The clinical, molecular, and prognostic features of the 2022 WHO and ICC classification systems for myelodysplastic neoplasms.

Myelodysplastic neoplasms (MDS) are clonal disorders of bone marrow failure exhibiting a variable risk of progression to acute myeloid leukemia. MDS exhibit certain prognostic genetic or cytogenetic abnormalities, an observation that has led to both the pathologic reclassification of MDS in the 2022 World Health Organization (WHO) and International Consensus Classification (ICC) systems, as well as to an updated prognostic schema, the Molecular International Prognostic Scoring System (IPSS-M). This single-institution study characterized the molecular patterns and clinical outcomes associated with the 2022 WHO and ICC classification schemas to assess their clinical utility. Strikingly, with the exception of one individual, all 210 patients in our cohort were classified into analogous categories by the two pathologic/diagnostic schemas. Most patients (70%) were classified morphologically while the remaining 30% had genetically classified disease by both criteria. Prognostic risk, as assessed by the IPSS-M score was highest in patients with MDS with biallelic/multi-hit TP53 mutations and lowest in pts with MDS-SF3B1. Median leukemia-free survival (LFS) was shortest for those with MDS with biallelic/multi-hit TP53 (0.7 years) and longest for those with MDS with low blasts (LFS not reached). These data demonstrate the clear ability of the 2022 WHO and ICC classifications to organize MDS patients into distinct prognostic risk groups and further show that both classification systems share more similarities than differences. Incorporation of the IPSS-M and IPSS-R features provide additive prognostic and survival components to both the WHO and ICC classifications, which together enhance their utility for evaluating and treating MDS patients.

Epidemiologic evaluation of clinical outcomes in ethnic minorities with myelodysplastic syndromes.

Since race/ethnicity and socioeconomic status (SES), including economic and educational disadvantage (EED), may impact overall survival (OS) in primary myelodysplastic syndromes (MDS), we analyzed the impact of these characteristics on OS in Non-Hispanic White (NHW), Non-Hispanic Black (NHB) and Hispanic patients. In this retrospective review using the SEER US population and American Community Survey data between 2001 and 2016, factor analysis was used for 23 county-level SES indicators to identify groups of interrelated measures of EED. For the 52,739 patients identified, increased age at diagnosis, male sex, higher prognostic risk category and higher EED were all associated with reduced OS. The most prominent SES factor extracted by factor analysis was EED. NHB patients had the highest OS compared to NHW and Hispanics. For all patients, EED analysis showed lower OS for most compared to least disadvantaged, most notably in lower-risk disease and Hispanics. More NHB and Hispanics (51% and 49%) were in the most disadvantaged category compared with NHW (30%). No significant differences were noted for causes of death by race/ethnicity. In conclusion, these data indicate that in addition to standard clinical measures for analyzing OS, race/ethnicity, SES and EED are critical determinants for assessing clinical outcomes in MDS patients.

Halogenation of estrogens catalysed by a fungal chloroperoxidase.

Chloroperoxidase (CPO) is a haeme-thiolate enzyme able to catalyse the halogenation and oxidation of a wide range of organic substrates. In this work, the CPO-catalysed chlorination and bromination reaction of natural estrogens was characterised. Estradiol, estrone and equiline were efficiently converted to halogenated compounds in the presence of chloride or bromide and hydrogen peroxide. The catalytic efficiency of CPO in this reaction is similar to that measured for other aromatic substrates; as expected the bromination reaction proceeds more efficiently than the chlorination reaction. Three major products were detected for chlorination of estradiol; two of them were monohalogenated compounds while a third product was a dihalogenated compound at positions 2 and 4 of the aromatic ring A. Chlorinated compounds are not substrates for tyrosinase, suggesting that the halogenated form of estrogens is less susceptible to form o-quinones.

Determination of clenbuterol at trace levels in raw gelatin powder and jellies using ultra-high-performance liquid chromatography coupled to triple quadrupole mass spectrometry.

