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To evaluate the serotype distribution and antibiotic resistance in pneumococcal infections in adults and to provide a perspective regarding serotype coverage of both current and future pneumococcal vaccines. This passive surveillance study was conducted with the Streptococcus pneumoniae strains isolated from the specimens of patients with pneumonia (materials isolated from bronchoalveolar lavage), bacteraemia, meningitis, pleuritis and peritonitis between 2015 and 2018. Serogrouping and serotyping were performed by latex particle agglutination and by conventional Quellung reaction using commercial type-specific antisera, respectively. The strains were analysed for penicillin, cefotaxime, erythromycin and moxifloxacin susceptibilities by E-test. In the whole study group (410 samples from adults aged ≥18 years), the most frequent serotypes were 3 (14.1%), 19 F (12%) and 1 (9.3%). The vaccine coverage for PCV13, PCV15, PCV20 and PPV23 was 63.9%, 66.6%, 74.1% and 75.9%, respectively, in all isolates. Penicillin non-susceptibility in invasive pneumococcal disease (IPD) was 70.8% and 57.1% in the patients aged <65 and ≥65 years, respectively. About 21.1% and 4.3% of the patients with and without IPD had cefotaxime resistance. Non-susceptibility to erythromycin and moxifloxacin was 38.2% and 1.2%, respectively. The results revealed that novel PCV vaccines may provide improved coverage as compared with the currently available vaccine, PCV13. The significant antibiotic resistance rates imply the need to extend the serotype coverage of the vaccines. Continuing the surveillance in pneumococcal diseases is critical to explore the serotype distribution and incidence changes of IPD cases in the population and to inform policy makers to make necessary improvements in the national immunization programmes. This multicentre study demonstrated the most recent serotype distribution and antibiotic resistance in adult population in Turkey. Shifting from PCV13 to novel conjugated vaccines will significantly increase the coverage. Continuing the surveillance in pneumococcal diseases is critical to explore the serotype distribution changes and the incidence of cases with invasive pneumococcal disease in the population. [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.)

Background: This study examined football referees' self-efficacy according to various variables. Material and methods: The sample included 278 football referees (Meanage=26.00 ± 5.72 years) from different classes in the Ankara province. Participants, selected by convenience sampling, completed the Referee Self-Efficacy Scale (REFS). After testing the main assumptions of parametric tests, t-tests and one-way analysis of variance (ANOVA) were used for data analysis. Results: The t-tests revealed no significant difference in gender and education. As for the ANOVA results, there were significant differences in REFS dimensions "physical competency," "game knowledge," and "decisionmaking" in age; "game knowledge" and "decision-making" in income; and "physical competency" and "decision-making" in the refereeing level. Conclusions: Self-efficacy levels of football referees vary according to refereeing categories, income levels, and age. [ABSTRACT FROM AUTHOR]

Postcollisional magmatism in the eastern Sakarya zone was recorded by voluminous basic volcanism and repeated plutonism during the early Cenozoic. The temporal and geochemical evolution of these magmatic rocks is important for understanding the possible geodynamic history of the Sakarya zone. Here, we investigated three representative plutons lying between the towns of Çamlıhemşin (Rize) and İspir (Erzurum), Turkey. These are largely composed of medium-K gabbroic diorites (Marselavat Pluton), shoshonitic monzonites (Güllübağ Pluton), and high-K granites (Ayder Pluton). We present whole-rock geochemistry, 40Ar/39Ar geochronology, and Sr, Nd, and Pb isotope analyses from the plutons to constrain the timing of variations in magmatism and source characteristics, and we provide a new approach to the proposed geodynamic models, which are still heavily debated. The 40Ar/39Ar geochronology reveals a cooling sequence from ca. 45 Ma for the Marselavat Pluton through ca. 41 Ma for the Güllübağ Pluton to ca. 40 Ma for the Ayder Pluton. Whole-rock geochemistry and Sr, Nd, Pb isotopes suggest that crustal contamination was not an important factor affecting magma compositions. Although there was no arc-related tectonic setting in the region during the middle Eocene, the Marselavat Pluton shows some subduction affinities, such as moderately negative Nb and Ta anomalies, and slightly positive Pb anomalies. These signatures were possibly inherited from a depleted mantle source that was modified by hydrous fluids released from the oceanic slab during Late Cretaceous subduction. Geochemical traces of the earlier subduction become uncertain in the Güllübağ samples. They display ocean-island basalt-like multi-element profiles and Nb/Ta, Ce/Pb, and La/Ba ratios. All these point to a mantle source in which earlier subduction signatures were hybridized by the addition of asthenospheric melts. Melting of calc-alkaline crustal material, probably emplaced during the first phase of middle Eocene magmatism (Marselavat), led to the formation of granitic plutonism (Ayder Pluton). Our data in conjunction with early Eocene adakite-like rocks show that melt generation, as in the given sequence, was most probably triggered by breakoff of the northern Neotethyan oceanic slab, ~13 m.y. after the early Maastrichtian collision between the Sakarya zone and Anatolide-Tauride block, and continued until the end of the middle Eocene. A shallow-marine transgression occurred contemporaneously with the middle Eocene magmatism throughout the Sakarya zone. An extension in this magnitude seems unlikely to be the result of orogenic collapse processes only. The main cause of this extension was most probably related to the northward subduction of the southern Neotethys Ocean beneath the Anatolide-Tauride block. The result is a volumetrically larger amount of middle Eocene magmatism than that expected in response to slab breakoff. [ABSTRACT FROM AUTHOR]

Background: HCV virus infections are one of the major health problems in the world that can cause cirrhosis and liver cancer at a higher rate than other hepatitis data. The aim of this study was to determine the prevalence of mixed infections with different HCV genotypes in Turkey and also to evaluate the current HCV genotype and subtype distributions by a multicentered assessment. Methods: The HCV genotype data of 17,578 hepatitis C patients collected from 23 centers from different geographic regions covering all Turkey were collected. The data included information about the HCV genotypes in the last 10 years (between 2007 and 2016), demographic properties of the patients and the methods/systems used to determine the genotypes. Results: Two hundred twenty-eight of the patients (1.3%) had mixed genotype. The most common mixed genotype combination was 1b + 4 (0.83%) followed by 1a + 1b (0.26%). Genotype distribution varies according to geographical regions. However, genotype 1 (82.92%) was the most common genotype in all regions and all years. This was followed by genotype 3 (7.07%) and genotype 4 (5.43%). A variety of methods were used by the centers including sequencing, pyrosequencing, real-time PCR, in-house RFLP, reverse hybridization (LIPA), and hybridization. Conclusions: Infection with mixed HCV genotypes in Turkey is uncommon. Genotype distribution varies according to geographic regions; the most common genotype 1 is encountered all over the country, while genotypes 3 and 4 are only in some of the centers. Since there is limited information about mixed HCV infection, further investigations are needed to determine the clinical importance of mixed HCV infection. [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.)