In order to know the frequency of sexual dysfunction experienced and the relations of those problems to sexual satisfaction in normal couples, we examined a self reported questionnaire.
The results of this study were as follows:
1. The couples included in this study were predominantly well educated, happily married and have a stable job. Their mean age is in the latter half of their thirties.
2. Among the sexual dysfunction, ejaculating too quickly and difficulty maintaining on erection were most frequently reported in men. In women, difficulty getting excited, difficulty maintaining excitement and difficulty in reaching orgasm were the most frequent.
3. Among the sexual difficulties, too little foreplay before intercourse, too little tenderness after intercourse were frequently reported in men. In women, too little foreplay before intercourse, too little tenderness after intercourse and partner chooses inconvenient time were frequent.
4. There was a significant relationship between sexual satisfaction and number of sexual dysfunction reported for spouse in both men and women. There also was a significant relationship between sexual satisfaction and number of sexual difficulties in both men and women. In women, number of sexual difficulties was more related to sexual satisfaction, on the other hand, in men, number of sexual dysfunction reported for spouse was more related to sexual satisfaction.
5. In men, his own sexual dysfunction, "difficulty getting on erection" was significantly related to sexual satisfaction. In women, "difficulty getting excited" and "inability to have an orgasm" were significantly related to their sexual satisfaction.

The prevalence of hypertension in Korea is 14.0% in men and 9.8% in women, with the total number standing at more than 1.5 million. As there is no program for early detection or continuous care, cerebrovascular disease is the leading cause of death in both rural and urban areas. In order to establish a control program in rural area, an experimental hypertension clinic was started in Kosan, Cholla pukdo, in 1983, to serve as a hypertension control center and as a teaching facility to the community. In order to determine the effectiveness of the clinic and its control system, a comparative study was done, with a hypertension clinic in Jesus hospital as a standard. The study included patient characteristics, medications prescribed, response of blood pressure to treatment, and especially, the compliance to therapy in the two clinics. 110 hypertensives were studied in the Kosan rural clinic, and 189 in the general Hospital. The results are as follows:
1. 62% of the Hospital patients had medical insurance, while only 38% of the rural patients did. The extent of hypertension was milder at the rural clinic, with the diastolic BP of 80% of the rural patients below 105mmHg. In the uristix test, 7% of the urban patients exhibited glucosuria and 8%, proteinuria, while at the rural clinic, only 2% showed glucosuria and none, proteinuria.
2. The initial medication given in the Hospital setting consisted of diuretics only in 36% of the cases, and a combined regimen with other antihypertensives in 52%, whereas diuretics only were used initially in 87% of the patients in the rural clinic.
3. The mean systolic blood pressure of Hospital patients fell from 175.0 mmHg to 147.9 mmHg within 6 months of treatment, while the diastolic blood pressure fell from 110.3 mmHg to 98.3 mmHg. The mean systolic and diastolic BP at the rural clinic fell from 166.6 mmHg and 96.8 mmHg to 142.6 mmHg and 83.6 mmHg respectively.
4. 49% of Hospital patients visited only once and then dropped out, while 22% adhered to treatment for more than 6 months. But the drop-out rate after only one visit was 24% at the rural clinic while 52% of the patients continued treatment for more than 6 months. Thus, the systematic hypertension control program based at the rural clinic triggered better compliance of treatment from hypertensive patients.

Achalasia is a disease of unkown etiology characterized by absence of peristalsis in the body of esophagus and relaxation failure of the inferior esophageal sphincter in response to swallowing.
Modified Heller's esophagocardiomyotomy is the procedure of choice for esophageal achalasia, and also there are many additional procedures to prevent reflux esophagitis.
This paper presents a case of esophageal achalasia and a brief review of pertinent literature as following:
A 50-year-old female patient was admitted due to swallowing difficulty and indigestion. Physical examination on admission revealed chronically ill looking and emaciated state without any other specific sign.
Esophagogram showed smoothly-tapered luminal dilatation with narrowing of lower esophagus (rat tail appearance), but without definite mucosal destruction.
Esophagocardiomyotomy was performed through thoracoabdominal incision. Operative outcome was successful.