The Use of Complementary and Alternative Medicine among Peritoneal Dialysis Patients at a Second-Level Hospital in Yucatán Mexico.

BACKGROUND: Complementary and alternative medicine (CAM) is widely used for multiple reasons such as treatment of diseases and their symptoms, empowerment, self-care, disease prevention, dissatisfaction, adverse effects or cost of conventional medicine, perception of compatibility with beliefs, and idiosyncrasy. This study investigated CAM use in patients with chronic kidney disease (CKD) undergoing peritoneal dialysis (PD). METHODS: A cross-sectional survey study was conducted with 240 eligible patients with CKD in the PD program. By applying the I-CAM-Q-questionnaire, the frequency, level of satisfaction, and reasons for CAM use were explored, and the demographic and clinical data of users and non-users were analyzed. Data analysis included descriptive analysis, Student's t-test, Mann-Whitney U, chi-square, and Fisher tests. RESULTS: The main types of CAM used were herbal medicine, and chamomile was the most commonly used. To improve the state of well-being was the main reason for use, the attributable benefit of CAM was high, and only a low percentage of users reported side effects. Only 31.8% of the users informed their physicians. CONCLUSION: The use of CAM is popular among renal patients, and physicians are not adequately informed; in particular, the CAM type ingested represents a risk for drug interactions and toxicity.

Biodiesel Production from Waste Cooking Oil Catalyzed by a Bifunctional Catalyst.

The objective of this study was to prepare bifunctional catalysts based on iron and CaO and test them in the biodiesel production using waste cooking oil (WCO) as feedstock. Two iron precursors were studied, Fe2O3 and Fe(NO3)3·9H2O. The identified crystalline phases were Ca2Fe2O5 and CaFeO3. Surface morphology and textural properties (distribution of active species, specific surface area, size, and pore volume) were also analyzed. Additionally, thermal stability was studied and 800 °C was established as the optimum calcination temperature. The density of both acidic and basic sites was higher with the catalyst prepared with Fe2O3 than with that prepared with Fe(NO3)3·9H2O. The latter, however, leads to reach equilibrium in half of the time than with the former. This was ascribed to the ratio of acidic to basic sites, which is higher with the catalyst prepared with the precursor salt. This ratio not only affects the overall cost of the process by affecting the time at which equilibrium is reached but also by dictating the methanol/oil molar ratio at which the equilibrium is reached sooner. The prepared bifunctional catalyst allowed us to produce biodiesel with 90% of methyl ester content at atmospheric pressure, reaction temperature of 60 °C, reaction time of 2 h, with 12:1 M ratio of methanol/WCO, 10 wt % of Fe over CaO, and a catalyst loading of 5 wt %. This catalyst can be used at least 3 times. The so-obtained biodiesel met the European norm EN-14214 regarding viscosity and density.

Treatment of slaughterhouse wastewaters using anaerobic filters.

In this paper, a laboratory-scale experimentation allowed comparing the performances of two upflow anaerobic packed-bed filters filled with different packing materials and operating at mesophilic conditions (30 degreeC) for treating slaughterhouse wastewaters. Methane production was experimentally evaluated considering different volumetric organic loading rates as well as feeding overloading conditions. Although filter performances declined with loading rates higher than 6 kg CODin m-3 d-1 , the chemical oxygen demand (COD) removal efficiency remained always above 60%. The experimental results allowed for determining kinetic parameters for bacterial growth rate and methane production, following Monod and Chen-Hashimoto models, respectively. Results demonstrated that the reactors reached a cellular retention time significantly greater than the hydraulic retention time. The kinetic parameter values (Ks, l/max) revealed the low microorganisms' affinity for the substrate and confirmed the moderate biodegradability of slaughterhouse wastewater. The kinetic analysis also allowed the comparison of the filters performances with another anaerobic system and the assessment of the parameters useful for real-scale plant design. The system design, applied to a medium-sized Argentinean slaughterhouse, demonstrated to (i) be energetically self-sufficient and (ii) contribute to the plant's water heating requirements.