• Maxillofacial Plastic and Reconstructive Surgery
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• v.35 no.4
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• pp.243-247
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• 2013

Oblique facial cleft is a rare congenital deformity. Its incidence has been reported as 0.24% of all reported cases of facial cleft. We report on a patient who had a left-sided oblique facial cleft with anopthamia, including lip and palate, nose alar base, and medial canthus. The patient also had a right-sided oblique facial cleft, which included lip and palate, nose alar base, medial canthus, and upper eye brow. Primary closure of the facial cleft was performed using multiple Z-plasty after excision of scar tissue.

• Bulletin of the Korean Mathematical Society
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• v.55 no.6
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• pp.1713-1726
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• 2018

We study the one-sided regularity of matrices in upper triangular matrix rings in relation with the structure of diagonal entries. We next consider a ring theoretic condition that ab being regular implies ba being also regular for elements a, b in a given ring. Rings with such a condition are said to be commutative at regular product (simply, CRP rings). CRP rings are shown to be contained in the class of directly finite rings, and we prove that if R is a directly finite ring that satisfies the descending chain condition for principal right ideals or principal left ideals, then R is CRP. We obtain in particular that the upper triangular matrix rings over commutative rings are CRP.

• Journal of the Korean Mathematical Society
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• v.51 no.3
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• pp.495-507
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• 2014

Nielsen and Rege-Chhawchharia called a ring R right McCoy if given nonzero polynomials f(x), g(x) over R with f(x)g(x) = 0, there exists a nonzero element r ${\in}$ R with f(x)r = 0. Hong et al. called a ring R strongly right McCoy if given nonzero polynomials f(x), g(x) over R with f(x)g(x) = 0, f(x)r = 0 for some nonzero r in the right ideal of R generated by the coefficients of g(x). Subsequently, Kim et al. observed similar conditions on linear polynomials by finding nonzero r's in various kinds of one-sided ideals generated by coefficients. But almost all results obtained by Kim et al. are concerned with the case of products of linear polynomials. In this paper we examine the nonzero annihilators in the products of general polynomials.

• Journal of Veterinary Clinics
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• v.31 no.1
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• pp.61-65
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• 2014

The study aimed at determining the feasibility of three portal totally Laparoscopic cryptorchidectomy in small breed dogs. Four right sided and one left sided abdomen retained testicles in five dogs weighing 2.2~8.7 kg were retrieved successfully. Pampiniform plexus and vas deference were ligated and transected with Hem-o-lock/monopolar electrocauterization (1/5), or ultrasonic scalpel (4/5) and the latter provided more easy, quick and safe hemostasis and transection. The resected testis was easily removed through a insertion site. Mean surgical time was $19.9{\pm}15.2$ minutes and when the abdominal cavity was explored again, there were no major complications. The patient recovered favorably without unwilling events. This is the case report of laparoscopic cryptorchidectomies in small breed dogs weigh less than 10 kg. Laparoscopic cryptorchidectomy could be considered as an alternative in small animal surgery.

• Journal of the Korean Mathematical Society
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• v.57 no.3
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• pp.793-807
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• 2020

Stable range of rings is a unifying concept for problems related to the substitution and cancellation of modules. The newly appeared element-wise setting for the simplest case of stable range one is tempting to study the lifting property modulo ideals. We study the lifting of elements having (idempotent) stable range one from a quotient of a ring R modulo a two-sided ideal I by providing several examples and investigating the relations with other lifting properties, including lifting idempotents, lifting units, and lifting of von Neumann regular elements. In the case where the ring R is a left or a right duo ring, we show that stable range one elements lift modulo every two-sided ideal if and only if R is a ring with stable range one. Under a mild assumption, we further prove that the lifting of elements having idempotent stable range one implies the lifting of von Neumann regular elements.

• The Korean Journal of Nuclear Medicine
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• v.26 no.2
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• pp.392-395
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• 1992

Hepatic hydrothorax is defined as the presence, in a cirrhotic patient, of a large pleural effusion in the absence of primary pulmonary or cardiac disease. Pleural effusions occur in 5% to 10% of patients with cirrhosis of the liver. The effusions are usually right-sided, but may be bilateral or left-sided. The precise mechanism of fluid accumulation is not clear. We reported a case of right hepatic hydrothorax occuring in the liver cirrhosis with ascites. Diagnosis was confirmed by the intraperitoneal and intrapleural injection of radioisotope $^{99m}Tc-tin$ colloid that demonstrated the one-way transdiaphragmatic flow of fluid from the peritoneal to pleural cavities.

• Journal of Chest Surgery
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• v.56 no.2
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• pp.140-142
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• 2023

The azygos vein sometimes merges abnormally across the right upper lobe of the lung and it hangs at the lower edge of a membranous septum, called the meso-azygos. The septum invaginates the lobe and makes a fissure. The smaller medial part of the right upper lobe is called an azygos lobe. A 16-year-old male patient was diagnosed with right-sided pneumothorax, and a closed thoracostomy was done in the emergency room. During elective wedge resection including the bulla, the meso-azygos, abnormal azygos vein, and azygos lobe were detected. We reviewed the computed tomography images and found that the azygos lobe had re-expanded laterally, not medially, to the meso-azygos after the closed thoracostomy in the emergency room. The patient had been diagnosed with left-sided pneumothorax a year ago, and no one noticed the azygos lobe at that time. We report the intraoperative findings and comparative images of a migratory azygos lobe.

