A Unusual Case of Complicated Zenker's Diverticulum.

We report the surgical management of a case of Zenker's diverticulum in a 64 year old man, complicated by metallic nail penetration and surgical scarring due to previous surgery for cervical vertebral trauma.

Combined Cervical and Video-assisted Thoracoscopic Thyroidectomy (CAVATT): A Simplified and Innovative Approach for Goiter with Posterior Mediastinal Extension.

We report a case of benign multinodular goiter with right sided posterior mediastinal extension managed by a simplified anaesthetic and surgical protocol. Single lumen endotracheal tube was used for intubation. Access to mediastinum was obtained by 2 working ports in 2nd and 4th intercostal spaces. Mediastinal extension is dissected thoracoscopically and delivered cervically. Post operative course was uneventful with no pulmonary and surgical morbidity.

Mode of uptake of insoluble solid substrates by microorganisms. I: Sterol uptake by an arthrobacter species.

The mode of uptake of sterols, which are nearly insoluble in water by an Arthrobacter species, was studied on the basis of substrate transfer via the aqueous phase (solubilization/pseudosolubilization) and through direct contact with sterol particles. Growth of the organism, on stero powder was predominantly in nonlogarithmic in character, indicating a possible limitation of substrate transfer. Soluble sterol was shown to be the preferential form of the substrate for assimilation by the organism. Evidence was obtained for increased solubilizition of beta-sitosterol and cholesterol during microbial growth on these substrates. But the rate of solubilization of beta-sitosterol (3.06 mg L(-1) h(-1)) was too inadequate to account for the observed substrate uptake rare (107 mg L(-1) h(-1)) during growth. A cholesterol solubilization rate of 44 mg L(-1) h(-1) could, however, account to an appreciable extent for the observed cholesterol uptake rate of 140 mg L(-1) h(-1) during growth. Increasing attachement of cells to sterol particles during growth was observed by microscopic examination, indicating that growth may take place over the surface of sterol particles. By using the synthetic surfactant HYOXYD AAO (alkyl aryl polyglycol ether), which prevented attachment of cells to sterol particles without affecting the metabolic integrity of the cells, it was shown that growth indeed took place predominantly on the surface of the sterol particles. Increased generation of finer particles of sterol, which provides increased substrate surface area during growth, was demonstrated. It was concluded that with beta-sitosterol, growth takes place almost entirely by attachement, whereas with cholesterol, about 30% of the growth take place on solubilized substrate and the rest through attachament.

Isolation and functional characterization of hydrocarbon emulsifying and solubilizing factors produced by a Pseudomonas species.

Pseudomonas PG-1 cultivated on pristane produced in good amount a heat-stable polymeric substance which showed strong hydrocarbon emulsifying and solubilizing properties. The substance was isolated in crude form and was found to contain 34% protein, 16% carbohydrate, and 40% lipid. The hydrocarbon solubilizing activity of the isolate was strongly inhibited by EDTA but the chelating agent had no effect on the hydrocarbon emulsifying activity. Both activities of the isolate were strongly inhibited by chymotrypsin treatment indicating the importance of the protein moiety for its activity. Hydrocarbon solubilization by the isolate showed a certain degree of specificity to pristane in modest agitation generally used in microbial cultivation, but this specificity was lost by vigorous agitation in a Waring blender. It was proposed that in the first case, solubilization was effected by a solubilizing factor specific to pristane, whereas in the latter case, nonspecific solubilization occurred due to the action of the emulsifying factor. The rate of pristane solubilization by heat-treated culture broth under the conditions of agitation used in cultivation (rotary shaker, 120 rpm) was found to be ca. 750 mg L(-1) h(-1) which was much larger than the maximal pristane uptake rate of 170 mg L(-1) h(-1) observed during microbial growth on the substrate. It was concluded that hydrocarbon solubilization could satisfactorily account for the substrate uptake and growth.

Comparative utilization of paraffins by a Trichosporon species.

Utilization of normal and isoparaffins, separately and in mixtures, by a Trichosporon sp. was investigated. From a mixture of normal paraffins and isoparaffins, the organism consumed straight-chain paraffins, leaving the branched paraffins relatively unchanged. When offered separately, the highest utilization of n-alkanes by the organism was obtained in the range of undecane to octadecane; n-pentadecane was poorly utilized. From a mixture of n-alkanes, the rate of consumption of shorter-chain alkanes, n-decane to n-dodecane, was found to be relatively faster and more uniform than that of longer-chain alkanes.