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A pregnant woman was diagnosed with Rubella re-infection in Northern Cyprus. The patient was unaware of her pregnancy when she sought medical attention for the pain, stiffness, and numbness in the fingers and hand joints without the presence of a rash. Following the confirmation of pregnancy as part of a routine check, Rubella IgM and Rubella IgG antibodies were assessed. Her Rubella IgM was in the grey zone reference units of the tests performed with the presence of Rubella IgG supporting and reinfection. Thus, further Rubella IgG avidity and Western blot were performed. Rubella IgG avidity was borderline. Hence, abortion was advised following the test results. Post-abortion, the Rubella IgM antibodies remained persistent for over 12 months. [ABSTRACT FROM AUTHOR]

Background: Tularemia is a zoonotic disease (reservoir is usually rodents) caused by Francisella tularensis, especially seen in the northern hemisphere. Hunters are in the risk group for this disease. In this study, it was aimed to determine the seroprevalence of tularemia among hunters and determine the risk factors of tularemia in our country. Methods: The Turkish Republic of Northern Cyprus (TRNC) is divided into four regions (Nicosia, Kyrenia, Famagusta/Trikomo, and Morphou/Lefka) and 100 volunteer hunters randomly selected from these regions were included in our study. Tube agglutination test (TAT) and F. tularensis IgG and IgM (ELISA method) were applied in all sera. All hunters were filled with a pre-prepared questionnaire to determine risk factors for tularemia. Results: TAT positivity was found in 11%. While F. tularensis ELISA IgG positivity was 17%, IgM positivity was not found in any hunters. Hunters with positive F. tularensis ELISA IgG test (17%) were accepted as seropositive in terms of tularemia. There was no statistically significant difference between the mean age of IgG-positive and negative hunters (p= 0.915). Of the 86 hunters who kept at least one hunting dog in their garden, 15 (17.4%) were IgG-positive. There was no significant relationship between feeding hunting dogs and tularemia (p= 0.561). Conclusion: Our study showed that the seroprevalence of tularemia was high (17%) among hunters, who are considered a risk group, in our country. We think that more epidemiological research should be done on tularemia infection and it should not be overlooked in the clinic. [ABSTRACT FROM AUTHOR]

Cutaneous leishmaniasis (CL) is a common illness that causes skin lesions, principally ulcerations, on exposed regions of the body. Although neglected tropical diseases (NTDs) are typically found in tropical areas, they have recently become more common along Africa's northern coast, particularly in Libya. The devastation of healthcare infrastructure during the 2011 war and the following conflicts, as well as governmental apathy, may be causal factors associated with this catastrophic event. The main objective of this study is to evaluate alternative diagnostic strategies for recognizing amastigotes of cutaneous leishmaniasis parasites at various stages using Convolutional Neural Networks (CNNs). The research is additionally aimed at testing different classification models employing a dataset of ultra-thin skin smear images of Leishmania parasite-infected people with cutaneous leishmaniasis. The pre-trained deep learning models including EfficientNetB0, DenseNet201, ResNet101, MobileNetv2, and Xception are used for the cutaneous leishmania parasite diagnosis task. To assess the models' effectiveness, we employed a five-fold cross-validation approach to guarantee the consistency of the models' outputs when applied to different portions of the full dataset. Following a thorough assessment and contrast of the various models, DenseNet-201 proved to be the most suitable choice. It attained a mean accuracy of 0.9914 along with outstanding results for sensitivity, specificity, positive predictive value, negative predictive value, F1-score, Matthew's correlation coefficient, and Cohen's Kappa coefficient. The DenseNet-201 model surpassed the other models based on a comprehensive evaluation of these key classification performance metrics. [ABSTRACT FROM AUTHOR]

BACKGROUND: There are two main purposes of microbial monitoring of the inanimate hospital environment. One of them is to monitor hygiene standards, and the second is to determine the presence of nosocomial pathogens. This study was aimed to investigate the indoor environment of the different departments of a university hospital. METHODS: The prospective study was conducted in a university hospital, a teaching hospital with 143 beds and 30 ICU beds, and a hospital with 6 different wards in Northern Cyprus. Active air sampling was done by using an air IDEAL 3P device. Air samples were taken at 38 points defined before in different parts of the hospital. RESULTS: Our results showed a low level of microorganisms' numbers in microbial airborne communities in a university hospital. Moreover, our results indicated that the temperature of the hospital's indoor environment is not significantly related to the airborne microbial community. On the other hand, our results indicate that the Aspergillus species were mostly isolated in the drug preparation room. CONCLUSION: The studies have shown that one of the causes of hospital infections is the microorganisms entering the airborne microbial communities. In this case, epidemiology and pathogenesis of airborne microbial communities should be understood. [ABSTRACT FROM AUTHOR]

