BACKGROUND: Objective evaluation of swallowing using single bolus consistency are popular among Speech-Language Pathologists (SLPs) but has limited generalization to other bolus consistencies. The Swallowing Proficiency for Eating and Drinking (SPEAD) test assesses the oral and pharyngeal phases of swallowing using three different consistencies.
OBJECTIVE: The aim of this study was to establish normative data for the SPEAD test among healthy individuals aged 20-79 years.
METHODS: One hundred and twelve healthy adults recruited from the community were divided into three age groups (20-39.11, 40-59.11, & 60-79.11 years). Participants swallowing 100 g of water and thickened Electral, and 6.67 g of Parle Monaco was video recorded for data analysis.
RESULTS: Cronbachs Alpha test indicated good to excellent internal consistency and inter-class correlation test revealed a high level of inter-rater reliability for all SPEAD parameters. Older adults exhibited a higher number of bites, chews, and swallows, and required more time to swallow compared to younger and middle adults. Similarly, speed of ingestion and SPEAD rate were lowest in older adults. SPEAD indices also showed significant differences across the three consistencies at p < 0.01.
CONCLUSIONS: In summary, the SPEAD test was found to be feasible, reliable, and valid in healthy adults of India between 20 and 79 years of age. The age and sex based normative data established in this study will enable SLPs in assessing the presence and / or absence of swallowing difficulties in the oral and pharyngeal phases across different consistencies using one test.

Responding to international research showing that early introduction of common food allergens can reduce the chance of developing allergies, in 2016 the Australasian Society of Clinical Immunology and Allergy (ASCIA) revised allergen introduction guidelines, recommending earlier introduction of allergens to infants in their first year. Australia has high food allergy rates, and limited understanding of adherence to allergen introduction guidelines, especially in rural areas. This project explored rural parent adherence to ASCIA guidelines.
This was a mixed method cross sectional study using an online survey including multiple-choice and qualitative short answer responses. The sample were 336 women from two rural health districts in New South Wales. All were aged 18 or over, and either pregnant or had delivered a baby since July 2018. Descriptive statistics were used to measure behavioural alignment with the recommended guidelines, thematic analysis was used to analyse attitudes and explanations.
In 84.3% of children, feeding adhered to all four guidelines studied, including no elimination of allergens during pregnancy (98%), age of introduction of solids (97.7%), continuation of breast milk/cow\'s milk formula during introduction of solids (95%), and age of introduction of allergens (92.9%). Adherence was not significantly correlated with the education (X2 = 17.9, P = .056), prior history of allergy [neither mother (X2 = 0.945,P = .623) nor previous children (X2 = 0.401,P = .818)], or primary care received during pregnancy. More than 90% of participants agreed or strongly agreed that the guidelines are realistic, trustworthy, and important for the health of their child. However, thematic analysis revealed that parents\' perceptions of a child\'s individual progress, and medical conditions or other circumstances, such as challenges with breastfeeding, will often take precedence over adherence to specific guideline recommendations.
High rates of adherence with ASCIA guidelines found here are comparable with findings from metropolitan studies and encouraging for future population health. Participant comments on the guidelines imply to rural policymakers that there are multiple influences on parent decisions about infant feeding, often including parents\' own intuition and experiences. Further studies to improve understanding of the role of information, carers, and other influences on parent decision-making concerning feeding attitudes and behaviours will be necessary to optimise adherence in rural areas.

Eutrophication is the excessive growth of algae in water bodies that causes biodiversity loss, reducing water quality and attractiveness to people. This is an important problem in water bodies. In this paper, we propose a low-cost sensor to monitor eutrophication in concentrations between 0 to 200 mg/L and in different mixtures of sediment and algae (0, 20, 40, 60, 80, and 100% algae, the rest are sediment). We use two light sources (infrared and RGB LED) and two photoreceptors at 90° and 180° of the light sources. The system has a microcontroller (M5stacks) that powers the light sources and obtains the signal received by the photoreceptors. In addition, the microcontroller is responsible for sending information and generating alerts. Our results show that the use of infrared light at 90° can determine the turbidity with an error of 7.45% in NTU readings higher than 2.73 NTUs, and the use of infrared light at 180° can measure the solid concentration with an error of 11.40%. According to the determination of the % of algae, the use of a neural network has a precision of 89.3% in the classification, and the determination of the mg/L of algae in water has an error of 17.95%.

