Assessment of polychlorinated naphthalenes in Korean foods: Levels, profiles, and dietary intake.

Concerns about dioxin-like compounds have increased; however, the monitoring of polychlorinated naphthalenes (PCNs) in food and the assessment of dietary intake remain limited. In this study, various foods were collected from Korean markets and analyzed for PCNs. Fishery products exhibited the highest mean concentration (48.0 pg/g ww) and toxic equivalent (TEQ) (0.0185 pg-TEQ/g ww). Agricultural products were the largest contributors (35.7%) to the total dietary intake of PCNTEQ, followed by livestock products (33.6%), fishery products (20.2%), and processed foods (10.5%). The mean intake of PCNTEQ for the Korean population was 0.901 pg-TEQ/day for males and 0.601 pg-TEQ/day for females. Generally, males and younger groups had higher daily intakes of PCNTEQ, but they did not exceed the tolerable weekly intakes. Nonetheless, it is important to manage potential health risks associated with PCNs and other dioxin-like compounds by identifying major food items contributing to PCN exposure and considering age and gender differences.

Effectiveness of a Real-Time Ventilation Feedback Device for Guiding Adequate Minute Ventilation: A Manikin Simulation Study.

Background and objectives: It is often challenging even for skilled rescuers to provide adequate positive pressure ventilation consistently. This study aimed to investigate the effectiveness of a newly developed real-time ventilation feedback device (RTVFD) that estimates tidal volume (TV) and ventilation interval (VI) in real time. Materials and methods: We conducted a randomised, crossover, manikin simulation study. A total of 26 medical providers were randomly assigned to the RTVFD-assisted ventilation (RAV) first group (n = 13) and the non-assisted ventilation (NV) first group (n = 13). Participants provided ventilation using adult and paediatric bag valves (BVs) for 2 min each. After a washout period, the simulation was repeated by exchanging the participants' groups. Results: The primary outcome was optimal TV in the RAV and NV groups using adult and paediatric BVs. A secondary outcome was optimal VI in the RAV and NV groups using adult and paediatric BVs. The proportions of optimal TV values were higher for the RAVs when using both adult and paediatric BVs (adult BV: 47.29% vs. 18.46%, p < 0.001; paediatric BV: 89.51% vs. 72.66%, p < 0.001) than for the NVs. The proportions of optimal VI were significantly higher in RAVs when using both adult and paediatric BVs than that in NVs (adult BV: 95.64% vs. 50.20%, p < 0.001; paediatric BV: 95.83% vs. 57.14%, p < 0.001). Additionally, we found that with paediatric BVs, the simulation had a higher OR for both optimal TV (13.26; 95% CI, 9.96-17.65; p < 0.001) and VI (1.32; 1.08-1.62, p = 0.007), regardless of RTVFD use. Conclusion: Real-time feedback using RTVFD significantly improves the TV and VI in both adult and paediatric BVs in a manikin simulation study.

Short-chain chlorinated paraffins in various foods from Republic of Korea: Levels, congener patterns, and human dietary exposure.

Short-chain chlorinated paraffin (SCCP) concentrations in 419 food samples (from 59 species) from Republic of Korea were determined. The SCCP concentrations and lipid contents in whole foods positively correlated and the highest SCCP concentration (891 ng/g wet weight) was observed in fats and oils. The SCCP concentrations were higher in benthic fish/shellfish and demersal fish than other fish and shellfish. The SCCP concentrations were higher in duck meat and eggs than meat and eggs of other species. The chlorine-based congener group patterns were related to the lipid contents of the foods. SCCPs in eggs (high lipid content) were dominated by more-chlorinated SCCPs (particularly Cl8-SCCPs, which contributed 43% of the total) but SCCPs in seaweed (low lipid content) were dominated by less-chlorinated SCCPs (particularly Cl6-SCCPs, which contributed 46%). Dietary SCCP intakes were calculated using the median SCCP concentrations and estimated 888 and 781 ng/kg/d for male and female Korean adults, respectively. The predominant contributing foods to SCCP dietary exposure differed according to sex and age. Dairy products contributed most (about 50%) for infants/children (1-5 y old), but meat and dairy products contributed most for adult males and females, respectively. Grain contributed most for ≥65 y old.

