2010∼2019년 대한군진의학학술지 게재 논문의 연구동향 분석

배은경 ( Eunkyoung Bae ),이순영 ( Soonyoung Lee ),황점숙 ( Jeomsuk Hwang ),이건희 ( Gunhee Lee ),이희성 ( Heesung Lee ),임미화 ( Mi-hwa Lim ) 국군의무사령부 2021 대한군진의학학술지 Vol.52 No.1

Objective; The purpose of this study is to identify the trends in military medicine by analyzing the Journal of the Korean Military Medicine from 2010 to 2019. Method; Two hundreds and fifty five research articles were analyzed by their authors, study designs, data collection methods, participants, data analyzing methods, and research domains. The centrality and network cluster of the key words were identified by data mining technique. Result; The first authors in 88.1% of the studies were military officers, and 49.8% were multidisciplinary studies. 71.0% of the studies were funded by AFMC. 85.9% of research articles were designed as quantitative study, and the most frequently used design was cross-sectional design. The participants in 38.8% of the studies were ill patients, and 27.8% were healthy people respectively. In 33.3% of the studies, the research domain was ‘clinical medicine’, and 30.4% were ‘health promotion’. The most commonly used key words were ‘study’, ‘survey’, ‘patients’, and ‘analysis’. The words that showed the highest network centrality were ‘soldiers’, ‘study’, and ‘military personnel’. Conclusion; The results of this study showed interest in Korean military medical research. It is necessary to establish and to implement the strategies for research development in order to promote military medicine practice.

‘14년 군 건강조사 및 이를 활용한현역군인의 건강행태 및 의료이용 행태 조사

장태호 ( Eunkyoung Bae ),김병수 ( Hwancheol Jeong ),김광배 ( Jiyoung Lee ),배은경 ( Byung Soo Kim ),정환철 ( Minsu Bae ),이지영 ( Qwangbae Kim ),배민수 ( Taeho Chang ) 국군의무사령부 2015 대한군진의학학술지 Vol.46 No.1

Objective : 2014 Military Health Survey was performed to survey health behavior, mental health and medical care service utilization of soldiers on active duty. The finding from this study is expected to be the basis of future public health policy evaluations, and play an important role in the establishment of the Korean Military. Method : 3,131 of military officials and 4,100 of enlisted soldiers participated in this study. This study, a self-administered questionnaire, consisted of 24 categories of questions. Result : From observing military officials, current smoking rate was 44.8% (Male : 48.6%), high risk drinking rate was 26.8%, obesity rate was 32.3% and strenuous physical activity rate was 41.7%. Looking at enlisted soldiers, current smoking rate was 43.8%, obesity rate was 16.2% and strenuous physical activity rate was 59.5%. Military officials and enlisted soldiers had social support from their families. The rate of cognitive stress was 27.2% in military officials and 31.9% in enlisted soldiers. The rate of those who could not receive medical treatment was 41.2% in the field grade and 29.8% in the remote region. The main reason they could not receive treatment was that they had no time to visit, and that the waiting line was too long. Conclusion : The Military Health Survey needs to be maintained as the basis of evidence for the Military Public Health Policy, and be the foundation of the Health Index. Furthermore, we expect that the raw data from this study will be used actively by military health care personnels.

한국군 코로나19 감염자의 초기 역학적 특성

정찬영 ( Chan Young Jeong ),배은경 ( Eunkyoung Bae ),이순영 ( Soonyoung Lee ),황점숙 ( Jeomsuk Hwang ),고성민 ( Sungmin Ko ),김현영 ( Hyeon Young Kim ),오홍상 ( Hong Sang Oh ) 국군의무사령부 2021 대한군진의학학술지 Vol.52 No.1

Introduction; South Korea is one of the exemplary countries that have successfully responded to COVID-19 pandemic with the South Korean military having only a small number of confirmed patients. This study aimed to provide basic data for establishing a strategy in response to COVID-19 in the future by analyzing the epidemiological and clinical characteristics of patients in the Republic of Korea Armed Forces military. Method; The materials were collected through electronic medical records and telephone interviews, while descriptive analysis was performed for the statistical analysis of clinical and epidemiological characteristics. Result; From February 20 to September 2, 2020, 110 patients were confirmed cases of SARS-CoV-2 infection in the ROK military. The number of confirmed cases due to cluster infection was 63.6%, of which 62.9% were enlisted. The prevalence of COVID-19 in the ROK military was 17.7 per 100,000 persons. The median age was 22 years, and 94.5% of patients were men. The primary infection rate was 59.4%, followed by 34.2%, and 5.4%. The common symptoms were fever and cough during the entire hospitalization period. Moreover, radiological diagnosis of pneumonia was confirmed in 17.3% of patients. The incubation period was five days, and there was no deceased case among the confirmed cases; hence, the case fatality rate was 0%. Conclusion; The timing and region of the outbreak in patients in the military was affected by the pattern and status of confirmed cases in the entire country. Enlisted were more vulnerable and affected mainly by cluster infection. The military response to COVID-19 has been effective so far, while the military can prevent the spread of COVID-19 by implementing a stronger quarantine system to preserve combat power.

현역군인의 건강행태 및 의료이용 행태 조사 (`15년 군 건강조사를 활용한)

장태호 ( Taeho Chang ),배은경 ( Eunkyoung Bae ),이재무 ( Jae Moo Lee ),정소연 ( Cpt Soyeon Jung ),정철우 ( Chul Woo Jung ),배락 ( Rag Bae ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1

Objective : 2015 Military A Health Survey was performed to survey health behavior, mental health and medical care service utilization of soldiers on active duty. The finding from this study is expected to be the basis of future public health policy evaluations, and play an important role in the establishment of the Korean Military. Method : 2,785 of military officials and 3,497 of enlisted soldiers participated in this study. This study, a self-administered questionnaire, consisted of general characteristics, health behavior, life quality, mental health state, social support and medical care service utilization. Result : From observing military officials, current smoking rate was 39.4%, the highest rate was the Navy, 46.5%, and the combat arms marked the highest. From observing enlisted soldiers, current smoking rate was 36.2%, the Army was 46.0%, the highest, however, the rate was decreased in comparison to the result of 2014 Military Health Survey. The High risk drinking rate was decreased to 19.5%. The Obesity rate in both military officials and enlisted soldiers was increased to each 36.5% and 17.2%. The rate of cognitive stress in military officials was increased to 30.4%, however, the rate was decreased to 27.2% in enlisted soldiers. The rate of those who could not receive medical treatment in military officials was 22.9%. The main reason they could not receive treatment was that they had “no time to visit”, and that “it might affect promotion.” Futhermore, 17.0% of enlisted soldiers did not receive treatment because they had “no time to visit,” and that they do not trust the military medical centers. Conclusion : The military Health Survey needs to form a complete charge department in order to be further developed and conducted survey professionally. And it could be the result of this survey cause influence the military public health policy.

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.