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The outbreak has been largely contained within London's Orthodox Jewish communities, with limited spread outside of the city and to just 1 local non Orthodox Jewish child.
The current strain of influenza A (H5N1), which has been circulating in Southeast Asia among birds, with limited spread to humans, has fueled this concern (2, 3 ).
To contribute to discussions on how to effectively prevent transmission, we believe reporting the early experience with limited spread of the disease in Taiwan, along with a thorough description of the control measures taken, is important.
During the course of this epidemic, there were multiple introductions into camps for internally displaced persons in Haiti, with limited spread; into communities in the Dominican Republic, resulting in local but not widespread transmission; and into Florida and other states in the United States, with no secondary spread and no epidemics (4).
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This pattern is consistent with a more important role of the sexual cycle and the formation of oospores resulting in high levels of recombination in combination with a limited spread of these genotypes through the asexual cycle.
Although human immunodeficiency virus type 1 (HIV-1) infection is responsible for most of the global AIDS pandemic, HIV type 2 (HIV-2) is not infrequent in West Africa and is an additional and important cause of burden of disease with a limited spread to other regions of the world [ 1– 3].
For example, among mice with a highly aggressive type of cancer, 20% of those in which the cancer had fully spread, and 40% with a more limited spread, were completely cured after fasting in conjunction with chemotherapy.
Several genetic markers, such as esp, hyl Efm or the purK1 allele (used as part of the MLST scheme) are not ubiquitous traits of all hospital-associated E. faecium strains and failure to detect them does not reliably indicate a strain with a limited spreading or pathogenic potential [ 27, 34, 36, 39- 41].
Fentanyl is highly lipophilic; it undergoes rapid vascular absorption from the epidural space, it undergoes less rostral spread leading to relatively rapid analgesic of relatively short duration with limited dermatomal spread [ 10, 11].
A T3 tumour with limited extramural spread (outside the muscularis propria) has a different prognosis to a T3 tumour with more extended spread.
The dominant organizational rules are that representational area is proportional to peripheral innervation, and that cortical architecture is columnar with limited horizontal spread.
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