The incidence of Brucella canis (B. canis) in humans is unknown in Northern Cyprus. In this study, we investigated the prevalence of B. canis and Brucella abortus (B. abortus) infection in human sera and evaluated the results obtained by agglutination-based techniques using standardized antigens made from B. canis comparatively. All of the subjects were negative in terms of Rose-Bengal plate test. Undiluted serum samples were initially screened by rapid slide agglutination test (RSAT), and those which were found positive were retested in the dilution of 1/25-1/200. Confirmation of the positive results was performed by using 2-mercaptoethanol standard agglutination test (SAT). The test antigen was prepared from the less mucoid M (-) variant of B. canis, and 1/1,048 titered dog antiserum was used as positive control. In 225 serum samples, 3.6% (8/225) was positive by B. canis M (-) RSAT, 4.4 % (10/225) was positive by B. canis M (-) indirect enzyme-linked immunosorbent assay (iELISA). 5.3% (12/225) was positive by B. abortus S99 RSAT and 9.8% (22/225) was positive by B. abortus S99 iELISA. Nine samples were positive by both B. abortus S99 RSAT and B. abortus S99 iELISA. Seven samples were positive by both B. canis M (-) RSAT and B. canis M (-) iELISA. One patient was positive by all methods. It is important to evaluate patient samples with RSAT and iELISA. Until the notification system gives better results to the Ministry of Health, in order to reach the real data for Northern Cyprus, multicenter prevalence determination studies should be done for future. [ABSTRACT FROM AUTHOR]

Copyright of Gazi Medical Journal is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Staphylococcus aureus (S. aureus), including methicillin resistant S. aureus (MRSA), can produce biofilm leading to increased morbidity and mortality in hospital infections. Antibiotic resistance is an inherent feature of bacterial biofilms, and the formation of biofilms is more widespread in MRSA. This study aimed to reveal the phenotypic biofilm-forming abilities of S. aureus isolates and to investigate the relationship of antibiotic resistance of biofilm-forming S. aureus with biofilm formation. Methods: A cross-sectional descriptive study was carried out in the microbiology laboratory at the Near East University Hospital in the Turkish Republic of Northern Cyprus. A total of 67 non-duplicative samples (wound/pus, sputum, aspirate, blood and urine) for the study were collected between January 2020 and April 2021 from samples of inpatients and outpatients from various hospital departments. VITEK 2 system was used for bacterial identification and antibiotic susceptibility testing, biofilm formation was evaluated using Congo red agar (CRA). Results: It was observed that 56 (84.3%) of 67 S. aureus isolates cultured on CRA produced biofilm, while the remaining 11 (15.7%) were not biofilm producers. A statistically significant relationship was found between methicillin resistance and biofilm formation in S. aureus isolates. Accordingly, a significantly higher biofilm formation was observed in MRSAs compared to those with negative methicillin resistance (92.1% vs. 72.4%, p=0.034). A high proportion of isolates of S. aureus showed susceptibility towards tigecycline (100%) and gentamycin (100%). Conclusion: The findings of this study indicated that methicillin-resistant strains produced more biofilms and exhibited a high degree of resistance to most antibiotics. [ABSTRACT FROM AUTHOR]

