Journal of Yeungnam Medical Science

Review article

Psychiatry and Mental Health
Teachers’ mental health from the perspectives of moral injury and institutional betrayal, and on trauma-sensitive organizational environments: a narrative review: So Hye Jo; J Yeungnam Med Sci. 2026;43:57. Published online August 18, 2026; DOI: https://doi.org/10.12701/jyms.2026.43.57

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Abstract PDF: Teachers’ mental health is a critical public health concern in South Korea. The current educational environment, characterized by intensifying parent-teacher conflicts, legal disputes, and increasing administrative burdens, demonstrates the limitations of interpreting these challenges solely through the lens of individual vulnerability or resilience. Moral injury can provide a useful explanatory framework for understanding how chronic occupational stressors and institutional betrayal lead to negative mental health outcomes among teachers. In this narrative literature review, I examine new concepts related to teachers’ psychological distress, including moral injury, institutional betrayal, secondary trauma, and occupational mental health. With a particular focus on preventive and trauma-informed approaches, I also review international employee assistance program (EAP) models and organizational support systems. International case studies emphasize the importance of confidential EAP services, multidisciplinary support systems, administrative support, and organizational resources to enhance the psychological safety of teachers and promote early intervention. Based on the reviewed literature, this study proposes the development of an independent EAP model for Korean teachers and an institutional support system that reflects an understanding of trauma, with the aim of enhancing teachers’ well-being and contributing to the creation of a sustainable education system.

Case report

Medical Informatics
Development of an automated foot contact area measurement program for podoscopes using ChatGPT-4: a case report: Min Cheol Chang; J Yeungnam Med Sci. 2025;42:13. Published online December 3, 2024; DOI: https://doi.org/10.12701/jyms.2024.01326

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Accurate measurement of the foot contact area is crucial for diagnosing pes planus (flatfoot) and pes cavus (high arch), which significantly affect pressure distribution across the plantar surface. This study aimed to develop a program using ChatGPT-4 to automate foot contact area measurements using a podoscope, thereby enhancing diagnostic precision. A 53-year-old female volunteer stood on a podoscope to capture images of her feet, which were processed to isolate the foot contours and measure the contact areas. A program developed utilizing ChatCPT-4 was designed to outline the feet, detect contact areas, and calculate their sizes and ratios. The results demonstrated clear visualization of foot contours with automated calculation of the contact area and its ratio to the total foot area. The entire foot area measured 1,091,381.00 pixels, with a contact area of 604,252.50 pixels. The ratio of the ground contact area to the entire foot area was calculated as 55.37%. This method, which employs advanced image-processing techniques powered by ChatGPT-4, demonstrates the potential for integrating artificial intelligence into clinical applications. This approach could improve diagnostic precision and patient outcomes through personalized treatment strategies.

Citations

Citations to this article as recorded by

Emerging technologies in the field of medicine presented at the Consumer Electronics Show 2025
Jong-Ryul Yang, Min Cheol Chang
Journal of Yeungnam Medical Science.2025; 42: 31. CrossRef
What should researchers do in the era of artificial intelligence?
Min Cheol Chang
Journal of Yeungnam Medical Science.2025; 43: 2. CrossRef

Review article

Hematology
An update on immunotherapy with PD-1 and PD-L1 blockade: Sung Ae Koh; Yeungnam Univ J Med. 2021;38(4):308-317. Published online September 9, 2021; DOI: https://doi.org/10.12701/yujm.2021.01312

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Abstract PDF

Cancer is the leading cause of death and is on the rise worldwide. Until 2010, the development of targeted treatment was mainly focused on the growth mechanisms of cancer. Since then, drugs with mechanisms related to tumor immunity, especially immune checkpoint inhibitors, have proven effective, and most pharmaceutical companies are striving to develop related drugs. Programmed cell death-1 and programmed cell death ligand-1 inhibitors have shown great success in various cancer types. They showed durable and sustainable responses and were approved by the U.S. Food and Drug Administration. However, the response to inhibitors showed low percentages of cancer patients; 15% to 20%. Therefore, combination strategies with immunotherapy and conventional treatments were used to overcome the low response rate. Studies on combination therapy have typically reported improvements in the response rate and efficacy in several cancers, including non-small cell lung cancer, small cell lung cancer, breast cancer, and urogenital cancers. The combination of chemotherapy or targeted agents with immunotherapy is one of the leading pathways for cancer treatment.