Clenbuterol is present in animal tissues and organs and, therefore, potentially present in gelatin derived from animal sources. The objective of this study was to develop a method for identify an quantify traces of clenbuterol in gelatin and jellies. The clenbuterol calibration curve showed linearity in the range of 20-1000 pg mL-1. The detection and quantification limits were 5 pg g-1 and 10 pg g-1, respectively. The recovery of the analyte ranged from 93.4 to 98.7% with an intra-day RSD% (n = 4) of 1.25%-3.25%, and an inter-day RSD% (n = 12) of 0.5%-2.25%, with good linearity (R2 = 0.99). The method developed and validated was successfully applied in 54 gelatin samples, 57.4% of which showed clenbuterol. This UHPLC-MS/MS method combines high sensitivity with good selectivity and short chromatographic run time.

Lignans from Bursera fagaroides: Chemistry, Pharmacological Effects and Molecular Mechanism. A Current Review.

Bursera fagaroides is a medicinal tree endemic to México, it belongs to the Burseraceae family and has proven antitumor activity. Modern research, performed principally with the bark extracts, have indicated that lignans are the main active constituents of B. fagaroides, with a high content of aryltetralin, aryldihydronaphtalene, dibenzylbutirolactone, and dibenzylbutane-type lignans as the constituents of the active extracts. In general, lignans from B. fagaroides exhibited potent anti-cancer activity, although antitumor, anti-bacterial, anti-protozoal, anti-inflammatory, and anti-viral properties have also been described. This review covers literature-reported lignans from B. fagaroides, chemical structures, nomenclature, chromatographic techniques of isolation, characterization strategies, and highlights the anti-cancer molecular mechanisms of lignans. Evaluation of the anticancer function of lignans has been extensively investigated since the cytotoxic in vitro results and in vivo assays in mice and zebrafish models to the tubulin molecular recognition by NMR. Also, we discuss the future direction for studying this important plant species and its lignan metabolites.

Liver Transplantation in Patients With Pretransplant Aspergillus Colonization: Is It Safe to Proceed?

BACKGROUND: Patients with end-stage liver disease and pretransplant Aspergillus colonization are problematic for determining liver transplant candidacy and timing of transplantation because of concerns for posttransplant invasive aspergillosis. METHODS: We performed a retrospective review of the medical and laboratory records of all adult patients (aged ≥18 y) who underwent liver transplantation with pretransplant Aspergillus colonization at the Ronald Reagan University of California, Los Angeles, Medical Center from January 1, 2010, to December 31, 2015. RESULTS: A total of 27 patients who had Aspergillus colonization (respiratory tract 26, biliary tract 1) before liver transplantation were identified. Pretransplant characteristics included previous liver transplant (11 of 27, 40.7%), dialysis (22 of 27, 81.5%), corticosteroid therapy (12 of 27, 44.4%), intensive care unit stay (27 of 27, 100%), and median model for end-stage liver disease score of 39. Only 22.2% (6 of 27) received pretransplant antifungal agents (median duration, 5 d), whereas 100% (27 of 27) received posttransplant antifungal prophylaxis (voriconazole 81.4%, 22 of 27; echinocandin 14.8%, 4 of 27; voriconazole plus echinocandin 3.7%, 1 of 27) for median duration of 85 d. Posttransplant invasive fungal infection occurred in 14.8% (4 of 27; aspergillosis 3, mucormycosis 1). Both 6-month and 12-month survival were 66.7% (18 of 27), but only 1 death was due to fungal infection. Other causes of death were liver graft failure, intraabdominal complications, and malignancy. CONCLUSIONS: A substantial number of patients with pretransplant Aspergillus colonization can still undergo successful liver transplantation if they are otherwise suitable candidates and receive appropriate antifungal prophylaxis. Posttransplant outcome in these patients is determined mostly by noninfectious complications and not fungal infection. Pretransplant Aspergillus colonization alone should not necessarily preclude or delay liver transplantation.

Deep Eutectic Solvents as New Reaction Media to Produce Alkyl-Glycosides Using Alpha-Amylase from Thermotoga maritima.

