Background
: In korea, tsutsugamushi disease is one of the common diseases which occurs in more than 40% among acute febrile diseases during Autumn. The diagnosis is confirmed with Rickettsia tsutsugamushi antibody, and is characterised by fever, chill, headache, myalgia, skin rash, escha and lymphadenopathy.

Methods : We have conducted a survey on 16 clinically and serologically confirmed cases of Tsutsugamushi disease occurring during the period of October-November, 2000.

Results : Of 16 cases, 7 were males and 9 were females with an average age of 57.75. Most patients had fever, chill, headache, myalgia, sore throat, conjunctival injection, cough, abdominal, pain, nausea, vomiting, hematuria in order of frequency. The physical findings were eschar (81.25%) and skin rash(62.5%). Serologically 7 cases (43.75%) of 16 cases were confirmed positively R. tsutsugamushi antibody. General hematologic findings were decreased platelet count (37.5%), increased or decreased WBC (31.25% and 25% each other), and anemia (25%). Test for liver function included elevated AST, ALT (68.75%), alkaline phosphatase (62.5%), hypoalbuminemia (12.5%), and hyperbilirubinemia (6.25). Urinanalysis showed hematuria (50%), proteinuria (50%), and pyuria (12.5%). Doxycycline therapy decreased fever in 2.85 days and after 5-6 days patients were discharged with improvement of almost all symptoms.

Conclusion : Primary care physician in a community should always consider tsutsugamushi disease when he encounters patients with acute febrile disease in late Autumn and early winter and expect good prognosis with early diagnosis and treatment.

Background
: Recently, the trend pursuing slimness is significantly increasing in adolescents. Because of distorted body image, excessive body weight control can cause problems of health. The goal of this study is to investigate the factors of distorted body image and its problems.

Methods : The survey was performed in a high school of Jindo island on May, 2000. All of 258 students in 1st and 2nd grade participated in this study by questionnaires. Thirteen truthless questionnaires were excluded in this study. Therefore 245 student were selected.

Results : Only 205 of 245 repliers were satisfied with their body figure. In male, 24.1% wanted weight loss, and 39.8% wanted weight gain. In female, 73% wanted weight loss. In a populations(BMI<20), 70 males wanted weight loss, whereas 35(52.2%) among 67 females want weight loss. According to these result, female stuedents wanted strongly weight loss than male. The factors which most influenced body figure were sports star in males(36.1%), and movie stars in female.(43.8%) A group of 58.4% of repliers has experienced body weight control. A group of 37% in male and 39.6% in female suffered from side effects. 77% of total hoped to be educated about adequate body weight control method.

Conclusion : Almost of adolescents dissatisfied with their body figure, Many adolescent who is not obese attempt weight loss, and are sufferd from side effects. Therefore, it is required for effective education about body weight control and social attitude permitting adequate body image.

Background
: There are epidemiological clinical studies that describe the relationship of decreased serum cholesterol levels of their treatment with suicides, offensive actions and depression.

Methods : We studied 140 patients who were hospitalized at Asan Foundation Jeongup Hospital(in Korea) via emergency room after suicide attempts and whose serum cholesterol levels were acquired during 53 months (from Jan. 1. 1995 to May 31. 1999). They were evaluated with the use of t-test. The serum cholesterol levels were compared between the control group of 140 persons who underwent health check-ups and 140 patients who were of similar age and sex ratios.

Results : Subjects showed significant decrease in serum cholesterol levels in comparison with the control group. Low serum cholesterol levels were related with the severity of suicidal attempts.
1) The subjects showed lower serum cholesterol levels than the control group(150.51±
56.69mg/dl vs 185.61±31.94mg/dl; t=-6.328, df=278, P<0.001) (Table 3).
2) Those who killed themselves showed statistically significant decrease in serum cholesterol levels than those who survived after their suicidal attempts(169.13±49.9mg/dl vs 135.89±34.14; t=2.005, P<0.05) (Table 4)

Conclusion : This study was carried out in farming and fishing villages of Korea. The result showed that the decrease in serum cholesterol levels increased the risk of suicide trials. This fact is similar to the results of the previous studies performed at other farming and fishing communities. In addition, those who killed themselves had lower serum cholesterol levels compared to those who survived suicide attempts. This relationship was associated with depression.

Background
: Although the demand for the role of trained family physician has increased in primary care unit, the rate in which family physicians is relatively very low for the number of all the doctors in Korea. So we have carried out a research about the attractability of in-terns and public health practician who are going to choose spciality for training, in order to help decide proper way to which curriculums of family practice should go.
Method: From June 1st to August 31th 1995, 162 interns and public health practician in 10 hospitals including university hospital and public health practician in Chollanamdo and Cholla-bukdo were selected. And we carried out the research by the written questionnaire about the attractability of intern and public health practician the traning for family physician. In this survey, it was divided into two group that it is in favor of family practice training, or that think family practice training as an alternative, and another is the group without affinity on family practice training. We use χ² test to prove the significance among these three groups.

Results : There were significant differences according to the size of the hospital in which they were engaged(p<0.05) and gender(p<0.05), but the difference among ages, motives for choice, marital states were not significant. Interns working in smaller hospital had more affin-ity than those in university hospital, woman doctors were more favorable for the family prac-tice as a speciality.

Conclusion : In the viewpoint of high attractability of interns working in mid-sized hospital, there should be comprehensive plan for them to make proper choice.

Background
: The number of the aged in rural community is recently increasing according to the development of social, economical and medical field has contributed to prolong life expectancy and the younger nowadays are moving into urban areas. This team study aims to focus on the influence of family resources upon family function through their family APGAR score by examining their family backgrounds : whether their spouses are alive or not, of what type their family is, whether they live together with their children or not, now many they are living with, if any, and much living expenses is, etc.

Methods : This research is based on the questionnaires for 129 inpatients over 65 year old in Jung-Up and Bo-Sung Hospital of Asan Foundation during the period from Nov.1, 1993 to Feb. 28, 1994 and 100 healthy old people living near the above hospitals in the same villages. We have examined their influence on the family function by comparing the mean scores of each item of the family APGAR questionnaires with that of those concerning the type and affinity of family resources. The investigation has been made simultaneously by the attending physicians for the inpatients and by our team for the ordinary healthy group.

Results : Mean family APGAR scores for each group show a meaningful difference as follows : the inpatients' 4.25±2.85 family APGAR was, the healthy's family APGAR was 5.66±1.78(P<0.001). The amount of living costs does not affect the family APGAR score between inpatient and healthy groups. In comparison between the old with their spouse and the spouseless, the result shows a significantly high old one whose spouse is alive(Inpatient;P<0.001, Healthy ; P<0.05), and we got the lower score in a single one whose duration of being single is longer(Inpatient ; P<0.01, Healthy ; P<0.001). In view of the existence of any family member, the old who live alone(single family show a low score than who live with their spouse, child or both(P<0.001). But the old who live with their spouse, with children or with both does not show any meaningful difference in the Family APGAR score among them(Inpatient; P>0.05, Healthy ; P>0.05).

Conclusion : Through this study, the amount of living expenses reflects little influence upon the family APGAR score, but whether live with(regardless spouse, their child or both) or without, whether their spouse are allive or not, and in case if widower or widow(spouseless), the duration of being single reflect much more influence upon the family function. The spouse group shows better family function(P<0.05) than the spouseless group and family function lessens when the death of one's spouse marks a longer period and the living alone(single family) comparatively convey lower family function.