In order to investigate real reason to see a physician a study was carried out with 218 consecutive patient-initiated visits to a university family medicine center using structured questionnaire from May 1 to Aug. 31, 1988. The following results of analysis of 218 data were obtained.
1. 127 patients of sample group were female, and 91 patients were male with mean age of 34.9 years.
2. Physician and patient agreed about the reason for the decision to see a physician in 49.5 perecnt of encounters. Agreement rate rate was highest for visits in terms of health maintenance. For the pediatric patients agreement rate was 68.0 percent
3. Physician felt that 29(13.3%) of the patients decided to come because of psychosocial reasons. Their sociodemographic characteristics and reasons to see a physician were different between psychosocial/group and non-phychosocial group. In detail, the psychoscial group was composed of more women than men, and did not include any pediatric patients. Further there were more patients without medical insurance and more atheist in psychosocial group.
Even though there was no difference of marital status betwwn two groups, two divorced women were included in psychosocial group.
In psychosocial group, the reasons presented by patients were existence(18), persistence(6) and health maintenance(5).
4. Eight patients decided to see their physician because of reasons unclassified by Weyrauch's taxonomy. Five came because of administrative purposes, one because of obtaining information about the complicaton after open heart surgery and one because he wanted specific medicine for baldness.
5. The reason to see a physician was influenced by sex, age, medical insurance, level of education, religion, chronicity of illness, past history of treatment and lay consultation. But occupation, mean monthly wage and marriage did not affect their reason to see a physician significantly.
6. 48.6 percent of sample group used lay consultation, 51.4 percent did not. Of the patients consulting with someone, they chose friends to make decision(28.3%) then their spouse in order (22.6%). The lay consultation was significantly affected by age and marriage. The frequency of lay consultation was higher in adults than children, and unmarried patients than married patients.
According to the results we obtained we might conclude that the real reasons to see a physician were different from the reasons presented patients. Especially, it was obvious that sociodemographic characteristics and the reason to see a physician were different between psychosocial group and non-paychosocial group. Further empirical studies considering factors that influence on the reason to see a physician and rational design of new taxonomy including undefined part of Weyrauch's taxonomy should be performed in the future.

Leptospirosis is considered as one of the important endemic diseases in Korea around automnal season, since 1975. It has the features of mild, anicteric, and self-limited febrile disease, but characteristically accompanied by hemoptysis in about 50% of cases.
The authors examined 23 cases of human leptospirosis clinically in Yeoju area during July-December, 1987. The 23 cases composed of men(16 cases) and women(7 cases). The common symptoms were fever & chills(95.7%), headache(91.3%), myaligia(82.6%) and anorexia(52.2%). Otherwise, hemoptysis(4.3%) & jaundice(8.7%) were rare.
Among many clinical manifestations, flu-like illness(56%) was most prominent features.

The registered families in department of family medicine, Uijungbu St. Maria Hospital, were investigated for family environmental factors influencing attitude of health care and the contents of visiting family physician. The results were following: (1) in 73 of 293 families(24.9%), one patient or more visited family physician for health care; (2) the environmental factors that related to visit frequency significantly were the number of patients suffered from chronic ilness and whether the patient with hypertension was present of not; (3) the environmental factors that related to frequency of visit for health care significantly were the number of patients suffered from chronic illness and the family with patient of cerebrovascular accident.

A Clinical observation was done on 149 patients admitled with suspect typhoid fever at the Soon chun Hyang University Hospital over a period of 8 years from January 1980 to December 1987.
The resul are as follows:
1. There was no significant sexual difference in frequency. The peak age of distribution was in the third and fourth decades, being 51.7% of tatal patients.
2. The clinical manifestations were fever and chill(96.0%), healdache (56.4%), abdominal pain (43.0%), nausea(38.3%), abdominal tenderness(28.2%) hepatomegly(11.4%), in order.
3. Blood culture for S, typhi revealed positive in 26 patients(17.4%).
4. Widal reaction was positive in 73 patients(49.0%). In cases of positive culture in blood, the widal reaction was above 1:160 in 12 patients(46.2%).
5. A leukocyte counts less than 5,000 per cubic millimeter were seen in 34 patients(22.8%) and greater than 10,000 in 30 patients(20.1%). In cases of positive culture in blood, leukopenia was seen in 5 patients(19.2%).
6. Significant elevation of GOT(or GPT) were in 45 patients(30.2%). In cases of positive culture in blood, significant elevation of GOT(or GPT) were in 16 patients(61.5%).
7. The duration for defervescence were within 7 days in 66.2% in patients treated with chloramphenical and in 76.9% with ampicillin.

Family function is closely related to the health of family members. To evaluate the family function appropriatly, We have been used the family APGAR Score, originally proposed by Smilkstein(1978). The score is varied from 0 to 10 and divided into 3 groups.
This study was undertaken to evaluate the differences in family APGAR score between family members. In order to do so, the questionare was given to the middle school students and their parents.
The following results were obtained.
1. There were 342 students and their parents(fathers:335, mothers:339)
2. the mean family APGAR score revealed(mothers: 6.40±2.29, fathers : 6.17±2.28, Students: 5.75±2.41)
3. 134 familes(38.89%) of participients had different group of family APGAR score among their members. To excluds the overlapping of groups by low score defferences, at least 4 points differences between members were divided from the other groups(15.79%)
4. The group whose score had more than 4 point difference between family members revealed low overall individual score than those group with less than 3 point(father; -0.07, mother, -0.08, students: -1.88)
5. There was no significant relations between age differences between members, monthly income, patient number in family and score differences in members.
6. There was relations between variety of religion and mood of members, sex of students and score differences in members.