Association of Anoxybacillus sp. with acid off-flavor development in a spoiled, boiled, rice dish.

Off-flavor is one of the most common food complaints. In this study, we demonstrated that acetic acid produced by Anoxybacillus sp. contamination of takikomi-gohan (boiled rice with sweet potato mixed in advance) was considered the causative agent of acid off-flavor development. First, we conducted whole genome sequencing of the bacterial strain (S1674) isolated from the remains of the contaminated takikomi-gohan, and phylogenetic analysis of k-mer diversity demonstrated that S1674 belongs to the Anoxybacillus genus. Gene expression analysis of S1674 RNA sequencing (RNA-seq) and quantitative reverse transcription polymerase chain reaction (qRT-PCR) indicated that the genes encoding enzymes responsible for acetic acid formation, namely ackA1, eutD, pflA, pflB, and pykA, were upregulated in high-temperature cultures in Thermus medium supplemented with soluble starch. Additionally, we succeeded in reproducing the acid off-flavor by adding S1674 to boiled rice stored at 37 °C, 45 °C, and 60 °C. The most strongly detected organic acid was acetic acid, at the odor threshold value or more in both the air and condensation samples. Our findings suggest that some Anoxybacillus sp. produce acetic acid as a byproduct of carbohydrate metabolism, potentially causing the complaint of acid off-flavor even under high-temperature conditions in which other bacteria cannot survive.

Differential determination of plasticizers and organophosphorus flame retardants in residential indoor air in Japan.

A variety of chemicals have been used in a wide range of indoor materials, such as wallpaper and furniture, and some of them are released into the indoor air. The level of consumption as well as the diversity of these chemicals has been increasing. The particle size of the materials in the air is known to affect the depth of human exposure, e.g., particles >10 µm can only reach the nasal cavity, whereas particles 2.5-10 µm can reach the respiratory tract and particles <2.5 µm can reach the bottom of the lungs. However, information on the concentrations and form of these chemicals in indoor air is very limited. In this study, we measured 54 compounds, including plasticizers (phthalates, adipates, and others) and organophosphorus flame retardants, in indoor air samples from the living rooms of 21 dwellings in 11 prefectures across Japan. For sampling, we used a four-stage air sampler (multi-nozzle cascade impactor) equipped with three quartz fiber filters to capture chemical particulates in three size ranges (<2.5, 2.5-10, and >10 µm) and a C18 solid-phase extraction disk to capture chemicals that exist in a gas phase in indoor air. Each of the chemicals in the three particulate phases and single gas phase was extracted by acetone and measured separately using GC/MS. Of the 54 compounds tested, 37 were detected in the indoor air samples. The highest concentration observed was that of 2-ethyl-1-hexanol (5.1 µg/m3), which was detected in samples from all 21 houses. The 37 compounds were captured in the four fractions at different rates roughly based on their molecular sizes. Compounds with a smaller molecular size were commonly detected as a gas phase, whereas compounds with a larger molecular size were detected as one or more of the three particulate phases in the indoor air samples. Among the three particulate phases, many of the compounds were detected from the filter capturing the smallest (<2.5 µm) particles. Therefore, these results suggest that the chemicals measured in this study might penetrate deeply into the lungs as many of them tend to exist as a gas and/or as particles smaller than 2.5 µm.

Exposure to phthalates in house dust and associated allergies in children aged 6-12years.

Phthalates are widely used as plasticizers in household products. Several studies have reported an association between phthalate exposure and an increased risk of allergies. The present study estimated phthalate exposure in children aged 6-12years and assessed potential correlations with allergies. House dust samples were collected from floors and multi-surface objects >35cm above the floor. Urine samples were collected from the first morning void of the day. Daily phthalate intake (DIdust and DI) was estimated using both house dust and urinary metabolite concentrations. Exposure to di-2-ethylhexyl phthalate (DEHP) in floor dust was associated with parental-reported rhino-conjunctivitis. After stratification by gender, this trend was found to only occur in boys. Furthermore, urinary mono-isobutyl phthalate was inversely associated with parental-reported wheeze in boys. DIdust of benzyl butyl phthalate (BBzP) and DEHP were significantly correlated with DI_BBzP and DI_DEHP, respectively. These correlations were stronger with floor than with multi-surface dust. Our results suggest that, among Japanese children, house dust from low surfaces, such as living room floors, might play a meaningful role in the indoor environmental exposure pathway for BBzP and DEHP.