Background: Human immunodeficiency virus (HIV) can be transmitted from mothers to their babies during pregnancy, delivery through vaginal fluids or breastfeeding. As false positivity anti-HIV results due to pregnancy could be detected and no relevant study have been reported in Northern Cyprus so far, we aimed to estimate the false anti-HIV positivity rate in pregnant women.Methods: A total of 11.977 women admitted to Near East University Hospital between 2015 and 2018 were involved. The fourth generation anti-HIV-1/2 ELISA test was carried out by chemiluminescence enzyme immunoassay. Positive results were confirmed by real-time polymerase chain reaction (rt-PCR). SPSS (Statistical Package for the Social Sciences) Demo Ver 22 program was used for statistical analysis and significance (p<0.05) was measured by Person Chi-Square and Fisher's Exact tests.Results: Anti-HIV-1/2 ELISA test was positive in 7 (0.3%) of pregnant and 11 (0.1%) of non-pregnant women. HIV RNA was not detected in any pregnant however, was detected in 2 (0.02%) of non pregnant. S/Co titer of pregnant and non pregnant who have positive anti-HIV-test without viral load was x̄=2.68±1.64 (1.34-5.20) and x̄=8.63±7.68 (1.56-20.98) respectively. False positivity was significantly higher in pregnants compared to non-pregnants (p=0.033).Conclusion: False positivity can be encountered during pregnancy therefore, positive anti-HIV-1/2 ELISA results should be confirmed with molecular techniques before initiating antiretroviral treatment. [ABSTRACT FROM AUTHOR]

Objective: The Mediterranean island of Cyprus has a high rate of human transit as a result of tourism, human trafficking, and migration, which could contribute to the rate of HIV infection. The island is divided into 2 states - the northern portion is mainly populated by Turkish-Cypriots, and the southern portion is populated by Greek-Cypriots. The aim of this study was to assess the dynamics of HIV infection in both segments of Cyprus using a mathematical model. Materials and Methods: Data of HIV-positive individuals diagnosed during the period 1997-2018 in northern Cyprus were obtained from the Turkish Republic of Northern Cyprus Ministry of Health database, yielding a total of 129 cases, and data for the southern region, the Republic of Cyprus, were retrieved from a European Centre for Disease Prevention and Control (ECDC) 2013 report and ECDC/World Health Organization 2017 data. The total number of reported HIV infections was 1057. A mathematical model was used to evaluate the current and future HIV infection rate. Results: Stability analysis of the equilibrium point - disease-free or endemic - was conducted using the Lyapunov function. The basic reproduction number, represented as R0, is a measure of the potential for disease spread and serves as a threshold for stability. The R0 value was 0.83 in northern Cyprus and 0.040 in southern Cyprus. An R0 indicated a disease-free equilibrium. Conclusion: The calculations suggest that there is no current HIV epidemic on either part of the island; however, the model predicted a significant increase in the near future. [ABSTRACT FROM AUTHOR]

Helicobacter pylori (H.pylori) is an infective agent and the main resourceful factor of chronic, active type B gastritis, peptic and duodenal ulcer, gastric carcinoma and mucosa-associated lymphoid tumors. Nowadays, pharmcological treatment of H. pylori infections attracts attention besides antibiotic treatment. The aim of this study is to analyse the chemical composition of the essential oils of Thymus capitatus and the antimicrobial activity against H. pylori. Aerial parts of wild-growing plant materials were collected during the flowering stage from three different locations. Essential oil composition analyses were performed simultaneously by GC-FID and GC-MS systems. The antimicrobial activity of the essential oil was tested by broth dilution method. The thymol percentage was determined as more than half of the essential oil composition of Thymus capitatus-Yedidalga (51.9%) and Thymus capitatus -Yıldırım (57.1%); however, the composition of thymol was 47.2% followed by 15.1% (p-cymene), 10.0% (γ-terpinene) and 5.7% (carvacrol) for Thymus capitatus-Boğaz/Girne. The essential oil from Thymus capitatus- Boğaz/Girne showed the lowest MIC and MBC values and the strongest bactericidal activity against H. pylori compared to the other tested essential oils. Bactericidal efficacy of essential oil of Thymus capitatus on H. pylori could have been affected due to the varied rates of major compounds. Thymus capitatus essential oil could be an alternative way for the treatment of H. pylori infections. [ABSTRACT FROM AUTHOR]

