{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:07:59Z","timestamp":1791047279794,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Texture Studies"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The International Dysphagia Diet Standardization Initiative (IDDSI) proposed the flow test (FT) as a simple method for measuring the viscosity of thickened liquids. However, the FT specifies the use of a particular syringe type (BD\u2010Slip), which is unfortunately not easily available in Japan. Therefore, the current study primarily aimed to investigate the effects of the internal syringe shape on IDDSI FT and identify the most suitable syringe available in Japan for xanthan gum\u2010based thickened liquids. Accordingly, four syringes, namely, Luer slip tip, Luer\u2010Lok tip, TERUMO, and NIPRO syringes, were used to examine FT value with water and nine different water viscosity levels. The correlation and systematic errors on residual FT values between the BD\u2010Slip syringe and the other three syringes were analyzed. The two\u2010dimensional internal shapes of the four syringes were measured using industrial computed tomography (CT) scanning. Based on the results of our FT, TERUMO had the smallest error range among the three syringes, without systematic errors. On a CT scan, three of five tip\u2010shape parameters showed the smallest difference between BD\u2010Slip and TERUMO syringe. Therefore, TERUMO had the smallest FT error range compared with that in BD\u2010Slip tip syringe, indicating that TERUMO could be used as a substitute for BD\u2010Slip when performing IDDSI FT with xanthan gum\u2010based thickened water in Japan.<\/jats:p>","DOI":"10.1111\/jtxs.12640","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T07:03:58Z","timestamp":1633935838000},"page":"656-664","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effects of the internal syringe shape on the International Dysphagia Diet Standardization Initiative flow test"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7661-8438","authenticated-orcid":false,"given":"Tomoki","family":"Nanto","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Hyogo College of Medicine College Hospital  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Nakao","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Hyogo College of Medicine College Hospital  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihiko","family":"Kodama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Uchiyama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Fong","sequence":"additional","affiliation":[{"name":"Division of Speech Therapy, Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Domen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Hyogo College of Medicine  Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1109\/TAC.1974.1100705"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-005-0034-9"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00385799"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-019-02308-y"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jtxs.12360"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-4603.2011.00291.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2013.07.037"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2008\/013)"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02407267"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-277X.1998.00079.x"},{"key":"e_1_2_10_14_1","unstructured":"2018 R Foundation for Statistical Computing Vienna Austria R Core Team R: A language and environment for statistical computing"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/00031305.1995.10476113"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01597.x"},{"key":"e_1_2_10_17_1","first-page":"255","article-title":"The Japanese dysphagia diet 2013","volume":"17","author":"The Dysphagia Diet Committee of the Japanese Society of Dysphagia Rehabilitation","year":"2013","journal-title":"Japanese Journal of Dysphagia Rehabilitation"},{"key":"e_1_2_10_18_1","unstructured":"The International Dysphagia Diet Standardisation Initiative(2017). IDDSI framework\u2014Testing methods. Retrieved fromhttps:\/\/iddsi.org\/"},{"key":"e_1_2_10_19_1","unstructured":"The International Dysphagia Diet Standardisation Initiative. (2019).IDDSI framework\u2014Testing methods 2.0. 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