Intraoperative Intraluminal Endoscopy in the Surgical Treatment of Patients with Esophageal Diverticula of Various Localization

Aim. To improve the results of surgical treatment of patients with esophageal diverticulum of various localization using intraoperative intraluminal endoscopy. Materials and Methods: The Department of Surgery of the Esophagus and Stomach, the Petrovsky National Research Centre of Surgery, has accumulated a large experience in treating diverticulosis patients. Thus, during the 2010–2018 period, 74 patients with esophageal diverticula of various localization were operated. Out of them, 56 (75.7 %), 10 (13.5 %) and 8 (10.8 %) patients underwent surgical treatment with respect to faringo-esophageal, bifurcation and epiphrenic diverticula, respectively. The patients were divided into two groups: 31 people (41.9 %) in the main group underwent diverticulectomy with intraoperative intraluminal endoscopic assistance (IVEA), while 43 (58.1 %) people in the control group underwent diverticulectomy without IVEA. Intraoperatively, at the stage of discovering diverticulum, the endoscopist applied transillumination and air insufflation in the cavity of the diverticulum, followed by controlling the mobilization of diverticulum. At the resection stage, the completeness of the surgical removal was controlled, along with the absence of esophageal lumen narrowing after sewing the neck of the diverticulum using a linear stapler.Results. The average duration of the operation in patients with Zenker’s diverticula and those in the control group was 45.5 ± 8.8 min and 73.8 ± 12.7 min (p < 0.05), respectively. In patients with the diverticula of the middle and lower third of the esophagus, the average surgery duration was equal to 120.3 ± 11.2 min and 150.5 ± 17.3 (p <0.05) min in the main and control groups, respectively. Radiological examination 2–3 days after surgery revealed no complications in the main group. In the control group, 2 (4.7 %) patients showed a small leakage of the contrast agent outside the esophagus (stopped conservatively). Signs of mild dysphagia when taking solid foods were detected in 1 (2.4 %) patient of the control group. This condition was associated with excessive ingress of the esophageal wall into the apparatus suture, which led to a slight narrowing of its lumen. No patients with dysphagia in the postoperative period were recorded in the main group. Conclusion: The combination of surgical treatment of esophageal diverticula with IVEA allows the duration of surgery to be optimized, deformation of the esophageal lumen to be avoided, possible complications to be minimized, thereby improving the results of surgical treatment

Impact of different technologies in application of microbial compounds on number of micromycetes and cellulose-destroying microorganisms on ordinary chernozem of the Central Ciscaucasia

The aim of this work is to test the technology of application of multifunctional microbial compounds on corn in the zone of unstable moistening of the Central Ciscaucasia. The object of research are microbial complex composites. The studies were conducted on ordinary chernozem soil. According to the traditional technology we treated the seeds before sowing and corn plants in the phase of 3-4 leaves and flowering, and for the further improvement we treated the soil before sowing. It was revealed that the smallest number of micromycetes and cellulosolytics appears in the phase of 3-4 leaves. The use of bioproducts had no significant effect on the number of microorganisms during this period. The number of the studied microorganisms has increased in the flowering and milky stages, and especially due to the use of compounds. The study of corn yield revealed that the least yield was in the control experiment and made up 4.07 t/ha. Application of the CBC-Standard product increased the yield by 0.98 t/ha in traditional technology. The lowest increase of 0.43 t/ha was observed on the variant with application of “CMC-92”. On the proposed technology with the variant with application of “CMC-92”, the corn yield was the highest and amounted to 5.35 t/ha. It is higher than in the control experiment by 1.28 t/ha

Palladium(II)-Stabilized Pyridine-2-Diazotates: Synthesis, Structural Characterization, and Cytotoxicity Studies

Well-defined diazotates are scarce. Here we report the synthesis of unprecedented homoleptic palladium(II) diazotate complexes. The palladium(II)-mediated nitrosylation of 2-aminopyridines with NaNO2 results in the formation of metal-stabilized diazotates, which were found to be cytotoxic to human ovarian cancer cells

Novel non-toxic high efficient antibacterial azido chitosan derivatives with potential application in food coatings.

In this work, we developed a simple method for the preparation of N-(3-azido-2-hydroxypropyl)chitosan. We compared the antibacterial activity of N-(3-azido-2-hydroxypropyl)chitosans and previously synthesized N-(2-azidoethyl)chitosans. N-(3-azido-2-hydroxypropyl)chitosans possess higher antibacterial effect which is comparable with that of ampicillin and gentamicin. The effect is due to azido pharmacophore -CH2-CH (OH)-CH2-N-3 (for N-(3-azido-2-hydroxypropyl)chitosan) or -CH2-CH2-N-3 (for N-(2-azidoethyl)chitosan) introduced in chitosan chain, since the corresponding organic azides NH2-CH2-CH2-N-3 and NH2-CH2-CH2-N-3 are characterized by high antibacterial activity. However, high antibacterial organic azides NH2-CH2-CH2-N(3 )and NH2-CH2-CH2-N-3 are characterized by high toxicity. Their conjugation to the chitosan chain saves their antibacterial effect, but strongly diminishes their toxicity, and the toxicity of the resulting derivatives is comparable with that of the starting chitosan. These findings are of interest to food science, since novel effective food coatings can be developed on basis of prepared derivatives

Novel Highly Efficient Antibacterial Chitosan-Based Films

In this study, we elaborated new chitosan-based films reinforced by iron(III)-containing chitosan nanoparticles Fe(III)-CS-NPs at different concentrations. We found that the optimum concentration of Fe(III)-CS-NPs for the improvement of antibacterial and mechanical properties of the films was 10% (σb = ca. 8.8 N/mm2, εb = ca. 41%, inhibition zone for S. aureus = ca. 16.8 mm and for E. coli = ca. 11.2 mm). Also, using the click-chemistry approach (thiol–ene reaction), we have synthesized a novel water-soluble cationic derivative of chitin. The addition of this derivative of chitin to the chitosan polymer matrix of the elaborated film significantly improved its mechanical (σb = ca. 11.6 N/mm2, εb = ca. 75%) and antimicrobial (inhibition zone for S. aureus = ca. 19.6 mm and for E. coli = ca. 14.2 mm) properties. The key mechanism of the antibacterial action of the obtained films is the disruption of the membranes of bacterial cells. The elaborated antibacterial films are of interest for potential biomedical and food applications

Triarylazoimidazole-ZnII, CdII, and HgII Complexes: Structures, Photophysics, and Antibacterial Properties

Novel triarylazoimidazoles containing strong electron donors (p-NEt2) or acceptors (p-NO2) by the azoaryl group, and their group 12 metal complexes were synthesized and fully characterized, including X-ray analysis for several complexes. Novel complexes exhibit red photo-luminescence emission (Φ up to  0.21) in a solution. Moreover, the antibacterial activity of complexes was tested against Gram-positive microorganism S. aureus and Gram-negative microorganism E. coli