Background
: It is very difficult for those who are engaged in day-time occupations to receive medical care, because most of the practice schedule is centered principally on daytime. Some of them may benefit greatly if there are some evening clinics.
To ascertain the idea and decide whether we should begin the evening clinic, we surveyed about the extent of positive response to the evening clinic in a community.

Methods : We surveyed those who dwell in a medium-sized city during the month of August, 1991, and analyzed 600 people who had answered relatively sincerely about the actual usage of the medical services and response to the evening clinic.

Results : Of the 600 chosen respondents, 76.8% had positive response to the evening clinic, and 23.2% did not show any interest in the evening clinic. In analyzing the positive-response group, we found out the three most common types of their occupations were as follows in the order of frequency ; public servants, merchants, and office workers.
The positive-response group responded more frequently than the negative-response group in the following answers : 'I don't make much use of hospitals, because my schedule don't fit to the practice schedule.' 'I have visited hospitals, but failed to receive medical cares, because the practice schedule was over.' 'I had to go to emergency room even without any emergency problems, because no medical clinic was available at night time.' 'I don't think the present practice hours are properly scheduled for everyone.' "The most convenient time for us to go to hospital is from 5 PM. to 9 PM.'
In these responses, there was a statistically significant difference between the positive-response group and the negative-response group(P<0.05).

Conclusion : The people of survey area showed highly positive response to the evening clinic, especially high in those who had experienced inconvenience in the daytime-centered practice schedule.

Background
: Allergic disorders are increasing universially, so there are many trials to find out the allergens. Regional distribution of inhaled and food allergen is various, so we performed skin prick test, serum total IgE, peripheral eosinophil count in the allergic patients who reside in Kyungpook area.

Methods : Skin prick tests were performed and serum total IgE and peripheral eosinophil count were evaluated in the allergic patients who visited at the Dongkuk university hospital from March 1990 to July 1992.

Results : The positive rates of skin prick test with a battery of 55 common allergens are D. farinae 41.5%, house dust 41.0%, D. Pteronyssinus 37.9%, cat fur 33.5% in order. There was no correlation between the positive reactivity in skin prick test, increased serum IgE level and peripheral eosinophil count.

Conclusion : There is no significant difference in skin prick test, serum total IgE and peripheral eosinophil count between allergic patients who reside in kyungpook area and other areas in korea.

Background
: Stress according to industrial development affect the alcohol dependence.
The aim of this study is to evaluate the corredlation between alcohol dependence and life change events.

Methods : Data were gathered from 73 male drinkers who were evaluated for general check-up and were classified into alcohol dependent group by MAST. And data were collected from 73 male drinkers who were similar in demograph with case groups.
All data were completed from March to September, 1992 and the korean SRRS was used to evaluate the stress in alcoholic patients.

Results : The total score of KSRRS is higher in alcoholics than controls.(P<0.001) The items of KSRRS are more common in alcoholics than controls.(P<0.001) The score and item in change of health life, change of occcupational life, change of family life and change of economic life are more higher in alcoholics than controls.

Conclusion : There was significant difference between life change events and alcohol dependence. Thus, stress is thought to play a great role in alcohol dependence.

Background
: It has been believed that vaccination is an important means to prevent infectious diseases in children. If the vaccination would delayed or omitted, the results would not be good for overall health of the children. The purpose of this study is to investigate multiple factors which would be considered to hinder the adequate vaccine coverage in children.

Methods : This study was carried out in 194 subjects under age 6, who visited the Pediatric and Family Practice O.P.D. in Dae Sung Hospital by random sampling method from June 1st, 1992 to August 31st, 1992 with questionnaire. Thereafter taken with a results, we performed statistical analysis among the results by means of chi-square test.

Results : Among the 194cases, vaccinations were delayed or omitted more than one by what kinds of multiple factors in 74cases(39.2%). Child's sex, child order, the number of offsprings did not affect the inadequate vaccine coverage.(p>0.05) Also, parent's income, education, the type of insurance, marital status did not affect on the inadequate vaccine coverage. Moreover, Side effects of previous vaccination did not influence the inadequate vaccine coverage.(p>0.05) But the children who had delivered at hospital appeared a high numerical value about the holding rate of vaccination schedule card and their vaccinations were little omitted than those who have not.(p>0.05) Among the reasons for delayed or omitted vaccination, child's disease was the most frequent reasom in 54 cases(71.1%).