Leishmaniasis is vector-borne disease caused by a protozoan endo-parasite species belonging to the genus Leishmania that live in the blood and tissues of the host. Basically the animals are infected. However, human population who live in the same environment are under risk. Destructive results on the skin, mucous membranes, and visceral organs are clinical manifestations mostly observed. Overall annual prevalence of theLeishmaniasis is approximately 12 million people and the size of the populationat risk is approximately 350 million. On the other hand, it is expected that global warming will cause to increase in the number of vectors of the disease and probablyin the number of countries. Many plant extracts and the natural compounds isolated from the terrestrial plants and marine organisms have been evaluated for their antileismanial activities. The genus Cyclamen is one of the flowering plants that belongs to the family Primulaceae, and comprises numerous species, many of which are well-known for their ornamental value. Beyond their aesthetic appeal, some of the Cyclamen speciesare used traditionally for their potential biological activities. Triterpene-type saponins, flavonoids, and alkaloids are the major groups among the phytochemical constituents reported. This study focused on the chemical constituents and antileismanial activities of the tubers of C. rohlfsianum which is an endemic plant in the flora of Libya. It grows especially in limestone cracks, up to 450 m altitude, and the tuber extracts aretraditionally used against Leishmania infections. The ethanolic extract of the tubers has been fractionated using reversed-phase silica gel (LiChroprep-C18). The antileishmanial activities of the fractions and as well as pure compounds isolated fromthe fractions have been studied. The structures of the isolated potent leishmanicidal compounds were established using 1D (1H, and 13CNMR, DEPT-135) and 2D-NMR (COSY, HSQC, and HMBC) experiments and HR-MS measurements. [ABSTRACT FROM AUTHOR]

Copyright of Mediterranean Journal of Infection, Microbes & Antimicrobials is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this study, chemical composition and antimicrobial activity of the essential oil ofSideritis cypria, which is an endemic taxon in Northern Cyprus, were investigated. The essential oil obtained by hydrodistillation were analyzed by gas chromatography (GC) and gas chromatography-mass spectrometry (GC-MS). In general, the GC and GC-MS analysis illustrated that fifty compounds were identified representing 96.9% of the oil. Major components were epi-cubebol (11.9%), trans-piperitol (8.9%) and pinene (8.1%), respectively. The antimicrobial activity of the essential oil was tested by disc diffusion method againstPseudomonas aeruginosa(ATCC 27853),Escherichia coli(ATCC 25922),Bacillus cereus(ATCC 10876),Staphylococcus aureus(ATCC 25923) bacteria andCandida albicans(ATCC 90028) yeast. The results showed that the inhibition zone ofS. cypriaessential oil againstC. albicansat maximum dose (10 μl) was higher than positive control Nystatin. The oil showed similar inhibitory zone to that of the positive control (TMP-SMX) againstB. cereusat maximum dosage 10 μl. In addition, the inhibitory effect of the oil againstE. colimeasured only at the 10 μl as 10.33 ± 0.58. Furthermore, the inhibition zones againstS. aureuswas ranged from 9.00 ± 2.00 to 24.00 ± 1.73 whileP. aeruginosawas found to be resistant in all doses.ABSTRACT FROM PUBLISHERCopyright of Journal of Essential Oil Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. [ABSTRACT FROM AUTHOR]

Propionibacterium acnes is commonly recognized for its acne pathogenesis. P. acnes produces chemotactic substances and activates the complement system. Resistant P. acnes strains were explained more than 40 years ago. For that reason, new antimicrobial agents for the topical treatment of skin infections have been researched, and it has been determined that plant extracts may be an alternative treatment for acne. In this review, antimicrobial studies of P. acnes have been reviewed. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Bulletin of Hygiene & Experimental Biology / Türk Hijyen ve Deneysel Biyoloji is the property of Refik Saydam National Public Health Agency and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To evaluate the efficiency of humic acid substances on removing micro-organisms from denture base materials.Background: Old denture wearer needs effective, easy-use and safe denture-cleaning material.Material and Methods: Square-shaped, heat-polymerised acrylic resin specimens (n = 550) were prepared and divided into five groups (n = 110 for each) corresponding to the microbial contamination (Candida albicans, Staphylococcus aureus, Bacillus cereus, Enterococcus faecalis, Pseudomonas aeruginosa). Contaminated specimens were randomly assigned to the application of five different denture-cleaning agents as follows (n = 20 for each): Kloroben, Corsodyl, Steradent, Corega, experimental solution with humic acid. Ten specimens were assessed as an experimental control carried out simultaneously for the treatment groups for each micro-organism. It was divided into two groups: negative control and positive control (n = 5 for each). All acrylic specimens were incubated 37°C for 24 h (for bacterial strains) and 37°C for 48 h (for yeast strains). After incubation period, all brain-heart infusion broths (BHI) which contain disinfectant acrylic specimens were cultured on 5% sheep blood agar (for bacteria) and Sabouraud dextrose agar (SDA) for yeast using loop. The numbers of colony-forming units per millilitre (CFU/ml) were calculated. The results were analysed by Mann-Whitney U-test and Kruskal-Wallis tests (p = 0.05).Results: Corsodyl and Kloroben completely eliminated the adherence of all investigated micro-organisms (100%) and showed the highest removal activity compared with other cleaning agents (p < 0.05). There was no statistically significant difference between Corsodyl and Kloroben (p ≥ 0.05), and there was no statistically significant difference between Corega, Steradent and experimental solution (p ≥ 0.05).Conclusion: Humic acid could be used as an alternative 'natural' solution for denture-cleaning agent. [ABSTRACT FROM AUTHOR]