[A Clinical Comparison of Continuous Sciatic Nerve Block and Epidural Anesthesia for Postoperative Pain Control in Patients with Fracture of the Foot].

BACKGROUND: Epidural analgesia provides good pain relief for patients with fracture of the foot Ultrasound-guided peripheral nerve block offers safety and efficacy without affecting the leg. METHODS: We compared the continuous sciatic nerve block with the continuous epidural anesthesia regarding postoperative pain after the open reduction and internal fixation (ORIF) of the ankle fracture or calcaneal bone fracture. RESULTS: Fifteen patients were included in the epidural group (group E), and 17 patients in the sciatic nerve block group (group S). The postoperative pain scores were significantly lower in group S 3 hours and 12 hours after the procedure, and tended to be lower in other periods. Perioperative periods were uneventful in both groups. CONCLUSIONS: Continuous sciatic nerve block developed good postoperative analgesia in ORIF of ankle fracture or calcaneal bone fracture compared with continuous epidural anesthesia.

Exposure to house dust phthalates in relation to asthma and allergies in both children and adults.

Although an association between exposure to phthalates in house dust and childhood asthma or allergies has been reported in recent years, there have been no reports of these associations focusing on both adults and children. We aimed to investigate the relationships between phthalate levels in Japanese dwellings and the prevalence of asthma and allergies in both children and adult inhabitants in a cross-sectional study. The levels of seven phthalates in floor dust and multi-surface dust in 156 single-family homes were measured. According to a self-reported questionnaire, the prevalence of bronchial asthma, allergic rhinitis, allergic conjunctivitis, and atopic dermatitis in the 2 years preceding the study was 4.7%, 18.6%, 7.6%, and 10.3%, respectively. After evaluating the interaction effects of age and exposure categories with generalized liner mixed models, interaction effects were obtained for DiNP and bronchial asthma in adults (Pinteraction=0.028) and for DMP and allergic rhinitis in children (Pinteraction=0.015). Although not statistically significant, children had higher ORs of allergic rhinitis for DiNP, allergic conjunctivitis for DEHP, and atopic dermatitis for DiBP and BBzP than adults, and liner associations were observed (Ptrend<0.05). On the other hand, adults had a higher OR for atopic dermatitis and DEHP compared to children. No significant associations were found in phthalates levels collected from multi-surfaces. This study suggests that the levels of DMP, DEHP, DiBP, and BBzP in floor dust were associated with the prevalence of allergic rhinitis, conjunctivitis, and atopic dermatitis in children, and children are more vulnerable to phthalate exposure via household floor dust than are adults. The results from this study were shown by cross-sectional nature of the analyses and elaborate assessments for metabolism of phthalates were not considered. Further studies are needed to advance our understanding of phthalate toxicity.

Detection of 34 plasticizers and 25 flame retardants in indoor air from houses in Sapporo, Japan.

