The influence of family stress and conflict on depressive symptoms among working married women: A longitudinal study.

In the present study, researchers examined the association between depressive symptoms and family stress and conflict from multiple roles, along with the combined effect of family stress and family-work conflict. We used data from the 2008-2012 Korean Welfare Panel Study, consisting of 4,663 baseline participants. We measured depressive symptoms using the 11-item Center for Epidemiologic Studies Depression Scale. There was a significant relationship between depressive symptoms and family stress and conflict among working married women. With regard to the combined analysis, working married women who reported both family stress and family-work conflict exhibited the highest odds of depressive symptoms.

Rhabdomyolysis in a patient taking nebivolol.

ß Blockers such as propranolol and labetalol are known to induce toxic myopathy because of their partial ß2 adrenoceptor agonistic effect. Nebivolol has the highest ß1 receptor affinity among ß blockers, and it has never been reported to induce rhabdomyolysis until now. We report a patient who developed rhabdomyolysis after changing medication to nebivolol. A 75-year-old woman was admitted to our hospital because of generalized weakness originating 2 weeks before visiting. Approximately 1 month before her admission, her medication was changed from carvedilol 12.5 mg to nebivolol 5 mg. Over this time span, she had no other lifestyle changes causing rhabdomyolysis. Her blood chemistry and whole body bone scan indicated rhabdomyolysis. We considered newly prescribed nebivolol as a causal agent. She was prescribed carvedilol 12.5 mg, which she was previously taking, instead of nebivolol. She was treated by hydration and urine alkalization. She had fully recovered and was discharged.

Alkaline-mechanical pretreatment process for enhanced anaerobic digestion of thickened waste activated sludge with a novel crushing device: Performance evaluation and economic analysis.

Although various pretreatments have been widely investigated to enhance the anaerobic digestion (AD) of waste activated sludge (WAS), economic feasibility issues have limited real-world applications. The authors examined the performance and economic analysis of an alkaline-mechanical process with a novel mechanical crushing device for thickened WAS pretreatment. The pretreatment at 40gTS/L, pH 13, and 90min reaction time achieved 64% of solubilization efficiency and 8.3 times higher CH4 yield than the control. In addition, a synergistic CH4 yield enhancement was observed when the pretreated and raw WAS were used together as feedstock, and the greatest synergy was observed at a volumetric mixture ratio of 50:50. Economic estimates indicate that up to 22% of WAS treatment costs would be saved by the installation of the suggested process. The experimental results clearly indicate that the alkaline-mechanical process would be highly effective and economically feasible for the AD of thickened WAS.

Mesophilic co-digestion of palm oil mill effluent and empty fruit bunches.

The palm oil mill industry generates palm oil mill effluent (POME) and empty fruit bunches (EFB) as by-products. This study reports the mesophilic co-digestion of POME with EFB. The biochemical methane potential (BMP) of POME and EFB was 0.397 L CH4/g volatile solids (VS) and 0.264 L CH4/g VS, respectively. In a series of batch tests at various EFB to POME ratios, the maximum methane production rate was achieved at an EFB:POME ratio of 0.25-0.31:1. Performance data from lab-scale digesters confirmed the positive synergism by the addition of EFB to POME, which was attributed to the balanced chemical composition, for example the chemical oxygen demand (COD) to total Kjeldahl nitrogen (TKN) ratio. The EFB addition enhanced the acceptable organic loading rate, methane production, COD removal, and microbial activity. The mesophilic co-digestion of POME and EFB promises to be a viable recycling method to alleviate pollution problems and recover renewable energy in the palm oil mill industry.

Severe hypernatremia by excessive bamboo salt ingestion in healthy young woman.

Severe hypernatremia is an important electrolyte disorder that has serious effects. The patient had no medical history. A. 20-year-old ingested bamboo salt for digestion and weight reduction according to the folk remedies posted on an internet website. She presented with vomiting and diarrhea over ten times per day. Her initial serum sodium concentration was 174mEq/L. Her symptoms improved rapidly with hypotonic saline infusion. She recovered completely without any sequelae in three days. Severe hypernatremia in a normal young adult with clear consciousness and normal renal function has not been reported in Korea yet. So we report a case of severe hypernatremia by excessive bamboo salt ingestion in healthy young woman.

A case of urine leakage: an unusual complication after renal biopsy.

Renal biopsy is a crucial method in the diagnosis and treatment of acute renal failure of unknown origin, nephrotic syndrome, suspicious interstitial nephritis, and glomerulonephritis as a possible cause of hematuria or proteinuria. Complications occur in 2% to 8% of patients after percutaneous renal biopsy. Complications include gross hematuria, perirenal hematoma, arteriovenous fistula, aneurysm, injury of other organs, and urine leakage. Urine leakage as a complication after kidney biopsy is rare. We experienced a case of urine leakage into the intra-abdominal cavity after renal biopsy.