Load‐extension tests on flour dough are widely used by plant breeders, millers and bakers. The ‘Kieffer dough and gluten extensibility rig’ is a small‐scale version of the Brabender extensograph, in which test pieces of about 0.4 g are extended. With the Kieffer rig, lower strain rates can be applied than in the Brabender extensograph and the experimental data can be expressed in terms of stress and strain. In this paper the performance of the Kieffer rig is illustrated by measurements on a weak and a strong dough. Formulas are given for the calculation of fundamental rheological parameters from the results of measurements with the Kieffer rig. Sagging and bending of the test pieces before measurements could be started, caused difficulties in the determination of the exact starting point of extension. The deformation was not purely uniaxial extension, because a shear component was also observed. The amount of dough that is extended did not increase throughout the test. This is probably due to the occurrence of a shear component fracture which occurred mainly near the hook. A relatively large variation in stress and strain at fracture was observed. The maximum in stress represents the strain at which the sample fractures macro‐scopically better than the maximum in force. Variation in deformation history and volume of the test pieces have a negative effect on the reproducibility.
The use of thickened liquids is a common compensatory strategy to improve swallow safety. The purpose of this study was to determine the optimal liquid viscosity to use to promote successful swallowing in a specific subset of dysphagic patients who swallow puree without aspiration but thin liquid with aspiration. A referral-based sample of 84 consecutive inpatients from a large, urban, tertiary-care teaching hospital who met the study criteria was analyzed prospectively. Inclusion criteria were no preexisting dysphagia, a successful pharyngeal swallow without aspiration with puree consistency but pharyngeal dysphagia with aspiration of thin liquid consistency, and stable medical, surgical, and neurological status at the time of transnasal fiberoptic swallow testing and up to 24 h after recommendations for oral alimentation with a modified diet consisting of nectar-like and honey-like thickened liquids. Success with ingesting both nectar-like and honey-like thickened liquids and clinically evident aspiration events were recorded. Care providers were blinded to the study's purpose. All 84 patients were successfully ingesting nectar-like and honey-like thickened liquids at the time of swallow testing and up to 24 h after testing. A specific subset of dysphagic patients who swallowed puree without aspiration but aspirated thin liquid demonstrated 100 % successful swallowing of both nectar-like and honey-like thickened liquids. Therefore, a nectar-like thickened liquid appears to be adequate to promote safe swallowing in these patients and, because of patient preference for the least thick liquid, may enhance compliance and potentially contribute to maintenance of adequate hydration requirements.
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