Long term survey of body composition in hemodialysis patients using the Body Composition Monitor® (BCM)

Since 2 years all 265 incident patients in self-dialysis units were included in a prospective study. Every 6-months, clinical and biological nutritional evaluation was associated to a BCM measure. 205 pts have a complete set of data at start (age 60±16 years, BMI 25±5 kg/m2, albumin 37±4 g/L, prealbumin 0.32±0.1 g/L, CRP median 5 mg/L), 135 pts at 6 mo and 56 pts at 2 years. Measures were performed before HD session to ensure stability and reproducibility of body fluid compartments by the same examiner. Lean and fat masses (lean tissue index: LTI, fat tissue index: FTI) were normalized by square body height and compared with a reference range derived from 2000 healthy controls, according to gender and age. 28% of pts had values of LTI below the 10th percentile. A linear correlation exists (p<0.001) between pre-dialysis creatinine level and LTI. Albumin or prealbumin were not predictive of sarcopenia. Prescribed post dialysis BW was underestimated in 25% of pts and 16% remain overhydrated. In stable patients repeated measures analysis reveal no significant variation of LTI even in case of reevaluation of BW and gain of BW is associated with fat mass increase. BCM is a simple tool in clinical practice to evaluate body composition and hydratation status and help to guide nutritional support

Asymmetric Synthesis and Configurational Stability of C2-Symmetric Hexacoordinated Phosphate Anions (TARPHATs) with Predetermined Chirality from Tartrate Esters

C2-Symmetric TARPHAT anions 5 made of a central PV atom, one tartrato (=dialkyl 2,3-di(hydroxy-KO)butanedioato(2-)), and two tetrachloropyrocatecholato (=3,4,5,6-tetrachlorobenzene-1,2-diolato(2-)-KO,KO) ligands can be easily prepared in decent to high yields (50-86%) as their dimethylammonium salt by using a one-pot process and simple commercially available starting materials. The presence of the chiral tartrato ligands (usually (2R,3R)) leads to the formation of diastereoisomeric anions ((?,2R,3R)/(?,2R,3R)). Decent to good control by the chiral ligands - under equilibration conditions - over the ? or ? configuration of the adducts was observed (d.r. 84 : 16 in CHCl3 for the di(tert-butyl) tartrate derivative), the selectivity depending on the nature of the ester chains as well as on the solvent

Asymmetric Synthesis and Configurational Stability of C2-Symmetric Hexacoordinated Phosphate Anions (TARPHATs) with Predetermined Chirality from Tartrate Esters

C2-Symmetric TARPHAT anions 5 made of a central PV atom, one tartrato (=dialkyl 2,3-di(hydroxy-KO)butanedioato(2-)), and two tetrachloropyrocatecholato (=3,4,5,6-tetrachlorobenzene-1,2-diolato(2-)-KO,KO) ligands can be easily prepared in decent to high yields (50-86%) as their dimethylammonium salt by using a one-pot process and simple commercially available starting materials. The presence of the chiral tartrato ligands (usually (2R,3R)) leads to the formation of diastereoisomeric anions ((?,2R,3R)/(?,2R,3R)). Decent to good control by the chiral ligands - under equilibration conditions - over the ? or ? configuration of the adducts was observed (d.r. 84 : 16 in CHCl3 for the di(tert-butyl) tartrate derivative), the selectivity depending on the nature of the ester chains as well as on the solvent

Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

International audienceThe aim of this study was to estimate the incidence of COVID-19 disease in the French national population of dialysis patients, their course of illness and to identify the risk factors associated with mortality. Our study included all patients on dialysis recorded in the French REIN Registry in April 2020. Clinical characteristics at last follow-up and the evolution of COVID-19 illness severity over time were recorded for diagnosed cases (either suspicious clinical symptoms, characteristic signs on the chest scan or a positive reverse transcription polymerase chain reaction) for SARS-CoV-2. A total of 1,621 infected patients were reported on the REIN registry from March 16th, 2020 to May 4th, 2020. Of these, 344 died. The prevalence of COVID-19 patients varied from less than 1% to 10% between regions. The probability of being a case was higher in males, patients with diabetes, those in need of assistance for transfer or treated at a self-care unit. Dialysis at home was associated with a lower probability of being infected as was being a smoker, a former smoker, having an active malignancy, or peripheral vascular disease. Mortality in diagnosed cases (21%) was associated with the same causes as in the general population. Higher age, hypoalbuminemia and the presence of an ischemic heart disease were statistically independently associated with a higher risk of death. Being treated at a selfcare unit was associated with a lower risk. Thus, our study showed a relatively low frequency of COVID-19 among dialysis patients contrary to what might have been assumed