One hundred and fifteen cases of cases of cerebrovascular accidents admitted at Sung Nam hospital were studied clinically for 1 year from July, 1989 to June, 1990

Following results were obtained.
1. Of 115 cases of cerebrovascular accidents, cerebral hemorrhage was presented in 39.1%, cerebral thrombosis in 30.4%, T.I.A. in 23.5%, subarachnoid hemorrhage 7.0%.
2. The cerebrovascular accidents were most common in sixth decade.
3. The ratio between male and female is 1:1.74 in whole group.
4. 38 cases(33.0%)had the attacks in summer, 35 cases(30.4%)in winter, 22 cases(19.1%) in spring, 20 cases(17.4%)in fall.
5. Among the preceding diseases at the onset of carebrovascular accidents, hypertension was present in 55.7% in all cerebrovascular accidents in 57.8% of cerebral hemorrhage, in 45.7% of cerebral infarcion, in 50.0% of subarachnoid hemorrhage, in 66.7% of transient ischemic attack.
6. Most important precipitating factors in cerebral hemorrhage, cerebral infarction and subarachnoid hemorrhage, were thought to be emotional stress, whereas in transient ischemic attack was rest.
7. Prodromal symptom and sign at the onset of cerebrovascular accidents, headache was present in 100.0% of subarachnoid hemorrhage, in 46.7% of cerebral hemorrhage, in 40.0 of cerebral infarction, in 14.8% of transient ischemic attack. there were nausea and vomiting in 62.5% of subarachnoid hemorrhage, in 88.9% of transient ischemic attack, in 40.0% of cerebral hemorrhage, in 31.4% of cerebral infarction, hemiplegia in 74.3% of cerebral infarction, in 62.2% of cerebral hemorrhage, in 11.1% of transient ischemic attack, in zero percent of subarachnoid hemorrhage.
8. 29.6% of all cerebrovascular accidents patients were normal finding in E.K.G. on admission, most common abnormal finding were left ventricular hemorrhage(40.0%).
9. 41.7% of all cerebrovascular accidents in W.B.C. count were over 10,000/mm3, especially W.B.C. count in cerebral infarction(68.6%) and transient ischemic attack(81.5%) were less 10,000/mm3.
10. Mental state on admission in cerebrovascular accidents, was alert in 88.9% of transient ischemic attack, in 57.1% of cerebral infarction, in 50.0% of subarachnoid hemorrhage in 26.7% of cerebral hemorrhage, whereas semicoma or coma were in 42.2% of cerebral hemorrhage, in 17.2% of cerebral infarction, in 12.5% of subarachnoid hemorrhhage, in zero percent of transient ischemic attack.
11. Intracerebral hemorrhage occurred most frequently in basal ganglia(60.0%), followed by thalamus(17.8%), pons(11.1%), suboptical(6.7%), cerebellum(4.4%).
12. The progress of cerebrovascular accidents were closely correlated with the mental state on admission.

For comprehensive approach in planning practice, a family physician, as gate keeper of primary care on certain community health, has been required to be noticed such informations which are associated with patient's private life, sociocultural background as well as physical conditions.
Therefore, a questionnaire concerning general people was proposed to randomized 1,000 persons in community hospitals, a few industries and public offices from Aug. 1990 to Sep. 1990. Data on 270 persons were selected and analyzed so that results were as follws;

1. The total number of patients was 270, in which 183 were male(67.8%) and 87 were female(32.2%). The age distribution was largest in 31-40yrs(38.1%). The occupation was largest in officer, 120(44.4%). The living places were mainly Seoul and Sung Nam city. The environmental hazards were present in 122(45.2%). The family satisfaction and social satisfaction were positive trend in 149(55.2%), 112(41.5%).
2. Of disease charactes of headache, experiences of diagnosis were in 149(55.2%)-infectious disease, tension headache, hypertension, in order and the location was common in posterior area of head and forehead. The frequency was 1-3 times on a day in 137(50.7%). The intensity was mild and very mild in 122(45.2%). The 3 most common associated symptoms were dizziness, G-I troubles, weakness and numbness on extremities.
3. There was close statistical correlation between diagnosis of headache and age, occupation, insurance, living place(P<0.05), and between intensity of headache and environmental hazards, marital status, social satisfaction(P<0.05).
4. The method of headache was self resolution and drug store visits in 230(85.2%), The reason for that was "considered being able to solve with the methods" in 115(42.6%). There was close correlation between above 2 items(P<0.05).
5. In drug use, after check information about its mechanisms, indications, side effects was in 125(46.3%). The duration of headache to visit hospital was less than 1 week in 128(47.4%).
6. The 3 most common subjective causes of headache were psychological problem, alcohol drinking, hidden disease, in order. The main reason for visit doctor was "for diagnosis of etiologic disease" in 103(37.3%) and concepts on doctor's role was "able professional in diagnosis and treatment" in 158(58.5%). Between above 2 items, there was close correlation(P<0.05).

Studies on the risk factors and health promotion behavior between diseased people and healthy people resulted from health examination for diseases of adult people were carried out at Sungnam Hospital from March 1 to August 31, 1990.
There were 170 for diseased group and 573 for healthy group in 743 cases. Each 30 people were sampled in the two groups. The results were as follows:
1. The 5 most common diseases and its prevalence in 743 cases were liver dysfunction(6.1%), hyperlipidemia(5.2%), hypertension(4.4%), obesity(3.0%), and gallstone and intrahepatic stones(2.2%).
2. The 5 most common diseases and its prevalence in 30 diseased group were liver dysfunction (35%), hyperlipidemia (15%), hypertension(12.5%), diabetes mellitus(10%), ischemic heart disease(10%).
3. There was no statistically significant difference between diseased and healthy group on age, academic background, and economic state.
4. In health promotion behaivor, for example exercise, prescription of herbmedicine, vitamins, health promoting foods, health examination and diet. there was no statistically significant difference.
5. In alcohol drinking, over two times per week alcohol drinking (p<0.05) was statistically significant.
6. In smoking, over 1 pack per day and more than 15 years smoking (p<0.05) were statistically significant.