1,440 Matching Annotations
  1. May 2017
    1. Pathogenicity studies of mice indicate that S. alga appears to be the more virulent species, possibly due to the production of a hemolytic substance.

      Alga appears to be more virulent

    2. In contrast, Shewanella putrefaciens organisms (Gilardi biovars 1 and 3; CDC biotype 1) were more often associated with nonhuman sources (70%)

      putrefaciens is not as common in humans

    3. certain virulence factors (hemolysis and adhesion).

      virulence factors

    1. Shewanella putrefaciens is as yet rarely responsible for clinical syndromes in humans

      Rare

    2. Nevertheless, S. putrefaciens also retains pathogenic potential, mainly under special environmental circumstances. Indeed, most of the reported infections pertained to contact with contaminated waters or injuries or occurrences in which integrity of the skin was compromised to some extent (3, 4, 9, 10, 12); this last issue encompasses also long-term catheters (1). In addition, isolation of S. putrefaciens occurred in polymicrobial infections (3).

      pathogenic potential

    3. Both S. putrefaciens and Shewanella alga are uncommon as isolates from clinical syndromes, their natural habitats being all forms of water, fish, oily foodstuffs, and soils (2, 4, 11)

      Rare as a clinical isolate

    1. Ingestion of contaminated foods and direct contact

      Mode of transmission

    2. They are responsible for a variety of infections, including bacteremia, pneumonia, intravenous catheter-associated infections, osteomyelitis, endocarditis, and, rarely, endogenous and exogenous endophthalmitis

      Pathogenicity/toxicity

    1. We report 16 cases of S. putrefaciens infection that occurred at the Veterans General Hospital-Kaohsiung in Taiwan between 1990 and 1995. S. putrefaciens infection was associated with a wide clinical spectrum including bacteremia/septicemia, skin and soft-tissue infection, biliary tract infection, peritonitis, and empyema.

      Not only was this over 20 years ago, there were no optic infections :( It was in Taiwan as well, which is a much more tropical environment.

    1. Shewanella putrefaciens keratitis in the lamellar bed 6 years after LASIK.

      This is the only source I could find that detailed an infection in the eyes

    1. Shewanella putrefaciens has only been isolated from such clinical materials as various body wounds, feces, conjunctiva, urine, CSF, bile, ascitic fluid, pleural fluid, and stored blood. The major risk factor of S. putrefaciens infection is hepatobiliary disease, peripheral vascular disease, with chronic leg ulcer, poor hygiene, and socioeconomic status. In most cases, the bacteria reside in devitalized tissue or denuded skin and serve as a nidus for opportunistic infection. Soft tissue infections have various clinical manifestations including infected leg ulcer, cellulitis, abscess formation, and wound infection, which are often preceded by chronic ulceration of the lower limb, trauma, burn wound, and seawater exposure.

      Symptoms -- nothing about getting in the eyes

    2. β-lactamase antibiotics

      antibiotic

    3. treated easily by a combination of surgical therapy, drainage and antibiotics.

      treatment

    4. Thus we tried to find out as to how many of Shewanella spp. are wrongly reported as Pseudomonas spp. by just doing simple biochemical tests over a period of six months.

      how to distinguish between shewanella and pseudomonas

    5. soil and water being their natural habitat

      where organism found

    6. oxidase and catalase-positive non-fermenter gram-negative rod that produces hydrogen sulfide.

      tests

    7. foods, sewage, and both from fresh and salt water.

      where organism found

    1. Most Shewanella spp. isolates are susceptible to cefotaxime (95%), piperacillin and tazobactam (98%), gentamicin (99%), and ciprofloxacin (94%).

      antibiotic susceptibility

    2. ear infection, or abdominal and biliary tract infections.

      symptoms

  2. www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
    1. The patient was treated topically with moxifloxacin (0.5%) and tobramycin (15 mg/ml) drops every hour and cyclopentolate 2% three times daily in the right eye. N-acetylcysteine eye drops were administered four times per day.

      treatment for the case

    2. Samples from conjunctival swabbing and corneal scraping, the contact lens, the cleaning solution, and the case were all submitted for microbiological analysis.

