Clinical and pathological features of adrenal myelolipoma and myelolipomatous metaplasia cases in our hospital over 13 years

BACKGROUND/AIMS: The development and widespread use of abdominal imaging techniques has increased the incidence of unexpected adrenal tumors called adrenal incidentaloma. Adrenal myelolipomas are the second most common incidentalomas. Similar myelolipomatous morphology appears as a secondary degenerative change in other adrenal lesions and is called myelolipomatous metaplasia. This study investigated the adrenal entities of the last 13 years which had myelolipomatous components.MATERIALS AND METHODS: In this retrospective observational study, cases diagnosed as adrenal myelolipoma or myelolipomatous metaplasia between January, 2009 and January, 2022 were re-examined regarding their age, gender, localization, lesion size, and secondary histopathological changes, accompanying pathological diagnoses as well as clinical and radiological data.RESULTS: Eleven adrenal myelolipoma cases and 6 myelolipomatous metaplasia cases were detected. In myelolipomas, the mean age was 55.45 years, 73% were female and 82% were located on the right side. The lesions were encapsulated and their mean size was 7 cm. One case had a diagnosis of subclinical Cushing's syndrome and the others were hormonally inactive. Some cases were accompanied with hypertension (27%), type 2 diabetes (18%), and asthma (18%). All myelolipomatous metaplasias, which are non-encapsulated, were detected in adrenocortical adenomas. The mean age was 58 years; nonencapsulated and 67% were located on the right side with no gender predilection. Concomitant hypertension (50%), diabetes /33%, and asthma (33%) were frequent.CONCLUSION: Adrenal myelolipoma and myelolipomatous metaplasia both contain adipose and myeloid components. Myelolipoma is a benign and encapsulated neoplasia which is usually detected incidentally. They frequently coexist with chronic diseases such as hypertension, diabetes and asthma

Determination of crop water stress index (CWSI) of second crop corn in a semiarid climate

This study was carried out to determine the relationship between the canopy-air temperature differential and vapor pressure deficit (VPD), which can be used to quantify the crop water stress index (CWSI) under fully irrigated ( 100 %) and maximum water stress (0 %) conditions of furrow irrigated corn. The effects of five different irrigation levels (100, 70, 50, 30 and 0 % replenishment of soil water depleted from the 0.90 m soil profile depth) on corn yields and the resulting CWSI were investigated. The highest yield and total water use were obtained under fully irrigated corn plots (100 % replenishment of soil water depleted). The trends in CWSI values were consistent with the soil water content induced by deficit irrigation. CWSI increased with increased soil water deficit. An average CWSI of 0.22 before irrigation time provided the highest grain corn yield. The yield was directly correlated with seasonal mean CWSI values and a second order polynomial equation “Y = 59258CWSI2 -72051CWSI +24060” can be used to predict the grain yield of corn as a second crop under the semiarid climate

Crédibilité en matière de ciblage d'inflation

Le ciblage d’inflation est une politique basée sur l’annonce d’une cible d’inflation et un engagement à respecter à cette cible annoncée par la Banque Centrale et sur une stratégie de communication et de transparence, d’où la cible d’inflation est l’objectif final de la politique monétaire. C’est aussi une politique qui permet de résoudre le problème de la crédibilité. Dans ce travail, on essaye de voir en quoi la politique de ciblage d’inflation consiste à améliorer le degré de la crédibilité. Pour ce faire, à la lumière de la revue de la littérature sur la crédibilité, on montre théoriquement qu’il s’agit d’une politique monétaire qui évite le biais inflationniste et qui combine différentes mesures permettant l’amélioration de la crédibilité.Politique monétaire; ciblage d’inflation; crédibilité; jeux non coopératifs

Comparison of Sequential and Standard Therapy for Helicobacter pylori Eradication in Children and Investigation of Clarithromycin Resistance (Retracted article. See vol. 56, pg. 239, 2013)

Aims: The aim of the present study was to compare the efficacy of sequential and standard triple-drug regimen for Helicobacter pylori (H pylori) eradication in children and to determine the primary resistance rate to clarithromycin

Massive gastrointestinal tubercolsis in a young patient without immunosupression

alper, murat/0000-0001-7069-0623WOS: 000186055100058PubMed: 14562420Although the lung is the major site for Mycobacterium tuberculosis infection, gastrointestinal involvement can be present as part of multiorgan disease process or, less commenly, can be seen as primary gastrointestinal tuberculosis. In the cases where the culture is negative, it can be difficult to differantiate tuberculosis from Crohn's disease based on both the clinical and histological features. When side effects of classic antimycobacteria are encountered, we can initially add ciprofloxacin to the treatment of tuberculosis. We reported a case of 19-yr-old patient, who was treated as Crohn's disease and worsen. We began to tuberculosis treatment, and the patient improved clinically and histologically. The main point in this case is that widespread involvement of gastrointestinal tract can be brought about by non resistant strains of Mycobacterium tuberculosis even in immunocompetent patients

EXAMINATION OF THE COMMUNICATION SKILLS AND TEAM WORKABILITY OF SPORTS STUDENTS ACCORDING TO A RANGE OF VARIABLES

The aim of this study is to examine the communication skills and team workability of students educated in sports education in universities according to a range of variables. In the study, a personal information form was used to identify the university, department, class and sports branches of participants. The communication skills scale developed by Ersanlı and Balcı in 1998 was used to determine communication skills. For the determination of team workability, the Team Workability Scale developed by Tuncer in 2008 was used. 165 Students from Atatürk and Kafkas University participated in the study. Frequency analysis and parametric statistical analyses were used in the study. As a result of the study, it was determined that the participants had moderate levels (X=3,56±,861) of communication skills and the majority of the participants have responsibility (n=105 %64). According to the variables of the communication skills and team workability of the students who studied sports education in universities, the communication skills levels did not change statistically according to the universities and departments variables of the participants. The highest average of communication skills amongst the participants are mental skills. (X=3,86±,414). The lowest average of the communication skills of the participants are behavioral. (X=2,44±,616). On the other hand, it has been determined that the team sports athletes among the participants have high averages on Collaboration and Teamwork in team workability. (n=98 %59,39)