Deep Eutectic Solvents (DES) were investigated as new reaction media for the synthesis of alkyl glycosides catalyzed by the thermostable α-amylase from Thermotoga maritima Amy A. The enzyme was almost completely deactivated when assayed in a series of pure DES, but as cosolvents, DES containing alcohols, sugars, and amides as hydrogen-bond donors (HBD) performed best. A choline chloride:urea based DES was further characterized for the alcoholysis reaction using methanol as a nucleophile. As a cosolvent, this DES increased the hydrolytic and alcoholytic activity of the enzyme at low methanol concentrations, even when both activities drastically dropped when methanol concentration was increased. To explain this phenomenon, variable-temperature, circular dichroism characterization of the protein was conducted, finding that above 60 °C, Amy A underwent large conformational changes not observed in aqueous medium. Thus, 60 °C was set as the temperature limit to carry out alcoholysis reactions. Higher DES contents at this temperature had a detrimental but differential effect on hydrolysis and alcoholysis reactions, thus increasing the alcoholyisis/hydrolysis ratio. To the best of our knowledge, this is the first report on the effect of DES and temperature on an enzyme in which structural studies made it possible to establish the temperature limit for a thermostable enzyme in DES.

Increased Incidence of Nocardial Infections in an Era of Atovaquone Prophylaxis in Allogeneic Hematopoietic Stem Cell Transplant Recipients.

Nocardial infections have been rare after allogeneic hematopoietic stem cell transplantation (HSCT). We report 10 recent cases of late-onset nocardiosis (median time of onset of 508 days after transplantation) primarily in patients on high doses of corticosteroids for graft-versus-host disease. All 10 patients had pulmonary infection caused by Nocardia species susceptible to trimethoprim-sulfamethoxazole (TMP-SMX). At time of diagnosis 8 of 10 patients were not receiving TMP-SMX for prophylaxis of Pneumocystis jiroveci pneumonia (PJP; 7 on atovaquone, 1 on i.v. pentamidine). After the initiation of atovaquone prophylaxis for PJP in place of TMP-SMX for many UCLA allogeneic HSCT patients in 2012, 9 cases of nocardiosis occurred in 411 patients (2.2%) over the next 6 years (2012 to 2017) compared with only 1 case in 575 patients (0.17%) during the previous 12 years (2000 to 2011). Although there were no deaths directly related to nocardial infection treated primarily with TMP-SMX, overall mortality in this group of patients was 40%. Based on this experience, the use of atovaquone for PJP prophylaxis in place of TMP-SMX may be associated with an increased risk for previously rare nocardial infections after allogeneic HSCT.

A novel two-step enzymatic synthesis of blastose, a ß-d-fructofuranosyl-(2↔6)-d-glucopyranose sucrose analogue.

Blastose, a natural disaccharide found in honey, is usually found as a byproduct of fructo-oligosaccharide synthesis from sucrose with fructosyltransferases. In this study, we describe a novel two-step biosynthetic route to obtain blastose, designed from a detailed observation of B. subtilis levansucrase (SacB) acceptor structural requirements for fructosylation. The strategy consisted first in the synthesis of the trisaccharide O-ß-d-Fruf-(2↔6)-O-α-d-Glcp-(1↔1)-α-d-Glcp, through a regioselective ß-d-transfructosylation of trehalose (Tre) which acts as acceptor in a reaction catalyzed by SacB using sucrose or levan as fructosyl donor. In this reaction, levansucrase (LS) transfers regioselectively a fructosyl residue to either C6-OH group of the glucose residues in Tre. The resulting trisaccharide obtained in 23% molar yield based on trehalose, was purified and fully characterized by extensive NMR studies. In the second step, the trisaccharide is specifically hydrolyzed by trehalase, to obtain blastose in 43.2% molar yield based on the trisaccharide. This is the first report describing the formation of blastose through a sequential transfuctosylation-hydrolysis reaction.