      what we should do to diagnose the case

    3. enterobac-teria (such asSerratia spp.andKlebsiella spp.) that can survive in contact lens fluid and onplastic surfaces, which explains their increased numbers incontact-lens-induced corneal infectio

      growth in this certain environment by enterobacteria

    4. CASE REPORTContact-lens-related corneal ulcer caused byklebsiella pneumoniae

      the case report with the information from this case

    1. hydrogen sulfide on TSI.[

      TSI slant

    2. On blood agar plates, the colonies are typically convex and large, with a brown pigment, and cause “greening” of the agar around the colonies.

      blood agar

    3. bright pink color. On solid media, the colonies are round, fast-growing, and pink.

      growing conditions

    4. facultative anaerobe

      oxygen

    5. marine environments

      where organism is found

    1. multidrug-resistant Enterobacteriaceae (mostly Escherichia coli) that produce extended-spectrum β lactamases (ESBLs), such as the CTX-M enzymes, have emerged within the community setting as an important cause of UTIs.

      PH concern

    1. Enterobacter spp. are commonly found in intensive care units and are responsible for 8.6 % of nosocomial infections according to the US Centers for Disease Control and Prevention

      Possible PH concern

  3. www.life.umd.edu www.life.umd.edu
    1. Positive. Immediately after the hydrogen peroxide solution had been added to a sample of the organism, it produced effervescence.

      Catalase Positive

    2. Negative. The sample on the cotton swab did not undergo a change in color several minutes after the reagent had been added.

      Oxidase Negative

    3. Sorbitol – Positive. The organism is capable of fermenting sorbitol which results in the formation of acidic end products.

      Sorbitol Positive

    4. Lactose – Negative. The organism is not capable of fermenting lactose.

      Lactose Negative

    5. Indol formation – Negative. This indicates that the organism does not have the enzyme tryptophanase to metabolize tryptophan.

      Indol Negative

    6. Glucose – Positive for the fermentation of glucose to produce acid, but negative for the production of gas.

      Glucose Fermenter

    7. Serratia marcescens was able to metabolize mannitol to produce acid, but gas was not produced.

      Metabolize Mannitol

    8. Acid was produced causing a change in the color of the pH indicator to yellow, but no gas was produced. 

      Oxidation Ferm. Test

    9. dark red colonies

      Mac: Dark Red

    10. bright, glossy red colonies on the TSA plate.

      TSA: Glossy Red

    11. Results

      Media Growth Results

    1. Derivatives of prodigiosin have recently been found to have immunosuppressive properties and antitumor activity in vivo

      Prodigiosin effects

    2. capable of thriving in diverse environments, including water, soil, and the digestive tracts of various animals. [8] S marcescens has a predilection for growth on starchy foodstuffs, where the pigmented colonies are easily mistaken for drops of blood.

      Environment

    3. Some strains of S marcescens are capable of producing a pigment called prodigiosin, which ranges in color from dark red to pale pink,

      Virulence Factor

    4. Serratia are widespread in the environment, but are not a common component of the human fecal flora.

      Not part of the normal human fecal flora

    1. Glucose fermentation and acid production Lactose and/or sucrose fermenta-tion and acid production GYellow with bubbles or cracksGas production from glucos

      TSI test results

    1. are susceptible to cefepime(7), aminoglycosides, fluoroquinolones, and trimethoprim-sulfamethoxazole(8). Tigecycline has been shown effective in vitro

      antibiotics

    2. Gram-negative bacilli, 0.6-1 μm in diameter and 1.2-3 μm long, motile by means of peritrichous flagella and have class 1 fimbriae

      morphology

    3. Enterobacter spp. are resistant to ampicillin; first- and second- generation cephalosporins(7); and cephalothin

      resistance

    4. Person to person transmission can occur through the fecal-oral route

      outbreak transmission

    5. Enterobacter spp. are commonly found in soil and water;

      naturally occuring

    1. Structure

      you need to write this down and put in a figure caption

    2. d negative-sense, single-strand RNA virus. This means that the virus has genetic material that consists of a single strand of RNA that has the opposite sequence to messenger RNA. Therefore, the genetic information must be converted by RNA polymerase in order to be translated into a protein and carry out its function. There are two major glycoproteins on the surface of RSV and they are called the attachment glycoprotein (G) and the fusion glycoprotein (F) (3). These proteins with sugar attached to them can be found in or around the membrane of cells, and ultimately play an important role in the initial phases of the infection (3).

      you may want to move this to the viral life cycle part

    1. Mastomys natalensis

      you could just say mouse....you made me look it up

    2. e Lassa virus

      refer to your figures in the text. Tell me when you want me to look at your figures. Also, give every figure a figure caption.