Copyright of Viral Hepatitis Journal / Viral Hepatit Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Before the introduction of direct-acting antivirals in the treatment of chronic hepatitis C patients, the combination of peginterferon alpha and ribavirin was the standard therapy. Observational studies that investigated sustained virological response (SVR) rates by these drugs yielded different outcomes. Aims: The goal of the study was to demonstrate real life data concerning SVR rate achieved by peginterferon alpha plus ribavirin in patients who were treatment-naïve. Study Design: A multicenter, retrospective observational study. Methods: The study was conducted retrospectively on 1214 treatment naïve-patients, being treated with peginterferon alpha-2a or 2b plus ribavirin in respect of the current guidelines between 2005 and 2013. The patients' data were collected from 22 centers via a standard form, which has been prepared for this study. The data included demographic and clinical characteristics (gender, age, body weight, initial Hepatitis C virus RNA (HCV RNA) level, disease staging) as well as course of treatment (duration of treatment, outcomes, discontinuations and adverse events). Renal insufficiency, decompensated liver disease, history of transplantation, immunosuppressive therapy or autoimmune liver disease were exclusion criteria for the study. Treatment efficacy was assessed according to the patient's demographic characteristics, baseline viral load, genotype, and fibrosis scores. Results: The mean age of the patients was 50.74 (±0.64) years. Most of them were infected with genotype 1 (91.8%). SVR was achieved in 761 (62.7%) patients. SVR rate was 59.1% in genotype 1, 89.4% in genotype 2, 93.8% in genotype 3, and 33.3% in genotype 4 patients. Patients with lower viral load yielded higher SVR (65.8% vs. 58.4%, p=0.09). SVR rates according to histologic severity were found to be 69.3%, 66.3%, 59.9%, 47.3%, and 45.5% in patients with fibrosis stage 0, 1, 2, 3 and 4, respectively. The predictors of SVR were male gender, genotype 2/3, age less than 45 years, low fibrosis stage, low baseline viral load and presence of early virological response. SVR rates to each peginterferon were found to be similar in genotype 1/4 although SVR rates were found to be higher for peginterferon alpha-2b in patients with genotype 2/3. The number of patients who failed to complete treatment due to adverse effects was 33 (2.7%). The number of patients failed to complete treatment due to adverse effects was 33 (2.7%). Conclusion: Our findings showed that the rate of SVR to dual therapy was higher in treatment-naïve Turkish patients than that reported in randomized controlled trials. Also peginterferon alpha-2a and alpha-2b were found to be similar in terms of SVR in genotype 1 patients. [ABSTRACT FROM AUTHOR]

Background: The incidence of sexually transmitted diseases (STDs) is increasing among adolescents all around the world. There may be differences in knowledge and attitudes among different cultures and ethnic populations. The aim of this study is to determine knowledge, attitudes and behaviour of Turkish Cypriot adolescents related to STDs.Objectives: To assess knowledge of STDs, attitudes towards sexual behaviour and STDs among the secondary school students.Methods: A cross sectional study, with a sample size of 423 students, was conducted by using a semi-structured questionnaire. Simple random sampling method was applied during the selection of the sample.Results: The mean age of all participants was 15.61 +/- 1.22, 211 (49.88%) of them were male and 212 (50.12%) female. The majority of students (91.25%) stated that they had some knowledge about STDs; hovewer, 8.75% of the participants did not have any knowledge at all. Most of them, 42.32% described school as a source of information on STDs, nonetheless, only 7.57% of the group cited health care professionals as the information source. The majority of students (97.64%) has never been treated for STDs. Among 423 applicants, 93.14% indicated that they would have appreciated information about STDs during the high school years.Conclusions: There is a general understanding that the students are willing to participate and are in need of seminars that will be held about STDs during high school attendance. Furthermore, awareness raising educational events on this matter should be reviewed and revised in order to come up with more powerful ways of fighting against STDs transmission in this young population group of Turkish Cypriot (TC) community. [ABSTRACT FROM AUTHOR]

