Effect of Cognitive-Behavioral Therapy-Based Anger Management Training on Anger and Aggression Levels of Individuals Convicted of Violent Crimes.

PURPOSE: To determine the effect of cognitive-behavioral therapy (CBT)-based anger management training on anger and aggression levels of individuals convicted of violent crimes. METHOD: This study was a randomized controlled trial conducted in a prison. Seventy-two individuals who met inclusion criteria were included in the study sample. The experimental group received 10 sessions of CBT-based anger management therapy over a 5-week period. RESULTS: After CBT-based anger management training, mean total score and mean subdimension scores of the Trait Anger and Anger Expression Style Scale of the experimental group decreased significantly compared to the control group. Similarly, Buss-Perry Aggression Questionnaire total mean score and mean sub-dimension scores of the experimental group significantly decreased compared to the control group. CONCLUSION: Results demonstrate that CBT-based anger management training effectively reduces anger and aggression levels among individuals convicted of violent crimes. In this regard, it is recommended that forensic psychiatric-mental health nurses, physicians, and psychologists working in correctional institutions apply CBT-based anger management training. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Predictive value of Controlling Nutritional Status score and Prognostic Nutritional Index for systemic inflammatory response syndrome/sepsis after percutaneous nephrolithotomy.

PURPOSE: Our aim was to investigate the predictive value of Controlling Nutritional Status (CONUT) score and Prognostic Nutritional Index (PNI) for systemic inflammatory response syndrome (SIRS)/sepsis after percutaneous nephrolithotomy (PNL). METHODS: Demographic and clinical data of 422 patients who underwent PNL were evaluated. The CONUT score was calculated from lymphocyte count, serum albumin, and cholesterol, while the PNI was calculated using lymphocyte count and serum albumin. Spearman's correlation coefficient was used to evaluate the relationship between nutritional scores and systemic inflammation markers. Logistic regression analysis was performed to determine the risk factors for SIRS/sepsis development after PNL. RESULTS: Patients with SIRS/sepsis had a significantly higher preoperative CONUT score and lower PNI compared with the SIRS/sepsis (-) group. A positive significant correlation between CONUT score and CRP (rho = 0.75), CONUT score and procalcitonin (rho = 0.36), and CONUT score and WBC (rho = 0.23) were determined. Additionally, a negative significant correlation was shown between PNI and procalcitonin (rho = - 0.30) and PNI and CRP (rho = - 0.64). The ROC curve analysis showed that the cut-off values for the CONUT score and PNI were 4 (AUC = 0.827) and 42 (AUC = 0.734), respectively. Age, stone size, history of pyelonephritis, residual stone, presence of infection stone, CONUT score ≥ 4, and PNI ≤ 42 were found to be independent predictors for postoperative SIRS/sepsis in multivariate analysis. CONCLUSION: Our results demonstrated that preoperative CONUT score and PNI are potential predictive factors for SIRS/sepsis development after PNL. Therefore, patients with CONUT score ≥ 4 and PNI ≤ 42 are suggested to be closely monitoring due to the risk of post-PNL SIRS/sepsis.

The use of natural killer cell activity and PPD test in the prediction of results in intravesical BCG treatment of patients with nonmuscle-invasive bladder cancer.

PURPOSE: To predict the efficacy of intravesical BCG therapy in patients with nonmuscle-invasive bladder tumors (NIBC) by using components of the cellular immune response such as the tuberculin skin test (PPD) and natural killer (NK) activity measurement. METHODS: Ninety-nine patients who were started on intravesical BCG therapy for NIBC were evaluated prospectively. Patients who were included in the intermediate, high, and very high-risk groups according to the EAU NMIBC Scoring System and who had never received intravesical BCG therapy previously were included. The clinical and demographic characteristics of the patients (age, gender, EAU NMBIC risk group, EORTC progression and recurrence scores, CUETO progression and recurrence scores, presence and types of comorbidity) were recorded. NK activity was measured and the PPD test was applied 3 days before the start of intravesical BCG therapy. The results of PPD were measured in millimeters 72 h after the test. RESULTS: PPD values measured before BCG treatment, as an independent variable, were found to be significantly lower in patients with recurrence. A significant correlation was detected between NK activity results obtained before BCG treatment and recurrence after treatment, when the cutoff was 200-500 pg/dl. There was no significant relationship between the time to recurrence and PPD and NKA measurements. CONCLUSION: We conclude that the results of PPD test and NK activity measurement performed before starting intravesical BCG therapy in NIBC may be a marker that can be used to predict the risk of recurrence under treatment.