Various plasticizers and flame retardants are contained in building materials and furniture produced for indoor environments. However, some of these material inclusions have been reported to cause endocrine-disrupting and mucosa-irritating effects. Because of the local climate, buildings in Sapporo are better insulated against cold weather than those in many other areas in Japan. In this study, we measured 59 compounds, including plasticizers (phthalates, adipates, and others) and flame retardants (organo-phosphates and brominated compounds), from indoor air samples from six houses in Sapporo. These compounds were measured separately in the gas phase and the particle phase using a two-stage cartridge equipped with a quartz fiber filter (1 µm mesh) and C18 solid-phase extraction disk for sampling and analyzed by GC/MS and LC/MS/MS (for the detection of brominated flame retardants). Among the 59 compounds measured in this study, 34 compounds were detected from the indoor air of the six houses. The highest concentration among the 34 compounds found in a newly built house was 2,2,4-trimethyl-1,3-pentanediol monoisobutyrate (TXIB) at 20.8 µg/m(3). Di(2-ethyl-1-hexyl)terephthalate (DEHT), which has been used in recent years as an alternative to di(2-ethyl-1-hexyl)phthalate (DEHP), was found in all six houses, although at low concentrations ranging from 0.005 to 0.027 µg/m(3). To our knowledge, this is the first report of DEHT in indoor air in Japan. Among the compounds detected in this study, those with lower molecular weights tended to be captured in the C18 solid-phase extraction disk rather than in the quartz fiber filter. These results suggest that compounds with higher volatility exist preferentially in the gas phase, whereas compounds with lower volatility exist preferentially in the particulate phase in indoor air.

[Succesful management of esophageal banding and gastrostomy for esophageal atresia in a trisomy 18 child with complex cardiac malformation].

Trisomy 18 is one of the congenital disorders caused by a chromosomal abnormality. Ninety percent of fetuses with trisomy 18 have various other malformations. The present patient had heart failure due to a complex cardiac malformation and a Gross C type esophageal atresia. Before the esophageal banding, ventilation of the lungs was impossible and respiratory condition was unstable. Considering that direction of the shunt can easily change by hyperventilation and high oxygen concentration, we employed the lowest oxygen concentration and ventilation as possible. In the present case, it was necessary to provide respiratory care for both esophageal atresia and complex cardiac malformation.

Associations of phthalate concentrations in floor dust and multi-surface dust with the interior materials in Japanese dwellings.

Phthalates are widely used as plasticizers in numerous products. However, there has been some concern about the various effects they may have on human health. Thus, household phthalate levels are an important public health issue. While many studies have assessed phthalate levels in house dust, the association of these levels with building characteristics has scarcely been examined. The present study investigated phthalate levels in house dust samples collected from the living areas of homes, and examined associations between these phthalate levels and the interior materials. Dust was collected from two portions of the living area: floor dust from the entire floor surface, and multi-surface dust from objects more than 35 cm above the floor. The levels of seven phthalates were measured using gas chromatography/mass spectrometry in selective ion monitoring mode. Phthalate levels were higher in multi-surface dust than in floor dust. Among floor dust samples, those from dwellings with compressed wooden flooring had significantly higher levels of di-iso-butyl phthalate compared to those with other floor materials, while polyvinyl chloride (PVC) flooring was associated with higher di-2-ethylhexyl phthalate (DEHP) levels. Among multi-surface dust samples, higher levels of DEHP and di-iso-nonyl phthalate (DINP) were found in samples from homes with PVC wallpaper than without. The number of PVC interior materials was significantly positively correlated with the levels of DEHP and DINP in multi-surface dust. The phthalate levels in multi-surface dust were associated with the interior surface materials, and those in floor dust were directly related to the flooring materials. Our findings show that when using house dust as an exposure assessment, it is very important to note where the samples were collected from. The present report provides useful information about the association between phthalates and dust inside dwellings, which will assist with establishing public health provisions.

[A case of ilioinguinal hernia with Möbius syndrome].

We gave general anesthesia for an infant with ilioinguinal hernia and Möbius syndrome. Anesthesia was performed with sevoflurane inhalation and intravenous infusion of remifentanil. Intraoperative anesthetic course was uneventful. Möbius syndrome is a syndrome of rhombencephalic maldevelopment involving predominantly motor nuclei and axons, as well as traversing long tracts. Airway management is a great challenge in these patients. Micrognathia, retrognathia, mandibular hypoplasia, and palatine cleft are some of the manifestations seen in these patients.