Conclusion : Various factors affecting inadequte vaccine coverage can be classified into two categories. One is the family's factors, the other is vaccination-associated factors. It is appeared that the most part of family's factors does not affect the inadequate vaccine coverage. On the other hand the later factors such as the birth place, vaccination scheduled card have an effect on vaccine coverage, especially omission. But, the remainders does not.

Background
: It is well accepted fact that the obesity is an important factor for many disease such as chronic debilitating illness including hypertension and so on. It has been the main focus of disease prevention adn health promotion in our medical field because of westernizing daily life practice in Korea. Many investigators had been reported the relation between obesity and hypertension. However there has little study been done about any relationship between Body Mass Index (BMI) and blood pressure. The purpose of this study focused on the relation of aging process, blood pressure and BMI.

Methods : The author analysed systolic and diastolic blood pressure and BMI by age variables with 911 people who came to Korea University Guro Hospital for periodic health exam from January 1, 1985 to June 40, 1991.

Results : The systolic and diastolic blood pressure are significantly (P<0.05) higher in BMI grade I and II compare to grade 0 in men regardless of age variable. In other hand systolic blood pressure in significantly (P<0.05) higher in BMI grade I than grade 0 and diastolic pressure is also higher (P<0.05) in grade I and II than grado 0 in women. The correlations of these variable are r=0.29 in systolic blood pressure and age, r=0.26 in systolic blood pressure and BMI, r=0.18 in diastolic blood pressure and age, and r=0.29 in diastolic blood pressure and BMI. The author analyzed the contribution of age and BMI to blood pressure. The result showed that age can explain 8.24% to systolic blood pressure and BMI can explain 8.61% to diastolic blood pressure.

Conclusion : In this study with the relationship of obesity and blood pressure(systolic and diastolic), the author can make conclusion that age variable has significantly correlation with systolic blood pressure and BMI showed positive relationship with diastolic blood pressure. The author propose that there is a lot of room for further study to make clear the point if there is and possibility of positive effect on diastolic blood pressure with reducing body weight in the obese diastolic hypertensive patients.

Background
: Diabetes mellitus is common disease that needs continuous control, therefore the patient is stressed by continuous diet therapy, exercise therapy, and drug therapy. But the study of diabetes mellitus related depression is rare. This study was done for evaluation of depression tendency of diabetes mellitus patient and its association factor by BDI questionnaires.

Methods : Based on selection group by 79 diabetes mellitus patients of Dong-San, An-Dong, Sung-So Hospital from June, 1, 1992 to August, 30, 1992.
And the control group was 79 non diabetes mellitus patients who is same sex and similar age(±3 years old) of sampling group.

Results : Depression tendency of diabetes mellitus group is higher than non-diabetes mellitus group(p<0.01) average BDI score of diabetes mellitus group of diabetes mellitus have significant relationship on BDI score(p<0.01). As cut off point of diabetes mellitus patient : depression set 21 point. Diabetes mellitus group is significant many depression patient-diabetes mellitus group 43(33.2%), non-diabetes mellitus group 18(22.8%).

Conclusion : Depression tendency of diabetes mellitus group is higher than non-diabetes mellitus group, therefore the family physician which provide continuing, comprehensive care in primary care must have concern about depression tendency of diabetes mellitus patient.

Background
: Despite of the increasing needs for the powerful primary physician, there are few medical school in which family medicine is included in their predoctoral education. So, we studied the effects of family medicine education and evaluated family medicine curriculum.

Methods : In this study, 49 second grade medical school students and 7 educators associated were surveyed during the period from March 1991 to March 1992.

Results : Many students agreed that family medicine education was helpful. Practice class was preferred to lecture class. Most of students insisted that family medicine education be essential in predoctoral education. Many students became to consider majoring in family medicine as a career.

Conclusion : Family medicine education is helpful in establishing medical ethics and bringing up a responsible primary physician and so, is inevitable in predoctoral education.