The assessment of the thermal behavior of an urban park surface in a dense urban area for planning decisions.

The new summer index (SSI) which was established to determine climate comfort was classified according to the index. Climatic comfort areas will increase and thus raising the quality of living in areas. The temperature values felt in the study were calculated with the SSI formula, and then the maps of the study area were classified. The study area was the Hayal Park and its surroundings in the Toros Quarter of Cukurova District, which is surrounded by multi-story and dense buildings in the north of Adana. Although the vertical construction is very high, it is richer in terms of green areas compared to other large central districts. Cukurova, which is one of the largest districts of Adana (according to population), has Seyhan dam lake in the north and Seyhan district in the south. The study area is on the border of Seyhan district and is adjacent to Yüregir and Sariçam districts. With the portable Smart SENSOR AS 847 measuring device, temperature and relative humidity were measured at 1.5 m above the ground on Tuesday, August 20 at 07.00, at 14.00, and 21.00. Bioclimatic comfort areas were determined by measuring temperature and relative humidity at 25 points with different textures in the study area. In this study, measured instantaneous temperature (°C) and relative humidity (%) data were transferred to GIS medium by ArcGIS 10.6 program and then modeled with the Kriging method, which is one of the interpolation methods, and temperature and relative humidity maps were created. The temperature map created in degrees Celsius (°C) by the Kriging method and was converted to Fahrenheit degrees (°F) in the Raster Calculator. The reason for this change is that SSI is calculated with the formula Fahrenheit (°F). These maps were then calculated on the Raster Calculator using the SSI formula, and sensed temperature values were obtained The SSI, which normally has 8 classes, has 3 classes in the study area. These classes are 83 ≤ SSI < 91 slightly hot, 91 ≤ SSI < 100 hot, and 100 ≤ SSI < 112 very hot. When we look at the maps, the places outside of Hayal Park are in the hot class at 07.00 in the morning, and we can see that the green spaces have a positive effect on the bioclimatic comfort areas. The small area is in a very hot class. When we look at 14.00 h, it is a totally hot class. Normally, the temperature is the highest of these times and also coincides with the multi-story buildings in the study area; asphalt and concrete areas increased the temperature. As a result, there is a very hot air in the study area. It was determined that the maps identified non-comfortable areas. Since urban form and settlement affect climate comfort values, the urban plan should be revised, and the area should be brought to the bioclimatic comfort value range. For reducing the effect of temperature in the working area and creating comfortable areas is increasing the density of green areas compared to asphalt and concrete areas. Considering that the Cukurova district will grow further, urban planning should be done very well to reach the comfort range in the following settlements.

Association of the BsmI, ApaI, TaqI, Tru9I and FokI Polymorphisms of the Vitamin D Receptor Gene with Nephrolithiasis in the Turkish Population.

PURPOSE: To analyze the relationship between nephrolithiasis and vitamin D receptor (VDR) gene BsmI (rs1544410), ApaI (rs7975232), TaqI (rs731236), Tru9I (rs757343) and FokI (rs2228570) polymorphisms in a study group from the Turkish population. MATERIALS AND METHODS: Ninety-eight patients with calcium oxalate kidney stones and 70 controls were enrolled in this study. Five polymorphisms of the VDR gene were studied using the Polymerase Chain Reaction Restriction Fragment Length Polymorphism (PCR-RFLP) method. RESULTS: For all polymorphisms, genotype frequencies were in line with Hardy-Weinberg equilibrium in the patients and controls. For the BsmI polymorphism, allele frequency distribution was found to differ significantly between the patients and the controls (P < .05). The "B" allele was found to increase the risk of nephrolithiasis by approximately 1.5-fold (odds ratio = 1.55, 95% confidence interval: 1.00-2.40; P = .048). However, we did not find any statistically significant differences in the allele and genotype frequencies for the ApaI, TaqI, Tru9I and FokI polymorphisms. Proportionally, the "BAt" and "baT" haplotypes were more common than other haplotypes in the cases and controls, respectively. For the haplotypes of the BsmI and TaqI polymorphisms, the "bT" haplotype frequency was found to be common in both the patients and the controls. However, we did not find statistically significant differences between the cases and the controls for either the BsmI / ApaI / TaqI or the BsmI/TaqI haplotypes. Moreover, no relationship was identified between family history and development of stone disease. CONCLUSION: The "B" allele of the BsmI polymorphism of the VDR gene may increase stone development risk. Further investigations are needed to improve our knowledge regarding the genetic factors affecting urinary stone development.

