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Purpose: One manifestation of systemic inequities in communication sciences and disorders (CSD) is the chronic underreporting and underrepresentation of sex, gender, race, and ethnicity in research. The present study characterized recent demographic reporting practices and representation of participants across CSD research. Method: We systematically reviewed and extracted key reporting and participant data from empirical studies conducted in the United States with human participants published in the year 2020 in journals by the American Speech- Language-Hearing Association (ASHA; 407 articles comprising a total of 80,058 research participants, search completed in November 2021). Sex, gender, race, and ethnicity were operationalized per National Institutes of Health guidelines. Results: Sex or gender was reported in 85.5% of included studies; race in 33.7%; and ethnicity in 13.8%. Sex and gender were clearly differentiated in 3.4% of relevant studies. Where reported, median proportions for race and ethnicity were significantly different from the U.S. population, with underrepresentation noted for all non-White racial groups and Hispanic participants. Moreover, 64.7% of studies that reported sex or gender and 67.2% of studies that reported race or ethnicity did not consider these respective variables in analyses or discussions. Conclusions: At present, research published in ASHA journals frequently fails to report key demographic data summarizing the characteristics of participants. Moreover, apparent gaps in the representation of minoritized racial and ethnic groups threaten the external validity of CSD research and broader health care equity endeavors in the United States. Although our study is limited to a single year and publisher, our results point to several steps for readers that may bring greater accountability, consistency, and diversity to the discipline. [ABSTRACT FROM AUTHOR]

Purpose: Memory impairments are among the most commonly reported deficits and among the most frequent rehabilitation targets for individuals with traumatic brain injury (TBI). Memory and learning are also critical for rehabilitation success and broader long-term outcomes. Speech-language pathologists (SLPs) play a central role in memory management for individuals with TBI across the continuum of care. Yet, little is known about the current practice patterns of SLPs for post-TBI memory disorders. This study aims to examine the clinical management of memory disorders in adults with TBI by SLPs and identify opportunities to improve post-TBI memory outcomes. Method: SLPs from across the continuum of care were recruited to complete an online survey. The survey assessed key practice areas specific to memory and memory disorders post-TBI, including education and training, knowledge and confidence, and assessment and treatment patterns. Results: Surveys from 155 SLPs were analyzed. Results revealed that TBIspecific training remains low in the field. Respondents varied in their practice patterns in assessing and treating memory disorders. Most SLPs do not appear to have access to appropriate standardized assessments to measure unique forms of memory. Respondents also reported a range of barriers and opportunities to advance memory outcomes following TBI and provided suggestions of areas in which they would like to see more basic and clinical research. Conclusions: These findings establish a baseline of the current practices for clinical management of memory impairment in adults with TBI by SLPs. Improved opportunities for clinician training, the development of a single tool to assess multiple forms of memory, better access to existing memory assessments, and implementation of evidence-based interventions promise to lead to improved memory outcomes for individuals with TBI. [ABSTRACT FROM AUTHOR]

Guanabara Bay has been known to be polluted with trash and sewage from the surrounding areas, but health risks from recreational contact with water in the basin have not been well characterized. In this paper, fecal indicator bacteria (FIB) monitoring data are used to predict risks in three different exposure scenarios: (1) bathing in freshwater rivers that discharge into Guanabara Bay, (2) wading in these freshwater rivers, and (3) sailing in Guanabara Bay. Concentrations of indicator bacteria in river samples were measured directly, and concentrations of indicator bacteria in bay samples were sourced from publicly available government data sets. Ratios between pathogens and fecal indicator concentrations were used to estimate risks for five selected pathogens based on the indicator concentrations. The median risk of disease estimated from E. coli indicator concentrations was 1.0, 9.9 × 10−1 and 8.2 × 10−4 for the swimming, wading, and sailing exposure pathways, respectively. Risks estimates based on concentrations of the enterococci indicator bacteria in the sailing exposure scenario were comparable, at 3.4 × 10−4. The sum of total risk estimated from the five selected pathogens was 5.9 × 10−1, 3.6 × 10−1, and 1.0 × 10−3 for the swimming, wading, and sailing exposure pathways, respectively. Estimated risks of swimming and wading in the rivers far exceeded risks associated with U.S. recreational contact standards, while estimated risks for sailing in the bay were well below these risk guidelines. The 95th percentile of the sailing risk was estimated to exceed the U.S. recreational contact risk level. This paper exemplifies an approach to conducting quantitative microbial risk assessments when only fecal indicator bacteria data are available. Context-specific data on the relevant exposure routes, exposure frequency, and site-specific indicator: pathogen ratios were lacking, which ultimately led to uncertainty in the model. This study is intended to provide a framework for estimating GI risk based on fecal indicator concentrations while acknowledging that the substantial variation in indicator:pathogen ratios make the results of such efforts uncertain. [ABSTRACT FROM AUTHOR]

