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The current study aimed to conduct a systematic review and meta-analysis of self-management interventions for teaching daily living skills to autistic individuals. This study accessed the corresponding studies by doing a search in six databases. 14 articles and one dissertation met the inclusion criteria. The included studies were first analyzed descriptively and coded according to quality indicators using What Works Clearinghouse (WWC) standards. Second, the effect sizes of the included studies were calculated using two different effect size measures (i.e., Tau-U and performance-criteria-based effect size values [PCES]). Third, these analyses were also conducted for generalization and maintenance data. Of 15 studies included in this review, nine met the WWC standards with and without reservations. Tau-U analyses were conducted for 14 studies, whereas PCES values were calculated for only eight studies with mastery criteria. The findings indicated that the self-management interventions had a .93 CI 95 (.80, 1) overall effect size for Tau-U with a very large effect. On the other hand, the overall effect size for the PCES values indicated a moderate effect with .99. The weighted effect sizes in generalization and maintenance phases were very large for Tau-U; however, moderate to high effects for PCES. Although self-management interventions showed diversity, one of the domains of daily living skills (i.e., community living skills) has not been studied in the field. Notably, among the studies in our review, the last ones are from 2019. Detailed findings from descriptive analyses and two different effect size calculations are discussed, and recommendations for future studies are given., (© 2024. The Author(s).)

The purpose of this study was to investigate the effects of the farm size on the carbon footprint of dairy cattle farms in Isparta province in Türkiye. For this purpose, face-to-face interviews were conducted with 159 farms which represent 1866 dairy cattle farms in Isparta province. The number of animals on the farm was converted into animal unit (AU) and the farms were divided into three groups. Accordingly, farms were classified as small, medium, and large farms. The carbon footprint produced per AU in the farm was the sum of feed, enteric fermentation, CH 4 from manure, CO 2 from manure, N 2 O from manure, and anthropogenic emissions. The milk produced in the farms was standardized according to 4% fat and 3.3% protein (FPCM) and the ratio of meat to milk was found by dividing the total live weight gain produced except for cows by FPCM. Accordingly, 65% of the greenhouse gas emissions of dairy farms were allocated to milk and 35% to meat. Of the total emissions, enteric fermentation and emission on feed contributed the highest proportion. Results showed that when using the IPCC (2021) global warming potential (GWP) values, the carbon footprint for 1 kg of FPCM milk was 1.26 kg CO 2 -eq on average, whereas the carbon footprint for 1 kg of meat was 11.78 kg CO 2 -eq on average. Results showed that as farm size increased carbon footprint for a kilogram of FPCM and meat decreased and this showed the effectiveness of farm size on decreasing carbon footprint per unit of product., (© 2023. The Author(s), under exclusive licence to Springer Nature B.V.)

Dairy cattle production is a substantial industry in Türkiye's livestock sector, with a significant economic impact. Because of its proximity to Türkiye's major market zone, the Mediterranean and Aegean regions, the province of Isparta can develop its milk production capacity and make investments in dairy production. Therefore, the purpose of this study was to look into production costs and drivers of profitability for dairy farms of various sizes in Isparta, a major milk-producing region in Türkiye. The study included data from 159 dairy cattle farms operating in the production period 2020-2021 in the designated area. Dairy farms were separated into three groups based on size and analysed consequently. The findings revealed that total feed consumption was higher on small-scale farms, while milk production was lower. Feed costs were the highest portion of the total production cost among the cost items (72.86%), followed by permanent labour costs (7.12%). Furthermore, milk sales income (64.39%) was the largest contributor to the average income in terms of the gross product value. Aside from milk production, it was discovered that cattle value appreciation (24.12%) increased farm income. Consequently, as farm size increased, production costs per animal unit fell while net profit rose. Finally, feed is the most significant input that boosts milk production costs. Also, larger farms were found to be more profitable in the study area. Thus, it was concluded that policies that could have a favourable effect on an increase in the cattle population on the farm should be advanced in the study area., (© 2022. The Author(s), under exclusive licence to Springer Nature B.V.)