Assessment of selected chlorinated and brominated flame retardants in human plasma samples among co-residing family members.

Three hexachloronorbornene-based flame retardants and five polybrominated diphenyl ethers (PBDEs) were measured in 414 human plasma samples, (169 from children, 167 from mothers, and 78 from fathers), collected from 200 families between 2014 and 2016. The median concentration of ∑PBDEs (sum of BDE-47, -99, -100, -153 and -183) was 13.2 ng/g lipid for child, 9.03 ng/g lipid for mother and 12.7 ng/g lipid for father, respectively. Among the hexachloronorbornene-based flame retardants, Dec 602 was the most frequently detected chemical. Significant and positive correlations between the concentrations of PBDE congeners as well as between Dec 602 and Dec 603 were observed. Concentrations of PBDE congeners also showed significant and positive correlations in paired samples from family members (child-mother-father), while Dec 602 was the only hexachloronorbornene-based flame retardant whose concentrations correlated between family members, and only in mother-father paired samples. This is the largest study to date focusing on measuring and correlating HRFs in children and their parents living in the same household. The results convey important information on human exposure to measured HFRs, which can help researchers and regulators more clearly understand the influence of diet and the home environment.

Levels of polybrominated diphenyl ethers in the Korean metropolitan population are declining: A trend from 2001 to 2013.

Polybrominated diphenyl ethers (PBDEs) have been banned or voluntarily withdrawn from commerce worldwide. Declining levels of PBDEs in humans have been reported elsewhere, but not in Korea. We monitored 7 individual PBDE congeners (BDE-28, BDE-47, BDE-99, BDE-100, BDE-153, BDE-154, and BDE-183) in 103 human serum samples collected in 2006. The arithmetic mean and median values for the sum of the 7 PBDEs (∑PBDEs) were 7.13 and 6.70 ng/g lipid, respectively. In addition, 6 pooled human serum samples collected in 2006, 2007, 2009, 2011, 2012, and 2013 were analyzed. A decrease in PBDE levels was observed, as reflected by the median value of ∑PBDEs from 5.98 in 2006 to 2.98 ng/g lipid in 2013 as well as in the pooled samples. The levels of individual congeners also decreased but at different declining rates. Based on these results and previously reported data, a definite decline in PBDE levels in the Korean metropolitan population could be observed from 2001 to 2013, providing the first evidence in Korea of the same decline observed elsewhere in the world. Environ Toxicol Chem 2018;37:2323-2330. © 2018 SETAC.

Polychlorinated naphthalenes (PCNs) in seafood: Estimation of dietary intake in Korean population.

Polychlorinated naphthalenes (PCNs) were measured in 33 seafood species including fish, mollusks and crustaceans purchased from local markets in five Korean cities between 2012 and 2013. Five samples were collected from each species for the measurements. Thirty-seven PCN congeners from tetra-CN to octa-CN were measured. Octa-CN (octachloronaphthalene) was not detected in any of the samples. Tetra-CN and penta-CN were the predominant homologues of PCNs in seafood samples with PCN 51 and PCN 52/60 being the most abundant congeners in the samples. Total PCNs concentrations and their corresponding dioxin-like toxic equivalent (TEQ) values ranged from non-detection (ND) to 110pg/g on a wet weight (ww) basis and from ND to 0.14pg-TEQ/g ww, respectively. The estimated daily intake of total PCNs based on an absolute content and TEQ potency were estimated for the Koreans to be 570pg/day and 0.44pg-TEQ/day, respectively. However, the estimated TEQ value of PCNs intake from seafood, represented only a small fraction (3.0%) of the total TEQ intake from consumption of seafood in Korean population. This is the first report to exhibit the presence of PCNs in seafood samples collected from local markets in Korea and their intake by general population.

