Complexation of borate with pentitols, hexitols and their derivatives as a functional group of a boron-selective adsorbent
POLYHEDRON
Authors: Miyazaki, Yoshinobu; Okita, Hiromichi; Maseda, Mikio
Abstract
In order to elucidate the characteristics of anchor groups suitable for boron-selective adsorbents, complexation reactions of the borate ion with pentitols, hexitols and their methylamino derivatives were investigated by NMR spectroscopies and DFT calculations. The borate ion bound with these polyols to form various types of complexes, among which the ones binding with vicinal hydroxy groups in an intermediate position of the carbon chain would make a significant contribution to their stability. The threo-form fivemembered ring chelate complexes exhibited much higher stabilities compared to the erythro-form ones, which means that the polyol capable of forming more threo-forms and fewer erythro-forms gives a higher affinity toward boron. L-Iditol had the highest affinity toward boron among the studied pentitols and hexitols, because it could form three kinds of threo-form complexes binding at the (C2,C3), (C3,C4) and (C4,C5) positions. Consequently, 1-deoxy-1-methylamino-L-iditol, which is a derivative of L-iditol, will be the best functional group for a boron-selective adsorbent of all the analogous polyol derivatives. (C) 2020 Elsevier Ltd. All rights reserved.
Patterns of adaptive servo-ventilation settings in a real-life multicenter study: pay attention to volume! Adaptive servo-ventilation settings in real-life conditions
RESPIRATORY RESEARCH
Authors: Jaffuel, Dany; Rabec, Claudio; Philippe, Carole; Mallet, Jean-Pierre; Georges, Marjolaine; Redolfi, Stefania; Palot, Alain; Suehs, Carey M.; Nogue, Erika; Molinari, Nicolas; Bourdin, Arnaud
Abstract
Backgrounds To explain the excess cardiovascular mortality observed in the SERVE-HF study, it was hypothesized that the high-pressure ASV default settings used lead to inappropriate ventilation, cascading negative consequences (i.e. not only pro-arrythmogenic effects through metabolic/electrolyte abnormalities, but also lower cardiac output). The aims of this study are: i) to describe ASV-settings for long-term ASV-populations in real-life conditions; ii) to describe the associated minute-ventilations (MV) and therapeutic pressures for servo-controlled-flow versus servo-controlled-volume devices (ASV-F Philips (R)-devices versus ASV-V ResMed (R)-devices). Methods The OTRLASV-study is a cross-sectional, 5-centre study including patients who underwent ASV-treatment for at least 1 year. The eight participating clinicians were free to adjust ASV settings, which were compared among i) initial diagnosed sleep-disordered-breathing (SBD) groups (Obstructive-Sleep-Apnea (OSA), Central-Sleep-Apnea (CSA), Treatment-Emergent-Central-Sleep-Apnea (TECSA)), and ii) unsupervised groups (k-means clusters). To generate these clusters, baseline and follow-up variables were used (age, sex, body mass index (BMI), initial diagnosed Obstructive-Apnea-Index, initial diagnosed Central-Apnea-Index, Continuous-Positive-Airway-Pressure used before ASV treatment, presence of cardiopathy, and presence of a reduced left-ventricular-ejection-fraction (LVEF)). ASV-data were collected using the manufacturer's software for 6 months. Results One hundred seventy-seven patients (87.57% male) were analysed with a median (IQ(25-75)) initial Apnea-Hypopnea-Index of 50 (38-62)/h, an ASV-treatment duration of 2.88 (1.76-4.96) years, 61.58% treated with an ASV-V. SDB groups did not differ in ASV settings, MV or therapeutic pressures. In contrast, the five generatedk-means clusters did (generally described as follows: (C1) male-TECSA-cardiopathy, (C2) male-mostly-CSA-cardiopathy, (C3) male-mostly-TECSA-no cardiopathy, (C4) female-mostly-elevated BMI-TECSA-cardiopathy, (C5) male-mostly-OSA-low-LVEF). Of note, the male-mostly-OSA-low-LVEF-cluster-5 had significantly lower fixed end-expiratory-airway-pressure (EPAP) settings versus C1 (p = 0.029) and C4 (p = 0.007). Auto-EPAP usage was higher in the male-mostly-TECSA-no cardiopathy-cluster-3 versus C1 (p = 0.006) and C2 (p < 0.001). MV differences between ASV-F (p = 0.002) and ASV-V (p < 0.001) were not homogenously distributed across clusters, suggesting specific cluster and ASV-algorithm interactions. Individual ASV-data suggest that the hyperventilation risk is not related to the cluster nor the ASV-monitoring type. Conclusions Real-life ASV settings are associated with combinations of baseline and follow-up variables wherein cardiological variables remain clinically meaningful. At the patient level, a hyperventilation risk exists regardless of cluster or ASV-monitoring type, spotlighting a future role of MV-telemonitoring in the interest of patient-safety.