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갑상선에 발생한 급속하게 자라는 미분화된 고등급의 다형성 육종
나상돈,김병기,진석재,정용진,강미연,김정민 조선대학교 의학연구소 2014 The Medical Journal of Chosun University Vol.39 No.3
Undifferentiated high grade pleomorphic sarcoma of the thyroid gland is very rare. A 70-year-old woman was referred to our hospital for evaluation of a rapidly growing mass in the right lobe of the thyroid gland. At the first visit, she had no symp-toms. Fine-needle aspiration cytology revealed an atypia of undetermined significance. She revisited our hospital after 17 days. At that time the mass had become more enlarged and she complained of dyspnea. The next day, surgery was performed and the diagnosis was undifferentiated high grade pleomorphic sarcoma of the thyroid. The patient died 119 days after sur-gery.
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무선네트워크 전송기반에서 프로토콜에 의한 트래픽 혼잡제어
나상돈(Sang-Dong Ra),김문환(Moon-Hwan Kim),이성주(Sung-jooLee) 한국통신학회 2007 韓國通信學會論文誌 Vol.32 No.10A
무선네트워크에서 TCP버전을 통해 프로토콜을 적용하여 양방향의 노드가 중복된 응답으로 데이터가 순서에서 벗어나 손실됨을 분석하고, 개선된 비율제어 알고리즘으로 성능 처리율을 연구한다. TCP 대역폭에서 트래픽 패킷 재전송 형태를 취하면서 노드사이의 혼잡이 발생 할 경우 프로토콜과 알고리즘을 적용하였다. 또 대역폭 시스템 클라이언트 수 및 연속파일 전송 간의 평균 유휴시간을 조정함으로써 경쟁 레벨을 생성하여 다중패킷 손실에 대한 빠른 재전송 및 복구를 효율적으로 수행한다. 본 논문은 연결효율이 증가함으로서 손실이 줄어들며, 비율 기반 하에 윈도우 크기를 적절하게 조절하는 슬라이딩 윈도우 흐름제어를 이용해 손실율을 줄여서 혼잡제어 성능을 개선한다. We analyzed that the loss of data in TCP protocol based wireless networks caused by overlapped responses in bi-directional nodes that were resulted in out of the data sequence. This loss can be prevented by using revised TCP rate control algorithm and the performance of throughput can also be improved. The rate control algorithm is applied when the congestion happens between nodes while traffic packets are retransmitting in TCP bandwidth. In addition to applying the rate control algorithm, we determine the number of system clients in bandwidth and the average of pausing time between transmitting serial files to produce a competitive level so that an efficient performance of rapid retransmitting for the loss of multi-packets. This paper discusses the improvement of congestion control in that the decrease of the loss, firstly, as ensuring an efficient connection rate and ,secondly, as using sliding window flow control.
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고승영,김주영,나상돈,박혁,김도현,이영직 조선대학교 의학연구소 2014 The Medical Journal of Chosun University Vol.39 No.2
Hepatocellular carcinoma (HCC) is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide. The radiologic findings of liver abscess, HCC, and metastatic tumor to the liver may be quite similar, and a specific diagnosis cannot be made using procedures such as serum tumor marker assay, computerized tomography, and ultrasonography of the liver. We report on a case of HCC successfully diagnosed and treated by surgery which was misconceived as a liver abscess.
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박건,고승영,김주영,나상돈,박혁,이영직 조선대학교 의학연구소 2013 The Medical Journal of Chosun University Vol.38 No.2
Cases of schwannoma of the gastrointestinal tract are rare; most of these tumors are found in the stomach and the small intestine. Cases of cecal schwannoma are extremely rare. Here, we report on a case of cecal schwannoma confirmed pathologically after laparoscopic resection.
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범재원,김정민,정은주,김주영,고승영,나상돈,김철환,박건,강미연 대한당뇨병학회 2013 Diabetes and Metabolism Journal Vol.37 No.3
Background: To evaluate the effects of severe hypoglycemia without hypokalemia on the electrocardiogram in patients with type 2 diabetes in real-life conditions. Methods: Electrocardiograms of adult type 2 diabetic patients during the episodes of severe hypoglycemia and the recovered stage were obtained and analysed between October 1, 2011 and May 31, 2012. Patients who maintained the normal serum sodium and potassium levels during the episodes of severe hypoglycemia were only selected as the subjects of this study. Severe hypoglycemia was defined, in this study, as the condition requiring active medical assistance such as administering carbohydrate when serum glucose level was less than 60 mg/dL. Results: Nine type 2 diabetes patients (seven men, two women) were included in the study. The mean subject age was 73.2±7.7years. The mean hemoglobin A1c level was 6.07%±1.19%. The median duration of diabetes was 10 years (range, 3.5 to 30 years). Corrected QT (QTc) intervals were significantly increased during the episodes of severe hypoglycemia compared to the recovered stage (447.6±18.2 ms vs. 417.2±30.6 ms; P<0.05). However, the morphology and the amplitude of the T waves were not changed and ST-segment elevation and/or depression were not found during the episodes of severe hypoglycemia. Conclusion: In this study, QTc interval prolongation during the episodes of severe hypoglycemia was observed without hypokalemia. Therefore, the distinct alterations in cardiac repolarization during the episodes of severe hypoglycemia may not be associated with hypokalemia.
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박건 ( Gun Park ),고승영 ( Seung Yeong Ko ),김주영 ( Ju Yeong Kim ),나상돈 ( Sang Don Na ),김동한 ( Dong Han Kim ),조장현 ( Jang Hyun Cho ) 대한내과학회 2014 대한내과학회지 Vol.86 No.3
A 78-year-old woman presented to our hospital with progressive dyspnea (NYHA class I-II) and epigastric discomfort that had developed after a traffic accident. She had a history of hypertension and cerebral infarction, but no history of cardiovascular disease. Her blood pressure was 130/70 mmHg and her heart rate was 66 beats/min and regular. The electrocardiogram showed normal sinus rhythm. The chest X-ray revealed bilateral pleural effusions. Transthoracic echocardiography (TTE) demonstrated an aneurysm of the descending thoracic aorta compressing the left atrium (LA). Left and right ventricular systolic function was preserved. Whole-body computed tomography (CT) angiography revealed that a focal 40-mm-diameter saccular aneurysm in the descending aorta at the level of T7-8, with an intramural hematoma, was compressing the LA and left pulmonary vein. After surgical management, follow-up TTE and CT showed decompression of the LA and left pulmonary vein.
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