Incidencia de infección y prácticas de uso de antimicrobianos en Urologia de un hospital especializado / Incidence of infection and practices of antimicrobial use in the urology service of a specialized hospital

Introducción: el tractus urinario es la localización más frecuente de las infecciones hospitalarias, la mayor parte ocasionadas por instrumentación del tracto urinario, y los agentes antimicrobianos constituyen una intervención importante en la terapéutica.Objetivo: determinar la incidencia de infecciones y las prácticas de utilización de antimicrobianos en pacientes del Servicio de Urología de un hospital especializado. Método: estudio prospectivo, exploratorio, realizado en el período enero a junio de 2013, con observación mensual a pacientes hospitalizados en el servicio de Urología con indicación de antimicrobianos. Se obtuvo la información sobre la presencia de sepsis, diagnóstico de Infección Asociada a la Asistencia Sanitaria, procedimientos quirúrgicos y las características de la prescripción de antimicrobianos. Resultados: la enfermedad litiásica fue el antecedente patológico más reportado. Se constató la presencia de infección al ingreso en un 81,2 por ciento, en el 24,2 por ciento como infección relacionada a los procesos quirúrgicos endourológicos. Las cefalosporinas de tercera generación fueron los antimicrobianos más indicados para el control de la infección y coincidentemente para la profilaxis quirúrgica. Conclusiones: la prescripción de antimicrobianos fue empírica con elevada proporción de prescripción adecuada(AU)

Introduction: the most frequent location of nosocomial infections is the urinary tract, most of them caused by its manipulation, so antibiotic agents constitute an important therapeutic intervention.Objective: to define infectios incidence and the protocols of use of antibiotics in patients admitted to the urology service at a specialized hospital. Method: prospective and exploratory study carried out from January to June 2013, with monthly observation to hospitalized patients using antibiotics at the Urology service. Information about presence of sepsis, Health Assistance Related Infection, diagnosis, surgical procedures and antibiotics prescription characteristics was obtained.Results: personal history of nephrolithiasis was reported as the most frequently medical history. Presence of infection at admission was confirmed in 81,2 percent of the patients, 24,2 percent of them related with endourological surgical procedures. Third generation cephalosporins were the most indicated antibiotics to control infections and for surgical prophylaxis. Conclusions: antibiotics prescription was empiric with high rate of adequate prescription(AU)

Incidencia de infección y prácticas de uso de antimicrobianos en Urología de un hospital especializado / Incidence of infection and practices of antimicrobial use in the urology service of a specialized hospital

Introducción: el tractus urinario es la localización más frecuente de las infecciones hospitalarias, la mayor parte ocasionadas por instrumentación del tracto urinario, y los agentes antimicrobianos constituyen una intervención importante en la terapéutica. Objetivo: determinar la incidencia de infecciones y las prácticas de utilización de antimicrobianos en pacientes del Servicio de Urología de un hospital especializado. Método: estudio prospectivo, exploratorio, realizado en el período enero a junio de 2013, con observación mensual a pacientes hospitalizados en el servicio de Urología con indicación de antimicrobianos. Se obtuvo la información sobre la presencia de sepsis, diagnóstico de Infección Asociada a la Asistencia Sanitaria, procedimientos quirúrgicos y las características de la prescripción de antimicrobianos. Resultados: la enfermedad litiásica fue el antecedente patológico más reportado. Se constató la presencia de infección al ingreso en un 81,2 por ciento, en el 24,2 por ciento como infección relacionada a los procesos quirúrgicos endourológicos. Las cefalosporinas de tercera generación fueron los antimicrobianos más indicados para el control de la infección y coincidentemente para la profilaxis quirúrgica. Conclusiones: la prescripción de antimicrobianos fue empírica con elevada proporción de prescripción adecuada(AU)