Introduction: Helicobacter pylori infects approximately half of the population worldwide. In our study, we aimed to investigate the correlation between the faeces antigen rapid test, which is one of the methods used in the diagnosis of H. pylori, and those with a positive diagnosis of H. pylori obtained from histopathological examination reports on stomach biopsy specimens. Materials and Methods: This study included 1,227 patients who applied to the Near East University Hospital between January 1, 2017 and December 31, 2019 and were examined with a H. pylori antigen rapid test in the microbiology laboratory. The patients’ age, gender, complaints and diagnosis were obtained by retrospective examination of H. pylori antigen test in human faecal specimens results and histopathology reports. Results: It was determined that 67 (5.5%) of 1,227 patients whose stool H. pylori antigen rapid test were examined were H. pylori positive. Biopsy was performed in 344 (28%) of the patients, and according to histopathology reports, 84 (24.4%) of the patients who underwent biopsy were found to be H. pylori positive. Conclusion: The sensitivity of H. pylori antigen rapid test in faecal specimens was 79.7% and the specificity was 100%. In our study, in which the results were evaluated retrospectively, it was concluded that the H. pylori stool Ag test may use in the detection of H. pylori and infection because it was non-invasive, cheap, easily applicable and gave positive results close to histopathological results. [ABSTRACT FROM AUTHOR]

Escherichia hermannii is a microorganism very rarely isolated from clinical specimens, since its first identification in 1982. So far, there are around 17 human cases reported in medical sources. This small number of isolated case, eventually leads to a lack of information about the pathology and pathogenesis of infections caused by this microorganism. In the present article, we report a diabetic foot co-infection due to Escherichia hermannii and Enterobacter aerogenes. The treatment of the patient was started with a combination of empiric piperacillin/tazobactam and teicoplanin therapy. Later, based on the microbiology test results, this medication was converted to meropenem. When the patient’s septic condition improved, coronary artery bypass and transtibial amputation operations were performed. The patient recovered completely and was discharged without further issues. To the best of our knowledge, this is the first E. hermannii infection report from Cyprus and the Middle East. [ABSTRACT FROM AUTHOR]

The high rate of carbapenem resistant Acinetobacter calcoaceticus-baumannii Complex (ABC) is indicated as a threat to public health. We aimed to determine the ABC isolated from Near East University hospital from 2016 to 2019 based on seasonality and climate changes. A total of 218 patients were examined between 2016 and 2019. All isolates were healthcare-acquired isolates, which are defined as those obtained after 48 hours of admission. All isolates were identified by a Phoenix 100 System. Antibiotic susceptibility analysis was reported based on EUCAST guidelines. Isolates were grouped according to seasons as follows: December through February as Quarter 1 (Q1); March through May as Quarter 2 (Q2); June through August as Quarter 3 (Q3); and September through November as Quarter 4 (Q4). Statistical analysis was performed with SPSS Ver 13.0 (SPSS Inc., Chicago, IL, ABD) program. There were significant differences between the number of patients with ABC infections according to years (p=0.000). The rate of carbapenem resistance of ABC was 86.2 % (n = 188). The resistance rates of the ABC isolates as well as carbapenem resistance peaked in October. The infection increased in the summer and decreased gradually in the autumn, winter and spring (p = 0.009). No significant difference was found between the carbapenem resistance of ABC infection and seasonality (p = 0.202). We have found that ABC infections and the carbapenem resistance of ABC increases in the summer months. However, more studies should focus on the epidemiological aspect of ABC infections. [ABSTRACT FROM AUTHOR]

The aim of our study was to detect the prevalence of Legionella pneumophilia (L. pneumophilia) in DUWLS using standard culture technique (SCT) and the real-time polymerase chain reaction (PCR) method in order to assess the risk of L. pneumophilia contamination within a dental setting. A total of 65 water samples were collected from 16 dental units and one cold water supply system from all clinical departments. L. pneumophilia could not be detected in any of the water samples using the standard SCT (0%), whereas L. pneumophilia was detected using real time PCR in three (4.6%) water samples collected from the tap system. Following the detection of L. pneumophilia, the tap systems were disinfected with surface disinfectant and water samples were recollected. The recollected water samples following disinfection were negative for L. pneumophilia once analyzed using culture and real time PCR technique. Although the culture method using BCYE media is the ‘gold standard’ for the detection of L. pneumophilia; Real Time PCR analysis may also be a quick, useful, and sensitive method for the detection of L. pneumophilia in order to control and prevent possible infections that may arise in the dental setting. [ABSTRACT FROM AUTHOR]

