Tongue Pressure Modulation for Initial Gel Consistency in a Different Oral Strategy
Identifieur interne : 000032 ( Pmc/Checkpoint ); précédent : 000031; suivant : 000033Tongue Pressure Modulation for Initial Gel Consistency in a Different Oral Strategy
Auteurs : Sumiko Yokoyama [Japon] ; Kazuhiro Hori [Japon] ; Ken-Ichi Tamine [Japon] ; Shigehiro Fujiwara [Japon] ; Makoto Inoue [Japon] ; Yoshinobu Maeda [Japon] ; Takahiro Funami [Japon] ; Sayaka Ishihara [Japon] ; Takahiro Ono [Japon]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
In the recent hyper-aged societies of developed countries, the market for soft diets for patients with dysphagia has been growing and numerous jelly-type foods have become available. However, interrelationships between the biomechanics of oral strategies and jelly texture remain unclear. The present study investigated the influence of the initial consistency of jelly on tongue motor kinetics in different oral strategies by measuring tongue pressure against the hard palate.
Jellies created as a mixture of deacylated gellan gum and psyllium seed gum with different initial consistencies (hard, medium or soft) were prepared as test foods. Tongue pressure production while ingesting 5 ml of jelly using different oral strategies (Squeezing or Mastication) was recorded in eight healthy volunteers using an ultra-thin sensor sheet system. Maximal magnitude, duration and total integrated values (tongue work) of tongue pressure for size reduction and swallowing in each strategy were compared among initial consistencies of jelly, and between Squeezing and Mastication.
In Squeezing, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both the magnitude and duration of tongue pressure over a wide area of hard palate, but tongue work for swallowing increased at the posterior-median and circumferential parts by modulating only the magnitude of tongue pressure. Conversely, in Mastication, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both magnitude and duration of tongue pressure mainly at the posterior part of the hard palate, but tongue work as well as other tongue pressure parameters for swallowing showed no differences by type of jelly.
These results reveal fine modulations in tongue-palate contact according to the initial consistency of jelly and oral strategies.
Url:
DOI: 10.1371/journal.pone.0091920
PubMed: 24643054
PubMed Central: 3958418
Affiliations:
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Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Fujiwara, Shigehiro" sort="Fujiwara, Shigehiro" uniqKey="Fujiwara S" first="Shigehiro" last="Fujiwara">Shigehiro Fujiwara</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Inoue, Makoto" sort="Inoue, Makoto" uniqKey="Inoue M" first="Makoto" last="Inoue">Makoto Inoue</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata</wicri:regionArea><wicri:noRegion>Niigata</wicri:noRegion></affiliation></author><author><name sortKey="Maeda, Yoshinobu" sort="Maeda, Yoshinobu" uniqKey="Maeda Y" first="Yoshinobu" last="Maeda">Yoshinobu Maeda</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Funami, Takahiro" sort="Funami, Takahiro" uniqKey="Funami T" first="Takahiro" last="Funami">Takahiro Funami</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Ishihara, Sayaka" sort="Ishihara, Sayaka" uniqKey="Ishihara S" first="Sayaka" last="Ishihara">Sayaka Ishihara</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Ono, Takahiro" sort="Ono, Takahiro" uniqKey="Ono T" first="Takahiro" last="Ono">Takahiro Ono</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24643054</idno><idno type="pmc">3958418</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3958418</idno><idno type="RBID">PMC:3958418</idno><idno type="doi">10.1371/journal.pone.0091920</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000740</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" 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of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Hori, Kazuhiro" sort="Hori, Kazuhiro" uniqKey="Hori K" first="Kazuhiro" last="Hori">Kazuhiro Hori</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata</wicri:regionArea><wicri:noRegion>Niigata</wicri:noRegion></affiliation></author><author><name sortKey="Tamine, Ken Ichi" sort="Tamine, Ken Ichi" uniqKey="Tamine K" first="Ken-Ichi" last="Tamine">Ken-Ichi Tamine</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Fujiwara, Shigehiro" sort="Fujiwara, Shigehiro" uniqKey="Fujiwara S" first="Shigehiro" last="Fujiwara">Shigehiro Fujiwara</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Inoue, Makoto" sort="Inoue, Makoto" uniqKey="Inoue M" first="Makoto" last="Inoue">Makoto Inoue</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata</wicri:regionArea><wicri:noRegion>Niigata</wicri:noRegion></affiliation></author><author><name