Infections of Larval Stages of Dicrocoelium dendriticum and Brachylaima sp. in Brown Garden Snail, Helix aspersa, in Turkey.

The aim of this study was to determine the presence and prevalence of larval stages of Dicrocoelium dendriticum and Brachylaima sp. in the first intermediate host, a species of land snail, Helix aspersa, in Turkey. A total of 211 snails were collected in April-May 2014 from pastures in Mersin District. Larval stages of D. dendriticum were identified under a light microscope. Hepatopancreas from naturally infected H. aspersa snails were examined histologically. The prevalence of larval stages of D. dendriticum and Brachylaima sp. in H. aspersa snails was found to be 2.4% and 1.9%, respectively, in Mersin, Turkey. Cercariae were not matured in sporocysts at the beginning of April; however, it was observed that cercariae matured and started to leave sporocysts by early-May. Thus, it was concluded that H. aspersa acts as an intermediate host to D. dendriticumin and Brachylaima sp. in Mersin, Turkey. A digenean trematode Brachylaima sp. was seen for the first time in Turkey.

Molecular characterization of Fasciola samples, collected from different host species coming from the endemic area of Turkey.

Economical animal breeding programs are important for achieving maximum gain, and any factors resulting in economical loss should be minimized or eliminated. An organism of concern is the liver fluke, Fasciola hepatica, which causes decreased yield and even death in sheep and dairy cattle. In an effort to eliminate or minimize the detrimental effect of this parasite in animals, it is important to understand the genetic diversity within the liver flukes and the relationship between this parasite and the host in the particular geographic area. The aim of this study was to explore genetic diversity by analyzing the mitochondrial ND1 and cyt b genes and Ribosomal ITS1-2 regions. With these analyses, the individual differences, the host animal differences and combined effects of these factors on genetic relationships have been determined.

Epicardial adipose tissue increased in patients with newly diagnosed subclinical hypothyroidism.

OBJECTIVE: To investigate whether or not patients with subclinical hypothyroidism (SH) have increased epicardial adipose tissue (EAT). SUBJECTS AND METHODS: Sixty-one patients with newly diagnosed SH and without any known cardiovascular disease were enrolled. Twenty-four subjects matched for age, gender and body mass index without any thyroid dysfunctions were included as a control group. The EAT was measured by echocardiography and thyroid functions were assessed by routine blood examination. RESULTS: Patients with SH had higher EAT values than control subjects (3.6 ± 0.9 vs. 2.8 ± 1.4, p = 0.005). Also, SH patients with thyroid-stimulating hormone (TSH) ≥10 mU/l had higher EAT than those with SH with TSH <10 mU/l and control subjects (p = 0.013). In addition, while there was significant correlation between EAT and TSH (r = 0.31, p = 0.014) in patients with SH, there was no significant relation between EAT and TSH in normal subjects (r = 0.09, p = 0.64). CONCLUSIONS: There was a higher level of EAT in patients with SH compared with normal subjects and a significant correlation between EAT and TSH was found.

Influence of preoperative pain duration on microsurgical varicocelectomy outcomes.

