ANNUAL TRANSACTIONS OF THE NORDIC RHEOLOGY SOCIETY, VOL. 23, 2015 Submit YourEffect Paperof asshear a PDFvs. File without Page by May 31, 2015: Use extensional flowNumbers during swallowing Times Roman Font Throughout (14 point for the Title) Mats Stading1, 3, Waqas Qazi1, Magda Nyström1, Marco Berta1, Margareta Bülow2 and 2 2, and Olle Ekberg Katja Nevalainen1, Jon Wallevik Third Author's Name2 1 SP Food 1 Tampere and Bioscience, Gothenburg, Sweden University of Technology, Tampere, Finland. Skåne University Hospital,Reykjavik, Malmö, Sweden 22Innovation Center Iceland, Iceland 3 Chalmers University of Technology, Göteborg, Sweden ABSTRACT ABSTRACT Authors to follow the When weare eat requested the swallowing is mainly instructions described in this guide to ensure an involuntary process. However, for an a uniform printing style in the proceedings. increasing number of the population the This document is written following the actual swallowing causes problems. The guidelines so you can use it as a template effect of elasticity on swallowing was thus when writing your contribution. evaluated. Edible model fluid foods were Submissions are due on or before May 31, developed and the rheological properties 2015. The manuscript of both oral were evaluated. indicated positive presentations The andstudy posters must be effects of fluid elasticity on the of submitted both as a DOC file and ease a PDF swallowing for patients suffering from file to [email protected]. Make sure dysphagia. that you use “press quality”, embed all the sections withstudies appropriate headingsanineffect the Previous have indicated body of the manuscript. References 3 must be of fluid elasticity on swallowing . In the the last section. present study the effect of elasticity in fluid foods was evaluated by well-define edible FONT AND STYLE model fluids with the aim of determining if Use 12 point Times Roman font in the fluid elasticity effects the ease of body of the manuscript, 14 point for the title swallowing. of the paper, and 10 point for superscripts and subscripts. Do not use bold type face. MATERIAL AND METHODS Be sure to choose a readable font size for Edible model foods were developed your figures (8-10fluid point). having specific rheological characteristics4: Newtonian fluids MARGINS (constant shear(21 viscosity), Use A4 paper by 29.7 cm). Leave a blankBoger spacefluids of 40 mm of at the top of the viscosity) first (elastic, page, 26constant mm at shear the top of subsequent Shear pages. Thethinning bottom fluids margin is set to 36 mm (elastic, rate and dependent). on all pages.shear The left right margins are Themm model fluids were based on 26 and 24 mm respectively. 5 Text should written in two maltodextrin andbexanthan with the columns addition ® each 76 mm wide and separated by a width of iodine (Omnipaque , GE Healthcare) to of 8 mm. Textopaque should to be x-rays single spaced and make them to enable right justified. Do not numberduring the pages. videoflouroscopic analysis clinical The first page begins with the title, trials. author and addresses (40 mm from Thenames rheological properties were the top of the page). Add one blank evaluated using shear rheometry (ARES line G2, between the title and the line the author TA Instruments) and withHyperbolic names. Contraction Flow6, 7. Sensory evaluation by On the second line below author 12 patients suffering from the dysphagia names, present the affiliation and addresses together with quantitative videoflouroscopy of authors. at Addthethree blank lines was theperformed Department of between addresses and affiliation and the Imaging and Function, Skåne University main text.Sweden. If the The authors havewere different Hospital, patients asked addresses use number superscripts to refer to to grade the samples through a five digit fonts, and set the paper size to A4 when you INTRODUCTION convert the document to PDF. If the Swallowing is followed a highly exactly, unconscious guidelines are not your process. We prepare a bolus by chewing and paper will be returned to you for correction. mixing and asinsoon as we–initiate There iswith alsosaliva a template LATEX please swallowing, it isifan process1. contact the editor youinvoluntary would like it. However, for an increasing proportion of the population the actual swallowing causes INTRODUCTION problems. Swallowing disorders, or The Transactions Volume 21 will be dysphagia, 40% website of the ones posted on affects the NRS afterolder the than 70 due dementia, or conference, withto each paper trauma or poster medication sideindividual effects,PDF andfile. asYoura summary in an consequence ofa the patients in submission of 30-60% a paper or poster summary homes estimatedintoboth be implies for thatthe youelderly agree toare publication malnourished The swallowing disorders print and PDF2.format. be written English mayManuscripts also cause should the food to enterin into the and be which maximum 8 pagesranging long. from All airways causes anything manuscriptsto should start Itwith a short coughing pneumonia. is therefore abstract of maximumfoods 50 and words. The important to formulate nutritional Abstract should be suitable followedrheological by an supplements which have Introduction section. Authors may use other effects for safe swallowing. 