than 21mmHg for a specificity of 91.1%. The two methods of intraocular pressure measurement yielded similar pressure readings. The correlation coefficinet is 0.91(Y=0.80X +1.81).

Conclusion : Air-puff NCT is an easy, safe, and practical method of intraocular pressure measurement. So we suppose that air-puff NCT can availably be used in primary care setting to detect glaucoma.

Background
: Although fatigue is one of the most common complaints in family practice, clinico-epidemiological research about fatigue has been minimal, because fatigue is difficult to quantify and often is viewed as a minor complaint. But there are many organic, psychosocial cause of fatigue and fatigue has many effects on quality of life, maintenance of function of patients. So we aimed to describe the characteristics of patients attending their physician and complaining of fatigue in this prospective study. We also analyzed the results of standard laboratory tests and observed the change in fatigue symptom at internal over a 3 month follow up period and determined the characteristics on entry which predicated patients' fatigue symptoms 3 months later. We carried out this study as pilot study prior to following prospective study.

Methods : 56 patients who complained fatigue as chief complaints in family practice from January 1993 to October 1993 were included. On entry to the study patients completed a questionnaire about fatigue symptoms, demographic factor, life-style and psychometric profiles. And sereral laboratory tests includng CBC, U/A, chest X-ray, HBsAg, TFT were performed for all study participants. 3 months later, these patients were followed up with a routine visit or a telephone interview. Statistical analysis was done by the student t-test, and logistc regression.

Results : Fatigue is the 6th most common symptom in family practice. Of 1165 patients 72 patients complained fatigue as main symptom, and 56 patient were recruited in the study. Men under 40 years old reported a higher rate of chronic fatigue over 6 months at entrance(80% vs 52.8%). Only 46% of chronic fatigued patients has orhanic disease and Zung's SDS score is not high in this group. 3 months later, fatigue symptom was not changed in 55% of patients. And there was a significant trend for thse who on entry reported symptoms of longer duration to have fatigue symptom 3 months later(OR=2.0, P<0.01).

Conclusion : With the result of this study we should confirm whether those who reported symptoms of longer duration on entry has fatigue symptom for longer duration, whether the prevalence rate of fatigue is higher in men under 40 years old, whether prevalence rate of chronic fatigue is higher in women under 40 years old, and what factors affect on chronic fatigue in following prospective study.