Citations

Citations to this article as recorded by

Development of Cellular Therapeutics for Cancer Treatment: Functional Enhancements Without Genetic Modification
Yui Harada
Drug Delivery System.2025; 40(2): 108. CrossRef
Cardiovascular adverse effects of immunotherapy in cancer: insights and implications
Haiping Du, Jie Wang, Zhen Wang
Frontiers in Oncology.2025;[Epub] CrossRef
Baseline AHR expression shapes immune response to pharmacological modulation in PBMCs from pancreatic cancer patients
Arenida Bartkeviciene, Aldona Jasukaitiene, Inga Zievyte, Sandra Ivanauskiene, Gabija Stachneviciute, Kornelija Jenceviciute, Gabriele Karvelyte, Darius Stukas, Agne Sikarske, Daiva Urboniene, Toivo Maimets, Kristaps Jaudzems, Astra Vitkauskiene, Jason Ma
Frontiers in Immunology.2025;[Epub] CrossRef
Immune checkpoint inhibitors associated cardiovascular immune-related adverse events
Wonyoung Jo, Taejoon Won, Abdel Daoud, Daniela Čiháková
Frontiers in Immunology.2024;[Epub] CrossRef
Therapeutic targeting of thioredoxin reductase 1 causes ferroptosis while potentiating anti-PD-1 efficacy in head and neck cancer
Ming-Shou Hsieh, Hang Huong Ling, Syahru Agung Setiawan, Mardiah Suci Hardianti, Iat-Hang Fong, Chi-Tai Yeh, Jia-Hong Chen
Chemico-Biological Interactions.2024; 395: 111004. CrossRef

Original article

Medical Education
Factors to be considered in designing a faculty development program for medical education: local experience from the Western region of Saudi Arabia: Hussein Algahtani, Bader Shirah, Lana Alshawwa, Ara Tekian, John Norcini; Yeungnam Univ J Med. 2020;37(3):210-216. Published online April 21, 2020; DOI: https://doi.org/10.12701/yujm.2020.00115

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Abstract PDF

Background
Among the different aims of medical education, the provision of society with skilled, professional, and knowledgeable healthcare workers who maintain and develop their expertise over a lifetime career is important. The achievement of this goal is linked with the professional development of both faculty members and healthcare workers. This study aims to measure the perception of faculty members regarding their views about the goals of faculty development programs, practices and activities, and factors that determine their achievement.
Methods
A cross-sectional survey was conducted in multiple universities in the Western region of Saudi Arabia. The participants were given a pre-designed self-administered questionnaire generated from literature. The survey questionnaire consisted of three sections that were designed to assess the faculty members’ perception on the faculty development program.
Results
A total of 210 faculty members participated in the study. The most important perceived goal was to motivate teachers to become better teachers. The most important perceived practice was establishing a positive climate for teaching and learning. The most important perceived factor was skilled and dedicated staff support.
Conclusion
The results of this study demonstrate that faculty members have positive perceptions regarding all aspects of faculty development programs. This study will raise awareness regarding the importance of faculty development programs in sustaining educational vitality. We recommend the implementation and maintenance of comprehensive faculty development programs in Saudi universities.

Citations

Citations to this article as recorded by

Transforming Continuing Professional Development for Healthcare Professionals to Meet National Goals in Saudi Arabia
Graham T. McMahon, Manal Alnasser, Haya Alzouman, Lama Aldakhil, Asma Ababtain
Journal of CME.2024;[Epub] CrossRef
The Impact of Facilitators’ Competencies and Characteristics on Faculty Enhancement Activities in Saudi Arabia: A Mixed-Methods Research
Abdulaziz I Alhassan, Njoud A Alghofaily
Cureus.2024;[Epub] CrossRef
Leadership, management and governance in healthcare education
Liberty Rosales
International Journal of Research Studies in Education.2024;[Epub] CrossRef

Review article

Medical Education
Trends in the study on medical education over the last 10 years, based on paper titles: Seong Yong Kim; Yeungnam Univ J Med. 2019;36(2):78-84. Published online May 13, 2019; DOI: https://doi.org/10.12701/yujm.2019.00206

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Abstract PDF

Medical education research subjects are incredibly diverse and have changed over time. This work in particular aims to compare and analyze research trends in medical education through the words used in the titles of these research papers. Academic Medicine (the journal of the Association of American Medical Colleges), Medical Teacher (the journal of the Association of Medical Education in Europe), the Korean Journal of Medical Education (KJME), and Korean Medical Education Review (KMER) were selected and analyzed for the purposes of this research. From 2009 to 2018, Academic Medicine and Medical Teacher published approximately 10 to 20 times more papers than the KJME and KMER. Frequently used words in these titles include “medical,” “student,” “education,” and “learning.” The words “clinical” and “learning” were used relatively often (7.80% to 13.66%) in Korean Journals and Medical Teacher, but Academic Medicine used these phrases relatively less often (6.47% and 4.41%, respectively). Concern with such various topics as problem-based learning, team-based learning, program evaluations, burnout, e-learning, and digital indicates that Medical Teacher seems to primarily deal with teaching and learning methodologies, and Academic Medicine handles all aspects of medical education. The KJME and KMER did not cover all subjects, as they publish smaller papers. However, it is anticipated that research on new subjects, such as artificial intelligence in medical education, will occur in the near future.

Citations

Citations to this article as recorded by

A Study on the Application of Flipped Classroom Combined with Case Teaching in Urology Clinical Nursing Teaching
玉珠黄
Nursing Science.2024; 13(07): 898. CrossRef
Assessing the effectiveness of massive open online courses on improving clinical skills in medical education in China: A meta-analysis
Ling Yang, Jiao Zou, Junwei Gao, Xiaotang Fan
Heliyon.2023; 9(8): e19263. CrossRef

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