Introduction: the most frequent location of nosocomial infections is the urinary tract, most of them caused by its manipulation, so antibiotic agents constitute an important therapeutic intervention. Objective: to define infectios incidence and the protocols of use of antibiotics in patients admitted to the urology service at a specialized hospital. Method: prospective and exploratory study carried out from January to June 2013, with monthly observation to hospitalized patients using antibiotics at the Urology service. Information about presence of sepsis, Health Assistance Related Infection, diagnosis, surgical procedures and antibiotics prescription characteristics was obtained. Results: personal history of nephrolithiasis was reported as the most frequently medical history. Presence of infection at admission was confirmed in 81,2 percent of the patients, 24,2 percent of them related with endourological surgical procedures. Third generation cephalosporins were the most indicated antibiotics to control infections and for surgical prophylaxis. Conclusions: antibiotics prescription was empiric with high rate of adequate prescription(AU)

Comportamiento de las fístulas arteriovenosas para hemodiálisis en el anciano / Behavior of arteriovenous fistulas for hemodialysis in elderly patients

Introducción: en los últimos años se ha observado un incremento de pacientes ancianos en los servicios de hemodiálisis. Este hecho, unido al número creciente de pacientes diabéticos con lecho vascular deteriorado, ha aumentado la dificultad para la creación de un acceso vascular en esta población en riesgo.Objetivo: observar el comportamiento de las fístulas arteriovenosas en pacientes de 65 años o más en régimen de hemodiálisis.Métodos: se realizó un estudio observacional descriptivo prospectivo en pacientes de 65 años o más a los que se le construyó una fístula arteriovenosa entre marzo de 2011 y marzo de 2013 en el servicio de Hemodiálisis del Instituto de Nefrología de La Habana. El grupo de estudio fue de 58 pacientes.Resultados: Hubo predominio del sexo masculino (55,2 por ciento). Las enfermedades de base que más se observaron fueron la Diabetes mellitus (43,1 por ciento) y la Hipertensión arterial (37,9 por ciento). Las complicaciones que más se registraron fueron: flujo insuficiente (15,2 por ciento) y trombosis (12,1 por ciento). Mostraron mayor supervivencia las fístulas arteriovenosas en hombres (78 por ciento), en pacientes no diabéticos (73 por ciento) y las de localización radiocefálica (73 por ciento). La supervivencia primaria global al año de las fístulas arteriovenosas en nuestros pacientes fue de 69,0 por ciento.Conclusiones: Las fístulas arteriovenosas autólogas pueden ser realizadas como primera opción en pacientes de 65 años o más y se obtienen tasas de supervivencia adecuadas, comparables a las de otros grupos de pacientes(AU)

Introduction: In the last few years, the number of old patients in the hemodialysis service has increased. This fact along with this growing number of diabetic patients that show damaged vascular bed has brought about more difficulties in creating a vascular access in their risk population.Objective: To observe the behavior of arteriovenous fistulae in patients aged 65 years or more subjected to hemodialysis.Methods: Prospective, descriptive and observational study conducted in 65 years old and over whom an arteriovenous fistula was created from March 2011 to March 2013 at the hemodialysis service of the Institute of Nephrology in Havana. The study group was made up of 58 patients.Results: The male sex predominated (55.2 percent). The most observed underlying diseases were diabetes mellitus (43.1 percent) and hypertension (37.9 percent). The most found complications were insufficient flow (15.2 percent) and thrombosis (12.1 percent). The highest survival rate was seen in arteriovenous fistulae in men (78 percent); non-diabetic patients (73 percent) and radiocephalic location (73 percent). The global primary survival rate after one year of the arteriovenous fistulae in our patients was 69 percent.Conclusions: The autologous arteriovenous fistulae may be performed as a first option in patients aged 65 years or more, and adequate survival rates, comparable to those of other groups of patients, were reached (AU)

Comportamiento de las fístulas arteriovenosas para hemodiálisis en el anciano / Behavior of arteriovenous fistulas for hemodialysis in elderly patients