Familial Mediterranean fever (FMF) is a hereditary, autoinflammatory disease characterized by recurrent fever and serositis attacks. The disease onset occurs before 20 years of age in 90% of patients and rarely after the 4th decade. The aim of this study is to screen our FMF patient pool for patients with disease onset after age of 40 and to compare them to patients with early onset with regard to clinical and genetic features. The charts of 2020 patients registered in our FMF center in the years 2008-2017 were screened with regard to age of disease onset. Patients with disease onset after the age of 40 were considered as late-onset group (Group 1). The control group (Group 2) consisted of patients with a disease onset before the age of 20 who were randomly selected from the patient pool with twice the number of probands. Demographic, clinical and genetic data were recorded. Out of 2020 patients, the attacks of FMF had started after the fourth decade in 41 patients (2.02%), (Group 1). The male to female ratio was 1:1.7 in both groups. The delay of diagnosis was 5.6 ± 5.75 years in group 1, 10.7 ± 12.3 years in group 2. The only significant difference with regard to clinical features between two groups was the frequency of fever, which was present in 26 (63.4%) patients in group 1 and 67 (81.7%) in group 2 (p = 0.026). M694V mutation was more prevalent among early-onset group whereas exon 2 variants were more frequent in patients with late onset. The mean colchicine dose in the last 6 months was 1.38 ± 0.64 mg in group 1, and 1.61 ± 0.47 mg in group 2. FMF may start after 40 years of age in approximately 2% of the patients. Lower frequency of fever, lower daily colchicine dose and lower prevalence of exon 10 mutations point out that FMF patients with a disease onset after 40 years of age experience a milder disease compared to those with an onset before the second decade of life., (© 2022. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).)

This manuscript aims to present a treatment algorithm we applied to manage COVID-19 patients admitted to our hospital. During the study period, 2043 patients with suspected COVID-19 were admitted to the emergency department. Molecular tests indicated that 475 of these patients tested positive for COVID-19. We administered hydroxychloroquine plus doxycycline to mild cases (isolated at home) for 3 days and lopinavir plus doxycycline to moderate and severe cases (hospitalized) for 5 days. The overall case fatality rate was 4.2% (20/475).

Data are relatively scarce on gastro-intestinal tuberculosis (GITB). Most studies are old and from single centers, or did not include immunosuppressed patients. Thus, we aimed to determine the clinical, radiological, and laboratory profiles of GITB. We included adults with proven GITB treated between 2000 and 2018. Patients were enrolled from 21 referral centers in 8 countries (Belgium, Egypt, France, Italy, Kazakhstan, Saudi Arabia, UK, and Turkey). One hundred four patients were included. Terminal ileum (n = 46, 44.2%), small intestines except terminal ileum (n = 36, 34.6%), colon (n = 29, 27.8%), stomach (n = 6, 5.7%), and perianal (one patient) were the sites of GITB. One-third of all patients were immunosuppressed. Sixteen patients had diabetes, 8 had chronic renal failure, 5 were HIV positive, 4 had liver cirrhosis, and 3 had malignancies. Intestinal biopsy samples were cultured in 75 cases (78.1%) and TB was isolated in 65 patients (86.6%). PCR were performed to 37 (35.6%) biopsy samples and of these, 35 (94.6%) were positive. Ascites samples were cultured in 19 patients and M. tuberculosis was isolated in 11 (57.9%). Upper gastrointestinal endoscopy was performed to 40 patients (38.5%) and colonoscopy in 74 (71.1%). Surgical interventions were frequently the source of diagnostic samples (25 laparoscopy/20 laparotomy, n = 45, 43.3%). Patients were treated with standard and second-line anti-TB medications. Ultimately, 4 (3.8%) patients died and 2 (1.9%) cases relapsed. There was a high incidence of underlying immunosuppression in GITB patients. A high degree of clinical suspicion is necessary to initiate appropriate and timely diagnostic procedures; many patients are first diagnosed at surgery.

