// modify the 7 lines below
$banners= array('http://www.3-rx.com/aaa/banner/im/prostatic-hyperplasia.jpg','http://www.3-rx.com/aaa/banner/im/dysmenorrhea.jpg','http://www.3-rx.com/aaa/banner/im/ectopic-pregnancy.jpg','http://www.3-rx.com/aaa/banner/im/pregnancy-risk.jpg','http://www.3-rx.com/aaa/banner/im/topamax.jpg','http://www.3-rx.com/aaa/banner/im/ibs.jpg','http://www.3-rx.com/aaa/banner/im/depression-new.gif','http://www.3-rx.com/aaa/banner/im/tacrolimus.gif','http://www.3-rx.com/aaa/banner/im/diabetes.jpg','http://www.3-rx.com/aaa/banner/im/personality-disorders.jpg','http://www.3-rx.com/aaa/banner/im/presbyopia.gif');
$alt_texts= array ('Benign prostatic hyperplasia, or BPH for short, is the enlargement of the prostate gland. It is caused by excess growth of cells in the prostate. This condition is not the same as prostate cancer','Alternate Names : Dysmenorrhea. Menstrual cramps are the pain and cramping some women experience during their monthly periods. The term dysmenorrhea usually refers to pain and cramps severe enough to prevent normal activity','An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus. The most common site is within a fallopian tube. More rarely an embryo may implant within an ovary, in the cervix, or on the abdominal wall','Pregnancy is the period from conception to birth. A pregnancy may be complicated by health problems or lifestyle issues known as risk factors. These risk factors can affect the mother or fetus, or both','Topiramate (toe-PYRE-a-mate) is used to help control some types of seizures in the treatment of epilepsy. This medicine cannot cure epilepsy and will only work to help control seizures for as long as you continue to take it.','Irritable bowel syndrome, or IBS, is a condition characterized by abdominal cramping, bloating, gas, and other changes in the bowels','Depression is a medical condition that leads to intense feelings of sadness or despair. These feelings don\'t go away on their own. They are not necessarily related to a particular life event','Tacrolimus ( ta-KROE-li-mus) ointment is used for moderate to severe atopic dermatitis. This is a skin condition where there is itching, redness and inflammation, much like an allergic reaction','Type 2 diabetes mellitus, more often known as type 2 diabetes, is the most common type of diabetes','Personality disorders are chronic mental disorders','Presbyopia is an eye condition in which the lens loses the ability to focus over time');
$links= array('http://www.3-rx.com/benign-prostatic-hyperplasia/default.php','http://www.3-rx.com/menstrual-cramps/default.php','http://www.3-rx.com/ectopic-pregnancy/default.php','http://www.3-rx.com/pregnancy-risk-factors/default.php','http://www.3-rx.com/drugs/detailed/topiramate/default.php','http://www.3-rx.com/irritable-bowel-syndrome/default.php','http://www.3-rx.com/depression.php','http://www.3-rx.com/drugs/detailed/tacrolimus-systemic/before-using.php','http://www.3-rx.com/diabetes.php','http://www.3-rx.com/personality-disorders/default.php','http://www.3-rx.com/presbyopia/default.php'); /* e.g. 'http://www.yoursite.com' */
$border="0";
$target="";
$width="150";
$height="300";
$action="";// for javascript enter 'js' else leave empty.
// YOU DO NOT NEED TO MODIFY BELOW
$random_no= count($banners);
$random=$random_no-1;
mt_srand ((double) microtime () * 1000000);
$rnd= mt_rand(0,$random);
$banner=$banners[$rnd];
$alt_text=$alt_texts[$rnd];
$link=$links[$rnd];
if ($action=="js")
{
echo("document.write('');");
}
else
{
echo"";
}
?>
Genetically diverse group A streptococci from children in far western Nepal share high genetic relatedness with isolates from other countries.
According to a study from the United States, “The genetic diversity of group A streptococci (GAS) throughout much of the world has not been adequately explored.”
“To assess genetic variation among GAS in western Nepal, 120 noninvasive GAS, collected from eight different villages, were genetically characterized using emm typing, sof sequencing, and multilocus sequence typing (MLST). A high level of genetic diversity was observed among these isolates, with 51 genotypes based upon 51 multilocus sequence types (STs), 45 emm sequence types, and 28 sof sequence types,” said Varja Sakota and colleagues at the U.S. Centers for Disease Control and Prevention.
“On the basis of shared ST-emm and sof-emm associations, 40 of the 51 genotypes were identical or highly related to genotypes characterized from locations outside of Nepal, even though most of the emm sequence and clonal types are rare among GAS within the United States,” the researchers reported. “When analyzing all known STs highly related to Nepal STs, only one example of similar STs shared between a sof PCR-positive strain and a sof PCR-negative strain was observed.”
“Since previous data indicate free exchange of MLST loci between sof-positive and sof-negative strains, there is possibly selection against the expansion of subclones resulting from horizontal transfers of sof or emm genes between sof-positive and sof-negative strains,” noted the scientists. “All 45 emm types encountered in Nepal have also been documented from other countries.”
“These data, together with data encompassing the past decade of emm type surveillance, support the possibility that most existing GAS emm types have been discovered,” they concluded. “Similarly, since most (40/51) strain types were highly related to strains found elsewhere, it is likely that a major fraction of the existing GAS clonal complexes have been discovered.”
Sakota and associates published the results of their research in the Journal of Clinical Microbiology (Genetically diverse group A streptococci from children in Far-Western Nepal share high genetic relatedness with isolates from other countries. J Clin Microbiol, 2006;44(6):2160-2166).
For additional information, contact Bernard Beall, Division of Bacterial and Mycotic Diseases, Respiratory Diseases Branch, Centers for Disease Control and Prevention, Mailstop C02, 1600 Clifton Road NE, Atlanta, GA 30333, USA. E-mail: .(JavaScript must be enabled to view this email address).
The publisher of the Journal of Clinical Microbiology can be contacted at: American Society for Microbiology, 1752 N Street NW, Washington, DC 20036-2904, USA.