Objective. To investigate the question of whether duration of pain before surgery ultimately affects sperm parameters after varicocelectomy. Methods. Fifty patients with painful grade-3 varicocele were investigated prospectively. The patients were divided into two groups according to their symptom period. The patients having had grade-3 varicocele for less than 1 year were included in Group-1 (Ge, n = 25). Twenty-five patients who had painful grade-3 varicocele for more than 1 year (Gs, n = 25) were classified in Group-2. Semen analysis was performed after 3 days of sexual abstinence twice a month. Total sperm concentration (TSC), rapidly progressive motility (SPa), and slow or sluggish motility (SPb) rates were noted. Pain was evaluated by using 10 cm visual analogue scale (VAS). Results. Postoperative TSC and %SPb were significantly higher in both groups (P = 0.01). There was no difference between two groups for preoperative and postoperative TSC, %SPa, % and SPb values. VAS significantly declined in both groups (P = 0.005). This postoperative decline was not significant for intergroup comparison. Conclusions. Our results show that increase in semen quality and decrease in the pain after microsurgery varicocelectomy do not depend on the duration of the preoperative pain.

Serological screening of canine heartworm (Dirofilaria immitis) infections in Turkey.

This study was conducted to determine the seroprevalence of canine dirofilariosis in ten provinces of Turkey using antigen ELISA. A total of 317 blood samples were collected from 199 male and 118 female dogs between 2010 and 2011. 27 (8.5%) of 317 dog samples were positive for Dirofilaria immitis antigen by ELISA. No differences in seroprevalence were observed by sex (male: 9%; female: 8%; p > 0.05). Seroprevalence rates were the highest in Afyonkarahisar province (18%), followed by Eskisehir (15%), Nevsehir (14%), Aksaray (12%), Kars (10%), Malatya (9%), Nigde (4%), Mersin (3%) and Konya (2%) provinces. No positive results were obtained in Ankara province. The differences in seroprevalence of Afyonkarahisar, Eskisehir, Ankara, Konya and Mersin was statistically significant (p < 0.05). The seroprevalence of D. immitis infection varied with age. The highest seroprevalence was observed in dogs older than five years of age (the risk of infection increases with age).

Effects of angiogenesis inhibition by spironolactone on isolated vas deferens contractility in an experimental varicocele model in rats.

OBJECTIVE: To investigate the effect of spironolactone, as an angiogenesis inhibitor, on the isometric contractile responses in isolated vas deferens strips from left varicocele-induced rats. METHODS: Twenty-four adult (12-14 months) male Wistar albino rats were randomly assigned to 4 groups (n = 6 in each): (1) Control group, (2) sham-operated group, (3) experimental left varicocele group, and (4) Spironolactone (20 mg/kg/d)-treated experimental left varicocele group. Histopathologic and immunohistochemical (CD31 staining) findings in the rat testis and functional findings in the rat isolated vas deferens were investigated. RESULTS: Angiogenesis increased in the varicocele group and the spironolactone inhibited angiogenesis in the spironolactone-treated group. Spironolactone seemed to change phenylephrine and serotonin responses in the left vas deferens. CONCLUSION: It is possible that by inhibiting angiogenesis, spironolactone treatment negatively impairs testicular morphology and functional (vas deferens) pathways. Varicocele formation seems to elicit an increase to 5-HT sensitivity in rat vas deferens, and this process is prevented by spironolactone pretreatment.

Prevalence of cystic echinococcosis in slaughtered cattle in Afyonkarahisar.

This study was carried out in 1001 cattle that were slaughtered in 3 abattoirs in the Afyonkarahisar district of western Turkey. Abattoirs were visited twice a week and internal organs of the cattle were examined for cystic echinococcosis (CE). The number of organs discarded because of CE was recorded. CE was found in 295 (29.47%) out of 1001 cattle studied. CE was found in 113 (44.31%) out of 255 cows and 182 (24.39%) out of 746 bulls. This difference was statistically significant (p < 0.001). CE was observed only in liver of 130 (44.06%) cattle, only in lungs of 91 (30.85%); only in hearts of 2 (0.68%) and only in the kidney of 1 (0.34%); in both livers and lungs of 70 (23.73%), and in both hearts and lungs of 1 (0.34%). Also, the rate of CE was significantly higher in cows than bulls in terms of organ predilection (p < 0.001). Forty three livers were completely discarded along with half of 18 livers, a quarter of 37 livers and the remaining livers in various degrees. Forty four lungs were completely destroyed along with half of 13 and a quarter of 21 whereas 3 hearts and one kidney were completely destroyed. The fertility rate of cysts was found to be 5.42%. In this study the prevalence of CE in cattle in Afyonkarahisar district has been documented and possible economic losses due to CE were emphasized.