    3. Mild symptoms include slight fever, general discomfort or illness, weakness and headache. However, the other 20% of infected individuals experience more serious symptoms such as hemorrhaging in gums, eyes or nose, respiratory issues, nausea and vomiting, swelling in the face, pain in check back or abdomen and even shock. There have also been incidences of neurological problems including hearing loss, tremors, and brain swelling. In these cases, death may occur within two weeks of the first showing symptoms due to multi-organ failure [3

      put some numbers on these and move up before timeline

    4. animal borne

      which animals?

    5. the first to die from the disease.

      maybe describe the disease here.

    1. Vs) detected worldwide, July 2009 - March 2011 (29)

      refer to your figures in your text. tell me when you want me to look at them.

    2. There have been no serious side effects caused by IPV which is why there has been a pushed to change to vaccine method in order to reduce VDPV and eventually eradicate the disease.

      then why haven't we used it before?

    3. y Sabin wild type strains. Most commonly by wild type 3 and 2.

      not sure how these are related. maybe set this up a bit more

    4. at can grow in the gut of

      the vaccine virus can always replicate...that's the point

    5. attenuated

      what does this mean to you?

    6. positive stain of Poliovirus

      refer to your figure in your text. tell me when to look at it.

    7. reduced the polio cases.

      by 99% apparently

    8. pe 1 and 3 are currently foun

      what are the differences other than geographic distribution? maybe not bring this up here but integrate it into more specific details about the virus.

    9. paralysis.

      maybe start with the disease...

    1. quire their envelope

      you may want to draw this out.

    2. psids bud into the ER lumen.

      a little more detail here. I suggest that you talk about the genome (made where) is assembled in the cytoplasm. Then, the whole she-bang fuses into the ER (what?!) to pick up spike proteins.

    3. These polyproteins are cleaved by viral proteases to form a smaller proteins that form the viral replicase and allow the virus to synthesize a negative sense template and subgenomic postive sense RNAs. The negative sense template is used to produce the positive sense viral genome that will be encorporated in to new viruses, while the subgenomic RNAs encode all viral proteins.

      you can save this detail for the replication part. Here, you may want to focus on 1) making proteins needed for replication, 2) making more genome, 3) making structural proteins

    4. While research into the

      don't leave me hanging!

    5. tory drugs are the only treatment, since no

      three really big thoughts in a single sentence. break it up

    6. re severe respiratory problems

      numbers?

    7. There are also rarer symptoms including gastrointestinal symptoms such as diarrhea, which is important considering other coronaviruses cause gastrointestinal diseases

      how much rarer? worth mentioning?

    8. The disease is caused by new virus of the family coronaviruses (Groneberg, 2005). Viruses of this family are spherical, have an envelope, contain RNA which can be directly translated inside the host (positive sense RNA). Their surface is also covered in "spikes" of glyoproteins, which produce the "corona" effect under an electron microscope which gives them their name (Groneberg, 2005). The SARS coronavirus (SARS-CoV) genome was sequenced in 2003 and was distinct from any other coronavirus found in humans or human-associated animals (Groneberg, 2005).

      You are switching from outbreak (population) to molecular and back again. Try to keep all the same scales together.

    9. viral respiratory disease

      maybe talk a bit about the disease

    1. Congenital infection, however has much worse prognosis and a higher mortality rate (approximately 35%).

      denominator?

    2. Symptoms of LCM tend to present itself within 8 to 13 days after contracting the virus. There are various phases in which the infection presents itself as disease. The initial phase of the disease includes symptoms such as fever, malaise, lack of appetite, muscle aches, headache, nausea, and vomiting. After recovery from the initial phase, a second phase of illness may occur. Symptoms that coincide with the second phase of illness include meningitis (inflammation of the meninges), encephalitis (drowsiness, confusion, sensory disturbances), and meningoencephalitis (inflammation of the brain and the meninges).

      gives some numbers and context to the disease

    3. help them fight off infection

      usually that means that those people have been exposed prior.

    4. The Lymphocytic Choriomeningitis Virus (LCMV)

      why don't you start with disease and work your way to where the virus lives?

