RESUMEN
To determine the relationship between seasons and regions and aflatoxin M1 (AFM1) contamination of milk distributed in Fukuyama City, we conducted a survey once during the summer and once during the winter between June 2018 and January 2019. We compared the AFM1 contamination levels in milk drinks available in Fukuyama City during the same period, to provide more about the factors causing AFM1 contamination. All milk samples examined exhibited AFM1 contamination levels below the standard AFM1 contamination level (0.5 µg/kg). For the comparison based on seasons, one milk sample collected in the summer (0.07 µg/kg) exceeded the EU limit (heat-treated milk: 0.050 µg/kg). However, there was no significant difference in the AFM1 contamination level (p>0.05). For the comparison based on regions, the AFM1 contamination level in the milk sample from the Chugoku Region was significantly higher in the winter and significantly lower in the summer compared to those from other regions. AFM1 contamination of milk did not have a direct relationship with seasons or regions, but was instead influenced by the type, amount, and management of feed supplied to dairy cattle. For the comparison between milk and milk drinks, the AFM1 contamination levels in milk drinks were significantly lower (p<0.01). The highest AFM1 concentration (0.08 µg/kg) was detected in one sample of milk drink sampled during the summer. The AFM1 contamination of milk drinks is likely affected by the level of contamination in raw materials, the proportion of such raw materials in the drinks, and the process type. An increase in non-fat milk solids was assumed to be a factor that increases AFM1 contamination.
Asunto(s)
Aflatoxina M1 , Contaminación de Alimentos , Leche , Aflatoxina M1/análisis , Animales , Contaminación de Alimentos/análisis , Calor , Leche/química , Estaciones del AñoRESUMEN
We describe a woman with systemic lupus erythematosus who had complex partial status epilepticus as the sole epileptic manifestation. The patient presented with a confusional state, initially considered to be psychotic in nature, due to SLE. However, the EEG demonstrated the epileptic etiology of her symptoms. In patients with lupus presenting with prolonged episodes of confusion and behavioural disturbance, an EEG should be performed, whenever possible during the episode, even in the absence of a previous history of epilepsy.