[Examination of helminth contaminated wastewaters used for agricultural purposes in Afyonkarahisar]. / Afyonkarahisar'da tarimsal amaçli kullanilan atik sularin helmint kontaminasyonu yönünden incelenmesi.

This research was performed in order to examine helminth contaminated wastewaters used in agriculture in Afyonkarahisar. Ten rural areas were selected that used water for agricultural purposes from a creek contaminated with human and animal wastes. Between September 2004 and August 2005, these areas were visited once every two weeks, and a total of 240 water samples were collected. Out of untreated water samples, 32 samples (26.70%) had helminth eggs, whereas there were neither helminths nor developmental stages of helminths (p < 0.001) in treated water samples. Cestode eggs were seen in 10.00% of untreated water samples and nematode eggs were seen in 16.70%. Out of the helminth eggs, 13 (40.60%) were hookworm eggs; 6 (18.75%), Taenia spp.; 5 (5.60%), Ascaris lumbricoides; 3 (9.40%), Hymenolepis diminuta; 3 (9.40%), H. nana; and 2 (6.25%), Toxocara spp. In conclusion; the creek was found to be contaminated by helminths originating from human and animal wastes in Afyonkarahisar. This type of water presents a risk for human and animal health and contaminated waters, therefore, should be avoided in irrigation of vegetables and fruit consumed raw.

Prevalence of coccidia in beef cattle in western Turkey.

A total of 504 bovine faecal samples collected from intensively managed beef farms in Afyon province of Turkey were examined to determine the types and prevalence of coccidian parasites present. Coccidian oocysts were found in 20.04% of all the samples examined by sucrose-flotation. The species detected and their prevalence were Eimeria bovis (34.55%), E. auburnensis (23.03%), E. canadensis (14.55%), E. brasiliensis (10.91%), E. zuernii (6.67%), E. bukidnonensis (3.03%), E. cylindrica (2.42%), E. ellipsoidalis (1.21%), E. illinoisensis (1.21%), E. alabamensis (1.21%) and Isospora sp. (1.21%). Mixed infections of two to four species were found in 43.6% of the animals. The overall prevalence of coccidial oocysts in faecal samples was 27.23% for calves, 15.65% for cows. Linear regression analysis showed that there is a significant reduction in the OPG (the number of oocysts per gram of feces) levels (P<0.05) in cows infected with Eimeria. No cases of clinical coccidiosis were observed in this survey.

Dirofilaria immitis infection in dogs: unusually located and unusual findings.

Clinical, blood, serum biochemistry, and parasitological assessments were performed on four hospitalized dogs, not in good general condition, in a study carried out to determine the prevalence of general parasitic infections. Hematological and biochemical parameters and electrocardiographic recording of the animals were determined during the general clinical examinations. Four dogs were indicated to have been infected with Dirofilaria immitis by using modified Knott's method, and the microfilarial density was determined. Mild to moderate anemia and decrease in sedimentation velocity were established in dogs. Differences in other hematological and biochemical values between the dogs were determined. Right axis deviation was determined in a dog. D. immitis was encountered in the right ventricle, bronchus, and the pericardial sac at the end of the necropsy. On the other hand, in the histopathological examinations, pulmonary adenocarcinoma deriving from bronchial epithelium was identified in a dog, and microfilaria was encountered in bronchial and bronchiolar lumens, interstitium of the lungs, and bile ducts. D. immitis has not been considered in the diagnosis of dogs with pneumonia and tumors. The requirement of parasitological examination with respect to D. immitis in the diagnosis of dogs with tumor or pneumonia has been considered vital.