Human exposure to HBCD and TBBPA via indoor dust in Korea: Estimation of external exposure and body burden.

Human exposure to brominated flame retardants (BFRs) such as hexabromocyclododecane (HBCD) and tetrabromobisphenol A (TBBPA) mainly occurs through diet and dust ingestion. In this study, the BFR concentrations in 124 vacuum dust samples of six categories of indoor environments (homes, offices, kindergartens, cars, schools, and public indoor environments) and 32 surface dust samples were investigated. The median ΣHBCD concentrations ranged from 106.30ngg-1 in home dust to 496.13ngg-1 in office dust. The TBBPA concentrations in indoor dust (from 78.87 to 463.81ngg-1) were among the highest compared to other countries because of the high market demand for this flame retardant in Korea. The TBBPA concentrations in surface dust of living rooms were significantly higher (p<0.05) than sleeping rooms, due to the presence of more electrical equipment in living rooms. The estimated daily intakes (EDI) of ΣHBCD and TBBPA (dust+diet) for toddlers were 6.18ngkg-1bwd-1 and 2.54ngkg-1bwd-1, respectively. In general, the ΣHBCD estimated body burden of Korean adults showed good agreement with the reported ΣHBCD median concentrations in their sera. Since the developmental health effect of exposure to HBCD was categorized as "high hazard" by the US Environmental Protection Agency, the estimated high body burden of ΣHBCD in Korean toddlers (7.91ngg-1 lw) warns us of possible adverse effects on the development of essential systems in their bodies.

Analysis of the sacroiliac joint vacuum phenomenon in paediatric patients.

OBJECTIVE: To assess the incidence of the sacroiliac joint vacuum phenomenon (SIJ VP) in paediatric patients and the relationship between the presence of VP and clinical factors such as age, sex and body mass index (BMI). METHODS: We retrospectively reviewed clinical data and imaging findings of 60 patients who underwent abdominopelvic CT (AP CT) between January and June 2015. Patients were divided into VP group and non-VP group based on the presence/absence of VP, and the groups were compared. In addition, other degenerative changes in the SIJ were recorded. RESULTS: The SIJ VP was detected in 19 (31.6%) patients. There were no significant differences in sex distribution between VP and non-VP groups (p = 0.781). The age of the VP group was significantly higher than that of the non-VP group (p < 0.001). After adjusting the BMI for age, there was no significant association between high BMI and the presence of SIJ VP (p = 0.326). Other degenerative changes were not noted in any of the patients. CONCLUSION: The SIJ VP is not an uncommon finding in paediatric patients. The prevalence of SIJ VP in paediatric patients is similar to its prevalence in adults. The SIJ VP is related to patient age, but not to sex or BMI in children and young adolescents. Advances in knowledge: AP CT can provide information about the SIJ, if it is required to assess the SIJ in paediatric patients.

Expansion of Shiga Toxin-Producing Escherichia coli by Use of Bovine Antibiotic Growth Promoters.

Antibiotics are routinely used in food-producing animals to promote growth and prevent infectious diseases. We investigated the effects of bovine antibiotic growth promoters (bAGPs) on the propagation and spread of Shiga toxin (Stx)-encoding phages in Escherichia coli. Co-culture of E. coli O157:H7 and other E. coli isolated from cattle in the presence of sublethal concentrations of bAGPs significantly increased the emergence of non-O157, Stx-producing E. coli by triggering the SOS response system in E. coli O157:H7. The most substantial mediation of Stx phage transmission was induced by oxytetracyline and chlortetracycline, which are commonly used in agriculture. bAGPs may therefore contribute to the expansion of pathogenic Stx-producing E. coli.

Occurrence of Dechlorane compounds and polybrominated diphenyl ethers (PBDEs) in the Korean general population.