Introducción: en los últimos años se ha observado un incremento de pacientes ancianos en los servicios de hemodiálisis. Este hecho, unido al número creciente de pacientes diabéticos con lecho vascular deteriorado, ha aumentado la dificultad para la creación de un acceso vascular en esta población en riesgo. Objetivo: observar el comportamiento de las fístulas arteriovenosas en pacientes de 65 años o más en régimen de hemodiálisis. Métodos: se realizó un estudio observacional descriptivo prospectivo en pacientes de 65 años o más a los que se le construyó una fístula arteriovenosa entre marzo de 2011 y marzo de 2013 en el servicio de Hemodiálisis del Instituto de Nefrología de La Habana. El grupo de estudio fue de 58 pacientes. Resultados: Hubo predominio del sexo masculino (55,2 por ciento). Las enfermedades de base que más se observaron fueron la Diabetes mellitus (43,1 por ciento) y la Hipertensión arterial (37,9 por ciento). Las complicaciones que más se registraron fueron: flujo insuficiente (15,2 por ciento) y trombosis (12,1 por ciento). Mostraron mayor supervivencia las fístulas arteriovenosas en hombres (78 %), en pacientes no diabéticos (73 por ciento) y las de localización radiocefálica (73 por ciento). La supervivencia primaria global al año de las fístulas arteriovenosas en nuestros pacientes fue de 69,0 por ciento. Conclusiones: Las fístulas arteriovenosas autólogas pueden ser realizadas como primera opción en pacientes de 65 años o más y se obtienen tasas de supervivencia adecuadas, comparables a las de otros grupos de pacientes(AU)

Introduction: In the last few years, the number of old patients in the hemodialysis service has increased. This fact along with this growing number of diabetic patients that show damaged vascular bed has brought about more difficulties in creating a vascular access in their risk population. Objective: To observe the behavior of arteriovenous fistulae in patients aged 65 years or more subjected to hemodialysis. Methods: Prospective, descriptive and observational study conducted in 65 years old and over whom an arteriovenous fistula was created from March 2011 to March 2013 at the hemodialysis service of the Institute of Nephrology in Havana. The study group was made up of 58 patients. Results: The male sex predominated (55.2 percent). The most observed underlying diseases were diabetes mellitus (43.1 percent) and hypertension (37.9 percent). The most found complications were insufficient flow (15.2 percent) and thrombosis (12.1 percent). The highest survival rate was seen in arteriovenous fistulae in men (78 percent); non-diabetic patients (73 percent) and radiocephalic location (73 percent). The global primary survival rate after one year of the arteriovenous fistulae in our patients was 69 percent. Conclusions: The autologous arteriovenous fistulae may be performed as a first option in patients aged 65 years or more, and adequate survival rates, comparable to those of other groups of patients, were reached(AU)

Acceptor-induced modification of regioselectivity in CGTase-catalyzed glycosylations of p-nitrophenyl-glucopyranosides.

Cyclodextrin glycosyltransferases (CGTase) are reported to selectively catalyze α(1 → 4)-glycosyl transfer reactions besides showing low hydrolytic activity. Here, the effect of the anomeric configuration of the glycosyl acceptor on the regioselectivity of CGTase catalyzed glycosylations was investigated. For this purpose, the α and ß anomers of p-nitrophenyl-D-glucopyranoside were used as glycosyl acceptors, Bacillus macerans and Thermoanaerobacter sp. CGTases were used as biocatalysts and ß-cyclodextrin as the glycosyl donor. As expected, p-nitrophenyl-α-D-glucopyranosyl-(1 → 4)-O-α-D-glucopyranoside was produced when p-nitrophenyl-α-D-glucopyranoside was used as acceptor with B. macerans CGTase. Surprisingly, when p-nitrophenyl-ß-D-glucopyranoside was used as glycosyl acceptor, besides the expected α(1 → 4)-glycosylation products both α(1 → 3)- and α(1 → 6)-transfer products were also obtained. This unexpected change in B. macerans CGTase regioselectivity leading to α(1 → 4)-, α(1 → 3)- and α(1 → 6)-glycosylation products was also observed for Thermoanaerobacter sp. CGTase with the ß anomer. It is shown, applying time course analyses, that all isomers can be synthesized efficiently by adequate selection of enzyme and reaction conditions. In fact, when using Thermoanaerobacter sp. CGTase the yield of p-nitrophenyl-ß-D-isomaltoside (the α(1 → 6)-transfer product) was the highest at long reaction time (19% yield). The previously unknown capacity of α(1 → 6)-glycosidic linkages formation by CGTases demonstrates an unexpected broader regioselectivity of CGTases in glycosyl-transfer reactions as well as an acceptor dependent transfer selectivity.