Elizabethkingia spp. are common environmental pathogens responsible for infections in more vulnerable populations. Although the exposure routes of concern are not well understood, some hospital‐associated outbreaks have indicated possible waterborne transmission. In order to facilitate quantitative microbial risk assessment (QMRA) for Elizabethkingia spp., this study fit dose–response models to frog and mice datasets that evaluated intramuscular and intraperitoneal exposure to Elizabethkingia spp. The frog datasets could be pooled, and the exact beta‐Poisson model was the best fitting model with optimized parameters α = 0.52 and β = 86,351. Using the exact beta‐Poisson model, the dose of Elizabethkingia miricola resulting in a 50% morbidity response (LD50) was estimated to be approximately 237,000 CFU. The model developed herein was used to estimate the probability of infection for a hospital patient under a modeled exposure scenario involving a contaminated medical device and reported Elizabethkingia spp. concentrations isolated from hospital sinks after an outbreak. The median exposure dose was approximately 3 CFU/insertion event, and the corresponding median risk of infection was 3.4E‐05. The median risk estimated in this case study was lower than the 3% attack rate observed in a previous outbreak, however, there are noted gaps pertaining to the possible concentrations of Elizabethkingia spp. in tap water and the most likely exposure routes. This is the first dose–response model developed for Elizabethkingia spp. thus enabling future risk assessments to help determine levels of risk and potential effective risk management strategies. [ABSTRACT FROM AUTHOR]

The residence time of water in residential building water systems is a critical factor regarding water quality at end use. Published literature has highlighted the importance of water age in these systems and its relationship with pathogenic bacteria such as Legionella pneumophila. However, tools to measure water age in such plumbing systems are typically repurposed from other applications and include limitations that make them inappropriate for some plumbing systems. This work presents a novel means of estimating water age by assuming these systems operate without mixing. Data for this study was collected from a full-scale home equipped with an extensive array of flow meters to monitor water use. Further, 408 individual water quality samples were collected to ascertain water quality changes that take place in the plumbing. Model results show weak correlation with EPANET 2.2 (ρ = 0.666), a commonly used hydraulic modeling software. The results of the water age model were also evaluated with several variable selection tools. These analyses indicate that this method's water age results are a statistically significant (p < .05) predictor of Legionella concentrations. Model results from this approach could be used in plumbing design and/or operation to assist in managing Legionella risks. [ABSTRACT FROM AUTHOR]

This study developed dose response models for determining the probability of eye or central nervous system infections from previously conducted studies using different strains of Acanthamoeba spp. The data were a result of animal experiments using mice and rats exposed corneally and intranasally to the pathogens. The corneal inoculations of Acanthamoeba isolate Ac 118 included varied amounts of Corynebacterium xerosis and were best fit by the exponential model. Virulence increased with higher levels of C. xerosis. The Acanthamoeba culbertsoni intranasal study with death as an endpoint of response was best fit by the beta‐Poisson model. The HN‐3 strain of A. castellanii was studied with an intranasal exposure and three different endpoints of response. For all three studies, the exponential model was the best fit. A model based on pooling data sets of the intranasal exposure and death endpoint resulted in an LD50 of 19,357 amebae. The dose response models developed in this study are an important step towards characterizing the risk associated with free‐living amoeba like Acanthamoeba in drinking water distribution systems. Understanding the human health risk posed by free‐living amoeba will allow for quantitative microbial risk assessments that support building design decisions to minimize opportunities for pathogen growth and survival. [ABSTRACT FROM AUTHOR]