Dechlorane compounds, including Dechlorane Plus (DP), mirex, and Dechlorane (Dec) 602, 603 and 604, were measured in 61 serum samples collected from a Korean urban area (Seoul) in 2013. Dechlorane Plus and Dec 602 were dominant in most samples, whereas Dec 604 was not detected in any samples. The median value of DP was 0.75 ng/g lipid, which was comparable with the levels observed in Europe and Canada, but lower than that observed in China. Statistically significant correlations among Dechlorane compounds were observed. The median anti-isomer fractional abundance (fanti) was 0.74, and a negative correlation between fanti and the DP concentration in serum samples was observed. Polybrominated diphenyl ethers (PBDEs) were also measured for comparison with Dechlorane compounds, and BDE-153 was found the most abundant congener with a median value of 1.43 ng/g lipid. A time trend of Dechlorane compounds was investigated in 7 pooled serum samples to cover the period from 2006 to 2013. A distinct trend of Dechlorane compounds was not observed, while PBDEs steadily decreased with time.

Novel adjuvant strategy to potentiate bacitracin against MDR MRSA.

OBJECTIVES: Bacitracin is an antimicrobial peptide that is frequently used as an active ingredient in antimicrobial ointments. However, bacitracin resistance is highly prevalent in community-associated MRSA (CA-MRSA) strains and significantly compromises the effectiveness of existing antimicrobial ointments. In this study, we aimed to develop novel adjuvants to enhance the antimicrobial activity of bacitracin by using alkyl gallates. METHODS: The growth of MRSA USA300, the predominant CA-MRSA strain in the USA, was determined in the presence of bacitracin and alkyl gallates at various concentrations. The viability of USA300 and MDR clinical isolates of MRSA was measured after exposure to various combinations of bacitracin and alkyl gallates. RESULTS: Whereas 100 U/mL bacitracin did not inhibit USA300, 1 U/mL bacitracin in combination with as low as 2 mg/L octyl gallate (OG) and 8 mg/L dodecyl gallate (DG), respectively, completely inhibited the growth of USA300. Among the tested alkyl gallates, OG most significantly enhanced the bactericidal activity of bacitracin. For example, 10(-3) U/mL bacitracin with 5 mg/L OG effectively killed USA300, which is an ∼200 000-fold decrease in the MBC of bacitracin for USA300. Furthermore, bacitracin/OG combinations demonstrated similar levels of antimicrobial activity against human clinical isolates of MRSA resistant to multiple antibiotics of clinical importance. CONCLUSIONS: Some alkyl gallates, particularly OG, significantly increased the antimicrobial activity of bacitracin against MDR MRSA.

Estimated dietary intake and risk assessment of polychlorinated dibenzo-p-dioxins and dibenzofurans and dioxin-like polychlorinated biphenyls from fish consumption in the Korean general population.

We analyzed 17 polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), and 12 dioxin-like polychlorinated biphenyls (DL-PCBs) in samples from various fish species available at food markets in nine Korean cities. The estimated dietary intake of these chemicals was calculated from the raw concentrations of PCDD/Fs and DL-PCBs in each sample and from the food consumption of the Korean general population, and a comparison was made with the provisional tolerable monthly intake (PTMI). The average daily dietary exposure and the 95th percentile of intake of PCDD/Fs and DL-PCBs were 0.21 and 0.49 pg WHO05-toxic equivalents (TEQ) kg(-1) body weight d(-1) representing 5.27% and 12.26%, respectively, of the Korean tolerable daily intake (TDI). We applied the monthly fish consumption limits to the evaluation of improved risk assessment and concluded that unlimited consumption of most fish species does not contribute to the elevated cancer risk. This investigation was the first such large-scale study in Korea, and incorporated 37 species, including a species of whale, and 480 samples. The major aims of this study were to demonstrate the health risks associated with fish intake and to ensure food safety through total analysis of PCDD/Fs and DL-PCBs using gas chromatography/high-resolution mass spectrometry (GC-HRMS).

Progressive risk assessment of polychlorinated biphenyls through a Total Diet Study in the Korean population.

