Tongue pressure measurement is reliable and reflects swallowing function in patients with SBMA. The muscle strength of the tongue appears to decrease in SBMA before the awareness of subjective dysphagia, suggesting that tongue pressure measurement is a novel biomarker of SBMA and is applicable to early-stage detection.

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Changes of acoustic variables are related to excision size and site, suggesting the distinctive tongue portion for the articulation of each speech sound. Perioperative rehabilitation could activate the articulators and increase the range of movement of the remaining tongue, especially the preserved anterior tongue.

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We disclose that fluoroalkanesulfinate salts ((R F SO 2 ) n M) such as the Langlois reagent, CF 3 SO 2 Na, serve as dual fluoroalkyl (R F ) and sulfur dioxide (SO 2 ) sources by the action of photoredox catalysis. An operationally simple strategy for the vicinal installation of R F and SO 2 groups onto unsaturated carbon− carbon bonds, i.e., fluoroalkyl-sulfonylation, has been developed. In particular, the present photocatalytic trif luoromethyl-sulfonylation can be applied to aromatic alkynes in addition to aliphatic and aromatic alkenes bearing various functional groups.

A long-short double pulse laser-induced breakdown spectroscopy (long-short DP-LIBS) method was employed to improve the analytical performance of LIBS for the measurement of manganese in steel samples. The long pulse with a duration of 60 μs was generated using a neodymium-doped yttrium aluminum garnet (Nd:YAG) laser which was operated at free-running (FR) mode. To investigate the detection ability without sample preparation, the steel washers were tested using single-pulse LIBS (SP-LIBS) and long-short DP-LIBS, respectively. The measurement results show that long-short DP-LIBS was able to record clear spectra from the steel washers with a surface layer. Through the observation on the laser craters with a scanning electron microscope (SEM), the results suggest that the improvement in detection ability can be attributed to the pre-irradiation effect of long-pulse laser beam. Next, the analytical performance for quantitative measurement of manganese was evaluated employing ten standard steel samples. The results show that the linearity fit (R) of the calibration curve is 0.988 for long-short DP-LIBS, whereas, R is only 0.810 for SP-LIBS under the same measurement conditions. The repeated measurement results show that the average relative standard deviation (RSD) of the tested samples is 29.3% for SP-LIBS and is 10.5% for long-short DP-LIBS. The prediction results also show that the average relative error of prediction (REP) is 94.9% for SP-LIBS and is 4.9% for long-short DP-LIBS.

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ObjectiveWe examined the characteristics of dysphagia in spinal and bulbar muscular atrophy, a hereditary neuromuscular disease causing weakness of limb, facial, and oropharyngeal muscles via a videofluoroscopic swallowing study, and investigated the plausibility of using these outcome measures for quantitative analysis.MethodsA videofluoroscopic swallowing study was performed on 111 consecutive patients with genetically confirmed spinal and bulbar muscular atrophy and 53 age‐ and sex‐matched healthy controls. Swallowing of 3‐mL liquid barium was analyzed by the Logemann's Videofluorographic Examination of Swallowing worksheet.ResultsOf more than 40 radiographic findings, the most pertinent abnormal findings in patients with spinal and bulbar muscular atrophy, included vallecular residue after swallow (residue just behind the tongue base), nasal penetration, and insufficient tongue movement (P < 0.001 for each) compared with healthy controls. Quantitative analyses showed that pharyngeal residue after initial swallowing, oral residue after initial swallowing, multiple swallowing sessions, and the penetration–aspiration scale were significantly worse in these patients (P ≤ 0.005 for each) than in controls. In patients with spinal and bulbar muscular atrophy, laryngeal penetration was observed more frequently in those without subjective dysphagia.InterpretationDysphagia of spinal and bulbar muscular atrophy was characterized by impaired tongue movement in the oral phase and nasal penetration followed by pharyngeal residues, which resulted in multiple swallowing sessions and laryngeal penetration. Although major limitations of reproducibility and radiation exposure still exist with videofluoroscopy, pharyngeal residue after initial swallowing and the penetration–aspiration scale might serve as potential outcome measures in clinical studies.