Speech Difficulties in Down Syndrome. Down syndrome (DS) is an incurable genetic disorder that has a profound impact upon a personâs physical, mental, and social development. Children with DS have anatomical and physiological differences in the mouth and throat region that affect feeding, swallowing, and oral motor skills.
1 A gross refers to a group of 144 items (a dozen dozen or a square dozen).  A great gross refers to a group of 1728 items (a dozen gross or a cubic dozen).
13. to have, make, or earn as a total before any deductions, as of taxes, expenses, etc.: The company grossed over three million dollars last year. 14. gross out, Slang. to disgust or offend, esp. by crude language or behavior. grossâ²ly, adv.