Stormwater ponds are widely used for controlling runoff quality through the sedimentation of particles and associated pollutants. Their maintenance requires regular removal and disposal of accumulated material. This necessitates an assessment of material hazardousness, including potential hazard due to its contamination by metals. Here we analyze 32 stormwater pond sediment samples from 17 facilities using several chemical analysis methods (total extraction, sequential extraction, diffusive gradients in thin-films DGT, and pore water extraction) in order to consider the complementarity and comparability of the different approaches. No clear relationship was found between analyses that have the potential to measure similar metal fractions (DGT and either fraction 1 of the sequential extraction (adsorbed and exchangeable metals and carbonates) or pore water concentrations). Loss on ignition (LOI) had a significant positive correlation with an indicator of the environmental risk developed in this paper (∑ranks) that incorporates different metals, speciations, and environmental endpoints. Large variations in metal levels were observed between ponds. As clustering was limited between the different analyses, a comprehensive analysis of different parameters is still needed to fully understand metal speciation and bioavailability.

Highly accurate chemical-shift predictions in molecular solids are behind the success and rapid development of NMR crystallography. However, unusually large errors of predicted hydrogen and carbon chemical shifts are sometimes reported. An understanding of these deviations is crucial for the reliability of NMR crystallography. Here, recently reported large deviations of predicted hydrogen and carbon chemical shifts of a series of solid pyridinium fumarates are thoroughly analyzed. The influence of the geometry optimization protocol and of the computational level of NMR calculations on the accuracy of predicted chemical shifts is investigated. Periodic calculations with GGA, meta-GGA and hybrid functionals are employed. Furthermore, molecular corrections at the coupled-cluster singles-and-doubles (CCSD) level are calculated. The effect of nuclear delocalization on the structure and NMR shielding is also investigated. The geometry optimization with a computationally demanding hybrid functional leads to a substantial improvement in proton chemical-shift predictions.

Oily sludge is widely produced in the processes of petroleum exploitation, storage, transportation, and refining, and becomes more stable during aging. The interfacial stability of aging oily sludge hinders the recovery and disposal of oil resources. This review summarizes the interfacial film stability of aging oily sludge, which occurs through the formation of viscoelastic and rigid bilayer interfacial films between heavy components (asphaltenes and resins) and inorganic particles. The bilayer interfacial films enhance interfacial film strength and hinder the aggregation of droplets, contributing to the formation of a stable and high-viscosity oil-water-solid three-phase mixture. Recent demulsification technologies for reducing the stability of interfacial films have been classified as follows: removing heavy components, changing asphaltene aggregate structure, and reducing inorganic particle content. More efficient demulsification technologies are expected to be developed by deeply analyzing the microstructure and interfacial properties of asphaltenes and resins, as well as comprehensively studying the complex interactions among various components. This review constructs a bridge between the stability mechanism and the corresponding destabilization methods, which would promote future studies in aging oily sludge treatment.