Human exposure to polychlorinated biphenyls (PCBs) from foods was investigated through a Total Diet Study (TDS) for the first time in Korea. A representative food list was developed from food intake data. Non-selected foods were also included in the TDS through the mapping process to anticipate practical risk assessment. For better representativeness, data (2008-2011) from the Korea National Health and Nutrition Examination Survey (KNHANES) were combined with the TDS data set. And also, we estimated the dietary exposure to PCBs from various food items using a 'best-fit' mapping process and assessed the differences in PCB exposures by sex and age. In this study, we examined total PCBs (62 congeners) including dioxin-like PCBs (DL-PCBs) and indicator PCBs, which are congeners that are mainly detected in various environmental matrices. The average dietary exposure (3.94 ng/kg body weight/day) that was estimated through food intake was 19.7% of the World Health Organization (WHO) recommendation.

Regulation of oxidative stress resistance in Campylobacter jejuni, a microaerophilic foodborne pathogen.

Campylobacter jejuni is one of the leading bacterial causes of human gastroenteritis. Due to the increasing rates of human campylobacteriosis, C. jejuni is considered as a serious public health concern worldwide. C. jejuni is a microaerophilic, fastidious bacterium. C. jejuni must overcome a wide range of stress conditions during foodborne transmission to humans, such as food preservation and processing conditions, and even in infection of the gastrointestinal tracts of humans. Particularly, this microaerophilic foodborne pathogen must survive in the atmospheric conditions prior to the initiation of infection. C. jejuni possesses unique regulatory mechanisms for oxidative stress resistance. Lacking OxyR and SoxRS that are highly conserved in other Gram-negative foodborne pathogens, C. jejuni modulates the expression of genes involved in oxidative stress resistance mainly via the peroxide resistance regulator and Campylobacter oxidative stress regulator. Based on recent findings of ours and others, in this review, we described how C. jejuni regulates the expression of oxidative stress defense.

Diastereoisomer- and species-specific distribution of hexabromocyclododecane (HBCD) in fish and marine invertebrates.

The levels and distributional characteristics of hexabromocyclododecane (HBCD) diastereoisomers have been largely reported for various fish and select shellfish. In this study, we reclassified a number and variety of marine invertebrates, including shellfish, to further contribute to the comprehensive understanding of the effects and assessment of human exposure to HBCD. Overall, 30 marine invertebrate species (n=188) were investigated and the following order of ∑2HBCD (α- and γ-HBCD) was observed: fish>chordata>cephalopoda>echinodermata>bivalve>crustacea. The marine invertebrates that were reclassified into nektonic and benthic organisms showed similar concentration of ∑2HBCD. The feeding habits and modes of the marine organisms were considered to compare the degree of bioaccumulation and diastereoisomer-specific distribution of HBCD due to the effects of the environment in and around pollution sources, as well as the organisms' metabolic capacities. To the best of our knowledge, this is the first study to examine the species-specific distribution patterns of HBCD for both fish and marine invertebrates. We expect to significantly expand the understanding of the environmental fate of HBCD for marine organisms.

Non-selective regulation of peroxide and superoxide resistance genes by PerR in Campylobacter jejuni.

Campylobacter jejuni is an important foodborne pathogen. The molecular mechanisms for the regulation of oxidative stress resistance have not yet been understood fully in this bacterium. In this study, we investigated how PerR (peroxide stress regulator) modulates the transcriptional regulation of both peroxide and superoxide resistance genes in C. jejuni, particularly under oxidative stress conditions. The transcriptional levels of ahpC, katA, and sodB were substantially increased by aeration and oxidant exposure. Interestingly, a perR mutation completely abrogated the transcriptional response of ahpC, katA and sodB to oxidants. Furthermore, we demonstrated that perR transcription was reduced by aeration and oxidant exposure. In contrast to the unique role of PerR homologs in peroxide stress regulation in other bacteria, C. jejuni PerR directly regulates the transcription of sodB, the most important gene in superoxide defense, as evidenced by the alteration of sodB transcription by the perR mutation and direct binding of rPerR to the sodB promoter. In addition, we also observed notable morphological changes in C. jejuni from spiral rods to cocoid morphology under aerobic conditions. Based on the intracellular ATP levels, C. jejuni entered a viable-but-non-culturable (VBNC) state under aerobic conditions. These findings clearly demonstrate that C. jejuni possesses a unique regulatory mechanism of oxidative stress defense that does not specifically distinguish between peroxide and superoxide defense, and PerR plays a pivotal role in this non-selective regulation of oxidative stress resistance in C. jejuni.

