Virulent Pseudomonas aeruginosa pneumonia in an immunocompetent adult associated with a home whirlpool bath: A case report.

We present a case of life-threatening pneumonia caused by Pseudomonas aeruginosa (P. aeruginosa) in a healthy 67-year-old man. Rapid disseminated infection resulted in the right hemorrhagic pneumonia and bacteremia. Antimicrobial therapy had limited effects, radical pneumonectomy eventually resolved the prolonged infection. Concurrently, we explored the environmental factors responsible for fulminant P. aeruginosa infection. Multi-locus sequence typing demonstrated that P. aeruginosa isolated from the patient was identical to that collected from home whirlpool bath by the common virulent factor gene. Massive inhalation of contaminated aerosol and pathogen virulence may have synergistically contributed to the severity in this case.

A clinical survey of dehydration during winter training in elite fencing athletes.

BACKGROUND: Fencing is suggested as one of the most dangerous sporting events in terms of dehydration because of the uniform and gear covering the entire body. We aimed to elucidate the change in hydration status before and after training in elite fencing athletes in winter along with the assessment of sex and fencing style differences. METHODS: Twenty-seven elite fencing athletes (14 males and 13 females) belonging to the Japanese National Team participated in this clinical survey. Dehydration status before and after winter training was assessed using body mass change, fluid intake, urine osmolarity, urine specific gravity (USG), and sodium, potassium, chlorine, and creatinine levels. RESULTS: More than half of the participants (59.3%) drank water and tea during training. The change rate of body mass (males vs. females, 1.61±0.82% vs. 0.45±0.68%, P<0.01; foil vs. epee, 2.25±0.45% vs. 1.16±0.72%, P<0.05) and sweating rate (males vs. females, 938±251 g/h vs. 506±92 g/h, P<0.01; foil vs. epee, 1136±156 g/h vs. 796±207 g/h, P<0.05) during training showed significant differences between sexes and fencing styles. Of all participants, 66.7% were dehydrated (USG≥1.020), and 37.0% were seriously dehydrated (USG≥1.030) before training. CONCLUSIONS: Fencing athletes may be susceptible to severe dehydration before training, even in winter. Additionally, males and foil fencers appear to be at a greater risk than females and epee fencers of developing dehydration during exercise.

Mild hyperbaric oxygen for the early improvement of mood disturbance induced by high-intensity exercise.

BACKGROUND: Excessive training stress can result in decreased performance and deep fatigue due to hormonal changes. There are few available data on recovery methods for mood disturbance, especially fatigue, after high-intensity training. This study, therefore, aimed to examine the effects of mild hyperbaric oxygen at 1.3 atmospheres absolute with 31% oxygen on mood disturbance induced by high-intensity exercises. METHODS: Ten healthy adult men participated in and completed 2 trials: the control (CON) trial and the mild hyperbaric oxygen (MHO) trial. In a randomized crossover design, each subject cycled for 60 min at the physical work capacity at 75% of their maximal heart rate and were subsequently exposed to the CON and MHO conditions for 60 min as the recovery period. RESULTS: During the 20 to 40 min recovery time points, the average change ratio of heart rates was lower in the MHO trial than in CON (P<0.05). We observed that the fatigue-inertia, tension-anxiety, and total mood disturbance Profile of Mood States (POMS) scores decreased 60 min post-exercise in the MHO trial, but no differences of these scores were observed in the CON trial. There were no differences in oxidative stress, derived-reactive oxygen metabolites, and biological antioxidant potential between both trials. These results suggest that impaired mood states induced by high-intensity exercise can be improved early by MHO without any changes in oxidative stress. This improvement may be associated with decreased heart rate secondary to MHO exposure after the high intensity exercise. CONCLUSIONS: We conclude that MHO can improve mood disturbances, especially in the fatigue-inertia and tension-anxiety domains, after high-intensity exercise. This study suggest that MHO is potentially an effective recovery method for mood states after high-intensity training.

Structural identification of anthocyanins and analysis of concentrations during growth and flowering in buckwheat (Fagopyrum esculentum Moench) petals.

The anthocyanin profiles and variety/breeding-line differences of anthocyanin concentrations in petals of common buckwheat flowers have been studied. Four anthocyanins, cyanidin 3-O-glucoside, cyanidin 3-O-rutinoside, cyanidin 3-O-rhamnoside, and cyanidin 3-O-galactosyl-rhamnoside were isolated from the petals of common buckwheat (Fagopyrum esculentum Moench), separated using high performance liquid chromatography and identified using reversed-phase liquid chromatography-electrospray ionization-tandem mass spectrometry techniques. In every variety/breeding line tested, cyanidin 3-O-rutinoside was detected as the major anthocyanin and the next is cyanidin 3-O-glucoside whereas cyanidin 3-O-rhamnoside and cyanidin 3-O-galactosyl-rhamnoside were trace or not detectable in white and pink flowered buckwheat. Of all the varieties/breeding lines tested, Gan-Chao, a Chinese variety, contained the highest amount of anthocyanins. The largest part of cyanidin moiety was presented as a proanthocyanidin form (PAs-Cy). Anthocyanins and PAs-Cy in petals were increased along with increase of flower development stages. Therefore, fully developed petals of red flowered buckwheat, especially Gan-Chao, are promising as a new anthocyanin-rich material for food processing.

Identification of anthocyanins in the sprouts of buckwheat.

The anthocyanin profiles and varieties/breeding line differences of anthocyanin concentrations in common/tartary buckwheat sprouts have been studied. Four anthocyanins, cyanidin 3-O-glucoside, cyanidin 3-O-rutinoside, cyanidin 3-O-galactoside, and cyanidin 3-O-galactopyranosyl-rhamnoside, were isolated from the sprouts of common buckwheat, were separated using high-performance liquid chromatography (HPLC), and were identified using reversed-phase liquid chromatography (LC)/electrospray ionization-mass spectrometry (ESI-MS)/MS techniques. In tartary buckwheat sprouts, two anthocyanins (cyanidin 3-O-glucoside and cyanidin 3-O-rutinoside) were identified. Among 19 common/tartary buckwheat varieties/breeding lines, Hokkai T10 contained the highest amounts of anthocyanins. Cyanidin 3-O-glucoside and cyanidin 3-O-rutinoside concentrations in 6-10 days after seeding sprouts of Hokkai T10 ranged from 0.16 to 0.20 mg/g dry wt and from 5.55 to 6.57 mg/g dry wt, respectively. In addition, dark-grown sprouts of Hokkai T10 accumulated 0.091 and 2.77 mg/g dry wt of cyanidin 3-O-glucoside and cyanidin 3-O-rutinoside whereas other varieties/breeding lines accumulated trace amounts of anthocyanins. Given its anthocyanin-rich red cotyledons, Hokkai T10 is a promising line for use as "Moyashi" type sprouts and is strongly recommended as a new functional food, rich in dietary anthocyanins.