    1. The spread of smallpox has decreased dramatically.

      from devastating to eradicated is pretty dramatic. :-)

      You are mixing all of your ideas and facts here. i think you can reorganize based on population, organism, cell, molecular a bit better.

    2. A biopsy or x-ray can be performed to examine whether the patient is showing signs of a viral infection.

      biopsy of what? x-ray of what? is there a pneumonia? what are you trying to say?

    3. f symptoms that are general enough

      such as...?

    4. creates a localized pus-filled rash.

      in the respiratory tract? I don't think that is what you meant to say.

    5. making it highly contagious.

      lots of things are spread through respiratory droplets that are not as contagious. Your interjection about breathing is confusing here.

    6. s variola.

      Capitalize

    7. of smallpox i

      why don't you talk about what the disease is?

    8. careful treatment of current patients with the disease, they made it possible.

      not sure what you mean here.

    9. family and functions as effectively as cowpox.

      it is cowpox. it is not easier to grow it does not cause gross deadly disease. It causes mild disease. The current vaccine is even more tame than the original.

    10. vaccinia

      what is this? you haven't talked about it yet.

    11. vaccinated. T

      Is this a story? flesh it out or take it out

    12. effective process for smallpox was confirmed,

      do you mean effective vaccination process?

    13. ollowing with smallpox r

      he didn't give them small pox after as part of the vaccine. He challenged them with small pox and they didn't get disease.

    14. o get vaccinated out of fear.

      don't call it vaccinated until you get to the Vaccinia strain.

    15. Edward Jenner played a key role in developing a vaccine for smallpox. Prior to his research, dried pus-filled scab material would be scratched onto a person's skin to expose the uninfected person to the disease.

      Put some timelines on this. you have 1980 and the next thing you say is Jenner...makes it sound like he was important in 1980. I'm pretty sure he was long dead before that time. Scarification was practiced at least 100 years before Jenner

    16. vaccination for smallpox decreased significantly in the early 1980s.

      how is vaccination rates declining important here. If eradicated, there is no need for a vaccine.

    17. h high mortality and contagious levels, fi

      put numbers on this..

    18. incredibly

      just devastating is fine.

    1. onomic and sanitary conditions

      if 98% of the population is exposed, it's pretty hard to make this claim. I think you mean people who show frank disease.

    2. r

      which is when?

    3. Some common symptoms of EBV include: fatigue, inflammation of the throat and lymph nodes, fever, rash, swollen liver, and enlarged spleen (2).

      start with this and lead with the "kissing disease"

    4. As stated earlier, humans are the primary reservoir for EBV. Though there is a great deal that is not clearly understood about the entry mechanisms used by EBV, there have been experiments done in vitro that provide the most probable mechanisms (1). In order for a successful entry into a B cell, an interaction between EBV glycoprotein called gp350 and a protein complement receptor called CR2/CD21 is needed (1). Once the virus binds to this respective site, it is endocytosed into a low pH compartment (1). This low pH environment helps initiate the fusion of the "core fusion machinery", which is a common mechanism of virus-cell fusion among all herpesviruses (4). This core fusion machinery contains four glycoproteins that help mediate fusion B-cell fusion (4). It is hopeful that future research will reveal these entry mechanisms of the EBV virus so a vaccine can be developed to provide immunity.

      save for the life cycle stuff

    5. virus is approximately 122-180 nm in diameter and is a double-stranded helix of DNA which contains about 172,000 base pairs and 85 genes (5). The DNA is surrounded by a protein shell called a nucleocapsid which is surrounded by clusters of protein called a tegument (5). This tegument then is surrounded by an envelope of lipids and surface projections of glycoproteins that are integral in the infection of the host cell (5).

      save for later. you want to stay at the same length scale (organism or population)

    6. s usually accompanied by a recovery period of two to four weeks i

      you are talking about recovery before you ever talk about disease. not everyone knows what mono is symptomologically.

    7. EBV causes infectious mononucleosis (mono) a

      start with this

    1. viral

      you might mean viable here

    2. HPIV can be efficiently removed from surfaces with most common detergents, disinfectants, or antiseptic agents.1

      you haven't told me how it is transmitted. so telling me how to get rid of it on surfaces seems premature

    3. zoonotic

      why add this vocab word if it doesn't apply?

