Validation of a Novel Wearable Electromyography Patch for Monitoring Submental Muscle Activity During Swallowing: A Randomized Crossover Trial

Purpose Surface electromyography (sEMG) is often used for biofeedback during swallowing rehabilitation. However, commercially available sEMG electrodes are not optimized for the head and neck area, have rigid form, and are mostly available in large medical centers. We developed an ultrathin, soft, and flexible sEMG patch, specifically designed to conform to the submental anatomy and which will be ultimately incorporated into a telehealth system. To validate this first-generation sEMG patch, we compared its safety, efficiency, and signal quality in monitoring submental muscle activity with that of widely used conventional sEMG electrodes. Method A randomized crossover design was used to compare the experimental sEMG patch with conventional (snap-on) sEMG electrodes. Participants completed the same experimental protocol with both electrodes in counterbalanced order. Swallow trials included five trials of 5- and 10-ml water. Comparisons were made on (a) signal-related factors: signal-to-noise ratio (SNR), baseline amplitude, normalized mean amplitude, and sEMG burst duration and (b) safety/preclinical factors: safety/adverse effects, efficiency of electrode placement, and satisfaction/comfort. Noninferiority and equivalence tests were used to examine signal-related factors. Paired t tests and descriptive statistics were used to examine safety/preclinical factors. Results Forty healthy adults participated (24 women, M age = 67.5 years). Signal-related factors: SNR of the experimental patch was not inferior to the SNR of the conventional electrodes ( p < .0056). Similarly, baseline amplitude obtained with the experimental patch was not inferior to that obtained with conventional electrodes ( p < .0001). Finally, normalized amplitude values were equivalent across swallows (5 ml: p < .025; 10 ml: p < .0012), and sEMG burst duration was also equivalent (5 ml: p < .0001; 10 ml: p < .0001). Safety/preclinical factors: The experimental patch resulted in fewer mild adverse effects. Participant satisfaction was higher with the experimental patch ( p = .0476, d = 0.226). Conclusions Our new wearable sEMG patch is equivalent with widely used conventional sEMG electrodes in terms of technical performance. In addition, our patch is safe, and healthy older adults are satisfied with it. With lessons learned from the current COVID-19 pandemic, efforts to develop optimal swallowing telerehabilitation devices are more urgent than ever. Upon further validation, this new technology has the potential to improve rehabilitation and telerehabilitation efforts for patients with dysphagia. Supplemental Material https://doi.org/10.23641/asha.12915509

Physiological changes in Solanum lycopersicum L. in the presence of root-knot nematodes and salicylic acid

Nematodes of the genus Meloidogyne spp. are one of the tomato culture’s main pathogens. According to their soil infestation level, physiological changes may occur. Consequently, it is extremely important to employ given products to minimize their effect. A feasible option is the salicylic acid, a phytohormone that can induce into resistance due to its ability to increase the production level of some pathogenicity proteins. Therefore, the purpose hereof was to assess the effect of salicylic acid on the physiology of tomato plants subject to different populational densities of Meloidogyne javanica. The design employed was one of randomized blocks, in an incomplete factorial scheme, using the Box Central Compound (BCC) matrix with five nematode populational densities (PD) (0; 5815; 20000; 34184; and 40000 eggs per plant) and five salicylic acid doses (0.0; 0.29; 1.0; 1.71; and 2.0 mM), with four repetitions and two plants per experimental patch. The gas exchanges, fluorescence, and chlorophyll levels were evaluated 45 days after the transplant and soil infestation. The data were submitted for analysis of variance through the F test and, in the significance cases, the polynomial regression analysis was performed. For stomatal conductance, a greater reduction was seen at the PD of 21755 eggs per plant, a fact that might have decreased the liquid assimilation of CO2 and the efficiency of carboxylation. The salicylic acid (SA) affected the CO2 liquid assimilation and the efficiency of carboxylation. The infestation of M. javanica in tomato plants negatively affected the gas exchange and the chlorophyll levels because the SA application did not mitigate the negative effect thereof.

The effects of experimental patch burning and rainfall on small mammals in the Simpson Desert, Queensland

Patch-burning is frequently advocated as a management tool to enhance the biodiversity and pasture values of spinifex (Triodia) grasslands. In the northern Simpson Desert, Queensland, pastoralists use fire to reduce the likelihood of broad-scale wildfires and improve pastures for cattle. I conducted a before–after–control–impact experiment to investigate the response of small mammals to the short-term (<1 year) effects of patch-burning between August 1999 and June 2001. The experiment was replicated at three locations subject to differing rainfalls, with two 1-ha study grids remaining unburnt as controls, and two being burnt at each location. The areas burnt ranged from 1 to 3 ha. Dasycercus cristicauda and Pseudomys desertor responded negatively to the fire treatment. Notomys alexis responded positively to the fire treatment in the final trapping session but only at one location. Factors indicative of temporal and spatial variation in rainfall, time and site had a greater effect on the abundance of small mammals than the fire treatment. Heavy rainfalls in 2000 increased seed production and prompted increases in the populations of rodent species and Dasycercus cristicauda. The greatest numbers of captures were made at the sites that received the highest rainfalls. Patch-burning regimes are likely to increase the resilience of 'fire-sensitive' species dependent on dense spinifex by reducing the extent of wildfires.