Introduction: A vaccine against coronavirus disease 2019 (COVID-19) is critically needed for older adults because of the increased morbidity and mortality rates. Methodology: In this prospective study, we analysed the titre magnitude of the IgG antibodies directed against the SARS-CoV-2 Spike Protein S1 (S1-RBD) antigen in both CoronaVac and Pfizer-BioNTech groups. The samples were tested to detect antibodies that bind to the receptorbinding domain of the spike protein of SARS-CoV-2 using the Enzyme-Linked Immunosorbent Assay (ELISA) technique with SARS-CoV-2 IgG II Quant. The cut-off value was > 50 AU/mL. GraphPad Prism software was used. Statistical significance was defined at p < 0.05. Results: The CoronaVac group (12 females, 13 males) had a mean age of 69.64 ± 1.38 years. The Pfizer-BioNTech group (13 males, 12 females) had a mean age of 72.36 ± 1.44 years. The anti-S1-RBD titre decrease rate from the 1st to the 3rd month for CoronaVac and Pfizer-BioNTech groups was 74.31% and 86.48%, respectively. There was no statistically significant difference in the antibody titre between the 1st month and 3rd month for the CoronaVac group. However, there was a significant difference between the 1st and 3rd month in the Pfizer-BioNTech group. In addition, there was no statistically significant difference in the genders between the 1st and 3rd month of the antibody titres for both the CoronaVac Pfizer-BioNTech group. Conclusions: The levels of anti-S1-RBD, the preliminary outcome data of our study, represents one piece of the puzzle of humoral response and duration of vaccination protection. [ABSTRACT FROM AUTHOR]

Cutaneous leishmaniasis (CL) is a common illness that causes skin lesions, principally ulcerations, on exposed regions of the body. Although neglected tropical diseases (NTDs) are typically found in tropical areas, they have recently become more common along Africa's northern coast, particularly in Libya. The devastation of healthcare infrastructure during the 2011 war and the following conflicts, as well as governmental apathy, may be causal factors associated with this catastrophic event. The main objective of this study is to evaluate alternative diagnostic strategies for recognizing amastigotes of cutaneous leishmaniasis parasites at various stages using Convolutional Neural Networks (CNNs). The research is additionally aimed at testing different classification models employing a dataset of ultra-thin skin smear images of Leishmania parasite-infected people with cutaneous leishmaniasis. The pre-trained deep learning models including EfficientNetB0, DenseNet201, ResNet101, MobileNetv2, and Xception are used for the cutaneous leishmania parasite diagnosis task. To assess the models' effectiveness, we employed a five-fold cross-validation approach to guarantee the consistency of the models' outputs when applied to different portions of the full dataset. Following a thorough assessment and contrast of the various models, DenseNet-201 proved to be the most suitable choice. It attained a mean accuracy of 0.9914 along with outstanding results for sensitivity, specificity, positive predictive value, negative predictive value, F1-score, Matthew's correlation coefficient, and Cohen's Kappa coefficient. The DenseNet-201 model surpassed the other models based on a comprehensive evaluation of these key classification performance metrics.

Objective: Intestinal parasitic infections (IPI) are considered as one of the most important public health problems that cause morbidity and mortality. For this reason, to determine their prevalence it is critical for prevention. This study aimed to determine the prevalence of intestinal parasites., Methods: In our study, a total of 4.957 patients registered to our hospital with gastrointestinal symptoms between January 2016 and December 2019 were retrospectively analysed. Their stool samples were examined macroscopically and microscopically. In the microscopy, native-lugol and formol ethyl acetate concentration methods were used. Crypto-Giardia-Entamoeba antigen test was applied. All cases were evaluated in terms of age, gender, year and season., Results: In our study group, 239 (4.8%) patients were detected as positive for intestinal parasites. Among these patients, 129 (54%) were male and 110 (46%) were female. No statistically significant difference was found between IPI and gender (p=0.228). Blastocystis hominis (76.2%) and Giardia intestinalis (12.1%) were the most common parasites. According to age groups, most intestinal parasites are found in 16-45 years old and least in 0-15-years-old (p=0.0001). A significant increase was found in positive intestinal parasite cases especially after 2018 (p=0.0001). Our study determined that intestinal parasites were observed most frequently in autumn (p=0.033)., Conclusion: The prevalence of IPI in our country is low. However, due to the increasing trend of IPI since 2018, necessary measures must be implemented to prevent further increase in the number of cases. In addition, reasons behind the rising cases of intestinal parasites during the autumn months in which rainfall begins require further investigation.

