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김덕용,정수진 대한연하장애학회 2011 대한연하장애학회지 Vol.1 No.1
Swallowing difficulty is common, especially in the elderly, neurologic disorders, head & neck cancer and etc. It may cause dehydration, weight loss, malnutrition, and aspiration pneumonia. The bedside examination may be important to assess the swallowing difficulty. However, the instrumental assessments such as videofluoroscopic swallowing study, fiberoptic endoscopic examination of swallowing, dynamic CT and manometry are more informative to identify the pathophysiology of dysphagia and are also more helpful to make the therapeutic plans. The unique characteristics of each instrumental assessment of swallowing were reviewed.
김덕용,So Young Joo,Chang-il Park,Su Jin Yu 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.1
Velopharyngeal insufficiency after surgical resection of soft palate cancer can be troublesome. This report concerns a male suffered from severe dysphagia following combined treatment for soft palate cancer. Sequential videofluoroscopic swallowing studies (VFSS) were used to assess his swallowing function and plan the interventional strategies. Initial VFSS showed huge nasal regurgitation, increased oral transit time, residues in oral cavity, delayed swallowing reflex, pharyngeal residue, impaired laryngeal elevation, and aspiration in semisolid and liquid trials. Obturator prosthesis was fabricated to minimize velopahryngeal insufficiency. After application of obturator prosthesis, swallowing dysfunction in oral and pharyngeal stages was markedly improved. Nasal regurgitation was not shown. Oral residue, oral transit time in oral stage also improved. Residue on vallaculae and pyriform sinuses decreased in pharyngeal stage. Aspiration also decreased. We reported successful obturator prosthesis application with sequential changes of clinical and VFSS findings in our case.
김덕용 한국법학회 2002 법학연구 Vol.0 No.10
The criminal liability of the juridical person has been treated importantly in the theory and practical affairs. At the very time when violation of law by a juridical person is in the increase perennially, we could not come to a very satisfying regulations of criminal policy by merely enlarging the provisions of the administrative criminal law.Concerning the criminal capacity of the juridical person, there has been several theories and three important theories of them are the theory of negation, the theory of affirmation, and the theory of partial affirmation. Accordingly, we should affirm the criminal capacity of the juridical person and establish the most both responsible provisions in order to protect the socioeconomically inferior general public from the superior juridical person such as corporations organization. As the majority of the provisions provide no ground of the punishment, there arises the problem of explicating the ground of the juridical person. Affirming the criminal capacity of the juridical person, the ground must lie in self-responsibility resulting from the juridical person's self negligence and willfulness.Though every country deals with the criminal liability of juridical person as disputed point, it has been failed to make consensus of opinion. It is general that in common law country the criminal liability of juridical person is admitted, on the other hand in continental law country the criminal liability of juridical person is disapproved. But the same legal system countries all don't correspond with concrete contents.Generally, the criminal liability of juridical person is known to only the supervisory and managerial liability. But juridical person should be responsible for the both of a practical liability and a supervisory and managerial liability. In the crime by the corporation, all of the performer, supervisor(the representative etc) and the juridical person should be punished.