    4. s children and the elderly.2 Other groups likely to show symptoms are those suffering from malnutrition, vitamin A deficiency, babies not being breastfed, and those exposed to environmental toxins such as smoke

      make into one sentence

    5. -2 is less detecte

      numbers. and maybe just say there are four forms that cause different types of disease and give numbers. You can dive into the weeds later.

    6. causing lower respiratory diseases.

      what does this mean? pneumonia? how is it related to flu? Start with stuff your reader will care about.

    1. 36% of all reported cases r

      does not jive with 50% above

    2. . Other rare cases a human can contract the virus is if an infected mice bites someone, or touch or eat anything that came into contact with infected mice droppings, urine, or saliva (CDC).

      you went from describing an outbreak (interesting!) and moved to transmission. tell your story one step at a time

    3. lation of aerosolized mouse droppings.

      redundant

    4. ot spread from person to person.

      redundant

    5. o several Native American Tribes.

      please explain how this bit of information is important to your story (it feels very "thrown in").

    6. four corners

      Capitalize "Four Corners"

    7. Hantavirus Cardiopulmonary Syndrome (HCPS), is mostly common in the western states. 96% of reported cases of HCPS have occurred in states west of the Mississippi River.

      meld these ideas with above

    8. ude fever, headache, muscle aches, and chills, and progresses to a severe respiratory disease that can eventually lead to death

      numbers? denominator?

    9. the deer mouse was the primary carrier of the virus

      stay with one thought at a time. stay with disease, outbreak.

    10. re was an outbreak in the southw

      give numbers and more details...

    11. rdiopulmonary Syndrome in humans

      in text citations and what does this look like?

    1. Human adenoviruses lack a viral envelope composed of proteins and lipids that surround the viral capsid (1). They are generally 65nm to 80nm in diameter, and are composed of a protein capsid and a nucleoprotein core that contains the viral genome (double-stranded DNA, 26-46 kbp, containing 23-46 protein coding genes) (1). Depending on the viral subgroup, the human adenovirus has a range of diversity (1). Within subgroups (A, B type 1, B type 2, C, D, E, F, G), the human adenovirus serotypes share between 48% and 99% of their DNA; between subgroups, however, there is less than 20% shared (1).

      save for later...too much molecular. think global, population, organism, cellular, then molecular

    2. AdV antibodies in their bodies, i

      what does this mean and why is it important?

    3. Human adenoviruses cause a number of diseases, most often conjunctivitis, gastroenteritis, hepatitis, myocarditis, and pneumonia

      it took you all the way to here before you ever told your reader anything about disease. Think about how you would want to think about a virus...

    1. 85 deaths per year in the United States caused by the disease. In recent years, however, this number has shrunk to about 8.

      denominators would help here

    2. The vaccines are not 100% effective, but in cases where vaccinated children do still contract the disease, it is half as contagious as it is when the virus infects unvaccinated children

      "although 90% of children in the US are vaccinated, the vaccine does not always protect from viral infection. If a vaccinated child is infected, however, the disease is much less severe".

    3. VZV does not have to be transmitted via direct contact, although contact with secretions from a person infected with VZV can result in infection. One of the primary ways that VZV is transmitted is through respiratory pathways.

      why not say, "VZV is transmitted through respiratory droplets, direct and indirect contact".

    4. specific place

      it's ok to say global and leave it at that. Why is it seasonal?

    5. enpox (which typically occurs in children), and shingles. Shingles can occur in adults who had chickenpox as children when the virus, which remained latent in the Dorsal Root Ganglia, becomes active again.

      in text citation. also, try to stay at the population level. DRGs are not global.

    6. Dorsal Root Ganglia until it is reactivated later in life and becomes Shingles.

      save for later

    7. t most are familiar with.

      you need to set this up a bit more

    8. ng the mucosa,

      In this section, try to use a more casual language. Something that explains the viral disease and prevalence. Things you might tell your aunt about.

    9. x and can reoccur later in adults as Shingles.

      lots of thoughts here. start with Chicken pox and tell me about the disease. You can bring shingles in later if you want to talk about reactivation.

    1. Vector

      remind your reader what the vector is...you don't have to use jargon here...mosquito is perfectly reasonable.

    2. fter a large surge in infections in 2012.