Objective: In present times, malaria remains an infectious disease with a high mortality rate in some regions of the world. It is predicted to preserve its importance as a disease in the future because of the traveling human populations from malaria-endemic African countries into the regions where malaria has been eradicated. The objective of this study is to evaluate the increasing imported malaria cases in the Turkish Republic of Northern Cyprus., Methods: In this study, we investigated 13 patients who were diagnosed with malaria between 2016 and 2019. We clinically evaluated all the cases. More importantly, we made the diagnosis of these patients by Giemsa-stained thin and thick blood smears, rapid malaria antigen tests, and genotyping (only for five patients) by real-time polymerase chain reaction. Additionally, we evaluated patients with malaria in terms of age, gender, and seasons., Results: In the diagnosed malaria cases, 11 (84.4%) of them were male and 2 (15.6%) were female. There was no significance between malaria infection and gender (p=0.358). Plasmodium falciparum, Plasmodium vivax , and Plasmodium ovale infection were detected in ten patients (76.9%), two (15.4%) patients, and one (7.7%) patient, respectively. There was a significant increase (p=0.003) in the malaria cases in 2019 (n=9). The seasonal comparison revealed that malaria infections are most common in autumn (8/13, 61.5%)., Conclusion: Despite the eradication of malaria in Turkish Republic of Northern Cyprus, the rising number of recently imported cases increases the risk of emerging local cases. Malaria infection should be immediately suspected, particularly, in foreign patients who travel from the malaria-endemic region and present with symptoms such as fever and shivering if the laboratory findings especially detect thrombocytopenia.

Hepatitis E virus (HEV) is transmitted by a fecal oral route from animals to humans following exposure to the body fluids of infected animals. We investigated the seroprevalence of anti-hepatitis E (anti-HEV) antibodies by monitoring IgG and IgM virus antibodies amongst employees in the animal industry in North Cyprus through a cross-sectional study. Samples were taken from individuals without occupational exposure to animals and from those who worked with animals (doing animal husbandry, veterinary work or butchery). Enzyme-linked immunoassays were used to detect anti-HEV IgG and IgM in the blood samples. The prevalence of anti-HEV IgG antibodies was 3.0% (12/400), while the prevalence of anti-HEV IgM antibodies was 0.25% (1/400). The prevalence of anti-HEV IgG amongst the samples received from females was approximately 2.5-fold higher than samples received from males (2.4%). Anti-HEV IgG was detected amongst 7% of animal husbandry workers and amongst 2% of veterinarians and butchers. The current findings represent the first records of HEV surveillance in Cyprus. We investigated the seroprevalence of anti-HEV by monitoring IgG and IgM virus antibodies amongst employees., Hepatitis E virus (HEV) is transmitted by a fecal oral route from animals to humans following exposure to the body fluids of infected animals. We investigated the seroprevalence of anti-hepatitis E (anti-HEV) antibodies by monitoring IgG and IgM virus antibodies amongst employees in the animal industry in North Cyprus through a cross-sectional study. Samples were taken from individuals without occupational exposure to animals and from those who worked with animals (doing animal husbandry, veterinary work or butchery). Enzyme-linked immunoassays were used to detect anti-HEV IgG and IgM in the blood samples. The prevalence of anti-HEV IgG antibodies was 3.0% (12/400), while the prevalence of anti-HEV IgM antibodies was 0.25% (1/400). The prevalence of anti-HEV IgG amongst the samples received from females was approximately 2.5-fold higher than samples received from males (2.4%). Anti-HEV IgG was detected amongst 7% of animal husbandry workers and amongst 2% of veterinarians and butchers. The current findings represent the first records of HEV surveillance in Cyprus. We investigated the seroprevalence of anti-HEV by monitoring IgG and IgM virus antibodies amongst employees., (© 2018 Kaya Süer et al.)