Cadmium (Cd) toxicity in agricultural crops is a widespread problem. Little is known about biochar and arbuscular mycorrhizal fungi (AMF) effect on Cd concentration in maize plant either applied separately or in combination. Current study was performed to demonstrate effects of biochar and Rhizophagus clarus on plant growth, photosynthesis activity, nutrients (P, Ca, Mg, Fe, Cu, and Mn), and Cd concentration in maize grown in Cd-spiked soil. The alkaline soil was spiked by Cd factor at three levels: 0 (Cd 0), 5 (Cd 5), and 10 (Cd 10) mg/kg; biochar factor at two levels: 0 and 1%; and mycorrhizal inoculum factor at two levels: MF0 and MF1 (R. clraus). Plants were harvested after 70 days of seed germination, and various morphological and physiological parameters, as well as elemental concentration and root colonization, were recorded. Addition of biochar increased plant biomass by 21% (Cd 5) and 93% (Cd 10), MF1 enhanced by 53% (Cd 0) and 69% (Cd 10), while biochar + MF1 enhanced dry plant biomass by 70% (Cd 0) and 94% (Cd 10). Results showed maximum increase of 94% (Cd 10) in plant biomass was observed in Cd-spiked soil. Root colonization decreased proportionally by increasing Cd concentration and at Cd 10, colonization was 36.7% and 31.7% for MF1 and biochar + MF1 treatments, respectively. Besides that, addition of biochar enhanced root attributes (root length, volume, and surface area) by 34-58% compared to control in Cd 10. The MF1 increased these attributes by 11-78% while biochar + MF1 enhanced by 32-61% in Cd-spiked soil. However, biochar + MF1 neutralized Cd stress in maize plant for gaseous attributes (assimilation rate, transpiration rate, intercellular CO 2 , and stomatal conductance). The MF1 enhanced Cd concentration in plant as it was 3.32 mg/kg in Cd 5 and 6.73 mg/kg in Cd 10 treatments while addition of biochar phytostabilized Cd and reduced its concentration in plants by 2.0 mg/kg in Cd 5 and 4.27 mg/kg in Cd 10. The biochar + MF1 had 2.9 mg/kg and 4.8 mg/kg Cd concentration in Cd 5 and Cd 10 plants, respectively. Phosphorus concentration was augmented in shoots (up to 26%) and roots (up to 20%) of maize plant in biochar-amended soil than control plants. In biochar + MF1, concentration of P was 1.01% and 0.73% in Cd 5 and Cd 10, respectively. It is concluded that biochar + MF1 treatment enhances plant biomass while addition of sole biochar reduced Cd uptake, slightly indifferent to earlier treatment.

Brucellosis is a zoonotic disease that primarily affects the reticuloendothelial system. But, the extent of liver damage in due course of the disease is unclear. This study included 325 brucellosis patients with significant hepatobiliary involvement identified with microbiological analyses from 30 centers between 2000 and 2013. The patients with ≥5 times of the upper limit of normal for aminotransferases, total bilirubin level ≥2 mg/dl or local liver lesions were enrolled. Clinical hepatitis was detected in 284 patients (87.3 %) and cholestasis was detected in 215 (66.1 %) patients. Fatigue (91 %), fever (86 %), sweating (83 %), arthralgia (79 %), and lack of appetite (79 %) were the major symptoms. Laboratory tests showed anemia in 169 (52 %), thrombocytopenia in 117 (36 %), leukopenia in 81 (25 %), pancytopenia in 42 (13 %), and leukocytosis in 20 (6 %) patients. The most commonly used antibiotic combinations were doxycycline plus an aminoglycoside (n = 73), doxycycline plus rifampicin (n = 71), doxycycline plus rifampicin and an aminoglycoside (n = 27). The duration of ALT normalization differed significantly in three treatment groups (p < 0.001). The use of doxycycline and an aminoglycoside in clinical hepatitis showed better results compared to doxycycline and rifampicin or rifampicin, aminoglycoside, doxycycline regimens (p < 0.05). However, the length of hospital stay did not differ significantly between these three combinations (p > 0.05). During the follow-up, treatment failure occurred in four patients (1 %) and relapse was seen in three patients (0.9 %). Mortality was not observed. Hepatobiliary involvement in brucellosis has a benign course with suitable antibiotics and the use of doxycycline and an aminoglycoside regimen seems a better strategy in select patients.