sortKey="Maeda, Yoshinobu" sort="Maeda, Yoshinobu" uniqKey="Maeda Y" first="Yoshinobu" last="Maeda">Yoshinobu Maeda</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Funami, Takahiro" sort="Funami, Takahiro" uniqKey="Funami T" first="Takahiro" last="Funami">Takahiro Funami</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Ishihara, Sayaka" sort="Ishihara, Sayaka" uniqKey="Ishihara S" first="Sayaka" last="Ishihara">Sayaka Ishihara</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Ono, Takahiro" sort="Ono, Takahiro" uniqKey="Ono T" first="Takahiro" last="Ono">Takahiro Ono</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In the recent hyper-aged societies of developed countries, the market for soft diets for patients with dysphagia has been growing and numerous jelly-type foods have become available. However, interrelationships between the biomechanics of oral strategies and jelly texture remain unclear. The present study investigated the influence of the initial consistency of jelly on tongue motor kinetics in different oral strategies by measuring tongue pressure against the hard palate.</p></sec><sec><title>Methods</title><p>Jellies created as a mixture of deacylated gellan gum and psyllium seed gum with different initial consistencies (hard, medium or soft) were prepared as test foods. Tongue pressure production while ingesting 5 ml of jelly using different oral strategies (Squeezing or Mastication) was recorded in eight healthy volunteers using an ultra-thin sensor sheet system. Maximal magnitude, duration and total integrated values (tongue work) of tongue pressure for size reduction and swallowing in each strategy were compared among initial consistencies of jelly, and between Squeezing and Mastication.</p></sec><sec><title>Results</title><p>In Squeezing, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both the magnitude and duration of tongue pressure over a wide area of hard palate, but tongue work for swallowing increased at the posterior-median and circumferential parts by modulating only the magnitude of tongue pressure. Conversely, in Mastication, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both magnitude and duration of tongue pressure mainly at the posterior part of the hard palate, but tongue work as well as other tongue pressure parameters for swallowing showed no differences by type of jelly.</p></sec><sec><title>Conclusions</title><p>These results reveal fine modulations in tongue-palate contact according to the initial consistency of jelly and oral strategies.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Logemann, Ja" uniqKey="Logemann J">JA Logemann</name></author><author><name sortKey="Shanahan, T" uniqKey="Shanahan T">T Shanahan</name></author><author><name sortKey="Rademaker, Aw" uniqKey="Rademaker A">AW Rademaker</name></author><author><name sortKey="Kahrilas, Pj" uniqKey="Kahrilas P">PJ Kahrilas</name></author><author><name sortKey="Lazer, R" uniqKey="Lazer 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24643054</article-id><article-id pub-id-type="pmc">3958418</article-id><article-id pub-id-type="publisher-id">PONE-D-13-36021</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0091920</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biology and Life Sciences</subject><subj-group><subject>Anatomy</subject><subj-group><subject>Musculoskeletal System</subject><subj-group><subject>Muscles</subject></subj-group></subj-group></subj-group><subj-group><subject>Biomechanics</subject></subj-group><subj-group><subject>Biophysics</subject></subj-group><subj-group><subject>Nutrition</subject></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Otorhinolaryngology</subject><subj-group><subject>Laryngology</subject><subj-group><subject>Dysphagia</subject></subj-group></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Tongue Pressure Modulation for Initial Gel Consistency in a Different Oral Strategy</article-title><alt-title alt-title-type="running-head">Tongue Pressure Modulation for Gel Consistency</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yokoyama</surname><given-names>Sumiko</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hori</surname><given-names>Kazuhiro</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tamine</surname><given-names>Ken-ichi</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Fujiwara</surname><given-names>Shigehiro</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Inoue</surname><given-names>Makoto</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Maeda</surname><given-names>Yoshinobu</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Funami</surname><given-names>Takahiro</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ishihara</surname><given-names>Sayaka</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ono</surname><given-names>Takahiro</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Niigata, Japan</addr-line></aff><aff