63 line-scale, labelled “5=very easy to swallow” and “1=very difficult to swallow”. RESULTS Fig. 1 presents the steady shear properties of the model fluids without contrast media (Fig. 1a) and diluted with iodinated contrast medium (Fig. 1b). The model fluids were designed by setting the concentration of the high molecular weight, elastic polymer (xanthan) dissolved in high viscosity maltodextrin, with or without contrast medium. A corresponding Newtonian model without xanthan was used as reference. Fig. 1a shows that the shear viscosity of the Newtonian fluid is constant, and the Boger fluids nearly constant, while the Shear-thinning fluid is distinctly shearthinning. Boger fluids based on polyacrylamide instead of xanthan have an even more constant shear viscosity, but with the limitation of having the Boger fluid edible, this is as constant as it gets. Fig. 1b further shows that iodine (the contrast media) did not affect the main rheological features of the model fluids except lowering the shearviscosity. The extensional viscosity of the model fluids was characterized by the Hyperbolic Contraction Flow method6, 7 (Fig. 2). An increasing elasticity was observed with increasing amount of xanthan, and both the Boger and Shear thinning fluids were extension thickening. The Trouton ratio was in the range 15-20. Figure 2. Extensional viscosity of the Boger and Shear thinning fluids. The results of the sensory evaluation by the dysphagic patients are shown in Fig 3. They showed that elastic fluids were perceived comparatively easier to swallow. The Shear thinning fluid was the easiest to swallow with a total score by the 12 patients of 37 followed by the Boger fluid with score of 36. Conclusively, the Newtonian fluid was slightly more difficult to swallow. Due to the wide range of dysphagia symptoms among the 12 patients, the differences between the model fluids were not statistically significant. The clinical trials Figure 1. Shear viscosity of the three model fluids a) before dilution, b) after dilution with the contrast medium Omnipaque®. 64 ANNUAL TRANSACTIONS OF THE NORDIC RHEOLOGY SOCIETY, VOL. 23, 2015 further indicated that elastic properties may 5 have a positive effect on the swallowing Koliandris, A.-L, Rondeau, E, Hewson, L, physiology especially in the initial stages of Hort, J, Taylor, A.J, Cooper-White, J. and Submit Your Page B. Numbers by May 31, Boger 2015:Fluids Use 4 the swallow . Paper as a PDF File without Wolf, (2010) “Food Grade Times Roman Font Throughout point for theJ.Title) for (14 Sensory Studies”, Appl. Rheol., 21. 6 Stading, M. and Bohlin, L. (2000) 2 Katja Nevalainen1, Jon Wallevik2”Contraction , and Third Author's flow Name measurements of extensional properties”, Trans. Nordic 1 Tampere University of Technology, Rheol. Soc., 8/9, 181-185. Tampere, Finland. 7 Tamaddon Jahromi, H.R., 2 Innovation Center Iceland,Nyström, Reykjavik,M., Iceland Stading, M. and Webster, M.F. (2012) “Numerical simulations of Boger fluids through different contraction configurations ABSTRACT sections with appropriate headings system in the for the development of a measuring Authors are requested to follow the body of the manuscript. References must be for extensional viscosity”, Rheol. Acta., 51, instructions described in this guide to ensure the last section. 713 -727. 3. Total score of the perceived ease a Figure uniform printing style in the proceedings. This documentas evaluated is writtenbyfollowing the FONT AND STYLE of swallowing the dysphagic guidelines so you can use it as a template Use 12 point Times Roman font in the patients (1=very difficult to swallow, and when writing your contribution. body of the manuscript, 14 point for the title 5=very easy). Submissions are due on or before May 31, of the paper, and 10 point for superscripts 2015. The manuscript of both oral and subscripts. Do not use bold type face. CONCLUSIONS presentations and posters must be Be sure to choose a readable font size for The study indicated positive effects of submitted both as a DOC file and a PDF your figures (8-10 point). high extensional properties on the ease of file to [email protected]. Make sure swallowing for patients suffering from MARGINS that you use “press quality”, embed all the dysphagia. Use A4 paper (21 by 29.7 cm). Leave a fonts, and set the paper size to A4 when you blank space of 40 mm of at the top of the convert the document to PDF. If the first page, 26 mm at the top of subsequent guidelines are not followed exactly, your ACKNOWLEDGMENTS pages. The bottom margin is set to 36 mm paper will be returned to you for correction. The contribution by The Swedish on all pages. The left and right margins are There is also a template in LATEX – please Research Council Formas (2014-681) is 26 mm and 24 mm respectively. contact the editor if you would like it. gratefully acknowledged. Text should be written in two columns each 76 mm wide and separated by a width INTRODUCTION REFERENCES of 8 mm. Text should be single spaced and The Transactions Volume 21 will be right justified. Do not number the pages. 1posted on the NRS website after the Chen, J. (2009) “Food Oral Processing – A The first page begins with the title, conference, with each paper or poster Review”, Food Hydrocoll., 23, 1-25 author names and addresses (40 mm from 2summary in an individual PDF file. Your Groher, M.E., Bukatman, M.S. (1986) the top of the page). Add one blank line submission of a paper or a poster summary “The prevalence of a swallowing disorder in between the title and the line with the author implies that you agree to publication in both two teaching hospitals”, Dysphagia, 1, 3-6. names. print and PDF format. 3 Stading, M., Johansson, D. and Wendin, K. On the second line below the author Manuscripts should be written in English (2008), food All for names, present the affiliation and addresses and be“Rheological maximum properties 8 pages oflong. patients with swallowing of the authors. Add three blank lines manuscripts should startdisorders”, with a Trans. short Nordic Rheol. Soc., 16, 137-139 between addresses and affiliation and the abstract of maximum 50 words. The 4 Nyström,should M. Qazi,beW.followed Berta, M. by Bülow, main text. If the authors have different Abstract an M. Ekberg, O. and Stading, of addresses use number superscripts to refer to Introduction section. Authors M. may“Effects use other rheological factors on swallowing”, Dysphagia, in press. 65
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