Pancreatic panniculitis (PP) is a rare disease presenting during the course of pancreatic diseases such as acute and chronic pancreatitis, pancreatic carcinoma. There are also a few reports of PP associated with other carcinomas. We present a 69-year-old male patient of gastric carcinoma with PP. The literature is reviewed, clinical and histological features of the case are discussed. This is the first case of PP in a gastric carcinoma patient reported in literature. As a conclusion, PP can be the first manifestation of a pancreatic metastasis of any carcinoma.

Different sources of pollution in Karasu Creek were investigated to obtain the water quality and ratio of contamination in this region. To achieve the main objectives of the present study, water samples were collected from Karasu Creek, starting from flow pattern at the upstream site of Akkaya Dam to the end of the dam, crossing the place where the Creek drains into. Dissolved oxygen, electrical conductivity, temperature and maximum/minimum pH were measured systematically for 12 months in the stations, where the water samples were collected. Chemical analyses of the water samples were carried out by using Cadas 50 S brand UV spectrometer to find out the Pb, Fe, Cu, Zn, Ni, Cr, Cd, S, F and Cn concentrations. These concentration were determined in microg/lt as 80-850; 180-4,920; 10-6,100; 440-25,530; 130-2,400; 120-280; 20-150; 214,250-1,113,580; 1,560-4,270 and 40-690, respectively. To determine metal levels of the water samples, multivariate analyses (element coefficient correlation, coefficient correlation dendrogram, hierarchical cluster analysis dendrogram, model summary and ANOVA) were used. The analyses yielded highly accurate results. There were positive correlations between some elements and their possible sources were the same. The stations which resembled each other along the creek were divided into three groups. The water quality of the creek was low and had toxic qualities. Eutrophication developed in Akkaya Dam along the creek. The source of pollution was thought to be industrial and residential wastes. Absolute (0-100 m), short distance (100-500 m) and medium distance (500-2,000 m) conservation areas should be determined in pollution areas along Karasu Creek and they should be improved.

Pulmonary toxicity and blood dyscrasias are rare side effects of sulfasalazine. Pulmonary pathology is variable, the most common being eosinophilic pneumonia with peripheral eosinophilia, and interstitial inflammation with or without fibrosis. We here present the case of a 68-year-old female patient treated for 6 months with sulfasalazine for rheumatoid arthritis. On laboratory examination, eosinophil count was 97 x 10(3) mm(3). Thorocoscopic biopsy was performed. Histopathologic diagnosis was bronchiolitis obliterans organizing pneumonia (BOOP). This is the first case in the literature to present with sulfasalazine-induced BOOP in a patient with seronegative RA.

Objectives: To determine the frequency of PIN (prostatic intraepithelial neoplasia) in prostate specimens and the relationship of PIN with PCA (prostatic carcinoma) and amount of sampling of the specimen., Materials and Methods: All the haematoxylin-eosin stained slides of 121 cases diagnosed between 1990 and 1995 were re-examined retrospectively. The amount of sampling of prostate specimens was also re-examined., Results: PIN was observed in 47.9% of all prostate specimens. The frequency of incidental PIN was 71.4% in cystoprostatectomy specimens. PIN was present in 58.3% of the cases with PCA. We observed foci of high-grade PIN adjacent to sites of invasive carcinoma in 100.0% of prostatectomy specimens with PCA. PIN was high-grade in 100.0% of the carcinomatous prostates with PIN. It was multifocal in 53.4% of 58 cases with PIN. Incidental PCA was identified in 14.3% of cytoprostatectomies for bladder cancer. The average number of paraffin blocks of prostatic tissue was 4.1 (+/-2.6) in cases with PIN and 3.2 (+/-1.4) in cases without PIN., Conclusion: In prostate specimens, the determination of PIN is very important since it is the most likely precursor of PCA. The probability of detecting PIN and PCA in a prostate specimen is directly related to the amount of sampling.