[A case-control study of health benefits in patients with moderate renal failure]. / Une étude cas-témoin évaluant les prestations de santé dans une population de malades insuffisants rénaux modérés.

In order to evaluate medical management in patients with renal failure before dialysis, we conducted a case-control study to analyze the health benefits in 914 moderate renal failure patients with Cockcroft clearance between 30 and 60 ml/min. Health benefits reimbursed by the Social Security in this population were compared with those in 1828 controls randomly chosen in the Social Security files but matched by age and gender. Mean age of the participants was 73+/-11 year-old, 67% were women, Cockcroft clearance was 48+/-8 ml/min. Number of hospitalizations and hospitalization durations were not different between the two populations. Conversely, cases had more specialized outpatients' clinics in cardiology but not in nephrology or urology. Cases had more biological tests and radiological exams and had taken more medicines. For biology, cases had more often renal function tests and markers of renal dysfunction tests than controls. Cases had taken more medicines than controls for erythropoietin, diuretics, renin-angiotensin blockers, hypoglycemic drugs, and anticoagulants. Patients with mild renal failure had higher health benefits than controls for outpatients' clinics in cardiology, for biological tests, for radiological exams, and for some medicines.

Gas-Phase Generation and Photoelectron Spectra of Reactive Unsubstituted Cycloalkenethiones.

The flash vacuum thermolysis of cycloalkenyl allyl sulfides, potential precursors of unsubstituted cycloalkenethiones, has been investigated by photoelectron spectroscopy. This technique allowed us to characterize in the gas phase very reactive species of this series, the conjugated and nonconjugated cyclopentene and cyclohexenethiones, and to compare the reactivity of these compounds. The assignment of the PE spectra is supported by electronic structure calculations, particularly by the HF method at the MP2 level and the density functional theory (DFT) using the B3LYP and BP86 functionals with the 6-311G(d, p) basis set. Copyright 2001 Academic Press.