[Gastrointestinal nematodes and their seasonal distribution in cattle raised in central Afyonkarahisar, Turkey]. / Afyonkarahisar il merkezinde yetistirilen sigirlarin mide bagirsak nematodlari ve mevsimsel dagilimlari.

This study was conducted during the period of September 2004-August 2005 in two villages with simple raising of cattle located in the center of the Afyonkarahisar province. Fecal samples collected from 985 cattle and the gastrointestinal tracts of 24 cattle were inspected. Strongyle types of eggs were observed in 26.39% of the fecal samples. The infection was found to be less prevalent in the spring (22%) and most prevalent in autumn (32.53%). The genus of larvae observed in fecal cultures were Haemonchus spp. 25.25%, Trichostrongylus spp. 23.71%, Nematodirus spp. 16.49%, Ostertagia spp. 10.30%, Cooperia spp. 8.76%, Bunostomum spp. 6.70%, Oesophagostomum spp. 6.18% and Chabertia ovina. 2.57%. H. contortus and Oesophagostomum venulosum (20.83%), O. radiatum (16.66%), Cooperia onchophora and Ostertagia ostertagi (8.3%), O. trifurcata, C. punctata and Chabertia ovina (4.16%) were found during inspections of the gastrointestinal tracts which were performed in order to determine the infective species. Based on these results, it was concluded that there are infections caused by gastrointestinal nematodes in this province but the severity of the infection is low and the seasons with highest infection risk are late spring and autumn.

The resistance of nematode parasites in sheep against anthelmintic drugs widely used in Western Turkey.

This study was carried out in seven sheep herds infected by gastro-intestinal nematodes in the Afyonkarahisar district (Western Turkey) from June to July 2005. Sixty sheep in each herd were distributed into 3 groups as anthelmintic treatment groups along with a control group containing 15 animals. The anthelmintic groups were treated with albendazole (7.5 mg/kg BW), oxfendazole (7.5 mg/kg BW)-oxyclosanide (15 mg/kg BW) combination and ivermectin (0.2 mg/kg BW-injectable). The faecal samples were collected before treatment and after 10 days of treatment. Nematode egg counts per gram of faeces (EPG) were examined in the faecal samples using the McMaster technique. To identify the genus, the faecal samples were cultured. The faecal egg count reduction test (FECR) was employed to determine the resistance. In ivermectin treated groups, the FECR% values and the lower confidence limits were estimated as A: 68.57(14.77), B: 46.42(22.47), C: 84.41(35.38), D: 95.23(61.64), E: 97.14(76.94), F: 65.21(80.46) and G: 91.66(31.69), respectively. In the A, B, C, F and G herds, statistical analysis showed that the FECR% values were less then 95% and the estimated lower confidence limits were less then 90%. In all herds, albendazole treated, oxfendazole-oxyclosanide treated and control group, there were no eggs in the feacal samples. In these groups, the FECR% values were 100. In ivermectin treated groups, the third stage larvae from the genera Haemonchus, Oesophagostomum, Trichostrongylus, Cooperia, Nematodirus and Ostertagia were detected in coprocultures before treatment and the larvae from the genera Haemonchus and Oesophagostomum were detected in post-treatment coprocultures in the resistant herds. In conclusion, there was no evidence of resistance in sheep gastro-intestinal nematodes against albendazole and oxfendazole-oxyclosanide; in contrast, the resistance against ivermectin was detected in five sheep herds in the Afyonkarahisar district.

[Paramphistomiasis and distomatosis in cattle in the Afyon province.]. / Afyon ili sigirlarinda paramphistomosis ve distomatosisin genel durumu.

In this study, livers, gall bladders, rumens and reticulums from 746 males and 255 females, making a total of 1001 slaughtered cattle, were examined in order to determine the prevalence of paramphistomiasis and distomatosis during the period of June 2003-November 2003 in the Afyon province. The infection rate of parasites was 13.6% (136 cattle) for Paramphistomidae spp., 4.6% (46 cattle) for Fasciola spp., 15.3% (153 cattle) for Dicrocoelium dendriticum and 1.4% (14 cattle) for either Fasciola spp. or D. dendriticum. The infection of males with paramphistomiasis and distomatosis was 3.05 times more than that in the females.