It is shown that meeting the increased nutritional demand of preterm infants from birth is not only important for survival but essentially contributes to the infants` overall development and long-term health. While there are established guidelines for weaning term infants, evidence regarding preterm infants is scarce and less precise. The aim of this study was to identify the current practices on introducing solids to preterm infants amongst caregivers in Salzburg and determine potential reasons for early weaning.
Altogether 68 infants born between 24 0/7 and 36 6/7 weeks were recruited and detailed structured interviews with the caregivers were conducted at 17 weeks corrected age. Weight, height and head circumference were collected.
52% of the study group received solids before the recommended 17 weeks corrected age. For this group the mean age being 13.77 ± 1.11 weeks corrected age. Premature introduction of solids significantly correlates with exclusively and early formula-feeding. 34% were weaned due to recommendation by their paediatrician. 23% of the preterm infants even received solids before 12 weeks corrected age, putting them at risks for developing obesity, celiac disease and diabetes.
This study shows the necessity for clear guidelines regarding the introduction of complementary feeding in preterm infants as well as the importance of their implementation. Caregivers should receive information on this topic early enough and they should fully understand the difference between chronological and corrected age.

On the example of the Poynting-Thomson-Zener rheological model for solids, which exhibits both dissipation and wave propagation, with nonlinear dispersion relation, we introduce and investigate a finite difference numerical scheme. Our goal is to demonstrate its properties and to ease the computations in later applications for continuum thermodynamical problems. The key element is the positioning of the discretized quantities with shifts by half space and time steps with respect to each other. The arrangement is chosen according to the spacetime properties of the quantities and of the equations governing them. Numerical stability, dissipative error, and dispersive error are analyzed in detail. With the best settings found, the scheme is capable of making precise and fast predictions. Finally, the proposed scheme is compared to a commercial finite element software, COMSOL, which demonstrates essential differences even on the simplest-elastic-level of modeling.

The recent results attained from a thermodynamically conceived numerical scheme applied on wave propagation in viscoelastic/rheological solids are generalized here, both in the sense that the scheme is extended to four spacetime dimensions and in the aspect of the virtues of a thermodynamical approach. Regarding the scheme, the arrangement of which quantity is represented where in discretized spacetime, including the question of appropriately realizing the boundary conditions, is nontrivial. In parallel, placing the problem in the thermodynamical framework proves to be beneficial in regards to monitoring and controlling numerical artefacts-instability, dissipation error, and dispersion error. This, in addition to the observed preciseness, speed, and resource-friendliness, makes the thermodynamically extended symplectic approach that is presented here advantageous above commercial finite element software solutions.

In the absence of an effective vaccine to prevent COVID-19 it is important to be able to track community infections to inform public health interventions aimed at reducing the spread and therefore reduce pressures on health-care, improve health outcomes and reduce economic uncertainty. Wastewater surveillance has rapidly emerged as a potential tool to effectively monitor community infections through measuring trends of RNA signal in wastewater systems. In this study SARS-CoV-2 viral RNA N1 and N2 gene regions are quantified in solids collected from influent post grit solids (PGS) and primary clarified sludge (PCS) in two water resource recovery facilities (WRRF) serving Canada\'s national capital region, i.e., the City of Ottawa, ON (pop. ≈ 1.1M) and the City of Gatineau, QC (pop. ≈ 280K). PCS samples show signal inhibition using RT-ddPCR compared to RT-qPCR, with PGS samples showing similar quantifiable concentrations of RNA using both assays. RT-qPCR shows higher frequency of detection of N1 and N2 gene regions in PCS (92.7, 90.6%, n = 6) as compared to PGS samples (79.2, 82.3%, n = 5). Sampling of PCS may therefore be an effective approach for SARS-CoV-2 viral quantification, especially during periods of declining and low COVID-19 incidence in the community. The pepper mild mottle virus (PMMoV) is determined to have a less variable RNA signal in PCS over a three month period for two WRRFs, regardless of environmental conditions, compared to Bacteroides 16S rRNA or human 18S rRNA, making PMMoV a potentially useful biomarker for normalization of SARS-CoV-2 signal. PMMoV-normalized PCS RNA signal from WRRFs of two cities correlated with the regional public health epidemiological metrics, identifying PCS normalized to a fecal indicator (PMMoV) as a potentially effective tool for monitoring trends during decreasing and low-incidence of infection of SARS-Cov-2 in communities.