Selçuk Tıp Dergisi Arşiv

Knee intra-articular injections are frequently used in the treatment of degenerative arthritis. However, it is known that septic arthritis may develop after the application. In this study; it was aimed to investigate the cases of knee septic arthritis occurring after intra-articular injections administered due to degenerative arthritis. Between the years 2010-2015, patients were retrospectively reviewed who treated with the diagnosis of septic arthritis following intra-articular injections due to degenerative knee arthritis. Age, sex, comorbidities, physical examination, white blood cell, sedimentation, CRP, aspirate microscopy and culture results were recorded. The mean age was 60 years (range, 46-74 years) of 12 patients (7 females, 5 males). The mean white blood cell count was 12.69 (range, 8.92-15.87) billion cells/L. The mean sedimentation rate was 50 (range, 35-100) mm/hour. The mean C-Reactive Protein level was 25.9 (range, 16-35.3) mg/L. Staphylococcus aureus was isolated in three patients. In other patients, no causative pathogen was not isolated. All patients underwent surgical debridement. Although intraarticular injections are not totally safe, it can provide clinical improvement in patients in the short term. However, given the longterm effects and complications that may occur after application in the early stages of treatment of osteoarthritis, we believe that other treatments should be tried first.

Acrylamide (ACR) is an organic chemical which occurs in foods extensively consumed in diets worldwide. ACR promotes the generation of reactive oxygen species and the depletion of antioxidants. The aim of this study was to investigate liver, brain and kidney of tissue total antioxidant status (TAS), total oxidant status (TOS) and liver and brain of tissue oxidized LDL (ox-LDL) levels in long term ACR + standard diet and ACR + high-fat diet given rats, compared to control rats. Forty-eight male Wistar rats (5-6 weeks of aged) were segregated into two diet groups and fed with a high-fat diet (crude fat 20%) or standard diet (crude fat 2.7%) respectively; and animals in each diet groups were exposed to acrylamide at the dose of 0, 2, 10 and 20 mg/kg bw/day via drinking water for 28 days. At the end of the experiment tissue samples were analyzed for TAS, TOS and ox-LDL. ox-LDL and TOS levels were increased as doses of acrylamide were elevated in liver and brain tissue, no significant difference was present at levels of ox-LDL/protein (p=0.087) and TOS/protein (p=0.751) in liver tissue among eight groups. While no significant difference was observed at levels of ox-LDL/protein in brain tissue (p=0.808) among eight groups, TOS/protein levels in brain tissue (p<0.001) became significantly increased. No significant difference was present at levels of TOS/protein (p=0.052) in renal tissue among eight groups. As doses of acrylamide were increased, TAS/protein levels in brain, liver and renal tissue became decreased, and a significant difference was present at TAS/protein levels among the groups (p<0.001). Our findings showed that long term treatment with 2, 10 and 20 mg/kg doses of ACR + standard diet and ACR + high-fat diet treatment led to a significant depletion of tissue TAS levels and over production of tissue TOS and ox-LDL levels, consequently, to an increase in oxidative stress.

This study aimed to research dietary quality in adults and to compare using different parameters (body mass index, education statues, gender and age). The cross-sectional study was conducted on randomly selected 421 adults (275 females, 146 males) living in Ankara. Dietary intakes of individuals aging between 20 and 50 years (mean±SD, 32.7±9.096 years) were collected by using 24-hour recall method. Mean adequacy ratio scores calculated by using nutrient adequacy ratio were used for dietary quality assessment. According to mean adequacy ratio scores, 56% of individuals’ dietary nutrient content found to be inadequate. In the study, there was no significant difference in mean adequacy ratio scores according to education, age, body weight; whereas, male mean adequacy ratio scores were higher than female. There is a need for improving diets according to mean adequacy ratio scores assessment in Turkey. Dietary quality can be affected by different variables such as gender, body mass index, age and education statues. Improving dietary quality should be aimed using plan and policies, developed taking into consideration these variables by governments.

Obesity incidence is rapidly increasing in Turkey like all over the world. Surgery has become a gold standard treatment for obesity due to the unsatisfactory results of diet and drug therapies. The number of clinics applying bariatric surgery is increasing every day. In this review, preoperative, perioperative and postoperative nursing care strategies were discussed.

Chilaiditi’s sign was defined as colonic interposition into hepatodiafragmatik area. It was first described by Demetrious Chilaiditiin 1910. We plan to offer our 88-year-old man patient with incisional hernia developing with Chilaiditi’s sign and that we followed and treated conservatively.

Cystic lesions of the parathyroid gland are uncommon. Although majority of patients with cystic parathyroid adenoma present with mild hypercalcemia, some may present with parathyroid crisis which can be a life-threatening clinical condition. In this article, we present a patient who applied to emergency service with symptoms of acute parathyroid crisis, was diagnosed parathyroid adenoma with cystic degeneration and treated. A 46 years old male patient was applied to emergency service with confusion. In blood analyses, calcium level was 16,6 mg/dl and akut kidney failure was determined. In radiological imagination, parathyroid adenoma with cystic degeneration was determined and patient was treated minimal invasive parathyroidectomy.After the operation, parathormon and calcium levels were returned the normal levels. Parathyroid cysts are uncommon, and they are classified as functional or nonfunctional so far as hypercalcemia. Functional cystic parathyroid adenomas are very rare. These patients can approach with symptoms of hyperparathyroidism or parathyroid crisis. Parathyroid adenomas with cystic degeneration and functional parathyroid cysts should be considered about causes of primary hyperparathyroidism and acute parathyroid crisis.