      I don't understand this sentence.

    3. euroinvasive diseases like encephalitis,

      or you can say, "rarely (1% of cases), WNV can invade the nervous system and cause inflammation (encephalitis)". Try to explain as much as you can and avoid using jargon.

    4. 94% of cases

      denominator please

    5. be transmitted through blood transfusions or organ transplants.

      put some numbers on this and in text citations please

    6. mosquito-bird-mosquito cycle

      a bit much in your first sentence. why not start with the disease...

    1. virus can be food- or water-borne, and it can survive on physical surfaces, which can lead to viral outbreaks in environments such as schools or cruise ships.2

      numbers here...

    1. Several laboratory tests, such as enzyme-linked immunosorbent assay (ELISA), can diagnose CCHFV by detecting specific molecules (antigens) or RNA sequences unique to the virus [

      Is this the only way to diagnose the disease? maybe talk about other diseases you might have to distinguish between and then bring up ELISA. Seems like you are solving a problem before you've explained that there is one.

    2. with mortality rates of up to 30% [1

      what's the denominator here?

    1. e 1: Lytic Cycle of a Virus

      you may want to draw your own picture...this isn't very good

    2. HSV-1 and HSV-2 can also go into periods of latency, meaning the virus is not actively being produced in the host (Nicoll, Proenca & Efstathiou, 2012). During latency, the host is absent of disease and no transmittance can occur (Nicoll, Proenca & Efstathiou, 2012). The host acts as a reservoir during latency and periodically the virus reactivates and the host can infect others (Nicoll, Proenca & Efstathiou, 2012). There are currently no vaccinations or prophylactic measures to completely prevent the spread of herpes (Akhtar & Shukla, 2009). The use of condoms and washing ones hands are effective methods to prevent the spread of herpes (“Herpes Simplex Virus”).

      you dipped into the molecular and then back out to general. watch your register here.

    3. HSV-1 and 2 binds to receptors on epithelial cells triggering the fusion with the cell (Karasneh & Shukla, 2011). Once inside the cell, viral DNA enters the nucleus and allows for viral transcription through the lytic cylce (Nicoll, Proenca & Efstathiou, 2012). The lytic cycle is the process in which viruses overtake cells and uses host machinery to reproduce and results in the killing of the host cell to release the virus to infect surrounding tissues (Figure 1)

      this may need to be elsewhere. It doesn't really fit with modes of transmission

    4. Genital and oral herpes is transmitted through skin-to-skin contact and mucous membrane contact with an infected individual (Nicoll, Proenca & Efstathiou, 2012). Herpes can be transmitted through sexual intercourse and kissing

      can you combine these two ideas?

    5. capsid and are surrounded in a lipid bilayer

      a picture would be helpful here.

    1. ffects as inflammation in the brain, blood disorders, eye infections, deafness, and others

      add numbers to all of your statements. It's too frightening otherwise.

    2. the CSF is produced (2). The virus then replicates within these areas and can penetrate into the brain and destroy some of the epithelial integrity, causing it to disintegrate into the CSF (2).

      this is also the same idea. maybe stick with the idea that the virus can get into the CSF and cause inflammation in the meninges and CNS. You are trying to take on too much information here and it is less than clear.

    3. re, leading to meningitis and encephalitis (

      same statement as the one above

    4. s, bleeding, fluid build-up, and the death of local exocrine and skin cells

      this sounds terrible but doesn't jive with the symptoms mentioned above.

    5. such as sports teams and classrooms

      you start off by saying it's not very prevalent in modern cultures but you only talk about US cases here.

    6. though research of the development and spread of the virus are primarily done through animal studies (2). MuV belongs to the family Paramyxoviridae. The virus is enclosed in a protein shell (2) and seven linked transcription units (2). It is infect healthy cells by fusing its membrane to the membrane of a target cell (2), and these infected cells are able to attach to other healthy cells to spread the infection (2).

      maybe save this until later.

    7. While mumps is a disease t

      why don't you describe the disease first?

    1. Regular contact with infected individuals such as hugging, kissing, sharing drinks and utensils, and shaking hands does not transmit the disease.

      please turn this sentence around do you emphasize the part where these are NOT likely transmission routes.

    2. riends of those infected (WHO, 2016).

      you may want to elaborate on these drugs a bit. Maybe how they work (once you've discussed replication).

