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conferenceseries.com
Volume 6, Issue 5(Suppl) J Sports Med Doping Stud
ISSN: 2161-0673 JSMDS, an open access journal SNOC 2016
December 08-09, 2016
Sports Nutrition and Ortho Congress
December 08-09, 2016 | Philadelphia, USA
J Sports Med Doping Stud 2016, 6:5 (Suppl)
Charcot neuroarthropathy following simultaneous pancreas-kidney transplant: A case report
Michael Wilson
WG (Bill) Hefner VA Medical Center, USA
Charcot neuropathic arthropathy of the foot (CF) is a fairly common and devastating complication normally found in patients
with long standing, mostly uncontrolled, diabetes. Occurring in up to 10 percent of the diabetic population, CF is characterized
by a relatively painless, progressive and degenerative bone and joint destructive process with neuropathy and trauma as essential
components. The absence of normal proprioceptive and protective mechanisms results in pathological fractures, deformity, and
ulceration, with potential for limb loss. In the diabetic patient, concomitant risk factors for the development of CF include vascular
disease, neuropathy, limited joint mobility, previous foot ulcer or amputation and nephropathy. Simultaneous pancreas-kidney
transplantation (SPKT) is an accepted approach and treatment of choice in patients with type I diabetes with accompanying end stage
renal disease (ESRD). Documented cases in the literature reveal CF as a post-transplant consequence. Traditional post-operative
immunosuppressive therapy is identified as an additional risk factor for the development of de novo CF after SPKT. This report
describes an unusual case of a patient who presented with a case of full-blown CF deformity with ulceration soon after SPKT.
Post-SPKT immunosuppression therapy, particularly the use of corticosteroids, is acknowledged as a causative influence for the
development of neuroarthropathy leading to CF.
Nutritional supplement use among school level athletes in Sri Lanka
Eashaan Dassanayaka
International Institute of Health Sciences, Sri Lanka
Introduction: Sports supplements use is seen among school athletes in Colombo but their actual practices and recommendations and
associated risks are unknown. As well as the knowledge on the products they use is unknown.
Objective: To assess the knowledge and practices regarding approved and non-approved sports supplements and the knowledge on
banned doping agents.
Methods: A descriptive study was done on 130 conveniently selected school athletes among leading schools in Colombo using a self-
administered questionnaire.
Results: The sample population included 13.1% female athletes and 73.4%male athletes. The participants were from ages 15-20. From
the majority, 62.3% took dietary supplements and 56.9% of the population took supplements without any doctor’s recommendation.
13.1% would go to a physician to get information on supplements. 48.5% believes that supplements are right for them out of which
58.7% relied on the supplement label to select the right supplement. 50% believes that energy drinks can improve sports performance.
56.9% agrees that with doping body shape and muscle mass can be increased. 55.4% agrees that doping can cause harm to the user.
46.2% disagrees that taking a doping agent is an ethical deed. Also 45% disagrees respecting individuals who drug dope. 2.3% from
the sample have taken a banned substance.
Conclusions: The use of nutritional and sports supplements are common among school level athletes, also majority is aware of the
risks. But given the circumstances if they are provided with the substance they are ready to use them.