• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.77-85
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• 2021

Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

• Proceedings of the KAIS Fall Conference
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• 2011.05b
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• pp.655-658
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• 2011

기초의학 강의 요원의 부족은 교육에 대한 부담과 연구활동 위축이라는 이중고를 초래하고 있다. 기초의학 강의의 효율성을 높이기 위하여 다양한 연구 및 해결책이 제시되어 왔으며, 통합강의 역시 그 대안의 하나로서 대두되고 있다. 따라서 본 연구에서는 새롭게 부각되고 있는 기초의학 통합강의에 대한 가상강의(cyber lecture) 적용의 실효성과 타당성을 설문조사와 교과목 운영의 경험을 중심으로 분석하였다. 설문조사에 대해 학생들은 가상강의의 내용, 난이도, 진행 및 멀티미디어 컨텐츠 등에 대해 대체로 만족스러운 의견을 제시하였다. 또한 가상강의가 통합강의 운영을 보완해주는데 효율적일 것이라는 의견과 더불어, 향후 통합강의에서 가상강의의 비중을 학대할 필요성에 대해서도 찬성의견이 반대의견보다 지배적임을 알 수 있었다. 뿐만 아니라, 통합강의 실습의 일부분을 가상강의에서 운영하는 방안에 대해서도 대체로 긍정적이었다. 통계분석 결과, 가상강의에 대해 긍정적이거나 부정적인 의견들은 기초신경학 통합강의 성적이 우수한 학생과 보통이하인 학생들 사이에 유의한 차이를 보이지 않았으나 (${\chi}^2$ 검증 결과), 성적이 우수한 학생일수록 가상강의의 효율성에 대해 긍정적이라는 경향은 알 수 있었다(Spearman 등위상관계수를 산출한 결과). 본 연구결과를 통해 제시된 개선방안과 축적된 경험을 바탕으로 점차 가상강의의 비중을 높이고 강의교수들 간의 유기적 협조가 이루어진다면 가상강의는 향후 기초의학 통합강의 운영의 새로운 패러다임(paradigm)이 될 것으로 사료된다.

• Journal of Information Management
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• v.32 no.2
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• pp.26-39
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• 2001

Various controlled vocabularies such as thesaurus and classification used for effective information retrieval contain different terms in expressing the same concept or meaning. National Library of Medicine has developed the Unified Medical Language System(UMLS) to solve the problems of information retrieval and integration resulted from the difference of concepts between different sources. The UMLS development was initiated in 1982 as a long-term project, and the 2001 edition of the UMLS consists of three parts : Metathesaurus, Semantic Network, and SPECIALIST Lexicon. This paper reviews background and structure of the UMLS including applications in PubMed, NLM Gateway.

• Journal of Naturopathy
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• v.11 no.1
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• pp.68-78
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• 2022

Background: Integrative medical research is needed to explore the development direction of new yoga therapy. Purposes: A systematic literature review is conducted to analyze the current status of clinical research on yoga therapy into scientific categories, and to explore the content and development direction of yoga therapy. Methods: Through electronic databases such as RISS, NDSL, DBpia, e-article, and KISS, 530 domestic academic papers were selected from 2010 to 2018 and the final 28 were extracted based on PRISMA guidelines. Results: As a result of the study, in terms of quality, it remained at 3b of the CEBM level of evidence, and in terms of quantity, the number of experimental groups in the entire clinical study was 288, so domestic clinical studies of yoga therapy are insufficient. It was found that 80% of yoga therapy was exercise therapy focusing on asana movements. This seems to be due to a lot of researchers in the field of physical education. Conclusions: These results indicate that understanding and practice of the Ashtanga-yoga's training system and Pancha-kosha theory from the perspective of integrative medicine are necessary. In other words, yoga therapy is required to develop into an integrated mind-body therapy program that integrates holistic healing yoga based on individual mental and physical constitution, meditation therapy based on Ayurveda, and exercise therapy.

