Background
: Spinal cord injured patients are increased due to occupational and traffic accidents. To give them a comprehensive and continuous medical service, the authors investigated the factors that could influence the psychopathology and functional level and the relationship of psychopathology and functional level.

Methods : 56 spinal cord injured patients ranging in age from 18 to 57 years who were under treatmtnet at rehabilitation centers were completed the study.

Results : The depression scale of the patients who got religion was significantly lower than that of the patients who did not. Somatization scale was higher in patients of duration of more than 1 year. Other demographic factors did not influence the psychopathology. Barthel index was influenced by the level of injury and the duration, but there was no relation between the psychopathology and Barthel score.

Conclusion : The authors expected that psychopthology could influence the functional level of spinal cord injured patients, but the results we got from this study was not. There was no significant relation between the level of injured cord and the phychopathology.

Background
: Overweight and hyperlipidemia are risk factors for hypertension and cardiovacular disase. Age-related differece in the effects of overweight on cardiovascular risk factor profiles in men could have important implication for disease prevention. Consequently, we reviewed the medical records to assess the relation of age to the hyperlipidemia and coronary heart disease rksk of overweight.

Methods : Data was obtained form 1726 men in Health care center in Young Dong General Hospital on epidemiologic status, smoking, alcohol and laboratory results. Younger group is 816 case and older group is 910 cases.

Results : Older(>45 years) men had higher(P<0.001) hypertension, total cholesterol, LDL-cholesterol, LDL/HDL ratio and glucose. HDL-cholesterol level is not significantly different between the two age groups. Although older men had greater values for several risk factors, overweight(BMI<25.0kg/m²) increased risk factors much more in younger men than older men. In younger men, those with higher BMIs had a greater prevalence, respectively, hypertension(13 vs 31%, P<0.01), hypercholesterolemia(5 vs 14%, P<0.001), hypertriglyceridemia(4 vs 11%, P<0.001), hypercholesterolemia(5 vs 14%, P<0.001), high HDL-cholesterol(8 vs 20%, P<0.001), and high LDL/HDL ratio(4 vs 8%, P<0.001). In contrast, among older men, only the prevalence of hypertension is higher in overweight group. Prevalence of low HDL-cholesterol showed no difference in both age group. As the result of multiple regression of total-cholesterol on age, BMI, alcohol, smoking, and blood pressure, serum cholesterol level was influenced by age(P<0.001), BMI(P<0.001). And HDL-cholesterol was influenced negatively by BMI and smoking, but positively by alcohol(P<0.01).

Conclusion : Data indicate that older men have greater values for serum lipid profile except HDL-cholesterol. But the effect of overweight on lipid profile was greater in younger group than older group. Overweight increase the prevalence of cariovascular risk factors more in younger group. Smoking has the effect to decrease HDL-cholesterol and increase LDL/HDL ratio.

Background
: The breast cancer is the fifth common tumor in statistics in mortality rate. The aim of this study is to evaluate the diagnostic efficacy of mammography and ultrasonography to dectect the breast cancer.

Methods : This retrospective study was carried out in 266 subjects who visited Youngdong Servrance Hospital due to breast disorders from March, 1992 to July, 1993. They were confirmed by pathology and preoperative mammography and/or ultrasonography.

Results : Among the 266 cases, breast cancer were 66 cases(24.8%) and benign breast disorder were 200 cases(75.2%). The cases which performed mammography were 207 cases, and the cases which performed ultrasonography were 164 cases. Among total 266 cases, the cases which performed both mammography and ultrasonography were 176 cases.
Mean age was 45.03 years in breast cancer group but mean age was 38.73 years in benign disorder group(P<0.01). In breast cancer group, chief complaints on admission were palpable msss(90.3%), breast pain(7.6%), abnormal finding in periodic health examination(7.6%). But in benign disorder group, chief complaints were palpable mass(53.5%), abnormal finding in periodic health examination(21.5%), nipple discharge(8.5%) The efficacy of film mammography to detect breast cancer was as followed : sensitivity was 87.7%, specificity was 66.7% and positive predictive value was 54.8%. The efficacy of ultrasonography to detect breast cancer was as followed : sensitivity was 82.8%, specificity was 66.7% and positive predictive value was 45.2%.

Conclusion : Film mammography is useful for mass screening because of high sensitivity, and ultrasonography is useful as additional study to detect breast cancer.