Exposure of general population to PBDEs: a Progressive Total Diet Study in South Korea.

This study assessed the level of 24 polybrominated diphenyl ethers (PBDEs) in Korean foods following a Progressive Total Diet Study (TDS). The experiments comprised 96 types of dietetically representative foods, all were either cooked or edible raw. PBDEs were widely encountered in foodstuffs with the highest concentration in plant oils, fishes and shellfishes. Of all congeners tested for, BDE-47 was the most predominant and encountered in almost all food items except meats. The presence of nona-BDEs at significant levels indicated that Korean environments are still contaminated by deca-BDE. The daily dietary intake of PBDEs was estimated to be 63 ng d(-1). The highest PBDEs intake was observed in the 19-39 year old group and gradually decreased as age increased. Our study suggests that the TDS approach using foods in the table-ready form should be used for a better estimation of dietary exposure to PBDEs.

Assessment of Dechlorane compounds in foodstuffs obtained from retail markets and estimates of dietary intake in Korean population.

A total of 175 samples, composed of 35 different foodstuffs, were obtained from retail markets in Korea and analyzed to investigate the contamination status and dietary intake of Dechlorane compounds. The concentrations of Dechlorane Plus (DP), mirex, Dechlorane (Dec) 602 and 603 ranged from ND to 169.85 pg/g wet weight (ww), 107.30 pg/g ww, 20.81 pg/g ww, 0.41 pg/g ww, respectively, while Dechlorane (Dec) 604 was not detected in any samples. Strong correlations between anti- and syn-DP and between mirex and Dec 602 were observed. The average anti-isomer fractional abundance (fanti) was 0.78±0.11 which was larger than the technical DP value (fanti=0.75). The estimated dietary daily intake of DP, 11.2×10(3) pg/day, was one to three orders of magnitude higher than other Dechloranes. Grain was the most contributed food group to dietary daily intake of DP for Korean population.

Investigating Dechlorane Plus (DP) distribution and isomer specific adsorption behavior in size fractionated marine sediments.

In this study, Dechlorane Plus (DP) concentrations were analyzed in marine sediments (depth: ~10 cm) from two Korean industrial bays. Two sediments were fractionated into 5 sizes by using gravitational split-flow thin fractionation technique and DP distribution was investigated in different particle size fractions. Elevated DP levels in surface sediments were observed at the site closest to land and industrial area. The highest concentrations of DP were detected in the finest grain-size (<10 µm, 451.2 and 149.9 pg/g dry weight for the two bays). The fraction of anti-DP to the total DP (fanti) in the two fractionated samples increased with reduced grain-size and significantly correlated with organic carbon content (OC), which can be caused by preferential adsorption of anti-DP or higher biodegradation rates of syn-DP in the fine particles. To provide insight into such mechanism, simulated experiments were conducted using activated charcarbon (ACC) to adsorb DP dissolved in methanol and molecular descriptors of both isomers were estimated using Gaussian 03. The adsorption results revealed that syn-DP was preferentially adsorbed by ACC, suggesting syn-DP is more hydrophobic than anti-DP. The preferential adsorption of syn-DP by ACC also supported the hypothesis that the enrichment of anti-DP was more likely due to preferential biodegradation of syn-DP in the sediment. Molecular characterization of anti-DP and syn-DP showed that syn-DP had a higher dipole moment, slightly larger Van der Waals volume, but smaller maximal diameter, which might explain its higher uptake rate in biota.