• Journal of Korean Philosophical Society
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• v.131
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• pp.353-381
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• 2014

"The four types of temperament" (hereinafter "Sa-Sang Constitutional Medicine") is applied to not only medicine, but also various fields like management, politics, education, etc. Despite that "Sa-Sang Constitutional Medicine" is "Mind-Body Medicine" which is fundamentally based on "Controling Mind and Body", though, it was rarely used for psychotherapy in practical. Practical treatment on clinical medicine is limited to only medicine-treatment or acupuncture-therapy. However treatment on illness and pathological phenomenon suggested by "Sa-Sang Constitutional Medicine" keeps individual's nature in control, and it governs environmental facts: age, region, and socio-cultural factors: alcohol, debauchery, riches, authority(酒 色 財 權). Especially, "Moral Cultivation" in "Sa-Sang Constitutional Medicine" emphasizes the importance of properly understanding vice(邪心) and laziness(怠行) concealed in natural temperament of human being, and pursuing "Understanding Each Other(博通)" and "Upright Conduct by Oneself(獨行)". Furthermore, because "Sa-Sang Constitutional Medicine" is developing medical theory based on "Understanding Others(知人)" and "Straighten Oneself(正己)" doing try integral approach, it has great implications for the present generation that forms much of social connection. Similarly, Ken Wilber who is one of representatives of "World Philosophy" and "Integral Psychology" is suggesting "Integral Life Practice" (hereinafter ILP) - applies practical and heuristic "Integral Approach" to individual experiences. ILP is the only practical discipline for development of viable whole-area. ILP says that there are four core modules: body, mind, shadow, spirit(靈), and five auxiliary modules: morals(倫理), gender(性), work(일), emotion(情緖), relationships(關係性). These nine modules could apply mind-body treatment of "Sa-Sang Constitutional Medicine", and thereby more developed mind-body treatment would be found.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2013.10a
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• pp.237-238
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• 2013

열악한 환경에서 근무하고 있으나 법과제도에 상대적으로 덜 노출되어 불이익을 받고 있는 해상노동자들의 의료관리체제에 대해 간략하게 정리해 보고 육상의료시스템과 비교하여 환자가 발생한 후 신속한 조처를 보장하고, 나아가 예방의학시스템을 도입하고자하는데 그 목적이 있다.

• Journal of agricultural medicine and community health
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• v.8 no.1
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• pp.81-87
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• 1983

• Journal of the Korean Society for information Management
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• v.18 no.3
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• pp.63-86
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• 2001

Consumer health information is receiving more attention than ever before. This growing attention can be linked to the Internet and to people seeking more information on health topics. The purpose of this study is to suggest a design of the Knowledge management system for medical information services in a public library. As theoretical backgrounds, it discusses the issues regarding to the medical information services in a public library, knowledge management and knowledge management system. After that, 12 medical information sites are analyzed then the planning and the main menu of a medical information site for a public library are described. Finally, the model of the knowledge management system for a public library with 5 sub-systems are suggested: 1) knowledge creation system, 2) technology support system, 3) training system, 4) community service system, 5) knowledge sharing and network system. This system based on knowledge management will help provide the users high quality of medical information.

• The Journal of Bigdata
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• v.6 no.2
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• pp.61-70
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• 2021

The objective of this study was to describe specific approaches for data extraction from graph when statistical information is not directly reported in some articles, enabling data intergration and meta-analysis for quantitative data synthesis. Particularly, meta-analysis is an important analysis tool that allows the right decision making for evidence-based medicine by systematically and objectively selects target literature, quantifies the results of individual studies, and provides the overall effect size. For data integration and meta-analysis, we investigated the strength points about the introduction and application of Adobe Acrobet Reader and Python-based Jupiter Lab software, a computer tool that extracts accurate statistical figures from graphs. We used as an example data that was statistically verified throught an previous studies and the original data could be obtained from ClinicalTrials.gov. As a result of meta-analysis of the original data and the extraction values of each computer software, there was no statistically significant difference between the extraction methods. In addition, the intra-rater reliability of between researchers was confirmed and the consistency was high. Therefore, In terms of maintaining the integrity of statistical information, measurement using a computational tool is recommended rather than the classically used methods.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.5
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• pp.2222-2229
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• 2011

The purpose of this study was to evaluate the efficacy of basic integrative lecture course of medical college through cyber lecture. This study was also aimed to develop and implement a progressive cyber-teaching method which integrative lecture system is concerned for medical students. In this study, effectiveness of cyber lecture on the student's satisfaction, content difficulty and course management were analyzed by way of anonymous survey at the end of basic neuroscience integrative lecture course. Survey data were also analyzed with statistical tools to find out strength of correlation between students degree of satisfaction to cyber lecture and their individual grade of this course. The majority of students held positive opinions on course management, level of difficulty in each session, utilizing multimedia contents and preferred cyber lecture system to be continued in the future. Many students also suggested intimate integration of multimedia contents shown in cyber lecture to the lab sessions for the maximization of educational effect. In this study, it suggested that cyber lecture could be a useful tool in teaching integrative medical subjects and play more important role in the future integrative medical subjects with the improvement of present problems and limitations.