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      • 일부 육군 장병의 체질량지수와 체격에 관한 연구

        김미랑 ( Mirang Kim ),유정아 ( Jeonga Yu ),배은경 ( Eunkyoung Bae ),석웅 ( Woong Seok ),하범만 ( Beomman Ha ),최병섭 ( Byungseop Choi ) 국군의무사령부 2020 대한군진의학학술지 Vol.51 No.1

        Objective; This study aims to check adequacy of current obesity classification in Korea among young male soldiers. Method; We surveyed 316 military personnel who agreed this study with structured questionnaire. They answered voluntarily the questionnaire and also wrote down their data of medical examination, body composition and army physical fitness test. Results; Subjects were classified as by Body Mass Index(BMI): underweight(<18.5) 1, normal(18.5-22.9) 129(40.8%), overweight(23-24.9) 91(28.8%), obese(25-29.9) 78(24.7%), severe obese (30≤) 17(5.4%). Obesity rate was 30.1% by BMI 25, 14.6% by Body fat(25%) and 18.7% by waist cimcumference(90cm), respectively. This classification by BMI presents 87% of sensitivity, 79.6% of specificity based on 25% Body fat. When we analysed BMI ROC curve by Body fat(25%), sensitivity and specificity were 80.4% and 90% at the point of BMI 26.05. Almost two-third(67%) of Overweight group and one-third(30.8%) of Obese group showed more than 45% of muscle ratio. All of them had less than 25% body fat. In the over obese group, there were statistically significant differences when analyzing the abnormality of medical examination and passing the physical fitness test by dividing into 45% muscle ratio and 25% body fat, respectively. Conclusion; This study shows that it may be appropriate to reclassify some of overweight(23≤BMI<25) and Obese(25≤BMI<30) young men as normal or overweight in Republic of Korea Army considering possibility of muscle excess. If we study more subjects in the future, new and appropriate cut-off values from normal to obese could be suggested.

      • 한국군 의료인 일부에서의 결핵관리 인식조사 및 사례연구

        김미랑 ( Mirang Kim ),김민영 ( Min Young Kim ),변지영 ( Jiyoung Byun ),한송희 ( Song Hee Han ),남민정 ( Min Jung Nam ),이효민 ( Hyo Min Lee ),오숙미 ( Suk Mi Oh ),이지은 ( Ji Eun Lee ) 국군의무사령부 2019 대한군진의학학술지 Vol.50 No.1

        Purpose; The purpose of this study was to find ways of effective tuberculosis(TB) management and education system in the army by survey of military medical personnel’s awareness and attitude on TB managemnt. Methods; We surveyed 45 military personnel who attended to the Workshop for TB management in 2016 with structure questionnaire. The questionnaire was focused on the awareness and attitude of TB management system. Results; Every participants(100%) agreed with the need for military specified education in TB management. Overall Satisfaction with the education of the participants was 4.36. Persons who take a role in TB management tended to be more negative about the current management system than those who do not. Conclusion; Military specified education and support is needed for effective TB management system.

      • 軍 김염성 질환의 GIS 구축 - 한타바이러스를 중심으로 -

        우경인 ( Koung-in Woo ),서지원 ( Ji-won Seo ),김미랑 ( Mirang-rang Kim ),김유진 ( Yu-jin Kim ),석웅 ( Ung Seok ),황일웅 ( Il-ung Hwang ) 국군의무사령부 2017 대한군진의학학술지 Vol.48 No.1

        Objectives: To materialize Hantavirus GIS system at the Medical Emergency Operation Center after renting the server from exterior enterprise in June 2016 and receiving s/w for operating Hantavirus DB and GIS operation from the Agency for Defense Development. Method: We implemented the GIS system at the Medical Emergency Operation Center under the cooperation with AFMC’s Communication & Operation Planning Department after renting the equipments from exterior enterprise and receiving s/w technologies for operating the Hantavrisu DB and GIS operating. Results: We ran the system at the Medical Emergency Operation Center on 23<sup>rd</sup> September 2016. Conclusion: The GIS system can visually and spatially materialize the geographical and personnel information or infectious diseases outbreak in military. By using the system, it is considered that patient outbreak status, density and trend can more easily or rapidly detected which will lead to an effective management or infectious diseases in military. Furthermore, the system is believed to capacitate an early prevention activities by predicting proliferation area or infectious diseases in times of nationwide emerging infectious diseases crisis. This will contribute to an early cease of epidemic crisis which will ultimately preserve combat power.

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