id="aff3"><label>3</label><addr-line>Texture Design Division, San-Ei Gen F.F.I., Inc, Toyonaka, Osaka, Japan</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Glogauer</surname><given-names>Michael</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>University of Toronto, Canada</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>ono@dent.osaka-u.ac.jp</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>Takahiro Funami and Sayaka Ishihara are employees of San-Ei Gen F.F.I., Inc. This declaration does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: KH SI TF TO. Performed the experiments: SY KH KT SF SI. Analyzed the data: SY KH KT. Contributed reagents/materials/analysis tools: KH KT SI TO. Wrote the paper: SY TO. Directed and supervised the study: MI YM TO. Interpreted the findings: SY KH MI TO. Revised the manuscript: KH YM TF TO.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>18</day><month>3</month><year>2014</year></pub-date><volume>9</volume><issue>3</issue><elocation-id>e91920</elocation-id><history><date date-type="received"><day>2</day><month>9</month><year>2013</year></date><date date-type="accepted"><day>17</day><month>2</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Yokoyama et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Background</title><p>In the recent hyper-aged societies of developed countries, the market for soft diets for patients with dysphagia has been growing and numerous jelly-type foods have become available. However, interrelationships between the biomechanics of oral strategies and jelly texture remain unclear. The present study investigated the influence of the initial consistency of jelly on tongue motor kinetics in different oral strategies by measuring tongue pressure against the hard palate.</p></sec><sec><title>Methods</title><p>Jellies created as a mixture of deacylated gellan gum and psyllium seed gum with different initial consistencies (hard, medium or soft) were prepared as test foods. Tongue pressure production while ingesting 5 ml of jelly using different oral strategies (Squeezing or Mastication) was recorded in eight healthy volunteers using an ultra-thin sensor sheet system. Maximal magnitude, duration and total integrated values (tongue work) of tongue pressure for size reduction and swallowing in each strategy were compared among initial consistencies of jelly, and between Squeezing and Mastication.</p></sec><sec><title>Results</title><p>In Squeezing, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both the magnitude and duration of tongue pressure over a wide area of hard palate, but tongue work for swallowing increased at the posterior-median and circumferential parts by modulating only the magnitude of tongue pressure. Conversely, in Mastication, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both magnitude and duration of tongue pressure mainly at the posterior part of the hard palate, but tongue work as well as other tongue pressure parameters for swallowing showed no differences by type of jelly.</p></sec><sec><title>Conclusions</title><p>These results reveal fine modulations in tongue-palate contact according to the initial consistency of jelly and oral strategies.</p></sec></abstract><funding-group><funding-statement>This study was partially supported by the research grant from the 1 Japan Food Chemical Research Foundation and the Grants-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan (No. 24659859). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><page-count count="7"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Yokoyama, Sumiko" sort="Yokoyama, Sumiko" uniqKey="Yokoyama S" first="Sumiko" last="Yokoyama">Sumiko Yokoyama</name></noRegion><name sortKey="Fujiwara, Shigehiro" sort="Fujiwara, Shigehiro" uniqKey="Fujiwara S" first="Shigehiro" last="Fujiwara">Shigehiro Fujiwara</name><name sortKey="Funami, Takahiro" sort="Funami, Takahiro" uniqKey="Funami T" first="Takahiro" last="Funami">Takahiro Funami</name><name sortKey="Hori, Kazuhiro" sort="Hori, Kazuhiro" uniqKey="Hori K" first="Kazuhiro" last="Hori">Kazuhiro Hori</name><name sortKey="Inoue, Makoto" sort="Inoue, Makoto" uniqKey="Inoue M" first="Makoto" last="Inoue">Makoto Inoue</name><name sortKey="Ishihara, Sayaka" sort="Ishihara, Sayaka" uniqKey="Ishihara S" first="Sayaka" last="Ishihara">Sayaka Ishihara</name><name sortKey="Maeda, Yoshinobu" sort="Maeda, Yoshinobu" uniqKey="Maeda Y" first="Yoshinobu" last="Maeda">Yoshinobu Maeda</name><name sortKey="Ono, Takahiro" sort="Ono, Takahiro" uniqKey="Ono T" first="Takahiro" last="Ono">Takahiro Ono</name><name sortKey="Tamine, Ken Ichi" sort="Tamine, Ken Ichi" uniqKey="Tamine K" first="Ken-Ichi" last="Tamine">Ken-Ichi Tamine</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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