Screening and characterization of extracellular polysaccharides produced by Leuconostoc kimchii isolated from traditional fermented pulque beverage.

We report the screening and characterization of EPS produced by LAB identified as Leuconostoc kimchii isolated from pulque, a traditional Mexican fermented, non-distilled alcoholic beverage produced by the fermentation of the sap extracted from several (Agave) maguey species. EPS-producing LAB constitutes an abundant bacterial group relative to total LAB present in sap and during fermentation, however, only two EPS-producing colony phenotypes (EPSA and EPSB, respectively) were detected and isolated concluding that despite the high number of polymer-producing LAB their phenotypic diversity is low. Scanning electron microcopy analysis during EPS-producing conditions revealed that both types of EPS form a uniform porous structure surrounding the bacterial cells. The structural characterization of the soluble and cell-associated EPS fractions of each polymer by enzymatic and acid hydrolysis, as by 1D- and 2D-NMR, showed that polymers produced by the soluble and cell-associated fractions of EPSA strain are dextrans consisting of a linear backbone of linked α-(1→6) Glcp in the main chain with α-(1→2) and α-(1→3)-linked branches. The polymer produced by the soluble fraction of EPSB strain was identified as a class 1 dextran with a linear backbone containing consecutive α-(1→6)-linked D-glucopyranosyl units with few α-(1→3)-linked branches, whereas the cell-associated EPS is a polymer mixture consisting of a levan composed of linear chains of (2→6)-linked ß-D-fructofuranosyl residues with ß-(2→6) connections, and a class 1 dextran. According to our knowledge this is the first report of dextrans and a levan including their structural characterization produced by L. kimchii isolated from a traditional fermented source.

Aneurisma de fístula arteriovenosa para hemodiálisis / Hemodialysis arteriovenous fistula aneurysms

Los aneurismas de fístulas arteriovenosas para hemodiálisis constituyen una complicación que aparece en algunos pacientes y que no siempre se toma una conducta con relación a ellos. En este trabajo presentamos un caso de una mujer de 29 años de edad con nueve años en hemodiálisis a través de una fístula arteriovenosa braquiocefálica izquierda que desarrolló aneurisma gigante con peligro de ruptura espontánea, la cual fue sometida a tratamiento quirúrgico. Se describe la técnica y se revisa la literatura al respecto(AU)

Hemodialysis arteriovenous fistula aneurisms represent a complication that we can observe in some patients and not always is taken a procedure in relation to them. Herein, we report the case of 29 year old woman with nine years of hemodialysis treatment through left brachiocephalic arteriovenous fistula which developed a giant aneurism with the possibility of spontaneous rupture. The patient was submitted to surgical treatment. The technique was described and the literature was review(AU)

Aneurisma de fístula arteriovenosa para hemodiálisis / Hemodialysis arteriovenous fistula aneurysms

Los aneurismas de fístulas arteriovenosas para hemodiálisis constituyen una complicación que aparece en algunos pacientes y que no siempre se toma una conducta con relación a ellos. En este trabajo presentamos un caso de una mujer de 29 años de edad con nueve años en hemodiálisis a través de una fístula arteriovenosa braquiocefálica izquierda que desarrolló aneurisma gigante con peligro de ruptura espontánea, la cual fue sometida a tratamiento quirúrgico. Se describe la técnica y se revisa la literatura al respecto(AU)

Hemodialysis arteriovenous fistula aneurisms represent a complication that we can observe in some patients and not always is taken a procedure in relation to them. Herein, we report the case of 29 year old woman with nine years of hemodialysis treatment through left brachiocephalic arteriovenous fistula which developed a giant aneurism with the possibility of spontaneous rupture. The patient was submitted to surgical treatment. The technique was described and the literature was review(AU)