• Investigative Magnetic Resonance Imaging
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• v.20 no.1
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• pp.66-70
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• 2016

Introduction: Distant metastases of mucoepidermoid carcinoma (MEC) are reported with the most common sites being the soft tissue of skin, lung, liver, and bone. We report here a very rare case of MEC with multiple metastases to the kidney, adrenal gland, skull and gluteus maximus muscle. Case report: A 63-year-old male patient presented with left-sided headache. Radiologic evaluations including CT and MRI showed ill-defined soft tissue lesion involving the left infratemporal fossa and left sphenoid sinus, and multiple enlarged lymph nodes in neck and mediastinum. PET-CT demonstrated multiple hypermetabolic lesions in and around the left kidney, left adrenal gland, right ischium, right gluteus maximus and skull base. These lesions were confirmed as MEC with multiple metastases through biopsy. Discussion: Only one case of metastasis to the skull has been previously reported, and moreover, there has not been a case of metastatic MEC to the kidney, adrenal gland and gluteus maximus muscle so far in the medical literature. It is important to acknowledge the possibility of every unusual MEC metastases, since the presence of metastasis has statistically significant influence on the survival of MEC.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.8
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• pp.3257-3265
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• 2015

Background: Radiotherapy is an important treatment of choice for breast cancer patients after breast-conserving surgery, and we compare the feasibility of using dual arc volumetric modulated arc therapy (VMAT2), single arc volumetric modulated arc therapy (VMAT1) and Multi-beam Intensity Modulated Radiotherapy (M-IMRT) on patients after breast-conserving surgery. Materials and Methods: Thirty patients with breast cancer (half right-sided and half left-sided) treated by conservative lumpectomy and requiring whole breast radiotherapy with tumor bed boost were planned with three different radiotherapy techniques: 1) VMAT1; 2) VMAT2; 3) M-IMRT. The distributions for the planning target volume (PTV) and organs at risk (OARs) were compared. Dosimetries for all the techniques were compared. Results: All three techniques satisfied the dose constraint well. VMAT2 showed no obvious difference in the homogeneity index (HI) and conformity index (CI) of the PTV with respect to M-IMRT and VMAT1. VMAT2 clearly improved the treatment efficiency and can also decrease the mean dose and V5Gy of the contralateral lung. The mean dose and maximum dose of the spinal cord and contralateral breast were lower for VMAT2 than the other two techniques. The very low dose distribution (V1Gy) of the contralateral breast also showed great reduction in VMAT2 compared with the other two techniques. For the ipsilateral lung of right-sided breast cancer, the mean dose was decreased significantly in VMAT2 compared with VMAT1 and M-IMRT. The V20Gy and V30Gy of the ipsilateral lung of the left-sided breast cancer for VMAT2 showed obvious reduction compared with the other two techniques. The heart statistics of VMAT2 also decreased considerably compared to VMAT1 and M-IMRT. Conclusions: Compared to the other two techniques, the dual arc volumetric modulated arc therapy technique reduced radiation dose exposure to the organs at risk and maintained a reasonable target dose distribution.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.7
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• pp.2889-2894
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• 2015

Background: To investigate the impact of the breast size, shape, maximum heart depth (MDH), and chest wall hypotenuse (the distance connecting middle point of the sternum and the length of lung draw on the selected transverse CT slice) on the volumetric dose to heart with whole breast irradiation (WBI) of left-sided breast cancer patients. Materials and Methods: Fifty-three patients with left-sided breast cancer undergoing adjuvant intensity-modulated radiotherapy (IMRT) were enrolled in the study. The primary breast size and shape, MHD and DCWH (chest wall hypotenuse) were contoured on radiotherapy (RT) planning CT slices. The dose data of hearts were obtained from the dose-volume histograms (DVHs). Data were analyzed by one-way analysis of variance (ANOVA), Student's t-test and linear regression analysis. Results: Breast size was independent of heart dose, whereas breast shape, MHD and DCWH were correlated with heart dose. The shapes of breasts were divided into four types, as the flap type, hemisphere type, cone type and pendulous type with heart mean dose being $491.8{\pm}234.6cGy$, $752.7{\pm}219.0cGy$, $620.2{\pm}275.7cGy$, and $666.1{\pm}238.0cGy$, respectively. The flap type of breasts shows a strong statistically reduction in heart dose, compared to others (p=0.008 for V30 of heart). DCWH and MHD were found to be the most important parameters correlating with heart dose in WBI. Conclusions: More attention should be paid to the heart dose of non-flap type patients. The MHD was found to be the most important parameter to correlate with heart dose in tangential WBI, closely followed by the DCWH, which could help radiation oncologists and physicsts evaluate heart dose and design RT plan in advance.