    3. sever. T

      severe

    4. Disease Prevalence and Demographic

      please refer to your figures in your text so I know when to look at them.

    5. Figure 1: The path of HIV through the host cell. Source: Becerra et al. (2016)

      move this to later...it is too early.

    6. Once inside the body, the virus uses the host's cells by "hijacking the cell’s machinery" and replicating its own genomic material along with the DNA of the host (Becerra et al., 454).

      maybe put this later. stick to the global part here.

    1. Proteins DNM1/Dynamin 1 or DNM2/Dyamin 2 function to pinch the plasma membrane to enclose the virus in a Clathrin Coated Vesicle (CCV), and bring the CHIKV virus into the cytoplasm (Viralzone).

      this is a lot of molecular mechanism...you might get bogged down here. How about just saying endocytosis first and then if the clathrin comes in as part of uncoating, then bring it up. Much of this is classic cell biology that is not specific to the virus.

    2. ith mechanisms similar to that of other alphaviruses, with selectivity for receptors not found on all types of cells (Solignat et. al). CHIKV has demonstrated selectivity for proliferation in various cell types such as microphages, the kidney epithelial cell line (HEK-293T), the hepatocarcinoma epithelial line (HUH7), lung cells (MRC-5), skeletal muscle cells, and various endothelial cell lines (ThRBMEC and hCMEC/D3) (Solignat et. al).

      maybe relate how these types of cells may play a role in disease. Right now, it is a laundry list of cells that can be infected by CHIKV in the lab.

    3. as binding to receptors, on the host cell membrane (

      which receptors?

    4. he host cell and

      which cells? which host? just remind everyone

    5. Two structural proteins encoded by the CHIKV RNA strand, E1 and E2

      that's a lot of information...two structural proteins (what does that mean to you?) and RNA strand (means what?) and E1 and E2 (not very informative). Maybe start with the overall structure of the virus (capsid, etc), then you can work your way to E1 and E2.

    6. arboviruses

      I think this is the first time you mention this...maybe just say related viruses.

    7. skyrocketed

      can you put some numbers on skyrocket?

    8. veremic

      jargon-y...

    9. The Chikungunya virus itself is a type of Alphavirus (Weaver et. al, 1231), which are structurally characterized by having eighty trimeric glycoprotein spikes (1) which allow the virus entry into the host cell (Snyder and Mukhopadhyay) via promoting the fusion of viral and target host cell membranes (Yang et. al).

      save this for the life cycle part..it is jarring in this paragraph.

    1. Coxsackievirus contains various dips along it's virion surface in which the binding occurs. By doing so, instability occurs allows for a fatty acid to be released.

      I'm not sure what this means either. How does the virus attach? penetrate? uncoat? replicate? assemble? escape?

    2. Once attached to the receptor, the virus binds to it

      how is attached and bound different?

    3. external

      external to what? I'm not sure what this means.

    1. Treatment in severe cases is electrolyte replacement (to provide electrolytes, such as sodium, potassium and chloride ions, lost through vomiting and diarrhoea) and rehydration.

      Treatment option. Antibiotics not recommended unless very young, old, or immunocompromised.

    1. The most common symptoms of Salmonella Enteritidis include fever, diarrhea, vomiting, abdominal cramps, muscle aches, and headache. These symptoms generally occur between 12-72 hours after the bacteria has been ingested and last anywhere from 4-7 days. Healthy individuals can usually rid themselves of the bacteria on their own; however, children, elderly people, and those with compromised immune systems may require additional treatment [18].

      Clinical manifestations of Salmonella enterica along with who are going to be most susceptible

    2. Once established in the intestine, the bacteria's virulence factors go to work. An enterotoxin results in the release of fluids from the cell into the lumen. This factor is responsible for the diarrhea and vomiting symptoms. Next, the endotoxin results in the release of endogenous pyrogens from the host cell, causing a fever in the victim. Lastly, the cytotoxin is responsible for the disintegration of the cytoplasm.

      virulence factors on how Salmonella enterica causes diarreah

  4. catalog.hardydiagnostics.com catalog.hardydiagnostics.com
    1. Salmonella enterica ATCC® 14028 A 24hr 35°C Aerobic Growth; colorless to amber colonies

      growth on EMB - colorless to amber colonies